Presentation

National Health Policy of Pakistan

Presentors:
Sumair kamran
Rizwan waris
MBA HHCM (Semester 2nd)

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 Table of Contents

Health Vision

Challenges

National Health Vision 2016-2025

Purpose

Values

Policy Framework

Challenges

Strategy

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 Health Vision

To improve the health of all Pakistanis, particularly
women and children, through universal access to
affordable quality essential health services, and
delivered through resilient and responsive health
system, ready to attain Sustainable Development
Goals and fulfill its other global health
responsibilities.

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 Challenges

Although health indicators of Pakistan have improved in the last 25 years,
the country still lags behind other countries in the same region

The Burden of Disease is higher in the poor, which can be controlled
through low cost interventions at primary and secondary care levels

Communicable diseases, maternal health issues, and under-nutrition
constitute half of BoD(a). Non-Communicable Diseases along with Injuries
and Mental health issues, constitute other half of the BoD, causing far
more disabilities and premature deaths among an economically productive
adult age group(b).

The BoD is rendered worse by an increasing population, with Pakistan
now the sixth most populous country in the world.

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 National Health Vision 2016-2025

Health policy of Pakistan under (NHV 2016-25)unified a common health vision
for universal health care, especially for women and children of Pakistan

The vision document was jointly formulated by Federal and Provincial Ministries
of Health

The guiding values under this document include:

Good Governance

Innovation & Transformation

Equity & Pro-poor approach

Responsiveness

Transparency & Accountability

Integration & Cross Sectoral Synergies

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 Policy Framework

It builds on the following eight pillars

Health Financing

Health Service Delivery

Human Resource for Health

Health Information System

Governance

Essential Medicines & Technology

Cross-sectoral Linkages

Global Health Responsibilities

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 Health Financing

Challenges

Government spending on health has always been less than
optimal (0.6% of GDP)

Donor funding has been minimal (<2% of national health
expenditure)

Strategy

Government to increase spending to 3% of GDP

To finance new and existing pro-poor social protection initiative

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 Packaging Health Services

Challenges

The country has inadequate infrastructure and quality standards

There is human resource imbalance and inadequate resource
commitment to preventive care

Strategy

To ensure quality of service by implementing minimal standards of
service delivery

To widen essential service packages by introducing family medicine,
newborn survival, birth spacing, mental health, disabilities, under-
nutrition and other over-looked issues

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 Human Resource for Health

Challenges

Pakistan has one of the lowest doctors, dentists, nurses and paramedics to
population ratios

Professional education in health is run at sub-optimal level without synchronizing the
curriculum with modern pedagogic techniques, international standards and the local
requirements

Strategy

To tailor medical and allied health education according to the health needs of the
population, focusing on social determinants of health, ethics and public health laws.

To create HR database at provincial and national level for the sake of forecasting
and developing workforce.

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 Health Information Systems & Research

Challenges

The health information system lacks accuracy, quality, reliability and absence of
linkages with decision makers.

Research is carried out in silos, does not have relevance to local issues, and quality
is often compromised because of capacity and resources.

Strategy

To incorporate innovative technologies to provide speedy and reliant information to
support evidence based decision making at the district level through District Health
Information System (DHIS).

To strengthen information systems at all levels to establish and integrated disease
surveillance and response system, with a particular focus on Early Warning System.

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 Governance

Challenges

There is no uniform approach for managing the governance
of health institution

The capacity for contracting in and out of services is not
optimal

Strategy

Private sector to be seen as a partner in healthcare delivery

Accountability mechanisms at all levels to be put in place

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 Essential Medicines & Technology

Challenges

Existing technologies have not evolved through a rigorous needs assessment
process

Current mechanisms to determine the appropriateness of supplies,
diagnostics, medicines and laboratory reagents are not evidence based

Strategy

More evidence and best practices to be collected with regard to medicines
related policies, legislations and operative guidelines; and to translate the
same into standard treatment guidelines.

Drug pricing policy to be implemented, protecting public interest by regulating
prices of essential medicines while allowing long term predictability.

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 Cross-Sectoral Linkages

Challenges

A large number of preventable deaths and disabilities among children, pregnant/
lactating women, young adults and aging population can be averted but action lies
beyond the scope of and mandate of health sector.

Strategy

To develop a common vision, framework and a platform with multiple stakeholders
from across the sectors to work for health, for instance education, food security,
agriculture and livestock, housing, sanitation, water, environment, IT, local
government, social protection etc.

Efforts to be geared towards recognition of community involvement, women
empowerment, and local/ rural development being the key channels for cross-
sectoral action

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 Global Health Responsibilities

Challenges

Achieving international public health security is one of the main
challenges arising from the new and complex landscape of public health.
Treaties like International Health Regulations (IHR-2005) and Global
Health Security Agenda (GHSA) require certain core capacities that are
not yet appropriately developed at federal and provincial levels.

Strategy

New global sustainable development agenda to be reflected in all health
strategies and plans, for which governments will be provided technical
support and appropriate expertise.

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 REFERENCES
a. b. World Health Organization. Country Cooperation Strategy for WHO and
Pakistan 2011–2017. Eastern Mediterranean Regional Office. Cairo: 2013.

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