Health
Services
Key services offered by I-SAPS and our recent work in these service areas are given below:
1.Evidence-based Health Policies and Financing
National Health Insurance Schemes in Pakistan – A Review of Policy and Implementation: I-SAPS is currently preparing actionable evidence on the national health insurance initiatives (Wasela-e-Sehat, PM’s National Health Program, and recently launched National Health Program) recently introduced in Pakistan. The review aims to explore and examine design, features and efficiency of the three successive health insurance schemes in Pakistan and propose evidence-based policy recommendations for improving the design and delivery of such policy initiatives.
Analysis of the Public Financing of Health Sector in Pakistan: I-SAPS is conducting analysis of public financing of health at federal and provincial level especially focusing on budget allocations, releases and expenditure.
2.Voice and Accountability for Improved Healthcare Delivery
Community Health Partners for Empowerment, Voice and Accountability in Health Services (CHP-EVA) – (DFID/HANIF): I-SAPS implemented a model of evidence-based local voice and accountability in the health sector in Punjab under Health and Nutrition Innovative Fund (HANIF) which was a sub-component of the UKaid/DFID funded Empowerment, Voice and Accountability for Better Health and Nutrition (EVA–BHN). The initiative combined both supply and demand-side interventions to improve maternal and new-born health services. An innovation successfully tested in this initiative was the establishment of tehsil and district health support committees that were established to aggregated community voice for accountability of and improvement in local health services. District and thesil health committees served as an institutional mechanism through which the demands of communities converged at a point closer to decision makers.
Health Sector Ranking of the Provincial Constituencies: In line with our efforts for improved public participation in accountability and local decision-making, we are conducting ranking of provincial constituencies in district Rawalpindi on health indicators. For sub-district level rankings, data is collected on key access and quality indicators in health sector. Findings of this ranking are being shared not only with the elected representatives of the constituencies but also with the communities to strengthen participatory planning, financing and accountability.
3.High Quality Research, Assessments and Programme Evaluations
Nutrition International Programs’ End-line Assessment: Currently, we are conducting end-line assessment of three programs (namely IYCN, BP, and IFA Programs) implemented by Nutrition International (NI) in Selected Districts of Khyber Pakhtunkhwa, Punjab, and Sindh provinces Using the NIMS Toolkit.
Maternal and Child Health (MCH) Program Indicators (PI) End-line Survey 2017 (USAID/MSI): We have conducted MCH PI End-line Survey in all 29 districts of Sindh province. The survey aimed to collect data for final progress update on key indicators required to monitor the implementation of maternal, newborn, and child health and family planning/reproductive health interventions of USAID’s flagship MCH Program. A household survey was conducted with 6,250 married women of reproductive age (15-49 years old) who have had a live birth in the last two years. The survey provided useful data on the programme success and achievements on key indicators.
Maternal and Child Health (MCH) Program Indicators (PI) Midline Survey 2016 (Management Systems International – MSI): Similar to the end-line of MCH program, I-SAPS conduct Program Implementation Midline Survey of MCH in all 29 districts of Sindh. The survey generated data on key indicators required to monitor the implementation of maternal, newborn, and child health and family planning/reproductive health interventions of USAID’ MCH Program.
Survey of Community Satisfaction with Basic Health Basic Health Services: In order to assess existing knowledge, attitude and practices of communities a sample-based satisfaction assessment survey was conducted in District Lodhran. The survey assessed user satisfaction, especially women of reproductive age, regarding quality of delivery services being offered by the CMWs and BHU at the local level. This survey informed design of a voice and accountability initiative of I-SAPS.
