Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Three Years Rolling Plan
2010-2013
Dera Ghazi Khan
Page 1
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Contents
Acronyms ............................................................................................................................................................................. 4
Executive Summary ......................................................................................................................................................... 6
SECTION 1: DISTRICT HEALTH PROFILE ........................................................................................................... 8
A.
Vision of the District .............................................................................................................................................. 8
B.
Background of the District .................................................................................................................................. 8
C.
Map of the District .................................................................................................................................................. 9
D.
Demography.............................................................................................................................................................. 9
E.
Socio-Economic Indicators ...............................................................................................................................10
F.
Heath Indicators ....................................................................................................................................................11
G.
Organizational Structure of District Health Administration ...............................................................12
H.
Health Resources ..................................................................................................................................................13
I.
Health Facilities ................................................................................................................................................13
a)
Public ................................................................................................................................................................13
b)
Private ..............................................................................................................................................................13
II.
Human Resource ..............................................................................................................................................13
a)
Administrative ..............................................................................................................................................14
b)
Facility Based Staff......................................................................................................................................14
c)
Outreach..........................................................................................................................................................19
d)
Training Institutions ..................................................................................................................................19
III.
Health Financing ..........................................................................................................................................20
I.
Disease Pattern ......................................................................................................................................................21
J.
Status of Vertical Programs ..............................................................................................................................23
1.
National Program for FP & PHC .................................................................................................................23
2.
EPI ..........................................................................................................................................................................23
3.
MNCH Program .................................................................................................................................................24
4.
TB Control Program ........................................................................................................................................24
5.
Malaria Control Program ..............................................................................................................................24
6.
HIV/AIDS Control Program..........................................................................................................................25
7.
Hepatitis Control Program ...........................................................................................................................25
SECTION 2: PROBLEM ANALYSIS .........................................................................................................................27
A.
Objectives .................................................................................................................................................................27
B.
Plan Development Process................................................................................................................................28
1.
Problem Identification ...................................................................................................................................28
Health Problems..............................................................................................................................................................29
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
2.
Problem Prioritization ...................................................................................................................................29
Underlying causes of prioritized health problems ......................................................................................30
Service delivery/Management problems .............................................................................................................32
Underlying causes of Management Problems ................................................................................................32
C.
MDGs and MSDS ....................................................................................................................................................33
1.
Human Resource ..............................................................................................................................................33
a)
DHQ Hospital .................................................................................................................................................34
b)
THQ Hospital ..................................................................................................................................................35
2.
Equipment...........................................................................................................................................................35
a)
DHQ Hospital .................................................................................................................................................36
b)
THQ Hospital Taunsa ..................................................................................................................................42
SECTION 3: INTERVENTIONS AND TARGETS ................................................................................................49
A.
Health Problems ....................................................................................................................................................49
B.
Management Problems .......................................................................................................................................60
SECTION 4: COSTING & FINANCING PLAN ......................................................................................................66
1.
Activity based costing .........................................................................................................................................66
a)
Health Problems ...............................................................................................................................................66
b)
Management Problems ..................................................................................................................................77
2.
Financial Outlay including 3YRP Activities ................................................................................................83
a)
Health Problems ...............................................................................................................................................83
b)
Management Problems ..................................................................................................................................85
3.
Summaries ...............................................................................................................................................................86
1.
Problem-wise Costing ....................................................................................................................................86
a)
Health Problem ............................................................................................................................................86
b)
Management Problems .............................................................................................................................87
2.
Activity-wise Costing ......................................................................................................................................88
a)
Health Problems ..........................................................................................................................................88
b)
Management Problems .............................................................................................................................95
SECTION 5: MONITORING & EVALUATION .....................................................................................................98
M&E of Plan.......................................................................................................................................................................98
Annex- I............................................................................................................................................................................ 102
Annex-II ........................................................................................................................................................................... 111
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Acronyms
3YRP
Three Years Rolling plan
ADB
Asian Development Bank
APMO
Additional Principal Medical Officer
ARI
Acute Respiratory Infections
BHU
Basic Health Center
BoD
Burden of Disease
CDC
Communicable Disease Control
CDR
Case Detection Rate
CPR
Contraceptive Prevalence Rate
DHIS
District Health Information System
DHQH
District Head Quarter Hospital
DoH
Department of Health
DR
Default Rate
EDO(H)
Executive District Officer Health
EPI
Expended Program on Immunization
HSRP
Health Sector Reforms Program
IMR
Infant Mortality Rate
IPC
Interpersonal Communication
M&E
Monitoring and Evaluation
M&E
Maintenance and Repair
MCH
Maternal Child Health
MMR
Maternal Mortality Ratio
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
MNCH
Maternal Newborn and Child Health
MO
Medical Officer
MoV
Means of Verification
MSDS
Minimum Service Delivery Standards
PDSSP
Punjab Devolved Social Services Program
PHC
Primary Health Care
PMO
Principal Medial Officer
POL
Petrol, Oil and Lubricant
RHC
Rural Health Center
SCR
Sputum Conversion Rate
SHC
Secondary Health Care
SMO
Senior Medical Officer
TAMA
Technical Assistance Management Agency
TB
Tuberculosis
THQH
Tehsil Head Quarter Hospital
TNA
Training Need Assessment
WHO
World Health Organization
WMO
Women Medical Officer
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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 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
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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 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 Dera Ghazi Khan
DISTRICT DERA GHAZI KHAN
SECTION 1: DISTRICT HEALTH PROFILE
A. Vision of the District
To provide comprehensive Health Care Services to the people of district with specific
focus on mother and child health, through efficient use of available resources, to
improve the health status of the population in the district.
B. Background of the District
Dera Ghazi Khan Town was founded by Haji Khan, after the name of his son Ghazi Khan.
In 1849, on the conclusion of the second Sikh War, the British Government declared it as
a district. DG Khan District is situated in the southwestern part of Pakistan, consists of
two major towns, i.e. DG Khan and Taunsa. The district is bounded on the north by the
District Dera Ismail Khan (KPK) and its adjoining area; on the east by Muzaffargarh and
Layyah separating these two districts by river Indus; on the south by Rajanpur: and on
the west by Musa Khail and Barkhan districts of Baluchistan Province. The total area of
the district is 11,922 square kilometers. Geographically, District DG Khan is divided into
two regions i.e. one is the mountainous area and the other is plane in the east. The
western half of the district is covered by the hills of the Suleman Mountains. The
mountains are formed of sandstone with occasional autocross of limestone. The plane
area of the district can be subdivided into three natural tracts, namely, piedmont area,
canal-well irrigated plane area and riverine area. The piedmont area stretches along
base of hills. The cultivation in area depends upon flow of hill torrents. Canal-well
irrigated plane area forms the intermediate zone between the piedmont area and
riverine area. The cultivation of these areas depends upon the spills of the river Indus.
The district headquarter D.G. Khan is connected with metalled roads to its Tehsil head
quarters. A metalled road also connects this district with Musa Kheail, Barkhan, Loralai
and other districts. The district is served by railway line from Taunsa Barrage to
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Rajanpur district across which it leads to Jacobbabad district of Sindh. DG Khan is
connected with Lahore, Rawalpindi, Karachi, Quetta and Peshawar through rail link
besides an airport, 26 kilometers away from the main DG Khan city.
C. Map of the District
D. Demography
o Total Population
2428483
o Annual growth rate
3-31%
o Population density
101 persons per sq. km
1. Rural-urban population
Area
Rural
Urban
Population
2090265
338218
Percentage
86.07
13.93
Source: Projected values based on 1998 census
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
2. Male-female population
Gender
Population
1192385
1236098
Male
Female
Percentage
49.1%
50.9%
Source: Projected values based on 1998 census
3. Population groups
Population Groups
Under 1 year of age
Under 5 years
Under 15 years
Women in child bearing age (1549 years)
Married Child Bearing age Women
Expected pregnancies
Standard
Demographic (%)
2.7
13.4
44
22
Estimated
Population
65569
325417
1068533
534266
16
3.4
388557
82568
Standard Demographic population groups may be based on DHIS
4. Tehsil wise distribution
Tehsil
Tehsil D.G Khan
Tehsil Taunsa
(Tribal Area)
District DG Khan
Number of UC
41
13
5
59
Population
1701459
540471
186517
2428483
E. Socio-Economic Indicators
1. Education and Literacy
Literacy rate
Percentage
10+ years
15+ years
Overall District 15-24 years
Source: MICS 2007=2008
2. Per capita income
44
40
45
980 US$
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
3. Housing



Household characteristics:
- Finished floor (pacca)
- Finished roof (pacca)
- Finished wall (pacca)
35
59
43
Mean household size
Mean number of persons per room
6.6
4.2
4. Water and Sanitation (Sanitation coverage)

Physical access to drinking water (within dwelling)
82

Use of improved drinking water sources
89

13 49 Use of properly treated water
1.3

Safe drinking water without bacteria
50

Use of sanitary means of excreta disposal
44

Use of improved water sources and improved sanitation
43
Proper disposal of:

-Waste water
26
- Solid waste
2
Hand washing adequately:
-Before meal
47
-After using latrine
49
F. Heath Indicators

Infant Mortality Rate

Under 5 mortality Rate
113/1000 Live births

Maternal mortality Ratio
320/100,000

Malnutrition (children)

78/1000 Live births
o Underweight prevalence (moderate & severe)
44
o Underweight prevalence (severe)
21
Life expectancy
64
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan

Proportion of children under 2 years immunized (OR) Proportion of children
under 1 years immunized against measles (2008-9)
89%
G. 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:
Executive District Officer
(Health)
M.S.
Program
Director
THQ Hospital
District Officer
Health
M.S. DHQ
Hospital
Principal
Nursing School
AIHS
DSV
DDHOs
District
Coordinator NP
for FP & PHC
Drug
inspectors
DHDC
District
Sanitary
Inspector
Assistant
Entomologist
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
H. Health Resources
I. Health Facilities
a) Public
Facility Type
Facility
DHQ Hospital
1
THQ Hospital
1
RHCs
9 RHCs
BHUs
52
GRDs
4
MCH Centre
5
SHCs
35
TB Clinics
-Health houses
1254
Data source: DHIS/EDOH office
Bed Strength
250
80
180
104
------
Functional
Beds
250
80
180
------
Remarks
----------
b) Private
Private sector is now growing fast and 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. However, according to available
information total number of private 45 hospitals and 146 clinics are working in
district D. G. Khan. Detailed list of private sector health facilities is attached as
Annex-I.
II.
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
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
a) Administrative
Staff involved in district level administration and supervision is as under:
Sr.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Name of Post
Executive District Officer Health
District Officer Health
Deputy District Officer Health
Program Director DHDC
District Coordinator National Program
District Coordinator EPI Surveillance
District Sanitary Inspector
CDC Officer
CDC Inspector
Drug Inspector
District Superintendent Vaccination
Assistant Superintendent Vaccination
Tehsil Sanitary Inspector
Inspector Vaccination
Sanctioned
Filled
1
1
3
1
0*
0*
1
2
4
4
1
2
4
2
1
1
3
1
1
1
1
0
2
3
1
2
4
2
*Post not sanctioned
b) Facility Based Staff
The staff of primary and secondary health facilities is given below:
i.
Sr.
1
2
3
4
5
6
7
8
9
10
11
Basic Health Units (52)
Name of Post/Designation
Medical Officer
School Health & Nutrition
Supervisor
Medical Assistant
Computer Operator
Medical Technician
LHV
Dispenser
Midwife
N/Qasid
Chowkidar
Sanitary Worker
Sanctione
d
52
Filled
Vacant
50
2
0
52
52
4
52
48
52
52
104
52
52
52
2
0
42
0
52
50
52
0
52
2
52
6
0
0
54
0
0
0
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
ii.
Rural Health Centre (9)
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
31
32
33
34
35
36
37
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
Dawakob
Ward Servant
Sweepers
Sanitary Worker
Sanitary Patrol
Naib Qasid
Mali
Cook
Chowkidar
Sanctioned
Filled
Vacant
9
9
9
9
54
5
5
9
4
1
6
8
9
12
8
0
4
8
3
1
0
42
4
9
0
27
9
9
9
5
9
9
9
9
36
9
9
45
9
8
5
5
18
-36
45
18
9
9
18
27
8
9
1
9
9
2
2
36
6
35
9
8
5
5
18
-36
45
18
9
7
18
0
1
0
4
0
0
7
7
0
9
3
10
0
0
0
0
0
-0
0
0
0
2
0
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
iii.
THQ Hospital Taunsa
S#
Name of post
Sanctioned
Filled
1
Medical Superintendent
1
1
2
APMO.
2
2
3
APWMO.
1
0
4
Gynecologist
3
2
5
Pediatrician
1
1
6
Surgeon
1
1
7
MO/CMO
12
9
8
9
WMO
Dental Surgeon
6
1
3
10
Hospital Pharmacist
1
1
11
Head Nurse
0
0
12
Charge Nurses
16
10
13
Homeo Doctor
1
1
14
Hakim
1
1
15
LHV.
0
0
16
Clerk
1
1
17
Dispenser/Dresser
5
18
19
Homeo Dispenser
Dawasaz
1
1
5
1
20
OTA.
1
1
21
Radiographer
1
1
22
Laboratory Assistant
1
1
23
Dental Assistant
1
1
24
Driver
1
1
25
Tub well operator
1
1
26
Dai
2
2
27
Ward servant
4
4
28
NQ/Dawakob
1
1
29
Bearer
1
1
30
Dhobi
0
0
31
Gate Keeper
1
1
32
Mashki
1
1
33
Baildar
0
0
34
Chowkidar
2
2
1
1
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
S#
Name of post
Sanctioned
Filled
35
Cook
0
0
36
Sweeper
6
6
iv.
DHQ Hospital D.G. Khan
S#
Name of post
Sanctioned
Filled
1
Medical Superintendent
1
1
2
Chief Consultant
3
3
3
PMO
1
1
4
PWMO
1
1
5
AMS
2
2
6
APMO
6
6
7
APWMO
4
4
8
Physician
1
1
9
Anesthetist
2
2
10
Cardiologist
1
0
11
Chest specialist
1
1
12
DMS / SMO
1
1
13
Neuro Surgeon
0
0
14
Nursing Superintendent
1
1
15
Nephrologist
0
0
16
Pediatrician
1
1
17
Pathologist
1
1
18
Radiologist
1
1
19
Surgeon
1
1
20
E.N.T. Specialist
1
1
21
Eye Specialist
1
1
22
Senior Dental Surgeon
1
0
23
Urologist
1
1
24
Dental Surgeon
2
2
25
Internees
0
0
26
Medical Officer
22
22
27
Pharmacist
1
1
28
Physiotherapist
1
1
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
S#
Name of post
Sanctioned
Filled
29
W.M.O
3
3
30
Charge Nurses
40
35
31
Head Nurse
6
1
32
Male Nurse
1
1
33
Hakeem
1
1
34
Homeo Doctor
1
1
35
Almoner
0
0
36
Computer Operator
0
0
37
Stenographer
0
0
38
Accountant
0
0
39
E.C.G. Haemo & CT Technician
2
2
40
Senior Clerk
3
3
41
Sanitary Inspector
1
1
42
Junior Clerk
5
5
43
Dawasaz
1
1
44
Dispenser
12
12
45
Homeo Dispenser
1
1
46
Operation Theater Assistant
2
2
47
Physiotherapist Aid
1
1
48
Radiographer
4
4
49
Dental Assistant
3
2
50
Lab. Assistant
4
4
51
Store Keeper
2
2
52
Driver
2
2
53
Midwife
3
3
54
Tailor Master
1
1
55
Tube well Operator
0
0
56
Lab. Attendant
1
1
57
O.T. Attendant
1
1
58
X-Ray Attendant
1
1
59
Ambulance Cleaner
2
2
60
Bearer
1
1
61
Baildar
9
9
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
S#
Name of post
Sanctioned
Filled
62
Chowkidar
10
8
63
Cook
2
2
64
Dawakob
1
1
65
Dhobi
1
1
66
Gate Man
2
2
67
Mali
4
4
68
Masalchi
0
0
69
Sanitary Worker
34
30
70
Ward Cleaner
0
0
71
Ward Servant
37
0
72
Water Carrier
1
1
73
Naib Qasid
7
7
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.
1
2
3
4
5
6
Post
Vaccinators
CDC Supervisors
Sanitary Inspectors
Nutrition Supervisor
Social mobilization NCHD
Sanitary Supervisor
Sanctioned
77
59
52
52
1
2
Filled
77
47
48
52
1
0
d) Training Institutions
i.
DHDC
Post
Program Director
MPPT
LHV Trainer
Assistant
Driver
Naib Qasid
Chowkidar
Sanitary Worker
Sanctioned
1
1
1
1
1
1
2
1
Filled
1
1
1
1
1
1
2
1
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Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
ii.
General Nursing School
The General Nursing School has been constructed but yet not functional. Only a
few posts have been sanctioned so far. No posting against these sanctioned posts has
been done.
Name of Post/Designation
Sanctioned
Principal School of Nursing
1
Nursing Instructor
Clinical Instructor
Assistant Nursing Instructor
Head Clerk
House Keeper
Sweeper
Naib Qasid
Chowkidar/Gate Keeper
Cook
Masalchi
Clinical instructor
Public Health Nursing Supervisor
Stenographer
Accountant
Senior clerk
Junior clerk
Aya
3
2
1
1
2
-------------
III.
Filled
1
(Acting Charge)
1
0
0
1
0
-------------
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
2007-08
Allocation
Exp.
2008-09
Allocation
Exp.
2009-10 up to 01/2010
Allocation
Exp.
NonDevelopment
349.900
337.412
393.805
379.751
508.076
219.962
Development
---
---
---
---
---
---
349.900
337.412
393.805
379.751
508.076
219.962
---
---
59.000
--
57.615
--
16.2580
79.370
6.7802
32.498
Sub Total
PHSRP
PMDGP
Page 20
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
PDSSP
Provincial
Development
Funds (ADP)
Grand Total
User charges
(like parchi fee,
fees for
diagnostic
services)
I.
28.250
23.105
16.4605
6.9727
30.8260
30.8260
30.1740
25.4904
140.3802
65.1239
380.726
368.238
511.229
485.9614
760.5447
3311.3367
Receipts
Deposited
Receipts
Deposited
Receipts
Deposited
up to
10/2009
2.150
2.150
2.650
2.650
3.8135
1.892
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 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
15.89
2
Pneumonia < 5 yrs.
2.05
3
Pneumonia > 5 yrs.
2.84
4
TB Suspects
2.14
5
Chronic Obstructive Pulmonary Disease
0.99
6
Asthma
2.72
Gastro intestinal Disease
7
Diarrhea / Dysentery < 5 yrs
5.85
8
Diarrhea / Dysentery > 5 yrs
4.07
9
Enteric / Typhoid Fever
0.95
10
Worm Infestations
2.39
11
Peptic Ulcer Disease
2.52
12
Cirrhosis of Liver
0.29
Urinary Tract Disease
13
Urinary Tract Infections
1.76
14
Nephritis / Nephrosis
0.09
15
Sexually Transmitted Infections
0.18
16
Benign Enlargement of Prostrate
0.24
Other Communicable Diseases
17
Suspected Malaria
2.88
Page 21
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Disease Group
18
Suspected Meningitis
19
Fever due to other causes
Vaccine Preventable Disease
20
Suspected Measles
21
Suspected Viral Hepatitis
22
Suspected Neonatal Tetanus
Cardiovascular Diseases
23
Ischemic heart disease
24
Hypertension
Skin Diseases
25
Scabies
26
Dermatitis
27
Cutaneous Leishmaniasis
Endocrine Disease
28
Diabetes Mellitus
Neuro-Psychiatric Diseases
29
Depression
30
Drug Dependence
31
Epilepsy
Eye & ENT
32
Cataract
33
Trachoma
34
Glaucoma
35
Otitis Media
Oral Diseases
36
Dental Caries
Injuries/Poisoning
37
Road traffic accidents
38
Fractures
39
Burns
40
Dog bite
41
Snake bite (with signs/symptoms of
poisoning)
Miscellaneous Disease
42
Acute Flaccid Paralysis
43
Suspected HIV/AIDS
44
Any other Unusual disease (specify)
Source: DHIS Report Mar-2010 DG Khan
Percentage of Magnitude
0.32
4.38
0.09
0.33
0.01
0.34
0.93
5.98
1.85
0.04
0.92
1.13
0.17
0.12
0.52
0.15
0.16
0.51
1.69
1.02
1.32
0.13
0.23
0.01
0.036
0.02
Page 22
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
J. Status of Vertical Programs
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
1. National Program for FP & PHC
 No. of seats allocated for LHWs
1625

No. of LHWs working

Percentage of population covered by the program

Important program indicators
1254
Urban: 69% Rural: 51%
o IMR
255/1000
o MMR
118/100,000
o CPR
38.8
o No. of antenatal visits
88.25%
o TT Coverage of pregnant women
97%
2. EPI
Immunization
TT
Polio
Routine EPI





(Coverage) % age of
Children covered
Target Target
for
for
2007
2008
2009
2010
2011
58%
87%
82%
65%
89%
85%
71%
92%
88%
83%
96%
92%
85%
98%
95%
EPI Coverage rate of the district
o Based on program information
o Based on third party validation
Fully immunized children 0-23 months
Pregnant women received TT vaccine
Availability of cold chain equipment
Human Resource & Logistics
o
Vaccinators
o
Motor cycles
o
DSV
87%
76%
67%
Available
86
73
1+1 MC
Page 23
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
o
ASV
1
o
IV
2+1
3. MNCH Program
o CMW Students Admitted
o Passed
o Current Batch under training
o Capacity Development of Staff in IMCI
Medic & paramedics up till now
248
163
35
51
4. TB Control Program
Year
Prevalence
of Disease
2005-06
2006-07
2007-08
Planned Target
for 2008-09
2009-10
2033
2812
762
Stop 80%




Stop 90%
Incidence Mortality
of
Rate
Disease
64 %
1.5
79 %
1.5
86 %
1.0
2%
1.0
1%
CDR all types
CDR NSS positive
SCR
TSR
0
2007-08
29%
Target
32%
--
--
91%
76%
95%
95%
5. Malaria Control Program
Year
Proportion of population in
malaria-risk areas using
effective malaria prevention
(%)
2005-06
27%
2006-07
Case
Treatment
Detection
Success
Rate
Rate
64 %
94 %
79 %
97 %
86 %
97%
92%
98 %
Proportion of population
in malaria-risk areas
given treatment (%age)
100% all positive case
treated
100% all positive case
treated
Achievement
100% all positive case
treated
Page 24
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Year
Planned Target
for
2008-09
2009-10




Proportion of population in
malaria-risk areas using
effective malaria prevention
(%)
34%
Proportion of population
in malaria-risk areas
given treatment (%age)
100% all positive case
treated
37%
100% all positive case
treated
No. of slides examined in 2009
No. of positive slides
Slides positively ratio
Percentage of plasmodium falciparum
31789
425 PV 301
1.34
124 cases 29.17%
6. HIV/AIDS Control Program
Year
No. of reported HIV/AIDS
Cases
2006-7
30
2007-8
36
2008-9
67

No. of fatalities resulting
from HIV/AIDS
8
20
14
HIV /AIDS knowledge &attitudes
-
Knowledge of preventing HIV/AIDS
13
-
Negative attitude towards people with HIV/AIDS
55
2006 2007 2008 2009

No. of HIV/AIDS tests conducted

No. of positive cases detected

No. of HIV/AIDS patients treated
400
2010 Total
2000 1400
1100
200
5100
5
39
22
48
31
145
3
32
20
44
30
129
7. Hepatitis Control Program
 No. of hepatitis tests conducted
1769

362
No. of positive cases detected
Page 25
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan

No. of persons vaccinated against Hepatitis B
566

No. of cases treated for Hepatitis B
71

No. of cases treated for Hepatitis C
349
Page 26
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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.
A. 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
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
Page 27
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
The objectives would guide in problem analysis, designing interventions, setting
/phasing the targets, costing and monitoring the plan activities.
B. 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 headquarter. 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
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. Health
Problems, and Health Service Delivery or Management Problems. In the initial stage an
exhaustive list of these problems was prepared. The enlisted health and service
delivery problems of the district are given in the following tables.
Page 28
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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.
Hepatitis
2.
ARI
3.
Anemia (in pregnancy)
4.
Diarrhea
5.
Malaria
6.
TB
7.
High Maternal Mortality
8.
HIV/AIDS
9.
Scabies
10.
Dog bite
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. A cut-off point was
decided, to establish the priority health problems of the district. This total score was
then used to prioritize the health problems. These problems will be addressed in
the three years rolling plan.
Page 29
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Problem
Hepatitis
ARI
Anemia (in
pregnancy)
Diarrhea
Scabies
T.B
High
Maternal
Mortality
HIV/AIDS
Dog bite
Malaria
Magnitude
Severity
Cost
Effectiveness
Political
Expediency
Total
Score
Priority
No.
4
3
3
Vulnerability
to
intervention
3
3
3
4
4
3
3
2
2
2
3
2
16
15
13
1
2
6
3
3
3
3
4
3
3
3
3
2
3
3
2
3
2
2
1
1
2
2
13
12
13
13
5
8
7
4
3
2
3
4
1
2
2
2
2
3
1
2
2
1
2
14
7
11
3
10
9
Underlying causes of prioritized health 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 and selected service delivery problems
pertaining to the district.
Sr.
No.
Health Problem
1.
Hepatitis
2
Acute Respiratory
tract Infection
Causes













Poor sanitation
Unsafe drinking water
Sharing of used syringes
Transfusion of unsafe blood and blood products
Unsafe sexual practices
Ear & Nose piercing and tattooing
Use of unsterilized equipment by dentists and barbers
Malnutrition
Air contamination
Over-crowding/Poor housing facilities
Lack of proper sanitation
Seasonal variation
Lack of awareness related to winter season and hygienic practices
Page 30
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Health Problem
3
HIV/AIDS
4
High MMR
5
Diarrheal Diseases
6
Anemia ( including
pregnancy)
7
Tuberculosis
8
Scabies
Causes






Sharing of used syringes
Unsafe transfusion of blood and blood products
Unsafe sexual practices
Ear piercing and tattooing
Use of unsterilized equipment by dentists and barbers
Lack of screening of persons coming from abroad








Poor access to healthcare delivery services
Lack of awareness about danger signs of pregnancy
Low ante-natal coverage
Low skilled birth attendance
Complications of pregnancy
Capacity Issues related to maternal care
Maternal Anemia
Pregnancy following chronic severe diseases





Poor hygiene and sanitation
Lack of safe drinking water
Unhygienic practices
Lack of awareness in general population
Lack of awareness among mothers about feeding and weaning
practices







Poverty and malnutrition
Lack of awareness about balanced diet
Multiple pregnancies
Inadequate and poor MNCH services
Gender discrimination
Worm infestation
Poverty/ Low socio economic status





Low socio-economic status
Over-crowding and poor housing facilities
Malnutrition
Seasonal variation
Lack of proper sanitation





Lack of awareness
Unhygienic practices
Over-crowding/Poor housing facilities
Poor water and sanitation
Seasonal variation
Page 31
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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.
2.
3.
4.
5.
6.
Shortage of skilled staff
Deficient infrastructure
Lack of vehicles
Inadequate MNCH related equipment
Political Interference
Lack of inter and intra-sectoral coordination
Underlying causes of Management Problems
Sr.
No.
Management /
Service Problems
1
Shortage of skilled
staff
2
Deficient
infrastructure
Causes




Non-availability of trained staff

Non-sanctioning of 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
Political
media interference
transportand
of children
for education
Debilitated condition of existing infrastructure
Lack of repair and maintenance
Inadequate infrastructure for Emergency, Operation
Theatre, OPD, Inpatients, and residences for staff at THQ and
DHQ hospitals
Page 32
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Management /
Service Problems
Causes
3
Inadequate MNCH 
related

Equipments


4
Political
Interference
Deficient equipment to cater basic and comprehensive EmONC
at primary and secondary level of care
Old and un-serviceable equipment
Shortage of regular budget for M&R
Frequent cuts on M&R budget
Undue pressure from local political figures especially in medico-legal
cases
C. 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:
Page 33
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Hospital
Category
A
B
C
A
B
C
DHQ Hospital
THQ Hospital
Bed Strength
400 and above Beds
251-400 Beds
Up to 250 Beds
Above 60 Beds
41-60 Beds
Up to 40 Beds
a) DHQ Hospital
(Category C)
Sr.
No.
Standard as
per MSDS
Post
C
B
A
Vacancy
Gap in
Sanctioned relation to
Sanctioned
Positions
Filled
Vacancy
Gap in
relation
to Filled
Positions
1
Gynaecologist
3
3
4
3
0
3
0
2
Pediatricians
3
3
3
1
2
1
2
3
Anesthetists
3
5
5
2
1
2
1
4
Medical
Officers
including
SMO,APMO &
PMOs
74
104
125
32
42
31
43
Women
Medical
Officers
including
SWMO
APWMO &
PMOs
27
39
48
12
15
9
18
6
Nurses
75
114
189
40
35
37
38
7
Lady Health
Visitors
11
11
11
3
8
3
8
5
Page 34
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) THQ Hospital
(Category A)
Sr.
No.
Standard as
per MSDS
Post
Sanctioned
C
B
A
Vacancy
Gap in
relation to
Sanctioned
Positions
Filled
Vacancy
Gap in
relation
to Filled
Positions
1
Gynaecologist
2
2
3
3
0
2
1
2
Pediatricians
2
2
3
1
2
1
3
3
Anesthetists
3
3
4
2
2
2
2
4
Medical
Officers
including
SMO,APMO &
PMOs
16
19
22
16
6
13
9
Women
Medical
Officers
including
SWMO
APWMO &
PMOs
9
10
11
7
4
3
8
6
Nurses
15
24
30
16
14
10
20
7
Lady Health
Visitors
8
8
8
0
8
0
8
5
2. 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 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 according to MSDS for
DHQ and THQ hospitals is attached as Annex-II.
Page 35
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
a) 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,
Endo-tracheal 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
-
3
1
5
1
5
2
-
3
1
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
1
3
2
1
1
4
-
10
2
4
1
3
2
6
2
10
2
10
1
6
10
2
15
1
10
10
2
20
1
10
2
10
-
8
2
5
1
6
3
1
1
3
2
1
6
2
2
3
-
1
1
Remarks
Page 36
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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
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
Standard
as per
MSDS
(Qty.)
C B A
1 1 2
Available
Gap
-
1
1
1
1
1
2
1
1
-
1
2
2
4
2
-
2
2
4
2
-
2
2
4
2
-
2
2
4
2
-
8
8
16
3
5
8
8
16
3
5
2
2
2
16
2
2
2
16
4
4
4
32
1
2
2
6
1
10
16 16 32
6
10
8
8
4
-
8
8
4
8
8
4
16
16
8
Remarks
Page 37
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Equipment
26.15 Double blade Sims
speculum
26.16 Sponge holding
forceps
26.17 Volselum forceps
26.18 Uterine Sound
26.19 Bladder Sound
27
Delivery Sets
27.1 Episiotomy Scissors
27.2 Straight Scissors
27.3 Needle holder
27.4 Non-toothed 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
27.10 Straight clamps
(cord)
27.11 Vacuum Extractor
pump
27.12 Towel clip
28
Caesarian Section
28.1 Scalpel
28.2 Artery Forceps
Straight 6 inches
28.3 Artery Forceps
Curved 6 inches
28.4 Artery forceps 8
inches
Standard
as per
MSDS
(Qty.)
C B A
4 4 8
Available
Gap
-
4
8
8
16
-
8
4
2
2
4
2
2
8
4
4
-
4
2
2
10
10
10
10
10
10
10
10
15
15
15
15
6
6
10
10
4
4
10 10 15
-
10
20 20 30
-
20
20 20 30
-
20
40 40 60
20
20
40 40 60
20 20 30
20
-
20
20
1
1
-
40 40 60
-
40
6 8 10
24 32 40
12
6
12
24 32 40
12
12
24 32 40
16
8
1
1
Remarks
Page 38
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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
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
Standard
as per
MSDS
(Qty.)
C B A
6 8 10
Available
Gap
-
6
10
-
6
24 32 40
-
24
6
8
10
-
6
6
12
24
6
8
16
32
8
10
20
40
10
-
6
12
24
6
1
1
0
1
2
1
1
1
3
1
1
1
2
1
1
-
1
1
1
1
-
1
1
1
1
1
1
1
1
-
1
2
1
2
1
2
1
2
4
4
4
4
-
1
2
2
6
8
Remarks
1
Page 39
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
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
Equipment
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
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
Standard
as per
MSDS
(Qty.)
C B A
1 1 2
1 1 1
1 1 1
Available
Gap
1
1
1
2
2
2
1
1
2
2
2
2
-
1
1
1
1
1
1
2
2
2
1
-
1
1
2
2
4
-
2
-
1
1
2
1
1
1
1
1
2
1
1
1
1
3
1
1
1
1
4
1
1
1
1
3
-
2
2
4
2
-
2
2
4
2
-
1
2
2
-
1
2
2
4
2
2
4
4
4
8
2
2
-
4
-
-
Remarks
Page 40
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Equipment
32.1
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 Biochemistry Semiautomatic
Glucometer
Haemoglobinometer
Centrifuge
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 2
Available
Gap
1
-
1
1
1
1
1
1
1
1
1
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
1
2
1
2
1
-
1
2
3
1
1
1
1
1
1
-
1
1
1
1
1
1
1
-
1
1
2
2
2
2
2
4
-
2
2
1
1
2
-
1
Remarks
Page 41
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) THQ Hospital Taunsa
Sr.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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
Lanes Tissue
holding forceps
Vaginal Retractors
Polypectomy
forceps
Sponge holder
Uterine elevator
CosCo Speculum
Small, Medium,
Large (for each
category)
Examination light
Suction Curette
Standard
as per
MSDS
(Qty.)
C B A
1 1 1
Available
Gap
1
-
2
1
2
1
3
1
3
-
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
3
2
2
2
1
2
2
15
3
2
2
-
4
2
4
2
6
2
4
2
2
-
10 10 15
1 1 1
4 6 6
10
5
6
-
3
1
3
1
1
3
1
3
2
Remarks
Page 42
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Equipment
22
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,
Endo-tracheal 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”)
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
1 1 1
Available
Gap
-
1
1
1
1
-
1
1
1
1
1
1
1
-
1
1
2
2
2
1
1
2
2
2
-
2
2
2
2
2
-
2
2
2
2
-
2
2
2
8
8
8
4
4
8
8
8
8
-
2
2
2
2
2
2
2
4
2
2
2
2
2
-
Remarks
Page 43
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Equipment
26.10 Artery Forceps
(Straight 6”)
26.11 Artery Forceps
(Curved 6”)
26.12 Allis Forceps
26.13 Towel Clamps
26.14 Single blade Sims
speculum
26.15 Double blade Sims
speculum
26.16 Sponge holding
forceps
26.17 Volselum forceps
26.18 Uterine Sound
26.19 Bladder Sound
27
Delivery Sets
27.1 Episiotomy Scissors
27.2 Straight Scissors
27.3 Needle holder
27.4 Non-toothed 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
27.10 Straight clamps
(cord)
27.11 Vacuum Extractor
pump
27.12 Towel clip
28
Caesarian Section
Standard
as per
MSDS
(Qty.)
C B A
16 16 16
Available
Gap
6
10
16 16 16
6
10
8
8
4
8
8
4
8
8
4
8
4
-
4
4
4
4
4
4
-
8
8
8
8
-
4
2
2
6
6
6
6
6
4
2
2
6
6
6
6
6
4
2
2
10
10
10
10
10
2
2
2
4
3
4
6
6
6
3
6
4
4
6
6
10
4
6
12 12 20
4
16
12 12 20
20
20
40 40 40
30
10
40 40 40
20 20 30
30
15
10
15
1
1
-
30
-
10
6
1
1
40 40 40
4 4 6
Remarks
Page 44
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
28.1
28.2
Equipment
Scalpel
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
28.8 Obstetric outlet
forceps (pair)
28.9 Doyene’s Retractor
28.10 Small Retractors
28.11 Towel Clippers
28.12 Suction Nozzle
29
MNCH Related
Radiology
Equipments
29.1 Ultrasound Machine
29.2 X-Ray Unit 500 kw
29.3 Color Doppler
29.4 Lead Screen for XRay Unit
29.5 0.5 MN Lead Apron.
Lead Gloves,
Goggles and
Thyroid and
Gonadal Sheets
29.6 Safe Light
29.7 X-RT Film
Processing Tank
29.8 Chest Stand
Standard
as per
MSDS
(Qty.)
C B A
4 4 6
16 16 24
Available
Gap
2
12
4
12
16 16 24
12
12
16 16 24
6
18
4
4
6
4
2
4
4
6
4
2
16 16 24
6
18
4
4
6
1
5
4
8
16
4
4
8
16
4
6
12
24
6
2
6
6
2
4
6
18
4
1
1
0
1
1
1
0
1
2
1
0
1
1
1
1
1
1
1
1
1
-
1
1
1
1
1
1
1
1
1
1
-
1
1
1
1
-
Remarks
Page 45
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
29.9
Equipment
X-Ray film
Illuminator
29.10 X-Ray Film Hangers
All sizes
30
MNCH Related
Paediatrics
Equipments
30.1 Paediatric
Ventilator
30.2 Incubator
30.3 Photo Therapy Unit
30.4 Over-head Radiant
Warmer
30.5 Infant Length
Measuring Scale
30.6 Infant Weighing
Machine
30.7 Nebulizer
30.8 Billiubino-meter
30.9 Exchange Blood
Transfusion Set
30.10 Nasal Probe Paed
size
31
Anaesthesia/ICU
31.1 Anaesthesia
Machine
31.2 Ventilators
31.3 Nebulizer
31.4 Pulse Oximetry
31.5 Defibrillator
31.6 Airway Oral and
Nasal
31.7 Tracheostomy tube
(adult and paeds)
31.8 Face mask of all
sizes
Standard
as per
MSDS
(Qty.)
C B A
2 2 2
Available
Gap
Nil
2
4
4
4
4
-
1
1
2
-
2
1
1
1
1
1
1
1
1
1
2
2
-
2
2
2
2
-
2
2
2
2
2
-
1
1
1
1
1
1
1
1
1
4
-
1
1
1
2
2
-
2
1
1
1
2
-
1
1
1
1
1
1
1
1
1
2
1
1
1
1
2
1
1
1
1
-
-
2
1
2
2
-
2
1
2
2
Remarks
2
Page 46
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Equipment
31.9
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 Biochemistry Semiautomatic
Glucometer
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
Standard
as per
MSDS
(Qty.)
C B A
1 1 1
Available
Gap
-
1
1
2
4
2
2
4
2
2
4
1
1
-
1
1
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
-
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
1
1
1
1
1
2
1
5
2
1
1
1
1
1
1
1
-
1
1
1
1
1
1
1
-
1
1
2
2
2
1
1
Remarks
Page 47
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
33.5
33.6
Equipment
Haemoglobinometer
Centrifuge
Standard
as per
MSDS
(Qty.)
C B A
1 1 1
1
1
1
Available
Gap
1
-
2
-
Remarks
Page 48
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
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.
A. Health Problems
Sr.
No.
1
Problem
Hepatitis
Causes
Intervention
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
12
4
4
4
 Poor
sanitation
 Health
Education/Pro
motion
 Quarterly coordination
meetings with
TMA and other
agencies
 Unsafe
drinking
water
 Campaign
against
quackery
 Messages on
local cable
network
Monthly
Package
36
12
12
12
 Sharing of
used syringes
 Strengthening
blood
transfusion
services for safe
transfusions
 Printing and
distribution of
IPC and hepatitis
awareness
material
Poster
20,000
10,000
5,000
5,000
Remarks
Page 49
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Causes
 Transfusion
of
unsafe/unscr
eened blood
and blood
products
 Unsafe sexual
practices
2
ARI
Intervention
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
400,000
150,000
150,000
100,000
 Campaign
against drug
addiction
 Procurement and
supply of
screening kits
 Regulatory
mechanism to
ensure use of
safe
instruments by
dentists,
barbers etc.
 Procurement of
safety boxes
Syringe
cutter
400
200
100
100
 Ear piercing
and tattooing
 Procurement of
drugs for
treatment of
Hepatitis
patients
Injection
1,500
500
500
500
 Use of
unsterilized
equipment by
dentists and
barbers
 Malnutrition
 Develop and
implement SOPs
for sterilization
of equipment
12
12
12
 Health
promotion
campaign
 Messages on
local cable
networks
Kits
Remarks
-
Monthly
Telecast
36
Page 50
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Target
for
201112
Target
for
201213
Intervention
 Air
contaminatio
n
 Capacity
building of
health staff in
Integrated
Management of
Childhood
Illnesses (IMCI)
 Provision of
medicines for
ARI
 Messages
through FM
radio channels
Monthly
Telecast
36
12
12
12
 Printing and
distribution of
IPC material
Poster
30,000
10,000
10,000
10,000
 Timely referral
of complicated
cases
 Training of
medics and paramedics in IMCI
Batch
6
3
2
1
 Procurement of
drugs
Oral
Medicine
Package
390,000
130,000
130,000
130,000
Injectable
78,000
26,000
26,000
26,000
Drug
6,000
3,000
1,500
1,500
 Seasonal
variation
 Lack of
awareness
related to
winter season
and hygienic
practices
 Procurement of
nebulizing drugs
Unit
Target
for
201011
Causes
 Overcrowding/
Poor housing
facilities
 Lack of
proper
sanitation
Activities
Plan Activities
Targets
Remarks
Page 51
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
3
Problem
HIV/AIDS
Causes
Intervention
Activities
 Sharing of
used
syringes
 Interpersonal
communication
 Messages on
local cable
network
 Unsafe
Transfusion
of blood and
blood
products
 Unsafe
sexual
practices
 Seminar on HIV
/AIDS
addressing high
risk group
 Messages
through FM
radio channels
 BCC
 Printing and
distribution of
IPC
 Ear piercing
and tattooing
 Health
education
seminars
 Strengthening of
HIV / AIDS
surveillance
 Use of
unsterilized
equipment
by dentists
and barbers
 Lack of
screening of
persons
coming from
abroad
 Screening of
suspects up to
the level of
RHCs
 Rehabilitation of
HIV positive case
and follow up
 Counseling of
HIV positive
cases
 Education of safe
sex practices
 Display of health
awareness on
local transport
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
Monthly
telecast
36
12
12
12
Monthly
telecast
36
12
12
12
Brochure
300,000
100,000
100,000
100,000
Weekly
surveillance
report
-
-
-
-
Remarks
Establishment of
rehabilitation centre
at DHQ
Session
36
12
12
12
Quarterly
charge
12,000
4,000
4,000
4,000
Page 52
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Causes
Intervention
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
 Counseling of
patients' close
relatives
Plan
 Establishment of
help lines
Plan
 Involvement of
private
practitioners in
HIV surveillance
Batch
3
1
1
1
 Special campaign
on screening of
HIV
Kits
300,000
100,000
100,000
100,000
 Involvement of
religious group
in social
mobilization
4
High MMR
 Poor access
to healthcare
delivery
services
 Lack of
awareness
about danger
signs of
pregnancy
 Health
education/pro
motion
 Messages on
local cable
network
 Behaviour
change
communication
for Mothers of
child bearing
age
 Printing and
distribution of
IPC material
Remarks
Plan
Message
Poster
36
12
12
12
15,000
5,000
5,000
5,000
Page 53
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Causes
 Low antenatal
coverage
 Low skilled
birth
attendance
Intervention
 Provision of
Quality basic
EmONC
services at BHU
& RHC
 Provision of
Quality
Comprehensive
EmONC
services at
THQs hospital
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
 Training of
LHWs on BCC
No. of
trainings
12
12
-
-
 Procurement of
vehicles for
transportation
through CCBs
Vehicles
6
2
2
2
4
4
4
 Complication
s of
pregnancy
 Repair of non
functional
ambulances for
timely
transportation of
pregnant
mothers
12
 Capacity
Issues related
to maternal
care
 Replacement of
the non
functional
ambulances for
timely
transportation of
pregnant mother
-
Remarks
Page 54
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
5
Problem
Diarrhea
under 5
children
Causes
Intervention
Activities
 · Maternal
Anemia
 Procurement of
the MNCH
related
equipment and
Instruments
 Pregnancy
following
chronic
severe
diseases
 Implementation
of the referrals
protocols
Unit
Target
for
201011
Target
for
201112
Target
for
201213
150,000
50,000
50,000
50,000
Plan Activities
Targets
Remarks
-
 Procurement of
Micro-nutrients
Packs
 Procurement and
distribution of
Anti-D
Injection
45
15
15
15
 · Poor
Hygiene &
sanitation
 Coordination
with TMA for
improvement of
water supply
and sanitation
 Quarterly coordination
meetings with
TMA and other
agencies
Meetings
12
4
4
4
 Lack of safe
drinking
water
 Awareness
raising
campaign
 Messages on
local cable
network
Monthly
Telecast
36
12
12
12
 Unhygienic
practices
 Proper
treatment of
Diarrhoea
including ORT
 Printing and
distribution of
IPC material
Poster
30,000
10,000
10,000
10,000
Page 55
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
6
Problem
Anaemia
(in
pregnancy)
Causes
Intervention
Activities
Unit
 Lack of
awareness
among
mothers
about feeding
and weaning
practices
 Health
awareness in
the community
 Conduction of
HES in Schools
Sessions
 Capacity
building of
health staff in
Integrated
Management of
Childhood
Illnesses (IMCI)
 Training of
medics and
paramedics in
IMCI
Batch
 Procurement and
distribution of
ORS and Zinc
Sulphate
ORS packets
 Procurement and
distribution of
Zinc Sulphate
Syrup
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
1,000
500
300
200
6
3
2
1
1,200,000
400,000
400,000
400,000
400,000
200,000
200,000
200,000
 Poverty &
malnutrition
 Awareness
raising for
behaviour
change
 Messages on
local cable
network
Monthly
Messages
telecast
packages
36
12
12
12
 Lack of
awareness
about
balanced diet
 Improving antenatal coverage
 Printing and
distribution of
IPC material
Brochure
300,000
100,000
100,000
100,000
Remarks
Page 56
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Causes
Tuberculos
is
Activities
Unit
Target
for
201011
Target
for
201112
Target
for
201213
30,000
10,000
10,000
10,000
20
10
5
5
 Multiple
pregnancies
 Improving antenatal coverage
 Printing and
distribution of
IPC material
Poster
 Inadequate
and poor
MCH services
 Deworming
campaign
 Short refresher
trainings of
LHWs about
balanced diet
and provision of
micro-nutrients
Batch of 50
LHWs For 1
Days
 Gender
discriminatio
n
 Provision/Distri
bution of micronutrient
supplements
 Diagnosis and
treatment of
infections
 Procurement of
de-worming
tablets
No. of
courses
150,000
50,000
50,000
50,000
 Purchase of
medicine ( Folic
Acid)
Pack of 100
Tablets
150,000
50,000
50,000
50,000
 Purchase of
medicine
(Ferrous
Sulphate)
Pack of 100
Tablets
150,000
50,000
50,000
50,000
 Messages on
local cable
networks
Monthly
telecast
36
12
12
12
 Worm
infestation
7
Intervention
Plan Activities
Targets
 Low socioeconomic
status
 Health
education/pro
motion
Remarks
Page 57
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
Problem
Causes
 Overcrowding/Po
or housing
facilities
Intervention
 Strengthening
TB DOTS
program
through
involvement of
private sector
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
36
12
12
12
 Messages
through FM
radio channels
Monthly
telecast
 Malnutrition
 Printing and
distribution of
IPC and TB
awareness
material
Poster
30,000
10,000
10,000
10,000
 Seasonal
variation
 Procurement of
drugs to address
deficiency
according to
regimen
treatment
day
6,000
2,000
2,000
2,000
 Lack of
proper
sanitation
 Procurement of
reagents and
slides for
notified
diagnostic
facilities under
DOTS
programme
Diagnostics
Remarks
 Lack of
awareness
and hygienic
practices
Page 58
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr.
No.
8
Problem
Scabies
Causes
Intervention
Activities
Unit
Plan Activities
Targets
Target
for
201011
Target
for
201112
Target
for
201213
100
50
25
25
 Overcrowdin
g in schools
and homes
 Awareness
raising
campaign
 Community
health education
sessions
HES
 Low socioeconomic
conditions
 Provision of
medicines
 Printing &
Distribution of
IPC Material
Brochure
15,000
5,000
5,000
5,000
 Supply of anti
scabies drugs
drug
250,000
100,000
75,000
75,000
 Poor Health
Education
Remarks
Page 59
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
B. 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
-
-
-
-
2
Paediatricians
18
12,910
18,099
4
2
1
1
3
Anesthetists
18
12,910
18,099
6
3
2
1
4
MO / WMO
17
9,850
15,345
109
55
27
27
5
Nurses
16
6,060
8,934
88
44
22
22
6
Lady Health
Visitors
9
3,820
4,750
16
8
4
4
Page 60
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
N
o
1
Problem
Shortage of
skilled staff
Causes
Intervention
Activities
Unit
 Non-availability
of trained staff
 Filling of the
vacant posts
 Filling of the vacant posts
of medics and the
paramedics through
existing recruitment
committees
-
 Nonsanctioning of
staff according
to MSDS
 Lack of
permanent
postings
 Sanctioning of
trained staffs
according to
MSDS
 Incentivized
pay package
at all levels
 Temporary filling of
vacant positions on
contract
-
 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
career
structure
including
opportunities
for higher
education
 High level
political
commitment
for providing
protection to
staff working
in health
facilities
 Orientation trainings of
the recruited staffs
 Frequent
transfer
postings
 Consensus building
between the districts for
uniform incentivized pay
package for all categories
and levels staff
Plan
Activities
Targets
Target
for
2010-11
Target
for
2011-12
Target
for
2012-13
-
-
-
-
Remarks
Recruitment
-
-
Recruitment
Batch
-
-
-
-
10
4
3
3
Plan
Meeting
Page 61
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
N
o
Problem
Causes
Intervention
Activities
Unit
Plan
Activities
Targets
Target
for
2010-11
Target
for
2011-12
Target
for
2012-13
Remarks
 Job insecurity
 Request to the Provincial
Government for approval
and implementation of
agreed pay packages
Plan
 Lack of basic
amenities at
workplace
 Review and revise the
career structure of medics
and paramedics
Technical
assistance
 Lack of
conducive
environment
including
insecurity and
transport of
children for
education
 Filling of Human Resource
gaps as per MSDS
 Political and
media
interference
 Capacity and need
assessment of the medics
and the paramedics
Posts
224
105
61
58
Detail HR
plan is
attached
Posts
31
15
8
8
Detail HR
plan is
attached
HR
255
120
69
66
Detail HR
plan is
attached
NO COST
ACTIVITY
Page 62
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
N
o
2
Problem
Deficient infra
structure for
MNCH services
at secondary
level
Causes
Intervention
Activities
Unit
Plan
Activities
Targets
Target
for
2010-11
Target
for
2011-12
Target
for
2012-13
Remarks
 Prepare training
programs for providing
higher professional
education based on TNA
TNA
 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
Need
Assessment
 Lack of repair
and
maintenance
 Devise
appropriate
mechanisms
for repair and
maintenance
 Provision of
infrastructure
at THQ and
DHQ
according to
the MSDS
 Costing of the gaps
Plan
 Phasing
Demand
submission
 Construction
of residence
of WMO at
DHQ and
THQ hospital
 Construction of
residences at DHQ
hospital
 Inadequate
infrastructure
for Emergency,
Operation
Theatre, OPD
and Inpatients,
residences for
staff at THQ and
DHQ hospitals
1100 per
square
yard
7700
1
1
1
Page 63
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
N
o
Problem
Causes
Intervention
Activities
 Construction of
residences at THQ
hospitals (2*1)
3
Inadequate
Equipments
Unit
1100 per
squard
yard
Plan
Activities
Targets
Target
for
2010-11
Target
for
2011-12
Target
for
2012-13
10,500
5,250
5,250
-
Remarks
Deficient
equipment to
cater basic and
comprehensive
EmONC at
primary and
secondary level of
care
Provision of
the equipment
in accordance
with the
notified
equipment list
Procurement of equipments
for DHQ D G Khan hospitals
based on the gaps between
MSDS and existing available
-
-
1
-
-
Detail
attached
Old and unserviceable
equipment
Provision of
adequate
budget for
maintenance
and repair
Procurement of equipments
for THQ hospital Tunsa
Shareef based on the gaps
between MSDS and existing
available
-
-
-
1
-
Submission
of demand
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
-
-
-
-
-
Plan
-
-
-
-
-
 Frequent cuts
on M&R budget
Page 64
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
N
o
4
Problem
Political
Interference
Causes

Undue
pressure from
local political
figures
especially in
medico-legal
cases
Intervention
Activities
Unit
Plan
Activities
Targets
Target
for
2010-11
Target
for
2011-12
Target
for
2012-13
Remarks

High level
political
commitmen
t to provide
protection
to the health
staff against
undue
political
interference

Formulation of the
Health committees
Plan

Advocacy at
higher
political
level

Meetings with political
leaders
Plan

Advocacy seminars
seminar
6
2
2
2
Page 65
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
SECTION 4: COSTING & FINANCING PLAN
1.
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
.
Define
Problem
Activity
Unit
1
Hepatitis
Financial Targets
 Quarterly coordination
meetings with
TMA and other
agencies
 Messages on
local cable
network
Monthly
Package
Total
Year II
Year III
(10 %)
(10 %)
Cost
Remarks
Rate
Quantity
Year I
-
12
-
-
-
Integrated
Activity
-
36
-
-
-
Integrated
Activity
Page 66
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Financial Targets
Activity
Unit
Rate
Quantity
Year I
Total
Year II
Year III
(10 %)
(10 %)
Cost
 Printing and
distribution of
IPC and
hepatitis
awareness
material
Poster
30
20,000
300,000
165,000
181,500
646,500
 Procurement
and supply of
screening kits
Kits
50
400,000
7,500,000
8,250,000
6,050,000
21,800,000
 Procurement of
safety boxes
Syringe
cutter
500
400
100,000
55,000
60,500
215,500
 Procurement of
drugs for
treatment of
Hepatitis
patients
Injection
15,000
1,500
7,500,000
8,250,000
9,075,000
24,825,000
 Develop and
implement SOPs
for sterilization
of equipment
-
Remarks
SOPs
15,400,000
16,720,000
15,367,000
47,487,000
Page 67
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
2
ARI
Financial Targets
Rate
Quantity
Year I
Total
Year II
Year III
(10 %)
(10 %)
Cost
Integrated
Activity
 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
 Printing and
distribution of
IPC material
Poster
30
30,000
300,000
330,000
363,000
993,000
 Training of
medics and
para-medics in
IMCI
Batch
240,000
6
720,000
528,000
290,400
1,538,400
 Procurement of
drugs
Oral
Medicine
Package
70
390,000
9,100,000
10,010,000
11,011,000
30,121,000
Injectable
800
78,000
20,800,000
22,880,000
25,168,000
68,848,000
Drug
30
6,000
90,000
49,500
54,450
193,950
 Procurement of
nebulizing drugs
Remarks
36
Page 68
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
3
HIV/AIDS
Financial Targets
Rate
Quantity
Total
Year II
Year III
(10 %)
(10 %)
31,430,000
34,259,500
37,395,050
206,169,100
Year I
Cost
 Messages on
local cable
network
Monthly
telecast
35,000
36
420,000
462,000
508,200
1,390,200
 Messages
through FM
radio channels
Monthly
telecast
35,000
36
420,000
462,000
508,200
1,390,200
 Printing and
distribution of
IPC
Brochure
5
300,000
500,000
550,000
605,000
1,655,000
 Strengthening
of HIV / AIDS
surveillance
Weekly
surveillance
report
-
-
-
-
-
 Rehabilitation
of HIV positive
case and follow
up
 Education of
safe sex
practices
Remarks
Establishment of
rehabilitation
centre at DHQ
Hospital
Session
20,000
36
240,000
264,000
290,400
794,400
Page 69
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Financial Targets
Activity
Unit
Total
Year II
Year III
(10 %)
(10 %)
Cost
Remarks
Rate
Quantity
Year I
5,000
12,000
20,000,000
22,000,000
24,200,000
66,200,000
 Counseling of
patients' close
relatives
-
-
-
-
Plan
 Establishment
of help lines
-
-
-
-
Plan
 Display of
health
awareness on
local transport
Quarterly
charge
 Involvement of
private
practitioners in
HIV surveillance
Batch
 Special
campaign on
screening of HIV
Kits
98,000
3
98,000
107,800
118,580
324,380
50
300,000
5,000,000
5,500,000
6,050,000
16,550,000
 Involvement of
religious group
in social
mobilization
Plan
88,304,180
Page 70
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
4
High MMR
Financial Targets
 Messages on
local cable
network
Rate
Total
Year II
Year III
(10 %)
(10 %)
Cost
Quantity
Year I
36
-
-
-
-
30
15,000
150,000
165,000
181,500
496,500
Message
 Printing and
distribution of
IPC material
Poster
 Training of
LHWs on BCC
No. of
trainings
79,000
12
948,000
-
-
948,000
 Procurement of
vehicles for
transportation
through CCBs
Vehicles
380,000
6
760,000
836,000
919,600
2,515,600
10,000
12
40,000
44,000
48,400
132,400
 Repair of non
functional
ambulances for
timely
transportation
of pregnant
mothers
Remarks
Integrated
Activity
Page 71
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Financial Targets
Activity
Unit
Rate
Quantity
 Replacement of
the non
functional
ambulances for
timely
transportation
of pregnant
mother
Costed in
Procurement of
vehicles for
transportation
through CCBS
-
 Procurement of
the MNCH
related
equipment and
Instruments
Costed in service
delivery
problems
-
 Implementation
of the referrals
protocols
Costed in
Management
Problems
 Procurement of
Micro-nutrients
Packs
 Procurement
and distribution
of Anti-D
Injection
Year I
Total
Year II
Year III
(10 %)
(10 %)
Cost
70
150,000
3,500,000
3,850,000
4,235,000
11,585,000
5,000
45
75,000
82,500
90,750
248,250
5,473,000
4,977,500
5,475,250
15,925,750
Remarks
Page 72
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
5
Diarrhea
under 5
children
Financial Targets
 Quarterly coordination
meetings with
TMA and other
agencies
Meetings
 Messages on
local cable
network
Monthly
Telecast
 Printing and
distribution of
IPC material
Poster
 Conduction of
HES in Schools
Sessions
 Training of
medics and
paramedics in
IMCI
Batch
 Procurement
and distribution
of ORS and Zinc
Sulphate
ORS packets
Total
Year II
Year III
(10 %)
(10 %)
Cost
Rate
Quantity
Year I
3,000
12
12,000
13,200
14,520
39,720
36
-
-
-
-
30
30,000
300,000
330,000
363,000
993,000
2000
1,000
1,000,000
660,000
484,000
2,144,000
6
-
-
-
-
1,200,000
2,000,000
2,200,000
2,420,000
6,620,000
5
Remarks
Integrated
Activity
Integrated
Activity
Page 73
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
 Procurement
and distribution
of Zinc
Sulphate
6
Anaemia (in
pregnancy)
Financial Targets
Syrup
Total
Year II
Year III
(10 %)
(10 %)
Cost
Remarks
Rate
Quantity
Year I
60
400,000
12,000,000
13,200,000
14,520,000
39,720,000
15,312,000
16,403,200
17,801,520
49,516,720
462,000
508,200
970,200
Integrated
activity
 Messages on
local cable
network
Monthly
Messages
telecast
packages
35,000
 Printing and
distribution of
IPC material
Brochure
5
300,000
500,000
550,000
605,000
1,655,000
Integrated
activity
 Printing and
distribution of
IPC material
Poster
30
30,000
300,000
330,000
363,000
993,000
Integrated
activity
 Short refresher
trainings of
LHWs about
balanced diet
and provision of
micro-nutrients
Batch of 50
LHWs For 1
Days
20
790,000
434,500
477,950
1,702,450
 Procurement of
de-worming
tablets
No. of
courses
150,000
1,000,000
1,100,000
1,210,000
3,310,000
79,000
20
36
Page 74
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
7
Define
Problem
Tuberculosi
s
Financial Targets
Activity
Total
Year II
Year III
(10 %)
(10 %)
Cost
Unit
Rate
Quantity
Year I
 Purchase of
medicine ( Folic
Acid)
Pack of 100
Tablets
30
150,000
1,500,000
1,650,000
1,815,000
4,965,000
 Purchase of
medicine
(Ferrous
Sulphate)
Pack of 100
Tablets
50
150,000
2,500,000
2,750,000
3,025,000
8,275,000
6,590,000
7,276,500
8,004,150
21,870,650
Remarks
 Messages on
local cable
networks
Monthly
telecast
36
-
-
-
-
Integrated
activity
 Messages
through FM
radio channels
Monthly
telecast
36
-
-
-
-
Integrated
activity
 Printing and
distribution of
IPC and TB
awareness
material
Poster
30
30,000
300,000
330,000
363,000
993,000
 Procurement of
drugs to address
deficiency
according to
regimen
treatment
day
4,800
6,000
9,600,000
10,560,000
11,616,000
31,776,000
Page 75
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr
.
Define
Problem
Activity
Unit
 Procurement of
reagents and
slides for
notified
diagnostic
facilities under
DOTS
programme
8
Scabies
Financial Targets
Rate
Quantity
Year I
Total
Year II
Year III
(10 %)
(10 %)
Cost
Remarks
Need
Assesment
Diagnostics
9,900,000
10,890,000
11,979,000
32,769,000
100
-
-
-
-
 Community
health education
sessions
HES
 Printing &
Distribution of
IPC Material
Brochure
30
15,000
150,000
165,000
181,500
496,500
 Supply of anti
scabies drugs
drug
50
250,000
5,000,000
4,125,000
4,537,500
13,662,500
5,150,000
4,290,000
4,719,000
14,159,000
Page 76
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) Management Problems
Human Resource Plan to bridge gap between MSDS and existing sanctioned posts
Financial Targets
Sr.
No.
Name of Post
Basic
Scale
Basic
Pay
Allowances
Year I
Requiremen
t as per Gap
Year II
Year III
Pay of
Officers
Pay of
other
staff
Allowances
Pay of
Officers
Pay of
other
staff
Allowances
Pay of
Officers
Pay of
other
staff
Allowances
1
Gynaecologist
12,910
18,099
-
-
-
-
-
-
-
-
-
-
2
Paediatricians
12,910
18,099
4
2
1
1
309,840
-
434,376
511,236
716,720
749,813
3
Anesthetists
12,910
18,099
6
3
2
1
464,760
-
651,564
852,060
1,194,53
4
1,124,719
4
MO / WMO
9,850
15,345
109
55
27
27
6,501,000
-
16,609,
428
15,589,39
8
5
Nurses
6,060
8,934
88
44
22
22
3,199,680
-
7,783,3
01
7,743,226
6
Lady Health
Visitors
3,820
4,750
16
8
4
4
58,460
83,326
10,475,28
0
10,127,700 10,661,640
4,717,152
5,279,472
366,720
456,000
605,08
8
752,400
366,72
0
16,386,79 17,304,40
2
8
605,08 27,056,38 25,207,15
8
3
6
Page 77
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Define
Sr.
Problem
Activity
Unit
1
Shortage of
Skilled Staffs
Financial Targets
Rate
Quantity
Year I
Year II (10 %)
Year III (10
%)
Total
Cost
Remarks

Filling of the
vacant posts of
medics and the
paramedics
through existing
recruitment
committees
-
-
-
-
-
-
-
Recruitment

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
Page 78
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Define
Sr.
Problem
Financial Targets
Activity
Unit
Total
Cost
Rate
Quantity
Year I
Year II (10 %)
Year III (10
%)
330,500
18
2,640,000
1,815,000
1,996,500
6,451,500
Remarks

Orientation
trainings of the
recruited staffs

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

Review and revise
the career
structure of
medics and
paramedics
-
-
-
-
Technical
assistance
10,475,280
17,304,408
25,207,156
52,986,844

Filling of Human
Resource gaps as
Batch
Posts
207
Detail HR plan is
attached
Page 79
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Define
Sr.
Problem
Financial Targets
Activity
Year I
Year II (10 %)
Posts
16
366,720
605,088
887,462
1,859,270
Detail HR plan is
attached
HR
207
16,386,792
27,056,383
39,433,227
82,876,402
Detail HR plan is
attached
Rate

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
29,712,548
2
Deficient
infra
structure
for MNCH
services at
secondary
level
Remarks
Quantity
Unit
per MSDS
Total
Cost
Year III (10
%)

Identify the gaps
in infrastructure of
THQ and DHQ
hospitals
individually

Costing of the gaps
-
50,606,398
-
74,431,045
309,499,980
-
-
Need
Assessment
-
-
Plan
Page 80
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Define
Sr.
Problem
Activity
Inadequate
Equipments
Total
Cost
Remarks
Year I
Year II (10 %)
Year III (10
%)
-
-
-
-
1
1
1
8,470,000
8,470,000
9,317,000
10,248,700
28,035,700
 Procurement of
equipments for
DHQ D G Khan
hospitals based on
the gaps between
MSDS and existing
available
26,423,525
54,091,165
108,712,970
189,227,660
Detail attached
 Procurement of
equipments for THQ
hospital Tunsa
Shareef based on
the gaps between
MSDS and existing
available
24,430,032
-
24,430,032
24,430,032
Submission of
demand
Unit
3
Financial Targets

Phasing

Construction of
residences at DHQ
hospital
1100 per
squard
yard

Construction of
residences at THQ
hospitals (2*1)
1100 per
squard
yard
Rate
1100
Quantity
7700
Demand
submission
Page 81
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Define
Sr.
Problem
Financial Targets
Activity
Unit
Rate
Quantity
 Orientation of staffs
in maintenance of
logs for equipments
4
Political
Interference

Formulation of
the Health
committees

Meetings with
political leaders

Advocacy
seminars
seminar
30000
6
Total
Cost
Year I
Year II (10 %)
Year III (10
%)
-
-
-
-
26,423,525
78,521,197
108,712,970
213,657,692
2
2
2
60,000
60,000
66,000
72,600
198,600
Remarks
Plan
Page 82
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
2.
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
2011-2012
Additional
Total
Regular
2012-2013
Additional
Total
Regular
Additional
Total
A03907
577,300
1,260,000
1,837,300
663,895
1,386,000
2,049,895
763,479
1,524,600
2,288,079
A03902
1,161,500
22,800,000
23,961,500
1,335,725
24,915,000
26,250,725
1,536,084
27,406,500
28,942,584
A03820
-
12,000
12,000
-
13,200
13,200
-
14,520
14,520
A03927
85,100,000
74,665,000
159,765,000
97,865,000
80,707,000
178,572,000
112,544,750
88,777,700
201,322,450
A13101
1,909,000
-
1,909,000
2,195,350
-
2,195,350
2,524,653
-
2,524,653
A09501
3,450,000
7,600,000
11,050,000
3,967,500
8,360,000
12,327,500
4,562,625
9,196,000
13,758,625
A09601
3,289,000
-
3,289,000
3,782,350
-
3,782,350
4,349,703
-
4,349,703
A03903
-
1,240,000
1,240,000
-
924,000
924,000
-
774,400
774,400
A03801
-
2,556,000
2,556,000
-
1,070,300
1,070,300
-
886,930
886,930
A09601
3,289,000
-
3,289,000
3,782,350
-
3,782,350
4,349,703
-
4,349,703
Page 83
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Object
Classification
2010-2011
Regular
2011-2012
Additional
Total
Regular
2012-2013
Additional
Total
Regular
Additional
Total
A09404
-
12,600,000
12,600,000
-
13,805,000
13,805,000
-
12,160,500
12,160,500
A03807
9,810,650
-
9,810,650
11,282,248
-
11,282,248
12,974,585
-
12,974,585
A03906
78,200
-
78,200
89,930
-
89,930
103,420
-
103,420
A09802
-
-
-
-
-
-
-
-
-
A13001
1,173,000
40,000
1,213,000
1,348,950
44,000
1,392,950
1,551,293
48,400
1,599,693
Total
109,837,650
122,773,000
232,610,650
126,313,298
131,224,500
257,537,798
145,260,292
140,789,550
286,049,842
Page 84
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) Management Problems
Object
Classification
2010-2011
Regular
Additional
2011-2012
Total
Regular
Additional
2012-2013
Total
Regular
Additional
Total
A03801
-
2,640,000
2,640,000
-
1,815,000
1,815,000
-
1,996,500
1,996,500
A09601
3,289,000
26,423,525
29,712,525
3,782,350
78,521,197
82,303,547
4,349,703
108,712,970
113,062,673
A01101
-
10,475,280
10,475,280
-
17,304,408
17,304,408
-
25,207,156
25,207,156
A01270
-
16,386,792
16,386,792
-
27,056,383
27,056,383
-
39,433,227
39,433,227
A09501
3,450,000
-
3,450,000
3,967,500
-
3,967,500
4,562,625
-
4,562,625
A03807
9,810,650
-
9,810,650
11,282,248
-
11,282,248
12,974,585
-
12,974,585
A03902
1,161,500
-
1,161,500
1,335,725
-
1,335,725
1,536,084
-
1,536,084
A01102
-
366,720
366,720
-
605,088
605,088
-
887,462
887,462
A03903
-
60,000
60,000
-
66,000
66,000
-
72,600
72,600
A12402
-
8,470,000
8,470,000
-
9,317,000
9,317,000
-
10,248,700
10,248,700
Total
17,711,150
64,822,317
82,533,467
20,367,823
134,685,076
155,052,899
23,422,996
186,558,615
209,981,611
Page 85
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
3.
Summaries
1. Problem-wise Costing
a) Health Problem
Sr. No.
Problem
FY I
FY II
FY III
Total Cost Rs.
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
1
Hepatitis
15,400,000
16,720,000
15,367,000
47,487,000
2
ARI
31,430,000
34,259,500
37,395,050
103,084,550
3
HIV/AIDS
26,678,000
29,345,800
32,280,380
88,304,180
4
HMM
12,313,000
12,501,500
13,751,650
38,566,150
5
Diarrhoeal diseases
15,312,000
16,403,200
17,801,520
49,516,720
6
Anemia (in Pregnancy)
6,590,000
6,814,500
7,495,950
20,900,450
7
TB
9,900,000
10,890,000
11,979,000
32,769,000
8
Scabies
5,150,000
4,290,000
4,719,000
14,159,000
122,773,000
131,224,500
140,789,550
394,787,050
Total
Page 86
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) Management Problems
Sr. No.
Problem
FY I
FY II
FY III
Total Cost Rs.
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
Amount (Rs.)
1
Shortage of MNCH related
Staff
29,868,792
46,780,879
67,524,345
144,174,016
2
Deficient Infrastructure of
MNCH at Secondary level
8,470,000
9,317,000
10,248,700
28,035,700
3
Inadequate MNCH
related Equipments
26,423,525
78,521,197
108,712,970
213,657,692
4
Political Interference
60,000
66,000
72,600
198,600
TOTAL
64,822,317
134,685,076
186,558,615
386,066,008
Page 87
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
2. Activity-wise Costing
a) Health Problems
Sr. No.
Problem
1
2
Hepatitis
ARI
Activity
FY-I
FY-II
FY-III
Total
· Quarterly co-ordination
meetings with TMA and other
agencies
-
-
-
-
· Messages on local cable
network
-
-
-
-
· Printing and distribution of IPC
and hepatitis awareness material
300,000
165,000
181,500
646,500
· Procurement and supply of
screening kits
7,500,000
8,250,000
6,050,000
21,800,000
· Procurement of safety boxes
100,000
55,000
60,500
215,500
· Procurement of drugs for
treatment of Hepatitis patients
7,500,000
8,250,000
9,075,000
24,825,000
· Develop and implement SOPs
for sterilization of equipment
-
-
-
-
Messages on local cable
networks
_
_
_
-
420,000
462,000
508,200
1,390,200
Messages through FM radio
Page 88
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
Printing and distribution of
IPC material
300,000
330,000
363,000
993,000
Training of medics and paramedics in IMCI
720,000
528,000
290,400
1,538,400
9,100,000
10,010,000
11,011,000
30,121,000
-
20,800,000
22,880,000
25,168,000
68,848,000
Procurement of nebulizing
drugs
90,000
49,500
54,450
193,950
Messages on local cable
network
420,000
462,000
508,200
1,390,200
Messages through FM radio
channels
420,000
462,000
508,200
1,390,200
Printing and distribution of
500,000
550,000
605,000
1,655,000
Strengthening of HIV / AIDS
surveillance
-
-
-
-
Rehabilitation of HIV positive
case and follow up
-
-
-
-
channels
Procurement of drugs
3
HIV/AIDS
IPC
Page 89
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
Education of safe sex
practices
240,000
264,000
290,400
794,400
Display of health awareness
on local transport
20,000,000
22,000,000
24,200,000
66,200,000
Counseling of patients' close
relatives
-
-
-
-
-
-
-
-
Involvement of private
practitioners in HIV surveillance
98,000
107,800
118,580
324,380
Special campaign on screening
of HIV
5,000,000
5,500,000
6,050,000
16,550,000
Involvement of religious
group in social mobilization
-
-
-
-
· Messages on local cable
network
-
-
-
-
· Printing and distribution of
IPC material
150,000
165,000
181,500
496,500
Training of LHWs on BCC
948,000
-
-
948,000
Procurement of vehicles for
7,600,000
8,360,000
9,196,000
25,156,000
Establishment of help lines
4
HMM
Page 90
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
transportation through CCBs
5
Diarrhoeal diseases
· Repair of non functional
ambulances for timely
transportation of pregnant
mothers
40,000
44,000
48,400
132,400
· Replacement of the non
functional ambulances for timely
transportation of pregnant
mother
-
-
-
-
Procurement of the MNCH
related equipment and
Instruments
-
-
-
-
Implementation of the referral
protocols
-
-
-
-
Procurement of Micro-nutrients
3,500,000
3,850,000
4,235,000
11,585,000
Procurement and distribution of
Anti-D
75,000
82,500
90,750
248,250
Quarterly co-ordination
meetings with TMA and other
agencies
12,000
13,200
14,520
39,720
Page 91
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
Anemia (in Pregnancy)
FY-II
FY-III
Total
Messages on local cable
network
-
-
-
-
Printing and distribution of
IPC material
300,000
330,000
363,000
993,000
1,000,000
660,000
484,000
2,144,000
Training of medics and
paramedics in IMCI
-
-
-
-
Procurement and
distribution of ORS and Zinc
Sulphate
2,000,000
2,200,000
2,420,000
6,620,000
Procurement and distribution of
Zinc Sulphate
12,000,000
13,200,000
14,520,000
39,720,000
·
Messages on local cable
network
-
-
-
-
·
Printing and distribution
of IPC material
500,000
550,000
605,000
1,655,000
·
Printing and distribution
of IPC material
300,000
330,000
363,000
993,000
·
Short refresher trainings
of LHWs about balanced diet and
790,000
434,500
477,950
1,702,450
Conduction of HES in Schools
6
FY-I
Page 92
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
FY-I
FY-II
FY-III
Total
provision of micro-nutrients
7
TB
·
Procurement of deworming tablets
1,000,000
1,100,000
1,210,000
3,310,000
·
Purchase of medicine (
Folic Acid)
1,500,000
1,650,000
1,815,000
4,965,000
·
Purchase of medicine
(Ferrous Sulphate)
2,500,000
2,750,000
3,025,000
8,275,000
Messages on local cable
networks
-
-
-
-
Messages through FM radio
channels
-
-
-
-
Printing and distribution of
IPC and TB awareness material
300,000
330,000
363,000
993,000
Procurement of drugs to
address deficiency according to
regimen
9,600,000
10,560,000
11,616,000
31,776,000
Procurement of reagents and
slides for notified diagnostic
facilities under DOTS programme
-
-
-
-
Page 93
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
8
Problem
Scabies
Activity
FY-I
FY-II
FY-III
Total
Community health education
sessions
-
-
-
-
Printing & Distribution of IPC
Material
150,000
165,000
181,500
496,500
Supply of anti scabies drugs
5,000,000
4,125,000
4,537,500
13,662,500
122,773,000
131,224,500
140,789,550
394,787,050
-
Page 94
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
b) Management Problems
Sr. No. Problem
Activity
Costing (Rs.)
FY-I
1
Shortage of MNCH related
Staff
FY-II
FY-III
Total
· 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
recruitment through PSC against
vacant posts
-
-
-
-
· Orientation trainings of the
recruited staffs
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
-
-
-
-
Page 95
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
Costing (Rs.)
FY-I
FY-II
FY-III
Total
implementation of agreed pay
packages
2
Deficient Infrastructure of
MNCH at Secondary level
· Review and revise the
career structure of medics and
paramedics
-
-
-
-
· Filling of Human Resource
gaps as per MSDS
10,475,280
17,304,408
25,207,156
52,986,844
-
366,720
605,088
887,462
1,859,270
-
16,386,792
27,056,383
39,433,227
82,876,402
· Identify the gaps in
infrastructure of THQ and DHQ
hospitals individually
-
-
-
-
·
Costing of the gaps
-
-
-
-
·
Phasing
-
-
-
-
Construction of MNCH Block at
DHQ and THQ Hospital
8,470,000
9,317,000
10,248,700
28,035,700
Construction of residences at
DHQ and THQ Hospitals
-
-
-
-
Page 96
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. No.
Problem
Activity
Costing (Rs.)
FY-I
3
4
Inadequate MNCH related
Equipments
Political Interference
TOTAL
FY-II
FY-III
Total
108,712,970
189,227,660
Procurement of equipments for
DHQ D G Khan hospitals based
on the gaps between MSDS and
existing available
26,423,525
54,091,165
Procurement of equipments for
THQ hospital Tunsa Shareef
based on the gaps between
MSDS and existing available
-
24,430,032
-
24,430,032
Orientation of staffs in
maintenance of logos for
equipments
-
-
-
-
· Formulation of the Health
committees
-
-
-
-
· Meetings with political
leaders
-
-
-
-
Advocacy seminars
60,000
66,000
72,600
198,600
-
64,822,317
134,685,076
186,558,615
386,066,008
Page 97
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
SECTION 5: MONITORING & EVALUATION
The proposed monitoring and evaluation targets and indicators will be used to gauge
the progress of implementation of the plan. This will be done through:



Developing indicators
 Health Problems
 Health System
 Budget Utilization
Identifying means of verification; and
Plan for monitoring and evaluation of the district health plan
M&E of Plan
Indicators
Target
% of planned
supervisory
visits
conducted
% of RHCs with
availability of
specialists of
essential
specialties
(Physician,
Surgeon,
Paediatrician
and
Gynaecologist)
% of health
facilities with
availability of
essential
MNCH related
equipment
(level specific)
50 visits
/year
%
Achievement
MoV
Inspection
Book
Responsibility
EDOH/DOH/
DDOH
100%
During 1st
year
Pay Roll
EDOH / DOH
100%
During 1st
year
Stock
Register
EDOH/
MSs
Frequency Remarks
of
monitoring
Quarterly
6 monthly
DOH/ 6 monthly
Page 98
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Indicators
Target
Availability of
relevant
(MNCH)
laboratory
equipment at
appropriate
level of care
% facilities
with
availability of
essential
medicines
% of functional
ambulances in
the district
100%
During 1st
year
Stock
Register
EDOH/
DOH/MSs,
Store keeper
100%
During 1st
year
Stock
Register
EDOH/
MSs,
keeper
100%
(DHQH/
THQH/
RHCs)
100% of
yearly
budget
100%
(50%
during 1st
year)
100% in 3
years
(50%
during 1st
year)
100% in 3
years
(50%
during 1st
year)
Log Book
EDOH/DOH/
Transport
officer
% utilization of
sanctioned
budget
% of facilities
with
availability of
basic EmONC
% of DHQ/THQ
hospitals with
Comprehensive
EmONC
services
% of facilities
with
availability of
separate or
partitioned
room reserved
exclusively for
delivery
% of targeted
Target
pregnant
according
women newly
to
registered by
population
LHW
%
Achievement
MoV
Responsibility
Frequency Remarks
of
monitoring
Quarterly
DOH/ Monthly
Store
Quarterly
Quarterly
Reports
EDOH/ DOH/ Quarterly
MSs/ Accounts
officer
Supervisory EDOH/DoH/
Quarterly
visit report DDOH
Supervisory EDOH/DoH/
visit report DDOH
Quarterly
Supervisory EDOH/DoH/
visit report DDOH
Quarterly
DHIS
Report
Quarterly
EDOH/
Statistical
Officer
Page 99
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Indicators
Target
% of targeted
pregnant
women
received TT-2
vaccine
Delivery
conducted by
or under
supervision of
skilled persons
reported
%of target
children
between 18 23 months of
age fully
immunized
% of referred
cases attended
Target
according
to
population
DHIS
Report
90%
(…. %
During 1st
year)
DHIS
Report
EDOH/ DHIS Quarterly
Coordinator/
Statistical
Officer
Target
according
to
population
DHIS
Report
EDOH/ DHIS Quarterly
Coordinator/
Statistical
Officer
EDOH/ DHIS Quarterly
Coordinator/
Statistical
Officer
% of targeted
eligible couples
provided
knowledge and
information on
Family
Planning
methods
No. of meetings
with
participation
from other
sectors
Target
according
to
population
DHIS
Report/
LHWs
monthly
report
LHW’s
monthly/
quarterly
report
100%
12
meetings
per year
%
Achievement
MoV
Responsibility
Frequency Remarks
of
monitoring
EDOH/ DHIS Quarterly
Coordinator/
Statistical
Officer
EDOH/
Statistical
Officer
/Coordinator
NP-FP&PHC
Quarterly
Minutes of EDOH/ Focal Quarterly
meetings
person/s
Page 100
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Annexure
Page 101
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Annex- I
PRIVATE SECTOR HEALTH FACILITIES
Sr. #
Names
Addresses
1
Dr. Muhammad Arshad Jatoi
2
3
Dr. Muhammad Aslarn Malik New General Bus Stand Road, Shehzad
Colony. D.G. Khan
Dr. Abdul Ghafoor Leghari
Sarwar Wali, Multan Road. Dera Ghazi Khan
4
Dr. Abdul Hameed
Mana Ahmadani, (Dist. D.G. Khan)
5
Dr. Abdul Qadir Nadeem
6
Dr. Abdul Rasheed Mirza
7
Dr. Abdul Rehman Qaisrani
Near Boys High School, Shah Sadar Din,
(Dist. D.G. Khan)
Jinnah Medical Complex, Near DHQ Hospital,
D.G. Khan
Block"13", Railway Road, D.G. Khan
8
Dr. Abdul Saltar Chandia
9
Dr. Abdul Sattar Pitafi
Old Multan Road, Near Chorhatta Chowk.
D.G. Khan
Quetta Road. Gadai, Dera Ghazi Khan
10
Dr. Abdul Waheed Sheikh
Quetta Road, Gadai, Dera Ghazi Khan
11
Dr Abrar Husain Khosa
12
Dr. Ali Asghar
Khatim Clinic, Choti Road. Paigah, (Dist. D.G.
Khan)
Kot Chutta , (Dist. D.G. Khan)
13
Dr. Allah Bakhah Batti
14
Dr. Allah Nawaz khan
15
Dr. Ambar Shahzadi
16
Dr. Amjad Parveez
17
Dr. Amna Waqar
18
Dr. Aneela Aqueel
19
Dr. Arshad Mumtaz
Choudhry
Ghous Abad, (Dist. D.G. Khan)
Near Faisal Mosque, Jinah Medical Complex,
D.G. Khan
Near Qabristan. Shah Sadar Din, (Dist. D.G.
Khan)
Block "A". Khayban-e-Sarwar. D.G. Khan
Jinah Medical Complex. Railway Road. D.G.
Khan
Mujahid Abad Colony. Near College Chowk,
D.G. Khan
Block"18", Near Hasan Hospital, D.G. Khan
Yaroo Khosa. (Dist. D.G. Khan)
Page 102
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
20
Dr. Asghar Masood
Block"9", College Road, Dera Ghazi Khan
21
Dr. Aukif Adnan
22
Dr, Aumir Raza
Balkh Sarwar City, Block"18", Jampur Road,
Dera Ghazi Khan
Block "X", Model Town, Dera Ghazi Khan
23
Dr. Ayisha Irfan
24
Dr. Bushra Naureen
25
Dr. Capt. Ghulam Fareed
26
Dr. Capt. Saif-ul-Lah Khan
27
Block"2", Near Boys Primary School No.4.
D.G. Khan
Opposite Musharraf Filter Plant. Jail Road,
D.G Khan
Peer Qatal, Chorhatta Road, D.G. Khan
31
Dr. Capt. Saleem Ahmad
Kamran
Dr. Capt. Muhammad Afzal
Sadozai
Dr. Capt. Muhammad Hafeezur-Rehman
Dr. Capt. Sayed Muhammad
Ashraf Shah
Dr .Capt. Tanveer Sajid
32
Dr. Shams-ul-Hasan Quraishi
Kot Chutta (Dist. D.G. Khan)
33
Dr. Ehsan Kareem Khalid
34
Dr. Ejaz Ahmad
Atomic Energy Commission, Atomic Colony.
D.G. Khan
Kot Chutta , (Dist. D G Khan)
35
Dr. Ejaz Ahmad Khan
36
Dr. Faiz Muhammad Malik
THQ Hospital Road. Taunsa Shraif, (Dist.
D.G. Khan)
Block"10", College Road, Dera Ghazi Khan
37
Dr. Faiz-ul-Lah Leghari
Peer Qatal, Chorhatta Road, D.G. Khan
36
Dr. Farkhanda Jabeen
156-Block"C". Khayban-e-Sarwar. D.G. Khan
39
Dr. Fayyaz Husain
Block"9", College Road, Dera Ghazi Khan
40
Dr. Ghazala Shaheen
16-Medical Colony, DHQ Hospital D.G. Khan
41
Dr. Ghulam Abbas Malik
Jhok Ultra Road, Kot Chutta (Dist. D.G. Khan)
42
Dr. Ghulam Shabbir Birmani
(Dermatologist)
Dr. Ghulam Shabbir
Malghani
Balkh Sarwar City,Block"18", Jampur Road,
Dera Ghazi Khan
Quetta Road, Gadai. Dera Ghazi Khan
28
29
30
43
Civil Lines Colony. Near College Chowk, D.G.
Khan
Block "K", Goal Bagh Ghanta Ghar. D.G. Khan
Block "W". Near Fawwara Chok, Pathar
Bazar, D.G. Khan
Block"10", College Road. Dera Ghazi Khan
Block"12".Quaid-e.Azam Road, Dera Ghazi
Khan
Kot Chutta, (Dist. D.G. Khan)
Page 103
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
44
Dr. Ghulam Shabbir Malik
45
Dr. Gul Muhammad Shamsi
(Ophthalmologist)
Dr. Hafeeza Mazhar
46
47
Addresses
Block"12",Quaid-a-Azam Road, Dera Ghazi
Khan
Block"X",Near Pakistani Chowk, D.G. Khan
Paigah. (Dist. D.G. Khan)
49
Dr. Hammad zaka-ud-Din
Ghauri
Dr. Haroon Rasheed
Choudhry
Dr. Humaira Shaheen
50
Dr. lftekhar Husain Khosa
51
Dr Imran Kareem Jaskani
52
Dr. Imtiaz Ahmad Oaisrani
53
Dr. Irfan Kareem Jaskani
54
Dr. lshfaq Jaskani
Block"45", Near Kumharan Wala Chowk.
D.G. Khan
Block"3", Sadar Bazar. D.G. khan
55
Dr. lshfaq Siddiquee
Chabri Zaireen, (Dist. D.G.Khan)
56
Dr. Khaleelur-Rehman
(Physician)
Dr. Khalid Masood Qaisrani
Balkh Sarwar Cily,Block"l8". Jampur Road,
Dera Ghazi Khan
Block"13". Railway Road. D.G. Khan
Block"13". Railway Road, D.G. khan
59
Dr. Khalid Mehmood
Farooquee
Dr. Khalid Naveed
60
Dr. Koukab Nadeem
61
Dr. Manzoor Ahmad Leghari
Jinah Medical Complex, Near DHQ Hospital
D.G Khan
Block"13", Railway Road. D.G. khan
62
Dr. Mazhar Ali Jaskani
Paigah, (Dist. D.G. Khan)
63
Dr. Mazhar Rafique
64
Dr. Mehmood Ahmad Khalid
Opposite RHC. Shadan Lund. (Dist. D.G.
Khan)
Peer Qatal, Chorhatta Road, D.G. Khan
65
Dr. Mehmood Javaid Malik
66
Dr. Mehmood Khan Leghari
Jinah Medical Complex, Near DHQ Hospital,
D.G. Khan
Quetta Road, Gadai, Dera Ghazi Khan
67
Dr. Mian Abdul Raheem
Block "J", Railway Road. Near "TEVTA"
48
57
58
Block"2", Sadar Bazar, D.G. Khan
Atomic Energy Commission, Atomic Colony,
DG.Khan
Block"18". Fareed Abad Colony. Near
Microwave Tower, DG.Khan
Block-3", Sadar Bazar, D.G. Khan
Block"45". Near Kumharan Wala Chowk,
D.G. Khan
Mana Ahmadani. (Dist. D.G.Khan)
Block"5".Railway Road. D.G. Khan
Page 104
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
Office. D.G. Khan
68
69
Dr.Mian Muhammad Umar
Farooq
Dr. Mirza Muhammad Saeed
Block"12",Quaid-e-Azam Road, Dera Ghazi
Khan
Block'5",College Road, Dera Ghazi Khan
70
Dr. Muhammad Afzal Buzdar
Block"13", Railway Road, D.G. Khan
71
House No.5. Block "L", D.G. Khan
74
Dr. Muhammad Ahmad
Siddiquee
Dr. Muhammad Akbar
Siddiquee
Dr. Muhammad Ali Khan
(Medical Specialist)
Dr. Muhammad Ashraf Khan
75
Dr. Muhammad Asif Akhtar
76
77
Or. Muhammad Aslam
Chughtai
Dr. Muhammad Ayyub
78
Dr. Muhammad Bilal Khan
79
Dr. Muhammad Faheem
Block-13". Railway Road. D.G. Khan
Zulfiqar
Dr. Muhammad Fayyaz Malik Jinah Medical Complex,Near DHQ Hospital
D.G. Khan
Dr. Muhammad Hasnain
Block"13". Railway Road, D.G. Khan
Irshad Noohi
Dr. Muhammad Iqbal khan
Block"C", Azamat Road. D.G. Khan
72
73
80
81
82
83
84
Dr. Muhammad Ishfaq
Sheikh
Dr. Muhamrad Ismail Baig
85
Dr. Muhammad Jameel Khan
86
Dr. Muhammad Javaid
Akhtar
Dr.Muhammad Khaleel
Ahmad
Dr.Muhammad Maalik
87
88
Block"18". Fareed Abad Colony. Near
Microwave Tower. D.G. Khan
Block “W", Pathar Bazar, D.G Khan
Block"12",Quaid-e-Azam Road, Dera Ghazi
Khan
Peer Qatal. Chorhatta Road, D.G. Khan
Block “Z". Model Town. Dera Ghazi Khan
Block"18-, Fareed Abad Colony. Near
Microwave Tower, D.G. Khan
Block"K", Goal Bagh Ghanta Char, D.G. Khan
Block"5", College Road. Dera Ghazi Khan
Near Boys High School, Shah Sadar Din.
(Dist. D.G. Khan)
Block"12",Quaid-e-Azam Road, Dera Ghazi
Khan
22-Medical Colony. DHQ Hospital D.G. Khan
THQ Hospital Road, Taunsa Shraif, (Dist.
D.G. Khan)
Block"16".Near Eid Ghah & Girls Degree
College. D.G. Khan
Page 105
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
89
90
Dr.Muhammad Nasar-ul-Lah
Khan
Dr. Muhammad Qasim
91
Dr. Muhammad Qasim Malik
92
Dr. Muhammad Riaz Malik
93
Mana Ahmadani. (Dist. D.G. Khan)
95
Dr. Muhammad Sabir Ali
Khan Rind Balouch
Dr. Muhammad Safdar Iqbal
Hashmi (Ophthalmologist)
Dr. Muhammad Shafi Arshad
96
Dr.Muhammad Suhail
97
Dr.Muhammad Sulaiman
Malik
Dr.Muhammad Tanveer
Awan
Dr. Muhammad Yousaf
Ansari
Dr. Muhammad Zafar Khosa
THQ Hospital Road. Taunsa Shraif, (Dist.
D.G. Khan)
Old Multan Road, Chowk Chorhatta. D.G.
Khan
Old Multan Road. Chowk Chorhatta. D.G.
Khan
Block"13", Railway Road, D.G. Khan
94
98
99
100
101
102
103
104
Dr. Muhammad Zahid
Siddiquee
Dr.Muhammad Zubair
Qaisrani
Dr. Munazza Batool
Addresses
Balkh Sarwar City,Block"l8", Jampur Road,
Dera Ghazi Khan
THQ Hospital Road. Taunsa Shraif. (Dist.
D.G. Khan)
Balkh Sarwar City.Block"18", Jampur Road,
Dera Ghazi Khan
Peer Qatal, Chorhatta Road, D.G. Khan
Block "W', Near Pakistani Chowk. D.G. Khan
BIock "C", Azmat Road, Dera Ghazi Khan
House No.35, Block"40". D.G. Khan
Block"10", College Road, Dera Chazi Khan
THQ Hospital Road, Taunsa Shraif, (Dist.
D.G. Khan)
Balkh Sarwar City,Block"18'-, Jampur Road,
Dera Ghazi Khan
Opposite Zoo, Near Circuit House. D.G. Khan
105
Dr. Musarrat Abbas (ENT
Specialist)
Dr. Musarrat Faheem
106
Dr. Nadeem Ahmad Chohan
107
Dr. Naimat-ul-Lah Bhatti
108
Dr. Najeeb-ur-Rehman
109
Dr. Nasreen Shabbir
Block No. 8, Quaid-e-Azam Road. Dera Ghazi
Khan
Near Municiple Committee. Taunsa Shraif,
(Dist. D.G. Khan)
House No.28, Block"B", D.G. Khan
110
Dr. Natiq Hayat Ghilzai
Peer Qatal, Chorhatta Road, D.G. Khan
Block"16",Near Eid Ghah & Girls Degree
College. D.G. Khan
14-Medical Colony. DHQ Hospital D.G. Khan
Page 106
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
111
Dr. Nazeer Ahmad Ansari
112
Dr. Nazia Shahid
Block"8".Quaid-e-Azam Road, Dera Ghazi
Khan
Block "l 7", Near Hasan Hospital, D.G. Khan
113
114
Dr. Nusrat Javaid (Dental
Surgen)
Dr. Rafaquat Javaid
Balkh Sarwar City.Block"18", Jampur Road.
Dera Ghazi Khan
Taunsa Road, Peer Audil. (Dist. D.G.Khan.)
115
Dr. Rashid Ali Qureshi
116
Dr.Razia Mukhtar
Block"18", Fareed Abad Colony, Near
Microwave Tower, D.G. Khan
Block"2", Kutchery Road, D.G. Khan
117
Dr.Rooh-ul-Amin Khosa
118
Dr. Rukhsana Parveen
119
Dr. S. A. Akhtar
Balkh Sarwar Cily,Block'-18", Jampur Road,
Dera Ghazi Khan
Block"36".Opposite Gaow Shala. Near
Railway Pooly, D.G. Khan
Block"3". Sadar Bazar, D.G. Khan
120
Dr. S. M. Saleem Shah Kazmi
Shah Sadar Din. (Dist. D.G. Khan)
121
Dr. Sabeeha Nasreen
Block"18", Fareed Abad Colony. D.G. Khan
122
Dr. Sajid Kaleem
123
Dr. Sajjad Sarwar
Block"8".Quaid.e-Azam Road, Dera Ghazi
Khan
Choti Zaireen . (Dist. D.G. Khan)
124
Dr. Saleem Akhtar Khosa
Peer Qatal, Chorhatta Road, D.G. Khan
125
Dr. Saleem-ul-Lah
126
Dr. Sayed Irshad Noohi
Al-Quresh Trust Hospital, Block"34", D.G.
Khan
Block"B', Kutchary Road, Dera Ghazi Khan
127
129
Dr. Sayed Javaid Naeem
Bukhari
Dr. Sayed Muhammad Suhail
Shah
Dr. Shafiq-ur-Rehman
Block"5", Opposite P.S.O. City Petrol Pump,
D.G. Khan
Opposite Faisal Mosque, Block"9". Railway
Road, D.G. khan
Block"5",Railway Road, D.G. Khan
130
Dr. Shaheen Hashmat
131
Dr. Shahida Saleem
Block"12", Quaid-a-Azam Road, Near
Pakistani Chowk. Data Ghazi Khan
House No.41. Block"9", D.G. Khan
132
Dr. Shahzad Qaisar
Jhok Uttra. (Dist. D.G. Khan)
133
Dr. Sharjeel Ahmad
Block"5".Railway Road, D.G Khan
134
Dr. Shazia Mushtaq
Kot Chutta , (Dist. D.G. Khan)
135
Dr. Shazia Naureen
House No.11, Block"11". Liaquat Road, D.G.
128
Page 107
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
Khan
136
Dr. Shazia Rubab
House No.86, Block "W', D.G. Khan
137
Dr. Shehnaz Asghar
138
Dr.Shehzad Hashmi
QadeerAbad Colony. Near College Chowk,
D.G. Khan
Block'5",College Road. Dera Ghazi Khan
139
Dr. Shoaib Qadir Malghani
140
Dr. Suhail Mumtaz
141
Dr. Tahir Fareed Turk
142
Dr. Tariq Jameel
Jinah Medical Complex,Near DHQ Hospital
D.G. Khan
Shairoo. (Dist. D.G. Khan)
143
144
Dr. Tariq Mehmood (Dental
Surgen)
Dr. Tariq Murtaza
Balkh Sarwar City, Block"18". Jampur Road,
Dera Ghazi Khan
Block"13", Railway Road, D.G. khan
145
Dr. Umar Farooq Ahsan
House No.68. Block"A", D.G. Khan
146
Dr. Zafar Ejaz
Block"40". Near Ghazi Park, D.G. Khan
Mangrotha Road, Taunsa Shraif. (Dist. D.G
Khan)
Near Pul Dat, Fareed Abad Colony. D.G. Khan
(b) Hospitals
1
Al-Asar Hospital
2
Al-Aziz Surgical Hospital
Block "S", Opposite City Police Station. D.G.
Khan
Bhutta Colony. Gadai Road, D.G. Khan
3
Ali Children Hospital
Peer Qatal, Chorhatta Road. D.G. Khan
4
Ali Hospital
Block"E", Railway Road, D.G. Khan
5
Al-Kamal Free Hospital
Darbar-e-Qadria, Block"35". D.G.Khan
6
Al-Lateef Eye Hospital
7
Al-Raheem Clinic
Balkh Sarwar City.Block"18". Jampur Road.
Dera Ghazi Khan
Yaroo Road, Kot Mubarak, (Dist. D.G. Khan)
8
Al-Shifa Children Hospital
Block"5", College Road, Dera Ghazi Khan
9
Al-Shifa Hospital
10
Al-Zuhra Hospital
11
Amna Children Hospital
Vehova Road, Taunsa Shraif. (Dist. D.G.
Khan)
Block "Z", Jail Road, Model Town. Dera Ghazi
Khan
Block"5", College Road. Dera Ghazi Khan
12
Aslam Hospital
Block No "2" Near Boys Primary School
No.4, D.G. Khan
Page 108
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
13
Aumir Hospital
14
Awami Hospital
D.G. Khan Road, Indus High Way, Taunsa
Shraif. (Dist. D.G Khan)
Kot Chutta . Jampur Road, (Dist. D.G Khan)
15
Baby Hospital
Block"9", College Road, Dera Ghazi Khan
16
Bismillah Children Clinic &
Laboratory
Bismillah Children Hospital
Block"5". College Road, Dera Ghazi Khan
19
Bukhari Hospital &
Maternity Clinic
Bushra Hospital
20
Buzdar Surgical Hospital
21
Dilshad Hospital
22
Dua Memorial Hospital
23
Faisal Hospital
24
Faiz Surgical Hospital
25
Fareed Chest Care Hospital
Block"18". Fareed Abad Colony, Near
Microwave Tower. D.G. Khan
Hashmi Chowk, Taunsa Shraif, (Dist. D.G.
Khan)
Block"18", Fareed Abad Colony, Near
Microwave Tower, D.G.Khan
Mangrotha Road, Taunsa Shraif. (Dist. D.G
Khan)
Balkh Sarwar City, Block"18". Jampur Road.
Dera Ghazi Khan
Mangrotha Road, Taunsa Shraif. (Dist. D.G
Khan)
Block'Z", Jail Road, Model Town, Dera Ghazi
Khan
Block"5", College Road, Dera Ghazi Khan
26
Fatima Hospital
27
General Hospital
28
GEO Care
29
Haleema Hospital
30
Hasan Hospital
31
Jan Maternity Hospital
32
Jinah Free Hospital
33
Kamran Medical centre
34
Khan Memorial Hospital
17
18
Block"5". College Road. Dera Ghazi Khan
Balkh Sarwar City,Block'l 8", Jampur Road,
Dera Ghazi Khan
New Model Town,Opposite Govt. Girls
Degree College, D.G. Khan
Behind Buzdar Surgical Hospital. Block"18".
Fareed Abad Colony, D.G.Khan
Balkh Sarwar City.Block"18", Jampur Road,
Dera Ghazi Khan
Block"17", Near Bank Al-Falah, D.G. Khan
Mohalla Ghareeb (Islam) Abad. Peer Qatal
Road, D.G. Khan
Shakir Town, Near P.S.O. Petrol Pump D,G,
Khan
Block"2", Shumali Chowk, Near Boys
Primary School No.4, D.G. Khan
Mangrotha Road, Taunsa Shraif, (Dist. D.G.
Page 109
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Sr. #
Names
Addresses
Khan)
35
Major Bukhari Eye Hospital
Block"5", College Road, Dera Ghazi Khan
36
Marie Stopes Hospital
Block"A". Kutchery Road, D.G. Khan
37
Maryium Hospital
38
Med-Stone Kidny Centre
39
Mehar Eye & Medical Centre
40
Muhammad Hospital
41
Niaz Hospital
Balkh Sarwar City,Block"18". Jampur Road.
Dera Ghazi Khan
Block"18". Fareed Abad Colony, Near
Microwave Tower, D.G. Khan
Basti Cheena, Mana Ahmadani, (Dist. D.G.
Khan)
Block"O", Near Goal Bagh Ghanta Ghar,
Darbar-e-Qadria Road, D.G. Khan
Block"5", College Road, Dera Ghazi Khan
42
44
Nishtar Hospital & Maternity
Home
Usama Orthropaedic
Hospital
Yousaf Surgical Hospital
45
Zubaida Hospital
43
Balkh Sarwar City,Block"18", Jampur Road,
Dera Ghazi Khan
Block"5". College Road. Dera Ghazi Khan
Balkh Sarwar City.Block"18", Jampur Road,
Dera Ghazi Khan
Block"E", Railway Road, D.G. Khan
Page 110
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Annex-II
Costing of Equipment Gaps for DHQ and THQ Hospitals
DHQ HOSPITAL DG KHAN
Sr.
No.
1
Equipment
CTG (Cardiac
Tocography)
2
Foetal Doppler
3
Diagnostic
Laparoscope
4
Bulb Sucker
5
Baby Warmer
6
Mechanical Sucker
7
Fetal Stethoscope
8
Delivery Table
9
D&C Set
10
Outlet forceps
11
Myoma Screw
12
Kochers forceps
13
Volselum forceps
14
Lanes Tissue holding
forceps
15
Vaginal Retractors
16
Polypectomy forceps
17
Sponge holder
18
Uterine elevator
19 CosCo Speculum
20
Examination light
21
Suction Curette
22
Infant Resuscitation
Trolley (with life
saving medicines,
baby laryngoscope,
Endo0tracheal tube,
Infant BP Apparatus,
Chargeable Light)
23
Mother Resuscitation
Trolley (with life
Standard as per
Available
MSDS
(Qty.)
C
B
A
1
1
2
1
Gap
Cost/Unit
Total
Cost
0
285000
0
3
1
5
1
5
2
0
0
5
1
101000
1200000
505000
1200000
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
1
3
0
2
1
1
0
4
0
0
20
2
0
4
0
2
3
2
0
8
2
45
850000
28000
1500
17500
2100
900
320
235
235
400
900
1700000
0
6000
0
4200
2700
640
0
1880
800
10
2
10
1
6
3
1
1
10
2
15
1
10
3
2
1
10
2
20
1
10
6
2
2
2
0
10
0
3
0
0
8
2
5
1
10
0
2
1
350
750
300
150
550
18000
95
95000
2800
1500
1500
150
5500
0
190
95000
1
1
2
0
1
110000
110000
Page 111
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
24
25
26
26.1
26.2
26.3
26.4
26.5
26.6
26.7
26.8
26.9
26.1
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
saving medicines,
Laryngoscope,
Endo0tracheal tube,
BP Apparatus,
Chargeable light)
Cardiac Monitor
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
1
1
1
1
2
1
1
0
0
1
500000
250000
0
250000
2
2
4
0
0
30000
0
2
2
4
2
0
55
0
2
2
4
2
0
55
0
2
2
4
2
0
150
0
2
2
4
2
0
150
0
8
8
16
3
5
150
750
8
8
16
3
5
175
875
2
2
2
16
2
2
2
16
4
4
4
32
1
2
2
6
1
1
90
150
300
110
90
0
0
110
16
16
32
6
10
125
1250
8
8
4
8
8
4
16
16
8
0
0
0
8
8
4
230
125
275
1840
1000
1100
4
4
8
0
4
250
1000
8
8
16
0
16
200
3200
4
2
2
10
10
10
10
10
4
2
2
10
10
10
10
10
8
4
4
15
15
15
15
15
0
0
0
2
0
0
6
6
4
2
2
8
10
10
4
4
250
1500
1500
125
360
135
100
1000
3000
3000
0
1250
3600
540
400
10
10
15
0
10
100
1000
Page 112
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
27.6
Sims Speculum single
blade
27.7 Sims Speculum
double blade
27.8 Sponge holding
forceps
27.9 Artery forceps
27.1 Straight clamps
(cord)
27.11 Vacuum Extractor
pump
27.12 Towel clip
28
Caesarian 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
28.8 Obstetric outlet
forceps (pair)
28.9 Doyene’s Retractor
28.1 Small Retractors
28.11 Towel Clippers
28.12 Suction Nozzle
29
MNCH Related
Radiology
Equipments
29.1 Ultrasound Machine
29.2 X0Ray Unit 500 kw
29.3 Color Doppler
29.4 Lead Screen for
X0Ray Unit
29.5 0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
29.6 Safe Light
29.7 X0RT Film Processing
Tank
29.8 Chest Stand
20
20
30
0
20
275
5500
20
20
30
0
20
250
5000
40
40
60
20
20
250
5000
40
20
40
20
60
30
20
0
20
20
275
175
5500
3500
1
1
1
1
0
19000
0
40
6
6
24
40
8
8
32
60
10
10
40
0
0
0
12
40
8
8
20
125
50
125
5000
0
400
2500
24
32
40
12
20
125
2500
24
32
40
16
16
175
2800
6
8
10
0
8
150
1200
6
8
10
0
8
270
2160
24
32
40
0
32
300
9600
6
8
10
0
8
900
7200
6
12
24
6
8
16
32
8
10
20
40
10
0
0
0
0
8
16
32
8
200
300
125
250
1600
4800
4000
2000
0
1
1
0
1
2
1
1
1
3
1
1
1
2
1
1
0
0
1
0
575000
6000000
5750000
30000
0
0
5750000
0
1
1
1
1
0
100000
0
1
1
1
1
1
1
1
1
0
5000
5000
5000
0
1
1
1
1
0
4500
0
Page 113
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
29.9
29.1
30
30.1
30.2
30.3
30.4
30.5
30.6
30.7
30.8
30.9
30.1
31
31.1
31.2
31.3
31.4
31.5
31.6
31.7
31.8
31.9
31.1
31.11
31.12
32
32.1
32.2
32.3
32.4
X0Ray film
Illuminator
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
Freezer for Fresh
Frozen Plasma
2
2
2
4
4
4
4
2
4000
8000
0
4000
0
0
1
1
1
1
2
1
1
1
2
2
1
1
2
2
2
0
1
1
2
0
0
1
1200000
1500000
22000
910000
2400000
0
0
910000
2
1
1
5000
5000
2
2
2
0
3100
0
1
1
1
1
1
1
2
2
2
1
0
0
0
1
1
22000
36000
2000
0
36000
2000
2
2
4
1
1
1
1
1
3
2
1
1
1
1
4
2
0
0
0
0
0
0
0
7000
1
1
1
1
1
2
0
0
1
1
1
1
1
3
321000
525000
165000
21000
500000
500
14000
0
0
0
0
0
0
0
2
2
4
2
0
1000
0
2
1
2
2
4
2
2
0
0
2
1000
320
0
640
2
2
4
2
2
4
4
4
8
2
2
0
0
0
4
2450
3000
1000
0
0
4000
0
0
812000
0
0
1
1
0
600000
5225000
1150000
600000
5225000
0
1
1
2
0
1
1
1
1
1
1
1
1
1
1
0
0
1
Page 114
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
32.5
32.6
32.7
32.8
32.9
32.1
32.11
32.12
32.13
33
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
Haemoglobino0meter
Centrifuge
33.1
33.2
33.3
33.4
33.5
33.6
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
1
2
1
2
0
0
0
1
0
0
0
1
4
3
1
1
0
1
10000
1000
3000
8000
3000
1000000
1000000
3000
115000
0
0
3000
32000
9000
1000000
1000000
0
115000
0
1
1
1
1
1
1
1
1
1
0
0
1
1
1
425000
625000
690000
425000
625000
690000
2
2
1
2
2
1
2
4
2
0
0
0
2
2500
5000
2
1000
2000
1
133000
133000
Grand Total= 22982665
THQ HOSPITAL TAUNSA
r. No.
1
2
3
4
5
6
7
8
9
10
S
Equipment
CTG (Cardiac
Tocography)
Foetal Doppler
Diagnostic
Laparoscope
Bulb Sucker
Baby Warmer
Mechanical Sucker
Fetal Stethoscope
Delivery Table
D&C Set
Outlet forceps
Standard as per
Available
MSDS
(Qty.)
C
B
A
1
1
1
1
Gap
Cost/Unit
Total Cost
0
285000
0
2
1
2
1
3
1
3
0
0
1
101000
1200000
0
1200000
5
2
3
2
2
2
4
10
2
3
3
2
2
4
20
3
3
4
2
2
4
5
0
3
2
2
2
1
15
3
0
2
0
2
0
45
850000
28000
1500
17500
2100
900
675
2550000
0
3000
0
4200
0
Page 115
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
11
12
13
14
Myoma Screw
Kochers forceps
Volselum forceps
Lanes Tissue holding
forceps
15
Vaginal Retractors
16
Polypectomy forceps
17
Sponge holder
18
Uterine elevator
19 CosCo Speculum
20
Examination light
21
Suction Curette
22
Infant Resuscitation
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
25
Pump Breast
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
26.8 Needle Holder (7”)
26.9 Needle Holder (10”)
26.1 Artery Forceps
(Straight 6”)
2
4
4
2
2
4
4
2
2
4
6
2
2
0
0
2
0
0
0
0
320
235
235
400
0
0
0
0
4
2
10
1
4
3
1
1
4
2
10
1
6
3
1
1
6
2
15
1
6
3
2
1
4
2
10
2
0
5
3
1
0
0
1
1
350
750
300
150
550
18000
95
95000
700
0
1500
0
0
0
95
95000
1
1
1
0
1
110000
110000
1
1
1
1
1
1
0
0
1
1
500000
250000
500000
250000
2
2
2
1
1
30000
30000
2
2
2
0
2
55
110
2
2
2
2
0
55
0
2
2
2
2
0
150
0
2
2
2
150
0
8
8
8
4
4
150
600
8
8
8
8
0
175
0
2
2
2
16
2
2
2
16
2
4
2
16
0
2
2
6
2
2
0
10
90
150
300
110
180
300
0
1100
6
0
Page 116
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
26.11 Artery Forceps
(Curved 6”)
26.12 Allis Forceps
26.13 Towel Clamps
26.14 Single blade Sims
speculum
26.15 Double blade Sims
speculum
26.16 Sponge holding
forceps
26.17 Volselum forceps
26.18 Uterine Sound
26.19 Bladder Sound
27
Delivery Sets
27.1 Episiotomy Scissors
27.2 Straight Scissors
27.3 Needle holder
27.4 Non0toothed 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
27.1 Straight clamps
(cord)
27.11 Vacuum Extractor
pump
27.12 Towel clip
28
Caesarian 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
16
16
16
6
10
125
1250
8
8
4
8
8
4
8
8
4
8
4
0
0
4
4
230
125
275
0
500
1100
4
4
4
4
0
250
0
8
8
8
8
0
200
0
4
2
2
6
6
6
6
6
4
2
2
6
6
6
6
6
4
2
2
10
10
10
10
10
2
2
2
4
3
4
6
6
0
0
0
6
3
6
4
4
250
1500
1500
125
360
135
100
0
0
0
0
375
2160
540
400
6
6
10
4
6
100
600
12
12
20
4
16
275
4400
12
12
20
20
20
250
5000
40
40
40
30
10
250
2500
40
20
40
20
40
30
30
15
10
15
275
175
2750
2625
1
1
1
1
0
19000
0
40
4
4
16
40
4
4
16
40
6
6
24
30
0
2
12
10
6
4
12
125
50
125
1250
0
200
1500
16
16
24
12
12
125
1500
16
16
24
6
18
175
3150
4
4
6
4
2
150
300
4
4
6
4
2
270
540
16
16
24
6
18
300
5400
Page 117
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
28.8
Obstetric outlet
forceps (pair)
28.9 Doyene’s Retractor
28.1 Small Retractors
28.11 Towel Clippers
28.12 Suction Nozzle
29
MNCH Related
Radiology
Equipments
29.1 Ultrasound Machine
29.2 X0Ray Unit 500 kw
29.3 Color Doppler
29.4 Lead Screen for
X0Ray Unit
29.5 0.5 MN Lead Apron.
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets
29.6 Safe Light
29.7 X0RT Film Processing
Tank
29.8 Chest Stand
29.9 X0Ray film
Illuminator
29.1 X0Ray Film Hangers
All sizes
30
MNCH Related
Paediatrics
Equipments
30.1 Paediatric Ventilator
30.2 Incubator
30.3 Photo Therapy Unit
30.4 Over0head Radiant
Warmer
30.5 Infant Length
Measuring Scale
30.6 Infant Weighing
Machine
30.7 Nebulizer
30.8 Billiubino0meter
30.9 Exchange Blood
Transfusion Set
30.1 Nasal Probe Paed size
31
Anaesthesia/ICU
31.1 Anaesthesia Machine
31.2 Ventilators
31.3 Nebulizer
4
4
6
1
5
900
4500
4
8
16
4
4
8
16
4
6
12
24
6
2
6
6
2
4
6
18
4
200
300
125
250
800
1800
2250
1000
0
1
1
0
1
1
1
0
1
2
1
0
1
1
1
1
1
575000
6000000
5750000
30000
575000
0
0
30000
1
1
1
0
1
100000
100000
1
1
1
1
1
1
1
1
1
0
5000
5000
5000
0
1
2
1
2
1
2
1
Nil
0
2
4500
4000
0
8000
4
4
4
4
0
4000
0
1
0
1
1
1
1
1
1
1
1
2
1
1
1
0
2
2
0
2
0
0
2
1200000
1500000
22000
910000
2400000
0
0
1820000
2
2
2
0
2
5000
10000
2
2
2
2
0
3100
0
1
1
1
1
1
1
1
1
1
4
0
0
1
1
22000
36000
2000
0
36000
2000
1
2
2
0
2
7000
1
1
1
1
1
1
1
1
1
2
0
1
0
1
1
321000
525000
165000
14000
0
0
525000
165000
Page 118
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
31.4
31.5
31.6
31.7
31.8
31.9
31.1
31.11
31.12
32
32.1
32.2
32.3
32.4
32.5
32.6
32.7
32.8
32.9
32.1
32.11
32.12
32.13
33
33.1
33.2
33.3
33.4
33.5
33.6
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
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
Haemoglobino0meter
Centrifuge
1
1
1
1
1
2
1
1
2
1
0
2
21000
500000
500
0
0
1000
0
1
2
2
0
2
1000
2000
1
1
2
1
2
1
0
2
1
1000
320
2000
320
1
2
4
2
2
4
2
2
4
1
1
0
1
1
4
2450
3000
1000
2450
3000
4000
1
1
1
1
1
812000
0
812000
1
1
1
1
1
1
1
1
1
0
0
0
1
1
1
600000
5225000
1150000
600000
5225000
1150000
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
1
1
1
0
0
0
1
1
2
1
5
2
1
1
1
1
10000
1000
3000
8000
3000
1000000
1000000
3000
115000
10000
2000
3000
40000
6000
1000000
1000000
3000
115000
0
1
1
1
1
1
1
1
1
1
0
0
0
1
1
1
425000
625000
690000
425000
625000
690000
2
1
1
2
1
1
2
1
1
1
1
2
1
0
0
2500
1000
133000
Grand Total=
2500
0
0
22209120
Page 119
Three Years Rolling Plan 2010-2013 District Dera Ghazi Khan
Page 120