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Service outlets of
PopulationDepartment Sindh
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POPULATION WELFARE
DEPARTMENT SINDHInfrastructure
Provincial Administrative Secretariat
District Population Welfare Offices
Reproductive Health Services A & B Centers
Mobile Service Units
Family Welfare Centers
Male Mobilizers RMPs, Hakeems and Homeopaths
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ADMINISTRATIVE SET UP
Secretary 1 No.
Director General 1 No.
Additional Secretary / Director 4 Nos.
Deputy Secretary / Dy. Director 9 Nos.
Demographer 1 No.
Section Officer / Asstt: Director 10 Nos.
District Population Welfare Officers 25 Nos.
Tehsil Population Welfare Officers 86 Nos.
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Additional Secretary/
Director (Admn & Finance)
Dy. Secretary/
Dy. Director
(Admin)
Dy. Secretary/
Dy/ Director
(Finance)
Section Officer
(General)
Budget
Officer
Accounts
Officer
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Additional Secretary /Director
(CTL&S)
Dy. Secretary/Dy. Director
(W&D)
Dy. Secretary/Dy. Director
(C&T)
Section Officer/
Asstt. Director
(W&D)
Section Officer/Asstt. Director
(C&T)
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Additional Secretary / Director
(Medical)
Dy. Secretary/Dy. Director
(Clinics)
Dy. Secretary/Dy. Director
(RHS/PLD)
Section Officer /
Asstt. Director
(Medical)
Section Officer/
Asstt. Director
(Clinics)
Section Officer/Asstt. Director
(RHS)
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Additional Secretary / Director
(ME&P)
Dy. Secretary/
Dy/ Director
(M&E)
Dy. Secretary/
Dy/ Director
(Planning)
Section Officer/Asstt. Director
(M&E)
Section Officer /
Asstt. Director
(Planning)
Demographer
Asstt. ComputerProgrammer
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Dy. D.P.W.OBS-17 (Advo:)
Dy. D.P.W.O(Technical/FDCs) BS-17
Doctor
ADPWOBS-16
ACCOUNTANTBS-16
DPWO
BS-18/19
Stenographer, Steno Typist, Assistant,, UDC,
Storekeeper, LDC,Projectionist, Driver, N.Q/Chowkidar, Sweeper/Mali
DISTRICT SETUP
Supporting Staff
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LDC
BS-5
CHOWKIDAR
BS-1
TEHSIL POPULATION WELFARE OFFICER
BS-17
TEHSIL POPULATION WELFARE OFFICER
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L.D.C
BS-5
FWA (F)
BS-5
FWW
BS-8
FWC
BS-11
LAB TECH.
BS-7
THEATRE TECH
BS-7
THEATRE
NURSE BS-11
SWEEPER/
CHOWKIDAR
BS-1
DRIVER
BS-4
FEMALE HELPER
BS-1
PROJECTIONIST
BS-12
ACCTT. ASST
BS-11
MEDICAL OFFICERBS-17/18/19
RHS-A CENTRE
1- Master Training Centre have three M.Os. BS-19, 18 & 17
2- Master Training Centre have one projectionist , three theatre nurses and one lab technician
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MOBILE SERVICE UNIT (MSU)
CHOWKIDARBS-1
AYABS-1
DRIVERBS4
FTO BS-16
MEDICAL OFFICER BS-17
or
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FWA (MALE)
BS-5/7
FWA (FEMALE)
BS-5/7
AYA / HELPER
BS-1
CHOWKIDAR
BS-1
FWW / FWC
BS-8/11
FAMILY WELFARE CENTRE
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RESPONSIBILITIES OF THE
DEPARTMENT Create demand through Communication and
Advocacy activities
Execution of RH and FP Services throughoutprovince
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SERVICES AND ACTIVITIES
AT DISTRICT LEVEL Provision of RH and FP Services
Provision of MCH Services
Creation of Health and FP awareness throughFriends of FWC Welfare Committees andMohallah Sangat
Referral of STDs, HIV/AIDs cases
Advocacy session for councilors and othercommunity influence persons.
Cont..
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Cont:
Arrangement of Satellite Camps & CS Camps
Involvelment of RMPs, Hakeems and Homeopaths
Coordination with Public and Private Stakeholders Advocacy sessions with MNA, MPA, Nazims,
Ulema and other influence persons at district level
Increase Male involvement
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SERVICES NETWORK
Program Outlets
Family Welfare Centers 638
Reproductive Health Services - A Centers 74
Mobile Service Units 72 Male Mobilizer 1250
Non-Program Outlets
Reproductive Health Services - B Centers 29
Provincial Line Departments 380
Registered Medical Practitioners 6770
Hakeems/ Homeopaths 4100
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SERVICES PROVIDED BY FWC1. Family Planning Services
Family Planning advice to eligible couples
Prescription and supply of Condoms and Oral Pills
to eligible couples Insertion and removal of IUCD/ C-T including
follow-up
Dispensing of Injectable
Referral of Contraceptive Surgery Clients to RHSCenters
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2. Maternal and Children Health (MCH) Pre and postnatal examination
Routine testing of urine and blood (for anemia) of pregnantwomen
Promotion of child spacing
Guidance and encouragement towards breast feeding
Guidance proper hygienic practices
Prevention and treatment of diarrhea in children
Referring of children and well as women for immunizationcourse
Assist EPI teams for immunization services
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3. Reproductive Health Care
Provision of comprehensive family planningservices
Safe motherhood
a. Maternal Health Care
b. Pre and Post abortion management
Child Health Care Treatment of minor ailments
Cont..
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Control HIV/ AIDs and STDs/ RTIs
Infertility management
Cancer detection
Management of reproductive health relatedproblems of adolescents and elderly
Enhance make involvement
Cont..
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4. Out Reach ActivitiesSatellite Clinic
Twice a week satellite clinics (camp) nearbyvillages on fix days
Minimum 6 camps in a month at identifiedvillage
No other outlets should exist there
Cont..
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FWA (Male) makes arrangements one day beforecamp and carry out motivation and counselingamong eligible couples
Camp provide all conceptive services includingIUCD and general ailment treatment
FWA (Male) motivates cases for vasectomy andrefers to RHS Center
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5. Community Involvement
Established community Committees names asFriends of FWCs/ Welfare Committees
Welfare Committees comprises of Lady Councilors,satisfied clients, teachers, community workers,NGOs, CBOs
Committee facilitates and support working of FWC
Cont..
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It refers client and acts as a bridge between FWC
and community DDPWO (C&T) provides orientation to the
members on the concept of the committee incommunity mobilization and community
development Arrange social activities like baby show, WPD
activities etc.
Friends of FWC meets once in a month
Minutes circulates among members and goes toDPWO
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6. Linkages with Health/ PLDs/ NGOs
Each FWC maintains a list of service deliveryoutlets including Health, PLDs and NGOs
Detail of services/ facilities available there
Keeps continues liaison to refer clients forservices vice versa
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MOBILE SERVICE UNIT
(MSU)
Each MSU serves a population of 30,000 in a Tehsilof 5,000 couples (15-20 villages) by camping 10-12times in a month.
MSU works under the supervision of WMO / FTO.
MSU have been provided new vehicle, made ofMaster Mini Truck
Each MSU vehicles equips with Primary HealthCare including full range of Family Planning (exceptcontraceptive surgery), especially IUD insertion
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OBJECTIVE OF MSU CAMPS
To make Family Planning information and servicesaccessible in underserved / un-served rural communities.
To reduce the unmet need of FP by making services
more accessible, particularly the clinical methodsincluding IUCD and injectable
To provide RH Services to women To facilitate the work of Male Mobilizers to enhance
mens role. To interact with the elected councilors and other opinion
leaders for promoting better RH services
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STRATEGY FOR HOLDING CAMPS
The exact location of MSU and its catchments areas interms of UCs based on geographical condition of the villageof the communities.
To avoid duplication, camps are not arranged where FWCs,BHUs and RHCs are working.
Each MSU displays map of its area showing villages forcamps.
Local notable person / women invites to support andparticipate in camp activities and he / she certifies each
camp. Each MSU prepares 3 months advance tour / camping
program and circulates to FWC / RHS-A, LHWs, TBAs &Male Mobilizers for proper motivation.
MSU keeps proper record and sends to DPWO each month
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MSU VEHICLES
MSU Vehicle is built on Master Foreland Mini Truckwith canopy fabricated of fiber
Canopy equips with basic clinical equipments and air-conditioner
Vehicle has heavy duty electric generator to operatevehicles air-conditioner and other equipments
Each vehicle has two tents of parachute, attached withvehicle
One tent is for waiting / registration and other forcounseling / general ailment treatment.
IEC Material also provides in each camp. Desert Coolers are provided for tents
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Reproductive Health Services
(RHS) Centers
RHS-A Master Training Centers
RHS-A Training Centers RHS-A Centers
RHS-B Centers
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RHS-A Training Centers
MTC, JPMC, Karachi.
Abbasi Shaheed Hospital
RHS-A Civil Hospital Karachi Model Family Clinic, RTI Clinic, Hyderabad
RHS-A, LMC, Hyderabad
Shaikh Zaid Hospital, Larkana Nawabshah Medical College Hospital,
Nawabshah
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Responsibilities of RHS-A
Training CentersImpart training (basic and refresher) to program and non-program Doctors (NGO, TGI, PLD) in contraceptivesurgery techniques
IPC
Norplant Insertion/ removal techniques
Asepsis / infection prevention
MIS
Provision of CRHSP
Cont..
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Identification of difficult surgical cases and to beable to deal with surgical problem assessment anddiagnosis of abnormal obstetric / gynecologicalproblems
Diagnosis / management of infertility cases
Impart training (basic & refresher) of program andnon-program paramedics in theatre management and
other techniques with particular emphasis onAsepsis / infection prevention
Cont..
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Undertaken the FP/Health education program ateducational institution and PLDs
Hold orientation workshops for Doctors andparamedics for all categories to update knowledge of
what is available for the clients in the way ofcontraceptive services
On job technical monitoring / supervision andguidance of RHS-A Centers
Pay supervisory visits to RHS-A Centers Evaluate different training activities including
seminars and workshops / meeting carried out bythe Training Centers
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CONTRACEPTIVE SURGERY
All the female contraceptive surgery cases areperformed by Tubeligation /Minilaparotomy procedure
For male CS, No-scalpel Vasectomy (NSV) techniques
is preferred Male Medical Officer, RHS-A Naushehro Feroze
performs NSV cases
NSV camps are also arranged and FWA (Male) andMale Mobilizer
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EXTENSION CAMPS
To ensure availability of CS services on a widerscale and to improve upon performance theRHS Centers will hold extension camp at
appropriately equipped THQ Hospitals/ RuralHealth Centers/ Basic Health Units as perfollowing criteria:-
Cont..
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COMMUNICATION AND
ADVOCACY
OBJECTIVES
- Bridge the gap between knowledge (98%) and Practice(38%)
- Encounter rumors, misconceptions and dispel fears &doubts about side effects of contraceptives
- Strengthen advocacy with influential institutions and
individuals- Make visible the service outlets
AUDIENCES
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AUDIENCESa) IEC Audience
- Married Women- Married Men- Adolescence- Service Providers
b) Advocacy Audience
- Policy Makers (MPA,MNA,Nazims,Councilors)- Community Leaders / Social Activists- Media Practitioners- Religious Leaders- Medical Practitioners
- Educationists / Educational Institutes- Youth and adolescents- Satisfied Clients- Parent in-laws
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INFORMATION, EDUCATION &COMMUNICATION (IEC)
- Information, Education and communicationcomponent, launches motivational campaign through
TV, Radio, Press, Printed Material and through
interpersonal communication.- Officers of high caliber are specifically trained for
delivering presentations in schools and colleges forsenior students on Demography and on Population
Policies.- Hoardings at the places where traffic flow is on the
high side.
- Messages through Bus Panels which is widely used for
publicity
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Electronics MediaIn modern information technology Radio and TV playan important role in behavioral change, through thesemediums departments has broadcast and telecast
programs, Drama, Commercials, spots in Sindhi andUrdu languages. In addition CCTV, Karachi Airportalso utilized for spots/ commercials on certain eventlike 14th August, World Population Day, Womens
Day, Mothers Day, telecasting spots of FamilyPlanning is the regular activity
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Press Publicity
Press is an integral 4th pillar of the society and itsimportance could not be ignored although theliteracy rate is below. The department has availed
opportunity by releasing advertisements on Nationaland International events on regular basis. The
Journalists and media practitioners are alwaysinvolved in all interpersonal activities as to aware the
masses towards efforts taken by the government inhealth and population welfare sectors
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Printing & Production of Motivational
MaterialOn different topics and different events the departmenthas procured and distributed thousands and thousandsof leaflets, brochures, posters, banners, etc. To visualize
Family Planning Outlets, Indication / Signboards areprocured and installed. For providing information toeligible couples IEC material is distributed and it isavailable in all service outlets.
Audio cassettes for newly married couples are developed, thesame to be distributed through Nikah Registrar's.
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Interpersonal Communications
Face to face communication is most effectivechannel in delivering a message and for behavioralchange. The department has always given
importance and conducted Seminars, Conventions,Workshops etc. at different level, on differentnational international events keeping in view theimportance the secretary of the department and
senior officers have themselves attended theseactivities even in remote areas and heard the viewsand recommendations of local representatives,
which helped in reformulating program
implementation strategies.
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Community InvolvementSince Population Welfare is community participationprogram, the department in recognition of theimportance of local CBOs has involved Satisfied
Clients, Contraceptive users, Teachers, Doctors,Homeopaths, Hakeems and Friends of Family WelfareCenters. Recently the department has arranged thegatherings at each FWC for encouraging healthy baby
and healthy mother by giving then prizes on meeting.All community members and Lady Councilors haveplayed effective participation.
(Contd)
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Religious leaders are specifically targeted tobe oriented about the Population Welfare
Program and remove the misconceptions andrumors. They are involved to deliver messagein their Khutbas.
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ACTIVITY
1 P i ti d P d ti f M ti ti l
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1. Printing and Production of Motivational
Material
Brochures
Booklets
Posters Handbills
Sign Boards
Indication Boards
Hoarding
Neon Sign at Public Places
Bus Panel
Give Away (details on next slide) Cont..
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* Give Away
Ajrak
Key Chain
Ball/ Ink Pen
Wall Clock
Combs
Tea Mats
Vacuum Jugs
Pocket Telephone Index
Tea Sets
TShirt
Caps
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2. DISSEMINATION MATERIAL BOOKS,PERIODICALS FOR PPIC
- Books
- Periodicals- Magazines
- Journals
- Dailies- Teaching Aid Material
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3. RADIO PUBLICITY
- Radio Programs
- Jingles / Spots
- Interviews / Discussion
- Radio conference
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4. PRESS PUBLICITY
- Advertisements in Newspapers,Periodicals, Journals, Souvenirs, Books
- Advertisements in Special Supplements
- Arrangement of Supplements on WorldPopulation Day
- Press Briefing / Conference- Articles / Features
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5. TV PUBLICITY
Jingles / Spots telecast from different TV Stations
Jingles / Spots telecast from different Cinemas ofSindh
Jingle / Spots telecast from CCTV, Jinnah Airport,Karachi
Development of Documentary Motivational films/Commercials
A song/ Video developed on the theme of smallfamily norms.
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6. FAIR, EXHIBITIONS AND
OTHER CULTURAL EVENTS- Stalls at Mela of Bhitt Shah, Sachal Sarmast, Qalander
Shahbaz, Hamal Faqir, etc.
- Stall in Fair, Exhibition, Meena Bazar, etc.- Celebration of World Population Day activities e.g.
Sukhi Ghar Mehfil
Baby Show
Walk Seminar on RH issues at RHS-A Center
Banner Display Advertisement
Sports
Speech Competition at School/ College level
7 S min r / W rksh p in l din
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7. Seminar / Workshop including
interpersonal and community
communications
Seminar for Ulema, Elected Representativesand Media personals
Seminar at Provincial, District, Tehsil and Grassroot levels
Orientation for non-program personal
Presentation at Schools/ Colleges level
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8. IN COUNTRY &
FOREIGN TRAINING
Arrangement of non-clinical Training for
Program Personnel at PWTI, NIM(NIPA),PIMS, PARD, SGA&CD, Cabinet Division,Computer Bureau, Bureau of Statistics
Arrangement of training for Non-Program
Personal at District level.Arrangement of Foreign Training of Program
Personal
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Thanks