HEALTH Nov 30Th, 2013 - Volume:1, Issue: 6

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HEALTH Nov 30th, 2013 - Volume:1, Issue: 6

Polio cases in Pakistan pass 2012 total IN THIS BULLETIN No debate on dengue deaths Health News 1-9 Anti-polio drive begins in twin cities today’ Militants free teachers after questioning DCO warns of polio virus carriers from tribal areas Humanitarian Organizations’ 10 Sindh dengue deaths reach 30 Interventions in Health Sector Mardan at high-risk as parents refuse to vaccinate children Moot on health innovations starts tomorrow Health Profile Lahore 12 Dengue patients keep pouring in Public health: All set for Dengue Day 9 out of 10 injections administered in Pakistan are unnecessary Articles 16 Polio virus strain found in Syria confirmed as originating from Pakistan: WHO Polio campaign: 2,755 teams to vaccinate 1.18m children in Faisalabad Health Maps 13,15,17,19 WHO-Report: WHO rejects NIH report on polio virus in Multan Health dept and WHO all set for vaccination drive Urdu News 21-23 15 percent hike in medicine prices withdrawn Maternal mortality rate in Pakistan highest in region Three districts to be listed as high-risk for dengue Health Directory 25-37 KP to unveil new health policy next week

HEALTH FACILITY - LAHORE LAHORE TOWN WISE DISTRIBUTION OF DRUG USERS - 2011 MAPS PERSONS WITH DISABILITIES (PWDS) STATISTICS 2012 - PUNJAB ACUTE RESPIRATORY INFECTION - 2012

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NEWS HEADLINES DETAILS Polio cases in Pakistan ISLAMABAD: Polio is on the rise in Pakistan, health officials said Wednesday, as the pass 2012 total number of infections in 2013 passed the total for the whole of 2012. Pakistan is one of only three countries in the world where the highly infectious disease which cripples limbs Express Tribune, November 13 2013. remains endemic. Opposition from militant groups has hampered efforts to vaccinate children against polio in Pakistan and officials said violence was part of the reason for the increase in cases. “Last year there were a total of 58 cases, but 62 fresh victims of polio have already been reported in 2013,” a senior government official, who works with international donors working to eradicate polio, told AFP. Six cases were in Punjab, four in Sindh and nine in Khyber Pakhtunkhwa, but by far the bulk of the infections – 43 – were in the tribal areas along the Afghan border. The Pakistani Taliban banned polio vaccinations in the tribal region of Waziristan last year, alleging the campaign was a cover for espionage. “The main reason for the outbreak is militancy in the northwest. Vaccination teams are unable to reach the tribal areas because of risks to their lives,” the official said. Polio cases reached a low of 28 in 2005 but have risen since, reaching a peak of 198 in 2011. In August health officials warned of a serious polio outbreak in the northwest, saying more than 240,000 children had missed vaccination because of the Taliban ban. Elsewhere in the country, health workers giving out polio drops have been attacked and killed, including in Karachi. On Monday the World Health Organization linked an outbreak of polio in Syria that has paralysed 13 children to a strain of the virus from Pakistan. No debate on dengue LAHORE: Another life lost to dengue in the provincial capital on Monday. Sheri, 20, deaths passed away at Ittefaq Hospital. Adding to that 57 more were tested dengue positive, bringing the number of confirmed cases in the province to 1,564. The Nation, November 12th , 2013. Out of 57 new cases, 19 were reported from Holy Family Hospital, 11 from DHQ and one from Benazir Bhutto Hospital in Rawalpindi, six each from Jinnah Hospital and Lahore General Hospital, four each from Sir Ganga Ram Hospital and Shalamar Hospital, three from Ittefaq Hospital and one from Surgimed Hospital in Lahore and two from Allied Hospital Faisalabad. Sindh is the worst hit by dengue, where so far 26 deaths have been reported. Out of 26, 24 died in the Sindh capital while two in Hyderabad. The Lahore Combined Military Hospital reported a dengue death to the Dengue Control Programme director on October 27, a day after the Punjab Health Secretary Hassan Iqbal told a cabinet committee that no “dengue death was reported during the current year in the province”. On the call of Punjab government, lawmakers and babus led rallies and held special sittings to mark Anti-dengue Day on November 3, calling for adopting precautionary measures. Government offices, medical colleges, hospitals and schools remained opened and the officials participated in cleaning, fogging and spray on respective premises. Medical universities and colleges and public sector hospitals arranged events like seminars and walks. Meanwhile, the healthcare commission arranged a seminar on ‘Latest Guidelines on Dengue for Family Physicians’ with the collaboration of Pakistan Academy of Family Physicians at a local hotel on Monday. Commissioner PHC Dr Amjad Saqib, Chief Operating Officer PHC Dr Ajmal Khan, President PAFP Aftab Iqbal Sheikh and Additional Director General Dengue Cell Punjab Dr. Jaffer Ilyas attended the seminar. Renowned experts Prof Javed Akram and Dr Ali Jawa briefed the participants about handling of dengue patients. Anti-polio drive begins in RAWALPINDI: The anti-polio campaign, which could not be launched due to the Ashura violence and curfew in Rawalpindi last week, will start in the twin cities on Monday. The twin cities today district health department Rawalpindi had completed the campaign in Murree, Gujar Khan, Taxila, Kotli Sattian, Kalar Syedan and Kahuta. Dawn November 24 2013 “After the curfew, it was not possible for the health department to start the anti-polio campaign in the city areas,” said Executive District Officer Health Dr Zafar Iqbal Gondal. He said 675 teams had been formed for the anti-polio vaccination. “Due to the effective campaign, no polio virus was found during the environment sampling in the city in October,” he said and added that the campaign would continue in the 12 sensitive union councils. It may be mentioned that a polio virus was found in the sewerage of Rawalpindi for the third consecutive month in September. WHO had expressed resentment over the presence of the polio virus in the city and asked the district administration to do more to save over 700,000 children from the crippling disease. District Health Officer Islamabad Dr Mohammad Azhar Khan said over 120,000 children, under the age of five years, would be vaccinated during the three-day campaign and a catch-up activity would be carried out on the fourth day. “As many as 327 house-to-house teams, 27 transit points and 31 fixed points have been established for the vaccination,” he said. A polio free status has been given to Islamabad as not a single case has been recorded in the federal capital science 2008. Even in 2008, the child who had polio belonged to Mansehra, he said. Dr Khan said the police had assured the department security for the volunteers. At least one official will be moving along with the polio team

and in sensitive areas the number will be doubled, he said. It may be noted that in July 2012, in the Johda village of Golra a man not only refused to get his children vaccinated but also broke the nose of a volunteer. In December 2012, a 21-year-old polio team worker was threatened by an unidentified man in the Jhangi Syedan village in the jurisdiction of the Tarnol police. Militants free teachers after LANDI KOTAL- The Bara-based outlawed group Lashkar-i-Islam released on Monday all the abducted teachers of a private school after questioning them for four days questioning regarding their involvement in polio vaccination. Dawn, November 25, 2013 Hira Public School principal Mohammad Qasim, who was among the seven abducted teachers, told Dawn by telephone that he along with his colleagues was set free by Lashkar-i-Islam. He said that they reached their homes. Lashkar-i-Islam did not claim responsibility for abduction of the teachers but it was an open secret for all and sundry in Bara including the local political administration, sources said. Mr Qasim also disputed the media reports about their abduction and insisted that they were only ‘called’ by the council of Lashkar-i-Islam to explain their role in polio vaccination campaign in Bara. Security forces and khasadars entered my school without permission and without any prior notice about administering polio vaccines to the children in the school, he said about their role in the vaccination drive. He alleged that security forces herded the teaching staff to a corner of the school and ordered the health workers to administer polio drops to the children under the age of five. Mr Qasim said that he along with the residents of Speen Qabar and adjoining localities in Bara was opposed to polio vaccination and had not allowed polio vaccination in the past. He said Parents send their children to my school for learning as it is a school and not a health centre or an army base, and warned that he would permanently close down his school if security forces ever tried to force him to help them in the polio vaccination. During his nearly two minutes of conversation, Mr Qasim repeatedly said that they were not kidnapped by anyone and but only ‘called’ to explain as to why his institution was used for polio vaccination. However, despite Mr Qasim’s repeated assertions that he along with his ‘missing’ colleagues was back home, the local political administration didn’t confirm their release. Seven teachers of Hira Public School in Sipah area of Bara went missing on November 21 after a polio team just vaccinated children in the school. The news about their missing was leaked to media on November 23 as the political administration was trying to conceal the incident. It was only after repeated queries by some reporters that a junior official said that a jirga had been assigned the task to secure the release of the missing teachers. DCO warns of polio virus BAHAWALPUR: The district coordination officer (DCO) has warned local officials of the clandestine threat of spread of polio virus in the district from the carrier of the carriers from tribal areas virus coming from tribal areas. DCO Imran Sikandar Baloch, inaugurating a five-day anti-polio campaign on Monday, said the chances of re-occurrence of polio virus in Dawn November 18, 2013 the district could not be ruled out because of the arrival of tribal people in the district. He said the people migrated from the tribal areas to the Punjab plains in winter. He said government officials would have to be on alert in anti-polio drives. For the first time, a five-day drive has been launched in the district which will target over 500,000 children of less than five years of age. The DCO said in the first three days of the drive, teams would visit door to door to administer drops to children while in the last two days, the mobile teams would locate the children at places like bus stands, railway stations, toll plaza, markets and bazaars to administer anti-polio drops to the children accompanying their parents. DEMO: A large number of students and teachers of seminaries brought out a rally and staged a sit-in in protest at sectarian riots of Rawalpindi, Chishtian and Haroonabad. The students marched from Fowara Chowk to DIG Chowk where Shafqatur Rehman, Rao Javed Iqbal and Sohaib delivered inflammatory speeches and criticised the government. They demanded release of the people arrested in Rawalpindi, Haroonabad and Chishtian. The blocking of DIG Chowk created a traffic mess on city roads. Some protesters hurled threats on reporters and also wrote hate graffiti on walls, which was erased by municipality employees. Also, the District Peace Committee expressed satisfaction over the peaceful passage of Ashura in the district. The meeting was addressed by ulema, the DCO, District Police Officer Sohail Habib Tajik and traders. The committee demanded review of the ulema on gagging and Fourth Schedule list, detained and banned from entering the district.

Sindh dengue deaths reach KARACHI:The Provincial Dengue Surveillance Cell of Sindh Health Department confirmed death of another dengue patient in Thatta, taking the toll to 30 in the 30 province. Another 10 dengue cases have also been reported in Karachi during the last Dawn November 26, 2013 48 hours, taking the total number of cases to 4,236. In Punjab, 27 more were tested positive for the deadly virus on Monday, taking the number of confirmed cases in the province to 2,245. Out of 27 new cases, 19 were reported from Lahore and 8 from Rawalpindi. Condemning the incident of torture on Prof Aslam at Lahore General Hospital, Pakistan Medical association has demanded adequate security arrangements at public sector hospitals to avoid such incidents in future. Some unknown armed men stormed into Gynae ward of LGH on Monday and manhandled Prof Aslam and his staff. At an emergency meeting at PMA House on Monday, office bearer of PMA demanded the government to come forward with a clear security policy for public hospitals, otherwise it would be impossible for the community to offer services. The office bearers also demanded arrest of culprits responsible for torture on Prof Aslam at LGH. Meanwhile, the Punjab Healthcare Commission launched its toll free Helpline for providing patients, healthcare service providers, healthcare establishments and the public at large an easy access to acquire information regarding the working of the Commission especially related to licensing and complaints management. Patients and healthcare service providers will be able to file their complaints and healthcare establishments can also acquire information about the registration and licensing processes by calling on this toll free number. The Helpline will remain active from 9 am to 5 pm from Monday to Saturday. Mardan at high-risk as PESHAWAR: Mardan is becoming a major threat in terms of polio eradication efforts as parents of 8,495 children refused to administer polio vaccination in November’s parents refuse to vaccinate immunisation campaign in the district. Data revealed by the Khyber-Pakhtunkhwa (K-P) children health department shows 28,731 refusals from the province in the November campaign. A list from the provincial control room’s data for November recorded the number of refusals The Express Tribne, November 27 based on a three-day drive conducted from November 18 to November 20. According to 2013 the district lists, Peshawar emerged as the second district where 3,856 refusals were recorded. Similarly Nowshera had 3,499 refusals, Bannu 3,460, Abbottabad 490, Battagram 47, Buner 18, Charsadda 1,006, two each in Chitral and Upper Dir, DI Khan 648 refusals, Lower Dir 26, Hangu 204, Karak 1,432, Kohat 1,269, five in Kohistan, Lakki Marwat 2,820, Manshera 706 refusals, Swat 217, nine in Tank while 141 refusals were reported from Torghar district. The data showed no refusals in Haripur, Malakand, Shangla and Swabi. Mardan DHO Dr Qasim told The Express Tribune three rounds of polio vaccinations had been conducted since he took charge four months ago. He claimed they had been successful in reducing the number of refusal cases from 10,000 after the district administration chalked out a strategy to eliminate the number of refusals in hotspot areas including Mohib Banda, Rustam and some areas of Shergarh. Dr Qasim added they held awareness and social mobilisation meetings with elders of these areas in collaboration with the local religious clerics. Responding to a query, he said due to misconceptions about polio drives, residents were frustrated with the regular vaccination campaigns and often refused. Dr Qasim stressed the immunisation strategy needed to be altered as people were fed up with repeated campaigns. He further added the district administration had issued warrants against some people in troubled spots and this had decreased the ratio of refusals. According to Qasim the target in the last immunisation drive was 160,000 children and he termed the refusals recorded as acceptable, adding covering more areas will help get rid of the refusals. He shared the coverage ratio was 85% in the district before he took charge and now it had increased to 91%. According to official figures, out of the 63 polio cases recorded across the country this year, nine are from K-P. The highest number of cases, 43, has been reported from the Federally Administered Tribal Areas, six from Punjab and five from Sindh. The last reported polio case was from Sahiwal, Punjab on November 12. Since more than 119,580 children are at risk in K-P, the provincial health department and World Health Organisation (WHO) are set to strengthen Union Councils Polio Eradication Committees at district levels in 2014. According to Dr Kalimullah Khan, communication officer of the Expanded Programme on Immunisation (EPI), central regions, including Mardan, Nowshera, Charsadda and Peshawar, fall under the high-risk districts category followed by Lakki Marwat in southern K-P. “We are training communication staff before launching vaccination drives to dispel misconceptions in order to alleviate the increasing trend of refusals,” he said. While Khan agreed with Mardan DHO’s point of view about polio drive fatigue, he said the authorities had no other options to control the disease in these areas. He added the nature of refusals was driven by a number of factors and they will be thoroughly checked in order to control the dangerous trend of parents refusing to vaccinate children.

Moot on health innovations ISLAMABAD: The Society of Surgeons of Pakistan, the National University of Science and Technology (NUST) and the Higher Education Commission (HEC) are jointly starts tomorrow organising a two-day conference – on November 29 and 30 – on ‘New Innovations for The Express Tribune November 28, Health through Research and Development’. The conference is being organised as part of the International Surgical Week, held from November 25 to 30, in Islamabad at the NUST 2013 Centre for International Peace and Stability (CIPS). NUST Rector Engineer Muhammad Asghar will inaugurate the conference tomorrow (Friday). Rawalpindi Medical College Department of Surgery Head and Society of Surgeons of Pakistan Rawalpindi-Islamabad Chapter. President Dr Asif Zafar Malik will present the review report on the ongoing International Surgical Week. Dengue patients keep LAHORE: Another 51 were tested positive for dengue on Tuesday, taking the number pouring in of confirmed cases in the province to 2,296. Out of 51 new cases, 48 were reported from Lahore and 3 from Rawalpindi. Out of 48 cases in Lahore, 10 were reported from The Nation, November 27 2013 Cantonment, 8 from Data Gunj Bakhsh Town, 6 each from Ravi Town, Gulberg Town, Nishter Town and Shalamar Town, 2 each from Iqbal Town and Samanabad Town and 1 each from Aziz Bhatti Town and Wahga Town. Clinical waste disposal plan – The Punjab Health Department is evolving a centralised system for incinerating hazardous clinical waste with the cooperation of Lahore Waste Management Company. For this purpose two latest incinerators will be installed at Lakhu Dair for the disposal of clinical waste of 232 public sector and private hospitals. This was informed at a meeting chaired by Advisor to Chief Minister Punjab on Health Kh Salman Rafiq on Tuesday. The meeting discussed in detail the planning of hospital waste management system. Besides special secretary Health Babar Hayyat Tarrar, Secretary Environment Anwar Rasheed Ch, MD LWMC Wasim Ajmal Ch, Addl Secretary Health Technical Dr Anwar Janjua, Medical Director Children Hospital Prof Ahsan Waheed Rathore, Principal Allam Iqbal Medical College/ Jinnah Hospital Prof Mehmood Shaukat and other concerned officers attended the meeting. MD LWMC gave briefing on hospitals waste management project. It was informed that at present 232 public and private hospitals of the city were producing 10569 kg waste. He informed that two incinerators would be installed in Lakhu Dair, each plant has a capacity of burning 500kg waste per hour. He informed that there would be a central point in each town for collection of clinical waste from where it would be shifted to Lakhu Dair for incineration. He informed that Environment Department was also cooperating in this programme. He disclosed that 20 per cent of total hospital waste was injurious for human health. He said that in future power generation would also be started from these incinerators by using plasma technology. Kh Salman Rafiq said that after success of Lahore hospital waste management project, it would be replicated in other big cities of the province. Public health: All set for LAHORE: Law Minister Rana Sanaullah Khan said on Friday that the government had inspected of 34,329 sites for dengue larvae. He said indoors sprays and fogging Dengue Day would be carried out at high-risk union councils on the recommendations of the Pakistan Observer November 2, Technical Advisory Committee. He was presiding over the Central Emergency Response Committee for Dengue. Ministers Khalil Tahir Sindhu, Rana Mashhood 2013 Ahmed and Bilal Yasin also attended the meeting. Sanaullah said the number of high- risk union councils had declined from 24 to 19. He said pamphlets and brochures would be distributed at homes to raise awareness about the disease. He said arrangements for a Dengue Day on November 3 had been completed. Meanwhile, the DCO visited several parts of the city to inspect the anti-dengue campaign. The DCO visited Union Council 72, Urdu Bazaar and Bhatti Gate localities to inspect arrangements regarding the public campaign. He went door-to-door and asked the residents to keep their localities clean and to remove standing water. He also registration of an FIR against the owner of Malik Theatre located at Bhatti Gate where dengue larvae were found. Talking to newsmen, he said an awareness seminar and walk would be held at LDA Model Girls High School in Johar Town on Saturday (today) in connection with the anti-dengue campaign. EPD registers 8 FIRs. Environment Protection Department (EPD) squads on Friday inspected 293 places in the city and registered eight FIRs against owners of buildings where dengue larvae were found. The EPD also issued 19 notices in this regard. EPD Secretary Anwar Rasheed led the inspection at Kashmiri Marble Workshop in Makkah Colony where dengue larvae were found. He directed the Environment Director Younas Zahid to remove the larvae and register an FIR against the workshop owner. Other squads inspected various places and registered eight FIRs against Almadina Milk Shop, Mian Plastic Bottle Warehouse, Zain Plastic Traders, Data Plastic Factory, Mashallah Plastic Traders, Farooq Plastic Company in Misri Shah, and Zaroon Khan Scrapyard on Shah Kamal Road. Talking to newsmen, Rasheed said the government had issued several warnings to people to keep their localities clean. He said the EPD had also issued dengue prevention guidelines in this regard. He said the government had launched a huge public awareness campaign and taken action against those who did not comply with the guidelines. Rasheed said negligence by EPD officials would not be tolerated. He said the department would continue the inspections until the

threat of dengue fever was completely eradicated. 9 out of 10 injections LAHORE: Till the use, reuse and misuse of syringes continues, health experts do not see administered in Pakistan the government winning the battle against the spread of hepatitis C virus in Pakistan. are unnecessary In a public awareness seminar on hepatitis C, held here at the University of Health Sciences (UHS) on Thursday, Pakistan’s’ leading liver and gastroenterology physician and Pakistan Observer, November 29 Principal Gujranwala Medical College Gujranwala, Prof Aftab Moshin said that out of 2013 country’s 200 million, an estimated 16 to 148 million are infected with various forms of hepatitis viruses. “Pakistan has the highest number of patients with chronic liver disease in the world”, said Prof Aftab Mohsin who is also the former national programme manager of the Prime Minister’s Programme for Prevention and Control of Hepatitis (which has now been devolved to the provinces). He said that all evidence for the spread of hepatitis C virus (HCV) points to the use of non-sterile syringes in Pakistan. “Annually, an estimated 16 billion therapeutic injections are administered the world over out of which 800 to 900 million are administered in Pakistan only”, Prof Aftab said adding that nine out of 10 injections administered in the country are unnecessary. He said that doctors particularly those practising in small towns and rural areas do oblige patients when they demand infusion drips and injections. “It’s not just quacks, I hold qualified dentists and medical practitioners responsible for unsafe practices of administering unnecessary injections, and using non-sterile syringes or needles”, said Mohsin. He further said that unfortunately there is no legislation in place to ban reuse and misuse of syringes as there is no law to date that prohibits quacks from practising. Prof Arif M. Siddiqui, President Pakistan Society of Gastroenterology and professor of medicine at Allama Iqbal Medical College, Lahore, said that coupled with poverty and illiteracy, other reasons for the spread of what is known as a silent epidemic (as the symptoms do not show until 15 to 20 years later), are use of non-sterilized razors and dental instruments by roadside barbers and dentists and contaminated blood transfusions. He added that the risk of infection could be reduced by taking precautionary measures and creating awareness among masses. UHS acting vice chancellor Prof Mohammad Tahir said that around 66 per cent population of Pakistan is living in rural areas and they are ignorant about the transmission of viral infections. UHS Director of Centre for Innovation in Learning and Teaching and noted liver surgeon Dr Arif Rashid Khawaja stressed the need of combine efforts to combat the menace of hepatitis C. Polio virus strain found in GENEVA: Polio, that has crippled at least 13 children in Syria, has been confirmed as Syria confirmed as being caused by a strain of the virus that originated in Pakistan and is now spreading across the Middle East, the World Health Organisation said on Monday. originating from Pakistan: WHO Genetic sequencing shows the strain found in Syrian children in Deir al-Zor, where an outbreak was detected last month, is linked to the strain of Pakistani origin found in sewage in Egypt, Israel and Palestinian territories in the past year. “Genetic sequencing indicates that the isolated viruses are most closely linked to virus detected in Express Tribune November 11, 2013 environmental samples in Egypt in December 2012 (which in turn had been linked to wild poliovirus circulating in Pakistan),” the United Nations agency said in a statement on Monday. Closely-related strains of the wild poliovirus of Pakistani origin have also been detected in sewage samples in Israel, the West Bank and Gaza Strip since February 2013, it said. Polio virus has been confirmed in 13 of 22 children who became paralysed in the northern Syrian province of Deir al-Zor. Investigations continue into the other nine cases. It is Syria’s first polio outbreak since 1999. No children in Egypt, Israel or the Palestinian territories have been hit by polio thanks to high immunisation rates and a strong response to the alert, WHO spokesperson Sona Bari said. Polio virus is endemic in Pakistan, Afghanistan and Nigeria despite a 25-year-old campaign to eradicate the disease, which can paralyse a child in hours. Militants from countries including Pakistan are believed to be among groups battling to oust President Bashar al-Assad, leading to speculation that they brought the virus into the country. The WHO says it is unlikely that adults, who generally have higher immunity, carried the virus into Syria and that its mode of transmission will probably never be known. Syria’s immunisation rates have plummeted from more than 90 per cent before the conflict to around 68 per cent. Polio mainly affects children under five and cannot be cured, only prevented. “All the children (paralysed) are under two years old, so they were all born after immunisation services fell apart,” Bari told Reuters. “No doubt the outbreak will be large.” Children living in unsanitary conditions are especially vulnerable to the virus, which spreads via faecal-oral transmission and contaminated food and water. More than 20 million children, including 1.6 million in Syria, are to be vaccinated in Syria and neighbouring countries over the next six months, UN agencies said last week. Polio campaign: 2,755 FAISALABAD / BAHAWALPUR: The Faisalabad district administration has teams to vaccinate 1.18m constituted 2,755 teams for a polio vaccination drive that will begin in the district on November 18. Out of these, 2,240 teams will go door-to-door and 145 will be stationed. The teams aim to administer vaccine to 1.18 million children in the district

children in Faisalabad in three days. Express Tribune November 11, 2013 District Coordination Officer Noorul Amin Mengal on Sunday held a meeting to review the arrangements. The meeting was told that 458 area-in-charges and 289 union council monitoring officers would supervise the campaign. The DCO stressed the need for launching an effective awareness campaign to persuade parents of the target children. It was decided that announcements would be made in this regard from neighbourhood mosques. Banners and streamers would be displayed at prominent places, including gates of all schools. The DCO directed the officials concerned to organise declamation contests at schools to highlight the issue. He said telecom companies would be asked to send text messages to subscribers to create awareness and generate interest in the drive. He directed the education executive district officer to convey directions to all schools to ensure that parents were asked to produce their children’s vaccination cards at the time of admission. The union council secretaries were asked not to register birth of a child without seeing its vaccination card. The DCO also directed Health Department officials to use computers to store data of all children in the district. He said this would help them get to children for the next drive and reduce chances of missing any children. He said he would not tolerate carelessness or irresponsibility from the staff. Earlier, Health EDO Waqar Sadiq and District Officer Liaquat Ali gave a briefing about the plan for the campaign. They said polio workers had been trained for the drive. Five-day campaign in Bahawalpur The campaign will last for five days in Bahawalpur. As many as 545,198 children will be given vaccine, District Coordination Officer Imran Sikandar Baloch told a meeting on Sunday. The DCO directed health officials to remain vigilant. The meeting was told that 1,284 teams would take part in the campaign. Out of these, 1,019 teams will make door-to-door visits and 145 will be deployed at schools, hospitals, bus stands and markets. As many as 226 area-in-charges, six tehsil supervisors and 65 lady health supervisors would supervise the campaign. The DCO directed the agriculture and community development EDOs, the Bahawal Victoria Hospital medical superintendent, the Auqaf Department administrator, the Bahawalpur DPO, the Motorway and traffic police SPs and the additional district collector to cooperate with the district government for the campaign.The DCO said he would personally monitor the campaign. WHO-Report: WHO rejects MULTAN: A report of World Health Organisation (WHO) has categorically rejected the NIH report on polio virus in National Institute of Health report about presence of polio virus in sewage of certain areas of the city, Executive District Officer (Health) Iftikhar Qureshi said on Friday. He Multan was briefing a meeting headed by District Coordination Officer Zahid Saleem Gondal. The Express Tribune November The meeting was held to review arrangements of polio campaign that would 9,2013 commence on November 18. The NIH had reported the presence of deadly virus in sample of sewage water collected from Ali Town and Kotla Abdul Fatey in September. The EDO said the WHO report received from Geneva had refuted NIH claims. Quoting from the WHO report, the EDO said the virus present in the sewage was harmless. He said they were waiting for the report of Kotla Abdul Fatey. He said the report of Suraj Miani disposal had also proved wrong. The EDO told the meeting that the Health Department was sending samples of three disposal stations in these areas for analysis every month. He said after the NIH report, the department had dispatched the samples to Geneva for tests of virus genetics. Additional District Commissioner Ali Akbar Bhatti, City Assistant Commissioner Sadia Mehr, Operations SSP Naeem Khan Babar and WHO representatives Dr Shahid Bokhari and Dr Abid Hussain were also present. Health dept and WHO all PESHAWAR: As more than a quarter of a million mothers and fathers turned polio set for vaccination drive vaccinators away in Khyber-Pakhtunkhwa (K-P) last month, the World Health Organisation (WHO) and provincial health department decided to sit down and figure The News, November 21, 2013 out their next move. According to official figures, nine of the 63 polio cases from across the country were from Khyber-Pakhtunkhwa (K-P). The highest number of cases, 43, were reported from the Federally Administered Tribal Areas, six from Punjab and five from Sindh. The last reported polio case was from Sahiwal, Punjab on November 12. Since more than 119,580 children are at risk in K-P, the health department and WHO decided they would strengthen Union Councils Polio Eradication Committees at district levels in 2014. According to Dr Kalimullah Khan, the Expanded Programme on Immunization’s (EPI) communication officer, they will set up committees to keep an eye on everything at the grass-root level. “The monitoring committees will make sure no child under the age of five remains unvaccinated especially in high-risk areas of the province,” he said. “Peshawar district is a risky area but we have trained doctors and administrative

officials. The three-day polio campaign is scheduled to start soon.” Khan added they had trained 44 union council (UC) doctors and administration officials who would participate in the next polio vaccination campaign. While talking to The Express Tribune about who had the authority to make the UC polio committees, Khan said the decision lay with the DCO. “He also gets to decide about tehsil polio eradication committees and supervise the anti-polio campaign,” he said. “During the three-day polio campaign, daily progress reports will be viewed at the end of each day.” An anti- polio control room will be up and running at the DCO’s office, fully equipped with a supervision plan and details of the staff on duty. Khan explained how the council’s polio committee would work. Every committee will have a medical officer, commissioner, EPI technical officer, lady health supervisor, school principal, mosque cleric and an SHO. They will be answering to the District Polio Eradication Committee which will have DCOs and other EPI officials. “If the UC polio committee faces any trouble during the polio campaign, they will contact the district committee,” Khan said. “If their problem has not been resolved, they can get in touch with the EPI department.” He added that these committees played a vital role in eradicating polio. Primary school teachers and members of the All Primary Teachers Association refused to participate in anti-polio drives across K-P as they felt it was not a part of their job description. This was decided when they met at a convention held at Balambat Educational Complex in Lower Dir on Wednesday. According to the association’s president Malik Khalid Khan, they will not participate in future polio drives and put their lives in danger. “More than 75,000 of our teachers take part in these campaigns,” he said. “They became teachers to educate the nation, not vaccinate them.” Bacha Muhammad, the general secretary, said it was impractical for the teachers to carry vaccines and travel for hours to remote areas. He claimed it would be better if the teachers went there to teach instead. “The health department has doctors, nurses and other technical staff to do these things,” he said. “So why should the health department’s duties be assigned to the education department.” He did, however, add if the executive district officers, professors, college and university principals participated in the vaccination drives, the primary school teachers would also happily join. The association’s Lower Dir president Ali Rehman claimed that when a police officer was killed in one of the polio drives his family received a Shuhada package, but the same was not true for the teachers who lost their lives in the campaign. With additional reporting by Amjid Ali Shah from lower dir. 15 percent hike in medicine ISLAMABAD - The Ministry of National Health Services, Regulation and Co- prices withdrawn ordination on Friday withdrew 15 percent hike in medicine prices after intervention of Prime Minister Nawaz Sharif, it is learnt. The Federal Ministry on Thursday Business Recorder, November 30 (November 28) issued a notification increasing prices of about 40 percent of the 2013 medicines by 15 percent with immediate effect; except prices of 22 lifesaving drugs- medications for hepatitis, ulcer, cancer, blood pressure, diabetes, asthma, kidney, heart related ailments and antibiotics. Price of any medicine, subject to a court order was also exempted from the increase. Taking strict notice of the increase in the medicine prices‚ the Prime Minister said increase in medicine prices would not be accepted, and directed the concerned authorities to bring the medicine prices back to the previous level, a senior official of the Ministry revealed. After the intervention of PM, an emergency meeting was called at the Ministry where it was decided to reverse the increase in medicine prices and issued a notification in this regard, a copy of which is available with Business Recorder. According to the notification; in exercise of the powers conferred by section 12 of Drugs Act, 1976 (XXX1 of 1976), read with clause (a) of section 7 of the Drug Regulatory Authority of Pakistan Act, 2012 (XXI of 2012), the federal government is pleased to withdraw its notification No. S.R.O.1002 (1)/2013 dated November 27, 2013 ab initio and with immediate effect. However, an anecdotal survey conducted by this scribe revealed that manufacturers and wholesalers increased medicine prices several days before the expected hike while an artificial shortage of some medicines was created in the market. The price of Centaurus used for Hepatitis C was increased from Rs 3100 to 3400, Calpol syrup's price increased from Rs 25 to Rs 42, Selanzar and Pepzine used by stomach patients increased from Rs 180 to 189 and Rs 219 to Rs 230 respectively, and aero cast used for asthma increased from Rs 255 to Rs 270. Qalsan having calcium in great quantity has high demand nowadays and currently is short in market, traders and wholesalers revealed. Taking to Business Recorder, Khawaja Javed Akbar, Secretary General, Pakistan Pharmaceutical Manufacturers Association (PPMA), said the cancellation of the SRO would have negative effect and might lead to severe consequences as regards non- availability of life saving medicines and commonly used drugs. According to a letter of PPMA wrote to PM Nawaz Sharif, the retail prices of drugs have not been increased since 2001. As per ECC approved formula the cost impact from 2001 to 2013 is 94 percent and on top of it US dollar exchange rate was Rs 58, which is now Rs 110/per US dollar. More than 90 percent of the raw material used in production of drugs is imported. The letter further maintained that DRAP had initially

proposed an increase of 18 percent in its fourth policy board meeting whereas PPMA had asked an increase of 50 percent in prices. After a lot of meetings and deliberation it was decided that an interim increase of 15 percent will be made in prices. This increase is applicable to only 40 percent of medicines, and life-saving drugs have been "excluded", while no price increase has been given on the most commonly used medicines. PPMA urged the PM not to cancel the SRO for increasing medicine prices. Maternal mortality rate in LAHORE -The prevailing rate of infant and maternal mortality rate in Pakistan Pakistan highest in region continues to be among the highest in the region. This was revealed during a seminar organized at a local hotel here to highlight the importance of the role Community The Observer November 25, 2013 Midwives (CMW) playing in bringing down the Infant and Maternal Mortality rates in the country. The CMW initiative is the backbone of the Maternal, Neonatal & Child Health (MNCH) Programme. Present at the event was the Health Minister, Mr. Shaukat Yousafzai, Secretary Health, Ghulam Qadir, DG Health Services, Muhammad Zafar, number of senior policy makers from the MNCH Programme and Department of Health, Khyber Pukhtunkhwa, MPAs, representatives of international development partners, NGOs, academia as well as representatives from the Pakistan Nursing Council (PNC) and Community Midwives from over 9 districts. The CMWs spoke passionately about certain cases in which they were able to make a vital difference to their communities and were able to save lives because of their specialised training. They indicated that adequate support from the district and provincial governments would be crucial to improve their performance further and retention in the health system. Global experiences indicate that one way of bringing about an improvement in maternal and child health is a proficient front line of Skilled Midwives, along with supportive supervision and strong linkages with the referral system. The Government of Pakistan launched the MNCH Programme in 2007 to accelerate progress towards Millennium Development Goals (MDGs) 4 & 5. This was to be achieved primarily through providing emergency obstetric and new-born care services, training and deployment of a new cadre of community midwives and institutional strengthening. The overall vision of the Programme has been to improve quality and coverage of MNCH services, especially at primary and secondary levels of the health system, coupled with community outreach services through integrated system-wide approaches. The MNCH Programme has been implemented in 134 districts across 4 provinces, Azad Jammu and Kashmir, Northern Areas, Federally Administered Northern Areas and Federally Administered Tribal Areas. Currently, in Khyber Pukhtunkhwa province 981 CMWs have been deployed while 574 are awaiting deployment. The role of CMWs was highly appreciated by all senior policy makers and managers. The Health Minister ensured his full support to the CMWs and made a public commitment to increase their stipend from Rs. 2000 to Rs. 6000. He further said that the existing strength of the CMWs will be increased by 600 and hoped that “there would be one CMW in each union council”. Three districts to be listed LAHORE: At least 13 new cases of dengue were confirmed in different cities of the province on Sunday, while a meeting of Dengue Experts Advisory Group (DEAG) and as high-risk for dengue Dengue Technical Advisory Committee (DTAC) decided to mark Bhawalpur, Daily Times November 23, 2013 Faisalabad, Gujranwala as the high-risk districts in the next year’s dengue control list. The total number of dengue-positive cases has risen to over 2400 across the province, out of them over 1500 are reported from the provincial capital alone. According to the Provincial Health Department, between Sunday and Saturday 13 patients of dengue fever were reported across the province. Seven new patients were brought in city government and private hospitals, four in Rawalpindi hospitals, one patient each admitted in Narowal and Kasur Hospital. The total number of dengue fever patients has increased at 2398 across the province from January to November, 2013. On the other hand, Adviser to Chief Minister Punjab for Health, Khawaja Salman Raffique has said that dengue epidemic in Punjab was visibly on the decline however, dengue surveillance activities should continue till no dengue patient is reported for seven consecutive days. He stated this while presiding over a joint meeting of DEAG and Dengue DTAC on Sunday. Special Secretary Health Babar Hayat Tarar, DG Health Punjab Dr Zahid Pervaiz, Addl. Secretary Health (Tech) Dr Anwar Janjua, Professor of Medicines Dr Muhammad Ali from SIMS, Dean IPH Prof. Dr Moaz Ahmad, Epidemiologist IPH Prof. Farkhanda Kokab, Chief Entomologist Prof. Dr Wasim Akram, Addl. DG Dengue Control Dr Jafar Ilyas and Officers of PITB attended the meeting. It was informed that number of dengue patients was minimised and due to the cold weather the larvae breeding had been reduced. However, there is a need of constant vigilance of the situation. The participants of the meeting discussed in detail the strategy plan for next year. Khawaja Salman Raffique directed that during the off season of dengue, the dengue surveillance should be continued at low profile and in the meanwhile, experts should prepare action plan for next season by removing the

weaknesses and loopholes of the system so that dengue should not be surfaced in next season. It was decided that Gujranwala, Faisalabad and Bahawalpur should be included in the high-risk districts in the next year’s dengue control list. Khawaja Salman directed that DEAG and IPH immediately chalk out a training programme for the doctors, nurses and other staff of Gujranwala, Faisalabad and Bahawalpur districts. He also directed that the requirements of human resource for these districts also be worked out so that arrangements could be made for the provision of additional staff for those districts. On this occasion, Chief Entomologist Prof. Dr Wasim Akram urged that since the intensity of dengue epidemic was minimised, fogging and indoor spray should only be carried out in the houses of the targeted area from where the dengue patients were being reported. He said we have to change our life style and people should rid of the habit of throwing solid waste in the open plots, grounds and drains for effective control of the dengue. Prof. Muhammad Ali, Member DEAG, stressed the need of strengthening the Disease Early Warning System and Vector Warning System for improving the clinical management of dengue patients as well as dengue control. He requested that the authorities concerned should ask the private and trusty hospitals to send their senior doctors specially consultants for training of clinical management of dengue. KP to unveil new health KARACHI-PESHAWAR: Khyber Pakhtunkhwa Minister for Health Shaukat Yousafzai policy next week on Monday said a new health policy would be announced in the next week in Khyber Pakhtunkhwa through which free medical facilities and emergency services would be DAWN November 12, 2013 provided at periphery healthcare centre at all districts of the province. He also announced free medical treatment at government hospitals in the province for journalists suffering from hepatitis, cancer, heart problems and other chronic diseases. The minister was speaking during a Peshawar Press Club function organised for distribution of life insurance polices and awards to journalists. PPC President Nasir Hussain, Khyber Union of Journalists President Nisar Mehmood and PPC General Secretary Yousuf Ali also spoke on the occasion. Mr Yousufzai said the government was taking proactive steps for provision for better healthcare facilities to everyone in the province. “For this purpose, a strong new health policy will be introduced from next week under which free emergency services will be provided at periphery health facilities in the entire province. The people will see a change after the introduction of the policy. Free health services will be extended to underprivileged districts of the province like Kohistan, Chitral and DI Khan,” he said. He also announced free medical treatment for journalists suffering from chronic diseases like hepatitis, cancer and heart problems, etc. The health minister said the government was facing host of challenges in the health sector, but it was fully tackling with all those issues, by imposition of better policies and practical steps. He said more than 500 new doctors, 675 nurses and 300 to 400 medical technicians had been inducted at public sector health hospitals and tertiary healthcare units in the province.“The process of recruitments of medical and technical staffs will complete within a week,” he said. Mr Yousafzai said the directives were being issued to commissioners of all districts, to establish a monitoring cell for the government’s health facilities. He said free medicines would be provided at basic health units, rural health centre, and districts headquarters level hospitals.

HUMANITARIAN ORGANIZATIONS’ INTERVENTIONS IN HEALTH SECTOR News and Interventions in the Month of November

ACTED - ACTED will provide 2,202 Water, Sanitation and Hygiene (WASH) kits and 734 emergency latrines to meet the immediate WASH needs of the affected, with the support of UNOCHA’s Relief Activities in Emergency Relief Fund. At the same time, ACTED will also provide 3,500 non-food item kits donated by Alliance2015 partner Welthungerhilfe to support the families in district Awaran. The Balochistan Earthquake distribution of aid items will be carried out by local NGO HANDS. Affected Areas PRCS Health Response During a six-week period between 27 September and 7 November, PRC health teams have Th provided emergency health services – including dispensing of essential medicines – to 4,619 from 27 Sep – 7 persons in the Union Councils of Awaran, Teertaij and Gishkor in Awaran District. November 2013 The graph below illustrates the number of health service provided to the people of Awaran by PRCS.

Conference on Improving A two day conference on Improving Maternal Health in Pakistan was held by Helping Hand, the Conference reflected on the following Issues: Maternal Health in Pakistan 25 – 26  Family Planning in Pakistan: Applying What We Have Learned November 2013 organzed  Availability of health services in the participating hospitals of Pakistan in the WHO by Helping Hand Multicountrysurvey 2011 and its association with maternal and newborn health  HHRD - Contributions to Improving Maternal Health & the lessons learnt

 Engaging Young Married Couples in Adoption of Family Planning for Birth Spacing: Opportunities and Challenges

 National Fistula Program of Pakistan

 Frequency of contraceptive use and its association with couple’s education and income status in Rawalpindi, Islamabad (Pakistan)

 Knowledge Attitude And Practice Regarding Folic Acid Deficiency: A Hidden Hunger

 Antenatal Mental Health and Predictors of Stillbirth and Intrauterine deaths: A cohort study in rural Pakistan Running Title: Predictors of stillbirths and intrauterine deaths in rural Pakistan by

 Prevalence of Hepatitis B infection in married women of child bearing age in District Islamabad

Polio Cases Recorded in Pakistan till 30-11-2013

Confirmed Polio Cases in Pakistan District/ Area Wise. (2013) Province/ Region District/ Area Total Cases Khyber Pakhtunkhwa 6 9

FATA 4 43

5 6 Punjab

Sind 4 5

Balochistan 0 0

Gilgit Baltistan - -

Total 19 63 Source: EPI

DISTRICT LAHORE HEALTH PROFILE

WHO Health Facilities Standards

WHO Standard per 10,000 Population

Beds 25 Health Facilities 2

Health workforce 23 Source: WHO

Health Indicators of Lahore The table below illustrates the Health Indicators of Lahore:

Indicators Infant Mortality rate 50/1000 live births Under 5 Mortality Rate 68/1000 Maternal Mortality Ratio 236/1000 Male 27%, Female 25% Total = Malnutrition (women and Children) 26% Life Expectancy 63 years approximately

Immunized against measles 92% Source: EDO Health Lahore

LahorePublic Health Facilities

Facility Type Name of Facility Bed Strength No. of Functional Remarks Beds

DHQ Hospital Government Mian Munshi Hospital- 150 150 DHQ Hospitals DHQ-I required to be up - graded Government Kot Khawaja Saeed 149 149 Hospital- DHQ-II

THQ Hospital Said Mutha Hosptal -THQ-I 50 50

Mozang Hospital-THQ-II 20 20

RHCs 6 RHC’S 120 120 -----

BHUs 37 74 74 ------

MCH Centers 23 ------

Sub Health Centers 2 ------

TB Clinics Government infectious diseases hospital

Health houses 1856 ------

Data source: DHIS/EDOH office

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Lahore Public and Private Health Facilities

According to the data collected by ALHASAN Systems (Pvt) Ltd in the year 2013, The table below illustrates the total number of Health Facilities in Lahore.

Category BHU Clinic DHQ MCH Medical Medical RHC SHC Total Facilities Services BASIC HEALTH UNIT 34 34 CHILDREN HOSPITAL 32 32

CLINICAL LABORATORIES 11 11

DAWAKHANA 99 99

DENTAL 29 29

DIAGNOSTIC CENTRE 11 11

DISPENSARY 7 7

DISTRICT HEADQUARTER 1 1 HOSPITAL GENERAL HOSPITALS 304 304

HOMEOPATHIC 112 112

MATERNITY HOME 51 51

MEDICAL STORES 369 369

MUNICIPAL CORPORATION 3 3 HOSPITAL OPTICS 23 23

PHYSICIAN 579 579

ROUTINE TEST 21 21 LABORATORIES RURAL HEALTH CENTER 1 5 6

SPECIALTY 99 99

SUB HEALTH CENTER 3 3

TB 1 1

VETERINARY 8 8

Source: ALHASAN Systems (Pvt) Ltd

Immunization According to PSLM Survey 2010- 2011,the table below illustrates the immunization Coverageof children aged 12- 23 months in the Urban and rural areas of Lahore .

Vaccines BCG DPT1 DPT2 DPT3 Polio1 Polio2 Polio 3 Measles

Urban 80 80 80 79 79 79 78 70

Rural 62 62 62 62 62 62 62 57

Source:PSLM Survey 2010-11

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Pneumonia kills nearly 92,000 children in also increase a child’s susceptibility to pneumonia, he Pakistan every year said. He pointed out that alarmingly Pakistan has the lowest The News November 12, 2013 breastfeeding rates in South Asia, 37 per cent. He Editor: Muhammas Qasim added that ignoring early signs of pneumonia can be death sentence. The symptoms of pneumonia include: Every 30 seconds, a child somewhere in the world, rapid or fast breathing, cough, fever, chills, loss of dies of pneumonia, making it number one global appetite, wheezing, lower chest wall in drawing; very cause of childhood mortality. In Pakistan, an severely ill infants may be unable to feed or drink and estimated seven million cases of pneumonia occur may also experience convulsions, he explained. every year and out of these, as many as 92,000 Talking of remedies, he said that limiting exposure to children die before their fifth birthday due to the smoke from cigarettes or indoor cook stoves and fires infection. At least 85 out of 1,000 children die under can help limit the risk of pneumonia. “Research has the age of five in Pakistan and it is alarming that most shown that hand washing with soap and water can of these deaths are unfortunately due to vaccine reduce the number of pneumonia -related infections in preventable diseases including pneumonia. children under the age of five by more than 50 Pneumonia is a form of acute respiratory infection that percent.” Dr. Ashraf added that immunising against affects the lungs. It is caused by viruses, bacteria or pneumococcus, measles and whooping cough is the fungi (germs). The viruses and bacteria that are most effective way to prevent pneumonia. Parents commonly found in a child’s nose or throat can infect should not be hesitant about taking their children to the lungs if they are inhaled. They may also spread the nearest health facility for the administration of via air-borne drops from a cough or sneeze. vaccines that are available free of cost. Children whose immune systems are compromised To a query, he said that by managing cases of are at higher risk of developing pneumonia. Infants pneumonia in children with antibiotics at community and children below two years of age are at higher risk level, pneumonia-related child deaths can be reduced of contracting pneumonia as their immune systems by 70 percent. Lady Health Workers can be trained to are still developing, said Head of Community Medicine assess signs of pneumonia, determine appropriate at CMH Lahore Medical College Professor Dr. treatment and guide parents, administer antibiotics Muhammad Ashraf Chaudhry while talking to ‘The and provide home care. They can also refer sick News’ in connection with World Pneumonia Day being children to a health facility if complications arise, said observed on November 12 (today). He said that World Dr. Ashraf. Pneumonia Day is observed to raise awareness of He added that government should also utilize Lady pneumonia as a public health issue and help prevent Health Workers to educate mothers to recognize the millions of avoidable deaths from the infection that signs and symptoms of pneumonia. It must also occur each year. “The theme of this year is: prioritise routine immunisation coverage. When “Innovation” highlighting innovative solutions to end children suffering from pneumonia can be treated childhood pneumonia while at the same time promptly and effectively with antibiotics, their chances emphasising that there are existing simple of survival increase significantly, he said. interventions that need to reach the most vulnerable children.” He, however, added that overuse of antibiotics should be prevented in order to curb microbial resistance and Dr. Ashraf said that pneumonia is preventable and children with upper respiratory infections mainly cough treatable with host of proven interventions, including and colds should not be prescribed unnecessary exclusive breastfeeding infants in their first six months antibiotics. He suggested that indiscriminate use of of life, ensuring an environment free of indoor air cough medicines should be reduced. pollution and promoting frequent hand washing, immunising against leading causes, and ensuring Pneumonia control and other child health interventions access to medical care and antibiotics when cases do must be accelerated to meet Millennium Development emerge. He said that appropriately treating underlying Goal 4 that is reducing under-five mortality by two- causes such as malnutrition, and exclusively breast- thirds by 2015, concluded Dr. Ashraf. feeding children for the first six months of their life can decrease the risk of pneumonia. He believes that a child’s immune system may be weakened by malnutrition or under nourishment, especially in infants who are not exclusively breastfed for the first six months of their life. He said that more than 50 per cent children under five years of age are malnourished in Pakistan. HIV infections and measles also increase child’s risk of contracting pneumonia. Environmental factors such as indoor air pollution caused by cooking fires and heating with biomass fuels such as wood or dung, a coal, living in crowded homes and parental smoking

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ADHD: Why can’t you sit still kid? mostly depends on parents or teachers, who notice November 28, 2013: behavioural changes and symptom patterns in kids. Editorial Published in Express Tribune Once diagnosed with ADHD, children can be prescribed with medications that can aid their While growing up, in school, did you ever notice that symptoms and enhance the abilities they lack. Even distracted, uninterested class mate, who would just though the safety of such medication has long been not sit still, was annoyingly talkative and almost established, they come with their own side effects. always failed in studies? Did you follow up as to what Hence it is important to follow up very closely with a he managed to do later in his life? specialist who can monitor the progress of these From my experience, most of these students either medications and the occurrence of any problematic leave school at an early age to do something else or side effects. are sent abroad to study and work. Though some of Educating the parents about the relevant them do very well later in life, a majority of them have prescriptions and the behaviour patterns they should problems in their social and financial matters soon expect to notice, is a crucial part of the treatment and after. is often ignored. Parents have to be open to altering Most of us are so busy in the race of securing our their methods of supervision as the consistency in careers, making our parents and teachers happy that disciplining is also a key principle of the management we do not even think about what is wrong with these that will be required of them. individuals and why are they the way they are. They Most kids show a very good response to the were irresponsible, careless and just did not want to medication and the behavioural modification study. They were the “bad” guys our parents did not techniques. Their productivity increases and they want us hanging out with. gradually start making progress. Some of them grow Mental health in children is an ignored subject, out of this illness with age, whereas with others this globally. Even in a developed country like the United continues to be a problem even in adulthood. States, only one fourth of the 30,000 child In a developing country such as Pakistan, where psychiatrists provide services professionally, whereas many children don’t even go to schools, it is even in Pakistan they can be counted on ones finger tips. harder to prepare a well-structured frame work for There are no institutions and no professional services treating these kids. Some of the prescribed medication where doctors can assess, diagnose and treat available in Pakistan can be useful and can be used children with mental health problems. for kids diagnosed with ADHD. Some of the most common mental health problems I am reminded, even today, that I was one of the being reported in children are Attention Deficit ‘distracted’ kids in my class . This could have been Hyperactive Disorder (ADHD), Autism Spectrum much easier for me, and those around me, if someone Disorder (ASD), Conduct Disorder, and Oppositional had taken notice of my affliction earlier and done Defiant Disorder (ODD). There are some mental something about it in my early years. I hope this can health problems associated with adults, which can be help someone who needs to be noticed right now. seen in children as well, like depression, anxiety, schizophrenia, anorexia nervosa and substance misuse in adolescents. ADHD generally presents itself with a variety of symptoms, broadly categorised in the domains of hyperactivity, inattentiveness and impulsivity. These children often face difficulty in concentrating and sitting still, possess weak memory, lack patience and are extremely talkative. Hence, they start lagging behind in academics. Frustration often arises due to social pressure when the desired results are not achieved. They often become argumentative, disruptive and start lying or cheating in order to get parents and teachers to let them be. This behaviour causes further problems for these individuals at work, home, school and even in relationships. According to the Centre for Disease Control and Prevention (CDC), approximately five% kids are diagnosed with this relatively common disorder . Often children with ADHD have co-occurring conduct disorder and oppositional defiant disorder. This makes them even more socially unacceptable as they start to defy rules, become argumentative, aggressive and shortly afterwards become involved in drug addiction and crimes. There is no blood test or X-ray that can be done to diagnose kids with ADHD. The diagnosis

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Pakistan: The challenge of giving birth and here when they are pregnant because we know that staying the doctors are doing everything to avoid caesarean section." Reuters: 20 November 2013 By MSF Seeking treatment or work in a health care facility operated by a foreign organization like MSF is another They are poor, destitute refugees or have been challenge for patients and employees. "At first my displaced by fighting in their region of origin. They are family was worried about security issues. They secretaries, doctors or nurses. Patients and team thought that by working with foreigners I could be members of Médecins Sans Frontières (MSF) in attacked or kidnapped, "recalls Dr Naseer who joined Peshawar and Hangu describe the challenge of MSF in November 2012, "but I feel completely safe childbirth in Pakistan, which has one of the highest here and I have no problem taking the night shift." maternal mortality rates in the world. Salma's family was afraid that her behaviour might "I'm a gynaecologist at the Peshawar Women's change because she was working with foreigners, "but Hospital set up by MSF. Here, we specialise in I have not changed at all. I still wear the same clothes emergency obstetrics to provide the most vulnerable and do shopping with my family as always. I think they women a safe place to give birth to their baby," says understand now." Dr Kanako Ishii. The Women's Hospital opened its Beyond the choice to give birth at home or in a doors in 2011. Peshawar is the capital of the province hospital run by foreigners, the willingness to give birth of Khyber Pakhtunkwa (KPK) in the northwest of the very quickly is a specific request in Pakistan that often country. More than three million people live here and causes rapid deterioration of the status of mothers Peshawar is far from being a medical desert. Clinics, and babies. "Here women and their families want a hospitals, pharmacies and caregivers are expected to fast induced delivery. Several times a day, I am asked meet the medical needs of the entire population. Yet to accelerate labour while natural contractions are many women are deprived of maternal care. already strong, regular and efficient. If we do not "I started coming here six months ago. My baby was administer this medication because it does not meet born the day before yesterday" said a patient, native appropriate therapeutic needs, patients leave and to the tribal areas. "In fact, I first went to another come back a few hours later having ingested high hospital because of my bleeding, but the doctor told doses of stimulants. They then show up in a very me that I needed two injections to prevent the baby critical condition, with severe bleeding, uterine rupture, from being born with disorders. When I told him I did blocked labour and sometimes foetal death," says not have the money to pay for this, he gave me the Jessica Holden, gynaecologist working in Hangu. address of this hospital. My baby was born by Isolation, insecurity, poverty and traditional beliefs are caesarean section and I 'm lucky to hold a healthy obstacles to be overcome by Pakistani women in child in my arms today. " order to receive high-quality maternal care and give "A caesarean costs about 10,000 rupees in a public birth without risking their lives and those of their hospital and up to 60,000 in a private clinic. Even a children. normal delivery costs 5,000 rupees in a public hospital and 20,000 in a private clinic. It is very expensive for the poorest women” laments Dr Nageen Naseer, MSF doctor in Peshawar. Too expensive, too far, these treatments are inaccessible to the most vulnerable, particularly to those families displaced by fighting and violence in the border areas with neighboring Afghanistan. "Displaced people and refugees represent approximately 10% of our patients and it is increasing" said Salma, responsible for the reception and registration of patients upon arrival at the hospital. But cost is not the only obstacle to accessing maternal health care. Very rooted in family traditions, home birth by natural means is seen as the only honorable way for a mother to give birth, regardless of the consequences for her or the newborn. Thus, women face particularly strong resistance from their husbands or their stepmothers before being allowed to go to the hospital. "If this decision to break the traditional rule" is taken, it is not only because the relatives of the mother are ready to do so, but also because the health center is accessible and has some acknowledgment from the community," says Mathilde Berthelot, head of MSF programmes in Pakistan. As illustrated by this testimony of a patient hospitalised in Peshawar hospital’s intensive care unit: "I asked the taxi driver to lead me to the "women's hospital" and he brought me here. All the women in my village come

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� �� ا� � � � (�� ر) ڈ� � �ادر � �چ � � � � � �� دا� � � �� ۔ ڈا� ا� ڈ�� دا� � � �� ،� �چ ��ى � ادا ��۔ ان ��ت � ا�ر ا�ں � د� � �� دورے � �� ڈا�وں اور � � � �� روز�� ۔ اس �� ا�ں � � �� م �ں � �� اور �� م �۔ ا�ں � � � دوا �ں اور د� 18�� 2013 �ور�ں � د� �� آر � ا� � � � � 30 �� رو� � �ا� �رى � �� دو �ہ � � آر� ا� � � � 50 �ار رو� � دوا� �ا� � � �۔ ا�ں � � � � �د�ت �� ر ��ل � �� ۔ ا�ں � � � ا�� رت � � � �� زار � دوا� �� ورت � ��۔ � � ڈ� ا�ے � � ا�ل � � ا�� ہ � � �� اور � � � �ا� � � �م �ورى ��ن � � �� ۔ اس �� ار � �رف � � ان � �اہ �۔

� زا ر ى � � ں � �ں � � ڈ ا � � ��د� (اے � �) � � � � � � � �زارى � � ں � �ں � �ڈ ا � � � � ہ � � � �� ڈ، � ،� � � � � �ا �� ہ � � �، � � � ڈ � � � س اور ڈر� �ں � � � �۔�ں � �� ڈ اور � � ڈر� � � � اور ا � � ز ہ � � � ں اور دا � � � � ،� � � � � ں � � ف را � � � � ا� �ورت �۔ �ا � ت � � � � � � � � وا � � � ا س ا� � � ر � � �ورت � � روز�� ڈش � �و � د �� ں �ا � � � ز � د� � � �� او � ت � � � � ۔ ا� � 15�� 2013 �ل � � � � ل � �ں � � � � �ں � د � �ا �� ں � � دا ر � � ا� � � � � ا � �اء اور � � � � � � � �� ر ے اور � � � � � ں � ا� د ہ � � ��۔ �زا ر ى �وں � �ں � � � �ورت � ز � د ہ � اور � �� ا ن � � � ا�� ۔

Health Directory

GOVERNMENT DEPARTMENT Department of Health in KHYBER PAKHTUNKHWA District Health Office Larkana 0092-91-9211789 ,0092-91-9210342 0092-74-9410711 0092-91-9210419 0092-74-9140723 [email protected] [email protected] www.healthkp.gov.pk www.sindhhealth.gov.pk HRD building Khyber Road, Peshawar District Health Office Near Jim Khana, Larkana Health Department Balochistan Health Department Punjab 0092-81-9201954 0092-42-99210326 0092-81-9201149 0092-42-99211710 [email protected] infohealth.pitb.gov.pk www.balochistan.gov.pk/index.php?option=com_content& www.health.punjab.gov.pk view=article&id=106&Itemid=156 Civil Secretariat, Government of the Punjab Health Department, Block-5, Civil Secretariat, Quetta Lahore, Punjab Health Department, Government of Sindh Health Services Academy 0092-21-99211012 0092-51-9255590-6 0092-21-99222837 0092-51-9255591 [email protected] [email protected] www.sindhhealth.gov.pk www.hsa.edu.pk Secretary Health, Sindh Secretariate, Building No.1, 6Th Opposite National Institute of Health park read (NIH) Chak Floor Shahzad, Islamabad Karachi, Sindh National AIDS Control Programme Punjab AIDS Control Program 0092-51-9255326 0092-42-99201098 0092-51-9255173 0092-42- 99203394 [email protected] [email protected] www.nacp.gov.pk www.health.punjab.gov.pk/?q=Punjab_ACP#contacts Chak Shahzad, Islamabad First Floor,5 Montgomery Road, Lahore Punjab Health Sector Reforms Programme Punjab Executive District Office Health 0092-42-99231356 Jacobabad, Sindh 0092-42-99231359 0092-721-654662 [email protected] 0092-721-512796 www.phsrp.punjab.gov.pk Punjab Health Sector Reforms Programme House # 120 - B, New Muslim Town, Lahore Executive District Office Health Executive District Office Health Kashmore, Sindh Shikarpur, Sindh 0092-7057-570930 0092-761-920022 0092-761-920023 Executive District Office Health Executive District Office Health Ghotki, Sindh Sukkur, Sindh 0092-703-652499 0092-71-9310121, 9310122 0092-703-650003 0092-71-9310122 Executive District Office Health Executive District Office Health Khairpur, Sindh Larkana, Sindh 0092-243-9280151-2 0092-79410711 0092-243-9280151 0092-79410709 Executive District Office Health Executive District Office Health Dadu, Sindh Sanghar, Sindh 0092-25-9200086 0092-235-541326 0092-25-610545 0092-235-541025 Executive District Office Health Executive District Office Health Nawabshah, Sindh Hyderabad, Sindh 0092-244-9370267-8 0092-221-9200740-377 0092-221-9200376 Executive District Office Health Executive District Office Health Matari, Sindh Umerkot, Sindh 0092-222-760640 0092-238-571458 0092-222-760096 0092-238-570039 Executive District Office Health Executive District Office Health Mirpurkhas, Sindh Badin, Sindh 0092-231-9290097 0092-2978-61871 0092-231-9290098 0092-2978-62333

Executive District Office Health Executive District Office Health Jamshoro, Sindh Thatta, Sindh 0092-22-3874987 0092-298-771353 0092-298-770153 Executive District Office Health Executive District Office Health Tharparkar, Sindh Bannu, Khyber Pakhtunkhwa 0092-232-261253 0092-928-9270132 0092-232-261379 Executive District Office Health Executive District Office Health Abbottabad, Khyber Pakhtunkhwa Batagram, Khyber Pakhtunkhwa 0092-992- 9310192 0092-997-310507 Executive District Office Health Executive District Office Health Buner, Khyber Pakhtunkhwa Chitral, Khyber Pakhtunkhwa 0092-939-510044 0092-943-412734 Executive District Office Health Executive District Office Health D.I.Khan, Khyber Pakhtunkhwa Hangu, Khyber Pakhtunkhwa 0092- 966-9280199 0092-925-623034 Executive District Office Health Executive District Office Health Haripur, Khyber Pakhtunkhwa Karak, Khyber Pakhtunkhwa 0092-995-610997 0092-927-210837 Executive District Office Health Executive District Office Health Karak, Khyber Pakhtunkhwa Kohat, Khyber Pakhtunkhwa 0092-927-210837 0092-922-9260348 Executive District Office Health Executive District Office Health Kohat, Khyber Pakhtunkhwa Kohistan, Khyber Pakhtunkhwa 0092-922-9260348 0092-998-407132 Executive District Office Health Executive District Office Health Lower Dir, Khyber Pakhtunkhwa Malakand(Batkhela), Khyber Pakhtunkhwa 0092-945-9250098 0092-932-410399 Executive District Office Health Executive District Office Health Mansehra, Khyber Pakhtunkhwa Nowshehra, Khyber Pakhtunkhwa 0092-997-920169 0092-923-580759 Executive District Office Health Executive District Office Health Swat, Khyber Pakhtunkhwa Tank, Khyber Pakhtunkhwa 0092-946-9240739 0092-963-510755 Executive District Office Health Executive District Office Health Shangla(Alpuri), Khyber Pakhtunkhwa Swabi, Khyber Pakhtunkhwa 0092-996-850653 0092-938-221606 Executive District Office Health Upper Dir, Khyber Pakhtunkhwa 0092-944-880516

UNIVERSITIES AND COLLEGES Ayub Medical College Abbottabad Pakistan Baqai Medical University 92-992-382321 0092-21-34410-427 to 430 92-992-382321 [email protected] [email protected] www.baqai.edu.pk www.ayubmed.edu.pk Baqai Medical University 51, Deh Tor, Gadap Road,Near Toll Ayub Medical College, Abbottabad-22040, Pakistan Plaza, Super Highway P.O Box No 2407, Karachi Center for Health and Population Studies College of Physicians and Surgeons Pakistan 0092-42-3639303 0092-21 - 111-606-606 [email protected] [email protected] www.chps.edu.pk www.cpsp.edu.pk 2-A/5 Chamba Lane, G.O.R-I, (Near Children Complex College of Physicians and Surgeons Pakistan 7th Central Library) Lahore-3 Street, Defence Housing Authority, Karachi DOW University of Health Sciences Farkhanda Institute of Nursing, Affiliated with Gandhara 0092-21-32715441-466 University, Peshawar 32715441-466 0092-91-5844432 [email protected] 0092-91 5844428 www.duhs.edu.pk [email protected] Baba-E-Urdu Road, Karachi www.gandhara.edu.pk/fin Farkhanda Institute of Nursing 57 Gul Meher Lane, University Town, Peshawar Frontier Medical College Gandhara College of Pharmacy, Affiliated with Gandhara 0092-992-380190 University, Peshawar 0092-992-381028 0092-91 5844432

©2013 www.alhasan.com www.immap.org 27 [email protected], [email protected] 0092-91 5844428 www.fmc.edu.pk [email protected] Frontier Medical & Dental College, P.O. Public School, www.gandhara.edu.pk/GCP Mansehra Road, Abbttabad Gandhara College of Pharmacy Canal Road University Town, Peshawar Gomal Medical College Hamdard University karachi 0092966-9280339, 92-966-9280338 0092-21-36440041-42 0092966-9280340 [email protected] [email protected] www.hamdard.edu.pk www.gmcdikhan.edu.pk Hamdard University, Sharae Madinat Al-Hikmah, North Circular Road, Gomal Medical College, Dera Ismail Muhammad Bin Qasim Avenue, Karachi, 74600 Khan. Islamabad Medical & Dental College Jinnah Medical College Peshawar 0092-51-2232045 0092-300-5257559 [email protected] 0092-91-5602475 www.imdcollege.com [email protected] Islamabad Medical & Dental College Islamabad Pakistan www.jmcp.edu.pk Islamabad Jinnah Medical College Peshawar Warsak Road, Peshawar Kabir Institute of Public Health, Affiliated with Gandhara Kabir Medical College Peshawar University, Peshawar 0092-91 5844432 0092-91 58444232 0092-91 5844428 0092-91 5844428 [email protected] [email protected] www.kmc.edu.pk www.gandhara.edu.pk/KIPH Canal Road University Town, Peshawar, khyber Kabir Institute of Public Health 57 Gul Meher Lane, pakhtunkhwa Pakistan University Town, Peshawar Karachi Medical and Dental College College of Physical Education 0092-21-99260301 0937-873115 National, 874115 0092-21-99260306 National College of Physical Education Bank Road, [email protected] Mardan www.kmdc.edu.pk Abbasi Shaheed Hospital Block M, North Nazimabad, Karachi Khyber College of Dentistry National Institute Of Psychology 0092-91-9216217 0092-51-2230704 0092-91-9218327 0092-51-2230704 www.kcd.edu.pk [email protected] Khyber College of Dentistry, 25000 Peshawar, Khyber National Institute Of Psychology Centre Of Excellence Pakhtunkhwa Pakistan Shahdara Road. Quaid-I-Azam Unversity, Islamabad Khyber Girls Medical College NIMS College of Medical Sciences 0092-91-9217698 0092-992-392421, 0332-8910366 0092-91-9217702 [email protected] [email protected] www.nimsmed.edu.pk www.kgmc.edu.pk NIMS College of Medical Sciences Link Murree Road Khyber Girls Medical College, PDA Building Block IV, Phase Nawanshehr, Abbottabad V , Hayatabad Peshawar Khyber Medical University Pakistan Association of Orthodontists 0092-91-9217697, 9217699 0092-333-4207669 0092-91-9217704 [email protected], [email protected] [email protected], [email protected] www.pao.org.pk www.kmu.edu.pk D-138-A, Block 4, Clifton, Karachi PDA Building, Near Shalman Park, Street No. 9, Sector F-1, Phase 6, Hayatabad, Peshawar, Khyber Pakhtunkhwa King Edward Medical University Pakistan Institute of Medical Sciences 0092-42-9211150 0092-51- 9260470 0092-42-7233746 0092-51-9260724 [email protected] www.pims.gov.pk www.kemu.edu.pk Pakistan Institute of Medical Sciences H # F-10 PIMS King Edward Medical University Nelagumbad, Anarkali, Colony. Lahore Islamabad Liaquat University of Medical & Health Sciences Jamshoro Peoples University of Medical & Health Sciences for Sindh women, 0092-22.921.3306 0092-244- 9370249-5 0092-22.921.3306 [email protected] [email protected], www.pumhs.edu.pk www.lumhs.edu.pk Nawabshah, District-Shaheed Benazirabad Sindh- Pakistan Jamshoro, Sindh - Pakistan.

Naseer Teaching Hospital Peshawar Punjab Institute of Cardiology Lahore 0092-91 5844432 0092-42 99203052-6 0092-91 5844428 0092-42-99200028 [email protected] www.pic.gop.pk www.gandhara.edu.pk Punjab Institute of Cardiology GHOUS-UL-AZAM Jail Rd, Naseer Teaching Hospital Peshawar Nasir Bagh Road, Lahore Peshawar Rehman Medical College, Peshawar Saidu Medical College 0092-91-5838 333 0092-946-9240134 0092-91-5838 333 0092-946-9240135 [email protected] [email protected] www.rmi.edu.pk www.smcswat.edu.pk Rehman Medical College, Peshawar 4/A-3, Phase-V, Saidu Medical College Saidu Sharif, Swat Peshawar KHYBER PAKHTUNKHWA KHYBER PAKHTUNKHWA Sardar Begum Dental College Peshawar, Affiliated with Shahed Mohtarma Benazir Bhutto Medical University Gandhara University, Peshawar Larkana 0092-91 5844432 0092-74-9410715 0092-91 5844428 0092-74-4752760 [email protected] [email protected] www.gandhara.edu.pk www.smbbmu.edu.pk Sardar Begum Dental College Peshawar Canal Road Shahed Mohtarma Benazir Bhutto Medical University University Town, Peshawar Larkana village Arija, Airport road, Larkana Shifa College of Medicine Shifa College of Nursing 0092-51-8463759 0092-51-4435046, 92-51-4431056 0092-51-4435046 0092-51-4435046, 92-51-4431056 www.shifacollege.edu/scm [email protected] Shifa College of Medicine Pitrus Bukhari Road, H-8/4, www.shifacollege.edu Islamabad Shifa College of Nursing Pitraus Bukhari Road, Sector H- 8/4, Islamabad University of Health Science Lahore University of Health Sciences 0092-42-99230870 0092-42-99231263 0092-42-99230870 0092-42-99230820 [email protected] [email protected] www.uhs.edu.pk www.uhs.edu.pk, [email protected] university of health science Lahore Khayaban-e-Jamia Khayaban-e-Jamia-e-Punjab Punjab, Lahore Lahore University of Veterinary and Animal Sciences Women Institute of Medical Technology 0092-42-99211449 0092-998-392334 0092-42-99212846 [email protected] [email protected] www.wimt.edu.pk www.uvas.edu.pk Women Institute of Medical Technology, Women Medical Syed Abdul Qadir Jillani (Out Fall) Road, Lahore, Punjab College, Muree Road Nawan Shehr, Abbottabad KHYBER PAKHTUNKHWA Women Medical College Abbottabad Yusra Medical and Dental College 0092-992-392334 0092-3215283849 0092-992-390221 0092-51-4492816 [email protected] [email protected] www.wmc.edu.pk www.ymdc.edu.pk Women Medical College Abbottabad Murree Road, Yusra Medical and Dental College Main G.T Road, Kahuta Nawanshehr, Abbottabad Morr, PO Model Town, Humak, Islamabad KHYBER PAKHTUNKHWA

HOSPITALS Advance Radiology Clinic (Hospital) Aga Khan Maternal and Child Care Centre, Hyderabad 0092-213-2783536 0092-221-614172-4, 0092-22-2660071-2 0092-213-2788200 0092-221-612526, 0092-22-2660070 [email protected] Aga Khan Maternal and Child Care Centre, Hyderabad, Sindh www.advancedradiologyclinic.enic.pk Behind Hamdard University Hospital (Taj Medical Complex) Off:M.A.Jinnah Road, Karachi, Sindh Aga Khan Hospital for Women, Karimabad Aiwan-E-Tijarat-O-Sanat Hospital Trust 0092-213-6822963-6 0092-21 6995874 0092-213-6811804 Aiwan-E-Tijarat-O-Sanat Hospital Trust, ST 1/1,Sec.11C- Aga Khan Hospital for Women, St-6/D Blk-7 Sh-E-Pakistan 2,North Karachi, Karachi, Sindh

FB Area, Karachi, Sindh

Akhtar Eye Hospital Akram Hospital, Quetta 0092-21-34811908 0092-81 2869236-5 0092-21-34813235 Quetta, Balochistan [email protected] www.akhtareye.com.pk/about_aeh.html Akhtar Eye Hospital, FL-1 ( 4/C ), Block 5, Rashid Minhas Road. Gulshan-e-Iqbal, Karachi, Sindh Al- Ibrahim Eye Hospital Al Mustafa Medical Centre (Hospital) 0092-21-34560867 0092-21-4820101 0092-21-34560718 Al Mustafa Medical Centre, ST-1, Block No.13-C, Gulshan-E- Al- Ibrahim Eye Hospital, Old Thana,Gadap Town, Malir. Iqbal, University Road, Karachi, Sindh Karachi Sindh Al Nabi Hospital Al-Ain Institute of Eye Diseases (Hospital) 0092-21-4963590 0092-21-4556151 Al Nabi Hospital, B-15/1, Block No.4-A, Gulshan-E-Iqbal, Al-Ain Institute of Eye Diseases, 241/3/A, Block-2, P.E.C.H.S. Abdul Hasan Isaphani Road, Karachi, Sindh Shahrah-E-Quaideen, Karachi, Sindh Al-Hamra Medical Centre Al-Mumtaz Medical Complex (Hospital) 0092-21-4388723 0092-21-4510128 0092-21-4543362 Al-Mumtaz Medical Complex, AL-MUMTAZ MEDICAL Al-Hamra Medical Centre, Tipu Sultan Road, Karachi, Sindh COMPLEX is in Karachi, Sindh, located in 25/423,Darakhshan Society Kala Board,Malir. Karachi, Sindh Al-Noor Hospital Quetta Al-Razi Hospital 0092-81 2830395 0092-21 5888888 Toghi Road, Quetta, Balochistan Al-Razi Hospital, Mehmoodabad Gate, Karachi, Sindh Alvi Dental Hospital Ankle Saria Hospital 0092-21-4524371 0092-21-32720371 0092--214313069 Ankle Saria Hospital, Garden Road,Near Makki Masjid. Alvi Dental Hospital, 23 B,Pechs, Smchs, Near Embassy in Karachi, Sindh Hotel, Karachi, Sindh Asghar Hospital Quetta Ashfaq Memorial Hospital 0092-81 2827017 0092-21-4822261 Alamdar Road, Quetta, Balochistan Ashfaq Memorial Hospital, Sb-9 Blk-13/C G'Iqbal, U/Sty Road, Karachi, Sindh Awan Hospital Ayub Teaching Hospital 0092-21 6666828 0092-992-381907-14, 381846 Awan Hospital, 1-D/36,Orangi Town, Karachi, Sindh 0092-992-382321 main manshera Road, Abbottabad, KHYBER PAKHTUNKHWA Aziz Medical Centre (Hospital) Babar Hospital 0092-21 6700666 0092-21-4932181 0092-21 6633442 Babar Hospital, Office 5 St-12 Habib Chamber Bl-14 G'Iqbal Aziz Medical Centre, B-151,Blk.-W,Allama Iqbal Town, North Karachi, Sindh Nazimabad, Karachi, Sindh Bait-ul-Sakoon Cancer Hospital Bantva Anis Hospital 0092-21 3455 3834-6 0092-21 4926814 0092--21 3455 3942 Bantva Anis Hospital, Plot #52-53,DMCHS.,Block #3,Behind [email protected] Gulistan Club,Shaheed-E-Millat Road, Karachi, Sindh www.baitulsukoon.org/history Bait-ul-Sakoon Cancer Hospital, Plot No. S.N.P.A. 17-J, Block –3, K.C.H.S. Union, Karachi, Sindh Baqai Hospital Karachi Behbood Association Medical (Hospital) 0092-21-36618396 0092-21-5820663 [email protected] Behbood Association Medical, Pl. St-9 Bl. I, Opposite www.baqai.edu.pk/hospitals/baqai_hospital_university2/inde Shireen Jinnah Colony Clifton, Karachi, Sindh x.aspx Baqai Hospital Karachi, 111-B, 1/8, Nazimabad no 3, Karachi Sindh Bilal Foundation Brain & Medical Institute (Hospital) 0092-51-4456471- 8 0092-21-5370359 0092-51-4456480 Brain & Medical Institute, Pl. St-32/A, Blk-5, Clifton, Karachi [email protected] Sindh www.bilalhospital.com 38-A, Satellite Town, Sadiqabad Road, Rawalpindi, Punjab Burhani Hospital Karachi Butt Charitable Hospital 0092-21-32214418 0092--21-2572237

0092-21-32623046 Butt Charitable Hospital, St. 30, Muhammadi Rd. Pl. Miie. B- [email protected] C/48, Shershah, Karachi, Sindh www.burhanihospital.org.pk/ Burhani Hospital Karachi, Tayebjee Road, Gari Khata, Karachi Sindh CANTONMENT GENERAL HOSPITAL Care Health Service (Hospital) 0092--51-9270914 0092-300-2323801 Hospital Road, Saddar, Rawalpindi cantt, Punjab Care Health Service, Suite No. 43,Street No. 5,Main Ghazali Road, Block-B, Manzoor Colony, Karachi, Sindh Carvan of Life Trust (Hospital) CDA HOSPITAL Islamabad 0092-21 3587 3946 0092-51-9221302 [email protected] 0092--51-9224377 www.caravanoflifetrust.org/ [email protected] Carvan of Life Trust (Hospital), Defence Area, Phase V, www.cda.gov.pk/hospital Karachi St# 31 ,G-6/2, Islamabad Sindh CHATTHA HOSPITAL Gujranwala Children Cancer Foundation (Hospital) 0092-55-3250077 0092-21-36359939 Chatha Colony, Gujranwala 52250, Punjab 0092-21-36361895 [email protected] www.ccfpakistan.org Children Cancer Foundation (Hospital) ST-1/C, Block-10, Ayesha Manzil, Federal B Area, Karachi, Sindh Children’s Hospital, Quetta Chinot General Hospital 0092-81 2823709-12 0092-21- 35063443 Quetta, Balochistan 0092-21- 35067673 [email protected] www.cgh-k.com/files/cgh.asp Chinot General Hospital, ST-1/3, Sector 41-B, Korangi Township, Karachi, Sindh City General Hospital Civil Hospital Badin 0092-21 4510132 0092-300-3020856 Malir, Kalaboard, Karachi, Sindh Badin, Sindh Civil Hospital Dadu Civil Hospital Jacobabad 0092-25-9200092 0092-722-654989 Dadu, Sindh Jacobabad, Sindh Civil Hospital Kandhkot Civil Hospital Tando Muhammad Khan 0092-314-7320247 0092-300-3020856 Kandhkot, Sindh Tando Muhammad Khan, Sindh Civil Hospital Karachi Civil Hospital Thatta 0092-21 99215728 0092-301-2559675 [email protected] Thatta, Sindh www.chk.gov.pk Civil Hospital Karachi, Opp:Allawala Market, M.A.Jinnah Road, Karachi, Sindh Civil Hospital Khairpur Civil Hospital Umerkot 0092-301-3407598 0092-238-571748 Civil Hospital, Gajani Centre, Civil Hospital Road, Khairpur Umerkot, Sindh Sindh Civil Hospital Sanghar Civil Hospital, Quetta 0092-302-3220304 0092-81 9202018 Civil Hospital Sanghar Quetta, Balochistan Sanghar, Sindh Civil Hospital Sukkar Creek City Hospital 0092-71-9310132 0092-21 5347825 Civil Hospital Sukkar, Sukkur, Dera Bugti, Rahim Yar Khan, 0092-21 5341862 Sindh Creek City Hospital, Bunglow #89,Street "P",Off Khayaban-e- Sukkar, Sindh Mahafiz, ,Ph-VII, D.H.A., Karachi, Sindh Civil Hospital Tando Allahyar Creek City Medical Complex (Hospital) 0092-300-3077022 0092-21- 35216396 Civil Hospital Tando Allahyar, [email protected] Tando Allahyar, Sindh www.ccmc.pk/concept.php Creek City Hospital Complex, Pakistan Defence Officers Housing, Authority,2/B East Street, Phase I,DHA, Karachi, 75500, Sindh Cumber Specialists Hospital Cumber Specialists Hospital 0092-21 2202669 0092-21 2202669

Cumber Specialists Hospital, CK 2/2,Moosa Street,Kharadar Cumber Specialists Hospital, CK 2/2,Moosa Street, Kharadar #2, Karachi, Sindh #2, Karachi, Karachi, Sindh Dehli Medical Centre (Hospital) District Head Quarter Hospital Hyderabad 0092--21-6953212 0092-222-671698 Dehli Medical Centre, Markaz-E-Khidmat-E-Khalq,Dehli District Head Quarter Hospital Hyderabad, Banglow No. B- House,Educational & Medical Trust,Nagan Chowrangi, 81, Gulshan-e-Sehar, Near by pass Qasim Abad, Hyderabad, Karachi, Sindh Sindh DHQ Hospital Abbottabad District Head Quarter Hospital Jamshoro 0092-992-9310198, 9310199 0092-22-3877020 Link Road, Abbottabad District Head Quarter Hospital Jamshoro, Banglow No. 1, KHYBER PAKHTUNKHWA Wapda Colony, Near SDO Office, HWSCO, Jamshoro Sindh District Head Qaurter Hospital Jacobabad District Head Quarter Hospital Kamber 0092-722-654372 0092-744-211190 District Head Qaurter Hospital Jacobabad, Opposite Grid District Head Quarter Hospital Kamber, Near Shell Petrol Station, Stadium Road, Jacobabad, Sindh Pump, Bypass Bango Dero Road, Kamber, Sindh District Head Quarter Hospital Badin District Head Quarter Hospital Karachi East 0092-279-861926 0092-21-99238954 District Head Quarter Hospital Badin, Badin Army Cantt, District Head Quarter Hospital Karachi East, C-35, Block A, Haider Town, Badin, Sindh Kazimabad, Model Colony, Near Jinnah Air Port, Karachi East Sindh District Head Quarter Hospital Dadu District Head Quarter Hospital Karachi South 0092-254-711012 0092-21-34556162 District Headquarter Hospital Dadu, H. No. 36/A, Housing District Head Quarter Hospital Karachi South, Z-175, Block 2, Society, Near Bano Stop, Dadu, Sindh PECHS, Tariq Raod, Karachi South, Sindh District Head Quarter Hospital Ghotki District Head Quarter Hospital Karachi West 0092-7236-81106 0092-21-36649344 District Head Quarter Hospital Ghotki, Banglow No. 23, Dorri District Head Quarter Hospital Karachi West, D-64, Block B, Road, Opposite Marvi Floor Mills, Bypass, Ghotki, Sindh North Nazim Abad, Karachi west, Sindh District Head Quarter Hospital Kashmore District Head Quarter Hospital Sanghar 0092-722-570258 0092-235-541451 District Head Quarter Hospital Kashmore/Kandhkot, District Head Quarter Hospital Sanghar, Opposite Civil Gulshaer Mohallah Opposite Government High School, Hospital, Sanghar, Sindh Kashmore Sindh District Head Quarter Hospital Khairpur District Head Quarter Hospital Shikarpur 0092-243-9280160 0092-726-521387 District Head Quarter Hospital Khairpur, A-4-81/1, Latif District Head Quarter Hospital Shikarpur, Near Plaza Colony, Station Road, Khairpur, Sindh Cenima, Shikarpur, Sindh District Head Quarter Hospital Larkana District Head Quarter Hospital Sukkar 0092-74-9410233 0092-71-9310120 District Head Quarter Hospital Larkana, Banglow No. A-32, District Head Quarter Hospital Sukkar, H. No. C-114, Parsi Sachal Colony, Wagan Road, Larkana, Sindh Colony, Opposite District Accounts Officer Sukhar Sukkar, Sindh District Head Quarter Hospital Matiari Head Quarter Hospital Tando Allahyar 0092-222-760015 0092-22-3892108 District Head Quarter Hospital Matiari, First Floor, Syed District Head Quarter Hospital Tando Allahyar, Banglow No. Rukhunddin Shah Complex, Main Matiari, Bypass Road, 14, Shahbaz Colony, Near Nasar Pur Van Stop, Tando Matiari Allahyar Sindh Sindh District Head Quarter Hospital Mirpurkhas District Head Quarter Hospital Tando Muhammad Khan 0092-233-9290137 0092-223-342721 District Head Quarter Hospital Mirpurkhas, B-9, Sattelite District Head Quarter Hospital Tando Muhammad Khan, H. Town, Block 4, Unit No. 3, Mirpurkhas, Sindh No. 1, Somra Mohallah, Tando Muhammad Khan, Sindh District Head Quarter Hospital Naushero Feroz District Head Quarter Hospital Tharparkar 0092-242-448687 0092-23-2262102 District Head Quarter Hospital Naushero Feroz, Farooq District Head Quarter Hospital Tharparkar, Sodha House, Town, Plot No. 43, National Highway Road, Naushero Feroz, Islam Kot Road, Mithi, Tharparkar, Sindh Sindh District Head Quarter Hospital Nawabshah District Head Quarter Hospital Thatta 0092-244-9370217 0092-298-550691 District Head Quarter Hospital Nawabshah, H. No. 31, District Head Quarter Hospital Thatta, National Highway, Housing Society, Nawabshah, Sindh Near Main Branch NBP, City Bus Stop No. 1, Thatta, Sindh District Head Quarter Hospital Umerkot Kunri Christian Hospital 0092-238-571869 0092-722-571837 District Head Quarter Hospital Umerkot, Banglow No. 21, Kunri Christian Hospital, Kunri69160, Taluka, Kunri, Umer Ward No. 311, Near Bilal Masjid, Somra Mohallah, Umerkot, Kot Sindh Sindh

District Headquarter Hospital, Haripur Kutiana Memon Hospital 0092-992-380791, 503167 0092-21 2315376-7 0092-992-381691 0092-21 2315148 [email protected] Kutiana Memon Hospital, Aga Khan/G allana Road , www.aimca.edu.pk/teaching_hospital.php Kharadar. Abbottabad International Medical College P.O. Abbottabad Karachi, Sindh Public School , Mansehra Road Abbottabad, KHYBER PAKHTUNKHWA Dow University Hospital Lady Aitchison Hospital Lahore 0092-21 99215690 0092-42-9211145-54 Dow University Hospital, Baba-E-Urdu Road, Karachi 74200- [email protected] Sindh www.kemu.edu.pk King Edward Medical University, Nelagumbad, Anarkali, Lahore, Punjab Dr. Alidina's Kharadar Maternity Home (Hospital) Lady Reading Hospital 0092-21 2204627 0092-91-9211430- 49 Dr. Alidina's Kharadar Maternity Home, Paria 0092-91-9211401 Street,Kharadar, Karachi, Sindh [email protected] www.lrh.gov.pk Lady Reading Hospital , khyber Bazar, Peshawar KHYBER PAKHTUNKHWA Dr. Atique Orthopedic & Medical Centre (Hospital) Lady Willingdon Hospital Lahore 0092-21-4404535 0092-42-9211145-54 0092-21-4505355 [email protected] [email protected] www.kemu.edu.pk/lady-willingdon-hospital.html Dr. Atique Orthopedic & Medical Centre, A-18/423, King Edward Medical University Nelagumbad, Anarkali . Darakhshan Society, Kalaboard, Malir, Karachi, Sindh Lahore, Punjab Dr. Ziauddin Hospital Lahore General Hospital, Lahore 0092-21- 35862937-9 0092-42-5810891-2 0092-21- 35862940 Lahore General Hospital, Lahore Ferozpur Road Chungi [email protected] Amarsiddhu, Lahore, Punjab www.ziauddinhospital.com/ziauddin-trust.htm Dr. Ziauddin Hospital, 4/B, Shahrah-e-Ghalib, Block 6, Clifton, Karachi, Sindh Faiz-E-Aam Hospital Layton Rahmatulla Benevolent Trust Eye Hospital 0092-21-4558351 0092-21 35396600-5 0092-21-4522406 0092-21- 35396606 Faiz-E-Aam Hospital, 2-Teachers C.H.Society, Shaheed-E- [email protected] Millat Road, Karachi, Sindh www.lrbt.org.pk/lrbt-a-beacon-of-hope Layton Rahmatulla Benevolent Trust Eye Hospital, 37-C, Sunset Lane No.4, Phase – II Extension, 24th Commercial Street, D.H.A, Karachi, Sindh Fatemi Surgical Hospital Leprosy Patients Welfare Trust (Hospital) 0092-21-278322 0092-21-32436210 Fatemi Surgical Hospital, Cantonment Market, Lucky Star, 0092-21-32420485 Saddar, Karachi, Sindh [email protected] www.leprosylpwt.org.pk/About.htm Leprosy Patients Welfare Trust, Room No.13, 3rd Floor, Waqar Center, Muhammad Feroze Street, Jodia Bazar, NearKhori Garden Masjid, P.O.Box No. 6818, Karachi, Sindh Fatima Bai Hospital Liaquat National Hospital & Medical College 0092-21-4124249 0092-21 3493 9612 Fatima Bai Hospital, Plot #805, JR-32, Laypat Rai 0092- 21 3414 0014 Rd.Jamshed Quarters, Karachi, Sindh [email protected] www.lnh.edu.pk/ Liaquat National Hospital & Medical College, National Stadium Road, Karachi, Sindh Fatmia Foundation (Hospital) Lions Eye Hospital 0092-21-2225284 0092-21-36990096 0092-21-2256752 0092-21-36990096 Fatmid Foundation (Hospital), 393-Britto Road, Garden East, [email protected] Karachi 74800, Sindh www.lionseyehospital.org/about.html Lions Eye Hospital, ST-21, Sector 5-B/3, Main Road, North Karachi Township, Karachi, Sindh Fon General Hospital & Karachi Urology Center Mamji Hospital Orthopaedic & General 0092-21-4989192 0092-21-36804706 Fon General Hospital & Karachi Urology Center, C-130 Blk-9 Mamji Hospital Orthopaedic & General C-19,Block- G'Iqbal City, Karachi, Karachi, Sindh 17,F.B.Area,Near Water Pump, Karachi, Sindh

Gondal Memon Association (Hospital) Marie Adelaide Leprosy Center (Hospital) 0092-21-4857662 0092--21 35682706, Gondal Memon Association, JM-172, Jeker Street, adj.Qudsi 0092-21- 35683106 Masjid, Jamshed Rd, Karachi, Sindh [email protected] www.malc.org.pk/index.html Marie Adelaide Leprosy Centre, Mariam Manzil, A.M. 21,Off Shahrah-e-Liaquat,P.O. Box No. 8666,Saddar, Karachi, Sindh GOVERNMENT CIVIL HOSPITAL HQ: Gujranwala Mayo Hospital, Lahore 0092-55-9200109 0092-42-99213666, Civil Lines, Gujranwala, Punjab Hospital Road, Lahore, Punjab Gulaab Devi Hospital, Lahore Mid East Hospital Quetta 0092-42-9230247-50 0092-81-2821103-5 0092-42-9230817 Al Gilani Road, Quetta, Balochistan [email protected] www.gulabdevi.org Gulab Devi Chest Hospital Ferozpur Road, Lahore, Punjab Gulshan General Hospital Muhammad Hospital 0092-21-4992404 0092--21-6800396 Gulshan General Hospital, C-51, Block No. 4-A, Gulshan-E- Muhammad Hospital, C-53, Block-17, F.B. Area, Karachi Iqbal, Abul Hasan saphani Road, Karachi, Sindh Sindh Habib Medical Centre (Hospital) Murshid Hospital and Health Care Center (Hospital) 0092-21-6341893 0092-346-8215214 Habib Medical Centre, Bs-3 Blk-4 FB Area, Karachi Sindh 0092-21 32811307 [email protected] www.murshid.org Murshid Hospital and Health Care Center, Hub River Road, Mujahidabad, Karachi, Sindh Haji Rang Elahi Eye & General Hospital Nadeem Medical Centre (Hospital) 0092-21-34967891 0092-21-4984300 Haji Rang Elahi Eye & General Hospital, ST-4B,Block- Nadeem Medical Centre, St-D-18, Block No.6, Gulshan-E- 4,Gulshan-e-Iqbal,Allama Shabbir A.Usm. Karachi, Sindh Iqbal, Karachi, Sindh Hashmani Hospital National Institute Of Cardiovascular Diseases (Hospital) 0092-21-32781339 0092-21-9201215 0092-21-32787044 0092-21-9201216 [email protected] [email protected] www.hashmanis.com.pk www.nicvd.edu.pk/AboutUs.htm Hashmani Hospital, JM-75, Off M A Jinnah Road Karachi, National Institute Of Cardiovascular Diseases (Hospital), Sindh Rafiqui (H.J.) Shaheed Road, Karachi-75510,Sindh Hayatabad Medical Complex National Institute of Children Health (Hospital) 0092-91-9217188 0092-21-99201193 0092-91-9217189 0092-2199205318 Hayat Abad, Peshawar, KHYBER PAKHTUNKHWA [email protected] www.nich.edu.pk/Default.aspx National Institute of Children Health (Hospital), Rafiqui S.J Shaheed Road, Karachi, Sindh Health Care Hospital National Medical Centre (Hospital) 0092-21-5312320 0092-21 35380000-3 0092-21-5801832 0092-21 35805022 [email protected] [email protected] www.healthcarehospital.com.pk/aboutus.htm www.nmc.net.pk/ Health Care Hospital, Plot # 140, 17th East Street,Main National Medical Centre, A-5/A, National Highway, Phase 1, Korangi Road, DHA,Phase-I, Karachi, Sindh Defence, Housing Authority,Near Kala Pul, Karachi, Sindh Hill Park General Hospital Nisthar Hospital Multan 0092-21-4538563 0092-61 9200238, Hill Park General Hospital, S.N.C.C. 3/4, Block #3 Main 0092-61 9200227 Shaheed-e-Millat Road, Karachi, Sindh [email protected] www.nmch.edu.pk Nishtar Road, Multan, Punjab Holy Family Hospital, Rawalpindi NUCLEAR ONCOLOGY & RADIOTHERAPY INSTITUTE & 0092-51-4411377 HOSPITAL 0092- 51 9290519 0092--51-9260611-15, 51-9261313 Holy Family Hospital Asghar Mall, Satellite Town Saidpur 0092--51-9260616 Road. [email protected] Rawalpindi, Punjab www.paec.gov.pk Hanna Road, Sector G-8/3, Islamabad HOPE Rehabilitation Center for disabled, Lahore Ojah Institute of Chest Diseases (Hospital) 0092-42 35177791 0092-21-99261472-9 0092- 42 35177793 [email protected] [email protected], www.duhscme.com/TB/index.php?page=aboutus

www.hope.org.pk Ojah Institute of Chest Diseases, Dow University of Heath HOPE Rehabilitation Center for disabled 866-B, Faisal Town. Sciences, Gulzar-e-Hijri, Suparco Road, KDA Scheme -33, Lahore, Punjab Karachi, Sindh Ibn-e-Seena Hospital Orthopaedic & Medical Institute (Hospital) 0092-21-34992706 0092-21 32258075-79 Ibn-e-Seena Hospital ST-22 Block-6 Gulshan-e- 0092-21 32251814 Iqbal,University Road, Karachi, Sindh [email protected] www.omihospital.com/Introduction.html Orthopaedic & Medical Institute, 89/1 Depot Lines, Karachi, Sindh Imam Zainul Abidin Hospital P.E.C.H.S Trauma & General Hospital 0092-21-6608991 0092-21 34310870-71-72 0092-21-6622680 0092-21 34311341 Imam Zainul Abidin Hospital, C-42 & 43, Rizvia Society, Nzd. [email protected] Karachi, Sindh www.pechstrauma.com/aboutus.html P.E.C.H.S Trauma & General Hospital, 1/4,258/1, Block 6, P.E.C.H.S, Karachi, Sindh Indus Hospital Pakistan Red Crescent Society (Hospital) 0092-21- 35112709-17 0092-21-5836275 0092-21- 35112718 Pakistan Red Crescent Society, Hilal-E-Ahmer House, [email protected] Clifton, Karachi, Sindh www.indushospital.org.pk/index.php Indus Hospital, Korangi Crossing, Karachi, Sindh Institute of Orthopedics & Surgery (Hospital) Patel Hospital 0092-21 34315407-11 0092- 21 34968660-1 0092-21- 34315415 0092- 21 34985899 [email protected] [email protected] www.iospak.com/ www.patel-hospital.org.pk/index.html Institute of Orthopedics & Surgery,187-C, Block 2, P.E.C.H.S., Patel Hospital ,ST-18, Block-4, Gulshan-e-Iqbal,Karachi, Shahra-e-Quaideen, Karachi, Sindh Sindh Jinnah Hospital, Lahore Progressive Surgicals Hospital 0092-42-9231400-23 0092-21-2785931 0092-429231427 0092-21-2789980 [email protected] Progressive Surgicals Hospital, Shop No. 04-05, Cantonment www.aimc.edu.pk Market, Block II, Lucky Star, Saddar, Karachi, Sindh Jinnah Hospital, Lahore Allama Shabbir Ahmed Usmani Road. Lahore, Punjab Jinnah Medical College Hospital Psychiatric hospital Lahore 0092-21- 5071854-6-8 0092-42 37415762 0092-21 5073161 [email protected] [email protected] Psychiatric hospital Scheme Street, Near Wagon Stop www.jmc.edu.pk/jmch/index.htm Bastami Road, Sodiwal, Lahore, Punjab Jinnah Medical College Hospital, S. R-6, 7/A, Korangi Industrial Area, Karachi, Sindh JINNAH MEMORIAL HOSPITAL Gujranwala Qamarul Islam Hospital & Diagnostic Centre 0092-55-3253467 0092-21-5379168 Gujranwala, Punjab Qamarul Islam Hospital & Diagnostic Centre Punjab Colony, Khayaban-e-Jami Defence, Housing Authority, Karachi, Sindh. Jinnah Postgraduate Medical Centre (Hospital) Railway Cairns Hospital Lahore 0092-21 9201300 0092-42 9201720-21 [email protected] Garhi Shahu, Lahore, Punjab Jinnah Postgraduate Medical Centre, Rafiqui (H.J.) Shaheed Road, Karachi, Sindh Kamal Hospital Railway Hospital, Quetta 0092-21-5655341 0092-81 9211077 Kamal Hospital, 226/A, EI Lines, Dawood Pota Rd., Saddar, Railway Hospital, Quetta, Balochistan Karachi, Sindh Karachi Adventist Hospital Rajput General Hospital 0092-21- 2258021- 0092-21-4979403 0092-21- 2227010 Rajput General Hospital, ZC-2, Block 4, Gulshan-E-Iqbal, [email protected] Abul Hasan Isaphani Road, Karachi, Sindh www.karachiadventisthospital.org Karachi Adventist Hospital, 91, Depot Lines, M.A Jinnah Road, P.O.Box., Karachi, Sindh Karachi E.N.T. & Eye Hospital Rawalpindi General Hospital Rawalpindi 0092-21-2720866 0092-51 9290301-7 Karachi E.N.T. & Eye Hospital, Rimpa Plaza, M.A.Jinnah Murree Road, Rawalpindi, Punjab

Road, Karachi, Sindh Karachi Institute of Heart Diseases (Hospital) Remidial Centre (Hospital) 0092-213-9246097 0092- 21-36633834 - 5 - 6 0092-213-9246061 0092-21-36638189 Karachi Institute of Heart Diseases, ST-15, Block-16, Federal [email protected] B. Area, Karachi, Sindh www.remedialcentre.com/a.html Remidial Centre (Hospital), D-9, Block-I, North Nazimabad, Karachi, Sindh Karachi National Hospital Rural Health Center Chachro (Hospital) 0092-21-32251587 0092-2381-73014 0092-21-32230215 Rural Health Center Chachro, Taluka Chachro, Tharparkar, [email protected] Sindh www.karachinational.com/aboutus.html Karachi National Hospital (Pvt.) Ltd. 239, J. M. Amil Colony, M. A. Jinnah Road, Opposite Mazar-e-Quaid, Karachi, Sindh Kharadar General Hospital Rural Health Center Islamkot (Hospital) 0092-21-32510113 – 16 0092-2342-63119 0092-21-32511984 Rural Health Center Islamkot, Taluka Mithi,Tharparkar, Sindh [email protected] www.kharadarhospital.org Kharadar General Hospital, Aga Khan Road, Kharadar, Karachi Sindh Khyber Teaching Hospital Sahib-uz-Zaman Hospital Quetta 0092-91-9216362 0092-81 2662104 0092-91-9216364 Alamdar Road, Quetta, Balochistan [email protected] www.khyber.4t.com/ University Town Peshawar, KHYBER PAKHTUNKHWA Kidney Center Hospital Sahib-uz-Zaman Hospital Quetta 0092-21-35661000 0092-81 2855751 0092-21- 35661040/50 Alamdar Road, Quetta, Balochistan [email protected] www.kidneycentre.com/ Kidney Center Hospital, 197/9, Rafiqui Shaheed Road, Karachi, Sindh Kidney Foundation Hospital Saifee Hospital 0092-21-4532336 0092-21-36789400 0092-21-4380842 0092-21-36628206 Kidney Foundation Hospital, 5-Amber Towers, Sharae Faisal [email protected] 22-A, Block-6, P.E.C.H.S., Karachi, Sindh www.saifeehospital.com.pk/ Saifee Hospital, ST-1, Block-F, North Nazimabad, P.O. Box number 74700 Karachi, Sindh Kiran Patients Welfare Society Hospital Saleem Medical Complex Quetta 0092- 21 5044037 0092-81 2827104 0092- 21 5044306 Saleem Medical Complex Double Road, Quetta, Balochistan [email protected] www.kpws.org/BreastCancer/Index.htm Kiran Patients Welfare Society (KPWS) Karachi Institute of Radiotherapy And Nuclear Medicine (KIRAN Hospital), Near Safura Goth, Scheme 33. Karachi, Sindh Sardar Bahadur Khan TB Sanatorium, Quetta Samdani Hospital 0092-81 2855751 0092-21 34814946 Quetta, Balochistan Samdani Hospital, A-560,Block No.5,Gulshan-e-Iqbal, Karachi Sindh Sarfaraz Rafiqui Shaheed Hospital Shaukat Omar Memorial Hospital (Fauji Foundation) Karachi 0092-21-475500721 0092-21.99248701 [email protected] Shaukat Omar Memorial Hospital (Fauji Foundation) , Shah www.rafiquihospital.com.pk Faisal Colony, Shahrah-e-Faisal, Karachi, Sindh Sarfaraz Rafiqui Shaheed Hospital Shorot Cantts Karachi, Sindh Services Hospital Lahore Sheikh Zayed Hospital Lahore 0092-429202089 0092-42-35865731 0092-42-9203426 University Road, Block D, New Muslim Town, Lahore, Services Hospital LahoreGhaus-ul-Azam (Jail) Road. Lahore, Punjab Punjab The Children's Hospital, Lahore Sina Health, Education & Welfare Trust (Hospital)

0092-42-923 0901-10 0092-21 3582 1076 The Children's Hospital Lahore Ferozepur Road. Lahore, [email protected] Punjab Sina Health, Education & Welfare Trust, F-7/1, Block 8, KDA Scheme 5,Kehkashan, Clifton, Karachi, Sindh The Kidney Centre Post Graduate Training Institute Sindh Institute of Urology and Transplantation (Hospital) 0092-21 35661000 (10 Lines) 0092-21- 99215752 0092-21 35661040/50 0092-21- 99215469 [email protected] [email protected], [email protected] www.kidneycentre.com www.siut.org/about-siut/our-history 197/9, Rafiqui Shaheed Road, Karachi, Sindh Sindh Institute of Urology and Transplantation (Hospital), Civil Hospital. Karachi, Sindh The Medical General Hospital Sindh Medical Centre (Hospital) 0092-21-6980149 0092-74-4040330 The Medical General Hospital, ST. 16, Sec. 11-B, N/Kar, 0092-74-4055866 Karachi Sindh Medical Centre, VIP Road. Larkana, Sindh Sindh Usman Memorial Hospital Skin & Social Hygiene Centre (Hospital) 0092-213-6316328 0092-213-2723952 Usman Memorial Hospital, ST/12,Block-1,F.B.Area,Karachi, Skin & Social Hygiene Centre, Behind Regal Cinema, Sindh Saddar, Karachi, Sindh Zainab Punjwani Memorial Hospital Sobhraj Maternity Home (Hospital) 0092-21 32236251 0092-21 32636080 [email protected] Sobhraj Maternity Home (Hospital), Urdu Bazar, Karachi, www.panjwani.org/ Sindh Zainab Punjwani Memorial Hospital, Mohammad ali Habib Road, Numaish, Karachi, Sindh Zubair Medical Center (Hospital) Zubeda Khaliq Memorial Hospital 0092-726-521004 0092-581 546 8165 Zubair Medical Center, Hathidar Road, Opp Fire brigade 0092- 581 546 8165 Hazaridar Shikarpur, Sindh [email protected] www.zkmfreehospital.org/index.html Zubeda Khaliq Memorial Trust, Sermik, Skardu, Gilgit

HUMANITARIAN ORGANIZATIONS Aga Khan Health Service Association for Health, Education & Agriculture 0092-213-5361196-97 Development Sindh 0092-213-35308140 0092-235-541767 [email protected] [email protected] www.akdn.org/AKHS www.aheadsanghar.page.tl D-114, Block 5, Clifton, Karachi, Sindh Banglow No.105/082, Block No. 2, Sanghar, Sindh Customs Health Care Society Gender and Reproductive Health Organization 0092-42 - 3784 7008 0092-81-2872129 [email protected] , [email protected] 0092-81-2842982 www.welfareclnic.com.pk [email protected] 449-Jahanzeb Block, Allama Iqbal Town, Lahore, Punjab www.grho.org.pk/contactus.html Head Office: House# 171/28-B, Near IT university Jinnah Town Quetta, Balochistan Education Awareness & Community Health Health Education & Literacy Trust 0092-41-5504488 0092-42 3 6663144 0092-41-2404488 0092-42-5895453 [email protected] [email protected] , [email protected] www.each.org.pk www.healtrust.org Main Bazar Masoodabad, Near Sultan Chowk, samanabad, 53 - K, Gulberg 3 / 736-Z Phase III DHA / 157-E, Upper Faisalabad, Punjab portion, New Super town, Ghazni Lane, Near Defence More. Lahore Cantt, Punjab Education, Health, Social Awareness & Rehabilitation Health Education And Development Society, Pakistan Foundation (EHSAR Foundation) 0092-346 2926572 0092-91 585 3030 [email protected] 0092-91 570 3070 www.hedsbaltistan.org [email protected] House # 32 Askole , www.ehsar.org Skardu, Gilgit Baltistan EHSAR Foundation 43 - B, S. Jamal ud Din Afghani Road, University town, Peshawar, KHYBER PAKHTUNKHWA Family Health International Health Oriented Preventive Education 0092-51-285-5993 0092-21-34520464

0092-51-285-4528 [email protected] [email protected] www.hope-ngo.com Family Health International H#9 9th Avenue, F-8/1. Islamabad 5, Amir Khusro Road, Mehvush, Overseas Cooperative Housing Society, Karachi, Sindh Frontier Primary Health Care HealthNet TPO 0092-937-863837 0092-3038432419/ 0092-937-861403 [email protected] [email protected] www.healthnettpo.org www.frontierphc.com House No. 461, Street 58, Sector I-8/3, Islamabad Frontier Primary Health Care Nisatta Road, Bijli Ghar, G.P.O. Box – 52, Mardan, KHYBER PAKHTUNKHWA International Centre for Migration, Health and Development Healthy Environment Creative Society (41 22) 783 10 80 0092-242-526043 (41 22) 783 10 87 [email protected] [email protected] www.hecs.webstarts.com www.icmhd.ch HECS Office, 3rd Floor State Life Building, near warid Geneva (Main Office):11, Route du Nant d’Avril CH – 1214 Franchise, Main Road, Moro, Naushahro Feroze, Sindh Geneva Switzerland Motto to Empower the Health, Education & Rights Integrated Health Services Balochistan 0092-51-111 362 867 0092-83-8510220 [email protected] 0092-83-8510220 www.ihspakistan.com [email protected] Islamabad www.meher.org.pk MEHER office, Dera Allah Yar, Jaffarabad, Balochistan Motto to Empower the Health, Education and Rights People's Primary Healthcare Initiative Balochistan 0092 333 7881255 0092-81-2822660-4 [email protected] 0092-81-2827635 www.meher.org.pk [email protected] MEHER office Main Civil Hospital Road, Near Zakat www.pphibalochistan.org.pk Office,Dera Allah Yar, District Jaffarabad, Balochistan House No:38-A Chaman Housing Scheme,Airport Road Quetta, Balochistan Pakistan National Forum on Women's Health Society for Education, Health Awareness & Technology 0092-21-32231534 0092-51-2827788 0092-2132231534 [email protected] [email protected] www.sehat.org.pk www.pnfwh.org.pk Society for Education, Health Awareness & Technology PMA House, Aga Khan III Road, Karachi, Sindh House 8, Street 39, G-6/2, Islamabad Participatory Efforts for Health Environment Society for Health & Education Development 0092-22-2650987 0092-21-32044126 0092-22-2650987 0092-21-34661222 [email protected] [email protected] www.pehesindh.org www.shed-pak.org Bangalow no. B-02, Prince Town Phase 2, Qasimabad House No. B-139 Block 1 Gulistan e Johar, Karachi, Sindh Hyderabad, Sindh Potohar Mental Health Association UM Health Care Trust 0092-345 8540063 0092-51-210 6304 [email protected] 0092-51-926 6626 HO.No.521 Street # 66, G-11/, Islamabad info @ umtrust . org www.umtrust.org H#510, Street 9, Sector F-10/2, Islamabad Sindh Health & Education Development Society Water, Health, Education, Environmental League Quetta 0092-22-2633163 0092-81-2445212 0092-22-2633163 0092-81-2445212 [email protected] [email protected] 3rd Floor Baitul Mall Building ,Doctors Colony ,Near Liaquat House No: 8-40/1479-2, Street no: 3, Ismail Colony, Sirki University OPD, Hyderabad, Sindh Road, Quetta, Balochistan Women Welfare for Health & Education Services Pakistan World Health Organization 0092-321-9221984 0092-051-9255184-5 [email protected] 0092-51-9255042 www.whaes.web.com [email protected] Office No. 05, Jamia Masjid, Ruqqia Square, Block 14, Water www.who.int Pump, F/B Area karachi. Sindh Premises of National Institute of Health, Park Road, Chak Shahzad, Islamabad