population welfare program and services

8/12/2019 Population Welfare Program and Services

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Service outlets of

PopulationDepartment Sindh


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POPULATION WELFARE

DEPARTMENT SINDHInfrastructure

Provincial Administrative Secretariat

District Population Welfare Offices

Reproductive Health Services A & B Centers

Mobile Service Units

Family Welfare Centers

Male Mobilizers RMPs, Hakeems and Homeopaths


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ADMINISTRATIVE SET UP

Secretary 1 No.

Director General 1 No.

Additional Secretary / Director 4 Nos.

Deputy Secretary / Dy. Director 9 Nos.

Demographer 1 No.

Section Officer / Asstt: Director 10 Nos.

District Population Welfare Officers 25 Nos.

Tehsil Population Welfare Officers 86 Nos.


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Additional Secretary/

Director (Admn & Finance)

Dy. Secretary/

Dy. Director

(Admin)

Dy. Secretary/

Dy/ Director

(Finance)

Section Officer

(General)

Budget

Officer

Accounts

Officer


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Additional Secretary /Director

(CTL&S)

Dy. Secretary/Dy. Director

(W&D)


(C&T)

Section Officer/

Asstt. Director

(W&D)

Section Officer/Asstt. Director

(C&T)


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Additional Secretary / Director

(Medical)


(Clinics)


(RHS/PLD)

Section Officer /

Asstt. Director

(Medical)

Section Officer/

Asstt. Director

(Clinics)


(RHS)


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Additional Secretary / Director

(ME&P)

Dy. Secretary/

Dy/ Director

(M&E)

Dy. Secretary/

Dy/ Director

(Planning)


(M&E)

Section Officer /

Asstt. Director

(Planning)

Demographer

Asstt. ComputerProgrammer


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Dy. D.P.W.OBS-17 (Advo:)

Dy. D.P.W.O(Technical/FDCs) BS-17

Doctor

ADPWOBS-16

ACCOUNTANTBS-16

DPWO

BS-18/19

Stenographer, Steno Typist, Assistant,, UDC,

Storekeeper, LDC,Projectionist, Driver, N.Q/Chowkidar, Sweeper/Mali

DISTRICT SETUP

Supporting Staff


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LDC

BS-5

CHOWKIDAR

BS-1

TEHSIL POPULATION WELFARE OFFICER

BS-17

TEHSIL POPULATION WELFARE OFFICER


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L.D.C

BS-5

FWA (F)

BS-5

FWW

BS-8

FWC

BS-11

LAB TECH.

BS-7

THEATRE TECH

BS-7

THEATRE

NURSE BS-11

SWEEPER/

CHOWKIDAR

BS-1

DRIVER

BS-4

FEMALE HELPER

BS-1

PROJECTIONIST

BS-12

ACCTT. ASST

BS-11

MEDICAL OFFICERBS-17/18/19

RHS-A CENTRE

1- Master Training Centre have three M.Os. BS-19, 18 & 17

2- Master Training Centre have one projectionist , three theatre nurses and one lab technician


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MOBILE SERVICE UNIT (MSU)

CHOWKIDARBS-1

AYABS-1

DRIVERBS4

FTO BS-16

MEDICAL OFFICER BS-17

or


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FWA (MALE)

BS-5/7

FWA (FEMALE)

BS-5/7

AYA / HELPER

BS-1

CHOWKIDAR

BS-1

FWW / FWC

BS-8/11

FAMILY WELFARE CENTRE


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RESPONSIBILITIES OF THE

DEPARTMENT Create demand through Communication and

Advocacy activities

Execution of RH and FP Services throughoutprovince


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SERVICES AND ACTIVITIES

AT DISTRICT LEVEL Provision of RH and FP Services

Provision of MCH Services

Creation of Health and FP awareness throughFriends of FWC Welfare Committees andMohallah Sangat

Referral of STDs, HIV/AIDs cases

Advocacy session for councilors and othercommunity influence persons.

Cont..


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Cont:

Arrangement of Satellite Camps & CS Camps

Involvelment of RMPs, Hakeems and Homeopaths

Coordination with Public and Private Stakeholders Advocacy sessions with MNA, MPA, Nazims,

Ulema and other influence persons at district level

Increase Male involvement


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SERVICES NETWORK

Program Outlets

Family Welfare Centers 638

Reproductive Health Services - A Centers 74

Mobile Service Units 72 Male Mobilizer 1250

Non-Program Outlets

Reproductive Health Services - B Centers 29

Provincial Line Departments 380

Registered Medical Practitioners 6770

Hakeems/ Homeopaths 4100


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SERVICES PROVIDED BY FWC1. Family Planning Services

Family Planning advice to eligible couples

Prescription and supply of Condoms and Oral Pills

to eligible couples Insertion and removal of IUCD/ C-T including

follow-up

Dispensing of Injectable

Referral of Contraceptive Surgery Clients to RHSCenters


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2. Maternal and Children Health (MCH) Pre and postnatal examination

Routine testing of urine and blood (for anemia) of pregnantwomen

Promotion of child spacing

Guidance and encouragement towards breast feeding

Guidance proper hygienic practices

Prevention and treatment of diarrhea in children

Referring of children and well as women for immunizationcourse

Assist EPI teams for immunization services


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3. Reproductive Health Care

Provision of comprehensive family planningservices

Safe motherhood

a. Maternal Health Care

b. Pre and Post abortion management

Child Health Care Treatment of minor ailments

Cont..


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Control HIV/ AIDs and STDs/ RTIs

Infertility management

Cancer detection

Management of reproductive health relatedproblems of adolescents and elderly

Enhance make involvement

Cont..


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4. Out Reach ActivitiesSatellite Clinic

Twice a week satellite clinics (camp) nearbyvillages on fix days

Minimum 6 camps in a month at identifiedvillage

No other outlets should exist there

Cont..


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FWA (Male) makes arrangements one day beforecamp and carry out motivation and counselingamong eligible couples

Camp provide all conceptive services includingIUCD and general ailment treatment

FWA (Male) motivates cases for vasectomy andrefers to RHS Center


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5. Community Involvement

Established community Committees names asFriends of FWCs/ Welfare Committees

Welfare Committees comprises of Lady Councilors,satisfied clients, teachers, community workers,NGOs, CBOs

Committee facilitates and support working of FWC

Cont..


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It refers client and acts as a bridge between FWC

and community DDPWO (C&T) provides orientation to the

members on the concept of the committee incommunity mobilization and community

development Arrange social activities like baby show, WPD

activities etc.

Friends of FWC meets once in a month

Minutes circulates among members and goes toDPWO


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6. Linkages with Health/ PLDs/ NGOs

Each FWC maintains a list of service deliveryoutlets including Health, PLDs and NGOs

Detail of services/ facilities available there

Keeps continues liaison to refer clients forservices vice versa


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MOBILE SERVICE UNIT

(MSU)

Each MSU serves a population of 30,000 in a Tehsilof 5,000 couples (15-20 villages) by camping 10-12times in a month.

MSU works under the supervision of WMO / FTO.

MSU have been provided new vehicle, made ofMaster Mini Truck

Each MSU vehicles equips with Primary HealthCare including full range of Family Planning (exceptcontraceptive surgery), especially IUD insertion


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OBJECTIVE OF MSU CAMPS

To make Family Planning information and servicesaccessible in underserved / un-served rural communities.

To reduce the unmet need of FP by making services

more accessible, particularly the clinical methodsincluding IUCD and injectable

To provide RH Services to women To facilitate the work of Male Mobilizers to enhance

mens role. To interact with the elected councilors and other opinion

leaders for promoting better RH services


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STRATEGY FOR HOLDING CAMPS

The exact location of MSU and its catchments areas interms of UCs based on geographical condition of the villageof the communities.

To avoid duplication, camps are not arranged where FWCs,BHUs and RHCs are working.

Each MSU displays map of its area showing villages forcamps.

Local notable person / women invites to support andparticipate in camp activities and he / she certifies each

camp. Each MSU prepares 3 months advance tour / camping

program and circulates to FWC / RHS-A, LHWs, TBAs &Male Mobilizers for proper motivation.

MSU keeps proper record and sends to DPWO each month


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MSU VEHICLES

MSU Vehicle is built on Master Foreland Mini Truckwith canopy fabricated of fiber

Canopy equips with basic clinical equipments and air-conditioner

Vehicle has heavy duty electric generator to operatevehicles air-conditioner and other equipments

Each vehicle has two tents of parachute, attached withvehicle

One tent is for waiting / registration and other forcounseling / general ailment treatment.

IEC Material also provides in each camp. Desert Coolers are provided for tents


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Reproductive Health Services

(RHS) Centers

RHS-A Master Training Centers

RHS-A Training Centers RHS-A Centers

RHS-B Centers


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RHS-A Training Centers

MTC, JPMC, Karachi.

Abbasi Shaheed Hospital

RHS-A Civil Hospital Karachi Model Family Clinic, RTI Clinic, Hyderabad

RHS-A, LMC, Hyderabad

Shaikh Zaid Hospital, Larkana Nawabshah Medical College Hospital,

Nawabshah


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Responsibilities of RHS-A

Training CentersImpart training (basic and refresher) to program and non-program Doctors (NGO, TGI, PLD) in contraceptivesurgery techniques

IPC

Norplant Insertion/ removal techniques

Asepsis / infection prevention

MIS

Provision of CRHSP

Cont..


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Identification of difficult surgical cases and to beable to deal with surgical problem assessment anddiagnosis of abnormal obstetric / gynecologicalproblems

Diagnosis / management of infertility cases

Impart training (basic & refresher) of program andnon-program paramedics in theatre management and

other techniques with particular emphasis onAsepsis / infection prevention

Cont..


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Undertaken the FP/Health education program ateducational institution and PLDs

Hold orientation workshops for Doctors andparamedics for all categories to update knowledge of

what is available for the clients in the way ofcontraceptive services

On job technical monitoring / supervision andguidance of RHS-A Centers

Pay supervisory visits to RHS-A Centers Evaluate different training activities including

seminars and workshops / meeting carried out bythe Training Centers


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CONTRACEPTIVE SURGERY

All the female contraceptive surgery cases areperformed by Tubeligation /Minilaparotomy procedure

For male CS, No-scalpel Vasectomy (NSV) techniques

is preferred Male Medical Officer, RHS-A Naushehro Feroze

performs NSV cases

NSV camps are also arranged and FWA (Male) andMale Mobilizer


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EXTENSION CAMPS

To ensure availability of CS services on a widerscale and to improve upon performance theRHS Centers will hold extension camp at

appropriately equipped THQ Hospitals/ RuralHealth Centers/ Basic Health Units as perfollowing criteria:-

Cont..


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COMMUNICATION AND

ADVOCACY

OBJECTIVES

- Bridge the gap between knowledge (98%) and Practice(38%)

- Encounter rumors, misconceptions and dispel fears &doubts about side effects of contraceptives

- Strengthen advocacy with influential institutions and

individuals- Make visible the service outlets

AUDIENCES


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AUDIENCESa) IEC Audience

- Married Women- Married Men- Adolescence- Service Providers

b) Advocacy Audience

- Policy Makers (MPA,MNA,Nazims,Councilors)- Community Leaders / Social Activists- Media Practitioners- Religious Leaders- Medical Practitioners

- Educationists / Educational Institutes- Youth and adolescents- Satisfied Clients- Parent in-laws


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INFORMATION, EDUCATION &COMMUNICATION (IEC)

- Information, Education and communicationcomponent, launches motivational campaign through

TV, Radio, Press, Printed Material and through

interpersonal communication.- Officers of high caliber are specifically trained for

delivering presentations in schools and colleges forsenior students on Demography and on Population

Policies.- Hoardings at the places where traffic flow is on the

high side.

- Messages through Bus Panels which is widely used for

publicity


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Electronics MediaIn modern information technology Radio and TV playan important role in behavioral change, through thesemediums departments has broadcast and telecast

programs, Drama, Commercials, spots in Sindhi andUrdu languages. In addition CCTV, Karachi Airportalso utilized for spots/ commercials on certain eventlike 14th August, World Population Day, Womens

Day, Mothers Day, telecasting spots of FamilyPlanning is the regular activity


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Press Publicity

Press is an integral 4th pillar of the society and itsimportance could not be ignored although theliteracy rate is below. The department has availed

opportunity by releasing advertisements on Nationaland International events on regular basis. The

Journalists and media practitioners are alwaysinvolved in all interpersonal activities as to aware the

masses towards efforts taken by the government inhealth and population welfare sectors


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Printing & Production of Motivational

MaterialOn different topics and different events the departmenthas procured and distributed thousands and thousandsof leaflets, brochures, posters, banners, etc. To visualize

Family Planning Outlets, Indication / Signboards areprocured and installed. For providing information toeligible couples IEC material is distributed and it isavailable in all service outlets.

Audio cassettes for newly married couples are developed, thesame to be distributed through Nikah Registrar's.


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Interpersonal Communications

Face to face communication is most effectivechannel in delivering a message and for behavioralchange. The department has always given

importance and conducted Seminars, Conventions,Workshops etc. at different level, on differentnational international events keeping in view theimportance the secretary of the department and

senior officers have themselves attended theseactivities even in remote areas and heard the viewsand recommendations of local representatives,

which helped in reformulating program

implementation strategies.


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Community InvolvementSince Population Welfare is community participationprogram, the department in recognition of theimportance of local CBOs has involved Satisfied

Clients, Contraceptive users, Teachers, Doctors,Homeopaths, Hakeems and Friends of Family WelfareCenters. Recently the department has arranged thegatherings at each FWC for encouraging healthy baby

and healthy mother by giving then prizes on meeting.All community members and Lady Councilors haveplayed effective participation.

(Contd)


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Religious leaders are specifically targeted tobe oriented about the Population Welfare

Program and remove the misconceptions andrumors. They are involved to deliver messagein their Khutbas.


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ACTIVITY

1 P i ti d P d ti f M ti ti l


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1. Printing and Production of Motivational

Material

Brochures

Booklets

Posters Handbills

Sign Boards

Indication Boards

Hoarding

Neon Sign at Public Places

Bus Panel

Give Away (details on next slide) Cont..


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* Give Away

Ajrak

Key Chain

Ball/ Ink Pen

Wall Clock

Combs

Tea Mats

Vacuum Jugs

Pocket Telephone Index

Tea Sets

TShirt

Caps


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2. DISSEMINATION MATERIAL BOOKS,PERIODICALS FOR PPIC

- Books

- Periodicals- Magazines

- Journals

- Dailies- Teaching Aid Material


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3. RADIO PUBLICITY

- Radio Programs

- Jingles / Spots

- Interviews / Discussion

- Radio conference


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4. PRESS PUBLICITY

- Advertisements in Newspapers,Periodicals, Journals, Souvenirs, Books

- Advertisements in Special Supplements

- Arrangement of Supplements on WorldPopulation Day

- Press Briefing / Conference- Articles / Features


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5. TV PUBLICITY

Jingles / Spots telecast from different TV Stations

Jingles / Spots telecast from different Cinemas ofSindh

Jingle / Spots telecast from CCTV, Jinnah Airport,Karachi

Development of Documentary Motivational films/Commercials

A song/ Video developed on the theme of smallfamily norms.


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6. FAIR, EXHIBITIONS AND

OTHER CULTURAL EVENTS- Stalls at Mela of Bhitt Shah, Sachal Sarmast, Qalander

Shahbaz, Hamal Faqir, etc.

- Stall in Fair, Exhibition, Meena Bazar, etc.- Celebration of World Population Day activities e.g.

Sukhi Ghar Mehfil

Baby Show

Walk Seminar on RH issues at RHS-A Center

Banner Display Advertisement

Sports

Speech Competition at School/ College level

7 S min r / W rksh p in l din


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7. Seminar / Workshop including

interpersonal and community

communications

Seminar for Ulema, Elected Representativesand Media personals

Seminar at Provincial, District, Tehsil and Grassroot levels

Orientation for non-program personal

Presentation at Schools/ Colleges level


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8. IN COUNTRY &

FOREIGN TRAINING

Arrangement of non-clinical Training for

Program Personnel at PWTI, NIM(NIPA),PIMS, PARD, SGA&CD, Cabinet Division,Computer Bureau, Bureau of Statistics

Arrangement of training for Non-Program

Personal at District level.Arrangement of Foreign Training of Program

Personal


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Thanks

population welfare program and services

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