Transcript Document

Increasing Access to SRH Services through Social Franchising with
Private Practitioners in Rural Areas of Pakistan
Presentation by
Amir Hameed
(Regional Director, Federal, Gilgit Baltistan, Azad Jamu & Kashmir )
Pakistan
Rahnuma - Family Planning Association of Pakistan
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Case Study
by a Private Practitioner
(Ms. Sabiha Fatima – LHV, Kachi Basti)
A 19 year old girl Shamim visited me with an issue of abnormal hair growth
over her face and body. Due to inadequate technical knowledge of the issue, I
was unable to counsel/ treat her problem. I kept on proposing her herbal
medication. She left my clinic with disappointment and started searching
solution from various quacks. I was later enrolled by FPAP and received training
on SRH issues counseling. Now I know what I could have done for the girl but it
is never late. I feel that I can help lots of young girls who come up with some
SRH problems.
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Problem Statement
• 64% Population of Pakistan lives in rural/peri-urban settings with majority
depending upon Private Health Practitioners (who have a limited range of
SRH services and poor quality of care) to access services.
• Majority of the private practitioners especially in Rural settings are focusing
on providing primary health services and safe-motherhood with limited
knowledge and services on FP.
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Strategic Interventions
• Mapping and Enrolment of PPs in Peri-urban and Rural settings.
• Hiring of Community mobilizers from the same respective settings.
•
Capacities building of selected PPs on diverse range of essential
SRH Services.
• Up gradation of Infrastructure and commodities supply.
• Quality Assurance through regular visits by Quality Assurance
Doctor.
• Establishment of strong Referral Mechanism.
• Monitoring and Reporting.
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Facilities Upgraded
Before
After
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Lesson Learnt
•
The Mid-Level Services Providers are more accessible to the rural
community and low Socio-economic group, because they are offering
services at low cost.
•
Building the Technical capacity of PPs can expand the basket of SRH
services.
•
Hiring of local Community Mobilizer helps in strengthening the
referrals to PPs.
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Together we can
make a difference
Thank You
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