Three Years Rolling Plan 2010-2013 District Sahiwal
THREE YEARS ROLLING PLAN 2010-2013 DISTRICT SAHIWAL
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.HIV/AIDS Control Program
7.Hepatitis Control 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.DHQ Hospital Sahiwal
ii.THQ Hospital Haji Abdul Qayyum
iii.THQ Hospital Chichawatni
b)Equipment
i.DHQ Hospital Sahiwal
ii.THQ Hospital Chichawatni
iii.THQ H Abdul Qayyum Hospital Sahiwal
SECTION 3: INTERVENTIONS AND TARGETS
Health Problems
Management Problems
Human Resource Plan to bridge the Gaps between MSDS Proposed and Sanctioned Posts
SECTION 4: COSTING AND FINANCING PLAN
Activity based costing
Problem wise Cost Summary of Health Problems
a)Health Problems
Problem wise cost summary of Management Problems
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-IV
DHQ SAHIWAL
THAH Abdul Qayyum
THQH Chichawatni
Acronyms
3YRP / Three Years Rolling planADB / 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 SAHIWAL
SECTION 1: DISTRICT HEALTH PROFILE
Vision of the District
The District Health Government Sahiwal is looking to provide efficient “Health Care Delievery 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” behaviours of the people of Sahiwal district
Mission of the District
The District Health Government Sahiwal 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 programmes achievement of Department has been 92% of the targets.
Background of the District
This district is situated in the center of the province at an almost equal distance from Lahore and Multan and on the main routes of the railway and the Grand Trunk Road. The district is bounded on the north by District Faisal Abad and District Toba Tek Singh; on the south by District Vehari; on the east by District Okara and on the west by Khanewal.
The total area of the district is 4242 square kilometers. Geographically, District Sahiwal lies in the central Punjab and is irrigated by a network of canals from various sources on the Ravi. The annual maximum and minimum temperatures remain around 21ºC and 5ºC in January and above 42ºC and 29ºC in June respectively. The district is also connected to all its tehsils by roads and the national highway which passes through it. Sahiwal District is basically an agricultural area with no significant industry and most of the people earn their living through agriculture.
For the purpose of administration, District Sahiwal is divided into 2 tehsils i.e. Sahiwal and Chichawatni and 89 union councils including 75 rural and 14 urban whose elected representatives formulate Zila and Tehsil councils. Political constituencies include 4 national seats and 7 provincial seats of legislative assemblies.
Map of the District
Demography
- Total Population 3369196
- Total Area 5854 square kilometers
- Annual growth rate 2.0%
- Population density 518 persons per sq. km
Area-wise population
Area / Population / PercentageRural / 2024235 / 85%
Urban / 357765 / 15%
Source: Standard Demographic population groups based on DHIS
Gender-wise population
Gender / Population / PercentageMale / 1231970 / 52%
Female / 1150267 / 48%
Source: Standard Demographic population groups based on DHIS
Population groups
Population Groups / Standard Demographic (%) / Estimated PopulationUnder 1 year of age / 2.7 / 64314
Under 5 years / 13.4 / 319188
Under 15 years / 44 / 1048080
Women in child bearing age (15-49 years) / 22 / 524040
Married Child Bearing age Women / 16 / 381120
Expected pregnancies / 3.4 / 80988
Standard Demographic population groups based on DHIS
Tehsil wise distribution
Tehsil / Number of UC / PopulationSahiwal / 52 / 1429622
Chichawatni / 37 / 952378
Ethnic groups and languages
The district is home to a variety of the tribes, the important ones being Sayed, Jat, Arain, Dogar, Johiya, Bodla, Bhatti, Hans, Khagga, Kharal, Wattu, Chishti, Bodla, Khagga and Rajputs (including Ranghar) and Rehmani (Muslim Labana). mahar taroly.Punjabi and Urdu are the main languages spoken in the district.
Socio-Economic Indicators
Education and Literacy
Literacy rate / Male / FemaleUrban / - / -
Rural / - / -
Overall District / 54.7% / 32.3%
Source: EDO Literacy and Formal Education Sahwal
Per capita income Rs=60,000/- per annum
Health Indicators
- Infant Mortality Rate 49/1000 live births
- Under 5 mortality Rate 112/1000 live births
- Maternal mortality Ratio 122/1,00,000*
- Malnutrition (women and children) 48%
- Life expectancy 64 years for Females and 62 years for Male
- Proportion of children under 1 years immunized 92%
against measles
Source: MICS 2007-08
*Source: EDO (Health) Office Sahiwal
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 is given in the table below
Facility Type / Name/Number of Facility / Bed Strength / No. of Functional Beds / RemarksDHQ Hospital /Teaching hospitals / DHQ Hospital Sahiwal / 438 / 438 / --
THQ Hospital / GHAQ Hospital Sahiwal / 75 / 75 / --
THQ Hospital Chichawatni / 60 / 60
RHCs / 10 RHCs
5 in Tehsil Sahiwal
5 in Tehsil Chichawatni / 200 / 200 / --
BHUs / 75 BHUs
40 in Tehsil Sahiwal
35 in Tehsil Chichawatni / 150 / 150 / --
Govt. Rural Dispensaries / 21 Rural Dispesaries
11 in Tehsil Sahiwal
10 in Tehsil Chichawatni / -- / -- / --
MCH Centers / 6 MCH Centers
3 in Tehsil Sahiwal
3 in Tehsil Chichawatni -- / -- / -- / --
Sub Health Centers / 18 SHCs
8 in Tehsil Sahiwal
10 in Tehsil Chichawatni -- / -- / -- / --
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 / Filled1 / Executive District Officer Health / 01 / 01
2 / District Officer Health / 01 / 01
3 / Deputy District Officer Health / 02 / 02
4 / Program Director DHDC / 01 / 01
5 / District Coordinator National Program / 0 / 01
6 / District Coordinator EPI Surveillance / 0 / 01
7 / District Sanitary Inspector / 01 / 01
8 / CDC Officer / 01 / 01
9 / CDC Inspector / 02 / 02
10 / Drug Inspector / 03 / 02
11 / District Superintendent Vaccination / 01 / 01
12 / Assistant Superintendent Vaccination / 02 / 02
13 / Tehsil Sanitary Inspector / 02 / 02
14 / Inspector Vaccination / 04 / 04
b)Facility Based
i.Basic Health Units (75)
Sr. No. / Name of Post/Designation / Sanctioned / Filled / Vacant1 / Medical Officer / 75 / 46 / 29
2 / School Health & Nutrition Supervisor / 75 / - / 75
3 / Medical Assistant / 13 / 10 / 3
4 / Computer Operator / 75 / - / 75
5 / Medical Technician / 75 / 65 / 10
6 / LHV / 72 / 67 / 5
7 / Dispenser / 75 / 75 / 0
8 / Midwife / 75 / 60 / 15
9 / N/Qasid / 75 / 75 / 0
10 / Chowkidar / 75 / 74 / 1
11 / Sanitary Worker / 75 / 74 / 1
ii.Rural Health Centres(10)
Sr. No. / Name of Post/Designation / Sanctioned / Filled / Vacant1 / Senior Medical Officers / 10 / 7 / 3
2 / Women Medical Officers / 10 / 2 / 8
3 / Dental Surgeons / 10 / 9 / 1
4 / Medical Officers / 10 / 9 / 1
5 / Charge Nurses / 60 / 33 / 27
6 / Homeo Doctors / 5 / 1 / 4
7 / Hakeems / 2 / 2 / 0
8 / Computer Operators / 10 / 0 / 10
9 / Medical /Health Technician / 0 / 0 / 0
10 / LHV / 19 / 16 / 3
11 / Lab. Technician / 10 / 0 / 10
12 / Dental Technician / 3 / 1 / 2
13 / R.H.I / 22 / 21 / 1
14 / Junior Clerk / 9 / 6 / 3
15 / Vaccinator / 12 / 9 / 3
16 / Homeo Dispenser / 5 / 2 / 3
17 / Dawasaz / 2 / 2 / 0
18 / Radiographer/X-Ray Asstt. / 10 / 6 / 4
19 / Dresser / 2 / 0 / 2
20 / Anesthesia Assistant / 10 / 0 / 10
21 / O.T.A / 10 / 1 / 9
22 / Dispenser / 31 / 28 / 3
23 / Dental Assistant / 7 / 4 / 3
24 / Laboratory Assistant / 10 / 8 / 2
25 / Midwife / 37 / 29 / 8
26 / Driver / 10 / 7 / 3
27 / T.O / 9 / 8 / 1
28 / Homeo Naib Qasid / 5 / 4 / 1
29 / Dawa Kob / 2 / 2 / 0
30 / Ward Servant / 28 / 23 / 5
31 / Sweepers / 26 / 13 / 13
32 / Sanitary Worker / 20 / 8 / 12
33 / Sanitary Patrol / 37 / 29 / 8
34 / Naib Qasid / 36 / 30 / 6
35 / Mali / 10 / 10 / 0
36 / Cook / 9 / 8 / 1
37 / Chowkidar / 10 / 9 / 1
38 / Water Career / 10 / 9 / 1
iii.THQ Hospital Chichiwatni
Sr. No. / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / APMO. / 2 / 2
3 / APWMO. / 1 / 1
4 / Gynecologist / 2 / 2
5 / Pediatrician / 1 / 1
6 / Surgeon / 1 / 1
7 / MO/CMO / 6 / 4
8 / WMO / 2 / 2
9 / Dental Surgeon / 1 / 1
10 / Hospital Pharmacist / 1 / 0
11 / Head Nurse / 1 / 1
12 / Charge Nurses / 7 / 7
13 / Homeo Doctor / 1 / 1
14 / Hakim / 1 / 1
15 / LHV. / 1 / 1
16 / Clerk / 1 / 1
17 / Dispenser/Dresser / 7 / 7
18 / Homeo Dispenser / 1 / 1
19 / Dawasaz / 1 / 1
20 / OTA / 1 / 1
21 / Radiographer / 2 / 2
22 / Laboratory Assistant / 2 / 2
23 / Dental Assistant / 1 / 1
24 / Driver / 2 / 2
25 / Tub well operator / 1 / 1
26 / Dai / 1 / 1
27 / Ward servant / 6 / 6
28 / NQ/Dawakob / 2 / 2
29 / Bearer / 1 / 1
30 / Dhobi / 1 / 1
31 / Gate Keeper / 1 / 1
32 / Mashki / 1 / 1
33 / Baildar / 3 / 2
34 / Chowkidar / 2 / 1
35 / Cook / 1 / 1
36 / Sweeper / 4 / 4
iv.DHQ Hospital
Sr. No. / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / Chief Consultant / 3 / 2
3 / PMO / 1 / 1
4 / PWMO / 1 / 0
5 / AMS / 2 / 1
6 / APMO / 5 / 5
7 / APWMO / 3 / 0
8 / Physician / 2 / 2
9 / Anesthetist / 2 / 1
10 / Cardiologist / 1 / 1
11 / Chest specialist / 1 / 1
12 / DMS / SMO / 6 / 6
13 / Neuro Surgeon / 1 / 1
14 / Nursing Superintendent / 1 / 0
15 / Nephrologist / 1 / 0
16 / Pediatrician / 1 / 1
17 / Pathologist / 1 / 1
18 / Radiologist / 2 / 1
19 / Surgeon / 2 / 2
20 / E.N.T. Specialist / 1 / 1
21 / Eye Specialist / 1 / 0
22 / Senior Dental Surgeon / 1 / 1
23 / Urologist / 1 / 1
24 / Dental Surgeon / 2 / 2
25 / Internees / 3 / 3
26 / Medical Officer / 40 / 23
27 / Pharmacist / 3 / 3
28 / Physiotherapist / 1 / 1
29 / W.M.O / 10 / 4
30 / Charge Nurses / 98 / 96
31 / Head Nurse / 8 / 8
32 / Male Nurse / 4 / 1
33 / Hakeem / 1 / 1
34 / Homeo Doctor / 1 / 1
35 / Almoner / 1 / 1
36 / Computer Operator / 1 / 1
37 / Stenographer / 1 / 0
38 / Accountant / 1 / 1
39 / E.C.G. Haemo & CT Technician / 6 / 6
40 / Senior Clerk / 1 / 1
41 / Sanitary Inspector / 1 / 1
42 / Junior Clerk / 5 / 5
43 / Dawasaz / 1 / 1
44 / Dispenser / 14 / 14
45 / Homeo Dispenser / 1 / 1
46 / Operation Theater Assistant / 7 / 7
47 / Physiotherapist Aide / 2 / 1
48 / Radiographer / 5 / 5
49 / Dental Assistant / 2 / 2
50 / Lab. Assistant / 5 / 5
51 / Store Keeper / 2 / 2
52 / Driver / 5 / 5
53 / Midwife / 3 / 3
54 / Tailor Master / 1 / 1
55 / Tube well Operator / 1 / 1
56 / Lab. Attendant / 1 / 1
57 / O.T. Attendant / 3 / 3
58 / X-Ray Attendant / 1 / 1
59 / Ambulance Cleaner / 1 / 0
60 / Bearer / 7 / 7
61 / Baildar / 5 / 5
62 / Chowkidar / 7 / 7
63 / Cook / 5 / 0
64 / Dawakob / 1 / 1
65 / Dhobi / 4 / 4
66 / Gate Man / 2 / 2
67 / Mali / 2 / 2
68 / Masalchi / 1 / 1
69 / Sanitary Worker / 49 / 33
70 / Ward Cleaner / 9 / 5
71 / Ward Servant / 68 / 61
72 / Water Carrier / 3 / 3
73 / Naib Qasid / 4 / 4
v.Government Haji Abdul Qayyum Hospital Sahiwal
Sr. No. / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / APMOs / 3 / 3
3 / APWMO / 2 / 0
4 / Anesthetist / 1 / 1
5 / Surgeon / 1 / 1
6 / Orthopedic Surgeon / 1 / 0
7 / Pediatrician / 1 / 1
8 / Gynecologist / 1 / 1
9 / Radiologist / 2 / 1
10 / Registrar / 1 / 1
11 / Medical Officer / 3 / 3
12 / CMOs / 2 / 2
13 / CWMOs / 2 / 1
14 / Head Nurse / 1 / 1
15 / Charge Nurse / 9 / 9
16 / L H V / 1 / 1
17 / Accountant / 1 / 1
18 / Junior Clerk / 1 / 1
19 / Store Keeper / 1 / 1
20 / Dispenser / 6 / 6
21 / Operation Theater Asstt. / 2 / 1
22 / Radiographer / 2 / 2
23 / Lab. Assistant / 2 / 2
24 / Dental Assistant / 1 / 1
25 / Driver / 1 / 0
26 / Midwife / 1 / 1
27 / O.T Attendant / 1 / 1
28 / Lab. Attendant / 1 / 1
29 / X-Ray Attendant / 1 / 1
30 / Naib Qasid / 3 / 3
31 / Ward Servant / 11 / 9
32 / Water Carrier / 1 / 1
33 / Mali / 1 / 1
34 / Baildar / 2 / 0
35 / Chowkidar / 3 / 3
36 / Sanitary Worker / 12 / 5
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 / FilledVaccinators / 105 / 98
CDC Supervisors / 70 / 60
Sanitary Inspectors / 75 / 24
d)Training Institutions
A number of training institutions are working in the district, which include the following:
Type of institute / NumberDHDC / 1
General Nursing school / 1
Paramedics school / 1
Public Health Nursing School / 1
i.DHDC
Post / Sanctioned / FilledProgramme Director / 1 / 1
MPPT / 1 / 1
LHV Trainer / 1 / 0
Assistant / 1 / 0
Driver / 1 / 0
Naib Qasid / 1 / 1
Chowkidar / 2 / 2
Sanitary Worker / 1 / 1
ii.General Nursing School
Name of Post/Designation / Sanctioned / FilledPrincipal School of Nursing / 0 / 0
Nursing Instructor / 1 / 1
House Keeper / 1 / 1
Sweeper / 2 / 2
Naib Qasid / 1 / 1
Chowkidar/Gate Keeper / 2 / 2
Cook / 1 / 1
Masalchi / 1 / 1
iii.Paramedical School
Post / Sanctioned / FilledPrincipal / 1 / 1
Head Clerk / 1 / 1
Stenographer / 1 / 0
Hostel Warden / 1 / 0
Tutors / 8 / 8
Store Keeper / 1 / 0
Senior Clerk / 1 / 1
Accountant / 2 / 1
Junior Clerk / 1 / 0
AVO / 1 / 0
Librarian / 2 / 2
Lab Assistant / 1 / 1
Driver / 1 / 0
Lab Attendant / 1 / 1
Naib Qasid / 6 / 6
Chowkidar / 3 / 3
Cook / 2 / 2
Bail Dar / 1 / 1
Bearer / 2 / 2
Sanitary Worker / 2 / 1
Mali / 4 / 3
Water Carrier / 6 / 6
iv.Public Health Nursing School
Post / Sanctioned / FilledPrincipal / 01 / 01
Woman Medical Officer / 02 / 0
Nursing Superintendent / 01 / 01
Nursing Miidwifery Tutor / 02 / 02
Nursing Nurses Midwifery Tutor / 02 / 02
Public Health Nursing Supervisor / 02 / 02
Health Educator / 01 / 01
Lady Health Visitors / 04 / 03
House Keeper / 01 / 01
Sweeper / 02 / 02
Naib Qasid / 02 / 02
Chowkidar/Gate Keeper / 02 / 02
Drivers / 02 / 02
Sanitary WWorker / 02 / 02
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 / Year2007-08 / 2008-09 / 2009-10 upto 03/2010
Allocation / Exp. / Allocation / Exp. / Allocation / Exp.
Non-Development / 368.256 / 342.001 / 404.488 / 396.315 / 410.405 / 262.663
Development / 48.077 / 2.876 / 198.775 / 51.376 / 21.068 / 15.498
Sub Total / 416,334,200 / 344,878,225 / 404,488,747 / 447,692,175 / 417,864,680 / 219,348,218
PHSRP / 102.000 / 98.337 / 21.000 / 12.673 / 8.326 / 3.418
PMDGP / 108.050 / 0 / 108.050 / 55.649
PDSSP / 23.270 / 0 / 45.365 / 28.239 / 11.279 / 11.150
Provincial Development Funds (ADP) / - / - / - / - / - / -
Grand Total
User charges (like parchi fee, fees for diagnostic services) / 5316610 / - / 5814219 / - / 6.315 / -
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 / Total / % ageRespiratory Diseases
1 / Acute (Upper) Respiratory Infections / 39% / 211856
2 / Pneumonia <5 years / 1.1% / 5969
3 / Pneumonia >5 years / 1.05% / 5698
4 / TB Suspects / 1.4% / 7711
5 / Chronic Obstructive Pulmonary Diseases / 0.71% / 3878
6 / Asthma / 3.5% / 19190
Gastro Intestinal Disease
7 / Diarrhoea/Dysentery in <5 yrs / 3.9% / 21122
8 / Diarrhoea/Dysentery in >5 yrs / 4.1% / 22497
9 / Enteric / Typhoid Fever / 0.41% / 2241
10 / Worm Infestations / 1.3% / 7298
11 / Peptic Ulcer Diseases / 5.01% / 27153
12 / Cirrhosis of Liver / 0.32% / 1722
Urinary Tract Diseases
13 / Urinary Tract Infections / 1.5% / 8163
14 / Nephritis/Nephrosis / 0.06% / 356
15 / Sexually Transmitted Infections / 0.02% / 110
16 / Benign Enlargement of Prostrate / 0.08% / 469
Other Communicable Diseases
17 / Suspected Malaria / 1.6% / 9018
18 / Suspected Meningitis / 0.03% / 53
19 / Fever due to other causes / 1.8% / 9586
Vaccine Preventable Diseases
20 / Suspected Measles / 0.04% / 236
21 / Suspected Viral Hepatitis / 0.18% / 993
22 / Suspected Neo Natal Tetanus / 0.01% / 63
Cardiovascular Diseases
23 / Ischemic Heart Disease / 0.87% / 4703
24 / Hypertension / 4.8% / 26108
Skin Diseases
25 / Scabies / 9.8% / 53586
26 / Dermatitis / 4.7% / 25591
27 / Cutaneous Leishmaniasis / 0.18% / 1018
Endocrine Diseases
28 / Diabetes Mellitus / 3.3% / 17940
Neuro-Psychiatric Diseases
29 / Depression / 0.40% / 2216
30 / Drug Dependence / 0.02% / 136
31 / Epilepsy / 0.02% / 104
Eye & ENT
32 / Cataract / 0.45% / 2462
33 / Trachoma / 0.10% / 558
34 / Glaucoma / 0.05% / 283
35 / Otitis Media / 1.7% / 9146
Oral Diseases
36 / Dental Caries / 2.8% / 15146
Injuries / Poisoning
37 / Road traffic accidents / 2.6% / 14302
38 / Fractures / 0.38% / 2053
39 / Burns / 0.22% / 1177
40 / Dog bite / 0.29% / 1577
41 / Snake bits (with signs/symptoms of poisoning) / 0.01% / 69
Miscellaneous Diseases
42 / Acute Flaccid Paralysis / 0.0022% / 12
43 / Suspected HIV/AIDS / 0.03% / 152
Grand Total / 100 / 543721
Source: Compiled from PHC and SHC DHIS Reporst