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Committed to Changing LIVES
Increasing Access to SRH Services through Social Franchising with Private Practitioners in Rural Areas of Pakistan
Presentation byAmir Hameed
(Regional Director, Federal, Gilgit Baltistan, Azad Jamu & Kashmir )Pakistan
Rahnuma - Family Planning Association of Pakistan
Committed to Changing LIVES
Case Study by a Private Practitioner
(Ms. Sabiha Fatima – LHV, Kachi Basti)
A 19 year old girl Shamim visited me with an issue of abnormal hair growth
over her face and body. Due to inadequate technical knowledge of the issue, I
was unable to counsel/ treat her problem. I kept on proposing her herbal
medication. She left my clinic with disappointment and started searching
solution from various quacks. I was later enrolled by FPAP and received
training on SRH issues counseling. Now I know what I could have done for the
girl but it is never late. I feel that I can help lots of young girls who come up
with some SRH problems.
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Problem Statement
• 64% Population of Pakistan lives in rural/peri-urban settings with majority
depending upon Private Health Practitioners (who have a limited range of
SRH services and poor quality of care) to access services.
• Majority of the private practitioners especially in Rural settings are focusing
on providing primary health services and safe-motherhood with limited
knowledge and services on FP.
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Strategic Interventions
• Mapping and Enrolment of PPs in Peri-urban and Rural settings.
• Hiring of Community mobilizers from the same respective
settings.
• Capacities building of selected PPs on diverse range of essential
SRH Services.
• Up gradation of Infrastructure and commodities supply.
• Quality Assurance through regular visits by Quality Assurance
Doctor.
• Establishment of strong Referral Mechanism.
• Monitoring and Reporting.
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Before After
Facilities Upgraded
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Lesson Learnt
• The Mid-Level Services Providers are more accessible to the rural
community and low Socio-economic group, because they are offering
services at low cost.
• Building the Technical capacity of PPs can expand the basket of SRH
services.
• Hiring of local Community Mobilizer helps in strengthening the
referrals to PPs.
Committed to Changing LIVES
Together we can make a difference
Thank You