Health Resources Health Facilities Public Details of physical infrastructure of public health facilities in the district is given in the table below Facility Type Name/Number of Facility Bed Strength No. of Functional Beds Remarks DHQ Hospital 1 253 253 THQ Hospital 2 120 120 RHCs 9 180 180 BHUs 58 116 116 Govt. Rural Dispensaries 2 0 0 MCH Centers 6 0 0 Sub Health Centers 31 0 0 TB Clinics 1 16 0 Health houses 1394 0 0 Data source: DHIS/EDOH office
Human Resource With regard to MSDS gap analysis for human resource, the difference between the standards proposed in MSDS and filled posts has been calculated as the vacancy gap. The hospitals have been categorized based on their bed strength as follows: Hospital Category Bed Strength DHQ Hospital A 400 and above Beds B 251-400 Beds C Up to 250 Beds THQ Hospital A Above 60 Beds B 41-60 Beds C Up to 40 Beds DHQ Hospital Jhang (Category C) Sr. No. Post Standard as per MSDS Sanctioned Filled Vacancy Gap in relation to sanctioned positions Vacancy Gap in relation to filled positions 1 Gynecologist 3 3 1 0 2 2 Pediatricians 3 1 1 2 2 3 Anesthetists 3 1 1 2 2 4 Medical Officers including SMO,APMO & PMOs 74 48 34 26 40 5 Women Medical Officers including SWMO, APWMO &PMOs 27 12 8 15 19 6 Lady Health Visitors 11 1 1 10 10 7 Nurses 75 74 74 1 1
THQ Hospital Shorkot (Category C) Sr. No. Post Standard as per MSDS Sanctioned Filled Vacancy Gap in relation to sanctioned positions Vacancy Gap in relation to filled positions 1 Gynecologists 2 1 0 1 2 2 Pediatricians 2 1 1 1 1 3 Anesthetists 3 1 0 2 3 4 Medical Officers including SMO,APMO & PMOs 19 17 7 2 12 5 Women Medical Officers including SWMO APWMO & PMOs 10 8 1 2 9 6 Lady Health Visitors 8 1 1 7 7 7 Nurses 24 13 13 11 11 THQ Hospital Ahmad Pur Sial (Category C) Sr. No. Post Standard as per MSDS Sanctioned Filled Vacancy Gap in relation to sanctioned positions Vacancy Gap in relation to filled positions 1 Gynecologists 2 1 0 1 2 2 Pediatricians 2 1 0 1 2 3 Anesthetists 3 1 0 2 3
30 MNCH Related Paediatrics Equipments 30.1 Paediatric Ventilator 1 2 2 0 1 30.2 Incubator 1 1 2 0 1 30.3 Photo Therapy Unit 1 1 1 0 1 30.4 Over-head Radiant Warmer 1 1 1 0 1 30.5 Infant Length Measuring Scale 2 2 2 0 2 30.6 Infant Weighing Machine 2 2 2 0 2 30.7 Nebulizer 1 1 2 1 0 30.8 Billiubino-meter 1 1 2 0 1 30.9 Exchange Blood Transfusion Set 1 1 2 0 1 30.10 Probe Paed size 2 2 4 0 2 31 Anaesthesia/ICU 31.1 Anaesthesia Machine 1 1 2 1 0 31.2 Ventilators 1 1 1 0 1 31.3 Nebulizer 1 1 1 0 1 31.4 Oximetry 1 1 1 1 0 31.5 Defibrillator 1 1 1 0 1 31.6 Airway Oral and 2 3 4 0 2
31.7 Tracheostomy tube (adult and paeds) 2 2 4 0 2 31.8 Face mask of all 2 2 4 0 2 31.9 Double Cuff Tourniquet (for regional 1 2 2 0 1 31.10 AMBO bag adult 2 2 4 1 1 31.11 AMBO Bag paeds 2 2 4 0 2 31.12 Red Rubber Nasal tubes all sizes without cuff 4 4 8 0 4 32 Blood Bank 32.1 Blood storage cabinet (100 bag capacity) 1 1 2 1 0 32.2 Packed cell machine 1 1 1 0 1 32.3 Cell Separator 1 1 1 0 1 32.4 Freezer for Fresh Frozen Plasma 1 1 1 0 1 32.5 Blood bag shaker 1 1 2 0 1 32.6 RH view box 2 2 4 1 1 32.7 bath 2 2 2 1 1 32.8 Micro-pipette 4 6 8 1 3 32.9 Blood grouping tiles 3 3 6 0 3 32.10 Plasma Extractor 1 1 1 0 1 32.11 Platelets agitator 1 1 1 0 1
20 Examination 3 3 3 2 1 21 Suction Curette 1 1 2 2 0 22 Infant Resuscitation Trolley (with life saving medicines, baby laryngoscope, Endo-tracheal tube, Infant BP Apparatus, Chargeable 1 1 1 2 0 23 Mother Resuscitation Trolley (with life saving medicines, Laryngoscope, tube, BP Apparatus, Chargeable light) 1 1 1 0 1 24 Cardiac Monitor 1 1 1 0 1 25 Pump Breast Electronic 1 1 1 0 1 26 Vaginal Hysterectomy Set 2 2 2 26.1 Toothed Tissue Forceps (8”) 2 2 2 2 0 26.2 Non-Tooted Tissue Forceps (8”) 2 2 2 2 0 26.3 Dissection Scissors (Curved 7”) 2 2 2 2 0 26.4 Dissection Scissors (Straight 7”) 2 2 2 2 0
31.6 Airway Oral and Nasal 1 2 2 0 2 31.7 Tracheostomy tube (adult and paeds) 1 2 2 6 0 31.8 Face mask of all sizes 1 2 2 6 0 31.9 Double Cuff Tourniquet (for regional block) 1 1 1 0 1 31.10 AMBO bag 1 2 2 4 0 31.11 AMBO Bag paeds 2 2 2 2 0 31.12 Red Rubber tubes all sizes without cuff 4 4 4 0 4 32 Blood Bank 32.1 Blood storage cabinet (100 bag capacity) 1 1 1 1 0 32.2 Packed cell machine 1 1 1 0 1 32.3 Cell Separator 1 1 1 0 1 32.4 Freezer for Frozen Plasma 1 1 1 1 0 32.5 Blood bag shaker 1 1 1 0 1 32.6 RH view box 1 2 2 1 1 32.7 Water bath 2 2 2 1 1 32.8 Micro-pipette 4 4 6 1 3 32.9 Blood grouping tiles 3 3 3 1 2 32.10 Plasma Extractor 1 1 1 0 1
26.4 Dissection Scissors (Straight 7”) 2 2 2 2 0 26.5 Hysterectomy Clamps (Straight) 8 8 8 8 0 26.6 Hysterectomy Clamps (Curved) 8 8 8 0 8 26.7 Uterine Sound 2 2 2 0 2 26.8 Needle Holder (7”) 2 2 4 1 1 26.9 Needle Holder (10”) 2 2 2 0 2 26.10 Artery Forceps (Straight 6”) 16 16 16 16 0 26.11 Artery Forceps (Curved 6”) 16 16 16 16 0 26.12 Forceps 8 8 8 8 0 26.13 Towel Clamps 8 8 8 8 0 26.14 Single blade Sims speculum 4 4 4 0 4 26.15 Double Sims speculum 4 4 4 0 4 26.16 Sponge holding forceps 8 8 8 0 8 26.17 Volselum forceps 4 4 4 0 4 26.18 Uterine Sound 2 2 2 0 2 26.19 Bladder Sound 2 2 2 0 2 27 Delivery Sets 6 6 10 27.1 Episiotomy Scissors 6 6 10 4 2
SECTION 3: INTERVENTIONS AND TARGETS After enlisting the vital causes of prioritized health problems, team proposed appropriate interventions to tackle the problems. Once interventions and activities had been identified, next task the planning team performed was to set the number and quality of specific activities (targets) that have to be carried out. It is pertinent to mention over here that the plan envisages additional activities along with routine activities under regular budget. Health Problems Sr. No. Problem Causes Intervention Activities Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks 1 Diarrhea Poor sanitation improvement of water supply and sanitation Quarterly co-ordination Meeting with TMA and other agencies Meeting 12 4 4 4 Lack of safe drinking Health Education campaign Messages on local cable network Message 12 4 4 4 Unhygienic practices Improving literacy rate through coordination with education department Message on FM Radio Message 12 4 4 4 Lack of awareness in general population Proper treatment of Diarrhea including ORT Printing and distribution of IPC material Brochure 500000 300000 100000 100000 Lack of awareness mothers about feeding and weaning practices Capacity building of health staff in Integrated Management of Childhood Illnesses (IMNCI) Address in school Assemblies Sessions 4920 4920 0 0
Lack of proper sanitation Timely referral of complicated Training of medics and para-medics in IMNCI No. of trainings 0 Seasonal variation Procurement and distribution of Antibiotic Amoxicillin Antibiotic (Syrup) 300000 150000 75000 75000 Lack of awareness and hygienic practices Procurement and distribution of Inj. Cefotaxine Sodium 1gm Injection 10000 10000 Procurement and distribution of Inj. Cefotaxine Sodium 500gm Injection 30000 10000 10000 Procurement and distribution of Inj. Cefotaxine Sodium 250gm Injection 10000 10000 3 High MMR Poor access to healthcare delivery services Health education/promotion Messages on local cable network Message 36 12 12 12 Lack of awareness about danger signs of pregnancy Behaviour change communication for Mothers of child bearing age Printing and distribution of IPC material Brochure 300000 400000 300000 300000 Low coverage Provision of Quality basic EmONC services at BHU & RHC Training of LHWs on BCC No. of trainings 58 58 0 0 Low skilled birth attendance Provision of Quality Comprehensive EmONC services at THQs hospital Procurement of vehicles for transportation through CCBs
Three delays (seeking health care, transportation, and lack of referral services) Improving transportation of the patients Operation and management of vehicles through CCBs Complications of pregnancy Repair of non functional ambulances for timely transportation of pregnant mothers Capacity Issues related to maternal care Replacement of the non functional ambulances for timely transportation of pregnant mother Maternal Anemia Procurement of the MNCH related equipment and Instruments Pregnancy following chronic severe diseases Implementation of the referral protocols Procurement of 60000 15000 15000 Procurement and distribution of No. of tablets 60000 30000 Procurement and distribution of Anti-D Injection 60 20 20 20 4 High under 5 Mortality Poor antenatal natal and post natal coverage Health awareness/education Message on local cable Message 36 12 12 12 up
Neo-natal Infections Provision of the quality basic EMONC services at BHU & RHC BCC of mothers 0n promotion of breast feeding and weaning practices through LHWs Number of Trainings 0 0 0 0 Birth Trauma & Asphyxia Provision of the quality Comprehensive services at THQH & DHQH Provision of the deficient infrastructure at THQ Assessment Prematurity Improvement of feeding and weaning practices Trainings on IMNCI No. of trainings 0 Poor feeding and weaning practices Capacity building of Human Resource dealing child health care Need assessment of food supplements Assessment 0 Diarrhoea Enhancing EPI coverage procurement from DGHs office Assessment 0 ARI Poverty elevation Distribution of food suplemwnts to mothers & children through LHWs & community mid wives Assessment 0 Lack of capacity of staff for provision of proper child health care (diagnostic and timely referrals) Provision of food suplements Raising income of the poor famlies through Baitul Mall and Zakat Assessment 0 Low socio economic status Revising the micro plans of Vaccinators Malnutrition
Sharing of used syringes Campaign against quackery Printing and distribution of IPC material Brochure 500000 200000 200000 100000 Transfusion of unsafe blood and blood products Strengthening blood transfusion services for safe transfusions Printing and pasting of stickers at clinics and Barber shop highlighting use of new syringes & Razors Stickers 1500 1500 0 0 Unsafe sexual practices Regulatory mechanism to ensure use of safe instruments by dentists, barbers etc. Hepatitis awareness week ( walk/display banners/seminars) 1 1 Ear & Nose piercing and tattooing Procurement & Distribution of HCV Device Kits 30000 10000 10000 10000 Use of unsterilized equipment by dentists and barbers Procurement & Distribution of BSAG Device Kits 30000 10000 10000 10000 Procurement & Distribution of HIV Device Kits 30000 10000 10000 10000 Procurement and supply of HCV Eliza kits Kits 18 6 6 6 Procurement and supply of HBV kits Kits 9 3 3 3 Procurement of syringe cutters Syringe cutter 1800 600 600 600
Fire-arm injuries Procurement of equipments / instruments / various splints and Plaster Domestic accidents Burns Bomb blasts/terrorist activities Lack of tolerance in the society 8 Scabies Lack of awareness Health education & Promotion Messages on local cable networks Message 12 4 4 4 Unhygienic practices Improving water and sanitation Messages through FM channels Message 12 4 4 4 Over-crowding/Poor housing facilities Proper diagnosis and treatment Printing and distribution of IPC material Brochure 600000 300000 150000 150000 Poor and sanitation Procurement and distribution of Benzyl Benzoate Lotion Lotion 300000 100000 100000 100000 Seasonal variation
9 Anemia (including pregnancy) Lack of awareness about balanced diet Awareness raising for behaviour change Messages on local cable network Message 36 12 12 12 Gender discrimination Awareness raising for behaviour change Printing and distribution of IPC material Brochure 600000 300000 150000 150000 Social taboos and norms Awareness raising for behaviour change Counseling of pregnant mothers Session - - - Worm infestation Deworming campaign Procurement of tablets No. of doses 300000 150000 75000 75000 Infections Diagnosis and treatment of infections Distribution through LHWs and health facilities Poor quality of MNCH services Strengthening MNCH Services Refresher Trainings of LHWs on BCC, balanced diet and provision of micro-nutrients No. of trainings Already costed Poverty/ Low socio economic status Equity of services Provision of Suhlat Card/health voucher Management Problems Human Resource plan to bridge the gap between MSDS proposed and Sanctioned Posts
Sr.No. Name of Post Basic Scale Basic Pay Allowances Requirement as per Gap Physical Targets Year I Year II Year III 1 Gynaecologist 18 12,910 18,099 2 1 1 - 2 Paediatricians 18 12,910 18,099 4 2 1 1 3 Anesthetists 18 12,910 18,099 6 2 2 2 4 MO / WMO 17 9,850 15,345 65 25 20 20 5 Nurses 16 6,060 8,934 17 6 6 5 6 Lady Health Visitors 9 3,820 4,750 23 8 8 7 Sr. No Problem Causes Intervention Activities Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks
1 Shortage of skilled staff Vacant positions Filling of the vacant posts Temporary Filling of the vacant of medics and the paramedics through existing recruitment committees Recruitment Non-sanctioning of staff according to MSDS Sanctioning of positions according to MSDS Demand generation and request to the Department of Health by the districts for recruitment through PSC against vacant posts Plan Lack of permanent postings Recruitment through Public Service Commission on regular Districts to prepare the incentivized pay package with consultation of all stockholders Pay Package Lack of incentives and differential pay packages Incentivized pay package at all levels Consensus building between the districts for uniform incentivized pay package for all categories and levels staff Meeting Frequent transfer postings Well defined career structure including opportunities for higher education Request to the Provincial Government for approval and implementation of agreed pay packages Plan Job insecurity Conducive working environment Review and revise the career structure of medics, paramedics and technical staff like SOs, Health Education officers etc T A Lack of amenities at workplace Provision of staff Residences Availability of recreation, education and other facilities for children of staff working in rural areas Plan EDOH
Lack of conducive environment including insecurity and transport of children for education High level political commitment for providing protection to staff working in health facilities Construction of the residences for the staff Requirement Plan Political & Media Interference provision of recreation facilities (Parks/Play area/common rooms) Plan EDOH Deficient transparent accountability Provision of the transport of staff children for the education purposes Plan EDOH Shortage of the residences Capacity and need assessment of the medics and the paramedics TNA Medico-legal work specially for Females Prepare training programs for providing higher professional education based on TNA Plan 2 Inadequate budget for POL Installation of the Generator for back electricity supply Rational increase in POL Budget Assessing additional need for POL Frequent increase in prices of POL Costing & Submission the additional Demand for POL P O L 417,085 - - - Less allocation for POL budget
3 Lack of infrastructure Emerging need of the District Provision of Offices & Residences at different level of District Construction Strengthening of DHIS Office Office Equipment Strengthening of Public Nursing School Office Equipment 4 Deficient equipment Deficiency in comparison to MNCH Standard and notified list General equipment for DHQH and THQH Shorkot Old and equipment Poor maintenance mechanisms Provision of MNCH related and general equipment in accordance with identified gaps Purchase of MNCH related Equipment at DHQH Purchase of MNCH related Equipment at THQH Shor Kot Equipment Equipment 1 1 1 1 - - Shortage of regular budget for M&R Purchase of MNCH related Equipment at THQH Ahmed Pur Sia Equipment 1 1 - - Purchase of necessary Urology Equipment (DHQH) Purchase of general equipment for THQH Shorkot Equipment 1 1 - -
Health Problems Sr. Problem Activity Define Financial Targets Total Cost Unit Rate Quantity Year I Year II (10 %) Year III (10 %) 1 Diarrhea Quarterly Meeting with TMA and other agencies Meeting 7,000 12 28,000 30,800 33,880 92,680 Messages on local cable network Message 12 96,000 105,600 116,160 317,760 Message on FM Radio Message 28000 12 112000 123,200 135,520 370720 Printing and distribution of IPC material Brochure 4 500000 1,200,000 440,000 484,000 2,124,000 Address in school Assemblies Sessions School Health & Nutrition Supervisors did this task 4920 - - - Training of medics and paramedics in MNCH No. of Trainings 140,200 17 1,402,000 1,079,540 - 2,481,540 Procurement and distribution of ORS ORS Packets 5 500000 1,500,000 550,000 605,000 2,655,000
Procurement and Distribution of Syp Zinc Sulphate Syrup 35 500000 7,000,000 5,775,000 6,352,500 19,127,500 Procurement and Distribution of Syp Metronidazole Syrup 15 150000 750,000 825,000 907,500 2,482,500 Procurement and Distribution of Inj. Metronidazole Injection 60 30000 600000 660,000 726,000 600,000 Procurement and distribution of IV fluids Injection 50 20000 1000000 275,000 302,500 250,000 2 Acute (upper) respiratory infections Messages on local cable networks Message 24,000 12 96,000 105,600 116,160 317,760 Messages through FM radio channels Message 28,000 12 112,000 123,200 135,520 370,720 Printing and distribution of IPC material Brochure 4 500000 1,200,000 440,000 484,000 2,124,000
Training of medics and para-medics in No. of trainings IMNCI Training package coasted in Problem Diarrhea also includes management of ARI 0 - - - - Procurement and distribution of Antibiotic Syrup Amoxicillin Antibiotic (Syrup) 20 300000 3,000,000 1,650,000 1,815,000 6,465,000 Procurement and distribution of Inj. Cefotaxine Sodium 1gm Injection 25 30000 250,000 275,000 302,500 827,500 Procurement and distribution of Inj. Cefotaxine Sodium 500gm Injection 26 30000 260,000 286,000 314,600 860,600 Procurement and distribution of Inj. Cefotaxine Sodium 250gm Injection 30000 - - 3 High MMR Messages on local cable network Message 24,000 36 288,000 316,800 348,480 953,280 Printing and distribution of IPC material Brochure 4 300000 1,600,000 1,320,000 1,452,000 4,372,000
Training of LHWs on BCC No. of trainings 13,900 58 806,200 - - 806,200 Procurement of vehicles for transportation through CCBs Coasted in service delivery problems - - - Operation and management of vehicles through CCBs Coasted in service delivery problems - - - Repair of non functional ambulances for timely transportation of pregnant mothers Coasted in service delivery problems - - - Replacement of the non functional ambulances for timely transportation of pregnant mother Coasted in service delivery problems - - - Procurement of the MNCH related equipment and Instruments Coasted in service delivery problems - - -
Implementation of the referral protocols Coasted in MSDS Gaps - - - Procurement of Packs 35 1,050,000 577,500 635,250 2,262,750 Procurement and distribution of No. of tablets 20 60000 600,000 330,000 363,000 1,293,000 Procurement and distribution of Injection 5000 60 100,000 110,000 121,000 331,000 4 High 5 Mortality Message on local cable Message 24,000 36 288,000 316,800 348,480 953,280 BCC of mothers 0n promotion of breast feeding and weaning practices through LHWs Number of Trainings LHWs training on BCC of mothers on promotion of breast feedings - Provision of the deficient infrastructure at THQ Assessment As proposed in MSDS Gaps
Printing and pasting of stickers at clinics and Barber shop highlighting use of new syringes & Razors Stickers 50 1500 75,000 - - 75,000 Hepatitis awareness week ( walk/display banners/seminars) Lump sum 1 300,000 - - 300,000 Procurement & Distribution of HCV Device Kits 30 30000 300000 330,000 363,000 993,000 Procurement & Distribution of BSAG Device Kits 30 30000 300000 330,000 363,000 993,000 Procurement & Distribution of HIV Device Kits 30 30000 300000 330,000 363,000 993,000 Procurement and supply of HCV Eliza kits Kits 10000 18 60,000 66,000 72,600 198,600 Procurement and supply of HBV Eliza kits Kits 8000 9 24000 26,400 29,040 79,440 Procurement of syringe cutters Syringe cutter 150 1800 90,000 99,000 108,900 297,900
Procurement and distribution of Interferon Injection Courses 15000 1200 6,000,000 6,600,000 7,260,000 19,860,000 Documentation of expense of disposable syringes - - - Procurement & Distribution of SGPT Kits 7000 36 84,000 92,400 101,640 278,040 Procurement & Distribution of SGOT Kits 7000 36 92,400 101,640 278,040 7 Road accident & Injuries Quarterly meetings with Traffic Police department Meeting 3,500 12 14,000 15,400 16,940 46,340 Quarterly meetings with Highway department Meeting 3500 12 14,000 15,400 16,940 46,340 Preparation of Disaster Management Plan including the Patient Management protocols Plan EDO/DOH & MS - - -
Provision of emergency kits for victims Emg. Kits 5591 400 1,118,200 615,010 676,511 2,409,721 Procurement of equipments / instruments / various splints and Plaster 8 Scabies Messages on local cable networks Message 12 96,000 105,600 116,160 317,760 Messages through FM radio channels Message 12 112,000 123,200 135,520 370,720 Printing and distribution of IPC material Brochure 600000 1,200,000 660,000 726,000 2,586,000 Procurement and distribution of Benzyl Benzoate Lotion Lotion 300000 1,500,000 1,650,000 1,815,000 4,965,000 9 Anemia ( including pregnancy) Messages on cable network Message 24,000 36 288,000 316,800 348,480 953,280 Printing and distribution of IPC material Brochure 4 600000 1,200,000 660,000 726,000 2,586,000
Management Problems Human Resource Plan to bridge gaps between MSDS proposed and Sanctioned positions Sr. No. Name of Post Scale Basic Pay Allowances Requirement as per Gap Financial Targets Year I Year II Year III Pay of Officers Pay of staff Allowances Pay of Officers Pay of other staff Allowances Pay of Officers Pay of other staff Allowances 1 Gynecologists 18 12,910 18,099 2 1 1 - 154,920 - 217,188 340,824 477,814 2 Pediatricians 18 12,910 18,099 4 2 1 1 309,840 - 434,376 511,236 716,720 3 Anesthetists 18 12,910 18,099 6 2 2 2 309,840 - 434,376 681,648 955,627 4 MO / WMO 17 9,850 15,345 65 25 20 20 2,955,000 - 4,603,500 5,850,900 9,114,930 5 Nurses 16 6,060 8,934 17 6 6 5 436,320 - 643,248 959,904 1,415,146 6 Lady Health Visitors 9 3,820 4,750 23 8 8 7 366,720 456,000 806,784 1,003,200 Total 4,532,640 - 6,788,688 9,151,296 - 13,683,437
Sr. Problem Activity Define Financial Targets Total Cost Unit Rate Quantity Year I Year II Year III 1 Inadequate budget for POL Assessing additional need for POL Costing & Submission the additional Demand for POL P O L 76 417,085 - - - 31,698,496 2 Lack of infrastructure Construction Detail Annex 69,799,550 - Strengthening of DHIS Office Office Equipment Detail Annex 83,000 Strengthening of Public Nursing School Office Equipment Detail 485,000 3 Deficient equipment MNCH related Purchase of MNCH related Equipment at DHQH Equipment Detail Annex 17,151,945 Purchase of MNCH related Equipment at THQH Shorkot Equipment Detail Annex 14,763,575 Purchase of MNCH related Equipment at THQH Ahmed pur Sial Equipment Detail Annex 24,629,810
% of functional ambulances in the district 100% (DHQH/ THQH/ RHCs) Log Book EDOH/DOH/ Transport officer Quarterly % utilization of sanctioned budget 100% of yearly budget Quarterly Reports EDOH/ DOH/ MSs/ Accounts officer Quarterly % of facilities with availability of basic EmONC 100% (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of DHQ/THQ hospitals with Comprehensive EmONC services 100% in 3 (50% during 1st year) Supervisory report EDOH/DoH/ DDOH Quarterly % of facilities with availability of separate or partitioned room reserved exclusively for delivery 100% in 3 years (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of targeted pregnant women newly registered by LHW Target according to DHIS Report EDOH/ Statistical Officer Quarterly % of targeted pregnant received TT-2 vaccine Target according to DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly
Delivery conducted by or under supervision of skilled persons reported 60 % During 1st year DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly %of target children between 18 - 23 months of age fully immunized Target according to DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of referred cases attended 100% DHIS Report/ LHWs monthly report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of targeted eligible couples provided knowledge and information on Family Planning methods Target according to LHW’s monthly/ quarterly report EDOH/ Statistical Officer /Coordinator NP-FP&PHC Quarterly No. of meetings with participation from other sectors 12 meetings per year Minutes of meetings EDOH/ Focal person/s Quarterly
39 Dr. Shazia Khalil Halal-e-Ahmar Hospital Jhang City Road Gynaecologist 40 Dr. Rizwana riaz Abid Memorial Hospital Jhang Gynaecologist Tehsil Shorkot 1 Dr. Irshad –ul-Haq Rt.Pak Army Ahsan Clinic near Madina Ice Factory Shorkot City MBBS 2 Dr. Zafar-ullah Sheikh Eye Specialist Ismaeel Memorial Hospital Mohallah Katchkota Shorkot City -do- 3 Dr. Zafar Iqbal --do-- -do- 4 Dr. Saif-ullah Sheikh Dental Surgeon --do-- BDS 5 Dr. Muhammad Hashar Shahid Shaheed road Shorkot City MBBS 6 Dr. Mehmood Surgeon Mehmood Surgical Hospital Shahid Shaheed Road Shorkot City. MBBS, FCPS 7 Dr. Imran Haidar Katia Child Specialist --do-- MBBS 8 Dr. Muhammad Khalid Bin Walid road Shorkot City. MBBS 9 Dr. Ejaz Ahmad Ch. Child Specialist Bismillah Children Clinic Khalid Bin Walid Road Shorkot City MBBS 10 Dr. Muhammad ALI Clinic near National Bank of Pakistan Shorkot City MBBS 11 Dr. Mubashar Eye Specialist Rehman Clinic old Jhang road Shorkot City MBBS 12 Dr. Mukhtar Hussain Ultra Sound Specialist Mukhtar Ultra sound Clinic near Naional Bank Shorkot City MBBS 13 Dr. Mazhar Bhangoo Usmania Clinic near Jamia Usmania old Jhang Road Shorkot City MBBS 14 Dr. Ghulam Rasool Shahid Clinic old Hospital Road near Shahid shaheed Road City MBBS