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 Key Interventions
The key interventions accomplished during last 5 years include:
Policy level
- National strategic framework on MNCH 2005-2015
- National MNCH program (support for PC-1)
- Development of 18 month national curriculum for community midwives through collaboration with Pakistan Nursing council
- Strengthening of resource centers in midwifery tutors training
- Training of 516 community midwives (229 deployed +287 under training) in program districts
- Strengthening and PNC accreditation of district midwifery schools
- Support to Pakistan Nursing council and Provincial Nursing Examination Boards for midwifery HR databases and examination system.
- Introduction of injectable contraceptives and adolescent RH in the flagship national Lady Health Worker program (100,000)
- E-system for LHW-MIS and HR database and feedback
- Revision of LHWs’s monitoring and supervisory system
- Introduction of mobile service units in the national population welfare program
- First national guidelines on integration of HIV/AIDS and RH
- Technical assistance to National Health Policy Unit/HSSU, National MNCH Program & PHC
- Technical Assistance to health systems on RHCS
- Strengthening of Health system strengthening unit in RH/FP research
- Research and evaluation on RH & FP & health systems including support to MSPH training at Health services academy
- Development and implementation of training package on FP counseling including postpartum and post-abortion FP counseling and service delivery
- Development and launching of PRISM intervention for training of LHWs in midwifery skills
- Skill development of LHWs in emergency contraceptives.
- Strengthening district health information system (DHIS)
- Development of referral protocols for LHWs
- Development of medical eligibility criteria based FP Wheel Cards for health facilities and LHWs.
- Development of data analysis and use of information for decision making (DAD) for mid-level and program managers.
- Development of OBGYN ultrasound and management guidelines for doctors and LHVs.
- Development of Misoprostol guidelines for prevention and management of Post-Partum Haemorrhage.
- Franchised clinics for RH/FP through partnership with GSSM.
Operational level
- Technical Assistance to district health and population systems
- Basic and comprehensive EmONC services in 107 health facilities
- Family planning services including surgeries
- Skill development of 7142 LHWs in IPC/CCA, MNH/FP counseling, antenatal, postnatal care and referral to health facilities
- RH/FP awareness through community based 7142 LHWs, school and college health sessions, FM/cable network messages, puppet show, media and social mobilization campaigns
- Strengthening STI treatment and prevention
- Development and implementation of use of information for decision making at district level
- Capacity building of district managers on leadership, RH & PHC system development, project management, etc
- Strengthening of district logistics system
- Local resource mobilization for HR, repairs, and EmONC/FP supplies etc
- Operational research on RH/FP
- Seven (7) Regional fistula treatment centers, 1864 cases repaired till 2010.
- Establishment of district health and population management teams
- Resource mobilization for MNCH/FP through citizen community boards (CCBs)
- Twinning of tertiary care facilities with district comprehensive EmOC facilities for monthly rotation of post graduate trainees in OBGYN and hands on clinical support
- Branding of health facilities to make facilities client friendly
- Public private partnerships for subsidized MNCH/FP service delivery
- Competency based trainings on EmONC/FP care including private sector service providers
- Community transport scheme for referral of complicated cases of pregnancy to the nearest health facilities including utilization of NGO ambulance systems
- Maternal death audit through verbal autopsy to know the reasons and delays of maternal death
- Accreditation system through third party surveillance to improve organization, management, quality and continuity of MNCH/FP services
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Reports