Health, Nutrition & Disabilities

Sector Facts

Districts

Persons with Special Needs Provided with Assistive devices

Individuals treated at Health Facilities

Health Facilities were provided medicines

Health facilities strengthened (Including people’s Primary Healthcare Initiative)

Healthcare Professionals trained on Malarias’ treatment, diagnosis, and emergency obstetric and newborn care

Sensitized through Behavior Change Communication on Malaria, HV & AIDS, Hepatitis & Nutrition

Long Lasting insecticidal nets distributed in 10 districts

Households covered through in-door Residual Spray

Malnourished children & Pregnant women Screened and treated

Individuals treated through Mobile Service Units

Children and Women Immunized

Individual provided awareness on reproductive health related issues

Sector Briefing

Health, Nutrition and Disabilities section is working since 2007 under the umbrella of BRSP. The initial work started in 5 districts and expanded to 25 districts in Balochistan. The section contributed in the overall efforts of Government of Balochistan and Pakistan to improve the health conditions of people. The following major programmes had been implemented since 2007. The details of projects/programmes are as follows;

  • People’s Primary Healthcare Initiative (PPHI)
  • Reproductive Health, MCH, and Nutrition
  • Supporting Livelihood through Food Assistance for Assets, WFP—BRSP
  • Support to Persons with Disabilities
  • Work to be done by Health, Nutrition & Disabilities’ Section under the umbrella of BRSP

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People’s Primary Healthcare Initiative (PPHI):

BRSP strengthened 593 BHU’s through PPHI by regulating staff, providing timely and need based medicines, capacity building of the HCPs, improved the physical infrastructure and ensured service provision to the communities at Health Facility level from (2006 to 2013). Under the Programme, 593 Health support groups were formed to ensure the participation of community in health improvement. More than 8 million people facilitated through 593 health facilities managed by PPHI under BRSP.

Reproductive Health, MCH, and Nutrition:

Under EC-SRH, PPAF health, Falah, YFP-UNFPA, EC WATSAN, PPR-Health, and PATRIP Health (2009-2019), The projects related to MCH and Nutrition were implemented in districts; Pishin, Mastung, Loralai, Khuzdar, Kharan, Jhal Magsi, Jafferabad, Naseerabad, Bolan, Kohlu, Barkhan, Kalat, Sibi, Dera Bugti and Quetta. Awareness provided to 58,653 individuals on Reproductive health and related issues and 28,000 Individuals were provided education on Health and Hygiene. Strengthened 124 Health facilities in terms of repair renovation, provision of equipment/furniture and supplies. 2,004,148 individuals facilitated through health facilities. The capacity of 1,237 Health Care Providers/service providers and 416 Peer educators/CRPs built. Through immunization programme 5,009 children and women immunized through target health facilities. One million individuals treated through Mobile Service Units (MSUs). During BCC/awareness campaigns 621498 individuals awared on WASH, HIV and AIDS, Hepatitis and Nutrition and other health related behaviors. PWDs facilitated through 236 Latrines in target districts. One million individuals treated through Mobile Service Units (MSUs) under relief programmes and regular projects.

Food Assistance for Assets (FFA) is one of the World Food Programmer’s (WFP) key initiatives aimed at addressing the most vulnerable people’s immediate food needs with cash or food transfers and improving communities’ long-term food security and resilience.
Despite ongoing drought across Balochistan, some locations remained critical during the drought especially district Killa Abdullah and provided an opportunity for WFP to work with communities through their Cooperating Partner (CP); Balochistan Rural Support Programme (BRSP) to rebuild their livelihoods through a more sustainable approach. The Cash based transfer (CBT) conditional food assistance for asset creation (FFA) helps food insecure communities to shift away from reliance on humanitarian assistance to achieve more sustainable livelihood for food security. This project was implemented from June to September-2019 in district Killa Abdullah.

Supporting Livelihood through Food Assistance for Assets, WFP—BRSP:

WFP and BRSP assisted around 94,054 people (13,631 families) through FFA in two cycles, including around 47,967 women and girls, in Tehsils Gulistan and Dobandi, district Killa Abdullah. A total of 12,293 participants received cash based transfers amounting to PKR.117. 040 million (USD-731,500). Participants received WFP assistance in month of July & Aug-2019 for a period of 12 days cycle of work on asset creation projects in two cycles. In exchange, WFP provided cash of PKR.9, 500 equivalents to around USD 60 to each participant. FFA activities inculcated WFP’s resilience strategy and contributed in enhancing communities’ resilience to future shocks related to climate change. The following were the major achievement of the project;

Support to Persons with Disabilities:

BRSP started working for Persons with Disabilities (PWDs) in 2016 when Balochistan Community Development Programme (BCDP) funded by European Union allocated funds for PWDs in 40 Union Councils of 4 Districts of Balochistan; Zhob, Loralai, Jhal Magsi and Khuzdar. The project provided assistive devices to 616 PWDs including; 150 wheelchairs, 50 tricycle/hand cycle, 50 crutches, 40 white canes, 120 hearing aids, 195 artificial limbs/hands, one electric bed and 10 modified 70 cc motorcycles.

In June 2017, with the financial support of European Union, BRSP launched Balochistan Rural Development and Community Empowerment Programme (BRACE) which is an extended phase of earlier BCD Programme to an additional 171 Union Councils of seven districts; Jhal Magsi, Khuzdar, Killa Abdullah, Loralai, Pishin, Washuk, and Zhob. BRACE is a disability inclusive programme and PSC survey was conducted to identify the PWDs in these targeted districts.
Funds have been allocated for provision of assistive devices to approx. 3,376 PWDs identified during Poverty Score Card census. Consequently, 44,885 PWDs having 70,901 different types of disabilities were identified which is 2.91% of total population.

After identification of PWDs, validation process of 4,400 PWDs, identified during PSC census in 211 UCs of 7 targeted districts, has successfully completed. The validation has revealed the actual needs of PWDs so that suitable assistive devices could be provided for their mobility to contribute in economic activities. Consequently, list of 3,400 assistive devices for international tender process have been finalized which include: 650 Active Wheel Chair, 250 Tricycle, 200 Crutches, 800 Hearing devices, 500 Prosthesis and 1000 Orthosis.

Procurement process for purchasing of these assistive devices has been initiated. In this regard, pre-qualification tender has been advertised in local, national and international newspapers. After completing technical and financial evaluation, the work order has been issued to successful vendors.

3,244 assistive devices have been provided to 2,613 PWDs (25% women) including Wheel chairs 562, Tricycles 190, Hearing devices 800, Orthotic and Prosthetic 1,692. Seven Assistive Devices Distribution Ceremonies have been organized in targeted districts. Political leaders, District Administration, representatives of line departments, Civil Society, BRSP management and Media participated.

In addition, BRSP with the financial support of PATRIP Foundation, has initiated a relief programme for PWDs of 7 bordering districts of Balochistan. 3-D technology is being introduced at Al-Khidmat Hospital Quetta, to provide state of the art orthotic and prosthetic support to PWDs in Balochistan. Android based questionnaire was developed and PWDs’ assessment survey was conducted to identify the PWDs and their needs. To raise the awareness regarding the rights and wellbeing of PWDs, awareness raising sessions have been conducted in 28 targeted UCs. Patient Care Manual and awareness raising manual on the rights and wellbeing of PWDs were developed. CRPs/Master Trainers have been trained on life skills-based education who will further take session with PWDs to motivate them and improve their daily living skills to become active and productive members of the society.

Through PPAF-Health project, BRSP is aiming to support 25 PWDs in UC Bekarh, District Dera Bugti. In this connection, assessment survey has been conducted to identify the needs of PWDs for assistive devices, and list of required assistive devices has been shared with donor for approval. Further, under PPR-Health 236 PWDs friendly washrooms have been constructed in Killa Abdullah, Pishin and Zhob districts.

As a Corporate Social Responsibility initiative, Baifo Industries donated PKR 500,000 to BRSP to support PWDs in the province of Balochistan. BRSP distributed 35 assistive devices including 10 tricycles and 20 wheelchairs to most deserving PWDs.

Through linkages development, BRSP in collaboration with Chal Foundation is supporting 100% PWDs of district Pishin, which is one of the focused districts of BRACE. In this regard, assessment of 284 PWDs in 33 UCs have been completed while 223 PWDs have been supported by providing Orthotic and Prosthetic devices.

Work to be done by Health, Nutrition & Disabilities’ Section under the umbrella of BRSP:

  • Malaria Control Programme under DOMC and TIH will be continued in 25 districts
  • Health under PATRIP in districts Zhob and Killa Saifullah will be continued in the current year
  • PPAF Health project in district Dera Bugti will be continued March 2020.
  • Sexual and Reproductive Health and Gender Based Violence will be initiated in June 2020 in districts Pishin, Killa Saifullah, Chgahi and Quetta.
  • Nutrition Project funded by DFID expected to be initiated in April 2020.
  • Proposal to support PWDS has been submitted to AUSAID.
  • Chal Foundation has shown interest to establish satellite centers for PWDs in districts Zhob and Chaghi.
  • Mobilized PKR. 1 million for the provision of assistive devices through NRSP Bank and Chal Foundation.