Delivering Better Health Services to Pakistan's Poor

Delivering Better Health Services to Pakistan's Poor

Pakistan is not on track to achieve most Millennium Development Goals (MDGs) related to health, nutrition and population. Given its current rate of progress, in 2015 Pakistan's infant mortality rate (IMR) will be 65 deaths per 1,000 live birth...

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Bibliographic Details
Main Author:	World Bank
Format:	Health Sector Review
Language:	English en_US
Published:	Washington, DC 2013
Subjects:	ABORTION ABORTION RATE ACCESS TO FAMILY PLANNING ACQUIRED IMMUNODEFICIENCY SYNDROME ADULT POPULATION AGE DISTRIBUTION AGED AGING ANTENATAL CARE BEHAVIOR CHANGE BIRTH ATTENDANTS BREASTFEEDING CAPACITY BUILDING CAUSES OF DEATH CENTER FOR HEALTH CHILD CARE CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHILD MORTALITY RATES CHILDREN PER WOMAN CHRONIC MALNUTRITION COMMUNICABLE DISEASES CONDOMS CONTRACEPTIVE PREVALENCE CONTRACEPTIVES DECLINE IN FERTILITY DEMAND FOR CONTRACEPTION DEMAND FOR FAMILY PLANNING DEMOGRAPHIC CHANGE DEMOGRAPHIC TRANSITION DEPENDENCY RATIO DEPENDENCY RATIOS DIABETES DIPHTHERIA DISABILITY DRUG USERS DRUGS ECONOMIC GROWTH ECONOMIC POLICIES ECONOMIC PROGRESS ECONOMIC STATUS EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRICAL CARE EPIDEMIC FAMILIES FAMILY HEALTH FAMILY PLANNING FAMILY PLANNING METHODS FAMILY PLANNING SERVICES FEMALE LITERACY FEMALE STERILIZATION FERTILITY FERTILITY DECLINE FERTILITY DECLINES FERTILITY RATE FERTILITY RATES GENDER DIFFERENCES GENDER DIFFERENTIALS GENDER GAP GROSS DOMESTIC PRODUCT HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH PROMOTION HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH WORKERS HEALTHY LIFE HIGH BLOOD PRESSURE HIGH FERTILITY RATE HIV HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCE MANAGEMENT HYPERTENSION ILL HEALTH ILL-HEALTH ILLNESS ILLNESSES IMMUNIZATION IMMUNODEFICIENCY INFANT INFANT DEATHS INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFORMATION SYSTEM INJECTING DRUG USERS INJURIES INTENSIVE PREVENTION INTERVENTION IODINE DEFICIENCY IRON IUDS LABOR FORCE LEADING CAUSES LEADING CAUSES OF DEATH LEVEL OF DEVELOPMENT LIMITED RESOURCES LIVE BIRTHS LIVING STANDARDS MALARIA MALNOURISHED CHILDREN MANAGEMENT SYSTEMS MARRIED WOMEN MATERNAL CAUSES MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEASLES MEDICINES MIDWIFE MIDWIVES MILLENNIUM DEVELOPMENT GOAL MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MODERN CONTRACEPTION MODERN CONTRACEPTIVE METHODS MODERN METHODS OF CONTRACEPTION MORTALITY MORTALITY LEVELS NATIONAL PLAN NATIONAL PLAN OF ACTION NEONATAL MORTALITY NUMBER OF BIRTHS NURSE NURSES NUTRITION NUTRITIONAL STATUS OLD-AGE OUTPATIENT CARE PARAMEDICS PATIENT PATIENT SATISFACTION PATIENTS POLIO POOR HEALTH POPULATION AGE STRUCTURE POPULATION COUNCIL POPULATION DIVISION POPULATION GROWTH POPULATION GROWTH RATE POPULATION MOMENTUM POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANT WOMEN PREVENTION ACTIVITIES PREVENTION EFFORTS PRIMARY EDUCATION PRIMARY HEALTH CARE PRIMARY SCHOOL PROGRESS PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HOSPITALS QUALITY OF CARE QUALITY OF LIFE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH INDICATORS REPRODUCTIVE LIFE REPRODUCTIVE TRACT RESOURCE ALLOCATION RISK FACTORS RISK GROUPS RURAL AREAS SANITATION SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVIDERS SERVICE PROVISION SERVICE UTILIZATION SEX SEX WORKER SEX WORKERS SEXUALLY TRANSMITTED INFECTIONS SKILLED BIRTH ATTENDANCE SKILLED BIRTH ATTENDANTS SMOKING SOCIAL ACTION SOCIAL MARKETING SOCIAL MARKETING OF CONTRACEPTIVES STERILIZATION TETANUS TRADITIONAL BIRTH ATTENDANTS TUBERCULOSIS TUBERCULOSIS CONTROL UNMET DEMAND UNSAFE ABORTIONS URBAN AREAS USE OF CONTRACEPTIVES VACCINATION VACCINES WHOOPING COUGH WORKERS WORKFORCE WORKING-AGE POPULATION WORLD HEALTH ORGANIZATION WORLD POPULATION YOUNG AGE YOUNG AGES
Online Access:	http://documents.worldbank.org/curated/en/2010/04/16240681/delivering-better-health-services-pakistans-poor http://hdl.handle.net/10986/12369

Description
Summary:	Pakistan is not on track to achieve most Millennium Development Goals (MDGs) related to health, nutrition and population. Given its current rate of progress, in 2015 Pakistan's infant mortality rate (IMR) will be 65 deaths per 1,000 live births and the under-five mortality rate (U5MR) will be 78, considerably above the MDG4 targets of 33 and 43 deaths per 1000 births respectively. Pakistan will not achieve the MDG related to nutrition. The review aims to develop a limited set of practical options that will allow the government and other stakeholders to improve the availability and use of health services, especially for the poor. The report mainly focuses on synthesizing the available body of knowledge through review of existing studies, reports and research. The report starts with a description of the health and nutrition status of the population, Pakistan's fertility and growth rates and potential to benefit from a demographic dividend, the burden of diseases and trends in the past few years. The second and third chapters describe the performance of the public health care system over time, including coverage and utilization, quality of care, equity, and patient satisfaction and the impact of national programs. Chapter four discusses the financing of the sector, including overall trends, and the composition of public and private expenditures. Chapter five describes the organization and management of the sector and examines the role of government. Chapter six concludes by summarizing the key challenges facing the sector and suggesting a way forward.

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