1. Aga Khan Health Service, Pakistan

3. AKHS,P Initiatives Comprehensive Primary and First level Secondary Care Antenatal & Postnatal care Safe deliveries Immunization against 7 communicable diseases & Growth monitoring Adult Health Programs ( SDM, Heart Health, Reproductive Health)

4. AKHS,P Initiatives IMCI (Integrated Management of Childhood Illnesses Nutrition Education Program Vitamin A supplementation De-worming of school School Health Assessment Program Tetanus Vaccination at School level

5. AKHS,Ps Community Health Model Three tier health care approach 1 Community Health Workers 2 Facility based services (MCH,FHC,EFHC,MCs) 3 Mobile Supervisory Field Teams Community

6. COMMUNITY BASED ACTIVITIES Community Health Workers (CHWs) Functions: First contact person in village for basic health care ●Health Education ●Treatment of minor ailments ●Timely identification and referral of health problems to next level ●Data collection on deaths, births and morbidity at village level Demonstration by a CHW in a refresher course

7. TRAINING ACTIVITIES OF CHWs Heath professionals impart knowledge and skills to Community Health Workers (CHWs)

8. HEALTH EDUCATION RESOURCE UNIT Assessment of local perceptions and development of health education materials in local context makes community understand health problems and their prevention more easily.

9. TRAINING ACTIVITIES OF TBAS Regular supervision and Continuing education of TBAs is essential to refresh their knowledge.

10. FIELD TEAM (Mobile Supervisory Teams) The Skill Mix The Skill Mix Public Health Physician Public Health Physician Community Health Nurse Community Health Nurse LHV Supervisor Field Coordinator Support Staff

11. ACHIEVEMENTS Health System Development  Community Health Workers trained = 248  Birth Attendants trained= 288  Village Organizations mobilized = 590  Women Organizations mobilized = 419