PAKISTAN'S HEALTH SECTOR

S.M. ABBAS ZAIDI, S.KAMAL HAYDER KAZMI,
Research Analyst
, PAGE

Sep 22 - 28, 2008

FEDERAL GOVERNMENT EXPENDITURE ON HEALTH (2007-08)

Development Expenditure

Rs. 14.272 billion

Current Expenditure

Rs. 3.791 billion

HEALTH INDICATORS

Infant Mortality Rate (IMR)
(per 1000 persons)

76.7

Maternal Mortality Rate (MMR)
(per 100,000 live births)

350

Under -5 mortality rate
(per 1000 persons)

101

Parasite Incidence of Malaria
(per 1000 persons)

0.75

Incidence of TB (per 100,000 persons)

181

Fertility Rate (percentage)

4.1 (source: NIPS)

Contraceptive prevalence rate %

30 (source: NIPS)

Births attended by skilled persons %

19

Population growth rate

1.9

Total Population

159.06: million

(source NIPS)

HEALTH SERVICES DELIVERY (2006-07)

Total Health Facilities

13,937

Hospitals

965

Dispensaries

4,916

Basic Health Units

4,872

Rural Health Centers

595

MCH Centers

1,138

TB Centers

371

First Aid Points:

1,080

Beds in hospitals & dispensaries

105,005

Population per bed

1,515

Population to health facility ratio

11,413

HUMAN RESOURCES (REGISTERED, 2007)

Doctors

107,835

Doctors registered as specialists

19,623

Dentists

7446

Dental specialists

433

Nurses

43,646

Midwives

2,788

Lady Health Visitors

3,864

Lady Health Workers

95,000

Lady Health Supervisors

3,385

Population per doctor

1,475

Population per dentist

21,362

Population per nurse

3,644

ACADEMIC INSTITUTIONS (2007)

Public sector: Medical colleges

23

Dental colleges

9

Private sector Medical colleges:

24

Dental colleges:

12

FEDERALLY ADMINISTERED MEDICAL FACILITIES

Total health facilities includes 7 hospitals, 39 dispensaries, 1 TB clinic,4 MCH Centers, 3 RHCs, 14 BHUs Reported data for 09 hospitals and dispensaries ( 2006-07)

Patients treated in OPD

4,637,970

Patients operated

74,444

Patients attended in emergency

922,037

Source: Ministry of Health


CHARACTERISTICS OF WASTEWATER 
(TEXTILE PROCESSING IN PAKISTAN)

PARAMETERS

PREVAILING RANGES

NEQS LIMITS

Biological Oxygen Demand (BOD)

120-440

80

Chemical Oxygen Demand (COD)

300-1,100

150

Total Dissolved Solids (TDS)

200-5,000

3,500

Total Suspended Solids (TSS)

50-240

150

PH Value

8-11

6-10

Oil and Grease

10-45

10

Chromium

0.5-2.5

1.0

All values in parts per millions (ppm), except pH

Source: ETPI effluent survey


DISEASES

Thrombocytopenia; Hepatitis C

Nausea; Vomiting

Thrombocytopenia; Chronic Liver Disease; Hepatitis C Virus; HCV; Hepatitis B Virus; HBV; Human Immunodeficiency Virus; HIV; Non-Alcoholic Steatohepatitis; NASH.

Hypertension; Hyperlipidemia

Epilepsy; Partial Seizure Disorder; Epilepsies, Partial; Complex Partial Seizure Disorder

Coronary Heart Disease

Hepatitis C; Genotype 3; Non-Responders; Relapsers

Central Nervous System Disorders; Cerebrovascular Accident; Pain; Central Naturopathic Pain

Infection, Soft Tissue

Infection

Chemotherapy-Induced Nausea and Vomiting

Hypertension

Blood Pressure; Body Mass Index

Asthma

Malaria; Falciparum Malaria; Vivax Malaria

Adult Respiratory Distress Syndrome; Pulmonary Hypertension

Postoperative Nausea and Vomiting

Hypercholesterolemia; Hypertension; Diabetes Mellitus; Metabolic Syndrome X

Cardiovascular Disease

Major Depressive Disorder (MDD)

Smoking

Hypertension; Chronic Kidney Disease

Hypertension; Diabetes; Cardiovascular Disease; Retinopathy

Hepatitis C; Chronic Disease; Treatment

Hypertension; Cardiovascular Disease; Obesity; Diabetes; Kidney Disease

Portal Hypertension; Cirrhosis; Hematemesis; Melena

Sepsis; Pregnancy

Hemorrhage; Esophageal Varices; Portal Hypertension

Various sources