Aga Khan Health Service, PakistanAga Khan Health Service, Pakistan

AKHS,P InitiativesAKHS,P InitiativesComprehensive Primary and First Comprehensive Primary and First

level Secondary Carelevel Secondary Care

• Antenatal & Postnatal care• Safe deliveries• Immunization against 7 communicable

diseases & Growth monitoring• Adult Health Programs ( SDM, Heart Health,

Reproductive Health)

AKHS,P InitiativesAKHS,P Initiatives

• IMCI (Integrated Management of Childhood Illnesses

• Nutrition Education Program• Vitamin A supplementation• De-worming of school • School Health Assessment Program• Tetanus Vaccination at School level

AKHS,Ps Community Health ModelAKHS,Ps Community Health Model

• Three tier health care approach

11Community Health Community Health

WorkersWorkers

22Facility based servicesFacility based services(MCH,FHC,EFHC,MCs)(MCH,FHC,EFHC,MCs)

33Mobile Supervisory FieldMobile Supervisory Field

TeamsTeams

CommunityCommunity

HEALTH EDUCATION RESOURCE HEALTH EDUCATION RESOURCE UNITUNIT

Assessment of local Assessment of local perceptions and perceptions and development of health development of health education materials in education materials in local context makes local context makes community understand community understand health problems and health problems and their prevention more their prevention more easily.easily.

TRAINING ACTIVITIES OF TBASTRAINING ACTIVITIES OF TBAS

Regular Regular supervision supervision and Continuing and Continuing education of education of TBAs is TBAs is essential to essential to refresh their refresh their knowledge.knowledge.

FIELD TEAMFIELD TEAM(Mobile Supervisory Teams)(Mobile Supervisory Teams)

The Skill MixThe Skill Mix

Public Health Public Health PhysicianPhysician

Community Community Health NurseHealth Nurse

LHV SupervisorLHV Supervisor Field CoordinatorField Coordinator Support StaffSupport Staff

ACHIEVEMENTSACHIEVEMENTS

Health System Development

Community Health Workers trained = 248Birth Attendants trained = 288Village Organizations mobilized = 590Women Organizations mobilized = 419