i. DISTRICT HEAD QUARTER HOSPITAL ... - PHSRP - Punjab

TARIQ MAHMOOD, ADDITIONAL PROGRAMME DIRECTOR (ID), PUNJAB HEALTH
SECTOR REFORMS PROGRAM
Dates of Visit: 21-03-2009
i. DISTRICT HEAD QUARTER HOSPITAL NAROWAL.
Date of visit
21-03-2009 at 08:30 AM.
1. Location is on the main road and outlook of Hospital is satisfactory.
2. Signboard / Direction Board was displayed at the by pass of Narowal City as well
as in front of DHQ Hospital.
3. DHQ Hospital was established in 1991. Originally it was a dispensary,
established in 1927 which was upgraded as THQ Hospital Narowal in 1941.
4. DHQ Hospital has capacity of Forty Beds.
5. New Campus of DHQ Hospital with Additional Facility of 125 Beds through
provincial ADP Scheme is under way and 40% work is completed.
6. Dr. Muhammad Abbas Qari, Medical Superintendent of DHQ Hospital, Narowal is
holding the office since 31-05-2008, who was present in his office.
7. Organogram, other Statistics / Informations of the District & Up to date Vacancy
Position was displayed in MS Office.
8. Following Doctors were yet to reach in Hospital for duty:
• Dr. Shafique Ahmad, Surgeon (Late)
• Dr. Imrana Imran, Gynecologist (Late)
• Dr. Muhammad Sarfraz, Dental Surgeon (Late)
• Dr. Basarat Ellahi, Homeo Doctor (Late)
• Dr. Amanat Ali, Eye Surgeon reached for duty in DHQ at 08:40 AM.
• Dr. Muhammad Idrees, Physician was on authorized leave.
9. Utilities are available like Electricity, Telephone, Sewerage & Proper Water
Supply System with turbine and water reservoir.
10. Cash Book was updated. Verification of Purchee Fee Deposits from District
Treasury was also updated.
11. Against One Hundred & Seven sanctioned posts of various categories, Twenty
Two posts with following details were vacant:-
APMO (Male + Female) (7), Principal Dental Surgeon (1), Gynaecologist (2),
Anaesthesialogist (1), ENT Specialist (1), Orthopedic Surgeon (1), Pharmacist
(1), MO (1), WMOs (2), Physiotherapist (1), Pathologist (1), Radiologist (1) &
Junior Clerk (1).
Medical Superintendent was requested to take action as per policy and
rules to fill the vacant posts.
12. Existing Building of DHQ needs routine repair.

13. Room Place for offices is insufficient. Furniture is also required.
14. Toilets, Waiting area and Wards are insufficient, keeping in view the patients turn
out.
15. Laboratory of Hospital is not up to the standards and yardstick of DHQ. Lab
Assistant & Lab Attendant were not observing necessary precautionary
measures while getting blood samples of patients and they were without proper
gloves.
Medical Superintendent was requested to ensure the observance of all
required precautionary measures.
16. During visit of MNCH Centre, LHWs informed that monthly salary is not being
disbursed to them regularly since January 2009.
Medical Superintendent was requested to take up the issue with Provincial
Coordinator of National Program PHC & FP to resolve the issue.
17. During visit of main medical store, it was revealed that there is shortage of
Antibiotic Tab / Capsules, which is being met through LP but major supply for
which order has been placed is awaited.
18. Dr. Shafique Ahmed, Surgeon requested for the provision of Three Lapratomy
Set, Vascular Sets for AV Fistula & Emergency Kit. OT Light of Operation
Theatre was also out of order.
Medical Superintendent was requested to take action as per policy.
19. Hospital Management is facing problems of funds under following heads:
Repair of Vehicles, Others, Medicines, X-Ray Films & Lab Materials.
EDO (Health) Narowal is requested to look into this and facilitate the
hospital administration. M S was also requested to take necessary action
while finalizing second statement of Excess and Surrender.
20. DHQ Narowal is included in the list of Less Attractive DHQ Hospitals but M S is
not being accommodated with any additional incentive.
EDO (Health) Narowal is requested to proceed further as per policy.
21. Only Dental Unit of Hospital is Non-Functional and Unserviceable.
EDO (Health) Narowal is requested to look into this and go for proper
replacement to ensure the delivery of services in Dental Unit of DHQ.
22. Facility of Dialysis Unit is available in DHQ with Four Machines. Only two patients
were served since January 01, 2009 till the date of visit.

ii. TEHSIL HEAD QUARTER HOSPITAL SHAKAR GARH DISTRICT NAROWAL
Date of visit
21-03-2009 at 1330 HRs.
1. Location is on the main road and outlook of Hospital is satisfactory.
2. Signboard / Direction Board was displayed at by pass of city and in front of
hospital.
3. THQ Hospital was established in 1962.
4. Total Bed Capacity of THQ Hospital is 40 Beds and only 20 Beds are in working
condition.
5. Dr. Rafique Ahmed, Medical Superintendent was on Umrah leave and Dr.
Muhammad Latif Afzal was looking after the office of M S THQ Hospital
Shakargarh.
EDO (Health) Narowal was requested to send copies of orders in this
regard.
6. During visit of THQ Hospital, it was revealed that Dr. Naeem Ullah Khan, Peads
Specialist and Dr. Muhammad Asad Ullah Khan, Surgeon was on Unauthorized
Leave. Their staff presented such leave applications in which date was not
specifically mentioned for which leave was required. These applications were
never presented before the Medical Superintendent to whom these were
addressed for grant of leave. Dr. Naeem Ullah Khan left duty place / station for
Lahore without seeking proper permission. The non-serious attitude and nonobservance
of official conduct on the part of both doctors was speaking a lot.
(Applications are placed at Annex-A & B for perusal).
EDO (Health) Narowal was briefed about this and he informed that both
these doctors are habitual of this sort of mis-conduct and non-serious
attitude.
7. Dr. Muhammad Latif Afzal, who was looking after the office of Medical
Superintendent, THQ Hospital Shakar Garh, was using Writing Pad of his Private
Hospital which has no mentioning of his official capacity, although he was sitting
in the office of Government Hospital. (Copy of the same is placed at Annex-C for
perusal).
EDO (Health) Narowal was briefed about this with the request to take
appropriate action to ensure discipline.
8. Fluid Dextro 5% (1000cc) & Haemacele were out of stock.
9. Shortage of Antibiotic Tabs / Syrups / Injections, Analgesic Tabs / Injections &
Scabies Lotions was also observed in the main store of Medicines.
EDO (Health) Narowal was briefed about this situation with the request to
ensure the un-interrupted supply of medicines.

10. Building of THQ is old one with problems of Sewerage and Water Supply.
11. Offices were also insufficient, keeping in view the requirement.
12. Construction of four new residences is in process.
13. X-Ray Film was not available in THQ Hospital and patients were being referred
to Private Hospitals for X-Ray.
EDO (Health) Narowal was briefed about this with the request to take
corrective measure on urgent basis.
14. Emergency Ward was without proper Toilet Facility. Acting M S also requested
for the major repair of Mortuary which was in poor condition.
15. Water Supply Scheme of THQ Hospital is to be made functional on urgent basis
as requested by Doctors during visit.
EDO (Health) Narowal was briefed about this with the request to look into
this and coordinate with concerned department.
16. Out of Two Ambulances, one was non-functional and repairable.
17. EPI Centre of THQ Hospital was functional and vaccination / immunization of
70 / 80 children and women were being carried out.
18. Three Posts of Specialists i.e. Two Gynecologist and One Physician were
vacant.
19. Six Posts of MOs / WMOs were also vacant.
EDO (Health) Narowal was requested to take action for filling of these
vacant posts as per policy.