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INTRODUCTION PROCESS

INTRODUCTION PROCESS. WHRAP- Arrow partnership MDG- expanding the agenda movement National Policy Dialogue Regional Policy Dialogue Provincial Policy Consultation Meetings. Mr.Abdullah Khan Sumbul. Punjab Devolved Social Services Programme

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INTRODUCTION PROCESS

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  1. INTRODUCTION PROCESS • WHRAP- Arrow partnership • MDG- expanding the agenda movement • National Policy Dialogue • Regional Policy Dialogue • Provincial Policy Consultation Meetings

  2. Mr.Abdullah Khan Sumbul Punjab Devolved Social Services Programme • $200 million intervention 65% for health, 18% for water supply and sanitation and 17% for education. • Focus is on attainment of MDGs Challenges • Limited capacity of local governments • Lack of systems to collect relevant and credible information. • Must have independent monitoring of the social service delivery sector • Medical education system skewed

  3. Kazi Afaque Hussain(Secretary, Population Welfare Dept) Components of MoPW • Family welfare centers. • Rep health service centers. Run by lady doctors. • Mobile Service Units. Provide services at the door step. • Male mobilizers. Currently have 300 in Punjab, plan to have about 1500 by the end of the year. Challenges • MoPW has been shuffled b/w provincial and federal governments • Budget controlled by federal, orders given my provincial govt • Have a lot of funds for seminars, advocacy etc, but no people to do that Solutions • Public- Private Partnerships • Must get recognition of the importance of SRH at the highest levels.

  4. Recommendations made by participants • Must focus on education and awareness in the rural areas • Sex education should be introduced • Focus on monitoring • The Ulema have the biggest influence on the population. Hence we can not ignore them. Need to find ways to involve them in population issues. • Find strategies to integrate HIV into PHC level

  5. Social Determinants of Health • Health influenced by many factors in the environment • Community based studies to see difference in priorities of households with less burden of disease than those with more. • Economic status • Water and sanitation • Unable to access health facility • Tribal conflict • Lack of female staff • Law & order situation • Gender disparities • Need to address health holistically

  6. Media perspective • Media extremely powerful tool to effect people • None of the projects that have media components don’t use them • Should use media to encourage public-private partnerships • Private media is very open – give money to private channels to make programmes on important issues that PTV can not. • Case studies can be used to make dramas, talk shows, etc. • Doesn’t work with one off programmes. Need to constantly reinforce • Media can be used to touch people personally.

  7. Consumer Perspective • Challenges • Inequitable health and social sector systems • Disparities at household level • Case of Tobacco Control and how it has an effect on all the MDGs • MDGs do not support economic growth models • Recommendations: • Strengthen PHC • MDG indicators need to have systems approach.

  8. Service Provider Perspective • Challenges • Collective effort lacking – bringing together various stakeholders to work for the same cause. • MDGs place most responsibility on health care providers and they have no knowledge of MDGs. • Project on SRHR – Of 3000 only 3 medical students knew • Recommendations: • Need to raise awareness on rights, MDGs, and SRHR amongst health care providers • Increase discourse on sexual and reproductive rights • Broaden perspectives and instill a sense of responsibility amongst today’s generation of health care providers. • Special responsibility on family physicians and gynecologists • Strengthen health systems • Include SRHR into curriculum

  9. Youth Perspective • Challenges • No information on SRH available to the curious youth • Media misinforming the youth on SRH • Stigma attached to discussing these issues. • If even want to discuss, there is no one available to talk to • Recommendations: • Provide accurate information on SRH to youth • Provide platforms for discussion and raising awareness on SRHR with young people.

  10. MoH perspective • Door-to-door services • Free emergency services • Free ambulance services – 1122 • Govt offers doctors double salary to go to rural areas – but not working • Board for child protection • Need to look at the vulnerable populations such as street children as well.

  11. Recommendations by Participants • Need to have proper and more centralized information channels. • Epidemic of HIV has reached second stage – sitting on a volcano, must act fast now! • Public wants to learn – don’t demonize or scandalize issues of SRHR. • Need to educate the religious leaders • Look at countries that are making progress, such as Indonesia and Brazil and use them as models of practice • Should include an indicator for assessing what percent of population has information on HIV/AIDS • Participants endorse the resolution on • “Universal Access to Reproductive Health Services”

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