Special initiatives by Khyber PK Government in MCH services


Special initiatives by Khyber PK
Government in MCH services

PESHAWAR: Government of Khyber Pakhtunkhwa has initiated some new Special Initiatives in the budget 2013-14 for improving the Mother and Child Health status of poor and downtrodden population of the province to achieve the MDGs 4 & 5. Rs. 500.Million have been allocated for Special Initiative for enhancing immunization coverage, ante natal care and encourage deliveries by skilled birth attendants.
Expended Programme on Immunization is working through out the province since 1978. Some of the districts of the Khyber Pakhtunkhwa still failed to achieve the targets of the vaccination. To encourage the parents to get vaccinated their kids against various childhood diseases, Government of Khyber Pakhtunkhwa has proposed Rs.200.00 Million in 2013-14 budget. Rs.1000/child will be paid on completion of the vaccination course of 15 months. This initiative may be initially started may help .2 million children, 3 million pregnant ladies will be the beneficiaries. This initiative may help in reducing the IMR & MMR and can also play a positive role in reducing the poverty.
Presently the coverage of different antigen is different like BCG 92%, Penta 82% Measles I is below 80%, Measles II is 50-60% and TT coverage is 50-60% and drop out is 12-23% for different antigens. This coverage and drop outs are below the desired level and there is always the possibility of the out breaks.

Objectives of the Initiative

1. Improving the Immunization Coverage in under 15 months children to reduce the diseases, disabilities and deaths in the target districts against EPI targeted diseases
2. Control out breaks and reduce the drop outs
3. Reduce the neo Natal tetanus by immunizing the pregnant ladies
4. Encourage ante natal care to reduce the pregnancy complications that leads to reduced unwanted deaths in young mothers during her reproductive life/age
5. Encourage deliveries by skilled birth attendants in the public hospital
6. Improve the birth registration

Eligibility of the Child

Any child who has completed his vaccination on getting the Measles 2 vaccination on his card after 1st July 2013 and also will show the birth registration from NADRA/UC secretary.

Criteria for selection of beneficiaries

Ten (10) districts of the Khyber Pakhtunkhwa mentioned in the accompanying table are selected on the following grounds:

• Socio Economically backward.
• Low routine EPI coverage.
• High diseases burden.
• In-accessible and hard to reach.

Mechanism to ensure transparency

To ensure the transparency and simplify the procedure for the distribution of the money among the selected beneficiaries the following criteria is suggested.
Cards/vouchers may be printed and a new account may be opened in the respective banks preferably in National Bank of Pakistan and after the completion of the successful course the parents may be issued the vouchers by the respective vaccination center. The bank will release the payment on production of the card/voucher.
In this allocated budgets .2 million children will be the beneficiaries and allocated budget can cover 10-12 districts of the Khyber Pakhtunkhwa and are based on the target population under 1 year and its ratio is 3.6% of the total population.The proposed allocation for Special Initiative regarding health services delivery is Rs.200.00 Million and the required budget for disbursement of Rs.1000/child is Rs.193 Million approximately. Bank Charges, Printing of vouchers/ cards and Easy Paisa/ Omni charges will be met out from the remaining amount of Rs.7.00 Million.
Initial 1st quarter may be released on achievements of the districts and next quarters may be given with 5-10% allocation. Funds will be released from DGHS office to all the districts through cash or any other users’ friendly mechanisms and role of LHWs cannot be ignored in this initiative. Special campaign for awareness may be started in these districts through media, health care providers, EPI Technicians (EPI Centers) and LHWs (Health House) via posters, banners, brushers and other means of communications. A special training orientation workshop may be organized for these districts to evolve users’ friendly mechanisms and SM activity.

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