Calendar Year 2020 Punjab Health Statistics HOSPITALS, DISPENSARIES, RURAL HEALTH CENTERS, SUB-HEALTH CENTERS, BASIC HEALTH UNITS T.B CLINICS AND MATERNAL & CHILD HEALTH CENTERS AS ON 01.01.2020 BUREAU OF STATISTICS PLANNING AND DEVELOPMENT BOARD GOVERNMENT OF THE PUNJAB, LAHORE www.bos.gop.pk Content P a g e Sr. No. T i t l e No. 1 Preface I 2 List of Acronym II 3 Introduction III 4 Data Collection System IV 5 Definitions V 6 List of Tables VI 7 List of Figures VII Preface It is a matter of pleasure, that Bureau of Statistics, Planning & Development Board, Government of the Punjab has took initiate to publish "Punjab Health Statistics 2020". This is the first edition and a valuable increase in the list of Bureau's publication. This report would be helpful to the decision makers at District/Tehsil as well as provincial level of the concern sector. The publication has been formulated on the basis of information received from Director General Health Services, Chief Executive Officers (CEO’s), Inspector General (I.G) Prison, Auqaf Department, Punjab Employees Social Security, Pakistan Railways, Director General Medical Services WAPDA, Pakistan Nursing Council and Pakistan Medical and Dental Council. To meet the data requirements for health planning, evaluation and research this publication contain detailed information on Health Statistics at the Tehsil/District/Division level regarding: I. Number of Health Institutions and their beds’ strength II. In-door & Out-door patients treated in the Health Institutions III. Registered Medical & Para-Medical Personnel It is hoped that this publication would prove a useful reference for Government departments, private institutions, academia and researchers. The co-operation extended by all the Chief Executive Officers (CEO’s) Health in Punjab, Director General Health Service, Home-department (I.G Prison), Auqaf Department, Punjab Employees Social Security, Pakistan Railways (Headquarters’ Lahore), Director General Medical Service WAPDA, Pakistan Nursing Council and Pakistan Medical & Dental Council is gratefully acknowledged. Comments and suggestions for improving the format and contents of the future issue of this publication would be welcome (CH. SAJID RASUL) DIRECTOR GENERAL List of Acronym AJK Azad Jammu and Kashmir BDS Bachelor of Dental Surgery BHU Basic Health Unit BoS Bureau of Statistics CEO Chief Executive Officer CONT. Continuous D.G.Khan Dera Ghazi Khan DHQ District Headquarter GoP Government of the Punjab I.G Inspector General KPK Khyber Pakhtunkhwa LHV Lady Health Visitor MBBS Bachelor of Medicine and Bachelor of Surgery MBD Mandi Bahauddin MCH Maternal & Child Health Centers PBS Pakistan Bureau of Statistics PMDC Pakistan Medical & Dental Council PNC Pakistan Nursing Council PR Pakistan Railways R.Y.Khan Rahim Yar Khan RHC Rural Health Center SHC Sub Health Center T.T.Singh Toba Tak Singh TB Tuberculosis THQ Tehsil Headquarter WAPDA Water and Power Development Authority n.a Not Applicable - Nil or Insignificant II Introduction This is the first edition of the publication “Punjab Health Statistics 2019-20”. This publication covered Hospitals, Dispensaries, T.B. Clinics, Rural Health Centers (RHCs), Basic Health Units (BHUs), Sub-Health Centers (SHC) and Maternity & Child Health Centers (MCH) located in Punjab and administered by Health Department, Home Department, Auqaf Department, Pakistan Railways, WAPDA, Punjab Employees' Social Security and Private Trust Institutions located in Punjab province. Note: - Health Institutions belonging to the Federal government, and Defense Services are not being covered. Data Collection System a) Health Department Health Institutions belonging to the Health Department in the province are required to keep a record of all the out-door and in-door patients in an “Abstract Register”. From the information recorded in the “Abstract Register” and other relevant registers, all types of Health Institutions are required to supply annual statistical returns to the District Health Offices. The information supplied relates to the number of patients treated for various diseases, number and type of operations performed etc . District Health Officers to the Provincial Health Directorate for consolidation at the Provincial level. b) Other Departments/Organizations Pakistan Railways, Home Department, WAPDA, Auqaf Department and Punjab Employees' Social Security collect the annual Statistics from their health institutions and compile the data by tehsil/district/division/province levels at their Head Offices. III Definitions Health Institution: A health institution is defined as an institution that provides health services i.e. curative and preventive to all/specific class of the public as out-door/ in-door patients. This publication covers about 5227 institutions delivering heavily subsidized healthcare to the public. These facilities are broadly divided into following groups (i) Basic Health Units (BHUs), (ii) Sub Health Centers (SHC), (iii) Rural Health Centers (RHCs), (iv) Maternal and Child Health centers (MCH), (v) Tuberculosis Centers (TB) (vi) Dispensary (vii) Hospitals. Basic Health Unit (BHUs): This publication covers 2587 BHUs spread across the length and breadth of the province. It is the first level of health care considered to be essential to maintain adequate health and protection from disease. Typically, each Union Council has a BHU which has 2 beds, but in some cases there are two facilities per union council and serves a catchment population of about 10,000 to 25,000. Sub Health Center (SHCs): This publication covers about 186 SHCs. These facilities are staffed with a physician one Lady Health Visitor and a midwife. It provides primary health care services to the catchment areas where there are no basic health units. Rural Health Centers (RHCs): This publication covers about 358 RHCs across the province. BHUs are almost all over the place in rural areas, they have limited usefulness for patients seeking slightly advanced but not specialized care. To serve such patients, the health system has established a tier of facilities known as RHCs. The RHCs are better equipped than BHUs to manage minor emergencies and surgeries. Typically, the RHC has 15-20 beds inpatient facility and each serves a catchment population of about 100,000. This is envisaged as a health facility that is open 24/7. Maternal and Child Health Centers (MCHs): This publication covers 280 MCHs. These facilities provide maternal, neonatal and child health services including reproductive health and family planning and are often located in urban and large rural areas. Maternal and child health centers are managed by Lady Health Visitors and assisted by a facility based trained traditional birth attendant. Tuberculosis Centers (TBs): These centers detect and manage tuberculosis (TB) patients. Hospital: Hospital is an institution having ten or more than ten beds. This definition will however, not be applicable where an institution has specifically been named by the Government e.g. Rural Health Centre. The Hospitals are broadly divided into three types: (i) Tehsil Headquarter (THQ), Hospitals, (ii) District Headquarter (DHQ) Hospitals (iii) Teaching Hospitals. IV Tehsil Headquarter Hospitals: These hospitals serve a catchment population of about 0.5-1 million, providing a range of preventive, clinical and rehabilitative services. Presently tehsil headquarters have 40- 60 beds inpatient facility and a range of outpatient services District Headquarter Hospitals: These hospitals cover a catchment population of 1-3 million, having 125-250 beds capacity. The district headquarters hospital provides promotive, preventive, curative, advanced diagnostic and inpatient specialized services. Teaching Hospitals: There are 48 teaching hospitals in the province, of which 18 are in Lahore. These hospitals deal with the most advanced healthcare requirements and prepare doctors and paramedical staff for future needs. These hospitals are located in urban centers, exclusively in all divisional headquarters. Dispensary: This publication covers about 1411 dispensaries outlets in the province. A dispensary is an institution having less than ten beds. V List of Tables Table P a g e T i t l e No. No. Table 1 Health Institutions and Bed Strength, The Punjab (As On 01.01.2020) 1 Table 2 Health Institutions and Their Bed Strength by Administrative Control, The Punjab 3 (As on 01.01.2020) Table 3 Health Institutions By Division, District, Tehsil, The Punjab (As On 01.01.2020) 4-8 Table 4 Government Hospitals By Division, District, Tehsil, The Punjab (As On 01.01.2020) 13-17 Table 5 Number of Registered Medical Personnel By Gender (As On 01.01. 2020) 19 Table 6 Number of Registered Nurses LHVs Midwives & Naib/Dais, The Punjab 21 (As On 01.01. 2020) Table 7 Health Facilities per Million Population, The Punjab (As On 01.01.2020) 22 Table 8 Patients Treated By Various Health Institution, The Punjab (As On 01.01.2020) 23 Table 9 Hospitals & Their Beds Strength By Division, District, Tehsil and Population, 24-28 The Punjab (As On 01.01.2020) Table 10 Dispensaries By Division, District, Tehsil and Population, The Punjab 30-34 (As On 01.01.2020) Table 11 RHC & Their Beds Strength By Division, District, Tehsil and Population, The Punjab 36-40 (As On 01.01.2020) Table 12 BHU & Their Beds Strength By Division, District, Tehsil and Population, The Punjab 43-47 (As On 01.01.2020) Table 13 Population Per Health Facility & Their Beds Strength By Division, District And Tehsil, 49-53 The Punjab (As On 01.01.2020) Table 14