Improvements in Key Health Indicators

BHUs providingUnder the Roadmap,

24/7 delivery services Punjab expanded 24/7 delivery services
to 1,000 BHUs
2014 2016 2018

1000 BHUs, aided by

70 BHUs 700 BHUs 400 ambulances
2
SOURCE: MEA data and location reporting
 Roadmap Journey

To reduce infant and maternal mortality, significant

improvements have been seen across primary care

Skilled Birth Attendance Fully Immunised Children*

2017 78.7% 84%

2014 64.7% 62.3%

*Age group of children is between 12-23 months IMR: Infant Mortality Ratio
SOURCE: MICS 2014; Punjab Health Survey (PHS),2017 MMR: Maternal Mortality Ratio
 Skilled Birth Attendance in Punjab

Skilled Birth Attendance

14% increase
76.8 78.7 in Skilled Birth
59 64.7
Attendance in
Punjab
MICS 2011 MICS PHS I PHS II
From 2014 to 2017
2014 2016 2017

Significant improvement in SBA reflects positive impact of primary interventions like 24/7 BHUs
 Independent
Independent datathat
data shows shows that
skilled skilled
birth birth rose
attendance attendance
from
rose from 68%68%toto83%
83% for
for mid-2017
mid-2017
Skilled birth attendance
6-month cohorts, %

83 85
78
74
68

65

85

Baseline 2014 births, 2H 2015 births, Nielsen May-Oct 2016 births, Mar-Aug 2017 births, Target (June 2018)
Nielsen PHS 2016 PHS 2017

NOTE: 2014 baseline is a range based on Nielsen Wave 1, December 2014 & MICS 2014
SOURCE: Nielsen Wave 1, December 2014; Nielsen Wave 2, 2015; MICS 2014; SMU cohort analysis on Punjab Health Survey (PHS)-I, November 2016 and
Punjab Health Survey (PHS)-II, September 2017
 Institutional Deliveries in Punjab

Trends in Institutional deliveries

75.9
73.7
15.1%
increase in
60.8
Institutional
Deliveries in
MICS PHS I PHS II
2014 2016 2017 Punjab

Significant increase in institutional deliveries is documented to be directly linked to

reducing maternal and neonatal mortalities.
 Breast feeding rates in Punjab

Trends in Exclusive Breast-Feeding (upto 6 months)

31.6
29.1
13.3%
increase in
Punjab Total
Urban Communities
18.3
Urban

15.7%
13.4 Rural

increase in
16.8
MICS
30.7
PHS II
Rural Communities
2014 2017
 All districts have improved coverage of the most >80%
65-80%
recent child cohort 50-65%
<50%

Diptheria, pertussis and tetanus (DPT) vaccination coverage

% of children aged 6 to 11mo

2014 2016 2017

Attock
Atto Attock Rawalpindi
ck Rawalpind Rawalpindi
i Chakwal Jhelum
Chakw Jhelu Chakwal Jhelum
al m Mianwali Gujrat
Mianwali Gujrat Mianwali Gujrat M.B.
M.B. Din M.B. Din Sialkot
Sialko Sialkot Din
Khushab Sargodha Narowal
Khushab Sargodha t Narowal Khushab Sargodha Narowal Gujranwala
Hafizabad
Gujranwala
Hafizabad Gujranwala
Hafizabad
Bhakkar Chiniot Sheikhupura
Bhakk Chiniot Sheikhup Bhakkar Chiniot Sheikhupura Nankana
ar Nankana
ura Nankana Sahib Lahore
Laho Lahore Faisalabad
Faisalab Sahib Sahib
Faisalabad Jhang
Jhang re Jhang Layyah
Layyah ad Kasur
Kasur Layyah TT
TT Kasur
TT Singh Okara
Sing Okara Singh Okara Muzaff-
Muzaff- h Muzaff- D.G. Khan argarh Khanewal Sahiwal Pakpattan
D.G. argarh Khanew Sahiwal Pakpattan D.G. Khan argarh Khanewal Sahiwal Pakpattan
Khan al Vehari
Vehari Vehari
Lodhran
Lodhran Lodhran Multan
Mult Multan Bahawalnagar
an Bahawalnagar Bahawalnagar
Rajanpur
Rajanpur Rajanpur
Bahawalpur
Bahawal Bahawalpur
pur Rahimyar Khan
Rahimyar Rahimyar Khan
Khan

8
SOURCE: Nielsen Wave 1, December 2014; Punjab Health Survey (PHS)-I, November 2016; Punjab Health Survey (PHS)-II, September 2017
Child Mortality (National trend, provincial for 2017-18 not published
yet)
 Immunization Coverage by Antigen

Children 11 months, coverage by antigen %

96 98 97
92 94 93
89 88
84 84
81 82
74

64 Nielsen 2014
PHS 2016

48 PHS 2017

BCG Penta - 1 Penta - 2 Penta - 3 Measles - 1

NOTE: coverage is for children aged 11mo

In time coverage of PENTA-III (0-11 m)

100%
90%
80% 78%
72%
70%
60% 57%
50% 48%
40%
30%
20%
10%
0%
Nielsen 2014 Nielsen 2014 PHS 2016 PHS 2017
Penta III Evaluated Coverage (12-23
m) 2015-2017
100% 91%
86%
90%
80% 72%

70%
60%
50%
40%
30%
20%
10%
0%
Neilsen 2015 PHS 2016 PHS 2017
 Improvement in FIC Coverage (Third
party)
100%

90%
84%
82%
80%

70%
62%
60% 57% 56%

50%
47%

40%

30%

20%

10%

0%
PDHS 2011 MICS 2011 PDHS 2013 MICS 2014 PHS 2016 PHS 2017