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    Lecture - 23.making Pakistan Healthier

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    Muhammad Masood Nawaz
    The document discusses the health challenges facing Pakistan. It notes that Pakistan has poor health indicators like low life expectancy and high infant and child mortality rates. It also has issues like widespread inactivity and obesity among adults. There is a shortage of healthcare professionals. Regulation of the food and medical industries is inadequate. Health spending is low and not transparent. Moving forward, the document calls for improved coordination between provinces and donors on health policies. It also recommends priorities like expanding primary care, introducing safety nets for the poor, and integrating traditional medical systems.

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    Lecture - 23.making Pakistan Healthier

    Uploaded by

    Muhammad Masood Nawaz
    9 views18 pages
    The document discusses the health challenges facing Pakistan. It notes that Pakistan has poor health indicators like low life expectancy and high infant and child mortality rates. It also has issues like widespread inactivity and obesity among adults. There is a shortage of healthcare professionals. Regulation of the food and medical industries is inadequate. Health spending is low and not transparent. Moving forward, the document calls for improved coordination between provinces and donors on health policies. It also recommends priorities like expanding primary care, introducing safety nets for the poor, and integrating traditional medical systems.

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    Lecture_23.Making Pakistan Healthier

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    The document discusses the health challenges facing Pakistan. It notes that Pakistan has poor health indicators like low life expectancy and high infant and child mortality rates. It also has issues like widespread inactivity and obesity among adults. There is a shortage of healthcare professionals. Regulation of the food and medical industries is inadequate. Health spending is low and not transparent. Moving forward, the document calls for improved coordination between provinces and donors on health policies. It also recommends priorities like expanding primary care, introducing safety nets for the poor, and integrating traditional medical systems.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    9 views18 pages

    Lecture - 23.making Pakistan Healthier

    Uploaded by

    Muhammad Masood Nawaz
    The document discusses the health challenges facing Pakistan. It notes that Pakistan has poor health indicators like low life expectancy and high infant and child mortality rates. It also has issues like widespread inactivity and obesity among adults. There is a shortage of healthcare professionals. Regulation of the food and medical industries is inadequate. Health spending is low and not transparent. Moving forward, the document calls for improved coordination between provinces and donors on health policies. It also recommends priorities like expanding primary care, introducing safety nets for the poor, and integrating traditional medical systems.

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    You are on page 1of 18

    Making Pakistan Healthier

    Think about Health?


    Think about Health?
     Selected health
    indicators 2005/06
     Life expectancy: 63.8
    years
     Neonatal mortality
    rate: 54 per 1,000
     Infant mortality: 78
    per 1,000
     Under-five mortality:
    94 per 1,000
    Think about Health?
     Selected health
    indicators 2005/06
     Leisure time inactivity
    (over 18): 91.5%
     Overweight/obesity
    (over 18): 38.5%
    Think about Health?
     Central obesity (over
    18): 48.35%
     High blood pressure
    (over 18): 13.7%
     Diabetes (over 25): 13.7
     Doctor-population ratio
    1:1,326
     Nurse-population ratio:
    1:22,622
     Dentist-population ratio:
    1:3,039

    Source: Sania Nishter, Choked


    Pipes (Oxford, 2010), p. 47.
    Think about Health?
     Mixed health system
     41.73 million or
    26.62% population
    covered
     Military, Employees
    Social Security
    Institute, Directorate
    of Labor
     Out of pocket
    expenses 73.38%

    Source: Sania Nishter, Choked


    Pipes (Oxford, 2010), pp. 38-39.
    Think about Health?
     Progress on health
    indicators in MDGs, 4,
    5, 6 very slow
     Health is not a
    fundamental right in
    Pakistan*
    Making Pakistan Healthier

    Why are We Facing


    Health Crisis?
    Why are We Facing Health Crisis?
     Inequalities
     Lack of food; under-
    nutrition among
    children 38%
     Lack of food regulation
     Adulterated food
     No food hygiene
     Sanitary inspectors
    do not inspect meat
    shops, bakeries,
    eateries, food
    vendors, etc.
    Why are We Facing Health Crisis?
     Punjab Food
    Authority
    Why are We Facing Health Crisis?
     Inadequate regulation
     Doctors and dentists
     Pakistan Medical
    and Dental
    Council
     Nurses
     Pakistan Nursing
    Council
     Traditional Medicine
     Councils of Tibb
    and Homeopathy
     Dual practice of public
    doctors
    Why are We Facing Health Crisis?
     Health governance
     Not improved after
    18th amendment
     Corruption
     Little focus on
    preventive health care
     Hygiene education
    missing
     Municipalities do not
    eliminate infectious
    sources
    Why are We Facing Health Crisis?
     Political economy
     Low spending on
    health
     Spending not
    transparent
     Little accountability
    mechanism
     Liberalization of health
     Poor nutrition
     Water, sanitation crisis
     Ignorance of indigenous
    health systems*
    Making Pakistan Healthier

    Issues for Health


    Policy
    Issues for Health Policy
    - Inter-provincial
    coordination needed
    - Donor coordination
    needed
    - Technical support to
    provinces
    - Resource mobilization
    - Establishing disease
    surveillance system
    - Training
    - Fair deployment of
    health staff
    Issues for Health Policy
    • Improving utilization of
    primary health care
    services
    • How to allocate
    resources according to
    incidence and
    prevalence of diseases
    and cost effectiveness
    • How to introduce safety
    nets to protect poor from
    catastrophic
    expenditures
    • Family planning
    services*
    Making Pakistan Healthier

    Future of
    Healthcare in
    Pakistan
    Future of Healthcare in Pakistan
    - Expansion of private
    health care may
    exacerbate exclusions
    - Integration of
    indigenous medical
    systems needed
    - Water borne diseases
    can be dealt with
    providing safe water
    - Health insurance needs
    to be provided
    Future of Healthcare in Pakistan
    - Health education needs
    to be provided
    - Curriculum and
    textbooks
    - Regulation of private
    health care
    - Prioritizing health
    provision to poor areas*

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