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IN R D C IO TOUT N
Population is central to all development pursuits for improvement of quality of life, but at the
same time, the galloping rate of its growth poses a challenge to the socio-economic development process due to ever increasing consumption needs of additional population. The progress made on the economic front has been neutralized to a considerable extent by inescapable basic need of the burgeoning population. This is amply demonstrated by the fact that population of the area that constitutes Pakistan today has increased from 32.5 million in 1947 to 160 million in 2007, which reflects a five-fold increase in just 60 years time span. The many facets ramification of this are self-evident in the living conditions of the peoples at almost all levels. Pakistan foresaw these far reaching implications of high population rate for the social and economic development undertakings and recognized that prospects for improvements, among other things, depended on volitional fertility moderation measures which lead to the introduction of family planning in the country for voluntary adoption of small family norm. The programme has continued and sustained, with spells of ups and downs along with changes and adjustments in the institutional set-up and
operational strategy, with little effect on population growth rate, total fertility rate and contraceptive use prevalence. The overall strategic thrust of the programme is on:
• • •
Reducing population growth rate to 1.3 percent per annum by the year 2020.
Reducing fertility through enhanced voluntary contraceptive adoption to replacement level of 2.1 births per woman by 2020. Having universal access to safe family planning methods by 2010. After the de-federalization of Population Welfare Programme in July, 2002, the Ministry of Population Welfare has retained the mandate of policy planning and programme coordination; information, education and communication (IEC); standardization of service delivery protocols; demographic goals setting; human resource development (clinical & non-clinical training programme and non-programme personnel); seeking foreign assistance and donor support; procurement and warehousing of contraceptives and its distribution; and research, monitoring and evaluation. The provincial governments including AJK, Northern Areas and FATA are implementing the programme, through federal funding, with full administrative and financial autonomy. The provinces also coordinate with various stakeholders at provincial level and monitor field activities for effective implementation of the Programme.
The scope of the Programme has been enlarged to strengthen outreach through enhanced and improved service delivery strategies with particular attention focus on rural under served areas. A broader reproductive health approach pursued with emphasis on mother and child health care while taking into consideration social, religious, ethical and cultural values of the country. Doctors and their clinics have been involved more effectively and net-working with NGOs streamlined and reinforced. Private medical practitioners, private hospitals, nursing homes, hakeems and homeopaths, PLDs and PPSOs are used as catalyst to supplement programme service delivery framework. The information, education and communication campaign has been refined to address focussed target audience with special emphasis on male participation, gender-equity and attitudinal change for adoption. For meeting the un-met demand, the Ministry of Population Welfare supports projects of Private Sector Social Marketing initiatives through donor funding in the country. These projects include Key Social Marketing (KSM) and Green Star Social Marketing Pakistan (GSM) for broadening service delivery base by using commercial distribution network of the private sector for provision of contraceptives in the country.
S R IC D L E Y E V E E IV R
Programme Service Outlets Family Welfare Centre (FWC)
Family Welfare Centre (FWC) is the cornerstone of Pakistan population Welfare programme. It constitutes the most extensive institutional network in the country to promote and deliver family planning services in the urban and rural areas. FWC operates in a rented building and serves as a static facility to about 7,000 people, whereas operating through its satellite clinics and outreach facilities it covers a population of around 12 thousands. The scope of work of the FWC includes provision of family planning, maternal, child health (MCH) services and treatment of minor ailments Post ICPD, the scope of the FWC was expanded to include several elements of Reproductive Health, like Safe motherhood, Infant health care, Management of RTIs / STIs, HIV & AIDS. Currently there are 2712 functioning FWCs in the country, about 60 percent of which are located in the rural areas. Status of FWCs (2006-2007) Province / Sector Punjab Sindh NWFP Balochistan Islamabad AJK NA FATA Total Functions of FWCs. The FWC is entrusted to perform following functions : • • • • Family Planning information, counseling, services and follow-up for all family planning methods except implants and contraceptive surgery. MCH services through static facility as well as through satellite clinics. Infant health care including nutritional advice, growth monitoring and treatment of common ailments. Regular health education sessions on topics according to the community’s needs through “Mohallah Sangat” to create awareness on small family norm, female literacy, human rights and gender equity. • • Orientation sessions for elected female Councilors on topics such as family planning, population and development, gender equity and status of women in Islam. Availability of contraceptives, medicines, other supplies and maintaining equipment in good working condition. Total No. as of 30th June 2006 1202 490 394 148 27 48 32 32 2373 Target Expansion by 30th June 2007 1400 584 408 160 28 55 55 40 2730 Expansion undertaken in 2006-07 198 94 14 12 1 7 5 8 339 Total number as of 30th June, 2007 1400 584 408 160 28 55 37 40 2712
Deputy District Population Welfare Officer (DDPWO) (Technical) ensures on-job technical guidance through field visits Satellite Clinics The Incharge of each centre holds satellite clinics twice a week in the nearby villages on fixed days. HIV & AIDS and those seeking contraceptive surgery / implants to appropriate facility. Family Welfare Assistant (Female) stays in the centre on the days of satellite clinics to look after the centre and attend to FP clients/patients in the absence of the Centre Inchrge. pamphlets. Family Welfare Assistant (Male) visits the identified places prior to clinic days to make arrangements for holding the clinics and to carry out motivation and counseling among the eligible couples. of old and new acceptors (contraceptive methods wise) Visibilities of Family Welfare Centres are ensured through display of signboards and direction boards at appropriate location with complete addresses indicating the services available in the Family Welfare Centres.400/.250/.to Incharge and Rs. Training / Orientation Every family welfare worker receives in-service training of two weeks at least every two years. Every Family Welfare Centre is provided with adequate IEC material consisting of posters. Position FW Worker / FW Counselor FWA (Male) FWA (Female) Female Attendant (Aya) Chowkidar Total BS 9 / 11 5 5 1 1 Number 1 1 1 1 1 5 Following specific measures for up-gradation of Family Welfare Centres have been adopted: Baseline Data of household in catchment’s area Every centre prepares following baseline data in its area of operation. During the camp days. No. infertility. Aya attached to the clinic accompanies the centre Incharge for assistance. 4. Both of them visit the village on public transport and are given fixed TA/DA/conveyance charges @ Rs.• Referrals of hardcore cases of family planning. He is also given Rs.to Aya.as fixed TA/DA/conveyance charges for each satellite clinic. like • • • Total population No. 2. leaflets and brochures dealing with “Know-how of family planning”. 1. of eligible couples No. 5. A minimum of 6 camps are held during a month in the identified village where no other service outlet exists. In addition. 3. Male Involvement 4 .250/. Staffing Pattern : Sl.
8 10 320.215 462. Coordination with other Government Departments and Civil Society Organizations Coordination with line departments and civil society organizations is being strengthened.296 Injectable (Vials) 453. wives of local influential.740.3 39 28.115. LHWs/ LHVs.383 686.858 343.233 658.944.Male involvement is vital not only to promote small family norms but also to curb violence against women and raising women’s status in family and society. elected representatives and other opinion leaders.441 31.959 4.016 143. representatives of NGOs.888 98. The involvement of the elected female leadership facilitates institutionalization of greater political commitment and support for activities of the centre.184.769 9. In this Activity of Friends of FWC the value payable parcels (VPP) consisting of condoms and IEC Materials are to be delivered to the Service Providers of eight pilot districts residing in the far flung areas through Pakistan Post Office.456 Oral Pill (Cycles) 681.878 14. TBAs.417. This had been strengthened as Management Committee of the centre.684 5 .963 2. The Department of Health is specifically involved through LHWs programme.468 1.226. 2006-2007 Province/ Sector Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (Units) 15.741 63. and teachers etc.791 1. Male Mobilizer are used as agents to mobilize the support of the said volunteers and supply of Protective contraceptives (condom) through volunteers of NCHD/ NVM.541. Contraceptive Performance (FWC).567 410. to generate community support to improve its working. After successful implementation of this initiative it will be replicated throughout the country. The FWA (Male). National Volunteer Movement (NVM) were also approached through staff of Family Welfare Centre and through satellite camps.1 49 Couple Years of Protection (CYP) 1. volunteers from National Commission for Human Development (NCHD) of National Volunteer Movement (NVM). DDPWO (Technical) provides on the job training during such supervisory visits.8 50 8. seeking their support for Population Welfare Programme. Volunteers of National Commission for Human Development (NCHD).050 11.842 5.096.427 90. Friends of FWC For enhancing the outreach of service Delivery through Friends of FWC a forum of “Friends of FWC” had been revitalized comprising the Postal Department. which includes besides others.2 18 303. Male participation is enhanced by directly involving the male community leaders.532 19. women councilors etc.936 266. Monitoring/ Supervision Monthly visits are paid by the District Managers to monitor / supervise the staff of the centre. Management Committees at the level of the centre Every Family Welfare Centre has a committee consisting of satisfied clients.9 32 1.521 IUD (Insertions) 428. social workers.260.
FWC 6 .
Number of Centres 54 47 20 08 03 15 02 03 152 7 . counseling and referral for adolescent/ youth. Injectables. personal hygiene and nutrition & breastfeeding during reproductive age and preventive Gynae. In addition to this. management of RH problems of elderly women. especially to the women & children. These Centres play a vital role in raising awareness on public health issues. oral pills. IUCDs. The RHS A-Centres provide full range of services identified in the National RH Services Package comprising comprehensive Family Planning (FP) services including Contraceptive surgery (CS) facilities for female & male as out-door procedure with safe & effective back-up medical support and long-term client follow-up. /Obstetric facilities. referral for men’s problems clients’ education for early detection of Cancer in breast & uterus. Status of RHS A-Centres (2006-07) Province/Sector Punjab Sindh NWFP Balochistan Islamabad AJK FATA NAs Total Function of RHS A-Centres RHS A-Centre performs the following major functions:RH & Family Planning including CS at Static Centre: RHS A-Centers provide motivation. counseling and education for family planning clients alongwith full range of contraceptive services with special emphasis on contraceptive surgery. Further. These services would contribute to reduction in fertility. the RHS A-Centres provide treatment for minor/ general aliments.e. major hospitals of big cities. all DHQ and selected THQ hospitals. Mother & Child Health (MCH) care. are available to FP clients. There are 2 categories of Reproductive Health Services (RHS) Centres as under:RHS A-Centres RHS B-Centres RHS-A Centres The Reproductive Health Services (RHS) A-Centres are hospital-based service delivery units established by the Ministry of Population Welfare. prevention & management of RTIs/ STDs and HIV/AIDS. condoms. Facilities for Contraceptive Surgery (CS) alongwith full range of contraceptives i. and couple counseling & referral for treatment of infertility. Norplant (in selected RHS A-Centre) etc.Reproductive Health Services (RHS) Centres Reproductive Health Services (RHS) are one of the major clinical components of the overall Population Welfare Program with its hospital based service outlets (RHS A-Centres) in teaching hospitals.
as an innovative project for Reproductive Health Services for adolescent and men which is being processed at Mo PW. Development of training curricula. The Centres provide MCH services. including 3 Master RHS Training Centres for ensuring availability of trained medical/ paramedical staff to manage/ provide quality reproductive health services in the program. also. with operation theatre facilities for provision of Contraceptive surgery services. strategy. after approval from the M/O PW. assessment and diagnosis of abnormal obstetric/ gynecological problems and diagnosis/ management of infertility cases. 8 . Undertake FP/Health education programs at educational institutions and PLDs. training of male doctors from M/o PW. have been upgraded to RHS Training Centres.facilities for training HIV/AIDS as well as management of STIs/ RTIs cases are offered at RHS ACentres. Identification of difficult surgical cases and to be able to deal with surgical problems. Target Group Institutions (TGIs) and Provincial Line Departments (PLD) in contraceptive surgical techniques. Vasectomy Services To enhance the male participation by creating awareness on FP/ RH issues and motivation with special focus on provision of vasectomy services. Norplant insertion/ removal techniques. MoH and NGOs is imparted in vasectomy procedure. nearest to the client’s door steps. Efforts are being made for provision of vasectomy services at most of the RHS A-Centres. the Master Training/ Training Centres are provided with additional staff and logistics. MIS and for provision of Comprehensive RHS Package. asepsis. Camps are arranged at THQ hospitals/RHC. Training (basic/fresher) of Program/ non-program paramedics in operation theatre management and other techniques with particular emphasis on asepsis/ infection prevention. interpersonal communication. 14 Centres located in the teaching hospital and with highest contraceptive surgery performance. Functions of RHS Master/ Training Centers Training (basic/refresher) of program and non-program doctors including those form NGOs. methodology and annual training plan for all the above mentioned training activities. also be responsible for undertaking all training activities as planned. counseling. To achieve this objective. preferably by Non-Scalpel Vasectomy (NSV). Extension Service Camps All RHS A-Centres hold extension camps/ activity for provision of contraceptive services including CS. Norplant Services Since 1997 Norplant has been added into the available contraceptive mix after successful trial by the National Research Institute of Fertility Care (NRIFC). RHS Master Training Centres Out of the existing 130 RHS A-Centres.
101 40. 249 63. Responsible for providing on the job technical monitoring/supervision and guidance/assistance for strengthening the institutional set up of RHS Centres and improvement in the quality of services provision.404 111. 175 55.241 9.648 12.873 4.631 22.398 38.249 110.066 4.482 1. 221 273.697 3.222 2. Hold orientation workshops for doctors and paramedics for all categories to update knowledge of what is available for the clients in the way of contraceptive services.354 CS Cases 69.842 97.371 Injectable (Vials) 34.792 4.683 29.573.978 Couple Years of Protection (CYP) 988.610 25.044 9 .080 1.598 106.180 56.O. 2006-2007 Province/ Sector Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (Units) 530.719 431.727 29. M.189 1. Contraceptive Performance (RHS-A). 467 353.848 IUD (Insertions) 31.175 30.275.330 2. 763 Oral Pill (Cycles) 41. Incharge form each RHS Training Centre will undertake four supervisory visits (of 3 days duration) every year.657 1. During each visit a minimum of 4 RHS A-Centres will be covered for technical guidance and support. 651 1.
A 10 .RHS .
The draft of above meeting was shared with Chief P&D Division on 9th and 10th February. P&D Division during a meeting chaired by Secretary. This done by each MSU by conducting 2-3 camps each week in such a manner that they return after one month to every village. particularly the clinical methods including IUD and Injectables. Furthermore. The idea behind each MSU is that the remote rural population without access to health facilities are provided health coverage focusing on RH in such a manner that each village or community is visited on a rotation basis at least once a month. it carries within it tents that can be unfolded to provide rooms for OPD purposes as well as waiting staff. • To facilitate the work of Male Mobilizers with regard to enhancing men’s role and responsibilities.000 couples) in 15-20 villages.000 (about 5. 2007 as per following details:RHS-A Centres TUBECTOMY Static Existing Rates 700 Revised Rates 1060 Extension Camps Existing Rates 750 Revised Rates 1100 Existing Rates 920 Static Revised Rates 1550 VASECTOMY Extension Camps Existing Rates 920 Revised Rates 1550 RHS-B Centres TUBECTOMY Existing Rates 850 Static Revised Rates 1400 Extension Camps Existing Revised Rates Rates 750 1550 Existing Rates 920 VASECTOMY Static Revised Rates 1550 Extension Camps Existing Revised Rates Rates 920 1550 III. • To provide RH including curative service to women and children. MoPW on 17th January. 2007. Mobile Service Unit (MSU) Mobile Service Units is a flagship of the Ministry of Population Welfare which provides quality package of Reproductive Health and Family Health Services to the Population of remote villages and hamlets where no other health facilities are available. • To reduce the unmet need of Family Planning by making services more accessible.Enhancement of Institutional Re-imbursement Cost (IRC) Enhancement of IRC rates for RHS A&B Centres was discussed with detailed break-up with Chief (P&SP Section). Each MSU has one Woman Medical Officer and three support staff. The MSU comprises a mini clinic operating from specially designed vehicles with all facilities of a mini clinic ensuring complete privacy for simple gynecological procedures. Each MSU provides services to a population of 30. The component was initiated during the 7th Five-year plan to increase the availability of Family Planning Services in rural-underserved areas. 11 . 2007 After series of meetings in this regard & Notification of revised Institutional Reimbursement Cost (IRC) was issued separately for RHS A&B Centres on 17th February. Annual 10-12 camps are held to offer FP/ MCH services in the remote-underserved areas. Its main functions are: • To make Family Planning information and services accessible in underserved/ un-served rural communities.
Position Women Medical Officer Family Welfare Counsellor Driver Female Attendant (Aya) Total BPS 17 11 04 01 Number 01 01 01 01 04 The expansion Plan (Naitona-wide) of MSU Component for the next five year plan would be as under: Mobile Service Units (MSU) 2008-2009 434 2009-2010 800 2010-2011 810 2011-2012 820 2012-2013 830 Contraceptive Performance (MSUs). UNFPA-MSU Project-Pak-01/P03 UNFPA-MSU Project PAK-01/P03 started under UNFPA Sixth Country Programme continued in 10 selected districts (02 in each province including AJK) during the financial year 2003-2004.047 383 111. The staffs have the basic training and receive periodic refreshers to update their knowledge. Each MSU is manned by following strength: Sr. 4. 8.094 IUD (Insertions) 53.212 4.124 Injectable (Vials) 53.• To muster local support for programme through interacting with elected councilors and other opinion leaders and promoting better understanding and need for reproductive health care. Number of Mobile Service Units Sr. logistic management) coupled with training guide/ plan has been developed.129 7.350 Oral Pill (Cycles) 43.409 33. financial procedure.626 32.582 16.906 330. quality of care.229 16. supervision and monitoring.026 18.411 21. Location Punjab Sindh NWFP Balochistan AJK FATA NAs IBD Total Bench Mark (with old Vehicle) 70 34 19 22 02 01 148 Additional MSUs (with new vehicles) 115 64 28 53 05 07 03 275 Total 185 98 47 75 07 07 03 01 423 MSU Incharge is trained in clients oriented friendly behavior. 2. 2006-2007 Province/ Sector Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (Units) 659. 4. training of staff. community participation/ ownership. 3. The MSUs of these 10 target districts are being upgraded in terms of logistic support.700 501 82. # 1. 7.148 22.780 27. follow up system. 5. This project will continue during 7th Country Programme (2004-2008) of UNFPA.052 11.275 222.809. supervisory role of MSUs and community involvement. A training manual on specified/ identified modules (such as planning.384 388 114. 2.200 265. 6.356 12 . 3.128 1.994 654.770 68.642 1.752 Couple Years of Protection (CYP) 205. # 1.753 7. skill development for contraceptive management.
MSU 13 .
Many lessons have been learnt from this long standing and rich experience. Male Mobilizer Cadre Family Planning Programme of Pakistan has a long history and is replete with both success stories as well as failures. Status of Male Mobilizers. Recently the Population Welfare Programme has undertaken programme review of Male Mobilizer Cadre. Should be willing to hold group meetings at previously identified contact points and to Strengthen the family as the social unit of society through responsible parenthood.IV. the programme introduced Male Village Based Family Planning Workers Project on a pilot basis in 25 districts of the country in the later half of 1998. The salary of the Male Mobilizers has also been enhanced from Rs.As / FATA Total: Bench mark as of 30th June 2006 1947 332 441 550 25 120 20 3435 Expansion undertaken in 2006-07 313 350 27 8 62 760 Total number as of 30th June. Married with not more than 3 children. In order to rectify this omission. Reduce gender inequality and abuse of women & girls. within the age group 25-40 years. Selection Criteria Should be a local resident of the Union Council. to Rs. Increase the male acceptance of family planning and use of male contraceptive methods. 2006-2007 Province/ Sector Punjab Sindh NWFP Balochistan Islamabad AJK N. intermediate where graduate candidates are not available. with the following objectives: Objectives norm. Help women and men to communicate about their family roles and responsibilities. 2007 2260 682 468 550 33 120 82 4195 14 . Graduate.p.m. The current number of 3435 Male Mobilizers will be increased to 6272 by the end of current five-year plan (2003-2008). 3000/.p. These workers will be placed at each union council level. identification and contact by the programme officials and the community. The most important of which is that lack of male targeted activities with subsequent poor male participation is the missing link in the Population Welfare Programme efforts. logo of the program and name of the department) outside his residence in order to facilitate visibility.4000/.m. Support social change in the patriarchal super-ordination of men and create the small family install a signboard (depicting his position. Certain inputs have been added with renewed objectives.
273 7. 061 21 470 3.094 32 424 14 176 1. Quality of services is ensured through periodic supervisory visits by Senior Doctors from RHS Training Centres.643 (B) I.6 59 4 06 3.210 5.507.349 11.451 32.558 5. Province-wise total number of registered Hospitals/ Clinics as RHS B & the number of functional Centres is as follows:Province wise break up of RHS B-Centres Registered Functional 66 31 30 22 28 06 03 03 08 06 135 65 Province Punjab Sindh NWFP Balochistan Islamabad AJK FATA NA Total Contraceptive Performance (RHS-B).549 72.478 Oral Pill (Cycles) 233.756 23 . NGOs and private sector with operation theatre facilities interested in performing contraceptive surgery are registered as RHS BCentres and provide fee per case basis for provision of CS services.568 49.846 2.539 15 .365 406 115.795 27.0 28 43 3 10 5. RHS-B Centres (I32 Centres) Hospital of Provincial Line Departments (PLDs) including Health.419. Non-Programme Services Outlets.361 2 . Hospitals registered as RHS B-Centres are provided training in contraceptive surgery for their doctors and paramedics at the RHS Training Centres.952.025 412 379 50.4 46 CS (cases) 35.957 Couple Years of Protection (CYP) 445.102 56.556 644.245 590.489.559 2.976 Oral pill (cycles) 750 158 2.148 15.420 160. 460 IUD (insertions) 1.Contraceptive Performance (Male Mobilizer) Province/ Sector Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (Units) 6. 2006-2007 Province/ Sector Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (units) 3 .001 216 532.057 2 .233 IUD Injectable Couple Years of (Insertions) (Vials) Protection (CYP) 49 49 379 379 60.740 Injectable (vials) 1.658 144 15 .223 1. in addition to contraceptive surgery counseling and complete range of family planning methods are also provided.899 176.295 12.
RHS – B 16 .
084 8.561 181.314 IUD Injectable (insertions) (vials) 41.II. they have been involved in the Programme for provision of family planning information and services with an understanding that they would enhance the coverage for Family Planning as well as provide mother and child health (MCH) services.150 115 150 75 50 26.080 Oral pill (cycles) 29.344 22 .232 10.455 1. In order to overcome some of the shortcomings. They are identified by Tehsil Population Welfare Officers in their respective areas.814 45 .822 Hakeems / Homoeopaths Hakeems and Homoeopaths are influential groups in the society.162 20.056 2.951 1.820 1.576 24 .217 NumberoRMPs 13.060 3. Province wise break up of RMPs as on 30-06-2007 is as under: Province/Sector Punjab Sindh NWFP Balochistan Islamabad AJK FATA NAs Total Contraceptive Performance (RMPs) Category of Service outlets / province Punjab Sindh NWFP Balochistan Islamabad Pakistan Condom (units) 489. However.958 86.094 2.015 2. 17 . Those RMPs who are interested in promotion of small family norm through their clinics have been involved and the enlistment continued both in major cities and smaller towns.998 34.298. their involvement was not encouraging due to many factors.443 11.456 11.393 89.673 91.970 202.383 5.930 2 .100 8.105 7 .515 Couple Years of Protection (CYP) 158. Registered Medical Practitioners (RMPs) & Hakeems / Homeopaths Registered Medical Practitioners (RMPs) Component The Registered Medical Practitioners (RMPs) being an important source of health care provision in both the urban and rural areas of the country has vast potential for promotion of family planning services.205 448.713 47. Acknowledging their important position and linkage with the community.560 102 . There are 26080 RMPs registered with Population Welfare Programme on the criteria that they have their own clinics with operation theatre facilities or without operation theatre facility. it was decided in the 9th plan that only those Hakeems and Homeopaths would be involved who were interested in promotion of small family norm through their clinics.
997 Punjab Sindh NWFP Balochistan Pakistan III.0 74 5. iv. The staff of the identified and involved outlets have been provided specific as well as refresher training on the management of family planning services.9 61 IUD (Insertions ) 45 38 Injectable (Vials) 10 666 676 Couple Year of Protection (CYP) 3. iv. v. necessary equipment and linked to the logistic and distribution system of the Programme for supply of contraceptives / replenishment. Paramedics 12 18 . Signboard to service outlets. Training of Hakeems and Homoeopaths in counseling skills 1-2 day orientation training of Hakeems and Homoeopaths 3-days Training of MoPW & PWDs Programme Managers on Management & Supervision of Hakeems and Homoeopaths project Training Incentives Supply of IEC Material Provision of neon sign boards Supply of condoms. Contraceptives.Presently. Provincial Line Departments (PLD) The Health Outlets of Provincial Line Departments (PLDs) have been involved in the Population Welfare Programme for provision of services in order to improve access and expand coverage of facilities for promotion of family planning.102 585 75 5.235 2.2 14 148.2 09 11. iii. Most of these are the Health Outlets while less than 5% are owned by other PLDs such as Labour. Local Government and Frontier Constabulary in Balochistan. Social Welfare. Training of doctors and paramedics in FP at RTIs (Doctors 6 days.1 25 524. necessary guidelines have been developed to strengthen the component. iii. Provision of IUD kits to female staff. Training of WMOs in minilap technique at RHS-A Centers.2 33 Oral Pill (Cycles) 14. ii.8 20 41. there is a need to review the input versus output of the component and to suggest remedial measures. days). The major areas of concern are: i.4 94 5 90 30. Contraceptive Performance ((H&H) Province / Sector Condom (Unit) 329.6 68 4. vi. Currently. In this regard. vii. v. ii. there are around 7000 outlets of Provincial Line Departments that have been enlisted for dispensation of services. given IEC material. Following inputs and services are offered by this component: i.
292 2 . RHCs.1 24 1. The activities are built around two models termed as ‘branded’ and ‘manufacturer’ models. These outlets provide FP information and services to clients who attend BHUs. comprehensive promotional campaign and dispensation of contraceptives. pack and distribute the products at agreed retail price.3 31 23. Contraceptive Performance ((PLDs). local bodies and Frontier Constabulary in Balochistan. branded and dispensed at subsidized rates. The distinction is that in the ‘branded’ model contraceptives are procured.851 1 . training and use of existing private sector network for dispensation of products.1 32 11.0 16 1.g. which operate as linchpin for the social marketing programme.7 67 20.5 02 Oral Pill (Cycles) 5. which is supported by quality assurance technical assistance. Social Welfare. rather an agreement is reached with the pharmaceutical firm(s) to manufacture. In return. The approach applies marketing techniques and involve the existing commercial distribution network to dispense contraceptive products at subsidized rates. Social marketing programme is executed by two private sector firms under independent logos of ‘Key’ and ‘Greenstar’ in urban and peri-urban areas of the country. promotional activities and training. The principal activities undertaken during 2006-2007 included training. This model also included provision for local manufacturing component.6 04 2. Nevertheless. One day orientation workshop at Divisional Headquarters. These are summarized below:- 19 . in both the models common elements. The projects are funded outside PSDP with grant foreign assistance.826 46 2 . contraceptives are not procured. whereby resources and expertise of the private sector are used to advance the social goal of making family information and services available more widely.2 86 5 51 7 65 IUD (Insertions ) 32. thereby providing a ready-made market for the product. For the manufacturer’s model. Social marketing supplement the efforts of population welfare programme in the dispensation of contraceptives through the private providers with the involvement of commercial distribution network and retailers.vi.873 824 1.541 84 227 52 424 Injectable (Vials) 40 .096 Punjab Sindh NWFP Balochistan Islamabad IV Social Marketing of Contraceptives (SMC) Public-private partnership in family planning is promoted through social marketing approach. the firm is supported by way of advertisement.652 236 2. are advertisement. 2006-2007 Province / Sector Condom (Unit) 68. MCH Centers and Dispensaries of different Provincial Line Departments e.405 Couple Year of Protection (CYP) 122.
increasing inter-spousal communication. which revealed that had a definitive impact in improving attitudes. decreasing fears about family planning and modern contraceptive methods. Print material was produced and distributed. which reinforced interface and discussions amongst providers and clients at community level for promotion of child spacing and quality services though franchise network. These activities were reinforced and followed-up by work place intervention in industrial establishments. The products. which resulted in signing of a number of MOU’s between the MOPW and private sector industries in order to strengthen private sector contribution to the national population welfare program. Some specific activities carried out during the period under review included:- Over 962 female providers attended family planning basic workshops in 24 towns in 19 districts which included 191 doctors and 771 LHVs/Midwives. were provided through a net work of 53000 retail outlets (for condoms) and for all methods through 22090 doctors 14. A dissemination seminar was organized by Constella Futures in February. Seminars were held and IPC activities under taken at community and household levels. panel A study was conducted on Mohalla Sangat . Mohallah Sangat programme and Clinics Saholat. Mr Shaukat Aziz was the Chief Guest on the occasion.Training SMP and KSM have trained and given orientations to 2514 doctors (male/female). KSM helped sponsor a major public private sector event. The Honorable Prime Minister. MOPW was the Chief Guest.556 paramedics and Chemists/druggists) etc. messages were transmitted through Magazine. and 3322 paramedics/LHVs during the year. The Honorable Minister. increasing awareness. 20 . while the discussion was chaired by the Secretary MOPW. Special sale promotion seminars organized and point of sale publicity material distributed. Press sessions held on special occasion and outdoor publicity billboard installed at important points. Promotional Activities SMP & KSM have undertaken a variety of promotional activities through mass media. and contributing to increasing use and continuation of modern methods Under the guidance of Ministry of Population Welfare. The mass media campaign has been termed as “innovative in family planning business” by the USAID-sponsored Midterm Assessment of the Social Marketing Program undertaken in 2006. 2007 to share findings from the study “Ulemas views on family planning” with policy makers and stake holders. through mohallah group meetings.
Greenstar products are promoted through kiosks at railway stations. quarterly and annual progress reports of the Ministry. The Committee had reviewed the progress on quarterly basis Plan. Facilitation and support by MoPW. o MoPW endorsed 171 exemptions for local procured consignments to support on going operations and extended guidance for incorporation in the respective Annual Work o Acted as a focal for meeting with EAD relating to Mid Term Review of performance of SMC project funded by USAID. Discussions have been initiated with some industrial companies both in rural and urban areas to forge partnership around provision of family planning services and products through work site clinics. Distribution of condoms through the GOP’s Utility Stores was introduced Referrals by LHWs to Greenstar franchise providers for VSC and other services was specifically targeted. In partnership with the Ministry of Railways. o Coordinated and consolidated the performance data for reflection in the Monthly. Happy Life. These cassettes contained of information on various contraceptive methods. DFID and UNFPA. Over 50. Additional Assistance/Support for SMP 21 . which was dubbed in three different languages namely. Pushto and Seraiki. condom in the market during the period under review. o Social Marketing has added Intense. Greenstar being a large Private Sector Partner of the Ministry of Population Welfare is the first and only Pakistani Health NGO to have at signed an MOU with the Ministry of Health’s National Program for Family Planning and Primary Health Care (LHW Program). o The MoPW has constituted a Steering Committee to facilitate the SMC activities in the country. A pilot operation of two Family Welfare Centers of the Population Welfare Department (PWD) of Punjab arranged to gain in sight and understanding of management aspects. Urdu. Social Marketing Program included a number of innovative public-private partnerships that has involved over the last few years to expand the impact of its programs. Sparke.000 family planning audio cassettes were supplied to the provinces for distribution through Family Welfare Centers and other public sector programs.
This has been agreed to in principle by the Ministry and EAD requested to explore donors to meet the requirement to sustain Social Marketing operations till 2012. A seminar on Leadership Initiative on Public and Private Sector Collaboration in Reproductive Health and Family Planning was held on 13 January.584 23. o Greenstar has formulated its five year strategic Plan covering the targets and objective was alongwith a financial. Performance (in million) 114. 2. The implementation frame time is 2007-2012. 22 . Sale of contraceptives/products The social marketing activities have contributed to distribution/sale of following contraceptive products during 2006-2007.713.o Mid Term Assessment of Social Marketing Programme (2003-2008) under taken by USAID Team has reviewed and the Ministry endorsed their recommendations continued support to Social Marketing.345 1. motivation and extending FP/RH services.279.477 2. Reduce Total Fertility Rate 2.3 by 2020. Reduce Population Growth Rate to 1.135 million has been signed and the project has entered the implementation phase January 2007.261. Objectives: 1. The Prime Minister of Pakistan graced the occasion and 91 MOUs were signed for the provision of Family Planning and Reproductive Health. The implementation of this component in the past has contributed to establish family planning facilities and a special focus on male involvement for arousing the male sense of responsible parenthood as well as prevailing concern for the family health. 3.147.499 Public – Private Sector Organizations (PPSOs)/ Target Group Institutions (TGIs) PPSOs is a component of ADB-RH project since 2005.439 6. with the Social Marketing Programme to be implementation by the existing firm as the sub-awardees. 2007 to highlight the importance of public-private organization and their collaboration for achieving shared goals. Increase Contraceptive Prevalence Rate to 64 percent by 2020. Major thrust of the initiative is to forge partnership with formal public and private corporate sector organization.1 by 2020. projections. o Agreement for KFW assistance about RH in NWFP for Euro 6. o USAID assistance award for US $ 60 million has been given to Population Council. The component has vast potential as it involve both public and private sector institutions with renewed emphasis and innovative approach for awareness raising. Method/Products Condoms (units) Oral pill (cycles) Injectable (Vials) IUD (units) CS (cases) Couple Year of Protection (CYP) V.396 272.
Spin off Effect: Capacity building of the service providers and making use of the existing infrastructure of the PPSOs benefit the families and dependants of the work force of respective departments. Impart orientation and training to personnel at all levels including key trainers so that activities are integrated into their process and system. facilities. The intervention therefore requires very little extra cost for personnel. venues. Major Activities: The major activities include the following: Capacity Building through Orientation and Training. Technical training in clinical and surgical contraceptives has also been arranged for doctors and paramedics. iv. Institutional Sustainability through Capacity Building: Under sustainability. The salient features of this intervention are:- i. With this important feature it seems to be one of the most cost effective undertakings. ii. trade union members and religious leaders in the respective departments have held for 23 .Cost Effectiveness: The selected institutions have a well established health and social infrastructure where reproductive health and family planning programme can be integrated into the system with good planning. Orientation sessions have conducted for Board members. iii. high commitment and perseverance. i. (i) (ii) (iii) Capacity Building through orientation and training Service Delivery Advocacy/Information Education and Communication. Internalize activities in the set up and infrastructure of the selected institutions. efforts are made to: o o Sustaining social sector Programmes is difficult and is therefore recognized as an important feature of the project.Strategies: A three pronged strategic thrust has been worked out. Role Model: The partnership between MoPW and PPSOs is an important initiative not only because of the expected outcome itself. Orientation with cadres who have close interaction with shopkeepers. but also for its far reaching effects since the experience gained could be gainfully replicated in other male intensive organizations. administration or other overheads. senior management and for doctors on FP/RH issues. The philosophy of the project revolves around the concept of capacity building of the selected PPSOs using their existing infrastructure leading to institutional sustainability.e.
of Presentation made to the mid/top level Management of PPSOs Capacity Building of Medics. Lahore Karachi. For the specialized community interventions like involving religious leaders and youth. Gynecologists and orientation/Training of Paramedics held in different cities i. No. Achievements The following achievements have been made during the year 2006-2007. Donor Agencies supporting the project and NGOs working in the area to share the experience for improvement. Doctors. of follow-up meetings between MoPW with Stake holders of Public Private Sector Organizations No. The development of relevant IEC material with right message for dissemination amongst the respective population is strongly needed. wherever required. The non-clinical contraceptives are placed in the shops of the residential colonies for easy accessibility. of organizations in the fold of partners with MoPW No.e. and orientation courses for employees and mid level manager on regular basis. Advocacy campaign has been executed to emphasize promotion of birth spacing for the health and well being of workers and their families. Gynecologists Orientation/Training of Paramedics 17 14 96 225 Capacity Building of Medics. The following achievements have been made during the year 2006-2007. of FWC/RHS-B to be established (in pipe line) Establishment of Family Planning Counters/Kiosks (Under process with Provinces) 113 90 39 10 Advocacy/Information. Doctors. Education and Communication. the activities are outsourced. Multan. i. 24 . i. iv. The direct beneficiaries in turn reach out to a large number of indirect beneficiaries with a spin off effect. iv. Hence accurate and relevant information on FP/RH issues are disseminated using the social and medical infrastructures of the PPSO. The technical training mostly held through the RTIs and RHS Training Centers of the Programme. No. ii. iii. The project also target young people and religious leaders in the respective organizations with the object of promoting responsible parenthood that help to invest time and resources of young people and remove myths and misconception about family planning. ii. iii. Service Delivery: PPSO provide FP/RH services using its medical and social infrastructure through the District Population Offices and provide contraceptives on need basis. PWDs. and Hydrabad. PPSO has conducted the trainings of doctors and paramedics. of FWC’s/RHS-B Established No. Participatory workshops are organized by involving key stakeholders including the PPSOs.motivation purposes.
Pakistan Readymade Garments & Exporters Association (PRGMEA). Islamabad 25 . Women Welfare Organization. Social Welfare Society. Medi Pak Group of Companies. 5. 17. Islamabad 23. Watson Chemist. Karachi 26. Pakistan German Business Forum. Action Aid NGO. Karachi 27. Family Health International. Leather Field (Pvt). Islamabad. Islamabad World Population Foundation. Insaniat Welfare Trust. 31. Multan.R. Sarhad Board & Chemicals Pvt. Shelter. Green Star Social Marketing. AJK 16. Sialkot 33.. Islamabad. Rawalpindi 14. M/s Leads Pharmaceutical Pvt. Islamabad 19. Poonch. 7. Rawalpindi 12. Islamabad 2. Peshawar 29. Sialkot 32. Rawalpindi. Ltd. 35. Aahung NGO. Islamabad 4. Islamabad. 3. Land Mark International. 28. 22.. Girja Road. Behbud Association of Pakistan.Faisalabad 30. Army Welfare Trust. Private & Public Sector Partners: The list of current Public & Private Sector Partners is as under: 1. Mari Stopes society. Narawal 21. Abdullah Leather. Ltd. Islamabad MCH Centre. Rawalpindi 13. Clifton.. Zafa Pharmaceutical. All Pakistan Bed sheets & pholstery Manufactures Association. M/s Bayer Pakistan Ltd. 10. 6. Ltd. Sahara Hospital. Laboratories Pvt. 8. Pakistan chemist and Drugist Association. Organon Pvt. Islamabad 34. Good Life. D. Karachi 20. Tehzeeb Enterprises. K. Islamabad. Karachi. Karachi 15. Al-Qaim. Islamabad. Rawalpindi 11. Rawalpindi. CUP – Community uplift Programme. Lahore 24. Hasna Welfare. Karachi 25. NTISB. Social Security Hospital. Rawalpindi 9. Rawalpindi 18.L.
Ltd. Rawalpindi 39. Capital Food Industries. Lakson Tobacco Co. 63. 74. Sargodha 70. Al-Noor Plaster of Paris. Khan 49. Talon Sports Pvt.. Tribal Textile Mills Ltd. Fazal Kareem Textile Mills. Sahiwal 65. Mirpur Khas Chamber of commerce & Industry. Ltd. Jhelum 45. Lahore 57. Haripur 55. Sargodha University. Zaman Sons Industry.. Jhelum 73. Pakistan Medical Association. Gujrat Chamber of Commerce & Industry. Pakistan Petroleum Ltd. Islamabad 53. Gujrat. Azad Group of Companies 60. Pakistan Electronics Association 59. 69. Karachi 75. Pakistan Tobacco Co. Ltd. Mirpur. Nishat Mills. AJK 50. Sui Gas Islamabad 52. Swabi 46. Larkana 61. Islamilia.I. Shajar Welfare Society/Qureshi Hospital. Al-Saleem Flour Mills. Rawalpindi 37. Taxila 41. Veterniary Medical Council. Haier Pakistan Pvt.A. Coronet Foods Pvt. Shikarpur 66. Sialkot 44. Kashmir Electric Industry. Muhammad Medical College. Ltd. D. Jhelum 54. Khan 62. Islamabad. Ltd. Mirpur Khas. 51. Popular Marble Industry. Baglay Sports Pvt. D. Royal and Sarhad Textile Mills.C. Jhelum 72. Chashma Sugar Mills. Bilal Foundation(Bilal Hospital). Sahiwal 40. Sahiwal Chamber of Commerce and Industry. Islamabad. Shikarpur Chamber of Commerce and Industry.I. Sialkot 42. Faisalabad 48. Rawalpindi 38. P. Mirpur Khas 71. Jhelum 58. Karachi Chamber of Commerce & Industry. Gujrat 56. Karachi 26 . Towel Manufactures Association of Pakistan.M. Swabi 68. Ltd. Naeedero Sugar Mills. Ali Trading Co Pvt.I. University Road. Ameen Medical Centre. Metro Fan. Bacha Road.36. Pak. All Pakistan Textile Mills Association (APTMA) 47. Sialkot 43. H. Karachi 64. 67.
Pakistan Mining & Exploration Inc. Industrial Association. Jhelum 85. Olympic Socks. Towny Brother Pvt.EDO.Rural Welfare Society. Service Academy. Gujrat 108.State Life Insurance.76. Ltd. Service Shoe. Gujrat 94. Gujrat Established Centers under PPSOs 27 .Supra Welfare. Pak. Social Security. Peshawar 89. Gujrat 113.. Gujrat 101. Young Fellow Line Club. Khanewal Road. 96. Fine Engineering Works. Health. SKMCH Sheikhupura 92. Sialkot 88. National Council of Homeopathic. Gujrat 100.. Gujrat 112. Gujrat 104. Gujrat 103. Multan 79. Gujrat 99. Ministry of Labour & Social Security. Hilbro Pvt. WAPDA. Islamabad 82.Agricultural Association. Haripur 78. Lahore. Pvt. Gujrat 111. Rawalpindi 90. Ltd. Ltd. Gujrat 106.Save Liver.EFU. Gujrat 105.Blood Donor. Gujrat 98. Islamabad 80. Allied Engineering. University of Gujrat 95. Sialkot 87.Labour Welfare Society. Gujrat 97. Medical Engineering Pvt.. Islamabad 83. Gujrat. Gujrat 102. ARAB Fertilizer.Barbar Association.Tehsil Municipal Corporation. 93.National Furniture.Post Office. Lahore 81. Jhelum 84. Gujrat 109. Lahore. Gujrat 110. Chitral 77. Utility Store Corporation. Sialkot 86. Task Force on Trade & Industry. Pakistan Mineral Development Corporation (PMDC). Service Textile Industry.PBKLU. Gujrat 107. CSD. TAGMA Pharma. 91.
Double Dispensary (DD-3). PESSI Hospital Islamabad 24. POF Wah Double Dispensary(DD-4). PAF Hospital Lahore 29. Kahuta 23. Lahore 19. 3. Mehfooz Shaheed Garison Lahore 31. Alya Sultana CWC. Rawalpindi 10. 8. CWC Army Centre Walton Road. Railway Dispensary. 9. Nawaz Shareef Hospital Lahore 34. PNS Hafeez. Railway Dispensary Gujranwala 13. Lahore 28. Troops Family Welfare Centre. Lahore. UnitedChristian Hospiatal. Cairns Hospital. Pakpattan 18. Munshi Hospital Lahore 33. Gulberg. Cantonment General Hospital. CMH Murree 26. Lahore 4. Raiwind Railway dispensary.The list of Centres established under PPSOs is as under: Islamabad 1. 5. Medical Reception Centre – 114 Brigade. Lahore 16. Islamabad Province Of Punjab 1. Pak Railways 20. Tufail Road Lahore 30. Lahore 28 . Troop Family Welfare Centre–52 Brigade. Arafat Medical Cenetre. POF Wah 25. Rawalpindi 11. Carriage Factory. Mayo Hospital Lahore 32. Cairns Hospital Railway Head Quarter. Pakistan Railway Hospital. POF Wah Railway Dispensary. PESSI Hospital Islamabad 21. Transit Camp Rawalpindi. Rawalpindi 22. Lahore 15. 2. Pak Army. Transit Cantt. Raiwind 12. Chunian Pakistan Army. POF Wah Double Dispensary(DD-5). Izzat Ali Shah. Narowal 27. WAPDA Hospital. 6. Lahore 35. 7. Combined Military Hospital Lahore Combined Military Hospital. Sahara Trust/Sughra Shafi Hospital. Lahore 17. Railway Dispensary Wazirabad 14. Social Security Hospital Multan Road.
Village Tando Iqbal Tehsil Malti. Garrison Health Centre. Police Head Quarter. Labour Department. Karachi 22. Larkana 12. Karachi CMH Hyderabad PAF Korangi Creek. Ahbab Hospiatal. Kotri 13. City Welfare Medical Centre. 7. PAF Base Masroor Family Wing. Karachi 23. Garrison Health Centre. Army. Railway Dispensary Alia Sultana. Shami Road. Pakistan Steel Mills. PIA outlet OPD Karachi 19. Karachi PAF. PAF Base Faisal. 5.District Badin Malir Cantt. 4. Karachi 21. Model Colony. 3. Ravi Road. 6. Karachi APSMA. Lahore 38. 17. Family Wing Hospital. Karachi KPT Hospital. Sindh Police:Police Hospital. 2. Pakistan Railway Hospital Peshawar Pakistan Railway Hospital Noshera Fauji Foundation Hospital. 8.Shikarpur 11. Naval Colony. Pakistan Railway Hospital. Pakistan Railway Hospital. Railway Hassan Hospital. Lahore 42. Pakistan Army. 5. Pakistan Railway Hospital. District West. Lahore 37. Karachi 20. Peshawar Mandoni Gate Bannu Tehseen Welfare society. Karachi city 18. Mochi Gate. Lahore 40. Khamini Hospital. Pak. 3. Karachi Military Lines Area 602 Workshop. 4. Bu-Ali-Sena Hospital. Norani Welfare Hospital Ranchor Lane. Mardan CMH Abbottabad 29 . Khalid Medical Centre. Karachi 10. 2. Dadu 16. Workers Colony. CWC Mirpur Khas.36. CCP. 6. Packages Factory. Gulshan-e-Ravi. Pak Railways 15. 9. Saudi Colony. Barori Road. Munir Road Lahore Province of Sindh 1. Karachi Province Of NWFP 1. Karachi 24. Lahore 39. CWC Hyderabad. Karachi. Pak Railways 14. Karachi PNS Karsaz. Pakistan Railway Hospital. Lahore 41.
9. Quetta Green Strar Quetta FPAP Quetta Lady Differen Hospital Quetta Quetta Cantonment Board Social Security Hospital. 9. PAKISTAN RAILWAY Hospital. 4. Umer Kot Railway Station. Area Association Hospital Noorani Hospital Mother and Child Health Care Hospital 30 .7. Larkana Railway Station. 3. Jamshoro Railway Station. Quetta 10. 2. Hub Family Planning Counters 1. Karak 11. Indus Highway. (CUP) Community Hospital. 9. Karachi Chamber of Commerce and Industry Agreed to provide utilities and facility to operating places. 3. 6. Sukkur Railway Station. Quetta Mari Stopes Society. 8. PTCL Quetta 11. Ismaila Railway Station. Mitthi 5. Main. 8. Railway Hospiatal Kohat 12. Quetta PAKISTAN RAILWAY Hospital. Quetta WAPDA Hospital. 7. 2. Abottabad CMH Peshawar 10. 6. 4.B. POF Havelian Ayub Medical Complex. Mohar Kalan Abbottabad Province Of Balochistan 1. 8. Tando Muhammad Khan Railway Station. 10. 7. Social Security Hospital. Niazi chowk. Railway Hospital Noshera CMH Abbottabad Ayub Medical Comlex Abbottabad Lakson Tobbacco Company. 5. Five focal points in Karachi are as follows: KCCI Hospital F. in the premises of PW/RHB Centre.
AJK and NWFP. Number of interactions with social institutions such as trade unions. vii. Donors. community participation and development. iv. colony associations. Comprehensive Evaluation Framework: A continuous monitoring of results is carried out to ensure that the project management optimizes valuefor-money and that project implementation is focused on the achievement of results. The role of NATPOW is to create an effective partnership between GoP. Major program activities during 2006-2007 are summarized as follow: S. Activity Seminar/Conference Place Peshawer No. Number of health outlets activated for provision of information and FP/RH services. number of service outlets. Inshun Memorial Teaching Hospital Earthquake Reconstruction and Rehabilitation Authority (ERRA) ERRA agreed to provide space and utilities for the provision of FP/RH and establishment of FWC’s/RHS Centers in the health outlet of Earthquake affected areas i. mother and child health care through its affiliated service outlets all over the country including AJK and NAs through NGOs Sector with the financial assistance of UNFPA and World Bank upto December 1999. training. Number of orientation sessions conducted for senior management. iii. canteen/cafeteria. The mandate of NATPOW is to improve the involvement of NGOs with emphasis on issues such as program sustainability. After discontinuation of financial support by the donors during the past six years. An RH / MIS for record keeping at service outlets are introduced accordingly. employees unions. Since it is inception in 1994. Directorate of PPSOs is responsible for maintaining and compiling detailed service statistics that reflect the output and outcome indicators visualized in the project. retail-shops. Number of doctors and paramedics of PPSOs and their colonies provided training of FP/RH. officers association. technical assistance. 1 Beneficiaries 100 31 . Number of FP acceptors enlisted by method. ii. National Trust for Population Welfare (NATPOW) The National Trust for Population Welfare (NATPOW) was established under charitable and Endowment Act in 1994 as a statutory body to help NGOs and private sector in the field of Population Welfare.No 1.e. VI Number of PPSOs brought into the fold of partnership. The indicators for monitoring include:i. particularly family planning and mother & child health. NGOs and private sector organizations in the implementation of National Population Policy and the Pakistan Poverty Reduction Strategy Paper (PRSP). vi. v. NATPOW is also responsible for promoting the Population Welfare Programme including reproductive health agenda of the ICPD-94. Number of schools and number of teachers provided orientation on FP/RH. NATPOW has been providing reproductive health services including family planning. institutional strengthening. IEC. serving all over the country were affected and unmet demand for family planning and reproductive health services has increased.
316 million with the following Service Delivery Infrastructure: S# 1.951 69. 6. 4. The Population Welfare Program was extended to this region in the Year 1993. Larkana. 2. Bajaur Agency. Khyber Agency. Multan.444 375. Mohmand Agency & Orakzai Agency) The scheme is included in National Perspective Plan for Population Welfare in 2001-2011 with an allocation of Rs.e. VII Methods Condoms (Units) Oral Pills (Cycles) IUD (Insertions) Injectable (vials) Contraceptive Surgery (Cases) Couple Years of Protection (CYP) Achievements 773. 3. 5. 2. Faisalabad. Kurram Agency & North Waziristan Agency. FATA Agency Population Welfare Offices Reproductive Health Services-A Centers Family Welfare Centers Mobile Service Units Male Mobilizers Total Physical Quantity 01 07 04 50 07 41 120 Total Sanctioned Posts 10 28 40 160 21 41 300 The Contraceptive Performance Report for the financial Year 2006-2007 is given below: S# Methods Achievements 32 . Hyderabad. 250. 7. Orientation Training Workshop for NATPOW Staff Orientation Training Workshop for Service Providers of NGOs 24-months training course of FWWs at RTIs of MoPW. 4. 5. Abbottabad Country wide in Urban Slums and Rural Areas Country wide in Urban Slums and Rural Areas Country wide in Urban Slums and Rural Areas Total 1 1 1 1 1 1 1 7 14 300 125 100 100 100 14 Field Staff 25 34 Trainees 6509 14 13 56 558 70 NGOs. Initially the program was introduced into three agencies i. Kurram Agency & North Waziristan. Service Outlets Directorate of Population Welfare Program. 3. During the10th Five Year Plan (2003-08) the Population Welfare Program in FATA has been approved to cover all seven agencies (Khyber Agency.Focus on RH/FP and Safe Motherhood 2. South Waziristan Agency. Lahore. 6. Candidates from affiliated NGOs under NATPOW Mobile Medical Camps Service Delivery of RH/FP and Safe Motherhood at the door steps of the Community Community Mobilization Workshops Monitoring and Evaluation Backstopping Visits Lahore Faisalabad Multan Hyderabad Larkana Islamabad Islamabad Islamabad. 3.648 5.268 90.536 million. SOL and Activities 8035 The Contraceptive Performance Report of NATPOW for the financial Year 2006-2007 is given below: S# 1.543 260. 5.013 Population Welfare Programme in FATA The population of FATA is 3. 6. 4.
NA served as Project Director. 303. 2. The Directorate remained actively involved in program planning.906 02 12. NA has been under implementation since 1986-87.2 million.985 13. 3. NAs till May 2002. Service Outlets Directorate of Population Welfare Program.013 5. 6. 8. 5. 4. NA and successive Directors of Health Services. AJK is a part of the Federal Activity of the Population Welfare Program 2003-2008. The Directorate is responsible for planning. 3. AJK District Population Welfare Offices Reproductive Health Services-A Centers(Dist level) Reproductive Health Services-A Centers(Tehsil level) Family Welfare Centers Mobile Service Units Male Mobilizers Regional Training Institute(RTI) District Training Centers VBFPWs Physical Quantity 01 07 07 08 55 07 120 01 05 57 Total Total Sanctioned Posts 16 52 71 80 275 28 120 37 17 57 753 The Contraceptive Performance Report for the financial Year 2006-2007 is given below: S# 1. Population Welfare Program.409 9.816 Population Welfare Programme in AJK Azad Jammu and Kashmir has a population of 3. 2.052 359 28.491 2. 6. 4. monitoring & implementation of the Population Welfare Program in AJK. execution and monitoring of Population Welfare Activities in Northern Areas. The Population Welfare Program. 7. 2. 5. Population Welfare Program.2 million where family planning services were introduce in 1983 and have been continued since then.363 Population Welfare Programme in Northern Areas Northern Areas has a Population of 1.153 17. 5. The program was initially launched through the Directorate of Health Services. IX Methods Condoms (Units) Oral Pills (Cycles) IUD (Insertions) Injectable (vials) Contraceptive Surgery (Cases) Couple Years of Protection (CYP) Achievements 224. 4.1.18 million with the following Service Delivery Infrastructure: S# 1. execution.699 10. 9. with an allocation of Rs. NA is also providing 33 . A full fledged-Directorate of Population Welfare Program headed by Director and supervised by a Secretary of the AJK Government assisted by a Section Officer was established in 9th Five Year Plan. 6. 10. VIII Condoms (Units) Oral Pills (Cycles) IUD (Insertions) Injectable (vials) Contraceptive Surgery (Cases) Couple Years of Protection (CYP) 76. 3. The Population Welfare Program.
358 million with the following Service Delivery Infrastructure: S# 1.161. 5. 2.568 34 . Northern Areas stands approved by the Central Development Working Party (CDWP) at a cost of Rs. 4.663 5. 6. Service Outlets Directorate of Population Welfare Program. 4.081 779 11. Efforts are underway to acquire state land for construction of Regional Training Institute (RTI) at Gilgit. 5. Methods Condoms (Units) Oral Pills (Cycles) IUD (Insertions) Injectable Contraceptive Surgery (Cases) Couple Years of Protection (CYP) Achievements 24. 6. 3.different trainings and workshops to posts of various categories in developing/presentation skills. 3.659 5. NA District Population Welfare Offices Reproductive Health Services-A Centers Family Welfare Centers Mobile Service Units Male Mobilizers Physical Quantity 01 05 03 37 03 55 Total Total Sanctioned Posts 18 35 33 192 12 55 325 The Contraceptive Performance Report for the financial Year 2006-2007 is given below: S# 1. 2. Five Year plan PC-1 (2003-2008) of Population Welfare Program.
C P C YB IL IN A A IT U D G Clinical Training Clinical training is the key activity aimed at providing quality reproductive health services to the community by developing human resource to work at the service delivery centers of the Ministry of Population Welfare (MoPW). Ministry of Health (MoH). Directorate of Clinical Training is responsible to develop uniform and standardized training curricula. assess and improve quality of training and ensure proper implementation of clinical training programme for human resource development and institutional capacity building. conduct examination for certification of competence as service provider. Air force. however to meet the additional requirement of trained staff new RTIs are being established at Gilgit. With the introduction of multi-sectoral approach massive training activities are designed and implemented to ensure that program personnel and those connected with it are equipped with the required knowledge and skills to perform their jobs effectively in the delivery of quality family planning and reproductive health services.G Khan. Establishment of 5 new RTIs are planned to achieve Millennium Development Goals (MDGs) and is a step forward for poverty alleviation. In addition awareness raising seminars are also conducted to increase the demand for services being provided at the health care facilities. So many new initiatives have been undertaken which include Public Private Sector Organization (PPSO). develop teaching material. where a number of trainings are conducted round the year for the personnel delivering health care services to the general public. These new RTIs are in line with Govt. policy of women empowerment and aim at opening opportunities for females. This is achieved by trainings at 12 Regional Training Institutes (RTIs) across Pakistan. prisoners. Nawabshah & Khuzdar. school & college teachers as well as university & college students. Bannu. Navy. chemists. The manpower trained at these training centers would empower women to attain skills and be able to economically productive themselves and their families and also for the Population Welfare Programme to combat high Population Growth Rate unmet need fertility and training of trainer.3 . 35 . prepare text books. 35 new centers have been established through PPSO under Army. In addition to the above the RTIs conduct training of non program service providers on FP & RH issues and orientation trainings of other cadres such as factory workers. I. Clinical Training has played an important role in the Population Welfare Program since its inception and is recognized as a core ongoing activity. Provincial Line Departments. Railways and Pakistan Steel Mills etc which are staffed by Programme Personnel. training modules. and other nongovernmental and private sector organizations throughout the country. D. Accordingly 90 MoUs so far have been signed between MoPW and the Corporate Sector Organizations (PPSO) for the provision of FP/RH services through private sectors outlets.
Islamabad. Additional batches of Family Welfare Workers (FWWs) were accommodated and trained at RTIs on large scale on regular basis. training need Assessment. Lahore (Programme Personnel) Training of Trainers for Male Mobilizers Three-weeks training of trainers (TOT) was held for Male Mobilizer. First Aid. v. a wide range of following trainings and related activities were undertaken for the development of manpower and institutional capacity building of employees of Population Welfare Programme: i. Islam and Family Planning. Details of training undertaken during the year are as under: Component Basic Training Course of FWWs Advance Training for FTOs ASTs & FWCs Pre Service Training for FWAs Refresher Training for Paramedics Miscellaneous Training & Orientation of NonProgram Personnel Total II. Abbottabad & Lahore. Lahore. ii. The contents of the course were difference between training and Evaluation. Motivation Skill. iv. Male Mobilizer Project. FWW textbook has been revised and is being updated. Health Education. Duration 24 months 3 – 5 months 3 weeks 1-2 & 4 weeks 1 & 2 days Target 350 35 35 500 2100 3020 Achievement 285 112 106 682 3947 5132 36 . Communications Skill. Record keeping and report writing. one each at Quetta. Monitoring of Male Mobilizers. considering the fact that HRD among female is vital for their skill development. Preparation of lesson plan. Faisalabad. Seven seminars of RMPs were organized. Presentation Skill. Non-Clinical Training PWTI. Modules for Teaching Methodology and Training Evaluation have been developed for training of trainers at RTIs. to gain economic opportunities and women empowerment for the alleviation of poverty among the masses at large alongwith special emphasis to include RMPs in the programme. works with communities.During the year 2006-2007. These Master Trainers will provide/facilitate Pre-service training to male Mobilizer. Karachi. Organizations & Pakistan Army Jawans on RH/FP and communicable infections. iii. Basic demographic Measurement. Training Process. Responsibility of Male Mobilizers. Training of Line Departments. Population and Development. present. Future). Population Welfare Programme (past.
Communication Process. Faisalabad. Sheikhpur and Lahore. The contents of the course were Job description of FWA. Communication Process. Two-week Basic Training course for field functionaries FWAs (Female) at Lahore and Peshawar were held. IDPD/MDGs. Impact of over Population on Socio-Economic Development. Philosophy of auditing. Service Delivery Outlets. Philosophy features and use.National Workshop on Financial Management and Control One-week workshop on “Financial management and control” for BS-18/19. Present. The KAP GAP. Pre-Service Training for Male Mobilizer. Record Keeping & Report Writing. Six-weeks Initial Training for Male Mobilizers was held at district Islamabad. Service Delivery Outlets. Conception and Contraceptives. Revision of curriculum of Male Mobilizers. One-week workshop on “Revision of Curriculum of Male Mobilizers”. IT of office for Medical Professional One-week training on IT office for Medical Professional for WMOs of RHSC. IDPD. Internet and Email. Communication Skills Working with Community. The KAP GAP. The contents of the course were Male Mobilizer Project. Budget Making. Mandi Bahawoodin. Population Policy. 19 participants from all PWD’s specially DPWO. Population Welfare Programme in Pakistan. Registration of eligible couple. Organization structure. Demographic Measures. Budget as tool of Management. Director Trainings attended the workshop. Initial Training course for FWAs (Male) Two-week Initial training course for FWAs (Male) was held in batches. Present. Behavior Charges Communication. MS power point. Registration of eligible couple. Population and Development. Distribution and control. Gujrat. Brief history of PWP On Pakistan. Organization structure. Islam and such Family Norms. Govt accounting. Islam and such Islam Family Norms. Past. The training provided opportunity for hands on learning in MS windows. MS Access. The training emphasized philosophy and importance of Public Policy. Behavior Charges Communication. ICPD Plan of Action. Health Education. NAM. future. Past. Demographic Measures. Brief history of PWP On Pakistan. First Aid. IDPD. MS word. Jhang. Doctor. 37 . Basic Training Course for Field Functionaries. Internal controls. Gujranwala. Sawabi. Okara. future. Population and Development. Rajanpur. Peshawar. Population Policy. Demographic Measures. The contents of the course were Job description of FWA (Female). The purpose of the workshop was to condense the curriculum of Male Mobilizers from 12 weeks to 6 weeks and review the contents in line with their jobs. MTDF/MTBF Manuals.
Civil Secretariats Rules. MS Power Point. Professional Ethics. Budget presentation. 1974. Monitoring and Evaluation. The course contents include General Financial Rule. Training Course on Skills Development in Secretariat Practices for General Assistant. Filing System. Secretariat Instructions. Filing System. Corel Draw. Philosophy features and use. Monitoring of the PC-I activities. noting and Drafting. Leave Rules.Training course on Financial Management and Control One-week Training course on “Financial Management and control” for BS-17/18. Official correspondence. Internal Audit/physical verification. Service Rules. One week Training course on “Developing Managerial Competencies was held for Officers BS-17/18”. In all 31 out of 30 participants attended the course. Distribution and control. Role of responsibility of DDO. Determinants of fertility. Filing System. The contents of the course were Basic Demographic Concepts. Civil Service Rules. Noting and drafting. Practices and Skills in Management Principals. Pension Rules. Training course on Geographical Managerial System for Statistical Assistant One week Training course on “Geographical Managerial System for Statistical Assistant”. Rules of Business. Training on Advance MS Office for PAs/Stenos/General Assistants One week training course on Advance MS Office was held for PAs/Stenos/General Assistants. Graphic presentations designing sample survey. The contents of the course were Inpage. 38 . Effective Communication Skills. Secretariat Instructions. Cash Follow/Work Plan. Urdu desktop presentation course for PAs/Urdu Stenotypist Six days Urdu Desktop Presentation course was held for PAs/Stenotypist. Management Information system at district level. Maintenance of Cash Book. Internet and E-mails. The contents of the course were Rules of Business. One-week Training Course on “Skills Development in Secretariat Practices was held for General Assistant”. Training course on Developing Managerial Competencies for Officers BS-17/18. The training emphasized philosophy and importance of Public Policy. MS Power Point. Maintenance of Account Records for Accountant and Accounts Assistants One-week training course on Maintenance of Account Records was held for Accountants and Accounts Assistants at Lahore & Peshawar. Budget Making. Pre-audit. New accountant module (NAM). New Accounting Model (NAM). Govt accounting. Internal Control and rule of DDO. MS Excel. The course contents were MS Word. The training provided completion in Geographical Managerial System. Civil Service Rules.
V Equipment One week Training course was held for Projectionists on A. Mardan. Khushab. Anatomy and Physiology of Human Reproductive. Khan. Bahawarnager. Multan. R. Sheikhupura Chakwal. Bagh. Bhakkar. Lodhera. Conception and Contraceptive etc. T. Nowsherah & Bunair. Sheikhpura. Muzaffarabad. The course contents were Maintenance of record and use of Multi Media. Okara. In all 5759 Imam/Khateeb/Female Scholar out of 5560 attended the Orientation Orientation for Nazim/Naib Nazim/Councilor/Lady Councilor One day Orientation and Sensitization was held for Nazmeens. Rawalpindi & Islamabad. Swabi. Two days Orientation and Sensitization Training course was held for Imams/Khateebs/Female Scholars at Mandi Bahwaldine. Rahim Yar Khan.Training course for Projectionists on A. Jang. Mianwali. Vehari. Nowshera. Singh. Faisalabad. Bhimber. Attock. Vahari. Jhelum. Rawalakot. Pak Pattan. Gujrat. Councilor and Lady councilor on Advocacy for Elected Representative Nazmeen/Naib Nazmeen/Councilors at District Hafizabad. Use of Public address system.Y. Advocacy & Coordination between DDPWO and Elected Representative. for the consideration of Federal Training Coordination Committee for 20072008. Jhang. Qasoor. Sahiwal. Pak Patten. Maintenance of Photocopier. Two days Orientation and Sensitizations course on Motivations for Such Family Norms was held for LHWs at Districts Headquarter Punjab and NWFP (Gujranwala. Mirpur. T. Preparatory Workshop for Annual Training Plan 2007-2008 Preparatory Federal Training Coordination Workshop was held to prepare proposal for annual training plan. Muzaffargarh. Okara. Two Days Orientation and Sensitizations for LHWs. Gujranwala.T Singh. Bahawalpur. Rawalpindi. Khushab. Sialkot. Sargodha. Norowal. The contents of the course were Population & Development. Lodhran. Hygiene and cleanliness. Sialkot. Gujrat. Mandi Baha-ud-Din. Reproductive of Health and Family Planning. Non-Programme Personnel Orientation and Sensitization Training course for Imams/Khateebs/Female Reglious Scholars. Bunar Mianwali Bhakkar. Nelam. Gujrat. Chakwal. 39 . Naib Nazmeen. The contents of the orientations were Population & Development. Saihwal. Photographs and use of camera. making slides. Muzaffargarh. Sargodha. Bannu. Faisalabad. Lahore. Kotli. Multan. Khenewal. Role of Elected Representative. Layah. Hafizabad. Jhelum. Kasur. Plandri.V Equipment.T. Attock. Bahawalpur.
Future. Brief History of PWP in Pakistan. The KAP Gap. The contents of course were Job description of FWA (Male). Future). Demographic Measures. One week training course on “Financial Management/New Accounting Model (NAM)” was held for Accountant/Account Assistant in two batches. Training Process. Past. Motivation Skill. Present. The contents of course were Job description of FWAs. Anatomy and Physiology Pre-vasectomy evaluation. Initial Training course for FWA (Female) Ten days Initial Training course for FWA (Female) was held in batches. NAM. Demographic Measures. Philosophy features and use. Karachi & Sukkar. Anatomy and Physiology Pre-vasectomy evaluation. training need Assessment. 40 . Presentation Skill. These Master Trainers will provide/facilitate Pre-service training to Male Mobilizers. Basic Skills of Interpersonal Communication. Monitoring of Male Mobilizer. Accounting. Communication Process. Training on “Financial Management/New Accounting Model (NAM) for Accountant/Account Assistant”. Male Mobilizer Project. present. Internal controls. Registration of eligible couple. Budget Making. distribution and control. Basic demographic Measurement. Future. Responsibility of male Mobilizer. Past. First Aid. Initial Training course for FWA (Male) Ten days Initial Training course for FWA (M) was held in batches at Hyderabad. Philosophy of auditing. Organization Structure. The contents include Philosophy and importance of Public Policy. Karachi (Programme Personnel) Master Trainers for Male Mobilizers 3 weeks training of Master Trainers was held for male Mobilizers for Sindh and Balochistan. Health Education. Overview of the vasectomy in Pakistan (NSV). Preparation of lesson plan. Manuals Accounting/Auditing Cash Plan/Workshop. The contents of the course were difference between training and Evaluation. Islam Family Planning. Brief History of PWP in Pakistan. Communications Skill. Budget as tool of Management. Present. The KAP GAP. Record keeping and report writing. Overview of the vasectomy in Pakistan (NSV). Population Welfare Programme (past.PWTI. Basic Skills of Interpersonal Communication. Population and Development. Govt. Registration of eligible couple. Communication Process. works with communities. Organization Structure.
Communication Skills & Record Keeping for FWW/FWCs Ten days training course on “Communication Skills & Record Keeping was held for FWW/FWCs in two batches at Karachi and Sukkar. Contraceptive Technology for RH/FP. DDO responsibilities. Demographic measures. PRSP. The contents of the training were Microsoft Word. Microsoft Power Point and disaster Recovery etc. Qualities of a good Manager. Disposal of unusable contraceptive. Elements of quality service. Programme History. Monitoring System of Social Sector ministries. Filling System/Noting/Drafting. Advocacy & Communication. ICPD. Communication Skills. Formatting. Professional Ethics. Inventory Management. One week Training course on Record Keeping and Contraceptive Logistic for Store Keeper One week Training course on “Record Keeping and Contraceptive Logistic was held for Store Keeper”. Karachi. Counseling Skills. Primary Function. 41 . E&D Rules. Conception and Contraceptives. One week Computer Training for Officers One week computer training was held for officers. IDPD. Population Welfare Programme in Pakistan. Tools and Printing. Computer Literacy. Recouping the Imprest money. Financial management. Kalat. General Financial rules. Karachi Four weeks Pre-service training was held for new entrants at NIPA. Report Writing. Conception & Contraceptives. Communication Skills. Health Education. Record Keeping & Report writing. Filling the CLR 4. The course contents were Job of FWWs/FWCs. Monitoring system of MoPW. monitoring Formats. First Aid. Relationship between leadership and Management. March 2007 at district Thatta. Contraceptive methods. Pishin. Principals of Warehousing. Six weeks Pre-service Training for Male Mobilizers Six weeks Pre-service training was held for Male Mobilizers in the month of February. Getting start. Islam and Family Planning. The KAP GAP exercise. Pakistan’s Population Policy. MIS-Supervision. Secondary Function. Sales Proceeds. Working with Community. Four weeks Pre-service Training of Officers at NIPA. Monitoring & Evaluation. Population Policy. Population Dynamics. Office Procedure. The course contents were Male Mobilizer Project. The course contents include Demography. DDO Handbook. ICPD Plan of Action.6. Impact of over population on socio-economic development. Comprehensive approach to FP. Record Keeping.5. MDGs. Management Tools. Microsoft Excel. Jaffarabad.Training on Leadership and Negotiations Skills for DPWOs /DDPWOs One week training course on Leadership and Negotiations Skills was held for DPWOs/DDPWOs at IBM Karachi. The course contents include Contraceptive Logistic System. Leadership and Programme Management. Word Basics. Secretariat Instructions. Contraceptives logistic System. The course contents were Principals of Management.
NAM etc. Govt Servant Conduct Rules. Career Planning & Grooming of Officers One week Training course on Career Planning & Grooming of Officer was held for BS-16/17/18 at Sukkur. 42 . Budget Making. Office Management One week Training course on Office Management was held for Officers and Doctors at Quetta. 1964. Select the inpage table. Export files. Master Page. The contents of the course include Rules of Business 1973. General Office Rule. Planning. 1973. E&D Rules. MS Excel. Population Welfare Programme in Pakistan. Contraceptive method. Distribution and Control. Computer Training for Steno/PAs/UDCs/LDCs One week computer training was held for stenos/PAs/UDCs/LDCs. Diary Dispatch. Internal Control. TA/DA Rules. Reproductive health Package. TFR. UDCs and LDCs at Sukkur. Maintenance of office Record. The contents of the training were introducing of main screen of Opening new file. General Knowledge. Monitoring System of MoPW. Draw the text box. Back Office Management One week Training course on back Office management was held for Assistants. Service book. Service Statements. Data backup techniques etc. CDR. IMR) Population growth trends in Pakistan. Human Resource Development (HRD) etc. Power Points. Operating System. Formatting the text. Monitoring Formats etc. Formatting the table etc. Fertility decline/determinants. E-Mailing.Financial Management for WMOs/DDWO/DDO One week training course on “Financial Management “was held for women Medical Officers/DPWOs/DDOs”. Basic Computer hard Ware. The contents of the course were Demographic concepts (CBR. Draw the title box. The contents of the course were Filing system. The course contents include Philosophy and Importance of Public Policy.
Karachi (West) Noshoro feroze. Quetta. Mir Pur. Umar Kot. was held for LHWs at district level. Islam and Family Planning. Removal of misconceptions rumors. Tando Allah yar. Kala Safullah. Concept of Family Planning. Mother and Child Care. Mustong. The contents of the orientation were Population Dynamic. Karachi (Non-Programme Personnel) Master Trainer Workshop for Imam/Khateeb Three days Master trainer workshop was held for Imam/Khateeb. Shikarpur. Kalat. Two days Orientation and Sensitization Training course was held for Imams/Khateebs/Female Scholars at Hyderabad. Two days Orientation on Population and Development. Responsible father hood. Orientation on Population and Development for Nazim/Naib Nazim/Lady Councilor. Karachi. Dadu. Advocacy for such Family Norms. Badden. Sangar. Orientation on Population and Development for LHWs. Tando Mohammad Khan. Lasbalah. Jamshoro. Training Technique. Gawadar. Shikar Pur. . Khair Pur. Thatta. 43 . Nawab shah. Orientation and Sensitization Training course for Imams/Khateebs/Female Scholars. Jacobabad. Sanghar.PWTI. Nawabshah. Sukkar. Islam and Family Planning was held for Nazim/Naib Nazim/Lady Councilor at Khairpur. Quetta. Larkana. The contents were Population Dynamic. Karachi (Eash). Pasin. Mir Pur Khas. Kingri district Kharpur. Mutari. Shikar Pur. Role of Imam/Khateebs. Kallah Abdullah. Jacobabad & Badine. Karachi (South). Ghotki. Islam & Family Planning. Karachi. Service Delivery outlets. Jafarabad. Kashmoor. One day Orientation on Population and Development.
implications of rapid population growth. meet the press sessions. In addition.V (PTV-I. Press articles. musical programs and time slot before khabernama. removal of misconceptions/side effects of contraceptives. PBC Spots during Agricultural Programme and before 8:00 pm news were sponsored on alternate day’s basis through broadcast of MoPW messages on selected themes. Television The promotional campaign continued through T.4. dramas. FM Radio Programme “Dil Ki Baat” on PBC 44 . male involvement. orientation programmes for community / youth / policy makers were organized during this course of time. In addition. ads were published regularly to sustain knowledge about family planning / reproductive health to highlight the service centers and demand creation for the services. highlighting the services and service centers. Electronic Media The overall media campaign addressed various family planning / population related themes / issues including population and development. panel discussions. melodies. ATV) telecasted various spots during different TV programs such as. Channel-wise detail of activities undertaken during the year 2006-2007 is as under. programmes in TV. female literacy. workshops. discouraging early marriage and emphasis on spacing for health of the mother and child. the campaign was also telecasted during some popular supports events. The messages in the media campaign were blended into educational and recreational programmes like drama series. C M U IC T N A DA V C C O M N A IO S N D O A Y A comprehensive campaign was launched during the year by covering all channels of communication with special focus on advocacy for population and development issues to facilitate the efforts of Population Welfare Programme to achieve the goal of Population stabilization. focused covered messages were also broadcast on the different themes of Population Welfare Programme. comedy shows. morning transmission. Print material was produced and widely distributed. sponsorship of MoPW stalls at industrial exhibitions and Lok Virsa seminars. breast feeding. PTV World. image enhancement of family planning workers. interviews. Radio & FM.
Print Media Printed Material A large quantity of print material was produced / printed and distributed which included: Booklets on various Population Welfare related themes/issues. Observer. Various questions raised by press were responded accordingly. Libraries. opinion leaders and policy makers the publication of favorable articles will different national dailies and magazines. Press Conferences To highlight the theme of World Population Day. MoPW also briefed the reporters about the importance to observe the World Population Day. Aabadinama Three issues of MoPW monthly newsletter ‘Aabadinama’ were designed and published during the year 2006-07 distributed to officers of MoPW. Universities. the Minister for Population Welfare addressed a press conference on 9th July 2006. The Minister for Population Welfare and Secretary. A renowned gynecologist is responding to direct calls to address the audience concerns. The articles by the renowned journalists and columnists highlighting population/FP and reproductive health related issues appeared in major national dailies. Dawn. Khabrain and Mashriq. 52 programmes have been broadcast in the financial year 2006-07 under reporting. Colleges. Senators. News. Information kit covering Population Stabilization related themes/issues etc. The prime target audience of the program are females of reproductive age group. Employment of Fresh Media Agencies on Panel of MoPW 45 .The program continued through PBC national network. PWDs. Press In order to solicit the support of influential. jokes and various health/beauty/household related tips and advices.e. The print media campaign also launched by floating promotional Ads in national and regional daily newspapers. Nation. The program has been scheduled to capture the maximum number of target audience i. suitable time when females tune their radio sets or available in the vicinity. Times. The program also includes entertainment through songs. Media persons. The Minister highlighted the achievements of the Ministry to create awareness and to get the support of opinion/community leaders and influential. Ministries. Brochures/handbills highlighting FP Services/methods. District Nazims and other stakeholders and also distributed at special events organized by MoPW. MNAs.
Shahbaz Hussain in recognition of their meritorious services and support to the Population and Development agenda of the GoP. The detail of the activities is as follows: National Population Convention MoPW organized National Population Convention to commemorate the day on 11th July. A detailed presentation on the salient features and achievements and future strategy of Population Welfare Programme were made highlighting the implications of rapid population growth on socio-economic development. The Minister for Population Welfare Ch. Advocacy Activities In order to involve planners. The Programme Managers and service providers from the public and private sectors were conferred performance awards by the Minister for Population Welfare Ch. NGOs and private sector. 2006. and members of the Donor Community. 2006. So far the meeting of final selection committee also held under chairmanship of Secretary. Various national songs were also performed. A group of youth performed a show to highlight the Implications of rapid population growth in the country and youth response. PWDS. policy makers and programme managers and soliciting their support for the programme. Social Welfare and Special Education and the senior civil servants of the Ministry of Education and Establishment Division. Senior Civil Servants. representatives of the Private Sector and NGOs / CBOs attended the convention. 2006 Pakistan along with international community observed World Population Day on 11th July. presentations were made to National Assembly Standing Committees on Health. Awards were also conferred to the nominees of MoPW. 2005 highlighting this years World Population Day’s theme “YOUNG PEOPLE”. MoPW. The short-listing exercise of private media agencies who applied in response to MoPW press ad has been completed. Celebration of World Population Day. Diplomats. A set of activities were planned and undertaken with reference to WPD. South-South Collaboration Workshop 46 . The various public social sector departments and national/international organizations displayed and distributed IEC material and give away’s. Shahbaz Hussain and a number of dignitaries including Cabinet Members. The Prime Minister of Pakistan presided over the function. The recommendations of committee are also under process.CS Directorate also initiated the process of selection of new media agencies on panel of MoPW.
MoPW organized this workshop to seek advice of national and international experts on population concerns. 2007 attended by various stakeholders. 2007 to inform the media about the out come of the conference. Federal Secretary. 2006. terrestrial and Satellite channels. P. Various interviews were arranged for delegates of the conference and broadcast/telecast on PBC. The comments/recommendations of the various groups have been incorporated and the final draft is submitted for approval of competent authority. FM Radio Stations. The CS Directorate carried out the following media activities in this regard: Seminar on “Public Private Sector Collaboration in Reproductive Health and Family Planning” To highlight the importance of PPSO Seminar. Sohawa and Dinna participated in the Seminar. A Special edition of MoPW’s news letter “Aabadinama” was dedicated to this event. Islamabad. on 13th January. Khan. MoPW along with its partners on reviewed the implementation status of the activities being implemented through the forum which formed the basis for designing a comprehensive further Plan of Action. During the Seminar representatives of electronic and print media appreciated the efforts of Ministry of Population Welfare for holding a day long activity at an historical place in a recreational manner and seeking their support for sensitization and mobilization of general public and opinion leaders and policy makers on this issue of vital national importance. Review of Communication and advocacy Strategy A review of Communication & Advocacy Strategy was carried out during this financial year 2006-07.D. an advocacy seminar was arranged in Rohtas Fort at District Jhelum. Advocacy Seminar on “Population and Development” for Media To sensitize and mobilize national and regional media persons representatives. on 19th January.e.Partners in Population and Development Bangladish is an inter government development agency for south – south development. 2007 as curtain raiser while the post event conference was also arranged at the closing of the conference i. A special feature highlighted the event in various newspapers of Islamabad as well as in MoPW’s news letter “Aabadinama” January – February issue 2007. District and Tehsil Nazims also participated in the seminar. Special interview were also conducted including Federal Minister. The draft Communication & Advocacy Strategy submitted by International & National Consultants first reviewed at CS Directorate/Programme Wing’s level and was presented in 02 days Consultative Workshop held on 11-12. building broad-based partnerships and to strengthen inter-sectoral coordination. May. Interviews of Federal Minister and Nazims were conducted and broadcast/telecast by the electronic channels. a comprehensive pre & Post event media campaign was launched. More than 100 representative of electronic and print medium of Rawalpindi. A pre event press conference was arranged on 11th January. 2007. Jhelum. A collaborative workshop was organized a south-south collaboration on 6th September. 47 . Provincial Secretaries and prominent figures of the conference beside two exclusive radio programmes.
2007 at Islamabad involving non-Clinical Directorate of MoPW.Review/preparation of IPC/Communication Manual The National Consultant prepared the draft IPC/Communication Manual and submitted to CS Directorate which was thoroughly reviewed and discussed in 01-days consultative workshop held on 11th June. PWDs.000 15 This activity is being undertaken under ADP Project. NGOs/Private sector is submitted for perusal/approval of the competent authority. Achievements of the media campaign during 2006-07 are shown in following table: Activities TV spots Radio Spots Radio Programme Press Ads Print Material Workshops Outdoor Target 900 900 65 500 275. 48 . PWTIs and selected RTIs. The report in the light of comments/recommendations of various stakeholders from MoPW. The draft finalized in the light of the participants’ comments/recommendations is submitted for perusal/approval of the component authority. Social Sector Ministries. The confirmation for the completion of this activity will be reported in the next quarter. In this regard the locations for 8 bill boards Sites have been identified and the contract has also been awarded. Review of IEC Print Material The National Consultant reviewed and categorized the currently available/distributed IEC print material of MoPW. 2007. As approved.000 03 This 05 acti ity is b Achievement 1020 810 104 644 356. the material was reviewed / discussed in 02 days consultative workshop held on 12-13 June.
Lady Councilor. Dy. District Population Welfare Officers. Nchd and Nvm Volunteers Directorate of Population Education has conducted 11 seminars for Youth. District C&T Officers. on power point. Workshops on “Presentations Skill Development”: As part of youth sensitizing program and orientation/ education of other categories of the target audience under Population Education Component. In these workshops the following topics were covered. P p la nE u a n(P ) o u tio d c tio E Directorate of Population Education has continued the activities in the scenario of its broader role calling a shift in its strategy to bring it inline with the broader MoPW objective of Population Stabilization under the new holistic approach to Population and Development. In this regard. In this context. NCHD and NVM Volunteers in different districts of Pakistan. The focus of these activities is to sensitize the policy and decision makers of the National Building Departments as well as to initiate the public private partnership for the adoption of small family norms and to enhance the quality of life of the employees of their organizations. Population and development Need for communication and advocacy. 7 four days workshops on “Presentation Skill Development” for midlevel program managers including District Population Welfare Officers. In these seminars 2100 participants were sensitized as per detail below: 49 . Directorate of Population Education launched a series of workshops as specified/ approved in the annual Cash/work Plan. Lady Councilor. Ulema. the following activities were carried out by the Directorate during the year 2006-2007. current theme and issues of population welfare program and strategy response. RHS Doctors from all the provinces including PWDs of AJK and Northern Areas. Ulema. Qualities of a good advocate and presentation. Dy. To enable them to make presentation in actual field like situation. Tehsil Population Welfare Officers. How to make an effective presentation Understanding the Demographic Indicators Population Policy/Goals/Objectives Adolescent Health Issues Personal Hygiene Sensitization Seminars for Youth. The objectives of the workshops were: To enhance the knowledge and the skill of the mid-level program/field officers regarding actual communication of demographic indicators. To enable them to design the presentation on the above lines.5 .
Narowal No. Sibi Mardan.No 1. Qila Saifullah Muzaffarabad. Federal college for girls F-10/3 Islamabad 4. Jamshoro and Hyderabad Multan . Bagh Presentations in Universities/Colleges: Directorate of Population Education delivered Presentations on “Demographic Trends and Implication of Rapid Population Growth” in the 09 universities and 04 colleges in connection with the youth sensitization program of Ministry of Population Welfare.Chakwal Nawabshah. 4. Federal college for boys I-8/3 Islamabad 3. Jhang and Faisalabad Peshawar . of 745 teachers were sensitized duing14 workshops on “Population and Development” which were organized in different districts as per detail below: S. Gujranwala Karak. Hazara University. A total No.Type of activities Youth Forum Gender Sensitization Sensitization of Ulema Collaboration with NCHD Collaboration with NCM Location /s of seminars Kohat . Rawalpindi. The details of universities \ colleges are as under: Universities: Kohat University of Science & Technology. Federal college for girls I-8/3 Islamabad 50 . Of participation 400 120 381 467 732 Sensitization Workshops on Population and Development for High School and College Teachers. Gujrat Haripur. Jaccobabad. 5. Mansehra NWFP The University of Faisalabad University of Arid Agriculture of Rawalpindi The Islamia University of Bahawalpur Federal Urdu University of Art & Science and Technology G-7 Islamabad Government college of Faisalabad Sardar Badhur Khan Women University Quetta Balochistan University of information Technology & management Science Quetta. 2. The students took keen interest and asked various questions as well as put forward some suggestions for the better implementation of the program. Colleges: 1. Province Sindh Punjab NWFP Balochistan AJK Districts Locations of Workshops Sukkur. Federal college for boys F-11/3 Islamabad 2. 3. Muzaffargarh . Abbottabad Quetta .
2007. Curriculum Wing. Review of the Revised Curricula to Determine the Degree of Retention of the Population Development Education Contents: The Directorate of Population Education continued the technical coordination and collaboration with Curriculum Wing of M/o Education during the FY 2006-07 for the development and review of the curriculum for the classes of IX-XII. This presentation was made by the Secretary of MoPW. MoPW attended the meeting as a member of the committee and provide technical input in identifying the Concept related to various subjects included in National Curriculum 2006.The Secretary MoPW explored possible avenues of the collaboration between Ministry of Population Welfare and PAIMAN for controlling population growth through effective measures. A presentation on “Population and Development” was made by the Secretary MoPW in the organization PAIMAN at its office on 15th June 2007. where 25-30 mid level and senior managers were present. 51 . The Director (PE). Saudi Pak Tower on 6th June 2007. H-9 Sector. A presentation was given by Director PE in the Seminar on “population & development” for midlevel management on 30th May 2007 at Faisalabad. The new National Curricula 2006 was once again revised to determine the degree of retention of Population Education related contents. A presentation was made by Director PE on “Population and Development” in a seminar organized by the DPWO Rawalpindi on 28th June. Islamabad. in this regard a meeting of Curriculum Review Committee under “Population and Development Education for Youth Project” was held 18-21 April 2007 at Ministry of Education.Presentations at Different Departments: Directorate of Population Education arranged the presentation on “Population and Development” in the following seminars and organizations: A presentation on “population and development” was held at Global change Impact Centre.
Twenty five Programme Managers from MOPW and Allied Units attended the workshop.6 .942 million by the Committee for Forecasting of (In million) Quantities 30. NAB and Auditor General was held at Lahore on 27-28 Feb. Workshop on Procurement Procedures: A workshop on procurement procedures under PPRA Rules.170.170. Karachi was done on 23rd to 25th January.C (Pack of 2-tablets) Net-En Injection (Ampoules) DMPA Injection with syringes (Vials) Syringes (Numbers) Implant-Rod-I (Implanon) (sets) As per Proforma Invoice provided by UNFPA funds of Rs. Further details are given in Annex-I 7 . 1.218 0. The over all utilization was 67. Detail is as under:S. 52 . 657.122 million against allocation of Rs.000 0. 6.122 million in foreign exchange were transferred to UNFPA through Ministry of Finance/AGPR/State Bank of Pakistan. A PA L C T NA DE P N IT R D L O A IO N X E D U E The expenditure on Federal and Province component during 2006-07 has been Rs.122 Annual Contraceptives Requirement: Annual contraceptives requirement for MOPW for the year 2006-2007 were approved to the tune of Rs. 2007 and after approval of the report. 2004 with participation of the representatives of PPRA. 2004 and Purchase Manual designed in consultation with the Public Procurement Regulatory Authority Islamabad.089 million and Rs. 2.170 0. 4.58 percent. Following activities in this regard were carried out during the reporting period.171. The table below gives the details of utilization of this fund:(In million) Percentage Achievement 99% Source of Funding GOP ADP Allocation 171. 171.445 0. follow up action is in process for implementation of the recommendations. P O U E E TO C N R C P IV S R C R MN F O T A E T E/ M C IN R &E U M N AH EY Q IP E T The Directorate of PME plays a pivotal role in the logistics of contraceptives.001 Contraceptives Requirements. No. All efforts were made to ensure that supply of contraceptives remains smooth and uninterrupted through out the year 2006-2007.942 million were earmarked for CRD component. Physical Verification: The physical verification of store of CW&S. Contraceptive Condom (Pieces) Oral Pills (POP) (Cycles) E. 7. For the year 2006-2007 Rs. 2007.529 1. 5.067 1. 3.2364.942 Funds utilized 170.501 million respectively. It mainly covered Public Procurement Rules.
Karachi and PWTI Lahore) were processed with relevant quarters including Cabinet Division and Certificate of Condemnation of these vehicles were obtained from Cabinet Division.Procurement of Vehicles for Additional -RHS-A in Punjab: PWD Punjab had requested this Ministry for purchase of 65 foreign assembled vehicles for the project “Establishment of Additional-RHS-A in Punjab” against their PSDP 2006-2007. These vehicles will be auctioned in the next financial year. Certificate of Condemnation of Unserviceable Vehicles: The cases of three unserviceable vehicles (RTIs Quetta. Outstanding Sale Proceeds: A statement showing outstanding sale proceeds against all Districts of four provinces and AJK was sent to PWDs for recovery of the outstanding sale proceeds under intimation to the CW&S and the Ministry. The Screening Committee formally approved the proposal of PWD Punjab for procurement of 65 foreign assembled vehicles during 2006-2007 under the above project. which enables this Ministry to provide free of condoms to Pak Army. Technical input/opinion: Technical input/opinion was also offered by the PME Directorate in getting approval of seven foreign assembled vehicles of ADB RH Project as well as PPSO for PWP N. The PWD Punjab was informed by this Ministry to do further necessary action in this respect at their end. Summary for sale proceeds exemption to Pak Army for contraceptive was approved by Prime Minister. After thorough examination of the case in the PME Directorate a summary to Screening Committee of P&D Division was moved. 53 .A.
12. UNESCAP GOP UNFPA 7. Ch. . Secretary. Assistant Director (Services). August 14-25. MoPW. -do12-16 February 2007 at Bali. Reproductive Health and Health Sector Reform” Thailand 11th Partners Board Meeting. Reproductive Health Services-A Centre. 6. “Achieving the Millennium Development Goals: Poverty Reduction. Ministry of Population Welfare. Bushra Amjad.8 . 8. Ministry of Population Welfare. PWTI. Mr. 2006 Funded Agency Bill and Melinda Gates Institute. Principal.do International Conference of Muslim Leaders on Population. UNFPA 10. Islamabad Mr. USA. Ministry of Population Welfare. One Year “General Diploma in Demography” First regular session Executive board UNDP/UNFPA. 2007 at New York. Islamabad. Malik Amanat Rasul. MoPW. China 13-19 July 2006. Syed Muhammad Saleem. Shahzado Shaikh. Mumtaz Raza Khan. Director (FA). Packard Foundation Korean International Cooperation Agency GOP Government of China. Principal. MoPW. Talat Jabeen. RTI. Lahore Mr. Minister for Population Welfare. January to December 2007 at Cairo Demographic Centre (CDC) 19-26 January 2007 New York. Name of Officers/Officials with Designation Dr. 7-13 November 2006 at Beijing. MoPW. Shahzado Shaikh. Workshop on e-Application of ICT in Population related fields: e-learning and e-health. 11. March 25 to April 9. Chief Medical Officer Incharge. MoPW. Highlight the issue of Kashmir in the European countries especially in Britain. Korea April 9-13. Director-IT. Islamabad Mr. Deputy Director. China UNFPA UNFPA GOP -do- 9. Islamabad Mr. 2007. Alexandria. Lahore Title/Purpose of the foreign Visit/Training Two Weeks Training Course Research Method in Reproductive Health & Development. F R IG T A IN O E N R IN G Details of foreign training / visits abroad by the officials of the Population Welfare Programme are as under: Details are given in the following table: Foreign training/Visits/Seminars abroad availed by MoPW for the Year 2006-2007 S# 1. China. Shahbaz Hussain. Shahzado Shaikh. USA. 5. 4. 4-6 July 2006. Deputy Director (Per-S). Mr. 13. 28 May-11 June 2007 Taicang. M. February 1-19. Lanzhou. Mr. Workshop on Maternal and Child Health Care Services of of Duration & Country Mid June-July 2006 at Summer Institute. MoPW. 2007. 54 . Additional Secretary. Reproductive Health and Gender Workshop on “Islam and RH/FP” Training Course on “Population and Reproductive Health” 40th Session of the Commission on Population and Development. Secretary. Sarfraz Hussain Shah. Secretary. USA. 3. Egypt. 2. Islamabad. Syed Amin Ali Zaidi. Dr. General Hospital. Ibrahim Sajjid. Indonesia. Hafeez ur Rehman.
Dina-I.9 . The two days trainings is planned to be held during of July-August. O H RS E IA A T IT S T E P C L C IV IE The main activities undertaken by the Planning Directorate during 2005-2006 are summarized below: ISO 9001: 2000 Certification Service Delivery Points of District Jehlum were approved for ISO Certification and the process was initiated from 14th July 2006 with financial assistance from UNFPA and is envisaged in Annual Work Plan UNFPA 2006. 2007 and following outlets of District Jehlum: • • • • District Population Welfare Office. Internal Audit. the RHS Directorate chalked out a plan to impart training to all Service providers & Managers of ISO Certified Service Delivery Points in fallowing areas. TORs with TAMA RHS Directorate prepared TORs on the following TAs through TAMA: i) ii) Addressing RH needs of Adolescents and Men. The managers from MoPW are also invited for orientation of this process. Calibration. 2006. Sohawa. • • • QMS awareness. PWD Punjab oversaw the activities pertaining to ISO Certification of District Jehlum. Revision of manual of standards of FP & other service protocols. Jehlum RHS A-Centre Jehlum FWC. 2007 in Committee Room of MoPW. Chakwal and Jhelum are expected to participate. Service Delivery Quality Assurance Workshop: Service Delivery Quality Assurance workshop was organized with the participation of all stakeholders from PWDs M&S Wing based on lessons learnt for Quality Assurance from ISO Certification process by the RHS Directorate on 15th September 2006 in which SOPs + Checklists for Technical Monitoring of Service Delivery Points and the revised “ Client Follow-up Card” were finalized. The process of ISO Certification of the Service Delivery Points of Jehlum was completed by the end of March. Jehlum MSU. Consultant for both the Projects were selected by Selection Committee of MoPW on 17th January. Islamabad where all relevant personnel from District Islamabad. The project of Addressing RH needs of Adolescents & Men is successfully completed on 18th September 55 . District Jehlum Based upon the observations of annual surveillance audit report.
Seminars on Family Planning / Reproductive Health Seminars on FP/RH issues for private sector service providers were organized by the RHS Directorate on the following topics. Province Punjab Sindh NWFP Balochistan AJK District Muzaffargarh Thatta/ Hyderabad. The training of all the 3-batches has been successfully completed with the financial assistance from AWP UNFPA 2006. Nishtar Hospital. 2006. The NSV Curriculum and the Curriculum on RH issues of Male Adolescents & Men are submitted for printing to P&P. 2006 18th November. The RHS Directorate has extended collaboration by providing training in Non-Scalpel Vasectomy (NSV) at NSV Centre at Lahore. 2006 24 & 25th November. Workshop on Communication Skill of Male Workers’ of Population Welfare Program. Revision of Services and Protocols (S&P) Documents for family planning was taken up with TAMA in the meeting held in the office of DG (Tech. Statement on vacancy positions. on the given schedule: a. 2. Lahore. Seminar on Reproductive Health. 2006 23rd November. After that most of the surgeons were lost without passing on their skills. the periodic review on the following has been closely undertaken by RHS Directorate with PWDs:1. Training on this vital activity were organized by the RHS Directorate in RHS-A Master Training Center. Establishment of RHS A-Centres included in PC-I. Realizing the deficiency of laparoscopic tubaligation and to provide additional choice of surgery to the clients. After the successful completion of Curriculum on RH issues of Male Adolescents & Men. Kohat Mansehra Qilla Saifullah Kotli Date 18th November. 2006 Review of Projects on RHS A-Centres with PWDs As per perfoma developed by Directorate of Planning. b.) on 13th December.2006. from AWP UNFPA (NIPS) 2006. the nomination for Vasectomy training requested from GHQ are awaited. Multan for 12nominated doctors from MoPW. 56 . Collaboration with Pak. 2006 18th November. Training on Laparoscopic Surgery Laparoscopic Minilaprotomies were performed by the outlets of MoPW optimally up till 1998. all PWDs including AJK in three batches for 10-days each batch. 3. Faisalabad and Moro (Sindh) to medical staff from GHQ. Family Planning Issues for Private Sector Service Providers. Establishment of Additional RHS A-Centres at THQ Hospitals. 2006 8th & 9th December. Army With reference of series of meetings of MoPW on collaboration with Pakistan Army in pursuance to Secretary’s directives on Plan of Action.
Provincial Secretaries. The APCC was the next forum for the approval of the Proposal. PSDP Review Meetings: Planning & Development Division (PIP) Section asked for information on prescribed proforma on 1st Quarter Review of PSDP 2006-07.597 million including Project Foreign Assistance (PFA) of Rs.597 million including Project Foreign Assistance (PFA) of Rs. An amount of Rs.4327. The meeting was attended by Secretary.204. APCC Meeting: APCC is the next forum of approval of PSDP after Priorities Committee. consolidated and compiled the requirements of the programme and prepared overall proposal. The folders of relevant material were constituted and given to all concerned. A series of meetings with project directors were undertaken for finalization of this exercise. 2007. MoPW and Director (Planning). Wing Chiefs and all Directors of MoPW on 23rd June. The PSDP finally approved at the cost of Rs. Planning Directorate collected. Brief alongwith the relevant material was prepared for the NEC meeting and the meeting was attended by Secretary. During the process series of revisions and adjustments in the financial outlay were made in light of the decisions at each forum. these information were compiled and sent to P&D Division which was discussed in a meeting chaired by Deputy Chairman. The PSDP proposal was considered at the 1st Stage by the Priority Committee for setting up the ceiling.204. Statement on procurement of furniture/ fixture. MoPW on 31-5-2007. equipment/ machinery. Recommended PSDP and proposed PSDP (2007-08) by the APCC was finalized in-consultation with all concerned. Priorities Committee Meeting: It is an initial forum for the approval process of PSDP for setting budget ceiling for next year. A series of meetings with Project Directors have been held before the finalization of the Proposal.4158. PSDP was finally considered by the NEC on 31st May.597 was earmarked in the PSDP (2007-08) which is 16% increase over the Priorities Committee recommendation.4. New Monitoring System: 57 . Before going to APCC detailed consultation was made with all concerned. 2007.216 million through ADB Loan. Briefs and summaries were prepared for the consideration. The approved PSDP (2007-08) was issued to P&D Division.2007. This meeting was attended by Joint Secretary. NEC Meeting: It is the Final forum of approval of PSDP.4327. Mid Year Review of PSDP 2006-07 and 4th Quarter Review (final review) of PSDP 2006-07. Planning Commission. Public Sector Development Programme (PSDP) 2007-08: Preparation of PSDP 2007-08 was initiated in November. On receipt. The PSDP finally approved at the cost of Rs. MoPW with Director (Planning) wherein size of PSDP for the year (2007-08) at Rs.4827. All Wings of MoPW and Provincial PWDs were requested to provide the information. 2006 and the process continued till its approval on 31st May.909 Million was got recommended.216 million through ADB Loan.
2007 and 13th March 2007 respectively to discuss following projects. The monitoring report was prepared on the basis of information received from the provinces wing chief of MoPW and FM Directorate. S. PC-I for acquisition of land and construction of RTI. The DDWP approved the projects. 813 Million Modified PC-I for the Acquisition of Land and Construction of RTIs: The following PC-Is have been modified in the light of Pre-CDWPs decision and sent to P&D Division on 31st December. The decision of the meeting were circulated to the all concerned quarters.2006 for placing at the agenda of the next CDWP for the approval.800 Period of Implementation 2006-2009 58 . Departmental Development Working Party (DDWP) DDWP Meetings: Two Departmental Development Working Party (DDWP) meeting were convened by the Planning Directorate on 24th February. Scrutiny of PC-Is: Following schemes were scrutinized in the Planning Directorate. MoPW. 2. Sukkur. S.# 1.981 million 3. 2. Larkana. Abbotabad. 3. Sahiwal. 2007 in the committee Room of MoPW under the chairmanship of Secretary.M Secretariat. 4.485 Cost (Rs in Million) 73. Islamabad. 2006 in the Prime Minister’s House under the chairmanship of Prime Minister of Pakistan. 3. National Commission for Population Welfare (NCPW): The 1st meeting on National Commission for Population Welfare was held on 1st July.079 70.730 Million 16.Prepared monitoring report under new system of monitoring on the basis of monthly progress report and actual releases and utilization in line with prescribed P&D Division (Project wing).789 109.No 1. These PC-Is were considered in the DDWP meeting held on 19th May.535 27. PC-I for acquisition of land and construction of RTI. Name of the Scheme PC-I for acquisition of land and construction of RTI. Quetta Cost (Rs in Million) 28. PC-I for acquisition of land and construction of RTI. (Oct-Dec 2006) and Quarter (Jan-Mar 2007) have been forwarded to P. Name of the Schemes PWTI Peshawar PWTI Multan PWTI .884 86. The implementation status on the decisions for the quarter (July-September 2006). Establishment of Pakistan Communication Center for Programme (PCCP) (1-07-2007 to 30-06-2009) Construction of Conference/Cum Semenar Hall in RTI Quetta (2006-07) Cost 27. Name of the Schemes Establishment of RHS-A & Male Advisory Center Institutional Reforms in Planning Wing.696 28.019 Million 12. Letter has been written to all concerned for forwarding implementation status on the decisions for 4th Quarter (April-June 2007).
Establishment of Camp Office of PWTI.730/Rs. RHS-A Type Expansion Programme.910/Rs. This Project has been approved by the Central Development Working Party (CDWP) in its meeting held on 16th August. 12. for which it needed the services of policy expert and for this purpose TAMA has offered a TA. 2007 requesting Authorization for the issuance of the Administrative Approval of the Subject Scheme. 2007 19th May.6.Sher Akbar Khan Advocate. 7. Establishment of Camp Office of PWTI. 235 asked by Mr. The material was sent to Finance Division after approval of the Secretary MoPW. Construction of “Men’s Advisory Center” (MAC) at NIH Islamabad. 3.880/Rs.Acquisition of Land and Construction of Building for RTI Faisalabad: A letter has been written to P&D Division on 16th June. 2007 Reply to the Starred National Assembly Question no. Cost In Million Rs. MNA: Prepared reply to the starred National Assembly Question moved NO. Interviews of Consultant (Policy Experts) for strengthening the Planning Directorate: MoPW felt to review the population policy 2002. 235 Asked by Mr. Karachi at Quetta. 2007 13th March.88. For incorporating the relevant information in the write-up all the Wing Chiefs of the Ministry of Population Welfare were consulted for their valuable inputs. Sher Akbar Khan Advocate. 2. Material for Budget Speech of Finance Minister (2007-08): Material for the Budget Speech of the Finance Minister for the year 2007-08 was prepared on the basis of information received from the Wing Chiefs of MoPW. 2007 19th May. In this quest TAMA and planning Directorate were in coordination to provide the TOR of Policy Expert. Name of the Project Population Welfare Training Institute (PWTI). 2006. Establishment of Camp Office of PWTI. 59 .NO 1.6.020/Rs. at Peshawar. S.(2007-2008) Construction of Conference/ Cum seminar Hall in RTI Quetta (2006-2007).6. The material included the Physical. 3. Lahore at Multan. Material for Economic Survey (2006-07): A write-up on Population Welfare Programme based on actual/anticipated achievements of the Programme was prepared for reflection in Economic Survey of Pakistan (2006-07) in line with prescribed Finance Division’s format. Lahore. 6. ADB-RH funded. Financial and Contraceptive Performance of current year and target for the next year.813/Rs. (2005-06) and (2006-07) alongwith comprehensive supplementary material. 4.782/Date of Meeting 26th June. MNA on “the total number of Projects launched during the last three years” The reply included list of Projects launched launce during the years (2004-05). 2007 19th May.2007 2nd June. Administrative Approval of Population Welfare Projects The administrative approval of the following projects had been issued on dates mentioned against the projects.2007 19th May. NWFP.189/Rs. 5.73.
Dr.# 1 2 3 Name of the Scheme RTI. Date 05-05-2007 31-05-2007 30-06-2007 Cost (Rs in Million) 95. TAMA had forwarded the following three short listed names for the policy expert. Civil Society Organizations. TORs for placement of consultants for various components have been sent to TAMA for their consideration and further necessary action. chiefs containing current plan progress and future targets for 2008-13. Mahbub Ahmed appeared before the committee.m. 3. The purpose of the meeting was to discuss the status of TAs. The event was attended by Senior Government Officials. As per decision of the meetings. under the chairmanship of Additional Secretary MoPW. Mahbub Ahmed With the permission of Secretary. Further a follow-up meeting with TAMA was also held on August 3. None of them was selected and resultantly TAMA was requested to send fresh names. 2006 under the Chairmanship of the Secretary MoPW.240 Period of Implementation 2007-10 2006-08 2007-08 In this regard the several meetings were arranged by the Planning Directorate. The objectives of the workshop were to: 60 . 1. Population Welfare Program Vision/ Plans Beyond -2008: PC-I of Federal Activity Beyond 2008 is in the process of preparation. 2006 at Hotel Margala. MoPW. Diplomatic Mission etc. Abdul Razzaque Rukannudin Dr.e. PPD Secretariat. UN Agencies. whereas Dr. Directorate has invited write up from all wing One day Workshop on South-South Cooperation and Sustainable Development: FA Directorate of MoPW and Partners in Population and Development jointly organized a “one day workshop on south-south cooperation and sustainable development” on 5th September. Mr. 2006 in the Committee Room of MoPW. The Minister for Population Welfare was the Chief Guest during the said event. Processing of New PC-Is to P&D Division: 45 copies of the each PC-I were sent to Chief (PIA) with the Date.Finally.2007 in the committee room of MoPW at 11.00 a. The Executive Director. NGOs. Two of the applicants i. Dhaka also attended the same. Noushin Mehmood did not turn up before the committee. Razzaque Rukannudin and Mr. Parliamentarians.000 252. Cost and implementation Period given as under for their placement at the next CDWP agenda. S.93. Meeting with TAMA: A meeting with Country Director (TAMA) was held under the Chairmanship of the Secretary MoPW on July 19. Jehlum Additional FWCs -NWFP PC-I for Establishment of Additional 100 family welfare centers (FWCs) in Punjab. To expedite the selection process an interview was held on 16th May. Islamabad. the selection committee was constituted and notified to select the appropriate incumbent from the above. Naushin Mahmood Dr.820 Rs. 2.
P&D Division and UNFPA. Representative of line ministries and PWDs made presentations about utilization of funds in their ministries/departments. The minutes of the meetings have been issued accordingly for necessary action/implementations of decisions. 61 .• • • Generate greater understanding at national level on how south-south collaboration can effectively contribute towards attainment of sustainable development. MoWD and Statistic Division have attended the meeting and singed the AWP-2007 document on behalf of their respective Ministry/Division. The purpose of the meeting was to review the commitments to be completed for release of eight tranche of £ 7. Education. HIV/AIDS. MoE. 2007 under the chairmanship of Additional Secretary MoPW in the Committee Room of Ministry of Population Welfare. Poverty Reduction and Disaster Management). Provide a common platform for the key players in the national development from different sectors to exchange views on how they can benefit from south-south collaboration. DFID 8th Joint Review of the National Health and Population Welfare Facility: The 8th Joint Review of the National Health and Population Facility DIFD was held on 28th Feb. The concerned officers of MoPW.-2nd March 2007 and attended by Director (FA).5 million under the NHF project.G (T). GOP-UNFPA Annual Work Plan-2007 Signing Ceremony: A meeting of the UNFPA Steering Committee was held on 24th January. Director (FM). Representatives from Population Welfare Departments also participated in the meetings. Series of Steering Committee Meetings of GOP-UNFPA Annual Work Plan-2006: FA Directorate organized a series of meetings of the Steering Committee of GOP-UNFPA funded Projects in the Committee Room of Ministry of Population Welfare on 30-10-2006. The specific session was attended by Secretary and D. UNFPA and line Ministries such as MoH. 07-12-2006 and 2612-2006. Health. Demonstrate the national commitment of the member state to south-south collaboration which will create a positive image of PPD in the national and international area. and to discuss the draft Annual Work Plan-2007 alongwith COE. Director (PME) and Deputy Director (FA). although population is an overriding and cross cutting issue.e. Accordingly visit report in this regard was submitted by Director (FA). The purpose of the meeting was to formally sign the GOP-UNFPA Annual Work Plan-2007 document by each Ministry. These meetings were attended by concerned officers of MoPW and Line-ministries such as MOH. Statistics Division. Participation of Director (FA) in Workshop on Capacity Building and Partners Annual Board meeting in Beijing China: Director (FA) in the capacity of partners Country Coordinator (PCC) represented Pakistan in the workshop on capacity building in programme management on Generic Reproductive Health Commodity Supply among Development Countries and 11th Annual Board meeting of partners in Population and Development held from 7-13 November 2006 in Beijing China. MOWD. The overall objective to hold such meetings were to assess the utilizations status of funds under UNFPA Annual Work Plan-2006. Director (FA) has made a presentation on “Challenges to Population Welfare Programme”. Piloting “One UN” in Pakistan: A note titled “Key steps and Milestones” received from UNFPA shows that Population has not been included in the five thematic working groups (i.
DirectorFA.O letter dated 23rd February 2007 was sent from Secretary. Parliamentary Secretary. Mr. family planning and RH have been discussed in details in the meeting. Executive Director UNFPA Islamabad: Dr. Visit of UNFPA Goodwill Ambassador to Pakistan: Ms. Director (FA) participated in the meeting. Administrative Matters: 62 . The issue of mutual interest related to population. During her stay in Pakistan. Thoraya Ahmed Obaid. From the MoPW. and apart from her others engagements. MoPW to additional Secretary. Meeting with Dr. UN agencies and Donors etc. she showed keen interest to meet Secretary MoPW. EAD hold a first meeting of the High Level Committee (HLC) on UN Reform on 17th April 2007 in EAD under the chairmanship of Minister of State for Economic Affairs. In this context. Additional Secretary and Wing Chiefs of MoPW. Janie MeCuster. Now the minutes of the “first meeting of the HLC of UN Reform held on 17th April 2007. It was attended by representatives of various Ministries. He supported the UN Reforms and realized that population is a cross cutting issue that effects all others sectors like health. Deputy Executive Director. Aziz. UN agencies and donors. Secretary. Population is a cross cutting area and needs to be seen and considered as a separate thematic area”. Yuko Arimori. The Secretary MoPW briefed the goodwill Ambassador about the new initiatives being taken by the MoPW to promote FP & RH Services in Pakistan.FA Directorate took up the issue at high level and a D. FA Directorate organized a meeting of UNFPA goodwill Ambassador to Pakistan on 11th June 2007 in the committee room of MoPW. In this connection. She was accompanied by Ms. approved by the Cabinet in July 2002 which visualizes to achieve replacement level by 2020 through expenditures completion of demographic transition that entails declines both in fertility and mortality rates. The purpose of the meeting was to discuss population and development related matters and issues of mutual interest with the officials of the Government and Heads of various NGOs. Thoraya Ahmed Obaid on 27th April 2007 in Islamabad. UNFPA goodwill ambassador visited Pakistan from 8-14 June 2007. In this context. Director Asia and Pacific Division and Ms. education. Sultan A. Mari Simonen. poverty and economic development. EAD with a copy to Principal Secretary to the Prime Minister and Additional Secretary to P&D Division for consideration of Population as a sixth important thematic area. The representative from UNFPA also attended the meeting. Thoraya Ahmed Obaid. Executive Director United Nations Fund for Population (UNFPA) visited Pakistan from 26-28 April 2007. FA Directorate in consultation with UNFPA arranged a meeting with Dr. are received and following is recorded about the MoPW:“HIV & AIDS should be considered under health. From the MoPW. as such this area may consider as a separate” thematic area”. this was attended by Minister for Population Welfare. as it would help to attain a balance between resources and population growth within the broad parameters of the ICPD paradigm and following Population Policy of Pakistan.
the prominent activities of Admn. 9. Cases Show Cause Notice Name of cases No.The Administration Wing is responsible for all administrative matters. Wing during the financial year 2006-2007 details are given in the following table Details of Cases disposed during 2006-2007 S. promotions. stores.No. Besides routine activities. 16. 15. 12. 6. 19. 14. office security. 5. legal issues. Leave Cases Disciplinary Cases Posting Transfer Retirement Re-imbursement of Medical Charges Official Passport/NOC Departmental Permission Payment of Advances Charge Assumption Memo Issue Current Charge/Additional Charge Promotion Cases Appointments Offer of appointment Representation Total Receipts Cases Moved Letter Issued LPR/Encashment TA/DA Bills Misc. 17. 18. of Cases 129 04 59 03 199 45 13 15 120 09 31 02 70 29 01 2757 2757 5786 09 13 206 06 63 . 7. 1. disciplinary matters. inter-provincial meetings on programme and coordination. national assembly and senate maters. 13. 4. 1. which include recruitment. 3. 20. 21. 11. 8. 10. 2.
66 square yards. Faisalabad. internal audit on the accounts of MoPW (HQ). Resignation Seniority lists issued of BS-17 –non-technical officers Requisitions to FPSC Applications Forwarded Relieving of Officers Leave Without Pay Personal Hearing Ex-Pakistan Leave Warnings issued Service Certificate issued National Assembly Question Medical Proforma issued to different hospital in respect of BS-16/17 officers Nomination of Departmental Representatives Summary for Prime Minister Order of Inquiries 03 01 05 10 33 03 03 03 09 03 04 22 02 01 02 Internal Audit on the Accounts of MOPW: Internal audit on the accounts of MOPW (HQ) and its 19 Formations. Abbottabad & Peshawar would be conducted in the next financial year 2007-08 with the approval of competent authority. 27. 35. whereas.e. Construction of Population House: Presently the Ministry of Population Welfare is housed in scattered hired commercial buildings i. PWD is (the executing agency. 24. The Prime Minister laid its foundation stone on 12-03-2005 in an specially arranged ceremony for the occasion. Hence the Ministry approached Capital Development Authority which allotted a plot measuring 2218. The cost of the project was initially 64 . 36. Huge rent is being paid for the buildings accordingly. 33.22. For the construction of Population House. Islamabad RTIs Quetta. 26. NESPAK is the consultant while Pak. 25. it was deemed appropriate to construct a Population House. 29. 34. 32. 31. 28. 2005. 30. Jamil Mohsin Mansion Building and Haroon Chamber Building. in & outside. The construction work commenced on 29th September. is required to be conducted in terms of para-13 of GFR Vol-I. Islamabad. Internal Audit on the Accounts of 14 Allied Units: Internal audit on the accounts of 14 Allied Units has since been completed. 23.
Rs. 102.984 million which was revised in the CDWP meeting on 27-01-2007) in view of the fact that due to earthquake disaster in various parts of the country, the drawings were revised. Revised PCs-I for Rs. 217 million has been approved. Presently Ground Floor/two stories have been constructed in ‘C’ Block of the Population House. Future provision for six floors exists. The covered area of building for offices in Population House is 28630 sq.ft. Presently the Ministry requires an area of 56,955 sq.ft. In order to expedite the completion of Population House on time, Monthly Review Meetings are held on regular basis. The two Wings of the Ministry i.e. M&S Wing and PPSOs/NGOs Directorate already have shifted in to Population House and the rest of the offices will hopefully be shifted on completion of the this project in October, 2007. 10 interns under National Internship Programme were placed at the disposal of different Directorates/ Sections for a period of one year w.e.f. 31-3-2007. Training facility was provided to 30 employees of M/o Population Welfare at NIPA Karachi and STI, Islamabad
M N O IN &S P R IS N O IT R G U E V IO
Field Monitoring Visits had been a regular activity of the M&S wing to review and monitor the The exercise of Field monitoring is undertaken through
programme implementation in the field.
monitoring teams comprising of officers / officials from M&S Wing, Programme Wing and Technical Wing to observe implementation and quality of services through service delivery network of the programme. Monitoring reports generated through these visits are submitted to Secretary, MoPW and also forwarded to Secretaries of PWDs for addressing the issues highlighted in these reports. A comprehensive follow-up mechanism has been developed by MoPW to have feedback from PWDs on these reports. This mechanism includes:• Submission of reports of PWDs for response on specific Performa on the salient points of the
field monitoring reports. (PWDs are submitting their response on the Performa which would be verified during follow-up visit.) • • • Discussion on salient features of the field monitoring reports with the provincial authorities A formal meeting with concerned provincial authorities on annual basis on monitoring plans and Follow-up field visits to observe improvements. during Inter-Provincial Review Meetings (IPRMs). as well as on mechanism for improvement.
During the period July, 2006 – June, 2007, Field Monitoring of following 35 districts were undertaken: S.# 1. 2. 3. 4. 5. 6. 6. 7. Province Punjab NWFP Sindh Balochistan AJK Northern Areas FATA Federal Area Total Districts 12 7 5 5 2 2 1 1 35
A brief resume of field monitoring visits in each province is given as under: PWD Punjab The Population Welfare Programme Punjab is administratively headed by administrative provincial Secretary whereas field operations are looked after by Director General. Population Welfare Department Punjab has 34 programme districts where District Population Welfare Officers are mainly responsible for the implementation of the programme. The province has following service infrastructure for providing Reproductive Health / Family Planning services: o o Family Welfare Centers (FWCs) Mobile Service Units (MSUs) 1400 185 54 66 2260
o Reproductive Health Services Centres – A (RHS-As) o Reproductive Health Services Centres – B (RHS-Bs)
o Male Mobilizers
The status of the programme implementation is also observed by field monitoring teams of provincial headquarter. The monitoring teams of the Ministry visited 12 districts during the previous financial year. It was observed that the District Population Welfare Officers are sensitizing and involving intelligencia, opinion leaders and youth on population concerns through seminars and presentations on Population & Development issues which is very encouraging sign. The young and enthusiastic district and tehsil managers are giving a dynamic shape to the programme despite various socio-political odds. These efforts are further supplemented by provincial headquarters and federal Ministry through media campaign for providing information on reproductive health issues. The vast variety of promotional material was also printed and disseminated. Generally the position with regard to location, hygienic condition, cleanliness of facility building, availability of medicines and contraceptives, was quite satisfactory. However there were certain issues, with reference to programme implementation which needed immediate attention of PWDs/DPWO. Some of those are highlighted as below: 1. 2. 3. 4. 5. 6. Filling of vacant posts, particularly of service providers. Training of service providers to improve their communication / counseling skills. Proper maintenance of vehicles. . Organization of population education activities on regular basis. Regular maintenance of equipments. Strengthening linkage with Health Department for provision of reproductive heath / family
planning services. PWD Sindh The Population Welfare Programme Sindh is headed by administrative provincial Secretary whereas field operations are looked after by Director General. Population Welfare Department Sindh has 25 programme districts where District Population Welfare Officers are mainly responsible for the implementation of the programme. The province has following service infrastructure for providing Reproductive Health / Family Planning services:
o Family Welfare Centers (FWCs) o Mobile Service Units (MSUs) o Reproductive Health Services Centres – A (RHS-As) o Reproductive Health Services Centres – B (RHS-Bs)
o Male Mobilizers
584 98 47 30 682
The monitoring teams of the Ministry visited 05 districts during the previous financial year. The contraceptive commodities and medicines were generally available. Vacant positions were required to be filled for providing RH / FP services.
2. 2. Training of service providers to improve their communication / counseling skills. The salient observation of the visits are as under: 68 . Salaries and contingencies were paid in time. 7. 7. 6. Population Welfare Department NWFP has 24 programme districts where District Population Welfare Officers are mainly responsible for the implementation of the programme. The province has following service infrastructure for providing Reproductive Health / Family Planning services: o o Family Welfare Centers (FWCs) Mobile Service Units (MSUs) Reproductive Health Services Centres – A (RHS-As) Reproductive Health Services Centres – B (RHS-Bs) Male Mobilizers 408 47 20 28 468 o o o The monitoring teams of the Ministry visited 07 districts during the previous financial year. 4. Regular remittance of sale proceeds of contraceptives. 5. Strengthening linkage with Health Department for provision of reproductive heath / family planning services. IEC material available and displayed except “Aabadinama”. Vacant positions were required to be filled for providing RH / FP services. 3. The contraceptive commodities and medicines were generally available.The salient observation of the visits are as under: Areas Identified as Good 1. Most of the service providers were willing worker with required initiative. Direction / sign board were displayed at proper location. Regularity and punctuality of staff to avoid absenteeism. PWD NWFP The Population Welfare Programme NWFP is administratively headed by administrative provincial Secretary whereas field operations are looked after by Director General. The vast variety of promotional material was also printed and disseminated. Validation of CS cases referred by RHS-B centre. Organization of community mobilization and advocacy activities. 6. All contraceptive and required medicines were available. 4. Filling of vacant posts. Required instruments. 3. Satellite Camps are being organized and Contraceptive Surgery clients properly referred. particularly of service providers. equipments and furniture were in place. 5. It was observed during these visits that the service centers are providing Reproductive Health / Family Planning services to the eligible couples. 1. Areas Identified for Improvement.
All contraceptive and required medicines were available. Validation of CS cases. 69 . Satellite Camps are being organized and Contraceptive Surgery clients properly referred. Moreover.Areas Identified as Good 1. particularly of service providers. Direction / sign board were displayed at proper location. 1. It was also observed that frequent posting/transfer of DPWOs disturbed smooth implementation of the Population Welfare Programme. Organization of population education activities on regular basis. The province has following service infrastructure for providing Reproductive Health / Family Planning services: o o Family Welfare Centers (FWCs) Mobile Service Units (MSUs) Reproductive Health Services Centres – A (RHS-As) Reproductive Health Services Centres – B (RHS-Bs) Male Mobilizers 160 75 8 3 550 o o o The status of the programme implementation is also observed by field monitoring teams of provincial headquarter. Relocation of FWCs. Sale proceeds of contraceptives are being deposited regularly. 8. Salaries and contingencies were paid in time. PWD Balochistan Population Welfare Department Balochistan has 26 programme districts where District Population Welfare Officers are mainly responsible for the implementation of the programme. It was observed during these visits that the service centers are providing Reproductive Health / Family Planning services to the eligible couples. 3. 7. 6. equipments and furniture were in place. Required instruments. 4. 5. 2. 3. Training of service providers to improve their communication / counseling skills. 6. 2. IEC material available and displayed except “Aabadinama”. The contraceptive commodities and medicines were generally available. 7. Areas Identified for Improvement. Proper maintenance of vehicles. monitoring and smooth implementation of Population Welfare Programme are observed to be weak. 5. Filling of vacant posts. 4. Regularity and punctuality of staff to avoid absenteeism. The monitoring teams of the Ministry visited 05 districts during the previous financial year. Vacant positions were required to be filled for providing RH / FP services. Strengthening linkage with Health Department for provision of reproductive heath / family planning services. as per prevailing law and order situation.
4. Direction / sign board were displayed at proper location.The salient observation of the visits are as under: Areas Identified as Good 1. Relocation of FWCs. All contraceptive and required medicines were in place. Recruitment of Women Medical Officer (WMOS) for MSUs. Areas Identified for Improvement. 3.. It was observed during this visit that the service centers are providing Reproductive Health / Family Planning services to the eligible couples. Organization of population education activities on regular basis. 2. Proper maintenance of vehicles. 10. District Technical Committee Meetings were held regularly. 70 . Strengthening linkage with Health Department for provision of reproductive heath / family planning services. A&C FATA whereas field operations are looked after by Project Director Population Welfare Programme FATA has 07 agencies where Agency Population Welfare Officers are responsible for the implementation of the programme. Filling of vacant posts. 2. Population Welfare Programme FATA The Population Welfare Programme FATA is administratively headed by Secretary. 3. 9. 1. 4. 7. 5. 8. Regular remittance of sale proceeds of contraceptives. Salaries and contingencies were paid in time. Some vacant positions of service providers particularly Female were not filled due to problems in recruitment rules which are being finalized at FATA. 6. The contraceptive commodities were available. Training of service providers to improve their communication / counseling skills. Regularity and punctuality of staff to avoid absenteeism Provision / display of IEC material. particularly of service providers. FATA has following service infrastructure for providing Reproductive Health / Family Planning services: o o Family Welfare Centers (FWCs) Mobile Service Units (MSUs) 2 27 40 7 o Reproductive Health Services Centres – A (RHS-As) o Reproductive Health Services Centres – B (RHS-Bs) o Male Mobilizers The monitoring teams of the Ministry visited 01 district during the previous financial year.
The contraceptive commodities. Population Welfare Programme. It was observed during the visit that basic infrastructure of both district was badly effected in the earthquake of October. Weak lineage of BHU Hospital management with Family Welfare Centres. where as field operations are looked after by Director Population Welfare Programme. it was observed that 71 . AJK has 07 districts where District Population Welfare Officer (DPWO) are responsible for the implementation of the programme. Population Welfare Programme Northern Areas The Population Welfare Programme Northern Areas is looked after by Project Director. 4. Population Welfare Programme AJK The Population Welfare Programme AJK is administratively headed by Secretary. Population Welfare Officers (DPWOs) have been recently engaged.P services.P services. Vacant positions of service providers were required to be filled for providing R. medicines & necessary equipment was available. Proper Storage arrangements of contraceptives / medicines. Population Welfare. Staff is trained and well motivated. Where as RHS-A Centres are presently functioning under temporary arrangement in tents.The salient observation of the visits are as under: Areas Identified as Good 1. 2. The monitoring team of Ministry of Population Welfare visited 02 districts (Sakurdu and Gilgit). 1. Moreover. Provision / display of IEC material to all service delivery outlets. It was observed during the visit that service delivery outlets are located within the premises of Health Department for providing Reproductive Health / Family Planning services to the eligible couples. However FWC of population programme has been activated to provide Reproductive Health / Family Planning services to the eligible clients. Low clientele level at all service delivery points. 3. Areas Identified for Improvement. 2005. There are 05 districts where District. Vacant positions were required to be filled for providing R. particularly medical officer and Non-existence of operation theatre at RHS-A Centre and no separate room for Non-availability of medicines. Building condition and general display is satisfactory. The contraceptive commodities however found short.H / F. 2. 7. insertion at all service delivery outlets. 4. Filling of vacant posts of service delivery outlets. 5. 3. technical staff at RHS-A Centre. Recording and reporting system was observed up-dated / satisfactory. 6. All contraceptive commodity were available. MSU vehicle provided for mobile service was not considered appropriate keeping in the hilly terrain. The monitoring team of Ministry of Population Welfare visited 02 districts (Bagh and Muzaffarabad) randomly in previous financial year.H / F.
Though the programme service providers are given adequate trainings on Inter Personal Communication (IPC) and Information Education & Communication (IEC) skills. The operational aspects of the programme suffered from persistent ban on recruitment in the provinces alongwith a delay in budget releases. The programme ownership by the Provinces appeared less proactive. The anomaly between two sets of Administration at district level has certainly affected the orientation and focus of programme personnel. the district governments do not own this programme at district level. yet there are still gaps in their professional approach to convince and attract eligible couple for family planning. Low literary rate has roused a problem to break this mind set. These include: Population Welfare Programme is basically a behavioural change programme which mainly involves the mind set of the people keeping in view their religions. for dispensation to the eligible couples. 72 . MoPW is providing Contraceptive Commodities to Department of Health. but still a lot needs to be done in this regard. As a result. The Male Mobilizer Project aimed at motivating male segment of society was believed to be helpful in moulding the male dominated society. Mass awareness was universal as brought-out by various surveys and studies. A gap in counseling has been noted. however the change in attitude and behavioural lagged for behind. In fact this mind-block remained a main hurdle in behavioural change process. free of cost.FWCs shifted in BHU building were running in a single room and have no separate space for insertion. Bottlenecks Experienced in Implementing the Programme. social and cultural norms. There is also a need to reinforce provision at grass root for interface of community level. This lack of ownership has proven to be a set-back for advancement in programme implementation as an undertaking crucial for the socio-economic process on the provinces. soon after defederalization. Perhaps Population Welfare Programme is the only programme which has not been devolved at district level. Therefore. The counseling and motivating a couple to small family norms in general and to adopt family planning techniques in particulars needs highly skilled and professional approach. However the placement of Male Mobilizer on proper place with adequate monitoring system has yet to be fully implemented. It has not been fully recognized either by programme Officers/ Officials or by the Provincial Government. which should break centuries old mind set. The provision of reproductive health / family planning service through the health service outlets also requires some re-enforcement. The programme has some inherent difficulties and constraints which effected its implementation to the optimum level. The provision of service has also been directed by the National Commission for Population Welfare (NCPW) in its 1st meeting chaired by the Prime Minister. A good working relationship with Health Department was observed in district Sakurdu. the expected results from component could not be achieved.
The details of Goals & Targets and achievements are at Annex-II A presentation on Goals & Targets (2005-2006) was made to the Prime Minister of Pakistan on 26 August. The Prime Minister made the following decisions: S. 2006 by MoPW.000 to 100. 5. The level of achievement on Goals & Targets was well beyond 100%. focused promotional campaign . Total Fertility Rate from 4. Ministry of Population Welfare (MoPW) has employed a holistic approach to achieve the envisaged goals through a variety of initiatives including offering wider contraceptive mix. WAPDA and other public and private sector organizations.86% to 1. 2. Ministry of Population Welfare should coordinate with its counterparts in the region in order to ensure best practices. Human Resource Development. 8.1% and increase Contraceptive Prevalence Rate from existing 36% to 60%. Research and Evaluation.# 1. The salient activities of the programme were quantatively translated into Goals and Targets by the Prime Minister’s Secretariat. Stress the need to strengthen linkages with Public / Private sector Organizations as well as engaging Ulama and members of civil society for community mobilization for the successful implementation of Population Programme and achievement of planned targets. railways. 7. expansion in services. 6. Mobile Service Units and Family Welfare Centres with the direction to ensure quality of services through Service Delivery Network. th The implementation status / necessary follow-up on the decisions was submitted to Prime Minister Secretariat on quarterly basis. Public Private Partnership etc. human resource development and strengthening of monitoring. The progress was required to be submitted on quarterly basis.3%. Observe successful achievement of envisaged Goals & Targets by MoPW during the year 2005-06. Urge mainstreaming of Population Issues and its integration into development planning by the social sector. building partnerships with social sector ministries. involving opinion leaders and intelligentsia through advocacy initiatives. 4.1 . MoPW submitted progress on the achievement of Goals & Targets to the Prime Minister’s Secretariat on quarterly basis. And reaffirm full support and commitment of the Government for Population Welfare Programme. The Goals & Targets for Population Welfare Programme focused on awareness creation. Minutes / Decisions Direct MoPW to achieve the Goal of Population Stabilization by reducing Population Growth Rate from 1. 1 G A S&T R E S OL AGT The present government accord high priority of the Population Welfare Programme. 73 .000 this year and to 150.0% to 2. 3. private sector & civil society. Community Mobilization. Agree for increasing the outreach of programme through expansion of Reproductive Health Service Centres. expansion in service delivery network.000 next year to address Reproductive Health and Family Planning issues. Sales/distribution outlets for contraceptives should be increased by involving institutions such as the armed forces. Advise to increase the number of Lady Health Workers of Primary Health Care Programme from 92.
3 % respectively. NWFP. private sector.1% and 12. The Population Welfare Departments Punjab.12 .6% higher than the last year (Annex-III).821 million cycles of Oral Pills.7 %. 2007 which is 20. 1. RHS-As. 1.0 % respectively.087 million Injectable (1.210 million Units of Condoms (114. 8.067 million CYP whereas SMC has achieved 2.147 million SMC).103 million Couple Years of Protection (CYP) during the period July 2006 to June. the Nation-wide Programme and Non-Programme Service Outlets reported a sale of 163.358 million CYP.5 %.262 million IUDs (0. Sindh 1. 2006The performance of contraceptive delivery services by category indicates that FWCs. 11. C N R C P IV P R O M N E OT AET E E F R AC Overall Performance The data on Population Welfare activities in the country reveals that the Programme has achieved 9. has also shown an increase in CYP by 32.6 % where as NGO (FPAP) and PPSOs have shown a decrease of 17. RMPs. NWFP 0.210 million units of Condoms. MSUs.665 million CYP. CATEGORY OF SERVICE OUTLE PROVINCE Contraceptive Delivery Services During the period July 2006 to June 2007. 17.273 million SMC) and 3. Sindh. NGOs and SMC have achieved Couple Years of Protection (CYP) 74 .725 million CYP. Balochistan 0.279 million SMC) were dispensed.821 million Cycles of Oral Pills (6. The province-wise analysis on Service Delivery indicates that Punjab has achieved 3. 3. 26. Male Mobilizer. Balochistan and Islamabad have also shown an increase in CYPs by 19.724 cases of Contraceptive Surgery.261 million SMC). Details are given in the following table. RHS-Bs.713 million CYP during the period July. various Programme and Non- PUNJAB SINDH June. 8. The Contraceptive Performance of Program and Non Program service outlets reported a sale of 163.262 million insertions of IUDs. PLDs.130 million CYP and Federal District Islamabad has achieved 0. programme service outlets have performed 187. 2007.087 million vials of Injectables and 0. In addition.188 million cases of Contraceptive Surgery during the period July 2006 to June 2007.8 % and 5. The Social Marketing of Contraceptives (SMC).1%.
29. 9.944 million. when compared with the last year i.128 million.375 million and 2. Oral Pills.8% respectively. 1. 0.330 million.573 million. 0. 0.713 million respectively. CATEGORY OF SERVICE OUTLETS PROVINCE Method-wise Analysis.2.9%. 0.3%. Comparison of Performance of Contraceptive Delivery Services during Current Year over Previous two Years 75 .7% and 9.116 million.5%. July 2005 to June 2006 showed that the Contraceptive Performance has increased for all Methods FWC Methods RHS-A RHS-B MSUs MALE MOBLIZER that is Condom. The Method wise analysis of the current period 2006-2007.203 million.21. 0. IUD.e. 0.644 million. Injectable and Contraceptive Surgery by 18.
2007. apart from these Centers 3.412 million Pre-natal and 0. 2006-June. a number of 3. Out of which 0.38 million clients availed family Planning Services of various Contraceptive methods.Achievement of Family Planning and MCH Delivery Services The following table shows that during the period July. PROVINCE/ FEDERAL TERRITORY 1 PUNJ AB SINDH NWFP 76 CL .392 million persons were provided treatment for General Ailments.243 million Post-natal care services were provided to married women by Family Welfare Centers.
v. The scope of NRIFC is to conduct research in the areas of bio-medical. Comparison pf Experiences of Contraceptives users of IUCD. Programme. Follow up of Vasectomy Cases in Sindh and Punjab to access the satisfaction level. Collaborate with international agencies by participating in their research programme. Advise Ministry of Population Welfare on matters related to clinical. Return of Fertility following Discontinuation of Hormonal Contraceptives Pre-Introductory Clinical Trial of Implanon Rod-1 (Implant). Organize research seminars and publish the proceedings to disseminate research findings. biological. viii. iii. clinical and effectiveness and side effects of contraceptives methods. Co-ordinate research activities with other national research organizations. Pills & Injectables. Studies Completed i. Conduct clinical trials of new contraceptives which have a potential for use in the Country’s B. iv.13 . The main focus is on introduction. v. Foster Population Welfare Programme research work in other professional and academic institutes through assistance and financial support. R S A C /E A U T N E E R H V L A IO National Research Institute of Fertility Care (NRIFC) The National Research Institute of Fertility Care was established in 1962 as National Research Institute of Fertility Control and is functioning as one of the technical arm of the Ministry of Population Welfare. It was the prime source for providing technical information on contraceptive technology and advice to the policy makers and programme managers. New contraceptives are first tested through controlled clinical trials and are then introduced in the programme. Treatment of Norplant Induced Bleeding. Research Activities A. iii. Oligospermic and Azoospermic Men iv. ii. Functions: i. Comparative Study of Follow up of Tubeligation Cases performed at Reproductive Health Services (RHS) centres and at the FPAP Extension Service Camps. ii. bio-medical and related matters. clinical and demographic research. vi. Conduct other research studies as and when required. Determine suitability of use of contraceptives received from abroad and stored under varying field conditions thorough laboratory tests. Correlation of Fertility Indices in Normospermics. Impact of Strengthening of Counseling Skills Service Providers and Enhancing Quality of Care 77 . vii. Ongoing Studies i. ii. iii.
Post Operative changes in menstrual cycle after Minilaprotomy cases. National Institute of Population Studies (NIPS) The National Institute of Population Studies (NIPS) undertook the following studies during the year 2006-07: Activities Completed • • • • • Pakistan Demographic Health Survey (PDHS) 2007. viii. District Population an Development Profile (DPDP). Role of Leptin in Male Infertility. Study on “Socio-cultural factors affecting genetic disorder in population of Study on “Impact Evaluation of media campaign of population welfare Study on “Socio Demographic realities in earthquake hit areas of AJK and Pakistan”. Population Growth and its implication 2006. vi. v. Report on Proceeding of International Conference (Best practices for scaling up reproductive Health and Family Planning Programme and reducing material and neonatal mortality Islamabad. (Fourteen District reports of NFWFP have been published). Six Research Briefs. vii. Comparative Clinical Trial of Mesigyna. • • Activities in Progress • • • • Evaluation of Population Welfare Training Institute (PWTI’s). Reproductive Health and Family Planning Survey. Issue-4 (Sep 2006). Issue-6 & 7 (May 2007). Special-Issue (Aug 06).T 380 A V/s Multiload 375 (IUD). Status of Women. Increase Access to Emergency Contraceptive Pills through FWW & Community Women Volunteers. • • Continuation of IUD and injectables in selected districts of Punjab. Work Shops / Trainings arranged by NIPS 78 . Issue-3 (April 06). Pre-introductory Clinical Trial on Latest IUD Yuangong-220. Issue-5 (Dec 2006).iv. programme”. Comparative Clinical Trial of Progesterone only Pills V/s Combined Oral Contraceptive Comparative Clinical Study on Acceptance and continuation rate of copper. Demand for children in rural setting.Norigest Injection to determine the bleeding pattern and acceptability. ix. NWFP”. x.2006). Issue-2 (Jan.
President America Institute of Wisconsin. Seminars arranged at NIPS • Seminar on “Prehistoric culture of the Indus Region: Population Diversity and Health Status” by Prof: Jonathan Make Keoyer. Two Trainings of DDPWO’s and TPWO’s (three days each). 2007. 2006. “Research Work Shop on “Research modeling and Statistical Modeling” March. 2007. Workshops on MPS (Master in Population Studies) program were held at the Presentation made on the working of NIPS to the group of NWFP demographers universities of Faisalabad and Karachi January 9. 2007 by Dr. 79 . Faateh ud din Ahmad 2006. 2007.• • • • Training of PDHS Field Research staff (26 days). Mr. 9th May and 18th May. “Office automation and efficient use of internet” (two trainings each of three days) Methodology and Data Analysis” were organized on October and December. May 07. 2007. • • • Two seminars on sharing the PDHS findings. • Three days workshop on “Demographic Concepts and their applications” organized at Sukkur on April 19-21. for NIPS Officers and officials were organized by Computer Programme. 2007. Apart from these studies the Institute organized seven Dissemination Seminars. • “Understanding the Gendered influence on women’s Reproductive Health in Pakistan” Moving Beyond Autonomy Paradigm By Dr. Zubia Mumtaz Assistant Professor. Madison (USA) April 28. 16th to 18. visited NIPS. Canada. Arshad Mehmood for NIPS research staff. University of Saskatchewan.