PPHI Making the Same Budget Go Farther · PPHI Making the Same Budget Go Farther If you have any...

PPHIMaking the Same Budget Go Farther

If you have any kind of complaints against PPHI services in your areaPlease call on PPHI’s Complaint Cell, Toll Free: 0800-77755

www.pphisindh.org

Flood Relief work during 2010, 2011 and 2012 withoutasking Sindh Government for additional funds.

Construction of 3 Modern Medicine Warehouses forRs. 62 Million (Badin, Khairpur & Thatta).

Restoration of Health Facilities submerged in floods.

Supply of 71,792 Anti Rabies Vaccine doses for FY 2011-12. Establishment of 29 Pathology Labs at a cost of Rs. 9 Million. Purchase of 45 Ultrasound Machines. Purchase of 35 Generators for MCHCs. Establishing of Eye Hospitals at Khairpur and Matiari.

Quarterly Performance Review April to June, 2013

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PPHI is a Public Private Partnership between the Sindh Rural Support Organization (SRSO)and Government of Sindh (GoS) since February, 2007. It was started with one District, Kashmoreand expanded gradually to 21 Districts of Sindh. The Partnership had only one objective inlaunching PPHI. GoS had an infrastructure, valued at approximately Rs. 20 Billion, for deliveringPrimary Healthcare (PHC) in the rural areas. Tragically, this was either sub-optimally operationalor altogether dysfunctional. This valuable infrastructure had to be made optimally operational.The strategy was named PPHI. It meant “contacting out” management of the GOS’s PHCinfrastructure to the SRSO. PPHI meant arranging many more Healthcare Providers, even inremote and hard to access rural areas. It meant Healthcare for Mother & Child, sufficientavailability of necessary medical supplies, Health Education, Immunization, Communitiesconnected with Health Facilities (HFs). PPHI meant much more, which is why we request youto please read on.

ntroduction

To bring the Primary Health Care (PHC) infrastructure, that was by and large dysfunctional,to an optimum level of performance in terms of all the eight constituents of the PHC.

To achieve the above without the use of any significant additional resources.

To demonstrate a better and more efficient use of the available human and financial resources.

To assist in the evolution of a sustainable PHC program that the state and the citizen havereasons to be satisfied with.

ission

S. No. Type of Total HFs HFs with HFs withPHC - HFs Health PPHI %

Dept.

1 RHC 113 104 9 8%

2 BHUs 779 132 647 83%

3 MCHCs 72 38 34 47%

4 Dispensaries 598 165 435 73%

5 Others (UnaniShafakhana etc.) 37 25 12 32%

Total 1599 464 1137 71% PPHI Operations

Jacobabad

GhotkiLarkana

Khairpur

Sukkur

Shikarpur

N.Feroz

Dadu

TharparkarBadin

Thatta

Mirpurkhas

Hyderabad Umarkot

Sanghar

Karachi

Nawabshah

Matiari

Source: The data has been collected on HMIS/DHIS format from all incharge MOs of HFs. There has been no comment on its validity from any Stake Holders.


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PPHI 06 - Years Contribution towards Achievement of MDGs:



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Full Immunization Coverage Under 1-Year Children

Out Patient Department Attendance

Delivery Coverage at Facility

Antenatal Care (ANC-1) Coverage

Total Visits for Family Planning

Yearly Targets are set as ANC-1=3.4%, Full immunization=2.7%, Delivery Coverage at Facility20% of 2.9%, Family Planning Visits 40% of 16% Catchment Area Population whereas YearlyOPD attendance = Catchments area Population * 2. Catchment Area population are provided byDHO of concerned district.

3Source: The data has been collected on HMIS/DHIS format from all incharge MOs of HFs. There has been no comment on its validity from any Stake Holders.


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PPHI Bulletin – A Contribution to Health Information System

There have been many efforts to arrange a dependable Health Information System. PPHI, underthe leadership of its Program Director and Dr. Abdul Sattar Chandio, Public Health Specialist, afterconsiderable preparatory work, has reorganized DHIS for its own reporting. PPHI’s data can nowbe shared among stakeholders with a degree of confidence. All PPHI data is collected throughthe incharge MOs at HFs on HMIS / DHIS proformas. This data is randomly checked. The PPHIWeb Master, Mr. Uzair Aslam Bhatti has very competently placed the DHIS software, developedby the Ministry of Health / JICA, at the PPHI website. The District level staff, after collection ofthe monthly report, enter the data into DHIS software directly. This data is accordingly compiledand disseminated with due confidence in its accuracy. We at PPHI continue our efforts to improvethe quality of the data that we present and shall be most grateful for advice and suggestions fromour readers for improving it in the future.

Dr. Tahir QureshiProgram Director

Dr. A. Sattar ChandioPublic Health Specialist

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1.1 Human Resource at Health Facilities

Section I Inputs by PPHI Sindh

S. No. Healthcare GOVT. SRSO/ Total % Clusters of HFsProviders Staff PPHI Staff PPHI Clusters Clusters

Staff Staff with one MO with one FMO

1. Medical Officers(Male) 363 639 1002 64% 4 HFs 0 5

2. Medical Officers(Female) 21 398 419 95% 3 HFs 7 12

3. Dispensers /HTs 864 625 1489 42% 2 HFs 75 279

4. LHVs/MWs 470 503 973 52% Single 920 123HF

The cluster of HF means that a Doctor rotationally provides Healthcare at more than one HFaccording to a widely publicized schedule. PPHI has filled a HR gap through appointment of Medicaland Paramedical staff at HFs. People can now expect to benefit from the huge investment of thestate in various Preventive, Promotive and Curative programs. In addition, PPHI has brought LadyDoctors – first time ever in the history of the country to the HFs in villages. This has fundamentallychanged the Health environment for the rural women. It has created a huge opportunity for PPHIto increase vaccination, antenatal care, deliveries at HFs and utilization of contraceptive materials.



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1.2 Physical InfrastructureDistrict-Wise Repair and Renovation (R&R) Status

Most of the 1,137 HFs with the PPHI deplorably dilapidated. GOS, on proposal from PPHI, approveda special grant of Rs 500,000/BHU and Rs 300,000/GDs for repair and renovation. By 2nd Quarter2013, PPHI has completed repair & renovation at 600 HFs. Work is in progress at another 100 HFs.

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Through better management and prudent spending, PPHI has completed these repairs at 35%less than the Government “Scheduled” of Rates.” Routine maintenance of HFs has not beenoverlooked either.



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Construction of Medicine Warehouses from Savings

Contruction of 3 modern medicine warehouses for rupees 62 million in district Badin & Khairpurare near to completion whereas district Badin is in use from onset of 2nd Quarter 2013 .

Under PPHI Management Before PPHI Management

1.3 Making Mother and Child HealthCentres (MCHCs) Operational

No round–the–clock MCH Center is available in the rural areas. PPHI has made an importantbeginning with 37 MCHCs operating 24/7 and 6 MCHCs operating 12/6. These MCHCs are equippedwith Diagnostic Labs and Ambulance connectivity. This is just a beginning.

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For the first time in the history of Sindh,PPHI had brought the facility of UltrasoundTests to its villages. PPHI is now using 81high quality Ultrasound Machines, withpor tab le generators to ensureuninterrupted power supply. PPHI isemploying 35 Sonologists and assignedthem a cluster of 8 to 10 HFs for conductingFree–of–Cost Sonograms for women andsharing findings with I/c Lady Doctor ofthe PPHI. Schedule of Sonologists iscirculated in advance and widely publicized.LHWs of the area are also encouraged torefer pregnant ladies for Ultrasound tests.Please see the Ultrasound Tests by PPHIcoverage data below.

1.4 Mobile/Stationary Ultrasound Tests Facility

PPHI Free Ultrasound Services

No. of HFs with coverage No. of HFs with coverage No. of HFs with coverageon fortnight on weekly on daily

242 72 29



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1.5 The New Pharmacies

PPHI is providing 90 medicines & 20 relateditems to the patients at every HF , free ofcharge. These medicines are procured fromNational & Multi-national Pharmaceuticals ofgood repute. No medicine is supplied to a HFwithout Quality Tests at GovernmentLaboratories. Only, packed or strippedmedicines are supplied at HFs. In this way,the Pharmacies at rural HFs have improvedin terms of quantity, quality and coverage.Disposable syringes are provided at every HF. It is ensured that regular supply of medicinesand material are delivered at the HF throughcentralized arrangements at the District level.



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1.6 Health Education

School “Health Sessions”are a regular feature atSchools in the catchmentarea with the object ofproviding Education on keyHealth issues, healthy lifeand avoidance of disease.Doctors are also expectedto p rov ide med i ca lassistance to schoolchildren during SchoolHealth Sessions. HealthEducation is also providedto the community on aregular basis every month.



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Training of Healthcare Providers for meeting old and new challenges & for better facility managementhas been a regular priority. PPHI always welcomes participation in Government/NGO run trainingprograms as well as conducts specialized sessions of its own. Under contractual arrangement,Civil Hospital Karachi is providing 06-weeks Ultrasound training to PPHI Lady Doctors from farflung areas. Beside Specialists, Focal Persons for Vertical Programs and other stakeholders areregularly invited to conduct training sessions at “Monthly Review Meetings” in the Districts.

1.7 Capacity Building of Healthcare Providers

S. No. Staff Topics Apr. May Jun.

1 Capacity Building Session Clinical Malaria, DHIS, Immunization,for Doctors Hand Washing, Family Planning, 1380 81 1382

Eye Problem

2 Capacity Building Session Topics AURT, Clinical Malaria, DHIS,for Paramedics Immunization, Hand Washing, 56 33 4

Family Planning, Eye Problem

1.8 Community Participation

To connect community with HFs,1,137 Community SupportGroups (CSG) have been formed(109 are female and 932 areMale Support Groups).Exhaustive TORs have beendeveloped on how these Groupsare to be formed, how frequentlythese are expected to meet andenrich the deliverable services.Minutes of Monthly CSGmeetings are recorded andupdated at every HF.

Community Meetings

Capacity building sessions forall DSUs staff was plannedand conducted by Dr AbdulSattar Chandio , PHS PSU fordata accuracy and proper fillingof DHIS tools at each HealthFacility , total trained officers/officials were 119 in 21districts under the managementof PPHI Sindh.

1.7.1 Capacity Building of DSU Staff



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Routine vaccination is the only answer to achieve Health Output Indicators. At the 1,137 HFs withthe PPHI, there were only 425 EPI Refrigerators available. PPHI has added 155 new Cold ChainPoints and appointed the same numbers of Vaccinators. EPI as a “Program” is not with PPHImanagement nor PPHI receives funding earmarked for EPI.

1.9 Addition of PPHI Vaccination Centres

PPHI has provided 85,565 Anti Rabies Vaccinations (ARV) at its focal HFs with IM regime. AllDistricts have budget for ARV/ASV vaccines. It is only PPHI that is providing these vaccines.

1.10 Anti-Rabies & Anti-Snake Venom Vaccine Used

Community Support Group Meetings Participated by DSM

1.8.1 Community Support Group MeetingsParticipated by DSM and SO's

Community Support Group Meetings Participated by SO



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1.11 PPHI Ambulance Service

PPHI has made a land mark addition to the range of its services by introducing Ambulance serviceto make referral system purposeful. In the first phase, 66 Ambulances, including:

6 Advanced Cardiac Life Support (ACLS) Ambulances.

25 basic life Support Ambulances.

The aforementioned 36 Ambulances have trained Doctors and staff accompanying patientsin distress. Besides, every 24/7 MCH Center has been provided dedicated Ambulance forstrengthening referral system.

District-Wise Ambulances

1.12 PPHI Ambulance Service

BHUs Provided Lab Facility : 71 BHUs Provided Ambulances : 61 BHUs Provided Electricity : 493 BHUs Provided Solar Power : 37

BHUs Provided furniture/Equipment : 1050 BHUs Provided Water Supply : 654 BHUs Provided Labor Rooms : 647 BHUs/MCHC Provided generators : 35



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1.13 Estimated Yearly Target Population byStandard Demographic Percentages Viz A VizPerformance Indicators

Yearly Targets are set as ANC-1=3.4%,Full immunization=2.7%,Delivery Coverage at Facility 20%of 2.9% ,Family Planning Visits 40% of 16% Catchment Area Population whereas Yearly OPDattendence = Catchment area Population * 2.Catchment Area population are provided by DHOof concerned district.

Total catchment area population catered by the PPHI HFs in Sindh is 14,781,520. Realistic targetsetting is for keeping track of performance of an HF. PPHI took all stakeholders on board andtargets were set as per DHIS Policy by each District to rate their performance viz a viz (1) DailyOPD Attendance (2) Full Immunization coverage (3) Antenatal care(ANC-I) (4)Data Accuracy (5)Delivery coverage at Facility (6) TB- DOTS patients missing more than one week (7) Total Visitsfor Family Planning (FP) (8) LHW pregnancy registration.

2.1 PPHI has achieved a significant improvement not onlyin DHIS reporting, but analysis at PSU Level as well.

Section 2 Output / Outcomes 2nd Quarter 2013

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2.2 Performance of PPHI Vs Estimated Target Population

District Health Information System (DHIS) Monthly Reporting



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PPHI Sindh managed 1137 HFs in 21 districts with catchment area population 14781520.



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Performance % against set target population



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2.2.2 District-Wise Family Planning Visits

2.2.1 OPD Attendance



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2.2.4 District-Wise Antenatal-Care Coverage (ANC-1)

2.2.3 District-Wise Delivery Coverage



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2.3 Burden of Disease (BoD)

2.3.1 No and Proportion of Diseases in Overall (BoD)



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2.3.2 Graphical Presentation of Diseases Burden

2.3.3 OPD Patients: Gender-Wise

2.3.4 Age and Gender-Wise Distribution of OPD Attendance



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2.3.5 Top 4 Communicable Diseases

Month Intensive Phase TB Dots Patients Intensive-Phase TB-Dots PatientsMissing Treatment > 1 week

April 309 102

May 405 50

June 216 18

2.4 Tuberculosis

2.4.1 Proportion of Normal and Forcept (Vaccum) Delivery

2.3.6 Top 4 Non-Communicable Cases



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2.5.1 Routine Lab Tests

2.4.2 ANC-1 Women Showing Haemoglobin Level

During 2011-12 alone, 200,800 ultrasound tests were undertaken – all free of cost. The successof the service can be judged from the fact that 35,365 pregnancies were confirmed; 1,311 Intra-uterine deaths were diagnosed; 2,829 cases of Missed Abortion were detected and moreimportantly–1109 cases of ectopic pregnancies were diagnosed thus lives were saved.

2.5 PPHI Diagnostic Services

2.4.3 Modern Family Planning Method Users



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2.5.2 Hepatitis B&C Detection & Referral

2.6 IUCD Camp arrange at BHU/MCHC Shaikh BherkioTando Muhammad Khan

Inauguration of Modern Medicine Warehouse at District Thatta by Honorable Dr Riaz AhmedMemon Commissioner Hyderabad Division (Former PD PPHI Sindh) on 09th May 2013. The PDPPHI Sindh, Deputy Commissioner Thatta,P.E PPHI Sindh,DHO Thatta,DSM Thatta, districtinformation officer,representatives of CSG, MOs & FMOs attended the ceremony.

2.5.3 Special Events of the 2nd Quarter



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There is strict Monitoring of staff at HFs with PPHI. During the month alone 5,631 visits weremade by PPHI staff to various HFs for effective monitoring and facilitation. “Absenteeism” isregularly reported to concerned authorities for action. PPHI has arranged V–Wireless telephonesat PPHI HFs for monitoring and quick exchange of information.

2.7 Supervision Monitoring on District level ,Provincial level and EPI Monitoring Checklist

2.7.2 Monitoring Visits by DSU Team as per MonitoringChecklist During June

2.7.1 Percentage of Health Facilities Monitored withProvincial and District Level Monitoring Checklist

Health Facilities Monitored as per Monitoring Check List



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2.7.3 EPI Indicators Monitored By PPHI TeamDuring EPI Centre Visits

1. Despite being part of MOU, Vertical Programs are not yet transferredto PPHI Sindh.

2. Non Sharing of Data with PPHI by all Stake Holders working in HealthSector.

Challenges



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PPHI at Glance

Community Support Group Meetingat MCH Khudabad Conducted by

SO Mansoor Ali Panhwer District DaduSchool Health Session in

District Tando Muhammad Khan

Community Health Session atVillage Bahawalpur by Dr Uzma Soomro

District DADU

Monitoring visits by DSU teamin District Larkana

Community Support Group Meeting GDFakirabad , District Khairpur

Budget Meeting under PD PPHIDr. Tahir Qureshi

at Circuit House District Sukkur

Monitoring Visit by DSM Sukkur atBhu Thariri District Sukkur

Community Support Group Meetingby Ex ( M & E ), District Matiari



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PPHI Champions

Dr. Naheed Akhtar (FMO), has completed the requirementof a Gynecologist and is working at RHC Bhit Shah forlast four years and conducting C-Section since February2010.

Dr. Naheed is not only a committed, dedicated and agood surgeon, but she is very polite and helpful topatients. By the blessings of Almighty Allah she is capableenough to manage complicated cases in better manner.As a result, within no time, she became a famouspersonality of RHC Bhit Shah and PPHI Matiari.

The journey of C-Section started from 8 to 10 in a monthat initial stage, but now the cases are being conductedat the rate of 50 to 60 per month. Besides, the NVDsnumber which was earlier restricted up to 40 to 50 permonth, now has crossed the limit of 150 in a month.

She help out patients in getting expensive medicine byher own pocket.

Dr. Naheed Akhtar QureshiPosting PLace: RHC Bhit Shah

Dr. Meena Kumari is living at BHU Veerawahresidential bungalow, initially there was no anyelectricity, PPHI DSU Mithi facilitated her by repairingthere quarters and providing solar energy. Nobodywanted to work in desert but Dr. Meena belongingto District Hyderabad showed willingness andcommitment to work and with poor populationresiding in desert of Tharparker. She is workingin a desert at Pakistan border, this is very hardfor any Women Medical Officer, but she has provedthe females are also playing vital role for thebetterment of the society. She is not only providingcurative services but also preventive services likeANC, Family Planning, Delivery services. Preventiveside and health awareness among communitythrough Health session regularly. He slogan is“Don’t Complain of Darkness Light a Candle”.

Dr. Meena KumariPosting PLace: BHU Danu Dandal

BHU Danu DandalDistance from headquarter 115 KM, BHUVeera Wah Distancefrom head quarter 125KM, BHU Kolhi Ji VeeriDistance from headquarter 158 KM.



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PPHI Champions

Dr. Fakhurunisa Bhambhro joined PPHI in June25, 2007 initially she gave coverage to the fivedifferent HFs in desert of Taluka Nara includingBHU Bachal Bhambhro, BHU Tajjal, BHU Pir BuxGaho & GD Model Village. Later on she wastransferd to NMC Choondiko & she also continuedgiven coverage to BHU Kathore & BHU BachalBhambhro on alternate day basis. This is a desertof Khairpur.

She was the first FMO to provide Gynecological /Obstetrical services in the Taluka administrated /conducted NVDs around 1,000. She has givenpersonal interest to the poor people of the TalukaNara and always proactively helped them.

Dr. Fakhar-un-Nisa FMOPosting PLace:

NMC Choondko, Khairpur

Ms. Rubina Abro joined PPHI asMidwife at MCHC Bangul, DistrictJacobabad on 24th November2009. She along with her husbandlived in an abandoned anddilapidated residential quarter. Todate she has conducted 1399 safeNVDs upto July 2013. It is onlyMCHC in the periphery providing24/7 services. She has faced somany cha l l enges in theestablishment of 24/7 MCHC.

Community MidwifeRubina Abro

Posting PLace: DSU Jacobabad



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Success Story of Establishing of MCHC Centerat DHQ Mirpur Mathelo

Background

MCHC is one of the main & essential components of Primary Health Careand unfortunately MCHC center was not functioning at District Ghotkisince November, 2006. Building was established by Marie Gas Companylimited on November, 2006 at DHQ Mirpur Mathelo. Marie Gas Companyalso fully equipped the MCHC center in terms to establish the OperationTheater, ward beds, Office material and other medical equipments buthuman resource & services were not being provided by District HealthDepartment since beginning. District Health department shows theirleast interest for provision of MCHC services and its building was alsonot utilized properly. District Ghotki has population of 1546832 andthere was not any MCHC center at District level. It was very importantto restructure & establish the MCHC center services at its earliest thatall components of Primary Health Care may functional. It was also thereal need since long.

This lack in provision of MCHC center services was well noticed byCommissioner Sukkur Mohammad Abbas Baloch during his surprise visitat DHQ Mirpur Mathelo on dated 21st February 2013. He takes actionand shows his deep interest to start the services of MCHC as soon aspossible. He also called explanation from DHO Ghotki for not providingthe services and due to unsatisfactory performance of District HealthDepartment, He advised to DSU PPHI Ghotki to take over the MCHCcenter and to start the services as soon as possible.

DSU-PPHI-Ghotki accepted this request as a challenge & took necessaryactions for establishing the MCHC center in term to fulfill the humanresource, necessary documentation, and provision of equipments.



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After day and night deep concentration and hard work DSU PPHI Ghotkiinaugurated the MCHC center on dated 13 March, 2013. CommissionerSukkur, Muhammad Abbas Baloch inaugurated the MCHC center and atthe ceremony all the stake holder including District Health department,District Health Management Team, GM Marie Gas Company, GM FujiFertilizer Company, Deputy Commissioner Ghotki Agha Nasir uz Zaman,GM Engro Company Ltd were also present inauguration ceremony. Inthe ceremony all the participants greatly appreciate the effort of PPHIDSU Ghotki for starting of MCHC Center. MCHC center is in workingsince it beginning.

Staff was recruited and services are being provided.

Commissioner SukkurInauguration Ceremony MCHC MPM

Purpose

Purpose of the program is to improve the quality and availability of allmaternal, newborn and child health services.These services include:

Antenatal and Postnatal Care Safe Deliveries Care for Newborn and

Young Children Improved Nutrition

Routine Immunization Effective Primary Health Care In patient Care Services Laboratory Services Ambulance Service



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Achievement

MCHC is functioning with a total number of 21 Health staff, whichincludes two male medical Officer, one pediatrician, one female medicalofficer, one ultrasonologist, one Health technician, two vaccinator, twostaff nurses, three LHVs, one midwife, one laboratory technician, onefemale attendant, one aya, two male attendant, two sanitary workers,one chowkidar.

MCHC center is functioning in two shifts (Day & Evening). It is plannedto start the MCHC 24/7 very soon after taking necessary measures.

Progress of the MCHC is as under since its beginning:

Patient Flow Chart

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PPHI Sindh Team



Volume 2 Issue 2

Dr. Tahir QureshiPD, PSU PPHI SindhB-86 Street No. 15,Bath Island, Clifton, KARACHI.Tel: 021-35872214Fax: 021-35872241

Syed Shahid Ali,PO, PSU PPHI SindhB-86 Street No. 15,Bath Island, Clifton, KARACHI.Tel: 021-35872214Fax: 021-35872241

Dr. Abdul Sattar ChandioPHS, PSU PPHI SindhB-86 Street No. 15,Bath Island, Clifton, KARACHI.Tel: 021-35872214Fax: 021-35872241

Maqsood A. BalochRPD,RSU-I PPHIBanglow No. A-92,Shahbaz Town, Bhitai Nagar,Main Jamshoro Road,HYDERABAD.Tel: 022-3027853Fax: 0223667870

Mr. Inam-ur-Rahim Abro,DSM, DSU PPHIOpp.National Bank of Pakistan,Near DPO Office, MATIARI.Tel: 022-2760087Fax: 022-2760089

Mr Abdul Ghaffar SurhioDSM, DSU PPHISindh University Employee,Co-operative Housing Society, Banglow 10-A, Phase-II,JAMSHORO.Ph: 022-2772424-28

Mr. Mustafa Kamal TagarDSM, DSU PPHIBanglow No. A-92,Shahbaz Town, Bhitai Nagar,Main Jamshoro Road,HYDERABAD.Tel: 022-3667872-74

Mr. Imran Aziz SiddiquiDSM, DSU PPHISurvey No. 239, 1st Floor,Zardari Colony, Tando AdamRoad, TANDO ALLAHYAR.Tel & Fax: 022-3890984

Mr. M. Naeem KhanzadaDSM, DSU PPHISajawal Chowk,Bulri Shah Kareem Road, Near Wapda Grid Station,TANDO MUHAMMAD KHANTel: 022-330384, 3040150Fax: 022-3340269

Maqsood A. BalochAdditional Charge RPD-IBlock-6, Scheme No. 03, SatelliteTown, MIRPURKHAS.Tel:0233-860051Fax: 0233-860052

Mr. Ashique Chandio,DSM, DSU PPHINew OPD Block, Civil Hospital,SANGHAR.Ph: 0235-542921Fax: 0235-543546

Mr. Birj lal Dosani,Additional Charge DSM BadinBlock-6, Scheme No. 03, SatelliteTown, MIRPURKHAS.Ph: 0233-863364, 0233-9290408

Mr. Birj lal Dosani,DSM, DSU PPHID-7 Abid Town, opp. FamilyPlanning Hospital Karachi by PassRoad, BADIN.Ph: 0297-739241,Fax: 0297-739222,

Dr Jameel Ujjan,DSM, DSU PPHIOpposite Telephone Exchange,THARPARKAR @ MITHI.Ph: 0232-262270Fax: 0232-262280

Mr. Maqsood Ahmed BalochAdditional Charge RPD-IGround Floor DHDC Hostel,EDO (Health) Complex,Jung Shahi Road, Makli,THATTA.Ph: 0298-770001Fax: 0298-770008

Mr. Zulfiqar Ali Langh,DSM, DSU PPHIWard No. 315 Vehro Road,Near EDO, Education Office,UMERKOT.Ph: 0238-405666Fax-0238-571250

Mr. Ghulam Abbas DethoRPD, RSU-III PPHIDist. Health Development Centre,Near Govt. Degree College,LARKANA.Ph: 074-4054436,Fax: 074-4054437

Mr. Abadul Hafeez Mahesar,DSM, DSU PPHIDist. Health Development Centre,Near Govt. Degree College,LARKANA.Ph: 074-4044350,Fax: 074-4058350,

Mr. Khalid Abbasi,DSM, DSU PPHIBungalow No.1,District Health Complex,NAUSHERO FEROZ.Ph: 0242-539535Fax: 0242-481433

Mr. Moula Bux Solangi.DSM, DSU PPHIHouse No. 949, MohallaQalanderabad, Opp. PoliceHeadquarter Line,DADU.Ph: 0254-610781Fax- 0254-711782

Mr. Habib-ur-RehmanDSM, DSU PPHIBaggo Derro Bypass Road,Kamber Ali Khan, [email protected]: 074-210091Fax- 0744-210092

Riaz Hussain RahoojoAdditional Charge DSMKhairpur-BDist. Health Development Centre,Chandia Mor, KHAIRPURMIR'S -APh: 0243-516982,Fax: 0243-554134

Mr. Ghulam Ali Soomro,Additional Charge RPD IV, PPHIGulsher Mohallah Main Govt.High School,[email protected]: 0722-570851Fax- 0722-570850

Mr. Ghulam Ali Soomro,RPD, RSU-IV PPHIBungalow No.A-77,Shah Khalid Colony behind,Al Khair Hospital, SUKKURPh: 071-5633701Fax-071-5633596

Mr. Nasimuddin Mirani,DSM, DSU PPHIBungalow No.A-77,Shah Khalid Colony,Behind Al Khair Hospital,SUKKURPh: 071-5633701Fax: 071-5633596

Mr .Abdul Rasool GoloDSM, DSU PPHIC/O EDO Bangalow No.3,Behind Zila Nazim Office,DCO Office, JACOBABAD.Ph: 0722-650919Fax: 0722-650313

Mr. Danish Afzal,DSM, DSU PPHIBehind Old Civil Hospital,Ghotki@Mirpur Mathelo.Ph: 0723-651775-6

Mr. Javed Ahmed Abro,DSM, DSU PPHIDistrict Health DevelopmentCentre (DHDC), Building SukkurRoad, SHIKARPUR.Ph: 0726-512388

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Abbreviation & Acronyms



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Abbreviation & Acronyms Abbreviation & Acronyms

ACLS=Advanced Cardiac Life Support HT=Health Technician

ANC=Antenatal Care LHV=Lady Health Visitors

ARV=Anti Rabies Vaccine MCHCs=Mother and Child Healthcare Centers

ASV=Anti Snake Vaccine MDGs= Millennium Development Goals

BHU=Basic Health Unit MO =Medical Officers

CSG=Community Support Group MW = Midwife

DHIS= District Health Information System OPD=Out Patient Department

DHO=District Health Officer PD=Program Director

DSM=District Support Manger PHC = Primary HealthCare

DSU=District Support Unit PHS=Public Health Specialist

HR = Human Resource PSU=Provincial Support Unit

EPI=Expanded Program for Immunization RHC= Rural Health Center

EX(M&E) = Executive Monitoring and Evaluation RPD=Regional Program Director

ERP = Enterprise Resource Planning SHS=School Health Sessions

FMO = Female Medical Officer SRSO=Sindh Rural Support Organization

FP=Family Planning SO=Social Organizer

FSU=Federal Support Unit TB-DOTS=Tuberculosis -Directly Observedtreatment short course

GD= Government Dispensaries

HFs=Health Facilities TOR=Term Of Reference

HMIS= Health Management Information System TB=Tubercle bacilli

HR = Human Resource ZR=Zero Report

PPHI is here to provide you with quality healthcare service in your area,and has launched a ‘Complaint Cell’ for immediate responses to emergencies.

These complaint cells’ services are also being provided inJamshoro and Hyderabad districts.

If you have any queries about PPHI services in your area, Please call on

PPHI’s Complaint Cell, Toll Free 0800-77755

Whoso saveth the life of one,it shall be as if he saved the life of all mankind.

byPeople’s Primary HealthCare Initiative, Sindh

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www.pphisindh.org

PPHI Making the Same Budget Go Farther · PPHI Making the Same Budget Go Farther If you have any...

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