Three Years Rolling Plan 2010-2013 District Sialkot
Three Years Rolling Plan
2010-2013
District Sialkot
Three Years Rolling Plan (2010-2013) District Sialkot
Table of Contents
Acronyms............................................................................................................. 5
Executive Summary ............................................................................................. 6
SECTION 1: DISTRICT HEALTH PROFILE .......................................................... 8
I.
Vision of the District....................................................................................... 8
II.
Background of the District........................................................................... 8
III.
Map of the District....................................................................................... 9
IV.
Demography ................................................................................................ 9
V.
Socio-Economic Indicators ........................................................................ 11
VI.
Health Indicators ....................................................................................... 12
VII.
Organizational Structure of District Health Administration ........................ 12
VIII.
Health Resources.................................................................................... 14
1. Health Facilities ............................................................................... 14
a) Public ............................................................................................ 14
b) Private ........................................................................................... 14
2. Human Resource .............................................................................. 15
a) Administrative ............................................................................... 15
b) Facility Based ................................................................................ 15
c)
Outreach ........................................................................................ 22
d) Training Institutions ....................................................................... 22
3. Health Financing .............................................................................. 25
IX.
Disease Pattern ......................................................................................... 25
X.
Status of Vertical Programs ....................................................................... 27
1. National Program for FP & PHC ........................................................ 28
2. EPI ................................................................................................... 28
3. MNCH Program ................................................................................ 28
4. TB Control Program .......................................................................... 28
5. Malaria Control Program .................................................................. 28
6. HIV/AIDS Control Program............................................................... 29
7. Hepatitis Control Program ................................................................ 29
8. School Health Services Program ....................................................... 29
SECTION 2: PROBLEM ANALYSIS ...................................................................... 30
I.
Objectives .................................................................................................... 30
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Three Years Rolling Plan (2010-2013) District Sialkot
II.
Plan Development Process ......................................................................... 31
1. Problem Identification .................................................................................. 32
A.
Health Problems ........................................................................................ 32
2. Problem Prioritization ................................................................................... 33
3. Underlying causes of prioritized problems .................................................... 34
B.
Service delivery/Management problems ..................................................... 35
Underlying causes of Management Problems .......................................... 36
III.
MDGs and MSDS ...................................................................................... 37
1. Human Resource .............................................................................. 37
i.
Government Sardar Begum DHQ Hospital ....................................... 38
ii. Allama Iqbal Memorial DHQ Hospital .............................................. 38
iii.
THQ Hospitals............................................................................. 39
4. Equipment ....................................................................................... 39
i.
Allama Iqbal Memorial DHQ Hospital .............................................. 40
ii. Government Sardar Begum Hospital ............................................... 44
iii.
THQ Hospital Daska.................................................................... 49
iv.
THQ Hospital Pasrur ................................................................... 53
SECTION 3: INTERVENTIONS AND TARGETS .................................................... 59
Health Problems................................................................................................. 59
Management Problems ....................................................................................... 71
SECTION 4: COSTING AND FINANCING PLAN.................................................... 81
I.
Activity based costing ................................................................................... 81
a) Health Problems ............................................................................... 81
b) Management Problems ..................................................................... 93
II.
Financial Outlay including 3YRP activities ............................................... 103
a) Health Problems ............................................................................. 103
b) Management Problems ................................................................... 104
III.
Summaries .............................................................................................. 105
a) Problem-wise Costing ..................................................................... 105
i.
Health Problems .......................................................................... 105
ii. Management Problems ................................................................ 106
b) Activity-wise Costing ...................................................................... 107
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Three Years Rolling Plan (2010-2013) District Sialkot
i.
Health Problems .......................................................................... 107
ii. Management Problems ................................................................ 112
SECTION 5: MONITORING & EVALUATION ...................................................... 116
M&E of Plan ..................................................................................................... 116
Annex-I ............................................................................................................ 120
Annex-II ........................................................................................................... 126
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Three Years Rolling Plan (2010-2013) District Sialkot
Acronyms
3YRP
ADB
APMO
ARI
BHU
BoD
CDC
CDR
CPR
DHIS
DHQH
DoH
DR
EDO(H)
EPI
HSRP
IMR
IPC
M&E
M&E
MCH
MMR
MNCH
MO
MoV
MSDS
PDSSP
PHC
PMO
POL
RHC
SCR
SHC
SMO
TAMA
TB
THQH
TNA
WHO
WMO
Three Years Rolling plan
Asian Development Bank
Additional Principal Medical Officer
Acute Respiratory Infections
Basic Health Center
Burden of Dieses
Communicable Disease Control
Case Detection Rate
Contraceptive Prevalence Rate
District Health Information System
District Head Quarter Hospital
Department of Health
Default Rate
Executive District Officer Health
Expended Program on Immunization
Health Sector Reforms Program
Infant Mortality Rate
Interpersonal Communication
Monitoring and Evaluation
Maintenance and Repair
Maternal Child Health
Maternal Mortality Ratio
Maternal Newborn and Child Health
Medical Officer
Means of Verification
Minimum Service Delivery Standards
Punjab Devolved Social Services Program
Primary Health Care
Principal Medial Officer
Petrol, Oil and Lubricant
Rural Health Center
Sputum Conversion Rate
Secondary Health Care
Senior Medical Officer
Technical Assistance Management Agency
Tuberculosis
Tehsil Head Quarter Hospital
Training Need Assessment
World Health Organization
Women Medical Officer
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Three Years Rolling Plan (2010-2013) District Sialkot
Executive Summary
Prior to devolution, planning process was carried out at provincial level. Districts
were supposed to implement plans and programs developed/designed at provincial
and federal levels. Devolution brought a paradigm shift where planning became a
district responsibility. This change provided an opportunity to the district at one
hand and challenge on other due to their limited capacity in planning and
budgeting. Planning focus also changed from short term to medium term planning
recognizing the flexibility /adaptability it provided. Government envisions that
medium term plan .i.e. 3YRP will be instrumental in using health resources
effectively and efficiently through adapting Minimum Service Delivery Standards
(MSDS) as the strategy to achieve objectives of MDGs.
Districts have been preparing 3YRP (medium term plan) for last few years under
the auspices/patronage of Department of Health (DoH) Government of Punjab
through technical assistance of Punjab Devolved Program Social Services
Programme (PDSSP). This year government of the Punjab through Health Sector
Reforms Program (HSRP) with the technical assistance from a team of consultants
(SP09) and wide consultations/inputs from all key stake holders has established a
bench mark in standardization of the format of 3YRP. Capacity building of the
districts has been done on the standardized format.
Current 3 Years Rolling Plan (3YRP) plan is first attempt by the district on that
agreed format. First section of the format (District Health Profile) contains all
relevant information on Geography, Demographic, Socioeconomic and Health
indicators of the district. It also takes stock of health resources in terms of human
resource, infrastructure and others. District diseases pattern compiled from DHIS
Primary and Secondary Health Care reports and current status of vertical /national
programs is part of the profile. In fact district profile is a health related fact sheet of
the district and depicts the true picture of health status and health
resources/services of the district. An accurate district health profile provides a
sound basis for evidence-based planning.
3YRP plan has been developed by following the standard planning cycle approach.
3YRP details the current year activities, physical targets and fiscal targets.
Projections of second and third year physical and financial targets are given.
Section Two includes problems identification from various perspectives, and their
prioritization by applying WHO prioritization criteria. This section also contains
underlying causes of the prioritized problems. Section Three of the plan relates to
developing best possible interventions/activities and setting physical targets for
each year. Section Four consists of costing based on additional requirements taking
account of implementation of current status of activities. Best available estimates
have been used to accurately cost the activities. The detailed activity based costing
of the Health and Service Delivery problems has been developed on automated
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Three Years Rolling Plan (2010-2013) District Sialkot
Excel sheets, and annexed for details as ready reference. Last section of the 3YRP
consists of Monitoring and Evaluation of plan to gauge the progress of different
activities and targets of the plan using reliable district data sources. This permits
timely remedial action for smooth implementation of planned activities.
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Three Years Rolling Plan (2010-2013) District Sialkot
DISTRICT SIALKOT
SECTION 1: DISTRICT HEALTH PROFILE
I.
Vision of the District
Health Department District Government Sialkot aims to provide to every
citizen (3.472 M) regardless of the socio-economic status, an effective,
efficient, and most modern health care delivery system, by mean acceptable
to them, base on scientific method, at a cost that community and country
can afford, in the true spirit of self realize.
II.
Background of the District
Sialkot is famous all over the world because of its sports equipment and
surgical instruments manufacturing industry. It is an irregular tract that
occupies the sub-mountainous portion of Rachna. Sialkot is bounded on the
northeast by Jammu & Kashmir, on the northwest District Gujarat, and on
the west south east by district Gujranwala and Narowal. District lies
between 74-15, east longitudes and 31-55 north latitudes.
Total area of District is approximately 3,016 sq Kilometer, comprising of 4
Tehsil Sialkot, Daska, Sambrial & Pasrur. Sialkot has Population of 3.421
million and comprise of the 19 Union Council .TMA Sialkot has its own staff
for sanitation and other public health activities in TMA territory. Sialkot is
cold during winters and hot and humid during summers. May and June are
the hottest months. The temperature during winter may drop to 0°C. The
land is, generally, plain and fertile. The main crops grown in the district are
wheat and rice, the main fruits are guava and citruses - vegetables
cultivated include potatoes, turnips, garlic, cauliflower, peas, and onions.
Most of the rain falls during the Monsoon season in summer which often
results in flooding.
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Three Years Rolling Plan (2010-2013) District Sialkot
III.
Map of the District
IV.
Demography
o
Total Population
3.421 Million
o
Annual growth rate
1.97%
o
Population density
1060 persons per sq. km
1. Area-wise population (in millions)
Area
Population
Percentage
Rural
0.22
74%
Urban
0.09
26%
Source: DCR 1998 (Projected value)
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Three Years Rolling Plan (2010-2013) District Sialkot
2. Gender-wise population
Gender
Population
Percentage
Male
1.67 Million
49%
Female
1.74 Million
51%
Source: DCR 1998 (Projected value)
3. Population groups
Standard
Estimated
Demographic (%)
Population
2.7
92369
13.4
458426
Under 15 years
44
1505280
Women in child bearing age (15-49
22
752641
Married Child Bearing age Women
16
547375
Expected pregnancies
3.4
116317
Population Groups
Under 1 year of age
Under 5 years
years)
Standard Demographic population groups based on DHIS
4. Tehsil wise distribution
Tehsil
Number of UC
Population
Sialkot City
19
552550
Sialkot Tehsil
33
31414
Daska
29
765260
Pasroor
28
768611
Sambrial
15
369993
124
3421092
Total
Source: Bureau of Statistics Census 1998 (Projected Value)
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Three Years Rolling Plan (2010-2013) District Sialkot
V.
Socio-Economic Indicators
1. Education and Literacy
Literacy rate
Percentage
Literacy rate 10+ years
73
Adult literacy rate 15+ years
69
Adult literacy rate 15-24 years
88
Overall District
M= 61 F= 52
Source: MICS 2007-2008
2. Per capita income
The per capita income in the district is 980 US$
3. Housing
Household characteristics:
- Finished floor (pacca)
- Finished roof (pacca)
- Finished wall (pacca)
Mean household size
Mean number of persons per room
80
90
95
6.2
3.2
4. Water and Sanitation








Physical access to drinking water (within dwelling)
Use of improved drinking water sources
13 49 Use of properly treated water
Safe drinking water without bacteria
Use of sanitary means of excreta disposal
Use of improved water sources and improved sanitation
Proper disposal of:
-Waste water
- Solid waste
Hand washing adequately:
-Before meal
-After using latrine
99
99
10
86
89
89
80
14
86
90
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Three Years Rolling Plan (2010-2013) District Sialkot
VI.
Health Indicators

Infant Mortality Rate
52/1000

Under 5 mortality Rate
70/1000 Live births

Maternal mortality Ratio
300/1,00,000

Malnutrition (children)
o
Underweight prevalence (moderate and severe)
44
o
Underweight prevalence (severe)
21

Life expectancy
67

Proportion of children under 2 years immunized
89%
Source: MICS 2007-08
VII.
Organizational Structure of District Health
Administration
There exists a three-tier system in the health sector in the country. At federal level,
Federal Secretary of Health is responsible to administer and supervise the health
related activities and programs. Major function of federal tier is to provide policy
guidelines and ensure quality of health care standards through federal legislation.
After the 18th amendment in the constitution, and announcement of National
Finance Award, most of the existing federal level programs will be transferred to the
provincial level. At provincial level, provincial Secretary of Health along with
Director General Health Services is responsible for managing and supervising
health care services. The district is still an administrative entity in the system and
EDO (Health) acts as head of the district health department, under overall
supervision of DCO. The organizational structure at district level is as under:
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Three Years Rolling Plan (2010-2013) District Sialkot
District Coordination Officer
DCO
Executive District Officer
Health
PD
DHD
C
MS.
DHQ
SBH
DI
Pr.
G.N.S
.
MS
THQ
Pr.
P.M.S
.
DOH
(I)
DDOHs
D.C.
Programs
DC
RHCs
BHUs
TB Dots
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Three Years Rolling Plan (2010-2013) District Sialkot
VIII.
Health Resources
1. Health Facilities
a) Public
Details of physical infrastructure of public health facilities in
the district is given in the table below
Sr.
Type of Health Facility
Number
Bed Strength
No.
1
Functional
Beds
District Headquarter
01
400
400
Hospital
2
DHQ Level Hospital
01
134
134
3
THQ Daska
01
179
179
THQ Pasrur
01
40
40
4
Rural Health Centre
08
160
160
5
Basic Health Units
88
176
176
6
GRDs
02
--
--
7
RDs (ZC)
23
--
--
7
MCH Centre
14
--
--
8
Sub Health Centre
15
--
--
9
TB Clinics
02
10
10
10
City Dispensaries
03
--
--
11
Health house
2291
--
--
Data source: DHIS/EDOH office
b) Private
Private sector is also contributing in provision of health services in the
district. In absence of any registration and regulatory mechanism, actual
situation of private sector is not known. According to available
information total number of private hospitals and clinics are 136. With
the passage of time, role of private health care providers will expand and
there is a need to develop an effective coordination between public and
private sector. Detailed list of private sector health facilities is attached
as Annex-I.
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Three Years Rolling Plan (2010-2013) District Sialkot
2. Human Resource
The Human resource of district health department has been placed in
following categories:
a)
Administrative
b)
Facility based
c)
Outreach
d)
Training institutions
a) Administrative
Sr.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Name of Post
Sanctioned
Filled
Executive District Officer Health
District Officer Health
Deputy District Officer Health
Program Director DHDC
District Coordinator NP
District Coordinator EPI Surveillance
District Sanitary Inspector
CDC Officer
CDC Inspector
Drug Inspector
District Superintendent Vaccination
ASV
Tehsil Sanitary Inspector
Inspector Vaccination
1
1
3
1
1
1
1
1
88
1
1
3
3
3
1
1
3
1
1
1
1
1
88
1
1
3
3
3
b) Facility Based
i.
Basic Health Units
Sr.
No.
1
2
3
4
5
6
7
8
Name of
Post/Designation
Medical Officer
School Health &
Nutrition Supervisor
Medical Assistant
Computer Operator
Medical Technician
LHV
Dispenser
Midwife
Sanctione
d
88
Filled
Vacant
62
26
16
88
72
12
88
94
88
88
127
12
88
73
87
88
117
0
0
21
1
0
0
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Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
9
10
11
ii.
Name of
Post/Designation
Naib Qasid
Chowkidar
Sanitary Worker
Sanctione
d
88
88
88
Filled
Vacant
81
86
87
7
2
1
Sanctioned
Filled
Vacant
8
6
2
8
4
4
8
8
48
3
2
8
8
8
7
48
3
2
8
6
0
1
0
0
0
0
2
16
8
8
35
0
8
3
2
8
16
2
2
19
0
8
3
2
8
0
6
6
16
0
0
0
0
0
8
8
8
32
8
3
8
32
0
5
0
0
8
32
8
8
0
2
16
32
8
21
6
6
0
2
16
30
0
11
2
2
0
0
0
2
Rural Health Centres
Sr.
#
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
32
Name of
Post/Designation
Senior Medical
Officers
Women Medical
Officers
Dental Surgeons
Medical Officers
Charge Nurses
Homeo Doctors
Hakeems
Computer Operators
Medical /Health
Technician
LHV
Lab. Technician
Dental Technician
R.H.I
Junior Clerk
Vaccinator
Homeo Dispenser
Dawasaz
Radiographer/X-Ray
Asstt.
Dresser
Anesthesia Assistant
O.T.A
Dispenser
Dental Assistant
Laboratory Assistant
Midwife
Driver
T.O
Homeo Naib Qasid
Dawa Kob
Ward Servant
Sanitary Worker
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Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
#
33
34
35
36
37
38
iii.
Name of
Post/Designation
Sanitary Patrol
Naib Qasid
Mali
Cook
Chowkidar
Water Carrier
Sanctioned
Filled
Vacant
33
16
8
8
16
8
31
14
6
5
16
8
2
2
2
3
0
0
THQ Hospitals
Sr.
Name of post
Sanctioned
Filled
No.
1
Medical Superintendent
2
2
2
APMO.
4
2
3
APWMO.
2
1
4
Gynecologist
5
2
5
Pediatrician
2
2
6
Surgeon
2
1
7
MO/CMO
17
10
8
WMO
8
3
9
Dental Surgeon
2
2
10
Hospital Pharmacist
2
2
11
Head Nurse
4
4
12
Charge Nurses
26
26
13
Homeo Doctor
2
2
14
Hakim
2
2
15
LHV.
2
2
16
Clerk
3
3
17
Dispenser/Dresser
20
20
18
Homeo Dispenser
1
1
19
Dawasaz
1
1
20
OTA.
3
3
21
Radiographer
4
4
22
Laboratory Assistant
4
4
23
Dental Assistant
0
0
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Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
Name of post
Sanctioned
Filled
No.
iv.
24
Driver
2
2
25
Tub well operator
1
1
26
Dai
1
1
27
Ward servant
17
16
28
NQ/Dawakob
1
1
29
Bearer
2
2
30
Dhobi
2
2
31
Gate Keeper
2
2
32
Mashki
4
3
33
Baildar
2
2
34
Chowkidar
6
6
35
Cook
3
3
36
Sweeper
21
20
Allama Iqbal Memorial Hospital (DHQ)
S#
Name of post
Sanctioned
Filled
1
Medical Superintendent
1
1
2
Chief Consultant
2
0
3
PMO
2
1
4
PWMO
1
1
5
AMS
2
1
6
APMO
5
5
7
APWMO
3
1
8
Physician
2
2
9
Anesthetist
3
3
10
Cardiologist
1
1
11
Chest specialist
1
1
12
DMS / SMO
4
0
13
Neuro Surgeon
1
1
14
Nursing Superintendent
1
1
15
Nephrologist
--
--
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Three Years Rolling Plan (2010-2013) District Sialkot
S#
Name of post
Sanctioned
Filled
16
Pediatrician
1
1
17
Pathologist
1
1
18
Radiologist
2
2
19
Surgeon
3
3
20
E.N.T. Specialist
1
1
21
Eye Specialist
1
1
22
Senior Dental Surgeon
23
Urologist
0
0
24
Dental Surgeon
3
3
25
Internees
6
6
26
Medical Officer /WMO
45
34
27
Pharmacist
2
2
28
Physiotherapist
0
0
29
W.M.O
4
4
30
Charge Nurses/Male Nurse
62
62
31
Head Nurse
12
12
32
Male Nurse
52
52
33
Hakeem
1
1
34
Homeo Doctor
1
1
35
Almoner
0
0
36
Computer Operator
1
1
37
Stenographer
1
1
38
Accountant
1
1
39
E.C.G. Haemo & CT Technician
--
--
40
Senior Clerk
0
0
41
Sanitary Inspector
1
1
42
Junior Clerk
5
4
43
Dawasaz
1
1
44
Dispenser
17
17
45
Homeo Dispenser
1
1
46
Operation Theater Assistant
8
8
47
Physiotherapist Aid
0
0
48
Radiographer
3
3
--
--
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Three Years Rolling Plan (2010-2013) District Sialkot
S#
Name of post
Sanctioned
Filled
49
Dental Assistant
1
1
50
Lab. Assistant
3
3
51
Store Keeper
1
1
52
Driver
6
3
53
Midwife
2
2
54
Tailor Master
1
1
55
Tube well Operator
0
0
56
Lab. Attendant
2
2
57
O.T. Attendant
2
2
58
X-Ray Attendant
1
1
59
Ambulance Cleaner
1
1
60
Stature Bearer
3
3
61
Baildar
0
0
62
Chowkidar
10
10
63
Cook
6
2
64
Dawakob
1
1
65
Dhobi
3
3
66
Gate Man
4
3
67
Mali
8
6
68
Masalchi
0
O
69
Sanitary Worker
56
54
70
Ward Cleaner
1
1
71
Ward Servant
59
45
72
Water Carrier
4
4
73
Naib Qasid
5
1
74
Dental technician
2
1
v.
Government Sardar Begum Hospital
S#
Name of post
Sanctioned
Filled
1
Medical Superintendent
1
1
2
APMOs
2
2
3
APWMO
2
2
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Three Years Rolling Plan (2010-2013) District Sialkot
S#
Name of post
Sanctioned
Filled
4
Anesthetist
1
1
5
Surgeon
1
1
6
Orthopedic Surgeon
1
0
7
Pediatrician
1
1
8
Gynaecologist
3
2
9
Radiologist
1
0
10
Registrar
0
0
11
Medical Officer
8
3
12
CMOs
0
0
13
CWMOs
4
2
14
Head Nurse
2
2
15
Charge Nurse
12
12
16
LHV
1
1
17
Accountant
1
1
18
Junior Clerk
2
2
19
Store Keeper
1
1
20
Dispenser
4
4
21
Operation Theater Asstt.
2
2
22
Radiographer
1
1
23
Lab. Assistant
1
1
24
Dental Assistant
1
1
25
Driver
2
2
26
Midwife
2
2
27
O.T Attendant
1
1
28
Lab. Attendant
1
1
29
X-Ray Attendant
0
0
30
Naib Qasid
2
2
31
Ward Servant
17
17
32
Water Carrier
2
2
33
Mali
1
1
34
Baildar
1
1
35
Chowkidar
3
3
36
Sanitary Worker
15
15
Page 21
Three Years Rolling Plan (2010-2013) District Sialkot
c) Outreach
This information is about outreach program workers such as Vaccinators, CDC
Supervisors and Sanitary Inspectors which are not part of above mentioned
health facilities.
Sr.
Post
Sanctioned
Filled
119
119
1
Vaccinators
2
CDC Supervisors
88
88
3
Sanitary Inspectors
88
88
4
Nutrition Supervisor
88
88
5
Social mobilization NCHD
88
88
6
Sanitary Supervisor
05
05
d) Training Institutions
A number of training institutions are working in the district, which include
the following:
Type of institute

DHDC

General Nursing and Midwifery
school
i.
Number
1
1
DHDC
The District Health Development Centre, Sialkot was established in year
1997 with the key objectives of:
o
To plan and conduct in service training Programmes for Primary
Health Care Staff in the District.
o
To assist field based operational research.
o
To assist in the implementation of revised District Health
Management System.
Page 22
Three Years Rolling Plan (2010-2013) District Sialkot
o
To co-ordinate the training activities of the vertical Programmes in the
District
Trainings Conducted at DHDC
o
Reproductive Health services.
o
Mother Child Health Services.
o
Integrated Management of Childhood Illness.
o
Physical Resource Management.
o
Health Management Information System.
o
Health Nutrition Education.
o
Health Management Information System
o
Reproductive Health services.
o
Mother Child Health Services.
o
Integrated Management of Childhood Illness.
o
Physical Resource Management.
o
Health Management Information System.
o
TB DOTS
Sr. No.
1
2
3
4
5
6
7
8
ii.
Post
Sanctioned
Filled
1
1
1
1
1
1
2
1
1
1
1
1
1
1
2
1
Programme Director
MPPT
LHV Trainer
Assistant
Driver
Naib Qasid
Chowkidar
Sanitary Worker
General Nursing and Midwifery School
Sr.
No.
1
2
3
4
5
6
7
8
Name of Post/Designation
Principal School of Nursing
Nursing Instructor
House Keeper
Sweeper
Naib Qasid
Chowkidar/Gate Keeper
Cook
Masalchi
Sanctioned
Filled
1
2
1
3
3
2
1
1
1
2
1
3
3
2
1
1
Page 23
Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
9
10
11
12
13
14
15
16
iii.
Name of Post/Designation
Sanctioned
Filled
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
Clinical instructor
Head nurse
Stenographer
Head clerk
Accountant
Senior clerk
Junior clerk
Aya
Community Midwifery School Profile at General Nursing and Midwifery
School, A.I.M. Hospital
Designation
C.M Tutor
C.M Tutor
Computer
Operator
Driver
Security guard
BPS
Sanctioned
Filled
Vacant
17
16
08
2
2
1
2
2
1
0
0
0
04
02
2
2
2
2
0
0
Page 24
Three Years Rolling Plan (2010-2013) District Sialkot
3. Health Financing
The provision of financial resources at district level is prime responsibility of
district government. However, keeping in view the budget constraints at the
district level, federal and provincial governments also augment financial
resources in form of kind and cash, through different programs. Financial
resources of the district during the last three years out of different sources are
given as under:
Rs. Million
Source of
funding
Year
2008-09
2007-08
Allocation
NonDevelopment
409.655
Development
21.000
Sub Total
430.655
2009-10 Up to 01/2010
Exp.
Allocation
Exp.
Allocation
Exp.
409.000
455.696
453.058
556.042
389.462
0.857
28.453
1.328
--
--
409.857
484.149
454.386
556.042
389.462
89.426
56.074
30.582 is
kept
reserved for
purchase of
medicine as
desired by
the health
department
35.510
5.086 is
PHSRP
144.207
4.780
18.750
63.74
24.874
PMDGP
-
-
101.940
-
101.940
PDSSP
30.306
7.500
33.890
16.100
-
Provincial
Development
Funds (ADP)
41.128
40.828
80.581
80.562
50.331
25.086
Grand Total
646.296
462.965
719.31
614.788
733.187
595.558
IX.
Disease Pattern
The disease pattern is determined through regular and periodic reporting through
surveys and studies. Punjab health department has adopted DHIS as regular
reporting mechanism to collect information on diseases and other variables.
Currently, DHIS is in transitional stage, and is establishing itself as a tool to be
used for evidence based planning and management. The following trend of the
Page 25
Three Years Rolling Plan (2010-2013) District Sialkot
diseases has been taken from the consolidated DHIS reports that include reports
from PHC and SHC facilities.
Disease Group
Percentage of Magnitude
Respiratory disease
1
Acute (upper) respiratory infections
38.52%
2
Pneumonia < 5 yrs.
0.65%
3
Pneumonia > 5 yrs.
0.63%
4
TB Suspects
1.86%
5
Chronic Obstructive Pulmonary Disease
1.30%
6
Asthma
3.78%
Gastro Intestinal Disease
7
Diarrhea / Dysentery < 5 yrs
3.27%
8
Diarrhea / Dysentery > 5 yrs
3.24%
9
Enteric / Typhoid Fever
0.00%
10
Worm Infestations
2.64%
11
Peptic Ulcer Disease
4.77%
12
Cirrhosis of Liver
0.40%
Urinary Tract Disease
13
Urinary Tract Infections
3.03%
14
Nephritis / Nephrosis
0.00%
15
Sexually Transmitted Infections
0.00%
16
Benign Enlargement of Prostrate
0.00%
Other Communicable Diseases
17
Suspected Malaria
1.52%
18
Suspected Meningitis
0.00%
19
Fever due to other causes
6.57%
Vaccine Preventable Disease
20
Suspected Measles
0.00%
21
Suspected Viral Hepatitis
0.43%
22
Suspected Neonatal Tetanus
0.00%
Cardiovascular Diseases
23
Ischemic heart disease
0.00%
24
Hypertension
4.52%
Page 26
Three Years Rolling Plan (2010-2013) District Sialkot
Disease Group
Percentage of Magnitude
Skin Diseases
25
Scabies
12.48%
26
Dermatitis
2.82%
27
Cutaneous Leishmaniasis
0.00%
Endocrine Disease
28
Diabetes Mellitus
2.68%
Neuro-Psychiatric Diseases
29
Depression
1.37%
30
Drug Dependence
0.24%
31
Epilepsy
0.00%
Eye & ENT
32
Cataract
0.86%
33
Trachoma
0.00%
34
Glaucoma
0.21%
35
Otitis Media
2.48%
Oral Diseases
36
Dental Caries
3.84%
Injuries/Poisoning
37
Road traffic accidents
1.53%
38
Fractures
0.43%
39
Burns
0.23%
40
Dog bite
0.00%
41
Snake bite (with signs/symptoms of
0.00%
poisoning)
Source: DHIS Report
X.
Status of Vertical Programs
The following paragraphs depict the current status of the program being
implemented in the district. The indicators and their values have been taken from
the program reports.
Page 27
Three Years Rolling Plan (2010-2013) District Sialkot
1. National Program for FP & PHC

No. of seats allocated for LHWs
2291

No. of LHWs working
2291

Percentage of Population covered by the program
67%

Important program indicators
o
IMR
19/1000
o
MMR
27/100,000
o
CPR
52%
o
No. of antenatal visits
22557
o
TT Coverage of pregnant women
97%
2. EPI




EPI Coverage rate of the district
Fully immunized children 0-23 months
Pregnant women received TT vaccine
Availability of cold chain equipment
107.38%
107%
78.5%
All facilities fully equipped
3. MNCH Program
1st batch of 27 CMWs passed out &21 have been deployed.

CMW Students Admitted
123

Passed
51
4. TB Control Program

CDR all types
100%

CDR NSS positive
107%

SCR
96%

TSR
92%

DR
3%
5. Malaria Control Program

No. of slides examined

No. of positive slides (Plasmodium vivax)

Slides positivity ratio
0.226%

Percentage of plasmodium falciparum
0.0%
67362
2
Page 28
Three Years Rolling Plan (2010-2013) District Sialkot
6. HIV/AIDS Control Program
Since no HIV positive case has been detected so far, so HIV/AIDS control
program is not functional in the district. However, regular screening of
patients coming to hospitals, especially blood donors and immigrants
returning from abroad are being screened.
7. Hepatitis Control Program

No. of hepatitis tests conducted

No. of positive cases detected

No. of persons vaccinated against
8628
B-146, C-1459
Hepatitis B Three doses each)
364

No. of cases treated for Hepatitis B
12

No. of cases treated for Hepatitis C
93
8. School Health Services Program

Health Education training session by Health
90
Education Officer for training of trainers

No. of participants trained
3393

Health Education Sessions done in 2009
488786

No. of schools visited ( March 2010)

Male:
561

Female:
731

No. of school children educated
1293

No. of school inspected by Health Office
175

No. of children examined
4795
Page 29
Three Years Rolling Plan (2010-2013) District Sialkot
SECTION 2: PROBLEM ANALYSIS
The Health sector in Punjab is facing enormous health and service delivery
problems. Common health problems are communicable, non communicable, MNCH
related
diseases
and
accident/
trauma.
The
society
is
passing
through
demographic and epidemiological transition. This is due to changing life style,
urbanization, ecological and other factors. Disease pattern is changing where non
communicable diseases are gradually increasing and the communicable diseases
are still posing serious threat. Punjab is practically facing Double Burden of
Disease (BOD). Besides, health problems service delivery/ managerial issues are
also hindering the access and quality of health services to the population. The
service delivery/management problems are diverse in nature, and include shortage
of technical human resource, capacity issues, lack of infrastructure and
equipment.
Devolution was introduced during 2001 affecting the administrative and financial
set up of the districts. The devolution also brought political culture in the decision
making of the districts in the shape of Nazims, Naib-Nazims and Councilors. This
system is now in the phase of reshaping and it is not clear what will be future
structure and managerial shape when new local bodies system is put in place. The
District Manager and functionaries are in the state of uncertainty and confusion in
this scenario. However, one thing is clear that the district shall remain a hub of all
primary and secondary health services delivery. Despite the source of funding in
the future, either from provincial or district government, health planning at district
level shall continue to play a pivotal role in provision of quality health services.
In view of the above situation the district considers following objectives for
developing three year rolling plan.
I.
Objectives

Improve health status of the population

Meeting the requirements of national and provincial health policies

Achievement of MDGs through MSDS

Introducing evidence-based planning culture by addressing district specific
problems/issues
Page 30
Three Years Rolling Plan (2010-2013) District Sialkot

Addressing emerging health needs or re-emergence of health problems (e.g.
H1N1, HIV-AIDS, Polio, T.B)

Ensuring effective inter-sectoral coordination with a view to improving health
indicators
The objectives would guide in problem analysis, designing interventions, setting
/phasing the targets, costing and monitoring the plan activities.
II.
Plan Development Process
Plan development has been a systematic and consultative process. A core planning
team consisting of EDO (H), DOH, MS DHQ and THQs, Statistical officer, and
Budget and Accounts Officer, was designated by Director General Health Services
Punjab. This team received three days customized training from SP-09 team at
divisional headquarters. The main components of the trainings were: (i) developing
a three-year rolling health sector plan using the standard three year rolling plan
format; (ii) costing of the plan; (iii) preparing related budget projections; (iv)
accounting procedures; (v) preparing adequate financial reports on the use of
funds.
The district planning team adopted the following steps for the preparation of three
years rolling plan:

Problem identification

Prioritization of identified problems

Identifying underlying causes of prioritized problems

Developing interventions and activities

Setting targets

Determining resource requirements, costing and budgeting

Preparing action plans

Preparing monitoring plan
Page 31
Three Years Rolling Plan (2010-2013) District Sialkot
1. Problem Identification
This step involved assessment of the current situation from various perspectives
to establish the actual health situation in terms of health and service
delivery/management problems. Problem identification is based on the district
health profile, review of previous plans, MIS (DHIS, Program reports and
periodic reports etc.), District specific surveys (MICS), MSDS, and national and
provincial policy guidelines.
The district planning team held meetings and started with identification of
problem using the training received from SP-09 team and consulting the above
mentioned documents. The problems identified were broadly divided into two
categories i.e.
a) Health Problems
b) Health Service Delivery or Management Problems
A. Health Problems
The district specific health problems identification process started during
the three years rolling plans workshop. The planning team in the initial
stage prepared a long list of the health problems.
The identification of
health problems was based on various information sources including DHIS,
and district specific reports. The enlisted health problems of the district are
given in the following table.
1.
Acute Respiratory Infections
2.
Diarrhea
3.
Worm Infestations
4.
Pulmonary Tuberculosis
5.
Hypertension
6.
Diabetes
7.
Heart Disease
8.
Road Accident
9.
Hepatitis B & C
10.
Skin Disease ( Scabies)
Page 32
Three Years Rolling Plan (2010-2013) District Sialkot
2. Problem Prioritization
WHO has developed standard criteria for prioritization of health problems;
which is based on the following five elements:

Magnitude

Severity/danger

Vulnerability to intervention (feasibility)

Cost-effectiveness of the intervention

Political expediency
Each element has been assigned a score from 1 to 4 depending upon
grade/scale of that element i.e. Very High=4, High=3, Medium=2 and Low=1.
Elements of the prioritization criteria were applied to each of the enlisted
health problems. The aggregate of individual scores assigned to the elements
of the prioritization criteria gave the total score for a health problem. This
total score was then used to prioritize the health problems. A cut-off point
was decided, to establish the priority health problems of the district. These
problems will be addressed in the three years rolling plan.
Problem
Magnitude
Severity
Cost
Effectivenes
s
Political
Expediency
Total
Score
Priority
No.
3
Vulnerabili
ty to
interventio
n
3
Acute
Respiratory
Infections
Diarrhoea
4
2
2
14
2
4
3
3
3
3
16
1
Worm
Infestations
Pulmonary
Tuberculosi
s
Anemia (in
pregnancy)
Road
Accident
Hepatitis B
&C
Skin
Disease
(Scabies)
4
1
3
3
2
13
3
4
3
3
3
3
16
1
3
2
3
3
2
13
3
3
3
3
2
2
13
3
4
3
2
3
4
16
1
3
2
3
4
1
13
3
Page 33
Three Years Rolling Plan (2010-2013) District Sialkot
3. Underlying causes of prioritized problems
Health problems have their underlying causes. It is important to know the
underlying causes of the health problems so that appropriate interventions are
developed. There may be a long list of these causes but only few of them are
vital ones; and rectifying these causes can resolve the problem to a large extent.
Following table gives common causes of the prioritized health problems
pertaining to the district.
Sr
.
#
1.
Health
Problem
Diarrhoeal
Diseases
2.
Tuberculosis
3.
Hepatitis
Causes
Poor sanitation
Lack of safe drinking water
Unhygienic practices
Lack of awareness among mothers about feeding and weaning
practices
-economic status
Over-crowding/Poor housing facilities
Malnutrition
Unsafe drinking water
products
4.
ARI
Malnutrition
Air contamination
Over-crowding/Poor housing facilities
Seasonal variation
5.
Anaemia (in
pregnancy)
6.
Worm
Infestation
Accidents and
7.
Poverty
Lack of awareness about balanced diet
Gender discrimination
Social taboos and norms
Worm infestation
Infections
Page 34
Three Years Rolling Plan (2010-2013) District Sialkot
Sr
.
#
Health
Problem
Causes
injuries
-arm injuries
Bomb blasts/terrorist activities
8.
Scabies
Low socio-economic conditions
Incomplete treatment (poor compliance)
B. Service delivery/Management problems
This segment entails the district specific management problems. Management
problems are result of deficiency/lack of resources; these problems range from
administrative to financial issues, and cause hindrance in the smooth delivery
of health services in the district. It was observed that solution of some of these
problems lies with the provincial government; whereas remaining can be
addressed at the district level. While proposing the interventions, their action at
provincial or district level has been specifically mentioned. The planning team
discussed these problems in detail and enlisted the main problems as under:
1.
Lack of Financial Resources
2.
Lack of skilled Human Resources
3.
Deficiencies in Infrastructure
4.
Lack of Medicines and supplies
5.
Less effective supervisory role
6.
Political interference
7.
Lack of functional equipment
Page 35
Three Years Rolling Plan (2010-2013) District Sialkot
Underlying causes of Management Problems
Sr. #
1.
2.
Service
Inadequate
medicines and
supplies
Shortage of
skilled staff
Causes
·
Less budget allocation for medicines
·
Frequent increase in drug prices
.
Inefficient logistic management
.
Lack of need based supplies
·
Non-availability of skilled staff according to
MSDS
·
Lack of permanent postings
·
Lack of incentivized and differential pay
package
·
Frequent transfer postings
·
Job insecurity
·
Lack of basic amenities at workplace
·
Lack of conducive environment including
insecurity and transport of children for education
·
Political interference
·
Frequent increase in prices of POL
·
Less allocation for POL budget
.
Usage of POL in generators
3.
Inadequate
budget for POL
4.
Deficient
infrastructure
for MNCH
services at
primary and
secondary care
facilities with
reference to
MSDS
Lack of
equipment
(with reference
to notified list)
at all levels of
care
·
Debilitated condition of existing infra-structure
·
Lack of repair and maintenance
·
Inadequate infrastructure for Emergency,
Operation Theatre, OPD and Inpatients, residences for
staff at THQ and DHQ hospitals
·
Lack of blood transfusion services especially at
THQ
·
Lack of back-up electrical power facilities
Less effective
supervisory role
Lack of supervisory staff
Less funds for POL
Hectic meeting schedules
Less accountability
5.
6.
·
· Cumbersome procedure to procure new
equipment
·
Old and un-serviceable equipment
·
Shortage of regular budget for M&R
·
Frequent cuts on M&R budget
Page 36
Three Years Rolling Plan (2010-2013) District Sialkot
III.
MDGs and MSDS
The government is committed to achieve the MDGs targets. For this purpose, the
government of Punjab has decided to adopt Minimum Service Delivery Standards
(MSDS) as strategy to achieve the MDGs within the province. Health Department of
Punjab is especially focusing on MNCH related component of MSDS for which
substantial resources are coming from Asian Development Program funded Punjab
Millennium Development Goal Program (PMDGP). MSDS entails a level-specific
service delivery package (for primary and secondary health care) along with their
standards and system specifications including human, infrastructure, equipment,
medical supplies, medicine and other consumables.
In order to achieve the MDGs, the government of Punjab has adopted MSDS as
strategic framework. During the development of three years rolling plans, gaps
under MSDS focusing on MNCH interventions have been identified. Most essential
areas for which gaps have been identified are human resource and equipment of
DHQ and THQ hospitals, as per lists notified by the government in accordance with
MSDS standards.
1. Human Resource
With regard to MSDS gap analysis for human resource, the difference
between the standards proposed in MSDS and filled posts has been
calculated as the vacancy gap. The hospitals have been categorized based on
their bed strength as follows:
Hospital
DHQ Hospital
THQ Hospital
Category
Bed Strength
A
400 and above Beds
B
251-400 Beds
C
Up to 250 Beds
A
Above 60 Beds
B
41-60 Beds
C
Up to 40 Beds
Page 37
Three Years Rolling Plan (2010-2013) District Sialkot
i.
Government Sardar Begum DHQ Hospital
(Category C)
Sr.
No.
Post
Standard
as per
MSDS
Sanctioned
Filled
1
2
3
4
Gynaecologist
Paediatricians
Anesthetists
MOs including
SMO,APMO &
PMOs
WMO including
SWMO,
APWMO/PMOs
Nurses
LHV
3
3
3
1
1
1
74
5
7
6
ii.
Vacancy
Gap
in relation
to filled
positions
1
1
1
Vacancy
Gap
in relation
to
sanctioned
positions
2
2
2
18
18
56
56
27
6
6
21
21
75
11
14
1
14
1
71
10
71
10
2
2
2
Allama Iqbal Memorial DHQ Hospital
(Category A)
Sr.
No.
1
2
3
4
5
6
7
Post
Gynaecologist
Paediatricians
Anesthetists
Medical
Officers
including
SMO,APMO &
PMOs
WMO
including
SWMO
APWMO &
PMOs
Nurses
Lady Health
Visitors
Standard Sanctioned
as per
MSDS
Filled
4
3
5
1
1
3
1
1
3
Vacancy
Gap in
relation to
sanctioned
positions
3
2
2
Vacancy
Gap in
relation
to filled
positions
3
2
2
125
56
40
69
85
48
8
6
40
42
189
74
74
115
115
11
1
1
10
10
Page 38
Three Years Rolling Plan (2010-2013) District Sialkot
iii.
THQ Hospitals
There are two THQ hospitals in the district. The THQ hospital in
Daska is a 179-bedded Category A hospital; while the one in Pasrur is
a 40-bedded Category C hospital. The following is a composite list for
both these hospitals:
Sr.
No.
Post
Standard as
per MSDS
C
A
Sanctioned
Filled
Vacancy
Vacancy
Gap
Gap
in relation
in
to
relation
sanctioned to filled
positions positions
4
4
1
2
Gynaecologist
Paediatricians
2
3
1
1
2
3
1
1
4
4
3
4
Anesthetists
Medical
Officers
including
SMO, APMO &
PMOs
Women
Medical
Officers
including
SWMO,
APWMO &
PMOs
Nurses
Lady Health
Visitors
3
4
4
3
3
4
16
22
7
7
31
31
9
11
3
3
17
17
15
30
8
8
37
37
8
8
1
1
7
7
5
6
6
4. Equipment
Government of Punjab has notified a standard list as yard-stick of MNCH
related equipment to provide comprehensive EmONC services in the DHQ and
THQ hospitals. Provision of comprehensive EmONC services is essentially
required to decrease the high MMR and IMR prevailing in the province.
Gaps in relation to the MNCH related equipment have been identified taking
into account the equipment purchased or under process of purchase from all
Page 39
Three Years Rolling Plan (2010-2013) District Sialkot
funds including PMDGP funds allocated/sanctioned to the district. The cost of
equipment
gap
has
been
included
in
the
equipment
portion
of
the
Management/Service delivery problems. The detailed costing of equipment gaps
for DHQ and THQ hospitals is attached as Annex-II.
i.
Allama Iqbal Memorial DHQ Hospital
Sr.
No.
Equipment
1
CTG (Cardiac
Tocography)
Foetal Doppler
Diagnostic
Laparoscope
Bulb Sucker
Baby Warmer
Mechanical Sucker
Fetal Stethoscope
Delivery Table
D&C Set
Outlet forceps
Myoma Screw
Kochers forceps
Volselum forceps
Lanes Tissue holding
forceps
Vaginal Retractors
Polypectomy forceps
Sponge holder
Uterine elevator
CosCo Speculum
Small, Medium, Large
(for each category)
Examination light
Suction Curette
Infant Resuscitation
Trolley (with life saving
medicines, baby
laryngoscope, Endotracheal tube, Infant
BP Apparatus,
Chargeable Light)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Standard
as per
MSDS
(Qty.)
C B A
1
1
2
Available
Gap
1
1
3
0
2
2
3
1
5
1
5
2
10
3
3
4
2
2
4
2
4
6
2
20
3
3
4
2
3
4
2
4
8
2
20
6
6
4
3
4
4
2
8
10
4
0
2
3
4
3
2
4
0
8
10
4
20
4
3
0
0
2
0
2
0
0
0
10
2
10
1
6
10
2
15
1
10
10
2
20
1
10
4
2
15
1
6
6
0
5
0
4
3
1
1
3
2
1
6
2
2
2
2
0
4
0
2
Page 40
Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
Equipment
23
Mother Resuscitation
Trolley (with life saving
medicines,
Laryngoscope, Endotracheal tube, BP
Apparatus, Chargeable
light)
Cardiac Monitor
Pump Breast
Electronic
Vaginal
Hysterectomy Set
Toothed Tissue
Forceps (8”)
Non-Tooted Tissue
Forceps (8”)
Dissection Scissors
(Curved 7”)
Dissection Scissors
(Straight 7”)
Hysterectomy Clamps
(Straight)
Hysterectomy Clamps
(Curved)
Uterine Sound
Needle Holder (7”)
Needle Holder (10”)
Artery Forceps
(Straight 6”)
Artery Forceps (Curved
6”)
Allis Forceps
Towel Clamps
Single blade Sims
speculum
Double blade Sims
speculum
Sponge holding forceps
Volselum forceps
Uterine Sound
Bladder Sound
Delivery Sets
Episiotomy Scissors
Straight Scissors
Needle holder
24
25
26
26.1
26.2
26.3
26.4
26.5
26.6
26.7
26.8
26.9
26.10
26.11
26.12
26.13
26.14
26.15
26.16
26.17
26.18
26.19
27
27.1
27.2
27.3
Standard
as per
MSDS
(Qty.)
C B A
1
1
2
Available
Gap
0
2
1
1
1
1
2
1
2
0
0
1
2
2
4
4
0
2
2
4
4
0
2
2
4
4
0
2
2
4
8
0
8
8
16
8
8
8
8
16
8
8
2
2
2
16
2
2
2
16
4
4
4
32
2
4
4
32
2
0
2
0
16 16 32
32
0
8
8
4
8
8
4
16
16
8
16
16
0
0
0
8
4
4
8
0
8
8
4
2
2
8
4
2
2
16
8
4
4
6
4
2
0
10
4
2
4
10
10
10
5
5
5
10 10 15
10 10 15
10 10 15
Page 41
Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
Equipment
27.4
Non-toothed tissue
forceps 8 inches
Toothed tissue forceps
8 inches
Sims Speculum single
blade
Sims Speculum double
blade
Sponge holding forceps
Artery forceps
Straight clamps (cord)
Vacuum Extractor
pump
Towel clip
Caesarian Section
Scalpel
Artery Forceps Straight
6 inches
Artery Forceps Curved
6 inches
Artery forceps 8 inches
Myoma Scissors
straight 7 inches
Dissecting scissors
(curved) 7 inches
Green Armtage forceps
8 inches
Obstetric outlet
forceps (pair)
Doyene’s Retractor
Small Retractors
Towel Clippers
Suction Nozzle
MNCH Related
Radiology
Equipments
Ultrasound Machine
X-Ray Unit 500 kw
Color Doppler
Lead Screen for X-Ray
Unit
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
Safe Light
27.5
27.6
27.7
27.8
27.9
27.10
27.11
27.12
28
28.1
28.2
28.3
28.4
28.5
28.6
28.7
28.8
28.9
28.10
28.11
28.12
29
29.1
29.2
29.3
29.4
29.5
29.6
Standard
as per
MSDS
(Qty.)
C B A
10 10 15
Available
Gap
6
9
10 10 15
9
6
20 20 30
10
20
20 20 30
12
18
40
40
20
1
60
60
30
1
25
30
10
1
35
30
20
0
40 40 60
15
45
6
8
10
24 32 40
4
20
6
20
24 32 40
20
20
24 32 40
6
8
10
20
3
20
7
3
7
15
25
6
40
40
20
1
8
10
24 32 40
6
8
10
3
7
6
12
24
6
8
16
32
8
10
20
40
10
3
5
10
3
7
15
30
7
1
1
0
1
2
1
1
1
3
1
1
1
3
1
0
0
0
0
1
1
1
1
1
0
1
1
1
1
1
0
Page 42
Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
Equipment
29.7
X-RT Film Processing
Tank
Chest Stand
X-Ray film Illuminator
X-Ray Film Hangers
All sizes
MNCH Related
Paediatrics
Equipments
Paediatric Ventilator
Incubator
Photo Therapy Unit
Over-head Radiant
Warmer
Infant Length
Measuring Scale
Infant Weighing
Machine
Nebulizer
Exchange Blood
Transfusion Set
Nasal Probe Paed size
Anaesthesia/ICU
Anaesthesia Machine
Ventilators
Nebulizer
Pulse Oximetry
Defibrillator
Airway Oral and Nasal
Tracheostomy tube
(adult and paeds)
Face mask of all sizes
Double Cuff
Tourniquet (for
regional block)
AMBO bag adult
AMBO Bag paeds
Red Rubber Nasal
tubes without cuff
Blood Bank
Blood storage cabinet
(100 bag capacity)
Packed cell machine
Cell Separator
29.8
29.9
29.10
30
30.1
30.2
30.3
30.4
30.5
30.6
30.7
30.9
30.10
31
31.1
31.2
31.3
31.4
31.5
31.6
31.7
31.8
31.9
31.10
31.11
31.12
32
32.1
32.2
32.3
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
0
1
1
2
4
1
2
4
1
2
4
1
2
4
0
0
0
1
1
1
1
2
1
1
1
2
2
1
1
0
2
1
2
2
0
0
0
2
2
2
2
0
2
2
2
2
0
1
1
1
1
2
2
2
0
0
2
2
2
4
0
4
1
1
1
1
1
2
2
1
1
1
1
1
3
2
2
1
1
1
1
4
4
2
1
1
1
1
0
0
0
0
0
0
0
4
4
2
1
2
2
4
2
4
0
0
2
2
2
4
2
2
4
4
4
8
4
4
0
0
0
8
1
1
2
0
2
1
1
1
1
1
1
0
0
1
1
Page 43
Three Years Rolling Plan (2010-2013) District Sialkot
Sr.
No.
Equipment
32.4
Freezer for Fresh
Frozen Plasma
Blood bag shaker
RH view box
Water bath
Micro-pipette
Blood grouping tiles
Plasma Extractor
Platelets agitator
Blood thawing bath
Microscopes
Gynae & Labour
Room Related
Laboratory
Equipment
Hematology Analyzer
Electrolyte Analyzer
Analyzer Bio-chemistry
Semi-automatic
Glucometer
Haemoglobino-meter
Centrifuge
32.5
32.6
32.7
32.8
32.9
32.10
32.11
32.12
32.13
33
33.1
33.2
33.3
33.4
33.5
33.6
ii.
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
0
1
1
2
2
4
3
1
1
1
1
1
2
2
6
3
1
1
1
1
2
4
2
8
6
1
1
1
2
0
1
1
1
0
0
0
0
1
2
3
1
7
6
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
2
2
1
2
2
1
2
4
2
2
0
2
0
4
0
Government Sardar Begum Hospital
Sr. No.
1
2
3
4
5
6
7
8
9
10
11
12
13
Equipment
CTG (Cardiac
Tocography)
Foetal Doppler
Diagnostic
Laparoscope
Bulb Sucker
Baby Warmer
Mechanical Sucker
Fetal Stethoscope
Delivery Table
D&C Set
Outlet forceps
Myoma Screw
Kochers forceps
Volselum forceps
Standard
as per
MSDS
(Qty.)
C B A
1
1
2
Available
Gap
1
0
3
1
5
1
5
2
3
0
0
1
10
3
3
4
2
2
4
2
4
6
20
3
3
4
2
3
4
2
4
8
20
6
6
4
3
4
4
2
8
10
0
1
2
3
3
2
3
2
4
5
10
2
1
1
0
0
1
0
0
1
Page 44
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
14
Lanes Tissue holding
forceps
Vaginal Retractors
Polypectomy forceps
Sponge holder
Uterine elevator
CosCo Speculum
Small, Medium, Large
(for each category)
Examination light
Suction Curette
Infant Resuscitation
Trolley (with life saving
medicines, baby
laryngoscope, Endotracheal tube, Infant
BP Apparatus,
Chargeable Light)
Mother Resuscitation
Trolley (with life saving
medicines,
Laryngoscope, Endotracheal tube, BP
Apparatus, Chargeable
light)
Cardiac Monitor
Pump Breast
Electronic
Vaginal
Hysterectomy Set
Toothed Tissue
Forceps (8”)
Non-Tooted Tissue
Forceps (8”)
Dissection Scissors
(Curved 7”)
Dissection Scissors
(Straight 7”)
Hysterectomy Clamps
(Straight)
Hysterectomy Clamps
(Curved)
Uterine Sound
Needle Holder (7”)
Needle Holder (10”)
15
16
17
18
19
20
21
22
23
24
25
26
26.1
26.2
26.3
26.4
26.5
26.6
26.7
26.8
26.9
Standard
as per
MSDS
(Qty.)
C B A
2
2
4
Available
Gap
2
0
4
2
10
1
5
6
0
0
0
1
10
2
10
1
6
10
2
15
1
10
10
2
20
1
10
3
1
1
3
2
1
6
2
2
2
1
0
1
0
1
1
1
2
0
1
1
1
1
1
2
1
0
0
1
1
2
2
4
2
0
2
2
4
2
0
2
2
4
2
0
2
2
4
2
0
8
8
16
6
2
8
8
16
7
1
2
2
2
2
2
2
4
4
4
1
2
2
1
0
0
Page 45
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
26.10
Artery Forceps
(Straight 6”)
Artery Forceps (Curved
6”)
Allis Forceps
Towel Clamps
Single blade Sims
speculum
Double blade Sims
speculum
Sponge holding forceps
Volselum forceps
Uterine Sound
Bladder Sound
Delivery Sets
Episiotomy Scissors
Straight Scissors
Needle holder
Non-toothed tissue
forceps 8 inches
Toothed tissue forceps
8 inches
Sims Speculum single
blade
Sims Speculum double
blade
Sponge holding forceps
Artery forceps
Straight clamps (cord)
Vacuum Extractor
pump
Towel clip
Caesarian Section
Scalpel
Artery Forceps
Straight 6 inches
Artery Forceps Curved
6 inches
Artery forceps 8 inches
Myoma Scissors
straight 7 inches
Dissecting scissors
(curved) 7 inches
Green Armtage forceps
8 inches
26.11
26.12
26.13
26.14
26.15
26.16
26.17
26.18
26.19
27
27.1
27.2
27.3
27.4
27.5
27.6
27.7
27.8
27.9
27.10
27.11
27.12
28
28.1
28.2
28.3
28.4
28.5
28.6
28.7
Standard
as per
MSDS
(Qty.)
C B A
16 16 32
Available
Gap
10
6
16 16 32
15
1
8
8
4
8
8
4
16
16
8
7
8
4
1
0
0
4
4
8
4
0
8
4
2
2
8
4
2
2
16
8
4
4
8
4
1
1
0
0
1
1
10
10
10
10
10
10
10
10
15
15
15
15
10
10
10
10
0
0
0
0
10 10 15
10
0
20 20 30
15
5
20 20 30
16
4
40
40
20
1
60
60
30
1
30
25
20
0
10
15
0
1
40 40 60
30
10
6
8
10
24 32 40
6
24
0
0
24 32 40
20
4
24 32 40
6
8
10
20
6
4
0
4
2
18
6
6
40
40
20
1
8
10
24 32 40
Page 46
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
28.8
Obstetric outlet
forceps (pair)
Doyene’s Retractor
Small Retractors
Towel Clippers
Suction Nozzle
MNCH Related
Radiology
Equipments
Ultrasound Machine
X-Ray Unit 500 kw
Color Doppler
Lead Screen for X-Ray
Unit
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
Safe Light
X-RT Film Processing
Tank
Chest Stand
X-Ray film Illuminator
X-Ray Film Hangers
All sizes
MNCH Related
Paediatrics
Equipments
Paediatric Ventilator
Incubator
Photo Therapy Unit
Over-head Radiant
Warmer
Infant Length
Measuring Scale
Infant Weighing
Machine
Nebulizer
Billiubino-meter
Exchange Blood
Transfusion Set
Nasal Probe Paed size
Anaesthesia/ICU
Anaesthesia Machine
Ventilators
28.9
28.10
28.11
28.12
29
29.1
29.2
29.3
29.4
29.5
29.6
29.7
29.8
29.9
29.10
30
30.1
30.2
30.3
30.4
30.5
30.6
30.7
30.8
30.9
30.10
31
31.1
31.2
Standard
as per
MSDS
(Qty.)
C B A
6
8
10
Available
Gap
5
1
6
12
24
6
8
16
32
8
10
20
40
10
5
10
20
6
1
2
4
0
1
1
0
1
2
1
1
1
3
1
1
1
2
0
0
1
0
1
0
0
1
1
1
0
1
1
1
1
1
1
1
1
0
0
1
1
2
4
1
2
4
1
2
4
1
1
4
0
1
0
1
1
1
1
2
1
1
1
2
2
1
1
0
1
1
0
1
0
0
0
2
2
2
0
0
2
2
2
4
0
1
1
1
1
1
1
2
2
2
1
0
0
0
1
1
2
2
4
0
2
1
1
1
1
2
1
1
0
0
1
Page 47
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
31.3
31.4
31.5
31.6
31.7
Nebulizer
Pulse Oximetry
Defibrillator
Airway Oral and Nasal
Tracheostomy tube
(adult and paeds)
Face mask of all sizes
Double Cuff
Tourniquet (for
regional block)
AMBO bag adult
AMBO Bag paeds
Red Rubber Nasal
tubes all sizes without
cuff
Blood Bank
Blood storage cabinet
(100 bag capacity)
Packed cell machine
Cell Separator
Freezer for Fresh
Frozen Plasma
Blood bag shaker
RH view box
Water bath
Micro-pipette
Blood grouping tiles
Plasma Extractor
Platelets agitator
Blood thawing bath
Microscopes
Gynae & Labour
Room Related
Laboratory
Equipment
Hematology Analyzer
Electrolyte Analyzer
Analyzer Bio-chemistry
Semi-automatic
Glucometer
Haemoglobino-meter
Centrifuge
31.8
31.9
31.10
31.11
31.12
32
32.1
32.2
32.3
32.4
32.5
32.6
32.7
32.8
32.9
32.10
32.11
32.12
32.13
33
33.1
33.2
33.3
33.4
33.5
33.6
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
1
1
1
1
1
1
2
3
4
2
2
4
Available
Gap
1
1
0
2
0
0
0
1
0
2
2
1
2
2
4
2
0
0
2
1
2
2
4
2
2
4
4
4
8
2
2
0
0
0
4
1
1
2
0
1
1
1
1
1
1
1
1
1
1
0
0
0
1
1
1
1
2
2
4
3
1
1
1
1
1
2
2
6
3
1
1
1
1
2
4
2
8
6
1
1
1
2
0
0
0
0
0
0
0
0
0
1
2
2
4
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
2
2
1
2
2
1
2
4
2
1
0
2
1
2
0
Page 48
Three Years Rolling Plan (2010-2013) District Sialkot
iii.
THQ Hospital Daska
Sr. No.
Equipment
1
CTG (Cardiac
Tocography)
Foetal Doppler
Diagnostic
Laparoscope
Bulb Sucker
Baby Warmer
Mechanical Sucker
Fetal Stethoscope
Delivery Table
D&C Set
Outlet forceps
Myoma Screw
Kochers forceps
Volselum forceps
Lanes Tissue holding
forceps
Vaginal Retractors
Polypectomy forceps
Sponge holder
Uterine elevator
CosCo Speculum
Small, Medium,
Large (for each
category)
Examination light
Suction Curette
Infant Resuscitation
Trolley (with life
saving medicines,
baby laryngoscope,
Endo0tracheal tube,
Infant BP Apparatus,
Chargeable Light)
Mother Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo0tracheal tube,
BP Apparatus,
Chargeable light)
Cardiac Monitor
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
1
0
2
1
2
1
3
1
1
0
2
1
5
2
3
2
2
2
4
2
4
4
2
10
2
3
3
2
2
4
2
4
4
2
20
3
3
4
2
2
4
2
4
6
2
5
1
7
2
2
15
02
0
02
0
3
1
35
02
02
01
01
0
04
0
4
2
10
1
4
4
2
10
1
6
6
2
15
1
6
01
01
10
01
04
05
01
05
0
02
3
1
1
3
1
1
3
2
1
03
02
0
0
0
01
1
1
1
0
01
1
1
1
0
01
Page 49
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
25
26
26.1
26.2
26.3
26.4
26.5
26.6
26.7
26.8
26.9
26.10
26.11
26.12
26.13
26.14
26.15
26.16
26.17
26.18
26.19
27
27.1
27.2
27.3
27.4
27.5
27.6
27.7
Equipment
Pump Breast
Electronic
Vaginal
Hysterectomy Set
Toothed Tissue
Forceps (8”)
Non0Tooted Tissue
Forceps (8”)
Dissection Scissors
(Curved 7”)
Dissection Scissors
(Straight 7”)
Hysterectomy
Clamps (Straight)
Hysterectomy
Clamps (Curved)
Uterine Sound
Needle Holder (7”)
Needle Holder (10”)
Artery Forceps
(Straight 6”)
Artery Forceps
(Curved 6”)
Allis Forceps
Towel Clamps
Single blade Sims
speculum
Double blade Sims
speculum
Sponge holding
forceps
Volselum forceps
Uterine Sound
Bladder Sound
Delivery Sets
Episiotomy Scissors
Straight Scissors
Needle holder
Non0toothed tissue
forceps 8 inches
Toothed tissue
forceps 8 inches
Sims Speculum
single blade
Sims Speculum
double blade
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
0
01
2
2
2
15
0
2
2
2
08
0
2
2
2
06
0
2
2
2
05
0
8
8
8
06
02
8
8
8
05
03
2
2
2
16
2
2
2
16
2
4
2
16
01
02
01
14
01
02
01
02
16 16 16
20
0
8
8
4
8
8
4
8
8
4
15
10
12
0
0
0
4
4
4
04
0
8
8
8
10
0
4
2
2
4
2
2
4
2
2
02
01
01
02
01
01
6
6
6
6
6
6
6
6
10
10
10
10
02
04
06
04
08
06
04
06
6
6
10
04
06
12 12 20
12
08
12 12 20
12
08
Page 50
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
27.8
Sponge holding
forceps
Artery forceps
Straight clamps
(cord)
Vacuum Extractor
pump
Towel clip
Caesarian Section
Scalpel
Artery Forceps
Straight 6 inches
Artery Forceps
Curved 6 inches
Artery forceps 8
inches
Myoma Scissors
straight 7 inches
Dissecting scissors
(curved) 7 inches
Green Armtage
forceps 8 inches
Obstetric outlet
forceps (pair)
Doyene’s Retractor
Small Retractors
Towel Clippers
Suction Nozzle
MNCH Related
Radiology
Equipments
Ultrasound Machine
X0Ray Unit 500 kw
Color Doppler
Lead Screen for
X0Ray Unit
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
Safe Light
X0RT Film
Processing Tank
Chest Stand
X0Ray film
Illuminator
27.9
27.10
27.11
27.12
28
28.1
28.2
28.3
28.4
28.5
28.6
28.7
28.8
28.9
28.10
28.11
28.12
29
29.1
29.2
29.3
29.4
29.5
29.6
29.7
29.8
29.9
Standard
as per
MSDS
(Qty.)
C B A
40 40 40
Available
Gap
20
20
40 40 40
20 20 30
25
18
15
12
1
0
40 40 40
18
22
4
4
6
16 16 24
04
10
02
14
16 16 24
12
12
16 16 24
06
18
4
4
6
06
0
4
4
6
06
0
16 16 24
06
18
4
4
6
01
05
4
8
16
4
4
8
16
4
6
12
24
6
02
14
20
03
04
0
04
03
1
1
0
1
1
1
0
1
2
1
0
1
02
01
0
01
0
0
0
0
1
1
1
02
0
1
1
1
1
1
1
01
0
0
01
1
2
1
2
1
2
01
02
0
0
1
1
1
Page 51
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
29.10
X0Ray Film Hangers
All sizes
MNCH Related
Paediatrics
Equipments
Paediatric Ventilator
Incubator
Photo Therapy Unit
Over0head Radiant
Warmer
Infant Length
Measuring Scale
Infant Weighing
Machine
Nebulizer
Billiubino0meter
Exchange Blood
Transfusion Set
Nasal Probe Paed
size
Anaesthesia/ICU
Anaesthesia Machine
Ventilators
Nebulizer
Pulse Oximetry
Defibrillator
Airway Oral and
Nasal
Tracheostomy tube
(adult and paeds)
Face mask of all
sizes
Double Cuff
Tourniquet (for
regional block)
AMBO bag adult
AMBO Bag paeds
Red Rubber Nasal
tubes all sizes
without cuff
Blood Bank
Blood storage
cabinet (100 bag
capacity)
Packed cell machine
Cell Separator
30
30.1
30.2
30.3
30.4
30.5
30.6
30.7
30.8
30.9
30.10
31
31.1
31.2
31.3
31.4
31.5
31.6
31.7
31.8
31.9
31.10
31.11
31.12
32
32.1
32.2
32.3
Standard
as per
MSDS
(Qty.)
C B A
4
4
4
Available
Gap
04
0
1
1
1
1
1
1
1
1
2
1
1
1
0
01
01
01
02
0
0
0
2
2
2
02
0
2
2
2
02
0
1
1
1
1
1
1
1
1
1
01
0
0
0
02
01
1
2
2
0
02
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
2
02
01
01
01
0
02
0
0
0
0
01
0
1
2
2
0
02
1
2
2
02
0
1
1
1
0
01
1
2
4
2
2
4
2
2
4
02
02
0
0
0
04
1
1
1
01
0
1
1
1
1
1
1
0
0
01
01
Page 52
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
32.4
Freezer for Fresh
Frozen Plasma
Blood bag shaker
RH view box
Water bath
Micro0pipette
Blood grouping tiles
Plasma Extractor
Platelets agitator
Blood thawing bath
Microscopes
Gynae & Labour
Room Related
Laboratory
Equipment
Hematology Analyzer
Electrolyte Analyzer
Analyzer
Bio0chemistry
Semi0automatic
Glucometer
Haemoglobinometer
Centrifuge
32.5
32.6
32.7
32.8
32.9
32.10
32.11
32.12
32.13
33
33.1
33.2
33.3
33.4
33.5
33.6
iv.
THQ Hospital Pasrur
Sr. No.
Equipment
1
2
3
4
5
6
7
8
9
10
11
12
CTG (Cardiac
Tocography)
Foetal Doppler
Diagnostic
Laparoscope
Bulb Sucker
Baby Warmer
Mechanical Sucker
Fetal Stethoscope
Delivery Table
D&C Set
Outlet forceps
Myoma Screw
Kochers forceps
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
0
01
1
1
2
4
3
1
1
1
1
1
2
2
4
3
1
1
1
1
1
2
2
6
3
1
1
1
1
0
01
0
01
0
0
0
0
0
01
01
02
05
03
01
01
01
02
1
1
1
1
1
1
1
1
1
01
01
02
0
0
0
2
1
1
2
1
1
2
1
1
06
01
02
0
0
0
Available
Gap
1
0
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
2
1
2
1
3
1
0
0
2
1
5
2
3
2
2
2
4
2
4
10
2
3
3
2
2
4
2
4
20
3
3
4
2
2
4
2
4
5
1
0
2
2
1
3
1
3
0
1
3
0
0
1
1
1
1
Page 53
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
13
14
Volselum forceps
Lanes Tissue holding
forceps
Vaginal Retractors
Polypectomy forceps
Sponge holder
Uterine elevator
CosCo Speculum
Small, Medium,
Large (for each
category)
Examination light
Suction Curette
Infant Resuscitation
Trolley (with life
saving medicines,
baby laryngoscope,
Endo-tracheal tube,
Infant BP Apparatus,
Chargeable Light)
Mother Resuscitation
Trolley (with life
saving medicines,
Laryngoscope, Endotracheal tube, BP
Apparatus,
Chargeable light)
Cardiac Monitor
Pump Breast
Electronic
Vaginal
Hysterectomy Set
Toothed Tissue
Forceps (8”)
Non-Tooted Tissue
Forceps (8”)
Dissection Scissors
(Curved 7”)
Dissection Scissors
(Straight 7”)
Hysterectomy
Clamps (Straight)
Hysterectomy
Clamps (Curved)
Uterine Sound
Needle Holder (7”)
15
16
17
18
19
20
21
22
23
24
25
26
26.1
26.2
26.3
26.4
26.5
26.6
26.7
26.8
Standard
as per
MSDS
(Qty.)
C B A
4
4
6
2
2
2
Available
Gap
2
2
2
0
4
2
10
1
4
4
2
10
1
6
6
2
15
1
6
1
1
5
1
2
3
1
5
0
2
3
1
1
3
1
1
3
2
1
3
1
0
0
0
1
1
1
1
0
1
1
1
1
1
1
1
0
0
1
1
2
2
2
2
0
2
2
2
2
0
2
2
2
2
0
2
2
2
2
0
8
8
8
6
2
8
8
8
5
3
2
2
2
2
2
4
1
2
1
0
Page 54
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
26.9
26.10
26.11
26.12
26.13
26.14
26.15
26.16
26.17
26.18
26.19
27
27.1
27.2
27.3
27.4
27.5
27.6
27.7
27.8
27.9
27.10
27.11
27.12
28
28.1
28.2
28.3
28.4
Equipment
Needle Holder (10”)
Artery Forceps
(Straight 6”)
Artery Forceps
(Curved 6”)
Allis Forceps
Towel Clamps
Single blade Sims
speculum
Double blade Sims
speculum
Sponge holding
forceps
Volselum forceps
Uterine Sound
Bladder Sound
Delivery Sets
Episiotomy Scissors
Straight Scissors
Needle holder
Non-toothed tissue
forceps 8 inches
Toothed tissue
forceps 8 inches
Sims Speculum
single blade
Sims Speculum
double blade
Sponge holding
forceps
Artery forceps
Straight clamps
(cord)
Vacuum Extractor
pump
Towel clip
Caesarian Section
Scalpel
Artery Forceps
Straight 6 inches
Artery Forceps
Curved 6 inches
Artery forceps 8
inches
Standard
as per
MSDS
(Qty.)
C B A
2
2
2
16 16 16
Available
Gap
1
10
1
6
16 16 16
10
6
8
8
4
8
8
4
8
8
4
8
8
2
0
0
2
4
4
4
2
2
8
8
8
6
2
4
2
2
4
2
2
4
2
2
2
1
1
2
1
1
6
6
6
6
6
6
6
6
10
10
10
10
2
4
4
4
4
2
2
2
6
6
10
4
2
12 12 20
8
4
12 12 20
8
4
40 40 40
20
20
40 40 40
20 20 30
20
10
20
10
0
1
40 40 40
10
30
4
4
6
16 16 24
2
10
2
6
16 16 24
10
6
16 16 24
6
10
1
1
1
Page 55
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
28.5
Myoma Scissors
straight 7 inches
Dissecting scissors
(curved) 7 inches
Green Armtage
forceps 8 inches
Obstetric outlet
forceps (pair)
Doyene’s Retractor
Small Retractors
Towel Clippers
Suction Nozzle
MNCH Related
Radiology
Equipments
Ultrasound Machine
X-Ray Unit 500 kw
Color Doppler
Lead Screen for XRay Unit
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
Safe Light
X-RT Film Processing
Tank
Chest Stand
X-Ray film
Illuminator
X-Ray Film Hangers
All sizes
MNCH Related
Paediatrics
Equipments
Paediatric Ventilator
Incubator
Photo Therapy Unit
Over-head Radiant
Warmer
Infant Length
Measuring Scale
Infant Weighing
Machine
Nebulizer
Billiubino-meter
28.6
28.7
28.8
28.9
28.10
28.11
28.12
29
29.1
29.2
29.3
29.4
29.5
29.6
29.7
29.8
29.9
29.10
30
30.1
30.2
30.3
30.4
30.5
30.6
30.7
30.8
Standard
as per
MSDS
(Qty.)
C B A
4
4
6
Available
Gap
4
0
6
2
16 16 24
6
10
4
4
6
1
3
4
8
16
4
4
8
16
4
6
12
24
6
2
8
10
3
2
0
6
1
1
1
0
1
1
1
0
1
2
1
0
1
1
0
0
0
0
1
0
1
1
1
1
0
1
1
1
1
1
1
1
0
1
1
0
1
2
1
2
1
2
1
1
0
1
4
4
4
4
0
4
4
6
1
1
1
1
1
1
1
1
2
1
1
1
0
1
1
1
1
0
0
0
2
2
2
1
1
2
2
2
2
0
1
1
1
1
1
1
1
0
0
1
Page 56
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
30.9
Exchange Blood
Transfusion Set
Nasal Probe Paed
size
Anaesthesia/ICU
Anaesthesia Machine
Ventilators
Nebulizer
Pulse Oximetry
Defibrillator
Airway Oral and
Nasal
Tracheostomy tube
(adult and paeds)
Face mask of all
sizes
Double Cuff
Tourniquet (for
regional block)
AMBO bag adult
AMBO Bag paeds
Red Rubber Nasal
tubes all sizes
without cuff
Blood Bank
Blood storage cabinet
(100 bag capacity)
Packed cell machine
Cell Separator
Freezer for Fresh
Frozen Plasma
Blood bag shaker
RH view box
Water bath
Micro-pipette
Blood grouping tiles
Plasma Extractor
Platelets agitator
Blood thawing bath
Microscopes
Gynae & Labour
Room Related
Laboratory
Equipment
Hematology Analyzer
30.10
31
31.1
31.2
31.3
31.4
31.5
31.6
31.7
31.8
31.9
31.10
31.11
31.12
32
32.1
32.2
32.3
32.4
32.5
32.6
32.7
32.8
32.9
32.10
32.11
32.12
32.13
33
33.1
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
Available
Gap
0
1
1
2
2
0
0
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
2
1
1
1
1
0
0
0
0
0
0
1
1
1
2
2
0
1
1
2
2
0
1
1
1
1
0
1
1
2
4
2
2
4
2
2
4
1
1
1
0
1
1
1
1
1
1
1
1
1
1
0
0
0
1
1
1
1
1
2
4
3
1
1
1
1
1
2
2
4
3
1
1
1
1
1
2
2
6
3
1
1
1
1
0
0
0
0
0
0
0
0
0
1
1
2
4
3
1
1
1
1
1
1
1
0
1
0
0
0
1
2
4
Page 57
Three Years Rolling Plan (2010-2013) District Sialkot
Sr. No.
Equipment
33.2
33.3
Electrolyte Analyzer
Analyzer Biochemistry Semiautomatic
Glucometer
Haemoglobino-meter
Centrifuge
33.4
33.5
33.6
Standard
as per
MSDS
(Qty.)
C B A
1
1
1
1
1
1
2
1
1
2
1
1
2
1
1
Available
Gap
1
1
0
0
1
1
1
1
0
0
Page 58
Three Years Rolling Plan 2010-2013 District Sialkot
SECTION 3: INTERVENTIONS AND TARGETS
After enlisting the vital causes of prioritized health problems, team proposed appropriate interventions to tackle the
problems. Once interventions and activities had been identified, next task the planning team performed was to set the
number and quality of specific activities (targets) that have to be carried out. It is pertinent to mention over here that
the plan envisages additional activities along with routine activities under regular budget.
Health Problems
Problem
1.
Diarrhoeal
diseases
Causes
Poor
Hygiene &
sanitation
Lack of safe
drinking water
Intervention
Coordinatio
n with TMA
for
improvement
of water
supply and
sanitation
Awareness
raising
campaign
Activity
Quarterly coordination
meetings with
TMA and other
agencies
Messages on
local cable
network
Unit
Meetings
Monthly
Telecast
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
12
4
4
4
36
12
12
12
Remarks
59
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
300,000
100,000
100,000
100,000
Unhygienic
practices
Proper
treatment of
Diarrhoea
including ORT
Printing and
distribution of
IPC material
Brochure
Lack of
awareness
among mothers
about feeding
and weaning
practices
Health
awareness in
the
community
Conduction of
HES in the
community
Session
20
10
5
5
Capacity
building of
health staff in
Integrated
Management
of Childhood
Illnesses
(IMCI)
Training of
medics and
paramedics in
IMCI
Batch
10
5
3
2
Procurement
and distribution
of ORS and Zinc
Sulphate
ORS
packets
2,430,000
810,000
810,000
810,000
Remarks
60
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Procurement
and distribution
of Zinc
Sulphate
2. TB
economic status
Overcrowding/Poor
housing
facilities
Health
education/pro
motion
Strengthening
TB DOTS
program
through
involvement
of private
sector
local cable
networks
through FM
radio channels
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
Syrup
1,215,000
405,000
405,000
405,000
Monthly
telecast
-
-
-
-
Monthly
telecast
36
12
12
12
300,000
100,000
100,000
100,000
Unit
Brochure
Remarks
Integrated
activity
distribution of
IPC and TB
awareness
material
61
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
variation
sanitation
Unsafe
drinking water
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
drug
2,196,000
720,000
732,000
744,000
drug
54,900
18,000
18,300
18,600
-
-
-
-
Integrated
activity
-
-
-
-
Integrated
activity
Unit
Remarks
of drugs to
address
deficiency
according to
regimen
proper
sanitation
3.
Hepatitis
Activity
of reagents and
slides for
notified
diagnostic
facilities under
DOTS
programme
· Quarterly coEducation/Pro ordination
motion
meetings with
TMA and other
agencies
against
quackery
· Messages on
local cable
network
Monthly
Package
62
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
used syringes
of
unsafe/unscree
ned blood and
blood products
practices
and tattooing
Intervention
Strengthening
blood
transfusion
services for
safe
transfusions
against drug
addiction
mechanism to
ensure use of
safe
instruments
by dentists,
barbers etc.
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
· Printing and
distribution of
IPC and
hepatitis
awareness
material
Brochure
300,000
100,000
100,000
100,000
· Procurement
and supply of
screening kits
Kits
600,000
200,000
200,000
200,000
Activity
· Procurement
of safety boxes
Syringe
cutter
1,000
500
250
250
· Procurement
of drugs for
treatment of
Hepatitis
Injection
9,000
3,000
3,000
3,000
Remarks
63
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
Monthly
Telecast
-
-
-
-
Integrated
activity
Monthly
Telecast
-
-
-
-
Integrated
activity
100,000
50,000
30,000
20,000
-
-
-
-
Unit
Remarks
patients
4. ARI
Malnutrition
promotion
campaign
Air
contamination
Overcrowding/Poor
housing
facilities
building of
health staff in
Integrated
Management
of Childhood
Illnesses
(IMCI)
local cable
networks
through FM
radio channels
medicines for
ARI
and
distribution of
IPC material
referral of
complicated
cases
medics and
para-medics in
IMCI
Brochure &
Poster
Batch
proper
sanitation
Integrated
activity
64
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
variation
Activity
of drugs
Unit
Oral
Medicine
Package
Injectable
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
1,215,000
405,000
405,000
405,000
30,000
10,000
10,000
10,000
500
300
100
100
-
-
-
-
Remarks
awareness
related to
winter season
and hygienic
practices
Drug
of nebulizing
drugs
5. Anemia
in
pregnancy
·
Poverty
raising for
behaviour
change
· Lack of
awareness
about balanced
diet
ante-natal
coverage
·
local cable
network
nting and
distribution of
IPC material
Monthly
Messages
telecast
packages
Brochure
verify the
cost
Integrayed
activity
150,000
50,000
50,000
50,000
65
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
· Gender
discrimination
Intervention
·
campaign
· Social
taboos and
norms
· Worm
infestation
Activity
refresher
trainings of
LHWs about
balanced diet
and provision of
micro-nutrients
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
16
8
4
4
No. of
courses
200,000
100,000
50,000
50,000
Unit
Batch of 25
LHWs For 2
Days
Provision/Dist
ribution of
micronutrient
supplements
of de-worming
tablets
·
and treatment
of infections
Purchases
of
micronutrients
& Distribution
through LHWs /
health facilities
Pack of 100
Tablets
150,000
50,000
50,000
50,000
·
Purchases
of
micronutrients
& Distribution
through LHWs /
Pack of 100
Tablets
150,000
50,000
50,000
50,000
Remarks
66
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
-
-
-
-
Meeting
150,000
50,000
50,000
50,000
Drug
400,000
200,000
100,000
100,000
12
4
4
4
Unit
Remarks
health facilities
6. Worm
infestation
low literacy
Message
raising for
behaviour
change
local cable
network
poor hygiene
sanitation
through
coordination
with TNA
Poverty
7.
Accidents
And
Injuries
health
education in
school
ic
sense
with police
department to
improve
traffic sense
and ensuring
Integrated
Activity
distribution of
IPC material
of de-worming
tablets
·Quarterly coordination
meetings with
Traffic Police
department
Meetings
67
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
12
4
4
4
-
-
-
-
20
10
5
5
Remarks
observance of
traffic rules
maintenance of
vehicles
conditions
measures at
work place
for improving
the condition
of roads
·Quarterly coordination
meetings with
Highway
department
education/pro
motion to
prevent
domestic
accidents
·Preparation of
Disaster
Management
Plan including
the Patient
Management
protocols
enforcement
of safety laws
at work places
·Training of the
medics and the
paramedics in
first aid and
emergency
Meetings
Training in
Batch for 25
trainees
Plan
68
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
-arm
injuries
Intervention
emergencies
medicines
Activity
·Provision of
emergency kits
for victims
Kits
·Procurement
of equipments /
instruments /
various splints
and Plaster casts
accidents
· Drugs
8. Scabies
Unit
Drugs
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
3,000
1,000
1,000
1,000
-
-
-
-
4,500
1,500
1,500
1,500
-
-
-
-
Plan
Integrated
activity
blasts/terrorist
activities
· Disaster
management
plan
· Overcrowding · Awareness
in schools and
raising
homes
campaign
Community
health education
sessions
HES
-
-
-
-
· Low socioeconomic
conditions
Printing &
Distribution of
IPC Material
Brochure
-
50,000
50,000
50,000
· Provision of
medicines
Remarks
Plan
69
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
· Poor Health
Education
Intervention
Activity
Supply of anti
scabies drugs
Unit
drug
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
-
200,000
100,000
100,000
Remarks
70
Three Years Rolling Plan 2010-2013 District Sialkot
Management Problems
Human resource plan to bridge gap between MSDS and Existing sanctioned posts
Physical Targets
Sr. No.
Name of Post
Basic
Scale
Basic Pay
Allowances
Requirement
as per Gap
Year I
Year II
Year III
1
Gynaecologist
18
12,910
18,099
9
5
2
2
2
Paediatricians
18
12,910
18,099
8
4
2
2
3
Anesthetists
18
12,910
18,099
7
3
2
2
4
MO / WMO
17
9,850
15,345
234
134
50
50
5
Nurses
16
6,060
8,934
155
75
40
40
6
Lady Health Visitors
9
3,820
4,750
27
13
7
7
71
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
1.
Inadequate
medicine
and supply
Causes
Less budget
allocation for
medicines
· Nonavailability of
trained staff
Target for
2010-11
Target for
2011-12
Target for
2012-13
· Inclusion of
enhanced
amount for
medicines and
supplies in the
proposed
annual budget
according to the
needs
-
-
-
-
Need
assessmen
t
Demand
generation for
medicine.
-
-
-
-
Demand
generation
procurement of
essential drugs
on the basis of
allocated budget
-
-
-
-
Already
addressed
in health
problems
· Filling of the
vacant posts of
medics and the
paramedics
through existing
-
-
-
-
Activity
· Need-based
demand for
provision of
sufficient
budget for
medicines and
supplies
Frequent
increase in
price
2. Shortage
of skilled
staffs MNCH
related
Plan
Activities
Targets
Intervention
· Filling of the
vacant posts
Unit
Remarks
Recruitme
nt
72
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
-
-
-
Remarks
recruitment
committees
· Nonsanctioning of
staff according
to MSDS
· Sanctioning
of trained
staffs
according to
MSDS
Temporary
filling of vacant
positions on
contract
-
· Lack of
permanent
postings
· Incentivized
pay package at
all levels
· Demand
generation and
request to the
Department of
Health by the
districts for
recruitment
through PSC
against vacant
posts
-
-
-
-
· Lack of
incentivized
and differential
pay package
· Well defined · Orientation
career
trainings of the
structure
recruited staffs
including
opportunities
18
8
5
5
Recruitme
nt
Batch
Plan
73
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
· Consensus
building
between the
districts for
uniform
incentivized pay
package for all
categories and
levels staff
-
-
-
-
Meeting
· Request to the
Provincial
Government for
approval and
implementation
of agreed pay
packages
-
-
-
-
Plan
Activity
Unit
Remarks
for higher
education
· Frequent
transfer
postings
· Job insecurity
· High level
political
commitment
for providing
protection to
staff working
in health
facilities
74
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
· Lack of basic
amenities at
workplace
· Review and
revise the career
structure of
medics and
paramedics
· Lack of
conducive
environment
including
insecurity and
transport of
children for
education
·Filling of
Human
Resource gaps
as per MSDS
· Political and
media
interference
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
-
-
-
-
Technical
assistance
Posts
-
221
96
96
Detail HR
plan is
attached
Posts
-
13
7
7
Detail HR
plan is
attached
HR
-
234
103
103
Detail HR
plan is
attached
Activity
Unit
Remarks
75
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
3.
Inadequate
budget for
POL
Causes
· Generator
provision for
backup of
electricity
supply
· Less budget
allocation
Intervention
Rational
increase in
POL budget
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
· Capacity and
need
assessment of
the medics and
the paramedics
-
-
-
-
NO COST
ACTIVITY
· Prepare
training
programs for
providing higher
professional
education based
on TNA
-
-
-
-
TNA
Assessment of
additional
requirement
-
-
-
-
NO COST
ACTIVITY
Costing and
submission of
additional
demand
-
-
-
-
Activity
Unit
Remarks
76
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
· Frequent
increase in
prices
4. Deficient
infra
structure
Activity
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
· Provsion of
POL budget for
supervisory
vehicles for DHQ
litre
32,400
10,800
10,800
10,800
· Provision of
POL budget for
supervisory
vehicles for THQ
litre
7,200
2,400
2,400
2,400
· Provision of
POL budget for
generator
litre
558,000
198,000
180,000
180,000
· Debilitated
condition of
existing infrastructure
· Make up the
deficiencies
against
standards
specified in
MSDS
· Identify the
gaps in
infrastructure of
THQ and DHQ
hospitals
individually
-
-
-
-
· Lack of repair
and
maintenance
· Devise
appropriate
mechanisms
for repair and
· Costing of the
gaps
-
-
-
-
Remarks
77
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
Activity
Unit
Plan
Activities
Targets
Target for
2010-11
Target for
2011-12
Target for
2012-13
-
-
-
-
Remarks
maintenance
· Inadequate
infrastructure
for Emergency,
Operation
Theatre, OPD
and Inpatients,
residences for
staff at THQ
and DHQ
hospitals
Inadequate
equipmentsMNCH
Related
· Deficient
equipment to
cater basic and
comprehensive
EmONC at
· Provision of
infrastructure
at THQ and
DHQ
according to
the MSDS
· Phasing
· Construction
of residence of
WMO at DHQ
and THQ
hospital
Construction of
EDO health
complex
· Provision of
the equipment
in accordance
with the
notified
Procurement of
equipments for
THQ and DHQ
hospitals based
on the gaps
1100 per
square yard
34,000
11,500
7,500
Demand
submissio
n
15,000
Detail
attached
78
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
5.
Ineffective
supervision
Causes
Intervention
Activity
primary and
secondary
level of care
equipment list
between MSDS
and existing
available
· Old and unserviceable
equipment
· Provision of
adequate
budget for
maintenance
and repair
Allocation of
enhanced
amount for M&R
of equipments
· Shortage of
regular budget
for M&R
· Capacity
building of
staff regarding
maintenance
of log books of
each
equipment
Orientation of
staffs in
maintenance of
logos for
equipments
· No
monitoring
policy
· Developmen
t of
supervision/
monitoring
policy
Training of
district
managers in
supervision and
monitoring
Plan
Activities
Targets
Unit
Target for
2010-11
Target for
2011-12
Target for
2012-13
Remarks
Submissio
n of
demand
Plan
batch
6
2
2
2
79
Three Years Rolling Plan 2010-2013 District Sialkot
Problem
Causes
Intervention
· Lack of skills
· Capacity
building of
mangers
Inadequate
resources
Arrange
logistic
support
Activity
Procurement of
transport for
supervision
Development
and printing of
monitoring tools
Plan
Activities
Targets
Unit
Target for
2010-11
Target for
2011-12
Vehicles
1
1
Vehicles
4
2
2
Stationery
checklist
visit form
300
100
100
Target for
2012-13
Remarks
100
80
Three Years Rolling Plan 2010-2013 District Sialkot
SECTION 4: COSTING AND FINANCING PLAN
I.
Activity based costing
The planning team has used the best available data sources, for calculation of estimates for the intervention/activities. It is
pertinent to mention that the costing of the plan is based on additional needs and activities. The detailed activity based
costing of the Health and Service Delivery problems has been performed on automated Excel sheets, which are annexed with
the plan as Annex-III and Annex-IV. A moderate estimate of equipment cost has been taken, as there is wide variation
between the minimum and maximum cost. The summary of activity and problem wise costing is given below.
a) Health Problems
Sr.
No
.
Problem
Activity
Define
Unit
1
Diarrhoeal
diseases
Quarterly
co-ordination
meetings with
TMA and other
agencies
Meetings
Rate
3,000
Financial Targets
Quantity
12
Year I
12,000
Year II
13,200
Total Cost
Remarks
Year III
14,520
39,720
-
81
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Messages
on local cable
network
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
Monthly
Telecast
35,000
36
420,000
462,000
508,200
1,390,200
-
Printing
and distribution
of IPC material
Brochure
5
300,000
500,000
550,000
605,000
1,655,000
-
Conduction
of HES in the
community
Session
2,000
20
20,000
11,000
12,100
43,100
-
Training of
medics and
paramedics in
IMCI
Batch
244,500
10
806,850
591,690
2,621,040
-
4,455,000
4,900,500
13,405,500
-
Procurement
and distribution
of ORS and Zinc
1,222,500
ORS
packets
5
2,430,000
4,050,000
82
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
Sulphate
Procurement
and distribution
of Zinc
Sulphate
2
TB
Syrup
60
1,215,000
24,300,00
0
26,730,00
0
29,403,000
80,433,000
-
Messages
on local cable
networks
Monthly
telecast
-
-
-
-
-
-
Messages
through FM
radio channels
Monthly
telecast
35,000
36
420,000
462,000
508,200
1,390,200
-
Brochure
5
300,000
500,000
550,000
605,000
1,655,000
-
Printing
and distribution
of IPC and TB
awareness
Integrated
activity
83
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
material
drug
25
2,196,000
Procuremen
t of drugs to
address
deficiency
according to
regimen
drug
30
54,900
18,000,00
0
20,130,00
0
540,000
603,900
22,506,000
60,636,000
-
675,180
1,819,080
-
Procuremen
t of reagents and
slides for
notified
diagnostic
facilities under
DOTS
programme
84
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
3
Hepatitis
Activity
Define
Unit
· Quarterly
co-ordination
meetings with
TMA and other
agencies
· Messages on
local cable
network
· Printing and
distribution of
IPC and
hepatitis
awareness
material
· Procurement
and supply of
screening kits
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
-
-
-
-
-
-
-
Integrated
activity
Monthly
Package
-
-
-
-
-
-
Integrated
activity
Brochure
5
300,000
500,000
550,000
605,000
1,655,000
-
Kits
40
600,000
8,800,000
9,680,000
26,480,000
-
8,000,000
85
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
4
Problem
Activity
Define
Unit
ARI
Financial Targets
Rate
Quantity
Year I
· Procurement
of safety boxes
Syringe
cutter
500
1,000
· Procurement
of drugs for
treatment of
Hepatitis
patients
Injection
12,000
9,000
Messages
on local cable
networks
Monthly
Telecast
-
Messages
through FM
radio channels
Monthly
Telecast
-
Year II
250,000
Total Cost
Remarks
Year III
137,500
151,250
538,750
43,560,000
-
-
36,000,00
0
39,600,00
0
119,160,000
-
-
-
-
-
Integrated
activity
-
-
-
-
-
Integrated
activity
86
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
Year I
Printing
and distribution
of IPC material
Brochure
& Poster
30
Training of
medics and
para-medics in
IMCI
Batch
-
-
Oral
Medicine
Package
70
1,215,000
Injectable
800
Procurement
of drugs
-
Year II
100,000
Total Cost
Remarks
Year III
990,000
726,000
3,216,000
-
-
-
-
-
34,303,500
93,838,500
-
28,350,00
0
31,185,00
0
8,800,000
9,680,000
26,480,000
-
3,300
3,630
15,930
1,500,000
30,000
Integrated
activity
8,000,000
Drug
Procuremen
t of nebulizing
drugs
30
500
9,000
verify the
cost
87
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
5
Anemia in
pregnancy
Activity
Define
Unit
·
Messag
es on local cable
network
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
Monthly
Messages
telecast
packages
-
-
-
-
-
-
Integrated
activity
Brochure
5
150,000
250,000
275,000
302,500
827,500
-
Batch of
25 LHWs
For 2 Days
51,000
16
408,000
224,400
246,840
879,240
-
No. of
courses
40
200,000
2,200,000
2,420,000
8,620,000
-
·
Printin
g and
distribution of
IPC material
·
Short
refresher
trainings of
LHWs about
balanced diet
and provision of
micro-nutrients
Procurement
of de-worming
tablets
4,000,000
88
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Unit
Purchases of
micronutrients
& Distribution
through LHWs /
health facilities
Worm
infestation
Financial Targets
Rate
Quantity
Year I
Pack of
100
Tablets
30
Pack of
100
Tablets
50
Messages on
local cable
network
Message
-
-
Printing and
distribution of
IPC material
Meeting
5
150,000
·
Purchas
es of
micronutrients
& Distribution
through LHWs /
health facilities
6
Define
Year II
150,000
Total Cost
Remarks
Year III
1,650,000
1,815,000
4,965,000
-
2,750,000
3,025,000
8,275,000
-
-
-
-
-
250,000
275,000
302,500
827,500
1,500,000
150,000
2,500,000
Integrated
Activity
-
89
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Drug
Quantity
40
Year I
400,000
Procurement
of de-worming
tablets
7
Accidents
And
Injuries
Year II
Total Cost
Remarks
Year III
4,400,000
4,840,000
17,240,000
-
8,000,000
· Quarterly coordination
meetings with
Traffic Police
department
Meetings
5,000
12
20,000
22,000
24,200
66,200
-
· Quarterly coordination
meetings with
Highway
department
Meetings
5,000
12
20,000
22,000
24,200
66,200
-
-
-
-
-
-
-
-
· Preparation
of Disaster
Management
Plan including
the Patient
Management
protocols
Plan
90
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
Year I
· Training of
the medics and
the paramedics
in first aid and
emergency
Training
in Batch
for 25
trainees
50,000
20
· Provision of
emergency kits
for victims
Kits
3,000
3,000
· Procurement
of equipments /
instruments /
various splints
and Plaster casts
· Drugs
Year II
500,000
Total Cost
Remarks
Year III
275,000
302,500
1,077,500
-
3,300,000
3,630,000
9,930,000
-
3,000,000
-
-
-
-
-
-
-
Drugs
300
4,500
450,000
495,000
544,500
1,489,500
Plan
-
91
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Unit
· Disaster
management
plan
8
Define
Scabies
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
-
-
-
-
-
-
-
Plan
HES
-
-
-
-
-
-
Integrated
activity
Printing &
Distribution of
IPC Material
Brochure
5
-
250,000
275,000
302,500
827,500
-
Supply of anti
scabies drugs
drug
50
-
5,500,000
6,050,000
21,550,000
-
Community
health education
sessions
10,000,00
0
92
Three Years Rolling Plan 2010-2013 District Sialkot
b) Management Problems
1
Gynecologist
18
12,91
0
18,099
Pediatricians
18
12,91
0
18,099
3
Anesthetists
18
12,91
0
18,099
Pay
of
other
staff
Pay
of
othe
r
staff
Allowances
Pay of
Officers
Pay of
Officers
Pay
of
other
staff
Year III
Pay of
Officers
Allowance
s
774,600
-
1,085,940
1,192,884
1,672,348
1,687,079
2,365,177
619,680
-
868,752
1,022,472
1,433,441
1,499,626
2,102,380
464,760
-
651,564
852,060
1,194,534
1,312,172
1,839,582
15,838,800
-
24,674,760
23,923,680
37,269,936
33,467,148
52,137,400
5,454,000
-
8,040,600
9,199,080
13,561,812
13,638,636
20,106,860
741,000
1,008,480
1,254,000
1,497,593
1,862,190
36,062,616
37,198,656
56,386,070
53,102,254
8
7
4
MO / WMO
17
9,850
15,345
5
Nurses
16
6,060
8,934
6
Lady Health
Visitors
9
3,820
4,750
Grand Total
Gap
Year II
9
2
7
Year I
Allowances
Allowances
Basic Pay
Basic Scale
Sr
Name of Post
Financial Targets
234
155
595,920
27
23,747,760
-
-
-
80,413,590
93
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
1
Inadequate
medicine
and supply
2
Activity
Define
Unit
Shortage of
skilled
staffs MNCH
related
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
· Inclusion of
enhanced
amount for
medicines and
supplies in the
proposed annual
budget
according to the
needs
-
-
-
-
-
-
-
Need
assessment
Demand
generation for
medicine.
-
-
-
-
-
-
-
Demand
generation
Procurement of
essential drugs
on the basis of
allocated budget
-
-
-
-
-
-
-
Already
addressed in
health
problems
· Filling of the
vacant posts of
medics and the
paramedics
through existing
-
-
-
-
-
-
-
Recruitment
94
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
recruitment
committees
Temporary
filling of vacant
positions on
contract
-
-
-
-
-
-
-
Recruitment
· Demand
generation and
request to the
Department of
Health by the
districts for
recruitment
through PSC
against vacant
posts
-
-
-
-
-
-
-
Plan
95
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
Financial Targets
Rate
Quantity
· Orientation
trainings of the
recruited staffs
Batch
330,000
· Consensus
building
between the
districts for
uniform
incentivized pay
package for all
categories and
levels staff
-
-
· Request to
the Provincial
Government for
approval and
implementation
of agreed pay
packages
-
-
Year I
Year II
Total Cost
Remarks
Year III
18
1,996,500
6,451,500
-
2,640,00
0
1,815,000
-
-
-
-
-
Meeting
-
-
-
-
-
Plan
96
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
· Review and
revise the career
structure of
medics and
paramedics
· Filling of
Human
Resource gaps
as per MSDS
Financial Targets
Rate
Quantity
Year I
-
-
-
Gazetted
Posts
-
-
NonGazetted
Posts
-
HR
-
Year II
-
-
-
36,190,17
6
595,920
1,497,593
1,008,480
-
80,413,590
36,062,6
16
Remarks
Year III
51,604,661
23,151,8
40
-
Total Cost
56,386,07
0
-
Technical
assistance
Detail HR plan
110,946,67 is attached
7
3,101,993
Detail HR plan
is attached
Detail HR plan
172,862,27 is attached
6
97
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
3
Problem
Activity
Define
Unit
Inadequate
budget POL
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
· Capacity
and need
assessment of
the medics and
the paramedics
-
-
-
-
-
-
-
NO COST
ACTIVITY
· Prepare
training
programs for
providing higher
professional
education based
on TNA
-
-
-
-
-
-
-
TNA
Assessment of
additional
requirement
-
-
-
-
-
-
-
NO COST
ACTIVITY
Costing and
submission of
additional
demand
-
-
-
-
-
-
-
-
98
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
4
Problem
Activity
Define
Unit
Deficient
infra
structure
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
· Provision of
POL budget for
supervisory
vehicles for DHQ
litre
75
32,400
810,000
891,000
980,100
2,681,100
-
· Provision of
POL budget for
supervisory
vehicles for THQ
litre
75
7,200
180,000
198,000
217,800
595,800
-
· Provision of
POL budget for
generator
litre
75
558,000
16,335,000
46,035,000
-
14,850,0
00
14,850,00
0
· Identify the
gaps in
infrastructure of
THQ and DHQ
hospitals
individually
-
-
-
-
-
-
-
-
99
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
5
Problem
Activity
Define
Unit
Inadequate
equipments
MNCH
Related
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
· Costing of
the gaps
-
-
-
-
-
-
-
-
·
-
-
-
-
-
-
-
Demand
submission
1,100
34,000
19,965,000
41,690,000
12,650,0
00
9,075,000
108,712,97
0
Detail
189,227,66 attached
0
Phasing
Construction of
EDO health
complex
1100 per
square
yard
Procurement of
equipments for
THQ and DHQ
hospitals based
on the gaps
between MSDS
and existing
available
-
-
26,423,5
25
54,091,16
5
-
100
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
6
Problem
Activity
Define
Unit
Ineffective
supervision
Financial Targets
Rate
Quantity
Year I
Year II
Total Cost
Remarks
Year III
Allocation of
enhanced
amount for M&R
of equipments
-
-
-
-
-
-
-
Submission of
demand
Orientation of
staffs in
maintenance of
logos for
equipments
-
-
-
-
-
-
-
Plan
Training of
district
managers in
supervision and
monitoring
batch
35,000
6
70,000
77,000
84,700
231,700
-
Procurement of
transport for
supervision
Vehicles
3,800,000
1
-
-
3,800,000
-
3,800,00
0
101
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
No
.
Problem
Activity
Define
Unit
-
Vehicles
Rate
900,000
Financial Targets
Quantity
Year I
4
1,800,00
0
Development
and printing of
monitoring tools
10,000
Stationer
y
checklist
visit form
Year II
Remarks
Year III
-
3,780,000
-
1,210,000
3,310,000
-
1,980,000
300
1,000,00
0
Total Cost
1,100,000
102
Three Years Rolling Plan 2010-2013 District Sialkot
II.
Financial Outlay including 3YRP activities
The costing of the plan includes routine recurring budget with 15% price escalation for subsequent years and additional
cost involved on the basis of health and management problems; which is essentially required to bring visible improvement
in the health system. Other financial resources expected from provincial level through ADP and PMDGP are also part of
this plan. Overall financial outlay of the plan is as under:
a) Health Problems
Object
Classification
2010-2011
Regular
Additional
2011-2012
Total
Regular
Additional
2012-2013
Total
Regular
Additional
Total
A03907
596,850
840,000
1,436,850
686,378
924,000
1,610,378
789,334
1,016,400
1,805,734
A03902
1,235,100
3,750,000
4,985,100
1,420,365
3,465,000
4,885,365
1,633,420
3,448,500
5,081,920
A03820
-
52,000
52,000
-
57,200
57,200
-
62,920
62,920
A03927
-
145,699,000
145,699,000
-
148,502,200
148,502,200
-
163,726,310
163,726,310
A03903
6,900
20,000
26,900
7,935
11,000
18,935
9,125
12,100
21,225
A03801
-
2,130,500
2,130,500
-
1,306,250
1,306,250
-
1,141,030
1,141,030
A09404
-
11,250,000
11,250,000
-
12,237,500
12,237,500
-
13,461,250
13,461,250
1,838,850
163,741,500
165,580,350
2,114,678
166,503,150
168,617,828
2,431,879
182,868,510
185,300,389
Total
103
Three Years Rolling Plan 2010-2013 District Sialkot
b) Management Problems
Object
Classification
2010-2011
Regular
2011-2012
Additional
Total
Regular
Additional
2012-2013
Total
Regular
Additional
A03801
3,066,000
2,710,000
5,776,000
1,503,700
1,892,000
3,395,700
1,337,050
A09601
11,477,000
26,423,525
37,900,525
16,776,435
54,091,165
70,867,600
84,700
2,081,200
Total
3,418,250
108,797,670
108,712,970
A01101
-
23,151,840
23,151,840
-
36,190,176
36,190,176
-
51,604,661
51,604,661
A01270
-
36,062,616
36,062,616
-
56,386,070
56,386,070
-
80,413,590
80,413,590
A09501
19,600,000
5,600,000
25,200,000
12,540,000
1,980,000
14,520,000
9,196,000
-
9,196,000
A03807
10,553,000
15,840,000
26,393,000
11,909,260
15,939,000
27,848,260
13,320,890
17,532,900
30,853,790
A03902
4,050,000
1,000,000
5,050,000
2,530,000
1,100,000
3,630,000
2,783,000
1,210,000
3,993,000
A01102
-
595,920
595,920
-
1,008,480
1,008,480
-
1,497,593
1,497,593
A12402
-
12,650,000
12,650,000
-
9,075,000
9,075,000
-
19,965,000
19,965,000
A12402
-
-
-
-
-
-
-
-
-
48,746,000
124,033,901
172,779,901
45,259,395
177,661,891
222,921,286
26,721,640
283,017,913
309,739,553
Total
104
Three Years Rolling Plan 2010-2013 District Sialkot
III.
Summaries
a) Problem-wise Costing
i.
Health Problems
Sr. No.
Problem
FY I
FY II
FY III
Total Cost Rs.
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
1
Diarrhoeal diseases
30,524,500
33,028,050
36,035,010
99,587,560
2
TB
19,460,000
21,745,900
24,294,380
65,500,280
3
hepatitis
44,750,000
49,087,500
53,996,250
147,833,750
4
ARI
37,859,000
40,978,300
44,713,130
123,550,430
5
Anemia in pregnancy
8,658,000
7,099,400
7,809,340
23,566,740
6
Worm infestation
8,250,000
4,675,000
5,142,500
18,067,500
7
Accidents And Injuries
3,990,000
4,114,000
4,525,400
12,629,400
8
Scabies
10,250,000
5,775,000
6,352,500
22,377,500
163,741,500
166,503,150
182,868,510
513,113,160
Total
105
Three Years Rolling Plan 2010-2013 District Sialkot
ii.
Management Problems
Sr. No.
Problem
1
Inadequate medicine and
supply
2
FY I
FY II
FY III
Total Cost Rs.
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
-
-
-
-
Shortage of skilled staffs
MNCH related
62,450,376
95,399,726
135,512,343
293,362,446
3
Inadequate budget POL
15,840,000
15,939,000
17,532,900
49,311,900
4
Deficient infra structure
12,650,000
9,075,000
19,965,000
41,690,000
5
Inadequate equipmentsMNCH Related
26,423,525
54,091,165
108,712,970
189,227,660
6
Ineffective supervision
6,670,000
3,157,000
1,294,700
11,121,700
124,033,901
177,661,891
283,017,913
584,713,706
Total
106
Three Years Rolling Plan 2010-2013 District Sialkot
b) Activity-wise Costing
i.
Health Problems
Sr. No.
Problem
1
Diarrhoeal diseases
Activity
Quarterly co-ordination meetings
with TMA and other agencies
FY-III
Total
13,200
14,520
39,720
Messages on local cable network
420,000
462,000
508,200
1,390,200
Printing and distribution of IPC
material
500,000
550,000
605,000
1,655,000
20,000
11,000
12,100
43,100
Training of medics and
paramedics in IMCI
1,222,500
806,850
591,690
2,621,040
Procurement and
distribution of ORS and Zinc
Sulphate
4,050,000
4,455,000
4,900,500
13,405,500
24,300,000
26,730,000
29,403,000
80,433,000
-
-
-
-
Procurement and distribution of
Zinc Sulphate
TB
FY-II
12,000
Conduction of HES in the
community
2
FY-I
Messages on local cable
networks
107
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
Problem
Activity
FY-I
FY-II
Messages through FM radio
channels
420,000
462,000
508,200
1,390,200
Printing and distribution of
IPC and TB awareness material
500,000
550,000
605,000
1,655,000
Procurement of drugs to
address deficiency according to
regimen
18,000,000
20,130,000
22,506,000
60,636,000
540,000
603,900
675,180
1,819,080
· Quarterly co-ordination
meetings with TMA and other
agencies
-
-
-
-
· Messages on local cable
network
-
-
-
-
500,000
550,000
605,000
1,655,000
8,000,000
8,800,000
9,680,000
26,480,000
250,000
137,500
151,250
538,750
Procurement of reagents and
slides for notified diagnostic
facilities under DOTS programme
3
Hepatitis
· Printing and distribution of IPC
and hepatitis awareness material
· Procurement and supply of
screening kits
· Procurement of safety boxes
FY-III
Total
108
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
Problem
Activity
· Procurement of drugs for
treatment of Hepatitis patients
4
ARI
FY-III
Total
36,000,000
39,600,000
43,560,000
119,160,000
-
-
-
-
Messages through FM radio
channels
-
-
-
-
Printing and distribution of
IPC material
1,500,000
990,000
726,000
3,216,000
-
-
-
-
28,350,000
31,185,000
34,303,500
93,838,500
8,000,000
8,800,000
9,680,000
26,480,000
9,000
3,300
3,630
15,930
-
-
-
-
·
Printing and distribution
of IPC material
250,000
275,000
302,500
827,500
·
Short refresher trainings
of LHWs about balanced diet and
408,000
224,400
246,840
879,240
Procurement of drugs
Procurement of nebulizing
drugs
Anemia in pregnancy
FY-II
Messages on local cable
networks
Training of medics and paramedics in IMCI
5
FY-I
Messages on local cable network
109
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
provision of micro-nutrients
6
Worm infestation
·
Procurement of deworming tablets
4,000,000
2,200,000
2,420,000
8,620,000
·
Purchases of
micronutrients & Distribution
through LHWs / health facilities
1,500,000
1,650,000
1,815,000
4,965,000
·
Purchases of
micronutrients & Distribution
through LHWs / health facilities
2,500,000
2,750,000
3,025,000
8,275,000
-
-
-
-
250,000
275,000
302,500
827,500
8,000,000
4,400,000
4,840,000
17,240,000
· Quarterly co-ordination
meetings with Traffic Police
department
20,000
22,000
24,200
66,200
· Quarterly co-ordination
meetings with Highway
20,000
22,000
24,200
66,200
Messages on local cable
network
Printing and distribution of
IPC material
Procurement of de-worming
tablets
7
Accidents And Injuries
110
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
department
· Preparation of Disaster
Management Plan including the
Patient Management protocols
-
-
-
-
500,000
275,000
302,500
1,077,500
3,000,000
3,300,000
3,630,000
9,930,000
-
-
-
-
450,000
495,000
544,500
1,489,500
· Disaster management plan
-
-
-
-
Community health education
sessions
-
-
-
-
Printing & Distribution of IPC
Material
250,000
275,000
302,500
827,500
10,000,000
5,500,000
6,050,000
21,550,000
· Training of the medics and the
paramedics in first aid and
emergency
· Provision of emergency kits
for victims
· Procurement of equipments /
instruments / various splints and
Plaster casts
· Drugs
8
Scabies
Supply of anti scabies drugs
111
Three Years Rolling Plan 2010-2013 District Sialkot
ii.
Management Problems
Sr. No.
1
2
Problem
Inadequate medicine and
supply
Shortage of skilled staffs
MNCH related
Activity
Costing (Rs.)
FY-I
FY-II
FY-III
Total
· Inclusion of enhanced
amount for medicines and
supplies in the proposed annual
budget according to the needs
-
-
-
-
Demand generation for
medicine.
-
-
-
-
Procurement of essential drugs
on the basis of allocated budget
-
-
-
-
· Filling of the vacant posts of
medics and the paramedics
through existing recruitment
committees
-
-
-
-
Temporary filling of vacant
positions on contract
-
-
-
-
· Demand generation and
request to the Department of
Health by the districts for
-
-
-
-
112
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
Problem
Activity
Costing (Rs.)
FY-I
FY-II
FY-III
Total
2,640,000
1,815,000
1,996,500
6,451,500
· Consensus building
between the districts for
uniform incentivized pay
package for all categories and
levels staff
-
-
-
-
· Request to the Provincial
Government for approval and
implementation of agreed pay
packages
-
-
-
-
· Review and revise the
career structure of medics and
paramedics
-
-
-
-
· Filling of Human Resource
gaps as per MSDS
59,810,376
93,584,726
133,515,843
110,946,677
· Capacity and need
assessment of the medics and
the paramedics
-
-
-
-
recruitment through PSC against
vacant posts
· Orientation trainings of the
recruited staffs
113
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
3
4
Problem
Inadequate budget POL
Deficient infrastructure
Activity
Costing (Rs.)
FY-I
FY-II
FY-III
Total
· Prepare training programs
for providing higher
professional education based on
TNA
-
-
-
-
Assessment of additional
requirement
-
-
-
-
Costing and submission of
additional demand
-
-
-
-
· Provision of POL budget for
supervisory vehicles for DHQ
810,000
891,000
980,100
2,681,100
· Provision of POL budget for
supervisory vehicles for THQ
180,000
198,000
217,800
595,800
· Provision of POL budget for
generator
14,850,000
14,850,000
16,335,000
46,035,000
· Identify the gaps in
infrastructure of THQ and DHQ
hospitals individually
-
-
-
-
·
Costing of the gaps
-
-
-
-
·
Phasing
-
-
-
114
Three Years Rolling Plan 2010-2013 District Sialkot
Sr. No.
5
6
Problem
Inadequate equipmentsMNCH Related
Ineffective supervision
Activity
Costing (Rs.)
FY-I
FY-II
FY-III
Total
Construction of EDO health
complex
12,650,000
9,075,000
19,965,000
41,690,000
Procurement of equipments for
THQ and DHQ hospitals based
on the gaps between MSDS and
existing available
26,423,525
54,091,165
108,712,970
189,227,660
Allocation of enhanced amount
for M&R of equipments
-
-
-
-
Orientation of staffs in
maintenance of logos for
equipments
-
-
-
-
70,000
77,000
84,700
231,700
Procurement of transport for
supervision
5,600,000
1,980,000
-
3,800,000
Development and printing of
monitoring tools
1,000,000
1,100,000
1,210,000
3,310,000
Training of district managers in
supervision and monitoring
115
Three Years Rolling Plan 2010-2013 District Sialkot
SECTION 5: MONITORING & EVALUATION
The monitoring and evaluation targets and indicators mentioned below will be used
to gauge the progress of implementation of the plan. Monitoring and evaluation of
the three years rolling plan would be carried out through the proposed indicators,
targets and means of verifications, by the district health authorities.
M&E of Plan
Indicators
Target
%
MoV
Responsibility
Achievement
Frequency of
monitoring
% of planned
50 visits
Inspection
EDOH/DOH/
supervisory
/year
Book/Attend
DDOH/Dist.
ance register
Monitoring officer
Movement
EDOH / DOH
Quarterly
EDOH/ DOH/ MSs
6 monthly
visits conducted
% of RHCs with
availability of
services (on
rotational basis)
100%
During 1st
year
Quarterly
register/visit
book/Attend
ance register
of essential
specialties
(Physician,
Surgeon,
Paediatrician and
Gynaecologist)
% of health
facilities with
availability of
essential MNCH
100%
During 1st
Stock
Register
year
related
equipment (level
specific)
116
Remarks
Three Years Rolling Plan 2010-2013 District Sialkot
Indicators
Target
%
MoV
Responsibility
Achievement
Availability of
100%
relevant (MNCH)
laboratory
During 1st
Frequency of
monitoring
Stock
EDOH/ DOH/MSs,
Register
Store keeper
Stock
EDOH/
Register
MSs, Store keeper
Log Book
EDOH/DOH/
Quarterly
year
equipment at
appropriate level
of care
% facilities with
availability of
During 1st
essential
DOH/
Monthly
year
medicines
% of functional
ambulances
100%
in
the district
100%
Quarterly
Transport officer
(DHQH/
THQH/
RHCs)
% utilization of
100% of
sanctioned
yearly
budget
budget
%
of
facilities
with availability
of basic EmONC
100%
(50%
Quarterly
EDOH/
Reports
MSs/
DOH/
Quarterly
Accounts
officer
Supervisory
EDOH/DoH/
visit report
DDOH
Quarterly
during 1st
year)
% of DHQ/THQ
100% in 3
Supervisory
EDOH/DoH/
hospitals with
years
visit report
DDOH
Comprehensive
EmONC services
Quarterly
(50%
during 1st
year)
117
Remarks
Three Years Rolling Plan 2010-2013 District Sialkot
Indicators
Target
%
MoV
Responsibility
Achievement
monitoring
% of facilities
100% in 3
Supervisory
EDOH/DoH/
with availability
years (50%
visit report
DDOH
DHIS Report
EDOH/ Statistical
of separate or
partitioned room
Frequency of
Quarterly
during 1st
year)
reserved
exclusively for
delivery
% of targeted
Target
pregnant women
according
newly registered
to
by LHW
% of targeted
pregnant women
received TT-2
Target
DHIS Report
according
Delivery
60 %
EDOH/
DHIS
Quarterly
Coordinator/
to
population
under
Officer
population
vaccine
conducted by or
Quarterly
Statistical Officer
DHIS Report
During 1st
EDOH/
DHIS
Quarterly
Coordinator/
year
Statistical Officer
supervision of
skilled persons
reported
%of target
Target
children between
according
18 - 23 months of
to
age fully
DHIS Report
EDOH/
DHIS
Quarterly
Coordinator/
Statistical Officer
population
immunized
% of referred
cases attended
100%
DHIS
EDOH/
DHIS
Report/
Coordinator/
LHWs
Statistical Officer
Quarterly
monthly
report
118
Remarks
Three Years Rolling Plan 2010-2013 District Sialkot
Indicators
Target
%
MoV
Responsibility
Achievement
% of targeted
eligible couples
provided
knowledge and
Target
monitoring
LHW’s
EDOH/ Statistical
according
monthly/
Officer
to
quarterly
/Coordinator NP-
report
FP&PHC
population
Frequency of
Quarterly
information on
Family Planning
methods
No. of meetings
12
Minutes
with
meetings
meetings
participation
per year
of
EDOH/
Focal
Quarterly
person/s
from other
sectors
119
Remarks
Three Years Rolling Plan 2010-2013 District Sialkot
Annex-I
List of Private Health Facilities in the District
Sr.
Name of Health Facility /
No.
Hospital
1
2
Sialkot Medical Complex
Memorial Christian Hospital,
Sialkot
Address
Comissioner Road Siakot City
Paris Road, Sialkot City
3
Bethania Hospital
4
Al-Khidmat Children Hospital,
5
Jammu Kashmir Welfare Hospital
Prem Nagar, Classical road, Sialkot City
6
Zohra Memorial Hospital, Sialkot
Shahabpura Phatak, Sialkot City
7
Christian Hospital
Kashmir Road, Lorri Addah Sialkot City
8
Chest Clinic & General Hospital
Comissioner Road Siakot City
9
Al Sheikh Jinnah Memorial Eye &
General Hospital
Pacca Garha, Sialkot City
Hakeem Khadim Ali Road, Sialkot City
Near Qila, Sialkot City
10
Women Medical Centre
Pacca Garha, Sialkot City
11
Syed Medical Complex
Islamia College Road, Sialkot City
12
Islam Central Hospital, Sialkot
Lala Zar Chowk Sialkot City
13
Shazia Batool Hospital
Lala Zar Chowk Sialkot City
14
Family Care Hospital
Lala Zar Chowk Sialkot City
15
Mian ENT Hospital
Lala Zar Chowk Sialkot City
16
Munawar Hospital
Comissioner road Sialkot City
17
Chattah Hospital
Comissioner road Sialkot City
18
Riffat Idrees Hospital
Comissioner road Sialkot City
19
Punjab Hospital
Commissioner road Sialkot City
20
Surgical Centre
Commissioner road Sialkot City
21
Akbar Maternity Hospital
Commissioner road Sialkot City
120
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
Name of Health Facility /
Address
No.
22
City HospitalHospital
Comissioner road Sialkot City
23
National Hospital
Comissioner road Sialkot City
24
Sulehri Children & General
Hospital
Comissioner road Siakot City
25
Riffat Saeed Hospital
Comissioner road Sialkot City
26
Al-Noor Kidney Centre
Comissioner road Sialkot City
27
Heart & Medical Centre
Comissioner road Sialkot City
28
Shaukat ENT Hospital
Comissioner road Sialkot City
29
Samina Nisar Hospital
Islamia College Road, Sialkot City
30
Dr. Younis Hospital
Near Overhead Bridge, Sialkot City
31
Amina Memorial Hospital
Islamia College Road, Sialkot City
32
Saddique Hospital
Khadim Ali Road, Sialkot City
33
Iqbal Hospital
Kotli Behram, Sialkot City
34
Sheikh Hospital
Kotli Bahram Sialkot City
35
Sharif Trust Hospital
Abbot road, Sialkot City
36
Al-Shifa Hospital
Shahabpura, Sialkot City
37
Gulzar Family Hospital
Shahabpura Sialkot City
38
Naunehal Children Hospital
Haji Pura, Sialkot City
39
Aslam Surgical Hospital
Haji Pura Road, Sialkot City
40
Rana Hospital
Haji Pura, Sialkot City
41
Ijaz Amin Orthopaedic Hospital
42
Mughal Hospital
Babay Di Beri Pasrur Road Sialkot City
43
Hussain Hospital
Near Railway Phatik, Abbot Road, Sialkot City
44
Idrees Hospital
Cantt. Road Sialkot Cantt.
45
Azeem Hospital
Cantt. Bypass Sialkot Cantt.
46
Poly Clinic Hospital
Near Thana Cantt. Sialkot
Shah Syedan Back near Sardar Begum Hospital
Sialkot City
121
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
Name of Health Facility /
Address
No.
47
Aziz HospitalHospital
Saidpur Road, Top Khana Pulli Sialkot
48
Chinar Hospital
Saidpur Road, Khichian, Sialkot
49
Fatima Hospital
Airport Road, Gohadpur Sialkot
50
Rahman Hospital
Saidpur Road, Khichian, Sialkot
51
Shafique Memorial Hospital
Said PurRoad, Khichian, Sialkot
52
Ali Hospital
Pasrur Road, Sialkot
53
Awan Hospital
Pasrur Road, Sialkot
54
Awan Hospital
Saidpur, Sialkot
55
Sultan Hospital
Gondal, Sialkot
56
Muhammad Ali Hospital
Gondal Road Bheri, Sialkot
57
Khurshid Memorial Hospital
Gondal Road, Marakiwal Sialkot
58
Saddique Medical Complex
Gondal Road, Marakiwal Sialkot
59
Usman Hospital
Ugoki Sialkot
60
Rao Hospital
Ugoki Sialkot
61
Ali Hospital
Ugoki Sialkot
62
Fatima Meterinity Hospital
Ugoki Sialkot
63
Sabiran Memorial Hospital
Ugoki Sialkot
64
Sultan Hospital
Addah Jhai, Chaprar Road, Sialkot
65
Anam Hospital
Hunterpura Sialkot
66
Dr. Afzal Hospital
Dhallay Wali Sialkot
67
Soofi Khairat Children Hospital
Dhallay Wali Sialkot
68
Family Hospital
Kalluwal Road Kapoorwali, Sialkot
69
Barkat Hospital
Dalowali Sialkot
70
Abdullah Hospital
Dalowali Sialkot
71
Cheema Family Hospital,
GT Road Sambrial City
72
Waleed Hospital
GT Road Sambrial City
73
Dr. Iqbal Hospital
GT Road Sambrial City
122
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
Name of Health Facility /
Address
No.
74
Hospital
Fatima Memorial
Hospital
GT Road Sambrial City
75
Sultan Surgical Hospital
Sambrial City
76
Al-Shifa Hospital
Sambrial More, Sambrial
77
Feroze Eye Hospital
Jathekay Road, Sambrial
78
Family Hospital
Marala Sambrial Road Kalluwal, Sambrial
79
80
United Doctors Welfare Health
Organizations Cheema Hospital
Young Blood Foundation / Ass
Centre Haider Ali Trust
Gujranwala Road, Daska City
Daska Kalan Daska City
81
TB Association Hospital
Dhedowali Pasrur Road Daska
82
MCH Hospital
Dhedowali Pasrur Road Daska
83
Cheema Complex Hospital
North Canal Bank, Daska City
84
Shabbir Hospital
85
Azam Surgical Hospital
Opposite Civil Hospital Daska City
86
Raza Hospital
Near Civil Hospital Daska City
87
Doctors Hospital,
Near Civil Hospital Daska City
88
Surgeon Shahid Hospital
Near Civil Hospital Daska City
89
Itefaq Hospital
Near Civil Hospital Daska City
90
Sadaf Yahya Hospital
Model Town Daska City
91
Fahmeeda Hospital
College Road Daska City
92
Amin Hospital
College Road Daska City
93
Aqsa Medical Centre
Awami Road, Daska City
94
Tahira Memorial Hospital
Opposite Civil Hospital Circular Road Daska City
95
Daska Medical Complex
96
Fatima Medical Complex Hospital
97
Saroya Ortho & General Hospital
Gujranwala Road, Mohallah Shadpura Daska
City
Adjacent to Civil Hospital Circular Road Daska
City
Adjacent to Civil Hospital Circular Road Daska
City
Opposite Civil Hospital Circular Road Daska City
123
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
Name of Health Facility /
Address
No.
98
Hospital
Khizr Surgical
Hospital
Sohawa stop Circular Road Daska City
99
Latif Zohra Hospital
Sohawa stop Circular Road Daska City
100
Khizr Surgical Hospital
Sohawa stop Circular Road Daska City
101
Daska Medical Complex
Sohawa stop Circular Road Daska City
102
Ali Hospital
Near Chungi No. 8 Daska City
103
Qasim Hospital
Near Chungi No. 8 towards Sambrial Daska City
104
Family Hospital
Near Chungi No. 8 towards Sambrial Daska City
105
Mughal Hospital
106
Ehsan Children Hospital
College Road Daska City
107
Goraya Family Hospital
College Road Daska City
108
Al-Jawad Hospital
College Road adjacent to Rescue 115 Daska City
109
Sajjad Hospital
Daska Kalan near Bazaar Chowk Daska City
110
Amna Hospital
Opposite Masjid Noor College Road Daska City
111
Sharif Memorial Hospital
112
Murad Trust Hospital
Chowk Dharam Kot Satrah Police Station Daska
113
Itefaq Hospital
Near Civil Hospital Daska City
114
Sadaf Yahya Hospital
Model Town Daska City
115
Surgeon Shahid Hospital
Wazirabad Road Daska
116
Saleemi Hospital
Mundike Goraya, Daska
117
Barkat Family Hospital
Pasrur Road, Satrah Daska
118
Iqbal Eye Hospital
Pasrur Road Satrah Daska
119
LRBT Free Hospital
Kalaswala Road, Pasrur
120
Aisha Hospital
Narowal Road, Pasrur City
121
Akbar Begum Hospital
General Bus Stand Pasrur City
122
Bajwa Hospital
Model Town Pasrur City
123
Farooq Eye Hospital
Railway Road Pasrur City
Opposite Govt. Boys College, Circular Road,
Daska City
Opposite Islamia Girls High School Sambrial
Road Daska City
124
Three Years Rolling Plan 2010-2013 District Sialkot
Sr.
Name of Health Facility /
Address
No.
124
Hospital
Chaudhary Hospital
Hayderi Chowk Badiana Pasrur
125
Sultan Hospital
Badiana, Pasrur
126
Fatima Hospital
Hayderi Chowk Badiana Pasrur
127
Qurban Hospital
Badiana, Pasrur,
128
Hussain Eye Hospital
Chawinda, Pasrur
129
Khalid Eye Hospital
Zafarwal Road Chawinda
130
Al- Sayyed Eye Hospital
Zafarwal Road Chawinda
131
Ahmed Hospital
Chobara Road, Chawinda
132
Al-Khidmat Hospital
Manowali Chobara, Pasrur
133
Mohsin Hospital
Kingra, Pasrur
134
Latif Hospital
Kingra, Pasrur
135
Naeem Hospital
Throw Mandi, Pasrur
136
Goraya Hospital
Qila Kalarwala, Pasrur
125
Three Years Rolling Plan 2010-2013 District Sialkot
Annex-II
Costing of Equipment Gaps for THQ and DHQ
Hospitals
ALLAMA IQBAL MEMORIAL HOSPITAL
Sr.
Equipment
Standard as per
No.
Available
Gap
Cost/Unit
Total
MSDS
Cost
(Qty.)
C
1
CTG (Cardiac
B
A
1
1
2
1
1
285000
285000
Tocography)
2
Foetal Doppler
3
5
5
3
2
101000
202000
3
Diagnostic
1
1
2
0
2
1200000
2400000
10
20
20
0
0
45
0
Laparoscope
4
Bulb Sucker
5
Baby Warmer
3
3
6
2
4
850000
3400000
6
Mechanical
3
3
6
3
3
28000
84000
Sucker
7
Fetal Stethoscope
4
4
4
4
0
1500
0
8
Delivery Table
2
2
3
3
0
17500
0
9
D&C Set
2
3
4
2
2
2100
4200
10
Outlet forceps
4
4
4
4
0
900
0
11
Myoma Screw
2
2
2
0
2
320
640
12
Kochers forceps
4
4
8
8
0
235
0
13
Volselum forceps
6
8
10
10
0
235
0
14
Lanes Tissue
2
2
4
4
0
400
0
10
10
10
4
6
350
2100
2
2
2
2
0
750
0
holding forceps
15
Vaginal
Retractors
16
Polypectomy
forceps
126
Three Years Rolling Plan 2010-2013 District Sialkot
17
Sponge holder
18
Uterine elevator
19 CosCo Speculum
10
15
20
15
5
300
1500
1
1
1
1
0
150
0
6
10
10
6
4
550
2200
20
Examination light
3
3
6
2
4
18000
72000
21
Suction Curette
1
2
2
2
0
95
0
22
Infant
1
1
2
0
2
95000
190000
1
1
2
0
2
110000
220000
Resuscitation
Trolley (with life
saving medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable Light)
23
Mother
Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable light)
24
Cardiac Monitor
1
1
2
2
0
500000
0
25
Pump Breast
1
1
1
0
1
250000
250000
2
2
4
2
2
30000
60000
2
2
4
4
0
55
0
2
2
4
4
0
55
0
Electronic
26
Vaginal
Hysterectomy
Set
26.1
Toothed Tissue
Forceps (8”)
26.2
Non-Tooted
Tissue Forceps
127
Three Years Rolling Plan 2010-2013 District Sialkot
(8”)
26.3
Dissection
2
2
4
4
0
150
0
2
2
4
8
0
150
0
8
8
16
8
8
150
1200
8
8
16
8
8
175
1400
Scissors (Curved
7”)
26.4
Dissection
Scissors (Straight
7”)
26.5
Hysterectomy
Clamps (Straight)
26.6
Hysterectomy
Clamps (Curved)
26.7
Uterine Sound
2
2
4
2
2
90
180
26.8
Needle Holder (7”)
2
2
4
4
0
150
0
26.9
Needle Holder
2
2
4
4
2
300
600
16
16
32
32
0
110
0
16
16
32
32
0
125
0
(10”)
26.1
Artery Forceps
(Straight 6”)
26.11
Artery Forceps
(Curved 6”)
26.12
Allis Forceps
8
8
16
16
0
230
0
26.13
Towel Clamps
8
8
16
16
0
125
0
26.14
Single blade Sims
4
4
8
0
8
275
2200
4
4
8
0
8
250
2000
8
8
16
6
10
200
2000
speculum
26.15
Double blade
Sims speculum
26.16
Sponge holding
forceps
26.17
Volselum forceps
4
4
8
4
4
250
1000
26.18
Uterine Sound
2
2
4
2
2
1500
3000
26.19
Bladder Sound
2
2
4
0
4
1500
6000
27
Delivery Sets
10
10
15
4
11
Episiotomy
10
10
15
10
5
125
625
10
10
15
10
5
360
1800
27.1
0
Scissors
27.2
Straight Scissors
128
Three Years Rolling Plan 2010-2013 District Sialkot
27.3
Needle holder
10
10
15
10
5
135
675
27.4
Non-toothed
10
10
15
6
9
100
900
10
10
15
9
6
100
600
20
20
30
10
20
275
5500
20
20
30
12
18
250
4500
40
40
60
25
35
250
8750
tissue forceps 8
inches
27.5
Toothed tissue
forceps 8 inches
27.6
Sims Speculum
single blade
27.7
Sims Speculum
double blade
27.8
Sponge holding
forceps
27.9
Artery forceps
40
40
60
30
30
275
8250
27.1
Straight clamps
20
20
30
10
20
175
3500
1
1
1
1
0
19000
0
125
5625
(cord)
27.11
Vacuum
Extractor pump
27.12
Towel clip
40
40
60
15
45
28
Caesarian
6
8
10
4
6
6
8
10
4
6
50
300
24
32
40
20
20
125
2500
24
32
40
20
20
125
2500
24
32
40
20
20
175
3500
6
8
10
3
7
150
1050
6
8
10
3
7
270
1890
24
32
40
15
25
300
7500
0
Section
28.1
Scalpel
28.2
Artery Forceps
Straight 6 inches
28.3
Artery Forceps
Curved 6 inches
28.4
Artery forceps 8
inches
28.5
Myoma Scissors
straight 7 inches
28.6
Dissecting
scissors (curved)
7 inches
28.7
Green Armtage
forceps 8 inches
129
Three Years Rolling Plan 2010-2013 District Sialkot
28.8
Obstetric outlet
6
8
10
3
7
900
6300
6
8
10
3
7
200
1400
Small Retractors
12
16
20
5
15
300
4500
28.11
Towel Clippers
24
32
40
10
30
125
3750
28.12
Suction Nozzle
6
8
10
3
7
250
1750
29
MNCH Related
forceps (pair)
28.9
Doyene’s
Retractor
28.1
0
Radiology
Equipments
29.1
Ultrasound
1
2
3
3
0
575000
0
1
1
1
1
0
6000000
0
Machine
29.2 X-Ray Unit 500
kw
29.3
Color Doppler
0
1
1
0
1
5750000
5750000
29.4
Lead Screen for
1
1
1
0
1
30000
30000
1
1
1
0
1
100000
100000
X-Ray Unit
29.5
0.5 MN Lead
Apron. Lead
Gloves, Goggles
and Thyroid and
Gonadal Sheets
29.6
Safe Light
1
1
1
1
0
5000
0
29.7
X-RT Film
1
1
1
0
1
5000
5000
Processing Tank
29.8
Chest Stand
1
1
1
1
0
4500
0
29.9
X-Ray film
2
2
2
2
0
4000
0
4
4
4
4
0
4000
0
Illuminator
29.1
X-Ray Film
Hangers All sizes
30
MNCH Related
0
Paediatrics
Equipments
30.1
Paediatric
1
2
2
0
2
1200000
2400000
130
Three Years Rolling Plan 2010-2013 District Sialkot
Ventilator
30.2
Incubator
1
1
2
2
0
1500000
0
30.3
Photo Therapy
1
1
1
1
0
22000
0
1
1
1
2
0
910000
0
2
2
2
2
0
5000
0
2
2
2
2
0
3100
0
2
0
22000
0
Unit
30.4
Over-head
Radiant Warmer
30.5
Infant Length
Measuring Scale
30.6
Infant Weighing
Machine
30.7
Nebulizer
1
1
2
30.8
Billiubino-meter
1
1
2
30.9
Exchange Blood
1
1
2
0
2
2000
4000
2
2
4
0
4
7000
28000
0
Transfusion Set
30.1
Nasal Probe Paed
size
31
31.1
Anaesthesia/ICU
Anaesthesia
0
1
1
2
2
0
321000
0
Machine
31.2
Ventilators
1
1
1
1
0
525000
0
31.3
Nebulizer
1
1
1
1
0
165000
0
31.4
Pulse Oximetry
1
1
1
1
0
21000
0
31.5
Defibrillator
1
1
1
1
0
500000
0
31.6
Airway Oral and
2
3
4
0
4
500
2000
2
2
4
0
4
1000
4000
2
2
4
4
0
1000
0
1
2
2
0
2
320
640
2
2
4
4
0
2450
0
Nasal
31.7
Tracheostomy
tube (adult and
paeds)
31.8
Face mask of all
sizes
31.9
Double Cuff
Tourniquet (for
regional block)
31.1
AMBO bag adult
131
Three Years Rolling Plan 2010-2013 District Sialkot
31.11
AMBO Bag paeds
2
2
4
4
0
3000
0
31.12
Red Rubber
4
4
8
0
8
1000
8000
Nasal tubes all
sizes without cuff
32
32.1
Blood Bank
Blood storage
0
1
1
2
0
2
812000
1624000
1
1
1
0
1
600000
600000
cabinet (100 bag
capacity)
32.2
Packed cell
machine
32.3
Cell Separator
1
1
1
0
1
5225000
5225000
32.4
Freezer for Fresh
1
1
1
0
1
1150000
1150000
Frozen Plasma
32.5
Blood bag shaker
1
1
2
0
2
10000
20000
32.6
RH view box
2
2
4
1
3
1000
3000
32.7
Water bath
2
2
2
1
1
3000
3000
32.8
Micro-pipette
4
6
8
1
7
8000
56000
32.9
Blood grouping
3
3
6
0
6
3000
18000
tiles
32.1
Plasma Extractor
1
1
1
0
1
1000000
1000000
32.11
Platelets agitator
1
1
1
0
1
1000000
1000000
32.12
Blood thawing
1
1
1
0
1
3000
3000
1
1
2
1
1
115000
115000
bath
32.13
33
Microscopes
Gynae & Labour
0
Room Related
Laboratory
Equipment
33.1
Hematology
1
1
1
1
0
425000
0
1
1
1
1
0
625000
0
1
1
1
1
0
690000
0
Analyzer
33.2
Electrolyte
Analyzer
33.3
Analyzer Biochemistry Semi-
132
Three Years Rolling Plan 2010-2013 District Sialkot
automatic
33.4
Glucometer
2
2
2
2
0
2500
0
33.5
Haemoglobino-
2
2
4
0
4
1000
4000
1
1
2
2
0
133000
0
meter
33.6
Centrifuge
Grand Total=
26423525
SARDAR BEGUM HOSPITAL
Sr.
Equipment
Standard as per
No.
Available
Gap
Cost/Unit
MSDS
Total
Cost
(Qty.)
C
1
CTG (Cardiac
B
A
1
1
2
1
1
285000
285000
Tocography)
2
Foetal Doppler
3
5
5
3
2
101000
202000
3
Diagnostic
1
1
2
0
1
1200000
1200000
10
20
20
0
20
45
900
Laparoscope
4
Bulb Sucker
5
Baby Warmer
3
3
6
1
5
850000
4250000
6
Mechanical
3
3
6
2
4
28000
112000
Sucker
7
Fetal Stethoscope
4
4
4
3
1
1500
1500
8
Delivery Table
2
2
3
3
0
17500
0
9
D&C Set
2
3
4
2
2
2100
4200
10
Outlet forceps
4
4
4
3
1
900
900
11
Myoma Screw
2
2
2
2
0
320
0
12
Kochers forceps
4
4
8
4
4
235
940
13
Volselum forceps
6
8
10
5
5
235
1175
14
Lanes Tissue
2
2
4
2
2
400
800
10
10
10
4
6
350
2100
holding forceps
15
Vaginal
Retractors
133
Three Years Rolling Plan 2010-2013 District Sialkot
16
Polypectomy
2
2
2
2
0
750
0
10
15
20
10
10
300
3000
1
1
1
1
0
150
0
6
10
10
5
5
550
2750
forceps
17
Sponge holder
18
Uterine elevator
19 CosCo Speculum
20
Examination light
3
3
6
2
4
18000
72000
21
Suction Curette
1
2
2
1
1
95
95
22
Infant
1
1
2
0
2
95000
190000
1
1
2
0
2
110000
220000
Resuscitation
Trolley (with life
saving medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable Light)
23
Mother
Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable light)
24
Cardiac Monitor
1
1
2
0
2
500000
1000000
25
Pump Breast
1
1
1
0
1
250000
250000
2
2
4
1
3
30000
90000
2
2
4
2
2
55
110
Electronic
26
Vaginal
Hysterectomy
Set
26.1
Toothed Tissue
Forceps (8”)
134
Three Years Rolling Plan 2010-2013 District Sialkot
26.2
Non-Tooted
2
2
4
2
2
55
110
2
2
4
2
2
150
300
2
2
4
2
2
150
300
8
8
16
6
10
150
1500
8
8
16
7
9
175
1575
Tissue Forceps
(8”)
26.3
Dissection
Scissors (Curved
7”)
26.4
Dissection
Scissors (Straight
7”)
26.5
Hysterectomy
Clamps (Straight)
26.6
Hysterectomy
Clamps (Curved)
26.7
Uterine Sound
2
2
4
1
3
90
270
26.8
Needle Holder (7”)
2
2
4
2
2
150
300
26.9
Needle Holder
2
2
4
2
2
300
600
16
16
32
10
22
110
2420
16
16
32
15
17
125
2125
(10”)
26.1
Artery Forceps
(Straight 6”)
26.11
Artery Forceps
(Curved 6”)
26.12
Allis Forceps
8
8
16
7
9
230
2070
26.13
Towel Clamps
8
8
16
8
8
125
1000
26.14
Single blade Sims
4
4
8
4
4
275
1100
4
4
8
4
4
250
1000
8
8
16
8
8
200
1600
speculum
26.15
Double blade
Sims speculum
26.16
Sponge holding
forceps
26.17
Volselum forceps
4
4
8
4
4
250
1000
26.18
Uterine Sound
2
2
4
1
3
1500
4500
26.19
Bladder Sound
2
2
4
1
3
1500
4500
27
Delivery Sets
10
10
15
4
11
Episiotomy
10
10
15
10
5
27.1
0
125
625
135
Three Years Rolling Plan 2010-2013 District Sialkot
Scissors
27.2
Straight Scissors
10
10
15
10
5
360
1800
27.3
Needle holder
10
10
15
10
5
135
675
27.4
Non-toothed
10
10
15
10
5
100
500
10
10
15
10
5
100
500
20
20
30
15
15
275
4125
20
20
30
16
14
250
3500
40
40
60
30
30
250
7500
tissue forceps 8
inches
27.5
Toothed tissue
forceps 8 inches
27.6
Sims Speculum
single blade
27.7
Sims Speculum
double blade
27.8
Sponge holding
forceps
27.9
Artery forceps
40
40
60
25
35
275
9625
27.1
Straight clamps
20
20
30
20
10
175
1750
1
1
1
0
1
19000
19000
125
3750
(cord)
27.11
Vacuum
Extractor pump
27.12
Towel clip
40
40
60
30
30
28
Caesarian
6
8
10
6
4
6
8
10
6
4
50
200
24
32
40
24
16
125
2000
24
32
40
20
20
125
2500
24
32
40
20
20
175
3500
6
8
10
6
4
150
600
6
8
10
4
6
270
1620
0
Section
28.1
Scalpel
28.2
Artery Forceps
Straight 6 inches
28.3
Artery Forceps
Curved 6 inches
28.4
Artery forceps 8
inches
28.5
Myoma Scissors
straight 7 inches
28.6
Dissecting
scissors (curved)
7 inches
136
Three Years Rolling Plan 2010-2013 District Sialkot
28.7
Green Armtage
24
32
40
18
22
300
6600
6
8
10
5
5
900
4500
6
8
10
5
5
200
1000
Small Retractors
12
16
20
10
10
300
3000
28.11
Towel Clippers
24
32
40
20
20
125
2500
28.12
Suction Nozzle
6
8
10
6
4
250
1000
29
MNCH Related
forceps 8 inches
28.8
Obstetric outlet
forceps (pair)
28.9
Doyene’s
Retractor
28.1
0
Radiology
Equipments
29.1
Ultrasound
1
2
3
2
1
575000
575000
1
1
1
0
1
6000000
6000000
Machine
29.2 X-Ray Unit 500
kw
29.3
Color Doppler
0
1
1
0
1
5750000
5750000
29.4
Lead Screen for
1
1
1
1
0
30000
0
1
1
1
0
1
100000
100000
X-Ray Unit
29.5
0.5 MN Lead
Apron. Lead
Gloves, Goggles
and Thyroid and
Gonadal Sheets
29.6
Safe Light
1
1
1
1
0
5000
0
29.7
X-RT Film
1
1
1
0
1
5000
5000
Processing Tank
29.8
Chest Stand
1
1
1
1
0
4500
0
29.9
X-Ray film
2
2
2
1
1
4000
4000
4
4
4
4
0
4000
0
Illuminator
29.1
X-Ray Film
Hangers All sizes
30
MNCH Related
0
Paediatrics
137
Three Years Rolling Plan 2010-2013 District Sialkot
Equipments
30.1
Paediatric
1
2
2
0
2
1200000
2400000
Ventilator
30.2
Incubator
1
1
2
1
1
1500000
1500000
30.3
Photo Therapy
1
1
1
1
0
22000
0
1
1
1
0
1
910000
910000
2
2
2
0
2
5000
10000
2
2
2
4
0
3100
0
Unit
30.4
Over-head
Radiant Warmer
30.5
Infant Length
Measuring Scale
30.6
Infant Weighing
Machine
30.7
Nebulizer
1
1
2
1
1
22000
22000
30.8
Billiubino-meter
1
1
2
0
2
36000
72000
30.9
Exchange Blood
1
1
2
0
2
2000
4000
2
2
4
0
4
7000
28000
Transfusion Set
30.1
Nasal Probe Paed
size
31
31.1
Anaesthesia/ICU
Anaesthesia
0
1
1
2
1
1
321000
321000
Machine
31.2
Ventilators
1
1
1
0
1
525000
525000
31.3
Nebulizer
1
1
1
1
0
165000
0
31.4
Pulse Oximetry
1
1
1
1
0
21000
0
31.5
Defibrillator
1
1
1
0
1
500000
500000
31.6
Airway Oral and
2
3
4
2
2
500
1000
2
2
4
0
4
1000
4000
2
2
4
0
4
1000
4000
1
2
2
0
2
320
640
Nasal
31.7
Tracheostomy
tube (adult and
paeds)
31.8
Face mask of all
sizes
31.9
Double Cuff
Tourniquet (for
138
Three Years Rolling Plan 2010-2013 District Sialkot
regional block)
31.1
AMBO bag adult
2
2
4
2
2
2450
4900
31.11
AMBO Bag paeds
2
2
4
2
2
3000
6000
31.12
Red Rubber
4
4
8
0
8
1000
8000
Nasal tubes all
sizes without cuff
32
32.1
Blood Bank
Blood storage
0
1
1
2
0
2
812000
1624000
1
1
1
0
1
600000
600000
cabinet (100 bag
capacity)
32.2
Packed cell
machine
32.3
Cell Separator
1
1
1
0
1
5225000
5225000
32.4
Freezer for Fresh
1
1
1
0
1
1150000
1150000
Frozen Plasma
32.5
Blood bag shaker
1
1
2
0
2
10000
20000
32.6
RH view box
2
2
4
0
4
1000
4000
32.7
Water bath
2
2
2
0
2
3000
6000
32.8
Micro-pipette
4
6
8
0
8
8000
64000
32.9
Blood grouping
3
3
6
0
6
3000
18000
tiles
32.1
Plasma Extractor
1
1
1
0
1
1000000
1000000
32.11
Platelets agitator
1
1
1
0
1
1000000
1000000
32.12
Blood thawing
1
1
1
0
1
3000
3000
1
1
2
0
2
115000
230000
bath
32.13
33
Microscopes
Gynae & Labour
0
Room Related
Laboratory
Equipment
33.1
Hematology
1
1
1
1
0
425000
0
1
1
1
1
0
625000
0
Analyzer
33.2
Electrolyte
Analyzer
139
Three Years Rolling Plan 2010-2013 District Sialkot
33.3
Analyzer Bio-
1
1
1
1
0
690000
0
chemistry Semiautomatic
33.4
Glucometer
2
2
2
1
1
2500
2500
33.5
Haemoglobino-
2
2
4
0
4
1000
4000
1
1
2
2
0
133000
0
meter
33.6
Centrifuge
Grand Total = 37703150
THQ HOSPITAL DASKA
Sr.
Equipment
No.
Standard as
Available Gap Cost/Unit
per MSDS
Total
Cost
(Qty.)
C
1
CTG (Cardiac
B
A
1
1
1
1
0
285000
0
Tocography)
2
Foetal Doppler
2
2
3
1
2
101000
202000
3
Diagnostic
1
1
1
0
1
1200000
1200000
Laparoscope
4
Bulb Sucker
5
10
20
5
15
45
675
5
Baby Warmer
2
2
3
1
2
850000
1700000
6
Mechanical Sucker
3
3
3
7
0
28000
0
7
Fetal Stethoscope
2
3
4
2
2
1500
3000
8
Delivery Table
2
2
2
2
17500
0
9
D&C Set
2
2
2
2100
0
140
Three Years Rolling Plan 2010-2013 District Sialkot
10
Outlet forceps
4
4
4
3
1
900
900
11
Myoma Screw
2
2
2
1
1
320
320
12
Kochers forceps
4
4
4
35
0
235
0
13
Volselum forceps
4
4
6
2
4
235
940
14
Lanes Tissue holding
2
2
2
2
0
400
0
forceps
15
Vaginal Retractors
4
4
6
1
5
350
1750
16
Polypectomy forceps
2
2
2
1
1
750
750
17
Sponge holder
10
10
15
10
5
300
1500
18
Uterine elevator
1
1
1
1
0
150
0
4
6
6
4
2
550
1100
19 CosCo Speculum
20
Examination light
3
3
3
3
0
18000
0
21
Suction Curette
1
1
2
2
0
95
0
22
Infant Resuscitation
1
1
1
0
1
95000
95000
Trolley (with life
saving medicines,
baby laryngoscope,
Endo0tracheal tube,
Infant BP Apparatus,
Chargeable Light)
141
Three Years Rolling Plan 2010-2013 District Sialkot
23
Mother
1
1
1
0
1
110000
110000
Resuscitation Trolley
(with life saving
medicines,
Laryngoscope,
Endo0tracheal tube,
BP Apparatus,
Chargeable light)
24
Cardiac Monitor
1
1
1
0
1
500000
500000
25
Pump Breast
1
1
1
0
1
250000
250000
2
2
2
0
30000
0
2
2
2
15
0
55
0
2
2
2
8
0
55
0
2
2
2
6
0
150
0
2
2
2
5
0
150
0
8
8
8
6
2
150
300
8
8
8
5
3
175
525
Electronic
26
Vaginal
Hysterectomy Set
26.1
Toothed Tissue
Forceps (8”)
26.2
Non0Tooted Tissue
Forceps (8”)
26.3
Dissection Scissors
(Curved 7”)
26.4
Dissection Scissors
(Straight 7”)
26.5
Hysterectomy
Clamps (Straight)
26.6
Hysterectomy
Clamps (Curved)
26.7
Uterine Sound
2
2
2
1
1
90
90
26.8
Needle Holder (7”)
2
2
4
2
2
150
300
142
Three Years Rolling Plan 2010-2013 District Sialkot
26.9
Needle Holder (10”)
2
2
2
1
1
300
300
26.1
Artery Forceps
16
16
16
14
2
110
220
16
16
16
20
0
125
0
26.12 Allis Forceps
8
8
8
15
0
230
0
26.13 Towel Clamps
8
8
8
10
0
125
0
26.14 Single blade Sims
4
4
4
12
0
275
0
4
4
4
4
0
250
0
8
8
8
10
0
200
0
26.17 Volselum forceps
4
4
4
2
2
250
500
26.18 Uterine Sound
2
2
2
1
1
1500
1500
26.19 Bladder Sound
2
2
2
1
1
1500
1500
Delivery Sets
6
6
10
27.1
Episiotomy Scissors
6
6
10
2
8
125
1000
27.2
Straight Scissors
6
6
10
4
6
360
2160
27.3
Needle holder
6
6
10
6
4
135
540
27.4
Non0toothed tissue
6
6
10
4
6
100
600
6
6
10
4
6
100
600
(Straight 6”)
26.11 Artery Forceps
(Curved 6”)
speculum
26.15 Double blade Sims
speculum
26.16 Sponge holding
forceps
27
0
forceps 8 inches
27.5
Toothed tissue
forceps 8 inches
143
Three Years Rolling Plan 2010-2013 District Sialkot
27.6
Sims Speculum
12
12
20
12
8
275
2200
12
12
20
12
8
250
2000
40
40
40
20
20
250
5000
single blade
27.7
Sims Speculum
double blade
27.8
Sponge holding
forceps
27.9
Artery forceps
40
40
40
25
15
275
4125
27.1
Straight clamps
20
20
30
18
12
175
2100
1
1
1
1
0
19000
0
40
40
40
18
22
125
2750
Caesarian Section
4
4
6
28.1
Scalpel
4
4
6
4
2
50
100
28.2
Artery Forceps
16
16
24
10
14
125
1750
16
16
24
12
12
125
1500
16
16
24
6
18
175
3150
4
4
6
6
0
150
0
4
4
6
6
0
270
0
16
16
24
6
18
300
5400
(cord)
27.11 Vacuum Extractor
pump
27.12 Towel clip
28
0
Straight 6 inches
28.3
Artery Forceps
Curved 6 inches
28.4
Artery forceps 8
inches
28.5
Myoma Scissors
straight 7 inches
28.6
Dissecting scissors
(curved) 7 inches
28.7
Green Armtage
forceps 8 inches
144
Three Years Rolling Plan 2010-2013 District Sialkot
28.8
Obstetric outlet
4
4
6
1
5
900
4500
forceps (pair)
28.9
Doyene’s Retractor
4
4
6
2
4
200
800
28.1
Small Retractors
8
8
12
14
0
300
0
28.11 Towel Clippers
16
16
24
20
4
125
500
28.12 Suction Nozzle
4
4
6
3
3
250
750
29
MNCH Related
0
Radiology
Equipments
29.1
Ultrasound Machine
29.2 X0Ray Unit 500 kw
1
1
2
2
0
575000
0
1
1
1
1
0
6000000
0
29.3
Color Doppler
0
0
0
0
0
5750000
0
29.4
Lead Screen for
1
1
1
1
0
30000
0
1
1
1
2
0
100000
0
X0Ray Unit
29.5
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
29.6
Safe Light
1
1
1
1
0
5000
0
29.7
X0RT Film
1
1
1
0
1
5000
5000
Processing Tank
29.8
Chest Stand
1
1
1
1
0
4500
0
29.9
X0Ray film
2
2
2
2
0
4000
0
4
4
4
4
0
4000
0
Illuminator
29.1
X0Ray Film Hangers
All sizes
145
Three Years Rolling Plan 2010-2013 District Sialkot
30
MNCH Related
0
Paediatrics
Equipments
30.1
Paediatric Ventilator
1
1
2
0
2
1200000
2400000
30.2
Incubator
1
1
1
1
0
1500000
0
30.3
Photo Therapy Unit
1
1
1
1
0
22000
0
30.4
Over0head Radiant
1
1
1
1
0
910000
0
2
2
2
2
0
5000
0
2
2
2
2
0
3100
0
Warmer
30.5
Infant Length
Measuring Scale
30.6
Infant Weighing
Machine
30.7
Nebulizer
1
1
1
1
0
22000
0
30.8
Billiubino0meter
1
1
1
0
2
36000
72000
30.9
Exchange Blood
1
1
1
0
1
2000
2000
1
2
2
0
2
7000
14000
Transfusion Set
30.1
Nasal Probe Paed
size
31
31.1
Anaesthesia/ICU
Anaesthesia
0
1
1
1
2
0
321000
0
Machine
31.2
Ventilators
1
1
1
1
0
525000
0
31.3
Nebulizer
1
1
1
1
0
165000
0
31.4
Pulse Oximetry
1
1
1
1
0
21000
0
31.5
Defibrillator
1
1
1
0
1
500000
500000
146
Three Years Rolling Plan 2010-2013 District Sialkot
31.6
Airway Oral and
1
2
2
2
0
500
0
1
2
2
0
2
1000
2000
1
2
2
2
0
1000
0
1
1
1
0
1
320
320
1
2
2
2
0
2450
0
31.11 AMBO Bag paeds
2
2
2
2
0
3000
0
31.12 Red Rubber Nasal
4
4
4
0
4
1000
4000
Nasal
31.7
Tracheostomy tube
(adult and paeds)
31.8
Face mask of all
sizes
31.9
Double Cuff
Tourniquet (for
regional block)
31.1
AMBO bag adult
tubes all sizes
without cuff
32
32.1
Blood Bank
Blood storage
0
1
1
1
1
0
812000
0
cabinet (100 bag
capacity)
32.2
Packed cell machine
1
1
1
0
1
600000
600000
32.3
Cell Separator
1
1
1
0
1
5225000
5225000
32.4
Freezer for Fresh
1
1
1
0
1
1150000
1150000
Frozen Plasma
32.5
Blood bag shaker
1
1
1
0
1
10000
10000
32.6
RH view box
1
2
2
1
1
1000
1000
32.7
Water bath
2
2
2
0
2
3000
6000
32.8
Micro0pipette
4
4
6
1
5
8000
40000
147
Three Years Rolling Plan 2010-2013 District Sialkot
32.9
Blood grouping tiles
3
3
3
0
3
3000
9000
32.1
Plasma Extractor
1
1
1
0
1
1000000
1000000
32.11 Platelets agitator
1
1
1
0
1
1000000
1000000
32.12 Blood thawing bath
1
1
1
0
1
3000
3000
32.13 Microscopes
1
1
1
0
2
115000
230000
33
Gynae & Labour
0
Room Related
Laboratory
Equipment
33.1
Hematology Analyzer
1
1
1
1
0
425000
0
33.2
Electrolyte Analyzer
1
1
1
1
0
625000
0
33.3
Analyzer
1
1
1
2
0
690000
0
Bio0chemistry
Semi0automatic
33.4
Glucometer
2
2
2
6
0
2500
0
33.5
Haemoglobino0meter
1
1
1
1
0
1000
0
33.6
Centrifuge
1
1
1
2
0
133000
0
Grand Total= 16388015
148
Three Years Rolling Plan 2010-2013 District Sialkot
THQ HOSPITAL PASRUR
Sr.
Equipment
Standard
No.
Available
Gap
Cost/Unit
as per
Total
Cost
MSDS
(Qty.)
1
CTG (Cardiac
C
B
A
1
1
1
1
0
285000
0
Tocography)
2
Foetal Doppler
2
2
3
1
1
101000
101000
3
Diagnostic
1
1
1
0
1
1200000
1200000
Laparoscope
4
Bulb Sucker
5
10
20
5
0
45
0
5
Baby Warmer
2
2
3
1
1
850000
850000
6
Mechanical Sucker
3
3
3
7
0
28000
0
7
Fetal Stethoscope
2
3
4
2
0
1500
0
8
Delivery Table
2
2
2
2
0
17500
0
9
D&C Set
2
2
2
2
2100
4200
10
Outlet forceps
4
4
4
3
1
900
900
11
Myoma Screw
2
2
2
1
1
320
320
12
Kochers forceps
4
4
4
35
0
235
0
13
Volselum forceps
4
4
6
2
2
235
470
14
Lanes Tissue holding
2
2
2
2
0
400
0
4
4
6
1
3
350
1050
forceps
15
Vaginal Retractors
149
Three Years Rolling Plan 2010-2013 District Sialkot
16
Polypectomy forceps
17
Sponge holder
18
Uterine elevator
19 CosCo Speculum
2
2
2
1
1
750
750
10
10
15
10
0
300
0
1
1
1
1
0
150
0
4
6
6
4
0
550
0
20
Examination light
3
3
3
3
0
18000
0
21
Suction Curette
1
1
2
2
0
95
0
22
Infant Resuscitation
1
1
1
0
1
95000
95000
1
1
1
0
1
110000
110000
Trolley (with life
saving medicines,
baby laryngoscope,
Endo0tracheal tube,
Infant BP Apparatus,
Chargeable Light)
23
Mother Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo0tracheal tube,
BP Apparatus,
Chargeable light)
24
Cardiac Monitor
1
1
1
0
1
500000
500000
25
Pump Breast
1
1
1
0
1
250000
250000
2
2
2
2
30000
60000
2
2
2
15
0
55
0
2
2
2
8
0
55
0
Electronic
26
Vaginal
Hysterectomy Set
26.1
Toothed Tissue
Forceps (8”)
26.2
Non0Tooted Tissue
150
Three Years Rolling Plan 2010-2013 District Sialkot
Forceps (8”)
26.3
Dissection Scissors
2
2
2
6
0
150
0
2
2
2
5
0
150
0
8
8
8
6
2
150
300
8
8
8
5
3
175
525
(Curved 7”)
26.4
Dissection Scissors
(Straight 7”)
26.5
Hysterectomy Clamps
(Straight)
26.6
Hysterectomy Clamps
(Curved)
26.7
Uterine Sound
2
2
2
1
1
90
90
26.8
Needle Holder (7”)
2
2
4
2
0
150
0
26.9
Needle Holder (10”)
2
2
2
1
1
300
300
26.1
Artery Forceps
16
16
16
14
2
110
220
16
16
16
20
0
125
0
(Straight 6”)
26.11
Artery Forceps
(Curved 6”)
26.12
Allis Forceps
8
8
8
15
0
230
0
26.13
Towel Clamps
8
8
8
10
0
125
0
26.14
Single blade Sims
4
4
4
12
0
275
0
4
4
4
4
0
250
0
8
8
8
10
0
200
0
speculum
26.15
Double blade Sims
speculum
26.16
Sponge holding
forceps
26.17
Volselum forceps
4
4
4
2
2
250
500
26.18
Uterine Sound
2
2
2
1
1
1500
1500
151
Three Years Rolling Plan 2010-2013 District Sialkot
26.19
Bladder Sound
2
2
2
1
1
1500
1500
27
Delivery Sets
6
6
10
27.1
Episiotomy Scissors
6
6
10
2
4
125
500
27.2
Straight Scissors
6
6
10
4
2
360
720
27.3
Needle holder
6
6
10
6
0
135
0
27.4
Non0toothed tissue
6
6
10
4
2
100
200
6
6
10
4
2
100
200
12
12
20
12
0
275
0
12
12
20
12
0
250
0
40
40
40
20
20
250
5000
6
0
forceps 8 inches
27.5
Toothed tissue
forceps 8 inches
27.6
Sims Speculum
single blade
27.7
Sims Speculum
double blade
27.8
Sponge holding
forceps
27.9
Artery forceps
40
40
40
25
15
275
4125
27.1
Straight clamps
20
20
30
18
2
175
350
1
1
1
1
0
19000
0
40
40
40
18
22
125
2750
Caesarian Section
4
4
6
28.1
Scalpel
4
4
6
4
0
50
0
28.2
Artery Forceps
16
16
24
10
6
125
750
(cord)
27.11
Vacuum Extractor
pump
27.12
28
Towel clip
4
0
Straight 6 inches
152
Three Years Rolling Plan 2010-2013 District Sialkot
28.3
Artery Forceps
16
16
24
12
4
125
500
16
16
24
6
10
175
1750
4
4
6
6
0
150
0
4
4
6
6
0
270
0
16
16
24
6
10
300
3000
4
4
6
1
3
900
2700
Curved 6 inches
28.4
Artery forceps 8
inches
28.5
Myoma Scissors
straight 7 inches
28.6
Dissecting scissors
(curved) 7 inches
28.7
Green Armtage
forceps 8 inches
28.8
Obstetric outlet
forceps (pair)
28.9
Doyene’s Retractor
4
4
6
2
2
200
400
28.1
Small Retractors
8
8
12
14
0
300
0
28.11
Towel Clippers
16
16
24
20
0
125
0
28.12
Suction Nozzle
4
4
6
3
1
250
250
29
MNCH Related
0
0
Radiology
Equipments
29.1
Ultrasound Machine
29.2 X0Ray Unit 500 kw
1
1
2
2
0
575000
0
1
1
1
1
0
6000000
0
29.3
Color Doppler
0
0
0
0
0
5750000
0
29.4
Lead Screen for
1
1
1
1
0
30000
0
1
1
1
2
0
100000
0
X0Ray Unit
29.5
0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
153
Three Years Rolling Plan 2010-2013 District Sialkot
Gonadal Sheets
29.6
Safe Light
1
1
1
1
0
5000
0
29.7
X0RT Film
1
1
1
0
1
5000
5000
Processing Tank
29.8
Chest Stand
1
1
1
1
0
4500
0
29.9
X0Ray film
2
2
2
2
0
4000
0
4
4
4
4
0
4000
0
Illuminator
29.1
X0Ray Film Hangers
All sizes
30
MNCH Related
0
0
Paediatrics
Equipments
30.1
Paediatric Ventilator
1
1
2
0
1
1200000
1200000
30.2
Incubator
1
1
1
1
0
1500000
0
30.3
Photo Therapy Unit
1
1
1
1
0
22000
0
30.4
Over0head Radiant
1
1
1
1
0
910000
0
2
2
2
2
0
5000
0
2
2
2
2
0
3100
0
Warmer
30.5
Infant Length
Measuring Scale
30.6
Infant Weighing
Machine
30.7
Nebulizer
1
1
1
1
0
22000
0
30.8
Billiubino0meter
1
1
1
0
1
36000
36000
30.9
Exchange Blood
1
1
1
0
1
2000
2000
1
2
2
0
1
7000
7000
Transfusion Set
30.1
Nasal Probe Paed size
154
Three Years Rolling Plan 2010-2013 District Sialkot
31
Anaesthesia/ICU
0
0
31.1
Anaesthesia Machine
1
1
1
2
0
321000
0
31.2
Ventilators
1
1
1
1
0
525000
0
31.3
Nebulizer
1
1
1
1
0
165000
0
31.4
Pulse Oximetry
1
1
1
1
0
21000
0
31.5
Defibrillator
1
1
1
0
1
500000
500000
31.6
Airway Oral and
1
2
2
2
0
500
0
1
2
2
0
1
1000
1000
Nasal
31.7
Tracheostomy tube
(adult and paeds)
31.8
Face mask of all sizes
1
2
2
2
0
1000
0
31.9
Double Cuff
1
1
1
0
1
320
320
Tourniquet (for
regional block)
31.1
AMBO bag adult
1
2
2
2
0
2450
0
31.11
AMBO Bag paeds
2
2
2
2
0
3000
0
31.12
Red Rubber Nasal
4
4
4
0
4
1000
4000
tubes all sizes
without cuff
32
32.1
Blood Bank
Blood storage cabinet
0
0
1
1
1
1
0
812000
0
(100 bag capacity)
32.2
Packed cell machine
1
1
1
0
1
600000
600000
32.3
Cell Separator
1
1
1
0
1
5225000
5225000
32.4
Freezer for Fresh
1
1
1
0
1
1150000
1150000
155
Three Years Rolling Plan 2010-2013 District Sialkot
Frozen Plasma
32.5
Blood bag shaker
1
1
1
0
1
10000
10000
32.6
RH view box
1
2
2
1
0
1000
0
32.7
Water bath
2
2
2
0
2
3000
6000
32.8
Micro0pipette
4
4
6
1
3
8000
24000
32.9
Blood grouping tiles
3
3
3
0
3
3000
9000
32.1
Plasma Extractor
1
1
1
0
1
1000000
1000000
32.11
Platelets agitator
1
1
1
0
1
1000000
1000000
32.12
Blood thawing bath
1
1
1
0
1
3000
3000
32.13
Microscopes
1
1
1
0
1
115000
115000
33
Gynae & Labour
0
0
Room Related
Laboratory
Equipment
33.1
Hematology Analyzer
1
1
1
1
0
425000
0
33.2
Electrolyte Analyzer
1
1
1
1
0
625000
0
33.3
Analyzer
1
1
1
2
0
690000
0
Bio0chemistry
Semi0automatic
33.4
Glucometer
2
2
2
6
0
2500
0
33.5
Haemoglobino0meter
1
1
1
1
0
1000
0
33.6
Centrifuge
1
1
1
2
0
133000
0
Grand Total= 14099140
156