Delivering Better Health Services to Pakistan's Poor

Pakistan is not on track to achieve most Millennium Development Goals (MDGs) related to health, nutrition and population. Given its current rate of progress, in 2015 Pakistan's infant mortality rate (IMR) will be 65 deaths per 1,000 live births and the under-five mortality rate (U5MR) will be 78, considerably above the MDG4 targets of 33 and 43 deaths per 1000 births respectively. Pakistan will not achieve the MDG related to nutrition. The review aims to develop a limited set of practical options that will allow the government and other stakeholders to improve the availability and use of health services, especially for the poor. The report mainly focuses on synthesizing the available body of knowledge through review of existing studies, reports and research. The report starts with a description of the health and nutrition status of the population, Pakistan's fertility and growth rates and potential to benefit from a demographic dividend, the burden of diseases and trends in the past few years. The second and third chapters describe the performance of the public health care system over time, including coverage and utilization, quality of care, equity, and patient satisfaction and the impact of national programs. Chapter four discusses the financing of the sector, including overall trends, and the composition of public and private expenditures. Chapter five describes the organization and management of the sector and examines the role of government. Chapter six concludes by summarizing the key challenges facing the sector and suggesting a way forward.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2010-04
Subjects:	ABORTION, ABORTION RATE, ACCESS TO FAMILY PLANNING, ACQUIRED IMMUNODEFICIENCY SYNDROME, ADULT POPULATION, AGE DISTRIBUTION, AGED, AGING, ANTENATAL CARE, BEHAVIOR CHANGE, BIRTH ATTENDANTS, BREASTFEEDING, CAPACITY BUILDING, CAUSES OF DEATH, CENTER FOR HEALTH, CHILD CARE, CHILD HEALTH, CHILD HEALTH SERVICES, CHILD MORTALITY, CHILD MORTALITY RATES, CHILDREN PER WOMAN, CHRONIC MALNUTRITION, COMMUNICABLE DISEASES, CONDOMS, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVES, DECLINE IN FERTILITY, DEMAND FOR CONTRACEPTION, DEMAND FOR FAMILY PLANNING, DEMOGRAPHIC CHANGE, DEMOGRAPHIC TRANSITION, DEPENDENCY RATIO, DEPENDENCY RATIOS, DIABETES, DIPHTHERIA, DISABILITY, DRUG USERS, DRUGS, ECONOMIC GROWTH, ECONOMIC POLICIES, ECONOMIC PROGRESS, ECONOMIC STATUS, EMERGENCY OBSTETRIC CARE, EMERGENCY OBSTETRICAL CARE, EPIDEMIC, FAMILIES, FAMILY HEALTH, FAMILY PLANNING, FAMILY PLANNING METHODS, FAMILY PLANNING SERVICES, FEMALE LITERACY, FEMALE STERILIZATION, FERTILITY, FERTILITY DECLINE, FERTILITY DECLINES, FERTILITY RATE, FERTILITY RATES, GENDER DIFFERENCES, GENDER DIFFERENTIALS, GENDER GAP, GROSS DOMESTIC PRODUCT, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CENTERS, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH PROMOTION, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH WORKERS, HEALTHY LIFE, HIGH BLOOD PRESSURE, HIGH FERTILITY RATE, HIV, HOSPITAL, HOSPITALS, HOUSEHOLD SURVEYS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RESOURCE MANAGEMENT, HYPERTENSION, ILL HEALTH, ILL-HEALTH, ILLNESS, ILLNESSES, IMMUNIZATION, IMMUNODEFICIENCY, INFANT, INFANT DEATHS, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFORMATION SYSTEM, INJECTING DRUG USERS, INJURIES, INTENSIVE PREVENTION, INTERVENTION, IODINE DEFICIENCY, IRON, IUDS, LABOR FORCE, LEADING CAUSES, LEADING CAUSES OF DEATH, LEVEL OF DEVELOPMENT, LIMITED RESOURCES, LIVE BIRTHS, LIVING STANDARDS, MALARIA, MALNOURISHED CHILDREN, MANAGEMENT SYSTEMS, MARRIED WOMEN, MATERNAL CAUSES, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MATERNAL MORTALITY RATIO, MATERNAL MORTALITY RATIOS, MEASLES, MEDICINES, MIDWIFE, MIDWIVES, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MODERN CONTRACEPTION, MODERN CONTRACEPTIVE METHODS, MODERN METHODS OF CONTRACEPTION, MORTALITY, MORTALITY LEVELS, NATIONAL PLAN, NATIONAL PLAN OF ACTION, NEONATAL MORTALITY, NUMBER OF BIRTHS, NURSE, NURSES, NUTRITION, NUTRITIONAL STATUS, OLD-AGE, OUTPATIENT CARE, PARAMEDICS, PATIENT, PATIENT SATISFACTION, PATIENTS, POLIO, POOR HEALTH, POPULATION AGE STRUCTURE, POPULATION COUNCIL, POPULATION DIVISION, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION MOMENTUM, POSTNATAL CARE, PREGNANCIES, PREGNANCY, PREGNANT WOMEN, PREVENTION ACTIVITIES, PREVENTION EFFORTS, PRIMARY EDUCATION, PRIMARY HEALTH CARE, PRIMARY SCHOOL, PROGRESS, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURE, PUBLIC HOSPITALS, QUALITY OF CARE, QUALITY OF LIFE, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH INDICATORS, REPRODUCTIVE LIFE, REPRODUCTIVE TRACT, RESOURCE ALLOCATION, RISK FACTORS, RISK GROUPS, RURAL AREAS, SANITATION, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE PROVIDERS, SERVICE PROVISION, SERVICE UTILIZATION, SEX, SEX WORKER, SEX WORKERS, SEXUALLY TRANSMITTED INFECTIONS, SKILLED BIRTH ATTENDANCE, SKILLED BIRTH ATTENDANTS, SMOKING, SOCIAL ACTION, SOCIAL MARKETING, SOCIAL MARKETING OF CONTRACEPTIVES, STERILIZATION, TETANUS, TRADITIONAL BIRTH ATTENDANTS, TUBERCULOSIS, TUBERCULOSIS CONTROL, UNMET DEMAND, UNSAFE ABORTIONS, URBAN AREAS, USE OF CONTRACEPTIVES, VACCINATION, VACCINES, WHOOPING COUGH, WORKERS, WORKFORCE, WORKING-AGE POPULATION, WORLD HEALTH ORGANIZATION, WORLD POPULATION, YOUNG AGE, YOUNG AGES,
Online Access:	http://documents.worldbank.org/curated/en/2010/04/16240681/delivering-better-health-services-pakistans-poor https://hdl.handle.net/10986/12369
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