ROAD TO UHC

FOR ALL WITH

A FOCUS ON
MIGRANT
WORKERS
-PAKISTAN
PRESENTER:
SAJJAD HUSSAIN
PROGRAMME
OFFICER
SPEAK TRUST
COVERAGE - PAKISTAN
UNIVERSAL HEALTH

Objectives

UHC CONTEXT IN PAKISTAN

FINDINGS

RECOMMENDATIONS

SUMMARY

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COVERAGE - PAKISTAN
UNIVERSAL HEALTH

UHC CONTEXT IN
PAKISTAN
Pakistan signed the UHC Global Compact in 2018
18th Amendment gave autonomy to provinces including
health
Pakistan has been implementing PHC since 1970s and
is currently using the PHC approach to achieve UHC
National Health Vision 2016 – 2025 outlines goals
aligned with achieving and sustaining UHC
First country to invest in an EPHS based on
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burden of disease
 FINDINGS
COVERAGE - PAKISTAN
UNIVERSAL HEALTH

Understan
• Pakistan lacks a standard definition and ding
understanding of UHC
• Pakistan has no federal legislation on UHC Legislatio
Resources
n
• A roadmap is reflected in the EPHS package
developed by the government
• Pakistan stands at 52 on the SCI with a goal to reach
65+ by 2030 Lack of Planning
• There is a lack of sustainability in the planning &
Finance
• There is exclusion of CSOs & NGOs in planning and Monitorin
g
monitoring of interventions
• There is an incremental increase in the budget every
year which is not based on any needs assessment of Inter
Sectoral
provinces Road Map Coordinatio
n
• Pakistan is piloting interventions set at borders and
airports in Pakistan in case of health emergencies
• 50% of the PHC community level interventions are
for females and majority of health workers are lady
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health workers
 FINDINGS – MIGRANTS
COVERAGE - PAKISTAN
UNIVERSAL HEALTH

• Migrants have been left behind in

Pakistan’s UHC commitments
• There is no budget allocation on
Pakistani emigrants health needs
• There is budget allocated for refugees
• Health interventions based on burden of
disease
• No assessment regarding burden of
disease carried out among migrants
• HIV needs of migrants are unaddressed
• Excluded from social protection
schemes of destination countries
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 P R O V I N CI A L LE V EL
• F E D E RA L A N D
P R O V I N CI A L H E A LT H
COVERAGE - PAKISTAN M I N I S TR I E S S H O U LD
A D VA N CE TO WA RD S P PP
UNIVERSAL HEALTH

R E C O M M E N D AT I O N S
6 T H R O U G H BI L AT ER A L
A N D M S P I N T H E I R I N T E R-
S E CTO R A L
C O O R D I N AT I O N
I N I T I ATI V E S
• R ES T RU C TU R I N G O F
P R O V I N CI A L H E A LT H
S Y ST EM S
• U P H O L D Q U A LI T Y O F
S E RV I C E AT A L L LEV EL S
O F H E A LTH
I N T ERV E N T I O N S A N D
I N CR EA SE H EA LT H
W O RK F O R CE
• D EV EL O P A L O W- I N CO M E
H EA LT H I N S U R A N C E
• PA K I S TA N N E ED S TO
S A FE G U A RD H E A LTH
R I G H TS O F L A BO R
E M I G RA N T S I N
D ES T I N ATI O N CO U N T RI E S
A G RE E ME N T S
 SUMMARY
COVERAGE - PAKISTAN
UNIVERSAL HEALTH

Although Pakistan is advancing towards UHC,

its effective implementation can never be
achieved until health becomes a priority of
government. A UHC legislation leading to a
roadmap backed by resources with health
interventions aimed at rural peripheries is the
need of the hour.

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 THANK YOU

SAJJAD HUSSAIN​
SH3070125@GMAIL.COM | WWW.SPEAK.ORG.PK