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Challenges and Opportunities in Health Governance Post 18 th Amendment

Challenges and Opportunities in Health Governance Post 18 th Amendment. HEALTH STATUS IN BALOCHISTAN. Balochistan is Pakistan’s least-developed province with a high rate of maternal mortality, illiteracy, unemployment, poverty, gender disparity, insurgency and brutal killings.

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Challenges and Opportunities in Health Governance Post 18 th Amendment

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  1. Challenges and Opportunities in Health Governance Post 18th Amendment

  2. HEALTH STATUS IN BALOCHISTAN • Balochistan is Pakistan’s least-developed province with a high rate of maternal mortality, illiteracy, unemployment, poverty, gender disparity, insurgency and brutal killings. • Inflexible social customs and practices are widely blamed for the plight of women and poor health services in Balochistan but other reasons are prominent.

  3. Strong tribal influence due to illiteracy, poverty and lack of awareness. Poor law and order situation is poor, scaring doctors to work in far flung areas. 27 doctors killed, 16 kidnapped, over 40 tortured Over 100 doctors, including 20 specialists, have left the province because of security issues. 73 doctors suspended, 500 doctors salary stopped for the reason of demanding security Complete strike in private and govt. sector for more than 60 days. Challenges influencing Health Services

  4. NATIONAL Maternal Mortality Rate 272/100,000 live births Neonatal Mortality rate 54/1000 live births Child Mortality rate 89/1000 live births Total Fertility Rate 3.07 children per woman Population growth rate 1.8% BALOCHISTAN MMR = 600 to785/100 000 Live births NMR = 72/1000 Live births CMR = 94 to128/1000 Live births Total Fertility Rate 5.4 children per woman Population growth rate 2.7% Comparison of National with Balochistan data

  5. Challenges • People living in mountains and far flung areas have no • access to heath facility. • 75000 villages are without proper road network. • Non- functional heath centers and lack of equipment • for emergency services. • Non- availability of gynaecologist and other specialists • in the periphery • Lack of human resource especially female staff and • inadequate capacity and skills.

  6. Challenges • Inadequate Family planning services • Lack of human resources especially female staff, • along with inadequate capacity and skills. • Inadequate Family planning services especially • access and coverage

  7. What's need to be done? Improvement needed in: • Availability of competent midwives and skilled birth attendants. • Activation of BHU and RHCs. • Availability of Emergency Obstetric Care services for women. • Good road network in urban and rural areas. • Helpline and Flying squad to save maternal life. • Power devolution up till the district level • Integration of services; family planning, PPHI, neonatal etc. • Nutrition advice services • Birth preparedness counseling

  8. Thank you

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