RedefiningPrimary Healthcare

PPHI SINDH

QUARTERLY REPORTJULY - SEPTEMBER 2020

PPHIOFFICIAL

PPHISINDHOFFICIAL

PPHISINDH

PPHIOFFICIAL

Contributors:

Mr. Abdul Wahab Soomro Mr. Riaz Hussain Rahoojo Mr. Abdul Shakoor Noonari Mr. Maula Bakhsh Shaikh Mr. Ashique Hussain Chandio Dr. Zaib Dahar Dr. Zamir Suhag Lt Col Khalid Ahmad Qureshi (Retd) Mr. Muhammad Yahya Dr. Tariq Aziz Mr. Asadullah Dahri Dr. Zeeshan Shaikh Dr. Sajid Shafique Dr. Ayaz Baloch Ms. Nelofer Baig Dr. Barkat Noonari Dr. Zakir Ali Punar Dr. Samiullah Odho Mr. Masood Jamali Ms. Samina Bakhtawar Mr. Syed Zeeshan Ali

Prepared & designed by: Communications & Media Affairs Wing.

Photo Credits & Copyrights: PPHI Sindh

Chief Executive OfficerDirector Monitoring & Immunization / (Acting) Chief Operations Officer Director Procurement Director Human Resource Director AdministrationSenior Technical Adviser Director Research Director ITChief Financial OfficerChief Pathologist Provincial Engineer Project Director EU-PINS Provincial Coordinator Nutrition Deputy Director Training & Capacity BuildingDeputy Director Research Manager EPI Manager DHIS Manager Medical Reimbursement CellManager Finance – Provident FundMaster Trainer Manager Power & Energy

CREDITS

ACRONYMS

IMNCI Integrated Management of Newborn & Childhood IllnessesIUCD Intrauterine Contraceptive DeviceIYCF Infant, Young Child Feeding JPMC Jinnah Postgraduate Medical collegeKMC Kangaroo Mother Care KPIs Key Performance Indicators LARC Long Acting Reversible Contraceptives LBW Low Birth Weight LQAS Lot Quality Assurance Sampling MAM Moderately Acute Malnutrition MCHC Mother & Child Healthcare CentreMCPC Management of Complications of Pregnancy and ChildbirthMEC Medical Eligibility Criteria MIS Management Information SystemMNCH Maternal, Neonatal & Child HealthMNP Micro-nutrient Powder MoM Monitoring of Monitors MUAC Mid Upper Arm CircumferenceMWRA Married Women of Reproductive AgeNICH National Institute of Child Health

AEFI Adverse Events Following ImmunizationAFB Acid Fast BacilliAMTSL Active Management of Third Stage of Labor BEmONC Basic Emergency Obstetric and Newborn CareBHU Basic Health Unit BoD Board of Directors BRHF Basic Rural Health Facilities CEmONC Comprehensive Emergency Obstetric and Newborn CareCEO Chief Executive OfficerCK Clinical KnowledgecLMIS Contraceptive Logistic Management Information SystemCPR Contraceptive Prevalence RateDHO District Health OfficerDoH Department of Health EPI Expanded Program on ImmunizationGOS Government of SindhHBB Helping Babies BreatheHBS Helping Babies Survive HCP Health Care ProviderHF Health FacilitiesIEC Information, Education and Communication ILR Iced Lined Refrigerator

NSP Nutrition Support ProgramOCP Oral Contraceptive PillsOTP Out-patient Therapeutic ProgramPCPNC Pregnancy, Childbirth, Postpartu and Newborn CarePHC Primary Health Care PLW Pregnant and Lactating Woman POL Petroleum, Oil & Lubricants PPIUCD Postpartum Intrauterine Contraceptive Device PSBI Possible Serious Bacterial Infection PW Pregnant WomenRHC Rural Health Centre RUTF Ready to Use Therapeutic Food SAM Severe Acute Malnutrition SAS Summary of Additional Services SBA Skilled Birth Attendants TCF TB Care Facility THQ Taluka Headquarter Hospital TOT Training of TrainersTSFP Therapeutic Supplementary Food Program UNCRD United Nation Centre for Regional Development UNICEF United Nations International Children's Emergency Fund VPD Vaccine Preventable DiseaseWHO World Health Organization

CONTENT

Quarter’s Progress in a Glance 1

News & Events 4

Flood Relief Camps 9

Maternal Health 12

Neonatal Health 13

Capacity Building 14

Family Planning 15

Nutrition 16

Immunization 20

Laboratory 25

Research 26

Solarization 29

Reapir and Renovation 30

PPHI Sindh COVID-19 Response 34

Our Partners 36

Since its start, PPHI Sindh has grown enormously and has broadened its scope from 6/6 essential primary health care services to 24/7 basic obstetric care services. More than 300 BHU Plus have been upgraded to 24/7 maternity centres. PPHI Sindh achieved this without any extra resources but with constant support from the Government of Sindh. The outcome of PPHI Sindh’s efforts can be seen in the progress the health indicators are making in the province.

Source: DHIS

OUR PROGRESS AT A GLANCE

PAGE | 1

OPD

patients received services through OPD in comparison to 7,806,080 patients in the quarter from July to

September 2019

7,091,729

HEPATITIS SCREENING

patients were screened for Hepatitis compared to 207,500 patients during the quarter from July to

September 2019

190,078

HEPATITIS B POSITIVE

patients were treated for Hepatitis B in this quarter compared to 6,239 patients in the same quarter of the

last year

4,001

HEPATITIS C POSITIVE

patients were treated for Hepatitis C in this quarter compared to 12,608 patients in the same quarter of the

last year

8,534

NEW CASES

new cases were registered in OPD compared to 5,677,333 registered in

the same quarter of the last year

5,309,917

FOLLOW UP CASES

patients came for follow up check up during this quarter compared to 2,128,747 patients in the same

quarter of the last year

1,781,812

PPHI Sindh emphasizes on child healthcare and has adopted high-impact, low-cost interventions; such as provision of RUTF to cure malnutrition and provision of ORS and zinc for treating diarrhea.

Source: DHIS

OUR PROGRESS AT A GLANCE

PAGE | 2

UNDER-5 OPD

under 5 years of age patients visited PPHI HFs in comparison to 1,630,948 patients during same quarter of the

last year

1,445,892

U-5 DIARRHEA

under-5 patients were treated for diarrhea and dysentery compared to 348,446 patients in the same

quarter of the last year

306,119

PENTA-3 VACCINATION

children received 3rd Penta Vaccina-tion compared to 126,559 children during the quarter from July to

September 2019

135,762

MEASLES-I VACCINATION

children received Measles-I vaccina-tion in comparison to 134,875 children in the quarter from July to

September 2019

164,829

U-5 MALNUTRITION

under-5 patients were successfully treated for Malnutrition compared to 392,502 during the quarter from

July to September 2019

361,243

U-5 PNEUMONIA

under-5 patient were treated for pneumonia in this quarter compared to 62,001 patients in the quarter

from July to September 2019

43,880

PPHI Sindh has been continuously improving on the quality of its healthcare services. The proof can be seen in the increasing number of clients and our success stories.

Source: DHIS

OUR PROGRESS AT A GLANCE

PAGE | 3

AFB SLIDES POSITIVE

TB SUSPECTS AFB SLIDES EXAMINEDLAB INVESTIGATIONS

PW RECEIVED TT2 VACCINE

lab investigations were done in comparison to 1,711,253 lab investigations done during same

quarter of the last year

patients were found TB positive as the result of AFB slides examination compared to 704 in the same

quarter of the last year

women were give TT2 vaccine in comparision to 90,334 women in the

same quarter of the last year

patients were suspected for TB positive in comparison to 77,824 suspected TB patients in the quarter

of July to September 2019

AFB slides were examined to confirm TB patients compared to 15,297 AFB Slides in the same

quarter of the last year

65,681 12,0191,752,182

630 82,988

MALARIA CASES

patients were treated in compari-sion to 317,286 in the quarter of July

to September 2019

271,416

Mr. Nazar Muhammad Memon, Member PPHI Sindh BoD, conducted a surprise visit of three health facilities of District Matiari where nutrition project services are integrated to identify and rehabilitate the malnourished children (WAST-ED-SAM). The purpose of the visit was to ensure that good quality healthcare services were being provided in the health

facilities.

Mr. Abdul Wahab Soomro, CEO PPHI Sindh along with Mr. Javaid Ahmed Abro, COO PPHI Sindh visited Kausar Hospital in Khairpur to oversee the quality of healthcare services provided at the facility.

NEWS & EVENTS

PAGE | 4

PPHI Sindh's Quarterly Progress Meeting was held with COVID-19 SOPs to discuss the performance and devise strategies to enhance it. The meeting was chaired by PPHI Sindh's CEO, Mr. Abdul Wahab Soomro, and was attended by

the senior team at Head Office and all Regional Directors.

Mr. Abdul Wahab Soomro, CEO PPHI Sindh inaugurated BHU Plus Kot Mir Mohammad, Khairpur, that was recently renovated.

NEWS & EVENTS

PAGE | 5

Dr. Zaib Dahar, Senior Technical Advisor, represented PPHI Sindh during a meeting with Sindh Health-care Commission on provisional licensing of PPHI Sindh's Health

Facilities.

Disinfection and decontamination activities were on with full vigour at different OTP sites all over PPHI Sindh HFs after a few positive Covid-19 cases surfaced.

NEWS & EVENTS

PAGE | 6

PPHI Sindh organized a two-day Free Medical Camp at Umerkot where visitors were provided with free consultation, diagnosis & medicines.

UNICEF organized a TOT on Implementation of Baby Friendly Hospital initiative (BFHI) for all PPHI

master trainers at JPMC

Various kitchen garden initiatives have been undertaken by PPHI Sindh in District Matiari under the EU-PINS project. During the same project, commu-nities are also being sensitized and encouraged to develop their own kitchen

gardens.

PPHI Sindh and NICH started an initiative on Implementation of Neonatal Hypothyroidism screening in 14 Districts of Sindh. Since August, 207 health care providers have been trained through Zoom and Hands on

training.

Jannat Gul Government Hospital made an OPD record on 10 August 2020 by serving more than 600 patients in one day.The health facility has seen an ever increasing number in visiting patients since then.

NEWS & EVENTS

PAGE | 7

PPHI Sindh celebrated the breast week by capacity building of HCP Across Sindh with special focus in Tharparkar to support Thar Foundation in screening through Mammography 500 suspected women.

NEWS & EVENTS

PAGE | 8

In July 2020, after the torrential rains when the floods hit part of Sindh, PPHI Sindh organized more than 90 free medical camps to provide quality medical emergency services to the communities of the affected areas. PPHI Sindh’s healthcare workers provided free medical check ups and medicines to the people that visited. A total of 17,912 beneficiaries were provided medical relief at these camps.

PPHI SINDH FLOOD RELIEF CAMPS

PAGE | 9

REGIONS

REGION I

REGION II

REGION III

GRAND TOTAL 28 64 92 17,912

DISTRICT

Jamshoro

Tando Allahyar

Tando M.Khan

Thatta

Mirpurkhas-A

Mirpurkhas-B

Tharparkar

Umerkot

Dadu

Kashmore

4

3

8

2

2

-

5

4

-

-

1

8

-

-

18

17

-

18

1

1

5

11

8

2

20

17

5

22

1

1

247

1,965

1,603

328

2,935

2,599

1,425

6,350

460

-

FIXED MOBILE TOTAL CAMPS NO. OF BENEFICIARIES

REGION-WISE DETAIL OF CAMPS

FLOOD RELIEF CAMPS

PAGE | 10

FLOOD RELIEF CAMPS

PAGE | 11

MATERNAL HEALTHMATERNAL HEALTHCARE SERVICES

Since its start, PPHI Sindh ensures provision of quality health services to the communities for reducing mater-nal mortality ratio. Through PPHI Sindh’s countless efforts the MNCH services trend is improving year by year. PPHI Sindh’s antenatal care services includes all basic measures required to prevent complications during and after delivery like physical examination, laboratory investigation, ultrasound, counselling, reporting, etc.

ANC139,284

DatingScan

19,854

TotalDeliveries

77,181

ANCRevisit236,972

NVDs75,144

C-SectionsConducted

2,037

PNC-1 Visits90,691

UltrasoundScans

159,899

PAGE | 12

NEONATAL HEALTH

PAGE | 13

NEONATAL HEALTHCARE SERVICES

Similarly to maternal healthcare, PPHI Sindh’s second priority is to provide quality and timely neonatal health-care to improve the neonatal mortality rate in Sindh. The four essential services to save newborn babies that PPHI Sindh provides include essential newborn care, Helping Babies Breathe, Kangaroo Mother Care and use of Chlorhexidine.

Low BirthWeight

7,318

PretermBirths3,345

TotalDeliveries

77,18

Live Birth76,055

Total KMCAdmissions

9,417

NeonatesReceived CHX

69,997

StillBirth1,501

NeonatalDeath

50

CAPACITY BUILDIINGTOPIC-WISE NUMBER OF HCP TRAINED

PAGE | 14

CHILD HEALTH

698

FAMILY PLANNING

131

DHIS & SAS

101

OTHERS

118

TWO YEAR MIDWIFERYDIPLOMA AT ABU ZAFAR

INSTITUTE

253

MATERNAL HEALTH

243

FAMILY PLANNINGCONSUMPTION OF FP COMMODITIES

PPHI Sindh has been providing Routine Family Plan-ning (FP) services through counselling of mothers in antenatal, postpartum, and lactating periods. FP train-ing is a regular feature of capacity building activities and is given to all healthcare providers. In this quarter, 298 male and female doctors and female paramedic staff have been trained in inserting IUCDs, PPIUCDs and implants.

The Family Planning Coverage provided during this quarter was 202,253 as compared to the same quarter of the last year during which Family Planning Coverage was 190,976.

PAGE | 15

IUCD/IMPLANT

39,937

CONDOM

377,004

ORAL PILLS

56,121

INJECTABLES

64,285

PPFP

23,986

TUBAL LIGATION

182

FP VISITS

202,253

NUTRITION

PAGE | 16

PPHI Sindh is implementing Nutrition Specific (OTPs) interventions since March, 2016. These interventions mainly target, focus and provide management of Acute Malnutrition, specifically Severe Acute Malnutrition (SAM). The brief of ongoing projects is given below:

PROJECT TITLE PROJECT AREA PROJECT SCOPE PROJECT TIMEFRAME

NUTRITION PROJECTS UNDER PPHI IMPLEMENTATION

Enhanced Nutrition for Mother and Children by Nutrition Support Program Sindh (NSP)

Badin, Jacobabad, Kashmore, Sanghar, Tharparkar and Umerkot

Management of SAM children through OTPs with more than 90% geographic coverage of targeted Districts

2016-2019

Management of SAM children through OTPs & NSCs with more than 90% of geographic coverage

Accelerated Action Plan for reduction of stunting and malnutrition (AAP) by Government of Sindh

Ghotki, Khairpur Mirs, Mirpurkhas, Naushero Feroz, Sukkur, Badin, Jacobabad, Kashmore, Sanghar, Tharparkar, Umerkot, Hyderabad and Shaheed Benazirabad

2018-2020

Provision of Outreach Support for OTP and management of SAM children through OTP

Program for Improved Nutrition in Sindh (PINS) by European Union

Kambar Shahdadkot, Larkana, Matiari, Shikarpur, Sujawal, Tando Allahyar, Tando Muhammad Khan and Thatta

2018-2021

SAM TREATMENT AND PERFORMANCE INDICATORS

PAGE | 17

The SAM treatment for U5 children is provided through Outpatient Therapeutic Program (OTP) implemented at health facilities. The treatment is done through Ready to Use Therapeutic Food (RUTF) in integration with primary healthcare components. The details related number of OTP registrations and the performance indicators of reporting quarter is given below;

INDICATORS ACHIEVEMENTS (JUL-SEPT 2020)AAP

Under 5 years children Assessed for Malnutrition

Children ongoing in OTP at beginning of the quarter

No. of SAM Children Registered

Cured

Death

Default

Non-Cured

NSC/ Medical Transfer

Moved Out / Others

Total No. of Exits

Remaining on Treatment

27,515

26

1,336

350

827

642

30,696

26,366

89.6 %

0.1 %

4.4 %

1.1 %

2.7 %

2.1 %

-

-

558,392

23,231

33,831

SAM WITH MEDICAL COMPLICATION TREATMENTAND PERFORMANCE INDICATORS

PAGE | 18

INDICATORS ACHIEVEMENTS (JUL-SEPT 2020)AAP

Children ongoing in OTP at beginning of the quarter

No. of SAM Children Registered

Cured

Death

Default

Non-Cured

NSC/ Medical Transfer

Total No. of Exits

Remaining on Treatment

704

13

52

1

77

847

129

83.1 %

1.5 %

6.1 %

0.1 %

9.1 %

-

-

17

959

The treatment for severely acute malnourished have medical complications of U5 children is provided F75 & F100 therapeutic milk for inpatient care implemented at Nutrition Stabilization Center (NSC). The treatment is done through Therapeutic milk & Ready to Use Therapeutic Food (RUTF) in integration with primary healthcare components. The details related number of OTP registrations and the performance indicators of reporting quarter is given below;

HEALTH & NUTRITION EDUCATIONSESSIONS (AAP)

No. of Sessions95,710

No. of Participants148,191

IYCFSESSIONS (AAP)

No. of Sessions45,697

No. of Participants78,278

HEALTH, NUTRITION AND IYCF SESSION

PAGE | 19

In order to raise awareness related health, nutrition and IYCF good practices, sessions are delivered to the patients / caretakers visiting OTP/HF and the locals within community. The number of sessions along with participation conducted during the reporting quarter is given below;

THE PROGRAMMATIC UPDATE OF EACH NUTRITION PROJECT FROM JUL-2020 TO SEPT-2020

PROJECT WISE OTP SITE STRUCTURE

AAP

749EU-PINS

262Total

1,011

IMMUNIZATION - STATUS OF EPI HF

PAGE | 20

In order to strengthen routine immunization, PPHI Sindh collaborated with WHO and UNICEF to equip it self with ILRs, freezers, cold boxes and Standard Vaccine Carriers. PPHI Sindh didn’t just stop there but increased the reach of vaccination provision from Dadu and Khairpur to other districts as well where it started EPI centers on its health facilities to save as many lives of children and women as can be saved.

STATUS OF PPHI SINDH’S EPI HEALTH FACILITIES

0Health Facilities

in Sindh

2,108

1,239

767

431

Health Facilitiesunder PPHI Sindh

PPHI HFswith EPI

PPHI HFswithout EPI

500

1,000

1,500

2,000

2,500

MONTHLY ANTIGEN COVERAGE IN DISTRICT DADU

PAGE | 21

Jul Aug Sep

84%83%

87%

89%

87%

89%

87%86%

82%

90% 90% 90%

93%

90%

93%

90%91%

87%

91% 91% 91%

94%

91%

94%

91% 91%

89%

76%

78%

80%

82%

84%

86%

88%

90%

92%

94%

96%

BCG OPV0 IPV Penta1 Penta3 PCV1 PCV3 Measles1 Measles2

MONTHLY ANTIGEN COVERAGE IN DISTRICT KHAIRPUR

PAGE | 22

74% 75% 74% 75% 75% 75% 75%78%

72%66%

62%

92% 91% 90% 92%89%

92%89%

92%88%

75%70%

109% 109% 110%114%

109%114%

110% 111%105%

98%

90%

0%

20%

40%

60%

80%

100%

120%

BCG OPV0 IPV Penta1 Penta3 PCV1 PCV3 Measles1 Measles2 TT1 TT2

Jul Aug Sep

UC CATEGORY QUARTER 3 (JULY-SEPT 2020)

PAGE | 23

* Total UCs : (Dadu 52, Khairpur A 41, Khairpur B 35)

35

38

50

2

1

1

1

0 10 20 30 40 50 60

Khairpur B

Khairpur A

Dadu

Category-1 Category-2 Category-3 Category-4

UC CATEGORY IN PPHI MANAGED EPI DISTRICTS 2020

PAGE | 24

52Cat1

Cat2

Cat3

Cat4

Q1

Cat1 Cat2 Cat3 Cat4

8

1

50

17

Cat1

Cat2

Cat3

Cat4

Q2

Cat1 Cat2 Cat3 Cat4

48

4

Cat1

Cat2

Cat3

Cat4

Q2

Cat1 Cat2 Cat3 Cat4

73

3

Cat1

Cat2

Cat3

Cat4

Q1

Cat1 Cat2 Cat3 Cat4

73

2

1

Cat1

Cat2

Cat3

Cat4

Q3

Cat1 Cat2 Cat3 Cat4

Q3

Cat1 Cat2 Cat3 Cat4

50

1

1

Cat1

Cat2

Cat3

Cat4

PAGE | 25

LABORATORY

DETAIL OF COVID-19

No. of Tests Total Amount

334 2,963,000

TOTAL REVENUE VIZ ORDERS

No. of Tests Total Amount

46,609 37,627,135

DL WISE REVENUE VIZ ORDERS

No. of TestsDistrict Lab Total Amount

Hyderabad

Mirpurkhas

Khairpur

Jacobabad

Total

7,935

14,204

12,638

11,832

46,609

8,292,400

10,445,620

10,354,305

8,534,810

37,627,135

RESEARCH STUDIES

The Research Wing developed a proposal to conduct internal study on "Identifying factors for low turnover for NVDs and other MNCH related healthcare indicators in low performing BHU plus facilities in comparison to the good performing BHU plus health facilities in Sindh".

The study is in its implementation stage and will consist of Health Facility Assessment, Providers Knowl-edge and Skills Assessment along with Community based Cross Sectional Survey to find out the reasons/ factors from the end users for non/ underutilization of services from the nearest health facilities in the vicinity.

INTERNAL PROJECTS

PUBLICATIONS

The RW has drafted following research articles which are under peer review:i. Impact on utilization of maternal, new-born and child health care and outpatient services at primary health care facilities during COVID-19 in Sindh, Pakistan: A retrospective study

ii. Burden and predictors of undernourishment among married women of reproductive age: a cross-sectional study in Dadu and Jacobabad districts of the Province Sindh, Pakistan

iii. COVID-19 Pandemic and its impact on Family Planning Services at primary healthcare facilities in rural Sindh, Pakistan

RESEARCH - UPDATES

PAGE | 26

RESEARCH - PHOTOS FROM FIELD

PAGE | 27

Training of MNCH Coordinators and Data Collectors

Skills Assessment with Healthcare Providers

RESEARCH - PHOTOS FROM FIELD

PAGE | 28

Interviews with HealthcareProviders for IDIs

Community Survey with MWRA

Health Facility Assessment Health Facility Assessment Health Facility Assessment

Community Survey with MWRA

SOLARIZATION - STATUS OF SOLARIZED HF

PAGE | 29

PPHI Sindh aspires to provide quality health services to communities and in order to achieve this, it is important to main-tain an uninterrupted electricity supply for infection prevention, keeping the ice-lined refrigerators (ILRs) in working condition and for continuous provision of quality routine services. After the solarization of 623 HF’s the system is capable of self-generating electricity. The total installed system capacity is 2.471 Megawatts which produces completely pollution free 3.32 Gigawatts hour/year.

Solarization Phase I-V is in progress, on completion 21 more HF's/DO's will be added in the total. Also DHO SBA with help of Sindh Government has committed to provide 51 solar energy systems to PPHI Sindh after that the overall total will be 672 HF's approximately.

1,290

542439

121.4

0

200

400

600

800

1,000

1,200

1,400

Phase I Phase II Phase III Phase IV

INSTALLED CAPACITY (2,471 KW)

332

140100

510

50

100

150

200

250

300

350

Phase I Phase II Phase III Phase IV

SOLARIZATION STATUS (623 HFS)

PAGE | 30

PPHI Sindh allocates a dedicated budget under the repair and renovation head every year which is utilized in upgrading the existing facilities and renovating the newly taken over ones to maintain the quality and provision of primary health facilities to the community.

STATEMENT OF PROGRESS OF R&R SCHEMES

PAGE |

FUNDS IN PKR MILLIONS(ALLOCATED AMOUNT Rs. 296,168)

R&R STATUS

2020-2021

0

10

20

30

40

50

60

70

80

90

16

ThrowForward(2019-20)

72

NewSchemes

88

Total

1

SchemesCompleted

15

InProgress

16 72

0 20 40 60 80

2020-21

R&R SCHEMES FOR 2020 - 2021

Throw Forward New Schemes

Remaining Expenditure

276,25293%

19,9167%

PAGE | 31

Jannat Gull Government Hospital, Karachi

Jannat Gull Government Hospital, Karachi

REPAIR & RENOVATION

BHU Rukan Barira, Sanghar(before)

BHU Rukan Barira, Sanghar(after)

PAGE | 32

REPAIR & RENOVATION

BHU Moosa Khatiyan, Hyderabad(before)

BHU Moosa Khatiyan, Hyderabad(after)

GD Khuda ki Basti, Karachi(before)

GD Khuda ki Basti, Karachi(after)

GD Sadiq Machi, Kamber(before)

GD Sadiq Machi, Kamber(after)

PAGE | 33

REPAIR & RENOVATION

GD Kot Bhutto, Larkana(before)

GD Kot Bhutto, Larkana(after)

MCHC Miandad Chinjini, Kamber(before)

MCHC Miandad Chinjini, Kamber(after)

BHU Khalifo Qasim (before)

BHU Khalifo Qasim (after)

Like all the major health organizations, PPHI Sindh also responded to the pandemic of Covid-19 with extreme and all the possible measures to keep providing quality primary health services to its communities. PPHI Sindh’s major activities during the reporting period July to September 2020 in response to COVID–19 in 24 districts of Sindh were as below:

PPHI SINDH COVID-19 RESPONSE - MAJOR ACTIVITIES

PAGE | 34

Established 877 desks for screening at 1,238 PPHI Sindh health facilities.

Dedicated 871 staff members of PPHI Sindh for screening at centres of PPHI Sindh and seven staff for screening at screening desks Outreach of PPHI HFs.

Disinfected 1,002 HFs and 183 ambulances with chlorinated water.

Introduced physical distancing measures at 1,026 HFs to prevent spreading the virus.

Organised 577 Health Education Sessions by Social Organisers on loud speaker in the communi-ty to spread awareness on COVID-19 including hand washing techniques, social distancing and what to do if COVID-19 symptoms appear.

Assigned 95 staff members including 49 MOs, 35 paramedics and nine Auxiliary staff of PPHI Sindh at Government’s Quarantine and Isolation Centres

PPE DISTRIBUTED AND RECEIVED AS DONATIONS

Total procured includingmasks, gloves, gowns

and sanitisers

1,807,553

Total donation received

26,778

STATUS OF EMPLOYEES OF PPHI SINDH WHOTESTED POSITIVE FOR CORONAVIRUS

PAGE | 35

Total HFsClosed

56

Total TestsConducted

71

Positive

66

Quarantined

68

Isolated

30

Total numberof PPHI Sindh

staff whotestedpositive

216

Total HFsReopened

55

Total HFsClosed

56

Total TestsConducted

71

Positive

66

Quarantined

68

Isolated

30

Total numberof PPHI Sindh

staff whotestedpositive

216

Total HFsReopened

55

OUR PARTNERS

PAGE | 36

A company registered under Section 42 of the companies act 2017

www.pphisindh.org0800 77755+92 21 35872214, +92 21 35364045

info@pphisindh.orgPPHI Sindh Head Office, Bunglow C27/1, Block-2, Clifton, Karachi