Three Years Rolling Plan 2010-2013 District Faisalabad

Three Years Rolling Plan 2010-2013 District Faisalabad

THREE YEARS ROLLING PLAN 2010-2013 DISTRICT FAISALABAD

Table of Contents

Acronyms

Executive Summary

SECTION 1: DISTRICT HEALTH PROFILE

Vision of the District

Background of the District

Map of the District

Demography

Socio-Economic Indicators

Health Indicators

Organizational Structure of District Health Administration

Health Resources

1.Health Facilities

a)Public

b)Private

2.Human Resource

a)Administrative

b)Facility Based

c)Outreach

d)Training Institutions

Health Financing

Disease Pattern

Status of Vertical Programs

1.National Program for FP & PHC

2.EPI

3.MNCH Program

4.TB Control Program

5.Malaria Control Program

6.School Health Services Program

SECTION 2: PROBLEM ANALYSIS

Objectives

Plan Development Process

Problem Identification

Health Problems

Problem Prioritization

Underlying causes of prioritized problems

Service delivery/Management problems

MDGs and MSDS

a)Human Resource

i.THQ Hospitals (5)

b)Equipment

THQ Hospitals

SECTION 3: INTERVENTIONS AND TARGETS

Health Problems

Management Problems

SECTION 4: COSTING AND FINANCING PLAN

Activity based costing

Problem wise costing Summary of Health Problem

a)Health Problems

Problem wise costing Summary of Management Problem

b)Management Problems

Human Resource Plan to bridge the Gaps between MSDS Proposed and Sanctioned Posts

Financial Outlay

Budget Summary

SECTION 5: MONITORING & EVALUATION

M&E of Plan

Annex-I

Annex II

Acronyms

3YRP / Three Years Rolling plan
ADB / Asian Development Bank
APMO / Additional Principal Medical Officer
ARI / Acute Respiratory Infections
BHU / Basic Health Center
BoD / Burden of Dieses
CDC / Communicable Disease Control
CDR / Case Detection Rate
CPR / Contraceptive Prevalence Rate
DHIS / District Health Information System
DHQH / District Head Quarter Hospital
DoH / Department of Health
DR / Default Rate
EDO(H) / Executive District Officer Health
EPI / Expended Program on Immunization
HSRP / Health Sector Reforms Program
IMR / Infant Mortality Rate
IPC / Interpersonal Communication
M & E / Monitoring and Evaluation
M & E / Maintenance and Repair
MCH / Maternal Child Health
MMR / Maternal Mortality Ratio
MNCH / Maternal Newborn and Child Health
MO / Medical Officer
MoV / Means of Verification
MSDS / Minimum Service Delivery Standards
PDSSP / Punjab Devolved Social Services Program
PHC / Primary Health Care
PMO / Principal Medial Officer
POL / Petrol, Oil and Lubricant
RHC / Rural Health Center
SCR / Sputum Conversion Rate
SHC / Secondary Health Care
SMO / Senior Medical Officer
TAMA / Technical Assistance Management Agency
TB / Tuberculosis
THQH / Tehsil Head Quarter Hospital
TNA / Training Need Assessment
WHO / World Health Organization
WMO / Women Medical Officer

Executive Summary

Prior to devolution, planning process was carried out at provincial level. Districts were supposed to implement plans and programs developed/designed at provincial and federal levels. Devolution brought a paradigm shift where planning became a district responsibility. This change provided an opportunity to the district at one hand and challenge on other due to their limited capacity in planning and budgeting. Planning focus also changed from short term to medium term planning recognizing the flexibility /adaptability it provided. Government envisions that medium term plan .i.e. 3YRP will be instrumental in using health resources effectively and efficiently through adapting Minimum Service Delivery Standards (MSDS) as the strategy to achieve objectives of MDGs.

Districts have been preparing 3YRP (medium term plan) for last few years under the auspices/patronage of Department of Health (DoH) Government of Punjab through technical assistance of Punjab Devolved Program Social Services Programme (PDSSP).This year government of the Punjab through Health Sector Reforms Program(HSRP) with the technical assistance from a team of consultants(SP09) and wide consultations/inputs from all key stake holders has established a bench mark in standardization of the format of 3YRP. Capacity building of the districts has been done on the standardized format.

Current 3 Years Rolling Plan (3YRP) plan is first attempt by the district on that agreed format. First section of the format (District Health Profile) contains all relevant information on Geography, Demographic, Socioeconomic and Health indicators of the district. It also takes stock of health resources in terms of human resource, infrastructure and others. District diseases pattern compiled from DHIS Primary and Secondary Health Care reports and current status of vertical /national programs is part of the profile. In fact district profile is a health related fact sheet of the district and depicts the true picture of health status and health resources/services of the district. An accurate district health profile provides a sound basis for evidence-based planning.

3YRP plan has been developed by following the standard planning cycle approach. 3YRP details the current year activities, physical targets and fiscal targets. Projections of second and third year physical and financial targets are given. Section Two includes problems identification from various perspectives, and their prioritization by applying WHO prioritization criteria. This section also contains underlying causes of the prioritized problems. Section Three of the plan relates to developing best possible interventions/activities and setting physical targets for each year. Section Four consists of costing based on additional requirements taking account of implementation of current status of activities. Best available estimates have been used to accurately cost the activities. The detailed activity based costing of the Health and Service Delivery problems has been developed on automated Excel sheets, and annexed for details as ready reference. Last section of the 3YRP consists of Monitoring and Evaluation of plan to gauge the progress of different activities and targets of the plan using reliable district data sources. This permits timely remedial action for smooth implementation of planned activities.

DISTRICT FAISALABAD

SECTION 1: DISTRICT HEALTH PROFILE

Vision of the District

The District Health Government Faisalabad is looking to provide efficient “Health Care Delivery Services” through Primary and Secondary health facilities with the collaboration of Government and non-government stake holders. The District Health Government is also committed to improve the “Healthy Life Style” of the people of Faisalabad district.

Mission of the District

The District Health Government Faisalabad has been providing promotive, preventive and curative services through net work of Health Institutions. At present curative services are being utilized by the population of the District, whereas in preventive Programs achievement of Department has been 90% of the targets.

Background of the District

Faisalabad is a densely populated industrial city sharing borders with 7 Districts i.e. Jhang, Toba TekSingh, Okara, Sahiwal, Chiniot, Hafizabad & Sheikhupura.

• Communication linkages (Roads, Railway): It is connected through Motorway to Lahore and Islamabad; and by Railway to Karachi & Peshawar
• Topography:The city of Faisalabad is situated in the center of the lower Rachana Doab, the area between Chenab and Ravi rivers, which has a mild slope from North-East to South-West with an average of about 0.2 to 0.3 meter drop per kilometer or about 1 to 1.5 feet per mile. The city is situated at an elevation of about 183.35 meters or 612 feet above the Sea level. The topography is however marked by valleys, local depression and relatively high ground.
• Source of livelihood:The source of livelihood is mainly industry (hosiery and power looms) and agriculture.

Map of the District

Demography

• Total Population 7310691
• Total Area 5856 square kilometers
• Annual growth rate 2.51%
• Population density 1248.41 persons per sq. km

Area-wise population

Area / Population / Percentage
Rural / 4437547 / 61%
Urban / 2873144 / 39%

Source: Standard Demographic population groups based on DHIS

Gender-wise population

Gender / Population / Percentage
Male / 3582239 / 49%
Female / 3728452 / 51%

Source: Standard Demographic population groups based on DHIS

Population groups

Population Groups / Standard Demographic (%) / Estimated Population
Under 1 year of age / 2.7 / 19739
Under 5 years / 13.4 / 97963
Under 15 years / 44 / 3216704
Women in child bearing age (15-49 years) / 22 / 1608352
Married Child Bearing age Women / 16 / 1169711
Expected pregnancies / 3.4 / 24856

Standard Demographic population groups based on DHIS

Tehsil/Town wise distribution

Tehsil/Town / Number of UC / Population
Sadar / 48 / 1263784
Chak Jhumra / 15 / 347191
City / 113 / 2873145
Jaranwala / 57 / 1381601
Tandlianwala / 28 / 739592
Sammundri / 28 / 705379
Total / 289 / 73,10,692

Ethnic groups and languages

The main ethnic groups in the district are Arain , Baluch, Bodla,Chishti, Dhudhi, Hans, Johiya, Kathia,Khagga,Kharal,Khichi,Langrial,Syal,Waince, Tarohly(Jats),Wattu. Punjabi is the most widely spoken language. Urdu and Saraiki are also spoken.

Socio-Economic Indicators

Education and Literacy

Literacy rate / Male / Female
Urban / 79.0% / 68.8%
Rural / 64.9% / 39.9%
Overall District / 71.4% / 53.1%

Source: EDO Literacy and Non -Formal Education Faisalabad

Per capita income

The per capita income is Rs. 120,000 per annum.

Health Indicators

• Infant Mortality Rate 75/1000
• Under 5 mortality Rate 108/1000 Live births
• Maternal mortality Ratio 229/1,00,000( Provincial Figure*)
• Malnutrition (women and children)

Under weight prevalence: 32%

Stunting prevalence: 44%

Wasting prevalence: 13%

• Life expectancy 65 years for Females and 63 years for Male
• Proportion of children under 1 years immunized 99%*

against measles

Source: MICS 2007-08,PDHHS Punjab and EDOH Office*

Organizational Structure of District Health Administration

There exists a three-tier system in the health sector in the country. At federal level, Federal Secretary of Health is responsible to administer and supervise the health related activities and programs. Major function of federal tier is to provide policy guidelines and ensure quality of health care standards through federal legislation. After the 18th amendment in the constitution, and announcement of National Finance Award, most of the existing federal level programs will be transferred to the provincial level. At provincial level, provincial Secretary of Health along with Director General Health Services is responsible for managing and supervising health care services. The district is still an administrative entity in the system and EDO (Health) acts as head of the district health department, under overall supervision of DCO. The organizational structure at district level is as under:

Health Resources

1.Health Facilities

a)Public

Details of physical infrastructure of public health facilities in the district are given in the table below:

Facility Type / Name of Facility / Bed Strength / No. of Functional Beds / Remarks
Teaching hospital / 1 / 1138 / 1138 / -
DHQ Hospital(Teaching) / 1 / 704 / 704 / -
THQ Hospital / 5 / 263 / 263 / -
RHCs / 12 / 240 / 240 / -
BHUs / 168 / 334 / 334 / -
Govt. Rural Dispensaries / 5 / 0 / 0 / -
MCH Centers / 6 / 0 / 0 / -
Sub Health Centers / 34 / 0 / 0 / -
TB Clinics / 2 / 0 / 0 / -
Health houses / 2573 / 0 / 0 / -

Data source: DHIS/EDOH office

b)Private

The district has provided a list of private service providers including hospitals, clinics, laboratories and maternity homes. These private providers are used for providing support in preventive programs like Polio and other EPI activities. With the passage of time, role of private providers will expand, and there is a need to develop an effective coordination between public and private sector. Detailed list of private sector health facilities is attached as Annex-I.

2.Human Resource

The Human resource of district health department has been placed in following categories:

a)Administrative

b)Facility based

c)Outreach

d) Training institutions

a)Administrative

Sr. No. / Name of Post / Sanctioned / Filled / Vacant
1 / EDO(H) / 1 / 0 / 1
2 / DOH / 1 / 1 / 0
3 / DOH(Hq) / 1 / 1 / 0
4 / DDOH / 6 / 6 / 0
5 / Program Director / 1 / 1 / 0
6 / D.T.O / 1 / 1 / 0
7 / Medical Superintendent / 5 / 5 / 0
8 / Additional Principal Medical Officers / 5 / 3 / 2
9 / Additional Principal Woman Medical Officers / 2 / 1 / 1

b)Facility Based

i.Basic Health Units (168)

Sr. # / Name of Post / Standard as per MSDS / Sanctioned / Gap / Additional Requirement
MO / WMO / 168 / 168 / 0 / 0
School Health and Nutrition Supervisor / 168 / 168 / 0 / 0
Medical Assistant / Health Technician / 168 / 168 / 0 / 0
LHV / 168 / 168 / 0 / 0
Dispenser / 168 / 168 / 0 / 0
Midwife / 168 / 168 / 0 / 0
Computer Operator / 168 / 168 / 0 / 0
Sanitary Inspector / 168 / 168 / 0 / 0
Naib Qasid / 168 / 168 / 0 / 0
Chowkidar / 168 / 168 / 0 / 0
Sanitary Worker (M/F) / 168 / 168 / 0 / 0
Laboratory Assistant / 168 / 168 / 0 / 0
Mali / 168 / 168 / 0 / 0
Sanitary Petrol / 168 / 168 / 0 / 0

ii.Rural Health Centres (12)

Sr. # / Name of Post / Standard as per MSDS / Sanctioned / Gap / Additional Requirement
Senior Medical Officer I/C / 12 / 12 / 0 / 0
MO / 24 / 24 / 0 / 0
WMO / 12 / 12 / 0 / 0
Dental Surgeon / 12 / 12 / 0 / 0
Radiographer / 12 / 11 / 1 / 1
LHV / 24 / 23 / 1 / 1
Dispenser / 36 / 32 / 4 / 4
Midwife / 48 / 50 / 0 / 0
Homeo-doctor / 12 / 03 / 0 / 0
Dental Technician / 12 / 12 / 0 / 0
Laboratory Technician / 12 / 11 / 1 / 1
Anesthesia Assistant / 12 / 11 / 1 / 1
Hakim / Tabeeb / 0 / 03 / 0 / 0
Computer Operator / 12 / 10 / 02 / 02
Dawakob / 0 / 03 / 0 / 0
Dawasaz / 0 / 03 / 0 / 0
Homeo-Dispenser / 0 / 03 / 0 / 0
Dresser / 12 / 10 / 2 / 2
Charge Nurse (indoor)* / 72 / 72 / 0 / 0
Naib Qasid / 36 / 32 / 4 / 4
Chowkidar / 24 / 22 / 2 / 2
Sanitary Worker (M/F) / 24 / 24 / 0 / 0
Store Keeper / 12 / 10 / 2 / 2
Senior Clerk / 12 / 10 / 2 / 2
Driver / 24 / 10 / 14 / 14
Tube well Operator / 12 / 10 / 2 / 2
Ward Servant (M/F) / 48 / 20 / 28 / 28
Water Carrier / 12 / 10 / 2 / 2
Mali / 24 / 10 / 14 / 14
Accountant / 12 / 01 / 11 / 11
Operation Theater Assistant / 12 / 10 / 2 / 2
X-ray Attendant / 0 / 0 / 0 / 0
Laboratory Assistant / 12 / 10 / 2 / 2

iii.THQ Hospitals (5)

Sr. # / Name of Post / Standard as per MSDS / Sanctioned / Gap / Additional Requirement
Medical Superintendent / 5 / 5 / 0 / 0
Deputy Medical Superintendent / 5 / 0 / 5 / 5
Physician* / 5 / 5 / 0 / 0
Surgeon* / 5 / 5 / 0 / 0
Gynecologist / 10 / 6 / 4 / 4
Pediatrician / 5 / 5 / 0 / 0
Anesthetist / 5 / 6 / 0 / 0
Ophthalmologist / 5 / 5 / 0 / 0
ENT Specialist / 5 / 4 / 1 / 1
Pathologist / 5 / 5 / 0 / 0
Radiologist / 5 / 5 / 0 / 0
Orthopedic Surgeon / 5 / 2 / 3 / 3
Clinical Psychologist / 5 / 0 / 5 / 5
Emergency Specialist / 5 / 0 / 5 / 5
Trauma Surgeon / 5 / 0 / 5 / 5
Forensic Expert** / 10 / 0 / 10 / 10
Medial Officers (MOs) / 60 / 51 / 9 / 9
Number of posts of PMOs, APMOs, SMOs / 28 / 12 / 16 / 16
EMOs / 20 / 0 / 20 / 20
WMOs for Labour room / 10 / 18 / 0 / 0
Blood Transfusion Officers (BTOs) / 5 / 0 / 5 / 5
Dental Surgeon*** / 5 / 3 / 2 / 2
Charge Nurse / 96 / 83 / 7 / 7
Head Nurse / 12 / 5 / 7 / 7
Deputy Nursing Superintendent / 5 / 0 / 5 / 5
Nursing Instructor / Tutor / 5 / 0 / 5 / 5
Accountant / 5 / 4 / 1 / 1
Health and Nutrition Supervisor / 10 / 0 / 10 / 10
Radiographer / 12 / 10 / 2 / 2
Hakeem / 5 / 5 / 0 / 0
Homeo Doctor / 5 / 5 / 0 / 0
X-Ray Technician / 5 / 1 / 4 / 4
Dental Technician / 5 / 5 / 0 / 0
Lab Technician / 10 / 4 / 6 / 6
Lab Technician for Blood Transfusion Services / 10 / 0 / 10 / 10
Lab Assistant / 20 / 10 / 10 / 10
Dark Room Assistant / 5 / 2 / 3 / 3
Dispenser / 40 / 36 / 4 / 4
Dawasaaz / 5 / 5 / 0 / 0
Homeo Dispenser / 5 / 5 / 0 / 0
Operation Theater Assistant / 15 / 9 / 6 / 6
Eye Refractionist / 5 / 0 / 5 / 5
Ophthalmic Technician / 10 / 3 / 7 / 7
Biomedical Tech / Bio Med Tech / 5 / 0 / 5 / 5
ECG Technician / 10 / 2 / 8 / 8
Lady Health Visitor / 32 / 6 / 26 / 26
Mid wife / 5 / 8 / 0 / 0
Store keeper / 10 / 7 / 3 / 3
Computer Operator / 5 / 1 / 4 / 4
Data Entry operator / 5 / 2 / 3 / 3
Anesthesia Assistant / 5 / 1 / 4 / 4
Naib Qasid / 15 / 29 / 0 / 0
Chowkidar / 20 / 15 / 5 / 5
Senior Clerk / 5 / 1 / 4 / 4
Driver / 10 / 9 / 1 / 1
Water Carrier / 10 / 8 / 2 / 2
Junior Clerk / 10 / 7 / 3 / 3
Head Clerk / 5 / 0 / 5 / 5
Baildar / 15 / 10 / 5 / 5
Carpenter / 5 / 0 / 5 / 5
Cook / 10 / 7 / 3 / 3
Plumber / 5 / 0 / 5 / 5
Almoner / 5 / 0 / 5 / 5
Gatekeeper / 10 / 6 / 4 / 4
Dental Assistant / 5 / 0 / 5 / 5
Telephone Operator / 15 / 0 / 15 / 15
Physiotherapy Aide / Technician / 5 / 0 / 5 / 5
Stretcher Bearer / 0 / 4 / 0 / 0
Statistical Assistant / 5 / 2 / 3 / 3
Operation Theatre Attendant / 5 / 3 / 2 / 2
Sanitary Inspector / 5 / 0 / 5 / 5
Lab Attendant / 5 / 3 / 2 / 2
Gardner/Mali / 10 / 9 / 1 / 1
Sanitary Workers / 60 / 58 / 2 / 2
Ward Servants (M/F)/Ward Cleaners / 50 / 56 / 0 / 0
Electrician / 5 / 0 / 5 / 5
Dhobi/Washer man / 10 / 7 / 3 / 3
Air Conditioner Mechanic / 5 / 0 / 5 / 5
Tube Well Operator / 5 / 5 / 0 / 0
Dawakob / 5 / 5 / 0 / 0
X-Ray Attendant / 5 / 2 / 3 / 3
Aya / 10 / 4 / 6 / 6
Dai / 10 / 4 / 6 / 6
Tailor / 5 / 2 / 3 / 3
Masalchi / 5 / 4 / 1 / 1
Pharmacist / 5 / 5 / 0 / 0
Refractionist / 5 / 2 / 3 / 3
Medical Technician / 0 / 4 / 0 / 0
Ward Bearer / 0 / 2 / 8 / 8

c)Outreach

This information is about outreach program workers such as Vaccinators, CDC Supervisors and Sanitary Inspectors which are not part of above mentioned health facilities.

Post / Sanctioned / Filled
Vaccinators / 230 / 230
CDC Supervisors / 131 / 121
Sanitary Inspectors / 160 / 160

d)Training Institutions

A number of training institutions are working in the district, which include the following:

Type of institute / Number
DHDC / 1
General Nursing school / 2
Paramedics school / 1

Health Financing

The provision of financial resources at district level is prime responsibility of district government. However, keeping in view the budget constraints at the district level, federal and provincial governments also augment financial resources in form of kind and cash, through different programs. Financial resources of the district during the last three years out of different sources are given as under:

Rs. Million

Source of Funding / 2007-08 / 2008-09 / 2009-10
Allocation / Expenditure / Allocation / Expenditure / Allocation / Expenditure
Development / 0 / 0 / 0 / 0 / 0 / 0
Non-Development / 778.676 / 706.250 / 923.267 / 901.598 / 1714.021 / 643.697
PHRSP / 209.000 / 27.805 / 0 / 110.313 / 0 / 202.471
PMDGP / 0 / 0 / 0 / 0 / 182.230 / 46.773
PDSSP / 49.453 / 44.822 / 42.147 / 17.371 / 0 / 15.770
Provincial Development budget / 0 / 0 / 0 / 0 / 240.000 / 137.265
4-Sector Program 40Million MPA Package / 0 / 0 / 83.099 / 53.454 / 0 / 22.320
4-Sector Program 25Million MPA Package / 0 / 0 / 0 / 0 / 47.500 / 7.312
Missing Facilities / 0 / 0 / 0 / 0 / 63.000 / 0
Other Source (Gavi) / 0.342 / 0.346 / 1.405 / 0.380 / 1.024 / 0.630
Total / 1037.471 / 779.223 / 1049.918 / 1083.116 / 2247.775 / 1076.238
Purchee Fee / 4.600 / 4.251538 / 4.650,000 / 4.626,435 / 4.700 / 2.561,678

Disease Pattern

The disease pattern is determined through regular and periodic reporting through surveys and studies. Punjab health department has adopted DHIS as regular reporting mechanism to collect information on diseases and other variables. Currently, DHIS is in transitional stage, and is establishing itself as a tool to be used for evidence based planning and management. The following trend of the diseases has been taken from the consolidated DHIS reports that include reports from PHC and SHC facilities.

Disease Group / Percentage of Total
Respiratory disease
1 / Acute (upper) respiratory infections / 16.408
2 / Pneumonia < 5 yrs. / 0.405
3 / Pneumonia > 5 yrs. / 0.706
4 / TB Suspects / 0.332
5 / Chronic Obstructive Pulmonary Disease / 0.424
6 / Asthma / 2.060
Gastro Intestinal Disease
7 / Diarrhea / Dysentery < 5 yrs / 2.077
8 / Diarrhea / Dysentery > 5 yrs / 2.138
9 / Enteric / Typhoid Fever / 0.236
10 / Worm Infestations / 0.641
11 / Peptic Ulcer Disease / 1.004
12 / Cirrhosis of Liver / 0.038
Urinary Tract Disease
13 / Urinary Tract Infections / 1.098
14 / Nephritis / Nephrosis / 0.051
15 / Sexually Transmitted Infections / 0.022
16 / Benign Enlargement of Prostrate / 0.057
Other Communicable Diseases
17 / Suspected Malaria / 0.396
18 / Suspected Meningitis / 0.000
19 / Fever due to other causes / 3.186
Vaccine Preventable Disease
20 / Suspected Measles / 0.037
21 / Suspected Viral Hepatitis / 0.073
22 / Suspected Neonatal Tetanus / 0.000
Cardiovascular Diseases
23 / Ischemic heart disease / 0.057
24 / Hypertension / 2.395
Skin Diseases
25 / Scabies / 5.408
26 / Dermatitis / 2.349
27 / Cutaneous Leishmaniasis / 0.000
Endocrine Disease
28 / Diabetes Mellitus / 2.273
Neuro-Psychiatric Diseases
29 / Depression / 0.204
30 / Drug Dependence / 0.008
31 / Epilepsy / 0.006
Eye & ENT
32 / Cataract / 0.067
33 / Trachoma / 0.037
34 / Glaucoma / 0.016
35 / Otitis Media / 0.116
Oral Diseases
36 / Dental Caries / 1.118
Injuries/Poisoning
37 / Road traffic accidents / 0.290
38 / Fractures / 0.077
39 / Burns / 0.051
40 / Dog bite / 0.025
41 / Snake bite (with signs/symptoms of poisoning) / 0.000
Miscellaneous Disease
42 / Acute Flaccid Paralysis / 0.000
43 / Suspected HIV/AIDS / 0.000
44 / Any other Unusual disease (specify)

Source: DHIS Report

Status of Vertical Programs

The following paragraphs depict the current status of the program being implemented in the district. The indicators and their values have been taken from the program reports.

1.National Program for FP & PHC

• No. of seats allocated for LHWs 2900
• No. of LHWs working 2578
• Percentage of Population covered by the program 35.82%
• Important program indicators
• IMR 35/1000
• MMR 92/100,000
• CPR 42
• No. of antenatal visits 44880
• TT Coverage of pregnant women 91.33%

2.EPI

• EPI Coverage rate of the district 99%
• Fully immunized children 0-23 months 99%
• Pregnant women received TT vaccine 44%
• Availability of cold chain equipment Detailed in table below

Name of Item / Received from Prov. Office / District Purchase / Total / Working Status
Working Order / Out of order
Repairable / Condemnable
ILR Without Freezer / 134 / 0 / 134 / 123 / 8 / 3
ILR With Freezer / 14 / 0 / 14 / 9 / 2 / 3
Deep Freezer / 10 / 0 / 10 / 10 / 0 / 0
Refrigerator / 72 / 0 / 72 / 55 / 5 / 12
Cold Box / 26 / 0 / 26 / 24 / 0 / 2
Vaccine Carrier / 552 / 0 / 552 / 552 / 0 / 0

3.MNCH Program

• 1st batch of 23 qualified and deployed in the district.
• 2nd batch of 26 qualified and awaiting for deployment.
• 3rd batch of 79 CMW are undergoing training in District Faisalabad.

Under this program following staff is recruited: