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Pakistan

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Demographic IndicatorsPakistan is categorized by high mortality and

population growth rates

Total Fertility Rate 4.07

Crude Birth Rate 28

Population Growth Rate 1.92 Infant Mortality Rate 82

Under 5 Mortality Rate 98

Maternal Mortality Ratio 350

Contraceptive Prevalence Rate 34Economic survey of Pakistan 2004 - 05

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MGD 4: Reduce Child Mortality

INDICATORS FOR PAKISTAN

Under-five mortality rate

Infant mortality rate

Proportion of fully immunised children (12-23 months)

Proportion of children < 1 yr immunised against measles

Prevalence of under-weight children (under 5 yrs) Lady Health Workers coverage of target population

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MGD 5: Improve Maternal Health

INDICATORS FOR PAKISTAN

Maternal mortality ratio

Proportion of births attended by skilled birth

attendants

Contraceptive prevalence rate

Total fertility rate

Proportion of women 15-49 years who had given

birth during last 3 years, and made at least one

antenatal care consultation

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Target 5 Reduce under5 mortality by two-thirds

Indicators 1990/91 2001/02 2002/032005/06

Targets2011 2015

UNDER 5

MORTALITY

RATE

140 105 103 80 65 52

INFANTMORTALITY

RATE

102 77 75 63 50 40

MGD 4: Reduce Child Mortality(MGD Goals Report 2004 Planning Commission of Pakistan)

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MGD 4: Reduce Child MortalityStatus at a Glance Summary of Progress

(MGD Goals Report 2004 Planning Commission of Pakistan)

GOAL/

TARGETS

WILL TARGET BE REACHED?

STATE OF

SUPPORTIVE

ENVIRONMENT

Reduce child

mortalityProbably Potentially Unlikely Strong Fair Weak

Reduce under 5mortality by 2/3

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MGD 4: Reduce Child MortalityCapacity for Monitoring and Reporting Progress

(MGD Goals Report 2004 Planning Commission of Pakistan)

Quality and

Regularity of

Survey

Information

Statistical AnalysisStatistics in Policy

Making

Reporting and

Dissemination of

Information

Strong Fair Weak Strong Fair Weak Strong Fair Weak Strong Fair Weak

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Target 6 Reduce maternal mortality by three quarters

Indicators 1990/91 2001/02 2002/032005/06

Targets2011 2015

Maternal

mortality ratio550 350 350-400 300-350 180 140

Births attendedby skilled birth

attendants

18% 40% 40% 75% 90% >90%

MGD 5: Reduce Maternal Mortality(MGD Goals Report 2004 Planning Commission of Pakistan)

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MGD 5: Reduce Maternal MortalityCapacity for Monitoring and Reporting Progress

(MGD Goals Report 2004 Planning Commission of Pakistan)

Quality and

Regularity of

Survey

Information

Statistical AnalysisStatistics in Policy

Making

Reporting and

Dissemination of

Information

Strong Fair Weak Strong Fair Weak Strong Fair Weak Strong Fair Weak

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Indicators 1990/91 2001/02 2002/032005/06

Targets2011 2015

HIV prevalence

among 15-24

year old

pregnant women

n/a Nil n/a n/a n/a

Baseline to

be reduced

by 50%

MGD 6: Combating HIV/AIDS, Malaria andOther Diseases

(MGD Goals Report 2004 Planning Commission of Pakistan)

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MGD 6: Combating HIV/AIDS, Malaria andOther Diseases

Status at a Glance Summary of Progress(MGD Goals Report 2004 Planning Commission of Pakistan)

GOAL/

TARGETSWILL TARGET BE REACHED?

STATE OF

SUPPORTIVE

ENVIRONMENT

Halt & begun to

reverseHIV / AIDS

Probably Unlikely No Data Strong Fair

Weak

but

improvi

ng

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Issues (contd)

Inadequate social sector services delivery

Professional and managerial deficiencies

High prevalence of communicablediseases

Lack of integrated management of

childhood illnesses Malnutrition

Low skilled birth attendance rate

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Government Programs - Health

National Program for Family Planning andPrimary Health Care

Food and Nutrition

Women Health Project

Reproductive Health Project

Expanded Program on Immunization National Maternal and Child Care Program

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NCHD Health ProgramsFocus is on ensuring access to health services

Primary Health Care Extension

National ORS Campaign

National School Health Program

Strengthening of Primary Health Care

System

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APPLICATION OF ICT IN HEALTH(Contd)

Particular value for patients from improvedinformation systems include:

development & use of electronic patient

records

multi-media decision support systems

remote monitoring

updating patient notes using wireless

Personal Digital Assistants (PDA)

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E-HEALTH CHALLENGES

Creating ICT technologists and technicians inhealth sector at all levels

Attitudes about use of ICT/e-health technologies

Time - Mans greatest enemy Achieving consensus

Lack of investment in technology in healthcaresector

Lack of Stakeholder participation

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E-HEALTH CHALLENGES

Solutions are needed to solve these challenges.

How can e-health help to meet

health sector challenges?