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Seventh Plan and the health sector.

Seventh Plan and the Health Sector

The major programmes for preventive and medical rehabilitation services will be provided through a network of primary health care, immunisation, government hospitals and clinics. A National Institute of Physical Medicine and Rehabilation (NIPMER) at the Pakistan Institute of Medical Sciences, Islamabad, will be established to expand and standardize orthoprosthetic facilities in the country.

The Perspective Plan incorporates a well-defined national health policy. The plan emphasizes the preventive and promotional aspects of health care. Under this programme, all children below the age of 2 years will be protected against the six preventable diseases of childhood. Similarly, all females of child-bearing age will be protected against tetanus. In addition, immunization will be expanded to provide protection against more diseases. Health insurance, at least for critical illnesses, will be introduced while Employees Social Security will be extended.

Specific nutrient deficiency diseases like goitre, anemia and osteomalacia will be prevented by dietary and non-dietary measures. Priority will be given to the nutritional aspects of vulnerable groups.

The disabled will be given special attention. The Fifth and Sixth Plan performance indicates that expenditure has been low and progress inadequate in respect of the programmes aimed at their welfare and rehabilitation. Procedural delays retarded the progress of these programmes during implementation. It is proposed that a departure will be made from the present institutional setup. The programmes of the disabled will be implemented by an autonomous body called the National Trust for Disabled, which will have full powers for taking the major financial and administrative decisions. This agency will have effective links with all the existing organizations so as to synchronize activities. It will be governed by an autonomous Board of Governors.

The major programmes for preventive and medical rehabilitation services will be provided through a network of primary health care, immunisation, government hospitals and clinics. A National Institute of Physical Medicine and Rehabilitation (NIPMER) at the Pakistan Institute of Medical Sciences, Islamabad, will be established to expand and standardize orthoprosthetic facilities in the country. The mental health programme for the prevention, treatment and rehabilitation of mental disorders includes strategies to strengthen existing mental health facilities and to create such facilities in all district hospitals will be implemented. At the peripheral level, this care will be provided by training primary health personnel in basic mental health skills.

The social welfare sector, which is committed to provide a package of integrated and comprehensive rehabilitation services, will make a beginning of a base line programme as follows: - training of special education teachers

and rehabilitation workers in

relationship to job openings in the field; - establishment of model special schools

at district/division level for each

category of the disabled. These special

schools will be equipped with at least

four units of services:

a) assessment of disability through

referral arrangement with a hospital.

b) special schooling.

c) vocational training in suitable trades/skills

and

d) job placement services. - integrated education, with provision of

necessary infrastructure, will be

introduced in selected ordinary schools in

each province. The purpose behind

integrated education is to place

special education in the mainstream of the

formal education system. - Provincial social welfare departments

will establish administrative cells at

district levels to provide rehabilitation

aids to different categories of the

disabled.

The plan's main emphasis will be on the improvement of the quality of care in the public health system. For this purpose, health manpower will be trained in management and the facilities will be properly equipped and modernised. The present approach of developing a nation-wide integrated health care system will be continued. Targets for health manpower are given in Table below. With this nutrition and health strategy it is hoped that life expectancy at birth will rise to 67 years in 2003 from 61 years in 1987-88, and infant mortality, fall
 Targets for Health Manpower
 (Population per Facility)
 1987-88 1992-93 2002-03
Doctors 2,920 2,280 2,000
Dentists 61,760 47,200 25,000
Nurses 4.5(*) 3.3(*) 2.7(*)
Pharmacists -- 100(*) 50(*)
Paramedics 1,646 1,000 1,000
Dais(**) 2,375 1,100 1,000
Hospital Beds 1,650 1,380 1,000


-Negligence, *Facility per number of beds,** Traditional birth attendants
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Title Annotation:Pakistan
Publication:Economic Review
Date:Aug 1, 1990
Words:696
Previous Article:National health policy.
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