PPHI – Balochistan & its Monitoring Mechanism

PPHI – Balochistan, a pilot project initially started in 03 Districts of the Province namely
Quetta, Pishin & Mastung through a public private partnership between Government of
Balochistan & Balochistan Rural Support Program (BRSP) with objectives to serve the poor
masses in terms of primary healthcare facilities at their door step.
PPHI is registered on August 26, 2013 under section 42 of Companies Ordinance 1984. The
agreement was signed between the Govt. of Balochistan and PPHI on October 4, 2013. PPHI
has its own Board of Directors chaired by Mrs. Rubina Irfan Karim. Currently it’s
operational throughout the province of Balochistan in 32 – districts with 693 – Basic Health
Units.
PPHI – Balochistan’s monitoring and evaluation system was established to play the crucial
role in assessing the wide, diverse range of interventions being implemented throughout
the far flung areas & scattered catchment population of the province as a whole. All the
monitoring teams with pulled socks make efforts to enhance the health quality of the poor
masses and encourage them to visit health facilities on their convenience to mitigate the
risk of being vulnerable to any disease. In organizational program, M&E is a tool for
identifying/ documenting the success of the programs and tracking progress toward
common indicators across healthcare Services. PPHI – Balochistan’s monitoring and
evaluation system forms the basis of strengthening the understanding around the many
multi-layered factors, underlying issues confronted during the implementation of a
previously developed action plan and the effectiveness of the response at the service
provider, community & catchment level. This mechanism allows for changes in project
implementations i.e. adaptive management. The M & E guide puts emphasis on monitoring
progress towards desired results including impact, building up on the concept of Results
Based Management.
PPHI – Balochistan being engaged in delivery of Primary Health Care Services to the poor
masses at Basic Health Unit level since 2006 has a proper monitoring and evaluation
system, targets are set for a specific time period and calculation of %age of achievements
against these set targets are made quarterly and shared as per District ratings according to
the percentage achieved. In order to measure the performance of District Support Units of
PPHI regarding provision of PHC services in Health Facilities the head office has conveyed
some set targets in major indicators of PHC services to the DSUs which includes; Preventive
Care, Curative Care, Immunization, MCH, Monitoring, Supervision & Reporting. Keeping in
view the performance indicators the district teams with provided resources chalk out their
own supervision plans & implement throughout the district for the achievement of the set
targets. The organization acknowledges as well as makes others realize that M & E is the
responsibility of all involved in the program implementation, management & enhancement
of primary healthcare structure in the province. Monitoring activities will be considered as
a routine job of the implementation process where all stakeholders including District
Support Managers (DSMs) M&E Officers, Social Organizers & support Group members to
ensure their due contribution in order to benefit for future learning and improving
healthcare in general & program quality in particular.

MUHAMMAD JAHANGIR ZEHRI

District Monitoring & Evaluation Officer
PPHI – Balochistan