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Health Sector Response Health Sector Response Total Beneficiaries – estimated 25 MillionTotal Funds Used – US$ 156 MillionActivities:
◦ Communicable Disease Surveillance and Response
◦ Essential Medicines◦ Health Sector Partners Operations◦ Disease Case Management - targeted 24/7◦ Logistics, Coordination and Information
Management◦ Laboratories◦ Social Mobilization◦ Special Needs (Malaria, Leishmaniasis)◦ Vaccines (gap filling)
2
1818thth Amendment & Amendment & DevolutionDevolution
MAJOR COMPONENTSAll 10 vertical programs devolved
◦Federal government will provide funds till 2014
National EPI program devolved◦Federal government will provide funds
till 2011Only Strategic guidelines and
minimum essential standards will be maintained by federal level
Disrupted Health SystemsDisrupted Health SystemsNo Health and Nutrition Policy and
Planning Regulatory body at the federal level
Planning for vertical programs continue at the federal level
Disrupted health system - issues in health system at the provinces due to devolution:◦Policy/Strategy Formulation◦Financing◦Human Resources◦Pharmaceutical Areas◦Health Service Delivery◦Management Systems◦Equity
Pakistan Health Budget 2011 - Pakistan Health Budget 2011 - 1212
Budgetary allocation for health is nearly 15% less than that of the last year◦ Not more than 0.5% of GDP for health (for most developing
countries is 5%)
No allocation for the prevention of disease outbreak◦ Epidemics of malaria, dengue, hepatitis and
several other communicable diseases.◦ TB ranks at 8 in 22 “high burden” countries ◦ Top on the polio list in the region/world
Year Per Capita for Health
Comments
2001 US$ 17/capita Target Achieved
2007 US$ 34/capita Target NOT Achieved
2010 US$ 18/capita Inclusive of humanitarian interventions
2015 US$ 38/capita Target
Communicable Communicable Disease Surveillance Disease Surveillance and Response (CSR):and Response (CSR):
Disease Early Warning System Biggest: Weekly reporting system:
• 42 weekly bulletins published• 76 Surveillance Officers • 95 districts / 3 agencies (67 partners)• Averages 1m total consultations /
week • more than 3,000 health facilities • 29 million consultations since the
Floods
• Shared in Cluster Coordination
One of the best response systems in the world:
Integrated, Sensitive, Prepared, Responsive
Integrated
Communicable Disease Surveillance:
Water-borne diseases (diarrhea, AWD, dysentery, typhoid, hepatitis A&E),
Vector-borne diseases
(malaria, dengue, Leishmaniasis)
Vaccinable diseases (polio, measles, pertussis, diphtheria, tetanus)
Sensitive:
Since Flood, detected 1783 alerts;
Now, more than 100 alerts per week
Prepared:
Trained >3,000 HCPs including experts for ARI,
◦ 65 DTC Rapid Response Teams
Essential Medicine, supplying diarrhea kits, ARI kits, RDT, ACT, ADS, Ribavirin, TIG
Responsive:
7
DEWS Response Responded to 90% alerts within 24 hrs
738 Measles Alerts, 69 outbreaks
65 deaths were recorded out of 2108 cases (CFR 3%)
326 AWD Alerts, 110 outbreaks
with confirmed V. cholera
363 Samples172 +V. cholera (47%)(47%)
Estimated 69,000 treated cases of diarrhea with some level of dehydration at DTCs (64 deaths, CFR 0.1%)
PunjabBaluchistan
Sindh
KP
Environmental HealthEnvironmental Health
Tested 3,500 water sources >85% contaminated
1,250,000 individuals reached -provided household treatment:◦ Aqua tabs, Hygiene Kits, water
filters, Chlorinators, rapid water testing kits,
◦ Wagtech portable water testing kits for TMAs/PHED and DOH
Trained 1,416 personnel
Details for Grants and Demands of Health Components Under 2011 – 2012 Federal Budget (Planning Commission)
Contraceptive Requirement and Distribution (CRD) 477,035,000
National Program for Family Planning & Primary Health Care
8,000,000,000
National Maternal, Neonatal and Child Health Program (MNCH)
2,280,833,000
Expanded Program on Immunization (EPI), Control of Diarrheal Diseases (CDD), NIH
2,716,261,000
Enhanced HIV/AIDS Control Program 246,932,000
Roll Back Malaria Program 123,466,000
National TB Control Program 123,466,000
National Program for Prevention and Control of Blindness
246,932,000
National Program for Prevention and Control of Avian Pandemic Influenza
37,040,000
Prime Minister’s Program for Prevention and Control of Hepatitis
600,000,000
Strengthening National Tuberculosis Control Program 81,488,000
Grand Total (Pakistani Rupees) 14,933,453,000
Pakistan Health Budget 2011 - Pakistan Health Budget 2011 - 20122012
Total Health Expenditure in PKR
2,646,000,000 Percentage
Medical products, appliances and equipment
0 0%
Hospital Services 2,435,000,000 92%
Public Health Services 140,000,000 5.35%
Research & Development Health 0 0%
Health Administration 70,000,000 2.65%