Download - Leveraging Change 26 th November 2010 London Mr. Niaz Ullah Khan Country Director Pakistan
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Leveraging Change
26th November 2010
LondonMr. Niaz Ullah KhanCountry DirectorPakistan
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What it takes to implement a strategy!
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Our Country!
• Population of Pakistan 170 million
• 796,000 Sq Kms (3 GBs), 134 districts
• Number of poor i.e. 20%? 35%?
• Economic poverty, Food poverty, Multi-dimension poverty?
• 2% economic growth rate?
• 0.5% spent on social protection of all vulnerable groups
• Key challenges are preventive health, low education rates and energy crisis & inaccessible infrastructures
• Aid for Trade or Trade for Aid
• IDPs, War and Floods
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Governance Structure in Pakistan
Provincial
Empowerment
Fiscal decentralization
AdministrativeAutonomy District
Tehsil Municipal
Administration
Community Citizens BoardsCommunity Organizations
CapacityBuilding
Linkages
National
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Community carePrevention andhealth promotionFirst level healthfacility
Tertiary eye careSecondary eyecare
HMIS structuresData analysis andplanningReporting anddissemination
Primary Health Care Eye Health
Health Management Information System
Venn Diagram - Three Systems in Health
Eye healthin PHC
informationsystem
Community carePrevention andhealthpromotionFirst levelhealth facility
Tertiary eyecareSecondary eyecare
HMISstructuresData analysisand planningReporting anddissemination
PHCreporting
Eye Healthreporting
Eye healthcomponent
of PHC
Venn Diagram - Health Systems Strengthening
Primary Health Care Eye Health
Health Management Information System
Category 10
1000000
2000000
3000000
4000000
5000000
6000000
7000000
20052009
27% increase
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• MoU with WHO
• Strategic Vision Workshops of Provincial Partners for leadership successions
• School screening programme in five urban cities of Pakistan
• Shifting PEC training Component to National Program for PHC from Eye Care partners
• Trachoma survey in eight districts of Pakistan
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Eye Health- Key Innovations
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Education- Key Initiatives & Changes
Pilot – 2 schoolsDemonstration
16 schoolsPolicy
Core groupNational
StandardsPre-Service
Teachers
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Disability – Building Alliances
Islamabad Declaration
Islamabad Recommendations
UNESCAP
South Asia Disability Forum
Asia Pacific Development
Center for Disability
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• DFID funded project continued the identification of adaptable and acceptable local community based solutions for persons with disabilities
• Follow up to National Consultation on barriers to Inclusive Development
• Introducing Child Eye Health with social mobilization at selected districts and urban slums
• Accessible WATSAN for persons with disabilities
• Developing partnership with British Council Active Citizen Programme
Community Development – Key Initiatives and Changes
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Humanitarian Assistance
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Way Forward
• Identify STRATEGIC INTEGRATION POINTS for maximum impact
• SUPPORT SYSTEMS needed to fit in with wider health/education/development sector strategies
• IMPROVED COORDINATION issues need to be considered
• SCALING UP for wider impact
• SCALABILITY is addressed on component basis
Nothing is impossible – only thinking makes it so!