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Vertical Programs

Hepatitis Control Program

Hepatitis Control Program

This Program was launched in the year 2009. Its main task is prevention and control of Hepatitis in Punjab. Spread of Hepatitis has reached alarming proportions in the province with an estimated 2.4% prevalence of Hepatitis B and 6.7% prevalence of Hepatitis C. The The overall goal of the project is to reduce morbidity and mortality due to Hepatitis B&C by improvements in hospital waste management, infection control and injection safety practices in public sector health facilities. The Program aims to improve access to quality diagnostic services and effective hepatitis B&C case management in the public sector health facilities. Furthermore, efficient and effective implementation of Preventive Program requires strengthening of the existing infrastructure and support system at Provincial and District level.

Aids Control Program

Aids Control Program

Main responsibilities of Punjab AIDS Control Program are to control or reverse the spread of HIV among the most at risk groups and to keep the epidemic from establishing among the bridging groups and the general population and to create an environment in the country where People Living with HIV can access medical and social services and enjoy life without facing stigma or discrimination. It is also our responsibility to coordinate a multi sectoral, comprehensive and sustainable response to HIV that is based on evidence, transparency and accountability and involves the various line ministries, the civil society and the main target beneficiaries (the PLHIV and the most at risk groups).

Expanded Program for Immunization

Expanded Program for Immunization

The Expanded Program on Immunization (EPI) is a disease prevention activity aiming at reducing illness, disability and mortality from childhood diseases preventable by immunization.

1000 deaths in less than 5 year children will daily occur in Pakistan, if EPI is discontinued. Immunization is one of the most successful and cost effective health interventions. It has eradicated small pox, lowered the global incidence of polio so far by 99% and achieved dramatic reductions in illness, disability and death from diphtheria, tetanus, whooping cough and measles. It is a world-wide Program being carried out in all countries assisted by WHO, UNICEF and other donor agencies.

The overall objective of the EPI is reduction of mortality and morbidity from the eight EPI diseases by offering immunization services. These diseases are referred as 8 EPI target diseases and cause millions of ailments, disabilities & deaths each year.

TB Control Program

TB Control Program

The Punjab having population of 97 Million which is 56% of the total population of Pakistan. Contributes 63% of the total TB case load of the country. ΒΌ of the total disease burden of EMRO region is borne by Punjab. Our goal is to reduce TB infection by 50% the prevalence of TB in the general population by 2025 in comparison to 2012.

To increase the number of annual notified TB cases from 194,628 in 2014 to at least 217,570 annual notified TB cases by 2018 while maintaining the treatment success rate at 85%. To reduce, by at least 5% per year by 2018, the prevalence of DR-TB among TB patients. Strengthen programmatic and operational management capacity of the TB Control Program while enhancing public sector support for TB control by 2018.

IRMNCH Program

IRMNCH Program

Development of this program is a way forward not only to continue existing interventions through an integrated approach but to expand their scope and introduce new interventions. The National Program for Family Planning and Primary Health Care, also known as the Lady Health Workers Program (LHWP), launched in 1994. The Program objectives contribute to the overall health sector goals of improvement in maternal and newborn child health and provision of Family Planning services. This country wide initiative extended outreach health services to rural populations and urban slum communities through deployment of over 46,000 Lady Health Workers (LHWs) and 1850 Lady Health Supervisors (LHSs) in all over the Punjab are working with 70% coverage (37% in Urban and 85% in Rural area) and contributed to bridge the gap between health facilities and communities. National Maternal and Newborn Child Health (MNCH)Program (2006-2012) was lunched nationwide with a goal to improve maternal, newborn and child health of the population, particularly among its poor, marginalized and disadvantaged segments. The program is contributing to strengthen Emergency Obstetric care services at DHQ, THQ hospitals and RHCs. Further, this program has introduced a new cadre of Community-Midwives (CMWs) for skilled deliveries at community level.

Preventive services are being provided in 36 districts of Punjab through LHWs which include screening of under 5 children and PLWs, IYCF counselling, Provision of IRON, Vitamin-A and MMS to Mother and Child. Curative Nutrition services were initially started in 2010 in the selected BHUs of 7 flood effected districts (D.G. Khan, Layyah, Muzafargarh, Rajanpur, Mianwali, Bhakkar and R.Y.Khan). By achieving the good results of this initiative, the Government of the Punjab decided to implement it all over the Punjab in 3 phases. Now Total 589 Outdoor Therapeutic Programs (OTPs) in 22 District at RHC/BHU level and 18 Stabilization Centers (SCs) in 14 Districts at DHQ/THQ level. Treatment of Severely Acute Malnourished Children without medical complication by provision of Ready to Use Therapeutic Food (RUTF) is carried out at OTPs. Treatment of Severely Acute Malnourished Children with medical complication by provision of medical treatment and therapeutic formulas F75 and F100 carried out at SCs.

Malaria & Dengue Control Program

Malaria & Dengue Control Program

Malaria control has always been a priority in Pakistan. National Malaria Control Program was started in 1950. In 1961, Malaria control Program was converted into Malaria Eradication Program under the auspices of WHO with the financial and technical support from WHO, UNICEF and USAID. In 1977 Malaria Control Program was integrated into health services as part of Communicable Disease Control in Punjab Province. This Program forges consensus among key actors in malaria control, harmonizes action and mobilizes resources to fight malaria in endemic areas.

Its aim is to reduce the malaria associated morbidity and mortality by keeping malaria under effective control. The Program has also been involved in Dengue prevention and control activities. As a result of concerted efforts the incidence of malaria has reached its lowest level in the province. Moreover, the same staff is working for prevention and control of avian pandemic influenza (AH1N1), Congo Crimean Hemorrhagic Fever (CCHF), Leishmaniasis.

Infection Control Program

Infection Control Program

In 1977 Malaria Control Program was integrated into health services as part of Communicable Disease Control in Punjab Province. This Program forges consensus among key actors in malaria control, harmonizes action and mobilizes resources to fight malaria in endemic areas. Its aim is to reduce the malaria associated morbidity and mortality by keeping malaria under effective control.

The Program has also been involved in Dengue prevention and control activities. As a result of concerted efforts the incidence of malaria has reached its lowest level in the province. Moreover, the same staff is working for prevention and control of avian pandemic influenza (AH1N1), Congo Crimean Haemorrhagic Fever (CCHF), Leishmaniasis.

Control Of influenza

Prevention of control of Influenza

Influenza is a viral infection that affects mainly the nose, throat, bronchi and, occasionally, lungs. Infection usually lasts for about a week, and is characterized by sudden onset of high fever, aching muscles, headache and severe malaise, non-productive cough, sore throat and rhinitis. The virus is transmitted easily from person to person via droplets and small particles produced when infected people cough or sneeze. Influenza tends to spread rapidly in seasonal epidemics.

Most infected people recover within one to two weeks without requiring medical treatment. However, in the very young, the elderly, and those with other serious medical conditions, infection can lead to severe complications of the underlying condition, pneumonia and death.

Polio Control Program

Polio Control Program

Pakistan accounted for 86% of the global wild polio-virus (WPV) case count in 2014. Pakistan is the only country to have reported a dramatic increase in cases last year. In 2014, polio affected forty-four districts (23 in 2013) from three provinces/areas. There was some spill over in all provinces with no or minimal viral establishment. Environmental samples tested positive for WPV in Peshawar and DI Khan (KP), Lahore and Rawalpindi (Punjab), Quetta block (Balochistan), Sukker, Larkana, Hyderabad and Karachi (Sindh), and most recently Islamabad. To date in 2015, there are 21 confirmed WPV cases. The majority of WPV cases continue to appear in the known reservoir areas. Although reported cases have risen, access breakthroughs in North and South Waziristan give some cause for optimism. The large-scale displacement of populations afforded opportunities to vaccinate at transit points and in host communities.

Against this background, the Government of Pakistan and its partners began intense preparations for the low transmission season in September 2014, resulting in national and provincial low seasons strategic plans. In November 2014, during a three-day consultative workshop in Bhurban, details for the reservoir areas expanded upon these plans. The plans provided milestones for the low season, focusing on key issues, such as, improving the quality of vaccination campaigns, improving the performance and morale of front line workers, increasing the security measures for protecting health workers, developing special strategies for reaching mobile populations, expanding innovations, and using inactivated polio vaccine (IPV) in areas with difficult or irregular access. Polio eradication continues to be a national emergency with the renewed commitment of the Government at all levels. The Polio Eradication Initiative (PEI) recognizes that quality and coverage of polio campaigns are too low, with significant pockets of continuously missed children. Furthermore, the PEI recognizes inefficient selection, payment, training and supportive supervision of front line workers has negatively affected the quality of polio activities. In addition, the level of independent monitoring is too low to assure adequate program performance management and accountability. Finally, routine polio vaccination coverage is too low.