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Pakistan

Pakistan is the seventh most populous country in the world. Pakistan

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Pakistan

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    1. Pakistan

    3. Demographic Indicators Pakistan is categorized by high mortality and population growth rates Total Fertility Rate 4.07 Crude Birth Rate 28 Population Growth Rate 1.92 Infant Mortality Rate 82 Under 5 Mortality Rate 98 Maternal Mortality Ratio 350 Contraceptive Prevalence Rate 34 Economic survey of Pakistan 2004 - 05

    4. MGD 4: Reduce Child Mortality INDICATORS FOR PAKISTAN Under-five mortality rate Infant mortality rate Proportion of fully immunised children (12-23 months) Proportion of children < 1 yr immunised against measles Prevalence of under-weight children (under 5 yrs) Lady Health Workers’ coverage of target population

    5. MGD 5: Improve Maternal Health INDICATORS FOR PAKISTAN Maternal mortality ratio Proportion of births attended by skilled birth attendants Contraceptive prevalence rate Total fertility rate Proportion of women 15-49 years who had given birth during last 3 years, and made at least one antenatal care consultation

    6. MGD 6: Combat HIV/AIDS, Malaria and Other Diseases INDICATORS FOR PAKISTAN HIV prevalence among 15-24 year old pregnant women HIV prevalence among vulnerable groups (e.g., active sex workers) Proportion of population in malaria risk areas using effective malaria prevention and treatment measures Incidence of tuberculosis per 100,000 population Proportion of TB cases detected and cured under Directly Observed Treatment Short Course (DOTS)

    16. Issues Inadequate budgetary allocation High population growth rate High fertility rate Focus on curative medicine than the preventive treatment Poor primary health care services Lack of integration of vertical Preventive programs

    17. Issues (cont’d) Inadequate social sector services delivery Professional and managerial deficiencies High prevalence of communicable diseases Lack of integrated management of childhood illnesses Malnutrition Low skilled birth attendance rate

    18. Issues (cont’d) Lack of awareness Insufficient accessibility to maternal health care services especially emergency obstetric care Lack of sex education for HIV/AIDS

    19. Advantages / Strengths Health System Infrastructure Improving fiscal environment Functional community-based LHWs Devolution Poverty-alleviation strategies

    20. Government Programs - Health National Program for Family Planning and Primary Health Care Food and Nutrition Women Health Project Reproductive Health Project Expanded Program on Immunization National Maternal and Child Care Program

    21. NCHD – Health Programs Focus is on ensuring access to health services Primary Health Care Extension National ORS Campaign National School Health Program Strengthening of Primary Health Care System

    22. ROLE OF ICT IN HEALTH ICTs provide opportunities for individuals, medical professionals and healthcare providers to obtain information, communicate with professionals, deliver first-line support especially where distance is a critical factor and promote preventive medicine programmes.

    23. APPLICATION OF ICT IN HEALTH At Referral Hospitals/Regional Hospitals/ District/Sub-district Health Centres, ICT enable: more effective planning, decision-making and monitoring improved shared service operations greater access to more reliable health & population data more effective resource management

    24. APPLICATION OF ICT IN HEALTH (Cont’d) Particular value for patients from improved information systems include: development & use of electronic patient records multi-media decision support systems remote monitoring updating patient notes using wireless Personal Digital Assistants (PDA)

    25. E-HEALTH CHALLENGES Creating ICT technologists and technicians in health sector at all levels Attitudes about use of ICT/e-health technologies Time - Man’s greatest enemy Achieving consensus Lack of investment in technology in healthcare sector Lack of Stakeholder participation

    26. E-HEALTH CHALLENGES Solutions are needed to solve these challenges. How can e-health help to meet health sector challenges?

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