Presentation of Social Protection
Topic: Programs under Primary and Secondary Health care department
focusing IRMNCH
Course Instructor:
Mam Iqra Akram
Group Members:
Laiba Mumtaz 15 (leader)
Nimra Ashraf 30
Faakiha-bint-e-Ashraf 03
Aleena Gohar 02
Iqra Murtaza 39
Semester
BS-HND-6th (Morning)
IRMNCH
INTEGRATED REPRODUCTIVE, MATERNAL,
NEONATAL AND CHILD HEALTH
Laiba Mumtaz (15)
History
The IRMNCH was launched in July 2013 with the strategy to integrate
03 different programs
I. LHW Program (Lady Health Workers)
II. MNCH Program (Maternal, Newborn, and Child Health.)
III. Nutrition Program
History
From July 2017,
(CMSRP) the CM Chief Minister’s Stunting Reduction
Program
From June 2021,
(PMHI) the Prime Minister’s Health Initiative Program
Program’s Overview:
Punjab’s estimated population of 110 million is growing at an annual
rate of 1.9.
The total fertility rate is currently reported at 3.5, which although
lower than other provinces, but still much higher when compared to
South Asian neighbors.
The rate of stunting remained at 31.5%
the rate of wasting 7.5%
the rate of exclusive breastfeeding till the age of six months is reported
at 42.1%.
Program’s Overview:
This snapshot of health status indicates that Punjab could not achieve the
MDG targets( Millennium Development Goal )
Now that the SDG(Sustainable Development Goal) targets are agreed upon
globally
To achieve these targets Punjab will have to significantly improve the
quality of services in the RMNCH sector.
Despite the slow progress towards health-related goals and other health
outcomes, there is evidence that Punjab has made a significant level of
progress, particularly at the intermediate outcome level during the recent
years.
Nimra Ashraf (30)
Vision
To improve the health outcomes among
women
children
newborns
by providing access of health and nutrition services to the poor and
vulnerable in rural and less developed urban areas through
implementation of the evidence-based RMNCH Package
Objectives:
To Improve Maternal Health by ↓ morbidity and mortality by
↑ Skill Birth Attendants
↑ Rural Ambulance Service ( for hard-to-reach areas)
↑ Healthy Timing & Spacing of Pregnancy
↓ Nutritional Deficiencies (Adolescents)
To Improve Family Planning Services by
↑ Contraceptive Prevalence Rate (CPR)
↑ Post-Partum Family Planning Services
↑ Capacity Building of Healthcare Providers
provision of medical treatment and therapeutic formulas F75 and F100
carried out at SCs established at DHQs/THQs.
To Improve Child Health by ↓ morbidity and mortality by
↑ Essential Newborn Care Services
↑ Nutritional Services (Preventive & Curative)
↑ Skill Birth Attendant (SBA)
↑ Ambulance Service (for hard-to-reach areas)
Faakiha-bint-e-Ashraf
(03)
Programs Under IMNRCH:
I. LHW Program (Lady Health Workers)
II. MNCH Program (Maternal, Newborn, and Child Health.)
III. CM Stunting Program
IV. Nutrition Program
V. PMHI Program
VI. BHUs 24/7
1.Lady Health Worker Program:
The National Program for Family Planning and Primary Health Care, also
known as the Lady Health Workers Program (LHWP),
launched in: 1994
Objective:
improvement in maternal and newborn child health
provision of Family Planning services
Expension:
Initiative extended to rural populations and urban slum communities
distrubution of over 42,000 Lady Health Workers (LHWs)
1757 Lady Health Supervisors (LHSs) in all over Punjab are working
2.MNCH Program
(National Maternal and Newborn Child Health)
Goal:
to improve maternal, newborn, and child health of the population,
particularly among its poor, marginalized, and disadvantaged segments
This Program was merged into IRMNCH & NP in 2013.
Contribution:
To strengthening Emergency Obstetric care services at DHQ,
THQ hospitals, and RHCs.
This program has introduced a new organization of Community-
Midwives (CMWs) for skilled deliveries at the community level.
3.CM stunting program:
Purpose:
To improve the nutritional status of women, adolescents, children,
and newborns with particular focus on stunting reduction in rural and
less developed urban slum areas of Punjab.
4.Nutrition Program:
Curative nutrition services were initially started in 2010 in the
selected BHUs of 7 flood-affected districts
Under this Program, preventive services are being provided in 36
districts of Punjab through LHWs which include a screening of under
5 children and IYCF counseling.
By achieving the good results of this initiative, the Government
of Punjab decided to implement it all over Punjab in 3 phases.
Now a total of 1755 Outdoor Therapeutic Programs (OTPs) and
58 Stabilization Centers (SCs) are established in all 36 districts of
Punjab.
Treatment of Severely Acute Malnourished (SAM) children with
medical complications by the providing medical treatment and
therapeutic formulas F75 and F100 carried out at DHQs/THQs.
Services:
Aleena Gohar (02)
1.Community-Based Services)
(Lady Health Workers)
The IRMNCH & Nutrition Program provides community-based services at
the doorstep through Lady Health Workers.
Scope of Services of LHWs
The services provided by the LHWs include registration of target groups,
household visits, health education, awareness, and special campaigns.
Each LHW is supervised by a Lady Health Supervisor.
The specific LHW target groups include:
1.Pregnant women:
awareness on early identification of danger signs
birth preparedness
Health facilities referall. etc.
2.Lactating women:
advise on early initiation of breastfeeding
exclusive breastfeeding
infant & young child feeding (IYCF)practices.
3.Children:
referral for immunization
screening of children for malnutrition
identification and referral of SAM and MAM children
basic treatment of pneumonia and diarrhea and appropriate referral.
Iqra Murtaza (39)
2. Facility-Based Services:
(24/7 Basic EmONC Services)
Following the floods of 2010, a special initiative was launched in the seven
flood-affected districts for the provision of round-the-clock basic
EmONC( Emergancy Obstetric and Neonatal Care) services .Till 2014, this
initiative was funded through UNICEF and UNFPA for 90 health facilities.
The Government started the provision of additional funds to 150 BHUs .
Scope of service
The following services for maternal and child care are provided at
these health facilities:
Antenatal care
Delivery services
Newborn care
Childhood immunization
Pneumonia and diarrhea treatment
referral services for children under the age of five.
3.Nutrition Services:
Following the floods of 2010, a special initiative was launched in the
7flood-affected districts for the provision of malnutrition treatment
services.
Moreover, stabilization centers were also set up at the DHQ level.
Till 2014, this initiative was supported by UNICEF and WHO.
However, as malnutrition was identified as a major issue in Pakistan in
the National Nutrition Survey 2011, the Government of Punjab decided
to scale up the OTPs(outdoor therapeutic programme) to selected BHUs
24/7 to all DHQs and teaching hospitals.
Scope of Nutrition Services
Screening
Screening of children and PLWs(pregnant and lactating women) is being done
at the community level by LHWs (all districts) and at the facility level by the
SBAs at OTPs.
Preventive services
Preventive services are also being provided through the LHWs including the
provision of iron-folic acid tablets, multi micronutrient sachets, Lo-ORS, and
Zinc for diarrhea cases, etc.
MAM and SAM treatment and counseling services
MAM and SAM treatment and counseling services are offered in 36 districts
through 1755 OTPs at the moment and 58 stabilization centers
Thanks for your Attention.
