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:
HIV
SEX
Online Access:http://documents.worldbank.org/curated/en/2010/04/16240681/delivering-better-health-services-pakistans-poor
http://hdl.handle.net/10986/12369
id okr-10986-12369
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic 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
spellingShingle 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
World Bank
Delivering Better Health Services to Pakistan's Poor
geographic_facet South Asia
Pakistan
description 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.
format Economic & Sector Work :: Health Sector Review
author World Bank
author_facet World Bank
author_sort World Bank
title Delivering Better Health Services to Pakistan's Poor
title_short Delivering Better Health Services to Pakistan's Poor
title_full Delivering Better Health Services to Pakistan's Poor
title_fullStr Delivering Better Health Services to Pakistan's Poor
title_full_unstemmed Delivering Better Health Services to Pakistan's Poor
title_sort delivering better health services to pakistan's poor
publisher Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2010/04/16240681/delivering-better-health-services-pakistans-poor
http://hdl.handle.net/10986/12369
_version_ 1764419656581382144
spelling okr-10986-123692021-04-23T14:03:00Z Delivering Better Health Services to Pakistan's Poor World Bank 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 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. 2013-02-15T18:27:17Z 2013-02-15T18:27:17Z 2010-04 http://documents.worldbank.org/curated/en/2010/04/16240681/delivering-better-health-services-pakistans-poor http://hdl.handle.net/10986/12369 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Health Sector Review Economic & Sector Work South Asia Pakistan