Bahawalnagar

Transcription

Bahawalnagar

Health Facility Assessment - Punjab
Bahawalnagar
TRF
Technical Resource
Facility
Ack nowledgement
TRF acknowledges the cooperation and support of Contech International Health
Consultants, Lahore who worked on the assignment and authored the report. The final
reports were quality assured by Jennifer Sanchos, HLSP Health Systems Consultant, and
Ms. Pamela Sequeira, M&E Specialist TRF.
Disclaimer
This document is issued for the party which commissioned it and for specific purposes
connected with the above-captioned project only. It should not be relied upon by any other
party or used for any other purpose.
We accept no responsibility for the consequences of this document being relied upon by any
other party, or being used for any other purpose, or containing any error or omission which is
due to an error or omission in data supplied to us by other parties.
June 2012
i
Table of Contents
Acknowledgement ......................................................................................................... i
Acronyms .................................................................................................................... vii
Executive Summary ...................................................................................................... 1
Section 1: Introduction ................................................................................................. 3
Survey objectives ....................................................................................................... 3
Assignment duration .................................................................................................. 3
Scope of the HFA ....................................................................................................... 3
Report organization .................................................................................................... 4
Section 2: District Information ..................................................................................... 5
Administrative setup ................................................................................................... 6
Demographic information ........................................................................................... 6
Socioeconomic and health indicators ......................................................................... 7
Section 4: Assessment of Functional Capacities ....................................................... 8
MNCH services .......................................................................................................... 8
Basic health unit (BHUs) .......................................................................................... 13
Rural health centres (RHCs) .................................................................................... 13
Secondary health care (SHC) hospitals.................................................................... 17
Tehsil headquarter (THQ) hospitals.......................................................................... 23
Management basics ................................................................................................ 26
Human resources ................................................................................................ 26
Work coordination and supervision...................................................................... 31
Infection control ................................................................................................... 44
Death review ...................................................................................................... 47
Facility utilization ...................................................................................................... 48
Well baby clinic ........................................................................................................ 53
Donor contributions .................................................................................................. 54
Clients’ perspective .................................................................................................. 56
Procurement estimates ............................................................................................ 58
Equipment ........................................................................................................... 58
Civil works ........................................................................................................... 58
Section 4: Key Findings.............................................................................................. 60
Infrastructure ............................................................................................................ 60
Human resources ..................................................................................................... 61
Equipment................................................................................................................ 61
Drugs and supplies .................................................................................................. 62
ii
Support services ...................................................................................................... 62
Management basics ................................................................................................. 62
Donor contributions .................................................................................................. 63
Clients’ perspective .................................................................................................. 63
ANNEX 1 ...................................................................................................................... 65
District health department ............................................................................................. 65
ANNEX 2 ...................................................................................................................... 73
Input criteria for MNCH services.................................................................................... 73
ANNEX 3 - A................................................................................................................ 91
Status of surveyed health facilities against the minimal level of inputs .......................... 91
ANNEX 3 - B................................................................................................................. 99
List of items required for hospitals in district Bahawalnagar .......................................... 99
ANNEX 4 .................................................................................................................... 120
Scope of civil works required at hospitals .................................................................... 120
iii
List of Tables
Table 1.1: Scope of HFA ................................................................................................ 4
Table 2.1: Demographic profile ....................................................................................... 6
Table 2.2: Population groups .......................................................................................... 6
Table 2.3: Socio-economic and health indicators............................................................ 7
Table 3.1: Status of assessed infrastructure in BHUs ................................................... 10
Table 3.2: Status of MNCH related staff in BHUs ......................................................... 11
Table 3.3: Status of functional equipment in BHUs ....................................................... 11
Table 3.4: Status of drugs and supplies in BHUs .......................................................... 12
Table 3.5: Status of support services in BHUs .............................................................. 12
Table 3.6: Status of assessed infrastructure in RHCs ................................................... 13
Table 3.7: Status of MNCH related staff in RHCs ......................................................... 15
Table 3.8: Status of functional equipment in RHCs ....................................................... 15
Table 3.9: Status of drugs and supplies in RHCs.......................................................... 16
Table 3.10: Status of support services in RHCs............................................................ 16
Table 3.11: Status of assessed infrastructure in SHC hospitals .................................... 17
Table 3.12: Status of MNCH related staff in SHC hospitals .......................................... 21
Table 3.13: Status of functional equipment in SHC hospitals ........................................ 21
Table 3.14: Status of drugs and supplies in SHC hospitals........................................... 22
Table 3.15: Status of support services in SHC hospitals............................................... 23
Table 3.16: Status of assessed infrastructure in THQHs .............................................. 23
Table 3.17: Status of MNCH related staff in THQHS .................................................... 24
Table 3.18: Status of functional equipment in THQHs .................................................. 25
Table 3.19: Status of drugs and supplies in THQHs ..................................................... 25
Table 3.20: Status of support services in THQHs ......................................................... 25
Table 3.21: Status of HR at SHC hospitals ................................................................... 26
Table 3.22: Status of HR at RHCs ................................................................................ 27
Table 3.23: Status of HR at surveyed BHUs ................................................................. 28
Table 3.24: Reasons for the non-availability of HR 24/7 at RHCs ................................. 28
Table 3.25: Reasons for the non-availability of HR 24/7 at SHC hospitals .................... 29
Table 3.26: Capacity building of MNCH related staff..................................................... 29
Table 3.27: Status of work coordination and supervision .............................................. 32
iv
Table 3.28: Status of MIS ............................................................................................. 34
Table 3.29: Reasons for running out of stock reported by surveyed facilities ............... 39
Table 3.30: Status of fee for services ........................................................................... 41
Table 3.31: Mechanisms of social protection available ................................................. 43
Table 3.32: Status of infection control & waste management practices......................... 45
Table 3.33: Status of death reviews.............................................................................. 47
Table 3.34: Status of services’ utilization ...................................................................... 48
Table 3.35: Average monthly MNCH services provided at surveyed facilities ............... 49
Table 3.36: Average monthly family planning services provided at surveyed facilities .. 51
Table 3.37: Status of WBCs established at surveyed facilities ...................................... 53
Table 3.38: Status of donor contributions at surveyed facilities..................................... 54
Table 4.39: Clients’ perspective .................................................................................... 56
Table 3.40: Summary of estimated cost for procurement of equipment & civil works .... 59
Table 2.4: Number of public sector health facilities in the district .................................. 65
Table 2.5: Human resources in the office of EDO- Health............................................. 65
Table 2.6: Availability of MNCH services staffing in Bahawalnagar............................... 66
Table 2.7: Financial allocations in district Bahawalnagar .............................................. 68
Table 2.8: NMNCHP monitoring indicators (Year 2010)................................................ 68
Table 2.9: Number of facilities with staff provided by the NMNCHP .............................. 70
Table 2.10: Number of staff trained on delivering MNCH services ................................ 71
Table 2.11: Status of CMWs’ training and deployment ................................................. 71
v
List of Figures
Figure 1: Map of Bahawalnagar ..................................................................................... 5
Figure 2: Comparison of district and provincial indicators............................................... 7
Figure 3: Range of services that signal fully functional MNCH services.......................... 8
Figure 4: Status of management basics ....................................................................... 28
Figure 5: Level of satisfaction....................................................................................... 58
Figure 6: Availability of medicines and lab services ...................................................... 58
vi
ACRONYMS
ANC
AVD
BB technician
BHU
CBA
CEI
CH
CMW
CWAQ
CDC
DCO
DDCT
DHO
DHDC
DHIS
DHQH
DLQ
EDOs
EmONC
ENC
EAQ
EPI
FP & PHC
HF
HFA
HID
HIV
HMIS
HR
IDI – EDOH
IMNCI
IMPAC
JD
LHS
LHV
LHW
MDGs
M&E
MICS
MIS
Antenatal Care
Assisted Vaginal Deliveries
Blood Bank Technician
Basic Health Unit
Child Bearing Age
Client Exit Interview
Civil Hospital
Community Midwives
Civil Works Assessment Questionnaire
Communicable Disease Control
District Coordination Officer
District Data Collection Teams
District Health Officer
District Health Development Centre
District Health Information System
District Headquarter Hospital
District Level Questionnaire
Executive District Officers
Emergency Obstetric and Newborn Care
Emergency Newborn Care
Equipment Assessment Questionnaire
Expanded Programme of Immunization
Family Planning and Primary Health Care
Health Facilities
Health Facility Assessments
Health Institution Database
Human Immunodeficiency Virus
Health Management Information System
Human Resource
In-depth Interview of EDO Health
Integrated Management of Neonatal and Childhood Illnesses
Integrated Management of Pregnancy and Childbirth
Job Description
Lady Health Supervisor
Lady Health Visitor
Lady Health Worker
Millennium Development Goals
Monitoring and Evaluation
Multiple Indicator Cluster Survey
Management Information System
vii
MNCH
MO
NMNCHP
NVD
OBGYN
OPD
OT
PC-1
PDHS
PNC
PPHI
PSLM
RHC
SBA
SD&MB
SE
SHC hospitals
SPSS
TA
THQH
TRF
TT
WMO
WBC
Maternal, Neonatal and Child Health
Medical Officer
National Maternal Newborn and Child Health Programme
Normal Vaginal Deliveries
Obstetrics and Gynaecology
Out Patient Department
Operation Theatre
Planning Commission Performa – 1
Pakistan Demographic and Health Survey
Post Natal Care
Peoples Primary Health Care Initiative
Pakistan Social & Living Standards Measurement Survey
Rural Health Centre
Skilled Birth Attendants
Service Delivery and Management Basics
Socioeconomic
Secondary Health Care
Statistical Package for the Social Sciences
Technical Assistance
Tehsil Headquarter hospital
Technical Resource Facility
Tetanus Toxoid
Women Medical Officer
Well Baby Clinics
viii
Executive Summary
The health facility assessment 2011 (HFA) is aimed at assessing the availability, functioning,
and quality of health care services in the public sector health facilities, with a focus on
maternal, newborn and child health services. This report provides the findings of the HFA for
each surveyed health facility in the district. It is baseline information for the district and the
national maternal newborn and child health programme (NMNCHP), to set performance
benchmarks and realign activities for bridging the gaps existing in maternal newborn and
child health (MNCH) services for achieving the objectives of the programme.
The HFA started in October 2010 and ended in May 2011. Contech accomplished the
assignment in a participatory way by maintaining a constant liaison with all the key
stakeholders. Thirty six (36) health facilities were assessed in district Bahawalnagar,
including 1 district headquarter (DHQH) hospital, 4 tehsil headquarter (THQH) hospitals, 10
rural health centres (RHCs) and 21 basic health units (BHUs).
The health facilities were also assessed for the availability of enabling factors necessary for
the delivery of MNCH services. An assessment criteria was formulated to ascertain the gaps
in the availability of inputs1, including infrastructure; human resources (HR); drugs and
supplies; equipment and level specific support services, at the individual facilities (detailed
findings are given in Section 4 of the HFA).
In order to assess the perceptions of the clients, a total of 80 client exit interviews were
conducted in the DHQH, THQH and RHCs. The clients’ perspective on the quality of care,
revealed that the majority of the clients were satisfied with the care provided at the public
facilities.
The majority of the building components were available and functional, with regard to
infrastructure. Major gaps existed in the availability of labour rooms at BHUs and RHCs; a
paediatric ward and paediatric nursery at 3 THQHs, an operation theatre and blood bank at
THQH Haroonabad; and staff residences at all levels of health facilities.
Findings related to human resources revealed that, 17 out of the 21 BHUs had the required
staff available, but none of the RHCs and SHC hospitals had the required staff. Major gaps
1
Optimal level of inputs are proposed in the Planning Commission Proformas – 1 (PC-1) of NMNCHP required to deliver level
specific MNCH services; Minimal level of inputs, are bare minimum requirement of the inputs for delivering level specific MNCH
services. More explanation of these inputs has been provided at the start of ‘Section 3’ of the report and contents of the criteria
are given in ‘Annexure 1’
1
were related to the lack of a WMO at 6 RHCs; gynaecologist at THQHs Fort Abbas and
Minchinabad, an anaesthetist at all of the SHC hospitals and technicians at all levels of the
health facilities.
The complete set of required equipment items was not available at any of the surveyed
facilities.
Drugs, supplies, vaccines and family planning commodities were assessed using a facility
specific list of tracer items, for their availability on the day of the survey and stock-out status
during the last one month. The complete range of items was not available at any of the
surveyed facilities. The most common reasons for running out of the stock of drugs, were
delayed and under supply.
The complete range of required inputs for the delivery of support services was not available
at most of the surveyed facilities.
All of the health facilities were conducting regular performance review meetings, but their
record was being maintained at BHU Ghulab Ali only.
The district health information system (DHIS) was being practiced in district Bahawalnagar.
The available DHIS tools were being maintained at the surveyed facilities.
The complete range of inputs required for infection control practices was deficient at all of
the surveyed facilities.
A death review committee (for the review of maternal and neonatal deaths) was not available
at any of the facilities.
32 health facilities reported having received donor contributions for the improvement of
MNCH services, with regard to the provision of human resources, drugs and supplies.
2
Section 1: Introduction
This section includes the survey objectives, its scope and duration and the organisation of
the district report.
Survey objectives
The HFA was aimed at assessing the availability, functioning and quality of the health care
delivery system, in the public sector facilities, with a focus on maternal, newborn and child
health services.
Some of the specific objectives of the HFA were:
•
To assess the health facility status and quality of MNCH services (comprehensive
and basic EmONC, preventive MNCH and family planning) at district level;
•
To assess the clients’ satisfaction and perception of MNCH services;
•
To provide information for the systematic planning for procurement and supply of
goods and commodities (listing the medical equipment and instruments which need
to be replaced or purchased); and
•
To update and assess the contributions made by the development partners for
improving MNCH and family planning services in the selected districts.
Assignment duration
The estimated duration of the assignment was 7 months. The assignment started in October
2010 and ended in May 2011.
Scope of the HFA
The survey included the district headquarter hospital (DHQH), tehsil/taluka headquarter
hospitals (THQHs), rural health centres (RHCs) and 20% of the basic health units (BHUs),
randomly selected within the district. The selection of the BHUs was done through
geographical stratification, on the basis of proportionate distribution. Client exit interviews
were conducted at the surveyed facilities (10 at the DHQH, 5 at each the THQHs and
RHCs), excluding the BHUs. Table 1.1 shows the numbers of health facilities in the district
and health facilities surveyed.
3
TABLE 1. 1: SCOPE OF HFA
Number of health facilities by type
District Bahawalnagar
DHQH
THQH
RHC
BHU
Total
Number of facilities
1
4
10
101
116
Number of facilities surveyed
1
4
10
21
36
Report organisation
The HFA district report has been structured in five sections. While the introduction to the
survey, its scope and duration is described in Section 1, Section 2 ‘District Information’
contains information collected from the district health department, using the district level
questionnaire (DLQ) as well as secondary data sources. It comprises of demographic,
economic and education related information.
Section 3: This section presents information about enabling factors that are essential for the
maintenance of quality MNCH service availability, across all the levels of health care
institutions. The health facilities were assessed against the availability of 5 specified inputs
including infrastructure, human resources, equipment, drugs and supplies and the availability
of support services, (which would enable them to perform their level-specific services).
Information on management basics like work coordination, MIS etc., is also contained in this
section. The information presented in this section gives a snapshot in time, of the surveyed
health facilities. At the end, there is information about the satisfaction and perspective of the
clients, on the MNCH services provided at the public sector health facilities.
Section 4 comprises the key findings of the HFA at district level and recommendations for
rectifying the deficiencies or discrepancies that were identified during the assessment.
4
Section 2: District Information
This section includes the district brief, information on demographic, socioeconomic and
health indicators. It also contains information on health resources and the NMNCHP
indicator compiled at district level. The data sources of the information are the EDOH office
using the district level questionnaire (DLQ) and published documents.
District Bahawalnagar is spread over an area of 8878 sq. km. It is located in the south east
of Punjab, between 20-51 to 30-20 north latitude and 72-17 to 73-58 east longitude, 130
meters above sea level. River Sutluj flows through this district. Bahawalnagar shares a
border with India on two sides. The climate of the district is very hot and 1/3rd of the land is
water logged. Rainfall is scanty. There are four tehsils in the district i.e. Bahawalnagar,
Haroonabad, Minchinabad and Fort Abbas. There are 118 union councils in this district
Communication links of between district Bahawalnagar with other districts are not so good.
The distance from Bahawalnagar to Lahore is 250 km, Bahawalnagar to Multan 220 km and
Bahawalnagar to Bahawalpur 176 km.
FIGURE 1: MAP OF BAHAWALNAGAR
5
Administrative setup
Like other districts in the province, Bahawalnagar is headed by the district coordination
officer (DCO) assisting the divisional commissioner and is accountable to him. The DCO is
appointed by the provincial government from the federal or provincial civil service. The DCO
coordinates with executive district officers (EDOs), who head each of the district offices
including health2.
Demographic information
Demographic information3 is given in the following tables.
TABLE 2.1: DEMOGRAPHIC PROFILE
Indicators
Value
Indicators
Value
Total population
2.7 million
Urban population
823,004
Population of tehsil Bahawalnagar
761,781
Rural population
1,923,042
Population of tehsil Chishtian
665,017
Population density (persons
per sq.km)
259
Population of tehsil Haroonabad
518,122
Sex ratio (number of males
over 100 females) at birth
104
Population of tehsil Fort Abbas
374,415
Population annual growth rate
2.4%
Population of Minchinabad
469,011
-
S OURCE : DHIS C ELL – EDOH O FFIC E
TABLE 2. 2: POPULATION GROUPS
Population
groups
Standard
demographic
(%)
Estimated
population
Population
groups
Standard
demographic
(%)
Estimated
population
Under 1 year
2.70
74,070
Women 15-49
years
22.00
603,536
Under 5 years
13.40
367,608
Married women of
child bearing age
(CBAs)
16.00
438,935
Under 15
years
41.97
1,151,382
Pregnant women
3.40
93,274
Expected births
2.90
79,557
S OURCE : PDHS 2006-07
2
3
www.paiman.org.pk
Projected figures for the year 2010.
6
Socioeconomic and health indicators
Selected socio-economic (SE) and health indicators are given in Table 2.3. The sources
include the multiple cluster indicators survey (MICS) 2008, Pakistan demographic and health
survey (PDHS) 2006-7, immunization coverage evaluation survey Pakistan (CES) 2006-7.
TABLE 2. 3: SOCIO-ECONOMIC AND HEALTH INDICATORS
Indicators
Value
District specific figures
MICS 2007-08
Literacy rate
49%
Income per capita*
-
Infant mortality rate (IMR)
84 per 1000 live births
Under 5 mortality rate
(U5MR)
123 per 1000 live births
Provincial figures
PDHS 2006-07
Maternal mortality ratio
227 per 100,000 live
births
Indicators
Value
Malnutrition
34%
84% (EDOH)
% children<12 months
fully immunized
77.1% (CES)
* Data not available
FIGURE 2: COMPARISON OF DISTRICT AND PROVINCIAL INDICATORS
7
Section 3: Assessment of Functional Capacities
MNCH services
The packages of MNCH services assessed include preventive MNCH services at BHUs,
basic EmONC services at RHCs and comprehensive EmONC services at the THQ and DHQ
hospitals4. The range of MNCH services are given below.
FIGURE 3: RANGE OF SERVICES THAT SIGNAL FULLY FUNCTIONAL MNCH SERVICES
BHUs: Facilities
available for
8/6 Preventive
MNCH Services
1. Antenatal
checkup
2. Lab (Anemia,
Malaria,
pregnancy test,
urine test for
sugar & Protein)
3. Normal delivery
4. Family planning
services (at least
3 methods)
5. TT immunization
6. EPI vaccination
7. Growth
monitoring
8. Nutrition
counseling
9. HR (at least one
LHV or Doctor)
4
RHCs: Facilities
available for
24/7 Basic EmONC
Services
1. Parenteral
antibiotics
2. Parenteral
oxytocic drugs
3. Parenteral
anticonvulsants
for pregnancy
induced
convulsions (due
to hypertension)
4. Manual removal
of placenta
5. Removal of
retained products
6. Assisted vaginal
delivery (vacuum
/ forceps
extraction,)
7. Newborn
resuscitation
8. Post abortion
care
9. HR (skilled
female providersWMO and LHVs),
10. Preventive
MNCH
DHQ/THQ
Hospitals:
Facilities available
for
24/7 Comprehensive
EmONC services
1. Surgery (Csection)
2. Blood
transfusion
3. Newborn care
(resuscitation &
incubator)
4. Gynaecological
care
5. Comprehensive
family planning
services
including
sterilisation
6. HR (skilled staff
for conducting,
C-section,
Blood
transfusion and
anaesthesia)
7. Preventive
MNCH
+
8. Basic EmONC
NMNCHP PC -1
8
The health facilities were assessed against the availability of 5 specified inputs which would
enable them to perform their level-specific services, which include:
1. Infrastructure
2. Human resources
3. Drugs and supplies
4. Equipment
5. Level specific support services
The health facility assessment findings are presented against two levels of inputs including:
1. Optimal level of inputs, these are those proposed in the PC-1 of the national MNCH
programme required to make a health facility ‘fully functional’ for the provision of level
specific package of MNCH services (Annex 2).
2. Minimal level of inputs, which are the bare minimum requirement of the inputs, required
for delivering the package specific MNCH services at the health facilities (Annex 1). The
findings related to the minimal level of inputs are given as Annex 2.
The following tables present the status of assessed facilities for the availability of the optimal
level of inputs.
Basic health units (BHUs)
The BHUs operating within district Bahwalnagar, were assessed for the provision of
preventive MNCH services, available for 8 hours a day, 6 days a week (8/6). Twenty one
(21) BHUs were assessed for the availability of the optimal level of inputs, as summarised in
Tables 3.1 - 3.5 by individual BHU.
The infrastructure of the BHUs has been assessed for the availability of an OPD, LHV room
and labour room, as service provision areas and residences for the accommodation of
required staff. OPD and LHV rooms have been assessed, as a single room having facilities
for consultation, examination and hand washing. A labour room, is also assessed as a single
room having the facilities for delivery, a scrub area and attached toilet facility for the patient.
The findings are presented as status of building components available and functional, in
Table 3.1.
9
TABLE 3.1: STATUS OF ASSESSED INFRASTRUCTURE IN BHU S
BHU Sobeywala
BHU Khola Mirzeka
BHU Chak 302-HR
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak200-8R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak 38-3R
BHU Chak 10-1R
BHU Chak 140-M
BHU Chak 116-M
Y
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y
A
N
N N N N N Y Y Y Y Y N Y N Y Y N Y Y Y Y
F
N
N N N N N Y Y Y Y Y N Y N Y Y N Y Y Y Y
A
Y
N N N N Y Y Y Y Y Y N Y Y Y Y N Y Y Y Y
F
Y
N N N N Y Y Y Y Y Y N Y Y Y Y N Y Y Y Y
A
Y
Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y
F
Y
Y Y Y Y Y Y Y N Y Y Y Y Y Y N Y Y Y Y Y
A
N
N N N Y N Y Y N Y N Y N N Y Y N N N Y Y
F
N
N N N Y N Y Y N Y N Y N N Y N N N N Y Y
A
Y
N Y N Y Y Y Y N Y Y N Y Y Y N Y Y N Y Y
F
Y
N Y N Y Y Y Y N Y Y N Y Y Y N Y Y N Y Y
A
Y
N N Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y N
F
Y
N N Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y N
A
N
N N N N N N N N N N N N N N N N N N N N
F
N
A
N
F
N
Residence
Doctor
A
Y
N N N N Y N Y Y Y Y Y Y Y Y Y Y Y Y Y N
F
N
N N N N N N N N N Y N N N N N N Y N Y N
Residence
LHV
A
N
N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N
F
N
N N N N N Y N N N Y N N N N N N Y N Y N
2. Examination area
3. Hand washing
LHV’s room
1. Consultation area
2. Examination area
3. Hand washing
Labour room
1. Delivery room
2. Scrub area
3. Patient’s washroom
BHU Kabutri
F
BHU Said Ali
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y
OPD
BHU Chak 47-F
Y
Status
BHU Malikpura
A
Infrastructure
BHU Chak 10-F
BHU Jand Wala
BHU Kot Hemraj
BHU Ghulab Ali
BHU Kalia Shah
Status of building components at surveyed BHUs
Key: A=Available, F=Functional
A doctor or LHV is required for the provision of preventive MNCH services. The status of the
assessed BHUs for the availability of human resources (HR), (both regular posted and
provided by the NMNCHP), against the required number mentioned in PC-1 of NMNCHP, is
presented in Table 3.2.
10
TABLE 3.2: STATUS OF MNCH RELATED STAFF IN BHU S
Staff categories
Required number
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
Number of MNCH related staff available at each BHU
WMO/
MO
1
0
0
0
0
0
0
1
0
0
0
1
0
1
1
0
0
1
0
1
0
0
LHV
1
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
0
The equipment items (general items, equipment for OPD and LHV room) for BHUs are listed
in PC-1 of NMNCHP. The status of the functional quantity of these items at assessed BHUs
is presented in Table 3.3.
Equipment
Total items required at each
BHU
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
TABLE 3.3: STATUS OF FUNCTIONAL EQUIPMENT IN BHU S
General
items
3
0
1
2
2
0
0
2
2
1
0
2
1
1
1
1
0
0
2
0
1
1
OPD
14
7
8
8
5
5
7
7
5
8
8
9
4
8
5
7
7
7
10
7
5
7
LHV’s
room
12
5
7
7
9
3
9
7
6
6
5
7
5
7
6
8
8
7
10
7
3
7
Number of functional equipment items available at each surveyed BHU
A list of essential drugs and supplies for MNCH services is contained in PC-1 of NMNCHP.
Tracer items were selected from the list (Annex 2), for assessing their availability at
surveyed facilities. The status of the surveyed BHUs, regarding the available quantity of
tracer items is presented in Table 3.4.
11
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
2
BHU Jand Wala
Total items required at
each BHU
Basic
lab tests
BHU Ghulab Ali
Support services
Item groups
Total items required at each BHU
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
TABLE 3.4: STATUS OF DRUGS AND SUPPLIES IN BHU S
Supplies
6
5
6
5
5
4
4
5
4
5
4
5
3
5
5
5
4
4
5
5
4
4
Drugs
12
7
6
3
6
5
7
10
7
7
6
6
3
8
4
7
4
9
7
4
7
5
Vaccines
5
4
5
3
4
5
2
5
5
2
5
5
1
5
0
0
3
3
5
3
5
5
Family
planning
commodities
6
3
4
0
1
5
3
4
2
4
4
4
2
3
2
6
1
4
2
1
2
3
Number of items available at each surveyed BHU
The facility for basic laboratory tests (test strips and human resources) was assessed at
surveyed BHUs and their status is presented in Table 3.5.
TABLE 3.5: STATUS OF SUPPORT SERVICES IN BHU S
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
0
12
Rural health centres (RHCs)
The RHCs operating within district Bahawalnagar, were assessed for the provision of basic
EmONC services, available for 24 hours a day, 7 days a week (24/7). Ten RHCs were
assessed for the availability of the optimal level of inputs, as summarised in Tables 3.6- 3.10
by individual RHC.
The infrastructure of the RHCs, has been assessed for the availability of an OPD, indoor
ward, LHV room, labour room and clinical laboratory, as service provision areas and the
residences for the accommodation of required staff. Service provision areas have been
assessed as a single room, having facilities like consultation, examination and hand washing
etc., as contained in Table 3.6. The findings are presented as the status of building
components available and functional.
TABLE 3.6: STATUS OF ASSESSED INFRASTRUCTURE IN RHC S
RHC Mecload Gunj
RHC Shaher Farid
RHC Madrisa
2. Scrub area
RHC Madni Sadiq Gunj
Labour room
1. Delivery room
RHC Khichi Wala
2. Patient washroom
RHC Fort Maroot
Female ward
1. Patient area
RHC Faqir Wali
3. Hand washing
RHC Dunga Bonga
2. Examination area
RHC Dahran Wala
OPD
RHC Chak 6-G
Infrastructure
Status
Status of building components at each RHC
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
A
N
Y
N
Y
Y
N
Y
N
N
Y
F
N
Y
N
Y
Y
N
Y
N
N
Y
A
N
Y
Y
Y
Y
N
Y
N
N
Y
F
N
Y
Y
Y
Y
N
Y
N
N
Y
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
A
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
A
N
N
N
N
N
N
N
N
N
N
F
N
N
N
N
N
N
N
N
N
N
A
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
F
N
Y
Y
Y
N
N
N
N
N
N
13
Status
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
A
N
N
N
N
N
N
N
N
N
N
F
N
N
N
N
N
N
N
N
N
N
A
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
F
N
N
Y
N
Y
Y
Y
Y
Y
Y
A
N
N
Y
Y
Y
N
Y
Y
Y
Y
F
N
N
Y
Y
Y
N
Y
Y
Y
Y
A
N
N
N
N
Y
N
Y
Y
N
N
F
N
N
N
N
Y
N
Y
Y
N
N
A
N
N
N
Y
Y
N
Y
Y
N
N
F
N
N
N
Y
Y
N
Y
Y
N
N
Residence
Doctor
A
N
Y
N
Y
Y
Y
N
Y
Y
Y
F
N
Y
N
Y
Y
Y
N
Y
N
Y
Residence
LHV
A
N
N
Y
Y
Y
N
N
N
N
Y
F
N
N
Y
Y
Y
N
N
N
N
Y
Infrastructure
Clinical lab
1. Laboratory room
2. Working area
LHV’s room
2. Examination area
3. Hand washing
PC-1 of the NMNCHP, contains the category and number of staff required for basic EmONC
services. The status of the RHCs for the availability of human resources (both regular posted
and provided by NMNCHP), against the required numbers is presented in Table 3.7.
14
TABLE 3.7: STATUS OF MNCH RELATED STAFF IN RHC S
Staff
categories
Required
number
at each
RHC
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
Number of MNCH related staff available at each RHC
WMO
2
0
1
0
1
1
0
0
1
0
0
LHV
2
3
3
3
3
3
3
3
3
3
3
Lab
technician
1
1
1
1
0
1
1
1
1
1
1
OT technician
1
0
0
0
0
0
0
0
0
0
0
Ambulance
driver
1
1
2
1
1
1
0
2
1
1
0
The equipment items, for various service components at RHCs are listed in PC-1 of the
NMNCHP. The status of the functional quantity of these items at RHCs, is presented in
Table 3.8.
TABLE 3.8: STATUS OF FUNCTIONAL EQUIPMENT IN RHC S
Equipment
each RHC
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
Number of functional equipment items available at each RHC
General items
4
3
3
3
2
3
3
3
3
3
2
Female ward
9
5
4
2
4
6
4
2
5
4
5
WMO OPD
15
10
10
8
7
11
7
13
7
10
9
Labour room
19
10
13
8
11
12
9
10
13
9
8
LHV’s room
10
5
5
4
2
4
4
4
1
1
4
15
A list of essential drugs and supplies for MNCH services is contained in PC-1 of the
NMNCHP. Tracer items were selected from the list (Annex 2) for assessing their availability
at the surveyed facilities. The status of the surveyed RHCs, regarding the available quantity
of tracer items is presented in Table 3.9.
Item groups
Total items required
at each RHC
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
TABLE 3.9: STATUS OF DRUGS AND SUPPLIES IN RHC S
Supplies
6
6
5
3
5
5
6
5
4
4
5
Drugs
18
10
7
6
9
12
12
11
6
5
11
Vaccines
5
2
5
4
5
5
5
5
4
4
5
Family
planning
commodities
6
1
1
2
5
2
3
1
0
5
5
Number of items available at each RHC
The facility for support services including basic laboratory tests (space, test strips and
human resources) and ambulance services (a functional vehicle and driver) was assessed at
the surveyed RHCs. The availability status of these services at RHCs, is presented in Table
3.10.
TABLE 3.10: STATUS OF SUPPORT SERVICES IN RHC S
Support
services
Total items
required at each
RHC
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload
Gunj
RHC Shaher Farid
Basic lab
tests
8
5
4
5
3
6
6
6
5
6
6
Ambulance
service
2
2
2
2
2
2
1
2
2
2
0
16
Secondar y health care (SHC) hospitals
The THQ and DHQ hospitals operating within district Bahawalnagar, were assessed for the
availability of inputs for functioning as a comprehensive EmONC facility, 24 hours a day, 7
days a week (24/7). A total of 5 secondary health care (SHC) hospitals, including 1 DHQ and
4 THQ hospitals, were assessed for the availability of the optimal level of inputs, as
summarised in Tables 3.11 – 3.15 by individual SHC hospital.
The infrastructure of the SHC hospitals has been assessed, for the availability of an OPD,
indoor wards, LHV room, labour room, operation theatre, paediatric nursery, blood bank,
ultrasound room and clinical laboratory, as service provision areas and residences for the
accommodation of required staff. Service provision areas have been assessed, for the
availability of essential space in respective areas e.g., consultation area, examination area
and hand washing in the OPD; patient area, nursing station, store rooms and attached
washrooms in indoor wards, etc., as contained in Table 3.11 The findings are presented as
the status of building components available and functional.
TABLE 3.11: STATUS OF ASSESSED INFRASTRUCTURE IN SHC HOSPITALS
Availability of building components
Infrastructure
OPD:
2. Examination area
3. Privacy of examination
area
4. Hand washing
Female ward:
1. Patient area
2. Nursing station
4. Store for general items
5. Store for equipment
Status
DHQH
Bahawal
nagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroon
abad
THQH
Minchin
abad
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
A
N
Y
Y
Y
N
F
N
Y
Y
Y
N
A
Y
Y
Y
Y
N
F
Y
Y
Y
Y
N
A
F
Y
Y
Y
Y
N
Y
Y
Y
Y
N
A
Y
N
Y
N
N
F
Y
N
Y
N
N
A
Y
N
Y
N
N
F
Y
N
Y
N
N
A
Y
N
Y
N
N
F
Y
N
Y
N
N
A
Y
N
Y
N
N
F
Y
N
Y
N
N
A
N
N
N
N
N
F
N
N
N
N
N
17
Infrastructure
Status
DHQH
Bahawal
nagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroon
abad
THQH
Minchin
abad
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
A
N
N
Y
N
N
F
A
N
N
Y
N
N
N
N
N
Y
N
F
N
N
N
Y
N
A
Y
N
N
N
N
F
Y
N
N
N
N
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
A
Y
Y
N
Y
N
F
Y
Y
N
Y
N
A
N
N
N
N
N
F
N
N
N
N
N
A
N
N
N
N
N
F
N
N
N
N
N
A
Y
Y
Y
N
Y
F
Y
Y
Y
N
Y
A
F
A
Y
Y
Y
N
N
Y
Y
Y
N
N
N
N
N
N
Y
F
Y
Y
N
N
Y
A
Y
Y
Y
N
N
F
A
Y
Y
Y
Y
Y
Y
N
N
N
Y
F
Y
Y
Y
N
Y
A
Y
N
Y
N
N
F
Y
N
Y
N
N
A
Y
Y
Y
N
Y
F
Y
Y
Y
N
Y
A
N
Y
N
N
N
F
N
Y
N
N
N
10. Attached washroom for
staff
A
Y
N
Y
N
N
F
Y
N
Y
N
N
Paediatric ward:
A
Y
N
N
N
Y
Labour room:
1. Delivery room
2. Preparation /stage room
3. Scrub area
4. Staff duty room
6. Staff washroom
Operation theatre:
1. Patient preparation room
2. Operating room
3. Recovery room
4. Scrub area
5. Sterilization area
6. Doctor’s room
7. Support staff duty room
18
Infrastructure
1. Patient area
2. Nursing station
3. Store for general
items/drugs or equipment
4. Patient washroom
Paediatric nursery:
1. Patient area
2. Nursing station
items/drugs or equipment
4. Change room/area
Clinical lab:
1. Laboratory room
2. Working area
3. Doctor’s duty room
reagents or equipment
5. Attached washroom
Blood bank:
1. Blood collection room
2. Working area
3. Staff duty room
reagents or equipment
LHV’s room:
Status
DHQH
Bahawal
nagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroon
abad
THQH
Minchin
abad
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
Y
N
N
N
Y
F
Y
N
N
N
Y
A
F
N
N
N
N
N
N
N
N
N
N
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
A
N
N
N
N
N
F
N
N
N
N
N
A
N
N
N
N
N
F
N
N
N
N
N
A
N
N
N
N
N
F
N
N
N
N
N
A
N
N
Y
Y
Y
F
N
N
Y
Y
Y
A
Y
Y
Y
N
Y
F
Y
Y
Y
N
Y
A
F
A
F
A
N
N
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
Y
N
N
N
N
N
N
N
N
F
Y
N
N
N
N
A
Y
Y
Y
N
Y
F
Y
Y
Y
N
Y
A
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
19
Infrastructure
Status
DHQH
Bahawal
nagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroon
abad
THQH
Minchin
abad
A
F
A
F
A
F
A
Y
N
N
N
N
Y
N
N
Y
N
Y
N
N
N
N
N
Y
Y
N
N
N
Y
N
Y
Y
N
N
Y
Y
N
N
Y
Y
Y
Y
F
N
Y
N
Y
Y
Residence:
Gynaecologist
A
N
Y
N
N
N
F
N
Y
N
N
N
Residence:
Anaesthetist
A
N
N
N
N
N
F
A
N
N
N
N
N
N
Y
N
N
Y
F
N
Y
N
N
Y
Residence:
WMO
A
N
N
N
Y
N
F
N
N
N
Y
N
Residence:
LHV
A
N
N
N
N
N
F
N
N
N
N
N
Residence:
Nurses
A
N
Y
N
Y
Y
F
N
Y
N
Y
Y
Residence
Lab technician
A
N
N
N
Y
Y
F
N
N
N
Y
Y
Residence:
Blood bank technician
A
N
Y
N
Y
N
F
N
Y
N
Y
N
Residence:
Anaesthesia technician
A
N
Y
N
N
N
F
N
Y
N
N
N
2. Examination area
3. Privacy for examination
4. Hand washing facility
Ultrasound room:
Examination area
Residence:
Paediatrician
PC-1 of the NMNCHP contains the category and number of staff required for comprehensive
EmONC services. The status of the SHC hospitals for the availability of human resources
(both regular posted and provided by NMNCHP), against the required numbers is presented
in Table 3.12.
20
TABLE 3.12: STATUS OF MNCH RELATED STAFF IN SHC HOSPITALS
Availability at DHQH
Staff
categories
Availability at THQHs
Required
number
DHQH
Bahawalnagar
Required
number
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Gynaecologist
2
2
1
1
0
1
0
Anaesthetist
2
0
1
0
0
0
0
Paediatrician
2
1
1
1
1
1
1
WMOs
6
5
4
5
1
4
2
OT technician
4
7
4
1
0
0
0
Blood bank
technician
4
2
4
0
0
0
0
Lab technician
3
2
2
0
0
1
0
Anaesthesia
technician
4
0
4
0
0
0
0
Nurses
20
43
12
12
6
14
9
LHVs
4
3
4
1
1
1
1
Ambulance
drivers
4
8
4
2
2
3
2
The equipment items for various service components at SHC hospitals are listed in PC-1 of
the NMNCHP. The status of the functional quantity of these items at SHC hospitals, is
TABLE 3.13: STATUS OF FUNCTIONAL EQUIPMENT IN SHC HOSPITALS
Availability of functional equipment items at SHCs
Equipment
Total
required
items at
DHQH
DHQH
Bahawalnagar
Total
required
items at
THQH
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
General items
4
4
4
4
4
3
4
Female ward
19
10
19
10
9
14
7
21
OPD
12
8
5
1
2
2
3
Paediatric
nursery
13
11
13
7
7
5
6
Paediatric ward
10
8
10
7
8
5
6
Labour room
24
18
19
14
12
10
13
Operation
theatre
31
19
31
24
29
27
19
Clinical
laboratory
5
4
5
2
3
1
4
A list of essential drugs and supplies for MNCH services is contained in PC-1 of the
NMNCHP. Tracer items were selected from the list (Annex 2) for assessing their availability
at the surveyed facilities. The status of the SHC hospitals, regarding the available quantity of
tracer items is presented in Table 3.14.
TABLE 3.14: STATUS OF DRUGS AND SUPPLIES IN SHC HOSPITALS
Number of items available at each SHC hospital
Item groups
Total items
Supplies
DHQH
Bahawalnagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
9
7
8
4
5
9
Drugs
21
12
8
5
5
5
Vaccines
5
4
3
5
4
4
Family planning
commodities
7
0
1
4
4
0
The facility for support services including laboratory tests (space, test strips and human
resources), blood transfusion services (space, supplies and HR), ambulance services
(functional vehicle and driver), operation theatre (space, drugs and supplies, equipment
items and HR) was assessed at the surveyed SHC hospitals. The availability status of these
services at the SHC hospitals is presented in Table 3.15.
22
TABLE 3.15: STATUS OF SUPPORT SERVICES IN SHC HOSPITALS
Number of items available at each SHC hospitals
Item groups
Total
items
Basic laboratory tests
DHQH
Bahawalnagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
17
8
5
7
7
9
Blood transfusion
5
5
2
1
2
3
Ambulance services
2
2
2
2
2
2
Radiology services
3
0
2
0
2
2
Operation theatre
62
43
44
47
31
33
Tehsil headquarter (THQ) hospitals
The THQ hospitals were also assessed for their capacity to provide 24/7 basic EmONC
services on similar inputs, as those used for the RHCs. The status of the THQ hospitals,
regarding the availability of inputs to deliver 24/7 basic EmONC services is presented in
Tables 3.16 – 3.20.
TABLE 3.16: STATUS OF ASSESSED INFRASTRUCTURE IN THQH S
Availability of building components at each THQH
Infrastructure
Status
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
A
Y
Y
Y
Y
F
Y
Y
Y
Y
A
Y
Y
Y
N
F
Y
Y
Y
N
A
Y
Y
Y
N
F
Y
Y
Y
N
A
N
Y
N
N
F
N
Y
N
N
A
N
Y
N
N
F
N
Y
N
N
Labour room:
1. Delivery room
A
Y
Y
Y
Y
F
Y
Y
Y
Y
2. Scrub area
A
N
N
Y
N
OPD:
2. Examination area
3. Hand washing
Female ward:
1. Patient area
23
Availability of building components at each THQH
Infrastructure
Status
Clinical lab:
1. Laboratory room
2. Working area
LHV’s room:
2. Examination area
3. Hand washing facility
Residence - WMO
Residence - LHV
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
F
N
N
Y
N
A
Y
Y
Y
Y
F
Y
Y
Y
Y
A
Y
Y
Y
Y
F
Y
Y
Y
Y
A
N
N
N
N
F
N
N
N
N
A
N
Y
Y
Y
F
N
Y
Y
Y
A
Y
Y
Y
Y
F
Y
Y
Y
Y
A
N
N
N
N
F
N
N
N
N
A
Y
N
Y
Y
F
Y
N
Y
Y
A
N
N
Y
N
F
N
N
Y
N
A
N
N
N
N
F
N
N
N
N
TABLE 3.17: STATUS OF MNCH RELATED STAFF IN THQHS
Staff categories
Required
number
Number of MNCH related staff available at THQHs*
THQH Chishtian
THQH Fort Abbas
THQH
Haroonabad
THQH
Minchinabad
WMOs
2
5
1
4
2
LHV
2
1
0
0
0
Lab technician
1
0
0
1
0
OT technician
1
1
1
1
1
Ambulance
driver
1
2
2
3
2
*Available staff includes regular and NMNCHP provided staff
24
TABLE 3.18: STATUS OF FUNCTIONAL EQUIPMENT IN THQH S
Equipment
Total
items
required
at each
THQH
Number of items available at THQHs
THQH Chishtian
THQH Fort Abbas
THQH
Haroonabad
THQH
Minchinabad
General items
2
2
2
2
2
OPD
3
1
1
1
2
Female ward
6
5
5
5
6
Labour room
14
10
9
6
11
TABLE 3.19: STATUS OF DRUGS AND SUPPLIES IN THQH S
Item groups
Total items
required at
each THQH
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Supplies
6
6
2
3
6
Drugs
18
7
5
4
5
Vaccines
5
3
5
4
4
Family planning
commodities
6
1
4
4
0
TABLE 3.20: STATUS OF SUPPORT SERVICES IN THQH S
Support services
Total items
required at
each THQH
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Basic lab tests*
8
3
4
6
5
Ambulance service
2
2
2
2
2
*Includes facility for tests of pregnancy, haemoglobin, urine for protein and sugar, and malaria
25
Management basics
The findings related to facility management basics are presented below:
Human resources
The filled posts of MNCH related staff at surveyed facilities, were assessed against the
sanctioned posts provided in the notified yard sticks of the provincial health department.
Posts for medical officers (MOs) and women medical officers (WMOs) are collectively
sanctioned, with a ratio of 3:1 for posting in clinical disciplines at the DHQH. Accordingly, a
gap in the filled positions of WMOs could be inferred at the DHQH.
The filled status of the staff categories, presented in the following tables, includes regular
posting only, as reported by the respective facility, on the day of the survey. The status of
human resource availability at each surveyed facility, is given in the Tables 3.21, 3.22 and
3.23.
TABLE 3.21: STATUS OF HR AT SHC HOSPITALS
Status of HR at
DHQH
Staff
Status of HR at THQHs
DHQH Bahawalnagar
S
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
F
F
F
F
S
F
Gynaecologist
1
1
1
1
0
1
0
Anaesthetist
2
0
1
0
0
0
0
Paediatrician
1
1
1
1
1
1
1
WMO
64
5
2
5
1
4
2
Operation theatre
technician
0
7
0
1
0
0
0
0
2
0
0
0
0
0
Lab technician
1
2
1
0
0
1
0
0
0
0
0
0
0
0
Nurses
25
43
14
12
6
14
9
26
Status of HR at
DHQH
Staff
Status of HR at THQHs
DHQH Bahawalnagar
S
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
F
F
F
F
S
F
LHV
4
3
1
1
1
1
1
Ambulance drivers
4
8
2
2
2
3
2
Key: S= Sanctioned, F=Filled
TABLE 3.22: STATUS OF HR AT RHC S
Staff
Sanctioned
posts (at
each RHC)
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga
Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload
Gunj
RHC Shaher Farid
Number of posts filled at RHCs
WMO
1
0
1
0
1
1
0
0
1
0
0
Lab
technician
1
1
1
1
0
1
1
1
1
1
1
Nurses
2
6
6
3
4
3
1
3
5
4
6
LHVs
1
2
2
2
2
2
2
2
2
2
2
Ambulance
drivers
2
1
2
1
1
1
0
2
1
1
0
27
TABLE 3.23: STATUS OF HR AT SURVEYED BHU S
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
WMO/MO
1
0
0
0
0
0
0
1
0
0
0
1
0
1
1
0
0
1
0
1
0 0
LHV
1
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1 0
BHU Sobeywala
Staff
Sanctioned posts (at
each BHU)
Number of posts filled at BHUs
The availability of job descriptions, service delivery protocols and staff as per duty roster was
assessed and the findings are presented in Figure 4.
FIGURE 4: STATUS OF MANAGEMENT BASICS
The reasons for the non-availability of staff on a 24/7 basis at the RHCs and SHCs are
provided in Tables 3.24 and 3.25.
TABLE 3.24: REASONS FOR THE NON-AVAILABILITY OF HR 24/7 AT RHC S
Status in RHCs
Reasons for non-availability
Residence not available
WMO
LHV
Ambulance driver
0
0
1
28
Status in RHCs
Reasons for non-availability
WMO
LHV
Ambulance driver
Residence damaged
0
0
0
Security reasons
1
0
0
Lack of basic amenities
2
0
0
TABLE 3.25 REASONS FOR THE NON-AVAILABILITY OF HR 24/7 AT SHC HOSPITALS
Anaesthetist
Paediatrician
Blood bank
technician
Laboratory
technician
WMO
LHV
Gynaecologist
Anaesthetist
Paediatrician
Blood bank
technician
Laboratory
technician
WMO
LHV
Status of THQH hospitals
Gynaecologist
Status of DHQH hospitals
Residence not
available
0
0
0
0
0
0
0
1
1
0
0
0
1
1
Residence
damaged
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Security reasons
0
0
0
0
0
0
0
1
0
0
0
0
0
0
Lack of basic
amenities
0
0
0
0
0
0
0
0
0
0
0
0
1
0
Reasons of nonavailability
The list of health facilities having staff trained for providing MNCH services is presented in
Table 3.26.
TABLE 3.26: CAPACITY BUILDING OF MNCH RELATED STAFF
MNCH related training conducted
Health facility
EmONC
ENC
IMNCI
IMPAC
FP
surgical
FP
counselling
Client
centeredness
DHQH
Bahawalnagar
N
N
N
N
N
N
N
THQH
Chishtian
Y
N
N
N
N
N
N
THQH Fort
Abbas
N
N
N
N
N
N
N
THQH
Haroonabad
Y
N
N
N
N
N
N
29
Health facility
EmONC
ENC
IMNCI
IMPAC
FP
surgical
FP
counselling
Client
centeredness
THQH Minchan
Abad
N
N
N
N
N
N
N
RHC Chak 6-G
N
N
N
N
N
Y
RHC Dahran
Wala
N
N
N
N
N
Y
RHC Dunga
Bonga
N
N
N
N
Y
N
RHC Faqir Wali
N
N
N
N
N
Y
RHC Fort
Maroot
N
N
N
N
N
Y
RHC Khichi
Wala
N
N
N
N
N
Y
RHC Madni
Sadiq Gunj
N
N
N
N
Y
N
RHC Madrisa
N
N
N
N
N
Y
RHC Mecload
Gunj
N
N
N
N
N
Y
RHC Shaher
Farid
N
N
N
N
N
Y
BHU Ghulab
Ali
N
N
N
N
Y
N
BHU Jand
Wala
N
N
N
N
Y
N
BHU Kalia
Shah
N
N
N
N
N
Y
BHU Kot
Hemraj
N
N
N
N
Y
N
BHU Malikpura
N
N
N
N
N
Y
BHU Chak
10-F
N
N
N
N
N
Y
BHU Chak
47-F
N
N
N
N
N
Y
30
Health facility
FP
counselling
Client
centeredness
N
N
Y
N
N
N
Y
N
N
N
Y
N
N
N
N
N
N
Y
BHU Chak
58-4R
N
N
N
N
N
Y
BHU Chak
110-6R
N
N
N
N
N
Y
BHU Chak
200-8R
N
N
N
N
N
Y
BHU Chak
165-7R
N
N
N
N
N
Y
BHU Chak
297-HR
N
N
N
N
N
Y
BHU Chak
302-HR
N
N
N
N
N
Y
BHU Kabutri
N
N
N
N
N
Y
BHU Said Ali
N
N
N
N
N
Y
BHU Khola
Mirzeka
N
N
N
N
N
Y
BHU
Sobeywala
N
N
N
N
N
Y
EmONC
ENC
IMNCI
IMPAC
BHU Chak
116-M
N
N
N
BHU Chak
140-M
N
N
BHU Chak
10-1R
Y
BHU Chak
38-3R
FP
surgical
Work coordination and s upervisio n
The health facilities in the district, were assessed for work coordination and supervisory
activities, including facility staff meetings, the participation of facility in-charges in district
level meetings and the conduction of supervisory visits and feedback by district health
managers. The findings of each surveyed health facility are presented in Table 3.27.
31
TABLE 3.27: STATUS OF WORK COORDINATION AND SUPERVISION
Work coordination and supervision
Health facility
Regular facility PRM*
Meeting
held
Record
maintained
DHQH Bahawalnagar
Y
N
THQH Chishtian
N
THQH Fort Abbas
Participation in
district PRM*
Monthly supervisory visit
Facility
visited
Facility received visit
feedback
Y
Y
Y
N
Y
Y
Y
Y
N
Y
Y
N
THQH Haroonabad
Y
N
Y
Y
N
THQH Minchan Abad
Y
N
Y
Y
N
RHC Chak 6-G
N
N
Y
Y
N
RHC Dahran Wala
Y
N
Y
Y
Y
RHC Dunga Bonga
N
N
Y
Y
Y
RHC Faqir Wali
Y
N
Y
Y
Y
RHC Fort Maroot
Y
N
Y
Y
Y
RHC Khichi Wala
Y
N
Y
Y
N
RHC Madni Sadiq
Gunj
Y
N
Y
Y
N
RHC Madrisa
Y
N
Y
Y
Y
RHC Mecload Gunj
Y
N
Y
Y
Y
RHC Shaher Farid
Y
N
Y
Y
N
BHU Ghulab Ali
Y
Y
Y
Y
Y
BHU Jand Wala
Y
N
Y
Y
Y
BHU Kalia Shah
Y
N
Y
Y
N
BHU Kot Hemraj
N
N
Y
Y
Y
BHU Malikpura
Y
N
Y
Y
Y
BHU Chak 10-F
Y
N
Y
Y
N
BHU Chak 47-F
Y
N
Y
Y
Y
32
Work coordination and supervision
Health facility
Regular facility PRM*
Meeting
held
Record
maintained
BHU Chak 116-M
Y
N
BHU Chak 140-M
N
BHU Chak 10-1R
Participation in
district PRM*
Monthly supervisory visit
Facility
visited
Facility received visit
feedback
Y
Y
N
N
Y
Y
Y
Y
N
Y
Y
N
BHU Chak 38-3R
Y
N
Y
Y
N
BHU Chak 58-4R
Y
N
Y
Y
N
BHU Chak 110-6R
Y
N
Y
Y
Y
BHU Chak 200-8R
Y
N
Y
Y
Y
BHU Chak 165-7R
Y
N
Y
Y
Y
BHU Chak 297-HR
Y
N
Y
Y
N
BHU Chak 302-HR
Y
N
Y
Y
N
BHU Kabutri
Y
N
Y
Y
N
BHU Said Ali
Y
N
Y
Y
N
BHU Khola Mirzeka
Y
N
Y
Y
N
BHU Sobeywala
Y
N
Y
Y
N
* PRM=Performance Review Meeting
Management information system
District Bahawalpur was practicing the district health information system (DHIS). The
surveyed facilities were assessed for the availability and maintenance of DHIS tools and the
findings are presented in Table 3.28.
33
TABLE 3.28: STATUS OF MIS
Daily expense register
DHIS monthly report
TB register
Disease early warning system
DEWS chart
Growth monitoring register
Y
N
Y
Y
Y
Y
Y
Y
N
THQH
Chishtian
N
N
N
N
N
Y
Y
N
Y
Y
Y
Y
N
N
N
THQH Fort
Abbas
Y
Y
Y
Y
N
Y
Y
N
Y
Y
N
Y
N
N
N
THQH
Haroonabad
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
THQH Minchan
Abad
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
N
RHC Chak 6-G
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
RHC Dahran
Wala
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
RHC Dunga
Bonga
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
RHC Faqir Wali
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
Y
N
RHC Fort
Maroot
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
RHC Khichi
Wala
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
RHC Madni
Sadiq Gunj
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
Y
N
RHC Madrisa
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
N
N
RHC Mecload
Gunj
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
N
N
Meeting register
Y
EPI register
N
Family planning register
Y
Child health register
Y
Birth register
Y
Mother health register
N
OPD register
DHQH
Bahawalnagar
Health facility
OPD ticket
Medicine stock register
Status of MIS tools
MIS tools – Available
34
Birth register
Meeting register
DHIS monthly report
TB register
DEWS chart
Y
Y
N
Y
Y
Y
Y
N
Y
Y
Y
Y
N
N
N
BHU Ghulab Ali
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
N
BHU Jand
Wala
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Kalia
Shah
Y
Y
Y
Y
Y
Y
N
N
Y
Y
Y
N
N
N
N
BHU Kot
Hemraj
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Malikpura
N
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
10-F
N
Y
Y
Y
N
Y
Y
N
N
N
Y
N
N
N
N
BHU Chak
47-F
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
N
N
Y
BHU Chak
116-M
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
Y
N
N
N
BHU Chak
140-M
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
10-1R
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
38-3R
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
BHU Chak
58-4R
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
110-6R
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
200-8R
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
165-7R
Y
Y
N
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
EPI register
OPD register
RHC Shaher
Farid
Health facility
OPD ticket
Status of MIS tools
35
Birth register
Meeting register
DHIS monthly report
TB register
DEWS chart
N
Y
N
N
N
N
Y
N
Y
Y
Y
N
N
N
N
BHU Chak
302-HR
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Kabutri
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
N
N
N
BHU Said Ali
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU Khola
Mirzeka
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
N
BHU
Sobeywala
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
N
N
N
EPI register
OPD register
BHU Chak
297-HR
Health facility
OPD ticket
Status of MIS tools
MIS tools – Maintained
DHQH
Bahawalnagar
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
Y
THQH
Chishtian
N
N
N
N
N
Y
Y
N
Y
Y
Y
Y
N
N
THQH Fort
Abbas
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
THQH
Haroonabad
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
THQH Minchan
Abad
Y
Y
Y
Y
N
N
Y
N
Y
Y
Y
Y
Y
Y
RHC Chak
6-G
N
Y
Y
Y
N
Y
N
N
Y
Y
Y
Y
N
N
RHC Dahran
Wala
Y
Y
Y
Y
N
Y
Y
N
Y
N
Y
Y
N
N
RHC Dunga
Bonga
N
Y
Y
N
N
Y
Y
N
Y
Y
Y
Y
N
N
36
Birth register
EPI register
Meeting register
DHIS monthly report
TB register
Y
Y
Y
Y
N
Y
Y
N
Y
Y
N
Y
N
Y
RHC Fort
Maroot
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
N
RHC Khichi
Wala
Y
Y
Y
Y
N
Y
Y
N
Y
N
Y
Y
N
N
RHC Madni
Sadiq Gunj
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
N
Y
RHC Madrisa
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
Y
Y
N
RHC Mecload
Gunj
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Shaher
Farid
Y
Y
N
Y
Y
Y
Y
N
Y
N
Y
Y
N
N
BHU Ghulab Ali
N
Y
Y
Y
N
N
N
N
Y
Y
Y
Y
N
N
BHU Jand
Wala
N
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
BHU Kalia
Shah
Y
Y
N
N
N
N
N
N
Y
N
Y
N
N
N
BHU Kot
Hemraj
N
Y
Y
Y
N
Y
Y
N
Y
N
Y
N
N
N
BHU Malikpura
N
Y
N
Y
Y
N
Y
N
Y
Y
Y
N
N
N
BHU Chak
10-F
N
Y
Y
Y
N
Y
Y
N
N
N
Y
N
N
N
BHU Chak
47-F
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
N
N
BHU Chak
116-M
Y
Y
Y
N
N
N
Y
N
Y
Y
Y
Y
N
N
BHU Chak
140-M
Y
Y
N
Y
N
N
N
N
N
N
Y
N
N
N
OPD register
RHC Faqir Wali
Health facility
DEWS chart
OPD ticket
Status of MIS tools
37
Birth register
EPI register
Meeting register
DHIS monthly report
TB register
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
BHU Chak
38-3R
Y
Y
N
Y
N
Y
Y
N
N
N
Y
N
N
N
BHU Chak
58-4R
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
BHU Chak
110-6R
Y
Y
Y
Y
N
Y
Y
N
Y
N
Y
N
N
N
BHU Chak
200-8R
Y
Y
Y
Y
N
N
N
N
Y
Y
Y
N
N
N
BHU Chak
165-7R
Y
Y
N
N
N
N
Y
N
Y
Y
Y
N
N
N
BHU Chak
297-HR
N
Y
N
N
N
N
Y
N
Y
Y
Y
N
N
N
BHU Chak
302-HR
Y
N
N
N
N
N
N
N
N
N
Y
N
N
N
BHU Kabutri
Y
Y
Y
Y
N
Y
Y
N
Y
N
Y
N
N
N
BHU Said Ali
Y
Y
Y
Y
N
Y
Y
N
Y
Y
Y
N
N
N
BHU Khola
Mirzeka
Y
Y
N
Y
N
Y
N
N
N
N
Y
N
N
N
BHU
Sobeywala
Y
Y
N
N
N
N
N
N
Y
Y
Y
Y
N
N
OPD register
BHU Chak
10-1R
Health facility
DEWS chart
OPD ticket
Status of MIS tools
Drugs and supplies
The availability of drugs and supplies has been described under individual MNCH service
packages. The reasons for their non-availability were identified at the surveyed facilities and
are presented in Table 3.29.
38
TABLE 3.29: REASONS FOR RUNNING OUT OF STOCK REPORTED BY SURVEYED FACILITIES
Poor quantification
Delayed demand
submission
Unavailability of
buffer stock
Lack of storage
capacity
Delayed supply
Under supply
No procurement
powers
Insufficient budget
Lack of cold-chain
Reasons for running out of stock
DHQH Bahawalnagar
N
N
N
N
Y
N
N
N
N
THQH Chishtian
N
N
N
N
Y
Y
N
N
N
THQH Fort Abbas
N
N
N
N
Y
Y
N
N
N
THQH Haroonabad
N
N
N
N
Y
Y
N
N
N
THQH Minchan Abad
N
N
N
N
N
N
N
N
N
RHC Chak 6-G
N
N
N
N
Y
Y
Y
N
N
RHC Dahran Wala
N
N
N
N
Y
Y
N
N
N
RHC Dunga Bonga
N
N
N
N
Y
Y
N
N
N
RHC Faqir Wali
N
N
N
N
Y
N
N
N
N
RHC Fort Maroot
N
N
N
N
Y
N
N
N
N
RHC Khichi Wala
N
N
N
N
Y
N
N
N
N
N
N
N
N
Y
N
N
N
N
RHC Madrisa
N
N
N
N
N
Y
N
N
N
RHC Mecload Gunj
N
N
N
N
Y
Y
N
N
N
RHC Shaher Farid
N
N
N
N
N
Y
N
N
N
BHU Ghulab Ali
N
N
N
N
Y
Y
N
N
N
BHU Jand Wala
N
N
N
N
N
Y
N
N
N
BHU Kalia Shah
N
N
N
N
N
Y
N
N
N
BHU Kot Hemraj
N
N
N
N
N
Y
N
N
N
BHU Malikpura
N
Y
N
N
N
N
N
N
N
Health facilities citing
running out of stock
39
Poor quantification
Delayed demand
submission
Unavailability of
buffer stock
Lack of storage
capacity
Delayed supply
Under supply
No procurement
powers
Insufficient budget
Lack of cold-chain
Reasons for running out of stock
BHU Chak 10-F
N
N
N
N
Y
Y
N
N
N
BHU Chak 47-F
Y
N
N
N
N
N
N
N
N
BHU Chak 116-M
N
N
N
N
Y
Y
N
N
N
BHU Chak 140-M
N
N
N
N
Y
Y
N
N
N
BHU Chak 10-1R
N
N
N
N
Y
N
N
N
N
BHU Chak 38-3R
N
N
N
N
Y
N
N
N
N
BHU Chak 58-4R
N
N
N
N
Y
N
N
N
N
BHU Chak 110-6R
N
N
N
N
Y
N
N
N
N
BHU Chak 200-8R
N
N
N
N
Y
N
N
N
N
BHU Chak 165-7R
N
N
N
N
Y
Y
N
N
N
BHU Chak 297-HR
N
N
N
N
Y
N
N
N
N
BHU Chak 302-HR
N
N
N
N
Y
N
N
N
N
BHU Kabutri
N
N
N
N
N
N
N
N
N
BHU Said Ali
N
N
N
N
N
N
N
N
N
BHU Khola Mirzeka
N
N
N
N
N
N
N
N
N
BHU Sobeywala
N
N
N
N
Y
N
N
N
N
Health facilities citing
running out of stock
Fee for services
The charging of a fee for MNCH services and availability of social protection mechanisms for
the poor were assessed at surveyed facilities and their findings are presented in Table 3.30
and 3.31.
40
TABLE 3.30: STATUS OF FEE FOR SERVICES
Services provided free of cost at surveyed health facilities
OPD laboratory
OPD ultrasound
OPD X-rays
OPD medicines
Admission fee
Ward bed
Inpatient laboratory
Inpatient ultrasound
Inpatient X-rays
Blood grouping & cross
matching
Inpatient medicines
Ambulance services
Indoor
OPD ticket
OPD
DHQH
Bahawalnagar
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
N
THQH Chishtian
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
N
THQH Fort Abbas
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
N
THQH Haroonabad
N
Y
Y
Y
N
N
Y
Y
Y
Y
Y
Y
N
THQH Minchan
Abad
N
N
N
N
Y
N
Y
Y
Y
Y
Y
Y
N
RHC Chak 6-G
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Dahran Wala
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Dunga Bonga
N
N
N
N
Y
N
Y
Y
Y
N
Y
N
RHC Faqir Wali
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Fort Maroot
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Khichi Wala
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Madni Sadiq
Gunj
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Madrisa
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Mecload Gunj
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
RHC Shaher Farid
N
N
N
N
Y
N
Y
Y
Y
Y
Y
N
BHU Ghulab Ali
N
N
Health facilities
where services
are charged
Y
41
N
N
Y
BHU Malikpura
N
N
Y
BHU Chak 10-F
N
N
Y
BHU Chak 47-F
N
N
Y
BHU Chak 116-M
N
N
Y
BHU Chak 140-M
N
N
Y
BHU Chak 10-1R
N
N
Y
BHU Chak 38-3R
N
N
Y
BHU Chak 58-4R
N
N
Y
BHU Chak 110-6R
N
N
Y
BHU Chak 200-8R
N
N
Y
BHU Chak 165-7R
N
N
Y
BHU Chak 297-HR
N
N
Y
BHU Chak 302-HR
N
N
Y
BHU Kabutri
N
N
Y
Ambulance services
BHU Kot Hemraj
Inpatient medicines
Y
matching
N
Inpatient X-rays
N
BHU Kalia Shah
Y
Ward bed
N
Admission fee
N
OPD medicines
BHU Jand Wala
OPD X-rays
OPD laboratory
Indoor
OPD ticket
Health facilities
where services
are charged
OPD ultrasound
OPD
42
N
N
Y
Ambulance services
BHU Sobeywala
Inpatient medicines
Y
matching
N
Inpatient X-rays
N
BHU Khola Mirzeka
Y
Ward bed
N
Admission fee
N
OPD medicines
BHU Said Ali
OPD X-rays
OPD laboratory
Indoor
OPD ticket
Health facilities
where services
are charged
OPD ultrasound
OPD
TABLE 3.31: MECHANISMS OF SOCIAL PROTECTION AVAILABLE
Social protection mechanism
Health facilities with available
social protection
Bait-ul Maal
Zakaat
Patient welfare society
DHQH Bahawalnagar
N
Y
Y
THQH Chishtian
N
Y
Y
THQH Fort Abbas
N
N
Y
THQH Haroonabad
N
Y
Y
THQH Minchan Abad
N
Y
Y
RHC Chak 6-G
N
N
N
RHC Dahran Wala
N
N
N
RHC Dunga Bonga
N
N
N
RHC Faqir Wali
N
N
N
RHC Fort Maroot
N
N
N
RHC Khichi Wala
N
N
N
N
N
N
RHC Madrisa
N
N
N
RHC Mecload Gunj
N
Y
N
RHC Shaher Farid
N
N
N
43
Social protection mechanism
Health facilities with available
social protection
Bait-ul Maal
Zakaat
Patient welfare society
BHU Ghulab Ali
N
N
N
BHU Jand Wala
N
N
N
BHU Kalia Shah
N
N
N
BHU Kot Hemraj
N
N
N
BHU Malikpura
N
N
N
BHU Chak 10-F
N
N
N
BHU Chak 47-F
N
N
N
BHU Chak 116-M
N
N
N
BHU Chak 140-M
N
N
N
BHU Chak 10-1R
N
N
N
BHU Chak 38-3R
N
N
N
BHU Chak 58-4R
N
N
N
BHU Chak 110-6R
N
N
N
BHU Chak 200-8R
N
N
N
BHU Chak 165-7R
N
N
N
BHU Chak 297-HR
N
N
N
BHU Chak 302-HR
N
N
N
BHU Kabutri
N
N
N
BHU Said Ali
N
N
N
BHU Khola Mirzeka
N
N
N
BHU Sobeywala
N
N
N
Infection cont rol
The health facilities were assessed for practices of infection control and waste management,
and the availability of related material. The findings from the individually surveyed facilities
are presented in Table 3.32.
44
TABLE 3.32: STATUS OF INFECTION CONTROL & WASTE MANAGEMENT PRACTICES
Waste collection materials
Personal protection materials
Waste treatment equipment
Functional incinerators
Hand washing practices of HCP
Disinfection of service provision
area
Hep B vaccination of Staff
Waste segregation
Disposal of waste through
burning
Disposal through throwing-away
Disposal through municipal
arrangement
Infection control practices
Waste management plan
Availability of materials
DHQH
Bahawalnagar
Y
N
N
N
Y
N
N
N
N
N
N
N
THQH Chishtian
N
N
N
N
N
N
Y
Y
N
Y
N
N
THQH Fort Abbas
Y
N
N
N
N
N
Y
Y
N
N
N
N
THQH Haroonabad
Y
N
N
N
N
N
N
N
Y
N
N
N
THQH Minchan
Abad
Y
N
N
N
N
N
Y
Y
Y
Y
N
N
RHC Chak 6-G
N
N
N
.
N
N
N
N
N
N
N
RHC Dahran Wala
Y
N
N
.
N
N
N
Y
N
N
N
RHC Dunga Bonga
Y
N
N
.
N
N
Y
Y
N
N
N
RHC Faqir Wali
Y
N
N
.
N
N
Y
Y
N
N
N
RHC Fort Maroot
Y
N
N
.
N
N
Y
N
N
N
N
RHC Khichi Wala
Y
N
N
.
N
N
Y
Y
N
N
N
RHC Madni Sadiq
Gunj
Y
N
N
.
N
N
N
Y
N
N
N
RHC Madrisa
Y
N
N
.
N
N
Y
N
N
N
N
RHC Mecload Gunj
Y
N
N
.
N
N
N
N
N
N
N
RHC Shaher Farid
Y
N
N
.
N
N
N
Y
N
N
N
Health facilities
45
area
Waste segregation
arrangement
BHU Ghulab Ali
N
N
N
.
N
N
N
N
N
N
N
BHU Jand Wala
Y
N
N
.
N
N
N
N
Y
N
N
BHU Kalia Shah
N
N
N
.
N
N
N
Y
N
N
N
BHU Kot Hemraj
Y
N
N
.
N
N
N
N
N
N
N
BHU Malikpura
Y
N
N
.
N
N
N
N
N
N
N
BHU Chak 10-F
N
N
N
.
N
N
N
Y
N
N
N
BHU Chak 47-F
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 116-M
Y
N
N
.
N
N
N
N
N
N
N
BHU Chak 140-M
Y
N
N
.
N
N
N
N
N
N
N
BHU Chak 10-1R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 38-3R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 58-4R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 110-6R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 200-8R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 165-7R
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 297-HR
Y
N
N
.
N
N
N
Y
N
N
N
BHU Chak 302-HR
Y
N
N
.
N
N
N
N
N
N
N
Health facilities
burning
46
area
Waste segregation
arrangement
BHU Kabutri
N
N
N
.
N
N
N
Y
N
N
N
BHU Said Ali
Y
N
N
.
N
N
N
Y
N
N
N
BHU Khola Mirzeka
Y
N
N
.
N
N
N
N
N
N
N
BHU Sobeywala
Y
N
N
.
N
N
N
Y
N
N
N
Health facilities
burning
Death re view
The findings related to the availability and functioning of death review committees are
TABLE 333: STATUS OF DEATH REVIEW S
Status of death review
Health facility
Death
review
committee
available
Maternal deaths
Neonatal deaths
Annual number
Reviewed by
committee
Annual number
Reviewed by
committee
DHQH
Bahawalnagar
N
0
0
205
0
THQH Chishtian
N
0
0
0
0
THQH Fort Abbas
N
0
0
0
0
THQH Haroonabad
N
2
0
0
0
THQH Minchan
Abad
N
0
0
0
0
RHC Chak 6-G
N
0
0
0
0
47
Status of death review
Health facility
Death
review
committee
available
Maternal deaths
Neonatal deaths
Annual number
Reviewed by
committee
Annual number
Reviewed by
committee
RHC Dahran Wala
N
0
0
0
0
RHC Dunga Bonga
N
0
0
0
0
RHC Faqir Wali
N
0
0
0
0
RHC Fort Maroot
N
0
0
0
0
RHC Khichi Wala
N
0
0
0
0
RHC Madni Sadiq
Gunj
N
0
0
0
0
RHC Madrisa
N
0
0
0
0
RHC Mecload Gunj
N
0
0
0
0
RHC Shaher Farid
N
0
0
0
0
Facility utilization
The findings related to services utilization at the surveyed facilities are given as a monthly
aggregate from July to December 2010. The annual utilization for the year 2010 and facilitywise average monthly utilization are presented in Tables 3.34, 3.35 and 3.36.
TABLE 3.34: STATUS OF SERVICES’ UTILIZATION
Monthly utilization (July to December 2010)
July
Aug
Sep
Oct
Nov
Dec
Annual
utilization
(2010)
1st Antenatal care visits (ANC-1)
2,851
2,817
2,598
2,177
2,131
2,375
32,430
Normal vaginal deliveries
695
681
639
639
542
554
6,254
Assisted vaginal deliveries
6
5
5
3
5
40
92
C-sections
176
195
181
180
148
161
1,767
Type of service
48
Monthly utilization (July to December 2010)
July
Aug
Sep
Oct
Nov
Dec
Annual
utilization
(2010)
1st Postnatal care visits (PNC-1)
411
398
376
348
371
372
6,413
Pregnant women given TT2 vaccine
1,370
1,499
1,502
1,340
1,369
1,343
15,296
Family planning services
617
555
556
574
458
524
6,534
Diarrhoea/dysentery cases treated
(< 5 years of age)
5,682
6,522
5,900
4,219
2,554
2,402
53,513
Pneumonia cases treated
(< 5 years of age)
555
515
437
608
745
1,337
8,985
Type of service
TABLE 3.35: AVERAGE MONTHLY MNCH SERVICES PROVIDED AT SURVEYED FACILITIES
Average monthly utilization
Health facility
Diarrhoea/
ANC 1
NVD
Assisted
VD
C–
Section
PNC 1
TT2
dysentery (in
<5 yr)
Pneumonia
(in <5 yr)
DHQH Bahawalnagar
405
112
7
79
21
56
1,454
156
THQH Chishtian
529
43
3
11
55
201
149
0
THQH Fort Abbas
106
17
0
37
56
23
292
0
THQH Haroonabad
82
58
0
42
1
131
284
57
THQH Minchan Abad
99
24
0
5
20
42
887
177
RHC Chak 6-G
107
32
0
17
44
42
2
RHC Dahran Wala
333
28
0
31
68
74
11
RHC Dunga Bonga
70
23
0
24
48
143
75
RHC Faqir Wali
194
31
0
12
72
124
6
RHC Fort Maroot
69
25
0
13
67
105
16
RHC Khichi Wala
68
26
0
3
78
97
23
RHC Madni Sadiq
Gunj
115
28
0
12
14
66
0
RHC Madrisa
41
21
0
25
35
68
0
49
Average monthly utilization
Health facility
ANC 1
NVD
Assisted
VD
RHC Mecload Gunj
33
24
RHC Shaher Farid
28
BHU Ghulab Ali
C–
Section
Diarrhoea/
PNC 1
TT2
dysentery (in
<5 yr)
Pneumonia
(in <5 yr)
0
9
25
81
4
20
0
12
34
163
51
12
3
0
3
10
38
4
BHU Jand Wala
18
7
0
2
28
39
5
BHU Kalia Shah
0
0
0
0
0
30
3
BHU Kot Hemraj
24
10
0
10
24
56
0
BHU Malikpura
3
4
0
3
9
0
0
BHU Chak 10-F
26
7
0
7
33
16
0
BHU Chak 47-F
9
8
0
8
18
26
0
BHU Chak 116-M
10
7
0
5
20
46
0
BHU Chak 140-M
10
7
0
3
10
7
0
BHU Chak 10-1R
8
7
0
7
15
26
0
BHU Chak 38-3R
4
6
0
2
55
31
1
BHU Chak 58-4R
19
7
0
5
51
17
0
BHU Chak 110-6R
12
16
0
1
14
12
0
BHU Chak 200-8R
14
5
0
0
29
26
48
BHU Chak 165-7R
11
6
0
4
44
17
16
BHU Chak 297-HR
0
2
0
0
3
19
0
BHU Chak 302-HR
7
2
0
2
67
9
2
BHU Kabutri
2
4
0
4
10
56
31
BHU Said Ali
13
1
0
0
13
12
8
BHU Khola Mirzeka
13
6
0
5
13
11
0
BHU Sobeywala
0
0
0
0
3
23
7
50
TABLE 3.36: AVERAGE MONTHLY FAMILY PLANNING SERVICES PROVIDED AT SURVEYED
FACILITIES
Average monthly utilization (Family planning services)
Health facility
COC
POP
DPMA
Net-en
Condoms
IUCDs
Implants
Surgical
(Tubal
ligation+
vasectomy)
DHQH
Bahawalnagar
8
0
1
5
48
5
0
0
THQH Chishtian
2
0
23
0
0
8
0
0
THQH Fort Abbas
9
0
0
6
50
5
0
0
THQH Haroonabad
18
0
6
0
0
4
0
0
THQH Minchin Abad
0
0
1
0
0
2
0
0
RHC Chak 6-G
7
0
5
0
0
4
0
RHC Dahran Wala
2
1
2
0
1
3
0
RHC Dunga Bonga
0
0
0
0
2
14
0
RHC Faqir Wali
12
2
6
2
108
5
0
RHC Fort Maroot
6
0
4
9
65
2
0
RHC Khichi Wala
4
0
1
0
27
2
0
RHC Madni Sadiq
Gunj
24
0
0
7
63
11
0
RHC Madrisa
7
0
6
0
7
5
0
RHC Mecload Gunj
4
1
2
0
16
14
0
RHC Shaher Farid
3
1
5
1
3
7
0
BHU Ghulab Ali
3
0
2
0
4
0
0
BHU Jand Wala
3
4
4
2
21
3
0
BHU Kalia Shah
0
0
0
0
0
0
0
51
Average monthly utilization (Family planning services)
Health facility
COC
POP
DPMA
Net-en
Condoms
IUCDs
Implants
BHU Kot Hemraj
0
6
4
0
48
2
0
BHU Malikpura
2
0
1
1
25
2
0
BHU Chak 10-F
5
0
1
0
2
4
0
BHU Chak 47-F
3
0
8
0
1
1
0
BHU Chak 116-M
8
0
0
2
5
4
0
BHU Chak 140-M
3
0
2
1
3
3
0
BHU Chak 10-1R
4
0
4
0
18
2
0
BHU Chak 38-3R
3
0
0
0
4
4
0
BHU Chak 58-4R
4
0
5
0
6
4
0
BHU Chak 110-6R
5
0
4
3
15
3
0
BHU Chak200-8R
2
0
2
0
13
0
0
BHU Chak 165-7R
3
0
2
0
48
3
0
BHU Chak 297-HR
0
0
0
0
0
0
0
BHU Chak 302-HR
2
0
0
0
20
1
0
BHU Kabutri
4
3
1
2
10
4
0
BHU Said Ali
5
0
6
0
19
0
0
BHU Khola Mirzeka
3
0
0
4
13
6
0
BHU Sobeywala
1
0
3
0
11
0
0
Surgical
(Tubal
ligation+
vasectomy)
KEY: COC=Combined Oral Contraceptive, POP=Progesterone-Only Pills, DPMA=Depot Medroxyprogesterone Acetate,
Net-en=norethisterone enanthate, IUCDs=Intrauterine Contraceptive Devices.
52
Well baby clinic
The surveyed health facilities were assessed for having an established well baby clinic
(WBC) and the findings are presented in Table 3.37.
TABLE 3.37: STATUS OF WBC S ESTABLISHED AT SURVEYED FACILITIES
Name of health facility
WBC established
Name of health facility
WBC established
DHQH Bahawalnagar
N
BHU Kot Hemraj
N
THQH Chishtian
N
BHU Malikpura
N
THQH Fort Abbas
N
BHU Chak 10-F
N
THQH Haroonabad
N
BHU Chak 47-F
N
THQH Minchan Abad
N
BHU Chak 116-M
N
RHC Chak 6-G
N
BHU Chak 140-M
N
RHC Dahran Wala
N
BHU Chak 10-1R
N
RHC Dunga Bonga
N
BHU Chak 38-3R
N
RHC Faqir Wali
N
BHU Chak 58-4R
N
RHC Fort Maroot
N
BHU Chak 110-6R
N
RHC Khichi Wala
N
BHU Chak 200-8R
N
N
BHU Chak 165-7R
N
RHC Madrisa
N
BHU Chak 297-HR
N
RHC Mecload Gunj
N
BHU Chak 302-HR
N
RHC Shaher Farid
N
BHU Kabutri
N
BHU Ghulab Ali
N
BHU Said Ali
N
BHU Jand Wala
N
BHU Khola Mirzeka
N
BHU Kalia Shah
N
BHU Sobeywala
N
53
Donor contributions
Donor contributions (except direct budgetary support) during the last three years were
assessed regarding human resources, infrastructure, equipment (including ambulances),
drugs and supplies and the findings are presented in Table 3.38.
TABLE 3.38: STATUS OF DONOR CONTRIBUTIONS AT SURVEYED FACILITIES
Donor contributions
Construction of
new building
Renovation of
existing building
Provision of
new equipment
Provision of
new vehicle/
ambulance
Provision of
medicines
Provision of
consumables
Drugs and
supplies
Staff incentive
Equipment
Capacity
building
Infrastructure
Provision of key
staff
Human resources
DHQH
Bahawalnagar
N
Y
N
N
Y
Y
Y
N
Y
THQH Chishtian
N
N
N
N
Y
N
N
N
Y
THQH Fort Abbas
N
N
N
Y
N
Y
N
N
Y
THQH Haroonabad
N
Y
N
N
Y
N
N
N
N
THQH Minchinabad
N
N
N
N
N
N
N
N
N
RHC Chak 6-G
Y
N
N
N
N
Y
N
N
Y
RHC Dahran Wala
Y
N
N
N
N
N
N
N
Y
RHC Dunga Bonga
Y
N
N
N
N
N
N
N
Y
RHC Faqir Wali
Y
N
N
N
N
N
N
N
Y
RHC Fort Maroot
Y
N
N
N
N
N
N
N
Y
RHC Khichi Wala
Y
N
N
N
N
N
N
N
Y
RHC Madni Sadiq
Gunj
Y
N
N
N
N
Y
N
N
Y
RHC Madrisa
Y
N
N
N
N
Y
N
N
Y
RHC Mecload Gunj
Y
N
N
N
N
N
N
N
Y
Health facilities
54
Donor contributions
Health facilities
Construction of
new building
Renovation of
existing building
Provision of
new equipment
Provision of
new vehicle/
ambulance
Provision of
medicines
Provision of
consumables
Drugs and
supplies
Staff incentive
Equipment
Capacity
building
Infrastructure
Provision of key
staff
Human resources
RHC Shaher Farid
Y
N
N
N
N
Y
N
N
Y
BHU Ghulab Ali
N
N
N
N
N
Y
N
N
Y
BHU Jand Wala
N
Y
N
N
N
N
N
N
N
BHU Kalia Shah
N
N
N
N
N
N
N
N
N
BHU Kot Hemraj
N
N
N
N
N
N
N
N
Y
BHU Malikpura
N
N
N
N
N
N
N
N
Y
BHU Chak 10-F
N
N
N
N
N
N
N
N
Y
BHU Chak 47-F
N
N
N
N
N
Y
N
N
Y
BHU Chak 116-M
N
N
N
N
N
N
N
N
Y
BHU Chak 140-M
N
N
N
N
N
N
N
N
Y
BHU Chak 10-1R
N
N
N
N
N
N
N
N
Y
BHU Chak 38-3R
N
N
N
N
N
N
N
N
Y
BHU Chak 58-4R
N
N
N
N
N
N
N
N
Y
BHU Chak 110-6R
N
N
N
N
N
N
N
N
Y
BHU Chak 200-8R
N
N
N
N
N
N
N
N
Y
BHU Chak 165-7R
N
N
N
N
N
N
N
N
Y
BHU Chak 297-HR
N
N
N
N
N
N
N
N
N
BHU Chak 302-HR
N
N
N
N
N
N
N
N
Y
55
Donor contributions
Health facilities
Construction of
new building
Renovation of
existing building
Provision of
new equipment
Provision of
new vehicle/
ambulance
Provision of
medicines
Provision of
consumables
Drugs and
supplies
Staff incentive
Equipment
Capacity
building
Infrastructure
Provision of key
staff
Human resources
BHU Kabutri
N
N
N
N
N
N
N
N
Y
BHU Said Ali
N
N
N
N
N
N
N
N
Y
BHU Khola Mirzeka
N
N
N
N
N
N
N
N
Y
BHU Sobeywala
N
N
N
N
N
N
N
N
N
Clients’ perspective
Client exit interviews (CEIs) were conducted within the scope of the health facility
assessment survey, to assess the clients’ perspective on services provided. The findings
from these interviews, were analyzed for assessing their perspective on access, quality and
preferences for health care and are presented in Table 3.39 and Figures 5 and 6.
TABLE 3.39: CLIENTS’ PERSPECTIVE
No of interviewed clients (Total: 80)
DHQH
THQHs
RHCs
Less than 30 minutes
5
11
22
30 minutes to 1 hour
5
6
22
More than 1 hour
0
3
5
Walking
3
9
16
Personal transport
3
9
17
Public transport
4
2
17
Time to reach facility
Means of transport
56
Waiting time at facility
Less than 10 minutes
6
9
16
10 minutes to 20
minutes
1
6
20
20 minutes to 30
minutes
1
4
9
More than 30 minutes
2
1
4
Paid fee for services
10
20
47
Received education
material
0
0
0
Public health facilities
7
18
43
Private sector
3
2
7
Preference for healthcare
Reasons for visiting public health facilities
Close to home
2
8
22
Good quality
5
14
21
Staff attitude
0
6
7
Affordability
0
4
21
Lack of choice
0
0
1
Very satisfied
0
0
5
Satisfied
10
20
40
Not satisfied
0
0
5
Overall satisfaction
57
FIGURE 5: LEVEL OF SATISFACTION
FIGURE 6: AVAILABILITY OF MEDICINES AND LAB SERVICES
Procurement estimates
Equipme nt
Based on the information collected, the procurement needs for the provision of required
equipment, have been identified for individual surveyed facilities, in order to strengthen
MNCH services. A summary of the estimated cost for the procurement of required
equipment is given below. A list of required equipment for each surveyed facility, is
presented as Annex 3 A and details about the cost estimates for individual facilities are
given in Annex 3 B.
Civil works
A yardstick has been used for assessing the scope of civil works of various MNCH related
building components (Annex 2). The identified scope of work to complete the infrastructure
58
needs of the individual surveyed facilities is presented in Annex 4. A summary of the
estimated cost for the execution of civil works, including repair and maintenance, renovation
and new construction of missing facilities; is given in table below and the details about cost
estimates for individual facilities are given in Annex 4.
TABLE 3.40: SUMMARY OF ESTIMATED COST FOR PROCUREMENT OF EQUIPMENT & CIVIL
WORKS
Estimated cost (PKR in millions)
Procurement
DHQH
THQHs
RHCs
BHUs
Total
Equipment
17.5
34.6
19.8
11.3
83.2
Civil works
10.4
53.0
117.3
115.6
296.3
59
Section 4: Key Findings
In district Bahawalnagar, a total of thirty six health facilities were assessed including 21
BHUs, 10 RHCs, 4 THQHs and 1 DHQH. The BHUs were assessed for the availability of 8/6
preventive MNCH services; RHCs were assessed for the availability of 24/7 basic EmONC
services; and DHQ and THQ hospitals were assessed for the availability of 24/7
comprehensive EmONC services.
The key findings based on the availability of specified inputs including, infrastructure, human
resources, equipment, drugs and supplies and support services, are presented in the
following sections. The status of each input has been described at one place for all of the
levels. This is followed by key findings on management basics, donor contributions and the
clients’ perspective on the quality of MNCH services.
Infrastructure
•
An OPD was available at all of the BHUs. Labour rooms were available at 17 out of 21
BHUs. A scrub area was not available at any of the BHUs having functional labour
rooms. A LHV’s residence was available at 15 BHUs, but was in a good condition only at
4 of them.
•
An OPD, female ward and clinical lab were available at all of the RHCs. A labour room
was not available at RHC Madrisa. Residences for WMOs were not available at RHCs
Chak 6-G, Dunga Bonga and Madni Sadiq Ganj.
•
An OPD, labour room and clinical laboratory were available at all of the SHC hospitals. A
female ward was not available at THQHs Chishtian, Haroonabad and Minchinabad. A
paediatric ward and paediatric nursery were available at DHQH Bahawalnagar and
THQH Minchinabad only. An operation theatre and blood bank were not available at
THQH Haroonabad. Staff residences for the anaesthetist were not available at any of the
SHC hospitals. Residences for the gynaecologist and paediatrician were available only
at THQH Chishtian.
60
Human resources
•
The required staff was available at 17 out of the 21 surveyed BHUs.
•
A WMO was not available at 6 RHCs. A laboratory technician was not available only at
RHC Faqir Wali. Operation theatre technicians were not available at any of the RHCs.
An ambulance driver was not available at RHCs Khichi Wala and Shaher Farid.
•
Gynaecologists were available at DHQH Bahawalnagar, THQHs Chishtian and
Haroonabad. A paediatrician was available at all of the SHC hospitals. An anaesthetist,
operation theatre, blood bank and anaesthesia technicians were not available at any
SHC hospital.
•
The non-availability of a residence, the lack of basic amenities and security concerns,
were the most common reasons for the non-availability of staff 24/7 at the facilities.
•
Staff at 33 of the surveyed facilities had received some MNCH related training. The most
common types of training received, were family planning counselling and client
centeredness.
Equipment
•
The complete set of required equipment items was not available at any of the surveyed
facilities.
•
General equipment items were not available at 7 out of the 21 surveyed BHUs.
•
The complete range of equipment required for the delivery of MNCH services were not
available at any of the RHCs.
•
All of the general items were available at all of the SHC hospitals, except for THQH
Haroonabad.
61
Drugs and supplies
•
The complete list of tracer drugs, supplies and family planning commodities were not
available at any of the surveyed facilities.
•
All of the supplies were available only at BHU Jand Wala. All of the vaccines were
available at 8 out of the 21 BHUs. No vaccines were available at BHUs Chak 200-8R
and Chak 156-7R. No family planning commodities were available at BHU Kalia Shah.
•
The complete range of supplies were available at RHCs Chak 6-G and Khichi Wala. All
of the vaccines were available at 6 of the RHCs. No family planning commodities were
available at RHC Madrisa.
•
All of the supplies were available at THQH Minchinabad only. All of the vaccines were
available at THQH Fort Abbas. No family planning commodities were available at DHQH
Bahawalnagar and THQH Minchinabad.
•
The most common reasons for running out of the stock of drugs were delayed and under
supply.
Support services
•
The complete range of inputs required for the delivery of support services was not
available at most of the surveyed facilities.
•
None of the required inputs for basic lab tests were available at BHUs Kalia Shah, Khola
and Chak 297-HR.
•
All of the inputs for an ambulance service were available at 8 RHCs and all of the SHC
hospitals.
•
None of the required inputs for radiology services were available at the DHQH
Bahawalnagar and THQH Fort Abbas.
Management basics
Management basics assessed at the surveyed facilities included the availability of a job
description and service delivery protocols, work coordination and supervision, MIS, infection
control measures, death reviews of maternal and neonatal deaths, the charging of a fee for
services and the availability of mechanisms of social protection.
62
•
31 of the surveyed facilities were conducting regular performance review meetings, but
their record was being maintained at BHU Ghulab Ali only. All of the facility in-charges
reported regular participation in the district level performance review meetings.
•
All of the facilities reported having received supervisory visits from the district health
managers, but their feedback was not being received at 19 of these facilities.
•
The district health information system (DHIS) was being practiced in district
Bahawalnagar. The complete range of tools was not available at any of the surveyed
facilities.
•
Social protection mechanisms for the poor (including zakaat, bait-ul maal and patient
welfare societies) were found at all of the SHC hospitals and RHC McLeod Gunj.
•
The complete range of inputs required for infection control practices were deficient at all
of the surveyed facilities. Out of 36 facilities, 30 reported the availability of a waste
management plan. Materials for waste collection, personal protection and waste
treatment were not available at any of the facilities.
•
Death review committees were not available (for the review of maternal and neonatal
deaths) at any of the facilities.
Donor contributions
Donor contributions for supporting the delivery of MNCH services were assessed at the
surveyed facilities for the provision of human resources, infrastructure, equipment, drugs and
supplies. In the district, 32 facilities reported donor contributions, mainly in area of the
provision of drugs and supplies.
Clients’ perspective
Client exit interviews were conducted to assess the clients’ perspective on their satisfaction
with the quality of services at the facility. A total of 80 interviews were conducted in the
district. The findings concluded that 6% of the clients were very satisfied, 88% were
satisfied, while 6% were not satisfied with the availed services.
63
Annexes
64
ANNEX 1
District health department
The public sector district health system consists of secondary health care (DHQH, THQH)
and primary health care (RHCs, BHUs) facilities. The EDOH acts as the head of the district
health department, under the supervision of the DCO.
Health resources
Health facilities (Public sector)
Public sector facilities providing MNCH services are given in Table 2.4:
TABLE 2.4: NUMBER OF PUBLIC SECTOR HEALTH FACILITIES IN THE DISTRICT
Type
Number
Bed strength
Teaching hospital
0
0
District headquarter hospital
1
253
Tehsil headquarter hospitals
4
220
Rural health centres
10
200
Basic health units
101
202
Govt. rural dispensary
1
MCH centre
7
Sub health centre
33
S OURCE : DHIS C EL L , EDO-H OFFICE
Human resources at the EDO-H o ffice
Table 2.5 summarises the human resources situation at the EDO-H office.
TABLE 2. 5: HUMAN RESOURCES IN THE OFFICE OF EDO-HEALTH
Name of post
Sanctioned
Filled
% Filled
Executive district officer health
1
1
100
District officer health
1
1
100
Deputy district officer health
5
5
100
Programme director, district health development centre
1
1
100
District coordinator national programme for FP & PHC
1
1
100
District coordinator EPI surveillance
0
0
0
65
Name of post
Sanctioned
Filled
% Filled
District coordinator NMNCHP
0
0
0
District sanitary inspector
1
1
100
Communicable disease control (CDC) Officer
1
1
100
Communicable disease control inspector
5
5
100
Drug inspector
5
5
100
District superintendent vaccination
1
1
100
Assistant superintendent vaccination
5
5
100
Tehsil sanitary inspector
5
5
100
Inspector vaccination
5
5
100
Total
37
37
100%
S OURCE : EDO-H OFFICE
MNCH staff in district Ba hawal na gar
Table 2.6 summarises the status of MNCH staffing in health facilities, including the DHQH,
and all of the THQHs, RHCs and BHUs in the district. The information was collected from the
office of the EDOH during the survey.
This information may not match with the subsequent tables, containing similar information on
human resources (HR) collected from the respective surveyed health facilities (No. 3.9, 3.14,
3.19, 3.23 and 3.24).
TABLE 2.6: AVAILABILITY OF MNCH SERVICES STAFFING IN BAHAWALNAGAR
Filled
Gynaecologist
11
4
36
2
0
2
0
Paediatrician
5
5
100
1
0
4
0
Anaesthetist
6
0
0
0
0
0
0
Radiologist
5
0
0
0
0
0
0
Pathologist
5
0
0
0
0
0
0
Posts
% Filled
Sanctioned
Filled posts
R= Regular,
C= On contract
DHQH (1)
THQH (4)
RHC (10)
BHU (101)
R
C
R
C
R
R
C
C
66
Filled
Women medical
officers (WMOs)
58
22
38
4
2
12
0
4
0
0
0
Medical officers
(MOs)
176
133
76
19
2
27
1
15
0
72
0
Blood transfusion
officers
5
5
100
1
0
4
0
2
2
100
0
0
0
Operation theatre
technician
0
0
0
0
0
0
0
Anaesthesia
technician
0
0
0
0
0
0
0
LHVs
148
134
90
3
0
4
0
30
0
97
0
Nurses
151
124
82
43
0
36
5
7
33
Lady health workers
(LHWs)*
1712
1504
88
Laboratory technician
16
11
69
3
0
1
0
7
0
X-ray technician
0
0
0
0
0
0
0
0
0
Dispenser
210
190
90
18
0
30
0
53
0
89
0
Vaccinators
111
109
98
Ambulance drivers
44
32
73
8
0
10
0
14
0
Total
2665
2275
85%
Posts
*C OMMUNITY BASED W ORKER
% Filled
Sanctioned
Filled posts
R= Regular,
C= On contract
DHQH (1)
THQH (4)
RHC (10)
BHU (101)
R
C
R
C
R
C
R
C
2
S OURCE : DHIS C ELL , EDO -H OFFICE
Financial allocations
Budgetary allocations and expenditure over the last three years for the district (in PKR
million) are presented in Table 2.7. The allocations mentioned below are a lump sum as
provided by office of the EDOH/EDOF&P.
67
TABLE 2. 7: FINANCIAL ALLOCATIONS IN DISTRICT BAHAW ALNAGAR
District health
budget
2007-08
Allocation
Expenditure
2008-09
2009-10
Allocation
Expenditure
Allocation
Expenditure
Nondevelopment
490.855
434.549
516.255
509.667
748.182
632.588
Development
15.68
13.78
-*
-
-
-
Total
506.535
448.329
516.255
509.667
748.182
632.588
* Data not available
Donor contributions
Information about donor contributions for MNCH services was retrieved from the EDOH
office, in terms of financial input. It was reported that no donor contributions were provided to
district Gujranwala in the last three years. During the survey, information about donor inputs
at surveyed health facilities was also collected. 32 facilities reported having received donor
contributions mainly in the form of drugs and supplies.
NMNCH programme indicators
Information on NMNCHP indicators is being compiled at the office of the EDOH and this
information has been gathered on the sets of indicators, which is reproduced as such in
the following tables. It is important to note, that the services utilization data reported by the
district office takes into account utilisation of all the public sector facilities in the district.
This information may not match with the subsequent tables containing information on drugs
and supplies (Table No. 3.6, 3.11, 3.16, 3.21 and 3.31) and C-sections (Table No. 3.36)
collected from the health facilities included in the survey.
TABLE 2. 8: NMNCHP MONITORING INDICATORS (YEAR 2010)
Services management
Number of district monthly performance review meetings held during last year
9
Number of facilities out of the stock of family planning commodities
102
Number of facilities out of the stock of essential EmONC drugs
123
Support services
Number of facilities with laboratory services available
15
68
Number of facilities with blood transfusion services available
15
Service utilization
Antenatal care coverage
Percentage of children <12 months fully vaccinated
11797
84%
TT-2 coverage
37537
Number of deliveries at health facilities
12954
Number of live births at health facilities
12849
Postnatal coverage
8974
Number of family planning visits (by type of modern method) at health facilities
20880
Number of caesarean sections at comprehensive EmONC facilities
1756
Morbidity and mortality (at public facilities)
Number of maternal deaths
59
Number of neonatal deaths
232
Number of diarrhoea / dysentery in <5 years age group
90732
Number of pneumonia in <5 years age group
14128
Lady health workers (NP FP&PHC)
Number of new pregnant mothers registered
31588
Number of SBA deliveries reported
18376
Number of maternal deaths reported
Number of modern family planning methods users
Number of infant deaths reported
16
842937
292
Community mid-wives (NMNCHP)
Number of first antenatal care visits (ANC 1)
607
Number of ANC revisits
544
Number of TT 2 given
901
Number of deliveries
132
Number of post natal visits
249
Number of family planning visits (both new and follow-up)
289
Number of family planning commodities provided
28
69
Number of maternal complications referred
2
Number of neonates referred
9
Number of clean / safe delivery kits used
132
Out of the stock of clean / safe delivery kits
0
Out of the stock of family planning commodities
0
Number of pregnant women referred by lady health workers
11
Number of maternal deaths
0
Number of neonatal deaths
0
S OURCE : DHIS C EL L , MNCH C ELL , EPI C ELL , MIS NP FOR FP&PHC- EDOH O FFICE
Pro vision of staff by t he NMNCHP
The NMNCHP is providing support in terms of human resources at targeted health facilities,
including specialists, doctors and paramedics. The programme is currently under
implementation and the number of facilities having staff provided by the NMNCHP is given in
Table 2.9.
TABLE 2.9: NUMBER OF FACILITIES WITH STAFF PROVIDED BY THE NMNCHP
Number of health facilities
Staff cadre
DHQH
THQHs
RHCs
BHUs
Gynaecologist
0
0
0
0
Anaesthetist
0
0
0
0
Paediatrician / Neonatologist
0
0
0
0
Women medical officers
0
0
0
0
Operation theatre technician
0
0
0
0
0
0
0
0
Lab technician
0
0
0
0
0
0
0
0
Nurses
0
0
0
0
Lady health visitors
0
0
10
0
Ambulance drivers
0
0
0
0
S OURCE : MNCH C ELL – EDOH O FFICE
70
MNCH staff traini ng
Part of the mandate of the programme is to build the capacity of MNCH related staff, through
conducting skill development training in the standards of service provision, counselling
techniques and client centeredness. Information about the training of MNCH staff is
presented in Table 2.10. It is important to note here, that this information collected from the
district office, may not match with the similar information contained in Table no. 3.28,
collected from the surveyed facilities.
TABLE 2.10: NUMBER OF STAFF TRAINED ON DELIVERING MNCH SERVICES
Number of staff trained (during last three years)
Category of
staff
EmONC
ENC
IMNCI
IMPAC
FP
surgical
FP counselling
Client
centeredness
Gynaecologist
4
0
0
0
3
4
0
Paediatrician
0
3
1
1
0
0
0
Anaesthetics
0
0
0
0
0
0
0
WMO
17
0
0
0
10
5
0
MO
0
0
0
0
4
3
0
OT technician
0
0
0
0
0
0
0
Nurse
0
0
0
0
0
0
0
LHV
0
0
0
0
0
120
0
CMWs’ training and deployment
Part of the mandate of the programme is to train and deploy community mid-wives for
improving community based MNCH services. Information collected from the district NMNCH
cell, related to the training and deployment of community mid-wives, is presented in Table
2.11.
TABLE 2. 11: STATUS OF CMW S’ TRAINING AND DEPLOYMENT
Training and deployment of community mid-wives (NMNCHP)
Number of selected community mid-wives verified for their residential status
34
Number of community mid-wives with completed training
35
Number of community mid-wives deployed by NMNCHP
28
71
Training and deployment of community mid-wives (NMNCHP)
Number of community mid-wives’ schools where renovation / construction is
completed
0
Community mid-wives’ manual / books available (Number of sets)
49
Community mid-wives’ training equipment / models available (Number)
7
Number of community mid-wives sponsored / supported by partners
0
72
ANNEX 2
Input criteria for MNCH services
A. Civil works crite ria
CIVIL WORKS SCOPE FOR BHUS
OPTIMAL ITEMS
Ob/Gyn OPD or LHV’s room
2. Examination area
3. Hand washing facilities
Labour room
1. Delivery room
2. Scrub area
3. Functional attached washroom for patients
WMO or LHV’s residence
1. Available
2. Good condition
MINIMAL ITEMS
LHV’s room
Available
CIVIL WORKS SCOPE FOR RHCS
OPTIMAL ITEMS
Ob/Gyn OPD
2. Examination area
Ob/Gyn ward
1. Patient area
2. Functional attached washroom
Labour room
1. Delivery room
2. Scrub area
Clinical laboratory
1. Laboratory room
2. Working area
LHV’s room
2. Examination area
Residence - WMO
1. Available
2. Good condition
Residence - LHV
1. Available
2. Good condition
MINIMAL ITEMS
Ob/Gyn OPD
Available
73
CIVIL WORKS SCOPE FOR RHCS
OPTIMAL ITEMS
Ob/Gyn ward
Available
Labour room
Available
LHV’s room
Available
Residence - WMO
1. Available
2. Good condition
Residence - LHV
1. Available
2. Good condition
CIVIL WORKS SCOPE FOR DHQH & THQH
OPTIMAL ITEMS
Ob/Gyn OPD
2. Examination area
3. Privacy of examination area
Ob/Gyn ward
1. Patient area
2. Nursing station
3. Store for general items/drugs
Labour room
1. Delivery room
2. Preparation/ stage room
3. Scrub area
4. Staff duty room
5.
6.
7.
8.
Store for general items/drugs
Store for equipment
Functional attached washroom for patients
Functional attached washroom for staff
Operation theatre
1. Patient preparation room
2. Operating room
3. Recovery room
4. Scrub area
5.
6.
7.
8.
9.
10.
Sterilization area
Doctor’s room
Support staff duty room
Store for general items/drugs equipment
Store of equipment
Functional attached washroom for staff
Paediatric ward
1. Patient area
2. Nursing station
3. Store for general items/drugs equipment
Paediatric nursery
1. Patient area
2. Nursing station
3. Store for general items/drugs equipment
4. Change room
Clinical laboratory
1. Laboratory room
2. Working area
3. Doctors’ duty room
4. Store for chemical / reagents, or equip
74
Blood bank
1. Blood collection room
2. Working area
3. Staff duty room
4. Store for equipment / reagents
LHV’s room
2. Examination area
3. Privacy of examination area
Ultrasound room
Examination area
Residence - Gynaecologist
·
·
Available
Good condition
Residence - Anaesthetist
·
·
Available
Good condition
Residence - Paediatrician
·
·
Available
Good condition
Residence - WMO
·
·
Available
Good condition
Residence - LHV
·
·
Available
Good condition
Residence - Nurse
·
·
Available
Good condition
Residence - Lab technician
·
·
Available
Good condition
Residence - Blood bank technician
·
·
Available
Good condition
Residence - Anaesthesia technician
·
·
Available
Good condition
MINIMAL ITEMS
Ob/Gyn OPD
Available
Ob/Gyn ward
Available
Labour room
Available
Operation theatre
Available
Paediatric ward
Available
Clinical laboratory
Available
Residence - Gynaecologist
·
·
Available
Good condition
75
Residence - Anaesthetist
·
·
Available
Good condition
Residence - Paediatrician
·
·
Available
Good condition
Residence - WMO
·
·
Available
Good condition
Residence - Lab technician
·
·
Available
Good condition
B. Human resources criteria
HUMAN RESOURCES FOR PREVENTIVE
EmONC
HUMAN RESOURCES FOR 24/7 BASIC EmONC
OPTIMAL HR FOR BHUS
OPTIMAL HR FOR RHCS
Category
Number
MO, or
1
LHV
1
MINIMAL HR FOR BHUS
MO, or
1
LHV
1
-
Category
Number
WMOs
2
OT technician
1
Lab technician
1
LHVs
2
Ambulance driver
1
MINIMAL HR FOR RHCS
WMO
1
Lab technician
1
LHV
1
-
HUMAN RESOURCES FOR 24/7 COMPREHENSIVE EmONC
OPTIMAL HR FOR DHQH
OPTIMAL HR FOR THQH
Category
Number
Category
Number
Gynaecologist
Anaesthetist
Paediatrician
WMOs
OT technician
Lab technician
Nurses
LHVs
Ambulance drivers
2
2
2
6
4
4
3
4
20
4
4
Gynaecologist
Anaesthetist
Paediatrician
WMOs
OT technician
Lab technician
Nurses
LHVs
Ambulance drivers
1
1
1
4
4
4
2
4
12
4
4
MINIMAL HR FOR DHQH
Gynaecologist
Anaesthetist
MINIMAL HR FOR THQH
1
1
Gynaecologist
Anaesthetist
1
1
76
Paediatrician
WMOs
OT technician
Lab technician
Nurses
LHVs
1
4
1
1
6
1
Paediatrician
WMOs
OT technician
Lab technician
Nurses
LHVs
1
2
1
1
4
1
C. Equipme nt crite ria
EQUIPMENT FOR BHUS
OPTIMAL ITEMS
General hospital equipment
1. Electric water cooler
2. Water filter
3. Incinerator
OPD / WMO’s office
1. Office / Plain chairs
2. Examination couch
3. Office tables with drawers
4. Steel almirah (Large)
5. Patient’s stool
6. Weighing machine (Adult)
7.
8.
9.
10.
11.
12.
13.
14.
Weighing machine (Infant)
Height measuring board
Height measuring device
B.P Apparatus mercury-desk type
Foetal stethoscope
Steam inhaler
Nebulizer
Examination lamp
Lady health visitor’s room
1. Weight scale (Adult)
2. Weight scale (Infant)
3. Height measuring device
4. Height measuring board
5. Disposable syringe cutter
6. D & C instruments set
7.
8.
9.
10.
11.
12.
P.V. examination light
Examination couch
Office chairs
Office tables with drawers
Patient’s stool
Steel almirah (Large)
6.
7.
8.
9.
10.
Weight scale (Infant)
D & C instruments set
Examination couch
MINIMAL ITEMS
1.
2.
3.
4.
5.
Office chairs
Foetal stethoscope
Weight scale (Adult)
77
EQUIPMENT FOR RHCS
OPTIMAL ITEMS
General hospital
1. Ambulance
3. Water filter
4. Incinerator
Female ward items
1. Fowler bed (Iron)
2. Attendant's bench
3. Bed side locker
4. Overhead food trolley
5.
6.
7.
8.
9.
Dust bin (Stainless steel)
Screen folding (Complete)
Baby cot
Stethoscope
1. Office chairs
2. Plain chairs
6. Patient’s stool
8.
9.
10.
11.
12.
13.
14.
15.
Weighing machine (Infant)
Foetal stethoscope
Steam inhaler
Nebulizer
Examination lamp
Labour room
1. UPS power supply system (2000W)
2. Suction machine electric
3. Infant weighing machine
4. Foetal stethoscope
5. Electric instrument sterilizer (12”x6”)
6. Jar for forceps
7. Spring type dressing forceps (S.s)
8. Sim’s speculum (Right angle, small)
9. Sim’s speculum (Right angle, medium)
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Sim’s speculum (Right angle, large)
Sponge forceps
Artery forceps (Long, straight)
Uterine sound
Vulsellum forceps
Scissors (Dissecting, blunt pointed)
Artery forceps
Blunt-ended scissors
Infant ambo bag
2. Weight scale (Infant)
3. Height measuring device
4. Height measuring board
5. P.V. examination light
6.
7.
8.
9.
10.
Examination couch
Office chairs
Patient’s stool
MINIMAL ITEMS
Female ward items
2. B.P Apparatus mercury-desk type
3. Stethoscope
1. Office chairs
5. B.P Apparatus mercury-desk type
78
EQUIPMENT FOR RHCS
OPTIMAL ITEMS
Labour room
2. Sim’s speculum (Right angle, medium)
3. Sponge forceps
4. Uterine sound
5.
6.
7.
8.
Vulsellum forceps
Artery forceps
1. Office chairs
4.
5.
6.
7.
Weight scale (Infant)
Examination couch
EQUIPMENT FOR DHQH HOSPITALS
OPTIMAL ITEMS
General hospital
1. Ambulance
2. Defibrillator
3. Desktop computer with monitor and
accessories
Gynae/Obs. ward items
1. Cabinet instrument (Large)
4. Bed side locker
5. Screen folding (Complete)
7. Artery forceps (7 inch)
8. B P Apparatus mercury – desk type
9. Dissecting forceps (Plain, 7 inch)
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Scissors (Curved, 5 inch)
Scissors (Sharp, 5 inch, straight)
Chital forceps
Kidney tray (S.s, 10 inch)
Jar for forceps
Infusion / drip stands
Foetal monitor (foetal doppler - desk type)
Infant B.P apparatus
Infant weighing machine
Baby cot
OPD / Gynaecologist’s office
4. Ultrasound machine
5. Examination lamp
6.
7.
8.
9.
10.
11.
12.
Stethoscope (Adult size)
B.P apparatus desktop type
Office chair
Office table with drawers
Patient’s stool
Patient waiting bench
Examination couch
Paediatric nursery
1. Air ways 2 size
2. Infant ambo bag
3. Infant laryngoscope set
4. Suction apparatus: electrically
operated
5. Infant incubators
6.
7.
8.
9.
10.
11.
12.
13.
Phototherapy unit
Baby warmer
Infant B.P apparatus (Cuff 2.5 cm)
Room thermometer
Baby cot
Steam inhaler
Oxygen cylinder complete with trolley
79
OPTIMAL ITEMS
Paediatric ward
1. Suction machine
2. Infant B.P apparatus (Cuff 2.5 cm)
3. Stethoscope Paediatric Littman type
4. Nebulizer
5. Oxygen cylinder complete with trolley
6.
7.
8.
9.
10.
Emergency medicine trolley
Patient's attendant bench
Fowler bed (Iron)
Bed side locker (S.s top)
Labour room
3. Jar for forceps
6. Sim’s speculum (Right angle,
medium)
7. Sim’s speculum (Right angle, large)
8. Sponge forceps
9. Artery forceps (Long, straight)
10. Uterine sound
11. Vulsellum forceps
12. Scissors (Dissecting, blunt pointed)
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Artery forceps
Episiotomy instruments set (Complete)
D&C instruments set (Complete)
Delivery forceps set
Infant ambo bag
Portable light & rechargeable batteries
Sterilizing drum
Vacuum extractor
Delivery table
Operation theatre
1. Needle holder
2. Stitch scissors
3. Dissecting forceps (Toothed)
4. Sim’s speculum (Large)
5. Sim’s speculum (Medium)
6. Vacuum extractor
7. Obstetric forceps
8. Rectangular instrument tray & lids
9. Towel clips
10. Sponge forceps (22.5 cm)
11. Artery forceps (Straight,16 cm)
12. Uterine homeostasis forceps (20 cm)
13. Hysterectomy forceps (Straight, 22.5
cm)
14. Mosquito forceps (12.5 cm)
15. Tissue forceps (19 cm)
16. Needle holder (Straight, 17.5 cm)
17. Surgical knife handle # 3
19. Abdominal retractors, double-ended
(Richardson)
20. Curved operating scissors, blunt pointed
(Mayo), 17 cm
21. Straight operating scissors, blunt pointed
(Mayo), 17 cm
22. Aesthetic face masks (3 sizes)
23. Anaesthesia machine
24. Laryngoscopes
25. X-Ray illuminator
26. Gynae Instrument set
27. General Instrument set
28. Adult ambo bag and mask
30. Myomectomy screw
31. Air conditioners
Laboratory
1. Spin machine
2. Chemistry analyzer
3. Counter (Hand tally differential)
5. Lab cabinet
80
OPTIMAL ITEMS
MINIMAL ITEMS
2. Examination lamp
3. Stethoscope (Adult size)
4.
5.
6.
7.
Paediatric nursery
1. Air ways 2 size
2. Infant ambo bag
4. Suction apparatus: electrically operated
6. Phototherapy unit
Paediatric ward
2. Nebulizer
Labour room
medium)
5. Sponge forceps
6.
7.
8.
9.
10.
11.
Operation theatre
2. Laryngoscopes
B.P apparatus desktop type
Office chair
Office table with drawers
Examination couch
Uterine sound
Vulsellum forceps
D&C instruments set (Complete)
Delivery table
EQUIPMENT FOR THQH HOSPITAL
OPTIMAL ITEMS
General hospital
1. Ambulance
2. Defibrillator
3. Desktop computer with monitor and
accessories
81
OPTIMAL ITEMS
1. Cabinet instrument (Large)
4. Bed side locker
7. Artery forceps (7 inch)
9. Dissecting forceps (Plain, 7 inch)
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
4. Ultrasound machine
5. Examination lamp
Paediatric nursery
1. Air ways 2 size
2. Infant ambo bag
4. Suction apparatus: electrically
operated
6.
7.
8.
9.
10.
11.
12.
13.
Phototherapy unit
Baby warmer
Room thermometer
Baby cot
Steam inhaler
Paediatric ward
1. Suction machine
2. Infant B.P apparatus (Cuff 2.5 cm)
4. Nebulizer
6.
7.
8.
9.
10.
Fowler bed (Iron)
Labour room
3. Jar for forceps
medium)
8. Sponge forceps
9. Artery forceps (Long, straight)
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Uterine sound
Vulsellum forceps
Artery forceps
Infant ambo bag
Sterilizing drum
Vacuum extractor
Scissors (Curved, 5 inch)
Scissors (Sharp, 5 inch, straight)
Chital forceps
Kidney tray (S.s, 10 inch)
Jar for forceps
Infant B.P apparatus
Baby cot
82
OPTIMAL ITEMS
Operation theatre
1. Needle holder
2. Stitch scissors
3. Dissecting forceps (Toothed)
4. Sim’s speculum (Large)
5. Sim’s speculum (Medium)
6. Vacuum extractor
7. Obstetric forceps
8. Rectangular instrument tray & lids
9. Towel clips
10. Sponge forceps (22.5 cm)
11. Artery forceps (Straight,16 cm)
12. Uterine homeostasis forceps (20 cm)
13. Hysterectomy forceps (Straight, 22.5
cm)
14. Mosquito forceps (12.5 cm)
15. Tissue forceps (19 cm)
16. Needle holder (Straight, 17.5 cm)
19. Abdominal retractors, double-ended
(Richardson)
20. Curved operating scissors, blunt pointed
(Mayo), 17 cm
21. Straight operating scissors, blunt pointed
(Mayo), 17 cm
22. Aesthetic face masks (3 sizes)
24. Laryngoscopes
25. X-Ray illuminator
27. General Instrument set
28. Adult ambo bag and mask
30. Myomectomy screw
31. Air conditioners
Laboratory
1. Spin machine
2. Chemistry analyzer
3. Counter (Hand tally differential)
5. Lab cabinet
MINIMAL ITEMS
2. Examination lamp
Paediatric nursery
1. Air ways 2 size
2. Infant ambo bag
4. Suction apparatus: electrically operated
6. Phototherapy unit
Paediatric ward
2. Nebulizer
Labour room
medium)
4.
5.
6.
7.
Sponge forceps
Uterine sound
Vulsellum forceps
83
OPTIMAL ITEMS
Operation theatre
2. Laryngoscopes
D. Drugs and supplies c riteria
DRUGS & SUPPLIES FOR BHUS
OPTIMAL ITEMS
Supplies
1. Gloves
2. Clean / Safe delivery kit
3. Disposable/ Auto disable syringes
4. Reagents/ strips for routine lab tests
5. Surgical spirit
6. Oral Rehydration Salt – ORS
Tracer drugs
1. Capsule Amoxicillin
2. Syrup Amoxicillin
3. Tablet Metronidazole
4. Syrup Metronidazole
5. Tablet Iron
6. Tablet Folic acid
7.
8.
9.
10.
11.
12.
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
Family planning commodities
1. Condoms
2. COC
3. POP
4. IUCDs
5. Injection DMPA
6. Injection Net-En
Tetracycline Ointment
Injection Oxytocin
IV solutions
Syrup Salbutamol
Syrup Chloroquine
Syrup Zinc Sulphate
MINIMAL ITEMS
Supplies
Tracer drugs
1. Tablet Iron
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
Family planning commodities (any three)
1. Condoms
2. IUCDs
3. COC or POP
4. Injection DMPA or Net-En
84
DRUGS & SUPPLIES FOR RHCS
OPTIMAL ITEMS
Supplies
1. Gloves
5. Surgical spirit
6. Oral Rehydration Salt – ORS
Tracer drugs
1. Injection Dexamethasone
2. Injection Adrenaline
3. Injection Atropine
4. Injection Ampicillin
9. Tablet iron
10.
11.
12.
13.
14.
15.
16.
17.
18.
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
1. Condoms
2. COC
3. POP
4. IUCDs
5. Injection DMPA
6. Injection Net-En
Tablet Folic acid
Injection Oxytocin
Injection Magnesium Sulphate
IV solutions
Syrup Salbutamol
Syrup Chloroquine
Syrup Zinc Sulphate
Injection Diclofenac Sodium
MINIMAL ITEMS
Supplies
Tracer drugs
2. Injection Oxytocin
3. Injection Magnesium Sulphate
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
1. Condoms
2. IUCDs
3. COC or POP
DRUGS & SUPPLIES FOR DHQH & THQH
OPTIMAL ITEMS
Supplies
1. Gloves
5.
6.
7.
8.
9.
Screening kits for Hep B,C & HIV
Blood grouping reagents
Blood bags with transfusion sets
Surgical spirit
Oral Rehydration Salt – ORS
85
Tracer drugs
9. Tablet Iron
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
1. Condoms
2. COC
3. POP
4.
5.
6.
7.
Injection Oxytocin
IV solutions
Syrup Salbutamol
Syrup Chloroquine
Syrup Zinc Sulphate
Injection Thiopentone Sodium
Injection Neostigmine
Injection Propofol
IUCDs
Injection DMPA
Injection Net-En
Implants
MINIMAL ITEMS
Supplies
1. Gloves
5. Screening kits for Hep B,C & HIV
6. Blood grouping reagents
Tracer drugs
5.
6.
7.
8.
9.
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
1. Condoms
2. IUCDs
3. COC or POP
5. Implants
Injection Oxytocin
Injection Thiopentone Sodium
Injection Neostigmine
Injection Propofol
86
E. Support services c riteria
SUPPORT SERVICES FOR BHUS
SUPPORT SERVICES FOR RHCS
OPTIMAL CRITERIA
OPTIMAL CRITERIA
Basic lab tests
1. Space
2. Doctor or LHV or Lab technician
3. Reagents and strips
Basic lab tests
1. Doctor or LHV
Ambulance services
1. Functional ambulance
2. Ambulance driver
MINIMAL CRITERIA FOR BHU
MINIMAL CRITERIA FOR RHC
Basic lab tests
1. Space
2. Doctor or LHV or Lab technician
Basic lab tests
1. Doctor or LHV
SUPPORT SERVICES CRITERIA FOR SHC HOSPITALS
OPTIMAL CRITERIA
Basic lab tests
1. Space
2. Laboratory technician
4. Laboratory equipment
Blood transfusion services
1. Blood bank technician or lab technician
2. Screening strips for Hep B, C & HIV
Radiology services
1. Space
2. Ultrasound equipment
Operation theatre services
1. Space
2. Anaesthetist
3. OT technician
4. Anaesthesia technician
5. OT equipment
Ambulance services
2. Ambulance driver
MINIMAL CRITERIA
Basic lab tests
1. Space
2. Lab technician
87
Blood transfusion services
1. Laboratory or blood bank technician
2. Screening strips for Hep B, C & HIV
Radiology services
1. Space
2. Ultrasound equipment
Operation theatre services
1. Space
2. Anaesthetist or anaesthesia technician
3. OT equipment
F. Infection cont rol & waste ma nageme nt crite ria
ASSESSMENT CRITERIA
Infection control – Hand washing
1. Hand washing basin with running water
2. Soap
3. Towel
4. Gloves
1. Face masks
2. Safety goggles
3. Heavy duty leather gloves
4. Gowns
5. Industrial boots
1. Safety boxes
2. Colour-coded plastic bags
1. Autoclave for waste treatment
2. Autoclave test strips
Disinfection of service provision areas
1. Cleaning materials
2. Chemical disinfectant
G. Input c riteria for basic EmO NC servi ces at the T HQ hospital
G.1 - Civil works
CIVIL WORKS SCOPE
OPD
2. Examination area
Female ward
1. Patient area
88
Labour room
1. Delivery room
2. Scrub area
Clinical laboratory
1. Laboratory room
2. Working area
LHV’s room
2. Examination area
Residence - WMO
·
·
Available
Good condition
Residence - LHV
·
·
Available
Good condition
G.2 - Human resources
HUMAN RESOURCES
Category
WMOs
OT technician
Lab technician
LHVs
Ambulance drivers
Number
2
1
1
2
1
G. 3 - Equipment
EQUIPMENT
General hospital
1. Ambulance
Female ward
3. Bed side locker
6. Baby cot
OPD
3. Examination lamp
Labour room
3. Jar for forceps
medium)
8.
9.
10.
11.
12.
13.
14.
Sponge forceps
Artery forceps (Long, straight)
Uterine sound
Vulsellum forceps
Artery forceps
89
G.4 - Drugs and supplies
DRUGS & SUPPLIES
Supplies
1. Gloves
5. Screening kits for Hep B,C & HIV
6. Blood grouping reagents
Tracer drugs
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Tablet Iron
Tablet Folic acid
Injection Oxytocin
IV solutions
Syrup Salbutamol
Syrup Chloroquine
Syrup Zinc Sulphate
Vaccines
1. BCG
2. OPV
3. Penta-valent
4. Measles
5. TT
1. Condoms
2. COC
3. POP
4. IUCDs
5. Injection DMPA
6. Injection Net-En
G.5 - Support services
SUPPORT SERVICES
Laboratory services
1. Basic laboratory tests
Ambulance services
2. Ambulance driver
90
Staff
categories
Required number
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
Infrastructure
BHU Ghulab Ali
ANNEX 3 - A
Status of surveyed health facilities against the minimal
level of inputs
A. Status of BHUs
I.
II.
STATUS OF ASSESSED INFRASTRUCTURE IN BHUs
Status of building components at surveyed BHUs
LHV’s room
available
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
LHV’s room
functional
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
Y
Y
STATUS OF MNCH RELATED STAFF IN BHU S
Availability of MNCH related staff at surveyed BHUs*
WMO/MO
or LHV
1
1
0
0
1
1
1
2
1
1
1
2
1
2
2
1
0
2
1
2
1
0
91
Item groups
each BHU
BHU Ghulab Ali
BHU Jand Wala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
10
BHU Jand Wala
Total items
Assessed
items
BHU Ghulab Ali
Equipment
III.
STATUS OF FUNCTIONAL EQUIPMENT IN BHU S
Availability of functional equipment items at surveyed BHUs
5
7
7
5
3
6
6
5
8
6
9
4
8
5
7
7
7
9
6
4
6
IV.
STATUS OF DRUGS AND SUPPLIES IN BHU S
Supplies*
3
2
3
2
2
2
2
2
2
2
2
2
1
2
2
2
1
2
2
2
2
1
Drugs*
2
1
2
0
1
1
2
2
2
2
2
1
1
2
0
2
1
2
2
2
2
2
Vaccines
5
4
5
3
4
5
2
5
5
2
5
5
1
5
0
0
3
3
5
3
5
5
Family
planning
commodities
4
3
4
0
1
4
3
4
2
3
4
4
2
3
2
4
1
4
2
1
2
3
* Tracer items were selected for assessment from list provided in the PC-1 NMNCHP
92
BHU Kalia Shah
BHU Kot Hemraj
BHU Malikpura
BHU Chak 10-F
BHU Chak 47-F
BHU Chak 116-M
BHU Chak 140-M
BHU Chak 10-1R
BHU Chak 38-3R
BHU Chak 58-4R
BHU Chak 110-6R
BHU Chak200-8R
BHU Chak 165-7R
BHU Chak 297-HR
BHU Chak 302-HR
BHU Kabutri
BHU Said Ali
BHU Khola Mirzeka
BHU Sobeywala
2
BHU Jand Wala
Basic
lab
tests*
STATUS OF SUPPORT SERVICES IN BHU S
BHU Ghulab Ali
Support
services
Total items required at each BHU
V.
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
0
B. Status of RHCs
i.
STATUS OF ASSESSED INFRASTRUCTURE IN RHC S
Status
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
A
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
A
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
F
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
A
N
N
Y
Y
Y
N
Y
Y
Y
Y
F
N
N
Y
Y
Y
N
Y
Y
Y
Y
Residence Doctor
A
N
Y
N
Y
Y
Y
N
Y
Y
Y
F
N
Y
N
Y
Y
Y
N
Y
N
Y
Residence LHV
A
N
N
Y
Y
Y
N
N
N
N
Y
F
N
N
Y
Y
Y
N
N
N
N
Y
Infrastructure
OPD
Female ward
Labour room
LHV’s room
93
STATUS OF MNCH RELATED STAFF IN RHC S
Staff
categories
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
Number of MNCH related staff available at each RHC*
Required number at
each RHC
ii.
WMO
1
0
1
0
1
1
0
0
1
0
0
LHV
1
3
3
3
3
3
3
3
3
3
3
Lab
technician
1
1
1
1
0
1
1
1
1
1
1
Equipment
RHC Chak 6-G
RHC Dahran Wala
RHC Dunga Bonga
RHC Faqir Wali
RHC Fort Maroot
RHC Khichi Wala
RHC Madni Sadiq
Gunj
RHC Madrisa
RHC Mecload Gunj
RHC Shaher Farid
STATUS OF FUNCTIONAL EQUIPMENT IN RHC S
Total items required
at each RHC
iii.
Female
ward
3
3
2
1
2
3
2
1
3
2
3
WMO OPD
5
4
4
4
4
5
4
5
3
4
4
Labour
room
8
6
8
5
6
7
6
6
7
3
5
LHV’s room
7
3
3
2
1
2
3
3
0
1
2
Number of functional equipment items available at each RHC
94
STATUS OF DRUGS AND SUPPLIES IN RHC S
Item groups
RHC Chak 6-G
RHC Dahran
Wala
RHC Dunga
Bonga
RHC Faqir Wali
RHC Fort
Maroot
RHC Khichi
Wala
RHC Madni
Sadiq Gunj
RHC Madrisa
RHC Mecload
Gunj
RHC Shaher
Farid
Total items
required at each
RHC
iv.
Supplies*
3
3
2
2
3
3
3
3
2
2
2
Drugs*
3
2
1
1
1
2
2
2
1
2
2
Vaccines
5
2
5
4
5
5
5
5
4
4
5
Family
planning
commodities
4
1
1
2
4
2
3
1
0
4
4
STATUS OF SUPPORT SERVICES IN RHC S
Support
services
RHC Chak 6-G
RHC Dahran
Wala
RHC Dunga
Bonga
RHC Faqir Wali
RHC Fort
Maroot
RHC Khichi
Wala
RHC Madni
Sadiq Gunj
RHC Madrisa
RHC Mecload
Gunj
RHC Shaher
Farid
Total items
required at each
RHC
v.
Basic lab
tests*
4
4
3
3
3
4
4
4
3
4
4
Ambulance
services
2
2
2
2
2
2
1
2
2
2
0
95
C. Status of SHC hospitals
i.
STATUS OF ASSESSED INFRASTRUCTURE IN SHC HOSPITALS
Status of building components in SHCs
Infrastructure
Status
DHQH
Bahawalnagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
N
N
Y
N
Y
N
N
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
N
N
N
N
Y
Y
Y
Y
N
N
N
Y
Y
Y
Y
Y
Y
Y
N
Y
Y
Y
N
Y
N
Y
N
N
Y
N
N
N
Residence Gynaecologist
A
F
A
F
A
F
A
F
A
F
A
F
A
F
Residence Anaesthetist
A
F
N
N
N
N
N
N
N
N
N
N
Residence Paediatrician
A
N
Y
N
N
Y
F
N
Y
N
N
Y
Residence - WMO
A
F
N
N
N
Y
N
N
N
N
Y
N
Residence - Lab
technician
A
F
N
N
N
Y
Y
N
N
N
Y
Y
Gynae OPD
Gynae ward
Labour room
Operation theatre
Paediatrics ward
Laboratory
ii.
STATUS OF MNCH RELATED STAFF IN SHC HOSPITALS
Availability at DHQH*
Staff
categories
Availability at THQHs*
Required
number
DHQH
Bahawalnagar
Required
number
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Gynaecologist
1
2
1
1
0
1
0
Anaesthetist
1
0
1
0
0
0
0
Paediatrician
1
1
1
1
1
1
1
WMOs
4
5
2
5
1
4
2
OT technician
1
7
1
1
0
0
0
96
Lab technician
1
2
1
0
0
1
0
Nurses
6
43
4
12
6
14
9
LHVs
1
3
1
1
1
1
1
iii.
STATUS OF FUNCTIONAL EQUIPMENT IN SHC HOSPITALS
Availability of functional equipment items
Equipment
Total
items at
DHQH
DHQH
Bahawalnagar
Total
items at
each
THQH
THQH
Chishtian
THQH
Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Female ward
1
0
1
1
1
1
1
OPD
7
5
2
1
1
1
2
Paediatric
nursery
6
5
6
5
5
2
3
Paediatric
ward
4
3
4
3
3
3
3
Labour room
11
9
7
6
6
5
7
Operation
theatre
4
2
4
4
3
3
3
iv.
STATUS OF DRUGS AND SUPPLIES IN SHC HOSPITALS
Item groups
Total
items
DHQH
Bahawalnagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonabad
THQH
Minchinabad
Supplies*
6
4
6
2
3
6
Drugs*
9
6
5
3
4
4
Vaccines
5
4
3
5
4
4
Family planning
commodities
5
0
1
4
4
0
v.
STATUS OF SUPPORT SERVICES IN SHC HOSPITALS
97
Item groups
Total
items
DHQH
Bahawalnagar
THQH
Chishtian
THQH Fort
Abbas
THQH
Haroonaba
d
THQH
Minchinabad
Basic laboratory
tests*
9
8
5
5
5
7
Blood transfusion
5
5
2
1
2
3
Ambulance services
2
2
2
2
2
2
Radiology services
3
0
2
0
2
2
Operation theatre
16
12
14
9
7
11
*Includes facility for tests of pregnancy, haemoglobin, urine for protein and sugar and malaria
98
ANNEX 3 - B
Each item is assessed against the standard quantity, in different assessed components of
service provision areas. The standard quantity of the same item may vary in each
component. The annexed tables, include the aggregate quantity of each item in all the
surveyed components. Therefore, the table may show the requirement of an item, despite
having the same aggregate quantity with respect to standard, available and functional as
explained in the following table. The annexed table shows the aggregate quantities of each
assessed item; therefore, the requirement may arise, even though the overall standard
quantity is available and functional in the facility.
Quantity of an item
Component
STD*
AVL*
FUNC*
RQRD*
OPD
2
3
3
0
Ward
4
3
3
1
Aggregate
6
6
6
1
* STD: Standard, AVL: Available, FUNC: Functional, RQRD: Required
A. List of items required for DHQ a nd THQ hospitals in district
Bahawal nagar
DHQ hospital Bahawalnagar City, Bahawalnagar - Punjab
Item quantities
Item name
Abdominal retractors, double-ended
(Richardson)
Adult ambo bag and mask
Air conditioner (Split) 1.5 Ton (with heating
system)
Air ways 2 size
Ambulance
Anaesthesia machine
Anaesthetic face masks (3 sizes)
Artery forceps (7”)
Attendant's bench
Auto-clave for treatment of hospital waste
B P Apparatus mercury – desk type
Baby cot
Baby warmer
Standard
Available
Functional
Required
12
0
0
12
2
4
4
0
13
17
17
9
1
2
3
2
8
35
1
4
26
2
70
1
6
0
1
30
14
0
4
7
4
44
1
5
0
1
30
14
0
3
4
4
44
0
0
3
1
2
21
1
1
22
0
26
99
C.T.G. machine
Cabinet instrument (Large)
Chemistry analyzer
Chital forceps
Counter (Hand tally differential)
Curved operating scissors, blunt pointed
(Mayo), 17 cm
Defibrillator
Delivery table
Desktop computer with monitor and accessories
Dissecting forceps (Plain, 7”)
Dissecting forceps (Toothed)
ECG machine
Electric instrument sterilizer (12”x6”)
Electric water cooler
Examination couch
Foetal stethoscope
Fowler bed (Iron)
General Instrument set
Glucometer
Gynae Instrument set
Haematology analyzer
Hysterectomy forceps (Straight, 22.5 cm)
Incinerator (50kg)
Infant ambo bag
Infant laryngoscope set
Infusion pump
Jar for forceps
Kidney tray (S.s, 10”)
Lab cabinet
Lab incubator
Laryngoscopes set (Adult)
LaserJet printer
Artery forceps (Long, straight,10”)
Mosquito forceps (12.5 cm)
Myomectomy screw
Nebulizer
Needle holder (Straight, 17.5 cm)
Needle holder (Straight, 8”)
Obstetric forceps
6
1
2
2
2
4
6
1
0
2
1
0
6
1
0
2
1
0
0
0
2
0
1
4
6
1
1
5
8
1
1
3
5
2
4
35
1
2
2
1
4
2
1
4
70
1
2
3
2
18
1
2
5
1
5
19
2
4
2
2
7
4
5
3
36
2
2
12
4
2
18
9
4
3
2
0
0
2
0
1
6
1
6
4
14
0
30
16
1
8
1
0
1
2
13
0
15
4
0
3
3
1
5
0
0
0
2
0
1
10
0
6
18
9
4
3
2
0
0
1
0
0
6
1
6
4
14
0
30
16
1
8
1
0
1
2
3
0
15
4
0
3
3
1
5
0
0
0
2
0
1
10
0
6
0
0
0
0
3
2
4
34
1
2
0
0
0
0
0
4
40
0
1
0
1
18
0
0
2
1
3
16
2
2
0
1
2
4
5
3
34
2
1
2
4
0
100
Office chair
Ophthalmoscope
Overhead food trolley
Oxygen cylinder complete with trolley &
regulator
Patient’s stool
Patient waiting bench
Phototherapy unit
Portable light & rechargeable batteries (OT)
Power generator 50 Kva (Diesel)
Pulse oximeter
Rectangular instrument tray & lids
Refrigerator (10 cuft)
Room thermometer
Scissors (Curved 5”)
Scissors (Sharp, 5” straight)
Shredder (500 litre)
Sim’s speculum (Large)
Sim’s speculum (Medium)
Sim’s speculum (Right angle, medium)
Sim’s speculum (Right angle, small)
Spin machine (centrifuge)
Sponge forceps (22.5 cm)
Spring type dressing forceps (S.s)
Steam inhaler
Sterilizing drum
Stethoscope Paediatric Littman type
Stitch scissors
Artery forceps (Straight, 16 cm)
Straight operating scissors, blunt pointed
(Mayo), 17 cm
Suction apparatus: electrically operated
Surgical knife handle # 3
Tissue forceps (19 cm)
Towel clips
Ultrasound machine
UPS for computer
UPS power supply system (2000W)
Uterine homeostasis forceps ( 20 cm)
Uterine sound
Vacuum extractor
2
2
1
35
3
4
0
0
3
4
0
0
0
0
1
35
9
6
6
4
3
2
2
35
1
1
1
3
3
3
1
2
3
2
12
1
4
4
3
3
3
1
7
2
4
2
4
2
4
4
36
0
6
5
30
3
1
0
2
0
7
1
6
6
2
3
0
1
0
4
3
0
2
10
7
1
1
8
3
1
7
6
0
6
5
30
3
1
0
2
0
7
1
6
6
0
3
0
1
0
4
3
0
2
10
7
1
1
8
0
1
7
6
3
0
0
5
0
0
1
2
3
1
0
0
0
2
10
1
3
4
0
0
3
0
4
0
3
1
0
2
3
0
30
6
0
0
6
4
3
3
36
36
2
5
4
18
2
2
2
10
14
4
90
0
0
2
24
5
1
2
10
14
4
90
0
0
2
24
5
0
2
0
0
32
0
2
5
2
0
0
2
101
Vulsellum forceps
Water distillation unit
Water filter
Weighing machine (Adult)
X-Ray illuminator
Total quantities
6
0
6
1
1
6
0
6
1
1
0
2
0
1
0
834
640
617
479
THQ Hospital Chishtian,
Bahawalnagar - Punjab
THQ hospital Fort
Abbas, Bahawalnagar Punjab
Item quantities
Item quantities
Item name
Standard
Available
Functional
Required
Standard
Available
Functional
Required
(Richardson)
Air conditioner (Split) 1.5 Ton (with heating
system)
Air ways 2 size
Ambulance
Anaesthesia machine
Attendant's bench
Baby cot
Baby warmer
C.T.G. machine
Chemistry analyzer
Chital forceps
Clean delivery kits
(Mayo), 17 cm
Defibrillator
Desktop computer with monitor and
accessories
Disposable syringe cutter
3
2
2
2
1
2
2
2
0
2
3
3
0
2
2
2
0
2
5
5
0
7
0
0
7
7
0
0
7
2
1
1
2
14
15
1
2
12
2
30
6
1
2
1
2
200
1
1
4
1
2
4
26
0
0
1
1
56
4
0
0
1
0
22
0
1
2
1
2
4
26
0
0
1
1
56
4
0
0
1
0
22
0
1
0
0
0
10
0
1
2
11
1
11
2
1
2
0
2
178
1
2
1
1
2
14
15
1
2
12
2
30
6
1
2
1
2
200
1
2
2
1
3
7
6
0
2
0
1
10
7
1
0
3
0
50
0
2
2
1
3
7
6
0
1
0
1
10
7
1
0
1
0
50
0
0
0
0
0
7
9
1
1
12
1
20
0
0
2
0
2
150
1
2
6
6
0
2
3
3
0
2
1
3
1
3
1
0
0
2
1
0
2
0
2
2
0
3
1
1
2
3
2
1
2
2
2
3
0
3
0
0
2
2
2
2
4
2
4
0
0
102
ECG machine
Foetal stethoscope
Fowler bed (Iron)
Glucometer
Incinerator (50kg)
Infant ambo bag
Infusion pump
Jar for forceps
Lab cabinet
Lab incubator
LaserJet printer
Myomectomy screw
Nebulizer
Obstetric forceps
Ophthalmoscope
regulator
Phototherapy unit
Portable light & rechargeable batteries (OT)
Pulse oximeter
Room thermometer
2
15
1
2
2
1
4
1
3
30
1
2
2
1
2
1
3
4
1
5
10
1
3
2
2
2
2
3
3
2
2
3
2
2
1
1
15
8
0
0
1
4
1
2
0
1
56
2
0
2
1
8
0
2
0
1
1
20
0
1
0
0
3
1
1
0
24
3
1
4
6
3
0
0
8
0
0
1
4
1
2
0
1
56
2
0
2
1
8
0
1
0
1
1
20
0
0
0
0
3
1
1
0
24
3
1
4
6
3
0
0
0
15
1
1
0
0
2
1
2
11
0
2
0
0
0
1
2
4
0
4
4
1
3
2
2
1
1
2
3
0
0
2
0
0
0
1
15
2
15
1
2
2
1
4
1
3
30
1
2
2
1
2
1
3
4
1
5
10
1
3
2
2
2
2
3
3
2
2
3
2
2
1
1
15
4
0
0
1
5
1
2
1
1
17
3
0
4
1
4
0
2
0
1
0
9
0
0
1
0
6
4
3
0
6
3
1
3
4
2
0
0
4
0
0
1
5
1
2
1
1
17
3
0
4
1
4
0
2
0
1
0
9
0
0
1
0
5
4
2
0
6
3
1
3
4
2
0
0
0
15
1
1
0
0
2
0
2
13
0
2
0
0
0
1
1
4
0
5
1
1
3
1
2
0
0
1
3
0
0
2
0
0
0
1
15
6
4
4
2
6
1
1
5
2
15
1
1
1
2
2
2
1
2
3
0
4
1
1
1
0
0
0
0
1
2
0
4
1
1
0
0
0
0
0
1
2
2
11
0
0
1
2
2
2
1
1
1
2
15
1
1
1
2
2
2
1
2
3
0
3
1
0
1
0
2
0
0
0
0
0
3
1
0
1
0
2
0
0
0
0
2
12
0
1
0
2
0
2
1
2
3
103
Spring type dressing forceps (S.s)
Steam inhaler
Sterilizing drum
Stitch scissors
(Mayo), 17 cm
Towel clips
Ultrasound machine
UPS for computer
Uterine sound
Vacuum extractor
Vulsellum forceps
Water filter
X-Ray illuminator
Total items
2
21
1
2
2
3
3
3
1
5
2
3
2
6
3
2
2
1
1
0
0
0
2
1
0
0
21
3
0
5
1
0
6
12
1
1
0
0
0
2
1
0
0
21
0
0
3
1
0
6
12
1
20
1
2
2
1
2
3
1
0
2
3
0
5
3
0
0
2
21
1
2
2
3
3
3
1
5
2
3
2
6
3
2
2
0
3
0
3
2
4
4
0
5
14
0
0
2
1
0
4
48
0
3
0
3
2
4
4
0
5
14
0
0
2
1
0
4
48
2
18
1
0
0
0
0
3
0
0
2
3
0
5
3
0
0
2
12
12
0
2
9
9
0
2
2
2
2
2
1
3
4
2
3
2
3
1
2
3
1
2
10
10
0
16
0
2
0
24
2
0
2
0
4
4
0
2
10
10
0
16
0
2
0
24
2
0
2
0
4
4
0
0
0
0
2
0
1
2
4
0
1
2
1
1
0
0
1
2
2
2
2
2
1
3
4
2
3
2
3
1
2
3
1
1
3
3
6
12
0
0
0
6
3
1
4
0
5
1
1
1
3
3
6
12
0
0
0
6
3
1
4
0
5
1
1
1
0
0
0
0
1
3
4
0
0
1
0
1
0
2
0
595
453
443
403
595
358
352
374
104
THQ hospital
Haroonabad,
THQ hospital
Minchinabad,
Item quantities
Item quantities
Item name
Standard
Available
Functional
Required
Standard
Available
Functional
Required
(Richardson)
Air conditioner (Split) 1.5 Ton (with
heating system)
Air ways 2 size
Ambulance
Anaesthesia machine
Attendant's bench
Baby cot
Baby warmer
C.T.G. machine
Chemistry analyzer
Chital forceps
Clean delivery kits
(Mayo), 17 cm
Defibrillator
Desktop computer with monitor and
accessories
ECG machine
Foetal stethoscope
2
4
4
0
2
8
8
0
2
6
6
0
2
1
1
1
7
0
0
7
5
0
0
5
2
1
1
2
14
15
1
2
12
2
30
6
1
2
1
2
200
1
0
3
1
0
8
19
0
2
0
1
23
0
2
1
0
1
0
0
0
3
1
0
8
12
0
2
0
1
23
0
2
1
0
1
0
0
2
0
0
2
12
3
1
0
12
1
7
6
0
1
1
1
200
1
2
1
1
2
14
10
1
2
10
2
20
6
1
1
1
2
100
1
0
3
1
2
12
3
0
1
10
0
22
12
0
0
1
0
3
0
0
3
1
2
12
3
0
1
10
0
22
12
0
0
1
0
3
0
2
0
0
0
2
7
1
1
0
2
4
0
1
1
0
2
97
1
2
22
22
0
2
8
8
0
2
1
0
0
0
0
2
1
2
1
0
1
0
1
2
0
3
2
2
1
3
1
1
2
2
2
2
15
1
2
2
1
4
1
3
12
2
12
0
0
1
5
0
2
1
1
12
2
12
0
0
0
5
0
2
1
1
0
0
0
15
1
2
0
1
2
0
2
2
2
2
10
1
1
2
1
4
1
2
3
0
8
0
0
1
4
0
3
0
2
3
0
8
0
0
0
4
0
3
0
2
0
2
0
10
1
1
0
1
1
1
0
105
Fowler bed (Iron)
Glucometer
Incinerator (50kg)
Infant ambo bag
Infusion pump
Jar for forceps
Lab cabinet
Lab incubator
LaserJet printer
Myomectomy screw
Nebulizer
Obstetric forceps
Ophthalmoscope
regulator
Phototherapy unit
(OT)
Pulse oximeter
Room thermometer
30
1
2
2
1
2
1
3
4
1
5
10
1
3
2
2
2
2
3
3
2
2
3
2
2
1
1
15
23
6
0
5
1
4
0
1
0
0
0
19
0
0
2
0
2
3
1
4
13
2
1
16
4
3
0
0
23
6
0
5
1
4
0
1
0
0
0
19
0
0
2
0
2
3
1
4
13
2
1
16
4
3
0
0
7
0
2
0
0
0
1
2
4
1
5
0
1
3
0
2
1
0
2
0
0
0
2
0
0
0
1
15
20
1
2
2
1
2
1
3
4
1
5
10
1
3
2
1
2
1
3
3
2
2
3
2
2
1
1
10
22
2
0
2
1
8
0
1
0
0
0
10
0
0
0
2
3
2
1
0
0
4
2
0
8
0
0
0
22
2
0
2
1
8
0
1
0
0
0
10
0
0
0
2
3
2
1
0
0
4
2
0
8
0
0
0
4
0
2
0
0
0
1
2
4
1
5
0
1
3
2
0
0
0
2
3
2
0
1
2
0
1
1
10
6
2
2
4
6
12
12
0
2
15
1
0
8
1
0
8
1
2
7
0
2
10
1
1
16
1
1
16
1
1
0
0
1
1
1
0
1
0
0
1
1
2
2
2
1
2
3
2
21
1
2
2
3
3
3
1
1
3
0
0
8
4
4
3
0
2
1
0
2
2
1
1
3
0
0
8
0
4
3
0
2
1
0
2
2
0
1
0
2
1
0
3
0
18
1
0
1
3
1
1
1
2
2
2
1
2
3
2
16
1
2
2
3
3
3
1
1
6
0
0
0
12
0
3
0
0
0
2
2
2
1
1
6
0
0
0
12
0
3
0
0
0
2
2
2
0
1
0
2
1
2
0
2
13
1
2
2
1
1
1
106
Spring type dressing forceps (s.s)
Steam inhaler
Sterilizing drum
Stitch scissors
(Mayo), 17 cm
Towel clips
Ultrasound machine
UPS for computer
Uterine sound
Vacuum extractor
Vulsellum forceps
Water filter
X-Ray illuminator
Total items
1
5
2
3
2
6
3
2
2
2
11
0
0
0
0
0
2
27
2
11
0
0
0
0
0
2
27
0
0
2
3
2
6
3
0
0
1
5
2
3
1
4
2
2
2
5
16
2
0
2
3
0
8
0
5
16
2
0
2
3
0
8
0
0
0
0
3
0
1
2
0
2
2
6
6
0
2
4
4
0
2
2
2
2
2
1
3
4
2
3
2
3
1
2
3
1
0
5
3
11
31
0
0
0
6
3
2
0
0
5
2
0
0
5
3
11
31
0
0
0
6
3
2
0
0
5
2
0
2
0
0
0
0
1
3
4
0
0
0
3
1
0
1
1
2
2
2
2
2
1
3
4
2
3
2
3
1
2
3
1
1
6
4
0
16
0
0
0
0
3
0
3
0
4
2
0
1
6
4
0
16
0
0
0
0
3
0
3
0
4
1
0
1
0
0
2
0
1
3
4
2
0
2
0
1
0
2
1
595
400
388
410
437
316
314
253
Item name
RHC
Dahranwala,
Bahawalnagar Punjab
RHC Dunga
Bonga,
Bahawalnagar
- Punjab
Item
quantities
Item quantities
Item
quantities
Functional
Required
Available
Functional
Required
Available
Functional
Required
1
4
20
2
RHC Chak #
6/G,
Bahawalnagar
- Punjab
Available
Ambulance
Attendant's bench
Standard quantity
B. List of items requi red for RHCs in district Bahawal nagar
2
1
0
2
2
1
0
2
0
3
20
0
1
4
1
1
1
4
1
0
0
0
19
2
1
2
0
0
1
2
0
0
0
2
20
2
107
Baby cot
Clean delivery kits
Examination couch
Foetal stethoscope
Fowler bed (Iron)
Incinerator (50kg)
Infant ambo bag
Jar for forceps
Nebulizer
Office chair
Patient’s stool
Plain chairs
Sim’s speculum (Right angle,
medium)
Steam inhaler
Suction apparatus: electrically
operated
Uterine sound
Vulsellum forceps
Water filter
4
20
2
100
2
1
20
1
1
2
2
20
1
2
2
1
1
3
1
2
1
6
2
20
2
2
2
2
2
2
0
5
1
30
1
0
0
1
2
2
1
5
0
0
0
0
1
1
0
0
0
0
2
0
1
2
5
0
1
0
0
5
1
30
1
0
0
1
2
2
1
5
0
0
0
0
1
1
0
0
0
0
2
0
1
2
5
0
1
0
4
15
1
70
1
1
20
0
0
0
1
15
1
2
2
1
0
2
1
2
1
6
0
20
1
0
0
2
1
2
0
5
1
1
1
0
0
1
1
2
2
6
2
0
1
0
1
0
0
2
1
1
2
0
2
2
6
1
0
1
0
5
1
1
1
0
0
1
1
2
2
6
2
0
1
0
1
0
0
2
1
1
2
0
2
2
6
1
0
1
4
15
1
99
1
1
20
0
0
0
0
14
0
2
1
1
0
3
1
0
0
5
0
20
0
0
0
1
2
1
0
8
2
10
1
0
0
0
1
1
3
0
1
0
0
0
0
0
0
0
0
1
2
0
0
2
5
0
1
0
0
8
2
10
1
0
0
0
1
1
3
0
1
0
0
0
0
0
0
0
0
1
2
0
0
2
5
0
1
0
4
12
0
90
1
1
20
1
0
1
0
20
0
2
2
1
1
3
1
2
1
5
0
20
2
0
0
2
1
2
2
1
1
1
0
0
2
1
1
1
2
2
2
1
2
1
0
1
0
0
2
1
0
1
0
0
2
1
2
1
2
1
0
0
0
1
0
0
0
1
0
1
0
0
0
1
2
1
2
1
2
0
0
2
0
0
2
0
0
2
0
0
2
0
2
0
2
1
0
1
1
1
1
0
1
1
0
0
0
1
1
2
2
1
2
0
1
1
15
2
0
1
1
15
2
1
1
1
0
0
0
1
1
1
2
0
1
1
1
2
1
1
1
0
0
0
1
2
1
2
0
1
2
1
2
1
1
0
0
0
Total
277
91
91
205
57
56
226
52
52
229
108
RHC Fort Maroot,
Bahawalnagar Punjab
RHC Khichi
Wala,
Bahawalnagar Punjab
Item quantities
Item quantities
Item quantities
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Ambulance
Attendant's bench
B P Apparatus mercury – desk
type
Baby cot
Clean delivery kits
Electric instrument sterilizer
(12”x6”)
Examination couch
Foetal stethoscope
Fowler bed (Iron)
Incinerator (50kg)
Infant ambo bag
Jar for forceps
Nebulizer
Office chair
Patient’s stool
Plain chairs
Scissors (Dissecting, blunt
pointed)
large)
Standard quantity
Item name
RHC Faqir
Wali,
Bahawalnagar
- Punjab
1
4
20
2
3
3
2
3
3
0
1
17
2
4
4
1
4
4
0
0
16
1
4
1
1
4
1
0
0
19
2
1
1
1
2
2
0
0
0
2
4
20
2
100
2
1
20
0
7
2
24
2
1
0
0
7
2
24
2
1
0
4
13
0
76
0
0
20
0
8
8
80
2
0
0
0
8
8
80
2
0
0
4
12
0
20
0
1
20
0
4
4
129
2
0
0
0
4
4
129
2
0
0
4
16
0
0
0
1
20
1
0
0
1
0
0
1
1
1
0
1
2
2
20
1
2
2
1
1
3
1
2
1
6
2
20
2
2
2
1
1
2
5
2
0
0
0
0
1
0
1
0
0
2
0
1
2
4
1
1
2
3
2
0
0
0
0
1
0
1
0
0
2
0
1
2
4
0
1
0
17
0
2
2
1
1
2
1
1
1
6
0
20
1
0
0
2
2
2
10
2
0
1
0
1
0
1
0
1
1
2
0
1
2
4
1
2
2
10
2
0
1
0
1
0
1
0
1
1
2
0
1
2
4
0
0
0
10
0
2
1
1
0
3
0
2
0
5
0
20
1
0
0
1
2
1
4
1
0
0
0
1
0
0
0
0
2
2
0
0
2
4
1
2
1
4
1
0
0
0
1
0
0
0
0
2
2
0
0
2
4
0
0
1
16
0
2
2
1
0
3
1
2
1
4
0
20
2
0
0
2
1
1
1
1
1
1
0
0
2
2
0
0
2
1
1
1
0
0
2
2
0
0
2
4
4
0
0
0
2
2
2
2
0
0
0
2
2
2
0
109
medium)
small)
Steam inhaler
operated
UPS power supply system
(2000W)
Uterine sound
Vulsellum forceps
Water filter
Total
Item name
0
0
2
0
0
2
0
0
2
2
2
1
2
1
2
0
0
0
1
2
0
0
0
1
0
2
1
2
0
6
0
0
1
1
6
0
0
1
1
0
2
1
1
0
2
0
0
0
1
2
0
0
0
1
0
2
1
2
0
1
0
0
1
1
1
0
0
0
1
1
0
0
1
0
0
1
0
0
1
2
2
1
2
1
2
2
0
1
2
0
0
1
0
1
2
2
2
1
1
2
2
1
1
0
0
0
1
2
4
2
1
2
4
1
1
0
0
0
1
277
78
74
207
163
161
131
180
179
133
RHC Madni Sadiq
Gunj, Bahawalnagar Punjab
RHC Madrisa,
Bahawalnagar Punjab
Item quantities
Item quantities
Standard
quantity
Available
Functional
Required
Available
Functional
Required
Ambulance
Attendant's bench
Baby cot
Clean delivery kits
(12”x6”)
Examination couch
Foetal stethoscope
Fowler bed (Iron)
2
1
4
20
2
4
20
2
100
2
1
20
1
2
0
1
0
2
1
3
1
1
0
1
2
0
1
0
2
1
3
1
1
0
0
2
20
1
4
18
1
97
1
0
20
1
1
2
1
0
2
1
45
1
0
0
1
1
2
1
0
2
1
45
1
0
0
0
3
18
1
4
18
1
55
1
1
20
1
0
0
1
1
1
0
1
2
2
20
1
2
2
1
2
2
2
2
0
1
1
2
2
2
2
0
1
0
0
0
18
0
2
1
1
1
0
2
2
0
0
1
1
0
2
2
0
0
0
1
2
18
0
2
2
110
Incinerator (50kg)
Infant ambo bag
Jar for forceps
Nebulizer
Office chair
Patient’s stool
Plain chairs
medium)
small)
Steam inhaler
operated
Uterine sound
Vulsellum forceps
Water filter
1
1
3
1
2
1
6
2
20
2
2
2
2
2
2
0
0
3
0
0
1
1
2
0
1
2
4
0
0
1
0
0
3
0
0
1
1
2
0
1
2
4
0
0
1
1
1
0
1
2
0
5
0
20
1
0
0
2
2
1
0
1
1
0
1
0
1
1
0
0
2
3
1
0
0
0
1
1
0
1
0
1
1
0
0
2
3
1
0
0
1
0
2
1
1
1
5
1
20
2
0
0
1
2
2
2
1
1
1
1
1
1
2
0
0
2
1
1
1
2
2
1
2
1
1
0
0
1
0
1
0
0
1
0
1
2
1
1
1
3
0
0
0
1
3
0
0
0
1
0
2
1
2
0
1
0
0
1
1
1
0
1
2
2
1
2
0
1
1
1
1
0
1
1
1
1
1
1
1
0
1
0
1
1
1
1
0
1
1
1
1
1
1
1
0
1
Total
277
44
44
236
83
83
197
Available
Functional
Required
1
4
20
2
4
20
Item quantities
Required
Ambulance
Attendant's bench
Baby cot
Item quantities
Functional
Standard
quantity
RHC Shaher Farid,
Bahawalnagar Punjab
Available
Item name
RHC Mecload Gunj,
Bahawalnagar Punjab
2
0
2
1
0
6
2
0
2
1
0
6
0
4
18
1
4
14
1
0
2
2
0
9
0
0
2
2
0
9
1
4
18
0
4
11
111
Clean delivery kits
(12”x6”)
Examination couch
Foetal stethoscope
Fowler bed (Iron)
Incinerator (50kg)
Infant ambo bag
Jar for forceps
Nebulizer
Office chair
Patient’s stool
Plain chairs
medium)
small)
Steam inhaler
operated
Uterine sound
Vulsellum forceps
Water filter
2
100
2
1
20
1
40
1
1
0
1
40
1
1
0
1
60
1
0
20
1
4
1
0
0
1
4
1
0
0
1
96
1
1
20
1
0
0
1
1
1
0
1
2
2
20
1
2
2
1
1
3
1
2
1
6
2
20
2
2
2
2
2
2
3
1
2
6
1
0
0
0
1
2
0
0
1
1
2
0
0
1
3
0
0
0
3
1
2
6
1
0
0
0
1
2
0
0
1
1
1
0
0
1
3
0
0
0
0
1
0
14
0
2
2
1
0
1
1
2
0
5
1
20
2
1
0
2
2
2
2
2
0
7
1
0
0
0
1
0
0
0
1
1
2
0
0
3
2
0
0
0
1
2
0
7
1
0
0
0
1
0
0
0
1
1
2
0
0
3
2
0
0
0
0
0
2
13
0
2
2
1
0
3
1
2
0
5
0
20
2
0
0
2
2
2
2
0
0
2
1
1
1
2
1
1
1
0
0
2
2
2
1
2
1
1
0
0
1
1
1
0
0
1
1
1
2
1
1
0
1
0
0
2
1
1
0
0
2
1
1
2
1
0
0
1
1
1
0
0
0
1
1
2
2
1
2
0
0
1
3
1
0
0
1
3
1
1
2
1
0
1
0
1
1
1
1
0
1
1
1
1
1
1
1
0
1
Total
277
88
87
196
52
50
228
112
Item name
BHU Chak
10/1R,
Bahawal
nagar Punjab
BHU Chak
10/F,
Bahawal
nagar Punjab
BHU Chak
110/6R,
Bahawal
nagar Punjab
Item
quantities
Item
quantities
Item
quantities
Item
quantities
Functional
Required
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Total
BHU
Kabutri,
Bahawal
nagar Punjab
Available
type
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
Standard quantity
C. List of items required for s urveyed BHUs i n district
Bahawal nagar
1
1
1
0
1
1
0
1
0
1
1
1
0
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
20
1
1
1
2
1
0
1
0
2
1
1
2
1
2
3
0
4
1
2
20
1
1
1
2
1
0
1
0
2
1
1
2
1
2
3
0
4
1
2
30
0
0
0
0
0
2
1
1
0
0
3
0
1
0
1
1
0
0
0
28
1
1
0
1
1
0
0
0
0
1
0
2
0
2
4
0
1
0
2
28
1
1
0
1
1
0
0
0
0
1
0
2
0
2
4
0
1
0
2
22
0
0
1
1
0
2
2
1
2
0
4
0
2
0
0
1
1
1
0
7
1
1
0
2
1
0
0
0
2
0
0
2
1
3
3
0
9
0
3
7
1
1
0
2
1
0
0
0
2
0
0
2
1
3
3
0
9
0
3
43
0
0
1
0
0
2
2
1
0
1
4
0
1
0
1
1
0
1
0
0
2
1
0
2
1
0
0
0
1
0
1
2
0
2
3
0
4
3
2
0
2
1
0
2
1
0
0
0
1
0
1
2
0
2
3
0
4
3
2
50
0
0
1
0
0
2
2
1
1
1
3
0
2
0
1
1
1
0
0
85
47
47
40
45
45
40
36
35
59
25
25
66
113
BHU Chak
165/7R,
Bahawal
nagar Punjab
BHU Chak
297/HR,
Bahawal
nagar Punjab
Item
quantities
Item
quantities
Item
quantities
Item
quantities
Functional
Required
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Total
BHU Chak
140/M,
Bahawal
nagar Punjab
Available
B P Apparatus mercury –
desk type
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
Standard quantity
Item name
BHU Chak
116/M,
Bahawal
nagar Punjab
1
0
0
1
1
1
0
1
1
0
1
1
0
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
2
1
0
1
2
0
0
0
0
1
0
0
2
0
2
3
0
4
1
2
2
1
0
1
2
0
0
0
0
1
0
0
2
0
2
3
0
4
1
2
48
0
1
0
0
1
2
2
1
1
1
4
0
2
0
1
1
1
0
0
2
2
1
0
1
1
0
0
0
1
0
2
2
0
2
3
0
4
2
5
2
2
1
0
1
1
0
0
0
1
0
2
2
0
2
3
0
4
2
5
48
0
0
1
1
0
2
2
1
1
1
2
0
2
0
1
1
1
0
0
10
1
1
0
1
0
0
0
0
1
0
1
2
1
2
3
0
3
1
4
10
1
1
0
1
0
0
0
0
1
0
1
2
1
2
3
0
3
1
2
40
0
0
1
1
1
2
2
1
1
1
3
0
1
0
1
1
0
0
0
0
1
1
0
2
1
0
0
0
1
1
0
2
0
2
3
0
5
1
2
0
1
1
0
2
1
0
0
0
1
1
0
2
0
2
3
0
3
0
1
50
0
0
1
0
0
2
2
1
1
0
4
0
2
0
1
1
0
1
1
85
21
21
67
29
29
64
32
30
56
23
19
67
114
BHU Chak
47/F,
Bahawal
nagar Punjab
BHU Chak
58/4R,
Bahawal
nagar Punjab
Item
quantities
Item
quantities
Item
quantities
Item
quantities
Functional
Required
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Total
BHU Chak
38/3R,
Bahawal
nagar Punjab
Available
desk type
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
Standard quantity
Item name
BHU Chak
302/HR,
Bahawal
nagar Punjab
1
1
1
0
1
1
0
0
0
1
0
0
1
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
10
1
1
0
2
1
0
0
0
1
0
0
2
0
2
3
0
1
0
2
10
1
1
0
2
1
0
0
0
1
0
0
2
0
2
3
0
1
0
2
40
0
0
1
0
0
2
2
1
1
1
4
0
2
0
1
1
1
1
0
52
1
1
1
2
1
0
1
0
1
0
1
2
0
2
3
0
7
1
2
52
1
1
1
2
1
0
1
0
1
0
1
2
0
2
3
0
7
1
2
0
0
0
0
0
0
2
1
1
1
1
3
0
2
0
1
1
0
0
1
15
1
0
1
2
1
0
0
0
2
0
0
2
0
2
4
0
5
1
5
15
1
0
1
2
1
0
0
0
2
0
0
2
0
2
4
0
5
1
5
35
0
1
0
0
0
2
2
1
0
1
4
0
2
0
0
1
0
0
0
0
1
0
1
1
1
0
0
0
0
0
0
2
0
2
2
0
7
0
0
0
1
0
1
1
1
0
0
0
0
0
0
2
0
2
2
0
7
0
0
50
0
1
0
1
0
2
2
1
2
1
4
0
2
0
2
1
0
1
2
85
27
27
58
79
79
14
41
41
50
17
17
73
115
BHU Jand
Wala,
Bahawal
nagar Punjab
BHU Kalia
Shah,
Bahawal
nagar Punjab
Item
quantities
Item
quantities
Item
quantities
Item
quantities
Functional
Required
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Total
BHU
Ghulab Ali,
Bahawal
nagar Punjab
Available
desk type
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
Standard quantity
Item name
BHU Chak
200/8R,
Bahawal
nagar Punjab
1
1
1
0
1
1
0
1
1
0
1
1
0
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
0
1
1
0
0
1
0
0
0
1
0
0
2
0
2
4
0
4
1
3
0
1
1
0
0
0
0
0
0
1
0
0
2
0
2
4
0
4
1
3
50
0
0
1
2
1
2
2
1
1
1
4
0
2
0
0
1
1
0
0
10
0
0
0
1
1
0
0
0
0
1
0
2
0
2
2
0
4
0
2
10
0
0
0
1
1
0
0
0
0
1
0
2
0
2
0
0
4
0
2
40
1
1
1
1
0
2
2
1
2
0
4
0
2
0
4
1
0
1
0
10
2
1
0
2
1
0
0
0
2
0
0
2
0
2
4
0
5
1
2
10
1
1
0
2
1
0
0
0
2
0
0
2
0
2
4
0
5
1
1
40
0
0
1
0
0
2
2
1
0
1
4
0
2
0
0
1
0
0
1
30
1
3
1
1
1
0
0
0
2
0
0
2
0
2
4
0
5
1
3
30
1
3
1
0
1
0
0
0
2
0
0
2
0
2
1
0
5
1
3
20
0
0
0
2
0
2
2
1
0
1
4
0
2
0
3
1
0
0
0
85
21
20
69
26
24
63
35
33
55
57
53
38
116
BHU Said
Ali, Bahawal
nagar Punjab
BHU Kot
Hemraj,
Bahawal
nagar Punjab
BHU
Malikpura,
Bahawal
nagar Punjab
Item
quantities
Item
quantities
Item
quantities
Item
quantities
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Available
Functional
Required
Standard quantity
Item name
BHU Khola
Mirzeka,
Bahawal
nagar Punjab
type
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
1
1
1
0
1
1
0
0
0
1
1
0
1
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
11
1
0
0
1
0
0
0
0
0
0
0
2
0
2
4
0
6
1
1
11
1
0
0
1
0
0
0
0
0
0
0
2
0
2
4
0
2
1
0
39
0
1
1
1
1
2
2
1
2
1
4
0
2
0
0
1
1
0
2
55
1
1
0
1
1
0
0
0
0
1
0
2
1
2
4
0
2
0
3
55
1
1
0
1
1
0
0
0
0
1
0
2
1
2
4
0
2
0
3
0
0
0
1
1
0
2
2
1
2
0
4
0
1
0
0
1
1
1
0
12
1
1
1
3
0
0
0
0
1
0
0
2
1
3
2
0
6
1
2
12
1
1
1
3
0
0
0
0
1
0
0
2
1
3
2
0
6
1
2
38
0
0
0
0
1
2
2
1
1
1
4
0
1
0
2
1
0
0
0
7
0
0
0
2
0
0
0
0
0
0
0
2
0
2
3
0
4
0
1
7
0
0
0
2
0
0
0
0
0
0
0
2
0
2
3
0
4
0
1
43
1
1
1
0
1
2
2
1
2
1
4
0
2
0
1
1
1
1
1
Total
85
30
25
61
75
75
17
36
36
55
22
21
67
117
BHU Sobeywala, Bahawalnagar
- Punjab
Item name
Standard quantity
Clean delivery kits
Examination couch
Foetal stethoscope
Incinerator (50kg)
Nebulizer
Office chair
Patient’s stool
Plain chairs
Steam inhaler
Water filter
Total
Item quantities
Available
Functional
Required
1
50
1
1
1
2
1
2
2
1
2
1
4
2
2
2
4
1
2
1
2
1
0
1
1
0
2
1
0
0
0
2
0
0
2
0
2
4
0
7
1
2
1
0
1
1
0
2
1
0
0
0
2
0
0
2
0
2
4
0
7
1
0
0
50
0
0
1
0
0
2
2
1
0
1
4
0
2
0
0
1
0
0
2
85
26
24
66
D. Estimated cost of required equip me nt at surve yed facilities
Health facility
Estimated cost (in
PKR)
Health facility
Estimated cost (in
PKR)
DHQH Bhawalnagar
17,568,353
BHU Chak 110/6R
610,957
THQH Chishtian
10,287,705
BHU Chak 116/M
600,473
THQH Fort Abbas
7,629,264
BHU Chak 140/M
613,500
THQH Haroonabad
8,374,036
BHU Chak 165/7R
463,722
THQH Minchan Abad
8,316,569
BHU Chak 297/HR
471,220
118
Health facility
Estimated cost (in
PKR)
Health facility
Estimated cost (in
PKR)
RHC Chak 6-G
1,423,878
BHU Chak 302/HR
618,432
RHC Dahran Wala
1,161,574
BHU Chak 38/3R
558,344
RHC Dunga Bonga
1,885,891
BHU Chak 47/F
570,243
RHC Faqir Wali
1,681,142
BHU Chak 58/4R
609,360
RHC Fort Maroot
1,096,728
BHU Chak200/8R
625,631
RHC Khichi Wala
1,796,312
BHU Ghulab Ali
503,313
1,574,949
BHU Jand Wala
587,393
RHC Madrisa
1,716,288
BHU Kalia Shah
587,497
RHC Mecload Gunj
1,418,142
BHU Khola Mirzeka
629,072
RHC Shaher Farid
6,101,330
BHU Said Ali
357,209
BHU Kabutri
281,735
BHU Kot Hemraj
450,016
BHU Chak 10/1R
495,299
BHU Malikpura
643,656
BHU Chak 10/F
466,801
BHU Sobeywala
589,682
119
ANNEX 4
A. Scope of civil works requi red at SHC hospitals
Rough cost estimate for improvement / renovation
DHQH, Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
Repair of boundary wall
11,808
115
1,357,920
Hospital
Covered
area
Main building
Repair
271580
-
Restoration of brick work
Cft
504
120
60,480
Restoration of plaster work
Sft
2,184
20
43,680
Restoration of distempering
Sft
9,756
10
97,560
Restoration of almirah
Sft
84
500
42,000
Restoration of doors/windows
Sft
18
500
9,000
Approach road
Sft
59,500
70
4,165,000
Internal roads (Tuff Pavers)
Sewerage system ( 9 “ dia )
including manholes
Sft
13,573
70
950,075
113
350
39,375
480
350
168,000
1,500
3,552,000
External development
Repair
Rft
Rft
Water supply system ( 3” dia)
New construction
2368
Sft
Total
10,485,090
Total without new construction
6,933,090
120
THQH Chishtian, district Bahawalnagar
Description
Boundary wall
Unit
Qty
Sft
6,232
Rate
Amount
115
716,680
5,558
257
7,290
103
32,18
4
6
2,949
765
120
60
20
60
666,900
15,420
145,800
6,180
10
500
50
50
321,840
3,000
147,450
38,228
288
1,500
432,000
12,62
8
4,875
70
70
883,960
341,250
898
531
350
350
314,125
185,938
1,500
7,296,000
Hospital
Main building
Repair
Restoration of roof tiles
Restoration of floor
Restoration of
Restoration of
Restoration of
Restoration of
Covered
area
11796
Cft
Sft
Sft
Sft
Sft
distempering
doors/windows
toilets
electric components
Sft
Compound walls
Construction of new compound walls ( 9 “
Thick )
Repair
Rft
Sft
Approach road
Sewerage system ( 9 “ dia ) including
manholes
New construction
Residence
Repair
Tile work in bathrooms
Restoration of toilets
Sft
Rft
Rft
4864
Sft
Covered
area
30340
Cft
Sft
Sft
Sft
Sft
Sft
Sft
1,485
1,472
2,424
1,472
7,512
24
88
1
15,17
0
120
60
20
60
10
500
500
20,00
0
30
178,200
88,320
48,480
88,320
75,120
12,000
44,000
20,000
455,100
121
Restoration of electric components
6,068
New construction
3410
Sft
50
303,400
1,500
5,115,000
Total
17,942,710
5,531,710
THQH Fort Abbas, district Bahawalnagar
Description
Unit
Boundary wall
Sft
Qty
7,920
Rate
Amount
115
910,800
Hospital
Main building
Repair
Covered
area
24417
Repair
Approach road
New construction
3096
Cft
Sft
Sft
Sft
Sft
Sft
180
8,784
2,641
40,932
204
53
6,104
3,561
120
20
60
10
500
500
50
50
21,600
175,680
158,460
409,320
102,000
26,500
305,213
178,041
Sft
Sft
Rft
4,400
2,214
78
70
70
350
308,000
154,980
27,125
1,500
4,644,000
Sft
Total
7,421,718
2,777,718
122
THQH Haroonabad district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
7,960
115
915,400
6,966
20
139,320
Sft
Sft
1,957
60
117,405
Sft
33,840
10
338,400
Sft
26
500
13,000
6
20,000
120,000
6,824
50
341,206
1,241
50
62,038
926
1,500
1,389,000
Hospital
Main building
Repair
Covered
area
15598
Compound walls
Thick )
Rft
Repair
Approach road
Sft
7,920
70
554,400
Sft
900
70
63,000
manholes
Rft
479
350
167,563
Rft
445
350
155,750
1,500
6,738,000
New construction
Residence
Repair
4492
Sft
Covered
area
5802
-
Cft
1,778
120
213,300
Sft
2,737
60
164,220
RCC roof
Sft
1,152
400
460,800
Sft
3,012
20
60,240
Sft
2,414
60
144,840
123
Sft
8,208
10
82,080
Sft
12
105
3
2,418
1,451
500
500
20,000
50
50
6,000
52,500
60,000
120,875
72,525
1,500
15,138,00
0
New construction
Sft
10092
Sft
Total
27,689,861
5,813,861
B. Scope of civil works requi red at surve yed RHCs
RHC Minchinabad, district Bahawalnagar
Description
Unit
Qty
Sft
10,300
Rate
Amount
Boundary wall
115
1,184,500
Hospital
Main building
Repair
Covered
area
105780
-
Sft
8,544
20
170,880
Sft
2,734
60
164,040
Sft
44,256
10
442,560
Sft
49
500
24,500
26,445
30
793,350
8,462
50
423,120
1,020
1,500
1,530,000
Compound walls
Thick )
Rft
Repair
Approach road
Sft
8,036
70
562,520
manholes
Sft
9,050
70
633,500
590
350
206,500
Rft
124
Rft
New construction
3940
240
Sft
350
84,000
1,500
5,910,000
Covered
area
Residence
Repair
13940
-
Cft
765
120
91,800
Sft
883
60
52,980
Sft
2,460
20
49,200
Sft
2,060
60
123,600
Sft
5,760
10
57,600
Sft
48
500
24,000
Sft
62
500
31,000
1
20,000
20,000
8,713
50
435,625
5,808
50
290,417
1,500
12,645,000
New construction
8430
Sft
Total
25,950,692
7,395,692
RHC Chak 6/G, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Sft
5,406
115
621,690
Cft
2,291
120
274,860
Sft
1,547
60
92,820
RCC roof
Sft
27
400
10,800
Sft
5,580
20
111,600
Sft
1,417
13,27
2
60
85,020
10
132,720
12
500
6,000
Boundary wall
Hospital
Main building
Repair
Covered
area
12359
-
Sft
Sft
125
Sft
90
500
45,000
7
20,000
140,000
5,665
50
283,227
5,466
50
273,324
520
1,500
780,000
9,660
70
676,200
Compound walls
Construction of new compound walls (9 “
Thick)
Rft
Repair
Sft
Approach road
manholes
Rft
332
350
116,200
New construction
Rft
205
350
71,750
Sft
6,560
70
459,200
1,500
2,559,00
0
New construction
1706
Sft
Covered
area
Residence
Repair
576
-
Cft
666
120
79,920
RCC roof
Sft
1,008
400
403,200
Sft
1,332
20
26,640
Sft
672
60
40,320
Sft
1,776
10
17,760
Sft
48
500
24,000
Sft
186
500
93,000
1
20,000
20,000
288
50
14,400
288
50
14,400
1,500
8,784,00
0
New construction
5856
Sft
Total
16,257,051
4,914,051
126
RHC Dahran Wala, district Bahawalnagar
Description
Unit
Qty
Rate
Sft
4,382
Amount
Boundary wall
115
503,930
Hospital
Main building
Repair
Covered
area
13844
-
Cft
45
120
5,400
Sft
12
60
720
Sft
3,384
20
67,680
Sft
889
13,92
0
60
53,340
10
139,200
Sft
Sft
24
500
12,000
Sft
31
15,500
2
500
20,00
0
5,192
50
259,575
3,955
50
197,771
320
1,500
480,000
6,600
70
462,000
Compound walls
Thick )
Rft
40,000
Repair
Sft
Approach road
manholes
Rft
381
350
133,438
New construction
Rft
2,250
350
787,500
Sft
1,650
70
115,500
1,500
2,730,000
New construction
Residence
Repair
1820
Sft
Covered
area
2048
-
Cft
468
120
56,160
Sft
2,328
20
46,560
Sft
1,579
60
94,740
127
Sft
4,656
10
46,560
Sft
60
500
30,000
Sft
119
59,500
2
500
20,00
0
768
50
38,400
1,024
50
51,200
1,500
5,568,000
New construction
3712
Sft
Total
12,034,674
3,736,674
40,000
RHC Donga Bonga, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Hospital
Main building
Repair
Covered
area
6375
-
Cft
180
120
21,600
Sft
576
20
11,520
Sft
309
60
18,540
Sft
5,520
10
55,200
Sft
6
500
3,000
2
20,000
40,000
1,992
50
99,609
531
50
26,563
260
1,500
390,000
984
70
68,880
120
350
42,000
8,260
350
2,891,000
1,500
2,808,000
Compound walls
Construction of new compound walls ( 9
“ Thick )
Rft
Repair
Sft
manholes
Rft
Rft
New construction
1872
Sft
128
Covered
area
Residence
Repair
1372
-
Sft
794
20
15,880
Sft
1,080
60
64,800
Sft
3,176
10
31,760
1
20,000
20,000
515
50
25,725
515
50
25,725
1,500
5,838,000
New construction
3892
Sft
Total
12,497,802
3,851,802
RHC Faqir Wali, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
1,914
115
220,110
Hospital
Main building
Repair
Covered
area
8660
-
Cft
153
120
18,360
Sft
3,258
20
65,160
Sft
926
60
55,530
Sft
14,376
10
143,760
Sft
48
500
24,000
Sft
14
500
7,000
2,165
50
108,250
2,345
50
117,271
615
70
43,050
180
350
63,000
143
350
49,875
1,500
2,607,000
Repair
Sft
Approach road
manholes
Rft
Rft
New construction
1738
Sft
129
Covered
area
Residence
Repair
3228
351
120
42,120
1,914
2,350
20
60
38,280
141,000
Cft
Sft
Sft
Sft
7,656
10
76,560
Sft
24
500
12,000
Sft
71
500
35,500
1
20,000
20,000
1,076
50
53,800
807
50
40,350
1,500
2,304,000
New construction
1536
Sft
Total
6,285,976
1,374,976
RHC Fort Maroot, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,344
115
384,560
Hospital
Main building
Repair
Covered
area
10630
-
Cft
1,377
120
Sft
132
60
7,920
Sft
3,180
20
63,600
Sft
846
60
50,760
Sft
13,152
10
131,520
Sft
12
500
6,000
Sft
30
500
15,000
1
20,000
20,000
3,543
50
177,167
2,658
50
132,875
165,240
Repair
130
Approach road
Sft
2,200
70
154,000
manholes
Sft
388
70
27,125
244
350
85,313
134
350
46,813
1,500
2,493,000
Rft
Rft
New construction
1662
Sft
Covered
area
Residence
Repair
3016
-
Cft
1,134
120
136,080
Sft
3,176
60
190,560
Sft
2,748
20
54,960
Sft
2,420
60
145,200
Sft
6,864
10
68,640
Sft
36
500
18,000
Sft
94
500
47,000
2
20,000
40,000
1,257
50
62,833
1,005
50
50,267
1,500
2,304,000
New construction
1536
Sft
Total
7,078,432
2,281,432
RHC Khichi Wala, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
6,336
115
728,640
Hospital
Main building
Repair
Covered
area
10947
-
Sft
81
60
4,860
Sft
2,904
20
58,080
Sft
799
60
47,940
Sft
11,952
10
119,520
131
Sft
24
500
12,000
Sft
12
500
6,000
6
20,000
120,000
5,474
50
273,675
2,053
50
102,628
468
1,500
702,000
4,050
70
283,500
Compound walls
Construction of new compound walls
( 9 “ Thick)
Rft
Repair
Sft
Approach road
manholes
Rft
194
350
67,813
Rft
95
350
33,250
Sft
1,440
70
100,800
1,500
3,234,000
New construction
New construction
2156
Sft
Covered
area
Residence
Repair
1444
-
Cft
765
120
91,800
Sft
1,254
60
75,240
Sft
2,040
20
40,800
Sft
2,508
60
150,480
Sft
4,080
10
40,800
Sft
12
500
6,000
Sft
27
500
13,500
361
50
18,050
361
50
18,050
1,500
9,504,000
New construction
6336
Sft
Total
15,853,426
3,115,426
132
RHC Madni Sadiq Gunj, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Construction of new boundary wall (9 “
Thick)
Rft
50
1,500
75,000
Hospital
Covered
area
Main building
Repair
3700
-
Cft
2,754
120
330,480
Sft
1,656
60
99,330
RCC roof
Sft
360
400
144,000
Sft
7,812
20
156,240
Sft
2,348
60
140,895
Sft
15,360
10
153,600
Sft
241
500
120,500
9
20,000
180,000
1,542
50
77,083
1,048
50
52,417
680
1,500
1,020,000
24,488
70
1,714,125
Compound walls
(9 “ Thick)
Rft
Repair
Sft
Approach road
manholes
Rft
27
350
9,450
Rft
60
350
21,000
Sft
3,720
70
260,400
Sft
1,500
2,508,000
Sft
1,500
10,446,000
New construction
New construction
1672
Covered
area
Residence
New construction
6964
Total
17,508,520
4,554,520
133
RHC Madrisa, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
7,056
115
811,440
Hospital
Covered
area
Main building
Repair
6175
-
Sft
5,448
10
54,480
Sft
6
500
3,000
1,544
50
77,188
1,544
50
77,188
160
1,500
240,000
Compound walls
( 9 “ Thick )
Rft
Repair
Approach road
Sft
3,960
70
277,200
manholes
Sft
2,356
70
164,920
128
350
44,625
1,500
3,822,000
New construction
Rft
2548
Sft
Covered
area
Residence
Repair
517
-
Cft
315
120
37,800
Sft
420
20
8,400
Sft
294
60
17,640
Sft
1,680
10
16,800
Sft
24
500
12,000
Sft
44
500
22,000
2
20,000
40,000
259
50
12,925
259
50
12,925
1,500
4,608,000
New construction
3072
Sft
Total
10,360,530
1,930,530
134
RHC Mecload Gunj, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,952
115
339,480
Hospital
Covered
area
Main building
Repair
11550
-
Sft
49
60
2,940
Sft
672
20
13,440
Sft
548
60
32,880
Sft
11,088
10
110,880
Sft
12
500
6,000
1
20,000
20,000
4,331
50
216,563
241
50
12,031
480
1,500
720,000
Compound walls
(9 “ Thick)
Rft
Repair
Approach road
Sft
9,840
70
688,800
manholes
Sft
1,050
70
73,500
108
350
37,625
43
350
14,875
1,500
2,808,000
10
24,000
1,500
6,912,000
Rft
Rft
New construction
1872
Sft
Covered
area
Residence
Repair
2368
New construction
Sft
4608
Sft
2,400
Total
12,033,014
2,313,014
135
RHC Shaher Farid, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
5,970
115
686,550
Cft
1,206
120
144,720
Sft
717
60
43,020
Sft
2,988
20
59,760
Sft
714
60
42,840
Sft
10,992
10
109,920
Sft
72
500
36,000
Sft
103
500
51,500
Hospital
Main building
Repair
Covered
area
7084
-
Compound walls
(9 “ Thick)
Rft
8
20,000
160,000
3,542
50
177,100
483
50
24,150
360
1,500
540,000
Repair
Approach road
Sft
221,400
70
15,498,000
manholes
Sft
1,050
70
73,500
439
350
153,563
200
350
70,000
1,500
3,012,000
Rft
Rft
New construction
Residence
Repair
2008
Sft
Covered
area
2972
-
Sft
2,680
60
160,770
Sft
2,568
20
51,360
Sft
2,680
60
160,770
Sft
5,136
10
51,360
Sft
230
500
115,000
136
2
20,000
40,000
1,486
50
74,300
1,115
50
55,725
1,500
5,952,000
New construction
3968
Sft
Total
27,543,908
18,579,908
RHC Jand Wala, district Bahawalnagar
Description
Unit
Boundary wall
Construction of new boundary wall
(9 “ Thick)
Rft
Qty
Rate
Amount
2,048
1,500
3,072,000
Hospital
Main building
Repair
Covered
area
1712
-
Cft
351
120
42,120
Sft
64
60
3,840
RCC roof
Sft
120
400
48,000
Sft
708
20
14,160
Sft
184
60
11,040
Sft
1,584
10
15,840
Sft
26
500
13,000
1
20,000
20,000
856
50
42,800
1,070
50
53,500
286
1,500
429,000
13
350
4,375
Compound walls
(9 “ Thick)
Rft
Repair
Sewerage system (9 “ dia) including
manholes
Rft
Water supply system (3” dia)
New construction
Rft
375
350
131,250
Approach road
Sft
9,200
70
644,000
Sft
2,500
70
175,000
137
New construction
1768
Sft
1,500
Total
7,371,925
4,719,925
2,652,000
C. Scope of civil works requi red at surve yed BHUs
BHU Kali Shah, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,280
115
377,200
Hospital
Main building
Repair
Covered
area
2128
-
Cft
378
120
45,360
Sft
166
60
9,960
Sft
504
20
10,080
Sft
103
60
6,180
Sft
1,584
10
15,840
Sft
104
500
52,000
5
20,000
100,000
1,419
50
70,933
1,773
50
88,667
360
1,500
540,000
9,100
70
637,000
10
350
3,500
Compound walls
Construction of new compound walls (
9 “ Thick )
Rft
Repair
Approach road
manholes
Sft
Rft
New construction
Rft
8
350
2,800
Sft
5,200
70
364,000
138
New construction
1376
Sft
1,500
2,064,000
Sft
1,500
4,032,000
Covered
area
Residence
New construction
2688
Total
8,419,520
2,323,520
Rough cost estimate for Improvement / renovation
BHU Kot Hemraj, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Hospital
Covered
area
Main building
Repair
1626
-
Cft
540
120
64,800
Sft
215
60
12,900
Sft
840
20
16,800
Sft
150
60
9,000
Sft
3,360
10
33,600
407
50
20,325
320
1,500
480,000
Compound walls
(9 “ Thick)
Rft
Repair
New construction
Rft
1,238
350
433,125
Sft
3,100
70
217,000
Sft
1,500
1,494,000
Sft
1,500
4,608,000
New construction
996
Covered
area
Residence
New construction
3072
Total
7,389,550
1,287,550
139
BHU Malikpura, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
4,428
115
509,220
Hospital
Covered
area
Main building
Repair
1807
-
Cft
1,539
120
184,680
RCC roof
Sft
423
400
169,200
Sft
1,932
20
38,640
Sft
423
60
25,380
Sft
2,736
10
27,360
Sft
12
500
6,000
Sft
44
500
22,000
1
20,000
20,000
904
50
45,175
904
50
45,175
320
1,500
480,000
Compound walls
( 9 “ Thick )
Rft
Repair
manholes
Rft
98
350
34,300
New construction
Rft
19
350
6,563
Sft
608
70
42,560
Sft
1,500
1,920,000
Sft
1,500
4,608,000
New construction
1280
Covered
area
Residence
New construction
3072
Total
8,184,253
1,656,253
140
BHU Chak 10/F, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,838
115
326,370
Hospital
Covered
area
Main building
Repair
2088
-
RCC roof
Sft
579
400
231,600
Sft
792
20
15,840
Sft
361
60
21,660
Sft
3,168
10
31,680
Sft
45
500
22,500
522
50
26,100
57,400
70
4,018,000
Repair
Sft
Approach road
manholes
Rft
66
350
23,188
New construction
Rft
79
350
27,563
Sft
1,440
70
100,800
Sft
1,500
1,404,000
Sft
1,500
3,972,000
New construction
936
Covered
area
Residence
New construction
2648
Total
10,221,300
4,845,300
141
BHU Chak 47/F, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
1,926
115
221,490
Hospital
Main building
Repair
Covered
area
2381
-
Sft
473
60
28,380
Sft
960
20
19,200
Sft
382
60
22,890
Sft
4,008
10
40,080
Sft
12
500
6,000
Sft
7
500
3,500
2
20,000
40,000
992
50
49,604
595
50
29,763
160
1,500
240,000
169
350
59,238
Rft
153
350
53,550
Approach road
Sft
17,600
70
1,232,000
Sft
780
70
54,600
1,500
960,000
Compound walls
( 9 “ Thick )
Rft
Repair
manholes
Rft
New construction
New construction
Residence
Repair
640
Sft
Covered
area
704
-
Cft
866
120
103,950
RCC roof
Sft
1,080
400
432,000
Sft
1,155
20
23,100
Sft
1,080
60
64,800
Sft
1,540
10
15,400
Sft
134
500
67,000
142
1
20,000
20,000
528
50
26,400
528
50
26,400
1,500
2,784,000
New construction
1856
Sft
Total
6,623,344
2,879,344
BHU Ghulab Ali, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,608
115
414,920
330
1,500
495,000
9,840
70
688,800
Hospital
Compound walls
( 9 “ Thick )
Rft
Repair
Sft
Approach road
manholes
Rft
218
350
76,125
New construction
Rft
270
350
94,500
Sft
2,760
70
193,200
1,500
1,302,000
New construction
Residence
Repair
868
Sft
Covered
area
3444
-
Sft
Sft
2,544
10
25,440
6
500
3,000
861
50
43,050
861
50
43,050
1,500
2,304,000
New construction
1536
Sft
143
Total
5,683,085
2,077,085
BHU Chak 119/M, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
1,232
115
141,680
Hospital
Main building
Repair
Covered
area
2595
-
Cft
495
120
59,400
Sft
288
60
17,280
Sft
1,404
20
28,080
Sft
188
60
11,280
Sft
4,032
10
40,320
Sft
20
500
10,000
577
50
28,833
Repair
manholes
Rft
185
350
64,663
Rft
159
350
55,738
Approach road
Sft
26,500
70
1,855,000
Sft
650
70
45,500
1,500
819,000
New construction
New construction
Residence
Repair
546
Sft
Covered
area
2592
-
Cft
1,665
120
199,800
RCC roof
Sft
1,512
400
604,800
Sft
3,792
20
75,840
Sft
3,384
60
203,040
Sft
4,440
10
44,400
144
Sft
470
500
235,000
4
20,000
80,000
1,620
50
81,000
972
50
48,600
1,500
-
New construction
0
Sft
Total
4,749,253
3,930,253
BHU Chak 140/M, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,472
115
284,280
Hospital
Main building
Repair
Covered
area
2592
-
Sft
840
20
16,800
Sft
292
60
17,520
Sft
5,424
10
54,240
Sft
12
500
6,000
648
50
32,400
360
50
18,000
4,592
70
321,440
179
350
62,475
Rft
144
350
50,313
Sft
80
70
5,600
1,500
816,000
Repair
Sft
Approach road
manholes
Rft
New construction
New construction
544
Sft
145
Covered
area
Residence
Repair
3660
-
Cft
288
120
34,560
Sft
462
60
27,720
Sft
1,428
20
28,560
Sft
1,377
60
82,620
Sft
4,176
10
41,760
Sft
200
500
100,000
1
20,000
20,000
2,745
50
137,250
1,830
50
91,500
1,500
-
New construction
0
Sft
Total
2,249,038
1,433,038
BHU Chak 10/1R, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,138
115
245,870
Hospital
Main building
Repair
Covered
area
1889
-
Sft
600
20
12,000
Sft
95
60
5,700
Sft
4,224
10
42,240
Sft
72
500
36,000
Sft
13
500
6,500
420
50
20,989
151
350
52,675
115
350
40,338
Repair
manholes
Rft
Rft
New construction
146
Approach road
Sft
2,460
70
172,200
Sft
650
70
45,500
1,500
666,000
New construction
444
Sft
Covered
area
Residence
Repair
2560
-
Cft
315
120
37,800
Sft
304
60
18,240
Sft
840
20
16,800
Sft
1,472
60
88,320
Sft
4,560
10
45,600
Sft
158
500
79,000
1
20,000
20,000
1,920
50
96,000
960
50
48,000
Total
1,795,771
1,129,771
BHU Chak 38 3R, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
1,848
115
212,520
Hospital
Main building
Repair
Covered
area
2220
-
Cft
693
120
83,160
Sft
432
60
25,920
Sft
1,128
20
22,560
Sft
198
60
11,880
Sft
4,128
10
41,280
Sft
12
500
6,000
Sft
12
500
6,000
555
50
27,750
147
555
50
27,750
488
70
34,125
44
350
15,313
Repair
Sft
Approach road
manholes
Rft
New construction
Rft
216
350
75,513
Sft
650
70
45,500
1,500
876,000
New construction
584
Sft
Covered
area
Residence
Repair
2562
-
Cft
1,791
120
214,920
Sft
2,427
60
145,620
Sft
3,126
20
62,520
Sft
3,641
60
218,430
Sft
4,776
10
47,760
Sft
36
500
18,000
Sft
250
500
125,000
2
20,000
40,000
961
50
48,038
961
50
48,038
Total
2,479,595
1,603,595
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,660
115
420,900
Cft
801
120
96,120
Sft
228
60
13,680
Hospital
Main building
Repair
Covered
area
1948
-
148
RCC roof
Sft
400
400
160,000
Sft
2,304
20
46,080
Sft
628
60
37,680
Sft
4,608
10
46,080
Sft
76
500
38,000
2
20,000
40,000
1,299
50
64,933
541
50
27,056
Repair
manholes
Rft
175
350
61,250
Rft
264
350
92,313
Approach road
Sft
32,800
70
2,296,000
Sft
3,500
70
245,000
Sft
1,500
834,000
Sft
1,500
3,885,000
New construction
New construction
556
Covered
area
Residence
New construction
2590
Total
8,404,091
3,685,091
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,344
115
384,560
Hospital
149
Covered
area
Main building
Repair
2940
-
Sft
212
60
12,720
Sft
1,272
20
25,440
Sft
303
60
18,180
Sft
4,320
10
43,200
Sft
12
500
6,000
1,103
50
55,125
735
50
36,750
64
350
22,225
Rft
139
350
48,563
Approach road
Sft
11,000
70
770,000
Sft
650
70
45,500
1,500
954,000
Repair
manholes
Rft
New construction
New construction
636
Sft
Covered
area
Residence
Repair
2548
-
Cft
405
120
48,600
Sft
868
60
52,080
Sft
2,520
20
50,400
Sft
1,687
60
101,220
Sft
5,040
10
50,400
Sft
216
500
108,000
3
20,000
60,000
1,911
50
95,550
1,274
50
63,700
Total
3,052,213
2,098,213
150
BHU Chak200/8R, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
4,840
115
556,600
Hospital
Covered
area
Main building
Repair
2930
Sft
2,352
10
23,520
158
350
55,125
Rft
117
350
40,775
Sft
750
70
52,500
1,500
1,854,000
Repair
manholes
Rft
New construction
New construction
1236
Sft
Covered
area
Residence
Repair
2548
-
Cft
342
120
41,040
Sft
912
20
18,240
Sft
1,008
60
60,480
Sft
4,872
10
48,720
Sft
66
500
33,000
1
20,000
20,000
956
50
47,775
1,274
50
63,700
Total
2,915,475
1,061,475
151
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,344
115
384,560
Hospital
Main building
Repair
Covered
area
2742
-
Cft
126
120
15,120
Sft
330
60
19,800
Sft
1,056
20
21,120
Sft
282
60
16,920
Sft
4,224
10
42,240
686
50
34,275
771
50
38,559
Repair
manholes
Rft
70
350
24,500
New construction
Rft
116
350
40,688
Sft
650
70
45,500
1,500
1,074,000
New construction
Residence
Repair
716
Sft
Covered
area
2784
-
Cft
914
120
109,620
Sft
2,592
60
155,520
Sft
2,436
20
48,720
Sft
2,592
60
155,520
Sft
4,872
10
48,720
Sft
189
500
94,500
3
20,000
60,000
1,740
50
87,000
696
50
34,800
152
Total
2,551,682
1,477,682
BHU Chak 297 HR, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
3,696
115
425,040
Hospital
Main building
Repair
Covered
area
1994
-
Cft
1,395
Sft
RCC roof
Sft
120
167,400
192
60
11,520
144
400
57,600
Sft
1,944
20
38,880
Sft
380
60
22,800
Sft
3,312
10
33,120
Sft
103
500
51,500
3
20,000
60,000
1,329
50
66,467
997
50
49,850
16,400
70
1,148,000
191
350
66,938
Rft
140
350
49,000
Sft
650
70
45,500
1,500
936,000
Repair
Sft
Approach road
manholes
Rft
New construction
New construction
Residence
Repair
624
Sft
Covered
area
2268
-
Cft
2,367
120
284,040
Sft
1,615
60
96,900
153
RCC roof
Sft
1,176
400
470,400
Sft
3,894
20
77,880
Sft
2,791
60
167,460
Sft
4,632
10
46,320
Sft
24
500
12,000
Sft
536
500
268,000
3
20,000
60,000
1,701
50
85,050
1,701
50
85,050
Total
4,882,714
3,946,714
BHU Chak 302 HR, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,448
115
281,520
Hospital
Main building
Repair
Covered
area
3108
-
Sft
328
60
19,680
Sft
1,008
20
20,160
Sft
328
60
19,680
Sft
2,688
10
26,880
Sft
24
500
12,000
777
50
38,850
777
50
38,850
4,338
70
303,625
159
350
55,475
Rft
124
350
43,313
Sft
750
70
52,500
1,500
1,449,000
Repair
Sft
Approach road
manholes
Rft
New construction
New construction
966
Sft
154
Covered
area
Residence
Repair
2664
-
Cft
1,440
120
172,800
Sft
384
60
23,040
RCC roof
Sft
2,457
400
982,800
Sft
3,120
20
62,400
Sft
3,225
60
193,500
Sft
4,800
10
48,000
Sft
24
500
12,000
Sft
308
500
154,000
3
20,000
60,000
1,665
50
83,250
999
50
49,950
Total
4,203,273
2,754,273
BHU Kabutri, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Hospital
Main building
Repair
Covered
area
2046
-
Sft
296
60
17,760
Sft
828
20
16,560
Sft
164
60
9,840
Sft
3,312
10
33,120
512
50
25,575
Repair
Approach road
Sft
14,760
70
1,033,200
manholes
Sft
163
70
11,375
186
350
64,925
73
350
25,375
1,500
918,000
Rft
Rft
New construction
612
Sft
155
Covered
area
Residence
Repair
2040
-
Cft
1,301
120
156,060
Sft
630
60
37,800
RCC roof
Sft
1,944
400
777,600
Sft
2,820
20
56,400
Sft
2,889
60
173,340
Sft
4,344
10
43,440
Sft
12
500
6,000
Sft
108
500
54,000
3
20,000
60,000
1,020
50
51,000
510
50
25,500
Total
3,596,870
2,678,870
BHU Said Ali, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,488
115
286,120
Cft
990
120
118,800
Sft
360
60
21,600
Sft
1,680
20
33,600
Sft
258
60
15,480
Sft
4,656
10
46,560
Sft
72
500
36,000
Sft
18
500
9,000
1
20,000
20,000
849
50
42,431
566
50
28,288
Hospital
Main building
Repair
Covered
area
2263
-
156
Repair
Sft
Approach road
manholes
Rft
12,880
70
901,600
285
350
99,750
New construction
Rft
151
350
52,763
Sft
550
70
38,500
1,500
925,500
New construction
617
Sft
Covered
area
Residence
Repair
2268
-
Cft
2,430
120
291,600
RCC roof
Sft
2,269
400
907,620
Sft
3,240
20
64,800
Sft
2,310
60
138,600
Sft
4,320
10
43,200
Sft
24
500
12,000
Sft
240
500
120,000
3
20,000
60,000
1,701
50
85,050
851
50
42,525
Total
4,441,386
3,515,886
BHU Khola Mirzeka, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,464
115
283,360
Hospital
Main building
Repair
Covered
area
2160
-
Cft
342
120
41,040
Sft
191
60
11,460
Sft
1,392
20
27,840
157
Sft
334
60
20,040
Sft
4,896
10
48,960
Sft
20
500
10,000
540
50
27,000
540
50
27,000
3,564
70
249,480
Repair
Sft
Approach road
manholes
Rft
165
350
57,750
Rft
151
350
52,938
Sft
650
70
45,500
1,500
792,000
New construction
New construction
528
Sft
Covered
area
Residence
Repair
1876
-
Cft
1,548
120
185,760
Sft
1,368
60
82,080
RCC roof
Sft
684
400
273,600
Sft
2,436
20
48,720
Sft
2,964
60
177,840
Sft
4,128
10
41,280
Sft
24
500
12,000
Sft
352
500
176,000
3
20,000
60,000
1,876
50
93,800
704
50
35,175
Total
2,880,623
2,088,623
158
BHU Sobeywala, district Bahawalnagar
Description
Unit
Qty
Rate
Amount
Boundary wall
Sft
2,112
115
242,880
Hospital
Covered
area
Main building
Repair
2124
-
Cft
522
120
62,640
Sft
318
60
19,080
RCC roof
Sft
111
400
44,400
Sft
1,728
20
34,560
Sft
392
60
23,520
Sft
3,456
10
34,560
Sft
71
500
35,500
2
20,000
40,000
1,062
50
53,100
759
50
37,929
340
1,500
510,000
30
350
10,500
Rft
4,910
350
1,718,500
Approach road
Sft
78,720
70
5,510,400
Sft
1,310
70
91,700
Sft
1,500
1,206,000
Sft
1,500
3,885,000
Compound walls
( 9 “ Thick )
Rft
Repair
manholes
Rft
New construction
New construction
804
Covered
area
Residence
New construction
2590
Total
13,560,269
8,469,269
159
D. Estimated cost for execution of ci vil works at surveyed
facilities
Health facility
Estimated cost (in
PKR)
Health facility
Estimated cost (in
PKR)
DHQH Bhawalnagar
10,485,090
BHU Chak 110/6R
3,052,213
THQH Chishtian
17,942,710
BHU Chak 119/M
4,749,253
THQH Fort Abbas
7,421,718
BHU Chak 140/M
2,249,038
THQH Haroonabad
27,689,861
BHU Chak 165/7R
2,551,682
THQH Minchan Abad
25,950,69
BHU Chak 297/HR
4,882,714
RHC Chak 6-G
16,257,051
BHU Chak 302/HR
4,203,273
RHC Dahran Wala
12,034,674
BHU Chak 38/3R
2,479,595
RHC Dunga Bonga
12,497,802
BHU Chak 47/F
6,623,344
RHC Faqir Wali
6,285,976
BHU Chak 58/4R
8,404,091
RHC Fort Maroot
7,078,432
BHU Chak200/8R
2,915,475
RHC Khichi Wala
15,853,426
BHU Ghulab Ali
5,683,085
17,508,520
BHU Jand Wala
7,371,925
RHC Madrisa
10,360,530
BHU Kalia Shah
8,419,520
RHC Mecload Gunj
12,033,014
BHU Khola Mirzeka
2,880,623
RHC Shaher Farid
7,371,925
BHU Said Ali
4,441,386
BHU Kabutri
3,596,870
BHU Kot Hemraj
7,389,550
BHU Chak 10/1R
1,795,771
BHU Malikpura
8,184,253
BHU Chak 10/F
10,221,300
BHU Sobeywala
13,560,269
160
TRF is funded by UKaid from the Department for International Development and AusAID, and managed by HLSP

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Bahawalnagar - Bureau of Statistics, Punjab