1. LHW Programme, Ministry of Health Shahid Rashid Assignment Project Human Resource Human Resource Plane of National Program AJ&K

2. LHW Programme, Ministry of Health NAME OF THE PROGRAM National Program for Family Planning and Primary Health Care (NP-FP&PHC) “The Lady Health Workers’ Program” (LHWP) (launched -- july1994)

3. LHW Programme, Ministry of Health R OLES & R ESPONSIBILITIES Sponsoring. Federal Government/ Planning Commission Execution. AJK Health Department and District Health Offices. Operation & maintenance Department of Health Concerned Federal Ministry Planning Commission KA & GB/Planning Commission

4. LHW Programme, Ministry of Health REGIONAL PROFILE Total population 4.2 (million) - Urban 12 (%) –Rural 88 (%) Total population Coverage 60 (%) Target population Coverage –Urban 40 (%) –Rural 62 (%)

5. LHW Programme, Ministry of Health Organogram Director General Health (Chairman) Regional Coordinator (Officer of DGH office on additional charge) District Health Officer (Chairman of District) District Coordinator (Officer of District on additional charge) Assistant District Coordinator (FMO or Senior LHVs on additional charge) Account Supervisor (Contract employee of program) Lady Health Supervisor (LHS) ------ FLCFs Lady Health Worker (LHW)

6. LHW Programme, Ministry of Health Districts Allocation of LHWs No. of LHW Working Allocation of LHSs No. of LHS Working Bagh 4664312319 Kotli 4984662523 Mirpur 24023312 Muzaffarabad 5505152815 Poonch 4003572019 Sudhnuti 22321711 Bhimber 3123101514 Neelum 2172041110 Haveli 167163088 Hattian 173 096 Total 32463069162137 Staff Disterbution

7. LHW Programme, Ministry of Health (Contd….) Expansion of the program withhold from 27 th August.2010 due to flood. Office Memorandum of 18 th dec.,2012 Post that may become vacant as a result of resignation, losing jobs or otherwise shall stand abolished for the purpose of federal funding and recruitment w.e.f 1-7-2011 will b financed by the provincial governments. Like wise, any new creation of posts/appointments or future need be financed by the provinces from their own budget/resources. AJK,FATA,GB and ICT shall not create any new posts and recruit against existing vacancies w.e.f 1-7-2011 without prior approval of the finance division.

8. LHW Programme, Ministry of Health FACILITIES INVOLVED IN NATIONAL PROGRAM DistrictsNo. of FLCF involved Bagh22 Kotli20 Mirpur12 Muzaffarabad30 Poonch16 Sudhnuti11 Bhimber15 Neelum12 Haveli10 Hattian10 Total158

9. LHW Programme, Ministry of Health The National Program for FP & PHC has become an important element of govt. plan to raise the health status of women and children in villages and poor urban areas. In AJK 2.4 million population is receiving FP & PHC services from the LHWs. AJK is Polio Free-Key contribution of LHWs. Role of LHWs in emergency relief activities in disaster situations. Poverty Reduction Notification for regularization of LHWs Program Staff (number=3368) is under process at Finance Department AJK. Major Achievements

10. LHW Programme, Ministry of Health Progress 1994-2013 Year19942013 Population coverage5%60% No.of LHWs5003069 No.of LHSs35137 No.of Trainers20314 Stipend of LHW12007000 (Now in scale 5) Stipend of LHS33007000 (Now in scale 7)

11. LHW Programme, Ministry of Health Comparison of Indicators Indicator % 2009201020112012 CPR 46%51% TT 94%95% 97% Deliveries through SBA 72%73% 72% IMR 34/1000 LB 32/1000 LB MMR 139/100000LB135/100000LB130/100000LB125/100000LB

12. LHW Programme, Ministry of Health Comparison of Indicators Indicator Multiple Cluster Survey (2007-08) AJK-DHS 2010 CPR 32%41.3% TT57%63.5% SBA40%-- EPI44.5%45.6% ANC at least one visit69%81.5% PNC visit within 24 hours of delivery --39.3% EBF44%35.3% IMR 62 /1000 L.B -- MMR201/100000 L.B--

13. LHW Programme, Ministry of Health PROGRAM EVALUATION The program is evaluated four times by the third party the last in 2008 by the Oxford Policy Management group.

14. LHW Programme, Ministry of Health Comparison of antenatal care and family planning measures in served and un-served areas (rural areas) Quantitative Survey Report Oxford Policy Management August 2009

15. LHW Programme, Ministry of Health Comparison of antenatal care and family planning measures in served and un-served areas (rural areas) Quantitative Survey Report Oxford Policy Management August 2009

16. LHW Programme, Ministry of Health Comparison of antenatal care and family planning measures in served and un-served areas (rural areas) Quantitative Survey Report Oxford Policy Management August 2009

17. LHW Programme, Ministry of Health Comparison of Immunization in served and un-served areas (rural areas) Quantitative Survey Report Oxford Policy Management August 2009

18. LHW Programme, Ministry of Health Financial Status FY 2012-13 Budget requirement =Rs.421.850m +Rs. 39.141m * =Rs.450.091m Allocation =Rs.330 m Release to date =Rs.240 m Short fall =Rs.120.091 m Requirement of funds for regularization = Rs.745.65 – Rs.330 m = Rs.415.65 m * pending liability FY2011-12= salary +others = Rs.34.865 m + Rs.4.276 m

19. LHW Programme, Ministry of Health Utilization of Funds July 2012 to date Salary pay & allowances = Rs. 238.922 m (99.55%) Medical Charges= Rs. 0.048 m Electricity Charges= Rs. 0.054 m Telephonic Charges= Rs. 0.025 m Courier = Rs.0.007 m POL= Rs.0.245 m Rent of Building= Rs. 0.240 m Repair of vehicle= Rs.0.119 m TADA= Rs.0.199 m Pension Contribution= Rs.0.106 m Other= Rs. 0.005 m Repair of hardware= Rs. 0.005 m Stationary= Rs. 0.025 m Total= Rs. 240 m

20. LHW Programme, Ministry of Health ISSUES Delayed Salaries Insufficient Release No Budget for medicines, stationary, monitoring & supervision. Notification for regularization is still awaited.

21. LHW Programme, Ministry of Health Health Education Session

22. LHW Programme, Ministry of Health