Report of Profiles of Slums/Underserved Areas of Quetta City of Balochistan, Pakistan July 2020 Acknowledgements This study was conducted with the technical support and oversight from UNICEF Immunization team Pakistan, with financial support of Gavi- the vaccine alliance and executed by Civil Society Human and Institutional Development Programme (CHIP) under the leadership of Provincial and Federal EPI programs. The report in hand presents the results of ‘Profiling of Urban Slums/Underserved Areas’ held in 08 largest cities of Pakistan. Our sincere thanks to UNICEF for their technical support throughout the process to achieve the planned results. Our sincere thanks to UNICEF & WHO Country office colleagues, CSOs and expanded partners for their technical support and facilitation to complete this assignment. Special acknowledgement is extended to Federal EPI Programs, Provincial EPI and District Department of Health who extended their leadership and fullest cooperation for the successful execution of the survey. Specific acknowledgement is also extended to all the respondents for participating in this study and adding their valuable input to this discourse. It would not have been possible to present such in-depth, relevant and reliable information without their cooperation. Table of Contents Abbreviations .................................................................................................................................................................... c Executive Summary .......................................................................................................................................................... 1 Chapter 1: Introduction ........................................................................................................................................... 3 1.1 Demography ........................................................................................................................................................ 3 1.2 Number of Slums ................................................................................................................................................. 3 1.3 Social Features ................................................................................................................................................... 3 1.4 Situation of Health in Balochistan ........................................................................................................................ 3 1.5 Status of Healthcare in Quetta ............................................................................................................................ 4 1.6 Diseases and Mortality Rates .............................................................................................................................. 4 1.7 Infrastructure ....................................................................................................................................................... 4 1.8 Major Challenges ................................................................................................................................................ 4 1.9 Objectives............................................................................................................................................................ 4 1.10 Rationale ......................................................................................................................................................... 5 Chapter 2: Methodology .......................................................................................................................................... 7 2.1 Study Design ....................................................................................................................................................... 7 2.2 Study Sites .......................................................................................................................................................... 7 2.3 Study Duration ..................................................................................................................................................... 7 2.4 Study Respondents ............................................................................................................................................. 7 2.5 Sampling Procedures And Sample Size .............................................................................................................. 7 2.6 Key Variables .................................................................................................................................................... 10 2.7 Data Collection Instruments .............................................................................................................................. 11 2.8 Operational Definitions ...................................................................................................................................... 11 2.9 Data Analysis Techniques ................................................................................................................................. 12 2.10 Monitoring Mechanism .................................................................................................................................. 13 2.11 Study Team And Training .............................................................................................................................. 13 Chapter 3: Profile of Slums & Underserved Areas .............................................................................................. 15 3.1 Slums/Underserved Areas................................................................................................................................. 15 3.2 Demography ...................................................................................................................................................... 16 3.3 Health Resources .............................................................................................................................................. 16 3.4 Infrastructure ..................................................................................................................................................... 17 3.5 Social Welfare ................................................................................................................................................... 18 Chapter 4: Health Resources in Union Councils ................................................................................................. 20 4.1 Administrative Lay Out ...................................................................................................................................... 20 4.2 Health Facilities ................................................................................................................................................. 20 4.3 EPI Facilities ...................................................................................................................................................... 20 4.4 Nutrition Services .............................................................................................................................................. 21 4.5 Human Resources ............................................................................................................................................. 21 Chapter 5: EPI Facilities ........................................................................................................................................ 23 5.1 Infrastructure ..................................................................................................................................................... 23 5.2 Systems ............................................................................................................................................................ 24 5.3 Equipment and Supplies ................................................................................................................................... 24 5.4 Waste Management .......................................................................................................................................... 24 5.5 Human Resources ............................................................................................................................................. 24 Chapter 6: Childhood Vaccination ........................................................................................................................ 26 6.1 Vaccination Coverage ....................................................................................................................................... 26 6.2 Background Characteristics of Mothers ............................................................................................................. 28 6.3 Background Characteristics of Households ....................................................................................................... 28 6.4 Background Characteristics of Fully-immunized vs. Zero-dose ......................................................................... 29 Chapter 7: Conclusion & Recommendations ...................................................................................................... 31 7.1 Conclusion......................................................................................................................................................... 31 7.2 Study Limitations ..............................................................................................................................................