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PC-I FORM
1 Name of Project UP-GRADATION OF DHQ HOSPITAL PESHAWAR UP TO 425 BEDDED
DHQ HOSPITAL PESHAWAR
2 Location (CITY)
3 Authority Responsible Health Department, Govt., of the Punjab, Lahore/
District Government.
for: - Peshawar.
i- Sponsoring Govt. of the Punjab
ii- Execution Communication & Works Department Peshawar
iii Operation &
Health & Works Departments.
- Maintenance
Concerned Federal
iv Not Applicable
Ministry
The scheme has been initialed under the direction of Honourable Chief
Minister of Punjab No. PS/SECY (IMP)/CMO/14/AA-144/024710 dated:
23.04.2014 and reminder dated: 26.5.2014 and subsequently Health’s Department
letter No. PO (D-11)1-35/05 dated: 19.05.2014 on the subject Up-Gradation of
4 Plan Provision DHQ Hospital (City), Peshawar 425 bedded.
Rough cost Estimate Capital: 1446.710 Million
Revenue: 591.035 Million
TOTAL: ------------------ 2037.745 Million
1. The PC-I has been prepared to provide latest/modern and organized
health care services to the patients attending DHQ Hospital (City),
Peshawar.
2. The existing facilities are not only less in number and quantity but
are also deficient in quality.
3. Keeping in view and considering the ground realities, it is the need of
the hour to enhance and up-grade the DHQ Hospital (City), Peshawar
up-to the capacity of 425 bedded to cope and facilitate the health care
need of 29 lac population of Peshawar District.
AFTER COMPLETION IT: -
1. It will provide facilities of highly specialized nature, inclusive of
diagnostic interventional and surgical treatment.
2. It will improve the General Health of drainage catchment population.
3. It will train medical, para medical personnel and nurses.
Project Objectives and 4. It will become a centre of dissemination of knowledge and research.
5 its relationship with 5. It will provide indoor health care up-to 425 patients.
sectoral objective 6. It will provide outdoor health care services to more then 2500-3000
patients / day.
7. It will certainly help to achieve the health related Millennium
Development goals by decreasing infant mortality rate and by
improving maternal health and decreasing maternal mortality rate
and also to combat with T.B, Malaria & HIV aids by providing
quality treatment and health care facilities at the indoor steps.
RELATIONSHIP WITH SECTORAL OBJECTIVE:
Government of the Punjab, Health Department is undertaking number of
initiatives to improve health care delivery system in the province. The Government
of the Punjab is firmly committed to provide quality health care services at the door
step of the community through integrated approaches.
To provide the quality emergency, diagnostics and therapeutic Health
services to more than 29 lac people of the area and to curtailing the referral time of
critical ill patients to distant tertiary care level hospitals in Punjab, thus reducing
morbidity and mortality.
Peshawar was declared as District on 01-07-1982. Civil Hospital
Peshawar
was declared as DHQ Hospital on 01-07-1984.

Description Justification The detail of area of DHQ Hospital (City) Peshawar is as under: -
6 and Technical Total Area: 1060710 S-Fts.
parameters Open Area: 857788 S-Fts,
Covered Area: 202922 S-Fts,
Muhammad Atta ur Rehman 20JZCIV0460

Residential Area: 107612 S-Fts

Non-Residential Area: 35310 S-Fts
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It is stated that Peshawar City is situated at Main G.T. Road and Main
Railway Track is passing through the centre of the city. Peshawar city is thickly
populated. DHQ Hospital (city) Peshawar is the only hospital which is providing
health care services to whole of the District. About more than 1200-1300 patients
visit OPD of DHQ Hospital (City), Peshawar on daily basis. Due to shortage of
beds and other facilities, often this office has to arrange two patients on one bed for
treatment. The present structure of DHQ Hospital Peshawar is insufficient to meet
the requirements of huge population which is about 29-Lac. Many patients have to
be shifted to Lahore due to non-availability of missing facilities in different
departments.
ALREADY EXISTING FACILITIES (SPECIALTY WISE):
Name of Department Bedded Name Of Department Bedded
Surgical 24 Emergency 40
Medical 24 High Dependency Unit 04
Gynae / Labour Room 13 Burn & Tetanus 05
Cardiac 12 Dental Department for OPD Services
EYE + ENT 10 Physiotherapy Services
Children 16 Immunization Services
Orthopedic 12 Homeo Pathic Services
Side Room 05 Unani / Hikmat Services
In District Peshawar there are total 140 Primary Health Care
(PHC)
facilities. The detail of PHC facilities is as under: -

S.# PHC Facilities

1 BHU,s 96
2 RHC,s 10
3 Rural Dispensaries 10
4 MCH Centers 24
Total 140

The Primary Health Care (PHC) services provided by these

facilities during the last five years is as under: -
2010 2011 2012 2013 2014
Sr No. of No. of No. of No. of No. of
. Year Patient Patient Patient Patient Patient
#
1 Male 471,158 449,721 477,101 458,377 356,525
2 Female 555,805 537,278 580,370 543,857 428,994
Grand
1,026,963 986,999 1,057,471 1,002,234 785,519
Total

The detail of Secondary Health care facilities is as under: -

 District Head Quarter Hospital City 1
 Additional DHQ Hospital (South City) 1
 THQ Hospital Depalpur 1
 THQ Hospital Haveli Lakha 1

The SHC facilities collectively provided health services during last

five year is as under:
YEARLY PATIENT REPORT, SECONDARY

2010 2011 2012 2013 2014

Year No. of No. of No. of No. of No. of
Patient Patient Patient Patient Patient
Total 551,187 607,082 689,667 639,825 496,291

The Health Care services provided by the DHQ Hospital (City),

Peshawar alone during the same tenure is as under: -
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2010 2011 2012 2013 2014

Sr Department No. of No. of No. of No. of No. of
.
# Name Patient Patient Patient Patient Patient
1 Gen. OPD 32,929 28,050 37,973 55,153 27,984
2 Medicine 17,158 14,959 17,268 21,929 22,901
3 Surgery 3,859 4,741 5,627 7,130 7,529
4 Pediatrics 13,114 17,325 23,146 12,651 14,375
5 Eye 22,895 24,993 27,707 25,929 23,406
6 ENT 15,637 14,166 18,528 15,353 12,455
7 Ortho. 5,270 1,651 5,034 0 3,993
8 Psychiatry 681 1,964 13,648 2,581 0
9 Dental 8,813 12,940 13,039 11,297 9,144
10 Skin 3,532 13,732 15,280 22,384 16,781
11 OB/GYN 5,885 13,948 11,622 11,797 13,197
12 Emergency 93,422 106,914 123,271 133,161 110,010
13 Homeo 10,440 4,816 7,031 5,084 4,899
14 Tibb 4,744 4,212 2,828 3,187 2,813
15 Cardiac 3,055 4,589 1,365 2,424 2,869
16 Others 0 9,554 1,041 14,999 10,993
Grand
241434 278554 324408 345059 283349
Total

Comparing the services provided by the Secondary Health Care

Facilities to the people of Peshawar, it is evident that the DHQ Hospital (City),
Peshawar bear the major burden. At present the available bed strength of DHQ
Hospital (City), Peshawar is 165 beds.
The major indoor services provided during the last year i.e. 2013 is as
under: -
1. Emergency patients treated: 133773
2. Indoor admission in diff. wards: 49946
3. Total general operation performed: 952
4. Total C-Sections Performed: 977
5. Normal deliveries conducted: 1898
6. Total dialysis performed: 3566
7. Pathological Lab. Tests Performed: 44953
8. Total X-Rays performed: 32181
9. Total Ultrasonography Performed: 15282
10. Dental Procedure performed: 11236

The data of indoor & outdoor patients of DHQ Hospital Peshawar City
during the last five years is as under along with Bed Occupancy Rates: -

2010 2011 2012 2013 2014

Sr. Department No. of No. of No. of No. of No. of
# Name Patient Patient Patient Patient Patient
1 Outdoor 241434 278554 324408 345059 283349
2 Indoor 21214 45980 40506 40355 35136
3 B.O.R 35.2% 76.3% 67.2% 67.0% 94.6%

DHQ HOSPITAL (SOUTH CITY) PESHAWAR

The data of indoor & outdoor patients of DHQ Hospital (South City)
Peshawar during the last five years is as under along with Bed Occupancy Rates: -

2010 2011 2012 2013 2014

Sr. Department No. of No. of No. of No. of No. of
# Name Patient Patient Patient Patient Patient
1 Outdoor 59691 65485 74994 80140 59496
2 Indoor 3645 5636 7867 5145 4727
3 B.O.R 01% 13% 18% 13% 16%
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The Bed Occupancy Rate of DHQ Hospital (SC) is lowest due to under
mentioned reasons.
 DHQ Hospital (SC) is out of the city Peshawar.
 No proper security is available at evening and night.
 The basic needs, electricity, gas, water etc are not properly supplied.
 The residential colony is not utilized.
At present, the DHQ Hospital (City), Peshawar have three separate blocks.
The old block (original THQ, Hospital building) have a joint Surgical, Orthopedic
& Gynae wards. The new medical block was constructed when this THQ level
hospital was up-graded to DHQ level hospital. The medical block is divided in
Cardiology, Dialysis unit, pediatrician ward & medical ward.
It is further added that double story OPD block & double story emergency
departments were constructed separately from the main hospital across the road.
In propose scheme of up-gradation of DHQ Hospital (City), Peshawar to
425
beds, the old surgical block will be demolished and six (06) stories will be
constructed. Detail of drawings are attached in with PC-I.
After completion of this project, the department wise bed distribution will
be as under: -
Name of Bed Name of Bed
Sr.# Sr.#
Department Strength Department Strength
1 Emergency 40 11 Skin 10
2 Paed & Nursery 30 12 Urology 10
3 Gynee 60 13 Dialysis 10
4 Gen. Surgery 55 14 Dental 05
5 Medical 55 15 Cardiac Surgery 20
6 Ortho. 20 16 OT. CCU 05
7 Private Room 15 17 Cardiology ward 25
8 Eye 10 18 Neuro Surgery 20
9 E. N. T. 10 19 Burn & Tetanus 05
10 TB & Chest 10 20 Psychiatry 10
7 Capital Cost Estimate Capital Estimate: 1446.710 Millions
Officer & Establishment 122.00 Millions
Annual operating and
Cardiac & Neuro 39.00 Millions
8 maintenance cost after Total Operating (Drugs & Medicine 129.00 Millions
completion of the
POL, Misc, Utilities etc)
project
Total 290.00 Millions
The demand of establishing 425 bedded DHQ Hospital Peshawar for comprehensive
care in a vibrant and high skilled environment through the process from reception
to follow up of these patients will bring out put in the form of well being of a large
number of patients admitted, operated upon and rehabilitated. It is hoped that DHQ
Hospital Peshawar City will emerge as center point in providing health education,
awareness, care, cure, training and re-habilitation services in a comprehensive and
precise manner. The quality of life of these patients, generation of economic
activity in general and value and effect of training for health man power will be one
of the major outcome indicators.
INVENTORY CONTROL SYSTEM:
With a view to ensure transparency and efficiency interlink and fool proof
inventory control system has been proposed. The inventory control system shall be,
in fact a coherent mechanism having closer and frequent integration with other
systems of etc. The system will itself help facilitate various functions of the
Demand and supply organization and at the same time ensure transparency and activate mechanism in
9 analysis case of shortage, expiry and demand of any medicines, equipments, disposables,
surgical etc. thus identifying need for procurement or other appropriate action
planning / action as and when required. In other words the inventory control system
will also enable the managers to design their plans and take action according to the
need of organization. The Cardiology & Neurology Block will encompass various
facilities for store items like machinery, equipment, general store items, medicines,
surgical / disposable, medical gases, linen, stationery, chemicals and transport.
Inventory control will be computerized and database shall be established along with
its peripheral stations as sub-data bases. The inventory control system will generate
the copies for record, verification and audit purposes. The entry of various items
shall be made in a professionally designed software to keep record of items which
are available in the stores and also which have been issued. The stock keeping and
issuance of such items shall also be controlled and monitored through closer
supervision and check and balance system build in the software. The stock and
expense of durable and consumable items will be kept in the system and also as
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hard copies. The main stores computer will be linked with the sub-stores computer
through networking. The areas like emergency, out-patient, indoor, laboratory,
radiology, CCU and ICU departments will have registration desks interlinked with
the main and sub-stores to ensure efficient stock keeping in a transparent manner
and to know about.
 Stock in hand of various items.
 New receipt of these items.
 The items, which have been issued to other departments.
 The items, which are not available.
 The expenditure incurred on the purchase.
 The budget and detail of accounts shall be linked with the financial and
accounting control system.
In order to ensure provision of high standard and specialized facilities in the said
project, apart from inventory control system, some other system shall be introduced
and practiced. Some of those are as under:-
I. Patients satisfaction system to know about the quality of services as
feedback from patients and their attendants.
II. Clinical management information system to keep record and track of
patients for information and guidance for the doctors and nurses /
paramedics.
III. Performance appraisal system by the assistance of performance indicators
to assess the performance of staff viz a viz resource utilized for carrying
out different procedures and operations etc.
1st Year 2nd Year 3rd Year
Preparation of PC-I Allocation and Release of Capital
along with drawing release of Funds Funds 100% and
Approved of PC-I for Capital up to compilation of
Financial Plan and Allocation and release 70% and 100% funds
10 mode of financing. of funds 25% compilation of Release of Revenue
construction Funds, purchase of
work equipments and
approval of SNE
TOTAL:
The project will also serve as research & training center in the province since the
Project Benefits and senior consultants / doctors shall impart theoretical as well as practical training to
11 analysis junior doctors, bedsides, clinical management and treatment of all age group being
of specialized nature. It shall serve a long way in providing specialized services.
Improvement in health care facility for the masses will ultimately lead to
marked enhancement in productivity of the nation and will save the
individual / Government financial expenses when calculated on long term
basis. Social benefits to the public & Government of this project, are going
to be tremendous, public will be benefited by gaining treatment at their door
steps and Government will be benefited by decrease in the burden of the
budgetary spending and decrease in burden of social sector. So treatment in
specialized hospital will reduce.
i) Financial I. Mortality
II. Shorter hospital stay
III. Rehabilitations will restore morbidity and enable patients to resume their
daily activities and will not remain the burden on state and their families.
Revenue generation from other sources.
All the parallel, the project has equally good prospects of Revenue Generation
through.
 Private Rooms
 Out sourcing of various venues like care parking, cafeteria, pharmacy shop,
diagnostic investigation etc.
Patients have to travel to bigger cities to avail most of the sophisticated health care
Social benefits with facilities. This creates lot of social problems for the already suffering patients and
Ii
indicators. their families. These problems will mostly be alleviated through provision of such
facilities at a lesser distance of drainage area and remote place like Peshawar.
A large number of employment opportunities will arise from the
Employment establishment of 425 Bedded DHQ Hospital Peshawar. The medical doctors,
Iii generation nurses and paramedics who are trained in this discipline or intend to
(direct and indirect). specialize in this field can make maximum use of training and research
facilities.
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The opportunities for employment would be an on going feature of the

project coupled with development of human resources.
Environmental
Iv No risk for environment.
impact.
Impact of delays on
v project cost and Additional funds will be demanded due to increase in the market rates.
viability.
Implementation
12 1- Completion of Building work as per schedule.
Schedule
Management structure
and manpower
requirements
13
including specialized
List attached
skills during
execution and
operational phase.
This proposed center will provide the required facilities of all nature for
Additional Projects/
general patients. Due to non availability of interventional, diagnostic &
decisions required to
cardiac & neuro surgical facilities, the patients are referred to other hospitals
maximize socio-
14 at Lahore, Multan & Islamabad. With the establishment of this center at
economic benefits
DHQ Hospital Peshawar, will be able to provide facilities to all these
patients,
from the proposed
who are usually very poor and cannot bear even the expenditure of journey
project
to big cities for treatment.
Certified that the
Project proposal has
been prepared on the
It is certified that Project prepared on PC-I from is as per instructions
15 basis of this reaction
provided by the planning commission for social sector projects.
provided by planning
commission for
preparation of PC-IV.

PREPARED BY: Medical Superintendent

Muhammad Atta ur Rehman
DHQ Hospital Peshawar

CHECKED BY: Executive District Officer

Engr.Kamran Ahmad (Health)
Peshawar

APPROVED BY: District Coordination Officer

Peshawar