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P P u u b b l l i i c c P P r

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I R R S S T T D D R R A A F F T
PROMOTI G HEALTHY BEHAVIORS THROUGH HEALTH EDUCATIO I DISTRICT VEHARI
PROMOTI G HEALTHY
BEHAVIORS THROUGH
HEALTH EDUCATIO I
DISTRICT VEHARI

DDRR TTAA VVIIRR AAHHMMAADD ZZAAVVEERR

PPRREEFFAACCEE

This report is prepared and submitted as part of assignment awarded by Public Private Partnership (PPP) between the Plan Pakistan and district health department Vehari. PPP is basically just a different method of procuring public services and infrastructure by combining the best of the public and private sectors with an emphasis on value for money and delivering quality public services. The attraction of forming such partnerships lies in the ability to mobilize more capital than that purely held in the public account and to use private sector expertise to help manage project expenditure more efficiently. Governments can bring private sector into the modernization and management of projects, while remaining responsible for public interest issues and ensuring delivery at specified service levels. In short, PPPs enable governments to meet demands for the development of modern and efficient services and provide value for taxpayers. Vehari is one of the under developed districts of Southern Punjab with 2.4 million population having 77 BHU’s and 10 RHC’s, two THQ’s (each with sixty Indoor beds capacity ) and a DHQ Hospital with 125 beds.

IEC material developed by various organizations including Punjab Health Department, UNICEF, WHO and other organizations was collected and reviewed. Consultations with Key stake holders were held in context of current health situation of district Vehari. EDO(H) and DOH II and Additional Director Health Education o/o DGHS Punjab were the key persons to provide technical inputs.

This project is an endeavor to identify issues which could adversely affect populations in district Vehari and to study and intervene through Health Education Material in order to change un-health behaviors so that to reduce or prevent poor health outcome.

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IInnttrroodduuccttiioonn::

While the words "information", "education", and "communication" have individual meanings, when grouped together as "IEC", they are familiar to many within the field of health communication. However, the definition and scope of IEC can vary. In an effort to explore how IEC can be integrated into social change efforts, this issue of the Drum Beat presents just a few examples of what types of IEC strategies and resources are being used in diverse health contexts, worldwide.

"Information, education and communication (IEC) combines strategies, approaches and methods that enable individuals, families, groups, organizations and communities to play active roles in achieving, protecting and sustaining their own health. Embodied in IEC is the process of learning that empowers people to

make decisions, modify behaviors and change social conditions

of underlying social, cultural, economic and environmental conditions on health are also taken into consideration in the IEC processes. Identifying and promoting specific behaviors that are desirable are usually the objectives of IEC

efforts

discussions, counseling sessions or group discussions and community meetings and events) or mass media communication (such as radio, television and other forms of one-way communication, such as brochures, leaflets and posters, visual and audio visual presentations and some forms of electronic communication)"

The influence

Channels

might include interpersonal communication (such as individual

Communication involves the transfer of information between people including ideas, emotions, knowledge, and skills. The components of communication include the sender, receiver, educational factors, sociocultural factors, patterns of communication, perception, and understanding (Hubley, 1993). In health communication, the sender affects the receiver (Hubley, 1993; Olsson, Sandman, & Jansson, 1996); educational factors affect both the sender and the receiver (Abraham, Rubaale, & Kipp, 1995); and sociocultural factors

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(such as attitudes, beliefs, and significant others) affect both the sender and the receiver (Hubley, 1993). Research is needed to identify such “disturbing factors” and to recommend how to minimize the effects of these factors or to use them to enhance communication.

Health education is one of the most important factors in preventing illness (Ess´en, 2001). Many women lack information on their own health and risk factors. Women are often the main health providers in the family and are eager to get health information that is relevant to their needs and experience and will help in taking care of their family. Health communication must therefore be adapted to the varied conditions and cultural constraints under which women live and seek health care (Galloway, et al., 2002; World Health Organization [WHO], 1997).

For message effectiveness, information ideally should be delivered to women through groups that they are comfortable with and that already exist (Ingram, Johnson, & Hamid, 2003) and in a way that women find appropriate, as, for example, face-to-face dialogue (Laitinen, Olsson, & Karlberg, 1999; Xihn, Binh, Phuong, & Goto, 2004). Preventive care and health education during pregnancy is of great importance, both for the health of the mother and the child (Van Ginneken, Lob-Levyt, & Gove, 1996; Pallikadavath, Foss, & Stones, 2004), what women actually learn from health education, however, has not received much attention (Renkert & Nutbeam, 2001).

In some communities pregnant women have access to some kind of health information during pregnancy and birth, but the professionals delivering the information and its quality can vary. One problem is that we as health staff do not know if the women in our care understand and act on the information they receive. From the perspective of a midwife, it is also important during antenatal care that communication between the midwife and the woman flows smoothly and creates a sense of security (Bredmar, 1999).

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One of the health problems in pregnancy where health education can in theory make a big impact is iron deficiency anemia. Iron deficiency anemia is one of the most severe and important nutritional deficiencies in the world (WHO, 2001). Low iron levels during pregnancy can increase the risk for intrauterine growth retardation and premature delivery, resulting in an increased perinatal mortality. Severe anemia, often largely due to iron deficiency, is associated with increased maternal mortality, and reducing anemia during pregnancy is a key component of safe motherhood programs (Massawe, 2002; Pallikadavath, Foss, & Stones, 2004; WHO, 2001).

In most low-income settings it is not possible to discriminate between types of anemia and likely causes, but iron deficiency in pregnancy is nearly always a substantive problem and the measures taken to prevent it will not harm the women even if they are not anemic. Simple ways of preventing anemia thus should be included in the information health workers convey on a regular basis to pregnant women, including the importance of taking iron tablets regularly during pregnancy, sometimes with a combination of folic acid tablets; the need to eat iron-rich foods on a daily basis during and after pregnancy; and the value of prolonging the interval between pregnancies. All of these behaviors can assist women in restoring their iron stores (WHO, 2001). Thus the purpose of this assignment is to prepare IEC material which can promote health behaviors among communities in district Vehari.

In May, 2009, Plan Pakistan signed an MOU with department of Health; district Vehari to launch the above-named project as a typical example of Public Private Partnership. Plan Pakistan provided core funding for the consultancy regarding development of Health Education material in an electronic version and training of staff for using the material developed, while district government is responsible for the printing of material and supervision of the project activities. PHBHEP has three principal objectives:

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

Design and develop IEC material and training manuals in consultation with the relevant specialist medics/paramedics to address the needs of various key stakeholders with diversified qualifications

Develop a strategy and methodology to disseminate the messages throughout the district with the involvement of Health department administration, Medics/Paramedics

Build the capacity of the master trainers in line with the developed strategy to trickle down the training program

Consultancy was awarded initially till 30th June 2009 by a contract signed on 3rd June 2009 and received on 6th June 2009.

PHBHEP will focus developing IEC material to sensitize and educate people for healthy behaviors and impart motivational strategies in order to transform knowledge into desired health practices.

AApppprrooaacchh::

A Consultative approach was adopted and a series of consultative meetings were held for selection of topics with district health authorities and Plan Pakistan PUM Vehari team. Minutes of meeting are attached as Annexure 1. For collection and selection of material and; further modifications and development of messages, various meetings with key stakeholders and experts were held in order to accomplish this assignment. List of persons consulted and list of material collected are attached as Annexure 2 & 3 respectively.

SSttrraatteeggyy::

As MOU between Plan Pakistan and District Health Department Vehari was signed for duration of 3 years for this project, it was decided to prepare the list of topics for whole period of assignment. Some topics were selected to be focused for current period of assignment i.e. till 30 th June 2009. The rest of the topics

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would be included step-wise in later period of project especially those topics which were either sensitive and/or needed development of new messages for which pre-testing and/or formal approval of the authorities was required to disseminate among community.

MMeetthhooddoollooggyy::

The awareness about health issues like hospital waste, anemia, de- worming & personal hygiene, breastfeeding, hepatitis, STIs and environmental issues affecting health and their relation with the preventive technologies as well as the provisions of appropriate measures at a right time in emergency is particularly low among the general public and the concerned agencies. Little are they aware of the ill effects of hospital waste and insecticides on human health and environment. It is with this background that Plan Pakistan and district health department took up the task of “Production of IEC (Information, Education and Communication) material on most common issues and its Dissemination throughout the district.”

The activity would be effective with respect to generating awareness on the issue among a wider audience; developing network among the various stakeholders, including government officials and local authorities; and making the information on health related issues widely available. The production of educational material (i.e. video, audio, posters, leaflets) and its dissemination through organizing a series of interaction programs has proved to be an effective approach for creating awareness.

The video-spots and the other materials could be successful in terms of raising awareness among the local authorities, medical practitioners, hospital staff, non-governmental organizations (NGOs), community based organizations (CBOs), health department, media and the general public, among others, about the close linkage between the health issue and their prevention. This project will bring together the concerned government departments on to a common forum to

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openly discuss the health issue in the district and arrive at a consensus to think beyond a typical technology. The availability as well as access to information and current situation of health problems is currently restricted to a few. It is therefore assumed that the information will reach far and wide with all participants being supplied with basic Information.

IEC material containing information relating to public health issues and highlighting the necessity for the promotion of preventive technology as a long term strategy will be widely disseminated through cable, television, FM radio and the wide circulation of posters among the various stakeholders. Urgent need for a more elaborate program with elements of capacity building for the health care professionals as well as for personnel involved in various disciplines is also felt. Thus two principal types of activities will be supported by PHBHEP: public information and awareness campaigns, training and awareness workshops. Following methodology was therefore adopted in order to accomplish assignment successfully.

1. IIddeennttiiffiiccaattiioonn ooff iissssuueess aanndd ttooppiiccss:: A series of consultative meetings

were held with all key stakeholders. Minutes of meetings are annexed. Plan Pakistan and district health department Vehari had signed MOU for the period

of three years i.e. three months a year. Therefore following topic/issues were identified to cover under this assignment during whole period of assignment for the period of three years.

i. Self Health Care (Personal Hygiene & Health) (target population, whole community);

ii. Safe Water Supply;

iii. Safe food practices

iv. Hepatitis

v. Anemia of Reproductive age women

vi. Worm infestation

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vii.

Scabies

viii.

Breastfeeding

ix.

STIs

x.

Adolescent Health

xi.

Self Medication

xii.

Quackery

xiii.

Traditional care

xiv.

Mal-practices by qualified professionals

xv.

Re-use of syringes

xvi.

Dental practices

xvii.

Insecticides complications and prevention

xviii.

Environment

xix.

Child care

As per understanding with all key stakeholders health education material for those topics which never have been already touched like Quackery, self

medication, traditional healers, mal-practices by the qualified professionals will be developed at some time during next part of assignment in forthcoming three years as new messages would be developed through a consultative process in order to avoid any controversy. Moreover, we will have to pre-test messages prior to introducing those into community. Furthermore, we may need approval from a specific agency for a specific message to introduce among communities. Therefore It was decided to target first three topics and to look for audio and/or video messages developed by health department and other health organizations so that may be adopted for broadcasting on air before 30 th June 2009. Moreover, all relevant collected material was handed over to the DOH II, district Vehari to be used in future. It was also decided to conduct two trainings on the following topics

1. Syndromic Management of STIs for health professionals i.e. MOs, Medical Assistants, LHVs, Dispensers, etc.

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

2. Hospital Waste Management for the First Level Care Facility level staff.

2. CCoonnssuullttaattiivvee MMeeeettiinnggss wwiitthh tthhee EExxppeerrttss:: A series of consultative

meeting was held with experts at the provincial level from health department, international and national NGOs, other organizations working on developing IEC material for health education of the communities. List professionals consulted is annexed too.

3. CCoolllleeccttiioonn ooff mmaatteerriiaall:: All the available channels including telephone,

email, peer networks, personal contacts were used to contact the organizations who had developed IEC material especially on the selected topics. The most effective channel was personal contact and opportunity at the time of consultative meeting was availed for this purpose. More than150 items were collected directly and about 100 items were collected from the internet. List of material collected is annexed and all material was handed over to the office of DOH II so that it may be used in future for the same and also other projects.

4. SShhaarriinngg ooff ccoolllleecctteedd mmaatteerriiaall aanndd sseelleeccttiioonn ffoorr rree--pprriinnttiinngg aanndd

aaddooppttiioonn:: Draft version of selected material is being presented for

preparation of soft copies with logo of both the partners. As far as Adolescent Health & STIs is concerned, it was decided to take those up at a later stage in order to avoid any stigma which may be associated to this topic. Department of Health is only working on safe water and sanitation aspect of Environment, which are already included in the list. Insecticide complications are being dealt by department of Agriculture; however material will be sought in future to be used under this project. Following material given in a table format has been selected and sample soft copies attached for approval of both the partners.

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

TTooppiicc

TTyyppee ooff mmaatteerriiaall

Safe Health Care (Personal hygiene & health)

Video clip & audio spot on personal hygiene

Video clip & audio spot on hand washing

Video clip & audio spot on safe blood transfusion

 

Video clip & audio spot on safe sex

Video clip & audio spot on hair dresser & use of barbar

Posters on No Smoking (4)

Safe drinking water

Video clip, audio spot on clean drinking water

Safe food practices

Video clip, audio spot on healthy living

Video clip & audio spot on safe food practices

Hepatitis

Video Clip & audio spot

Posters (6) + (6)

Anemia

Brochure

Breastfeeding

Video clip & audio spot

Leaflet

Worm infestation

Pamphlet

Scabies

Brochure

Child care

Video clip & audio spot on immunization

Brochure on nutrition

Dental practices

Video clip & audio spot

Posters

Re-use of syringes

Video clip & Audio spot

STIs

Flow charts for Syndromic management

Adolescent Health

Booklet

Environment

Poster by WHO

Additional

Video clips (2) on Dengue fever

Video clip on Gastro

Brochure on school health promotion

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If approved for re-printing, then final version with logo will be presented well in time.

5. CCooppyy rriigghhttss:: it was discussed in details with all the experts including

Additional Director Health Education o/o DGHS Punjab and others, who persistently opined that all of the IEC material prepared by those organizations is public property and can be reprinted and used in the interest of community provided it is acknowledged that whose original production it was.

6. TTrraaiinniinngg WWoorrkksshhooppss:: Two training workshops were part of the current

assignment and district health department suggested to train master trainers on the following two topics

i. Syndromic management of STIs for health practitioners in the public sector

ii. Hospital waste management for first level care facility staff

However, district health authorities requested to conduct training within 1-2 weeks after 30 th June 2009 because all the officers were busy as a result of

closing on June 30 th .

Alternatively EDO (H) advised to conduct seminar targeting not only health personnel but also all segments society including lawyers, laborers, employees from other district government departments like social welfare, finance, etc.

SSuummmmaarryy && CCoonncclluussiioonn:: In changing behavior, acquisition of knowledge is

the first step; this project has successfully taken the first step in BCC. Changing behavior requires sustained education and role modeling. An effort is being made in this regard. An incremental change in attitude and behavior would be apparent after a while. Health education programs need be conducted on regular basis and can be made attractive through skits, plays, songs etc by the children. The participation of mothers and families in such activities may be encouraged.

A collaborative effort by both the partners has been very effective in achieving desirable results. Undoubtedly such collaborations hold a great potential to bring the various stakeholders on board to discuss the issue and look at possible solutions. It has been realized that this partnership should be extended toward other programs in the health sector but also with other departments like education and community welfare, etc.

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarrii

PPrroojjeecctt ((PPHHBBHHEEPP))

Annexure I

Minutes of the meeting

A meeting was held in the office of Plan Pakistan Vehari regarding Health Education material development under public private partnership agreement between Plan Pakistan and District Health Department on 22 nd June 2009. Following members participated

1. Dr. Muhammad Jameel Chaudri, EDO(H) district Vehari

2. Dr. Ghulam Mohaydin DOH II, district Vehari

3. Dr. Naeemullah Consultant, UNICEF

4. Mr. Khalid Pervaiz, PUM Plan Pakistan Vehari

5. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari

6. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to review the topics suggested; and progress and material submitted by Dr. Tanvir Ahmad Zaver, and to provide comments. Dr.

Tanvir A Zaver distributed the lists of health professional consulted and list of material collected. Following decisions were taken

1. Dr. Muhammad Jameel Chaudry commented on the topics selected and advised to include Safe Health Care, Safe Water Supply and Safe Food Practices as a first priority and also to exclude some managerial topics; thus the final list of topics for the whole period of three years assignment is as under

i. Self Health Care (Personal Hygiene & Health) (target population, whole community);

ii. Safe Water Supply;

iii. Safe food practices

iv. Hepatitis

v. Anemia of Reproductive age women

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

vi.

Worm infestation

vii.

Scabies

viii.

Breastfeeding

ix.

STIs

x.

Adolescent Health

xi.

Self Medication

xii.

Quackery

xiii.

Traditional care

xiv.

Mal-practices by qualified professionals

xv.

Re-use of syringes

xvi.

Dental practices

xvii.

Insecticides complications and prevention

xviii.

Environment

xix.

Child care

Thus following topics were excluded form the previous list

i. Hospital Waste (to be excluded as taken over by PAIMAN; however training may be scheduled for those health personnel working in BHUs as they were not included in PAIMAN trainings.)

ii. Quality Health Care (Monitoring) (managerial issue to be excluded)

iii. QMS (ISO Certification) (excluded to be taken as separate

assignment by Plan Pakistan)

2. It was decided to target first three topics and the consultant was advised to look for audio and/or video messages developed by health department and other health organizations so that may be adopted for broadcasting on air before 30 th June 2009. Moreover, all relevant material would be collected for the topics to be handed over to the DOH II, district Vehari to be used in future. DOH II was of the opinion to conduct two trainings and topics to be decided later, while EDO (H) advised to conduct seminar targeting not only health personnel but also all segments society including

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

lawyers, laborers, employees from other district government departments like social welfare, finance, etc.

Copy circulated to

1. Dr. Muhammad Jamil, EDO (H) Vehari

2. Dr. Ghulam Mohayyedin, DOH II, district Vehari

3. Mr. Khalid Pervaiz PUM, Plan Pakistan district Vehari

4. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari

For information and feedback

Officer, Plan Pakistan Vehari For information and feedback Dr. Tanvir Ahmad Zaver Health Education Specialist, 39-D

Dr. Tanvir Ahmad Zaver Health Education Specialist, 39-D Jinnah Market Wahdat Road, Lahore Cell: 0300 4749039 Tel: 042 7524402 Email: drzaver@hotmail.com

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

Minutes of the meeting

A meeting was held in the office of DOH II District Vehari regarding Health Education material development under public private partnership agreement between Plan Pakistan and District Health Department on 8 th June 2009 and 9 th June 2009. Following members participated

7. Dr. Ghulam Mohaydin DOH II, district Vehari

8. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to finalize the list of topics to be included for whole three years assignment and then prioritize topics for the current period till 30 th June 2009.

After thorough discussion, keeping n view the current status of health education material and activities in district Vehari, following topics were finalized for development of health education material during 3 years

1. Self Health Care (Personal Hygiene & Health) (target population, whole community) (SEMINAR FOR ALL PUBLIC AND COMMUNITY MEMBERS) (Video spot) (self budget for health)

2. Safe Water Supply

3. Safe food practices including micronutrients)

4. Hospital Waste (to be excluded as taken over by PAIMAN)

5. Quality Health Care (Monitoring) (management issue excluded)

6. QMS (ISO Certification) (to be taken as separate assignment by Plan Pakistan)

7. Anemia

8. Worm infestation

9. Hepatitis

10. Scabies

11. Breastfeeding

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12. STIs

13. Adolescent Health

14. Self Medication

15. Quackery

16. traditional care

17. mis-practices by qualified professionals

18. re-use of syringes

19. dental practices

20. Insecticides complications and prevention

21. Environment

22. child care

It was decided messages will be developed with special emphasis on training for health staff and preparation of guidelines for first three topics, while messages will be developed for general community for rest of all topics. All communication strategies and methods including pamphlets, banners, calendars, audio-visuals, etc will be used for community targeting messages.

Keeping in view time constraints, it was decided following three topics will be focused till 30 th June 2009 with training of the master trainers

1. Hospital Waste

2. Anemia

3. Worm infestation

In order to accomplish task well in time, apart from other following persons were identified to be contacted immediately

1. Dr. Sabiha Khurshid, Project Director MNCH Punjab

2. Dr. Fazal Mehmood FOM PAIMAN, Punjab

3. Dr. Fawad, Shalimar Hospital Lahore

4. Dr. Muhammad Anwar Janjua, National Coordinator PAIMAN, Contech International Lahore

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

5. Dr. Shahid Ahmed, Public Health Specialist, Contech International Lahore

6. Health Education Officer o/o DGHS Punjab

List of persons to be trained as master trainer would be as under:-

 

Institution

Number

1. DHQ Hospital

2

2. THQ Hospital

4

3. RHCs

10

Total

16

In the meeting with EDO(H), it was advised by EDO(H) to keep liaison with DOH II and to keep all collected material at the office of DOH II with using his office while visiting district Vehari during the period of assignment

Copy circulated to

1. Dr. Muhammad Jamil, EDO (H) Vehari

2. Dr. Ghulam Mohayyedin, DOH II, district Vehari

3. Dr. Naila Yasmeen, Health Officer, Plan Pakistan PUM Vehari

For information and feedback

Plan Pakistan PUM Vehari For information and feedback Dr. Tanvir Ahmad Zaver Health Education Specialist, 39-D

Dr. Tanvir Ahmad Zaver Health Education Specialist, 39-D Jinnah Market Wahdat Road, Lahore Cell: 0300 4749039 Tel: 042 7524402 Email: drzaver@hotmail.com

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

Annexure II
Annexure II

Annexure II

Annexure II
Annexure II
Annexure II

List of experts consulted Date: 10 th June 2009

1. Dr. Sabiha Khurshid, Project Director MNCH, Punjab, Huma Block Lahore

2. Dr. Hijab, Deputy Project Director, MNCH Punjab

3. Mr. Amjad, Procurement Officer MNCH, Punjab

4. Dr. Fazal Mahmood, FOM PAIMAN, Punjab, 69, Gulberg II M.M. Alam Road, Lahore

5. Dr. Tahir Manzoor, Health Officer, UNICEF, Lahore

Date: 11 th June 2009

1. Dr. Haq Nawaz Bharwana, Director PHDC, Lahore

2. Dr. Aamar PHDC, Lahore

3. Dr. Khalid, PHDC, Lahore

4. Dr. Rizwana Muzzaffar, Dean IPH Lahore

5. Mr. Zeeshan, WHO office, Lahore (Dr. Babar Alam was away)

6. Dr. Fida Ali, Director Medical Education o/o DGHC Punjab, Lahore

7. Dr. Azhar Masood Bhatti, add. Director EPI, Punjab Lahore

8. Mr. Shahid Pervaiz Additional Director Health Education o/o DGHS Punjab Lahore

9. Mr. Zulifqar Nabi Malik, Jahandad Society, Shadman, Lahore

10. Dr. Akhtar Rashid, Save the Children US, 39-L Gulberg Lahore

11. Dr. Mukhtar Awan, Falah Project, Lahore

12. Dr. Naila, UNICEF, Lahore

Date: 12 th June 2009

1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator

2. Dr. Qamar Salman, Deputy CEO, Contech International

3. Dr. Shehzad Awan, Contech International

4. Dr. Ahmad, Nadeem, Contech International

5. Mr. Naseem Ahmad Khan, ex-Planning officer Health Department

6. Mst. Sarosh Iqbal, Contech International

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarriiPPrroojjeecctt ((PPHHBBHHEEPP))

Date: 13 th June 2009

1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator

2. Dr. Shahid Ahmad, Public Health Consultant, Contech International Health Consultants

3. Dr. Shehzad Awan, Contech International

4. Dr. Ahmad, Nadeem, Contech International

5. Mr. Ali Murtaza, Jahandad Society Jauhar Town, Lahore

6. Mr. Muhammad Jaffary, Jahandad Society Jauhar Town, Lahore

Date: 15 th June 2009

1. Mr. Babar Alam, WHO office, Lahore

2. Mr. Zeeshan, WHO office, Lahore

3. Mr. Shahid Pervaiz, Additional Director Health Education, o/o DGHS, Lahore

4. Mr. Haq Nawaz Bharwana, Director PHDC

5. Mr. Shahid Sharif, Assistant Liberarian PHDC

6. Dr. Siddique Padhiar Deputy Provincial Coordinator National Prgram

7. Mr. Nabi Batt UNICEF, Lahore

Date: 16 th June 2009

1. Dr. Junaid Habibullah, Director Hospital Waste Management, Shalimar Hospital, Lahore

2. Mr. Imran Yousaf, Shalimar Hospital, Lahore

3. Dr. Sohail Safdar, DMS, Jinnah Hospital, Lahore

4. Dr. Shahid Ahmad, Public Health Specialist, Contech International, Lahore

Date: 17 th June 2009

1. Mr. Imran Yousaf, Assistant Librarian, PHDC, Lahore

Date: 18 th June 2009

PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarrii

PPrroojjeecctt ((PPHHBBHHEEPP))

1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS

Punjab, Lahore

2. Mr. Babar Alam, WHO Operational Officer, Lahore

3. Dr. Mukhtar Awan, Falah project, Lahore

4. Dr. Muhammad Arshad Usmani, Director Headquarter, o/o DGHS

Punjab, Lahore

Date: 19 th & 20 th June 2009

1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS

Punjab, Lahore

Date: 22 nd June 2009

Meeting was held with district health authorities and Plan Pakistan PUM

Vehari for finalization of topics and sharing of the material.

Consultations were made and health education material was collected from the above-named experts

material was collected from the above-named experts Dr. Tanvir Ahmad Zaver Health Education Specialist, 39-D

Dr. Tanvir Ahmad Zaver

Health Education Specialist,

39-D Jinnah Market Wahdat Road, Lahore

Cell: 0300 4749039

Tel: 042 7524402