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BUSINESS PLAN
Health & Accidental Insurance Division
The document presents the detailed business plan including future targets & goals, corporate
structure, Resource Allocation, Capital Projection, Scope of works and activities to be performed by
Health and Accidental Insurance Division of State Life Insurance Corporation.
EXECUTIVE SUMMARY
The Executive Summary is the last section written. It should be restricted to two to three pages in length.
In essence the Executive Summary is a very effective distillation of the overall business plan into a 'hard
hitting' summary of key performance initiatives and performance targets. Typically it would include the
following:
The Executive Summary is the last section written. It should be restricted to two to three pages in length.
In essence the Executive Summary is a very effective distillation of the overall business plan into a 'hard
hitting' summary of key performance initiatives and performance targets. Typically it would include the
following:
Executive Summary
Section Page
1. Strategic Focus
2. The Business
3 Market Analysis
4 Products
5 Marketing
8 Supply Chains
14 Corporate Governance
15 Financials
18 Plan Improvement
Appendices:
1.
2.
3.
What do we wish to achieve with this plan?start, grow, consolidate, downsize or exit.
Our Mission
A Mission Statement clearly defines the primary purpose or reasons for our existence. It is
heavily focused on Customer Value. It is also vital to achieving organisational alignment
A mission statement typically provides clear and concise answers to the following questions:
Answers to the above questions provide a start-point for preparing a statement that clearly
positions the company in the minds of key stakeholders and customers
Which core organisational skills and competencies are vital to achieving our mission
What core organisational values must be imbedded in our organisation to establish a culture
capable of achieving our Mission?
List up to six of your highest priority goals in order of priority. These goals are formulated at
Section 17. Section 17 shows how to use the SMAAART acronym to write clear, concise action-
oriented goal statements. SMAAART Goals - are Specific, Measurable, Action-oriented, Achievable,
Affordable, Time-bound. An example of a SMAAART Goal: By 30 June 2002 to construct and
commission a world-standard production and delivery facility capable of producing two 20 metre road
bridges per month for direct installation in to Australia's public road system.
In essence strategic goals progressively take the company to its next level of performance and keep
it there.
Goal One.
Goal Two
Goal Three
Goal Four
Performance Objectives
The performance objectives below, in combination, form a performance scorecard for easily
tracking the performance improvements generated by this plan. Section 17 provides the inputs for
this scorecard. The planning team determines the composition of the performance scorecard.
Customer and
Market
Performance
Internal Efficiency
and Effectiveness
Long Term
Development and
Innovation
SECTION TWO
THE BUSINESS
Provide a concise overview of the business. Areas for consideration when preparing this section to
include:
Owners/Directors/Shareholders/Shareholdings
MARKET ANALYSIS
Conduct a detailed analysis across each of the following areas to identify and quantify key market
opportunities/gaps, barriers to market entry, threats, compliance requirements, risks, performance
multipliers, critical success factors etc that must be considered when developing high priority
product development, marketing and business strategies. All budgetary and financial constraints
must be factored in to this planning.
- What are the industry's economics, critical success factors, key risks, competitiveness,
compliance and standards requirements, emerging trends and key technologies?
- Who are the key customers and major competitors in each target markets?
- What are the sizes of the target markets? Are they growing? If yes, at what rate?
- What market share does each major competitor hold in your primary markets
- What are the competitive price points for products in each market?
- What competitive advantages must your products have to successfully enter and compete in
target markets? How will you differentiate your products and add more-customer-value than
competitors?
- How well do you know your primary customers and key competitors?
- How strong are your relationships with key customers and key stakeholders. How do you involve
them in product development? What factors will be critical to building strong and enduring brands
with them?
- What levels of demand for your products are realistic across your primary markets?
- How will your primary competitors react when you enter their markets, now and over the next
two years? What are you going to do about their responses?
- What key product distribution, product support and customer service issues must be considered?
- Which companies and products are likely to become competitors in the future?
- What new or emerging technologies and substitute products are likely to become threats in the
future?
SECTION FOUR
- Prototype completed
- In-house testing
- Customer testing
- Market ready
Also consider conducting the product analysis and planning for this section across the following
stages:
Current Situation
Key Strategies
SECTION FIVE
MARKETING
Based on discussions at previous sections develop a concise set of highly focussed marketing
strategies for your most attractive and highest priority markets. These strategies will guide your
market entry, market development, and brand building activities. Establish budgets for these
activities. Set realistic and measurable performance targets and time lines for each market
entry/development strategy. These targets are critical to designing and building business and
production capacities aligned with expected market demands on entry, and in to the future.
In essence marketing strategies in combination create the well differentiated, high value and
compelling proposition to customers that persuades them to purchase from you rather then a
competitor. These strategies should build on the competitive strengths of the company while
exploiting the weaknesses of key competitors. A highly competitive, high-value proposition to
customers is typically created around the following drivers of competitive advantage:
Provide a background to current activities. Then identify key issues (strength, weakness, gaps,
threats and opportunities) and develop related strategies for addressing each key issues. Link the
R&D effort to your market research, product development and marketing activities discussed in
previous sections. All budgetary and financial constraints must be factored in to this planning.
Sources of R&D
- Current and planned
Processes employed for the development and commercialisation of new products and
technologies
Key issues are typically identified following an evaluation of key production and delivery
performance-drivers. Typical areas to be addressed during this evaluation include:
- The manufacturing and production standards, codes, regulations and OH&S requirements that
must be complied with
- Equipment needs
- Inventory management
- Purchasing systems
- Warehousing
- Risk management
- Clear linkages to, and feedback loops with the company's marketing, product development, and
R&D functions
- Designing, testing and improving all production and delivery systems to meet market demands
and expected growth
- Key performance measures and targets for controlling and improving all production and delivery
systems to increase production efficiencies and effectiveness.
SECTION EIGHT
SUPPLY CHAINS
Provide a background to current activities and list all key suppliers. Then identify key issues -
strengths, weaknesses, and gaps in supply chain capacities and capabilities - as they relate to
meeting the production and delivery requirements and targets developed at Section Seven. Then
develop linked strategies with clear targets, time lines and budgets to develop and progressively
improve supply chain capabilities and capacities. All budgetary and financial constraints must be
factored in to this planning. Supply chains assessments to include out-sourcing. For example any
R&D that is out-sourced should be included in this assessment.
Current Situation
Key Strategies
Based on the plans/strategies developed and performance targets established in sections One to
Eight identify key issues - strengths, weaknesses and gaps - within the business systems and
processes that drive business performance. Then develop strategies to address these issues.
Performance reviews to improve internal business systems and processes typically include an
assessment of the following performance areas:
Quality Management (eg, ISO 9001 - Quality Standard, AS 4269 - Complaints Handling
Standard)
Risk Management (eg, AS/NZS, Risk Management Standard)
Regulatory Compliance (eg, AS 3806, Compliance Program Standard)
Information Management and Security (eg, Security Standard AS/NZS ISO/IEC
17799:2000)
Financial management
Managing the environmental and social impacts of business operations
Performance improvement across the business, to include performance indicators and
SECTION 10
Describe the current situation and list those key stakeholders that currently contribute to business
performance. Identify key issues - strengths, weaknesses and gaps - that relate to improving
stakeholder relationships and alliances. Then develop strategies to address each key issue.
Stakeholder groups typically include customers, suppliers of good and services, employees,
regulators, the environment, community, government departments and investors. Questions asked
during the stakeholder analysis include:
Are they kept updated, and involved in those business decisions that will affect them?
Section Seven provides clear production and delivery projections and targets for the company.
Current organisational structures and human resource capabilities will most likely require
improvement to meet these increasing business demands.
The Management team with brief resumes - show the situation now and in to the future
Job descriptions and work design for management and staff - now and in to the future
Human performance standards, measurement and feedback - now and into the future
Management and staff training and development - now and in to the future
Industrial relations
Conduct the analysis and planning for this section across the following stages:
Current Situation
Key Strategies
Risk Management
Establish key risks to the overall business and its performance by identifying high priority risks
within each performance area represented by the sections of this plan. Quantify these risks by
assessing the gravity of their impacts on the business should they be realised, and determining the
probability that they will be realised.
Following quantification of the risks establish an order of priority for their control. Then develop
risk management strategies - with performance measures, targets and time lines - that address the
highest priority risks.
The Australian Risk Management Standard AS/NZS 4360 provides a good framework for
conducting risk management activities within this sub-section
Regulatory Compliance
Conduct an audit of regulatory compliance requirements across each area of the business as
represented by the sections of this plan. Develop strategies to address regulatory gaps and
weaknesses. Australian Compliance Programs Standard AS 3806 provides a good framework for
developing an effective compliance management system.
Corporate governance
Taxation
Superannuation
Employing staff
Health and safety
Trade Practices
SECTION 14
CORPORATE GOVERNANCE
Corporate Structures
Company Constitution
Board Performance
Shareholder Agreements
FINANCIALS
Based on the strategies and plans formulated, costings calculated, and sales projected develop a set
of financials for the duration of the plan. These financials should include cash flows, profit and loss,
balance sheets, investment requirements, and key financial performance indicators and related
performance targets.
This section should be linked to all prior planning and at minimum address the following:
What will be the total investment requirement across the duration of this plan - when
and how much?
Which investors will be involved; how much will they provide and when will they
provide it?
How will the funds be used at each round of investment?
What will the capital structure and ownership be after each round of investment?
The Aim of this section is to integrate all strategies developed across previous sections into a
cohesive and balanced plan of highly focussed action that will achieve the overarching purpose of
this Strategic Business Plan.
After each goal has been clearly formulated develop a set of supporting objectives and strategies.
Objectives define the best pathway for achieving each goal. Strategies define the pathway for
achieving each objective. Objectives and strategies are also written using the SMAAART acronym -
Specific, Measurable, Action-orientated, Affordable, Achievable, and Time-bound. The final step in
developing an interacting hierarchy/network of focussed action is the Task plan. This plan
allocates people and resources to completing those tasks required for achieving each strategy. Vital
budget and resource considerations are integrated in to the overall planning process to ensure all
planned actions are affordable.
The interacting hierarchy/network of action for achieving the aim of the plan is illustrated below.
The hierarchy/network of focussed action is not a rigid structure and, where possible, should be
adapted to the each situation to ensure it provides fast, effective and relatively simple action
pathways for delivering results of significance.
Typically management in consultation with staff and key stakeholders implements each Goal and its
supporting objectives, strategies and action/task plans. Balanced teams can be effectively
employed to implement strategies and supporting action/task plans.
PLAN IMPROVEMENT
Performance Measurement
The plan's performance should be assessed against its effectiveness in achieving its high priority
goals and performance targets.
To ensure the plan continues to provide a sharp focus and remain responsive to change it should be
formally reviewed and updated every six months, at the achievement of a Strategic Goal and at any
other time deemed necessary. Implementation of this plan is to be a fixed agenda item at meetings
of the Board of Directors.
In 2014, KP Government has the taken initiative to launch Social Health Protection (SHP)
scheme and invited RFPs from insurance companies. State Life had already taken active part in
development, implementation and management of BISP Waseela-e-Sehet program submitted
its RFP for SHP Initiative. Being an experienced and administratively capable player State Life
has entered into an agreement with Government of Khyber Pakhtunkhwa to provide and
promote micro health insurance scheme, initially, to the four designated districts namely Kohat,
Mardan, Malakand and Chitral.
The scheme will target the most deprived segment of society and provide them access to the
health facilities in a wide range of public and private hospitals. The proposed target market will
tend to expand to include a wide range of society. The scheme aims to encourage:
At the initial stage, the coverage of scheme is limited to four districts of KP namely Kohat,
Chitral, Mardan & Malakand. As per agreement, the government of Khyber Pakhtunkhwa will
pay the premium for approximately 22% of the population which counts to approximately
100,000 households. The following map shows the coverage area while the table depicts the
expected population of each district.
Meanwhile, State Life has to expand the health insurance coverage to 50% of the population
through employing several mediums including robust community communication, effective
mobilization, development of suitable health products etc.
SHP SCHEME
SHP is a micro health insurance scheme which covers the cost of hospitalization for medical &
surgical procedures including day care surgeries and maternity benefits to the enrolled families
up to Rs. 25,000 per person per annum. Pre and post hospitalization care/treatment of up to
one day prior to hospitalization and up to five days from the date of discharge will be provided
under the scheme. The household for the purpose of benefits is restricted to seven members
where the selection of head of household, spouse, children and parent follows BISP criteria.
Under the scheme, there is no age limit and exclusion of pre-existing condition (except
Standard Exclusions). The scheme will cover hospital services normally provided at the
secondary level (up to DHQ hospital) but such services can be provided even at tertiary care
hospitals.
Maternity and New Born coverage includes treatment taken in empanelled hospital/nursing
homes arising from child birth including normal delivery / caesarean section and / or
miscarriage or abortion induced by accident or other medical emergency subject to exclusion.
New Born child will also be considered as part of household and covered under the scheme. For
maternity cases, transportation charges of Rs.1,000/- per hospitalization will also be provided.
WIDER ENROLLMENT
State Life envisages utilizing the team of qualified experts to assess the specific needs of
different segments of population to introduce different health insurance plans. In this regard,
the experience of managing SHP will play a pivotal role in assessment the benefits and cost for
the different health plans.
In addition to traditional/base product, the proposed plans will provide a blend of basic health
insurance along with accidental coverage at a minimal cost. Meanwhile, the limits for specific
dread diseases will also be reviewed and may be enhanced for future products. With the
development of sound coordination with health service providers and streamlined IT system,
OPD facility may also be included in the form of riders.
State Life has established project office at Peshawar for better coordination with the
government. The project office comprises of six officers at present and will administer the four
district offices. Under the patient admission model, the project office is linked to all district
offices via HMIS Software. The project office will have the access to all the activities performed
by District Supervisor on day to day basis. Further, it will take active part in authorizing
admission of beneficiaries in the hospitals and their complaint redressal. The project office will
also be responsible for monitoring and evaluation of the scheme in each district.
HIRING OF CONSULTANTS
As part of capacity building State Life is also in the process of hiring health insurance
specialists. In this regard a proposal has been forwarded to Ministry of Commerce for approval.
INVOICE
As per clause 5 (a) of the agreement, State Life has raised the invoice for first installment of
premium.
The data of beneficiaries (less than 16.17 PMT) has been provided by the government to State
Life. The data is analyzed by State Life and summarized as follows:
It is observed that there are 24,795 households having females as their head. For these cases,
we have suggested that the some adult male member within the household may be declared as
head. This will facilitate the card distribution and the awareness campaign by overcoming
cultural barriers. For these cases we have analyzed that 14,262 females have husbands while
23,210 have male children greater than 18 year which could be declared as head of household.
Expected
Correct Cases
85%
Expected
Anomalies
15%
While analyzing the data we have observed discrepancies which affect approximately 15-20% of
the provided data. The anomalies are found in different fields such as CNIC, Age, Addresses,
Gender and Relations with beneficiaries etc. which needs to be addressed on priority basis. In
the presence of such anomalies the whole process of identification of beneficiaries, enrollment,
admission and facilitation may not yield the perceived results.
State Life is responsible for enrolment and identification of the Programme Fund paid
beneficiaries under the scheme which is to be carried out in the form of health insurance cards.
In this regard, State Life has provided the sample health cards to DoH, KP for approval.
The health card will contain the detailed information of the members of household which are
covered under SHP scheme. Each household will be educated about the features and benefits of
SHP scheme and a unique, 10-digit, mapped card number will be issued to these households.
SELECTION OF NGOS
State Life has invited Proposals for Hiring the Services of reputed and experienced Non-
Governmental Organizations (NGOs) to undertake Health Card Distribution and Community
Mobilization in designated District namely Kohat, Mardan, Malakand & Chitral. The NGOs
will be selected through bidding process.
The selection of NGOs will take into account their working experience in Community
Mobilization & Capacity Building. Each NGO will delineate the various activities to be
undertaken to complete the assignment. For each activity, the methodology to be adopted, the
phasing, the time schedule, verification process and deployment plan for personnel should be
indicated as per the table below
SCOPE OF WORK
The primary task of the NGOs would be the distribution of the health cards along with printed
material and spreading awareness among the card holders regarding acquisition of healthcare
facilities while admitted in hospital.
The NGO will be provided a pre-determined number of health cards to initiate the distribution
process simultaneously in each district. The associated NGO shall perform the role of an active
expert partner to the SLIC for Community Development needs and shall perform the following
tasks:
Providing any other service as may be mutually agreed between the State Life and the
NGO.
PERFORMANCE ASSESMENT
In order to effectively carrying out the process, the remuneration will consider the amount of
efforts put in by NGOs in designated district. State Life will also assess the performance of
distribution process and may penalize the NGOs in case of any of the following inattention:
Quality of deliverable is not up to the mark (till the quality is improved to the required
extent)
Delays in deliverables
Not assigning adequate resources in time
Not engaging resources on a dedicated basis, even when required
Assigning resources that do not meet the clients requirements
Inadequate interaction with the client department.
The work is either not complete or not completed satisfactorily as per the approved
time schedule or the quality of deliverable
The NGO has to provide the detail of the number of cards (along with material) distributed on
daily basis to SLIC in the format prescribed by the SLIC clearly specifying the Serial No, Card
Number, Name of Beneficiary, Cell Number and Signature/Thumb impression.
Awareness Campaign in
functional area
Awareness Sessions to
beneficiaries
Distribution of health
cards to the beneficiaries
Monitoring
Reporting
To ensure the provision of easy accessibility and quality healthcare services State Life has
initiated the process of hospital empanelment. The role of State Life regarding empanelment &
evaluation process includes the following:
IDENTIFICATION OF HOSPITALS
State Life has conducted an initial survey to identify & inspect the hospitals at Mardan district.
Under the survey, a total of ten hospitals were visited by the officials of State Life.
MARDAN MEDICAL
1 ADAN MEDICAL CENTRE MARDAN 6 COMPLEX(PUBLIC)
State Life has received detailed criteria for assessment/grading of Hospitals or Health Care
Providers for SHP scheme. In this regard, the designated staff of State Life has surveyed the
wide range of hospitals of Mardan District. As per assessment form, the representative of State
Life has presented the objectives of proposed SHP scheme and in return received a positive
response from different health care providers. Different mediums such as personal observation,
staff interview and patient interviews etc. was used to assess the level and quality of facilities
available at each hospital. The general standards/services which were rated by SLIC
representatives, contain:
Sample Assessment Results
9 MATERNITY SERVICES Assessment
CRITICAL
i. Health facility infrastructure/ 9.1
The maternity department is managed by a suitably qualified, registered and experienced nurse,
doctor or senior midwife for normal delivery.
4
services 9.2
The maternity department has 24 hour on-site cover from qualified medical doctor, obstetrician &
gynecologist and an anesthesiologist
3
ii. Wards 9.3 Written procedures and guidelines are used consistent with the hospital policies and functions for: 0
iii. Management a
b
Ante natal care and booking/registration
Perinatal care
2
2
waste management e
f
Planning, treatment and mode of delivery
Plan for managed pain during labor and delivery
1
2
v. Human resources g
h
Delivery monitoring process
Referral
2
3
The results of the assessment of Mardan District would be forwarded to DoH, KP for review.
Once the methodology, criteria and results of assessment in Mardan District is finalized the
same process and procedures will be replicated to other districts.
State Life has finalized the draft of the contract to be entered into with health services
providers. The contracts has been vetted and reviewed by its Legal Affairs Division to elucidate
terms and conditions including:
SCOPE OF BENEFITS
While contracting with the health care providers it would be assured that following services
are being provided to the beneficiaries of State Life:
II. Pre & Post hospitalization care/treatment of up to one day prior to hospitalization and
up to 5 days from the date of discharge from the hospitals
Each hospital/health care provider is to be equipped with user-friendly software access point
which will be used for identification of beneficiaries, verification, patient admission/discharge,
billing information and claim management. The web based software will be used to link all the
health care providers to district offices and project offices.
State Life will continuously monitor the quality of services, claim validity etc. in the contracted
health care providers. The information submitted through HMIS will be analyzed on
continuous basis. Meanwhile, the district supervisors will assess the service quality, facilities,
patient satisfaction, patient record maintenance and cleanliness etc. of each of the empanelled
hospital.
State Life is designing a Health Management Information System (HMIS) to facilitate the
administration of SHP scheme. The system will be deployed on new dedicated IT Servers to
significantly improve the data handling capacity. Further, we are incorporating additional
capabilities such as ICD-10 coding, detailed reporting, user dashboards for plan level, daily task
level management and seamless electronic complaint management. As this is an in house
developed system, State Life has expertise and capacity to upgrade the software on real time
basis.
Several modules of software are being prepared keeping in view the requirements of different
users and a robust system of data security, user privileges & rights, user-friendly dashboard,
real time data handling is being employed for SHP scheme.
ESTABLISHMENT OF WEBSITE
State Life is also in the process of designing a website for Social Health Protection Initiative.
The website will depict detailed features of the product and key statistics regarding the SHP
scheme.
State Life has gained vast experience in its previous project of BISP Waseela-e-Sehet. We have
evaluated the shortcoming in our previous models and devised revised model for patient
admission, administration, authentication & prevention of unnecessary admission.
The beneficiaries are encouraged, but not bounded, to visit nearest basic health units to screen
out the OPD cases. The patient who visits the empanelled hospital will be admitted via
emergency ward. As soon the patient is advised for admission, the help desk will perform the
following tasks:
After getting authorization the patient is admitted to the entitled ward and will be visited by
the district supervisor on regular basis. The DS will visit the admitted beneficiary on daily
basis in order to ensure the best timely care. The DS will be mindful to:
Treatment given
Intravenous line General cleanliness of the patient
Plan for surgery Bedding hygiene,
Daily dressing Oxygen supply, cardiac monitors
Routine investigations Nebulization
Paramedical / MO / consultant visits Physiotherapy
Daily mouth wash Diet plan
Suction of the patient Overall wellbeing of the patients stay
Monitoring of BP, pulse/temperature
chart
In/Output chart
Condition of the urinary catheter
The District Supervisor will coordinate with each empanelled hospital for proper discharge
planning and follow-up contact. Discharge planning includes:
The patient is informed whom to contact for help on a daily basis and in case of
emergency
The patient is explained clearly in simple terms
o About their condition:
o What activities are allowed and disallowed after being discharged
o Any diet restrictions or recommendations
The District supervisor will also ensure the disbursement of transportation charges for
maternity cases and post hospitalization medication for five days. The DS will assess the
quality of services provided, case history, patient satisfaction and fulfill established protocols.
The DS will visit on follow up date and perform a follow-up review which includes:
Assess health status of patient
Escalate patient to clinical resources as needed
Review and clarify discharge instructions
Facilitate and schedule necessary follow-up care
Gather feedback on their hospital experience
State Life will utilize Project Officers & District Supervisor to act as gate keepers and oversight
of the patient care at the hospitals. The health desk at each office will be given a software
access which will be used for identification of patient and verification of outstanding limits. The
information regarding patient admission will be submitted by health desk in the prescribed user
friendly interface to the HMIS. The project officer will review the information provided by
health desk and authorize the patient admission after verifying established standards.
The District Supervisor will then visit each of the empanelled hospital to ensure the following
aspects:
Adequate provision of health services to the members
Claims made by the hospitals and settlement thereof by State Life
Monitor efficiency and effectiveness of the hospital
Screening of the patient
Case management (inbounding, daily visit, discharge plan, follow up)
CLAIM PROCESSING
The claim submission in total is reviewed by a claim examiner for any discrepancies. A claim
committee scrutinizes and approves the valid claims the hospital will submit to Project Office.
Project Office will scrutinize the bill with respect to required documentation and forward the
same to concerned claim settlement office. Cheque will be prepared for approved and audited
amount. Cheque will be delivered directly to the hospital through courier service under
intimation to the District office.
We believe that the Communication Strategy provides a framework that aligns communication
with the goals and vision of the Social Health protection. The success of social health insurance
scheme depends largely on reaching out to the poorest communities and beneficiaries through
dedicated awareness and sensitization campaigns. The services and facilities being offered
under the social health insurance scheme need to be embedded in innovative communication
tools and platforms that is understood and assimilated by communities. The planning for a
community awareness campaign is based on:
The following principles will reinforce the planning, implementation and monitoring of the
Communication Strategy being developed by State Life:-.
1) Results oriented
The effectiveness of a communication effort would ultimately be determined by the
health outcomes. Increased knowledge, approval and adoption of healthy behavior will
be verified by extensive research.
2) Evidence based
Communication planning would utilize accurate data and theory to inform and guide
the activities.
3) Client centered
Audiences will be involved with a view to determine what their health needs are and
participate in the process of shaping messages to address those needs.
4) Participation
Client involvement will be ensured throughout the communication process including
programme design, implementation and evaluation.
5) Benefit oriented
The client must perceive the benefit of adopting the targeted behavior.
6) Service linked
The health promotion efforts will be directed towards promotion of specific services to
ensure self-efficacy of the target and the community enhancing empowerment.
8) Technical quality
The communication and related processes aims to be effective through high quality
messaging and products.
9) Advocacy related
Strategic communication will be advocacy-related, targeting the individual and policy
level to influence behavior change.
Population: Pakistan is the sixth most populous country in the world with a population of over
170 million. Official estimates place the population of Khyber Pakhtunkhwa at 22.2 million in
2009, up from 17.7 million in 1998. The population is young with 72% of the population under
30 years of age and 47% under the age of 15. Just over 3% of the population is 65 years or older.
The average household size at close to eight people is the highest household size in Pakistan.
Poverty Profile: A large body of evidence establishes a strong link between poverty and lower
health status. 31% of the Khyber Pakhtunkhwa population lives below the poverty line. In these
areas, small landholding has resulted in limited agriculture, self-employment or share-cropping
leading to limited job opportunities. The dependency ratio in Khyber Pakhtunkhwa is around
Gender Inequality: While there has been an increase in the number of girls attending school
in Khyber Pakhtunkhwa, the rate remains significantly lower than for boys. Employment rates
for women are low and representation in government and senior decision-making positions is
limited. Most women are economically dependent and carry out most of the household work.
The traditional roles of women have changed little in the last few decades and there are serious
concerns about violence against women.
Illiteracy: The demand for higher quality healthcare increases with education. While literacy
has increased in Khyber Pakhtunkhwa, from 37% in 1998 to 47% in 2006, it is still below the
national average.
Water Borne Diseases: Diseases borne in water are a huge problem for the population of
Khyber Pakhtunkhwa; only 47% of households with tap water and 61% with safe sanitation.
Road Transport: The road transport network is important for access to health facilities,
especially for emergencies. 44% of the provincial roads and 78% of district roads are in poor or
bad condition.
State life health communication strategy will primarily be focused on the following areas:
Maternal health
Communicable diseases
Out-of-pocket spending
A system of monitoring and evaluation is being established by the State Life for SHP scheme
Actuarial analysis
Program medical management protocols modifications
Analysis of Beneficiaries enrolment
Premium changes
Benefit package modifications
Experience based negotiations in hospital package rates
Fine tuning of the hospital network on the basis of un-even trends
Feedback for fine tuning awareness campaigns (underutilized services)
High level review of hospitals and physician practice patterns
Data mining for fraud / leakage
Review enforcement and effectiveness of case management protocols
Review and enhance complaint/feedback handling mechanism
Review staffing news (increase, decrease, replace)
Devlopment of Web-site
Empanelment of hospitals in targeted
districts
Submission of Communication Strategy
Cotract with NGOn for registration of
beneficiaries
Notification by FD for retention of funds
Data Analysis
Data Analysis
Rectification of Discrepancies in Data
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
ACTIVITY JAN FEB MAR APRIL MAY JUN JUL AUG SEP OCT NOV DEC
Procurement of Material
Designing of Plastic Cards & Promotional Material
In-principal approval of competent authority
Preparation of Tenders & Advertisement in press/PPRA
Receipt, Opening & Scrutiny of Bids
Approval of competent authority for printing & Placement of
order
Any other activity (To be specified)
ACTIVITY CHART
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
ACTIVITY JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Development of IT System
Designing of HMIS Software
Testing & Debugging
Remote Access
Installation at Respective Offices
Development of Website
Development of Website
ACTIVITY CHART
:
FORM TECH-5 WORK SCHEDULE
Procurement of contract
Data Analysis & Rectification
Hiring of NGO
Empanelment of Hospitals
Hiring of Staff
Procurement of Office Equipment & Furniture
Human Resource Training
Establishment of District offices
Procurement of promotional material
Development of Software
Delivery of Cards to NGO and Distribution