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People's Primary HealthCare Initiative (PPHI-SINDH)

MCHC KAUSAR HOSPITAL


KHAIRPUR

OUTLINE

Health Indicators in Sindh.


Profile of District Khairpur
Salient Features of Kausar MCHC
Overview of MCHC Building Plan
Some Glimpses of the MCHC Building
Services to be Provided
Human Resource Plan
Progress achieved.

Health Indicators In Sindh

Health Indicators In Sindh


Indicators

Pakistan

Sindh

MDG Targets

Infant Mortality Rate

74/1000

81/1000

40/1000

<5 Mortality Rate

89/1000

101/1000

45/1000

Neonatal Mortality Rate


Maternal Mortality Ratio

55/1000
275/100,000

53/1000
314/100,00

25/1000
140/100000

Births attendant by SBAs

39%

44%

90%

Total Fertility Rate

3.8%

3.9%

2.1

Proportion of Antenatal Care

73%

78%

100%

Contraceptive Prevalence Rate

34%

30%

55%

Institutional Deliveries

48%

52%

>90%

Out of pocket expenditure

64%

66%

Immunization rates

57%

29%

Sources: PDHS 2012, Health sector strategy sindh

DISTRICT PROFILE

DISTRICT PROFILE: KHAIRPUR


MIRs
District Khairpur is located in Northern Sindh.
It has population of 2.2 million (1998 census).
It is administratively divided into:
Eight (08 Talukas).
76 Union Councils.

It Ranks 8th in Sindh Province in terms of


Population.
It has literacy rate of 47%.

Health Facilities in the District.


S.N
o.

1
2
3
4
5
6
7

Description of Health
Facility
District Head Quarter
Hospital
Taluka Head Qauarter
Hospital
Rural Health Centre
Mother & Child Health Care
Centres
Basic Heath Units
Government Dispensaries
District Council
Dispensaries
TOTAL

Total
number
in
District

Managed By

11

Department of
Health (DoH)
Department of
Health (DoH)
Department of
Health (DoH)

5
82
45

PPHI
PPHI
PPHI

15

PPHI

160

PPHI=147,
DHO=13

1
1

BACKGROUND
Bonyad-e-Maskan (Housing foundation of Iran)
signed an agreement with Govt of Sindh to
construct a Mother & Child Healthcare Centre
at Khairpur, Sindh.
The Housing Foundation of Iran, upon completion
of work, requested Govt: of Sindh to takeover the
Building possession.
Government of Sindh approached PPHI Sindh (a
partner with GoS) to operationalize the above
newly constructed building and workout financial
requirement.
PPPHI Sindh at a very short notice of just 15 days

INAUGURATION
Inaugurated on 22.08.2015 by Honorable Chief Minister Sindh & His Excellency
Mehdi Sobhani Counsel General Islamic Republic Of Iran

INAUGURATION

Master ZULFIQAR ALI & BABY


KAUSAR
KAUSAR 1st baby girl
The name suggested by His Excellency Mehdi
Sobhani Counsel General Islamic Republic Of Iran

ZULFIQAR ALI 1st baby boy


The name suggested by
Honorable Chief Minister Sindh

Salient Features of Kausar


MCHC Khairpur

Kausar MCHC Khairpur- salient


features
Round the clock service for emergency
Obstetrics.
Round the clock service of ambulance to attend
emergency referrals from RHCs, BHUs, MCHCs .
Staffed with Gynecologists, Pediatrician,
Neonatologist, Female Medical Officers:
I.C.U for Paeds and Obstetrics.
40 beds to cover the need of a large chunk of
population

OPERATION THEATOR

Neonatology

Kausar MCHC Khairpur- Salient


features
Equipped with Laboratory, Ultrasound, X-ray and Blood
Transfusion Services and Cafeteria.
Data recording as per protocols of DHIS.
Stand by electricity arrangements (Generator).
Immunization facility for children and Expectant mothers.
Observance of Infection Prevention Protocols.
Services meant for the poor and down trodden strata of society.
All services provided are free of cost except very nominal
charges on lab investigations.
HR, DHIS, Medicines on ERP system

SALIENT FEATUTES

Blood Transfusion

Labor Room

ULTRASOUND, X-RAY

Lab & Blood bank

Overview of MCHC Building

Overview of the Main


Building Plan
Area
Services
BLOCK-1

BLOCKI-2

BLOCK-3

Peads Consultation
Clinics.
Peads Indoor ward.
Peads. Nursery.
O.R, Labor Room,
High Dependency
Units,
Gyne Ward.
Gyne Clinics.
Radiology
(ultrasound).
Mini lab.
Blood Bank.

Kausar MCHC- Khairpur


Building Pics

Peads Consultation Clinics & Indoor Plan

DISCRIPTON
PEADS CONSULTATION
CLINICS

BL
O
PRIVATE ROOMS
CK
-1
INDOOR WARD

No
2
10
Beds

Operation Theater, ICU & Indoor for Gynecology/Obstetrics


Plan
DISCRIPTON

No

2
Operation
Theatres

B
L
O
C

ICUs

2
(4 beds)
1

Labour Room
Emergency
Wards for Gyne
Area for
incubators

2
(12 beds)
01

Gyne Clinics, Laboratory, Ultrasound & Xray Plan


DISCRIPTON

B
L
O
C
K-

No

Gyne / Obs
Consultation Clinics

Immunization Room

Private Rooms

Ultrasound ROOM

Laboratory

X-ray

Blood Bank

Kausar MCHC- Khairpur


Some Glimpses
(Donated by Islamic Republic of Iran)

MCHC- Khairpur
(Donated by Islamic Republic of Iran)

Service Delivery Package

Services to be Provided
Comprehensive EmONC
Caesarean Section
Safe Blood Transfusion observing universal HIV
precautions.
Treatment of Sepsis (infections).
Treatment of Hypertensive Disorders
(Pre-eclampsia /eclampsia).
Treatment of prolonged or obstructed labour.
Post abortion care (PAC).
Treatment of Post Partum Hemorrhage (PPH).
Treatment of incomplete miscarriage.
Manual removal of placenta.
Assisted Delivery using forceps or suction.
Newborn Resuscitation

Services to be Provided
Neonatology services
(NICU, Incubators, HBB, Baby Warmers)
Maternal and Child Immunization
Prenatal, Obstetrical and Post-Partum Care
Modern Methods of Family Planning
(Insertion of Implants, Jadelle, IUCD, injectable,
condoms, pills , Implants and voluntary surgical
contraception))
Diagnosis and Treatment of Major Infectious Diseases

Services to be Provided
Basic Curative Services normally available at BHUs;
(for mother& child)
Nutritional Support including Improving MicroNutrient Deficiencies (vitamin A, iron, iodine),
Therapeutic Feeding & Breast Feeding Promotion.
Health Promotion Activities such as Health Education
Sessions & Community Support Group Meetings.
Carrying out Public Health Functions such as Disease
Surveillance and Recognition/ Response to Epidemics
Capacity Building of the Medics & Paramedics

Human Resource Plan

Human Resource PLAN (Summary)


S.
No

MEDICS

1 MEDICS
2 PARAMEDICS
3 AUXILIARY
4 ADMIN

No
13
46

34
SUB TOTAL

10
103

Progress in Service Delivery

OPD 2015
OPD
4202
3062

694

2993

3115

ANC-12015
1129

797
702

156

645

NVDs 2015
169

130
107

66

68

C/Section 2015
42

28

12

Ultra sound- 2015


826

150

812

814

845

Lab test performed- 2015

2538
1900

1119

2354

Outcome Indicators (Year-1)


S. No:
1

OUTCOME INDICATORS
Norma Vaginal Deliveries

Monthly
Annual Target
Target

Current
Monthly
Progress

1200

100

165

Caesarean Sections

400

35

45

OPD for Gyne & Obs

30,000

2,500

2,300

20,000

1,800

1,600

OPD for Peads / Children

Family Planning Visits

1,200

100

92

Immunization of PWs for Tetanus Toxoid

5,000

416

500

1800

150

100

12,000

1,000

850

7000

200

100

18,000

1,500

2,300

Immunization of Children

Ultrasounds

X- rays

10

Lab Investigations
Total

132,100

Picture Gallery

VISIT OF IRANIAN DELEGATE

MCHC KAUSAR at Night

Way Forward

Way Forward
Midwifery School within
Hospital compound
Hostel for Midwifery
school.
Training institution for
existing LHVs / Midwives /
Nurses.
Formation of Board of Tru
stees

Committed to Deliver
PPHI Sindh

Management Transfer to PPHI


Service Delivery Package will be same as defined in existing MoU
between PPHI and GoS (with addition of Comprehensive EmONC).
Management Transfer Under Existing MoU between PPHI and GoS.
CM Directive to F.D for transfer of additional funds fro
functionalization of MCHC.
Management transfer will be effective after transfer of Funds to
PPHI Sindh.

Estimated Outcome Indicators (Year-1)


S. No:
1
2
3
4
5
6
7
8
9
10

MEDICS
Norma Vaginal Deliveries
Caesarean Sections
OPD for Gyne & Obs
OPD for Peads / Children
Family Planning Visits
Immunization of PWs for Tetanus
Toxoid
Immunization of Children
Ultrasounds
X- rays
Lab Investigations
Total

No
1200
400
30,000
50,000
1,200
5,000
1,200
18,000
7000
18,000
132,100