56
Redefining Primary Healthcare PPHI SINDH QUARTERLY REPORT OCTOBER - DECEMBER 2020
Redefining Primary Healthcare
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
PPHIOFFICIAL
WWW.PPHISINDH.ORG
PPHISINDHOFFICIAL
PPHISINDH
PPHIOFFICIAL
CREDITS
Mr. Abdul Wahab Soomro Chief Executive Officer
Mr. Riaz Hussain Rahoojo Director Monitoring & Immuniza- tion / (Acting) Chief Operations Officer
Mr. Abdul Shakoor Noonari Director Procurement
Mr. Maula Bakhsh Shaikh Director Human Resource
Mr. Ashique Hussain Chandio Director Administration
Dr. Zaib Dahar Senior Technical Adviser
Dr. Zamir Suhag Director Research
Lt Col Khalid Ahmad Qureshi (Retd) Director IT
Mr. Muhammad Yahya Chief Financial Officer
Dr. Tariq Aziz Chief Pathologist
Mr. Asadullah Dahri Provincial Engineer
Dr. Zeeshan Shaikh Project Director EU-PINS
Dr. Sajid Shafique Provincial Coordinator Nutrition
Dr. Misbah Munir Deputy Director MNCH
Dr. Ayaz Baloch Deputy Director Training & Capacity Building
Ms. Nelofer Baig Deputy Director Research
Dr. Barkat Noonari Manager EPI
Dr. Zakir Ali Punar Manager DHIS
Dr. Samiullah Odho Manager Medical Reimbursement Cell
Ms. Samina Bakhtawar Master Trainer
Mr. Syed Zeeshan Ali Manager Power & Energy
Prepared & designed by:Communications & Media Affairs Wing
Photo Credits & Copyrights:PPHI Sindh
ACRONYMS
AFBANCCHXCOVIDDHISDLsDOsFPHFIUCDLBWNVDOPDOTPPNCPPFPPWSAMSASUC
Acid Fast BacilliAntenatal CareChlorhexidineCoronavirusDistrict Health Information SystemDistrict LabsDistrict OfficerFamily PlanningHealth FacilitiesIntrauterine Contraceptive DeviceLow Birth Weight Normal Vaginal DeliveryOut-patient DepartmentOut-patient Therapeutic ProgramPostnatal CarePost Partum Family Planning Pregnant WomenSevere Acute Malnutrition Summary of Additional Services Union Council
CONTENT
Quarter’s Progress at a Glance 01
Maternal Health 07
Family Planning 09
Ultrasound 10
Capacity Building 11
Pathology 13
Immunization 15
Nutrition 21
Solarization 24
Repair and Renovation 27
Research 38
News and Events 43
Our Partners 49
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
QUARTER’SPROGRESS
QUARTER’S PROGRESS AT A GLANCE
Since its start, PPHI Sindh has grown enormously and has broadened its scope from 6/6 essential primary health care services to 24/7 basic obstetric care services. More than 300 BHU Plus have been upgraded to 24/7 maternity centres. PPHI Sindh achieved this without any extra resources but with constant support from the Government of Sindh. The outcome of PPHI Sindh’s efforts can be seen in the progress the health indicators are making in the province.
PAGE | 02
OPD
6,442,548patients received services through OPD in comparison to 6,922,035 patients in the quarter from October to December 2019
NEW CASES
4,647,237new cases were registered in OPD compared to 4,930,859 registered in the
same quarter of the last year
FOLLOW UP CASES
1,795,311patients came for follow up check up during this quarter compared to 1,991,176 patients in the same quarter of the last
year
HEPATITIS SCREENING
174,071patients were screened for Hepatitis compared to 177,098 patients during the quarter from October to December 2019
HEPATITIS B POSITIVE
3,652patients were treated for Hepatitis B in this quarter compared to 4,661 patients in
the same quarter of the last year
HEPATITIS C POSITIVE
8,281patients were treated for Hepatitis C in this quarter compared to 9,911 patients in
the same quarter of the last year
QUARTER’S PROGRESS AT A GLANCE
PPHI Sindh emphasizes on child healthcare and has adopted high-impact, low-cost interventions; such as provision of RUTF to cure malnutrition and provision of ORS and zinc for treating diarrhea.
Source: DHIS
UNDER-5 OPD
1,287,875under 5 years of age patients visited PPHI HFs in comparison to 1,372,217 patients
during same quarter of thelast year
U-5 MALNUTRITION
357,835under-5 patients were successfully treated for Malnutrition compared to 363,121 during the quarter from October to
December 2019
U-5 PNEUMONIA
79,981under-5 patient were treated for
pneumonia in this quarter comparedto 91,392 patients in the quarter from
October to December 2019
U-5 DIARRHEA
237,996under-5 patients were treated for diarrhea and dysentery compared to 253,414 patients
in the same quarter of the last year
PENTA-3 VACCINATION
203,602children received 3rd Penta Vaccination compared to 104,633 children during the quarter from October to December 2019
MEASLES-I VACCINATION
193,552children received Measles-I vaccination in comparison to 101,688 children in the quarter from October to December 2019
PAGE | 03
QUARTER’S PROGRESS AT A GLANCE
PPHI Sindh has been continuously improving on the quality of its healthcare services. The proof can be seen in the increasing number of clients and our success stories.
Source: DHIS
LAB INVESTIGATIONS
1,666,540lab investigations were done in compari-son to 1,731,297 lab investigations done
during same quarter of the last year
TB SUSPECTS
85,306patients were suspected for TB positive in comparison to 85,796 suspected TB patients in the quarter of October to
December 2019
AFB SLIDES EXAMINED
16,187AFB slides were examined to confirm TB patients compared to 20,761 AFB Slides in
the same quarter of the last year
AFB SLIDES POSITIVE
1,023patients were found TB positive as the result of AFB slides examination compared to 642 in the same quarter of
the last year
MALARIA CASES
242,816patients were treated in comparision to 299,999 in the quarter of October to
December 2019
PW RECEIVED TT2 VACCINE
92,176women were give TT2 vaccine in compari-sion to 73,207 women in the same quarter
of the last year
PAGE | 04
QUARTER’S PROGRESS AT A GLANCE
Provision of services to ensure safe motherhood and neonatal health is prime concern of PPHI Sindh. Multiple interven-tions are in place at health facilities accross Sindh to provide maximum benefit to the community.
Source: DHIS
ANC-1
126,881women came for atleast one ANC visit compared to 125,051 in the same quarter
of the last year
ANC-1 < 10 HB
65,003women were treated for low HB in comparision to 66,140 in the quarter of
October to December 2019
ANC REVISIT
245,142women revisited for their second or more ANC visits in comparision to 208,868 in
the same quarter of the last year
FAMILY PLANNING COVERAGE
221,516couples were provided FP coverage in
comparison to 210,859 last year
IUCD COVERAGE
28,205patients were given free IUCDs in comparison to 21,009 in the quarter of
October to December 2019
IMPLANT COVERAGE
16,076patients were provided free implants compared to 21,870 in the same quarter
of the last year
PAGE | 05
QUARTER’S PROGRESS AT A GLANCE
PPHI Sindh continues to strive for improvement in indacators of health of a mother, newborn and infant through quality intervention and services.
Source: DHIS
NVDS
82,679women delivered at HFs in comparison to
68,057 last year
C-SECTIONS CONDUCTED
2,248C-Sections were conducted in compari-son to 1,593 in the quarter of October to
December 2019
PNC-1 VISITS
99,932women came for treat PNC visits compared to 85,409 in the same quarter
of the last year
ULTRASOUND SCANS
165,960women were provided free ultrasound services compared to 172,614 in the same
quarter of the last year
LIVE BIRTH
83,646babies were delivered alive in compari-sion to 68,642 in the quarter of October to
December 2019
NEONATES RECEIVED CHX
70,581babies were provided with free CHX in comparision to 40,065 in the same
quarter of the last year
PAGE | 06
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
MATERNALHEALTH
ANC126,881
LIVE BIRTHS83,646
DELIVERY84,927
NORMAL DELIVERY46
KMCADMISSIONS
11,121
TOTALULTRASOUNDS
165,960
DATINGSCAN
21,669
LOW BIRTH WEIGHT8,757
STILL BIRTHS1,479
PRETERM BIRTH4,251
MATERNAL HEALTH
PAGE | 08
Since its start, PPHI Sindh ensures provision of quality health services to the communities for reducing maternal mortali-ty ratio. Through PPHI Sindh’s countless efforts the MNCH services trend is improving year by year. PPHI Sindh’s antenatal care services include all basic measures required to prevent complications during and after delivery like physical examina-
tion, laboratory investigation, ultrasound, counselling, reporting, etc.
FP VISITS221,516
PPFP27,269
ORALPILLS
64,750
IMPLANTCONSUMED
16,076
IUCDCONSUMED
16,333
CONDOM427,945
FAMILY PLANNING
PPHI Sindh has been providing Routine Family Planning (FP) services through counselling of mothers in antenatal, post-partum, and lactating periods. FP training is a regular feature of capacity building activities and is given to all healthcare providers. In this quarter, 298 male and female doctors and female paramedic staff have been trained in inserting IUCDs,
PPIUCDs and implants.
The Family Planning Coverage provided during this quarter was 221,516 as compared to the same quarter of the last year during which Family Planning Coverage was 210,859.
PAGE | 09
ECTOPICPREGNANCIES
DETECTED
23
TWINPREGNANCIES
DETECTED
1,275
MISSEDABORTION
1,666
RPOC AFTERTERMINATION OF
PREGNANCY
1,518
PLACENTAABRUPTIO
126
MOLARPREGNANCY
106
INTRAUTERINEDEATH
779
OLIGOHYDRAMN-IOS / POLYHYDRA-
MNIOS
14,816
CONGENTALANOMALIES
378
NEURAL TUBEDEFECTS
103
PLACENTAPREVIA
2,933
ULTRASOUND
PAGE | 10
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
CAPACITYBUILDING
HEALTH CARE PROVIDERS TRAINED
MIDWIFERY TRAININGNumber of candidates passed and currently enrolled (Total 350)
CAPACITY BUILDING
PAGE | 12
CHILDHEALTH
323 165
FAMILYPLANNING
457
OTHERS
382
DHIS & SAS
736
MATERNALHEALTH
253
CANDIDATESPASSED
109
UNDERTRAINING
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
PATHOLOGY
PATHOLOGYCOVID-19 LAB ESTABLISHMENT
Established COVID-19 PCR test at Hyderabad Lab from May 2020
COVID-19 testing site at Tharparkar
Start the COVID-19 Antibody at all DLs
Signed an agreement with Engro for COVID-19 testing
DETAIL OF COVID-19
No. of Tests Total Amount587 5,141,000
TOTAL REVENUE VIZ ORDERS
No. of Tests Total Amount45,533 38,872,874
DL WISE REVENUE VIZ ORDERS
No. of TestsDistrict Lab Total AmountHyderabad
Mirpurkhas
Khairpur
Jacobabad
Total
8,195
14,346
11,537
11,455
45,533
10,623,215
10,620,654
9,365,365
8,263,640
38,872,874
PATHOLOGY
PAGE | 14
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
IMMUNIZATION
Dadu Khairpur
94% 97%93% 94% 91%
118% 119% 116% 118% 118%
BCG Penta1 Penta3 Measles1 Measles2
IMMUNIZATION
PAGE | 16
QUARTERLY ANTIGEN COVERAGE (OCT – DEC 20)
Source: VLMIS
Khairpur - A Khairpur - A
112%116%
113% 113% 112%
BCG Penta1 Penta3 Measles1 Measles2
IMMUNIZATION
PAGE | 17
QUARTERLY ANTIGEN COVERAGE (OCT – DEC 20)
Source: VLMIS
123% 122%118%
121% 122%
UC CATEGORY
PAGE | 18
UNION COUNCIL CATEGORY QUARTER 4 (OCT - DEC 20)
* Total UCs : (Dadu 52, Khairpur-A 41, Khairpur-B 35)
Category-1 Category-2 Category-3
0 10 20 30 40 50 60
Khairpur B
Khairpur A
Dadu
35
38 2 1
1 150
UC CATEGORY
PAGE | 19
UNION COUNCIL CATEGORY IN PPHI MANAGED EPI DISTRICTS 2020
KH
AIR
PU
RD
AD
U
The performance allowance for vaccinators is being allocated on the basis of UC categorization in VLMIS, it will be linked with Zindagi Mehfooz Program (ZMP).
EPI monitoring software / application / dashboard is under development to enter the monitoring visits of EPI centers, outreach sessions and H-H clusters.
EPI FUTURE PLANS
PAGE | 20
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
NUTRITION
ACCELERATED ACTION PLAN (AAP)
PAGE | 22
PROJECT COST
996.6 Million June - 2018 toJune 2021
Mirpurkhas (A&B),Sukkur, Khairpur (A&B),Naushero Feroz, Ghotki,Tharparker, Umerkot,Badin (A&B), Sanghar(A&B), Jacobabad,Kashmore, Benazirabadand Hyderabad
Providing treatment in 748 OTP Sites (594 OTP sitesat HFs & 154 Satellite sites) for management of SevereAcute Malnutrition (SAM) children of (6~59) monthsage
DURATION DISTRICT COVERAGE THROUGH OTP SITES
INDICATOR
Under 5 years childrenAssessment for Malnutrition
No. of SAM ChildrenRegistered
CuredDefaultDeathNon CuredNSC / Medical TransferMoved Out / Others
Total No. of Exit
Remaining on Treatment
140,2887,458245
1,6564,0163,062
157,725
29,168
88.9 %4.7 %0.2 %
1 %2.5 %2.6 %
-
-
2,974,942
186,893
ACHIEVEMENTS
Sphere Standards: The proportion of discharges from therapeutic care who have died is <3%, recovered is >75% and defaulted is <15%
Non-Cured
NSC/Medical Transfer
Cured
Default
Death
Moved Out
UNDER 5 YEAR CHILDREN
4.7%0.2%
2.6%
1%2.5%
89%
COMPARISON OF QUARTERS (2019 & 2020)
PAGE | 23
Sphere Standards: The proportion of discharges from therapeutic care who have died is <3%, recovered is >75% and defaulted is <15%
INDICATOR
Under 5 years children Assessment for Malnutrition
Beginning of the Month
No. of SAM ChildrenRegistered
Cured
Default
Death
Non Cured
NSC / Medical Transfer
Moved Out / Others
Total No. of Exit
Remaining on Treatment
3RD QUARTER JUL-SEPT 2020
ACHIEVEMENTS
558,392
22,387
33,831
27,515
1,336
26
350
827
642
30,696
25,522
89.6 %
4.4 %
0.1 %
1.1 %
2.7 %
2.1 %
-
-
4TH QUARTER OCT-DEC 2019
ACHIEVEMENTS
317,758
9,506
10,407
10,241
212
19
104
375
261
11,212
8,701
91.3 %
1.9 %
0.2 %
0.9 %
3.3 %
2.3 %
-
-
4TH QUARTER OCT-DEC 2020
ACHIEVEMENTS
568,628
25,522
39,843
31,628
2,107
73
460
984
945
36,197
29,168
87.4 %
5.8 %
0.2 %
1.3 %
2.7 %
2.6 %
-
-
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
SOLARIZATION
PPHI Sindh received 50 solar energy system from District Health Officers, Shaheed Benazirabad with the help of Govern-ment of Sindh. All 50 systems have been installed. Solarization Phase IV is in progress. On completion, 21 more HF's/DO's
will be added completing the total of 673 HF’s/DO’s.
SOLARIZATION
PAGE | 25
INSTALLED CAPACITY (2,546 KW)
1,290
542439
202.8 153
0
200
400
600
800
1,000
1,200
1,400
Phase I Phase II Phase III Phase IV Solar Systemdonated byGoS in SBA
through DHO
SOLARIZATION
PAGE | 26
0
50
100
150
200
250
300
350
SOLARIZATION STATUS (673 HFS)
332
140
100
51 50
Phase I Phase II Phase III Phase IV Solar systemsprovided byGoS in SBA
through DHO
0
20
40
60
80
100
120
140
160
180
200
COST (RS IN M)
179
79
54
3221
Phase I Phase II Phase III Phase IV Operation &Maintenance
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
REPAIR ANDRENOVATION
REPAIR & RENOVATION SCHEMES
PAGE | 28
SCHEMESTHROW
FORWARD 2019-20
NEW SCHEMESTENDERED
2020-21
NSCWARDS
HAND WASHSTATIONS
UNICEFECHO TOTAL
No. of Schemes
SchemesCompleted
Allocation Rs. (M)
Expenditure Rs. M
16
5
37.302
17.260
66
1
231.129
45.269
3
0
2.441
-
4
0
16.100
-
5
-
2.376
-
94
6
289.348
62.530
GD KHUDA KI BASTI - KARACHI
PAGE | 29
BEFORE AFTER
BHU MOOSA KHATIYAN, HYDERABAD
PAGE | 30
BEFORE AFTER
PAGE | 31
BHU RUKAN BARIRA, SANGHAR – ADDITIONAL ROOM
BEFORE AFTER
PAGE | 32
MCHC JEEANDO RIND, SANGHAR
BEFORE AFTER
PAGE | 33
BHU KHALIFO QASIM – ROOF REPLACEMENT
BEFORE AFTER
PAGE | 34
GD KOT BHUTTO, LARKANA
BEFORE AFTER
BHU MASUR JI WAI, NAUSHERO FEROZE
PAGE | 35
BEFORE AFTER
BEFORE AFTER
BHU LOUNG FAKEER, KHAIRPUR
PAGE | 36
BEFORE AFTER
MCHC AHMED MIAN SOOMRO, JACOBABAD
PAGE | 37
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
RESEARCH
PUBLICATION
PAGE | 39
Submitted Under Peer Review Journals
Impact on utilization of maternal, new-born and child health care and outpatient services at primary health care facilities during COVID-19 in Sindh, Pakistan: A retrospective study
Burden and predictors of undernourishment among married women of reproductive age: a cross-sectional study in Dadu and Jacobabad districts of the Province Sindh, Pakistan"
COVID-19 Pandemic and its impact on Family Planning Services at primary healthcare facilities in rural Sindh - Pakistan”
Publications under write up
“Knowledge Assessment: An Investigation of providers performance on provision of maternal and child health services at primary healthcare facilities in Sindh – Pakistan”
“Factors affecting utilization of maternal health care services in rural areas of Sindh – Pakistan”
Treatment outcome, time of recovery and associated factor among SAM children admitted in OTP sites under CMAM program in Jacobabad
GRANTS
PAGE | 40
Community Engagement and Social Mobilization for Integrated Services Delivery in two super high risk UCs of Karachi
Applied to: UNICEF Status: Technical Proposal accepted. Budget component is under review
Research on Women’s Reproductive and Psychosocial Health related to Pregnancy, Pregnancy Prevention and Induced Abortion in the Context of COVID-19
In Partnership: School of Nursing & Midwifery (SONAM) AKU Status: ERC Submitted to National Bioethics Committee, Budget component is under discussion
Psychosocial Determinants of self-harm and suicide in Pakistan: A Nationwide Household Survey
In-collaboration with : Global Mental health and Cultural Psychiatry Research Group and Pakistan Institute of Living and Learning Status: PILL & Global Mental health and Cultural Psychiatry Research Group agreed to work with PPHI in research and capacity building of HCPs to assess and manage mental disorders especially post-partum depression, early identification and referral for severe mental disorder cases. Draft broad MoU is under review with PILL after our comments and will share the final draft with CEO for further process. Negotiations are ongoing on survey once finalize along with budget will share the details with CEO PPHI, Sindh for his approval.
CONFERENCES AND STUDIES
PAGE | 41
Prospective Internal Projects
Baseline Survey of catchment areas of newly acquired PPHI health facilities in District Shaheed Benazir Abad Re-Assessment of PPHI Sindh warehouses
Conference Abstract and Presentation(2nd Public Health Conference by APPNA Institute of Public Health)
Impact of Covid-19 outbreak on utilization of maternal, new-born and child health care and outpatient services at primary health care facilities in Sindh, Pakistan: A retrospective study
STUDY
PAGE | 42
Study to identify factors of low performing (Delivery Coverage) BHU Plus health facilities
Generally, most PPHI BHU plus health facilities (HF) conduct an average of 60 Normal Vaginal Deliveries (NVDs) per month. However, there are some HFs with consistent low performance in term of average monthly NVDs. Therefore, Research Wing designed a mix-method multi-component study to identify factors and reasons for constant low-perfor-mance, identify gaps, and recommend strategies for performance improvement. We adopted Three-Pronged Approach;
Health Facility Assessment (HFA) of both good & low-performing facilities for comparison Knowledge & Skills Assessment of Health Care Providers (HCPs) from both good and low-performing facilities for comparison Household survey by conducting interviews with MWRA (15-49 years) living in the catchment area who did not availed delivery care services from PPHI health facility in their neighborhood.
Following are the overall conclusions & recommendations from the above assessment;
The study find the availability and scope of diagnostic and laboratory services in poor-performing HFs not at par with those of good-performing HF; this may have contributed to low turnover for poor-performing HFs. Improving availability of laboratory & diagnostic services at all low performing facilities will improve performance. The knowledge level and skills competencies of HCPs from poor performing HF were inferior to HCPs from good performing HF; this may also have played a significant role in low turnover of the clients. The gap in knowledge and skills may be correlated with less number of trainings provided to HCPs from low-performing health facilities during the last two years compared to good performing HFs. The unavailability of ambulances may also have significantly affected service provision and contributed to low utiliza- tion or low performance of facilities compared to the good performing facilities. Some low-performing HFs have a small catchment area population and/or their location either conflicts with other good performing or is near to a secondary facilities in the area, resulting in low turnover.
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
NEWS ANDEVENTS
Mr. Abdul Wahab Soomro, CEO PPHI Sindh, inaugurated new IMNCI Clinic at MCHC Jeando Rind in District Sanghar
Mr. Abdul Wahab Soomro, CEO PPHI Sindh, along with Mr. Riaz Hussain Rahoojo, COO, and Dr. Najeebur Rahman, Regional Director Hyderabad visited the BHU Plus Khuda ki Basti where Mr. Soomro visited the
proposed site for constructing two additional rooms.
EVENTS
PAGE | 44
EVENTS
PAGE | 45
Commissioner Sukkur, Mr. Muhammad Shafiq Mahesar inaugurated R&R work of PPHI Sindh's BHU Dhoro in a ceremony organised at the
BHU
PPHI Sindh’s documentary entered its filming phase and it was conducted in December 2020 in various districts including: Karachi, Hyderabad, Matiari, Mirpurkhas, TM Khan, Badin, Tharparkar, Khairpur, Sukkur and Ghotki
The activity was well-organized by the RDs and DMs. The production team was in the field for eight days in the field
The first version of the documentary has been received
Mr. Ahmed Ali Qureshi, DC Khairpur visited PPHI Sindh's Kausar Hospital, Khairpur to inspect the free services and quality care provided by PPHI Sindh. Mr. Mazhar Veesar, Regional Director Sukkur accompa-nied him during the visit and also briefed him on the services provided
by PPHI Sindh.
Mr. Shafique Mahesar, Commissioner Sukkur visited PPHI Sindh's Kausar Hospital, Khairpur to inspect the free services and quality care provided by PPHI Sindh. Mr. Mazhar Veesar, Regional Director Sukkur accompanied him during the visit and also briefed him on the services provided by PPHI Sindh. The Commissioner appreciated PPHI Sindh's
efforts.
EVENTS
PAGE | 46
PPHI Sindh’s Health Heroes Medics/SOs/Paramedics at DO Khairpur B organized a health awareness drive at different educational institutions and various villages for awareness to promote better health in the community.
EVENTS
PAGE | 47
MEETINGS / ACTIVITIES
PAGE | 48
PPHI Sindh’s Hyderabad team met with HIV Aids Control Program and UNDP Representatives to discuss HIV/AIDs Surveillance
PPHI Sindh Health Facilities in DO Badin-A celebrated Global Hand Washing Day. The healthcare providers at the HFs demonstrated handwashing techniques to the community and explained the benefits
of regular handwashing
PPHI SINDHQUARTERLY
REPORTOCTOBER - DECEMBER 2020
OURPARTNERS
PAGE | 50
OUR PARTNERS
A company registered under Section 42 of the companies act 2017
www.pphisindh.org0800 77755+92 21 35872214, +92 21 35364045
[email protected] Sindh Head Office, Bunglow C27/1, Block-2, Clifton, Karachi
