ATTOCK

Three Years Rolling Plan (2010-2013) District Attock
Three Years Rolling Plan

2010-2013
District Attock
Table of Contents
Acronyms.................................................................................................... 5
Executive Summary .................................................................................... 7
SECTION 1: DISTRICT HEALTH PROFILE ................................................... 9
I. Vision of the District.............................................................................. 9
II. Background of the District.................................................................. 9
III. Map of the District............................................................................ 10
IV. Demography ..................................................................................... 10
V. Socio-Economic Indicators ............................................................... 12
1) Education and Literacy ........................................................................ 12
2) Per capita income ................................................................................. 12
3) Housing ............................................................................................... 12
4) Water and Sanitation ........................................................................... 12
VI. Health Indicators .............................................................................. 12
VII. Organizational Structure of District Health Administration ............... 13
VIII. Health Resources........................................................................... 14
1) Health Facilities ............................................................................... 14
a) Public ............................................................................................ 14
b) Private ........................................................................................... 15
2) Human Resource .............................................................................. 15
a) Administrative ............................................................................... 15
b) Facility Based ................................................................................ 16
c) Outreach ........................................................................................ 21
d) Training Institutions ....................................................................... 22
3) Health Financing .............................................................................. 24
IX. Disease Pattern ................................................................................ 25
X. Status of Vertical Programs .............................................................. 27
1) National Program for FP & PHC ........................................................ 27
2) EPI ................................................................................................... 27
3) MNCH Program ................................................................................ 28
4) TB Control Program .......................................................................... 28
5) Malaria Control Program .................................................................. 28
6) HIV/AIDS Control Program............................................................... 28
Page 2
7) Hepatitis Control Program ................................................................ 28

8) School Health Services Program ....................................................... 28
SECTION 2: PROBLEM ANALYSIS ............................................................. 30
I. Objectives ........................................................................................... 30
II. Plan Development Process ................................................................ 31
1. Problem Identification ......................................................................... 31
A. Health Problems ............................................................................... 32
2. Problem Prioritization .......................................................................... 33
i. Underlying causes of prioritized health problems ................................. 34
B. Service delivery/Management problems ............................................ 36
i. Underlying causes of Management Problems ....................................... 36
3. MDGs and MSDS ................................................................................ 38
1) Human Resource .............................................................................. 38
i. DHQ Hospital Attock ...................................................................... 39
ii. THQ Hospitals ............................................................................... 39
a) Equipment ....................................................................................... 40
i. DHQ Hospital Attock ...................................................................... 41
ii. THQ Hospital Hazro ....................................................................... 45
iii. THQ Hospital Fateh Jang ............................................................ 50
iv. THQ Hospital Hasan Abdal ......................................................... 55
v. THQ Hospital Pindi Ghep ................................................................ 59
vi. THQ Hospital Jand ...................................................................... 64
SECTION 3: INTERVENTIONS AND TARGETS ........................................... 70
Health Problems........................................................................................ 70
Management Problems .............................................................................. 81
SECTION 4: COSTING AND FINANCING PLAN........................................... 88
I. Activity based costing .......................................................................... 88
a) Health Problems ............................................................................... 88
b) Management Problems ..................................................................... 98
II. Financial Outlay including 3YRP Activities ..................................... 105
Problem-wise Cost Summary................................................................... 107
a) Health Problem............................................................................... 107
b) Management Problems ................................................................... 107
Page 3
SECTION 5: MONITORING & EVALUATION ............................................. 114

M&E of Plan ............................................................................................ 114
Annex-I ................................................................................................... 117
Annex-II .................................................................................................. 119
Page 4
Acronyms
3YRP Three Years Rolling plan
ADB Asian Development Bank
APMO Additional Principal Medical Officer
ARI Acute Respiratory Infections
BHU Basic Health Center
BoD Burden of Disease
CDC Communicable Disease Control
CDR Case Detection Rate
CPR Contraceptive Prevalence Rate
DHIS District Health Information System
DHQH District Head Quarter Hospital
DoH Department of Health
DR Default Rate
EDO(H) Executive District Officer Health
EPI Expended Program on Immunization
HSRP Health Sector Reforms Program
IMR Infant Mortality Rate
IPC Interpersonal Communication
M&E Monitoring and Evaluation
M&E Maintenance and Repair
MCH Maternal Child Health
MMR Maternal Mortality Ratio
MNCH Maternal Newborn and Child Health
MO Medical Officer
MoV Means of Verification
MSDS Minimum Service Delivery Standards
PDSSP Punjab Devolved Social Services Program
PHC Primary Health Care
PMO Principal Medial Officer
POL Petrol, Oil and Lubricant
RHC Rural Health Center
SCR Sputum Conversion Rate
SHC Secondary Health Care
SMO Senior Medical Officer
Page 5
TAMA Technical Assistance Management Agency

TB Tuberculosis
THQH Tehsil Head Quarter Hospital
TNA Training Need Assessment
WHO World Health Organization
Women Medical Officer
Page 6
Executive Summary
Prior to devolution, planning process was carried out at provincial level. Districts
were supposed to implement plans and programs developed/designed at provincial
and federal levels. Devolution brought a paradigm shift where planning became a
district responsibility. This change provided an opportunity to the district at one
hand and challenge on other due to their limited capacity in planning and
budgeting. Planning focus also changed from short term to medium term planning
recognizing the flexibility /adaptability it provided. Government envisions that
medium term plan .i.e. 3YRP will be instrumental in using health resources
effectively and efficiently through adapting Minimum Service Delivery Standards
(MSDS) as the strategy to achieve objectives of MDGs.
Districts have been preparing 3YRP (medium term plan) for last few years under
the auspices/patronage of Department of Health (DoH) Government of Punjab
through technical assistance of Punjab Devolved Program Social Services
Programme (PDSSP). This year government of the Punjab through Health Sector
Reforms Program (HSRP) with the technical assistance from a team of consultants
(SP09) and wide consultations/inputs from all key stake holders has established a
bench mark in standardization of the format of 3YRP. Capacity building of the
districts has been done on the standardized format.
Current 3 Years Rolling Plan (3YRP) plan is first attempt by the district on that
agreed format. First section of the format (District Health Profile) contains all
relevant information on Geography, Demographic, Socioeconomic and Health
indicators of the district. It also takes stock of health resources in terms of human
resource, infrastructure and others. District diseases pattern compiled from DHIS
Primary and Secondary Health Care reports and current status of vertical /national
programs is part of the profile. In fact district profile is a health related fact sheet of
the district and depicts the true picture of health status and health
resources/services of the district. An accurate district health profile provides a
sound basis for evidence-based planning.
3YRP plan has been developed by following the standard planning cycle approach.
3YRP details the current year activities, physical targets and fiscal targets.
Projections of second and third year physical and financial targets are given.
Section Two includes problems identification from various perspectives, and their
prioritization by applying WHO prioritization criteria. This section also contains
Page 7
underlying causes of the prioritized problems. Section Three of the plan relates to
developing best possible interventions/activities and setting physical targets for
each year. Section Four consists of costing based on additional requirements taking
account of implementation of current status of activities. Best available estimates
have been used to accurately cost the activities. The detailed activity based costing
of the Health and Service Delivery problems has been developed on automated
Excel sheets, and annexed for details as ready reference. Last section of the 3YRP
consists of Monitoring and Evaluation of plan to gauge the progress of different
activities and targets of the plan using reliable district data sources. This permits
timely remedial action for smooth implementation of planned activities.
Page 8
DISTRICT ATTOCK
SECTION 1: DISTRICT HEALTH PROFILE
I. Vision of the District
To provide high standard heath services to all without discrimination of religion,

ethnicity and socioeconomic status, by using available resources in an efficient way
for maximum benefits of the community.
II. Background of the District
The District Attock owes its name from famous Attock fort situated on the left bank
of Indus River. Name of the fort was accorded by Emperor Akbar. District Attock
was constituted in 1904. The District was initially named as Campbellpur after the
name of Sir Campbell. Attock is located in the North West of Punjab; Daton north
west River Indus separates it from the NWFP. Towards east it is bordered by
District Rawalpindi and in south by Chakwal District.
 Geographical location: It is bounded on then North and West by the River

Indus and in the East by Haripur and Rawalpindi districts while in the south
lies Chakwal district (Anon., 1981).
 Communication linkages (Roads, Railway): It is connected through
motorway to Lahore, Islamabad and Peshawar: by Railway to Karachi,
Lahore and Peshawar.
 Topography: The district consists of a mix of plain and hilly areas.
 Source of livelihood: The main source of livelihood is agriculture and
labour. There are 440 villages in the district.
 Ethnic groups and Languages: The important ethnic groups in the district
are Punjabi, Pathan, Kashmiris, and Afghans. Main languages spoken in the
district are Punjabi, Urdu and Pashto.
Page 9
III. Map of the District
DISTRICT ATTOCK ABI HAR

SW I PUR
A HAZRO
ER
N SH AL
D
W AB
O H
/
N
W E ATTOCK
s
ndu
S
er I
Riv
KALA CHITTA RESERVE FOREST

T
FATEHJANG
HA
KO
JAND
I
D
PIN
PINDIGHEB AL
AW
R
River Soan
MIANWALI
MIANWALI
DISTRICT CHAKWAL
IV. Demography
o Total Population 1661225
o Annual growth rate 2.23%
o Population density 237 persons per sq. km
1) Area-wise population
Area Population Percentage

Rural 1296535 78%
Urban 365690 22%
Source: DCR 1998 (Projected population)
Page 10
2) Gender-wise population
Gender Population Percentage

Male 822802 49.5%
Female 839423 50.5%
Source: DCR 1998 (Projected population)
3) Population groups
Standard Estimated
Population Groups
Demographic (%) Population
Under 1 year of age 2.7 44853
Under 5 years 13.4 222604
Under 15 years 44 730939
Women in child bearing 22 365469
age (15-49 years)
Married Child Bearing 16 265796
age Women
Expected pregnancies 3.4 56481
4) Tehsil wise distribution
Tehsil Number of UC Population

Attock 15 371650
Hazro 13 308194
Hassanabdal 8 177430
Fateh Jang 14 277210
Pindi Gheb 13 239859
Jand 12 286883
Total=6 75 1661225
Source: Bureau of Statistics (Projected from Census 1998)
Page 11
V. Socio-Economic Indicators
1) Education and Literacy
Literacy rate Male Female
Urban 85.8% 66.4%
Rural 73.6% 45.7%
Overall District 76% 49.9%
Age Literacy Rate
10+yrs 63%
15+yrs 59%
15-24yrs 81%
Sources: MICS 2007
2) Per capita income

The per capita annual income is found to be Rs. 28524 which is much more
than our National per capita income which is Rs. 23700 per annum (Budget
1998).
3) Housing
Ownership of house 93%
Mean household size 5.8
Mean number of persons per room 3.0
4) Water and Sanitation

 Access to drinking water 87%
 Use of improved drinking water sources 94%
 Use of properly treated water 1.2%
 Safe drinking water without bacteria 75%
 Use of improved water sources and improved sanitation 73%
 Proper disposal of:
- Waste water 41%
- Solid waste 61%
VI. Health Indicators

 Infant Mortality Rate 36/1000 Live Births
 Under 5 mortality Rate 60/1000 Live births
 Maternal mortality Ratio 232/100000
Page 12
 Malnutrition (women and children) 39.3%

 Life expectancy 65 years
 Proportion of children under 1 years immunized 98%
against measles
 Contraception
o Use of contraceptives (any method) 37%
o Contraceptive drop out 2.5%
o Unwilling pregnancy 24%
 Maternal and newborn health*
o Antenatal care (ANC) 58%
o Skilled attendant at delivery 47%
o Institutional deliveries 42%
o Postnatal care (PNC) 44%
*Source: MICS 2007-08
VII. Organizational Structure of District Health Administration
There exists a three-tier system in the health sector in the country. At federal level,
Federal Secretary of Health is responsible to administer and supervise the health
related activities and programs. Major function of federal tier is to provide policy
guidelines and ensure quality of health care standards through federal legislation.
After the 18th amendment in the constitution, and announcement of National
Finance Award, most of the existing federal level programs will be transferred to the
provincial level. At provincial level, provincial Secretary of Health along with
Director General Health Services is responsible for managing and supervising
health care services. The district is still an administrative entity in the system and
EDO (Health) acts as head of the district health department, under overall
supervision of DCO. The organizational structure at district level is as under:
Page 13
District Coordination Officer
Executive District Officer (Health
MS DHQ MS THQ Program Principal Principal

Hospital Hospital Director General Public H DC NP
DHDC Nursing Nursing
(5)
School School
DOH
MCHC GRDs
DDOH AE DSV RHCs BHUs SHCs
(8) (24)
(5) (5) (58) (2)
VIII. Health Resources

1) Health Facilities
a) Public
Details of physical infrastructure of public health facilities in the
district is given in the table below
No. of
Number of
Facility Type Bed Strength Functional Remarks
Facility
Beds
DHQ Hospital 1 211 211 -------
THQ Hospital
1. Fateh Jang
2. Pindi Ghep
5 280 280 -------
3. Jand
4. Hazro
5. Hasan Abdal
Page 14
RHCs 5 100 100 -------
BHUs 58 116 116 -------
Government Rural
24 0 0 -------
Dispensaries
MCH Centers 8 0 0 -------
Sub Health Centers 2 0 0 -------
TB Clinics/ Hospital 0 0 0 -------

Data source: DHIS/EDOH office
b) Private
Private sector is also contributing in provision of health services in the district. In
absence of any registration and regulatory mechanism, actual situation of private
sector is not known. According to available information total number of private
hospitals and clinics are 50. With the passage of time, role of private health care
providers will expand and there is a need to develop an effective coordination
between public and private sector. Detailed list of private sector health facilities is
attached as Annex-I.
2) Human Resource
The Human resource of district health department has been placed in
following categories:
a) Administrative
b) Facility based
c) Outreach
d) Training institutions
a) Administrative
Sr. Name of Post Sanctioned Filled
1 Executive District Officer Health 1 1
2 District Officer Health 1 1
3 Deputy District Officer Health 5 3
4 Program Director DHDC 1 0
5 District Sanitary Inspector 1 0
6 CDC Officer 1 0
7 CDC Inspector 4 3
8 Drug Inspector 2 0
9 District Superintendent Vaccination 1 1
Page 15
Sr. Name of Post Sanctioned Filled

10 Assistant Superintendent Vaccination 5 4
11 Tehsil Sanitary Inspector 1 0
12 Inspector Vaccination 4 0
b) Facility Based
i. Basic Health Units (58)

Sr.
Name of Post/Designation Sanctioned Filled Vacant
No.
1 Medical Officer 58 44 14
School Health & Nutrition
2 58 56 2
Supervisor
3 Medical Assistant 58 12 46
4 Computer Operator 58 39 19
5 Medical Technician 58 52 6
6 LHV 58 07 51
7 Dispenser 58 43 15
8 Midwife 58 33 25
9 N/Qasid 58 47 11
10 Chowkidar 58 47 11
11 Sanitary Worker 56 26 30
ii. Rural Health Centre (5)

Sr.
Post Sanctioned Filled Vacant
No.
1 Senior Medical Officer 5 3 2
2 Medical Officer 5 3 2
3 Women Medical Officer 5 3 2
4 Women Medical Officer
2 2 0
(MNCH)
5 Dental Surgeon 5 3 2
6 Charge Nurse 30 15 15
7 Hakeem 2 1 1
8 Computer Operator 5 1 4
9 Dental Technician 5 1 4
Page 16
Sr.
No.
10 Health Technician 8 5 3
11 Lady Health Visitor 10 9 1
12 Lady Health Visitor (MNCH) 2 2 0
13 Senior Clerk 5 1 4
14 Lab Technician 5 5 0
15 Junior Clerk 5 4 1
17 Dresser 3 0 3
18 X-ray Assistant 3 0 3
19 Libratory Assistant 5 3 2
20 Homeo Dispenser 5 3 2
21 OTA 5 0 5
22 Driver 6 5 1
23 RHI 5 0 5
24 Midwife/Dia 20 8 12
25 Tube Well Operator 5 5 0
26 Ward Servant M/F 10 9 1
27 Sanitary Patrol 20 12 8
28 Naib Qasid 10 8 2
29 Homeo Naib Qasid 4 3 1
30 Water Carrier 5 3 2
31 Mali 5 5 0
32 Cook 5 4 1
33 Chowkidar 10 8 2
35 Radiographer 2 2 0
36 Dawasaz 2 2 0
37 Dawa Khob 2 2 0
Page 17
iii. THQ Hospitals (5)

Sr. Post Sanctioned Filled Vacant
1 Medical Superintendent 5 5 0
2 Physician 5 0 5
3 Surgeon 5 4 1
4 Gynecologist 8 0 8
5 Pediatrician 5 3 2
6 Anesthetist 4 1 3
7 Ophthalmologist 2 0 2
8 ENT Specialist 4 0 4
9 Eye Specialist 3 0 3
10 Pathologist 4 0 4
11 Orthopedic Surgeon 1 0 1
12 Radiologist 4 0 4
13 Medical Officer/CMO 50 21 29
14 SMO 2 0 2
15 Women Medical Officer 19 6 13
16 Dental Surgeon 5 4 1
17 Pharmacist 5 3 2
18 Head Nurse 4 0 4
19 Charge Nurse 60 40 20
20 Refractionist 3 0 3
21 Homeo Doctor 4 2 2
22 Hakeem 3 2 1
23 BTO 2 0 2
25 Ophthalmic Technician 6 0 6
26 Statistical Assistant 1 0 1
27 LHV 5 4 1
28 Radiographer 10 7 3
29 Store Keeper 5 3 2
31 Dispenser/ Dresser 36 23 13
32 Dawasaz 3 1 2
33 Lab Assistant 10 9 1
Page 18

35 OT Assistant 8 2 6
37 Accountant 2 2 0
38 Driver 6 5 1
39 Mid Wife 3 1 2
40 Dai/Aya 7 4 3
41 Tube well Operator 5 4 1
42 OT Attendant 2 1 1
43 X-Ray Attendant 2 1 1
44 Lab Attendant 3 2 1
46 Ward Servant M/F 36 34 2
47 Naib Qasid 10 09 1
48 Chowkidar 11 9 2
49 Mali 5 5 0
50 Dhobi 5 3 2
51 Gate Keeper 5 5 0
52 Dawa Kob 2 2 0
53 Baildar 7 7 0
55 Cook 6 4 2
56 Ward Boy 3 3 0
57 Lab Assistant for Blood Bank 3 1 2
58 Lab Attendant for Blood Bank 1 0 1
59 Masalchi 1 1 0
iv. DHQ Hospital

1 Medical Superintendent 1 1 0
2 Deputy Medical 1 0 1
Superintendent
3 Add. PMO 4 4 0
4 Add. PWMO 3 1 2
Page 19

5 Child Specialist 1 1 0
6 Medical Specialist 2 1 1
7 Surgeon 2 2 0
8 Gynecologist 3 3 0
9 Anesthetist 2 1 1
10 TB & Chest Specialist 1 0 1
11 Ophthalmologist 1 1 0
12 Cardiologist 1 0 1
13 ENT Specialist 1 0 1
14 Radiologist 1 0 1
15 Orthopedic Surgeon 1 0 1
16 Physiotherapist 1 1 0
17 Refractionist 1 0 1
18 Pathologist 1 1 0
19 Urologist 1 1 0
20 Senior Medical Officers 1 1 0
21 Medical Officers 25 11 14
22 CMO 12 7 5
23 WMOs 10 7 3
24 Blood Transfusion Officer 1 0 1
25 Dental Surgeons 2 1 1
26 Homeo Doctor 1 1 0
27 Hakim 1 1 0
28 Pharmacist 1 1 0
29 House Officer 12 1 11
30 DSN 1 0 1
31 Nursing Instructor 1 0 1
32 Head Nurses 9 2 7
33 Charge Nurses 52 38 14
34 Head Clerk 1 1 0
35 Senior Clerk 2 0 2
36 Account Officer 1 0 1
38 X-Ray Assistant 3 3 0
Page 20

40 Eye Technician 4 3 1
41 ECG Technician 6 1 5
42 House Keeper 1 1 0
43 Store Keeper 1 1 0
44 Accountant 1 0 1
46 OTA 8 2 6
47 Dawasaz 1 1 0
50 Lab Assistant 3 2 1
52 X-Ray Attendant 1 1 0
53 Lab Attendant 8 6 2
54 Driver 5 4 1
55 Electrician 1 1 0
56 OTA Attendant 1 1 0
58 Naib Qasid 1 1 0
59 Mali 5 5 0
60 Nurse Dia 3 3 0
61 Gate Keeper 1 1 0
62 Dhobi 2 0 2
63 Cook 2 2 0
64 Chowkidar 3 3 0
65 Ward Servant 54 51 4
c) Outreach
This information is about outreach program workers such as Vaccinators, CDC
Supervisors and Sanitary Inspectors which are not part of above mentioned
health facilities.
Page 21

Vaccinators 69 69 0
CDC Supervisors 55 32 23
Sanitary Inspectors 58 12 46
d) Training Institutions
A number of training institutions are working in the district, which include the
following:
Type of institute Number

DHDC 1
General Nursing school 1
Public Health Nursing School 1
Midwifery school 1
i. DHDC
Program Director
1 0 1
DHDC
Medical Officer (Multi
1 0 1
Purpose)
LHV Trainer 1 1 0
Assistant 1 1 0
Driver 1 1 0
Naib Qasid 1 1 0
Chowkidar 2 2 0
Sweeper 1 1 0
ii. General Nursing School

Principal 1 0 1
N/Instructor 3 1 2
Assistant Nursing
1 1 0
Instructors
P.H.N.S 2 2 0
Page 22

Accountant 1 1 0
Stenographer 1 0 1
Assistant Librarian 1 0 1
House Keeper 1 1 0
Senior Clerk 1 0 1
Junior Clerk 1 0 1
Driver 1 1 0
Bearer 2 2 0
Naib Qasid 1 1 0
Chowkidar 4 4 0
Cook 2 1 1
Aya 2 0 2
Sanitary workers 3 3 0
Mali 3 1 2
iii. Public Health Nursing School

Principal 1 0 1
P.T.O/WMO 1 0 1
Woman Medical
1 0 1
Officer
Nursing Instructor 2 0 2
Health education
1 0 1
officer
Public Health
Midwifery 1 0 1
Supervisor
Public Health
1 0 1
Nursing Supervisor
Domiciliary
Midwifery 1 0 1
Supervisor
Assistant Nursing
1 0 1
Supervisor
Page 23
Stenographer 1 0 1
Tutor (LHV) 2 2 0
House Keeper 2 1 1
Accountant 1 0 1
Senior Clerk 1 1 0
Junior Clerk 2 0 2
Store Keeper 1 0 1
Driver 2 2 0
Dai 2 1 1
Aya 2 2 0
Naib Qasid 3 3 0
Mali 1 1 0
Chowkidar 3 3 0
Cook 2 2 0
Barrier 3 3 0
Sweeper 2 2 0
iv. Midwifery School

Driver 2 1 1
Security Guard 2 2 0
Computer Operator 1 1 0
3) Health Financing
The provision of financial resources at district level is prime responsibility of

district government. However, keeping in view the budget constraints at the district
level, federal and provincial governments also augment financial resources in form
of kind and cash, through different programs. Financial resources of the district
during the last three years out of different sources are given as under:
Page 24
Rs. Million
Year
Source of funding 2007-08 2008-09 2009-10
Allocation Exp. Allocation Exp. Allocation Exp.
District Health
Budget
24.812 19.625 6.450 6.332 - -
 Developmental
 Non-
Developmental 302.908 242.216 378.807 297.051 390.557 183.330
Total 330.45685 261.841 388.0039 303.383 392.96251 183.330
PHSRP 24.812 19.614 31.942 20.436 26.044 10.33

PMDGP ------ ------ -------- ------ 130.00 15.726
PDSSP 20.144 12.300 18.099 3.286 14.960 4.779
Provincial
development ------ ------ 56.483 7.00 80.377 26.278
budget for district
Other sources
------ ------ ------ ------ ------ ------
(Specify source)
Grand Total 375.41285 293.755 494.5279 334.105 644.34351 240.443
User charges (like

parchi fee, fees for 2.736850 - 2.7469 - 2.405515 -
diagnostic services
IX. Disease Pattern

The disease pattern is determined through regular and periodic reporting through
surveys and studies. Punjab health department has adopted DHIS as regular
reporting mechanism to collect information on diseases and other variables.
Currently, DHIS is in transitional stage, and is establishing itself as a tool to be
used for evidence based planning and management. The following trend of the
diseases has been taken from the consolidated DHIS reports that include reports
from PHC and SHC facilities.
Page 25
Disease Group Percentage of Magnitude
Respiratory Disease
1 Acute upper respiratory infection 15.75
2 Pneumonia < 5years 0.81
3 Pneumonia < 5years 0.61
4 TB Suspects 0.90
5 Chronic Obstructive Pulmonary 0.39
Disease
6 Asthma 1.34
Gastro Intestinal Disease
7 Diarrhea / Dysentery < 5 years 2.72
8 Diarrhea / Dysentery < 5 years 2.44
9 Enteric / Typhoid Fever 0.26
10 Worm infestations 1.41
11 Peptic Ulcer 4.31
12 Cirrhosis of Liver 0.007
Urinary Tract Disease
13 Urinary Tract infection 2.04
14 Nephritis / Nephrosis 0.06
15 Sexually Transmitted Infections 0.040
16 Benign Enlargement of Prostrate 0.049
Other Communicable Disease
17 Suspected Malaria 1.006
18 Suspected Meningitis 0.015
19 Fever due to other causes 2.72
Vaccine Preventable Disease
20 Suspected Measles 0.06
21 Suspected Viral Hepatitis 0.06
22 Suspected Neo-natal Tetanus 0.003
Cardiovascular Disease
23 Ischemic Heart disease 0.13
24 Hypertension 1.86
Skin Disease
25 Scabies 4.63
26 Dermatitis 1.54
27 Cutaneous Leishmaniasis 0.02
Endocrine Disease
28 Diabetes Mellitus 1.13
Neuro- Psychiatric Disease
29 Depression 0.74
30 Drug Dependence 0.079
31 Epilepsy 0.021
Eye & ENT
Page 26
Disease Group Percentage of Magnitude
32 Cataract 0.023
33 Trachoma 0.14
34 Glaucoma 0.03
35 Otitis Media 0.67
Oral Disease
36 Dental Caries 2.20
Injuries / Poisoning
37 Road Traffic Accidents 0.77
38 Fractures 0.12
39 Burns 0.16
40 Dog Bites 0.15
41 Snake Bites ( with sign/symptoms 0.024
of poisoning
Miscellaneous Disease
42 Acute Flaccid Paralysis 0.002
43 Suspected HIV/AIDS 0
44 Any other unusual disease ( 0
specify )
Source: DHIS Reports
X. Status of Vertical Programs

The following paragraphs depict the current status of the program being
implemented in the district. The indicators and their values have been taken from
the program reports.
1) National Program for FP & PHC

 No. of seats allocated for LHWs 1362
 No. of LHWs working 985
 Percentage of Population covered by the program 59.29%
 Important program indicators
o IMR 36/1000
o MMR 32/100,000
o CPR 45%
o Antenatal coverage 92.84%
o TT Coverage of pregnant women 95.73%
2) EPI
 EPI Coverage rate of the district
Fully immunized children 0-23 months 103%
Page 27
 Pregnant women received TT vaccine 49.75%

 Availability of cold chain equipment 96%
3) MNCH Program
 CMW Students Admitted 13
 Passed 25
 Fresh CMWs batch 32
4) TB Control Program
 CDR all types 96%
 CDR NSS positive 78%
 SCR 99%
 TSR 96%
 DR 02%
5) Malaria Control Program

 No. of slides examined 33549
 No. of positive slides 55
 Slides positively ratio 0.04%
 Percentage of plasmodium falciparum 11 %
6) HIV/AIDS Control Program

No HIV positive case has been detected so far in the district; however,
screening of suspected cases is being carried out in district and tehsil
headquarter hospitals
7) Hepatitis Control Program

 No. of hepatitis tests conducted 18850
 No. of positive cases detected 1047
 No. of persons vaccinated against Hepatitis B 930
 No. of cases treated for Hepatitis B 70
 No. of cases treated for Hepatitis C 292
8) School Health Services Program

 Total Visits to the School 7895
 No. Students Examined 663204
 No of students referred to BHUs 25831
Page 28
 No. Students Treated at BHU 12679

 No. of Students referred from BHU to 2913
higher facilities
 No. of Schools in catchment Areas 966
 No. of Students 1162704
 No of Teachers Trained 2891
 No of SH & NS 57
Page 29
SECTION 2: PROBLEM ANALYSIS
The Health sector in Punjab is facing enormous health and service delivery
problems. Common health problems are communicable, non communicable, MNCH
related diseases and accident/ trauma. The society is passing through
demographic and epidemiological transition. This is due to changing life style,
urbanization, ecological and other factors. Disease pattern is changing where non
communicable diseases are gradually increasing and the communicable diseases
are still posing serious threat. Punjab is practically facing Double Burden of
Disease (BOD). Besides, health problems service delivery/ managerial issues are
also hindering the access and quality of health services to the population. The
service delivery/management problems are diverse in nature, and include shortage
of technical human resource, capacity issues, lack of infrastructure and
equipment.
Devolution was introduced during 2001 affecting the administrative and financial
set up of the districts. The devolution also brought political culture in the decision
making of the districts in the shape of Nazims, Naib-Nazims and Councilors. This
system is now in the phase of reshaping and it is not clear what will be future
structure and managerial shape when new local bodies system is put in place. The
District Manager and functionaries are in the state of uncertainty and confusion in
this scenario. However, one thing is clear that the district shall remain a hub of all
primary and secondary health services delivery. Despite the source of funding in
the future, either from provincial or district government, health planning at district
level shall continue to play a pivotal role in provision of quality health services.
In view of the above situation the district considers following objectives for
developing three year rolling plan.
I. Objectives
 Improve health status of the population
 Meeting the requirements of national and provincial health policies
 Achievement of MDGs through MSDS
 Introducing evidence-based planning culture by addressing district specific
problems/issues
 Addressing emerging health needs or re-emergence of health problems (e.g.
H1N1, HIV-AIDS, Polio, T.B)
Page 30
 Ensuring effective inter-sectoral coordination with a view to improving health

indicators
The objectives would guide in problem analysis, designing interventions, setting

/phasing the targets, costing and monitoring the plan activities.
II. Plan Development Process
Plan development has been a systematic and consultative process. A core planning
team consisting of EDO (H), DOH, MS DHQ and THQs, Statistical officer, and
Budget and Accounts Officer, was designated by Director General Health Services
Punjab. This team received three days customized training from SP-09 team at
divisional headquarters. The main components of the trainings were: (i) developing
a three-year rolling health sector plan using the standard three year rolling plan
format; (ii) costing of the plan; (iii) preparing related budget projections; (iv)
accounting procedures; (v) preparing adequate financial reports on the use of
funds.
The district planning team adopted the following steps for the preparation of three
years rolling plan:
 Problem identification
 Prioritization of identified problems
 Identifying underlying causes of prioritized problems
 Developing interventions and activities
 Setting targets
 Determining resource requirements, costing and budgeting
 Preparing action plans
 Preparing monitoring plan
1. Problem Identification
This step involved assessment of the current situation from various perspectives to
establish the actual health situation in terms of health and service
delivery/management problems. Problem identification is based on the district
health profile, review of previous plans, MIS (DHIS, Program reports and periodic
Page 31
reports etc.), District specific surveys (MICS), MSDS, and national and provincial
policy guidelines.
The district planning team held meetings and started with identification of problem
using the training received from SP-09 team and consulting the above mentioned
documents. The problems identified were broadly divided into two categories i.e.
a) Health Problems
b) Health Service Delivery or Management Problems
A. Health Problems
The district specific health problems identification process started during

the three years rolling plans workshop. The planning team in the initial
stage prepared a long list of the health problems. The identification of
health problems was based on various information sources including DHIS,
and district specific reports. The enlisted major health problems of the
district are given in the following table.
Sr. Health Problem

1. Acute Respiratory tract Infection
2. Diarrhoea
3. Scabies
4. Injuries & Accidents
5. Dental Caries
6. Urinary tract infections
7. Cardio vascular diseases
8. Diabetes
9. Hepatitis
10. Malnutrition
11. Complication of pregnancies
Page 32
2. Problem Prioritization
WHO has developed standard criteria for prioritization of health problems;
which is based on the following five elements:
 Magnitude
 Severity/danger
 Vulnerability to intervention (feasibility)
 Cost-effectiveness of the intervention
 Political expediency
Each element has been assigned a score from 1 to 4 depending upon

grade/scale of that element i.e. Very High=4, High=3, Medium=2 and Low=1.
Elements of the prioritization criteria were applied to each of the enlisted

health problems. The aggregate of individual scores assigned to the elements
of the prioritization criteria gave the total score for a health problem. A cut-
off point was decided, to establish the priority health problems of the
district. This total score was then used to prioritize the health problems.
These problems will be addressed in the three years rolling plan.
Problem Magnitude Severity Vulnerability Cost Political Total Priority

to Effectiveness Expediency Score Number
intervention
ARI 4 3 3 2 1 13 1
Diarrhoea 3 3 2 3 1 12 2
Scabies 3 1 2 2 1 9 7
Injuries & 2 2 2 2 2 10 5
Accidents
Dental 2 1 2 2 1 8 9
Caries
UTIs 1 1 1 1 1 6 10
CVDs 2 3 1 2 1 9 8
Diabetes 1 1 1 2 1 6 10
Hepatitis 3 3 2 1 3 11 3
Malnutrition 3 2 2 2 1 10 6
Complication 3 3 2 2 1 11 4
of
pregnancies
Page 33
i. Underlying causes of prioritized health problems
Health problems have their underlying causes. It is important to know the

underlying causes of the health problems so that appropriate interventions are
developed. There may be a long list of these causes but only few of them are vital
ones; and rectifying these causes can resolve the problem to a large extent.
Following table gives common causes of the prioritized health problems pertaining
to the district.
Sr. # Health Problem Causes
1. Acute Respiratory  Malnutrition

Tract Infection  Air contamination
(under 5)  Over-crowding/Poor housing facilities

 Lack of proper sanitation
 Seasonal variation
 Lack of awareness and hygienic practices
2. Diarrhea  Poor sanitation
 Lack of safe drinking water
 \Unhygienic practices
 Lack of awareness among mothers about
feeding and weaning practices
 Low EPI coverage
3. Hepatitis B&C  Poor sanitation
 Unsafe drinking water
 Sharing of used syringes
 Transfusion of unsafe/unscreened blood and
blood products
 Unsafe sexual practices
 Ear piercing and tattooing
 Use of unsterilized equipment by dentists and
barbers
Page 34
Sr. # Health Problem Causes
4. Complications of  Low access to appropriate health services

pregnancies  Lack of awareness about danger signs of
pregnancy
 Three delays (seeking health care,
transportation, and lack of referral back-up
services)
 Lack of skilled birth attendants
 Lack of equipments as per list notified by
MNCH Program / MSDS
5. Accidents and injuries  Lack of traffic sense

 Poor maintenance of vehicles
 Poor road conditions
 Lack of safety measures at work place
 Fire-arm injuries
 Domestic accidents
 Burns
 Bomb blasts/terrorist activities
 Lack of tolerance in the society
6. Malnutrition  Poverty
 Lack of awareness about balanced diet
 Gender discrimination
 Social taboos and norms
 Worm infestation
 Infections
7. Scabies  Overcrowding in schools and homes
 Low socio-economic conditions
 Poor Health Education
 Incomplete treatment (poor compliance)
8. CVDs  Obesity
 Inactive life style
 Lack of recreational sites
 Genetics
Page 35
B. Service delivery/Management problems
This segment entails the district specific management problems. Management

problems are result of deficiency/lack of resources; these problems range from
administrative to financial issues, and cause hindrance in the smooth delivery
of health services in the district. It was observed that solution of some of these
problems lies with the provincial government; whereas remaining can be
addressed at the district level. While proposing the interventions, their action at
provincial or district level has been specifically mentioned. The planning team
discussed these problems in detail and enlisted the main problems as under;
among the enlisted problems, the top six problems were analysed in detail, and
interventions and activities were proposed for them.
1. Shortage of skilled staff
2. Deficient capacity of staff
3. Shortage of vehicles
4. Inadequate district health budget for POL
5. Inadequate MNCH related Equipment
6. Ineffective supervision/monitoring
7. Lack of financial resources
8. Lack of coordination with other departments
9. Political interference
i. Underlying causes of Management Problems

Sr. # Service Causes
1. Shortage of skilled staff  Non-availability of skilled staff according to MSDS

 Lack of permanent postings
 Lack of incentivized and differential pay package
 Frequent transfer postings
 Job insecurity
 Lack of basic amenities at workplace
 Lack of conducive environment including insecurity and
transport of children for education
 Lack of training opportunities
Page 36
Sr. # Service Causes
2. Inadequate district  Less budget allocation

health budget for POL
 Frequent increase in prices
 Health not a priority issue for district authorities
3. Deficient staff capacity  Lack of training opportunities
 Lack of performance
4. Inadequate MNCH  Deficient equipment to cater basic and comprehensive
related equipment EmONC at primary and secondary level of care
 Old and un-serviceable equipment
 Shortage of regular budget for M&R
 Frequent cuts on M&R budget
5. Shortage of functional  Provision of inadequate funds for repair of vehicles
vehicles
 Ban on procurement of new vehicles by the government
 Complicated procedure of purchase
 Poor maintenance of vehicles
6. Ineffective  No monitoring policy
supervision/monitoring
 Lack of supportive supervision
 Lack of skills
 Inadequate resources
Page 37
3. MDGs and MSDS
The government is committed to achieve the MDGs targets. For this purpose, the
government of Punjab has decided to adopt Minimum Service Delivery Standards
(MSDS) as strategy to achieve the MDGs within the province. Health Department of
Punjab is especially focusing on MNCH related component of MSDS for which
substantial resources are coming from Asian Development Program funded Punjab
Millennium Development Goal Program (PMDGP). MSDS entails a level-specific
service delivery package (for primary and secondary health care) along with their
standards and system specifications including human, infrastructure, equipment,
medical supplies, medicine and other consumables.
In order to achieve the MDGs, the government of Punjab has adopted MSDS as
strategic framework. During the development of three years rolling plans, gaps
under MSDS focusing on MNCH interventions have been identified. Most essential
areas for which gaps have been identified are human resource and equipment of
DHQ and THQ hospitals, as per lists notified by the government in accordance with
MSDS standards.
1) Human Resource
With regard to MSDS gap analysis for human resource, the difference
between the standards proposed in MSDS and existing sanctioned strength is
calculated as ‘Vacancy Gap in relation to Sanctioned Positions’ and difference
between existing sanctioned posts and filled posts has been calculated as the
‘Vacancy Gap in relation to Filled Positions’.
The hospitals have been categorized based on their bed strength as follows:
Hospital Category Bed Strength
A 400 and above Beds
DHQ Hospital B 251-400 Beds
C Up to 250 Beds
A Above 60 Beds
THQ Hospital B 41-60 Beds
C Up to 40 Beds
Page 38
i. DHQ Hospital Attock

Sr. Post Sanctioned Filled Vacancy Vacancy
No. Gap Gap
Standard as in relation in
per MSDS to relation
Sanctione to Filled
C B A d Positions
Positions
1 Gynaecologist 3 3 4 3 3 0 0
2 Paediatricians 3 3 3 1 1 2 2
3 Anesthetists 3 5 5 2 1 1 2
4 Medical
Officers
including 74 104 125 42 23 32 51
SMO,APMO &
PMOs
5 Women
Medical
Officers
including 27 39 48 13 8 14 19
SWMO,
APWMO &
PWMOs
6 Lady Health
11 11 11 0 0 11 11
Visitors
7 Nurses 75 114 189 61 40 14 35
ii. THQ Hospitals

There are five THQ hospitals in the district. The following table shows the
consolidated position of all the THQ hospitals in the district.
Sr. Post Standard as Sanctioned Filled Vacancy Vacancy

No. per MSDS Gap Gap
in relation In
to relation
Sanctione of Filled
C B A
d Positions
Positions
1 Gynaecologist 2 2 3 8 0 2 10
2 Paediatricians 2 2 3 5 3 5 7
3 Anesthetists 3 3 4 4 1 11 14
Page 39
Sr. Post Standard as Sanctioned Filled Vacancy Vacancy

No. per MSDS Gap Gap
in relation In
to relation
Sanctione of Filled
C B A
d Positions
Positions
4 Medical
Officers
including 16 19 22 52 21 43 74
SMO,APMO &
PMOs
5 Women
Medical
Officers
including 9 10 11 19 6 31 44
SWMO
APWMO &
PMOs
6 Lady Health
8 8 8 5 4 35 36
Visitors
7 Nurses 15 24 30 64 40 56 80
a) Equipment
Government of Punjab has notified a standard list as yard-stick of MNCH related
equipment to provide comprehensive EmONC services in the DHQ and THQ
hospitals. Provision of comprehensive EmONC services is essentially required to
decrease the high MMR and IMR prevailing in the province.
Gaps in relation to the MNCH related equipment have been identified taking into
account the equipment purchased or under process of purchase from all funds
including PMDGP funds allocated/sanctioned to the district. The cost of equipment
gap has been included in the equipment portion of the Management/Service
delivery problems; the detail is attached as Annex-II.
Page 40
i. DHQ Hospital Attock

Sr. Equipment Standard Available Gap
No. as per
MSDS
(Qty.)
C B A
1 CTG (Cardiac Tocography) 1 1 2 1 0

2 Foetal Doppler 3 5 5 2 1
3 Diagnostic Laparoscope 1 1 2 0 1
4 Bulb Sucker 10 20 20 6 4
5 Baby Warmer 3 3 6 1 2
6 Mechanical Sucker 3 3 6 2 1
7 Fetal Stethoscope 4 4 4 4 0
8 Delivery Table 2 2 3 2 0
9 D&C Set 2 3 4 4 0
10 Outlet forceps 4 4 4 3 1
11 Myoma Screw 2 2 2 1 1
12 Kochers forceps 4 4 8 4 0
13 Volselum forceps 6 8 10 4 2
14 Lanes Tissue holding forceps 2 2 4 2 0
15 Vaginal Retractors 10 10 10 4 6
16 Polypectomy forceps 2 2 2 1 1
17 Sponge holder 10 15 20 5 5
18 Uterine elevator 1 1 1 1 0
19 Cusco Speculum
Small, Medium, Large (for 6 10 10 6 0

each category)
20 Examination light 3 3 6 2 1
21 Suction Curette 1 2 2 2 0
22 Infant Resuscitation Trolley
(with life saving medicines,
baby laryngoscope, Endo- 1 1 2 0 1
tracheal tube, Infant BP
Apparatus, Chargeable Light)
23 Mother Resuscitation Trolley
Laryngoscope, Endo-tracheal 1 1 2 0 1
tube, BP Apparatus,
Chargeable light)
Page 41

No. as per
MSDS
(Qty.)
C B A
24 Cardiac Monitor 1 1 2 1 0
25 Pump Breast Electronic 1 1 1 0 1
26 Vaginal Hysterectomy Set
26.1 Toothed Tissue Forceps (8”) 2 2 4 4 0
26.2 Non-Tooted Tissue Forceps
2 2 4 2 0
(8”)
26.3 Dissection Scissors (Curved
2 2 4 1 1
7”)
26.4 Dissection Scissors (Straight
2 2 4 1 1
7”)
26.5 Hysterectomy Clamps
8 8 16 6 2
(Straight)
8 8 16 6 2
(Curved)
26.7 Uterine Sound 2 2 4 2 0
26.8 Needle Holder (7”) 2 2 4 2 0
26.9 Needle Holder (10”) 2 2 4 2 0
26.10 Artery Forceps (Straight 6”) 16 16 32 16 0
26.11 Artery Forceps (Curved 6”) 16 16 32 16 0
26.12 Allis Forceps 8 8 16 8 0
26.13 Towel Clamps 8 8 16 8 0
26.14 Single blade Sims speculum 4 4 8 4 0
26.15 Double blade Sims speculum 4 4 8 4 0
26.16 Sponge holding forceps 8 8 16 4 4
26.17 Volselum forceps 4 4 8 2 2
26.19 Bladder Sound 2 2 4 1 1
27 Delivery Sets
27.1 Episiotomy Scissors 10 10 15 6 4
27.2 Straight Scissors 10 10 15 6 4
27.3 Needle holder 10 10 15 2 8
27.4 Non-toothed tissue forceps 8
10 10 15 2 8
inches
27.5 Toothed tissue forceps 8
10 10 15 2 8
inches
27.6 Sims Speculum single blade 20 20 30 6 14
27.7 Sims Speculum double blade 20 20 30 6 14
Page 42

No. as per
MSDS
(Qty.)
C B A

27.9 Artery forceps 40 40 60 30 10
27.10 Straight clamps (cord) 20 20 30 16 4
27.11 Vacuum Extractor pump 1 1 1 1 0
27.12 Towel clip 40 40 60 20 20
28 Caesarian Section
28.1 Scalpel 6 8 10 6 0
28.2 Artery Forceps Straight 6
24 32 40 25 0
inches
28.3 Artery Forceps Curved 6
24 32 40 25 0
inches
28.4 Artery forceps 8 inches 24 32 40 6 18
28.5 Myoma Scissors straight 7
6 8 10 3 3
inches
28.6 Dissecting scissors (curved) 7
6 8 10 4 2
inches
28.7 Green Armtage forceps 8
24 32 40 20 4
inches
28.8 Obstetric outlet forceps (pair) 6 8 10 4 2
28.9 Doyene’s Retractor 6 8 10 0 6
28.10 Small Retractors 12 16 20 6 6
28.11 Towel Clippers 24 32 40 20 4
28.12 Suction Nozzle 6 8 10 4 2
29 MNCH Related Radiology
Equipments
29.1 Ultrasound Machine 1 2 3 2 0
29.2 X-Ray Unit 500 kw 1 1 1 1 0
29.3 Color Doppler 0 1 1 0 0
29.4 Lead Screen for X-Ray Unit 1 1 1 1 0
29.5 0.5 MN Lead Apron. Lead
Gloves, Goggles and Thyroid 1 1 1 1 0
and Gonadal Sheets
29.6 Safe Light 1 1 1 2 0
29.7 X-RT Film Processing Tank 1 1 1 1 0
29.8 Chest Stand 1 1 1 2 0
29.9 X-Ray film Illuminator 2 2 2 2 0
29.10 X-Ray Film Hangers All sizes 4 4 4 8 0
Page 43

No. as per
MSDS
(Qty.)
C B A
30 MNCH Related Paediatrics

Equipments
30.1 Paediatric Ventilator 1 2 2 0 1
30.2 Incubator 1 1 2 1 0
30.3 Photo Therapy Unit 1 1 1 1 0
30.4 Over-head Radiant Warmer 1 1 1 0 1
30.5 Infant Length Measuring
2 2 2 1 1
Scale
30.6 Infant Weighing Machine 2 2 2 2 0
30.7 Nebulizer 1 1 2 1 0
30.8 Bilirubino-meter 1 1 2 0 1
30.9 Exchange Blood Transfusion
1 1 2 0 1
Set
30.10 Nasal Probe Paed size 2 2 4 1 1
31 Anaesthesia/ICU
31.1 Anaesthesia Machine 1 1 2 2 0
31.2 Ventilators 1 1 1 1 0
31.3 Nebulizer 1 1 1 1 0
31.4 Pulse Oximetry 1 1 1 1 0
31.5 Defibrillator 1 1 1 0 1
31.6 Airway Oral and Nasal 2 3 4 6 0
31.7 Tracheostomy tube (adult and
2 2 4 2 0
paeds)
31.8 Face mask of all sizes 2 2 4 2 0
31.9 Double Cuff Tourniquet (for
1 2 2 1 0
regional block)
31.10 AMBO bag adult 2 2 4 1 1
31.11 AMBO Bag paeds 2 2 4 1 1
31.12 Red Rubber Nasal tubes all
4 4 8 6 0
sizes without cuff
32 Blood Bank
32.1 Blood storage cabinet (100
1 1 2 1 0
bag capacity)
32.2 Packed cell machine 1 1 1 0 1
32.3 Cell Separator 1 1 1 0 1
32.4 Freezer for Fresh Frozen
1 1 1 0 1
Plasma
Page 44

No. as per
MSDS
(Qty.)
C B A
32.5 Blood bag shaker 1 1 2 1 0

32.6 RH view box 2 2 4 1 1
32.7 Water bath 2 2 2 1 1
32.8 Micro-pipette 4 6 8 0 4
32.9 Blood grouping tiles 3 3 6 2 1
32.10 Plasma Extractor 1 1 1 2 0
32.11 Platelets agitator 1 1 1 0 1
32.12 Blood thawing bath 1 1 1 0 1
32.13 Microscopes 1 1 2 1 0
33 Gynae & Labour Room
Related Laboratory
Equipment
33.1 Hematology Analyzer 1 1 1 1 0
33.2 Electrolyte Analyzer 1 1 1 1 0
33.3 Analyzer Bio-chemistry Semi-
1 1 1 1 0
automatic
33.4 Glucometer 2 2 2 1 1
33.5 Haemoglobino-meter 2 2 4 2 0
33.6 Centrifuge 1 1 2 2 0
ii. THQ Hospital Hazro

No. as per
MSDS
(Qty.)
C B A
4 Bulb Sucker 5 10 20 10 10
9 D&C Set 2 2 2 2 1
Page 45

No. as per
MSDS
(Qty.)
C B A
14 Lanes Tissue holding
2 2 2 2 0
forceps
19 CosCo Speculum
each category)
baby laryngoscope, Endo-
1 1 1 0 1
Apparatus, Chargeable
Light)
23 Mother Resuscitation
Trolley (with life saving
medicines, Laryngoscope,
1 1 1 0 1
Endo-tracheal tube, BP
light)
2 2 2 2 0
(8”)
26.3 Dissection Scissors (Curved
2 2 2 2 0
7”)
26.4 Dissection Scissors
2 2 2 2 0
(Straight 7”)
8 8 8 8 0
(Straight)
8 8 8 8 0
(Curved)
Page 46

No. as per
MSDS
(Qty.)
C B A
26.8 Needle Holder (7”) 2 2 4 4 0
26.9 Needle Holder (10”) 2 2 2 2 0
26.13 Towel Clamps 8 8 8 8 0
26.14 Single blade Sims speculum 4 4 4 4 0
26.15 Double blade Sims
4 4 4 4 0
speculum
26.19 Bladder Sound 2 2 2 2
27 Delivery Sets 10
27.3 Needle holder 6 6 10 1 9
27.4 Non-toothed tissue forceps
6 6 10 1 9
8 inches
6 6 10 2 8
inches
27.6 Sims Speculum single blade 12 12 20 1 19
27.7 Sims Speculum double
12 12 20 1 19
blade
27.9 Artery forceps 40 40 40 6 34
27.12 Towel clip 40 40 40 4 36
28 Caesarian Section Set 8
28.1 Scalpel 4 4 6 1 7
16 16 24 12 20
inches
16 16 24 16 16
inches
4 4 6 1 7
inches
Page 47

No. as per
MSDS
(Qty.)
C B A
28.6 Dissecting scissors (curved)
4 4 6 1 7
7 inches
16 16 24 2 30
inches
28.8 Obstetric outlet forceps
4 4 6 1 7
(pair)
28.11 Towel Clippers 16 16 24 4 28
Equipments
29.2 X-Ray Unit 500 kw 1 1 1 2 0
Gloves, Goggles and
1 1 1 1 0
Thyroid and Gonadal
Sheets
29.6 Safe Light 1 1 1 2 0
29.8 Chest Stand 1 1 1 1 0
29.10 X-Ray Film Hangers All
4 4 4 6 0
sizes
30 MNCH Related Paediatrics
Equipments
30.2 Incubator 1 1 1 1 0
30.4 Over-head Radiant Warmer 1 1 1 0 1
2 2 2 1 1
Scale
30.7 Nebulizer 1 1 1 5 0
30.8 Billiubino-meter 1 1 1 0 1
30.9 Exchange Blood
1 1 1 0 1
Transfusion Set
Page 48

No. as per
MSDS
(Qty.)
C B A
31 Anaesthesia/ICU
31.3 Nebulizer 1 1 1 5 -4
31.7 Tracheostomy tube (adult
1 2 2 2 0
and paeds)
1 1 1 1 1
regional block)
4 4 4 5 0
sizes without cuff
32 Blood Bank
1 1 1 1 0
bag capacity)
1 1 1 0 1
Plasma
32.6 RH view box 1 2 2 1 1
32.7 Water bath 2 2 2 1 1
Related Laboratory
Equipment
Page 49

No. as per
MSDS
(Qty.)
C B A
33.3 Analyzer Bio-chemistry
1 1 1 1 0
Semi-automatic
iii. THQ Hospital Fateh Jang

No. as per
MSDS
(Qty.)
C B A
4 Bulb Sucker 5 10 20 1 9
9 D&C Set 2 2 2 1 1
2 2 2 2 0
forceps
19 CosCo Speculum
each category)
Page 50

No. as per
MSDS
(Qty.)
C B A
22 Infant Resuscitation
medicines, baby
laryngoscope, Endo- 1 1 1 1 0
Light)
1 1 1 1 0
light)
26 Vaginal Hysterectomy
Set
26.1 Toothed Tissue Forceps
2 2 2 2 0
(8”)
2 2 2 2 0
(8”)
2 2 2 1 1
(Curved 7”)
2 2 2 1 1
(Straight 7”)
8 8 8 4 4
(Straight)
8 8 8 2 6
(Curved)
26.8 Needle Holder (7”) 2 2 4 3 0
26.9 Needle Holder (10”) 2 2 2 2 0
26.10 Artery Forceps (Straight
16 16 16 16 0
6”)
26.13 Towel Clamps 8 8 8 6 2
26.14 Single blade Sims
4 4 4 2 2
speculum
Page 51

No. as per
MSDS
(Qty.)
C B A
4 4 4 2 2
speculum
27 Delivery Sets
6 6 10 1 9
8 inches
6 6 10 1 9
inches
27.6 Sims Speculum single
12 12 20 1 19
blade
12 12 20 1 19
blade
27.9 Artery forceps 40 40 40 12 28
27.12 Towel clip 40 40 40 6 34
28 Caesarian Section Set
28.1 Scalpel 4 4 6 2 4
16 16 24 15 9
inches
16 16 24 16 8
inches
4 4 6 1 5
inches
28.6 Dissecting scissors
4 4 6 2 4
(curved) 7 inches
16 16 24 1 23
inches
4 4 6 2 4
(pair)
28.9 Doyene’s Retractor 4 4 6 6
Page 52

No. as per
MSDS
(Qty.)
C B A
28.11 Towel Clippers 16 16 24 2 22
Equipments
29.2 X-Ray Unit 500 kw 1 1 1 0
29.4 Lead Screen for X-Ray
1 1 1 1 0
Unit
Gloves, Goggles and
1 1 1 1 0
Thyroid and Gonadal
Sheets
29.6 Safe Light 1 1 1 1 0
29.8 Chest Stand 1 1 1 1 1
4 4 4 0
sizes
30 MNCH Related
Paediatrics Equipments
30.2 Incubator 1 1 1 1 0
30.4 Over-head Radiant
1 1 1 1 1
Warmer
2 2 2 1 1
Scale
30.7 Nebulizer 1 1 1 1
30.8 Billiubino-meter 1 1 1 1
30.9 Exchange Blood
1 1 1 1 1
Transfusion Set
30.10 Nasal Probe Paed size 1 2 2 0
31 Anaesthesia/ICU
31.3 Nebulizer 1 1 1 1 0
Page 53

No. as per
MSDS
(Qty.)
C B A
31.4 Pulse Oximetry 1 1 1 1
1 2 2 4 0
and paeds)
31.8 Face mask of all sizes 1 2 2 1
31.9 Double Cuff Tourniquet
1 1 1 1 1
(for regional block)
31.12 Red Rubber Nasal tubes
4 4 4 0
all sizes without cuff
32 Blood Bank
1 1 1 0 1
bag capacity)
1 1 1 1 0
Plasma
32.6 RH view box 1 2 2 1 1
32.7 Water bath 2 2 2 0 4
32.13 Microscopes 1 1 1 0
Related Laboratory
Equipment
1 1 1 1 1
Semi-automatic
Page 54
iv. THQ Hospital Hasan Abdal

No. as per
MSDS
(Qty.)
C B A
3 Diagnostic Laparoscope 1 1 1 1
9 D&C Set 2 2 2 1 1
2 2 2 2 0
forceps
19 CosCo Speculum
each category)
baby laryngoscope, Endo-
1 1 1 0 1
Light)
1 1 1 0 1
light)
Page 55

No. as per
MSDS
(Qty.)
C B A
2 2 2 6 0
(8”)
2 2 2 2 0
(Curved 7”)
2 2 2 2 0
(Straight 7”)
8 8 8 6 2
(Straight)
8 8 8 6 2
(Curved)
26.8 Needle Holder (7”) 2 2 4 2 0
26.9 Needle Holder (10”) 2 2 2 1 1
26.13 Towel Clamps 8 8 8 12 0
4 4 4 1 3
speculum
4 4 4 1 3
speculum
27 Delivery Sets
6 6 10 2 8
8 inches
6 6 10 2 8
inches
12 12 20 1 19
blade
Page 56

No. as per
MSDS
(Qty.)
C B A
12 12 20 1 19
blade
27.9 Artery forceps 40 40 40 14 26
27.12 Towel clip 40 40 40 3 37
28 Caesarian Section Set
28.1 Scalpel 4 4 6 3 3
16 16 24 15 9
inches
16 16 24 15 9
inches
4 4 6 1 5
inches
28.6 Dissecting scissors (curved)
4 4 6 1 5
7 inches
16 16 24 16 8
inches
4 4 6 2 4
(pair)
28.9 Doyene’s Retractor 4 4 6 6
28.11 Towel Clippers 16 16 24 3 21
Equipments
29.2 X-Ray Unit 500 kw 1 1 1 1 0
29.3 Color Doppler 0 0 0 0
Gloves, Goggles and
1 1 1 1 0
Thyroid and Gonadal
Sheets
29.6 Safe Light 1 1 1 1 0
29.8 Chest Stand 1 1 1 1 0
Page 57

No. as per
MSDS
(Qty.)
C B A
4 4 4 1 3
sizes
30 MNCH Related
0
30.1 Paediatric Ventilator 1 1 2 1
30.2 Incubator 1 1 1 1 0
30.4 Over-head Radiant Warmer 1 1 1 1
2 2 2 1 1
Scale
30.7 Nebulizer 1 1 1 1 0
30.9 Exchange Blood
1 1 1 0 1
Transfusion Set
31 Anaesthesia/ICU 0
31.3 Nebulizer 1 1 1 1 0
31.6 Airway Oral and Nasal 1 2 2 6 -4
1 2 2 2 0
and paeds)
1 1 1 1
regional block)
4 4 4 6 -2
sizes without cuff
32 Blood Bank 0
1 1 1 1 0
bag capacity)
Page 58

No. as per
MSDS
(Qty.)
C B A
1 1 1 1
Plasma
32.6 RH view box 1 2 2 1 1
32.7 Water bath 2 2 2 1 1
32.8 Micro-pipette 4 4 6 4
Related Laboratory
Equipment
1 1 1 1 0
Semi-automatic
v. THQ Hospital Pindi Ghep

No. as per
MSDS
(Qty.)
C B A
4 Bulb Sucker 5 10 20 3 17
9 D&C Set 2 2 2 1 3
Page 59

No. as per
MSDS
(Qty.)
C B A
2 2 2 4 0
forceps
19 CosCo Speculum
each category)
medicines, baby
Light)
1 1 1 0 2
light)
4
Set
2 2 2 8 0
(8”)
26.2 Non-Tooted Tissue
2 2 2 8 0
Forceps (8”)
2 2 2 5 0
(Curved 7”)
2 2 2 6 0
(Straight 7”)
8 8 8 8 8
(Straight)
Page 60

No. as per
MSDS
(Qty.)
C B A
8 8 8 8 8
(Curved)
26.8 Needle Holder (7”) 2 2 4 6 -2
26.9 Needle Holder (10”) 2 2 2 4 0
16 16 16 30 2
6”)
26.13 Towel Clamps 8 8 8 8 8
4 4 4 2 6
speculum
4 4 4 3 5
speculum
27 Delivery Sets 15
27.4 Non-toothed tissue
6 6 10 1 14
forceps 8 inches
6 6 10 2 13
inches
12 12 20 2 28
blade
12 12 20 1 29
blade
27.9 Artery forceps 40 40 40 12 48
27.12 Towel clip 40 40 40 4 56
28.1 Scalpel 4 4 6 6 4
16 16 24 6 34
inches
Page 61

No. as per
MSDS
(Qty.)
C B A
16 16 24 8 32
inches
4 4 6 1 9
inches
4 4 6 2 8
(curved) 7 inches
16 16 24 16 24
inches
4 4 6 4 6
(pair)
28.11 Towel Clippers 16 16 24 10 30
0
Equipments
29.2 X-Ray Unit 500 kw 1 1 1 1 0
1 1 1 1 0
Unit
Gloves, Goggles and
1 1 1 1 0
Thyroid and Gonadal
Sheets
29.6 Safe Light 1 1 1 2 0
29.7 X-RT Film Processing
1 1 1 1 0
Tank
29.8 Chest Stand 1 1 1 2 0
4 4 4 8 0
sizes
30 MNCH Related
0
30.2 Incubator 1 1 1 1 1
1 1 1 0 1
Warmer
Page 62

No. as per
MSDS
(Qty.)
C B A
2 2 2 1 1
Scale
30.7 Nebulizer 1 1 1 1 1
30.9 Exchange Blood
1 1 1 0 2
Transfusion Set
31.3 Nebulizer 1 1 1 1 0
1 2 2 2 2
and paeds)
1 1 1 1 1
4 4 4 8 0
32 Blood Bank 0
1 1 1 2 0
bag capacity)
1 1 1 0 1
Plasma
32.6 RH view box 1 2 2 1 3
32.7 Water bath 2 2 2 1 1
Page 63

No. as per
MSDS
(Qty.)
C B A
Related Laboratory
Equipment
1 1 1 1 0
Semi-automatic
vi. THQ Hospital Jand

No. as per
MSDS
(Qty.)
C B A
1 CTG (Cardiac
1 1 1 1 0
Tocography)
9 D&C Set 2 2 2 1 1
2 2 2 2 0
forceps
Page 64

No. as per
MSDS
(Qty.)
C B A
19 CosCo Speculum
Small, Medium, Large 4 6 6 1 5
(for each category)
medicines, baby
Light)
1 1 1 0 1
light)
0 2
Set
2 2 2 2 0
(8”)
26.2 Non-Tooted Tissue
2 2 2 1 1
Forceps (8”)
2 2 2 2 0
(Curved 7”)
2 2 2 6 0
(Straight 7”)
8 8 8 6 2
(Straight)
8 8 8 2 6
(Curved)
26.8 Needle Holder (7”) 2 2 4 2 0
26.9 Needle Holder (10”) 2 2 2 2 0
16 16 16 6 10
6”)
Page 65

No. as per
MSDS
(Qty.)
C B A
26.11 Artery Forceps (Curved
16 16 16 6 10
6”)
26.13 Towel Clamps 8 8 8 2 6
4 4 4 1 3
speculum
4 4 4 1 3
speculum
27 Delivery Sets 10
27.4 Non-toothed tissue
6 6 10 2 8
forceps 8 inches
6 6 10 2 8
inches
12 12 20 1 19
blade
12 12 20 1 19
blade
27.9 Artery forceps 40 40 40 14 26
27.12 Towel clip 40 40 40 6 34
28.1 Scalpel 4 4 6 2 4
16 16 24 16 8
inches
16 16 24 16 8
inches
28.5 Myoma Scissors straight
4 4 6 3 3
7 inches
Page 66

No. as per
MSDS
(Qty.)
C B A
4 4 6 2 4
(curved) 7 inches
16 16 24 1 23
inches
4 4 6 2 4
(pair)
28.11 Towel Clippers 16 16 24 4 20
29 MNCH Related
0
Radiology Equipments
29.2 X-Ray Unit 500 kw 1 1 1 1 0
1 1 1 1 0
Unit
Gloves, Goggles and
1 1 1 1 0
Thyroid and Gonadal
Sheets
29.6 Safe Light 1 1 1 1 0
29.7 X-RT Film Processing
1 1 1 1 0
Tank
29.8 Chest Stand 1 1 1 1 0
4 4 4 4 0
sizes
30 MNCH Related
0
30.2 Incubator 1 1 1 1 0
1 1 1 0 1
Warmer
2 2 2 1 1
Scale
30.7 Nebulizer 1 1 1 1 0
Page 67

No. as per
MSDS
(Qty.)
C B A
30.9 Exchange Blood
1 1 1 0 1
Transfusion Set
31.3 Nebulizer 1 1 1 1 0
1 2 2 1 1
and paeds)
1 1 1 1
4 4 4 6 0
32 Blood Bank 0
32.1 Blood storage cabinet
1 1 1 1 0
(100 bag capacity)
1 1 1 0 1
Plasma
32.6 RH view box 1 2 2 1 1
32.7 Water bath 2 2 2 1 1
Related Laboratory 0
Equipment
Page 68

No. as per
MSDS
(Qty.)
C B A
1 1 1 1 0
Semi-automatic
Page 69
SECTION 3: INTERVENTIONS AND TARGETS
After enlisting the vital causes of prioritized health problems, team proposed appropriate interventions to tackle the problems. Once
interventions and activities had been identified, next task the planning team performed was to set the number and quality of specific activities
(targets) that have to be carried out. It is pertinent to mention over here that the plan envisages additional activities along with routine
activities under regular budget.
Health Problems
Plan
Activities Target for Target for Target for
Causes Intervention Activities Unit
Targets 2010-11 2011-12 2012-13
1. Acute Respiratory Tract Infections (Children under 5

years of age)
· Malnutrition · Health promotion · Messages on local

Monthly Telecast 12 4 4 4
campaign cable networks
· Air contamination · Capacity building of · Messages through

health staff in Integrated FM radio channels
Monthly Telecast 36 12 12 12
Management of Childhood
Illnesses (IMCI)
· Over-crowding/Poor · Provision of medicines

Brochure 250,000 100,000 100,000 50,000
housing facilities for ARI · Printing and
distribution of IPC
material
Poster 150,000 100,000 25,000 25,000
Page 70
Plan
Targets 2010-11 2011-12 2012-13
·Lack of proper · Timely referral of · Training of medics

sanitation complicated cases and paramedics in Batch 50 20 20 10
IMCI
· Seasonal variation
Oral Medicine
450000 150000 150000 150000
Package
Procurement of
drugs
· Lack of awareness
related to winter season Injectable 75000 25000 25000 25000
and hygienic practices
Procurement of
Drug 75000 25000 25000 25000
nebulizing drugs
2. Diarrhoea
Poor Hygiene & · Coordination with TMA · Quarterly co-
sanitation for improvement of water ordination meetings
Meetings 12 4 4 4
supply and sanitation with TMA and other
agencies
Lack of safe drinking · Awareness raising

· Messages on local
water campaign Monthly Telecast 36 12 12 12
cable network
Unhygienic practices · Proper treatment of · Printing and

Diarrhoea including ORT distribution of IPC Brochure 250,000 100,000 100,000 50,000
material
Page 71
Plan
Targets 2010-11 2011-12 2012-13
Lack of awareness · Health awareness in the

among mothers about community
Poster 150,000 100,000 25,000 25,000
feeding and weaning
practices
· Capacity building of · Conduction of HES

health staff in Integrated in the community
Session 2,000 1,000 500 500
Management of Childhood
Illnesses (IMCI)
· Training of medics
and paramedics in Batch 24 10 10 4
IMCI
·Procurement and
distribution of ORS ORS packets 3,900,000 1,300,000 1,300,000 1,300,000
and Zinc Sulphate
Procurement and Syrup 1,500,000 500,000 500,000 500,000

distribution of Zinc
Sulphate
3. Hepatitis
· Quarterly co-
· Health Education/ ordination meetings
· Poor sanitation Meetings 12 4 4 4
Promotion with TMA and other
agencies
Page 72
Plan
Targets 2010-11 2011-12 2012-13
· Campaign against · Messages on local

· Unsafe drinking water Monthly Package 36 12 12 12
quackery cable network
· Printing and
· Strengthening blood
· Sharing of used distribution of IPC
transfusion services for Brochure 300,000 100,000 100,000 100,000
syringes and hepatitis
safe transfusions
awareness material
· Transfusion of
· Procurement and
unsafe/unscreened · Campaign against drug
supply of screening Kits 300,000 100,000 100,000 100,000
blood and blood addiction
kits
products
· Regulatory mechanism to
ensure use of safe · Procurement of
· Unsafe sexual practices Syringe cutter 1,000 500 250 250
instruments by dentists, safety boxes
barbers etc.
· Procurement of
· Ear piercing and drugs for treatment of Cost per course
6,000 2,000 2,000 2,000
tattooing Hepatitis patients per patient
(Interferon)
· Develop and
· Use of unsterilized
implement SOPs for
equipment by dentists -
sterilization of
and barbers
equipment
Page 73
Plan
Targets 2010-11 2011-12 2012-13
4. Complications of pregnancy
· Low access to
· Behaviour Change · Messages on local
appropriate health Monthly Package 36 12 12 12
Communication (BCC) cable network
services
· Lack of awareness · Printing and

· Improving transportation
about danger signs of distribution of IPC Brochure 200,000 100,000 50,000 50,000
to appropriate level of care
pregnancy material
· Three delays (seeking

· Activation and use of
health care,
· Strengthening healthcare Health Committees
transportation, and lack -
facilities and women groups
of referral back-up
under LHWs
services)
· Training of TBAs
Batch of 25 TBAs
· Lack of skilled birth · Refresher courses for with specific focus on
for 2 days 20 10 5 5
attendants TBAs safe delivery and
Training
danger signs
· Lack of equipments as · Placement of mid-

· Deployment of
per list notified by wives in their - - - -
community midwives
MNCH Program / MSDS catchment area
Page 74
Plan
Targets 2010-11 2011-12 2012-13
· Procurement of · Repair of non

equipments as per gap functional
Repair and
identified in reference with ambulances for 20 10 5 5
maintenance
MSDS for DHQ / THQ timely transportation
Hospitals of pregnant mothers
· Replacement of non
functional
ambulances for Ambulance 4 2 1 1
timely transportation
of pregnant mothers
· Purchase of MNCH
related equipments
Equipment
for DHQ And THQ
Hospitals
5. Accidents and Injuries
· Lack of traffic sense · Coordination with police · Quarterly co-

department to improve ordination meetings
Meetings 12 4 4 4
traffic sense and ensuring with Traffic Police
observance of traffic rules department
Page 75
Plan
Targets 2010-11 2011-12 2012-13
· Poor maintenance of · Advocacy for improving · Quarterly co-

vehicles the condition of roads ordination meetings
Meetings 12 4 4 4
with Highway
department
· Poor road conditions · Health · Preparation of
education/promotion to Disaster Management
prevent domestic accidents Plan including the - -
Patient Management
protocols
· Lack of safety measures · Ensure enforcement of
at work place safety laws at work places · Training of the
Training in Batch
medics and the 24 16 4 4
for 25 trainees
paramedics
· Fire-arm injuries · Provision of · Provision of Kits 3,000 1,000 1,000 1,000

emergencies medicines emergency kits for
victims
· Domestic accidents · Procurement of - - - -
equipments /
instruments / various
splints and Plaster
casts
· Burns · Drugs Drugs 300,000 100,000 100,000 100,000
· Bomb blasts/terrorist · Disaster Plan

activities management plan
· Natural calamities flood
· Lack of tolerance in the

society
Page 76
Plan
Targets 2010-11 2011-12 2012-13
6. Malnutrition
· Poverty · Awareness raising for · Messages on local

Message 36 12 12 12
behaviour change cable network
· Lack of awareness · Printing and

· Improving ante-natal
about balanced diet distribution of IPC Brochure 150,000 50,000 50,000 50,000
coverage
material
· Gender discrimination · Short refresher

trainings of LHWs
· Deworming campaign about balanced diet Batch 40 20 10 10
and provision of
micro-nutrients
· Social taboos and · Provision/Distribution of · Distribution of

norms micro-nutrient foods supplement Plan - - - -
supplements through LHW & CMW
· Infections Coordination
· Assistant of poor
· Diagnosis and treatment with Bait-ul-Maal
family through Bait ul - - - -
of infections and Social
Maal and Zakat Fund
Welfare Deptt.
· Purchase of Folic
Acid and Ferrous
Drug
sulphate tablet
(Packs)
Page 77
Plan
Targets 2010-11 2011-12 2012-13
· Procurement of de- Treatment

60,000 60,000 60,000 60,000
worming tablets Course
7. Scabies
· Overcrowding in · Awareness raising Community health

HE session 1500 500 500 500
schools and homes campaign education sessions
Printing &
· Low socio-economic
· Provision of medicines Distribution of IPC Brochure 150000 50000 50000 50000
conditions
Material
Supply of anti scabies

· Poor Health Education Drug 300000 100000 100000 100000
drugs
8. Cardiovascular Diseases
Health educational
Health Education campaign
· Sedentary Life Style sessions in Seminar 50 20 15 15
regarding healthy life style
community
Page 78
Plan
Targets 2010-11 2011-12 2012-13
· Lack of Awareness Strengthening clinical Printing and

regarding dietary habits diagnostic services for distribution of Health Brochure 150,000 50,000 50,000 50,000
and regular walks early detection of problems Education material
Demand generation
and request
submission for
· Excess smoking Genetic counseling approval of
establishing CCU at
district and tehsil
level
Temporary
Establishment and positioning of
· Genetics Strengthening of coronary qualified medical and
care unit paramedical staffs in
the specialty
· Stressful life
Page 79
Page 80
Management Problems
Human Resource Plan to bridge gap between proposed MSDS posts and Sanctioned posts
Physical Targets
Sr. Basic Basic Requirement

Name of Post Allowances
No. Scale Pay as per Gap Year Year Year
I II III
1 Gynaecologist 18 12,910 18,099 3 1 1 1
2 Paediatricians 18 12,910 18,099 8 4 2 2
3 Anesthetists 18 12,910 18,099 12 6 3 3
4 MO / WMO 17 9,850 15,345 112 56 28 28
5 Nurses 16 6,060 8,934 47 23 12 12
6 Lady Health 9 3,820 4,750 47 23 12 12

Visitors
Page 81
Plan
Targets 2010-11 2011-12 2012-13
1. Shortage of MNCH related Staff
· Non-availability of · Filling of the

trained staff vacant posts of
· Filling of the vacant medics and the
Plan - - - -
posts paramedics through
existing recruitment
committees
Temporary filling of
· Non-sanctioning of · Sanctioning of trained
vacant positions on Recruitment - - -
staff according to MSDS staffs according to MSDS
contract
· Demand
generation and
request to the
· Lack of permanent · Incentivized pay Department of Health Demand
- - - -
postings package at all levels by the districts for submission
recruitment through
PSC against vacant
posts
Page 82
Plan
Targets 2010-11 2011-12 2012-13
· Well defined career

· Lack of incentivized · Orientation
structure including
and differential pay trainings of the Batch 9 4 3 2
opportunities for higher
package recruited staffs
education
· Consensus
building between the
districts for uniform
· Frequent transfer
incentivized pay Coordination
postings
package for all
· High level political categories and levels
commitment for providing staff
protection to staff
working in health facilities · Request to the
Provincial
Government for
· Job insecurity Request
approval and
implementation of
agreed pay packages
· Review and revise

· Lack of basic the career structure
Plan
amenities at workplace of medics and
paramedics
· Lack of conducive
· Filling of Human
environment including
Resource gaps as per Posts 229 113 58 58
insecurity and transport
MSDS
of children for education
Page 83
Plan
Targets 2010-11 2011-12 2012-13
· Political and media

HR 229 113 58 58
interference
· Capacity and need

assessment of the
TNA
medics and the
paramedics
· Prepare training
programs for
providing higher
Plan
professional
education based on
TNA
2. Deficient Staff Capacity
Perform supervision
Lack of training /monitoring visits for
Capacity gap assessment Plan - - - -
opportunities performance gap
assessment
Conduct training of
Coordination with training
Lack of performance health manager at Batch 5 3 2 1
institutions
DHDC
Page 84
Plan
Targets 2010-11 2011-12 2012-13
3. Shortage of functional vehicles and POL
· Provision of · Provision of sufficient · Condemnation of

inadequate funds for funds for purchase of the old and off-road Plan
purchase of vehicles vehicles vehicles
· Preparation and
· Ban on · Seeking exemptions for submission of
Demand
procurement of vehicles procurement of specific demand for
Submission
by the government vehicle replacement five
ambulances at RHC
· Complicated
· Expedite the · Procurement of
procedure for purchase Ambulance 5 3 2 1
procurement procedure ambulances
of new vehicles
· Demand
· Demand sufficient funds
submission for
for repair and maintenance Demand
replacement four
of vehicles and expedite the submission
supervisory vehicles
repair
at HQ AND THQ
· Procurement of
four supervisory
vehicles 4 2 1 1
vehicles at HQ AND
THQ
Page 85
Plan
Targets 2010-11 2011-12 2012-13
· Repair of the
vehicles 3 3
vehicles
4. Inadequate district health budget for POL
· Generator provision Assessment of

Rational increase in POL
for backup of electricity additional Assessment
budget
supply requirement
Costing and
· Less budget Demand
submission of
allocation submission
additional demand
· Provision of POL
· Frequent increase 4800 Litre per
budget for 30 10 10 10
in prices month
supervisory vehicles
· Provision of POL
1400 litre per
budget for EPI 240 80 80 80
month
vehicles
5. Inadequate Equipment
Procurement of
· Deficient
equipments for THQ
equipment to cater basic Provision of the equipment
and DHQ hospitals Addressed in
and comprehensive in accordance with the
based on the gaps Health Problems
EmONC at primary and notified equipment list
between MSDS and
secondary level of care
existing available
Page 86
Plan
Targets 2010-11 2011-12 2012-13
Provision of adequate Allocation of

· Old and un- Demand
budget for maintenance enhanced amount for
serviceable equipment submission
and repair M&R of equipments
Capacity building of staff

Orientation of staffs
· Shortage of regarding maintenance of Orientation
in maintenance of
regular budget for M&R log books of each sessions
logs for equipments
equipment
Frequent cuts on M&R

budget
6. Inadequate supervision/ monitoring
Training of district
Development of
managers in Already
No monitoring policy supervision/ monitoring Batch
supervision and addressed
policy
monitoring
Procurement of
Capacity building of
Lack of skills transport for Vehicles 6 4 1 1
mangers
supervision
Development and Stationery

Inadequate resources Arrange logistic support printing of checklist visit 300 100 100 100
monitoring tools form
Page 87
SECTION 4: COSTING AND FINANCING PLAN
I. Activity based costing

The planning team has used the best available data sources, for calculation of estimates for the intervention/activities. It is pertinent to
mention that the costing of the plan is based on additional needs and activities. The detailed activity based costing of the Health and
Service Delivery problems has been performed on automated Excel sheets, which are attached with the plan as Annex-III and Annex-IV. A
moderate estimate of equipment cost has been taken, as there is wide variation between the minimum and maximum cost. The summary
of activity and problem wise costing is given below.
a) Health Problems
Define Financial Targets
Total Cost
Activity
Unit Rate Quantity Year I Year II Year III
1. ARI (under 5)
· Messages on local Monthly

- - - - Integrated activity
cable networks Telecast
· Messages through Monthly

- - - - Integrated activity
FM radio channels Telecast
· Printing and
Brochure &
distribution of IPC - - - - Integrated activity
Poster
material
Page 88

Total Cost
Activity
· Training of medics
and para-medics in Batch 75000 50 1,500,000 1,650,000 907,500 4,057,500
IMCI
Oral Medicine
70 450000 10,500,000 11,550,000 12,705,000 34,755,000
Package
· Procurement of
drugs
Injectable 800 75000 20,000,000 22,000,000 24,200,000 66,200,000
Procurement of Drug 30 75000 750,000 825,000 907,500 2,482,500

nebulizing drugs
Total 107,495,000
2. Diarrhoea
· Quarterly co- Meetings 3,000 12 12,000 13,200 14,520 39,720

ordination meetings
with TMA and other
agencies
· Messages on local Monthly 35,000 36 420,000 462,000 508,200 1,390,200

cable network Telecast
Page 89

Total Cost
Activity
· Printing and Brochure 5 250,000 500,000 550,000 302,500 1,352,500

distribution of IPC
material Poster 30 150,000 3,000,000 825,000 907,500 4,732,500
· Conduction of HES Session 2,000 2,000 2,000,000 1,100,000 1,210,000 4,310,000

in the community
· Training of medics Batch 75,000 24 750,000 825,000 363,000 1,938,000

and paramedics in IMCI
· Procurement and ORS packets 5 3,900,000 6,500,000 7,150,000 7,865,000 21,515,000

distribution of ORS and
Zinc Sulphate
Procurement and Syrup 60 1,500,000 30,000,000 33,000,000 36,300,000 99,300,000

distribution of Zinc
Sulphate
Total 134,577,920
3. Hepatitis
· Quarterly co-
ordination meetings
Meetings - - - - - Integrated activity
with TMA and other
agencies
Page 90

Total Cost
Activity

35,000 36 420,000 462,000 508,200 1,390,200
cable network Package
· Printing and
distribution of IPC and
Brochure 5 300,000 500,000 550,000 605,000 1,655,000
hepatitis awareness
material
· Procurement and
Kits 50 300,000 5,000,000 5,500,000 6,050,000 16,550,000
supply of screening kits
· Procurement of
Syringe cutter 500 1,000 250,000 137,500 151,250 538,750
safety boxes
· Procurement of drugs
Cost per
for treatment of
course per 12,000 6,000 24,000,000 26,400,000 29,040,000 79,440,000
Hepatitis patients
patient
(Interferon)
· Develop and
implement SOPs for
SOPs - - - - -
sterilization of
equipment
Total 99,573,950
Page 91

Total Cost
Activity
4. Complications of
pregnancy

10,000 36 120,000 132,000 145,200 397,200
cable network Package
· Printing and
distribution of IPC Brochure 5 200,000 500,000 275,000 302,500 1,077,500
material
· Activation and use of

Health Committees and
Plan - - - - - -
women groups under
LHWs
· Training of TBAs
Batch of 25
with specific focus on
TBAs for 2 50,000 20 500,000 275,000 302,500 1,077,500
safe delivery and
days Training
danger signs
· Placement of mid-
wives in their Plan - - - - - -
catchment area
· Repair of non
functional ambulances
Repair and
for timely 50,000 20 500,000 275,000 302,500 1,077,500
maintenance
transportation of
pregnant mothers
Page 92

Total Cost
Activity
· Replacement of non
functional ambulances
for timely Ambulance 1,500,000 4 3,000,000 1,650,000 1,815,000 6,465,000
transportation of
pregnant mothers
· Purchase of MNCH Addressed in

related equipments for Equipment Management Problem
DHQ And THQ Hospitals section
Total 10,094,700
5. Accidents and
Injuries
· Quarterly co-
ordination meetings
Meetings 5,000 12 20,000 22,000 24,200 66,200
with Traffic Police
department
· Quarterly co-
ordination meetings
Meetings 5,000 12 20,000 22,000 24,200 66,200
with Highway
department
Page 93

Total Cost
Activity
· Preparation of
Disaster Management
Plan including the Plan - - - - -
Patient Management
protocols
· Training of the Training in

medics and the Batch for 25 50,000 24 800,000 220,000 242,000 1,262,000
paramedics trainees
· Provision of
emergency kits for Kits 3,000 3,000 3,000,000 3,300,000 3,630,000 9,930,000
victims
· Procurement of
equipments /
Plan - - - - - -
instruments / various
splints and Plaster casts
· Drugs Drugs 200 300,000

20,000,000 22,000,000 24,200,000 66,200,000
· Disaster management
- - - -
plan Plan
Total 77,524,400
Page 94

Total Cost
Activity
6. Malnutrition
· Messages on local Integrated activity.

Message - - - - -
cable network Already addressed
· Printing and
distribution of IPC Meeting 5 150,000 250,000 275,000 302,500 827,500
material
· Short refresher
trainings of LHWs about
balanced diet and Batch 75,000 40 1,500,000 825,000 907,500 3,232,500
provision of micro-
nutrients
· Distribution of foods
supplement through Plan - - - - - -
LHW & CMW
Coordination
· Assistance of poor with Bait-ul-
family through Bait ul Maal and - - - - -
Maal and Zakat Fund Social Welfare
Deptt.
· Purchase of Folic
Acid and Ferrus Drug 40 -
sulphate tablet (Packs)
Page 95

Total Cost
Activity
· Procurement of de- Treatment

20 60,000 1,200,000 1,320,000 1,452,000 3,972,000
worming tablets Course
8,032,000
Total
7. Scabies
Community health
HE session 2,000 1500 1,000,000 1,100,000 1,210,000 3,310,000
education sessions
Printing & Distribution

Brochure 5 150000 250,000 275,000 302,500 827,500
of IPC Material
Supply of anti scabies

5,000,000 5,500,000 6,050,000 16,550,000
drugs drug 50 300000
20,687,500
Total
8. Cardiovascular
Diseases
Health educational
Seminar 10,000 50 200,000 165,000 181,500 546,500
sessions in community
Page 96

Total Cost
Activity
Printing and
distribution of Health Brochure 5 150,000 250,000 275,000 302,500 827,500
Education material
Demand generation and

request submission for
Demand
approval of establishing - - - -
generation
CCU at district and
tehsil level
Temporary positioning
of qualified medical and
Plan - - - -
paramedical staffs in
the specialty
Total 1,374,000
Page 97
b) Management Problems
Human Resource plan to bridge gap between proposed MSDS posts and sanctioned posts
Financial Targets
Year I Year II Year III

Basic Basic Requirement
Sr. No. Name of Post Allowances
Scale Pay as per Gap
Pay
Pay
Pay of of
Pay of of
other Allowances Pay of Officers Allowances Pay of Officers othe Allowances
Officers other
staff r
staff
staff
1 Gynaecologist 18 12,910 18,099 3 1 1 1 154,920 - 217,188 340,824 477,814
2 Paediatricians 18 12,910 18,099 8 4 2 2 619,680 - 868,752 1,022,472 1,433,441
3 Anesthetists 18 12,910 18,099 12 6 3 3 929,520 - 1,303,128 1,533,708 2,150,161
4 MO / WMO 17 9,850 15,345 112 56 28 28 6,619,200 - 10,311,840 10,921,680 17,014,536
5 Nurses 16 6,060 8,934 47 23 12 12 1,672,560 - 2,465,784 2,799,720 4,127,508
6 Lady Health 9 3,820 4,750 47 23 12 12 1,054,320 1,311,000 1,764,840 2,194,500

Visitors
Total 11,050,200 - 16,477,692 18,383,244 - 27,397,960
Page 98

Total Cost
Activity
1. Shortage of
skilled staff
· Filling of the vacant

posts of medics and the
paramedics through Plan - - - - - -
existing recruitment
committees
Temporary filling of
vacant positions on Plan - - - - - -
contract
· Demand generation
and request to the
Department of Health by Demand
- - - - - -
the districts for generation
recruitment through PSC
against vacant posts
· Orientation trainings
Batch 350,500 9 1,402,000 1,156,650 848,210 3,406,860
of the recruited staffs
Page 99

Total Cost
Activity
· Consensus building
between the districts for
uniform incentivized pay Coordination - - - -
package for all categories
and levels staff
· Request to the
Provincial Government
Request for
for approval and - - - -
approval
implementation of agreed
pay packages
· Review and revise the

career structure of Plan - - - -
medics and paramedics
Posts 58,460 229 11,050,200 18,383,244 27,072,395 56,505,839

· Filling of Human
Resource gaps as per
MSDS
HR 86,326 229 16,477,692 27,397,960 40,337,504 84,213,155
· Capacity and need

assessment of the medics TNA - - - -
and the paramedics
Page 100

Total Cost
Activity
· Prepare training
programs for providing
Plan - - - -
higher professional
education based on TNA
144,125,854
Total
2. Deficient staff
capacity
Perform supervision
/monitoring visits for
Plan - - - -
performance gap
assessment
Conduct training of health

Batch 18,000 5 54,000 39,600 21,780 115,380
manager at DHDC
Total 115,380
3. Shortage of
functional vehicles
and POL
· Condemnation of the
Plan - - - -
old and off-road vehicles
Page 101

Total Cost
Activity
· Preparation and
submission of demand for Demand
- - - -
replacement five submission
ambulances at RHC
· Procurement of
Ambulance 3,800,000 5 11,400,000 8,360,000 4,598,000 24,358,000
ambulances
· Demand submission
for replacement four Demand
supervisory vehicles at submission
DHQ AND THQ
· Procurement of four
supervisory vehicles at vehicles 1,200,000 4 2,400,000 1,320,000 1,452,000 5,172,000
HQ AND THQ
· Repair of the vehicles vehicles 100,000 3 300,000 - - 300,000
Total 29,830,000
4. Inadequate district
health budget
Assessment of additional
Assessment - - - -
requirement
Costing and submission Demand

- - - -
of additional demand submission
Page 102

Total Cost
Activity
· Provision of POL
4800 Litre
budget for supervisory 4,377,600 30 43,776,000 48,153,600 52,968,960 144,898,560
per month
vehicles
· Provision of POL
budget for EPI vehicles 1400 litre per
1,276,800 240 102,144,000 112,358,400 123,594,240 338,096,640
month
Total 482,995,200
5. Inadequate
Equipment
Procurement of
equipments for THQ and
DHQ hospitals based on Equipment 83,350,275 - - 83,350,275
the gaps between MSDS
and existing available
Allocation of enhanced
amount for M&R of Plan - - - -
equipments
Orientation of staffs in
Orientation
maintenance of logs for - - - -
equipments sessions
Page 103

Total Cost
Activity
Total 83,350,257
6. Inadequate
supervision/
monitoring
Training of district
managers in supervision Batch - - - -
and monitoring
Procurement of transport
Vehicles 1,200,000 6 4,800,000 1,320,000 1,452,000 7,572,000
for supervision
Development and Stationery

printing of monitoring checklist visit 10000 300 1,000,000 1,100,000 1,210,000 3,310,000
tools form
10,882,000
Total
Page 104
II. Financial Outlay including 3YRP Activities

The costing of the plan includes routine recurring budget with 15% price escalation for subsequent years and additional cost
involved on the basis of health and management problems; which is essentially required to bring visible improvement in the
health system. Other financial resources expected from provincial level through ADP and PMDGP are also part of this plan.
Overall financial outlay of the plan is as under:
a) Health Problems
Object 2010-2011 2011-2012 2012-2013
Classification
Regular Additional Total Regular Additional Total Regular Additional Total
A03907 313,000 960,000 1,273,000 359,950 1,056,000 1,415,950 413,943 1,161,600 1,575,543
A03902 260,000 5,250,000 5,510,000 299,000 3,025,000 3,324,000 343,850 3,025,000 3,368,850
A03820 - 1,552,000 1,552,000 - 1,707,200 1,707,200 - 970,420 970,420
A03927 41,500,000 128,350,000 169,850,000 47,725,000 141,185,000 188,910,000 54,883,750 155,303,500 210,187,250
A13101 358,000 500,000 858,000 411,700 275,000 686,700 473,455 302,500 775,955
A09501 - 3,000,000 3,000,000 - 1,650,000 1,650,000 - 1,815,000 1,815,000
A09601 - - - - - - - - -
A03903 - 3,200,000 3,200,000 - 2,365,000 2,365,000 - 2,601,500 2,601,500
A03801 - 3,550,000 3,550,000 - 2,145,000 2,145,000 - 1,815,000 1,815,000
A09601 - 250,000 250,000 - 137,500 137,500 - 151,250 151,250
Page 105
Object 2010-2011 2011-2012 2012-2013

Classification
Regular Additional Total Regular Additional Total Regular Additional Total
A03801 1,456,000 1,456,000 1,196,250 1,196,250 869,990 869,990

A01101 11,050,200 11,050,200 18,383,244 18,383,244 27,072,395 27,072,395
A01270 16,477,692 16,477,692 27,397,960 27,397,960 40,337,504 40,337,504
A09501 18,600,000 18,600,000 11,000,000 11,000,000 7,502,000 7,502,000
A13001 710,000 300,000 1,010,000 816,500 - 816,500 938,975 - 938,975
A03807 5,635,000 145,920,000 151,555,000 6,480,250 160,512,000 166,992,250 7,452,288 176,563,200 184,015,488
A09601 - 83,350,275 83,350,275 - - - - - -
A03902 260,000 1,000,000 1,260,000 299,000 1,100,000 1,399,000 343,850 1,210,000 1,553,850
Page 106
III. Summaries
1. Problem-wise Costing
a) Health Problem
FY I FY II FY III Total Cost Rs.
Sr.
Problem
No.
Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.)
1 ARI Children under 5 32,750,000 36,025,000 38,720,000 107,495,000

years
2 Diarrhoeal diseases 43,182,000 43,925,200 47,470,720 134,577,920

3 Hepatitis B & C 30,170,000 33,049,500 36,354,450 99,573,950
4 Comlication of 4,620,000 2,607,000 2,867,700 10,094,700
pregnancies
5 Accidents And Injuries 23,840,000 25,564,000 28,120,400 77,524,400
6 Malnitrition 5,350,000 5,060,000 5,566,000 15,976,000
7 Scabies 6,250,000 6,875,000 7,562,500 20,687,500

8 Cardiovascular 450,000 440,000 484,000 1,374,000
Diseases CVD
Total 146,612,000 153,545,700 167,145,770 467,303,470
FY I FY II FY III Total Cost Rs.
Sr.
Problem Amount Amount Amount
No. Amount (Rs.)
(Rs.) (Rs.) (Rs.)
1 Shortage of skilled 28,929,892 46,937,854 68,258,109 144,125,854
staffs
2 Deficent capacity of 54,000 39,600 21,780 115,380
Staff
3 Shortage of 14,100,000 9,680,000 6,050,000 29,830,000
functional vehicles
4 Inadequate budget 145,920,000 160,512,000 176,563,200 482,995,200
POL and M & R
5 Inadequate 83,350,275 - - 83,350,275
equipments- MNCH
Related
6 Ineffective 5,800,000 2,420,000 2,662,000 10,882,000
supervision /
monitoring
Total 751,298,709
Page 107
2. Activity-wise Costing
a) Health Problems
Sr. Costing (Rs.)
No. Health Problem Activity FY-I FY-II FY-III Total
ARI Children under 5 Messages on local cable networks - - - -
1 years
Messages through FM radio channels - - - -
Printing and distribution of IPC material - - - -
Training of medics and para-medics in IMCI 1500000 1650000 907500 4057500
Procurement of drugs 30500000 33550000 36905000 100955000
Procurement of nebbulizing drugs 750000 825000 907500 2482500
Quarterly co-ordination meetings with TMA
2 Diarrhoeal diseases and other agencies 12000 13200 14520 39720
Messages on local cable network 420000 462000 508200 1390200
Printing and distribution of IPC material 3500000 1375000 1210000 6085000
Conduction of HES in the community 2000000 1100000 1210000 4310000
Training of medics and paramedics in IMCI 750000 825000 363000 1938000
Procurement and distribution of ORS and
Zinc Sulphate 6500000 7150000 7865000 21515000
Procurement and distribution of Zinc
Sulphate 30000000 33000000 36300000 99300000
Quarterly co-ordination meetings with TMA
3 Hepatitis B & C and other agencies - - - -
Messages on local cable network 420000 462000 508200 1390200
Printing and distribution of IPC and hepatitis
awareness material 500000 550000 605000 1655000
Procurement and supply of screening kits 5000000 5500000 6050000 16550000
Procurement of safety boxes 250000 137500 151250 538750
Page 108
Sr. Costing (Rs.)

Procurement of drugs for treatment of
Hepatitis patients (Interferon) 24000000 26400000 29040000 79440000
Develop and implement SOPs for sterilization
of equipment - - - -
Complications of Messages on local cable network 120000 132000 145200 397200
4 pregnancies
Activation and use of Health Committees and
women groups under LHWs - - - -
Training of TBAs with specific focus on safe
delivery and danger signs 500000 275000 302500 1077500
Placement of mid-wives in their catchment
area - - - -
Repair of non functional ambulances for
timely transportation of pregnant mothers 500000 275000 302500 1077500
Replacement of non functional ambulances
for timely transportation of pregnant
mothers 3000000 1650000 1815000 6465000
Purchase of MNCH related equipments for
DHQ And THQ Hospitals - - - -
5 Accidents And Quarterly co-ordination meetings with
Injuries Traffic Police department 20000 22000 24200 66200
Quarterly co-ordination meetings with
Highway department 20000 22000 24200 66200
Preparation of Disaster Management Plan
including the Patient Management protocols - - - -
Training of the medics and the paramedics 800000 220000 242000 1262000
Provision of emergency kits for victims 3000000 3300000 3630000 9930000
Procurement of equipments / instruments / - - - -
Page 109
Sr. Costing (Rs.)

various splints and Plaster casts
Drugs 20000000 22000000 24200000 66200000
Disaster management plan - - - -
6 Malnutrition Messages on local cable network - - - -
Short refresher trainings of LHWs about
balanced diet and provision of micro-
nutrients 1500000 825000 907500 3232500
Distribution of foods suplement through
LHW & CMW - - - -
Assistant of poor family through Bait ul Maal
and Zakat Fund - - - -
Purchase of Folic Acid and Ferrus sulphate
tablet (Packs) 2400000 2640000 2904000 7944000
Procurement of de-worming tablets 1200000 1320000 1452000 3972000
Procurement of equipments / instruments /
various splints and Plaster casts - - - -
7 Scabies Community health education sessions 1000000 1100000 1210000 3310000
Printing & Distribution of IPC Material 250000 275000 302500 827500
Supply of anti scabies drugs 5000000 5500000 6050000 16550000
Cardiovascular Health educational sessions in community 200000 165000 181500 546500
8 Diseases CVD
Printing and distribution of Health Education 250000 275000 302500 827500
material
Demand generation and request submission - - - -
for approval of establishing CCU at district
and tehsil level
Temporary positioning of qualified medical - - - -
Page 110
Sr. Costing (Rs.)

and paramedical staffs in the specialty
Total 146612000 153545700 167145770 467303470
Sr. Management Costing (Rs.)
No. Problems Activity FY-I FY-II FY-III Total
1 · Filling of the vacant posts of medics and
Shortage of skilled the paramedics through existing recruitment
staffs committees - - - -
Temporary filling of vacant positions on
contract - - - -
· Demand generation and request to the
Department of Health by the districts for
recruitment through PSC against vacant
posts - - - -
· Orientation trainings of the recruited
staffs 1402000 1156650 848210 3406860
· Consensus building between the districts
for uniform incentivized pay package for all
categories and levels staff - - - -
· Request to the Provincial Government for
approval and implementation of agreed pay
packages
- - - -
· Review and revise the career structure of
medics and paramedics - - - -
Page 111

· Filling of Human Resource gaps as per
MSDS 27527892 45781204 67409899 140718994
· Capacity and need assessment of the
medics and the paramedics - - - -
· Prepare training programs for providing
higher professional education based on TNA - - - -
2 Deficient capacity of Perform supervision /monitoring visits for
Staff performance gap assessment - - - -
Conduct training of health manager at DHDC 54000 39600 21780 115380
3 Shortage of · Condemnation of the old and off-road
functional vehicles vehicles - - - -
· Preparation and submission of demand
for replacement five ambulances at RHC - - - -
· Procurement of ambulances 11400000 8360000 4598000 24358000
· Demand submission for replacement four
supervisory vehicles at HQ AND THQ - - - -
· Procurement of four supervisory vehicles
at HQ AND THQ 2400000 1320000 1452000 5172000
· Repair of the vehicles 300000 - - 300000
4 Inadequate budget
POL and M & R Assessment of additional requirement - - - -
Costing and submission of additional demand - - - -
· Provision of POL budget for supervisory
vehicles 43776000 48153600 52968960 144898560
· Provision of POL budget for EPI vehicles 102144000 112358400 123594240 338096640
Page 112

5 Inadequate Procurement of equipments for THQ and
equipments- MNCH DHQ hospitals based on the gaps between
Related MSDS and existing available 83350275 - - 83350275
Allocation of enhanced amount for M&R of
equipments - - - -
Orientation of staffs in maintenance of logos
for equipments - - - -
6 Ineffective
supervision / Training of district managers in supervision
monitoring and monitoring - - - -
Procurement of transport for supervision 4800000 1320000 1452000 7572000
Development and printing of monitoring
tools 1000000 1100000 1210000 3310000
278154167 219589454 253555089 751298709
Page 113
SECTION 5: MONITORING & EVALUATION
The monitoring and evaluation targets and indicators mentioned below will be
used to gauge the progress of implementation of the plan. Monitoring and
evaluation of the three years rolling plan would be carried out through the
proposed indicators, targets and means of verifications, by the district health
authorities.
M&E of Plan
Frequency
%
Indicators Target MoV Responsibility of
Achievement
monitoring
% of planned supervisory 50 visits Inspecti EDOH/DOH/ Quarterly

visits conducted /year by on Book DDOH
each
supervisor
% of RHCs with 100% Pay Roll EDOH / DOH 6 monthly

availability of specialists
of essential specialties During 1st
(Physician, Surgeon, year
Paediatrician and
Gynaecologist)
% of health facilities with 100% Stock EDOH/ DOH/ 6 monthly

availability of essential Register MSs
MNCH related equipment During 1st
(level specific) year
Availability of relevant 100% Stock EDOH/ Quarterly

(MNCH) laboratory Register DOH/MSs,
equipment at appropriate During 1st Store keeper
level of care year
% facilities with 100% Stock EDOH/ DOH/ Monthly

availability of essential Register MSs, Store
medicines During 1st keeper
year
Page 114
Frequency
%
Achievement
monitoring
% of functional 100% Log EDOH/DOH/ Quarterly

ambulances in the district Book Transport
(DHQH/ officer
THQH/
RHCs)
% utilization of 100% of Quarterl EDOH/ DOH/ Quarterly

sanctioned budget yearly y MSs/ Accounts
budget Reports officer
% of facilities with 100% in 3 Supervis EDOH/DoH/ Quarterly

availability of basic years ory visit DDOH
EmONC services report
(50% during
1st year)
% of DHQ/THQ hospitals 100% in 3 Supervis EDOH/DoH/ Quarterly

with Comprehensive years ory visit DDOH
EmONC services report
(50% during
1st year)
% of facilities with 100% in 3 Supervis EDOH/DoH/ Quarterly

availability of separate or years ory visit DDOH
partitioned room reserved report
exclusively for delivery (50% during
1st year)
% of targeted pregnant 50000 DHIS EDOH/ Quarterly

women newly registered pregnant Report Statistical
by LHW women in 3 Officer
years
(30000
during 1st
year)
% of targeted pregnant 50000 DHIS EDOH/ DHIS Quarterly

women received TT-2 pregnant Report Coordinator/
vaccine women in 3 Statistical
years Officer
(30000
during 1st
year)
Page 115
Frequency
%
Achievement
monitoring
Delivery conducted by or 90% DHIS EDOH/ DHIS Quarterly

under supervision of Report Coordinator/
skilled persons reported (60% Statistical
During 1st Officer
year)
%of target children 100% DHIS EDOH/ DHIS Quarterly

between 18 - 23 months Report Coordinator/
of age fully immunized (200,000 Statistical
children) Officer
% of referred cases 100% DHIS EDOH/ DHIS Quarterly

attended Report/ Coordinator/
LHWs Statistical
monthly Officer
report
% of targeted eligible 70% LHW’s EDOH/ Quarterly

couples provided monthly Statistical
knowledge and / Officer
information on Family quarterl /Coordinator
Planning methods y report NP-FP&PHC
No. of meetings with 12 meetings Minutes EDOH/ Focal Quarterly

participation from other per year of person/s
sectors meeting
s
Page 116
Annex-I
Private Health Facilities in District Attock
Sr. No. Name of Hospital

1. Agha Hospital Fateh Jang Road Attock
2. Al Imran Hospital Attock
3. Al Janat Hospital Kamra Road Attock
4. Al Malik Hospital Attock
5. Al Raza Hospital
6. Al Shafa Medical Hospital
7. Al Ali Hospital
8. Allah Dad Memorial Hospital
9. Ameer Abdullah Hospital Hazro
10. Anjam memorial Hospital
11. Arif Surgical Complex
12. Asgar Memorial Hospital
13. Chich Surgical Hospital Hazro
14. Chuch Hospital Hazro
15. Fahim Hospital Injara Road
16. Fateh Jang Hospital
17. Family Surgical Complex
18. Gernal Hospital
19. Hasnain Hospital
20. Hayat Memorial Hospital Pleader Line
21. Hussain Surgical Complex
22. Anayat Ullah Memorial Hospital
23. Islamabad Hospital
24. Jandar Complex Hospital Jand
25. Javad Bhai Chashmay Wala Eye Hospital Jand
26. Khyber Hospital Jand
27. Khalid Saeed Medical Center
28. Khan Hospital
29. Khan Hospital Kamra Road
30. Khanam Memorial Hospital
31. Khatak Hospital
32. Khyber Hospital
33. Malik Hospital Jand
34. Malik Hospital Pleader Line
35. Manzoor Surgical Hospital
36. Maryam Hospital Pleader Line
37. Muhammad Ali Hospital
38. Mustafa Trust Hospital Waisa
39. Naseer Hospital
40. Noor Hospital
Page 117
41. Peer Baba Molvi Jan Hospital Jand

42. Qazi Surgical Hospital Jand
43. Riaz Surgery
44. Rasheed Memorial Hospital Pleader Line
45. Saddi Hospital Kamra Road
46. Shafa Hospital
47. Shafi Hospital Pleader Line
48. Shoaib Hospital
49. Sikander Memorial Hospital Waisa
50. Umer Medical Surgical and Dental Hospital
Page 118
Annex-II
Costing of Equipment Gaps for DHQ and THQ
Hospitals
DHQ HOSPITAL ATTOCK

Sr. Equipment Standard Available Gap Total
No. as per Cost/Unit Cost
MSDS
(Qty.)
C B A
1 CTG (Cardiac 1 1 2 0 285000 0
Tocography) 1
2 Foetal Doppler 3 5 5 2 1 10000 10000
3 Diagnostic 1 1 2 1 1200000 1200000
Laparoscope 0
4 Bulb Sucker 10 20 20 6 4 45 180
5 Baby Warmer 3 3 6 1 2 850000 1700000
6 Mechanical Sucker 3 3 6 2 1 28000 28000
7 Fetal Stethoscope 4 4 4 4 0 0 0
8 Delivery Table 2 2 3 2 0 0 0
9 D&C Set 2 3 4 4 0 0 0
10 Outlet forceps 4 4 4 3 1 900 900
11 Myoma Screw 2 2 2 1 1 320 320
12 Kochers forceps 4 4 8 4 0 0 0
13 Volselum forceps 6 8 10 4 2 235 470
14 Lanes Tissue holding 2 2 4 0 0 0
forceps 2
15 Vaginal Retractors 10 10 10 4 6 350 2100
16 Polypectomy forceps 2 2 2 1 1 750 750
17 Sponge holder 10 15 20 5 5 300 1500
18 Uterine elevator 1 1 1 1 0 0 0
19 CosCo Speculum 6 10 10 6 0 0 0
20 Examination light 3 3 6 2 1 18000 18000
21 Suction Curette 1 2 2 2 0 0 0
22 Infant Resuscitation 1 1 2 1 95000 95000
Trolley (with life
saving medicines,
baby laryngoscope,
Endo0tracheal tube,
Infant BP Apparatus,
Chargeable Light) 0
Page 119
23 Mother 1 1 2 1 110000 110000

Resuscitation Trolley
(with life saving
medicines,
Laryngoscope,
Endo0tracheal tube,
BP Apparatus,
Chargeable light) 0
24 Cardiac Monitor 1 1 2 1 0 0 0
25 Pump Breast 1 1 1 1 250000 250000
Electronic 0
26 Vaginal 2 2 4 2 30000 60000
Hysterectomy Set
26.1 Toothed Tissue 2 2 4 0 0 0
Forceps (8”) 4
26.2 Non0Tooted Tissue 2 2 4 0 0 0
Forceps (8”) 2
26.3 Dissection Scissors 2 2 4 1 150 150
(Curved 7”) 1
26.4 Dissection Scissors 2 2 4 1 150 150
(Straight 7”) 1
26.5 Hysterectomy 8 8 16 2 150 300
Clamps (Straight) 6
26.6 Hysterectomy 8 8 16 2 175 350
Clamps (Curved) 6
26.7 Uterine Sound 2 2 4 2 0 0 0
26.8 Needle Holder (7”) 2 2 4 2 0 0 0
26.9 Needle Holder (10”) 2 2 4 2 0 0 0
26.1 Artery Forceps 16 16 32 0 0 0
(Straight 6”) 16
26.11 Artery Forceps 16 16 32 0 0 0
(Curved 6”) 16
26.12 Allis Forceps 8 8 16 8 0 0 0
26.13 Towel Clamps 8 8 16 8 0 0 0
26.14 Single blade Sims 4 4 8 0 0 0
speculum 4
26.15 Double blade Sims 4 4 8 0 0 0
speculum 4
26.16 Sponge holding 8 8 16 4 200 800
forceps 4
26.17 Volselum forceps 4 4 8 2 2 250 500
26.18 Uterine Sound 2 2 4 1 1 1500 1500
26.19 Bladder Sound 2 2 4 1 1 1500 1500
27 Delivery Sets 10 10 15 10 0
27.1 Episiotomy Scissors 10 10 15 6 4 125 500
27.2 Straight Scissors 10 10 15 6 4 360 1440
27.3 Needle holder 10 10 15 2 8 135 1080
Page 120
27.4 Non0toothed tissue 10 10 15 8 100 800

forceps 8 inches 2
27.5 Toothed tissue 10 10 15 8 100 800
forceps 8 inches 2
27.6 Sims Speculum 20 20 30 14 275 3850
single blade 6
27.7 Sims Speculum 20 20 30 14 250 3500
double blade 6
27.8 Sponge holding 40 40 60 30 250 7500
forceps 10
27.9 Artery forceps 40 40 60 30 10 275 2750
27.1 Straight clamps 20 20 30 4 175 700
(cord) 16
27.11 Vacuum Extractor 1 1 1 0 0 0
pump 1
27.12 Towel clip 40 40 60 20 20 125 2500
28 Caesarian Section 6 8 10 6 0 0
28.1 Scalpel 6 8 10 6 0 0 0
28.2 Artery Forceps 24 32 40 0 0 0
Straight 6 inches 25
28.3 Artery Forceps 24 32 40 0 0 0
Curved 6 inches 25
28.4 Artery forceps 8 24 32 40 18 175 3150
inches 6
28.5 Myoma Scissors 6 8 10 3 150 450
straight 7 inches 3
28.6 Dissecting scissors 6 8 10 2 270 540
(curved) 7 inches 4
28.7 Green Armtage 24 32 40 4 300 1200
forceps 8 inches 20
28.8 Obstetric outlet 6 8 10 2 900 1800
forceps (pair) 4
28.9 Doyene’s Retractor 6 8 10 6 200 1200
28.1 Small Retractors 12 16 20 6 6 300 1800
28.11 Towel Clippers 24 32 40 20 4 125 500
28.12 Suction Nozzle 6 8 10 4 2 250 500
29 MNCH Related 0 0
Radiology
Equipments
29.1 Ultrasound Machine 1 2 3 2 -1 0 0
29.2 X0Ray Unit 500 kw 1 1 1 1 0 0 0
29.3 Color Doppler 0 1 1 0 0 0
29.4 Lead Screen for 1 1 1 0 0 0
X0Ray Unit 1
29.5 0.5 MN Lead Apron. 1 1 1 0 0 0
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets 1
Page 121
29.6 Safe Light 1 1 1 2 0 0 0

29.7 X0RT Film 1 1 1 0 0 0
Processing Tank 1
29.8 Chest Stand 1 1 1 2 0 0 0
29.9 X0Ray film 2 2 2 0 0 0
Illuminator 2
29.1 X0Ray Film Hangers 4 4 4 0 0 0
All sizes 8
30 MNCH Related 0 0
Paediatrics
Equipments
30.1 Paediatric Ventilator 1 2 2 1 1200000 1200000
30.2 Incubator 1 1 2 1 0 0 0
30.3 Photo Therapy Unit 1 1 1 1 0 0 0
30.4 Over0head Radiant 1 1 1 1 910000 910000
Warmer 0
30.5 Infant Length 2 2 2 1 5000 5000
Measuring Scale 1
30.6 Infant Weighing 2 2 2 0 0 0
Machine 2
30.7 Nebulizer 1 1 2 1 0 0 0
30.8 Billiubino0meter 1 1 2 0 1 36000 36000
30.9 Exchange Blood 1 1 2 1 2000 2000
Transfusion Set 0
30.1 Nasal Probe Paed 2 2 4 1 7000 7000
size 1
31 Anaesthesia/ICU 0 0
31.1 Anaesthesia 1 1 2 0 0 0
Machine 2
31.2 Ventilators 1 1 1 1 0 0 0
31.3 Nebulizer 1 1 1 1 0 0 0
31.4 Pulse Oximetry 1 1 1 1 0 0 0
31.5 Defibrillator 1 1 1 0 1 500000 500000
31.6 Airway Oral and 2 3 4 0 0 0
Nasal 6
31.7 Tracheostomy tube 2 2 4 0 0 0
(adult and paeds) 2
31.8 Face mask of all 2 2 4 0 0 0
sizes 2
31.9 Double Cuff 1 2 2 0 0 0
Tourniquet (for
regional block) 1
31.1 AMBO bag adult 2 2 4 1 1 2450 2450
31.11 AMBO Bag paeds 2 2 4 1 1 3000 3000
31.12 Red Rubber Nasal 4 4 8 0 0 0
tubes all sizes
without cuff 6
Page 122
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 0 0 0
cabinet (100 bag
capacity) 1
32.2 Packed cell machine 1 1 1 0 1 600000 600000
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
32.4 Freezer for Fresh 1 1 1 1 1150000 1150000
Frozen Plasma 0
32.5 Blood bag shaker 1 1 2 1 0 0 0
32.6 RH view box 2 2 4 1 1 1000 1000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro0pipette 4 6 8 0 4 8000 32000
32.9 Blood grouping tiles 3 3 6 2 1 3000 3000
32.1 Plasma Extractor 1 1 1 2 0 0 0
32.11 Platelets agitator 1 1 1 1 1000000 1000000
32.12 Blood thawing bath 1 1 1 1 3000 3000
32.13 Microscopes 1 1 2 1 0 0 0
33 Gynae & Labour 0 0
Room Related
Laboratory
Equipment
33.1 Hematology Analyzer 1 1 1 1 0 0 0
33.2 Electrolyte Analyzer 1 1 1 1 0 0 0
33.3 Analyzer 1 1 1 0 0 0
Bio0chemistry
Semi0automatic 1
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino0meter 2 2 4 2 0 0 0
33.6 Centrifuge 1 1 2 2 0 0 0
14203980
Grand Total=
THQ HOSPITAL HAZRO

Sr. Equipment Standard as per Available Gap Total
No. MSDS Cost/Unit Cost
(Qty.)
C B A
1 CTG (Cardiac 1 1 2 1 0 285000 0
Tocography)
2 Foetal Doppler 3 5 5 2 3 10000 30000
3 Diagnostic 1 1 2 1 0 1200000 0
Laparoscope
Page 123
4 Bulb Sucker 10 20 20 10 10 45 450

5 Baby Warmer 3 3 6 2 1 850000 850000
6 Mechanical 3 3 6 3 0 28000 0
Sucker
8 Delivery Table 2 2 3 2 0 17500 0
9 D&C Set 2 3 4 2 1 2100 2100
10 Outlet forceps 4 4 4 4 0 900 0
11 Myoma Screw 2 2 2 2 0 320 0
14 Lanes Tissue 2 2 4 2 0 400 0
holding forceps
15 Vaginal 10 10 10 4 6 350 2100
Retractors
16 Polypectomy 2 2 2 2 0 750 0
forceps
17 Sponge holder 10 15 20 2 13 300 3900
19 CosCo Speculum 6 10 10 6 4 550 2200
22 Infant 1 1 2 0 1 95000 95000
Resuscitation
Trolley (with life
saving medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable Light)
23 Mother 1 1 2 0 1 110000 110000
Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable light)
24 Cardiac Monitor 1 1 2 0 1 500000 500000
25 Pump Breast 1 1 1 0 1 250000 250000
Electronic
26 Vaginal 2 2 4 2 30000 60000
Hysterectomy
Set
Page 124
26.1 Toothed Tissue 2 2 4 2 0 55 0

Forceps (8”)
26.2 Non-Tooted 2 2 4 2 0 55 0
Tissue Forceps
(8”)
26.3 Dissection 2 2 4 2 0 150 0
Scissors (Curved
7”)
26.4 Dissection 2 2 4 2 0 150 0
Scissors (Straight
7”)
26.5 Hysterectomy 8 8 16 8 0 150 0
Clamps (Straight)
26.6 Hysterectomy 8 8 16 8 0 175 0
Clamps (Curved)
26.7 Uterine Sound 2 2 4 2 0 90 0
26.8 Needle Holder (7”) 2 2 4 4 0 150 0
26.9 Needle Holder 2 2 4 2 0 300 0
(10”)
26.1 Artery Forceps 16 16 32 16 0 110 0
(Straight 6”)
26.11 Artery Forceps 16 16 32 16 0 125 0
(Curved 6”)
26.12 Allis Forceps 8 8 16 8 0 230 0
26.13 Towel Clamps 8 8 16 8 0 125 0
26.14 Single blade Sims 4 4 8 4 0 275 0
speculum
26.15 Double blade 4 4 8 4 0 250 0
Sims speculum
26.16 Sponge holding 8 8 16 8 0 200 0
forceps
26.18 Uterine Sound 2 2 4 2 0 1500 0
26.19 Bladder Sound 2 2 4 2 1500 3000
27.1 Episiotomy 10 10 15 9 125 1125
Scissors 1
27.3 Needle holder 10 10 15 1 9 135 1215
27.4 Non-toothed 10 10 15 9 100 900
tissue forceps 8
inches 1
27.5 Toothed tissue 10 10 15 8 100 800
forceps 8 inches 2
27.6 Sims Speculum 20 20 30 19 275 5225
single blade 1
27.7 Sims Speculum 20 20 30 19 250 4750
double blade 1
Page 125
27.8 Sponge holding 40 40 60 37 250 9250

forceps 3
27.9 Artery forceps 40 40 60 6 34 275 9350
27.1 Straight clamps 20 20 30 14 175 2450
(cord) 6
27.11 Vacuum 1 1 1 0 19000 0
Extractor pump 1
27.12 Towel clip 40 40 60 4 36 125 4500
28 Caesarian 6 8 10 8 0
Section
28.1 Scalpel 6 8 10 1 7 50 350
28.2 Artery Forceps 24 32 40 20 125 2500
28.3 Artery Forceps 24 32 40 16 125 2000
Curved 6 inches 16
28.4 Artery forceps 8 24 32 40 26 175 4550
inches 6
28.5 Myoma Scissors 6 8 10 7 150 1050
straight 7 inches 1
28.6 Dissecting 6 8 10 7 270 1890
scissors (curved)
7 inches 1
28.7 Green Armtage 24 32 40 30 300 9000
forceps 8 inches 2
forceps (pair) 1
28.9 Doyene’s 6 8 10 8 200 1600
Retractor 0
28.11 Towel Clippers 24 32 40 4 28 125 3500
28.12 Suction Nozzle 6 8 10 2 6 250 1500
29 MNCH Related 0 0
Radiology
Equipments
29.1 Ultrasound 1 2 3 1 575000 575000
Machine 1
29.2 X-Ray Unit 500 1 1 1 0 6000000 0
kw 2
29.3 Color Doppler 0 1 1 0 1 5750000 5750000
29.4 Lead Screen for 1 1 1 0 30000 0
X-Ray Unit 1
29.5 0.5 MN Lead 1 1 1 0 100000 0
Apron. Lead
Gloves, Goggles
and Thyroid and
Gonadal Sheets 1
29.6 Safe Light 1 1 1 2 0 5000 0
Page 126
29.7 X-RT Film 1 1 1 0 5000 0

Processing Tank 1
29.8 Chest Stand 1 1 1 1 0 4500 0
29.9 X-Ray film 2 2 2 0 4000 0
Illuminator 2
29.1 X-Ray Film 4 4 4 0 4000 0
Hangers All sizes 6
30 MNCH Related 0 0
Paediatrics
Equipments
30.1 Paediatric 1 2 2 2 1200000 2400000
Ventilator 0
30.2 Incubator 1 1 2 1 0 1500000 0
30.3 Photo Therapy 1 1 1 0 22000 0
Unit 1
30.4 Over-head 1 1 1 1 910000 910000
Radiant Warmer 0
30.5 Infant Length 2 2 2 1 5000 5000
Measuring Scale 1
30.6 Infant Weighing 2 2 2 1 3100 3100
Machine 1
30.7 Nebulizer 1 1 2 5 0 22000 0
30.8 Billiubino-meter 1 1 2 0 1 0
30.9 Exchange Blood 1 1 2 1 2000 2000
Transfusion Set 0
30.1 Nasal Probe Paed 2 2 4 0 7000 0
size 2
31.1 Anaesthesia 1 1 2 0 321000 0
Machine 1
31.2 Ventilators 1 1 1 1 0 525000 0
31.3 Nebulizer 1 1 1 5 -4 165000 -660000
31.4 Pulse Oximetry 1 1 1 1 0 21000 0
31.5 Defibrillator 1 1 1 0 1 500000 500000
31.6 Airway Oral and 2 3 4 0 500 0
Nasal 6
31.7 Tracheostomy 2 2 4 0 1000 0
tube (adult and
paeds) 2
31.8 Face mask of all 2 2 4 0 1000 0
sizes 6
31.9 Double Cuff 1 2 2 1 320 320
Tourniquet (for
regional block) 1
31.1 AMBO bag adult 2 2 4 1 1 2450 2450
31.11 AMBO Bag paeds 2 2 4 1 1 3000 3000
Page 127
31.12 Red Rubber 4 4 8 5 0 1000 0

Nasal tubes all
sizes without cuff
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 1 0 812000 0
cabinet (100 bag
capacity)
32.2 Packed cell 1 1 1 0 1 600000 600000
machine
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
32.4 Freezer for Fresh 1 1 1 0 1 1150000 1150000
Frozen Plasma
32.5 Blood bag shaker 1 1 2 1 0 10000 0
32.6 RH view box 2 2 4 1 1 1000 1000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro-pipette 4 6 8 0 6 8000 48000
32.9 Blood grouping 3 3 6 1 2 3000 6000
tiles
32.11 Platelets agitator 1 1 1 0 1 1000000 1000000
32.12 Blood thawing 1 1 1 0 1 3000 3000
bath
32.13 Microscopes 1 1 2 1 0 115000 0
Room Related
Laboratory
Equipment
33.1 Hematology 1 1 1 1 0 425000 0
Analyzer
33.2 Electrolyte 1 1 1 1 0 625000 0
Analyzer
33.3 Analyzer Bio- 1 1 1 1 0 690000 0
chemistry Semi-
automatic
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino- 2 2 4 1 1 1000 1000
meter
33.6 Centrifuge 1 1 2 1 0 133000 0
Total 19522900
Page 128
THQ HOPSITAL FATEH JANG

Sr. Equipment Standard as per Available Gap Cost/Unit Total
No. MSDS Cost
(Qty.)
C B A
1 CTG (Cardiac 1 1 2 0 285000
Tocography) 1 0
2 Foetal Doppler 3 5 5 1 2 10000 20000
3 Diagnostic 1 1 2 1 1200000
Laparoscope 0 1200000
4 Bulb Sucker 10 20 20 1 9 45 405
5 Baby Warmer 3 3 6 1 2 850000 1700000
8 Delivery Table 2 2 3 1 1 17500 17500
9 D&C Set 2 3 4 1 1 2100 2100
10 Outlet forceps 4 4 4 1 3 900 2700
11 Myoma Screw 2 2 2 1 1 320 320
12 Kochers forceps 4 4 8 2 2 235 470
14 Lanes Tissue 2 2 4 0 400
holding forceps 2 0
16 Polypectomy forceps 2 2 2 2 0 750 0
17 Sponge holder 10 15 20 6 4 300 1200
19 CosCo Speculum 6 10 10 2 4 550 2200
22 Infant Resuscitation 1 1 2 0 95000
Trolley (with life
saving medicines,
baby laryngoscope,
Endo-tracheal tube,
Infant BP
Apparatus,
Chargeable Light) 1 0
23 Mother 1 1 2 1 0 110000 0
Resuscitation Trolley
(with life saving
medicines,
Laryngoscope, Endo-
tracheal tube, BP
Apparatus,
Chargeable light)
Page 129
24 Cardiac Monitor 1 1 2 0 1 500000 500000

25 Pump Breast 1 1 1 1 250000
Electronic 0 250000
26 Vaginal 2 2 4 0 2 30000
Hysterectomy Set 60000
26.1 Toothed Tissue 2 2 4 0 55
Forceps (8”) 2 0
26.2 Non-Tooted Tissue 2 2 4 0 55
Forceps (8”) 2 0
26.3 Dissection Scissors 2 2 4 1 150
(Curved 7”) 1 150
26.4 Dissection Scissors 2 2 4 1 150
(Straight 7”) 1 150
26.5 Hysterectomy 8 8 16 4 150
Clamps (Straight) 4 600
26.6 Hysterectomy 8 8 16 6 175
Clamps (Curved) 2 1050
26.7 Uterine Sound 2 2 4 1 1 90 90
26.8 Needle Holder (7”) 2 2 4 3 0 150 0
26.9 Needle Holder (10”) 2 2 4 2 0 300 0
26.1 Artery Forceps 16 16 32 0 110
(Straight 6”) 16 0
26.11 Artery Forceps 16 16 32 1 125
(Curved 6”) 15 125
26.12 Allis Forceps 8 8 16 6 2 230 460
26.13 Towel Clamps 8 8 16 6 2 125 250
26.14 Single blade Sims 4 4 8 2 275
speculum 2 550
26.15 Double blade Sims 4 4 8 2 250
speculum 2 500
26.16 Sponge holding 8 8 16 6 200
forceps 2 1200
26.18 Uterine Sound 2 2 4 2 0 1500 0
26.19 Bladder Sound 2 2 4 1 1 1500 1500
27 Delivery Sets 10 10 15 0 10 0
27.1 Episiotomy Scissors 10 10 15 2 8 125 1000
27.3 Needle holder 10 10 15 1 9 135 1215
27.4 Non-toothed tissue 10 10 15 9 100
forceps 8 inches 1 900
27.5 Toothed tissue 10 10 15 9 100
27.6 Sims Speculum 20 20 30 19 275
single blade 1 5225
27.7 Sims Speculum 20 20 30 19 250
double blade 1 4750
Page 130
27.8 Sponge holding 40 40 60 37 250

forceps 3 9250
27.9 Artery forceps 40 40 60 12 28 275 7700
27.1 Straight clamps 20 20 30 18 175
(cord) 2 3150
27.11 Vacuum Extractor 1 1 1 0 19000
pump 1 0
27.12 Towel clip 40 40 60 6 34 125 4250
28 Caesarian Section 6 8 10 6 0
28.1 Scalpel 6 8 10 2 4 50 200
28.2 Artery Forceps 24 32 40 9 125
Straight 6 inches 15 1125
28.3 Artery Forceps 24 32 40 8 125
Curved 6 inches 16 1000
28.4 Artery forceps 8 24 32 40 9 175
inches 15 1575
28.5 Myoma Scissors 6 8 10 5 150
straight 7 inches 1 750
28.6 Dissecting scissors 6 8 10 4 270
(curved) 7 inches 2 1080
28.7 Green Armtage 24 32 40 23 300
28.8 Obstetric outlet 6 8 10 4 900
forceps (pair) 2 3600
28.11 Towel Clippers 24 32 40 2 22 125 2750
28.12 Suction Nozzle 6 8 10 1 5 250 1250
29 MNCH Related 0
Radiology
Equipments 0
29.1 Ultrasound Machine 1 2 3 1 0 575000 0
29.3 Color Doppler 0 1 1 0 5750000 0
29.4 Lead Screen for X- 1 1 1 0 30000
Ray Unit 1 0
29.5 0.5 MN Lead Apron. 1 1 1 0 100000
Lead Gloves, Goggles
and Thyroid and
Gonadal Sheets 1 0
29.6 Safe Light 1 1 1 1 0 5000 0
29.7 X-RT Film 1 1 1 0 5000
Processing Tank 1 0
29.8 Chest Stand 1 1 1 1 0 4500 0
29.9 X-Ray film 2 2 2 1 4000
Illuminator 1 4000
29.1 X-Ray Film Hangers 4 4 4 3 4000
All sizes 1 12000
Page 131
30 MNCH Related 0
Paediatrics
Equipments 0
30.1 Paediatric Ventilator 1 2 2 1 1200000 1200000
30.2 Incubator 1 1 2 1 0 1500000 0
30.3 Photo Therapy Unit 1 1 1 1 0 22000 0
30.4 Over-head Radiant 1 1 1 1 910000
Warmer 0 910000
30.5 Infant Length 2 2 2 1 5000
Measuring Scale 1 5000
30.6 Infant Weighing 2 2 2 1 3100
Machine 1 3100
30.7 Nebulizer 1 1 2 1 0 22000 0
30.9 Exchange Blood 1 1 2 1 2000
Transfusion Set 2000
30.1 Nasal Probe Paed 2 2 4 1 7000
size 1 7000
31.1 Anaesthesia 1 1 2 0 321000
Machine 1 0
31.2 Ventilators 1 1 1 1 0 525000 0
31.3 Nebulizer 1 1 1 1 0 165000 0
31.4 Pulse Oximetry 1 1 1 1 0 21000 0
31.5 Defibrillator 1 1 1 1 500000 500000
31.6 Airway Oral and 2 3 4 0 500
Nasal 6 0
31.7 Tracheostomy tube 2 2 4 1 1 1000
(adult and paeds) 1000
31.8 Face mask of all 2 2 4 4 0 1000
sizes 0
31.9 Double Cuff 1 2 2 1 320
Tourniquet (for
regional block) 320
31.1 AMBO bag adult 2 2 4 1 1 2450 2450
31.11 AMBO Bag paeds 2 2 4 1 1 3000 3000
31.12 Red Rubber Nasal 4 4 8 1 3 1000
tubes all sizes
without cuff 3000
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 1 0 812000
cabinet (100 bag
capacity) 0
32.2 Packed cell machine 1 1 1 0 1 600000 600000
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
Frozen Plasma 1150000
Page 132
32.5 Blood bag shaker 1 1 2 1 0 10000 0

32.6 RH view box 2 2 4 1 1 1000 1000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro-pipette 4 6 8 0 4 8000 32000
32.9 Blood grouping tiles 3 3 6 1 2 3000 6000
32.12 Blood thawing bath 1 1 1 0 1 3000 3000
32.13 Microscopes 1 1 2 1 0 115000 0
33 Gynae & Labour 0
Room Related
Laboratory
Equipment 0
33.1 Hematology Analyzer 1 1 1 1 0 425000 0
33.2 Electrolyte Analyzer 1 1 1 1 0 625000 0
33.3 Analyzer Bio- 1 1 1 1 0 690000
chemistry Semi-
automatic 0
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino-meter 2 2 4 1 1 1000 1000
33.6 Centrifuge 1 1 2 1 0 133000 0
Total 14579775
THQ HOSPITAL HASSAN ABDAL

Sr. Equipment Standard as per MSDS Available Gap Total Cost
No. (Qty.) Cost/Unit
C B A
1 CTG (Cardiac 1 1 2 0 285000 0
Tocography) 1
2 Foetal Doppler 3 5 5 1 2 10000 20000
3 Diagnostic 1 1 2 1 1200000 1200000
Laparoscope
4 Bulb Sucker 10 20 20 1 9 45 405
5 Baby Warmer 3 3 6 2 1 850000 850000
8 Delivery Table 2 2 3 1 1 17500 17500
9 D&C Set 2 3 4 1 1 2100 2100
10 Outlet forceps 4 4 4 1 3 900 2700
11 Myoma Screw 2 2 2 1 1 320 320
Page 133
12 Kochers forceps 4 4 8 2 2 235 470

14 Lanes Tissue 2 2 4 0 400 0
holding forceps 2
16 Polypectomy 2 2 2 1 750 750
forceps 1
17 Sponge holder 10 15 20 6 4 300 1200
19 CosCo Speculum 6 10 10 2 4 550 2200
22 Infant 1 1 2 1 95000 95000
Resuscitation
Trolley (with life
saving medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable Light)
23 Mother 1 1 2 1 110000 110000
Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable light)
24 Cardiac Monitor 1 1 2 1 0 500000 0
25 Pump Breast 1 1 1 1 250000 250000
Electronic
26 Vaginal 2 2 4 2 30000 60000
Hysterectomy
Set
Forceps (8”) 6
26.2 Non-Tooted Tissue 2 2 4 0 55 0
Forceps (8”) 6
26.3 Dissection 2 2 4 0 150 0
Scissors (Curved
7”) 2
26.4 Dissection 2 2 4 0 150 0
Scissors (Straight
7”) 2
26.5 Hysterectomy 8 8 16 2 150 300
Clamps (Straight) 6
Page 134
26.6 Hysterectomy 8 8 16 2 175 350

Clamps (Curved) 6
26.7 Uterine Sound 2 2 4 1 1 90 90
26.8 Needle Holder (7”) 2 2 4 2 0 150 0
26.9 Needle Holder (10”) 2 2 4 1 1 300 300
26.1 Artery Forceps 16 16 32 0 110 0
(Straight 6”) 16
26.1 Artery Forceps 16 16 32 0 125 0
(Curved 6”) 16
26.1 Allis Forceps 8 8 16 6 2 230 460
26.1 Towel Clamps 8 8 16 12 0 125 0
26.1 Single blade Sims 4 4 8 3 275 825
speculum 1
26.2 Double blade Sims 4 4 8 3 250 750
speculum 1
26.2 Sponge holding 8 8 16 4 200 800
forceps 4
26.2 Uterine Sound 2 2 4 1 1 1500 1500
26.2 Bladder Sound 2 2 4 1 1 1500 1500
27.1 Episiotomy 10 10 15 9 125 1125
Scissors 1
27.3 Needle holder 10 10 15 1 9 135 1215
27.4 Non-toothed tissue 10 10 15 8 100 800
forceps 8 inches 2
27.5 Toothed tissue 10 10 15 8 100 800
forceps 8 inches 2
27.6 Sims Speculum 20 20 30 19 275 5225
single blade 1
27.7 Sims Speculum 20 20 30 19 250 4750
double blade 1
27.8 Sponge holding 40 40 60 37 250 9250
forceps 3
27.9 Artery forceps 40 40 60 14 26 275 7150
27.1 Straight clamps 20 20 30 14 175 2450
(cord) 6
27.1 Vacuum Extractor 1 1 1 0 19000 0
pump 1
27.1 Towel clip 40 40 60 3 37 125 4625
28 Caesarian 6 8 10 6 0
Section
28.1 Scalpel 6 8 10 3 3 50 150
28.2 Artery Forceps 24 32 40 9 125 1125
Page 135
28.3 Artery Forceps 24 32 40 9 125 1125

Curved 6 inches 15
28.4 Artery forceps 8 24 32 40 18 175 3150
inches 6
28.5 Myoma Scissors 6 8 10 5 150 750
straight 7 inches 1
28.6 Dissecting scissors 6 8 10 5 270 1350
(curved) 7 inches 1
28.7 Green Armtage 24 32 40 8 300 2400
forceps 8 inches 16
forceps (pair) 2
28.1 Towel Clippers 24 32 40 3 21 125 2625
28.1 Suction Nozzle 6 8 10 2 4 250 1000
29 MNCH Related 0 0
Radiology
Equipments
29.1 Ultrasound 1 2 3 0 575000 0
Machine 1
29.2 X-Ray Unit 500 kw 1 1 1 1 0 6000000 0
29.3 Color Doppler 0 1 1 0 5750000 0
29.4 Lead Screen for X- 1 1 1 0 30000 0
Ray Unit 1
29.5 0.5 MN Lead 1 1 1 0 100000 0
Apron. Lead
Gloves, Goggles
and Thyroid and
Gonadal Sheets 1
29.6 Safe Light 1 1 1 1 0 5000 0
29.7 X-RT Film 1 1 1 0 5000 0
Processing Tank 1
29.8 Chest Stand 1 1 1 1 0 4500 0
29.9 X-Ray film 2 2 2 1 4000 4000
Illuminator 1
29.1 X-Ray Film 4 4 4 3 4000 12000
Hangers All sizes 1
30 MNCH Related 0 0
Paediatrics
Equipments
30.1 Paediatric 1 2 2 1 1200000 1200000
Ventilator
30.2 Incubator 1 1 2 1 0 1500000 0
30.3 Photo Therapy 1 1 1 0 22000 0
Unit 1
30.4 Over-head Radiant 1 1 1 1 910000 910000
Warmer
Page 136
30.5 Infant Length 2 2 2 1 5000 5000

Measuring Scale 1
30.6 Infant Weighing 2 2 2 1 3100 3100
Machine 1
30.7 Nebulizer 1 1 2 1 0 22000 0
30.9 Exchange Blood 1 1 2 1 2000 2000
Transfusion Set 0
30.1 Nasal Probe Paed 2 2 4 1 7000 7000
size 1
31.1 Anaesthesia 1 1 2 0 321000 0
Machine 1
31.2 Ventilators 1 1 1 1 0 525000 0
31.3 Nebulizer 1 1 1 1 0 165000 0
31.4 Pulse Oximetry 1 1 1 1 0 21000 0
31.5 Defibrillator 1 1 1 0 1 500000 500000
31.6 Airway Oral and 2 3 4 -4 500 -2000
Nasal 6
31.7 Tracheostomy 2 2 4 0 1000 0
tube (adult and
paeds) 2
31.8 Face mask of all 2 2 4 0 1000 0
sizes 2
31.9 Double Cuff 1 2 2 1 320 320
Tourniquet (for
regional block)
31.1 AMBO bag adult 2 2 4 1 1 2450 2450
31.1 AMBO Bag paeds 2 2 4 1 1 3000 3000
31.1 Red Rubber Nasal 4 4 8 -2 1000 -2000
tubes all sizes
without cuff 6
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 0 812000 0
cabinet (100 bag
capacity) 1
32.2 Packed cell 1 1 1 1 600000 600000
machine 0
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
Frozen Plasma
32.5 Blood bag shaker 1 1 2 1 0 10000 0
32.6 RH view box 2 2 4 1 1 1000 1000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro-pipette 4 6 8 4 8000 32000
32.9 Blood grouping 3 3 6 2 3000 6000
tiles 1
Page 137

32.1 Blood thawing 1 1 1 1 3000 3000
bath 0
32.1 Microscopes 1 1 2 1 0 115000 0
Room Related
Laboratory
Equipment
33.1 Hematology 1 1 1 0 425000 0
Analyzer 1
33.2 Electrolyte 1 1 1 0 625000 0
Analyzer 1
33.3 Analyzer Bio- 1 1 1 0 690000 0
chemistry Semi-
automatic 1
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino- 2 2 4 1 1000 1000
meter 1
33.6 Centrifuge 1 1 2 1 0 133000 0
Total 13422970
THQ HOSPITAL PINDI GHEP

Sr. No. Equipment Standard as per MSDS Available Gap Total
(Qty.) Cost/Unit Cost
C B A
1 CTG (Cardiac 1 1 2 285000
Tocography) 1 1 285000
2 Foetal Doppler 3 5 5 1 4 101000 404000
3 Diagnostic 1 1 2 1200000
Laparoscope 0 2 2400000
4 Bulb Sucker 10 20 20 3 17 45 765
5 Baby Warmer 3 3 6 1 5 850000 4250000
6 Mechanical 3 3 6 28000
Sucker 2 4 112000
8 Delivery Table 2 2 3 1 2 17500 35000
9 D&C Set 2 3 4 1 3 2100 6300
10 Outlet forceps 4 4 4 2 2 900 1800
11 Myoma Screw 2 2 2 1 1 320 320
14 Lanes Tissue 2 2 4 400
holding forceps 4 0 0
Page 138
15 Vaginal 10 10 10 350
Retractors 4 6 2100
16 Polypectomy 2 2 2 750
forceps 1 1 750
17 Sponge holder 10 15 20 6 14 300 4200
19 CosCo Speculum 6 10 10 1 9 550 4950
22 Infant 1 1 2 95000
Resuscitation
Trolley (with life
saving medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable Light) 0 2 190000
23 Mother 1 1 2 110000
Resuscitation
Trolley (with life
saving medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable light) 0 2 220000
24 Cardiac Monitor 1 1 2 1 1 500000 500000
25 Pump Breast 1 1 1 250000
Electronic 0 1 250000
26 Vaginal 2 2 4 30000
Hysterectomy
Set 4 120000
26.1 Toothed Tissue 2 2 4 55
Forceps (8”) 8 0 0
26.2 Non-Tooted 2 2 4 55
Tissue Forceps
(8”) 8 0 0
26.3 Dissection 2 2 4 150
Scissors (Curved
7”) 5 0 0
26.4 Dissection 2 2 4 150
Scissors (Straight
7”) 6 0 0
26.5 Hysterectomy 8 8 16 150
Clamps (Straight) 8 8 1200
26.6 Hysterectomy 8 8 16 175
Clamps (Curved) 8 8 1400
Page 139
26.7 Uterine Sound 2 2 4 1 3 90 270

26.8 Needle Holder (7”) 2 2 4 6 -2 150 -300
26.9 Needle Holder 2 2 4 300
(10”) 4 0 0
26.1 Artery Forceps 16 16 32 110
(Straight 6”) 30 2 220
26.11 Artery Forceps 16 16 32 125
(Curved 6”) 25 7 875
26.12 Allis Forceps 8 8 16 24 0 230 0
26.13 Towel Clamps 8 8 16 8 8 125 1000
26.14 Single blade Sims 4 4 8 275
speculum 2 6 1650
26.15 Double blade 4 4 8 250
Sims speculum 3 5 1250
26.16 Sponge holding 8 8 16 200
forceps 8 8 1600
26.18 Uterine Sound 2 2 4 1 3 1500 4500
26.19 Bladder Sound 2 2 4 1 3 1500 4500
27.1 Episiotomy 10 10 15 125
Scissors 2 13 1625
27.3 Needle holder 10 10 15 2 13 135 1755
27.4 Non-toothed 10 10 15 100
tissue forceps 8
inches 1 14 1400
27.5 Toothed tissue 10 10 15 100
forceps 8 inches 2 13 1300
27.6 Sims Speculum 20 20 30 275
single blade 2 28 7700
27.7 Sims Speculum 20 20 30 250
double blade 1 29 7250
27.8 Sponge holding 40 40 60 250
forceps 1 59 14750
27.9 Artery forceps 40 40 60 12 48 275 13200
27.1 Straight clamps 20 20 30 175
(cord) 12 18 3150
27.11 Vacuum 1 1 1 19000
Extractor pump 1 0 0
27.12 Towel clip 40 40 60 4 56 125 7000
28 Caesarian 6 8 10
Section 10 0
28.1 Scalpel 6 8 10 6 4 50 200
Straight 6 inches 6 34 4250
Curved 6 inches 8 32 4000
Page 140
28.4 Artery forceps 8 24 32 40 175

inches 8 32 5600
28.5 Myoma Scissors 6 8 10 150
straight 7 inches 1 9 1350
28.6 Dissecting 6 8 10 270
scissors (curved)
7 inches 2 8 2160
28.7 Green Armtage 24 32 40 300
forceps 8 inches 16 24 7200
28.8 Obstetric outlet 6 8 10 900
forceps (pair) 4 6 5400
28.9 Doyene’s 6 8 10 200
Retractor 0 10 2000
28.11 Towel Clippers 24 32 40 10 30 125 3750
28.12 Suction Nozzle 6 8 10 2 8 250 2000
29 MNCH Related
Radiology
Equipments 0 0
29.1 Ultrasound 1 2 3 575000
Machine 1 2 1150000
29.2 X-Ray Unit 500 1 1 1 6000000
kw 1 0 0
29.3 Color Doppler 0 1 1 0 1 5750000 5750000
29.4 Lead Screen for 1 1 1 30000
X-Ray Unit 1 0 0
29.5 0.5 MN Lead 1 1 1 100000
Apron. Lead
Gloves, Goggles
and Thyroid and
Gonadal Sheets 1 0 0
29.6 Safe Light 1 1 1 2 0 5000 0
29.7 X-RT Film 1 1 1 5000
Processing Tank 1 0 0
29.8 Chest Stand 1 1 1 2 0 4500 0
29.9 X-Ray film 2 2 2 4000
Illuminator 2 0 0
29.1 X-Ray Film 4 4 4 4000
Hangers All sizes 8 0 0
30 MNCH Related
Paediatrics
Equipments 0 0
30.1 Paediatric 1 2 2 1200000
Ventilator 0 2 2400000
30.2 Incubator 1 1 2 1 1 1500000 1500000
30.3 Photo Therapy 1 1 1 22000
Unit 1 0 0
30.4 Over-head 1 1 1 910000
Radiant Warmer 0 1 910000
Page 141
30.5 Infant Length 2 2 2 5000

Measuring Scale 1 1 5000
30.6 Infant Weighing 2 2 2 3100
Machine 1 1 3100
30.7 Nebulizer 1 1 2 1 1 22000 22000
30.9 Exchange Blood 1 1 2 2000
Transfusion Set 0 2 4000
30.1 Nasal Probe Paed 2 2 4 7000
size 1 3 21000
31.1 Anaesthesia 1 1 2 321000
Machine 1 1 321000
31.2 Ventilators 1 1 1 1 0 525000 0
31.3 Nebulizer 1 1 1 1 0 165000 0
31.4 Pulse Oximetry 1 1 1 1 0 21000 0
31.5 Defibrillator 1 1 1 0 1 500000 500000
31.6 Airway Oral and 2 3 4 500
Nasal 6 0 0
31.7 Tracheostomy 2 2 4 1000
tube (adult and
paeds) 2 2 2000
31.8 Face mask of all 2 2 4 1000
sizes 6 0 0
31.9 Double Cuff 1 2 2 320
Tourniquet (for
regional block) 1 1 320
31.1 AMBO bag adult 2 2 4 1 3 2450 7350
31.11 AMBO Bag paeds 2 2 4 1 3 3000 9000
31.12 Red Rubber 4 4 8 1000
Nasal tubes all
sizes without cuff 8 0 0
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 812000
cabinet (100 bag
capacity) 2 0 0
32.2 Packed cell 1 1 1 600000
machine 0 1 600000
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
32.4 Freezer for Fresh 1 1 1 1150000
Frozen Plasma 0 1 1150000
32.5 Blood bag shaker 1 1 2 1 1 10000 10000
32.6 RH view box 2 2 4 1 3 1000 3000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro-pipette 4 6 8 0 8 8000 64000
32.9 Blood grouping 3 3 6 3000
tiles 2 4 12000
Page 142

32.12 Blood thawing 1 1 1 3000
bath 0 1 3000
32.13 Microscopes 1 1 2 2 0 115000 0
33 Gynae & Labour
Room Related
Laboratory
Equipment 0 0
33.1 Hematology 1 1 1 425000
Analyzer 0 1 425000
33.2 Electrolyte 1 1 1 625000
Analyzer 0 1 625000
33.3 Analyzer Bio- 1 1 1 690000
chemistry Semi-
automatic 1 0 0
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino- 2 2 4 1000
meter 1 3 3000
33.6 Centrifuge 1 1 2 2 0 133000 0
Total 30738995
THQ HOSPITAL JAND

Sr. Equipment Standard as per Availabl Gap Total
No. MSDS e Cost/Uni Cost
(Qty.) t
C B A
1 CTG (Cardiac 1 1 2 0 285000 0
Tocography) 1
2 Foetal Doppler 3 5 5 1 2 10000 20000
3 Diagnostic 1 1 2 1 1200000 1200000
Laparoscope 0
4 Bulb Sucker 10 20 20 2 8 45 360
5 Baby Warmer 3 3 6 1 2 850000 1700000
6 Mechanical 3 3 6 1 28000 28000
Sucker 2
7 Fetal 4 4 4 2 1500 3000
Stethoscope 2
8 Delivery Table 2 2 3 1 1 17500 17500
9 D&C Set 2 3 4 1 1 2100 2100
10 Outlet forceps 4 4 4 1 3 900 2700
11 Myoma Screw 2 2 2 1 1 320 320
12 Kochers 4 4 8 0 235 0
forceps 4
Page 143
13 Volselum 6 8 10 5 235 1175

forceps 1
14 Lanes Tissue 2 2 4 0 400 0
holding forceps 2
15 Vaginal 10 10 10 8 350 2800
Retractors 2
16 Polypectomy 2 2 2 1 750 750
forceps 1
17 Sponge holder 10 15 20 2 8 300 2400
18 Uterine 1 1 1 0 150 0
elevator 1
19 CosCo 6 10 10 5 550 2750
Speculum 1
20 Examination 3 3 6 2 18000 36000
light 1
21 Suction 1 2 2 0 95 0
Curette 1
22 Infant 1 1 2 1 95000 95000
Resuscitation
Trolley (with
life saving
medicines,
baby
laryngoscope,
Endo-tracheal
tube, Infant BP
Apparatus,
Chargeable
Light) 0
23 Mother 1 1 2 1 110000 110000
Resuscitation
Trolley (with
life saving
medicines,
Laryngoscope,
Endo-tracheal
tube, BP
Apparatus,
Chargeable
light) 0
24 Cardiac 1 1 2 1 500000 500000
Monitor 0
25 Pump Breast 1 1 1 1 250000 250000
Electronic 0
26 Vaginal 2 2 4 0 2 30000 60000
Hysterectomy
Set
Forceps (8”) 2
Page 144
26.2 Non-Tooted 2 2 4 1 55 55
Tissue Forceps
(8”) 1
26.3 Dissection 2 2 4 0 150 0
Scissors
(Curved 7”) 2
26.4 Dissection 2 2 4 0 150 0
Scissors
(Straight 7”) 6
26.5 Hysterectomy 8 8 16 2 150 300
Clamps
(Straight) 6
26.6 Hysterectomy 8 8 16 6 175 1050
Clamps
(Curved) 2
26.7 Uterine Sound 2 2 4 1 1 90 90
26.8 Needle Holder 2 2 4 0 150 0
(7”) 2
26.9 Needle Holder 2 2 4 0 300 0
(10”) 2
26.1 Artery Forceps 16 16 32 10 110 1100
(Straight 6”) 6
26.11 Artery Forceps 16 16 32 10 125 1250
(Curved 6”) 6
26.12 Allis Forceps 8 8 16 3 5 230 1150
26.13 Towel Clamps 8 8 16 2 6 125 750
26.14 Single blade 4 4 8 3 275 825
Sims speculum 1
26.15 Double blade 4 4 8 3 250 750
Sims speculum 1
26.16 Sponge holding 8 8 16 7 200 1400
forceps 1
26.17 Volselum 4 4 8 3 250 750
forceps 1
26.18 Uterine Sound 2 2 4 1 1 1500 1500
26.19 Bladder Sound 2 2 4 1 1 1500 1500
27.1 Episiotomy 10 10 15 9 125 1125
Scissors 1
27.2 Straight 10 10 15 9 360 3240
Scissors 1
27.3 Needle holder 10 10 15 1 9 135 1215
27.4 Non-toothed 10 10 15 8 100 800
tissue forceps 8
inches 2
27.5 Toothed tissue 10 10 15 8 100 800
forceps 8
inches 2
Page 145
27.6 Sims Speculum 20 20 30 19 275 5225

single blade 1
27.7 Sims Speculum 20 20 30 19 250 4750
double blade 1
27.8 Sponge holding 40 40 60 37 250 9250
forceps 3
27.9 Artery forceps 40 40 60 14 26 275 7150
27.1 Straight 20 20 30 16 175 2800
clamps (cord) 4
27.11 Vacuum 1 1 1 0 19000 0
Extractor
pump 1
27.12 Towel clip 40 40 60 6 34 125 4250
28 Caesarian 6 8 10 6 0
Section
28.1 Scalpel 6 8 10 2 4 50 200
28.2 Artery Forceps 24 32 40 8 125 1000
Straight 6
inches 16
28.3 Artery Forceps 24 32 40 8 125 1000
Curved 6
inches 16
28.4 Artery forceps 24 32 40 8 175 1400
8 inches 16
28.5 Myoma 6 8 10 3 150 450
Scissors
straight 7
inches 3
28.6 Dissecting 6 8 10 4 270 1080
scissors
(curved) 7
inches 2
28.7 Green Armtage 24 32 40 23 300 6900
forceps 8
inches 1
forceps (pair) 2
28.9 Doyene’s 6 8 10 6 200 1200
Retractor 0
28.1 Small 12 16 20 10 300 3000
Retractors 2
28.11 Towel Clippers 24 32 40 4 20 125 2500
28.12 Suction Nozzle 6 8 10 1 5 250 1250
29 MNCH Related 0 0
Radiology
Equipments
29.1 Ultrasound 1 2 3 0 575000 0
Machine 1
Page 146
29.2 X-Ray Unit 500 1 1 1 0 6000000 0

kw 1
29.3 Color Doppler 0 1 1 0 0 5750000 0
29.4 Lead Screen for 1 1 1 0 30000 0
X-Ray Unit 1
29.5 0.5 MN Lead 1 1 1 0 100000 0
Apron. Lead
Gloves, Goggles
and Thyroid
and Gonadal
Sheets 1
29.6 Safe Light 1 1 1 1 0 5000 0
29.7 X-RT Film 1 1 1 0 5000 0
Processing
Tank 1
29.8 Chest Stand 1 1 1 1 0 4500 0
29.9 X-Ray film 2 2 2 1 4000 4000
Illuminator 1
29.1 X-Ray Film 4 4 4 0 4000 0
Hangers All
sizes 4
30 MNCH Related 0 0
Paediatrics
Equipments
30.1 Paediatric 1 2 2 1 1200000 1200000
Ventilator 0
30.2 Incubator 1 1 2 1 0 1500000 0
30.3 Photo Therapy 1 1 1 0 22000 0
Unit 1
30.4 Over-head 1 1 1 1 910000 910000
Radiant
Warmer 0
30.5 Infant Length 2 2 2 1 5000 5000
Measuring
Scale 1
30.6 Infant 2 2 2 1 3100 3100
Weighing
Machine 1
30.7 Nebulizer 1 1 2 1 0 22000 0
30.8 Billiubino- 1 1 2 1 0
meter 0
30.9 Exchange 1 1 2 1 2000 2000
Blood
Transfusion
Set 0
30.1 Nasal Probe 2 2 4 1 7000 7000
Paed size 1
31 Anaesthesia/I 0 0
CU
Page 147
31.1 Anaesthesia 1 1 2 0 321000 0

Machine 1
31.2 Ventilators 1 1 1 1 0 525000 0
31.3 Nebulizer 1 1 1 1 0 165000 0
31.4 Pulse Oximetry 1 1 1 1 0 21000 0
31.5 Defibrillator 1 1 1 0 1 500000 500000
31.6 Airway Oral 2 3 4 0 500 0
and Nasal 6
31.7 Tracheostomy 2 2 4 1 1000 1000
tube (adult and
paeds) 1
31.8 Face mask of 2 2 4 0 1000 0
all sizes 3
31.9 Double Cuff 1 2 2 1 320 320
Tourniquet (for
regional block)
31.1 AMBO bag 2 2 4 1 2450 2450
adult 1
31.11 AMBO Bag 2 2 4 1 3000 3000
paeds 1
31.12 Red Rubber 4 4 8 0 1000 0
Nasal tubes all
sizes without
cuff 6
32 Blood Bank 0 0
32.1 Blood storage 1 1 2 0 812000 0
cabinet (100
bag capacity) 1
32.2 Packed cell 1 1 1 1 600000 600000
machine 0
32.3 Cell Separator 1 1 1 0 1 5225000 5225000
32.4 Freezer for 1 1 1 1 1150000 1150000
Fresh Frozen
Plasma 0
32.5 Blood bag 1 1 2 0 10000 0
shaker 1
32.6 RH view box 2 2 4 1 1 1000 1000
32.7 Water bath 2 2 2 1 1 3000 3000
32.8 Micro-pipette 4 6 8 0 4 8000 32000
32.9 Blood grouping 3 3 6 1 3000 3000
tiles 2
32.1 Plasma 1 1 1 0 1000000 0
Extractor 1
32.11 Platelets 1 1 1 1 1000000 1000000
agitator 0
32.12 Blood thawing 1 1 1 1 3000 3000
bath 0
32.13 Microscopes 1 1 2 1 0 115000 0
Page 148
33 Gynae & 0 0
Labour Room
Related
Laboratory
Equipment
33.1 Hematology 1 1 1 0 425000 0
Analyzer 1
33.2 Electrolyte 1 1 1 0 625000 0
Analyzer 1
33.3 Analyzer Bio- 1 1 1 0 690000 0
chemistry
Semi-
automatic 1
33.4 Glucometer 2 2 2 1 1 2500 2500
33.5 Haemoglobino- 2 2 4 1 1000 1000
meter 1
33.6 Centrifuge 1 1 2 1 0 133000 0
Total 1476988
0
Page 149

ATTOCK

Hochgeladen von

Dokumentinformationen

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

ATTOCK

Hochgeladen von

Copyright:

Verfügbare Formate

Three Years Rolling Plan (2010-2013) District Attock

Three Years Rolling Plan

7) Hepatitis Control Program ................................................................ 28

SECTION 5: MONITORING & EVALUATION ............................................. 114

TAMA Technical Assistance Management Agency

SECTION 1: DISTRICT HEALTH PROFILE

I. Vision of the District

To provide high standard heath services to all without discrimination of religion,

II. Background of the District

 Geographical location: It is bounded on then North and West by the River

III. Map of the District

DISTRICT ATTOCK ABI HAR

KALA CHITTA RESERVE FOREST

o Annual growth rate 2.23%

o Population density 237 persons per sq. km

Area Population Percentage

Gender Population Percentage

4) Tehsil wise distribution

Tehsil Number of UC Population

2) Per capita income

4) Water and Sanitation

VI. Health Indicators

 Malnutrition (women and children) 39.3%

*Source: MICS 2007-08

VII. Organizational Structure of District Health Administration

District Coordination Officer

Executive District Officer (Health

MS DHQ MS THQ Program Principal Principal

VIII. Health Resources

DHQ Hospital 1 211 211 -------

RHCs 5 100 100 -------

BHUs 58 116 116 -------

MCH Centers 8 0 0 -------

Sub Health Centers 2 0 0 -------

TB Clinics/ Hospital 0 0 0 -------

Sr. Name of Post Sanctioned Filled

i. Basic Health Units (58)

ii. Rural Health Centre (5)

iii. THQ Hospitals (5)

Sr. Post Sanctioned Filled Vacant

iv. DHQ Hospital

Sr. Post Sanctioned Filled Vacant

Sr. Post Sanctioned Filled Vacant

Post Sanctioned Filled Vacant

Type of institute Number

General Nursing school 1

Public Health Nursing School 1

ii. General Nursing School

Post Sanctioned Filled Vacant

iii. Public Health Nursing School

Post Sanctioned Filled Vacant

iv. Midwifery School

The provision of financial resources at district level is prime responsibility of

Total 330.45685 261.841 388.0039 303.383 392.96251 183.330

PHSRP 24.812 19.614 31.942 20.436 26.044 10.33

Grand Total 375.41285 293.755 494.5279 334.105 644.34351 240.443

User charges (like

IX. Disease Pattern

Disease Group Percentage of Magnitude

Disease Group Percentage of Magnitude

X. Status of Vertical Programs

1) National Program for FP & PHC

 Pregnant women received TT vaccine 49.75%

5) Malaria Control Program