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GOVERNMENT OF PAKISTAN ISLAMABAD HEALTHCARE REGULATORY AUTHORITY (IHRA) ANNUAL REPORT 2020-21 1 CONTENTS INTRODUCTION ..................................................................................................................... 1 ISLAMABAD HEALTHCARE REGULATORY AUTHORITY (IHRA) .............................. 2 IHRA Vision .......................................................................................................................... 2 IHRA Mission ........................................................................................................................ 2 Strategic Goals ....................................................................................................................... 2 FUNCTIONS OF IHRA ............................................................................................................ 3 STAFFING POSITION ............................................................................................................. 3 KEY ACTIVITIES CARRIED OUT DURING 2020-21 .......................................................... 5 1. Registration & Licensing ................................................................................................ 5 2. Inspection ........................................................................................................................ 5 3. Complaint Management .................................................................................................. 6 4. Clinical Governance........................................................................................................ 6 5. Coordination ................................................................................................................... 7 6. Monitoring & Evaluation ................................................................................................ 9 RESULTS ACHIEVED AGAINST OUTPUT TARGETS SET FOR THE YEAR 2020-21 11 BUDGET UTILIZATION FOR THE YEAR 2020-21 ........................................................... 13 DEPARTMENT-WISE PLANS .............................................................................................. 14 ANNEXTURES A – List of Provisionally Registered HCEs………………………..………………42 2 GOVERNMENT OF PAKISTAN ISLAMABAD HEALTHCARE REGULATORY AUTHORITY (IHRA) INTRODUCTION The population of Islamabad is growing at a very rapid pace as compared to other Districts of Pakistan, mainly as a result of In-migration. With current population of approx. 2.3 million, about 1.2 million living in rural areas of Islamabad, where health facilities and quality of healthcare services have not been improved over the past few decades resulting in increased quackery, poor referral system and dissatisfaction among people regarding provision of poor quality of services. Moreover, with the current growth rate, the urban population of Islamabad is expected to exceed 2.2 million by 2030, which will escalate healthcare service demand and will further increase the burden of healthcare service on tertiary hospitals for providing healthcare services not only for the people of Islamabad but also for the people referred from Punjab, KPK, AJK, and Gilgit Baltistan etc. Keeping this in view, Islamabad Capital should have state of the art model healthcare system, which should provide healthcare services not only in peace time but also during emergencies. As per data of the Ministry of National Health Services, Regulation & Coordination, there are 1488 health facilities (119 public and 1369 private) in rural and urban areas of Islamabad. There are 64 hospitals including three public sector tertiary care hospitals (Pakistan Institute of Medical Sciences (PIMS), Polyclinic Hospital and CDA Hospital), 48 dispensaries and 75 medical centres. Moreover, a number of maternal & child centers, family welfare centers, private clinics, maternity and nursing homes, homeopathic and hakeems are functional in rural and urban areas of Islamabad. In addition, a total of 302 Lady Health Workers at the community level with a population coverage ratio better than that of the national level. Segregation of healthcare to different departments and lack of clear roles and responsibilities of district health office, CDA health services, and Chief Commissioner Office is a challenge, which led to poor regulations, lack of coordination, quackery, poor referral, inequality in provision of healthcare services, and dissatisfaction among people and healthcare providers. Although exact data related to quacks is not available but it is estimated that there is an increased number of private clinics, medical stores and laboratories run by un-qualified personals. Such unsafe practices have resulted into increased quackery. Moreover, lack of knowledge about preventive diseases such as malaria, tuberculosis, hepatitis, childhood infection, HIV/AIDS, and poor health and nutrition practices such as unsafe injections, increased use of low-quality medicines including antibiotics has resulted in high prevalence of communicable and non-communicable diseases in Islamabad. Lack of trained health human resource is another challenge which leads to poor health system delivery in Islamabad. 1 ISLAMABAD HEALTHCARE REGULATORY AUTHORITY (IHRA) In order to regulate healthcare establishments and to ensure effective coordination, Islamabad Healthcare Regulatory Authority (IHRA), an autonomous health regulatory body was enacted under the Islamabad Health Regulation Act, 2018. IHRA aims to improve the quality, efficiency and safety of healthcare services delivery by adopting evidence-based regulatory standards for registration and licensing of healthcare establishments, health professionals & equipment, and developing and enforcing minimum standards of safety for patients, healthcare professionals and other staff in healthcare establishments (both in public and private) in the Islamabad Capital Territory. IHRA has undergone significant changes in recent times by expanding staff numbers and capacity of the organisation to develop policies, strategies, SOPs, and minimum service delivery standards (MSDSs). Healthcare establishments under IHR Act 2018 are required to get registered with IHRA and implement minimum services delivery standards to acquire license to render health services in the Islamabad Capital Territory. IHRA Vision – “Safe and High-Quality Healthcare Services for everyone in the Islamabad Capital Territory.” IHRA Mission – “Regulate the provision of healthcare in ICT to ensure high efficiency, safety and effectiveness in delivering health services both in public & private sector.” Strategic Goals – IHRA vision and mission is achieved through the following four Strategic Goals: 1. Regulated and Accountable Healthcare Sector: By ensuring that all healthcare facilities, professionals, and equipment are registered in the ICT and meet the required minimum service delivery standards as well as licensing standards. 2. Safe and Trusted Health Services: Through continuous assessment of the quality of health services provided to ensure compliance with IHRA standards and ensure the safety of medicine and medical equipment used in the healthcare establishment and safety of clinical research conducted in the ICT. 3. Protected Health Rights: by Preserving patients’ rights and safety, IHRA will act to protect the rights and the safety of all people using the healthcare facilities. 4. Improved Internal Capabilities: By ensuring strong internal systems, resources and expertise to meet the challenges of the ever-changing regulatory environment. 2 FUNCTIONS OF IHRA As per the Islamabad Health Regulation Act, 2018, IHRA is responsible for maintaining a register of all healthcare establishments, setting standards for registration and licensing of healthcare establishments. In addition, its functions include but not limited to the following: • Registration, licensing and regulation of healthcare establishments, healthcare professionals and equipment • Enforce minimum standards of safety for patient, healthcare professional and other staff in a healthcare establishment • Regulate healthcare establishments in accordance with standards and notified practices • Development of code of conduct for professionals to meet quality assurance/minimum service delivery standards • Issue standing orders to ensure provision of quality healthcare services by healthcare establishments • Grant, renewal, suspension, cancellation or revocation of registrations of healthcare establishments, its healthcare professional and equipment • Monitor and regulate healthcare services quality levels and standards • Constitute committees i.e. inspection committee, complaints committee, review committee etc. • Investigate complaints relating to healthcare establishments, healthcare professional, healthcare services and/or medical negligence • Organize and arrange various educative programs, seminars, conferences and meetings • Take steps for coordination with healthcare establishments, for implementation of various health improvement, disease prevention, curative, rehabilitative and palliative programs • Collaborate with international and national institutions, organizations and companies to secure their assistance, cooperation and support for improvement of healthcare establishments for provision of quality healthcare services STAFFING POSITION Sr. Sanctioned Filled Name of the positions / Grade Vacant No. Posts 1. Chief Executive Officer 1 1 - 2. Chief Executive Officer 1 - 1 3. Director (Registration & Licensing) 1 - 1 4. Director (ME&I) 1 -