Punjab Public Health Agency Primary and Secondary Healthcare Department Government of Punjab Project Management Unit 2016- 2018 www.ppha.punjab.gov.pk Progress Summary Report
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Punjab Public Health AgencyPrimary and Secondary Healthcare Department
Government of Punjab
Project Management Unit
2016- 2018
www.ppha.punjab.gov.pk
Progress Summary Report
Copyright © 2018 by PMU- Punjab Public Health Agency
This report has been authored to provide an overview of the progress on tasks undertaken by Project
Management Unit for Establishment of Punjab Public Health Agency from November 2016 till May 2018.
PREFACE
The development scheme “Project Management Unit for the establishment of Punjab Public Health
Agency (PPHA)” was approved in PDWP dated 06.09.2016 at a total cost of Rs. 171.515 million and
its subsequent established vide Administrative Approval was issued vide letter.no. S.O(Dev-I) 25-
105/2016 dated 13.10.2016.
The PC 1 was revised with changes in organogram and was approved in the 65th PDWP meeting
held on 11.04.2017 and its administrative approval was issued dated 29.05.2017 (vide.S.O (Dev-I)
25-105/2016) revision did not entail any revision in the total budgeted allocation for the PMU or
number of posts. It was further decided to transfer the administrative control of the PMU-PPHA
from Specialized Healthcare and Medical Education Department to Primary & Secondary
Healthcare Department with effect from 01.07.2017.
The PMU was assigned to deliberate and finalize the proposals concerning all aspects (Technical,
Legal, Financial, Administrative, Logistical etc.) pertaining to establishing of PPHA. A highly skilled
technical team was defined for PMU to lead coordination and provide technical support for:
1. Undertaking a rapid situational analysis to map all organizations undertaking public health
functions;
2. Proposing design for Punjab Public Health Agency (PPHA) with details of functions, and
developing a comprehensive PC1 for its establishment;
3. Drafting the legislation of PPHA;
4. Serving as the nascent organization to “hand hold” the newly inducted PPHA team as it takes up
their roles and responsibilities, and provide extensive early set-up support.
5. Leading change management and ensuring that the new team is aligned to the vision of the
PPHA.
The collective vision and ideologies of the Honorable Chief Minister Shehbaz Sharif, Honorable
Minister Specialized Healthcare and Medical Education Khawaja Salman Rafique, Honorable Minister
Primary and Secondary Healthcare Khawaja Imran Nazir, Secretary Specialized Healthcare and
Medical Education Mr. Najam Shah and Khan, Secretary Primary and Secondary Healthcare Mr. Ali
Jan; Member Health, Planning and Nutrition, Dr Shabana Haider; and Member Steering Committee
PMU PPHA, Dr Naeem ud din Mian have honed and shaped the final proposed design of Punjab
Public Health Agency.
The final architecture of the Agency has been laid out with the PC 1 of PPHA approved in 49th
PDWP meeting dated 30.01.2018 at a total cost of Rs. 1,295.15 million, with Administrative
Approval issued vide letter.no. SPO8-38/2017 dated 15.03.2018. The PMU-PPHA team looks
forward to the establishment of the Agency and its first year. Although this is expected to have its
share of challenges but the team stands committed as every challenge along this road is worth the
impact that we together strive to create in the lives of the people we serve.
This summary report documents the progress made and deliverables achieved by the PMU-PPHA
technical team during the period Nov 2016- May 2018.
Sincerely,
Dr. Shabnum Sarfraz
CORE DELIVERABLES OF
PROJECT MANAGEMENT UNIT-
PUNJAB PUBLIC HEALTH AGENCY
Situation analysis
of public health
functions in
Punjab
2
Development of
Design for Punjab
Public Health Agency
(approved May 2017)
1
3Development of legislation
draft for “Punjab Public
Health Bill’ and submission
for promulgation (submitted
December 2017)
4
Development of PC-1 for
PPHA (approved March 2018)
Hand-holding of nascent organization
(April 2018 to June 2019)
5
RECOGNIZABLE ACHIEVEMENTS
1st provincial public health
body to receive membership
of IANPHI alongside 108
members from 93 countries
1st provincial public health
body asked to serve as the
Secretariat for IANPHI Asia
Chapter
PPHA hosted the IANPHI
Asian Regional Network Tele-
Conference on 19th April 2018
Rs. 1.3 Billion committed
towards developing a sound
and robust public health
system in Punjab
Increased job opportunities for
Public Health professionals both
at the provincial and district
level (129 and 90 technical
positions created respectively)
TECHNICAL ASSISTANCE ASSIGNMENTS
BY PMU-PPHA
In addition to the core deliverables assigned under the approved PC 1 of PMU PPHA,
the technical experts at the PMU-PPHA continued to provide technical support based
on requests received from CM Office, Cabinet Committee, Primary & Secondary
Healthcare; Specialized Healthcare and Medical Education; Planning & Development
Department; Bureau of Statistics.
1. Review and analysis of existing SITREP bulletin, through multi -sectoral and cross-
institutional consultations
2. Development of EWRS model in collaboration with Turkish Institute of Public
Health
3. Development of Punjab Health Protection Profile
4. Development of District Fact Sheets for 36 districts of Punjab
5. Development of guidelines, training material and algorithms for H1N1 Flu
Outbreak support
6. Coordination with IANPHI for H1N1 Flu Outbreak support, and work with CDC
China for exposure trainings
7. Coordination with GHSA for H1N1 Flu Outbreak support and work on
a. development of a multi-national best learnings document
b. development of concept note for IDSR-related tasks for medical reserve
corps
8. Design of Pilot roll-out plan for IDSR (including Training of Trainers)
9. Development of IDSR Pilot Dashboard and supporting DSS design and update
10. Development of electronic disease surveillance mechanisms with Turkish experts
11. Development of concept note for South Asian Secretariat One Health Hub in
Punjab
12. Development of concept note on Environment as function of Public Health
13. Development of concept note for Environmental Public Health Surveillance System
14. Development of concept note for Public Health Laboratories for Punjab
15. Development of PC-1 for the pilot rollout of IDSR
16. Development of shared pilot model for IDSR roll out in collaboration with PITB
and district health authorities
17. Conceptualization of provincial plan of action for Antimicrobial Resistance-relevant
surveillance with support of Fleming Fund – Wellcome Trust
Technical Assistance Areas
Public Health Domain
Disease Surveillance & Response
Technical Assistance Areas
Public Health Domain
Health Management Information
system and Data Repository Unit
18. Punjab Health Data Repository Conceptualization19. Business Requirement Document developed for DRU20. Provincial landscaping of SDG 3 indicators’ data sources21. Provincial landscaping of Universal Health Coverage indicators’ data sources22. Provincial landscaping of Environmental Health indicators’ data sources23. Concept note development of IT model for Integrated Early Warning and Response
System in Punjab24. Human Resources for Health (HRH) profiling for housing of HRH registry in the DRU25. Archiving and key tagging of over 500 public health documents globally for the DRU
portal26. Development of District Dashboards for NCDs27. Development of District Dashboards for PHS228. Development of District Dashboards for disease surveillance and health facilities’
status
Technical Assistance Areas
Public Health Domain
Health Workforce Planning &
Development
29. Development of short term and long-term training plan for building local competence
for effective disease surveillance and response
30. Institutional review of existing Public Health Institutes
31. Concept note on positioning of Institution of Public Health & PPHA for the functions of
Research & Capacity Development
32. Development of draft governance structure for Institution of Public Health
33. Training of master trainers on disease surveillance and reporting with focus on H1N1 in
Kasur
34. Facilitation of technical review and assessment of IPH by international experts
35. Meetings and coordination for international academic collaborations with Royal College
of Physicians for development of cadre of hospital administrators
36. Preparation of Draft MOU for academic collaboration with LUMS for development of
cadre of hospital administrators
37. Preparation of Summary for academic collaboration with LUMS for development of
cadre of hospital administrators
38. Review of FELTP and design for epidemiology degree and fellowship programs in
collaboration with senior public health faculty
39. Profiling of Human Resources for Health (HRH) 2018 for Punjab
40. Mapping of HRH data sets in model institutions to develop standardized HRH data
interface for regular updating of data and minimization of heterogenicity
41. Evaluation of critical faculty shortage in medical institutions
42. Analysis on mushrooming of private medical colleges
43. Provincial landscaping of HRH interventions by departments of health in last five years
44. Compilation and presentation of provincial data and input on HRH vision at federal level
45. Trend Analysis on Patient load in health facilities
46. Trend Analysis on Referrals in health facilities
47. Report on gaps and challenges in HRH in Punjab
48. Development of comprehensive and detailed job frameworks for 63 positions for
advertisement of Recruitment Round 1 for PPHA in March 2018
Technical Assistance Areas
Public Health Domain
Health Research
49. Facilitation of technical committee and sub-group meeting on establishment of
Punjab Medical Research Board
50. Proposal development for the establishment of Punjab Medical Research Board
(PMRB)
51. Preparation of Summary for the establishment of Punjab Medical Research Board
(PMRB)
52. Proposal review on establishment of South-Asian Biobank for Wellcome Grant in
collaboration with LUMS
53. Health Facility Profiling for Kasur District, Punjab
54. Proposal Development for Bill & Melinda Gates Grand Challenges on innovation in
immunization processes
55. Five-year Analysis on Punjab MCAT applicants and MBBS output
56. District Heat Mapping Analysis for Medical, Dental and Allied Health Institutions
57. Secondary analysis of Punjab and National Census data 2017
58. Compilation and technical design of Health Progress report sections for Primary and
Secondary Healthcare Department (Hepatitis Control, NCDs, IRMNCH and
Immunisation 2018)
59. Data Analysis for the Punjab Health Survey II 2017
60. Authorship of the Punjab Health Survey II Report 2017
61. Inter-provincial comparative analysis of Punjab and KP on maternal and neonatal
health indicators for 2017
62. Technical review of LUMS research proposal on studying efficacy of pneumococcal
vaccine
63. Technical review of One Health zoonotic disease prioritization toolkit for CDC Atlanta
64. Technical review of ‘Trauma Centers’ Need Assessment’ in Punjab
65. Technical review of ‘Demographic Transition and Socio-economic Development’
66. Submission of ‘Turn-around success story- Immunization in Punjab’ for Grand
Challenges
Technical Assistance Areas
Public Health Domain
Policy Planning and Strategy
Development
67. Stakeholder meetings and development of conceptual framework for trifurcation of
department of health
68. Development of conceptual framework for Family Medicine Model
69. Development of conceptual framework for Punjab Health Education Board
70. Design of Legal and Regulatory Framework for Punjab Allied Health Sciences Council
71. Consultative Meetings and Policy development for LOCUM appointments by DOH,
Punjab
72. Policy reviews for EPH Strategy for Punjab
73. Policy reviews for Punjab Drinking Water Supply Policy, and sanitation
74. Collaborated development of Arsenic Mitigation Plan, under the Integrated Framework
for Drinking Water Safety in Punjab
75. Proposal development for establishment of Hepatitis and Gastroenterology Units in
Tertiary Care hospitals
76. Proposal development for establishment of Rheumatology Units in Teaching Hospitals
77. Stakeholder consultations for development of Health Policy Framework for Specialized
Healthcare & Medical Education Department
78. PPHA proposal development for IANPHI membership
79. Stakeholder consultations for development of Health Policy Framework for Primary &
Secondary Healthcare Department
80. Technical review of PC-1s for
• Population Welfare Department
• Avian Influenza
• Roll-Back Malaria
• Family Medicine Pilot Project
• Enhancing hospital waste management capacity
• NCD Program
• IRMNCH
81. Proposal for Environmental Health Survey for World Bank’s Green Development
Program
82. Policy Roundtable on Provincial Framework for Action for Non-Communicable Diseases
83. Policy Roundtable on Human Resource for Health Punjab
84. Tracking Punjab provincial progress against national commitments 2013-17
85. Defining the national health roadmap 2018-2023
Technical Assistance Areas
Public Health Domain
Monitoring and Evaluation
86. Development of M&E Framework for PC-1 Population Welfare Department87. Development of M&E Framework for PC-1 Non-Communicable Diseases Management 88. Development of M&E Framework for IDSR Trainings in Punjab89. Development of M&E Framework for Early Warning and Response for Punjab in
collaboration with Turkish Public Health Institute90. Development of NCD Integrated Framework for Action91. Development of KPIs for health professionals in teaching hospitals and tertiary
healthcare institutions92. Development of institutional KPIs for teaching hospitals and tertiary healthcare
institutions93. Development of framework for evaluation of utility of Disease Surveillance System
(MIS)’s outputs94. Development of Strategic Framework for Action for Human Resource for Health in
Punjab
Technical Assistance Areas
Public Health Domain
Health Education, Promotion and
Coordination
95. Landscaping for key stakeholders for Environmental Public Health (EPH) at provincial and
national levels
96. Landscaping for key stakeholders for NCDs at provincial and national levels
97. Landscaping for key stakeholders for AMR at provincial and national levels
98. Technical Working Group constitution and meetings to facilitate development of action Plan
for Punjab for an integrated approach to minimize population exposure to arsenic from
drinking water
99. Technical Working Group meeting for finalizing the Drinking Water and WASH Policy
100. Technical Working Group for finalizing the Punjab Environment Health Strategy
101. Coordination and facilitation of IANPHI Regional Network Teleconference for South Asia
102. Punjab Environmental Health Day Celebration in collaboration with UNICEF
103. Facilitation of Health sessions at the Human Development Forum 2018
104. Coordination with Imperial College London for development of prevention and control of
NCDs in Punjab
105. Coordination with Royal College of Physicians (RCP) London (TORs, Meetings, Presentation)
106. Consultative Dialogue on "Sharing Best Practices in Family Planning"
107. Organization of ‘Our Health, Our Future’, photography competition
108. Technical coordination, presentation and on-going follow up for the London Health
Roadshow
109. Technical coordination and presentation for Paediatric Surgeon from Hanover Medical
School, Germany
110. Technical content and presentation for Pak-Medica Health Expo
111. Technical content and presentation for improving performance of Blood Transfusion
Authority
112. Technical content and presentation for Hepatitis and GI Clinics in tertiary care teaching
hospitals
113. Technical content and presentation for SDG 2 Launch
114. Technical content and key note presentation for Human Development Forum
115. Summary report development for Punjab-Turkey Collaborative projects 2016-2018
116. Development of interactive website for Punjab Public Health Agency with active social media
management
SHARED COMMITMENTS FOR IMPROVING HEALTH OF PEOPLE OF PUNJAB
BOARD PRESENTATIONS & ARGUMENT DEFENSE SESSIONS OF PPHA MODEL UNDERTAKEN
PMU-PPHA SOUGHT EXTENSIVE STAKEHOLDER SUPPORT AND GUIDANCE TO HELP RE DESIGN THE PUBLIC HEALTH
LANDSCAPE OF PUNJAB
PMU-PPHA ARRANGED A SERIES OF EVENTS TO ENGAGE ITS TARGET AUDIENCE TO STIR DEBATES AND ENCOURAGE
PARTICIPATION IN DIFFERENT DOMAINS OF PUBLIC HEALTH
www.ppha.punjab.gov.pk
www.facebook.com/punjabpublichealth
www.twitter.com/pphaofficial
Project Management Unit for the Establishment of
Punjab Public Health Agency
Primary and Secondary Healthcare (P&SHC) Department
19-B, Block G, Gulberg III, Lahore
Phone: +(92) 42 99232118
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