1. INTRODUCTION Population is central to all development pursuits for improvement of quality of life, but at the same time, the galloping rate of its growth poses a challenge to the socio-economic development process due to ever increasing consumption needs of additional population. The progress made on the economic front has been neutralized to a considerable extent by inescapable basic need of the burgeoning population. This is amply demonstrated by the fact that population of the area that constitutes Pakistan today has increased from 32.5 million in 1947 to 160 million in 2007, which reflects a five-fold increase in just 60 years time span. The many facets ramification of this are self-evident in the living conditions of the peoples at almost all levels. Pakistan foresaw these far reaching implications of high population rate for the social and economic development undertakings and recognized that prospects for improvements, among other things, depended on volitional fertility moderation measures which lead to the introduction of family planning in the country for voluntary adoption of small family norm. The programme has continued and sustained, with spells of ups and downs along with changes and adjustments in the institutional set-up and operational strategy, with little effect on population growth rate, total fertility rate and contraceptive use prevalence. The overall strategic thrust of the programme is on: Reducing population growth rate to 1.3 percent per annum by the year 2020. 1
Transcript
1. INTRODUCTION
Population is central to all development pursuits for improvement of quality of life, but at the
same time, the galloping rate of its growth poses a challenge to the socio-economic development process
due to ever increasing consumption needs of additional population. The progress made on the economic
front has been neutralized to a considerable extent by inescapable basic need of the burgeoning
population. This is amply demonstrated by the fact that population of the area that constitutes Pakistan
today has increased from 32.5 million in 1947 to 160 million in 2007, which reflects a five-fold increase
in just 60 years time span. The many facets ramification of this are self-evident in the living conditions of
the peoples at almost all levels.
Pakistan foresaw these far reaching implications of high population rate for the social and
economic development undertakings and recognized that prospects for improvements, among other things,
depended on volitional fertility moderation measures which lead to the introduction of family planning in
the country for voluntary adoption of small family norm. The programme has continued and sustained, with
spells of ups and downs along with changes and adjustments in the institutional set-up and
operational strategy, with little effect on population growth rate, total fertility rate and contraceptive use
prevalence. The overall strategic thrust of the programme is on:
Reducing population growth rate to 1.3 percent per annum by the year 2020.
Reducing fertility through enhanced voluntary contraceptive adoption to replacement level of 2.1 births per woman by 2020.
Having universal access to safe family planning methods by 2010.
After the de-federalization of Population Welfare Programme in July, 2002, the Ministry of
Population Welfare has retained the mandate of policy planning and programme coordination;
information, education and communication (IEC); standardization of service delivery protocols;
demographic goals setting; human resource development (clinical & non-clinical training programme and
non-programme personnel); seeking foreign assistance and donor support; procurement and warehousing
of contraceptives and its distribution; and research, monitoring and evaluation. The provincial
governments including AJK, Northern Areas and FATA are implementing the programme, through
federal funding, with full administrative and financial autonomy. The provinces also coordinate with
various stakeholders at provincial level and monitor field activities for effective implementation of the
Programme.
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The scope of the Programme has been enlarged to strengthen outreach through enhanced and
improved service delivery strategies with particular attention focus on rural under served areas. A broader
reproductive health approach pursued with emphasis on mother and child health care while taking into
consideration social, religious, ethical and cultural values of the country. Doctors and their clinics have
been involved more effectively and net-working with NGOs streamlined and reinforced. Private medical
practitioners, private hospitals, nursing homes, hakeems and homeopaths, PLDs and PPSOs are used as
catalyst to supplement programme service delivery framework. The information, education and
communication campaign has been refined to address focussed target audience with special emphasis on
male participation, gender-equity and attitudinal change for adoption. For meeting the un-met demand,
the Ministry of Population Welfare supports projects of Private Sector Social Marketing initiatives
through donor funding in the country. These projects include Key Social Marketing (KSM) and Green
Star Social Marketing Pakistan (GSM) for broadening service delivery base by using commercial
distribution network of the private sector for provision of contraceptives in the country.
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2. SERVICE DELIVERY
(A) Programme Service Outlets
I. Family Welfare Centre (FWC)
Family Welfare Centre (FWC) is the cornerstone of Pakistan population Welfare programme. It
constitutes the most extensive institutional network in the country to promote and deliver family planning
services in the urban and rural areas. FWC operates in a rented building and serves as a static facility to
about 7,000 people, whereas operating through its satellite clinics and outreach facilities it covers a
population of around 12 thousands. The scope of work of the FWC includes provision of family planning,
maternal, child health (MCH) services and treatment of minor ailments Post ICPD, the scope of the FWC
was expanded to include several elements of Reproductive Health, like Safe motherhood, Infant health
care, Management of RTIs / STIs, HIV & AIDS. Currently there are 2712 functioning FWCs in the
country, about 60 percent of which are located in the rural areas.
asepsis, MIS and for provision of Comprehensive RHS Package, Identification of difficult surgical
cases and to be able to deal with surgical problems, assessment and diagnosis of abnormal obstetric/
gynecological problems and diagnosis/ management of infertility cases.
Training (basic/fresher) of Program/ non-program paramedics in operation theatre
management and other techniques with particular emphasis on asepsis/ infection prevention.
Development of training curricula, strategy, methodology and annual training plan for all
the above mentioned training activities, after approval from the M/O PW, also be responsible for
undertaking all training activities as planned.
Undertake FP/Health education programs at educational institutions and PLDs.
Hold orientation workshops for doctors and paramedics for all categories to update
knowledge of what is available for the clients in the way of contraceptive services.
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Responsible for providing on the job technical monitoring/supervision and
guidance/assistance for strengthening the institutional set up of RHS Centres and improvement in the
quality of services provision.
M.O. Incharge form each RHS Training Centre will undertake four supervisory visits (of 3
days duration) every year. During each visit a minimum of 4 RHS A-Centres will be covered for
technical guidance and support.
Contraceptive Performance (RHS-A), 2006-2007
Province/ Sector
Condom (Units)
Oral Pill (Cycles)
IUD(Insertions)
Injectable (Vials)
CS Cases
Couple Years of Protection (CYP)
Punjab 530,
467 41,398 31,648 34,101
69,175 988,719
Sindh 353,
221 38,631 12,241 40,727
30,066 431,842
NWFP 273,
249 22,873 9,222 29,792
4,482 97,683
Balochistan 63,
175 4,697 2,080 4,330
1,657 29,610
Islamabad 55,
651 3,249 1,180 2,404
1,598 25,189
Pakistan 1,275,
763 110,848 56,371 111,354
106,978 1,573,044
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RHS - A
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Enhancement of Institutional Re-imbursement Cost (IRC)
Enhancement of IRC rates for RHS A&B Centres was discussed with detailed break-up with Chief
(P&SP Section), P&D Division during a meeting chaired by Secretary, MoPW on 17 th January, 2007.
The draft of above meeting was shared with Chief P&D Division on 9th and 10th February, 2007 After
series of meetings in this regard & Notification of revised Institutional Reimbursement Cost (IRC) was
issued separately for RHS A&B Centres on 17th February, 2007 as per following details:-
RHS-A Centres
TUBECTOMY VASECTOMY
Static Extension Camps Static Extension Camps
Existing Rates
Revised RatesExisting
Rates Revised Rates
Existing Rates
Revised Rates
Existing Rates
Revised Rates
700 1060 750 1100 920 1550 920 1550
RHS-B Centres
TUBECTOMY VASECTOMY
Static Extension Camps Static Extension Camps
Existing Rates
Revised Rates
Existing Rates
Revised RatesExisting
Rates Revised Rates
Existing Rates
Revised Rates
850 1400 750 1550 920 1550 920 1550
III. Mobile Service Unit (MSU)
Mobile Service Units is a flagship of the Ministry of Population Welfare which provides quality
package of Reproductive Health and Family Health Services to the Population of remote villages and
hamlets where no other health facilities are available.
The MSU comprises a mini clinic operating from specially designed vehicles with all facilities
of a mini clinic ensuring complete privacy for simple gynecological procedures. Furthermore, it carries
within it tents that can be unfolded to provide rooms for OPD purposes as well as waiting staff. The idea
behind each MSU is that the remote rural population without access to health facilities are provided
health coverage focusing on RH in such a manner that each village or community is visited on a rotation
basis at least once a month. This done by each MSU by conducting 2-3 camps each week in such a
manner that they return after one month to every village. Each MSU has one Woman Medical Officer
and three support staff.
The component was initiated during the 7th Five-year plan to increase the availability of Family
Planning Services in rural-underserved areas. Each MSU provides services to a population of 30,000
(about 5,000 couples) in 15-20 villages. Annual 10-12 camps are held to offer FP/ MCH services in the
remote-underserved areas. Its main functions are:
To make Family Planning information and services accessible in underserved/ un-served rural communities.
To reduce the unmet need of Family Planning by making services more accessible, particularly the clinical methods including IUD and Injectables.
To provide RH including curative service to women and children. To facilitate the work of Male Mobilizers with regard to enhancing men’s role
and responsibilities.
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To muster local support for programme through interacting with elected councilors and other opinion leaders and promoting better understanding and need for reproductive health care.
UNFPA-MSU Project-Pak-01/P03
UNFPA-MSU Project PAK-01/P03 started under UNFPA Sixth Country Programme continued in 10
selected districts (02 in each province including AJK) during the financial year 2003-2004. This project
will continue during 7th Country Programme (2004-2008) of UNFPA. The MSUs of these 10 target
districts are being upgraded in terms of logistic support, training of staff, supervisory role of MSUs and
and contributing to increasing use and continuation of modern methods
Under the guidance of Ministry of Population Welfare, KSM helped sponsor a major
public private sector event, which resulted in signing of a number of MOU’s between
the MOPW and private sector industries in order to strengthen private sector
contribution to the national population welfare program. The Honorable Prime
Minister, Mr Shaukat Aziz was the Chief Guest on the occasion.
Over 50,000 family planning audio cassettes were supplied to the provinces for
distribution through Family Welfare Centers and other public sector programs. These
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cassettes contained of information on various contraceptive methods, which was
dubbed in three different languages namely, Urdu, Pushto and Seraiki.
Social Marketing Program included a number of innovative public-private partnerships that has
involved over the last few years to expand the impact of its programs. Greenstar being a large
Private Sector Partner of the Ministry of Population Welfare is the first and only Pakistani
Health NGO to have at signed an MOU with the Ministry of Health’s National Program for
Family Planning and Primary Health Care (LHW Program).
A pilot operation of two Family Welfare Centers of the Population Welfare Department
(PWD) of Punjab arranged to gain in sight and understanding of management aspects.
Distribution of condoms through the GOP’s Utility Stores was introduced
Referrals by LHWs to Greenstar franchise providers for VSC and other services was
specifically targeted.
In partnership with the Ministry of Railways, Greenstar products are promoted through
kiosks at railway stations.
Discussions have been initiated with some industrial companies both in rural and urban
areas to forge partnership around provision of family planning services and products
through work site clinics.
Facilitation and support by MoPW.
o The MoPW has constituted a Steering Committee to facilitate the SMC activities
in the country. The Committee had reviewed the progress on quarterly basis
and extended guidance for incorporation in the respective Annual Work Plan.
o MoPW endorsed 171 exemptions for local procured consignments to support
on going operations
o Acted as a focal for meeting with EAD relating to Mid Term Review of
performance of SMC project funded by USAID, DFID and UNFPA.
o Coordinated and consolidated the performance data for reflection in the Monthly,
quarterly and annual progress reports of the Ministry.
o Social Marketing has added Intense, Happy Life, Sparke, condom in the market
during the period under review.
Additional Assistance/Support for SMP
o Mid Term Assessment of Social Marketing Programme (2003-2008) under taken
by USAID Team has reviewed and the Ministry endorsed their recommendations
continued support to Social Marketing.
o Agreement for KFW assistance about RH in NWFP for Euro 6.135 million has
been signed and the project has entered the implementation phase January 2007.
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o USAID assistance award for US $ 60 million has been given to Population
Council, with the Social Marketing Programme to be implementation by the
existing firm as the sub-awardees. The implementation frame time is 2007-2012.
o Greenstar has formulated its five year strategic Plan covering the targets and
objective was alongwith a financial, projections. This has been agreed to in
principle by the Ministry and EAD requested to explore donors to meet the
requirement to sustain Social Marketing operations till 2012.
Sale of contraceptives/products
The social marketing activities have contributed to distribution/sale of following contraceptive products
during 2006-2007.
Method/Products Performance (in million)
Condoms (units) 114,147,439Oral pill (cycles) 6,261,345Injectable (Vials) 1,279,396IUD (units) 272,584 CS (cases) 23,477Couple Year of Protection (CYP) 2,713,499
V. Public – Private Sector Organizations (PPSOs)/ Target Group Institutions (TGIs)
PPSOs is a component of ADB-RH project since 2005. Major thrust of the initiative is to forge
partnership with formal public and private corporate sector organization. The implementation of this
component in the past has contributed to establish family planning facilities and a special focus on male
involvement for arousing the male sense of responsible parenthood as well as prevailing concern for the
family health.
The component has vast potential as it involve both public and private sector institutions with
renewed emphasis and innovative approach for awareness raising, motivation and extending FP/RH
services. A seminar on Leadership Initiative on Public and Private Sector Collaboration in Reproductive
Health and Family Planning was held on 13 January, 2007 to highlight the importance of public-private
organization and their collaboration for achieving shared goals. The Prime Minister of Pakistan graced
the occasion and 91 MOUs were signed for the provision of Family Planning and Reproductive Health.
Objectives:
1. Reduce Total Fertility Rate 2.1 by 2020.
2. Increase Contraceptive Prevalence Rate to 64 percent by 2020.
3. Reduce Population Growth Rate to 1.3 by 2020.
Strategies:
A three pronged strategic thrust has been worked out, i.e.
(i) Capacity Building through orientation and training
(ii) Service Delivery
(iii) Advocacy/Information Education and Communication.
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The salient features of this intervention are:-
i. Institutional Sustainability through Capacity Building: Sustaining social sector
Programmes is difficult and is therefore recognized as an important feature of the project.
Under sustainability, efforts are made to:
o Internalize activities in the set up and infrastructure of the selected institutions.
o Impart orientation and training to personnel at all levels including key trainers so
that activities are integrated into their process and system.
ii.Cost Effectiveness: The selected institutions have a well established health and social
infrastructure where reproductive health and family planning programme can be
integrated into the system with good planning, high commitment and perseverance. The
intervention therefore requires very little extra cost for personnel, venues, facilities,
administration or other overheads. With this important feature it seems to be one of the
most cost effective undertakings.
iii. Role Model: The partnership between MoPW and PPSOs is an important initiative not
only because of the expected outcome itself, but also for its far reaching effects since the
experience gained could be gainfully replicated in other male intensive organizations.
iv. Spin off Effect: Capacity building of the service providers and making use of the existing
infrastructure of the PPSOs benefit the families and dependants of the work force of
respective departments.
Major Activities:
The major activities include the following:-
Capacity Building through Orientation and Training;
The philosophy of the project revolves around the concept of capacity building of the selected
PPSOs using their existing infrastructure leading to institutional sustainability. Orientation
sessions have conducted for Board members, senior management and for doctors on FP/RH
issues. Technical training in clinical and surgical contraceptives has also been arranged for
doctors and paramedics. Orientation with cadres who have close interaction with shopkeepers,
trade union members and religious leaders in the respective departments have held for
motivation purposes. The direct beneficiaries in turn reach out to a large number of indirect
beneficiaries with a spin off effect.
PPSO has conducted the trainings of doctors and paramedics, and orientation courses for
employees and mid level manager on regular basis. Participatory workshops are organized by
involving key stakeholders including the PPSOs, PWDs, Donor Agencies supporting the project
and NGOs working in the area to share the experience for improvement.
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Achievements
The following achievements have been made during the year 2006-2007.
i. No. of follow-up meetings between MoPW with Stake holders of Public Private Sector Organizations
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ii. No. of Presentation made to the mid/top level Management of PPSOs 14iii. Capacity Building of Medics, Doctors, Gynecologists 96iv. Orientation/Training of Paramedics 225
Capacity Building of Medics, Doctors, Gynecologists and orientation/Training of Paramedics
held in different cities i.e. Lahore Karachi, Multan, and Hydrabad. The technical training mostly
held through the RTIs and RHS Training Centers of the Programme. For the specialized
community interventions like involving religious leaders and youth, the activities are outsourced,
wherever required.
Service Delivery:
PPSO provide FP/RH services using its medical and social infrastructure through the District
Population Offices and provide contraceptives on need basis. The non-clinical contraceptives are
placed in the shops of the residential colonies for easy accessibility. The following achievements
have been made during the year 2006-2007.
i. No. of organizations in the fold of partners with MoPW 113
ii. No. of FWC’s/RHS-B Established 90
iii. No. of FWC/RHS-B to be established (in pipe line) 39
iv. Establishment of Family Planning Counters/Kiosks (Under process with Provinces)
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Advocacy/Information, Education and Communication;
Advocacy campaign has been executed to emphasize promotion of birth spacing for the health
and well being of workers and their families. The project also target young people and religious
leaders in the respective organizations with the object of promoting responsible parenthood that
help to invest time and resources of young people and remove myths and misconception about
family planning.
The development of relevant IEC material with right message for dissemination amongst the
respective population is strongly needed. Hence accurate and relevant information on FP/RH
issues are disseminated using the social and medical infrastructures of the PPSO.
Private & Public Sector Partners:
The list of current Public & Private Sector Partners is as under:
iv. Number of health outlets activated for provision of information and FP/RH services.
v. Number of FP acceptors enlisted by method.
vi. Number of schools and number of teachers provided orientation on FP/RH.
vii. Number of doctors and paramedics of PPSOs and their colonies provided training of FP/RH.
VI National Trust for Population Welfare (NATPOW)
The National Trust for Population Welfare (NATPOW) was established under charitable and
Endowment Act in 1994 as a statutory body to help NGOs and private sector in the field of Population
Welfare, particularly family planning and mother & child health. The mandate of NATPOW is to
improve the involvement of NGOs with emphasis on issues such as program sustainability, institutional
strengthening, technical assistance, training, IEC, community participation and development. The role of
NATPOW is to create an effective partnership between GoP, Donors, NGOs and private sector
organizations in the implementation of National Population Policy and the Pakistan Poverty Reduction
Strategy Paper (PRSP).
NATPOW is also responsible for promoting the Population Welfare Programme including
reproductive health agenda of the ICPD-94. Since it is inception in 1994, NATPOW has been providing
reproductive health services including family planning, mother and child health care through its affiliated
service outlets all over the country including AJK and NAs through NGOs Sector with the financial
assistance of UNFPA and World Bank upto December 1999. After discontinuation of financial support by
the donors during the past six years, number of service outlets, serving all over the country were affected
and unmet demand for family planning and reproductive health services has increased.
Major program activities during 2006-2007 are summarized as follow:
S.No Activity Place No. Beneficiaries1. Seminar/Conference
Focus on RH/FP and Safe MotherhoodPeshawer 1 100Lahore 1 300
Faisalabad 1 125Multan 1 100
Hyderabad 1 100Larkana 1 100
2. Orientation Training Workshop for NATPOW Staff
Islamabad 1 14 Field Staff
3. Orientation Training Workshop for Service Providers of NGOs
Islamabad 1 25
4. 24-months training course of FWWs at RTIs of MoPW. Candidates from affiliated NGOs under NATPOW
Islamabad, Faisalabad, Lahore, Multan, Hyderabad,
Larkana, Abbottabad
7 34 Trainees
5. Mobile Medical CampsService Delivery of RH/FP and Safe Motherhood at the door steps of the Community
Country wide in Urban Slums and Rural Areas
14 6509
6. Community Mobilization Workshops Country wide in Urban Slums and Rural Areas
14 558
7. Monitoring and Evaluation Country wide in Urban 13 70 NGOs, SOL
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Backstopping Visits Slums and Rural Areas and ActivitiesTotal 56 8035
The Contraceptive Performance Report of NATPOW for the financial Year 2006-2007 is given below:
S # Methods Achievements 1. Condoms (Units) 773,2682. Oral Pills (Cycles) 90,9513. IUD (Insertions) 69,5434. Injectable (vials) 260,6485. Contraceptive Surgery (Cases) 5,4446. Couple Years of Protection (CYP) 375,013
VII Population Welfare Programme in FATA
The population of FATA is 3.536 million. The Population Welfare Program was extended to this
region in the Year 1993. Initially the program was introduced into three agencies i.e. Khyber Agency,
Kurram Agency & North Waziristan. During the10th Five Year Plan (2003-08) the Population Welfare
Program in FATA has been approved to cover all seven agencies (Khyber Agency, Kurram Agency &
North Waziristan Agency, South Waziristan Agency, Bajaur Agency, Mohmand Agency & Orakzai
Agency)
The scheme is included in National Perspective Plan for Population Welfare in 2001-2011 with
an allocation of Rs. 250.316 million with the following Service Delivery Infrastructure:
S # Service Outlets Physical Quantity Total Sanctioned Posts1. Directorate of Population Welfare
Program, FATA01 10
2. Agency Population Welfare Offices 07 283. Reproductive Health Services-A Centers 04 404. Family Welfare Centers 50 1605. Mobile Service Units 07 216. Male Mobilizers 41 41 Total 120 300
The Contraceptive Performance Report for the financial Year 2006-2007 is given
below:
S # Methods Achievements 1. Condoms (Units) 76,4092. Oral Pills (Cycles) 9,4913. IUD (Insertions) 2,6994. Injectable (vials) 10,9065. Contraceptive Surgery (Cases) 026. Couple Years of Protection (CYP) 12,816
VIII Population Welfare Programme in AJK
Azad Jammu and Kashmir has a population of 3.2 million where family planning services were
introduce in 1983 and have been continued since then. A full fledged-Directorate of Population Welfare
Program headed by Director and supervised by a Secretary of the AJK Government assisted by a Section
Officer was established in 9th Five Year Plan. The Directorate is responsible for planning, execution,
monitoring & implementation of the Population Welfare Program in AJK.
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The Population Welfare Program, AJK is a part of the Federal Activity of the Population
Welfare Program 2003-2008, with an allocation of Rs. 303.18 million with the following Service
Delivery Infrastructure:
S # Service Outlets Physical Quantity Total Sanctioned Posts1. Directorate of Population Welfare Program,
AJK01 16
2. District Population Welfare Offices 07 523. Reproductive Health Services-A
Centers(Dist level)07 71
4. Reproductive Health Services-A Centers(Tehsil level)
08 80
5. Family Welfare Centers 55 2756. Mobile Service Units 07 287. Male Mobilizers 120 1208. Regional Training Institute(RTI) 01 379. District Training Centers 05 1710. VBFPWs 57 57
Total 753
The Contraceptive Performance Report for the financial Year 2006-2007 is given below:
S # Methods Achievements 1. Condoms (Units) 224,9852. Oral Pills (Cycles) 13,0133. IUD (Insertions) 5,1534. Injectable (vials) 17,0525. Contraceptive Surgery (Cases) 3596. Couple Years of Protection (CYP) 28,363
IX Population Welfare Programme in Northern Areas
Northern Areas has a Population of 1.2 million. Population Welfare Program, NA has been
under implementation since 1986-87. The program was initially launched through the Directorate of
Health Services, NA and successive Directors of Health Services, NA served as Project Director,
Population Welfare Program, NAs till May 2002.
The Directorate remained actively involved in program planning, execution and monitoring of
Population Welfare Activities in Northern Areas. The Population Welfare Program, NA is also providing
different trainings and workshops to posts of various categories in developing/presentation skills. Efforts
are underway to acquire state land for construction of Regional Training Institute (RTI) at Gilgit.
Five Year plan PC-1 (2003-2008) of Population Welfare Program, Northern Areas stands
approved by the Central Development Working Party (CDWP) at a cost of Rs.161.358 million with the
following Service Delivery Infrastructure:
S # Service Outlets Physical Quantity Total Sanctioned Posts1. Directorate of Population Welfare
Program, NA01 18
2. District Population Welfare Offices 05 353. Reproductive Health Services-A Centers 03 334. Family Welfare Centers 37 1925. Mobile Service Units 03 12
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6. Male Mobilizers 55 55 Total 325
The Contraceptive Performance Report for the financial Year 2006-2007 is given below:
S # Methods Achievements 1. Condoms (Units) 24,6632. Oral Pills (Cycles) 5,0813. IUD (Insertions) 7794. Injectable 11,6595. Contraceptive Surgery (Cases) -6. Couple Years of Protection (CYP) 5,568
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3. CAPACITY BUILDING
I. Clinical Training
Clinical training is the key activity aimed at providing quality reproductive health services to the
community by developing human resource to work at the service delivery centers of the Ministry of
Population Welfare (MoPW), Ministry of Health (MoH), Provincial Line Departments, and other non-
governmental and private sector organizations throughout the country. This is achieved by trainings at 12
Regional Training Institutes (RTIs) across Pakistan, where a number of trainings are conducted round the
year for the personnel delivering health care services to the general public. In addition awareness raising
seminars are also conducted to increase the demand for services being provided at the health care
facilities.
Directorate of Clinical Training is responsible to develop uniform and standardized training
curricula, prepare text books, training modules, develop teaching material, conduct examination for
certification of competence as service provider, assess and improve quality of training and ensure proper
implementation of clinical training programme for human resource development and institutional
capacity building.
Clinical Training has played an important role in the Population Welfare Program since its
inception and is recognized as a core ongoing activity. With the introduction of multi-sectoral approach
massive training activities are designed and implemented to ensure that program personnel and those
connected with it are equipped with the required knowledge and skills to perform their jobs effectively in
the delivery of quality family planning and reproductive health services.
So many new initiatives have been undertaken which include Public Private Sector Organization
(PPSO). Accordingly 90 MoUs so far have been signed between MoPW and the Corporate Sector
Organizations (PPSO) for the provision of FP/RH services through private sectors outlets, 35 new
centers have been established through PPSO under Army, Navy, Air force, Railways and Pakistan Steel
Mills etc which are staffed by Programme Personnel, however to meet the additional requirement of
trained staff new RTIs are being established at Gilgit, Bannu, D.G Khan, Nawabshah & Khuzdar. The
manpower trained at these training centers would empower women to attain skills and be able to
economically productive themselves and their families and also for the Population Welfare Programme to
combat high Population Growth Rate unmet need fertility and training of trainer.
These new RTIs are in line with Govt. policy of women empowerment and aim at opening
opportunities for females. Establishment of 5 new RTIs are planned to achieve Millennium Development
Goals (MDGs) and is a step forward for poverty alleviation.
In addition to the above the RTIs conduct training of non program service providers on FP & RH
issues and orientation trainings of other cadres such as factory workers, chemists, prisoners, school &
college teachers as well as university & college students.
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During the year 2006-2007, a wide range of following trainings and related activities were
undertaken for the development of manpower and institutional capacity building of employees of
Population Welfare Programme:
i. Training of Line Departments, Organizations & Pakistan Army Jawans on RH/FP and
communicable infections.
ii. Additional batches of Family Welfare Workers (FWWs) were accommodated and trained at
RTIs on large scale on regular basis, considering the fact that HRD among female is vital
for their skill development, to gain economic opportunities and women empowerment for
the alleviation of poverty among the masses at large alongwith special emphasis to include
RMPs in the programme.
iii. Seven seminars of RMPs were organized, one each at Quetta, Lahore, Islamabad,
Faisalabad, Karachi, Abbottabad & Lahore.
iv. FWW textbook has been revised and is being updated.
v. Modules for Teaching Methodology and Training Evaluation have been developed for
training of trainers at RTIs.
Details of training undertaken during the year are as under:
Component Duration Target Achievement
Basic Training Course of FWWs 24 months 350 285Advance Training for FTOs ASTs & FWCs 3 – 5 months 35 112Pre Service Training for FWAs 3 weeks 35 106Refresher Training for Paramedics 1-2 & 4 weeks 500 682Miscellaneous Training & Orientation of Non-Program Personnel
1 & 2 days 2100 3947
Total 3020 5132
II. Non-Clinical Training
PWTI, Lahore (Programme Personnel)
Training of Trainers for Male Mobilizers
Three-weeks training of trainers (TOT) was held for Male Mobilizer. The contents of the
course were difference between training and Evaluation, Training Process, training need
Assessment, Presentation Skill, Preparation of lesson plan, Male Mobilizer Project, Basic
demographic Measurement, Population and Development, Population Welfare Programme
(past, present, Future), Health Education. First Aid, Communications Skill, Motivation Skill,
Islam and Family Planning, works with communities, Record keeping and report writing,
Responsibility of Male Mobilizers, Monitoring of Male Mobilizers. These Master Trainers
will provide/facilitate Pre-service training to male Mobilizer.
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National Workshop on Financial Management and Control
One-week workshop on “Financial management and control” for BS-18/19. The training
emphasized philosophy and importance of Public Policy, Budget Making, Distribution and
control, Govt accounting, Philosophy features and use, Internal controls, Philosophy of
auditing, Budget as tool of Management, NAM, MTDF/MTBF Manuals.
IT of office for Medical Professional
One-week training on IT office for Medical Professional for WMOs of RHSC. The training
provided opportunity for hands on learning in MS windows, MS word, MS Access, MS power
point, Internet and Email.
Revision of curriculum of Male Mobilizers.
One-week workshop on “Revision of Curriculum of Male Mobilizers”. 19 participants from
all PWD’s specially DPWO, Doctor, Director Trainings attended the workshop. The purpose
of the workshop was to condense the curriculum of Male Mobilizers from 12 weeks to 6
weeks and review the contents in line with their jobs.
Basic Training Course for Field Functionaries.
Two-week Basic Training course for field functionaries FWAs (Female) at Lahore and
Peshawar were held. The contents of the course were Job description of FWA (Female), Brief
history of PWP On Pakistan, Past, Present, future, Organization structure, Population Policy,
Population and Development, Demographic Measures, Registration of eligible couple. Service
Delivery Outlets, Behavior Charges Communication, Communication Process, The KAP
GAP, Islam and such Family Norms, IDPD.
Pre-Service Training for Male Mobilizer.
Six-weeks Initial Training for Male Mobilizers was held at district Islamabad, Gujranwala,
of eligible couple, The KAP Gap, Communication Process, Basic Skills of Interpersonal
Communication, Overview of the vasectomy in Pakistan (NSV), Anatomy and Physiology
Pre-vasectomy evaluation.
Initial Training course for FWA (Female)
Ten days Initial Training course for FWA (Female) was held in batches. The contents of
course were Job description of FWAs, Brief History of PWP in Pakistan, Past, Present, Future,
Demographic Measures, Organization Structure, Registration of eligible couple, The KAP
GAP, Communication Process, Basic Skills of Interpersonal Communication, Overview of the
vasectomy in Pakistan (NSV), Anatomy and Physiology Pre-vasectomy evaluation.
Training on “Financial Management/New Accounting Model (NAM) for Accountant/Account Assistant”.One week training course on “Financial Management/New Accounting Model (NAM)” was
held for Accountant/Account Assistant in two batches. The contents include Philosophy and
importance of Public Policy, Budget Making, distribution and control, Govt. Accounting,
Philosophy features and use, Internal controls, Philosophy of auditing, Budget as tool of
History, Record Keeping, DDO Handbook, E&D Rules, Secretariat Instructions.
One week Training course on Record Keeping and Contraceptive Logistic for Store Keeper One week Training course on “Record Keeping and Contraceptive Logistic was held for Store
Keeper”. The course contents include Contraceptive Logistic System, Primary Function,
Secondary Function, Principals of Warehousing, Inventory Management, Filling the CLR
4,5,6, Sales Proceeds, Disposal of unusable contraceptive, Contraceptive methods.
One week Computer Training for Officers
One week computer training was held for officers. The contents of the training were
Microsoft Word, Word Basics, Tools and Printing, Microsoft Excel, Getting start, Formatting,
Microsoft Power Point and disaster Recovery etc.42
Financial Management for WMOs/DDWO/DDO
One week training course on “Financial Management “was held for women Medical
Officers/DPWOs/DDOs”. The course contents include Philosophy and Importance of Public
Policy, Budget Making, Distribution and Control, Internal Control, NAM etc.
Computer Training for Steno/PAs/UDCs/LDCs
One week computer training was held for stenos/PAs/UDCs/LDCs. The contents of the
training were introducing of main screen of Opening new file, Export files, Master Page.
Formatting the text, Draw the title box, Draw the text box. Select the inpage table, Formatting
the table etc.
Back Office Management
One week Training course on back Office management was held for Assistants, UDCs and
LDCs at Sukkur. The contents of the course were Filing system, Diary Dispatch, Maintenance
of office Record, Basic Computer hard Ware, General Office Rule, Operating System, MS
Excel, Power Points, E-Mailing, Data backup techniques etc.
Office Management
One week Training course on Office Management was held for Officers and Doctors at
Quetta. The contents of the course include Rules of Business 1973, Planning, Govt Servant
Conduct Rules, 1964, E&D Rules, 1973, TA/DA Rules, Service book, Service Statements,
Monitoring System of MoPW, Monitoring Formats etc.
Career Planning & Grooming of Officers
One week Training course on Career Planning & Grooming of Officer was held for
BS-16/17/18 at Sukkur. The contents of the course were Demographic concepts (CBR. CDR,
TFR, IMR) Population growth trends in Pakistan, Fertility decline/determinants, Population
Welfare Programme in Pakistan, Contraceptive method, Reproductive health Package,
General Knowledge, Human Resource Development (HRD) etc.
43
PWTI, Karachi (Non-Programme Personnel)
Master Trainer Workshop for Imam/Khateeb
Three days Master trainer workshop was held for Imam/Khateeb. The contents were
Population Dynamic, Training Technique, Mother and Child Care, Responsible father hood,
Concept of Family Planning, Removal of misconceptions rumors.
Orientation and Sensitization Training course for Imams/Khateebs/Female Scholars.
Two days Orientation and Sensitization Training course was held for Imams/Khateebs/Female
Scholars at Hyderabad, Sukkar, Shikar Pur, Larkana, Mir Pur, Karachi (South), Umar Kot,
Information kit covering Population Stabilization related themes/issues etc.
Press
In order to solicit the support of influential, opinion leaders and policy makers the
publication of favorable articles will different national dailies and magazines. The articles
by the renowned journalists and columnists highlighting population/FP and reproductive
health related issues appeared in major national dailies; Dawn, News, Times, Nation,
Observer, Khabrain and Mashriq. The print media campaign also launched by floating
promotional Ads in national and regional daily newspapers.
Press Conferences
To highlight the theme of World Population Day, the Minister for Population Welfare
addressed a press conference on 9th July 2006. The Minister highlighted the achievements
of the Ministry to create awareness and to get the support of opinion/community leaders and
influential. The Minister for Population Welfare and Secretary, MoPW also briefed the
reporters about the importance to observe the World Population Day. Various questions
raised by press were responded accordingly.
Aabadinama
Three issues of MoPW monthly newsletter ‘Aabadinama’ were designed and published
during the year 2006-07 distributed to officers of MoPW, PWDs, Ministries, Colleges,
Universities, Media persons, Libraries, MNAs, Senators, District Nazims and other
stakeholders and also distributed at special events organized by MoPW.
Employment of Fresh Media Agencies on Panel of MoPW
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CS Directorate also initiated the process of selection of new media agencies on panel of MoPW.
The short-listing exercise of private media agencies who applied in response to MoPW press ad
has been completed. So far the meeting of final selection committee also held under
chairmanship of Secretary, MoPW. The recommendations of committee are also under process.
Advocacy Activities
In order to involve planners, policy makers and programme managers and soliciting their
support for the programme, presentations were made to National Assembly Standing
Committees on Health, Social Welfare and Special Education and the senior civil servants of the
Ministry of Education and Establishment Division.
Celebration of World Population Day, 2006
Pakistan along with international community observed World Population Day on 11th July,
2006. A set of activities were planned and undertaken with reference to WPD, 2005 highlighting
this years World Population Day’s theme “YOUNG PEOPLE”. The detail of the activities is as
follows:
National Population Convention
MoPW organized National Population Convention to commemorate the day on 11th July, 2006.
The Prime Minister of Pakistan presided over the function. The Minister for Population Welfare
Ch. Shahbaz Hussain and a number of dignitaries including Cabinet Members, Senior Civil
Servants, Diplomats, and members of the Donor Community, representatives of the Private
Sector and NGOs / CBOs attended the convention.
A detailed presentation on the salient features and achievements and future strategy of
Population Welfare Programme were made highlighting the implications of rapid population
growth on socio-economic development. A group of youth performed a show to highlight the
Implications of rapid population growth in the country and youth response. Various national
songs were also performed. The various public social sector departments and
national/international organizations displayed and distributed IEC material and give away’s.
The Programme Managers and service providers from the public and private sectors were
conferred performance awards by the Minister for Population Welfare Ch. Shahbaz Hussain in
recognition of their meritorious services and support to the Population and Development agenda
of the GoP. Awards were also conferred to the nominees of MoPW, PWDS, NGOs and private
sector.
South-South Collaboration Workshop
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Partners in Population and Development Bangladish is an inter government development agency
for south – south development. A collaborative workshop was organized a south-south
collaboration on 6th September, 2006. MoPW along with its partners on reviewed the
implementation status of the activities being implemented through the forum which formed the
basis for designing a comprehensive further Plan of Action. MoPW organized this workshop to
seek advice of national and international experts on population concerns, building broad-based
partnerships and to strengthen inter-sectoral coordination. The CS Directorate carried out the
following media activities in this regard:
Seminar on “Public Private Sector Collaboration in Reproductive Health and Family
Planning”
To highlight the importance of PPSO Seminar, a comprehensive pre & Post event media
campaign was launched. A pre event press conference was arranged on 11th January, 2007 as
curtain raiser while the post event conference was also arranged at the closing of the conference
i.e. on 13th January, 2007 to inform the media about the out come of the conference. Various
interviews were arranged for delegates of the conference and broadcast/telecast on PBC, FM
Radio Stations, terrestrial and Satellite channels. Special interview were also conducted
including Federal Minister, Federal Secretary, Provincial Secretaries and prominent figures of
the conference beside two exclusive radio programmes. A Special edition of MoPW’s news
letter “Aabadinama” was dedicated to this event.
Advocacy Seminar on “Population and Development” for Media
To sensitize and mobilize national and regional media persons representatives, an advocacy
seminar was arranged in Rohtas Fort at District Jhelum, on 19th January, 2007. More than 100
representative of electronic and print medium of Rawalpindi, Islamabad, Jhelum, P.D. Khan,
Sohawa and Dinna participated in the Seminar. District and Tehsil Nazims also participated in
the seminar. During the Seminar representatives of electronic and print media appreciated the
efforts of Ministry of Population Welfare for holding a day long activity at an historical place in
a recreational manner and seeking their support for sensitization and mobilization of general
public and opinion leaders and policy makers on this issue of vital national importance.
Interviews of Federal Minister and Nazims were conducted and broadcast/telecast by the
electronic channels. A special feature highlighted the event in various newspapers of Islamabad
as well as in MoPW’s news letter “Aabadinama” January – February issue 2007.
Review of Communication and advocacy Strategy
A review of Communication & Advocacy Strategy was carried out during this financial year
2006-07. The draft Communication & Advocacy Strategy submitted by International & National
Consultants first reviewed at CS Directorate/Programme Wing’s level and was presented in 02
days Consultative Workshop held on 11-12, May, 2007 attended by various stakeholders. The
comments/recommendations of the various groups have been incorporated and the final draft is
submitted for approval of competent authority.
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Review/preparation of IPC/Communication Manual
The National Consultant prepared the draft IPC/Communication Manual and submitted to CS
Directorate which was thoroughly reviewed and discussed in 01-days consultative workshop
held on 11th June, 2007 at Islamabad involving non-Clinical Directorate of MoPW, PWTIs and
selected RTIs. The draft finalized in the light of the participants’ comments/recommendations is
submitted for perusal/approval of the component authority.
Review of IEC Print Material
The National Consultant reviewed and categorized the currently available/distributed IEC print
material of MoPW. As approved, the material was reviewed / discussed in 02 days consultative
workshop held on 12-13 June, 2007. The report in the light of comments/recommendations of
various stakeholders from MoPW, PWDs, Social Sector Ministries, NGOs/Private sector is
submitted for perusal/approval of the competent authority.
Achievements of the media campaign during 2006-07
are shown in following table:
Activities Target Achievement
TV spots 900 1020Radio Spots 900 810Radio Programme 65 104Press Ads 500 644Print Material 275,000 356,000Workshops 03 15Outdoor 05This acti
ity is b This activity is being undertaken under ADP Project. In this regard the locations for 8 bill boards Sites have been identified and the contract has also been awarded. The confirmation for the completion of this activity will be reported in the next quarter.
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5. Population Education (PE)
Directorate of Population Education has continued the activities in the scenario of its broader
role calling a shift in its strategy to bring it inline with the broader MoPW objective of Population
Stabilization under the new holistic approach to Population and Development. The focus of these
activities is to sensitize the policy and decision makers of the National Building Departments as well as to
initiate the public private partnership for the adoption of small family norms and to enhance the quality of
life of the employees of their organizations.
In this context, the following activities were carried out by the Directorate during the year
2006-2007.
Workshops on “Presentations Skill Development”:
As part of youth sensitizing program and orientation/ education of other categories of the target audience
under Population Education Component, Directorate of Population Education launched a series of
workshops as specified/ approved in the annual Cash/work Plan. In this regard, 7 four days workshops on
“Presentation Skill Development” for midlevel program managers including District Population Welfare
Officers, Dy. District Population Welfare Officers, Dy. District C&T Officers, Tehsil Population Welfare
Officers, RHS Doctors from all the provinces including PWDs of AJK and Northern Areas. The
objectives of the workshops were:
To enhance the knowledge and the skill of the mid-level program/field officers regarding actual
communication of demographic indicators, current theme and issues of population welfare
program and strategy response.
To enable them to design the presentation on the above lines, on power point.
To enable them to make presentation in actual field like situation.
In these workshops the following topics were covered;
Population and development
Need for communication and advocacy.
Qualities of a good advocate and presentation.
How to make an effective presentation
Understanding the Demographic Indicators
Population Policy/Goals/Objectives
Adolescent Health Issues
Personal Hygiene
Sensitization Seminars for Youth, Lady Councilor, Ulema, Nchd and Nvm Volunteers
Directorate of Population Education has conducted 11 seminars for Youth, Lady Councilor, Ulema,
NCHD and NVM Volunteers in different districts of Pakistan. In these seminars 2100 participants were
sensitized as per detail below:
Type of activities Location /s of seminars No. Of participation
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Youth Forum Kohat ,Chakwal 400Gender Sensitization Nawabshah, Gujranwala 120Sensitization of Ulema Karak, Sibi 381Collaboration with NCHD Mardan, Gujrat 467Collaboration with NCM Haripur, Rawalpindi,Narowal 732
Sensitization Workshops on Population and Development for High School and College Teachers.
A total No. of 745 teachers were sensitized duing14 workshops on “Population and Development” which
were organized in different districts as per detail below:
S.No Province Districts Locations of Workshops1. Sindh Sukkur, Jaccobabad. Jamshoro and Hyderabad
As per perfoma developed by Directorate of Planning, the periodic review on the following has been
closely undertaken by RHS Directorate with PWDs:-
1. Establishment of RHS A-Centres included in PC-I.
2. Establishment of Additional RHS A-Centres at THQ Hospitals.
3. Statement on vacancy positions.
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4. Statement on procurement of furniture/ fixture, equipment/ machinery.
Public Sector Development Programme (PSDP) 2007-08:
Preparation of PSDP 2007-08 was initiated in November, 2006 and the process continued till its approval
on 31st May, 2007. Planning Directorate collected, consolidated and compiled the requirements of the
programme and prepared overall proposal. The PSDP proposal was considered at the 1st Stage by the
Priority Committee for setting up the ceiling. A series of meetings with Project Directors have been held
before the finalization of the Proposal. The APCC was the next forum for the approval of the Proposal.
Before going to APCC detailed consultation was made with all concerned. PSDP was finally considered
by the NEC on 31st May, 2007. During the process series of revisions and adjustments in the financial
outlay were made in light of the decisions at each forum. Briefs and summaries were prepared for the
consideration. The PSDP finally approved at the cost of Rs.4327.597 million including Project Foreign
Assistance (PFA) of Rs.204.216 million through ADB Loan. The approved PSDP (2007-08) was issued
to P&D Division, Provincial Secretaries, Wing Chiefs and all Directors of MoPW on 23rd June,2007.
PSDP Review Meetings:
Planning & Development Division (PIP) Section asked for information on prescribed proforma on 1st
Quarter Review of PSDP 2006-07, Mid Year Review of PSDP 2006-07 and 4th Quarter Review (final
review) of PSDP 2006-07. All Wings of MoPW and Provincial PWDs were requested to provide the
information. On receipt, these information were compiled and sent to P&D Division which was
discussed in a meeting chaired by Deputy Chairman, Planning Commission.
Priorities Committee Meeting:
It is an initial forum for the approval process of PSDP for setting budget ceiling for next year. A series of
meetings with project directors were undertaken for finalization of this exercise. The folders of relevant
material were constituted and given to all concerned. This meeting was attended by Joint Secretary,
MoPW with Director (Planning) wherein size of PSDP for the year (2007-08) at Rs.4158.909 Million was
got recommended.
APCC Meeting:
APCC is the next forum of approval of PSDP after Priorities Committee. Recommended PSDP and
proposed PSDP (2007-08) by the APCC was finalized in-consultation with all concerned. The meeting
was attended by Secretary, MoPW and Director (Planning). An amount of Rs.4827.597 was earmarked in
the PSDP (2007-08) which is 16% increase over the Priorities Committee recommendation.
NEC Meeting:
It is the Final forum of approval of PSDP. Brief alongwith the relevant material was prepared for the
NEC meeting and the meeting was attended by Secretary, MoPW on 31-5-2007. The PSDP finally
approved at the cost of Rs.4327.597 million including Project Foreign Assistance (PFA) of Rs.204.216
million through ADB Loan.
New Monitoring System:
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Prepared monitoring report under new system of monitoring on the basis of monthly progress report and
actual releases and utilization in line with prescribed P&D Division (Project wing). The monitoring report
was prepared on the basis of information received from the provinces wing chief of MoPW and FM
Directorate.
National Commission for Population Welfare (NCPW):
The 1st meeting on National Commission for Population Welfare was held on 1st July, 2006 in the Prime
Minister’s House under the chairmanship of Prime Minister of Pakistan. The decision of the meeting
were circulated to the all concerned quarters. The implementation status on the decisions for the quarter
(July-September 2006), (Oct-Dec 2006) and Quarter (Jan-Mar 2007) have been forwarded to P.M
Secretariat. Letter has been written to all concerned for forwarding implementation status on the
decisions for 4th Quarter (April-June 2007).
Departmental Development Working Party (DDWP) DDWP Meetings:
Two Departmental Development Working Party (DDWP) meeting were convened by the Planning
Directorate on 24th February, 2007 and 13th March 2007 respectively to discuss following
projects.
S.No Name of the Schemes Cost1. Establishment of RHS-A & Male Advisory Center 27.019 Million2. Institutional Reforms in Planning Wing, MoPW, Islamabad. 12.730 Million3. Establishment of Pakistan Communication Center for Programme (PCCP)
(1-07-2007 to 30-06-2009)16.981 million
4. Construction of Conference/Cum Semenar Hall in RTI Quetta (2006-07) 3. 813 Million
Modified PC-I for the Acquisition of Land and Construction of RTIs:
The following PC-Is have been modified in the light of Pre-
CDWPs decision and sent to P&D Division on 31st
December,2006 for placing at the agenda of the next CDWP
for the approval.
Name of the Scheme Cost (Rs in Million)
Period of Implementation
PC-I for acquisition of land and construction of RTI, Larkana. 73.079
2006-2009PC-I for acquisition of land and construction of RTI, Sukkur. 70.884PC-I for acquisition of land and construction of RTI, Sahiwal. 86.789PC-I for acquisition of land and construction of RTI, Abbotabad. 109.800
Scrutiny of PC-Is:
Following schemes were scrutinized in the Planning Directorate. These PC-Is
were considered in the DDWP meeting held on 19th May,
2007 in the committee Room of MoPW under the
chairmanship of Secretary. The DDWP approved the
projects.
S.# Name of the Schemes Cost (Rs in Million)1. PWTI Peshawar 28.535
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2. PWTI Multan 27.6963. PWTI , Quetta 28.485
Acquisition of Land and Construction of Building for RTI Faisalabad: A letter has been written to
P&D Division on 16th June, 2007 requesting Authorization for the issuance of the Administrative
Approval of the Subject Scheme. This Project has been approved by the Central Development Working
Party (CDWP) in its meeting held on 16th August, 2006.
Material for Economic Survey (2006-07):
A write-up on Population Welfare Programme based on actual/anticipated achievements of the
Programme was prepared for reflection in Economic Survey of Pakistan (2006-07) in line with prescribed
Finance Division’s format. For incorporating the relevant information in the write-up all the Wing Chiefs
of the Ministry of Population Welfare were consulted for their valuable inputs.
Material for Budget Speech of Finance Minister (2007-08):
Material for the Budget Speech of the Finance Minister for the year 2007-08 was prepared on the basis of
information received from the Wing Chiefs of MoPW. The material included the Physical, Financial and
Contraceptive Performance of current year and target for the next year. The material was sent to Finance
Division after approval of the Secretary MoPW.
Administrative Approval of Population Welfare Projects
The administrative approval of the following projects had been issued on dates mentioned against the
projects.
S.NO Name of the Project Cost In Million Date of Meeting1. Population Welfare Training Institute (PWTI), ADB-RH
funded. Rs.73.910/- 26th June,2007
2. RHS-A Type Expansion Programme, NWFP. Rs.88.189/- 2nd June,20073. Construction of “Men’s Advisory Center” (MAC) at NIH
Islamabad.(2007-2008)Rs. 12.730/- 19th May, 2007
4. Construction of Conference/ Cum seminar Hall in RTI Quetta (2006-2007).
Rs. 3.813/- 13th March, 2007
5. Establishment of Camp Office of PWTI, Lahore at Multan. Rs.6.880/- 19th May, 20076. Establishment of Camp Office of PWTI, Lahore, at
Peshawar.Rs.6.020/- 19th May, 2007
7. Establishment of Camp Office of PWTI, Karachi at Quetta.
Rs.6.782/- 19th May, 2007
Reply to the Starred National Assembly Question no. 235 Asked by Mr.Sher Akbar Khan Advocate, MNA: Prepared reply to the starred National Assembly Question moved NO. 235 asked by Mr. Sher Akbar
Khan Advocate, MNA on “the total number of Projects launched during the last three years” The reply
included list of Projects launched launce during the years (2004-05), (2005-06) and (2006-07) alongwith
comprehensive supplementary material.
Interviews of Consultant (Policy Experts) for strengthening the Planning Directorate:
60
MoPW felt to review the population policy 2002, for which it needed the services of policy expert and for
this purpose TAMA has offered a TA. In this quest TAMA and planning Directorate were in coordination
to provide the TOR of Policy Expert.
Finally, TAMA had forwarded the following three short listed names for the policy expert.
1. Dr. Abdul Razzaque Rukannudin
2. Dr. Naushin Mahmood
3. Dr. Mahbub Ahmed
With the permission of Secretary, MoPW, the selection committee was constituted and notified
to select the appropriate incumbent from the above. To expedite the selection process an interview was
held on 16th May,2007 in the committee room of MoPW at 11.00 a.m. under the chairmanship of
Additional Secretary MoPW.
Two of the applicants i.e. Mr. Razzaque Rukannudin and Mr. Mahbub Ahmed appeared before
the committee, whereas Dr. Noushin Mehmood did not turn up before the committee. None of them was
selected and resultantly TAMA was requested to send fresh names.
Population Welfare Program Vision/ Plans Beyond -2008:
PC-I of Federal Activity Beyond 2008 is in the process of preparation. In this regard the several
meetings were arranged by the Planning Directorate. Directorate has invited write up from all wing
chiefs containing current plan progress and future targets for 2008-13.
Processing of New PC-Is to P&D Division:
45 copies of the each PC-I were sent to Chief (PIA) with the Date, Cost and implementation Period
given as under for their placement at the next CDWP agenda.
S.# Name of the Scheme Date Cost(Rs in Million)
Period of Implementation
1 RTI, Jehlum 05-05-2007 95.000 2007-102 Additional FWCs -NWFP 31-05-2007 252.820 2006-083 PC-I for Establishment of Additional 100
family welfare centers (FWCs) in Punjab.30-06-2007 Rs.93.240
2007-08
Meeting with TAMA:
A meeting with Country Director (TAMA) was held under the Chairmanship of the Secretary MoPW on
July 19, 2006 in the Committee Room of MoPW. The purpose of the meeting was to discuss the status of
TAs. Further a follow-up meeting with TAMA was also held on August 3, 2006 under the Chairmanship
of the Secretary MoPW. As per decision of the meetings, TORs for placement of consultants for various
components have been sent to TAMA for their consideration and further necessary action.
One day Workshop on South-South Cooperation and Sustainable Development:
FA Directorate of MoPW and Partners in Population and Development jointly organized a “one day
workshop on south-south cooperation and sustainable development” on 5th September, 2006 at Hotel
Margala, Islamabad. The event was attended by Senior Government Officials, Parliamentarians, NGOs,
61
Civil Society Organizations, UN Agencies, Diplomatic Mission etc. The Minister for Population Welfare
was the Chief Guest during the said event. The Executive Director, PPD Secretariat, Dhaka also attended
the same. The objectives of the workshop were to:
Generate greater understanding at national level on how south-south collaboration can effectively contribute towards attainment of sustainable development;
Demonstrate the national commitment of the member state to south-south collaboration which will create a positive image of PPD in the national and international area;
Provide a common platform for the key players in the national development from different sectors to exchange views on how they can benefit from south-south collaboration.
Series of Steering Committee Meetings of GOP-UNFPA Annual Work Plan-2006:
FA Directorate organized a series of meetings of the Steering Committee of GOP-UNFPA funded
Projects in the Committee Room of Ministry of Population Welfare on 30-10-2006, 07-12-2006 and 26-
12-2006. These meetings were attended by concerned officers of MoPW and Line-ministries such as
MOH, MOWD, Statistics Division, P&D Division and UNFPA. Representatives from Population Welfare
Departments also participated in the meetings. Representative of line ministries and PWDs made
presentations about utilization of funds in their ministries/departments. The overall objective to hold such
meetings were to assess the utilizations status of funds under UNFPA Annual Work Plan-2006, and to
discuss the draft Annual Work Plan-2007 alongwith COE. The minutes of the meetings have been issued
accordingly for necessary action/implementations of decisions.
Participation of Director (FA) in Workshop on Capacity Building and Partners Annual Board meeting in Beijing China:Director (FA) in the capacity of partners Country Coordinator (PCC) represented Pakistan in the
workshop on capacity building in programme management on Generic Reproductive Health Commodity
Supply among Development Countries and 11th Annual Board meeting of partners in Population and
Development held from 7-13 November 2006 in Beijing China. Accordingly visit report in this regard
was submitted by Director (FA).
GOP-UNFPA Annual Work Plan-2007 Signing Ceremony:
A meeting of the UNFPA Steering Committee was held on 24th January, 2007 under the chairmanship of
Additional Secretary MoPW in the Committee Room of Ministry of Population Welfare. The purpose of
the meeting was to formally sign the GOP-UNFPA Annual Work Plan-2007 document by each Ministry.
The concerned officers of MoPW, UNFPA and line Ministries such as MoH, MoE, MoWD and Statistic
Division have attended the meeting and singed the AWP-2007 document on behalf of their respective
Ministry/Division.
DFID 8 th Joint Review of the National Health and Population Welfare Facility: The 8th Joint Review
of the National Health and Population Facility DIFD was held on 28th Feb.-2nd March 2007 and attended
by Director (FA), Director (FM), Director (PME) and Deputy Director (FA). The specific session was
attended by Secretary and D.G (T). Director (FA) has made a presentation on “Challenges to Population
Welfare Programme”. The purpose of the meeting was to review the commitments to be completed for
release of eight tranche of £ 7.5 million under the NHF project.
Piloting “One UN” in Pakistan:
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A note titled “Key steps and Milestones” received from UNFPA shows that Population has not been
included in the five thematic working groups (i.e. Health, Education, HIV/AIDS, Poverty Reduction and
Disaster Management), although population is an overriding and cross cutting issue.
FA Directorate took up the issue at high level and a D.O letter dated 23rd February 2007 was sent from
Secretary, MoPW to additional Secretary, EAD with a copy to Principal Secretary to the Prime Minister
and Additional Secretary to P&D Division for consideration of Population as a sixth important thematic
area, as it would help to attain a balance between resources and population growth within the broad
parameters of the ICPD paradigm and following Population Policy of Pakistan, approved by the Cabinet
in July 2002 which visualizes to achieve replacement level by 2020 through expenditures completion of
demographic transition that entails declines both in fertility and mortality rates.
In this context, EAD hold a first meeting of the High Level Committee (HLC) on UN Reform on 17th
April 2007 in EAD under the chairmanship of Minister of State for Economic Affairs. It was attended by
representatives of various Ministries, UN agencies and donors. From the MoPW, Director (FA)
participated in the meeting. He supported the UN Reforms and realized that population is a cross cutting
issue that effects all others sectors like health, education, poverty and economic development, as such this
area may consider as a separate” thematic area”.
Now the minutes of the “first meeting of the HLC of UN Reform held on 17 th April 2007, are received
and following is recorded about the MoPW:-
“HIV & AIDS should be considered under health. Population is a cross cutting area and needs to be seen and considered as a separate thematic area”.
Meeting with Dr. Thoraya Ahmed Obaid, Executive Director UNFPA Islamabad:
Dr. Thoraya Ahmed Obaid, Executive Director United Nations Fund for Population (UNFPA) visited
Pakistan from 26-28 April 2007. She was accompanied by Ms. Mari Simonen, Deputy Executive
Director, Mr. Sultan A. Aziz, Director Asia and Pacific Division and Ms. Janie MeCuster.
In this context, FA Directorate in consultation with UNFPA arranged a meeting with Dr. Thoraya Ahmed
Obaid on 27th April 2007 in Islamabad. From the MoPW, this was attended by Minister for Population
Welfare, Parliamentary Secretary, Secretary, Additional Secretary and Wing Chiefs of MoPW, Director-
FA. The representative from UNFPA also attended the meeting. The purpose of the meeting was to
discuss population and development related matters and issues of mutual interest with the officials of the
Government and Heads of various NGOs, UN agencies and Donors etc.
Visit of UNFPA Goodwill Ambassador to Pakistan:
Ms. Yuko Arimori, UNFPA goodwill ambassador visited Pakistan from 8-14 June 2007. During her stay
in Pakistan, and apart from her others engagements, she showed keen interest to meet Secretary MoPW.
In this connection, FA Directorate organized a meeting of UNFPA goodwill Ambassador to Pakistan on
11th June 2007 in the committee room of MoPW. The issue of mutual interest related to population,
family planning and RH have been discussed in details in the meeting. The Secretary MoPW briefed the
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goodwill Ambassador about the new initiatives being taken by the MoPW to promote FP & RH Services
in Pakistan.
Administrative Matters:
The Administration Wing is responsible for all administrative matters, which include recruitment,
promotions, disciplinary matters, legal issues, stores, office security, national assembly and senate maters,
inter-provincial meetings on programme and coordination. Besides routine activities, the prominent
activities of Admn. Wing during the financial year 2006-2007 details are given in the following table
Details of Cases disposed during 2006-2007
S.No. Name of cases No. of Cases
1. Leave Cases 1291. Disciplinary Cases 042. Posting Transfer 593. Retirement 034. Re-imbursement of Medical Charges 1995. Official Passport/NOC 456. Departmental Permission 137. Payment of Advances 158. Charge Assumption 1209. Memo Issue 0910. Current Charge/Additional Charge 3111. Promotion Cases 0212. Appointments 7013. Offer of appointment 2914. Representation 0115. Total Receipts 275716. Cases Moved 275717. Letter Issued 578618. LPR/Encashment 0919. TA/DA Bills 1320. Misc. Cases 20621. Show Cause Notice 0622. Resignation 0323. Seniority lists issued of BS-17 –non-technical officers 0124. Requisitions to FPSC 0525. Applications Forwarded 1026. Relieving of Officers 3327. Leave Without Pay 0328. Personal Hearing 0329. Ex-Pakistan Leave 0330. Warnings issued 0931. Service Certificate issued 0332. National Assembly Question 0433. Medical Proforma issued to different hospital in respect of
BS-16/17 officers22
34. Nomination of Departmental Representatives 0235. Summary for Prime Minister 01
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36. Order of Inquiries 02
Internal Audit on the Accounts of MOPW:
Internal audit on the accounts of MOPW (HQ) and its 19 Formations, in & outside, Islamabad, is required
to be conducted in terms of para-13 of GFR Vol-I.
Internal Audit on the Accounts of 14 Allied Units:
Internal audit on the accounts of 14 Allied Units has since been completed, whereas, internal audit on the
accounts of MoPW (HQ), Islamabad RTIs Quetta, Faisalabad, Abbottabad & Peshawar would be
conducted in the next financial year 2007-08 with the approval of competent authority.
Construction of Population House:
Presently the Ministry of Population Welfare is housed in scattered hired commercial buildings i.e. Jamil
Mohsin Mansion Building and Haroon Chamber Building. Huge rent is being paid for the buildings
accordingly, it was deemed appropriate to construct a Population House. Hence the Ministry approached
Capital Development Authority which allotted a plot measuring 2218.66 square yards. The Prime
Minister laid its foundation stone on 12-03-2005 in an specially arranged ceremony for the occasion. For
the construction of Population House, NESPAK is the consultant while Pak. PWD is (the executing
agency. The construction work commenced on 29th September, 2005. The cost of the project was initially
Rs. 102.984 million which was revised in the CDWP meeting on 27-01-2007) in view of the fact that due
to earthquake disaster in various parts of the country, the drawings were revised. Revised PCs-I for Rs.
217 million has been approved. Presently Ground Floor/two stories have been constructed in ‘C’ Block of
the Population House. Future provision for six floors exists. The covered area of building for offices in
Population House is 28630 sq.ft. Presently the Ministry requires an area of 56,955 sq.ft.
In order to expedite the completion of Population House on time, Monthly Review Meetings are held on
regular basis. The two Wings of the Ministry i.e. M&S Wing and PPSOs/NGOs Directorate already have
shifted in to Population House and the rest of the offices will hopefully be shifted on completion of the
this project in October, 2007.
10 interns under National Internship Programme were placed at the disposal of different Directorates/
Sections for a period of one year w.e.f. 31-3-2007.
Training facility was provided to 30 employees of M/o Population Welfare at NIPA Karachi and STI,
Islamabad
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10. MONITORING & SUPERVISION
Field Monitoring Visits had been a regular activity of the M&S wing to review and monitor the
programme implementation in the field. The exercise of Field monitoring is undertaken through
monitoring teams comprising of officers / officials from M&S Wing, Programme Wing and Technical
Wing to observe implementation and quality of services through service delivery network of the
programme. Monitoring reports generated through these visits are submitted to Secretary, MoPW and
also forwarded to Secretaries of PWDs for addressing the issues highlighted in these reports. A
comprehensive follow-up mechanism has been developed by MoPW to have feedback from PWDs on
these reports. This mechanism includes:-
Submission of reports of PWDs for response on specific Performa on the salient points of the
field monitoring reports. (PWDs are submitting their response on the Performa which would be
verified during follow-up visit.)
Discussion on salient features of the field monitoring reports with the provincial authorities
during Inter-Provincial Review Meetings (IPRMs).
A formal meeting with concerned provincial authorities on annual basis on monitoring plans and
as well as on mechanism for improvement.
Follow-up field visits to observe improvements.
During the period July, 2006 – June, 2007, Field Monitoring of following 35 districts were undertaken:
S.# Province Districts1. Punjab 122. NWFP 73. Sindh 54. Balochistan 55. AJK 26. Northern Areas 26. FATA 17. Federal Area 1
Total 35
A brief resume of field monitoring visits in each province is given as under:
PWD Punjab
The Population Welfare Programme Punjab is administratively headed by administrative provincial
Secretary whereas field operations are looked after by Director General. Population Welfare Department
Punjab has 34 programme districts where District Population Welfare Officers are mainly responsible for
the implementation of the programme. The province has following service infrastructure for providing
Reproductive Health / Family Planning services:
o Family Welfare Centers (FWCs) 1400
o Mobile Service Units (MSUs) 185
o Reproductive Health Services Centres – A (RHS-As) 54
o Reproductive Health Services Centres – B (RHS-Bs) 66
o Male Mobilizers 2260
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The status of the programme implementation is also observed by field monitoring teams of provincial
headquarter. The monitoring teams of the Ministry visited 12 districts during the previous financial year.
It was observed that the District Population Welfare Officers are sensitizing and involving
intelligencia, opinion leaders and youth on population concerns through seminars and presentations on
Population & Development issues which is very encouraging sign. The young and enthusiastic district
and tehsil managers are giving a dynamic shape to the programme despite various socio-political odds.
These efforts are further supplemented by provincial headquarters and federal Ministry through media
campaign for providing information on reproductive health issues. The vast variety of promotional
material was also printed and disseminated.
Generally the position with regard to location, hygienic condition, cleanliness of facility building,
availability of medicines and contraceptives, was quite satisfactory. However there were certain issues,
with reference to programme implementation which needed immediate attention of PWDs/DPWO. Some
of those are highlighted as below:
1. Filling of vacant posts, particularly of service providers.
2. Training of service providers to improve their communication / counseling skills.
3. Proper maintenance of vehicles. .
4. Organization of population education activities on regular basis.
5. Regular maintenance of equipments.
6. Strengthening linkage with Health Department for provision of reproductive heath / family
planning services.
PWD Sindh
The Population Welfare Programme Sindh is headed by administrative provincial Secretary whereas
field operations are looked after by Director General. Population Welfare Department Sindh has 25
programme districts where District Population Welfare Officers are mainly responsible for the
implementation of the programme. The province has following service infrastructure for providing
Reproductive Health / Family Planning services:
o Family Welfare Centers (FWCs) 584
o Mobile Service Units (MSUs) 98
o Reproductive Health Services Centres – A (RHS-As) 47
o Reproductive Health Services Centres – B (RHS-Bs) 30
o Male Mobilizers 682
The monitoring teams of the Ministry visited 05 districts during the previous financial year. The
contraceptive commodities and medicines were generally available. Vacant positions were required to be
filled for providing RH / FP services.
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The salient observation of the visits are as under:
Areas Identified as Good
1. All contraceptive and required medicines were available.
2. Salaries and contingencies were paid in time.
3. Most of the service providers were willing worker with required initiative.
4. Direction / sign board were displayed at proper location.
5. IEC material available and displayed except “Aabadinama”.
6. Satellite Camps are being organized and Contraceptive Surgery clients properly referred.
7. Required instruments, equipments and furniture were in place.
Areas Identified for Improvement.1. Filling of vacant posts, particularly of service providers.
2. Training of service providers to improve their communication / counseling skills.
3. Organization of community mobilization and advocacy activities.
4. Regular remittance of sale proceeds of contraceptives.
5. Regularity and punctuality of staff to avoid absenteeism.
6. Validation of CS cases referred by RHS-B centre.
7. Strengthening linkage with Health Department for provision of reproductive heath / family
planning services.
PWD NWFP
The Population Welfare Programme NWFP is administratively headed by administrative
provincial Secretary whereas field operations are looked after by Director General. Population Welfare
Department NWFP has 24 programme districts where District Population Welfare Officers are mainly
responsible for the implementation of the programme. The province has following service infrastructure
for providing Reproductive Health / Family Planning services:
o Family Welfare Centers (FWCs) 408
o Mobile Service Units (MSUs) 47
o Reproductive Health Services Centres – A (RHS-As) 20
o Reproductive Health Services Centres – B (RHS-Bs) 28
o Male Mobilizers 468
The monitoring teams of the Ministry visited 07 districts during the previous financial year. It
was observed during these visits that the service centers are providing Reproductive Health / Family
Planning services to the eligible couples. The contraceptive commodities and medicines were generally
available. Vacant positions were required to be filled for providing RH / FP services.
The vast variety of promotional material was also printed and disseminated. The salient
observation of the visits are as under:
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Areas Identified as Good
1. All contraceptive and required medicines were available.
2. Direction / sign board were displayed at proper location.
3. Sale proceeds of contraceptives are being deposited regularly.
4. Salaries and contingencies were paid in time.
5. IEC material available and displayed except “Aabadinama”.
6. Satellite Camps are being organized and Contraceptive Surgery clients properly referred.
7. Required instruments, equipments and furniture were in place.
Areas Identified for Improvement.
1. Filling of vacant posts, particularly of service providers.
2. Training of service providers to improve their communication / counseling skills.
3. Organization of population education activities on regular basis.
4. Relocation of FWCs.
5. Regularity and punctuality of staff to avoid absenteeism.
6. Proper maintenance of vehicles.
7. Validation of CS cases.
8. Strengthening linkage with Health Department for provision of reproductive heath /
family planning services.
PWD Balochistan
Population Welfare Department Balochistan has 26 programme districts where District Population
Welfare Officers are mainly responsible for the implementation of the programme. The province has
following service infrastructure for providing Reproductive Health / Family Planning services:
o Family Welfare Centers (FWCs) 160
o Mobile Service Units (MSUs) 75
o Reproductive Health Services Centres – A (RHS-As) 8
o Reproductive Health Services Centres – B (RHS-Bs) 3
o Male Mobilizers 550
The status of the programme implementation is also observed by field monitoring teams of provincial
headquarter. The monitoring teams of the Ministry visited 05 districts during the previous financial year.
It was observed during these visits that the service centers are providing Reproductive Health / Family
Planning services to the eligible couples. The contraceptive commodities and medicines were generally
available. Vacant positions were required to be filled for providing RH / FP services. Moreover, as per
prevailing law and order situation, monitoring and smooth implementation of Population Welfare
Programme are observed to be weak. It was also observed that frequent posting/transfer of DPWOs
disturbed smooth implementation of the Population Welfare Programme.
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The salient observation of the visits are as under:
Areas Identified as Good
1. Direction / sign board were displayed at proper location.
2. Salaries and contingencies were paid in time.
3. All contraceptive and required medicines were in place.
4. District Technical Committee Meetings were held regularly.
Areas Identified for Improvement.
1. Filling of vacant posts, particularly of service providers.
2. Training of service providers to improve their communication / counseling skills.
3. Organization of population education activities on regular basis.
4. Recruitment of Women Medical Officer (WMOS) for MSUs.
5. Regular remittance of sale proceeds of contraceptives..
6. Regularity and punctuality of staff to avoid absenteeism
7. Provision / display of IEC material.
8. Relocation of FWCs.
9. Proper maintenance of vehicles.
10. Strengthening linkage with Health Department for provision of reproductive
heath / family planning services.
Population Welfare Programme FATA
The Population Welfare Programme FATA is administratively headed by Secretary, A&C FATA
whereas field operations are looked after by Project Director Population Welfare Programme FATA has
07 agencies where Agency Population Welfare Officers are responsible for the implementation of the
programme. FATA has following service infrastructure for providing Reproductive Health / Family
Planning services:
o Family Welfare Centers (FWCs) 40
o Mobile Service Units (MSUs) 7
o Reproductive Health Services Centres – A (RHS-As) 2
o Reproductive Health Services Centres – B (RHS-Bs) -
o Male Mobilizers 27
The monitoring teams of the Ministry visited 01 district during the previous financial year. It was
observed during this visit that the service centers are providing Reproductive Health / Family Planning
services to the eligible couples. The contraceptive commodities were available. Some vacant positions of
service providers particularly Female were not filled due to problems in recruitment rules which are being
finalized at FATA.
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The salient observation of the visits are as under:
Areas Identified as Good
1. Building condition and general display is satisfactory.
2. Staff is trained and well motivated.
3. Recording and reporting system was observed up-dated / satisfactory.
4. All contraceptive commodity were available.
Areas Identified for Improvement.
1. Filling of vacant posts of service delivery outlets, particularly medical officer and
technical staff at RHS-A Centre.
2. Non-existence of operation theatre at RHS-A Centre and no separate room for
insertion at all service delivery outlets.
3. Non-availability of medicines.
4. Proper Storage arrangements of contraceptives / medicines.
5. Low clientele level at all service delivery points.
6. Provision / display of IEC material to all service delivery outlets.
7. Weak lineage of BHU Hospital management with Family Welfare Centres.
Population Welfare Programme AJK
The Population Welfare Programme AJK is administratively headed by Secretary, Population
Welfare, where as field operations are looked after by Director Population Welfare Programme. AJK has
07 districts where District Population Welfare Officer (DPWO) are responsible for the implementation of
the programme. The monitoring team of Ministry of Population Welfare visited 02 districts (Bagh and
Muzaffarabad) randomly in previous financial year. It was observed during the visit that basic
infrastructure of both district was badly effected in the earthquake of October, 2005. However FWC of
population programme has been activated to provide Reproductive Health / Family Planning services to
the eligible clients. Where as RHS-A Centres are presently functioning under temporary arrangement in
tents. MSU vehicle provided for mobile service was not considered appropriate keeping in the hilly
terrain. The contraceptive commodities, medicines & necessary equipment was available. Vacant
positions were required to be filled for providing R.H / F.P services.
Population Welfare Programme Northern Areas
The Population Welfare Programme Northern Areas is looked after by Project Director, Population
Welfare Programme. There are 05 districts where District, Population Welfare Officers (DPWOs) have
been recently engaged. The monitoring team of Ministry of Population Welfare visited 02 districts
(Sakurdu and Gilgit). It was observed during the visit that service delivery outlets are located within the
premises of Health Department for providing Reproductive Health / Family Planning services to the
eligible couples. The contraceptive commodities however found short. Vacant positions of service
providers were required to be filled for providing R.H / F.P services. Moreover, it was observed that
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FWCs shifted in BHU building were running in a single room and have no separate space for insertion.
A good working relationship with Health Department was observed in district Sakurdu.
Bottlenecks Experienced in Implementing the Programme.
The programme has some inherent difficulties and constraints which effected its implementation to
the optimum level. These include:
Population Welfare Programme is basically a behavioural change programme which mainly
involves the mind set of the people keeping in view their religions, social and cultural norms.
Low literary rate has roused a problem to break this mind set. In fact this mind-block remained a
main hurdle in behavioural change process.
Mass awareness was universal as brought-out by various surveys and studies, however the
change in attitude and behavioural lagged for behind. A gap in counseling has been noted. The
counseling and motivating a couple to small family norms in general and to adopt family
planning techniques in particulars needs highly skilled and professional approach, which should
break centuries old mind set. Though the programme service providers are given adequate
trainings on Inter Personal Communication (IPC) and Information Education & Communication
(IEC) skills, yet there are still gaps in their professional approach to convince and attract eligible
couple for family planning. There is also a need to reinforce provision at grass root for interface
of community level.
The Male Mobilizer Project aimed at motivating male segment of society was believed to be
helpful in moulding the male dominated society. However the placement of Male Mobilizer on
proper place with adequate monitoring system has yet to be fully implemented. As a result, the
expected results from component could not be achieved.
The programme ownership by the Provinces appeared less proactive, soon after de-
federalization. It has not been fully recognized either by programme Officers/ Officials or by the
Provincial Government. This lack of ownership has proven to be a set-back for advancement in
programme implementation as an undertaking crucial for the socio-economic process on the
provinces.
Perhaps Population Welfare Programme is the only programme which has not been
devolved at district level. Therefore, the district governments do not own this programme at
district level. The anomaly between two sets of Administration at district level has certainly
affected the orientation and focus of programme personnel.
The operational aspects of the programme suffered from persistent ban on recruitment in the
provinces alongwith a delay in budget releases.
The provision of reproductive health / family planning service through the health service
outlets also requires some re-enforcement. MoPW is providing Contraceptive Commodities to
Department of Health, free of cost, for dispensation to the eligible couples. The provision of
service has also been directed by the National Commission for Population Welfare (NCPW) in
its 1st meeting chaired by the Prime Minister, but still a lot needs to be done in this regard.
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11. GOALS & TARGETS
The present government accord high priority of the Population Welfare Programme. The salient
activities of the programme were quantatively translated into Goals and Targets by the Prime Minister’s
Secretariat. The progress was required to be submitted on quarterly basis. The Goals & Targets for
Population Welfare Programme focused on awareness creation, expansion in services, Human Resource
Development, Community Mobilization, Research and Evaluation, Public Private Partnership etc.
Ministry of Population Welfare (MoPW) has employed a holistic approach to achieve the
envisaged goals through a variety of initiatives including offering wider contraceptive mix, focused
promotional campaign , involving opinion leaders and intelligentsia through advocacy initiatives,
building partnerships with social sector ministries, private sector & civil society, expansion in service
delivery network, human resource development and strengthening of monitoring.
MoPW submitted progress on the achievement of Goals & Targets to the Prime Minister’s
Secretariat on quarterly basis. The level of achievement on Goals & Targets was well beyond 100%. The
details of Goals & Targets and achievements are at Annex-II
A presentation on Goals & Targets (2005-2006) was made to the Prime Minister of Pakistan on
26th August, 2006 by MoPW. The Prime Minister made the following decisions:
S.# Minutes / Decisions1. Direct MoPW to achieve the Goal of Population Stabilization by reducing Population Growth Rate
from 1.86% to 1.3%, Total Fertility Rate from 4.0% to 2.1% and increase Contraceptive Prevalence Rate from existing 36% to 60%.
2. Advise to increase the number of Lady Health Workers of Primary Health Care Programme from 92,000 to 100,000 this year and to 150,000 next year to address Reproductive Health and Family Planning issues.
3. Agree for increasing the outreach of programme through expansion of Reproductive Health Service Centres, Mobile Service Units and Family Welfare Centres with the direction to ensure quality of services through Service Delivery Network.
4. Stress the need to strengthen linkages with Public / Private sector Organizations as well as engaging Ulama and members of civil society for community mobilization for the successful implementation of Population Programme and achievement of planned targets.
5. Observe successful achievement of envisaged Goals & Targets by MoPW during the year 2005-06. And reaffirm full support and commitment of the Government for Population Welfare Programme.
6. Urge mainstreaming of Population Issues and its integration into development planning by the social sector.
7. Ministry of Population Welfare should coordinate with its counterparts in the region in order to ensure best practices.
8. Sales/distribution outlets for contraceptives should be increased by involving institutions such as the armed forces, railways, WAPDA and other public and private sector organizations.
The implementation status / necessary follow-up on the decisions was submitted to Prime Minister
Secretariat on quarterly basis.
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CATEGORY OF CONDOM ORAL PILL IUD INJECTABLE CON. SURGERY COUPLE SERVICE OUTLETS / (Units) (Cycle) (Insertions) (Vails) (Cases) YEARS OF
