LHW Systems Review - Oxford Policy Management

Selection and recruitment systemCatchment area of the LHW The survey found that 9 percent of LHWs had registered fewerthan 700 people, which is the minimum number for a catchment area (Table 4.5). Themajority of LHWs have between 700 and 1,100 people registered, with an average of 919.This is significantly fewer than the average of 980 from the previous evaluation. The averagenumber of households registered has also fallen from 145 to 131. The problem of lowregistration of households and people is particularly acute in Balochistan, where the averagenumber of households registered is 86, and there are 64 percent of LHWs with fewer than700 people registered.Table 4.5Number of persons registered with an LHWNumber of persons registered with the LHWsPercentageFewer than 700 9701–1,000 551,001–1,100 241,101–1,200 6More than 1,201 6Total 100Source: OPM LHWP 4th Independent Evaluation, Quantitative Survey data, 2008.Reduction in the ratio of LHS/LHW In June 2003, there were approximately 71,000 LHWsand 2,007 LHSs, giving a ratio of 1:35 (Table 4.6). 20 Recruitment of LHSs was not keepingpace with the rapid recruitment of LHWs that had occurred between 2001 and 2003. By2005, the ratio of 1:25 had been achieved by many of the provinces/areas. The Punjab hadsucceeded in reducing the ratio from 1:43 to 1:28.Table 4.6 Ratio of LHS to LHWs by province/area, June 2002–June 2008June Punjab Sindh NWFP Balochistan AJK FANA FATA ICT2002 40 30 34 40 31 29 53 332003 43 29 36 25 29 29 38 352004 39 29 35 22 30 29 35 352005 28 25 27 25 24 25 28 252006 28 26 27 23 24 24 32 212007 27 24 20 22 26 25 28 222008 26 23 25 23 22 21 27 26Notes: Bold indicates ratio of 1:25, or lower, has been met.Source: PSP database January 2009, LHWP, MoH.The Quantitative Survey results, from the first quarter of the FY 2008/09, found the ratio ofLHS to LHWs had dropped to 1:23, reduced from 1:27 in the previous evaluation (Table 4.7).However, 10 percent of LHSs are still supervising over 30 LHWs.20PSP database, FPIU, January 2009.13