Health Care Systems in Pakistan

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11 Questions

What is the approximate number of Primary level health care facilities in a district?


What is the primary purpose of a Health Care System?

To promote, restore, or maintain health

Which type of health care facility caters to a population of 10 lacs?


Which institutions fall under the category of Teaching and training institutes in the Health Care System?

Medical colleges, nursing and paramedic training schools

Who is responsible for Planning, Implementation, Monitoring, and Evaluation in the District Health System?

District Nazim / Deputy Commissioner

What is the main function of Tertiary level health care facilities?

Provide specialized medical services

Who has the primary responsibility for health under the constitution in Pakistan?


What is the definition of health according to WHO, as stated in the text?

Complete physical, mental, spiritual, and social well-being

Which level of government in Pakistan implemented health policy post the 18th Amendment in June 2011?

Provincial Governments

In the context of Pakistan's health care system, what do Minister and Secretary Health primarily deal with?

Policy level decisions

Who plays an important role in the health care delivery systems in Pakistan post-2014?

Local Governments

Study Notes

Health Care System in Pakistan

  • Consists of public, private, and NGOs sectors
  • Health is primarily the responsibility of the government according to the constitution

Definition of Health

  • According to WHO, health is a state of complete physical, mental, spiritual, and social well-being, and not merely the absence of disease or infirmity

Government Systems in Pakistan

  • Federal Government, Provincial Governments, and Local Governments have health responsibilities
  • 18th Amendment in the constitution (2011) shifted health policy responsibility to the Federal Government and implementation to Provincial Governments
  • From 2014, Local Governments have an important role in health care delivery systems

Organization of Health System in Pakistan

  • Ministry of Health: Minister and Secretary (policy-level decisions)
  • Department of Health: Additional and Deputy Secretary, Health; Section Officer with support staff and DG Health (Planning and management)
  • Teaching and training institutes (Medical colleges, nursing, and paramedic training schools)
  • Local Government (District Health System): District Nazim/Deputy Commissioner (Planning, Implementation, Monitoring, data collection, analysis, interpretation, evaluation, and planning)

Health Care System

  • Defined as the organization of institutions, people, and resources that deliver health care services to meet the health needs of a target population
  • Includes all activities whose primary purpose is to promote, restore, or maintain health (WHO, 2000)

Levels of Health Care

  • Primary (BHU, RHC): 60-80 per district
  • Secondary (THQ, DHQ hospitals): 1-4 per district
  • Tertiary (Teaching hospitals): 1-3 per division

Health Services Facilities

  • According to population:
    • Health House (LHW): 1000 population
    • Basic Health Unit (BHU): 10,000-30,000 population
    • Rural Health Center (RHC): 30,000-50,000 population
    • Tehsil Headquarter (THQ): 2 lakh population
    • District Headquarter (DHQ): 10 lakh population

Explore the structure of the health care delivery system in Pakistan, which includes public, private, and NGO sectors. Learn about the roles of individuals, families, communities, and government in improving health care. Understand the definition of health according to the WHO.

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