SECOND HEALTH WEEK REPORT - FEBRUARY 2018 WRITTEN BY - Dr. Sabin Nasir – Deputy Program Manager NCDs - Asma Mushtaq – Data Base Manager NCDs - Saad Tanvir – Assistant Program Manager NCDs - Dr. Farhan Zaib – Assistant Program Manager NCDs SUPERVISED BY - Dr. Farooq Manzoor – Program Manager NCDs REVIEWED BY - Ali Jan Khan Secretary Primary and Secondary Healthcare Department Government of the Punjab Page 1 of 99 SECOND HEALTH WEEK REPORT - FEBRUARY 2018 CONTENTS Acknowledgment ................................................................................................................................ 3 Resolve of the Leadership ................................................................................................................... 4 List of Abbreviations .......................................................................................................................... 5 List of Tables ...................................................................................................................................... 6 List of Figures ..................................................................................................................................... 7 1 Background ................................................................................................................................. 9 2 Objectives .................................................................................................................................... 9 3 Scope of Work ........................................................................................................................... 10 4 Operational Methodology .......................................................................................................... 10 5 Facility Based Integrated Screening Camps .............................................................................. 11 5.1 Screening Tools .................................................................................................................. 11 5.2 Process Flow – Screening Camps ...................................................................................... 12 5.2.1 General Process Flow for Adults ................................................................................ 12 5.2.2 Paediatric Process Flow .............................................................................................. 13 5.3 Data Management .............................................................................................................. 14 5.3.1 Integrated Screening App ........................................................................................... 14 5.3.2 Monitoring Checklist App. ......................................................................................... 14 5.4 Cost..................................................................................................................................... 14 5.5 Results ................................................................................................................................ 15 5.5.1 Results-Adults (>14 Years of Age)............................................................................. 15 5.5.2 Screening of Pregnant Ladies ..................................................................................... 75 5.5.3 Pediatrics (<14 Years of Age) .................................................................................... 78 5.5.4 Comparison with First Health Week (August 2017) .................................................. 81 5.5.5 District-wise Comparison of Health Week 1 and 2 .................................................... 82 6 Community Based Activity ....................................................................................................... 85 7 Output - Health Week ................................................................................................................ 87 8 Expected Outcomes ................................................................................................................... 87 9 Limitations ................................................................................................................................. 87 10 Way Forward ............................................................................................................................. 88 11 Conclusion ................................................................................................................................. 88 12 Picture Gallery ........................................................................................................................... 89 Page 2 of 99 SECOND HEALTH WEEK REPORT - FEBRUARY 2018 Acknowledgment We would like to thank the Chief Minister Punjab, Mian Muhammad Shehbaz Sharif for his vision of effective implementation of healthcare development projects and his continued support for such initiatives that aim to bring quality healthcare in Punjab. Special thanks to our development partners (WHO, UNICEF, Bill & Melinda Gates Foundation) for their valuable inputs on first health week report which paved the way for improvements. The Second Health Week shall play a pivotal role to fulfil the Government of Punjab commitment towards disease prevention through raising self-consciousness of health and disease screening among masses. The success of this event was not possible without the dedication and tireless efforts of all the elements of department including DGHS, Vertical Programs, PHFMC and DHAs. KHAWAJA IMRAN NAZIR ALI JAN KHAN MINISTER SECRETARY PRIMARY AND SECONDARY PRIMARY AND SECONDARY HEALTHCARE DEPARTMENT HEALTHCARE DEPARTMENT GOVERNMENT OF THE PUNJAB GOVERNMENT OF THE PUNJAB Page 3 of 99 SECOND HEALTH WEEK REPORT - FEBRUARY 2018 Resolve of the Leadership MIAN MUHAMMAD SHEHBAZ SHARIF CHIEF MINISTER PUNJAB Government of the Punjab is committed to provide quality health services to the people of Punjab. Disease prevention is a key priority area for improving health of general population and has been given due focus in our roadmap to achieve health for all in Punjab. P&SHD is working tirelessly to translate this vision into reality. The efforts made by P&SHD in this regard are commendable. By the grace of God, I as Chief Minister Punjab, have been blessed with an opportunity to fulfill this commitment with unfathomable trust of my team. KHAWAJA IMRAN NAZIR MINISTER PRIMARY AND SECONDARY HEALTHCARE DEPARTMENT The prosperity and development of a community is linked with health status of its people. The Government of Punjab is putting efforts on disease prevention and health promotion to raise the health status of population to empower them socially and economically. At the same time, uplifting of standards at primary and secondary healthcare facilities is also being given due focus. Initiatives like Health Week can play a vital role in promoting health seeking behaviors and awareness in the community. ALI JAN KHAN SECRETARY PRIMARY AND SECONDARY HEALTHCARE DEPARTMENT Health Week 2018 was a continuation of department’s initiative of disease screening and provision of preventive services to every member of community. It was a great success in terms of overwhelming response from the public to avail the services. The meaningful and practical insights from the data collected during Health Week is a stepping stone for policy makers to improve the delivery of health services and focus on disease prevention and control. The department is devoted to inculcate such activities in the regular healthcare system. Page 4 of 99 SECOND HEALTH WEEK REPORT - FEBRUARY 2018 List of Abbreviations ANC Antenatal Check up BHU Basic Health Unit BMI Body Mass Index BP Blood Pressure BSR Blood Sugar Random COPD Chronic Obstructive Pulmonary Disease DHAs District Health Authorities DHQH District Head Quarter Hospital EPI Expanded Program on Immunization HBV Hepatitis B Virus HCV Hepatitis C Virus HISDU Health Information Service Delivery Unit HIV Human Immunodeficiency Virus MUAC Mid Upper Arm Circumference NCDs Non-Communicable Diseases P&SHD Primary and Secondary Healthcare Department PHFMC Punjab Health Facilities Management Company PLWs Pregnant and Lactating Womens RHC Rural Health Center TB Tuberculosis THQH Tehsil Head Quarter Hospital Page 5 of 99 SECOND HEALTH WEEK REPORT - FEBRUARY 2018 List of Tables Table 1: Models Used for Various Level of HFs during Health Week ............................................................................................. 11 Table 2: HR Requirement for the Screening at various level of HFs ............................................................................................... 11 Table 3: District wise Distribution of People Screened ...................................................................................................................... 17 Table 4: District wise Age Distribution of Adults (>14 Years) Screened ........................................................................................... 18 Table 5: District wise Gender Distribution of Adults (>14 Years) Screened ..................................................................................... 19 Table 6: Body Mass Index (BMI) of Adults Punjab .......................................................................................................................... 21 Table 7: Overweight (BMI>25) - District wise Distribution in Adults Punjab .................................................................................. 23 Table 8: Overweight (BMI > 25) - District