Partnering with NGOs to Strengthen Management : An External Evaluation of the Chief Minister's Initiative on Primary Health Care in Rahim Yar Khan District, Punjab
The Chief Minister's Initiative on Primary Health Care (CMIPHC) is an innovative effort in the Punjab province of Pakistan. It is aimed at improving the delivery of primary health care by strengthening the services provided in basic health uni...
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2006/03/7174816/partnering-ngos-strengthen-management-external-evaluation-chief-ministers-initiative-primary-health-care-rahim-yar-khan-district-punjab http://hdl.handle.net/10986/17819 |
| Summary: | The Chief Minister's Initiative on
Primary Health Care (CMIPHC) is an innovative effort in the
Punjab province of Pakistan. It is aimed at improving the
delivery of primary health care by strengthening the
services provided in basic health units (BHUs). There are
about 3,060 BHUs in the Punjab and in 2002 they saw only 22
patients per day (or about 0.33 visits per capita per year,
which is quite low by global standards). In order to improve
BHU services and restore the confidence of the community,
the CIMPHC formed a partnership with a non-governmental
organization (NGO). In March 2003, the District Government
of Rahim Yar Khan signed a memorandum of understanding with
the Punjab Rural Support Program (PRSP), handing over the
management of all 104 BHUs in the district. PRSP introduced
a number of innovations, including recruiting district
managers on contract at market rates, forming clusters of
three BHUs managed by a medical officer in charge whose
salary was 150% higher than the government standard, and
improving the physical condition of the BHUs. PRSP was
provided with the same budget as had been allocated the year
before to run the BHUs. From the start, the experience
spurred considerable debate in Pakistan. Twelve districts in
Punjab have now chosen to contract the management of their
BHUs to PRSP. The President of Pakistan intends to expand
this initiative to other parts of the country. |
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