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Increasing Access to SRH Services through Social Franchising with Private Practitioners in Rural Areas of Pakistan

Presentation byAmir Hameed

(Regional Director, Federal, Gilgit Baltistan, Azad Jamu & Kashmir )Pakistan

Rahnuma - Family Planning Association of Pakistan

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Case Study by a Private Practitioner

(Ms. Sabiha Fatima – LHV, Kachi Basti)

A 19 year old girl Shamim visited me with an issue of abnormal hair growth

over her face and body. Due to inadequate technical knowledge of the issue, I

was unable to counsel/ treat her problem. I kept on proposing her herbal

medication. She left my clinic with disappointment and started searching

solution from various quacks. I was later enrolled by FPAP and received

training on SRH issues counseling. Now I know what I could have done for the

girl but it is never late. I feel that I can help lots of young girls who come up

with some SRH problems.

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Problem Statement

• 64% Population of Pakistan lives in rural/peri-urban settings with majority

depending upon Private Health Practitioners (who have a limited range of

SRH services and poor quality of care) to access services.

• Majority of the private practitioners especially in Rural settings are focusing

on providing primary health services and safe-motherhood with limited

knowledge and services on FP.

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Strategic Interventions

• Mapping and Enrolment of PPs in Peri-urban and Rural settings.

• Hiring of Community mobilizers from the same respective

settings.

• Capacities building of selected PPs on diverse range of essential

SRH Services.

• Up gradation of Infrastructure and commodities supply.

• Quality Assurance through regular visits by Quality Assurance

Doctor.

• Establishment of strong Referral Mechanism.

• Monitoring and Reporting.

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Before After

Facilities Upgraded

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Lesson Learnt

• The Mid-Level Services Providers are more accessible to the rural

community and low Socio-economic group, because they are offering

services at low cost.

• Building the Technical capacity of PPs can expand the basket of SRH

services.

• Hiring of local Community Mobilizer helps in strengthening the

referrals to PPs.

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Together we can make a difference

Thank You