Background

Health Situation in Pakistan

Progress report

Reconstructive Surgeries

Surgeries of the Cataract

Tuberculosis 

Projects in progress

• Primary Health Care Center
• Operation Theaters

Board of directors 

Dr. Iqbal Safi   

Mr. Mullah Muhammad

Primary Health Care facility at Khazana, Charsadda road, Peshawar

Where the poor could have access to advanced medical care in an atmosphere of love and compassion.

Healthcare with a Heart  

Leprosy TB and Blindness Relief Association of Pakistan in association with Sarhad Association for Education, Environment and Health, is in the process of establishing a modeled primary health care facility at the premises provided by DOSTI welfare organization at Khazana, Charsadda road, Peshawar. After successful establishment this model will be offered for possible duplication/replication. 

This facility will initially aim at improving the physical health and social well being of women, children and elderly population of the catchments area (Khazana & adjoining villages).

It is envisaged that this initiative will

1. Reduce women & child mortality and morbidity and prevent disabilities.

and

2. Bring a marked improvement in the health of the community. 

To achieve the above:

1. A detail social and health profile of the village is being developed where by each and every household will be surveyed, this data will be fed into a database. Each household will be given a registration number and a file will be maintained at the facility.
2. A representative community organization will be developed
3. Lady health workers will be hired from the community in consultation with the community organization. The lady health workers will be provided adequate trainings at the facility. Each lady health worker will be responsible for looking after 200 houses holds that she will visit as per schedule. She will document each visit and a copy of the same will be placed in the concerned household file. She will be the primary link between the facility and the target population and will also be responsible for provision of basic care at household level such as monitoring of blood pressure, weighing newborn children etc. The community as well as the senior staff of the facility will monitor them.
4. Initially a female doctor along with LHV’s will be hired along with support staff to run the facility. The facility will be networked with specialized institutions to provide tertiary medical assistance on priority basis. A lot of emphasis will be placed on preventive measures whereby regular trainings will be held for the community aimed at improved living practices where by reducing the incidences of preventable diseases.
5. In addition to regular OPD, once a week specialist doctors will visit the facility to examine patients requiring consultation from specialist doctors.
6. A laboratory will be established at the facility under the supervision of a specialist pathologist.
7. A proper accounting system will be put into practice and a qualified accounting firm will be contracted to carry out thorough audit on regular basis.

Success Indicator:

• Development of community organization

• Achievement of the targets set for LHW and other staff of the facility

•  Appreciable decrease in preventable diseases

•  Improvement in the hygiene, nutrition and general health of the target community

• Appropriate knowledge of the house holds on basic health issues

• Use of the facility by majority of the population for primary health care

•    Establishment of a proper referral system

•    Achievement of relevant millennium development goals (MDG’s) set by World Health Organization.

Budget  

Financing:

The organization has earmarked Rs=2.4 million for two years. In addition some of the cost will be recovered through

1. Nominal consultation fees @ Rs=20/ per patient in regular OPD
2. 30 % of the consultation fee of the specialist, the total fee will be around Rs=150/ patient.
3. Charges for ultrasound, X-rays, laboratory tests etc. These will be equivalent to those charged at government hospitals.
4. Sale of medicines at the pharmacy that will be established at the facility. All medicine will be provided at 5% below the retail prices.

In addition to the above all possible means for securing additional funds will be explored.

Note:

v     Deserving patients and families will be given different level of discounts; in case of most deserving patients totally free health coverage will be provided.

v     A central accounting system will be maintained where by payment for all services, medicines will be made at single counter.   

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