District Health Profile Dera Ghazi Khan -...

Dera Ghazi Khan

2005

District Health Profile

District Health Profile – Dera Ghazi Khan

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Preface There has never been a more opportune time to work on improving maternal and newborn health in Pakistan. The country has an extensive health service network in place yet mortality and morbidity rates for mothers and newborn babies remain disturbingly high. Each year some 4.5 million women give birth and as many as 30,000 die of pregnancy-related causes. In response to this, USAID has launched the Pakistan Initiative for Mothers and Newborns, a five-year project to implement a full range of health interventions. The task has been entrusted to John Snow Inc. and partners. Adding further impetus, the Government of Pakistan has made public its support in providing quality health services to mothers and their newborns and its commitment to achieving the Millennium Development Goals which call for a reduction in the maternal mortality ratio by three quarters by 2015. Devolution of the health sector means that the District health system now has a vital part to play and responsibility to assume. As part of the preparation for district level planning, JSI has worked with District Health officials in compiling a series of district profiles. For successful future planning, it is vital that information is gathered at the district level. I would like to acknowledge CONTECH International Health Consultants, one of our partners, for taking the lead in preparing the district profiles. These profiles take a vital step closer to achieving all our aims.

Dr. Nabeela Ali Chief of Party Pakistan Initiative for Mothers and Newborns (PAIMAN)


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Foreword The District Health Department of District D.G. Khan welcomes this initiative by PAIMAN. Devolution has brought with it many challenges to improve maternal and newborn health in Pakistan. Chief among them is the realization that health professionals working in the districts must take responsibility for their own planning and improvement of services. Vital in upgrading and coordinating services is data gathered using special indicators specific to districts. As such the production of health profiles at district level provides an invaluable tool for future planning. The District welcomes PAIMAN’s invitation to work with it in improving maternal health for all women and newborns. It is only through partnership at every level of the public and private sector that successes will be achieved.

Executive District Officer – Health District Dera Ghazi Khan


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ACRONYMS

ADB Asian Development Bank

ARI Acute Respiratory Infections

AJK Azad Jammu and Kashmir

ASV Assistant Superintendent of Vaccination

BCG Bacillus Calmette-Guérin

BHUs Basic Health Units

CIA Central Investigation Agency

CDC Communicable Disease Control

CDD Communication Disease Department

CDCO Communicable Disease Control Officer

DCO District Coordination Officer

DDO Deputy District Officer

DDHO Deputy District Health Officer

D.G. Khan Dera Ghazi Khan

DHDC District Health Development Center

DHEO District Health Education Officer

DHMT District Health Management Teams

DHQ District Headquarter Hospital

DOH District Officer Health

DMS Deputy Medical Superintendent

DPT Diphtheria-Tetanus-Pertussis vaccine

DTPS District Team Problem Solving

DSV District Superintendent of Vaccination

EDO Executive District Officer

EmOC Emergency Obstetric Care

EPI Expanded Program on Immunization

FHT Female Health Technician

FP Family Planning

FANA Federally Administered Northern Areas

FATA Federally Administered Tribal Areas


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GNI Gross National Income

GPs General Practitioners

HMIS Health Management Information System

HIV/AIDS Human Immune Deficiency Virus/Acquired Immunodeficiency Syndrome

I/C In-charge

IPC Inter-Personal Communication

JSI John Snow Inc.

LHV Lady Health Visitor

LHWs Lady Health Workers

MCEB Mean Children Ever Born

MCH Maternal and Child Health

MCHCs Maternal and Child Health Centers

MNCH Maternal, Neonatal and Child Health

MO Medical Officer

MREO Monitoring, Research and Evaluation Officer

MS Medical Superintendent

NGO Non Governmental Organization

NWFP North West Frontier Province

PAIMAN Pakistan Initiative for Mothers and Newborns

PHC Primary Health Care

PMDC Pakistan Medical and Dental Council

OBSI Optimum Birth Spacing Initiative

OPV Oral Polio Vaccine

OTA Operation Theater Assistant

RHC Rural Health Centers

RHSC-A Reproductive Health Services Center -A

SMO Senior Medical Officer

SNL Saving Newborn Lives

TB Tuberculosis

TB DOTS Tuberculosis Directly Observed Treatment Short Strategy

TBA Traditional Birth Attendant

TFR Total Fertility Rate

THQ Tehsil Headquarter Hospital


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TT Tetanus Toxoid

UNICEF United Nation’s International Children Fund

UNDP United Nations Development Program

USAID United States Agency for International Development

WMO Woman Medical Officer


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Table of contents

Preface I Foreword II Acronyms III Table of Contents VI Section 1 – Context 1

1.1 Introduction and Background 2 1.2 Pakistan Initiative for Mothers and Newborns (PAIMAN) 2 1.3 District Health Profiles 4

Section 2 – Introduction 5

2.1 District D.G. Khan at a Glance 6 2.2 District Health System (DHS) 7

Section 3 – Health System in District Dera Ghazi Khan 10

3.1 District Health Department 11 3.2 District Health Management Team (DHMT) 11 3.3 Demographic Information 12 3.4 Fertility Behavior 13 3.5 Health Indicators 14 3.6 Socio-economic Indicators 15 3.7 Health Facilities 15 3.8 Public Sector Health Manpower 19 3.9 District Health Development Center (DHDC) 19 3.10 Other Health Initiatives including Public Private Partnership 19 3.11 Population Welfare Department 20 3.12 Private clinics and hospitals 21 3.13 Non-Governmental Organizations (NGO)s 21

Section 4 – Budget Allocation and Utilization 22 Data Set – List of Table 26

1 Population structure of District D. G. Khan 27 2 Demographic information on D.G. Khan, Punjab and Pakistan 28 3 Comparison on indicators of Women and Fertility Behavior 29 4 Comparison between basic indicators of D.G. Khan, Punjab and Pakistan

30

5 Comparison between health and nutrition indicators of D.G. Khan, Punjab and Pakistan

31


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6 Comparison between social indicators of D.G. Khan, Punjab and Pakistan

32

7 Human Resource Position a. Human Resource Position at BHUs b. Human Resource Position at RHCs c. Human Resource Position at MCHCs d. Human Resource Position at THQ Taunsa

33 33 33 34 35

8 Public Health Sector Manpower 37 9 Training Profile of DHDC D.G. Khan for the year 2004 40 10 List of private sector health care providers 41 11 List of NGOs working in D.G. Khan 50 12 Budget Allocation for the DHD of D. G. Khan 56

List of Figures 1 PAIMAN districts 3 2 Three main determinants of DHS 7 3 Organizational Structure – District Health Department 11 4 Sex-wise population distribution 12 5 Urban-Rural population distribution 13 6 CPR and TFR comparison 13 7 Infant mortality rate comparison 14 8 Under 5 mortality rate 14 9 Staff Positions at BHUs 16 10 Comparison of district total budget with health sector budget 23 11 Category-wise health sector budget break-up 23 12 Percentage budget utilization (year-wise) 24

Annexures 57 Annexure – A (TORs of DHMT) 58 Annexure – B (Map of health facilities in District D.G. Khan) 59 References 60


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Section 1 – Context • Pakistan Initiative for Mothers and Newborns (PAIMAN) • District Health Profiles


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1. CONTEXT

1.1. Introduction and Background

Pakistan is the 6th most populous country in the world with a

population of over 1541 million people. There is an alarmingly

high Maternal Mortality Ratio of 350-4002 accompanied with a

high infant mortality rate of 77/10001 and an under-five

mortality rate of 101/1000 live births3. The estimated

population growth rate is 1.9 % per annum2, which projects that

Pakistan’s population would increase to 226 million by year

2025. The Total Fertility Rate (TFR) is 4.01 which ranks amongst

the highest in the world and the second highest in the region.

1.2. Pakistan Initiative for Mothers and Newborns (PAIMAN)

The Pakistan Initiative for Mothers and Newborns (PAIMAN) is a

five-year project funded by the United States Agency for

International Development (USAID). The goal of the PAIMAN

project is to reduce maternal, newborn, and child mortality in

Pakistan, through viable and demonstrable initiatives in 10

districts of Pakistan. The project is working on capacity

building of public and private health care providers and

structures within health systems and communities. This strategy

will ensure improvements and supportive linkages in the

continuum of health care for women from the home to the

hospital. The key partners in the implementation of PAIMAN are

the Ministry of Health, the Ministry of Population Welfare, the

Provincial Health Departments, the private sector and

consortium partners.


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Figure 1: PAIMAN Districts

Strategic Objectives The project is based on the “Pathway to Care and Survival”

framework. The five major strategic objectives are as follows:

• Increase awareness and promote positive maternal and

neonatal health behaviours;

• Increase access to and increase community involvement in maternal and child health services (including essential obstetric care) and ensure services are delivered through health and ancillary health services;

• Improve service quality in both the public and private sectors, particularly related to management of obstetrical complications;

• Increase capacity of MNH managers and care providers; and

• Improve management and integration of health services at all levels.

The PAIMAN consortium is lead by John Snow Inc. (JSI), a US-

based public health organization. JSI is joined by a number of

international and local organizations to form a strong,

professional team for implementing this project.

PAIMAN is being

implemented in 10

districts of Pakistan.

These include

Rawalpindi, Jhelum,

D.G. Khan, Khanewal

(Punjab); Sukkur, Dadu

(Sindh); Jaffarabad,

Lasbella (Balochistan);

and Upper Dir, Buner

(NWFP) refer in Figure 1.


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1.3. District Health Profiles

The PAIMAN project has prepared district health profiles which

contain relevant basic information for each of the program

district. The purpose of preparing district profiles is to have a

comprehensive document which can be used by District Health

Management Teams (DHMT), international and national

stakeholders and the PAIMAN team as a ready reference.

Data collection instruments were developed by a team of

eminent public health experts. Teams for data collection were

trained for two days at the Contech International Head Office in

Lahore. Data was collected, tabulated and analyzed by the

Contech team.


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Section 2 ‐ Introduction • District Dera Ghazi Khan at a Glance • District Health System


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2. INTRODUCTION

2.1. District Dera Ghazi Khan at a Glance

Dera Ghazi Khan Town was founded by Haji Khan, after the

name of his son Ghazi Khan. In 1849, on the conclusion of the

second Sikh War, the British Government declared it as a district.

This district is situated in the southwestern part of Pakistan. The

district consists of two major towns, i.e. DG Khan and Taunsa.

The district is bounded on the north by the District Dera Ismail

Khan (NWFP) and its adjoining area; on the east by Muzaffargarh

and Layyah separating these two districts by river Indus; on the

south by Rajanpur: and on the west by Musa Khail and Barkhan

districts of Balochistan Province.

The total area of the district is 119224 square kilometers.

Geographically, District DG Khan is divided into two regions i.e.

one is the mountainous area and the other is plane in the east.

The western half of the district is covered by the hills of the

Suleman Mountains. The mountains are formed of sandstone

with occasional autocross of limestone. The plane area of the

district can be subdivided into three natural tracts, namely,

piedmont area, canal-well irrigated plane area and riverine area.

The piedmont area stretches along base of hills. The cultivation

in area depends upon flow of hill torrents. Canal-well irrigated

plane area forms the intermediate zone between the piedmont

area and riverine area. The cultivation of these areas depends

upon the spills of the river Indus.

The district headquarter D.G. Khan is connected with metalled

roads to its Tehsil headquarters. A metalled road also connects

this district with Musa Kheail, Barkhan, Loralai and other

districts. The district is served by railway line from Taunsa

Barrage to Rajanpur District across which it leads to Jacobbabad


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Figure 2: Three main determinants of DHS

District of Sindh. DG Khan is linked with Lahore, Rawalpindi,

Karachi, Quetta and Peshawar through rail. There is also an

airport, 26 kilometers away from the main DG Khan city. The

annual mean minimum and maximum temperatures remain

around 4.5ºC in January and above 42ºC in June respectively.

The cultivation and livestock breeding are the main pursuits and

the means of the livelihood of the rural and urban population.

The other subsidiary means of occupation of the rural

population is basket making, mat and shoe making.

For administration of health services, District D. G. Khan is

divided into two tehsils, i.e. D. G. Khan and Taunsa, and one

tribal area. There are 59 union councils comprising of 51 rural

and 8 urban. Their elected representatives formulate the Zilla

(District) and Tehsil (Town) councils. Political constituencies

include 2 national seats and 4 provincial seats in the legislative

assemblies.

2.2. District Health System (DHS)

A DHS includes the

interrelated elements in

the district that

contribute to health in

homes, educational

institutions,

workplaces, public

places and

communities, as well as

in the physical and

psychosocial

environment. A DHS

based on Primary

Health Care (PHC) is a self-contained segment of the national


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health system. It includes all the relevant health care activities in

the area, whether governmental or otherwise. It includes self-

care and all health care personnel and facilities, whether

governmental or non-governmental, up to and including the

hospital at the first referral level and the appropriate support

services (laboratory, diagnostic and logistic support). As the

decentralized part of the national health system, the DHS

represents a manageable unit, which can integrate health

programs by allowing top-down and bottom-up planning and is

capable of coordinating government and private sector efforts.

Following are the three main criteria for defining a DHS unit:

A clearly defined area with local administration and

representation of different sectors and departments;

An area which can serve as a unit for decentralized inter-

sectoral planning of health care; and

A network of health facilities with referral support.

The district is the basic administrative unit in Pakistan. The

presence of district managers and supervisors led by the

Executive District Officer (EDO) Health offers the opportunity to

function as an effective team with support from the

representatives of other departments, Non-Government

Organization (NGOs), private sector as well as the community.

In any health system, there are three important elements that

are highly interdependent, namely: the community, the health

service delivery system and the environment where the first two

elements operate. Figure 2 illustrates the interdependence of

these elements.


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Environment

This, for example, could be the context in which the health

service delivery system operates. The contextual environment

could be the political system, health-care policies and

development policies. It could also include the socio-economic

status or the physical environment, e.g. climatic conditions. All

these elements have a bearing on the health status of the

individual and the community, as well as the functioning of the

health service delivery system.

Health Service Delivery System

This depicts how health facilities are distributed in the

community, which could also have a bearing on coverage.

Similarly, health services could be viewed in terms of their

affordability and responsiveness to equity which contribute to

the health status of the community.

Community

The characteristics of the society, such as culture, gender,

beliefs and health-seeking behavior, together with the

environment and health service delivery system, determine the

health status.

It is worth mentioning that information included in district

health profiles takes into account the broader perspective of

district health system conceptualized in the preceding

paragraphs.


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Section 3 – Health System in District Dera Ghazi Khan

• District Health Department • District Health Management Team (DHMT) • Demographic Information • Fertility Behavior • Health Indicators • Socio-economic Indicators • Health Facilities • Public Sector Health Manpower • District Health Development Center • Other Health Initiatives including Public Private Partnership (PPP) • Population Welfare Department • Private Clinics and Hospitals • Non Governmental Organizations (NGOs)


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3. Health System in District Dera Ghazi Khan

3.1. District Health Department

The health care delivery network is headed by Executive District

Officer Health. He is assisted by the District Officer Health

(DOH), the Medical Superintendent (MS) of the District

Headquarter (DHQ) Hospital and the Tehsil Headquarter

Hospitals (THQ), and the Program Director of the District Health

Development Center (DHDC). There is an operational District

Health Management Team (DHMT) in the district. The

organizational structure of district health department is given

below:

3.2. District Health Management Team (DHMT)

DHMT is part of the overall health sector reforms and

decentralization of health services at the district level. The

concept of DHMT allows efficient management of health

facilities and services in the district for the promotion and

support for the preventative, educative, curative and

rehabilitative health services in the district.

Figure 3: Organizational structure district health department

M.S THQHospitals

Program DirectorDHDC

MS DHQ Hospital

Principal NursingSchool

DDHOs

District Superintendent

Vaccination

District Sanitary

Vaccination

AssistantEntomologist

District Coordinator

NP for FP & PHC

Executive District Officer (Health)

Nursing Superintendant

AIHS

District Sanitary Inspector

District Officer (Health)

District Coordinator Women Health Project


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52%

48%

MalesFemales

On the recommendation of Project Director, Women Health

Project Punjab and Secretary, Government of the Punjab, Health

Department, the Punjab Local Government and Rural

Development issued a notification in June 2005 for

establishment of DHMTs in all districts of Punjab. The

composition of DHMT as was notified is given under1:

3.3. Demographic Information

The current population

of District D.G. Khan is

2,018,0005 with 52%

males and 48% females

as shown in Figure 4.

The estimated annual

population growth rate is

3.42%. Overall Literacy

rate is 36%6. Population

density is 1457 persons per square kilometre. The average

household size is 6.96.

1 Terms of Reference of this DHMT is annexed as annexure A.

Composition of DHMT 1 Executive District Officer-Health Chairman 2 District Officer( Health) Member 3 Deputy District Health Officer(Headquarter) Secretary 4 Executive District Officer( Community Development) Member 5 Executive District Officer (Education) Member

6 District Officer Coordination as representative of District Coordination Officer Member

7 Two nominees of District Nazim (One Nazim Union Council and one lady member of Zila Assembly) Member

8 One representative of reputable NGO working in respective district Member

9 Two co-opted members if required Member

Figure 4: Sex-wise Population Distribution


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Figure 5: Rural Urban Population Distribution

86%

14%

Rural

Urban

Figure 6: CPR and TFR Comparison

27

6

36

4.7

36

4

0

5

10

15

20

25

30

35

40

Dera Ghazi Khan Punjab Pakistan

CPRTFR

The percentage break-up

of the rural and urban

population is 86 and 145

respectively showing

that most of the district

population lives in rural

areas as shown in Figure

5. The break up of

population may also be

seen in Table 1. The crude death rate is 9 per 1000, which is

higher than the national figure of 83 per 1000. The crude birth

rate in D. G. Khan is 42.59 per 1000 as compared to 31 per

10003 at national level. Table 2 gives more information on

demographic indicators.

3.4. Fertility Behaviour

In D. G. Khan, like the rest of the country, community social

structures and belief systems are

defined and dominated by men, which perpetuate gender

imbalances and contribute

to poor

outcomes in

fertility

behavior and

reproductive

health. Thus,

the

contraceptive

use remains low

(27%) although

knowledge about contraceptives is high (76%)6 as shown in

Figure 6. A considerable unmet need for family planning

services exists, which has not been converted into effective


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Figure 8: Under five mortality rate

128112

101

0

20

40

60

80

100

120

140

Dera GhaziKhan

Punjab Pakistan

U5MR

Figure 7: Infant Mortality Rate

87

77 77

72

74

76

78

80

82

84

86

88

Dera Ghazi Khan Punjab Pakistan

IMR

contraceptive usage; partly because of family dynamics of a

male dominated society. Mean Children Ever Born (MCEB) to

married women aged 15-49 are 3.11 in District D. G. Khan as

compared to 2.32 in Punjab8. The Total Fertility Rate is 69 as

compared to 4.78 in the province and 4.01 in the country as a

whole. There is a growing commitment by both the provincial

and district governments to review and reform the equity of

service delivery. Comparison of indicators on women and

fertility behaviours is given in Table 3.

3.5. Health Indicators

People, in general, are poor and experience high levels of

mortality, morbidity and disability. An appropriately defined and

maintained set of health

indicators provides

information for the

elaboration of a

relevant profile of the

population’s health

situation. In District

D. G. Khan, 77% of

the population has

access to safe

drinking water while the

sanitation facilities

are available to 33%

of the population.

The infant mortality

rate has been

estimated to be 87

per thousand live

births8 which is


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higher than provincial and national figure as shown in Figure 7.

Under 5 mortality rate is 128 which is again higher than the

provincial figure of 1128. The prevalence of underweight in

children under five years of age is 45%. Twenty-five percent of

children (< 6-9 months) are breastfed with complementary food

as compared to 44% in Punjab8 and 31%3 in Pakistan. The

percentage of children under 5 years of age receiving Vitamin A

supplementation is 80 against 87 in Punjab. 7% of the

population is currently using iodized salt as compared to 8% in

Punjab8. The comparison of Health indicators may be seen in

Table 4 and 5.

3.6. Socio-economic Indicators

The literacy rate of 36%6 is lower than the rest of the country

(49%)3. Similarly, primary school enrolment rate is very low (34);

i.e. 38 for males and 29% for females. Poverty remains a serious

concern in Pakistan. With a per capita gross national income (GNI)

of $7362, poverty rates had fallen substantially in the 1980s and

early 1990s, started to rise again towards the end of the decade.

In 2004-05, 33% of the population was living below the poverty

line. In District Dera Ghazi Khan, poverty is significantly high as

60% of the population earns below Rs. 878 per month.

The above picture depicts the need of renewed and additional

efforts within the district in order to meet the vision embraced in

the Millennium Development Goals by 2015. Comparison of

social-economic indicators of D. G. Khan with Punjab and

Pakistan may be seen in Table 6.

3.7. Health Facilities The health care delivery system of the district health department

of D.G. Khan comprises of one DHQ, one THQ and two Civil


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Figure 9: Staff Position at BHUs

5350 50

31

105

0

10

20

30

40

50

60

Doctors LHVs FemaleHealth

Technician

SanctionedFilled

Hospitals. In addition there are 9 Rural Health Centers, 53 Basic

Health Units, 5 MCH centers and 29 Dispensaries.

The following facilities are currently providing services in the

district:

Basic Health Units (BHUs)

The BHUs have been established at the union council level that

normally provides primary health care services, which include11

provision of static and out reach services, MCH, FP, EPI and advice

on food and nutrition, logistics and management support to LHWs

and TBAs and provision of first-level referral services for patients

referred by LHWs.

Fifty-three BHUs are functional in District D. G. Khan. Overall

human resource except doctors in BHUs of District D. G. Khan

needs improvement as can be seen in Figure 9. For the 53 BHUs in

the district, there are 53

sanctioned positions of

doctors. Three posts,

however, are lying

vacant. There are 50

sanctioned posts for

LHVs, out of which 19

are vacant and out of 10

posts for Female Health

Technician (FHT), 5 posts

lying vacant as depicted in Figure 9. There are 52 sanctioned

posts of dispensers against a requirement of 53, out of which 6

are vacant. There are 47 sanctioned posts for Health Technicians

against the requirement of 53, out of which 11 are lying vacant.

The Human Resource position at BHU D. G. Khan can be seen in

Table 7a.


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Rural Health Centers (RHC)

RHCs are small rural hospitals located at the town

committee/markaz level. The role of the RHCs11 includes the

provision of primary level curative care; static and out-reach

services like MCH, FP, EPI and advice on food and nutrition;

sanitation, health education; CDC, ARI and acting as a referral link

for patients referred by LHWs, TBAs and BHUs. RHCs are first-level

care facilities where medico-legal duties are also performed. They

serve a catchment population of about 25,000–50,000 people,

with about 30 staff including 3-4 doctors and a number of

paramedics. They have 10-20 beds, x-ray machine, laboratory and

minor surgery facilities. It is mandatory for male and female

medical officers, LHV and support staff to reside at the premises

so as to ensure their presence round the clock.

Nine RHCs are functioning in District D. G. Khan. Out of 30 posts

of doctors, 12 are lying vacant. The details of Human Resource

position at RHCs D. G. Khan can be seen in Table 7b.

Maternal & Child Health Centers (MCHC)

MCH centers have been established in rural and peri-urban areas.

Activities at MCHCs include antenatal, natal and postnatal care.

Growth monitoring, health education and family planning

advice/services are also provided.

Presently 5 MCH Centers are established and providing services in

the district. All the MCH Centers are fully staffed except for one

center where the post of Dai is lying vacant. Moreover, the posts

of the Chauwkidars are not sanctioned, which are necessary for

the security purposes. The Human Resource position at MCHCs

can be seen in Table 7c.


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Tehsil Headquarter (THQ) Hospitals

The THQ Hospital is serving as a first-level referral hospital, which

receives health care users from the catchment area and referrals

from RHCs and BHUs within the tehsil. The THQ Hospital provides

specialist support and expertise of clinicians and offers basic in-

patient services as well as out-patient services. This serves a

catchment population of about 100,000 to 300,000 people; and

typically has 40-90 beds and appropriate support services

including x-ray, laboratory and surgical facilities. Its staff may

include specialists such as a general surgeon, obstetrician &

gynaecologist, ophthalmologist, and occasionally supported by an

anaesthetist.

One THQ Hospital at Taunsa is functioning in District D. G. Khan.

The positions of Gynecologist and Dental Surgeon are not filled at

the THQ Hospital Taunsa. Moreover, the position of the Medical

Specialist and Anesthesiologist is not sanctioned. The Human

Resource position at THQH D. G. Khan can be seen in Table 7d.

District Headquarter (DHQ) Hospital

DHQ Hospitals also provide secondary care with additional

specialties as compared to THQ Hospitals. DHQ Hospitals receive

health care users from lower level health facilities including THQ

Hospitals, RHCs and BHUs and provide services in all major

specialties including general surgery & medicine, ENT, pediatrics,

ophthalmology, pathology, chest diseases, cardiology, and

gynecology. Preventive care is also provided such as health

education, immunization and antenatal care.

In D. G. Khan, a 150-bedded hospital which receives health care

users directly and from lower level health facilities including the

THQ Hospital provides specialist care.


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3.8. Public Sector Health Manpower Out of 1204 sanctioned positions in District D. G. Khan, 80% are

filled. Among the management cadre, only the position of one

Deputy Medical Superintendent is lying vacant. Out of 143

positions of doctors, 47 are lying vacant and among the para-

medical staff, 17 positions of LHVs, 10 positions of health

technicians, 5 positions of female health technicians and 7

positions of dispensers are lying vacant.

The reason generally mentioned for unfilled positions is a

continued ban on staff recruitment. Vacancies were filled

whenever the ban was lifted for brief periods. It is pertinent to

note that there is no significant improvement in the situation

following devolution. Other reasons quoted for the inability to fill

the vacant positions include a policy to hire staff on a contract

basis rather than by recruitment through the Public Service

Commission on permanent basis. The details of positions are

mentioned in Table 8.

3.9. District Health Development Centre (DHDC) DHDC D. G. Khan was established in 1998 under the World Bank-

assisted Second Family Health Project to provide pre/in-service

trainings and other research and development activities. The

mission of the DHDCs is to support district health services

through training, as well as developmental and operational

research activities. The details of the training profile of the DHDC

for the year 2004 are given in Table 9.

3.10. Other Health Initiatives including Public Private Partnership There are a number of initiatives being implemented in D. G.

Khan, both in the public sector as well as the private/NGO sector.

Among the government initiatives there are the EPI, the National

Program for Family Planning and Primary Health Care, and the T.B.

DOTS program.


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i. Expanded Program on Immunization (EPI): The

District Superintendent of Vaccination (DSV) under the

supervision of the DOH and the EDO (H) manages the

EPI in the district. The DSV is supposed to coordinate

and supervise the activities of the EPI at all fixed

centers and outreach teams. EPI coverage of district

has been 37%.

ii. The National Program for Family Planning & Primary

Health Care: The National Program for Family Planning

and Primary Health Care provides the missing link

between health care outlets and users of health

services. The link is provided through a network of

Lady Health Workers (LHWs), especially trained in PHC,

family planning and community organization. At

present, the number of LHWs is 1000 in the district,

with almost 50% population coverage.

iii. Optimal Birth Spacing Initiative: This project

launched in January, 2005. Under this initiative,

training on Optimal Birth Spacing Initiative (OBSI) was

given to 60 Master Trainers and 678 LHWs.

iv. T.B. DOTS Program: The T.B. DOTS program was

started in April, 2004. The training of doctors has been

completed whereas only 50% of the paramedics and

microscopists have been trained.

3.11. Population Welfare Department Major services offered by the District Population Welfare Office

include Family Planning, Maternal Care, Child Care and General

Health Care Services.

These services in District D. G. Khan are offered through one RHSC-

A, one RHSC-B, 2 mobile service units and 31 family welfare

centers. However, as decided in the meeting of the Central Working

Development Party in January 2005, all the Family Welfare Center


page | 21

Staff was to be stationed in the nearest Basic Health Unit from July

1, 2005.

3.12. Private Clinics and Hospitals

There has been rapid growth in the number of private clinics and

hospitals in the recent past. Health care being provided by the

private sector is preferred by the community if they can afford it.

People are also attracted by the innumerable, “less expensive”

quacks. All efforts to enlist them have failed in the past.

There are 146 general medical practitioners and 45 hospitals

working in the private sector located in major towns of the district.

Different strategies need to be adopted in order to mainstream the

private sector including public private partnerships,

standardization of private practice, provision of training

opportunities and inclusion in the social marketing of health. A list

of private clinics and hospitals operating in D. G. Khan may be seen

in Table 10.

3.13. Non Governmental Organizations (NGO)s The Social Welfare Department of the district is headed by the

Executive District Officer for Community Development and

supported by the Deputy District Officer. The department was

devolved after the promulgation of the Punjab Local Government

Ordinance 2001 and has been a district government subject since

then. There is a strategic, as well as an annual operational plan for

the district social welfare office. It is mandatory for all NGOs to

register with the Social Welfare Department. There are 82

registered NGO’s in District Dera Ghazi Khan with a breakup of 50

for Tehsil D. G. Khan and 32 for Tehsil Taunsa Sharif. The main

focus of these organizations is on the health and education of

women and children in particular. A list of some significant NGOs

working in District D. G. Khan may be seen in Table 11.


page | 22

Section 4 – Budget Allocation and Utilization


page | 23

Figure 10: Comparison of Total with Health Sector Budget (Rs. In million)

894

159

1,157

199

1,295

163

1,458

186

-

200

400

600

800

1,000

1,200

1,400

1,600

Y2001-2 Y2002-3 Y2003-4 Y2004-5

Total District Budget

Health Sector Budget

Figure 11: Category wise Health Sector Budget Breakup

28%

24%

48%

44%

22%

60%

33%

17%

46%

44%

18%

51%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Y2001-2 Y2002-3 Y2003-4 Y2004-5

Non-developmentDevelopmentNon salarySalary

4. Budget Allocations and Utilization D. G. Khan District witnessed a gradual rise in budgetary allocations

each year since 2001-

02. The budgetary

allocation for the year

2004-5 is Rs. 1457.6

million as compared to Rs.

1295.3 million of the

preceding year, which

represents an increase as

reflected in Figure 10. On

the contrary, the district

budgetary allocation

shows a declining trend

for health sector allocation reducing its share from 17% in 2002-03 to

12.7% in 2003-04 and 12.5% in 2004-05. In real terms, the budgetary

allocations for health have not registered any increase in the past two

years.

The allocations for the

DHQ Hospital in the

current year 2004-5 grew

considerably 12%.

Comparatively, allocations

for THQ hospitals were

also increased only by

12% during this period.

Budgetary allocations for

RHCs and BHUs were

decreased by 9% during same period as is shown in Figure 11..

It has been observed that the gap between allocations to secondary

and primary care has narrowed with a leaning towards enhanced

allocations towards DHQ hospital. Comparing the development and


page | 24

Figure 12: Percentage Budget Utilization (Year wise)

76 24

84 16

92 8

0 20 40 60 80 100

Y2002-3

Y2003-4

Y2004-5

UtilizedUnuntilized

non-development budget, it may be observed that the non-

development budgetary allocations have increased slightly in the last

four years, whereas the development budgetary allocations were made

only in 2003-04 (Rs. 11 million) and the current year (Rs. 19 million).

The main reasons may include the following:

1. The health sector has to compete with other sectors for the

budget under the newly established district government system,

where a block allocation goes to the district;

2. Health teams in the district may have limited capacity to plan and

advocate for enhanced allocations; and

3. The priority of the political leaders/District Nazim may be in

other sectors, such as pavement of roads, provision of street

lighting, etc. as opposed to health services.

It has also been observed that all allocated funds may not be spent in any

given year. The percentage of unutilized funds, however, has decreased

over the past two years. District D. G. Khan was able to spend 76%, 84%

and 92% of the allocated budget in the fiscal year 2002-3, 2003-4 and

2004-5 respectively as is shown in Figure 12.


page | 25

The details of budgetary allocation for the District Health Department of

District D.G. Khan may also be seen in Table 12.


page | 26

Data Set • Table 1: Population structure of district D.G. Khan • Table 2: Demographic information on D.G Khan , Punjab and

Pakistan • Table 3: Comparison of indicators on women and fertility

behaviors • Table 4: Comparison between basic indicators of D.G Khan,

Punjab and Pakistan • Table 5: Comparison between health and nutrition indicators

of D.G. Khan, Punjab and Pakistan • Table 6: Comparison between social indicators of D.G Khan,

Punjab and Pakistan • Table 7a: Human resource position at BHUs • Table 7b: Human resource position at RHCs • Table 7c: Human Resource Position at MCH Centers • Table 7d: Human resource position at THQ • Table 8: Public health sector manpower • Table 9: Training profile of DHDC D.G. Khan • Table 10: List of private sector health care providers • Table 11: List of Non-Governmental Organizations working in

D.G Khan • Table 12: Budget allocation for the District Health Department

D.G. Khan


page | 27

Table 1: Population Structure of District D.G. Khan

Population Groups Standard Demographic Percentages

Estimated Population

(2005) Less than 1 year 2.54 41,659 Less than 5 years 17.51 287,730 Less than 15 years 49.07 806,353 Women in child bearing age (15-49 years)

22 358,951

Married Child bearing age 16 261,055 Pregnant Women 4.5 73,422

Sources:

1. District Population Profile Punjab, MSU, 2002


page | 28

Table 2: Demographic Information of D.G. Khan, Punjab and Pakistan

Demographics DG Khan Punjab Pakistan Population (thousands) under age of 15 years

806 31304 70150

Population (thousands) under age of 5 years

287 10481 20922

Population annual growth rate (%) 3.42 1.9 1.9

Crude death rate, 9 12.5 8

Crude birth rate, 42.5 33.8 31

Life expectancy, 61 64 63

Total fertility rate, 6.0 4.7 4.0

% of urban population, 14 32 34 Sources:

1. Punjab Development Statistics 2004. 2. Pakistan Economic Survey 2004-5. 3. Multiple Indicators Clusters Survey (MICS) Punjab 2003-4. 4. UNICEF [Cited 2005 Sep 3] Available from: URL:

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html 5. District Population Profile MSU Islamabad 2002.

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics


page | 29

Table 3: Comparison of Indicators on Women and Fertility Behaviors

Women & fertility behavior DG Khan Punjab Pakistan

Total fertility rate 6.0 4.7 4.0

Contraceptive Prevalence (any method)

27 36 36

Antenatal care coverage by any attendant (%)

75 77 43

Antenatal care coverage by skilled attendant (%)

47 44 35

Birth Care by skilled attendant 26 33 20

Birth Care by any attendant 99 99 99

Post-birth Care by skilled attendant

19 30 24

Post-birth Care by any attendant 93 90 67

Mean Children Ever Born Married Women 15-49

3.11 2.32 2.7

Sources:

1. Multiple Indicators Clusters Survey Punjab 2003-4. 2. UNICEF [Cited 2005 Sep 3] Available from: URL:

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html 3. District Population Profile MSU Islamabad 2002.



page | 30

Table 4: Comparison between basic indicators of D.G Khan, Punjab and Pakistan.

Sources:

1. Punjab Development Statistics 2004. 2. Pakistan Economic Survey 2004-5. 3. Multiple Indicators Clusters Survey (MICS) Punjab 2003-4. 4. District Population Profile MSU Islamabad 2002. 5. UNICEF [Cited 2005 Sep 3] Available from: URL:

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html_

Basic Indicators DG Khan Punjab Pakistan

Total population (thousands)

2018 84562 154000

Area in sq. km 11922 205345 796096

Population urban/rural ratio

14/86 31/69 34/66

Sex ratio ( number of males over 100 females) at birth

108 107 108

Population density (person per square km)

145 359 166

Population growth rate 3.42 1.9 2.3



page | 31

Table 5: Comparison between Health and Nutrition indicators of D.G. Khan, Punjab and Pakistan.

Health and Nutrition DG Khan Punjab Pakistan

Under-5 mortality rate, 128 112 101

Infant mortality rate (under 1) 87 77 77

% of total population using safe drinking water sources

77 92 90

% of total population using adequate sanitation facilities

33 58 54

% of one-year-olds fully immunized against measles

37 66 67

% of pregnant women immunized for tetanus

36 63 45

% of under-five years suffering from underweight (moderate & severe)

45 34 38

% of children who are breastfed with complementary food (<6-9 months)

25 44 31

Vitamin A supplementation coverage rate (6-59 months)

80 87 95

% of households consuming iodized salt

7 8 17

No. of hospitals 7 306 916

Dispensaries 29 1227 4582

RHCs 9 298 552

BHUs 53 2405 5301

MCHCs 5 492 906

Sub-health centers 34 574 -

No. of beds 598 35272 99908

Sources: 1. Punjab Development Statistic Government of the Punjab Lahore 2004. 2. Pakistan Economic Survey 2004-5 Part 3. 3. UNICEF [Cited 2005 sept.3] Available from: URL:

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html 4. Multiple Indicators Cluster Survey (MICS) Punjab 2003-4. 5. Pakisan Basic Facts; cited online on September 4, 2005 URL: http:www.pk-

mb.kiev.ua/basic_facts.htm.



page | 32

Table 6 Comparison between Social indicators of D.G. Khan, Punjab and Pakistan

Social indicators DG Khan Punjab Pakistan

Adult literacy rate, 36 52 49

Adult literacy rate, male 67 75 62

Adult literacy rate, female 35 62 35

Gross enrolment ratio, Primary school

34 89 71

Net attendance rate 34 51 56

Per capita income Rs. 878 per month

Rs. 1385 per month

Rs.3680 per month

Sources:

1. Multiple Indicators Cluster Survey (MICS) Punjab 2003-4. 2. UNICEF [Cited 2005 Sep 3] Available from: URL:

http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html



page | 33

Table 7: Human Resource Positions Table 7 a: Human Resource Position at BHUs as on May 15, 2005

Post Sanctioned Filled Contractual Permanent VacantMedical Officer 53 50 00 50 03

Medical Assistant 03 03 00 03 00

Lady Health Visitor 50 31 00 31 19

Midwife 52 41 00 41 11

Female Health Technician

10 05 00 05 05

Health Technician 47 36 00 36 11

Dispenser 52 46 03 43 06

Sanitary Inspector 52 02 00 50 50

CDC Supervisor 53 44 00 44 09

Vaccinator 53 53 09 44 00

Chowkidar 53 52 00 53 00

Naib Qasid 36 36 00 36 00

Sweeper 53 53 00 53 00

Baheshtee 31 31 00 31 00

Table 7b: Human Resource Position at RHCs as on May 15, 2005.

Post Sanctioned Filled Contractual Permanent Vacant

SMO 09 06 00 06 03

MO 12 09 00 09 03

WMO 09 03 00 03 06

Dental Surgeon

09 00 00 00 09

LHV 09 08 00 08 01

FMT 02 02 00 02 00

MT 04 04 00 04 00

Dispenser 30 25 00 25 05


page | 34


Midwife 45 24 00 24 21

Hakeem 05 02 00 02 03

Radiographer 12 08 00 08 04

Lab Assistant 09 08 00 08 04

Homeo Doctor

05 03 00 03 02

Homeo Dispenser

05 01 00 01 04

Dawa Saz 02 01 00 01 01

Sanitary Patrol

43 27 00 27 16

Sweeper 18 15 00 15 03

Driver 09 07 00 07 02

Dawa Kob 02 02 00 02 00

Ward Carrier 09 09 00 09 00

Chowkidar 12 08 00 08 04

Cook 09 08 00 08 01

Mali 09 07 00 07 02

Ward Servants

18 15 00 15 03

Naib Qasid 24 24 00 24 00

Tubewell Operator

07 07 00 07 00

Junior Clerk 09 09 00 09 00

RHI 04 00 00 00 04

Table 7c: Human Resource Position MCH Centers as on May 15, 2005


LHV 05 05 00 05 00

Dai 03 02 00 02 01


page | 35

Chowkidar 00 00 00 00 00

Peon 03 03 00 00 00

Table 7d. Human Resource Position at THQ Taunsa as on May 15, 2005


Medical Superintendents

01 01 00 01 00

Surgeon 01 01 00 01 00

Medical Specialist

00 00 00 00 00

Gynecologist 01 00 00 00 01

Pediatrician 01 01 00 01 00

Anesthesiologist 00 00 00 00 00

Pathologist 00 00 00 00 00

Medical Officer 05 02 00 02 03

Woman Medical Officer

02 01 00 01 01

Dental Surgeon 01 00 00 00 01

Head Nurse 00 00

Nurse Boy 01 00 00 00 01

Lady Health Visitor

00 00

Dispenser 05 05 00 05 00

Laboratory Assistant

04 01 00 01 03

Radiographer 01 01 00 01 00

Dai 01 01 00 01 00

Hakeem 01 01 00 01 00

Homeo Doctor 01 01 00 01 00

Other (Specify) 00 00


page | 36


A.P.M.O 02 01 00 01 01

A.P.W.M.O 01 00 00 00 01

S.M.O 02 01 00 01 01

B.T.O 01 00 00 00 01

Drug Inspector 01 01 00 01 00

Charge Nurses 06 01 00 01 05

ECG Technician 01 00 00 00 01

Dental Technician

01 00 00 00 01

Lab Technician 01 01 00 01 00

X– Ray Technician

01 00 00 00 01

Dawa Saz 01 01 00 01 00

Homeo Dispenser

01 01 00 01 00

Junior Cleaners 01 01 00 01 00

O.T.A 01 01 00 01 00

Driver 01 00 00 00 01

T.W. Operator 01 01 00 01 00

Ward Servant 05 05 00 05 00

Gate keeper 01 01 00 01 00

Sweepers 04 04 00 04 00

Bearer (Baras) 02 01 00 01 01

Lab Attendant 01 00 00 00 01

Mali 01 01 00 01 00

Cook 01 01 00 01 00

Water Carrier 01 01 00 01 00

Dawa Kob 01 01 00 01 00

Chawkidar 01 01 00 01 00


page | 37

Table 8: Public Health Sector Manpower Post BPS Sanctioned Filled Contractual Permanent Vacant

EDO 20 01 01 00 01 00 DOH 19 01 01 00 01 00 Program Director DHDC

19 01 01 00 01 00

Deputy District Officer Health

19 03 03 00 00 00

Medical Superintendents

DHQ=20 THQ=19

02 02 00 02 00

Additional Medical Superintendent (AMS)

18 01 01 00 01 00

Deputy Medical Superintendent (DMS)

19 02 01 00 01 01

SMO 18 17 08 00 08 09 MO 17 96 78 00 78 18 WMO 17 17 09 00 09 08 Dental Surgeon 17 13 01 00 01 12 Homeo doctor 15 07 05 00 05 02 Hakim 15 07 04 00 04 03 District Superintendent of Vaccination

14 01 01 00 01 00

Assistant Superintendent of Vaccination

12 02 02 00 02 00

Inspector Vaccination

8 02 02 00 02 00

EPI Clerk 00 00 00 00 00 EPI Store keeper 00 00 00 00 00 Vaccinators 5 77 69 00 69 08 Drug Inspector 17 04 03 00 03 01 Clerk (Drug Inspector)

00 00 00 00 00

CDCO 00 00 00 00 00 CDC Supervisor 5 52 43 00 43 09 CDC Inspector 8 03 01 00 01 02 Assistant Entomologist

16 01 01 00 01 00

Insect Collector 5 02 02 00 02 00 District Sanitary 16 01 01 00 01 00


page | 38

Post BPS Sanctioned Filled Contractual Permanent Vacant Inspector Sanitary Inspector 12 04 03 00 03 01 Sanitary Supervisor 5 02 00 00 00 02 Sanitary Patrol 1 51 39 00 39 12 Assistant Inspectress of Health Centers

12 01 01 00 01 00

Lady Health Visitor 9 70 53 00 53 17 Female Health Technician

9 12 07 00 07 05

Midwife 00 00 00 00 00 Dai 00 00 00 00 00 Male Health Technician

9 51 41 00 41 10

Medical Assistant 16 06 03 00 03 03 Dispenser 6 122 115 00 115 07 Homeo Dispenser 6 07 03 00 03 04 Radiographer 6 19 15 00 15 04 Senior Microscopist 8 01 01 00 01 00 Microscopist 6 05 03 00 03 02 Laboratory Assistant

5 21 12 00 12 09

Laboratory Attendant

2 07 06 00 06 01

Head Clerk 11 06 04 00 04 02 Accountant 8 02 01 00 01 01 Senior Clerk 7 12 06 00 06 06 Clerk 00 00 00 00 00 Junior Clerk 5 31 31 00 31 00 Store Keeper 6 04 03 00 03 01 WFP Clerk 00 00 00 00 00 Motor Mechanic 00 00 00 00 00 Tracer 5 01 00 00 00 01 Driver 4 27 22 00 22 05 Naib Qasid 1 105 105 00 105 00 Ward Servant (Male) Ward Servant (female)

1

64

46

00 46

18

Mali 1 17 13 00 13 04 Chawkidar 1 93 82 00 82 11 Cook 1 18 14 00 14 04 Tube well Operator 2 07 07 00 07 07


page | 39

Post BPS Sanctioned Filled Contractual Permanent Vacant Dawasaaz 6 04 03 00 03 01 Sweeper (male) Sweeper (female)

1

121

93

00 93

28

TOTAL 1204 972 00 969 232


page | 40

Table 9: Training Profile of DHDC D.G. Khan for the year 2004

S. No. Name of training Cadre % Trained 1 HMIS Medics\Para 100% 2 Reproductive Health Medics\Para 100% 3 Mental Health Medics\Para 100% 4 Hospital Waste

Management Medics\Para 80%

5 Financial Management DDOs & Accounts off. 100% 6 IPC Medics\ Para 91 7 Medicolegal Medics 42% 8 T.B. DOTS Medics\ Para 100% 9 Med. & Surgical

Emergencies Medics 30%

10 Induction Training Medics 85%


page | 41

Table 10: List of Private Sector Health Care providers2 a) Clinics S. # Names Addresses

1 Dr. Muhammad Arshad Jatoi

Ghous Abad, (Dist. D.G. Khan)

2 Dr. Muhammad Aslarn Malik

New General Bus Stand Road, Shehzad Colony. D.G. Khan

3 Dr. Abdul Ghafoor Leghari

Sarwar Wali, Multan Road. Dera Ghazi Khan

4 Dr. Abdul Hameed Mana Ahmadani, (Dist. D.G. Khan)

5 Dr. Abdul Qadir Nadeem Near Boys High School, Shah Sadar Din, (Dist. D.G. Khan)

6 Dr. Abdul Rasheed Mirza Jinah Medical Complex, Near DHQ.Hospital, D.G. Khan

7 Dr. Abdul Rehman Qaisrani

Block"13", Railway Road, D.G. Khan

8 Dr. Abdul Saltar Chandia Old Multan Road, Near Chorhatta Chowk. D.G. Khan

9 Dr. Abdul Sattar Pitafi Quetta Road. Gadai, Dera Ghazi Khan

10 Dr. Abdul Waheed Sheikh Quetta Road, Gadai, Dera Ghazi Khan

11 Dr Abrar Husain Khosa Khatim Clinic, Choti Road. Paigah, (Dist. D.G. Khan)

12 Dr. Ali Asghar Kot Chutta , (Dist. D.G. Khan)

13 Dr. Allah Bakhah Batti Near Faisal Mosque, Jinah Medical Complex, D.G. Khan

14 Dr. Allah Nawaz khan Near Qabristan. Shah Sadar Din, (Dist. D.G. Khan)

15 Dr. Ambar Shahzadi Block"A". Khayban-e-sarwar. D.G. Khan

16 Dr. Amjad Parveez Jinah Medical Complex. Railway Road. D.G. Khan

17 Dr. Amna Waqar Mujahid Abad Colony. Near College Chowk, D.G. Khan

18 Dr. Aneela Aqueel Block"18", Near Hasan Hospital, D.G. Khan

19 Dr. Arshad Mumtaz Choudhry

Yaroo Khosa. (Dist. D.G. Khan)

20 Dr. Asghar Masood Block"9", College Road, Dera Ghazi

2 As on 1st May, 2005.


page | 42

S. # Names Addresses

Khan

21 Dr. Aukif Adnan Balkh Sarwar City,Block"18", Jampur Road, Dera Ghazi Khan

22 Dr, Aumir Raza Block"X", Model Town, Dera Ghazi Khan

23 Dr. Ayisha Irfan Civil Lines Colony. Near College Chowk, D.G. Khan

24 Dr. Bushra Naureen Block"K", Goal Bagh Ghanta Ghar. D.G. Khan

25 Dr. Capt. Ghulam Fareed Block"W". Near Fawwara Chok, Pathar Bazar, D.G. Khan

26 Dr. Capt. Saif-ul-Lah Khan Block"10", College Road. Dera Ghazi Khan

27 Dr. Capt. Saleem Ahmad Kamran

Block"2", Near Boys Primary School No.4. D.G. Khan

28 Dr. Capt. Muhammad Afzal Sadozai

Opposite Musharraf Filter Plant. Jail Road, D.G Khan

29 Dr. Capt. Muhammad Hafeez-ur-Rehman

Peer Qatal, Chorhatta Road, D.G. Khan

30 Dr. Capt. Sayed Muhammad Ashraf Shah

Block"12".Quaid-e.Azam Road, Dera Ghazi Khan

31 Dr .Capt. Tanveer Sajid Kot Chutta , (Dist. D.G.Khan)

32 Dr. Shams-ul-Hasan Quraishi

Kot Chutta . (Dist. D.G. Khan)

33 Dr. Ehsan Kareem Khalid Atomic Energy Commission, Atomic Colony. D.G.Khan

34 Dr. Ejaz Ahmad Kot Chutta , (Dist. D G Khan)

35 Dr. Ejaz Ahmad Khan THQ Hospital Road. Taunsa Shraif, (Dist. D.G.Khan)

36 Dr. Faiz Muhammad Malik

Block"10", College Road, Dera Ghazi Khan

37 Dr. Faiz-ul-Lah Leghari Peer Qatal, Chorhatta Road, D.G.Khan

36 Dr. Farkhanda Jabeen 156-Block"C". Khayban-e-sarwar. D.G.Khan

39 Dr. Fayyaz Husain Block"9", College Road, Dera Ghazi Khan

40 Dr. Ghazala Shaheen 16-Medical Colony, DHQ.Hospital. D.G.Khan

41 Dr. Ghulam Abbas Malik Jhok Ultra Road, Kot Chutta . (Dist. D.G.Khan)

42 Dr. Ghulam Shabbir Balkh Sarwar City,Block"18", Jampur


page | 43


Birmani (Dermatologist) Road, Dera Ghazi Khan

43 Dr. Ghulam Shabbir Malghani

Quetta Road, Gadai. Dera Ghazi Khan

44 Dr. Ghulam Shabbir Malik Block"12",Quaid-a-Azam Road, Dera Ghazi Khan

45 Dr. Gul Muhammad Shamsi (Ophthalmologist)

Block"X",Near Pakistani Chowk, D.G.Khan

46 Dr. Hafeeza Mazhar Paigah. (Dist. D.G.Khan)

47 Dr. Hammad zaka-ud-Din Ghauri

Block"2", Sadar Bazar, D.G.khan

48 Dr. Haroon Rasheed Choudhry

Atomic Energy Commission, Atomic Colony, DG.Khan

49 Dr. Humaira Shaheen Block"18". Fareed Abad Colony. Near Microwave Tower, DG.Khan

50 Dr. lftekhar Husain Khosa Block-3", Sadar Bazar, D.G.khan

51 Dr Imran Kareem Jaskani Block"45". Near Kumharan Wala Chowk, D.G.Khan

52 Dr.Imtiaz Ahmad Oaisrani

Mana Ahmadani. (Dist. D.G.Khan)

53 Dr.Irfan Kareem Jaskani Block"45", Near Kumharan Wala Chowk. D.G.Khan

54 Dr.lshfaq Jaskani Block"3", Sadar Bazar. D.G. khan

55 Dr. lshfaq Siddiquee Chabri Zaireen, (Dist. D.G.Khan)

56 Dr. Khaleelur-Rehman (Physician)

Balkh Sarwar Cily,Block"l8". Jampur Road, Dera Ghazi Khan

57 Dr. Khalid Masood Qaisrani

Block"13". Railway Road. D.G.Khan

58 Dr. Khalid Mehmood Farooquee

Block"13". Railway Road, D.G.khan

59 Dr.Khalid Naveed Block"5".Railway Road. D.G.Khan

60 Dr. Koukab Nadeem Jinah Medical Complex,Near DHQ.Hospital. D.G.Khan

61 Dr. Manzoor Ahmad Leghari

Block"13", Railway Road. D.G. khan

62 Dr. Mazhar Ali Jaskani Paigah, (Dist. D.G.Khan)

63 Dr. Mazhar Rafique Opposite RHC. Shadan Lund. (Dist. D.G. Khan)

64 Dr. Mehmood Ahmad Peer Qatal, Chorhatta Road, D.G.Khan


page | 44


Khalid

65 Dr. Mehmood Javaid Malik

Jinah Medical Complex,Near DHQ.Hospital, D.G.Khan

66 Dr.Mehmood Khan Leghari

Quetta Road, Gadai, Dera Ghazi Khan

67 Dr.Mian Abdul Raheem Block"J",Railway Road. Near "TEVTA" Office. D.G.Khan

68 Dr.Mian Muhammad Umar Farooq

Block"12",Quaid-e-Azam Road, Dera Ghazi Khan

69 Dr.Mirza Muhammad Saeed

Block'5",College Road, Dera Ghazi Khan

70 Dr.Muhammad Afzal Buzdar

Block"13", Railway Road, D.G.khan

71 Dr.Muhammad Ahmad Siddiquee

House No.5. Block"L", D.G.Khan

72 Dr.Muhammad Akbar Siddiquee

Block"18". Fareed Abad Colony. Near Microwave Tower. D.G.Khan

73 Dr.Muhammad Ali Khan (Medical Specialist)

Block'W", Pathar Bazar, D.G Khan

74 Dr.Muhammad Ashraf Khan


75 Dr.Muhammad Asif Akhtar

Peer Qatal. Chorhatta Road, D.G.Khan

76 Or. Muhammad Aslam Chughtai

Block'Z". Model Town. Dera Ghazi Khan

77 Dr. Muhammad Ayyub Block"18-, Fareed Abad Colony. Near Microwave Tower, D.G.Khan

78 Dr. Muhammad Bilal Khan

Block"K", Goal Bagh Ghanta Char, D.G.Khan

79 Dr. Muhammad Faheem Zulfiqar

Block-13". Railway Road. D.G.khan

80 Dr.Muhammad Fayyaz Malik

Jinah Medical Complex,Near DHQ.Hospital. D.G.Khan

81 Dr.Muhammad Hasnain Irshad Noohi

Block"13". Railway Road, D.G.khan

82 Dr.Muhammad Iqbal khan

Block"C",Azamat Road. D.G.Khan

83 Dr.Muhammad Ishfaq Sheikh

Block"5",College Road. Dera Ghazi Khan

84 Dr.Muhamrad Ismail Baig Near Boys High School, Shah Sadar Din. (Dist. D.G.Khan)

85 Dr. Muhammad Jameel Khan



page | 45


86 Dr. Muhammad Javaid Akhtar

22-Medical Colony. DHQ.Hospital. D.G.Khan

87 Dr.Muhammad Khaleel Ahmad

THQ Hospital Road, Taunsa Shraif, (Dist. D.G.Khan)

88 Dr.Muhammad Maalik Block"16".Near Eid Ghah & Girls Degree College. D.G.Khan

89 Dr.Muhammad Nasar-ul-Lah Khan

Balkh Sarwar City,Block"l8", Jampur Road, Dera Ghazi Khan

90 Dr.Muhammad Qasim THQ Hospital Road. Taunsa Shraif. (Dist. D.G.Khan)

91 Dr.Muhammad Qasim Malik

Balkh Sarwar City.Block"18", Jampur Road, Dera Ghazi Khan

92 Dr.Muhammad Riaz Malik Peer Qatal, Chorhatta Road, D.G.Khan

93 Dr.Muhammad Sabir Ali Khan Rind Balouch

Mana Ahmadani. (Dist. D.G.Khan)

94 Dr.Muhammad Safdar Iqbal Hashmi (Ophthalmologist)

Block"W', Near Pakistani Chowk. D.G.Khan

95 Dr.Muhammad Shafi Arshad

BIock"C", Azmat Road, Dera Ghazi Khan

96 Dr.Muhammad Suhail THQ Hospital Road. Taunsa Shraif, (Dist. D.G.Khan)

97 Dr.Muhammad Sulaiman Malik

Old Multan Road, Chowk Chorhatta. D.G.Khan

98 Dr.Muhammad Tanveer Awan

Old Multan Road. Chowk Chorhatta. D.G.Khan

99 Dr.Muhammad Yousaf Ansari

Block"13", Railway Road, D.G.khan

100 Dr.Muhammad Zafar Khosa

House No.35, Block"40". D.G.Khan

101 Dr.Muhammad Zahid Siddiquee

Block"10", College Road, Dera Chazi Khan

102 Dr.Muhammad Zubair Qaisrani

THQ Hospital Road, Taunsa Shraif, (Dist. D.G.Khan)

103 Dr.Munazza Batool Balkh Sarwar City,Block"18'-, Jampur Road, Dera Ghazi Khan

104 Dr.Musarrat Abbas (ENT Specialist)

Opposite Zoo, Near Circuit House. D.G.Khan

105 Dr.Musarrat Faheem Block"16",Near Eid Ghah & Girls Degree College. D.G.Khan

106 Dr.Nadeem Ahmad Chohan

14-Medical Colony. DHQ.Hospital. D.G.Khan


page | 46


107 Dr.Naimat-ul-Lah Bhatti Block No. 8, Quaid-e-Azam Road. Dera Ghazi Khan

108 Dr.Najeeb-ur-Rehman Near Municiple Committee. Taunsa Shraif, (Dist. D.G.Khan)

109 Dr.Nasreen Shabbir House No.28, Block"B", D.G.Khan

110 Dr. Natiq Hayat Ghilzai Peer Qatal, Chorhatta Road, D.G.Khan

111 Dr. Nazeer Ahmad Ansari Block"8".Quaid-e-Azam Road, Dera Ghazi Khan

112 Dr. Nazia Shahid Block "l 7", Near Hasan Hospital, D.G.Khan

113 Dr.Nusrat Javaid (Dental Surgen)

Balkh Sarwar City.Block"18", Jampur Road. Dera Ghazi Khan

114 Dr.Rafaquat Javaid Taunsa Road, Peer Audil. (Dist. D.G.Khan.)

115 Dr.Rashid Ali Qureshi Block"18", Fareed Abad Colony, Near Microwave Tower, D.G.Khan

116 Dr.Razia Mukhtar Block"2", Kutchery Road, D.G.Khan

117 Dr.Rooh-ul-Amin Khosa Balkh Sarwar Cily,Block'-18", Jampur Road, Dera Ghazi Khan

118 Dr.Rukhsana Parveen Block"36".Opposite Gaow Shala. Near Railway Pooly, D.G.Khan

119 Dr.S.A.Akhtar Block"3". Sadar Bazar, D.G.khan

120 Dr.S.M.Saleem Shah Kazmi

Shah Sadar Din. (Dist. D.G.Khan)

121 Dr.Sabeeha Nasreen Block"18", Fareed Abad Colony. D.G. Khan

122 Dr.Sajid Kaleem Block"8".Quaid.e-Azam Road, Dera Ghazi Khan

123 Dr.Sajjad Sarwar Choti Zaireen . (Dist. D.G.Khan)

124 Dr.Saleem Akhtar Khosa Peer Qatal, Chorhatta Road, D.G.Khan

125 Dr.Saleem-ul-Lah Al-Quresh Trust Hospital, Block"34", D.G.Khan

126 Dr.Sayed Irshad Noohi Block"B', Kutchary Road, Dera Ghazi Khan

127 Dr.Sayed Javaid Naeem Bukhari

Block"5", Opoposite P.S.O. City Petrol Pump, D.G.Khan

128 Dr.Sayed Muhammad Suhail Shah

Opposite Faisal Mosque, Block"9". Railway Road, D.G. khan

129 Dr.Shafiq-ur-Rehman Block"5",Railway Road, D.G.Khan


page | 47


130 Dr.Shaheen Hashmat Block"12",Quaid-a-Azam Road, Near Pakistani Chowk. Data Ghazi Khan

131 Dr.Shahida Saleem House No.41. Block"9", D.G.Khan

132 Dr.Shahzad Qaisar Jhok Uttra. (Dist. D.G.Khan)

133 Dr.Sharjeel Ahmad Block"5".Railway Road, D.G Khan

134 Dr.Shazia Mushtaq Kot Chutta , (Dist. D.G.Khan)

135 Dr.Shazia Naureen House No.11, Block"11". Liaquat Road, D.G.Khan

136 Dr.Shazia Rubab House No.86, Block"W', D.G.Khan

137 Dr.Shehnaz Asghar QadeerAbad Colony. Near College Chowk, D.G. Khan

138 Dr.Shehzad Hashmi Block'5",College Road. Dera Ghazi Khan

139 Dr,Shoaib Qadir Malghani Mangrotha Road, Taunsa Shraif. (Dist. D.G Khan)

140 Dr,Suhail Mumtaz Near Pul Dat, Fareed Abad Colony. D.G.Khan

141 Dr.Tahir Fareed Turk Jinah Medical Complex,Near DHQ.Hospital. D.G.Khan

142 Dr.Tariq Jameel Shairoo. (Dist. D.G.Khan)

143 Dr. Tariq Mehmood (Dental Surgen)

Balkh Sarwar City,Block"18". Jampur Road, Dera Ghazi Khan

144 Dr. Tariq Murtaza Block"13", Railway Road, D.G.khan

145 Dr. Umar Farooq Ahsan House No.68. Block"A", D.G. Khan

146 Dr. Zafar Ejaz Block"40". Near Ghazi Park, D.G.Khan

(b) Hospitals

1 Al-Asar Hospital Block"S", Opposite City Police Station. D.G.Khan

2 Al-Aziz Surgical Hospital Bhutta Colony. Gadai Road, D.G.Khan

3 Ali Children Hospital Peer Qatal, Chorhatta Road. D.G.Khan

4 Ali Hospital Block"E",Railway Road, D.G.Khan

5 Al-Kamal Free Hospital Darbar-e-Qadria, Block"35". D.G.Khan

6 Al-Lateef Eye Hospital Balkh Sarwar City.Block"18". Jampur Road. Dera Ghazi Khan

7 Al-Raheem Clinic Yaroo Road, Kot Mubarak, (Dist. D.G.Khan)


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8 Al-Shifa Children Hospital Block"5", College Road, Dera Ghazi Khan

9 Al-Shifa Hospital Vehova Road, Taunsa Shraif. (Dist. D.G.Khan)

10 Al-Zuhra Hospital Block"Z", Jail Road, Model Town. Dera Ghazi Khan

11 Amna Children Hospital Block"5", College Road. Dera Ghazi Khan

12 Aslam Hospital Block No "2" Near Boys Primary School No.4, D.G.Khan

13 Aumir Hospital D.G.Khan Road, Indus High Way,Taunsa Shraif. (Dist. D.G khan)

14 Awami Hospital Kot Chutta . Jampur Road, (Dist. D.G Khan)

15 Baby Hospital Block"9", College Road, Dera Ghazi Khan

16 Bismillah Children Clinic & Laboratory

Block"5". College Road, Dera Ghazi Khan

17 Bismillah Children Hospital

Block"5". College Road. Dera Ghazi Khan

18 Bukhari Hospital & Maternity Clinic

Block"18". Fareed Abad Colony, Near Microwave Tower. D.G.Khan

19 Bushra Hospital Hashmi Chowk, Taunsa Shraif, (Dist. D.G.Khan)

20 Buzdar Surgical Hospital Block"18", Fareed Abad Colony, Near Microwave Tower, D.G.Khan

21 Dilshad Hospital Mangrotha Road, Taunsa Shraif. (Dist. D.G Khan)

22 Dua Memorial Hospital Balkh Sarwar City,Block"18". Jampur Road. Dera Ghazi Khan

23 Faisal Hospital Mangrotha Road, Taunsa Shraif. (Dist. D.G.Khan)

24 Faiz Surgical Hospital Block'Z", Jail Road, Model Town, Dera Ghazi Khan

25 Fareed Chest Care Hospital


26 Fatima Hospital Balkh Sarwar City,Block'l 8", Jampur Road, Dera Ghazi Khan

27 General Hospital New Model Town,Opposite Govt. Girls Degree College, D.G. Khan

28 GEO Care Behind Buzdar Surgical Hospital. Block"18". Fareed Abad Colony, D.G.Khan


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29 Haleema Hospital Balkh Sarwar City.Block"18", Jampur Road, Dera Ghazi Khan

30 Hasan Hospital Block"17", Near Bank Al-Falah, D.G.Khan

31 Jan Maternity Hospital Mohalla Ghareeb (Islam) Abad. Peer Qatal Road, D.G.Khan

32 Jinah Free Hospital Shakir Town, Near P.S.O. Petrol Pump D,G,Khan

33 Kamran Medical centre Block"2", Shumali Chowk, Near Boys Primary School No.4, D.G.Khan

34 Khan Memorial Hospital Mangrotha Road, Taunsa Shraif, (Dist. D.G.Khan)

35 Major Bukhari Eye Hospital


36 Marie Stopes Hospital Block"A". Kutchery Road, D.G.Khan

37 Maryium Hospital Balkh Sarwar City,Block"18". Jampur Road. Dera Ghazi Khan

38 Med-Stone Kidny Centre Block"18". Fareed Abad Colony, Near Microwave Tower, D.G.Khan

39 Mehar Eye & Medical Centre

Basti Cheena, Mana Ahmadani, (Dist. D.G.Khan)

40 Muhammad Hospital Block"O", Near Goal Bagh Ghanta Ghar,Darbar-e-Qadria Road, D.G.Khan

41 Niaz Hospital Block"5", College Road, Dera Ghazi Khan

42 Nishtar Hospital & Maternity Home

Balkh Sarwar City,Block"18", Jampur Road, Dera Ghazi Khan

43 Usama Orthropaedic Hospital

Block"5". College Road. Dera Ghazi Khan

44 Yousaf Surgical Hospital Balkh Sarwar City.Block"18", Jampur Road, Dera Ghazi Khan

45 Zubaida Hospital Block"E",Railway Road, D.G.Khan


page | 50

Table 11: List of NGOs working in District DG Khan

Sr.# Name of

Organization

Type (Specify Whether NGO,

CBO, CCB) Address

Services Offered

1 Al-Asar Development Organization

NGO Block “S” D.G. Khan

Health Education & Women Development

2 Al-Badar Social Welfare Society

NGO Notak Mehmeed, Kot Chutta

Children And Women Welfare

3 Al-Bint Welfare Society

NGO Mohallah Nizamabad Ward # 2 Taunsa

Women Welfare & Social Education

4 Ali Development Organization

NGO Block “R” D.G. Khan

Women & Children Welfare

5 Al-Khidmat Welfare Society

NGO Sakhisarwar Road Gadai (D.G. Khan)

Health

6 All Pakistan Women Association

NGO Block “A” D.G. Khan

Women Development

7 Allama Iqbal Socialwelfare Society

NGO Kot Chutta (D.G. Khan)

Child & Youth Welfare

8 Al-Masoom Taraqiati Tanzeem

NGO Block No 31 D.G.Khan


9 Al-Mustafa Taraqiati Tanzeem

NGO Block No 47 D.G. Khan

Women Development

10 Al-Nisa Development Organization


Women Welfare

11 Al-Raheem Islamic Welfare Organization

NGO Old Sadar Bazar, Taunsa

Women Welfare

12 Al-Siddiqia Falahi Anjuman


Women Development

13 Al-Zahra Development Organization

NGO Block “Z” Model Town D.G. Khan


14 Amman Jee Development Organization

NGO Leghari House Choti Zaireem

Women Welfare

15 Anjuman Bahbood-e- Awam

NGO Jhok Utra D.G. Khan

Women Welfare

16 Anjuman Falah-e- Aumma

NGO Bindi (Taunsa Sharif)



page | 51

Sr.# Name of

Organization


CBO, CCB) Address

Services Offered

17 Anjuman Falah-e- Aumma

NGO Mohallah Nazimabad Ward No 2 Taunsa

Women Welfare

18 Anjuman Falah-e- Muashara

NGO Bangla H.M.Ibraheem Shah, Samina (D.G. Khan)

Women Welfare

19 Anjuman Falah-E- Muashara

NGO Basti Malana (D.G. Khan)

Women Welfare

20 Anjuman Falah-E-Niswaan

NGO H # 37, Block # 28 (D.G. Khan)

Women Development

21 Anjuman Falah-O-Behbood

NGO Basti Arain (D.G. Khan)

Women Welfare


NGO Basti Bughlani (Taunsa)

Women Welfare


NGO Saeed Wala P/O Shah Sadar Din (D.G. Khan)

Women Development


NGO Sarwar Wali P/O Drahma (D.G. Khan)

Women Development

25 Anjuman Falah-O-Islah-E- Moashara

NGO Near Govt. Commerece College Taunsa


26 Anjuman Islah-O-Behbood

NGO Jhok Bodo Tehsil Taunsa

Women Welfare

27 Anjuman Rifah-E-Aamma

NGO Sheroo (D.G. Khan)

Women Welfare

28 Anjuman Samaji Bahbood

NGO Paigah (D.G. Khan)

Women Welfare

29 Awami Welfare Society

NGO Mangrotha Gharbi Taunsa


30 Baloch Social Welfare NGO Basti Sandh, B.M.P Post Rakhi Gauge, Fort Manro

Women Welfare

31 Baloch Social Welfare NGO Nawan Guja, Kot Chutta

Women Welfare


page | 52

Sr.# Name of

Organization


CBO, CCB) Address

Services Offered

32 Bihari Welfare Society NGO Block “P” (D.G. Khan)

Women Development

33 Bismillah Social Welfare Society

NGO Basti Jalbani (D.G. Khan)

Child Welfare

34 Dehi Taraqiati Anjuman

NGO Basti Buzdar Taunsa



NGO Nutkani Taunsa

Women Welfare


NGO Retra Taunsa Women Welfare

37 Child Empowerment Forum Front

NGO 115-A, Jinah Road, (D.G. Khan)

Child Welfare

38 Child Welfare Council NGO Room # 103, Hotel Shalimar (D.G. Khan)

Child Welfare

39 Community Developmet Organization

NGO Marion School, College Chowk (D.G. Khan)

Women Development


NGO Sokad, Tehsil Taunsa

Women Welfare


NGO Tibbi Imam Taunsa

Women Welfare


NGO Tibbi Qaisrani Taunsa

Women Welfare

43 Dehi Taraqiati Council

NGO Kala, Tehsil (D.G. Khan)

Women Development


NGO Kot Qaisrani, Taunsa

Women Welfare


NGO Mangrotha Taunsa

Women Welfare

46 Ghaza Ijtamai Taraqiati Council

NGO Block # 29, (D.G. Khan)

Women Welfare

47 Ghazi Women Working Council

NGO Fareedabad, (D.G. Khan)

Women Welfare

48 Ghazwa Development Organization

NGO Near Railway Crossing Shadan Lund (D.G. Khan)


49 Gul-E-Fatima Development Organization

NGO Choti Zaireen (D.G. Khan)

Women Welfare


page | 53

Sr.# Name of

Organization


CBO, CCB) Address

Services Offered

50 Hajra Welfare Organization

NGO Block “C” Khayaban-E- Sarwar (D.G.Khan)

Child Welfare

51 Idara-e-Falahe Moashara

NGO Mana Ahmadani (D.G. Khan)

Women Welfare

52 Idara Rushd-Un-Nas NGO Gadai (D.G. Khan)

Women Development

53 Ijtamai Taraqiati Council

NGO Mohallah Farooqia, Taunsa


54 Ijtamai Taraqiati Council

NGO Vehova, Tehsil Taunsa


55 Indus Development Organization

NGO Nadi Janoobi Taunsa

Women Welfare & Development

56 Khidmat Development Organization

NGO Mohallah Shiekhan Wala Taunsa


57 Koh Suleman Development Organization

NGO Basti Bajran, P/O Fort Manro (D.G. Khan)

Women Development

58 Makhdoom Women Development Organization

NGO Siddique Abad Colony (D.G. Khan)


59 Millat Welfare Organization

NGO Ward # 4 Mohallah Nasoha Wala Mangrotha

Women Welfare

60 Model Town Welfare Society

NGO Commercial Centre, Model Town, (D.G. Khan)

Women Welfare

61 Model Town Welfare Society

NGO Kalo Wala, Taunsa

Women Welfare

62 “M.A.M.T.A” NGO 7-X, Model Town, (D.G. Khan)


63 “O.J.A.L.A” NGO Block # 5 (D.G. Khan)


64 Perfect Development NGO Khatak Chowk, Women Welfare


page | 54

Sr.# Name of

Organization


CBO, CCB) Address

Services Offered

Organization Bohad Tehsil Taunsa

65 Peblic Welfare Organization

NGO Darigh Lahir Fazlakach Tribal Area


66 Qabaili Welfare Society

NGO Kohar Janoobi, P/O Kot Qasim Pani, Taunsa

Women Welfare

67 Rural Development Organization

NGO Basti Wadani, Notak Mehmeed, (D.G.Khan)


68 Rural Development Organization

NGO Sadar House, Choti Zairen, (D.G. Khan)

Women Welfare

69 Samaji Anjuman NGO Hairo Sharqi, Taunsa

Women Welfare

70 Social Welfare Society NGO Block # 15, (D.G. Khan)

Women Welfare

71 Social Welfare Society NGO Kot Haibat, (D.G. Khan)

Women Welfare

72 Social Welfare Society NGO Jhakad Imam Shah (D.G. Khan)

Women Welfare

73 Social Welfare Society NGO Near Water Supply, Sakhi Sarwar

Women Welfare

74 “S.P.R.D.O” NGO Siri B.M.P. Check Post Rakhi

Women Development

75 Tanzeem Alfalah NGO Bhutta Colony, (D.G. Khan)

Women Welfare

76 Tanzeem Alfalah NGO Mohalla Nazimabad Ward # 2, Taunsa

Women Welfare

77 Tanzeem Khidmat-e-Khalq

NGO Mauza Malkani Tehsil Taunsa

Women Welfare

78 Tribal Development Council

NGO Basti Kharar Buzdar Tribal Area

Women Development

79 Welfare Association NGO Ghos Abad Women Welfare


page | 55

Sr.# Name of

Organization


CBO, CCB) Address

Services Offered

Mahtam (D.G.Khan) 80 Welfare Association NGO Chah Waso

Wala (D.G. Khan)

Women Welfare

81 Welfare Association NGO Kot Chutta (D.G. Khan)

Women Welfare

82 Women Social Association

NGO Block “C” (D.G. Khan)

Women Welfare


page | 56

Table 12: Budget allocation for the District Health Department of District D. G. Khan

Item 2001-02 (amount in

Rs.)

2002-03 (amount in

Rs.)

2003-04 (amount in

Rs.)

2004-05 (amount in

Rs.) Total District Budget

43,292,000 219,895,800 164,641,182 203,570,281

Budget for Health 216,113,000 37,938,300 5,284,109 19,964,272 Budget for DHQ 40,040,000 49,589,600 38,015,314 46,591,296 Budget for THQ 10,479,000 10,627,000 10,968,660 13,906,232 Budget for RHCs Budget for BHUs 73,204,000 93,369,900 71,174,557 66,467,521 Budget for MCHC 1,964,000 1,744,000 1,201,244 1,540,403 Budget for dispensaries

- - - -

Other means total budget minus budget of DHQ, THQ, RHC,BHU, MCHC, Dispensaries

4,423,000 3,002,000 1,817,294 2,518,338

Salary Portion out of health budget

93,614,000 147,225,800 109,235,682 144,346,281

Non-salary portion out of health budget

77,863,000 72,670,000 55,405,500 59,224,000

Budget for medicine out of non-salary budget

- - - -

Development - - 11,027,000 19,037,900 Non-development - - - -


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Annexure • Annex – A: TORs of District Health Management Team (DHMT) • Annex – B: Map of Health Facilities in District Dera Ghazi Khan


page | 58

TORs of District Health Management Team (DHMT) – Annex A • Preparation of Annual District Health Plan ,including the following :

- Activity work plan showing a timeframe for implementation.

- Human resource development plan. - District logistic and services plan. - Preparation of budget estimates for all activities. - Plan for multi-sectoral collaboration and advocacy.

• Ensure effective implementation and management of all activities

outline in the plans.

• Monitor the implementation of health services in the district.

• Establish, manage and monitor referral mechanism at all levels o the district health system including ensuring effective feedback.

• Annual evaluation of district health services on the health status of the district, with special attention to the most vulnerable groups such as women ,mothers, neonates, infants and ensure improve services to these groups .

• The DHMT will meet on monthly basis.

• Special meetings may be called by the chairperson as needed.

• Minutes of the meeting will be approve by the chair and circulated among the members.

• It will be mandatory on the DHMT to prepare and present its annual performance report in the District Assembly.

• The district assembly will approve the annual budget for the activities of DHMTs.

• The district assembly will assess whether the targets assigned to the team are fulfilled or otherwise.

• A token amount of Rs. 20,000 may be allocated annually for the DHMTs out of the district budget.


page | 59

Map of Health Facilities in District Dera Ghazi Khan – Annex B


page | 60

References:

1. National Institute of Population Studies, Islamabad, September 2005

2. Economic survey of Pakistan 2004-5 Part 3:2-4.

3. UNICEF [Cited 2005 Sep 3] Available from: URL: http://www.unicef.org/infobycountry/pakistan_pakistan_statistics.html_

4. Punjab Development Statistics 2004:288.

5. Punjab Development Statistics 2004:291-294.

6. Multiple Indicator Cluster Survey (MICS) Punjab 2003-4:45-49.

7. Punjab Development Statistics 2004:304.


9. Population District Profile MSU Islamabad 2002.


11. Department of Health, Government of the Punjab: Training 2000:28-32.



Contech International Health Consultants

CA # 391-A-00-05-01037-00 project is funded by the United States Agency

for International Development and implemented by JSI Research & Training Institute, Inc. in conjunction with Aga Khan University, Contech

International, Greeenstar Social Marketing, Johns Hopkins University/CCP, PAVHNA, The Population Council, Save the Children USA

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