47. Pakistan Economic Survey 2011-12 - Consultancy Services in ...

Pakistan Economic Survey 2011-123. Malaria Control ProgramMalaria is the second most prevalent anddevastating disease in the country and has been amajor cause of morbidity in Pakistan. More than90 percent of the disease in the country is in the56 highly endemic districts, mostly located inBalochistan (17 districts), FATA (7 agencies)and Sindh (12 districts). More than 40 percent ofthe reported cases from these districts are due toflaciparum malaria which is the more dangerousform of malaria. The Federally AdministratedTribal Areas (FATA) is the second highestmalaria affected belt of the country accountingfor 12-15 percent of the total case load of thecountry.The National Strategy for Malaria Control isbased on the following six key Roll BackMalaria (RBM) elements.1) Early diagnosis and prompt treatment.2) Multiple prevention3) Improved detection and response toepidemic4) Developing viable partnership with nationaland international partners5) National commitment6) Intensive and comprehensive publiceducation activities to enhance publicawareness of malaria, treatments andprevention4. National TB Control ProgramPakistan is sixth amongst the top 22 high diseaseburden country. National Tuberculosis ControlProgramme (NTP) has achieved 100 percentDirectly Observed Treatment System (DOTS)coverage in the public sector; in the last fiveyears NTP and partners have provided care tomore than half a million TB patients in Pakistan.Despite this the global target of 70 percent casedetectionhas not been achieved. There arecertain areas where there is room for the NTP tofurther improve such as, at the client level -suspect management, contact management,quality bacteriology services; at the communitylevel, the NTP can strengthen engagement withall care providers through public privatepartnership and inter-sectoral collaboration,monitoring and supervision, research forevidence based planning and Advocacy,Communication and Social Mobilization(ACSM). The prevalence rate of TB is nearly300 per 100,000 of population whereas theabsolute number of cases is 211,500 and thetreatment success rate is 91 percent. Thepercentage of TB case-detection rate is 80percent and cure rate is 74 percent.5. HIV/ AIDS Control ProgramThe government is implementing an HIV/ AIDSControl Programme since 2003 at a cost of Rs2.9 billion for five years. The major focus is onBehaviour Change Communication (BCC),services to high-risk population groups,treatment of Sexually Transmitted Infections(STIs), supply of safe blood and capacitybuilding of various stakeholders. A total of4,500 HIV positive cases have been reported tothe national and provincial AIDS ControlProgrammes. These include 2,700 full blownAIDS. Around 1,030 patients are receiving freetreatment through 12 AIDS Treatment Centers.6. National Maternal and Child HealthProgrammeNational Maternal and Child Health Programmehas been launched in order to improve maternaland neonatal Health services for all, particularlythe poor and the disadvantaged, at all levels ofthe health care delivery system. It aims toprovide improved access to high quality motherand child health and family planning services,train 10,000 community health and nutritionwomen workers, provide ComprehensiveEmergency Obstetric and National Care(EMONC) service in 275 hospitals/ healthfacilities, provide basic EMONC services in 550health facilities, and family planning services inall health outlets.7. National Programme for Prevention andControl of BlindnessThe National Programme for Prevention andControl of Blindness (NP-PCB) was launchedby the federal Ministry of Health in 2005. TheProgram is in line with “VISION 2020”, the156