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Donor Meeting: Health Update

Donor Meeting: Health Update. 14 th June, 2011. Health Sector Response . Total Beneficiaries – estimated 25 Million Total Funds Used – US$ 156 Million Activities: Communicable Disease Surveillance and Response Essential Medicines Health Sector Partners Operations

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Donor Meeting: Health Update

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  1. Donor Meeting: Health Update 14th June, 2011

  2. Health Sector Response • Total Beneficiaries – estimated 25 Million • Total Funds Used – US$ 156 Million • Activities: • Communicable Disease Surveillance and Response • Essential Medicines • Health Sector Partners Operations • Disease Case Management - targeted 24/7 • Logistics, Coordination and Information Management • Laboratories • Social Mobilization • Special Needs (Malaria, Leishmaniasis) • Vaccines (gap filling)

  3. 18th Amendment & Devolution MAJOR COMPONENTS • All 10 vertical programs devolved • Federal government will provide funds till 2014 • National EPI program devolved • Federal government will provide funds till 2011 • Only Strategic guidelines and minimum essential standards will be maintained by federal level

  4. Disrupted Health Systems • No Health and Nutrition Policy and Planning Regulatory body at the federal level • Planning for vertical programs continue at the federal level • Disrupted health system - issues in health system at the provinces due to devolution: • Policy/Strategy Formulation • Financing • Human Resources • Pharmaceutical Areas • Health Service Delivery • Management Systems • Equity

  5. Pakistan Health Budget 2011 - 12 • Budgetary allocation for health is nearly 15% less than that of the last year • Not more than 0.5% of GDP for health (for most developing countries is 5%) • No allocation for the prevention of disease outbreak • Epidemics of malaria, dengue, hepatitis and several other communicable diseases. • TB ranks at 8in 22 “high burden” countries • Top on the polio list in the region/world

  6. Disease Early Warning System • Biggest: Weekly reporting system: • 42 weekly bulletins published • 76 Surveillance Officers • 95 districts / 3 agencies (67 partners) • Averages 1m total consultations / week • more than 3,000 health facilities • 29 million consultations since the Floods • Shared in Cluster Coordination One of the best response systems in the world: Integrated, Sensitive, Prepared, Responsive Integrated Communicable Disease Surveillance: • Water-borne diseases (diarrhea, AWD, dysentery, typhoid, hepatitis A&E), • Vector-borne diseases (malaria, dengue, Leishmaniasis) • Vaccinable diseases (polio, measles, pertussis, diphtheria, tetanus) Sensitive: Since Flood, detected 1783 alerts; • Now, more than 100 alerts per week Prepared: Trained >3,000 HCPs including experts for ARI, • 65 DTC Rapid Response Teams • Essential Medicine, supplying diarrhea kits, ARI kits, RDT, ACT, ADS, Ribavirin, TIG Responsive: Communicable Disease Surveillance and Response (CSR):

  7. DEWS Response •  Responded to 90% alerts within 24 hrs • 738 Measles Alerts, 69 outbreaks • 65 deaths were recorded out of 2108 cases (CFR 3%) • 326 AWD Alerts, • 110 outbreaks with confirmed V. cholera • 363 Samples172 + • V. cholera (47%) • Estimated 69,000 treated cases of diarrhea with some level of dehydration at DTCs (64 deaths, CFR 0.1%) KP Punjab Baluchistan Sindh

  8. Environmental Health • Tested 3,500 water sources >85% contaminated • 1,250,000 individuals reached -provided household treatment: • Aqua tabs, Hygiene Kits, water filters, Chlorinators, rapid water testing kits, • Wagtech portable water testing kits for TMAs/PHED and DOH • Trained 1,416 personnel

  9. Pakistan Health Budget 2011 - 2012

  10. Funding for Health

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