HRH Profile for Punjab 2012.Pdf
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2012 Human Resources for Health Profile Punjab, Pakistan World Health Organization Human Resource for Health Profile – Punjab, Pakistan i ACKNOWLEDGEMENT The Human Resource for Health Profile for Punjab was undertaken after due approval of the Department of Health, Punjab. PHSRP, on behalf of the Department of Health, Government of Punjab provided full facilitation towards the HRH data collection. Their support was very valuable in accessing the Human Resource for Health Data that existed at varied sources in Punjab. The cooperation of all the focal persons nominated by the Punjab Health Sector Reform Programme (PHSRP) in facilitating the data collection was immense and needs a special acknowledgement. We greatly appreciate their valuable inputs, thoughts and the time and energy they devoted towards this assignment. We are particularly thankful to the Global Health Workforce Alliance (GHWA) for providing catalytic funding support and valuable inputs by sharing of resource materials that provided excellent guidance to the team working on the project. The devoted technical support to the study provided by Dr Muhammad Mahmood Afzal, Head of Country Coordination & Facilitation Team, GHWA is specially acknowledged. We would also like to take the opportunity to acknowledge with thanks the following partners of the Alliance, whose funding contribution to the Alliance has made this piece of work possible: . Bill and Melinda Gates Foundation . Canadian International Development Agency (CIDA) . French Development Agency/Agence Francaise de developpemenet (AFD) . Deutsche Gesellschaft fur International Zusammenarbeit (GIZ) Gmbh . Irish aid, department of Foreign Affairs . Norwegian Agency for Development Cooperation (NORAD) . UK Development for International Development (DFID) . United States Agency for International Development (USAID) The technical support, facilitation and guidance provided by the World Health Organization Country Office in Islamabad and the WHO office in Lahore remained extremely useful and valuable. Dr Zulfiqar Khan HSS (Coordinator) & HRH focal person, WHO Country Office Islamabad supervised the study at every stage and Dr Babar Alam in-charge of WHO office Punjab provided operational support. We also commend the remarkable efforts of study team. It is hoped that this report will provide a robust foundation for building evidence based and comprehensive Human Resource for Health Strategic and Operational Plan for Punjab province of Pakistan. Human Resource for Health Profile – Punjab, Pakistan i ACRONYMS AFP Acute Flaccid Paralysis ADB Asian Development Bank AJK Azad Jammu & Kashmir BEMS Bachelor of Eastern Medicines and Surgery BHMS Bachelor of Homoeopathic Medical Sciences BHUs Basic Health Units BPS Basic Pay Scales CIDA Canadian International Development Agency CSHP Career Structure for Health Personnel Scheme CPSP College of Physicians & Surgeons CME Continued Medical Education CPD Continued Professional Development CCI Council of Common Interests CCF Country Coordination and Facilitation CLL Current Legislative List DFID Department for International Development DG Director General Health DGHS Director General Health Services DGN Director General Nursing DEWS Disease Early Warning System DHQ District Head Quarters DHDCs District Health Development Centres DHIS District Health Information System DFPs Districts Focal Persons EPI Expanded Programme on Immunization FWC Family Welfare Centers FWWs Family Welfare Workers FMJC Fatima Jinnah Medical College FTJ Fazil-Tibb-Wal-Jarhat FBS Federal Bureau of Statistics FLL Federal Legislative Lists FATA Federally Administered Tribal Areas GHWA Global Health Workforce Alliance GOP Government of Punjab GDP Gross Domestic Product HMIS Health Management Information System HSRU Health Sector Reform Unit Human Resource for Health Profile – Punjab, Pakistan ii HAS Health Services Academy HWC Health Welfare Committee LHWs Health Workers HEC Higher Education Commission of Pakistan DHMS Homoeopathic Medical Sciences HI&ES Household Income and Expenditure Survey HDI Human Development Index HRH Human Resources for Health IMR Infant Mortality Rate UUATLD International Union Against Tuberculosis and Lungs JICA Japan International Cooperation Agency JPMC Jinnah Postgraduate Medical Centre JLI Joint Learning Initiative KPK Khyber Pakhtunkhwa KEMU King Edward Medical University LHV Lady Health Visitor LHW Lady Health Workers MCH Maternal and Child Health MNCH Maternal Neonate and Child Health MTDF Mid Term Development Framework MDGs Millennium Development Goals MOH Ministry of Health MICS Multiple Indicator Cluster Survey NACP National AIDS Control Program NCRP National Coordinated Research Programme NCH National Council for Homeopathy NCT National Council for Tibb NFC National Finance Commission Award NHIRC National Health Resource Information Center NHSP National Health Survey of Pakistan NIH National Institute of Health NP- National Program for Family Planning and Primary FPPHC Health Care NP-PCB National Program for Prevention & Control of NTP NationalBlindness TB Control Programme NGOs Not-For-Profit Non-Governmental Organizations OEC Overseas Employment Corporation PCSIR Pakistan Council of Scientific and Industrial Research PDHS Pakistan Demographic and Health Survey PIMS Pakistan Institute of Medical Sciences Human Resource for Health Profile – Punjab, Pakistan iii PIHS Pakistan Integrated Household Survey PMDC Pakistan Medical & Dental Council PMRC Pakistan Medical Research Council PNC Pakistan Nursing Council PPAF Pakistan Poverty Alleviation Fund PSLM Pakistan’s Social and Living Standards Measurement PWS PatientSurvey Welfare Society PCP Pharmacy Council for Pakistan PWD Population Welfare Department PRSP Poverty Reduction Strategy Paper PHC Primary Health Care PSDP oject Supervisor Design Process PFC Provincial Finance Commission PHDC Provincial Health Development Centers PESSI Punjab Employees Social Security Institution PHDC Punjab Health Development Centre PHSRP Punjab Health Sector Reform Program PHC Punjab Healthcare Commission PPSC Punjab Public Service Commission PPP Purchasing Power Parity RHS Reproductive Health Service RBM Roll Back Malaria RCH Rural Health Centers (RHC) SMO Senior Medical Officer SWD Social Welfare Department THQ Tehsil Head Quarters TTH Tertiary Teaching Hospital TBA Traditional Birth Attendants TB Tuberculosis U5MR Under-five mortality rate UKAID United Kingdom Aid UNCIEF United Nations Children's Fund USAID United States Aid USI Universal Salt Iodization UHS University of Health Sciences WAPDA Water and Power Development Authority WFP World Food Program WHO World Health Organization WHR World Health Report Human Resource for Health Profile – Punjab, Pakistan iv TABLE OF CONTENTS Acknowledgement ...................................................................................................................................... i Acronyms .................................................................................................................................................... ii List of Tables ............................................................................................................................................... x List of Figures ........................................................................................................................................... xii Preface ...................................................................................................................................................... xiii Foreword ..................................................................................................................................................xiv Executive Summary ................................................................................................................................. xv SECTION-1: INTRODUCTION ............................................................................................................... 1 1.1 Review of Initiatives undertaken to Improve Pakistan’s HRH Profile .............................. 1 1.1.1 Establishment of an HRH Country Coordination and Facilitation Process .............. 1 1.1.2 Stakeholders Orientation .................................................................................................. 2 1.1.3 Stakeholder Analysis ......................................................................................................... 2 1.1.4 Alignment of Punjab Health Strategic Plan with CCF framework and approach .... 4 1.2 Punjab HRH Profile Study ........................................................................................................ 4 1.2.1 The Need and the Process ................................................................................................. 4 1.2.2 Purpose ................................................................................................................................ 5 1.2.3 Objectives and Scope of the HRH Profile ....................................................................... 5 1.2.4 Methodology ....................................................................................................................... 5 1.2.5 Conceptual Framework for the Punjab HRH Profile .................................................... 6 1.2.6 Study Methods and Procedure ......................................................................................... 7 1.2.7 Study Population ...............................................................................................................