Background

Training Workshop

Health (RH).

II.Enhance their capacity for sustaining Policy Engagement independently. Pakistan's lack of progress in achieving the

Millennium Development Goals is a well- III.Align RH improvement with gender-equality documented fact. This is not just a reflection of the lack of political commitment but also the lack interest shown by stakeholders including civil society and direct beneficiaries. Even though Pakistan is among

The four-day training workshop marked the the few countries in the region to have a National culmination of a multi-tiered training program Health Plan, there remain multiple weaknesses in the including 6 District Trainings in Khairpur, 1 National Health System. These include accessibility, efficiency, Training in Islamabad, and 1 Regional Training in sustainability and accountability. Moreover coupled Bangladesh. The cohort of trainees comprised of 35 with insufficient human and financial resources, mid-career level professionals from Khairpur and 1 these challenges have become increasingly complex. nomination from Population Welfare Department-Therefore, the need of the hour is to devise a strategy Punjab. The trainees were selected from a cohort of to address, inform and influence the decision makers 44 District Leaders enrolled in LRH-II with the and stakeholders towards a concerted effort to selection criterion developed around a demonstrated improving health indicators of Pakistan. Sri Lanka, has commitment to improve RH indicators. been extremely effective in informing and actively

including policymakers in addressing the health conditions of the country. It has shown remarkable The training began with an Inaugural Session on 16th progress among all of its regional neighbors towards November, 2011 at the Sarvodaya Headquarters. The attaining its MDG targets regarding health. Inaugural address was made by Dr A.T. Ariyaratne,

founder of Sarvodaya Movement. Dr Ariyaratne welcomed everyone to Sri Lanka and hoped that the Responding to the alarmingly deteriorating health session would prove to be as effective and indicators in our country, LEAD Pakistan in informational as desired. He elaborated upon the collaboration with The David and Lucile Packard ideology behind Sarvodaya Movement and described Foundation initiated a two year project titled it as “the awakening of all”. He emphasized the “Enabling Effective District Leadership for importance of people in bringing about social change. Reproductive Health” covering two districts: Khairpur Dr Ariyaratne said, “The village represents the heart and Lodhran in Sindh province. The project has of the nation and the source of its spiritual and moral progressed to its second stage and aims to address vision.” The Second Session was taken by Dr Vinya three major loopholes identified in the current health Ariyaratne. It captured the context and history of Sri related interventions in Pakistan: the capacity gaps, Lanka, explaining the Health System and it's multi-the governance gaps and the inter-sectoral gaps. The faceted service delivery mechanisms. The Third goal of the project is to develop a cadre of multi-Session was addressed by Professor Lakshman sectoral professionals determined to bring about a Dissanayake elaborating upon the Rights-Based positive change in the health indicators of their approach in Sexual and Reproductive Health (SRH). respective districts. Professor Dissanayake expanded upon the historical approaches to SRH before describing the Sri Lankan

After a tiered training program involving Local, Health systems approach towards SRH. He National and Regional trainings, an International highlighted the existing health structure in place in Sri Training Session (ITS) was held in collaboration with Lanka and how it had institutionalized a rights-based Sarvodaya Shantisena Movement at Sarvodaya approach. Headquarters, Moratuwa, Sri Lanka. The overall theme of the training was 'Gender and Human Rights

The second day of the training was comprised of field dimension of Reproductive Health (RH)-A Policy visits to Family Health Bureau, National STD/AIDs focus'. The objectives of the ITS were to enable district control programme and the Family Planning leaders to:Association of Sri Lanka. Trainees were explained the dynamics of building a sustainable national health

I.Inculcate rights based approach to Reproductive programme, the RH concerns to be addressed by

LEAD UPDATEInspiring leadership for a sustainable world

www.lead.org.pk LEAD House, F7 Markaz, Islamabad, Pakistan. Tel: +92 (51) 2651511, Fax: +92 (51) 2651512, Email: main@lead.org.pk

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November 15-20, 2011

International Training Session Sarvodaya Shantisena Movement, Moratuwa Sri Lanka

Group Discussion

Training Session

Training Session

LEAD UPDATE 274

Content by: Waqas Sheikh

policy makers and effective public-private partnership development.

has been with The third day of the training started with Sarvodaya Movement for over 10 years. a round-up of previous day's field visit. He has served as the Executive Director Trainees were asked to recount the and is currently serving as the General details which they found to be similar to Secretary, responsible for overall the Pakistani system. The First Session corporate governance functions of the was taken by Dr Harischandra Lanka Jatika Sarvodaya Shramadana Yakandawala in which he explained the Sangamaya ( Inc . ) , the parent governing mechanism in place in Sri organizat ion of the Sarvodaya Lanka. He went on to explain how an Movement. interest group analysis was designed in order to feed into the policy framework. is a The Second Session was taken by Dr Health professional working with Global Thiloma Munasinghe in which she Fund to fight AIDs, Tuberculosis and described the gender dimension of SRH Malaria (GFATM). He has been associated and how it was being addressed in Sri with HIV/AIDs programs over the course Lanka. The Third Session was taken by Dr of his professional career, working with Harischandra Yakandawala and he both Government and multilateral further elaborated upon Dr Munasinghe's donors. presentation, describing extent to which ma le i nvo l vemen t i n SRH i s institutionalized.

is Professor in the Department of Demography,

The fourth day comprised of field visits to University of Colombo. Presently he is a Mother & Child Health (MCH) Centre serving his sabbatical leave as a Visiting and National Institute of Health with the Professor at the Faculty of Health and aim to explore the capacity development Social Sciences, Leeds Metropolitan mechanism in the public domain and University in United Kingdom. Lakshman how it benefits the service delivery Dissanayake's expertise includes systems. The part ic ipants then regional demography, reg ional proceeded to Sarvodaya Headquarters to deve lopment p lann ing , hea l th discuss the model and highlight disparity demography and post-d i saster between Pakistani and Sri Lankan reconstruction. He has published books, models. book chapters and numerous research

articles in local and internationally reputed journals.

The training session formally ended with the Closing Ceremony where the is an expert on Sexual and trainees were awarded certificates. The Reproductive Health and Gender Rights.ceremony was attended by Dr Vinya Ariyaratne and the Sarvodaya Shantisena staff. A cultural extravaganza preceded the certificate distribution ceremony

has an extensive wherein a dance troupe performed experience of working with a number of various cultural dances depicting the rich well renowned organizations in different history shared by sub-continental capacities. His experience in the domain societies. of Reproductive Health ranges from community to national levels and

The trainees also performed a Pakistani includes development, planning, folk dance associated with Sindhi culture. implementation, monitoring, evaluation, The certificates were distributed by Dr documentation and advocacy on RH Ariyaratne and Dr Suleman Qazi. programs. He has worked with United

Nations Population Fund-UNFPA, Joint United Nations Program on HIV-AIDS (UNAIDS).

The overall evaluation for the five day workshop revealed that on the whole, participants were content with the overall structure of the training and the folder content.

The training curriculum was considered to be beneficial to their professional growth. They found the field visits very helpful and the faculty was also deemed experienced and learned in their fields.

List of Resource Persons

æDr Vinya Ariyaratne,

æDr Harishchandra Yakandawala,

æDr. Lakshman D issanayake, Lakshman Dissanayake

Closing Ceremony

æDr. Thiloma Munasinghe (M.B.B.S, MS, MD)

Facilitator

æDr. Suleman Qazi

Impact of the workshop

List of Participants

æMs Ganhury Khatoon BalochæMr Ikhtiar Hussain KhaskheliæMr Inayat Ullah JogiæMr Khadim Hussain MiraniæMr Manzoor HussainæMr Manzoor Hussain LarikæMr Mazhar Uddin ShaikhæMs Mehak NaqviæMr Muhammad Akram ShaikhæMr Muhammad Ali MazariæMr Muhammad Ilyas SahtoæMr Muhammad Iqbal MorejoæMr Muzaffer Hussain PanhwaræMs Naheed Akhtar PanhwaræMr Nawaz Ali PhulpotoæMr Safdar Ali BhattiæMr Sahib Khan BhandæMr Sarfraz Ali SoomroæDr. Suleman QaziæMs Syeda Yumna HasanyæMr Tasleem Akhtar KhamisaniæMr Waqas SheikhæMr Zahid Hussain DahotæMr Zameer Hussain LashariæMs Zubaida MusmatæMr Zulfiqar Ali DharejoæMr Zulfiqar Ali Gilal

æMr Abdul Aziz KhuhroæMr Abdul Waheed MallahæMr Aijaz AliæMr Aumir Abbas MangiæMr Asad HameedæMr Atta Hussain SolangiæMr Ayaz Hussain SoomroæMs Bushra BhangaræMr Fazul Muhammad MemonæMs Fozia Hanif

Layout by: Muhammad Haseeb

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Event Pictures

Participating in group exercise

Opening Ceremony

Presentation during Field Visit