table of content - provincial health services...

Table of Content

Situation of Maternal Health in Pakistan ................................................................................................................................... 1 PREFACE ..................................................................................................................................................................................... 1

THREE DELAYS RESULTING IN MATERNAL DEATHS ............................................................................................................ 2 MESSAGE OF MINSTER FOR HEALTH ..................................................................................................................................... 3

MESSAGE OF DIRECTOR PHSA ................................................................................................................................................ 4 INTRODUCTION ........................................................................................................................................................................... 5

Public Health School Nishtarabad, Peshawar. ......................................................................................................................... 6

Public Health School Hayatabad, Peshawar. ............................................................................................................................ 7 Public Health School Abbottabad. ............................................................................................................................................. 8

Public Health School D.I Khan. .................................................................................................................................................. 9 AIMS AND OBJECTIVES ........................................................................................................................................................... 10 AIMS ........................................................................................................................................................................................... 10

OBJECTIVES.............................................................................................................................................................................. 10 INSTITUTION WISE SEATS ALLOCATION .............................................................................................................................. 11

ACADEMIC CALENDER ............................................................................................................................................................ 11 Section – I >>>>>>>>>>> PTS (Preliminary Training Session) ................................................................................................. 12

Section – II >>>>>>>>>>> MIDWIFERY SESSION ......................................................................................................................... 13

Section – III >>>>>>>>>>> PUBLIC HEALTH SESSION ............................................................................................................... 14

DISTRICT/AGENCY WISE DISTRIBUTION OF SEATS ............................................................................................................ 15 A. PUBLIC HEALTH SCHOOL, NISHTERABAD ............................................................................................................................... 15

B. PUBLIC HEALTH SCHOOL, HAYATABAD .................................................................................................................................. 16

C. PUBLIC HEALTH SCHOOL, DERA ISMAIL KHAN ..................................................................................................................... 16

D. PUBLIC HEALTH SCHOOL, ABBOTTABAD ................................................................................................................................ 17

Reserved Seats for AJK, Agha Khan Health Services Chitral, Gilgit Baltistan and Self-Finance Seats ............................ 18 Fee structure for two years Diploma in Public Health Schools for reserved/self-finance seats will be as follow ............ 19

Hostel boarding charges for reserved / self-finance seats (for two years) on availability ................................................. 20 SELECTION OF CANDIDATES: ................................................................................................................................................ 20

SELECTION COMMITTEE ......................................................................................................................................................... 20 SELECTION CRITERIA FOR ADMISSION ................................................................................................................................ 21 EDUCATIONAL ELIGIBILITY / COMPETENCY CRITERIA ...................................................................................................... 21

a. Educational Qualification ........................................................................................................................................................................ 21

i. Secondary School Certificate (SSC ) i.e. Matric (Science with Biology) with 55% marks or equivalent OR ............ 21 ii. Higher Secondary School Certificate i.e. F.Sc.(PreMedical) with 50% marks or equivalent........................................... 21

b. Entry Test .................................................................................................................................................................................................. 21

i. To appear in Entry test conducted by NTS. ......................................................................................................................... 21 GENERAL ELIGIBILITY CRITERIA ........................................................................................................................................... 21

MERIT FORMULA WEIGHTAGE ............................................................................................................................................... 22 COURSES OFFERED ................................................................................................................................................................ 23

MEDIUM OF INSTRUCTION ...................................................................................................................................................... 23 TEACHING STRATEGIES .......................................................................................................................................................... 23 DOCUMENTS TO BE SUBMITTED ALONG WITH APPLICATION FORM ............................................................................... 24

GENERAL RULES AND REGULATIONS .................................................................................................................................. 25 ATTENDANCE ............................................................................................................................................................................ 25

LEAVE RULES ........................................................................................................................................................................... 25 A. SICK LEAVE: .................................................................................................................................................................... 25 GENERAL LEAVE RULES:........................................................................................................................................................ 27

MEDICAL CHECK UPS: ............................................................................................................................................................. 27

POLICIES RELATING TO THE DISMISSAL OF THE STUDENTS ........................................................................................... 28 HOSTEL RULES AND REGULATION ....................................................................................................................................... 29

VISITING HOURS AND DAYS FIXED FOR BOARDERS OF PUBLIC HEALTH SCHOOLS ................................................... 30 OUT GOING DAYS AND HOURS FIXED FOR BOARDERS. .................................................................................................... 30 UNIFORM ................................................................................................................................................................................... 30 STIPEND ..................................................................................................................................................................................... 31

FEE AND SUBSCRIPTION ........................................................................................................................................................ 32

ETHICS ....................................................................................................................................................................................... 32 Lady Health Visitors and People: ............................................................................................................................................. 33 Lady Health Visitors and Practice: .......................................................................................................................................... 33

Lady Health Visitors and Society: ............................................................................................................................................ 33 Lady Health Visitors and Co Workers: .................................................................................................................................... 34 Lady Health Visitors and Profession: ...................................................................................................................................... 34 AFFIDAVIT.................................................................................................................................................................................. 35

Website: http://www.phsa.edu.pk E-mail: [email protected] Page 1

The maternal health status of Pakistan women is poor with a high ratio of maternal morbidity and mortality. These are

the major factors given below:

There are approximately 31 million women in the reproductive age group (15-49 years).

More than 40% of all women are anemic.

Only about 1/3rd (30%) married women use contraceptives.

The gap between contraceptive use and the desire to limit births is one of the largest in the world (38%).

The total fertility rate is high (5.0) i.e. an average Pakistani woman will bear about five children by the

end of her reproductive life.

An estimated 4-5 million births occur annually.

Over 80% of the births take place at home.

Of the home deliveries 95% are conducted by untrained and illiterate traditional birth attendants (TBAs).

Just over 20% of all births are attended by trained and skilled health care providers.

1/3rd of the pregnant and one half of the lactating women have less than 70% of the recommended

calories intake.

Less than 30% of the pregnant women have any antenatal care.

Only about half (54%) pregnant women are fully immunized against Tetanus.

Less than a quarter of the delivered women receive any postnatal care.

Households spend less on women than on men in the event of illness.

PREFACE Situation of Maternal Health in Pakistan


In this environment a large number of women die or suffer morbidity as a result of pregnancy related complications.

The maternal mortality ratio (MMR) is estimated to be 350-500 per 100,000 live births.

An estimated 30,000 maternal deaths occur annually i.e. one woman die every 20 minutes.

Several thousands more suffer from temporary or permanent disability.

Lifetime risk of maternal deaths in Pakistan is 1 in 38 as compared to 1 in 230 in Sri Lanka, 1 in 5100 in

the United Kingdom and 1 in 6000 in Sweden.

About 25% of babies born are low birth weights i.e. less than 2.5 Kg which is an indication of malnutrition

and anemia.

The perinatal mortality rate is 85-90 per thousand total live births, about 400,000 to 5500,000 babies are

either stillborn or die with the first week of life which is again a reflection of poor maternal health as well

as poor health care.

Reference: Jafarery S.N Maternal Mortality in Pakistan. An overview in Maternal Perinatal Health in Pakistan.

Proceedings of Asia and Oceanic Fedration of F\bstetric and Gynaecology workshop, Karachi November 1991. TWEL

Publishes Karachi 1992.

THREE DELAYS RESULTING IN MATERNAL DEATHS

First Delay >>>>>>>>>>>>>> Deciding to seek Professional care.

Second Delay >>>>>>>>>>>>>> Identifying and reaching an appropriate Medical Facility

Third Delay >>>>>>>>>>>>>> Receiving an adequate and appropriate treatment at the facility.


I am proud of the fact that the Government of Khyber Pakhtunkhwa through the Department of Health is working hard to improve the health of the most vulnerable group of our community i.e. mother and child through a series of programs. These programs encompass preventive, promotive and curative aspects of the healthcare delivery system for disease prevention and its control, health education, nutrition through provision of comprehensive EmONC services focusing Mother and Child. It is most important fact that to achieve the desired goals and objectives of the Department of Health Khyber Pakhtunkhwa we must have highly qualified trained and dedicated human resource to look after the Mother and Child with best of their capabilities. Our Public Health Schools are playing the pivotal role in producing the desired workforce in the form of highly committed Lady Health Visitors who have proven to overcome all the difficulties in the line of duty with resolve and devotion. I am pleased that all of our Public Health Schools are performing optimally under overall guidance and supervision of Provincial Health Services Academy, which not only intends to produce a technical human resource based on skills, knowledge and competence but also inculcating the qualities of a groomed person in itself. I wish them success in their career and hope that the LHV students will use all the opportunities provided by the government and the institutions to the best of their abilities and take part in the continuing contribution in the field of Maternal and Child Health.

Minister for Health, KP

MESSAGE OF MINSTER FOR HEALTH


The Government of Khyber Pakhtunkhwa feels that the infant and maternal mortality, complications of Pregnancy and incidence of childhood diseases can be reduced and prevented through effective health care training and active family planning. It is further believed that such teaching and supervision can be carried out by well trained Lady Health Visitor. Lady Health Visitor is very important cadre of the Health Care System. It is a matter of great satisfaction that that the Health Department Khyber Pakhtunkhwa is fully cognizant of the importance of this cadre and is constantly striving for bringing improvement in the quality of their training. The purpose of Public Health Schools is to train young women in Obstetric and Obstetrical Nursing, Public Health, theory and clinical practice with special emphasis on maternal and child health care. Through such training an important group of health force is made available in rural and urban areas of the country to improve the existing supply of available trained personnel in health sector. Dear daughters of Nations! Your timely action of risk detection and proper management by prevention, immunization, treatment and referral will save the mothers and neonates. May Allah give you courage and wisdom.

Director PHSA, Peshawar.

MESSAGE OF DIRECTOR PHSA


Pakistani women mainly living in the rural areas sometimes die or become seriously ill as a result of pregnancy, delivery and after giving birth. Repeated pregnancies and short interval between births increase the risk of death or disability. Anemia is very common amongst Pakistani women and it is made worse during pregnancy and child birth. Women who become ill during pregnancy or who are in poor nutritional state are likely to give birth to babies with a low birth weight (LBW) and these babies are more likely to die even before their first birthday. The present era research show that many adult diseases have their roots in the intra-utevine life of the, fetus origion hypotheses. Even many of the adult diseases can be controlled by good nutrition during pregnancy and effective antenatal care. One of the reasons of high maternal mortality and Infant mortality is due to lack of skilled birth attendants. The main aim of Public Health schools is to train a cadre of Lady Health Visitors (LHVs) as community based highly skillful, well trained and qualified health care providers to work in the community as skilled birth attendants (SBAs). These birth attendants replacing the Traditional Birth Attendants (TBAs) will have a direct impact on maternal mortality through early detection and timely management of obstetric and newborn complication. There are four Public Health Schools in the Province offering a two year duration course for LHVs with 135 student’s enrollment per year at Public Health School Nishtarabad, Public Health School Hayatabad at Peshawar, Public Health School Abbottabad and Public Health School D.I Khan. The LHVs after completion of their training is deployed in to the community both in public as well as private sector to serve their community through following interventions for improving the health of Pakistani women of childbearing age between 15-49 years and their children. i. Prophylaxis and treatment of anemia. ii.. Provision of antenatal care. iii. Prevention of Tetanus. Iv. Improve nutrition v. Supervised delivery vi. Birth spacing.

Coordinator LHV Program, KP

INTRODUCTION


Public Health School Nishtarabad, Peshawar.

One of the biggest and oldest health institutions of the province, originally known as Lady Cunningham MCH

center, upgraded to Public Health School in 1952. It is having the facilities of MCH and EPI centers.

It is situated in the heart of Peshawar city with maternity hospital, Lady Reading hospital, Al-Khidmat, Rookhana

kor and Infectious disease Children hospitals for on the job training of the students.

The school is having double stories academic block along with three stories hostel building to accommodate 250

students. There is an MCH center, fully equipped with all the facilities for antenatal, natal and postnatal services as

well as EPI and Family Planning services. Yearly enrollment of the students is 60 from different districts / agencies

of the province.


Public Health School Hayatabad, Peshawar.

The school is situated in the posh area of the city – Hayatabad Township. It was originally Health Technician

Training center started in 1988. The institute was up graded to Public Health School in 1997. The institute imparts

training to 25 students per year from different districts / agencies of the province.

Hayatabad Medical complex and City hospital Kohat road are used for on the job training. Hostel facilities for about

100 non local students are available at the school premises.


Public Health School Abbottabad.

Public Health School Abbottabad is situated at Mansehra road Mandian with in ½ K.M from Ayub Teaching

Hospital, Abbottabad. It was started as Female Health Technician School in 1988 and was upgraded to Public

health school in 1996. Regular 25 students are inducted yearly for Two years LHV course with the whole Hazara

division as its catchment area including five districts of Abbottabad, Mansehra, Haripur, Batagram and Kohistan.

Ayub Teaching Hospital, Women & Children hospital are used for on the job training. MCH center Nawanshehr is

attached with the school.


Public Health School D.I Khan.

This school also stated as Female Health technician school in 1989 and was upgraded to Public health school in

1996. The school is situated on Sheikh Yousaf road about one K.M away from the main city. 25 regular students

get admission annually in two years LHV course from different districts and agencies including FR areas of

southern area of the province. There are two hostels situated within the premises of the school for boarding

purpose of 50 students. The students get on the job training in DHQ hospital D.I Khan and MCH center is situated

at DHQ Zanana hospital.


AIMS AND OBJECTIVES

AIMS

The aims of this training is to prepare highly qualified female health care workers who can fulfill the need of the

community in the health care delivery and deliver health care to the households in their catchment area.

OBJECTIVES

Identify health related problem in the given locality. To train LHV’s so that the solve local health

related problems in the community.

Understand the community needs and seek their solutions with community participation. To fully

implement primary health care in the community while keeping the community on board.

Reduce maternal and child morbidity rates.

To record and analyze the situation and provide accurate data to authorities for future health

planning.

To record and generate accurate data for future planning.

Provide reproductive health service and health education to the target population at the doorstep.

To train LHV in the reproductive health and neonatal resuscitation and basic nutrition.


INSTITUTION WISE SEATS ALLOCATION

1. Public Health School, Nishterabad >>>>>>>>>>> 60

2. Public Health School, Hayatabad >>>>>>>>>>> 25

3. Public Health School, D.I Khan >>>>>>>>>>> 25

4. Public Health School, Abbottabad >>>>>>>>>>> 25

Total: 135

ACADEMIC CALENDER

The course of two years is divided in to three sections.

Section – I >>>>>>>>>>> PTS (Preliminary Training Session) ……12 weeks duration

Section – II >>>>>>>>>>> Midwifery Course …… 09 months

Section – III >>>>>>>>>>> Public Health …… 12 months

One day

5.5 Hours

One week

06 days i.e. 6 x 5.5 == 33 Hours


Section – I >>>>>>>>>>> PTS (Preliminary Training Session)

S.No Subject Theory Hours Practical Hours

1. Anatomy & Physiology 60 18

2. Microbiology 30 0

3. Materia Medica 24 0

4. First Aid 15 20

5. Basic Nursing Procedure 50 80

6. Physics & Chemistry 10 0

Total Hours 189 118

Hours for Orientation of the course 33 Hours (01 week)

Hours for Vacation 33 Hours (01 week)

Hours for Examination 33 Hours (01 week)

Hours for Theory & Practical 307 Hours

Total Hours for PTS training 406 Hours


Section – II >>>>>>>>>>> MIDWIFERY SESSION

Course Subject Theory Hours Practical Hours

Obstetric Introduction to Midwifery 04

Anatomy & Physiology 12

Development of fetus 20

Pregnancy 12

Antenatal care 12

Puerperium 08

Normal Labour 40

Newborn Baby 12

Principal & Practice of District Midwifery

20

EPI 06

Total Hours 146 522

Obstetrical Nursing Obstetrical Nursing 16

Complications of Pregnancy 44

Obstetrical Operation 10

Pre Maturity & Post Maturity 08

Abnormal Labour 50

Complications of Newborn 10

Complications of Puerperium 16

Family planning 20

Midwifery relation to Public Health 12

English 122

Total Hours 308 522

Practical training of Obstetrical Nursing is done at Gynae & Obs wards of teaching hospitals while for Family Planning & EPI they visit Family Planning & EPI centers.


Hours for Independent self-study/Tutorial/Library 72 Hours

Hours for Vacation (One month) 132 Hours

Hours for Examination 36 Hours

Hours for Theory & Practical 1498 Hours

Total Hours for Midwifery training

1738 Hours

Section – III >>>>>>>>>>> PUBLIC HEALTH SESSION

No Subject Theory Hours Practical Hours

1. Public Health Practice & Administration 30 30

2. Primary Health care (PHC) 30 100

3. MCH Services 45 250

4. Family Planning 30 75

5. Food and Nutrition 30 40

6. Child Survival 70 140

7. Hygiene 50 100

8. Epidemiology & Communicable Disease 50 60

9. Health Education, Principles, Methods & Techniques of Teaching 50 20

10. School Health Services 15 15

11. Statistics and Records 15 15

12. Public Health Care Management and Supervision 30 00

13. Training of indigenous Dais and TBAs 10 30

14. English 122 00

Total Hours 577 875

Vacation (04 weeks) 132 Hours

Public Holidays (03 weeks) 99 Hours

Medical Leave (01 week) 33 Hours

Theory & Practical 1452 Hours

Total Hours for Public Health training 1716 Hours


DISTRICT/AGENCY WISE DISTRIBUTION OF SEATS

A. PUBLIC HEALTH SCHOOL, NISHTERABAD

S.No DISTRICT/AGENCY No. of Seats

1. Peshawar 14

2. Nowshera 06

3. Charsadda 06

4. Mardan 07

5. Swabi 04

6. Karak 05

7. Buner 02

8. Shangla 04

9. Chitral 04

10. Khyber Agency 02

11. Orakzai Agency 02

12. North Waziristan 02

13. Kurram Agency 02

Total number of seats 60


B. PUBLIC HEALTH SCHOOL, HAYATABAD


1. Swat 04

2. Malakand 04

3. Dir Upper 02

4. Dir Lower 02

5. Kohat 05

6. Hangu 02

7. Mohmand Agency 02

8. Bajaur Agency 02

9. FR Peshawar 01

10. FR Kohat 01


C. PUBLIC HEALTH SCHOOL, DERA ISMAIL KHAN


1. D.I Khan 06

2. Bannu 06

3. Lakki Marwat 04

4. Tank 03

5. South Waziristan Agency 02

6. FR D.I Khan 01

7. FR Tank 01

8. FR Lakki 01

9. FR Bannu 01



D. PUBLIC HEALTH SCHOOL, ABBOTTABAD

S.No DISTRICT No. of Seats

1. Abbottabad 08

2. Mansehra 07

3. Haripur 05

4. Batagram 02

5. Kohistan 03



Reserved Seats for AJK, Agha Khan Health Services Chitral, Gilgit Baltistan and Self-Finance Seats

S# Description of Seats

PHS Nishterabad

PHS Hayatabad

PHS Abbottabad

PHS DIKhan

Total

01 Aga Khan Health Services Chitral

10 0 0 0 10

02 Gilgit Baltistan/ Skardu

0 0 10 0 10

03 Azad Jammu & Kashmir

5 0 5 0 10

04 Self-Finance

5 10 0 10 25

Total 20 10 15 10 55

The reserved seats for Agha Khan Health Services Chitral/AJK and Gilgit Baltistan (if not sponsored by the sponsoring agencies) will be offered to self-finance basis on merit.


S# Description For Reserved

For Self-finance

Remarks

1 Admission fee 5000 2000 Will be deposited in Government Treasury

2 Tuition fee 24000 24000 Will be paid to visiting faculty on need basis

3 Student Stipend for reserved seats only

85560 -- 3565x24=85560 admissible as per standing government rate

4 Documents Verification Fee

600 600 --

5 Transportation Charges

12000 -- ---

6 Registration and Examination Fee

-- -- As per actual Registration Fee of PNC & Nursing Examination Board (for which tentative detail is given onward in the prospectus)

Total 127160 26600

Fee structure for two years Diploma in Public Health Schools for reserved/self-finance seats will be as follow


S# Description Fee Remarks

1 Hostel Charges

12,000

2 Hostel Utilities 6,000

Total 18,000

SELECTION COMMITTEE

Director PHSA Chairman

Deputy Director HRD PHSA Member

Coordinator LHVs Member

Principal Public Health School, (concerned institution) Member cum Secretary

SELECTION OF CANDIDATES:

Hostel boarding charges for reserved / self-finance seats (for two years) on availability


SELECTION CRITERIA FOR ADMISSION

For admission in LHV 02 years diploma course NTS Test is compulsory for regular, reserved (i.e. Aga Khan Health Services Chitral, AJ&K, Gilgit Baltastan) and self-finance seats.

The selection to LHV course is according to the following criteria.

EDUCATIONAL ELIGIBILITY / COMPETENCY CRITERIA

a. Educational Qualification

i. Secondary School Certificate (SSC ) i.e. Matric (Science with Biology) with 55% marks or equivalent OR

ii. Higher Secondary School Certificate i.e. F.Sc.(PreMedical) with 50% marks or equivalent

b. Entry Test

i. To appear in Entry test conducted by NTS.

GENERAL ELIGIBILITY CRITERIA

a. Age 15-30 years

b. Gender Female Only

c. Nationality Pakistani

d. Domicile Khyber Pakhtunkhwa/ FATA only

e. Marital Status Preferably Un-married

f. Physical Fitness: Medical Fitness Certificate from Medical Superintendent after selection of the candidate.


MERIT FORMULA WEIGHTAGE Merit will be compiled on following percentage formula

a. 50% Entry Test Marks

b. 30% SSC (Science Biology) Marks

c. 20% F.Sc. (Pre Medical) Marks

NOTE: If the candidates are not available according to the merit criteria of the catchments area of the school,

then it will be shifted to the center pole of merit of the candidates of the same institution. Selection is strictly made on catchments area of the institute on open merit in the Districts/Agencies. If according to the criteria, the marks of two or more candidates for a single seat happen to be equal;

their merit is determined by their ages according to the date of birth as per their metric certificate. The elder candidate is given preference.


COURSES OFFERED

To become a qualified Lady Health Visitor (LHV), the trainee under take the following Pakistan Nursing Council’s (PNC’s) approved courses. 1. Diploma Course in Midwifery One year Section-II (Includes 12 weeks PTS course as section-I) 2. Diploma in Public health One year Section-III

MEDIUM OF INSTRUCTION

Both English and Urdu are used as medium of teaching. Preference will be given to English in future to improve the communication skills of students.

TEACHING STRATEGIES

1. Lectures 2. Demonstration using Audio Visual aids (Modules/Charts) 3. Discussion 4. Practical in laboratory/MCH Centre. 5. Field Trips/Visits 6. Practical Training at affiliated hospitals, centers specified community. 7. Home Visits.


NOTE: 1. During training course, the student is not allowed to attend any other course both Government as well

as private and is not allowed to appear in any examination during the training period even as a private candidate otherwise her training will be terminated. (An affidavit by the student will be submitted at the time of selection)

2. No day scholar is allowed to visit the hostel premises without special permission from the Principal/Housekeeper in writing.

3. Boarders are allowed to visit their homes fortnightly. Overstay shall automatically cancel the next home visit and shall be fine Rs. 200/- per day.

DOCUMENTS TO BE SUBMITTED ALONG WITH APPLICATION FORM

All the candidates must submit photocopies of the following documents duly attested by a Gazetted officer along with application form in an institution of the concerned District/Agency. Incomplete and late submitted forms will not be accepted. 1. One Passport size photograph attested on backside with the name and father’s name of the candidate

2. Metric/F.Sc or equivalent certificate.

3. Detailed marks Certificate Metric/F.Sc.

4. Character Certificate from the institute last attended.

5. Domicile Certificate.

6. Father/Guardian CNIC

7. CNIC / Form – B

8. An envelope with complete mailing address along with postage stamp.

9. An affidavit (in case of Admission, specimen is available in the prospectus)

10. Original educational documents will be handed over to the concerned school Principal at the time of admission and will remain in the custardy of Principal till completion/expulsion of the course.


GENERAL RULES AND REGULATIONS

ATTENDANCE

Every student shall have to attend lectures/practical classes with good behavior as per time schedule.

During lecture students are not allowed to leave the class except severe emergency for which

permission from the class teacher is necessary.

Roll call of the students will be taken immediately after the assembly.

80% to 85% attendance is necessary in theory for appearing in the annual examination as per Nursing Examination Board (NEB) and PNC criteria.

LEAVE RULES

Thirty days annual leaves for the entire period of training will be granted to the student. In case of absenter Rs. 120/- per day will be charged.

A. SICK LEAVE:

In case of prolong sickness for more than one week, student will be allowed to go to home for treatment. The case of rejoining the students after recovery from illness, decision will be made on the following grounds.

Period of illness Period of training, student has missed.


Possibility of making up the deficiency of her studies. 1. If a PTS student proceed long sick leave for more than one month, her training will be terminated. She

will have to compete again for admission if she desires. 2. If a midwifery student falls sick during the last quarter of her midwifery training and proceeds on sick

leave for more than one month, her return for the training within a month will be allowed to continue training with the students of her batch but the matter will be decided by the Director PHSA and Controller Nursing Examination Board Khyber Pakhtunkhwa.

3. Director PHSA and Controller Nursing Examination Board Khyber Pakhtunkhwa Peshawar will decide

extra period of midwifery training due to her break in training after consultation. 4. In case the student falls sick soon after the commencement of midwifery classes i.e. within first two

months and remain absent for more than one month, her return will be allowed to complete the training but the matter will be decided by the Director PHSA and Controller Nursing Examination Board Khyber Pakhtunkhwa.

5. Public Health student (2nd year), if falls sick and proceed on sick leave i.e. for more than one month.

On her return she will be allowed to complete the training but the matter will be decided by the Director PHSA and Controller Nursing Examination Board Khyber Pakhtunkhwa.

6. During training period, LHV students are not allowed to appear in any other board exam (FA/FSc,

BA/BSc etc).


GENERAL LEAVE RULES:

1. All other leave or absence except casual / sick leave from school will be without stipend. 2. In all cases leave taken will be at the student’s own risk. So for as the percentage of attendance is

concerned, even a medical certificate will not cover the deficiency in attendance. 3. Students must not leave the station without the permission of the Principal or any authorized person. 4. A student will be struck off from the school roll if she remains absent from school continuously for a

period of four weeks. 5. During training no leave will be allowed for any other examination even BISE or University level

examination.

MEDICAL CHECK UPS:

1. The vice Principal of the school will physically examine every student after every six months and will

maintain the record of each student for record. 2. Every possible treatment shall be given however serious cases will be referred to nearby hospitals for

specialized treatment and the parents/ guardians will be informed accordingly. 3. The students will receive necessary medical care as nursing students.


POLICIES RELATING TO THE DISMISSAL OF THE STUDENTS

1. In dealing with the cases of irregularities, neglect of duties, misbehaviors, unsatisfactory conduct and

the breach of discipline in the school; the Principal will have to decide whether it is to met with: a. An apology verbal or written. b. Fine c. Suspension of stipend d. Suspension from school e. Expulsion from hostel (Director PHSA) f. Expulsion from the school (Director PHSA) 2. The student LHV who goes on strike will be black listed. Her training will be discontinued and penalty

of Rs. 2000/- will be imposed on her. 3. Students are not allowed to approach the higher authorities directly. Any such communication must be

submitted through the Principal who will forward the case if she considers desirable. 4. Students are not allowed to visit any higher authorities without the permission of the Principal. The

Principal / Superintendent and other staff members are accessible at any time to the consideration of difficulties and students will always be heard for their problem.

5. All letters must be delivered through sister tutor / instructor or the house keeper. Any doubtful letter will

however be scrutinized by the Principal before delivery to the student. 6. Students are not allowed to go to the press or work in the electronic media.


HOSTEL RULES AND REGULATION

1. Admission will be given only once during the academic year. 2. It is obligatory that parents should be present at the time of admission. 3. Day scholars are not allowed to enter the hostel premises, otherwise they will be fined Rs. 200/-. 4. Boarders cannot stay in hostel after completion of their course. One week before the

commencement of any examination they will be allowed to reside again till the end of examination.

5. Boarders have to make sure that their leave applications are sanctioned before leaving the hostel. Submission of an application does not mean that leave has been granted. Students infringing upon the rules will be liable to disciplinary action.

6. Boarders can visit or accompany any such visitors whose name or photocopy of identity card is given by their parents/guardians in the hostel admission form.

7. Boarders are allowed to visit their homes twice a month on Saturday after school hours or on certain holidays after obtaining permission from the warden and confirming it from the Principal. Overstay will automatically cancel the next home chance.

8. Visitor may visit on Saturday/Sunday and public holidays during visiting hours and not on working days.

9. The students have to pay full month mess fee whether they stay for a week or full month. The visitors hours are given below but they can be changed as and when considered

necessary.


VISITING HOURS AND DAYS FIXED FOR BOARDERS OF PUBLIC HEALTH SCHOOLS

OUT GOING DAYS AND HOURS FIXED FOR BOARDERS.

Days Summer Winter

Saturday 3.00 PM to 6.00 PM 2.30 PM to 5.00 PM

UNIFORM

All the students shall wear the school uniform throughout the time attending the school or attending practical classes in the hospital during Midwifery session and during field visits in Public Health session. The school uniform to be worn during official duty is: 1. White Shirt 2. White Shalwar

3. White Koti 4. White Dupatta

5. White Socks 6. Black Shoes

7. Blue (Navy) Full sleeves front open Cardigan.

NOTE: 1. Only cotton uniform will be worn. 2. Wearing jewellary, doing make-ups, nail polishing etc. is prohibited. 3. Each student must have the following articles on arrival.


i. Wrist Watch ii. Measuring tape iii. One small note book

iv. Thermometer v. Scissor (blunt) vi. Six lecture note books

vii. Two white uniforms viii. Two Bed sheets ix. Pillow covers Two in no.

x. Pillow One xi. Towel One xii. Two Small hand towels

xiii. Bedding Complete with Mattress xiv. Small canvas bag with handle

xv. Pen (Blue & Red) xvi. Lead Pencil xvii. Ruler

STIPEND

1. The selected candidates are awarded scholarships @ 3565/- per month each throughout the period of

training.

2. If a student leaves training at any stage of the course at her own accord or as made on unsatisfactory

conduct, she will have to refund the whole amount of scholarship/stipend received by her during the period of

training before she leaves the school. This condition is however not applicable if a trainee has to leave the

training on medical grounds.

3. The Principal of the school is competent to sanction the grant of scholarship subject to the satisfactory work

and conduct of the student during the entire period of training.

4. Absence from the class, breech of discipline, neglect of duties or reprehensible conduct etc. may result in

stoppage/cancellation of scholarships.

5. Un-utilizes stipend when become available will be given to the non-stipendiary students admitted for LHV

course at that particular institute on merit.


FEE AND SUBSCRIPTION Examination Fee for Annual Examination (Nursing Examination Board – NEB), KP to be charged from all students (i.e Regular, Reserved and self-finance) The following fee shall be charged: 1. Registration Fee for NEB >>>>>>>>>>>>>> Rs. 1000/-

2. Registration Fee for PNC >>>>>>>>>>>>>> Rs. 500/-

3. Midwifery (First Year Exam) >>>>>>>>>>>>>> Rs. 3500/-

4. Public Health (Second Year Exam) >>>>>>>>>>>>>> Rs. 3500/-

5. Mess Money (likely to vary from time to time) >>>>>>>>>>>>>> Rs. 1500/- PM

6. Hostel Security (Refundable) for Two years >>>>>>>>>>>>>> Rs. 2000/-

ETHICS

Following are the ethical and legal responsibilities of Lady Health Visitor according to Pakistan nursing Council. The fundamental responsibility of Lady Health Visitor is four fold: To promote Health To prevent illness To restore health To alleviate suffering The need for nursing care is universal. The LHV should have the respect for life, dignity and rights of human being. The health care she is providing should be unrestricted by considerations of nationality, race, creed, colour, age, sex, politics or social status.


The LHVs render health services to the individual, the family and the community and coordinate their services with those of related groups.

Lady Health Visitors and People:

The responsibility of LHV is the health care of the patients.

The LHV should respect the values, customs and spiritual beliefs of the patients.

The LHV should hold the personal information given to her by the patients in confidence. She should provide the important information to other related health personnel and should not gossip around about the patient’s personal history.

Lady Health Visitors and Practice:

The lady Health Visitor should keep her knowledge up-to date to improve the nursing care she is providing to the patients.

The LHV should not do something for which she is not trained.

The LHV should accept those responsibilities, which she can perform well.

The LHV should at all times maintain high standards of work and personal conduct.

Lady Health Visitors and Society:

The lady Health Visitor should act as responsible citizen and try to start and support activities to meet the health and needs of the public.


Lady Health Visitors and Co Workers:

The lady Health Visitor should try to have good relationship with co-workers in nursing and other fields.

Lady Health Visitors and Profession:

The LHV should play a major role in maintaining high standards of practice and education.

The LHV should work for the improvement of social and economic conditions of other Lady Health Visitors.

For any inquiry feel free to contact at “[email protected]” / Phone #: 091-2650861, 2264716-18 or visit us

on “http://www.phsa.edu.pk”.

AFFIDAVIT

I, Miss / Mrs.________________________________________________, Daughter/

Wife of ___________________________________ provisionally selected as LHV

Student for two years diploma course in the Public Health School, Nishtarabad

Peshawar/ Hayatabad Peshawar/ D.I Khan/Abbottabad solemnly declares that:

i. I will abide by all the rules and regulations of the Institute including hostel in force and as amended from time to time

ii. I will not be indulged in any sort of political, sectarian and subversive activities neither I will organize or become member of any political / student body organization.

iii. I will not object to any change in the period of the said course. iv. I will refund my entire stipend received till date either I withdraw my admission or

expelled from the Institute on disciplinary grounds. v. I will never submit any request for migration and for the purpose of classes to any

other institute from my enrolled institute. vi. If any of the information/documents provided by me is found to be false or

counterfeited at any stage, my admission will be liable to be cancelled without any show cause notice given to me.

SIGNATURE OF THE CANDIDATE

Miss. / Mrs.______________________

D/O, W/O _______________________

Witness 1:

Name _______________________________

Father Name _________________________

CNIC No.____________________________

Address: ____________________________

Witness 2:

Name ________________________________

Father Name__________________________

CNIC No._____________________________

Address: _____________________________

ATTESTED SIGNATURE with Seal

Original Stamp Paper Rs. 30