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Ministry of Health Services, Regulation and Coordination Islamabad
OTS is conducting Recruitment test for the post of Deputy National Coordinator (BPS-19), Deputy Director Admin/Finance (BPS-18), Deputy Director Procurement (BPS-18), DD (BCC)/National Social Scientist (BPS-18), Deputy Director (technical)(BPS-18), Deputy Director Lab Network (BPS-18), Deputy Director M&E/ Surveillance (BPS-18), Counselor (BPS-17), Medical Officer (BPS-17), Incharge Pathologist (BPS-17), Microbiologist (BPS-17), Epidemiologist (BPS-17), Assistant Director Logistics (BPS-17), IT Officer (BPS-17), APS (BPS-16), Research Assistant (BPS-16), Assistant Labour (BPS-15), Accounts Assistant/Cashier (BPS-15), Data Entry Operator/Computer Operator (BPS-12), UDC (BPS-11), Store Keeper (BPS-08), Receptionist (BPS-07) for Ministry of Health Services, Regulation and Coordination Islamabad.
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Company Profile and Details :
Main Ministry
The Ministry of National Regulations and Services was established in April, 2012. Later on the scope of work of the ministry was expanded and its nomenclature was also changed to Ministry of National Health Services, Regulations and Coordination.

Ministry of National Health Services, Regulations and Coordination is committed for helping the people of Pakistan to maintain and improve their health and to make our population among the healthier in the region.
Our vision is the provision of a health system that:
• Provides efficient, equitable, accessible & affordable health services with the objective to support people and communities to improve their health status.
• National and International Coordination in the field of Public Health
• Oversight for regulatory bodies in health sector
• Population welfare coordination
• Enforcement of Drugs Laws and Regulations
• Coordination of all preventive programs, funded by GAVI/GFATM


CORE FUNCTIONS

• National & International Coordination in the field of Public Health
• Oversight for regulatory bodies in health sector
• Population welfare coordination
• Enforcement of Drugs Laws and Regulations
• Coordination of all preventive programs, funded by GAVI/GFATM
(TB, HIV/AIDS, Malaria, Hepatitis etc.)
• International commitments including attainment of MDGs
• Infectious disease quarantine at ports
• Coordination of Hajj medical mission
• Provision of medical facilities to the Federal employees in provinces

Comprehensive List of International Commitments of Pakistan in Health :
The WHO defines health as ‘‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’’
.1 Global health phenomenon calls for improving health for all people in all nations by eliminating avoidable disease, disability, and death.
2 Agreements are made to address different burdens of diseases and issues in health on hand. The impact of different institutions, both domestic and international, on state policy depends crucially on the conditions under which states comply to these commitments and in some cases fulfill their prior agreements
3 . The purpose of the list of the International commitments made by Pakistan since year 2000 is to: Improve alignment between global investments and country’s implementation processes for monitoring of progress and performance. To enhance efficiency and streamline investments in various health projects. Improve the quality of results-based monitoring.The list was generated after a retrospective review of secondary data and information generated primarily by Pakistan government, multilateral agencies and United Nations organizations. The commitments were then classified as per different domains in perspective of multiple dimensions of health. WHO is the leading technical partner of the Pakistan government on health issues. The other main development partners in the Health Sector are the Asian Development Bank (ADB), Canadian International Development Agency (CIDA), Government of China, Department For International Development-UK (DFID), Economic Cooperation Organization (ECO), European Union (EU), German International Cooperation (GIZ), International Development Agency (IDA), Islamic Development Bank (IDB), International Monetary Fund (IMF), Government of Italy, Japan International Cooperation Agency (JICA), KfW, Governments of Norway, Italy and Spain, Government of Saudi Arabia, South Asian Association for Regional Cooperation (SAARC), Swedish International Development Agency (SIDA), The World Bank (WB), United States Agency for International Development (USAID), and UN agencies and funds such as FAO, IOM, UNDP, UNESCO, UNFPA, UNHCR, UNICEF and WFP. Global Health Institutions such as GAVI and GFATM are also supporting Pakistan.2 Generally speaking, public sector investment in the health sector is quite low, with the overwhelming share of health costs continuing to be through the out-of-pocket expenditure by the majority of the people with low average per capita income. Urgent donor support is a clear prerequisite for meeting International commitments, necessitating a substantial up scaling of investment along with result based and end user oriented interventions. Following are the lists generated to get an overview of Pakistan’s International commitments in Health and their status as of August 2015:
1. Classification of Commitments
2. Loans and fundings.
1. Pakistan’s Multilateral and Bilateral Commitments in Health – Classification Commitment Objectives/ goals Status Global Issues Reducing infant (under-5) mortality•MDGs Reducing maternal mortality;• Combating HIV/AIDS,• tuberculosis, malaria and other significant communicable diseases. The MDGs will not be achieved by 2015.
Over the years, Pakistan has made considerable progress in reducing its Under-5 mortality and maternal mortality rates The 2005• Bangkok Charter for Health Promotion in a Globalized World Charter identifies major challenges, actions and commitments needed to address the determinants of health in a globalized world by engaging the many actors and stakeholders critical to achieving health for all. Progress has been made• globally by putting health central to development e.g through MDGs.. Post 2015• Agenda To collect the lessons learned, to understand what worked well and continue on it. And to understand what did not work and why, so as not to repeat it. In August 2014 17 sustainable development goals (SDGs) with 169 associated targets were proposed, which are supported by the three pillars of sustainability. Prime Minister’s National• Health Insurance Scheme for poor in the country funded by federal and provincial governments jointly taken as a major step towards universal health coverage. Pakistan is developing a• comprehensive health information portal and analysis unit to assist evidence based decision making. National ten point action plan• on MNCH and nutrition launched the directives of PM of Pakistan to ensure syngerisation and improvement in MNCH targets International• Health Global health security and capacity building in detecting, assessing and GoP has asked for second• extension (to June 2016) to meet regulations - 2005 reporting public health events IHR obligations. National Institute of Health has• been designated as the National Focal Point for IHR and some of the key activities include epidemiologists trained, diseases surveillance and response units, monitoring, detection and response to disease outbreaks 2010 Adelaide• Statement on Health in All Policies Emphasizes better health-centered policy at all levels and across all departments of government Paris Declaration Set out principles for making aid more effective. These principles include ownership, alignment, harmonization, mutual accountability and managing for results. Pakistan has relatively low• dependence on aid but large performance and financial gaps in meeting MDGs. Aid constitutes approximately 2% of GDP and 5-6% of government expenditures. World Bank’s CAS FY06-09 is• being aligned closely with the government’s priorities set in the PRSP. Committee on Elimination of Racial Discrimination In March 1997 Pakistan• submitted a five years compiled single report which indicated that the said party addressed the recommendations of the committee, though no declaration was made for the article 14 of the convention Convention on Child Rights A human rights treaty which sets out the civil, political, economic, social, health and cultural rights of children signed by 194 countries. Compliance is monitored by the UN Committee on the Rights of the Child. National Plan of Action• Code of Ethics for Media on• reporting of issues on children. Ordinance for prevention of• control of Human Trafficking Protection of Breastfeeding and• Child nutrition Ordinance Juvenile Justice System• Ordinance Compulsory Primary Education• Act 1995 Convention on the Rights of Persons with Disabilities - 2008 Directorate General of Special• Education, social welfare, Child Welfare and development is main focal institution on disability matters. National policy on disability• exists -2002 Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) The Convention adopted in 1979 by the UN General Assembly, defines what constitutes discrimination against women and sets up an agenda for national action to end such discrimination. Commitments made: to incorporate the principle of? equality of men and women in their legal system, abolish all discriminatory laws and adopt appropriate ones prohibiting discrimination against women; to establish tribunals and other? public institutions to ensure the effective protection of women against discrimination; to ensure elimination of all acts of? discrimination against women by persons, organizations or enterprises. Pakistan ratified CEDAW in• 1996, with a declaration making the compliance subject to its Constitution and a reservation under article 29 para 1. Pakistan has not adopted any• legal framework for translating the CEDAW provisions to its domestic laws. The National Commission on• the Status of Women (NCSW) was established in 2000. So far Pakistan has submitted• four reports. In the last report (2013) it was noted that Pakistan has enacted and? revised numerous laws and legal provisions aimed at eliminating discrimination against women Land to the Landless? model allows land titles to be granted to women Mother & Child FP2020 Commitments made at the London Family Planning Summit in 2012 to support the right of women and girls to decide freely and for themselves, whether, when and how many children they choose to have. Commitments specific to Pakistan: Universal access to• reproductive health and raising CPR to 55% in 2020. All public and private health• facilities to offer birth spacing Re- focusing of Lady Health• Workers programs priority on the family planning aspect. Provinces included• contraception in their Essential Health Services Package (EHSP) in 2013. The Sukh Initiative launched in• March 2014 will bring family planning services to one million low-income inhabitants of Karachi. services. Amount spent on family• planning to be increased to nearly US $200M in 2012/13 and further in years In Khyber Pakhtunkhwa• province, 110 new Family Welfare Centers are bringing reproductive health care to rural villages Pakistan is the new Logistics• Modeling Information System (LMIS), Food, Drugs & Substance use Framework• Convention on Tobacco Control -2003 Regulatory strategy to address addictive substances Pakistan recently became the• third country in the world to have 85% pictorial warnings on Tobacco packs from June 2015. There has been incorporation of• tobacco control messages in the curriculum and health programs. Various Tobacco control laws• are being enforced. Rome• Declaration It pledges political will and common and national commitment to achieve food security for all and to an ongoing effort to eradicate hunger in all countries with an immediate view to reducing the number of undernourished people to half their present level no later than 2015. Government of Pakistan’s• commitment to nutrition is in line with National Vision 2025 and provincial multi-sectoral nutrition guidance notes. In 2013 in a national• consultative workshop was held and bottle neck analysis and action plan were developed. Ministry of National health is• working jointly with UN-WFP, UNICEF and Micronutrient Initiative for addressing micronutrient deficiencies in Pakistan through Wheat Flour fortification Agreements Between group of countries ECO Promoting economic, technical and• cultural cooperation among the Member States The meeting of Health Ministers• of Economic Cooperation Organisation was held on the sidelines of the World Health Assembly on 19th May 2015. It was decided to develop "ECO Plan of Action on Health Cooperation" for post 2015 strengthening health cooperation in the ECO Region in post-2015 era in line with the emerging global agenda on health. G5 G 5 is a good forum for member• countries to share their experiences, set up multi sectoral mechanism for universal health coverage to address different elements of health system blocks and look at options how G 5 countries can support each others in various areas pertaining to health. A two years plan for• coordination on communicable diseases was agreed upon by all members in a technical side meeting during 68Th World Health Assembly in May 2015. Each member state agreed to• allocate an amount for G 5 activities in their next JPRM cycle of budgeting. South Asian• Association for Regional Cooperation (SAARC) SAARC organization was established by the governments of Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka in 1985. The 18th SAARC Summit was• held in November 2014. The SAARC Regional Strategy• on HIV/AIDS has been developed. The SAARC Goodwill• Ambassadors Program active since 2009 with the aim of bringing the issue of HIV and AIDS to the political and public forefront. Technical Committee on Health• and Population Activities, reviews the progress of agenda implementation of the health ministers’ meetings. Resolutions adopted ; Dhaka• Declaration – A Better Health Profile for South Asia(2005). Male Resolution on Regional Health Issues (2012). Resolution on• Anti Microbial Resistance (AMR) 2014 67th World Health Assembly held in May 2014 adopted a resolution through which member states committed to enhanced cooperation to combat AMR. During 68Th World Health• Assembly in 2015 participants of AMR side meeting signed a document to affirm their commitment to working together as part of the global alliance of champions for AMR. Pakistan has developed a draft• Plan of Action on AMR with objectives to improve awareness and understanding of AMR. 2. Health related Funding and Loans Health Related Project Loans Foreign assistance has played a critical role in developing the health sector of Pakistan, with the country historically receiving large volumes in aid. In 2007, Pakistan received more 7 than US$ 2.2 billion in Official Development Assistance (ODA), ranking the country as the sixth largest recipient of official aid in the world. Name of Project Loan ID Signing Date Closing Date Asian Development Bank 1 Health Care Development 1200-PAK 23-03-1993 31-03-2004 2 Women Health Project 1671-PAK(SF) 21-01-2000 31-12-2006 3 Women’s Health Project-OC 1671-PAK-OC 21-01-2000 30-06-2007 4 Reproductive Health Project 1900-PAK(SF) 20-03-2003 30-06-2008 5 Reproductive Health Project OC 1900-PAK-OC 20-03-2003 18-08-2009 Germany 7 Northern Area Health 200465039 02-02-2007 31-03-2015 IDA 8 Family Health 2240-PAK 08-07-1991 28-02-2001 9 Second Family Health 2464-PAK 16-04-1993 30-12-2000 10 Northern Health Program 2883-PAK 18-07-1996 31-12-2001 11 Partnership Polio Eradication 3761(1)-PAK 29-10-2004 30-06-2006 12 HIV/AIDS Prevention Project 3776-PAK 09-10-2003 31-12-2011 13 II Part.Ship Polio Eradication 4145-1-PAK 07-06-2007 30-06-2008 14 Second Partnership For Polio 4145-PAK 17-02-2006 30-06-2008 15 3 rd Partnership For Polio Eradication 4616-PAK 03-07-2009 30-06-2014 16 3 rd Polio Eradication – Add Financing 4927-PAK 02-06-2011 30-06-2014 17 3 rd Partnership For Polio Eradication 5169-PAK 24-10-2012 30-06-2015 18 Punjab Health Sector Reform Project 5258-PAK 02-12-2013 31-12-2017 IDB 19 Support Polio Eradication Program PAK-0142 18-02-2013 31-12-2015 Japan 20 Polio Eradication Project Health Related Foreign Funding Health and Nutrition Funding Source Funding Agency Committed (USD) Disbursed (USD) Expended (USD) Australia AusAID (Australian Agency for International Development); Australia 39425691 40918059 40740303 Belgium Belgium 9047 9047 9042 Brazil Brazil 50000 50000 37500 Canada Canada; CIDA (Canadian International Development Agency) 15115220 11110694 1388221 China China 5000000 Denmark Denmark 1278015 1226809 595980 EU (European Union) EU (European Union); ECHO (European Commission's Humanitarian Aid Office) 8795549 7218455 3348052 Finland Finland 5311935 5311934 311812 France AFD (Agence Francaise de Developpement) 1350621 1223391 0 Germany Germany; GIZ (Gesellschaft for International Zusammenarbeit); KfW (Kreditanstalt f?r Wiederaufbau) 160046329 53724316 51608016 Hungary Hungary 2465 2465 2449 IDB (Islamic Development Bank) IDB (Islamic Development Bank) 200000 115513 115513 International Private Donors Rotary International; GAVI Alliance (Global Alliance for Vaccines and Immunization); United Nations Foundation; International Private Donors; Micronutrient Initiative; Bill & Melinda Gates Foundation 43679283 44323592 28780128 Italy Italy 3021691 1463099 1417786 Japan Japan; JICA (Japan International Cooperation Agency) 93522785 20023956 17954386 Netherlands Netherlands 619107 512466 512328 Norway Norway 6364709 5398711 2619075 Oman Oman 2500000 OPEC Fund (Organization of Petroleum Exporting Countries Fund) OPEC Fund (Organization of the Petroleum Exporting Countries Fund) 73887 73887 73473 Saudi Arabia Saudi Arabia 2489681 2489681 1842665 Spain Spain 118903 118903 118861 Sweden Sweden 1605422 1605422 727152 Switzerland Switzerland 138745 138745 44339 UAE (United Arab Emirates) UAE (United Arab Emirates) 1909906 1909906 622681 UK DFID (UK Department for International Development); UK (United Kingdom) 167591595 61858432 61115819 UN (United Nations) UNOCHA (United Nations Office for the Coordination of Humanitarian Affairs); UN (United Nations); UNAIDS (Joint United Nations Programme on HIV/AIDS); UNFPA (United Nations Fund for Population Activities); UNICEF (United Nations Children's Fund); UNODC (United Nations Office on Drugs and Crime); WHO (World Health Organization) 26225508 23995922 21097253 UN Globally Mobilized Non-Core Assistance UNICEF National Committees; Thematic Funds of UNICEF; CERF (Centeral Emergency Response Fund); Australian Committee for UNICEF; Belgian Committee for UNICEF; Canadian UNICEF Committee; Norwegian Committee for UNICEF; Spanish Committee for UNICEF; United Kingdom Committee for UNICEF; United States Fund for UNICEF; MDTF (Multi Donor Trust Fund) - UNDP; UN-EFW (Extended Funding Window); MDGF (Millennium Development Goals Fund) 38787972 39427210 28951798 USA USA; USAID (United States Agency for International Development); USA OFDA (Office of U.S. Foreign Disaster Assistance); USA CDC (Centers for Disease Control & Prevention); BPRM (Bureau for Population, Refugees and Migration) USA 259690485 165189475 120809691 WB (World Bank) IDA (International Development Association); Trust Fund/World Bank; MDTF (Multi Donor Trust Fund) - WB 184835065 31600005 References 1. WHO. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June 1946, and entered into force on 7 April 1948. 2. Country Cooperation Strategy for WHO and Pakistan- 2011–2017Document WHO-EM/PME/001/E/04.13 3. Compliance with International Commitments: Politics Within a Framework of Law; Robert O. Keohane; Vol. 86 (APRIL 1-4, 1992), pp. 176-180
Attached Departments


National Health information Resource Centre (NHIRC)
National Health Emergency Preparedness & Response Network, (NHEPRN),
Expanded Program on Immunization (EPI)
National Aids Control Program

Pakistan Nursing Council

National Council for Tibb

National Council for Homoeopathy
Prime Minister’s National Health Program
Health Services Academy

Pakistan Health Research Council
Directorate of Malaria Control

Directorate of Central Ware House & Supplies, Karachi.
National Research Institute of Fertility Care (NIRFC), Karachi
Pharmacy Council of Pakistan, Islamabad
Islamabad Blood Transfusion Authority, Islamabad
National Institute Rehabilitation Medicine, Islamabad
Federal General Hospital, Islamabad.
National Trust for Population Welfare (NATPOW).
Human Organs Transplant Authority (HOTA).
Drug Regulatory Authority of Pakistan (DRAP
National Institute of Health, Islamabad
Directorate of Central Health Establishment, Islamabad.
Federal Drug Surveillance Laboratory, Islamabad

National Institute of Population Studies, Islamabad

Federal Government Services Hospital (FGSH), Polyclinic.
PIMS, Islamabad

National Research Institute of Fertility Care, Karachi
College of Physician & Surgeons, Karachi
Pakistan Medical & Dental Council, Islamabad.

Achievements
Ministry of National Health Services,
Regulations and Coordination
Government of Pakistan
Performance at a Glance February, 2015


After devolution of the Ministry of Health by the Federal Government to the provinces under the 18th Amendment, on June 30, 2011, health responsibilities/institutions were placed under the jurisdiction of the following government ministries/divisions:

1. Cabinet Division
a. National Institute of Health
b. Health Services Academy
c. Tobacco Control Program
d. Federal Medical and Dental College
e. Federal General Hospital
f. Pakistan Medical Research Council

2. Capital Administration and Development
a. Pakistan Institute of Medical Sciences
b. Federal Polyclinic Hospital

3. Planning Division
a. National/Vertical Programs
b. National Institute of Populations Studies
c. National Fertility Research Institute
d. National Trust for Population Welfare
e. Central Warehouse and Supplies

4. Economic Affairs Division
a. Training
b. Medical treatment abroad
c. International Health Regulations
5. Inter Provincial Coordination
a. Central Health Establishment
b. Pakistan Medical and Dental Council
c. Nursing Council
d. Homeopathy Council
e. Tibb Council
f. Pharmacy Council

To improve governance on health issues, on May 4th, 2013, the federal subjects in health scattered in various divisions were consolidated under the newly established Ministry of National Health Services Regulation and Coordination (MoNHSR&C).

This report highlights the performance of the Ministry since its inception and its role in steering the Health System of Pakistan by assuring access to quality medical services, providing framework for health policies and enforcement of the same through improved regulatory functions at the national level. At the same time it ensures alignment with the International Health Regulations thus enhancing the country’s responsiveness to the emerging health issues at a global level.

Mission Statement
The mission of the Ministry is to regulate and coordinate efficient, effective and equitable, health and population welfare services in the country.

The performance of the Ministry is reported in the following sub-sections:

Ensuring Transparency and Merit
The Ministry is currently headed by Mrs. Saira Afzal Tarar as Minister of State. Under her stewardship, as a first step immediate measures to mitigate corruption in the system were taken. Good Leadership entails designing strategic policy frameworks combined with effective oversight, coalition building, enforcement of appropriate regulations and incentives, system design and accountability. The following steps were taken in this regard:
1. Posting of honest qualified and competent officers against key positions
2. Eradication of culture of corruption and politicization of institutions
3. Merit based decision making and fiscal discipline
4. Purging key organizations of lobbies and vested interests

Key positions filled included Director General, Health; Director Malaria; National Program Manager, Expanded Program on Immunization; National Program Manager, National AIDS Control Program; Chief Executive Officer, Drug Regulatory Authority Pakistan (DRAP); and, Director Pricing DRAP.

Establishment of Coordination Mechanisms in the New Ministry
Once competent human resources were placed at key positions, the mechanisms to ensure accountability were reviewed and steps taken to establish them. In this regard an exercise to reorganize the Ministry to ensure robust structures in order to support its coordinating and regulatory functions was undertaken. Coordinating Mechanisms with line Ministries, Provinces and development partners that were abolished after devolution were revived. The Ministry successfully established two forums specifically for this purpose, namely

1. Interprovincial Health & population ministerial forum
2. Donor coordination & Harmonization forum

In addition two units were operationalized in the Ministry. The Non Communicable Diseases (NCDs) Unit was established to tackle growing challenges of diseases like diabetes, heart ailments, mental health and cancers in the country.
The Communicable Disease Unit for existing (EPI, HIV, Malaria, TB) and emerging threats (Ebola, Congo fever, others) was made functional and aligned with national and international activities, the role of the Unit primarily being that of coordination and centralizing data/information.

Drug Regulatory Authority
The Ministry strengthened the Drug Regulatory Authority by successfully appointing CEO of DRAP on merit through a transparent and competitive process.
In addition Comprehensive Drug Pricing Policy was finalized for the first time after extensive consultation with all stakeholders. The backlog of Licensing and Registration Applications was significantly reduced and regular processes were put in place on “first in first out” basis. Alternate Medicine Sector too was brought under Regulatory Ambit through notification of Alternate Medicine Enlistment Rules 2014. Transparency was introduced in the procurement process as well. In this regard the Annual Procurement Plan was placed on PPRA website. To further improve efficiency SoPs (Standard operating Procedures) for all processes were prepared and displayed on PPRA website.
Certain steps to improve quality of medicines were taken. In collaboration with WHO the Ministry initiated capacity building workshops for Pharmaceutical companies to promote current good manufacturing practices (cGMP). Campaigns against spurious/fake drugs have concurrently been started.
International Health Regulations (IHR)
IHR mechanisms have been strengthened as per international requirements to ensure rapid and comprehensive response to emerging infectious disease threats.
Laboratory facilities have been upgraded to international level (e.g. Pakistan First Bio Safety Level 3 Laboratory stands established which had been pending since 2008). This has now enabled Pakistan to diagnose rare and dangerous diseases like Ebola, Congo, MERS-Corona and Avian influenza virus etc.
Following the International pressure, Pakistan implemented IHR polio related travel requirements within a short period of one month in early 2014. The MoNHSRC coordinated vaccination and reporting of about 27,000 daily outbound travelers at points of exit (air and sea ports) and other facilities. WHO has recognized these efforts and appreciated the rapid implementation of these measures in Pakistan.
The emerging new challenge of prevention and control of Ebola virus in Pakistan in 2014 was planned and implemented successfully. The National Ebola preparedness plan was prepared in August 2014 immediately after WHO declaration. Coordination with Aviation, Interior, Provincial health departments and WHO led by the Ministry was commendable. The SOPs for air and sea ports, isolation facilities, diagnosis, treatment and burial practices were prepared and trainings implemented all over the country within a short span of time. Simultaneously Rapid Response teams were organized and implemented. All suspected cases of Ebola were tracked and managed according to international guidelines. The WHO mission expressed appreciation on excellent coordination by MoNHSRC.

Prevention and Control of Diseases
Field Epidemiology & Disease Surveillance Division
Field Epidemiology & Disease Surveillance Division was established in 2014 which was non-existent earlier. The unit will take a lead in disease surveillance and provide technical support to provinces. The five provincial rapid response units established for coordination are already showing improvement in data quality.

National Blood Policy 2014-20
New National Blood Policy 2014-20 has been formulated in consultation with Provinces and Islamabad Blood Transfusion Authority. The body has been reactivated to ensure availability of safe blood, free of infections. Under this initiative construction of 10 Regional Blood Centers and up-gradation of 60 blood banks across the country is underway.

Immunization
A Comprehensive Multi-Year Plan (cMYP) 2014-18 for immunization was developed in consultation with all Provinces and partner agencies. The plan ensures sustained availability of resources and brings clarity for future planning at national and provincial level. National Immunization Policy finalized in consultation with stakeholders from provinces and partners, will ensure adoption of international best practices in this field.
Robust Anti-Measles campaign was completed across the country targeting 62.4 Million children from 6 months to 10 years of age. Web based Vaccine Management system has been introduced. In 56 districts, the system is functional and is ensuring tracking and monitoring. This has significantly reduced vaccine wastage. Free Pneumococcal vaccine has been provided for the first time across the country to protect 6 Million children against Pneumonia.

Vaccine Security and Management
Over 86% increase in production of anti venom sera (e.g. anti snake and rabies) by the NIH was achieved through better management practices. The Ministry ensured uninterrupted supply of vaccination for: 34 million children during Polio campaigns; 6 million children and 6 million pregnant women against 9 deadly and debilitating diseases by mobilization of resources in EPI. Wastage of the polio vaccine reduced from 15 to 11 % through introduction of vaccine and logistics management system.

Polio Eradication
Emergency Coordination Centers for polio coordination at federal and provincial levels stand functional now and have resulted in improved campaign quality, swift response to emerging coordination issues and availability of joint platform for all stakeholders’ review. An independent third party evaluation after a lapse of many years has been completed which will further improve campaign quality. On the administrative front, the pending PC 1 for Polio eradication approved in 2014 with adequate resources till end of 2015, has been secured from IDB. After a gap of 3 years due to extensive coordination efforts of the Ministry, Pakistan Army and partners, polio campaigns in North & South Waziristan have resumed. Mechanisms in the polio program to address the challenge of security threat to polio workers have been establishment with robust linkages with affiliated departments to ensure the security of staff. Under the Cabinet Committee on Immunization with Minister for Interior, Minister for Defence and Minister for NHSR&C as members, a new threat perception system has been put in place which links up with district polio planning process. These efforts have resulted in improving the coverage of the campaign especially in FATA agencies and 11 KP districts. The success is also attributed to the successful collaboration with armed forces under UAE PAP Project, a new initiative. In addition, introduction of injectable polio vaccine for the first time in high risk areas, is another step which has both increased coverage as well as quality of campaigns.

National Programs (Malaria, TB and HIV/AIDS)
The national programs were revived in the Ministry to ensure effective coordination role among provinces and partners. In this regard, National & Provincial Strategic Plans for T.B. Control have been developed. Free of cost diagnosis and treatment through a BSL3 lab network at 1,257 T.B. care facilities has been resumed.
By 75% increase in early diagnosis and prompt treatment in Malaria Diagnostic and Treatment Centers, reduction in deaths caused by malaria has been achieved. Alone, 34% reduction in Malaria Disease burden has been seen due to Robust Preventive measures including Vector Control and Behavioral Change Communication.
18 new HIV/AIDS Treatment centers have been established which have provided treatment to 5,034 HIV cases in 2014 as against 2,588 in 2013 (95% increase).

Non Communicable Diseases (NCDs) Unit
MNHSRC in collaboration with WHO is committed to develop a national plan of action to combat and control NCDs. Provincial and national units have been established for the first time in Pakistan. National and provincial consultations have been carried out to review the problem in detail. New pictorial warnings on cigarette packs and increase in tobacco taxation has been achieved by efforts of the Ministry.

Prime Minister’s National Health Insurance Program
A landmark in achieving universal health coverage is the National Health Insurance Program launched under guidance of the Prime Minister by MoNHSRC. Millions of poor will be able to access quality health care services under the Program. The program design, benefit package, actuarial inputs, monitoring mechanisms and preparations for roll out have been completed in record time with provinces and line Ministries. On the request of Minister of State MoNHSRC a high level WHO mission and GIZ, assisted Pakistan to undertake this initiative, and expressed satisfaction on the level of preparedness and ownership by the Ministry.
The PC-1 is with the Planning Commission at the final review stage.

Policy and Legislations
The Ministry has focused on Legislation and Policy framework establishment. Legislation for Federal Health Regulatory Authority is in final stage which will ensure quality of health service delivery in federal territories. Similarly new Legislative bills on HIV AIDS, Immunization and Health Insurance are under process at various stages. Necessary amendments pending since long in Pakistan Medical and Dental Council, Pharmacy, Health Research Council and DRAP acts are now in final stages.
National mentorship program from evidence to policy, has been initiated by MoNHSRC with Global Alliance for Policy Research, WHO, to train young professionals in the area of health policy development.

International Health
Pakistan’s Representation at the International Health Forums has been commendable. Pakistan has won the bid to host next Regional Conference of WHO EMRO region scheduled end of 2015, an honor which will be coming to Pakistan after almost 20 years due to efforts of the Ministry at regional level.
Pakistan has won a place in the GAVI Board after 6 years; this will allow the country to have a voice at highest international forum meant for vaccine and immunization funding.
In addition Pakistani delegations participated actively and effectively in international health forums like World Health Assembly, Regional meetings, IHR committees and bilateral forums.

International Funding
The following new major grants and funding were won by Pakistan in health sector during last 2 years due to efforts of the federal MoNHSRC in addition to other ongoing grants:
• Global fund for TB, HIV and Malaria 110 million USD
• GAVI for new vaccines, IPV and cold chain 130 million USD
• UAE PAP (Polio ) 30 million USD
• Government of Japan support for Polio 5 million USD
• World Bank for immunization support 50 million USD
• Govt of China Bill Gates Foundation and others contributed equipment and in kind support to MNHSRC worth millions of USD


Research and Development
The area of research and development was steered by the Ministry and the following outputs are reported:
1. Demographic Health Survey – This credible survey was completed in 2013 and is now successfully guiding policy and planning in health and population
2. Global Youth Tobacco Survey of Pakistan – led to focused legislation to minimize tobacco use in youth and enhanced awareness campaigns.
3. Malaria Indicator Survey – Informed malaria control program to address key gaps. Findings of the survey are being used for applying for Global fund grant .
4. Burden of Non Communicable Diseases Survey- The data will be used to predict future disease trend, health services needs and planning future strategies.
5. Strengthening of Institutional capacity for research – Institutions of Ministry have initiated doctorate and masters programs in health sciences & research and have produced progressively increasing numbers of research papers

Regulatory functions (Doctors, Nurses, Pharmacists, Homeopaths and Hakims)
PMDC Reforms Committee was constituted to streamline functioning of PMDC and issues related to foreign medical graduates, quality of medical colleges and regulation of profession in an efficient manner. Management Information Systems for Registration of Nurses has been successfully launched for easy access and improved efficiency. The National Examination Unit for Nurses has been developed. Finalization of criteria for appointments of teachers by Pharmacy Council is seen as a vital step in improving pharmacy education and appropriate steps in this regard are being initiated. Unani Tibb Pharmacopia pending for last 40 years was published in 2014; an important milestone achieved to ensure standardization of unani medicine.

Population Planning
Population Policy Framework has been developed and shared with the Provinces. The National Task Force has been constituted to Coordinate and Review Health and Population Welfare Program of the Provinces and Special Areas. Realization of Pakistan’s International commitments in the area of Population Planning are in progress. Consultations with all Provinces towards Contraceptive Commodity Security have been completed.

Challenges
The Ministry has had to face many challenges since its inception. The main challenge was to redefine roles and responsibilities after 18th constitutional amendment. This was viewed as a challenge and an opportunity. It provided the Ministry a chance to begin afresh and to be innovation and propose out of box strategies. However, barriers as low investment in health sector, scarcity of human resource, lack of credible data and information and sub optimal performance of health systems at grass root level, have substantially affected the progress.

Targets
The following roadmap has been laid by the Ministry for the coming year:
1. Model Pharmacy Project to improve access to cheaper generic medicines in Islamabad (2015).
2. ISO certification of Ministry of National Health Services, Regulations and Coordination (2015)
3. Mentorship program for young professionals in Ministry of NHSR&C (2015)
4. Pilot project to improve Blood quality in Federal areas (2015)
5. Establishment of state-of-the-art Medical University in Islamabad with assistance of Government of Bahrain (project starts in 2015)
6. Establishment of a national data base to inform Policy and Planning in Health (2015)
7. Introduction of new vaccines
a. ROTA virus vaccine for diarrhea (2016)
b. Hepatitis additional dose at birth (2015)
c. Injectable Polio vaccine in Routine EPI (2015)
8. Establishment of Public Health and Nursing University in public sector offering higher degrees in related disciplines.
9. Establishment of Cancer Hospital in Islamabad – Budget allocated as part of PSDP
10. Indigenous production of vaccines to meet national requirement; initiation of Public Private Partnership through EOI to be
floated internationally (Government to Government)
11. Mentorship program for young professionals in Ministry of NHSR&C
12. Campaign for improving Blood quality in Federal
13. Campaign for improving food quality in Federal Capital Territory


NEW INITIATIVES

Prevention and control of communicable diseases

Bio-Safety Level Lab BSL-3 made functional in January 2014

National TB program


• National & Provincial Strategic Plan developed
• Free of cost diagnosis and treatment through a BSL3 lab & network at 1,257 TB care facilities
• MDG targets on track
Malaria


• 34% reduction in Malaria Disease burden
• 75% increase in Malaria Diagnostic and Treatment Centers
HIV/AIDS
• Established 18 HIV/AIDS Treatment centres, 7 Prevention of Parent to Child Transmission (PPTCT) Centers and 15 Community and Home Based Care sites (CHBC) (50% Increase)
• Treated 5,034 HIV against 2,588 in 2013 (95% increase).
Safe Blood Transfusion project


• New National Blood Policy 2014-20 and National Strategic Framework 2014-20 May-June 2014
• Construction of 10 Regional Blood Centers & up-gradation of 60 blood banks nearing completion Nov 2014
• Procurement of Equipment & MIS for 10 RBCs and 60 HBBs Nov 2013 – Sept 2014
IBTA


• Reactivation of the Islamabad Blood Transfusion Authority (IBTA) Sept. 2013
Anti-snake Venom Serum produced
• 86.12% increase by 30th June (26,331 Vials produced) between July 2013-June 2014
Vaccine management, field monitoring and supervision
• Uninterrupted supply of vaccines for 34 million Children (polio) and 6 million Children (EPI) against nine vaccine preventable diseases and 6 million pregnant woman
• vLMIS initiated through USAID assistance helping tracking of vaccines in 54 high risk districts
• Vaccine Management Committees at all levels to monitor
• Wastage for Polio campaigns reduced from 15 to 11%
Vaccine Security and Management:
New Vaccines:


• Provision of free Pneumococcal vaccine across the country-October 2013
• Injectible Polio Vaccine (IPV) proposal accepted by GAVI and grant secured
Cold Chain Equipment:


• Equipment worth approx. USD 10 M (Chinese assistance)
• 87 Solar refrigerators in pipeline through JICA support
Provision of high quality and affordable drugs:

Window operation and E-office:


• Bringing alternative medicine in regulatory ambit
• Process for automation for applications of registration, licensing, pricing etc. in DRAP thereby decreasing human interface initiated
• Certification of Pharmaceutical companies for cGMP by WHO/FDA initiated to exploit full benefit of GSP plus status and enhanced market access
Drug Manufacturing Licenses & Renewals:


• Reforms process initiated in DRAP
• One window operation for all applications
• All backlog cleared along with new applications which were disposed off expeditiously.
• Formulation of Pricing Policy ,
• cGMP rule s notified
International Health Regulations:


• NIH designated as National Focal ‘Point’ & Primary Focal ‘Person’ notified (June 2014)
• Acquired capacity for lab diagnoses of MERS-Corona Virus & H7N9 Influenza viruses
IHR Requirements for Designated Airports, Ports and Ground Crossings:


• Essential services in placed at 11 entry points
• Established Polio counters and Ebola virus disease related information Desks at point of entries
• Full implementation of Polio related travel regulation
• Standard Operating Procedures for Polio related travel regulations developed and issued to all Provincial Governments
• 27000 daily outbound passengers vaccinated
• Ensuring lifting of travel regulations through optimal implementation
EBOLA


• Proactive Approach to provide Technical Guidance to Provincial Governments
• Guidelines for Prevention and Control of EVD
• Guiding notes for collection, storage and shipment of Ebola specimens
• Recommended Standard Infection Prevention & Control Precautions for EVD Transmission
PMRC

In 2013 PMRC conducted 03 important surveys which previously were done by the NGOs/Private institutions. These included:
• Global Youth Tobacco Survey of Pakistan
• Malaria Indicator Survey
• Burden of Non Communicable Diseases Survey
Evidence generation

Largest and most credible survey PDHS 2012-13 successfully accomplished and is guiding policy and planning in health and population

HSA

Telephone Directory :
Sr. # NAME OF OFFICER DESIGNATION CONTACT
1 Mr. Aamer Mehmood Kiani Federal Minister 051-9245814 (Fax) 051-9245815 2
Dr. Mirza Amir Baig Director to Federal Minister 051-9245594 dramirbaig@gmail.com
3 Mr. Ahmed Hussain Shah SPS to Minister 051-9245813 ahmedhussainshah@gmail.com
4 Mr. Waqas Alam APS to Minister 051-9245814 waqasalam2007@gmail.com
5 Capt(R). Zahid Saeed Secretary 051-9245811 (Fax) 051-9245812
6 Syed Yawar Abbas SPS to Secretary 051-9245810 Mr. Iqbal Hussain Durrani
7 Additional Secretary 051-9217024 (Fax) 051-9217025
8. Shahzad Nawaz Cheema Joint Secretary (Admn) 051-9245726 (Fax) 051-9245625
9. Mr. Basheer Khatheran Joint Secretary (F&P) 051-9245794 (Fax) 051-9245538
10. Mr. Sana ul Islam Deputy Secretary (Admn) 051-9245620
11. Mr. Adeel Ashraf Deputy Secretary (Estab) 051-9245998 0321-5204404
12. Mr. Shakeel Kaiser Kayani Deputy Secretary (Coord) 051-9245637
12. Mr.Mansoor Ahmed Deputy Secretary (Budget) 051-9245723

13. Mr. Saeed Ahmed Awan Section Officer (Admn-I) 051-9245792
14. Mr. Adeel Akbar Section Officer (Admn-II) 051-9216890
15. Mr. Ahmed Gul Section Officer (Admn-III) 051-9245961
16. Mr. Muhammad Mudassar Section Officer (Program) 051-9245717
17. Mr.Mobeen Section Officer (F&A) 051-9204223
18. Mr. Jamshed Khan Section Officer (General) 051-9245756
19. Mr.Muhammad Jamail Section Officer (Budget) 051-9245736
20. Mr.Aftab Aullah Section Officer (Lit) 051-9216944
21. Mr. Munir Ahmed Section Officer (Council) 051-9245793
22. Mr. Zahid Iqbal Section Officer (F&A) 051-9245723
23. Rizwan Nabi Baloch Section Officer (Hiring) 051-9245638
24. Mr. Muhammad Jamail Section Officer (Budget) 051-9245736
25. Mr. Abdur Rahim Khan A.O (Releases)/ DDO 051-9245613
26. Mr.Sadqat Hussain R&l Incharge 051-9245981 TECHNICAL WING
Dr. Assad Hafeez Director General (Health) 051-9245933
27 (Fax) 051-9245976

28. Mr. Mazhar Nisar Sheikh Director (Implementation) 051-9245639 mazharnisar@yahoo.com
29. Malik Muhammad Safi Director (Program) 051-9245576
30. Hakeem Nazir Asad Director (Unani) 051-9204360
31. Mr. Asif Sohail Director (Litigation) 051-9218181
32. Dr.Razia safdar Director (Institution) 051-9245791

33. Dr. Imtiaz Ali Memon Deputy Director Institution) 051-9216891
34. Mr. Inam ul Haq Director(P&D) 051-9216287 35. Dr. Sabeen Afzal Deputy Director (P-I) 051-9245734 36. Dr. Samra Mazhar Deputy Director (P-II) 051-9245573
37. Mr. Saeed Akhtar Deputy Director (P&D) 051-9202428
38. Dr.Sarmad Uzma Assistant Director (P&D) 051-9245997
39. Dr.Farah Mazhar Assistant Director (PMDC) 051-9245795
40. Dr.Sarah Ashraf Assistant Director (Reg) 051-9245556
41. Ashraf Nasar Assistant (Homeo) 051-9103940
42. Dr. Nusrat Haider Assistant Director (Attest) 051-9245692 adattestation72@gmail.com POPULATION PROGRAME WING
43. Mr. Abdul Ghaffar khan Director General 051-9216280 (Population) (Fax) 051-9216281
44. Ahmad Nauman Deputy Director 051-9216282
45. Mr.Muhammad Shoail Assistant Director 051-9216282
Mr.Abdul Waheed Director (P&S) 051-9216284 46. (Fax)051-9216285
47. Mr. Ehsan Ul Haq Director (A&C) 051-9216286
48. Dr. Margeret Nazali Director 051-9201329
49. Mr. Nafees Ahmed Deputy Director (PPW) 051-9216288
50. Mr. Saeed Akhtar Deputy Director (Account) 051-9216290
For further details :
Please send your feedback, complaints, queries and suggestions to below given email address.
contact@nhsrc.gov.pk
For Prime Minister's National Health Programme, please contact at;
pmnhp@nhsrc.gov.pk

Ahmad Nauman
Web & IT Administrator M/o NHSR&C, Islamabad
Email: ahmad.nauman@hotmail.com
Mob: 92-3215696176