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Public Private Partnership (PPP)

FIRST DRAFT REPORT

PROMOTIG HEALTHY
BEHAVIORS THROUGH
HEALTH EDUCATIO I

DISTRICT VEHARI

DR. TAVIR AHMAD ZAVER

PREFACE
This report is prepared and submitted as part of assignment awarded by
Public Private Partnership (PPP) between the Plan Pakistan and district health
department Vehari. PPP is basically just a different method of procuring public
services and infrastructure by combining the best of the public and private
sectors with an emphasis on value for money and delivering quality public
services. The attraction of forming such partnerships lies in the ability to mobilize
more capital than that purely held in the public account and to use private sector
expertise to help manage project expenditure more efficiently. Governments can
bring private sector into the modernization and management of projects, while
remaining responsible for public interest issues and ensuring delivery at specified
service levels. In short, PPPs enable governments to meet demands for the
development of modern and efficient services and provide value for taxpayers.
Vehari is one of the under developed districts of Southern Punjab with 2.4 million
population having 77 BHUs and 10 RHCs, two THQs (each with sixty Indoor
beds capacity ) and a DHQ Hospital with 125 beds.

IEC material developed by various organizations including Punjab Health


Department, UNICEF, WHO and other organizations was collected and
reviewed. Consultations with Key stake holders were held in context of current
health situation of district Vehari. EDO(H) and DOH II and Additional Director
Health Education o/o DGHS Punjab were the key persons to provide technical
inputs.

This project is an endeavor to identify issues which could adversely affect


populations in district Vehari and to study and intervene through Health
Education Material in order to change un-health behaviors so that to reduce or
prevent poor health outcome.

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)

Introduction:
While the words "information", "education", and "communication" have
individual meanings, when grouped together as "IEC", they are familiar to many
within the field of health communication. However, the definition and scope of
IEC can vary. In an effort to explore how IEC can be integrated into social
change efforts, this issue of the Drum Beat presents just a few examples of what
types of IEC strategies and resources are being used in diverse health contexts,
worldwide.

"Information, education and communication (IEC) combines strategies,


approaches and methods that enable individuals, families, groups, organizations
and communities to play active roles in achieving, protecting and sustaining their
own health. Embodied in IEC is the process of learning that empowers people to
make decisions, modify behaviors and change social conditions....The influence
of underlying social, cultural, economic and environmental conditions on health
are also taken into consideration in the IEC processes. Identifying and promoting
specific behaviors that are desirable are usually the objectives of IEC
efforts....Channels might include interpersonal communication (such as individual
discussions, counseling sessions or group discussions and community meetings
and events) or mass media communication (such as radio, television and other
forms of one-way communication, such as brochures, leaflets and posters, visual
and audio visual presentations and some forms of electronic communication)"

Communication involves the transfer of information between people


including ideas, emotions, knowledge, and skills. The components of
communication include the sender, receiver, educational factors, sociocultural
factors, patterns of communication, perception, and understanding (Hubley,
1993). In health communication, the sender affects the receiver (Hubley, 1993;
Olsson, Sandman, & Jansson, 1996); educational factors affect both the sender
and the receiver (Abraham, Rubaale, & Kipp, 1995); and sociocultural factors

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
(such as attitudes, beliefs, and significant others) affect both the sender and the
receiver (Hubley, 1993). Research is needed to identify such disturbing factors
and to recommend how to minimize the effects of these factors or to use them to
enhance communication.
Health education is one of the most important factors in preventing illness
(Essen, 2001). Many women lack information on their own health and risk
factors. Women are often the main health providers in the family and are eager to
get health information that is relevant to their needs and experience and will help
in taking care of their family. Health communication must therefore be adapted to
the varied conditions and cultural constraints under which women live and seek
health care (Galloway, et al., 2002; World Health Organization [WHO], 1997).
For message effectiveness, information ideally should be delivered to
women through groups that they are comfortable with and that already exist
(Ingram, Johnson, & Hamid, 2003) and in a way that women find appropriate, as,
for example, face-to-face dialogue (Laitinen, Olsson, & Karlberg, 1999; Xihn,
Binh, Phuong, & Goto, 2004). Preventive care and health education during
pregnancy is of great importance, both for the health of the mother and the child
(Van Ginneken, Lob-Levyt, & Gove, 1996; Pallikadavath, Foss, & Stones, 2004),
what women actually learn from health education, however, has not received
much attention (Renkert & Nutbeam, 2001).
In some communities pregnant women have access to some kind of
health information during pregnancy and birth, but the professionals delivering
the information and its quality can vary. One problem is that we as health staff do
not know if the women in our care understand and act on the information they
receive. From the perspective of a midwife, it is also important during antenatal
care that communication between the midwife and the woman flows smoothly
and creates a sense of security (Bredmar, 1999).

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
One of the health problems in pregnancy where health education can in
theory make a big impact is iron deficiency anemia. Iron deficiency anemia is one
of the most severe and important nutritional deficiencies in the world (WHO,
2001). Low iron levels during pregnancy can increase the risk for intrauterine
growth retardation and premature delivery, resulting in an increased perinatal
mortality. Severe anemia, often largely due to iron deficiency, is associated with
increased maternal mortality, and reducing anemia during pregnancy is a key
component of safe motherhood programs (Massawe, 2002; Pallikadavath, Foss,
& Stones, 2004; WHO, 2001).
In most low-income settings it is not possible to discriminate between
types of anemia and likely causes, but iron deficiency in pregnancy is nearly
always a substantive problem and the measures taken to prevent it will not harm
the women even if they are not anemic. Simple ways of preventing anemia thus
should be included in the information health workers convey on a regular basis to
pregnant women, including the importance of taking iron tablets regularly during
pregnancy, sometimes with a combination of folic acid tablets; the need to eat
iron-rich foods on a daily basis during and after pregnancy; and the value of
prolonging the interval between pregnancies. All of these behaviors can assist
women in restoring their iron stores (WHO, 2001). Thus the purpose of this
assignment is to prepare IEC material which can promote health behaviors
among communities in district Vehari.

In May, 2009, Plan Pakistan signed an MOU with department of Health;


district Vehari to launch the above-named project as a typical example of Public
Private Partnership. Plan Pakistan provided core funding for the consultancy
regarding development of Health Education material in an electronic version and
training of staff for using the material developed, while district government is
responsible for the printing of material and supervision of the project activities.
PHBHEP has three principal objectives:

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)

Design and develop IEC material and training manuals in consultation with
the relevant specialist medics/paramedics to address the needs of various
key stakeholders with diversified qualifications

Develop a strategy and methodology to disseminate the messages


throughout the district with the involvement of Health department
administration, Medics/Paramedics

Build the capacity of the master trainers in line with the developed strategy
to trickle down the training program

Consultancy was awarded initially till 30th June 2009 by a contract signed on
3rd June 2009 and received on 6th June 2009.

PHBHEP will focus developing IEC material to sensitize and educate people
for healthy behaviors and impart motivational strategies in order to transform
knowledge into desired health practices.

Approach:
A Consultative approach was adopted and a series of consultative meetings
were held for selection of topics with district health authorities and Plan Pakistan
PUM Vehari team. Minutes of meeting are attached as Annexure 1. For collection
and selection of material and; further modifications and development of
messages, various meetings with key stakeholders and experts were held in
order to accomplish this assignment. List of persons consulted and list of material
collected are attached as Annexure 2 & 3 respectively.

Strategy:
As MOU between Plan Pakistan and District Health Department Vehari was
signed for duration of 3 years for this project, it was decided to prepare the list of
topics for whole period of assignment. Some topics were selected to be focused
for current period of assignment i.e. till 30th June 2009. The rest of the topics

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
would be included step-wise in later period of project especially those topics
which were either sensitive and/or needed development of new messages for
which pre-testing and/or formal approval of the authorities was required to
disseminate among community.

Methodology:
The awareness about health issues like hospital waste, anemia, deworming & personal hygiene, breastfeeding, hepatitis, STIs and environmental
issues affecting health and their relation with the preventive technologies as well
as the provisions of appropriate measures at a right time in emergency is
particularly low among the general public and the concerned agencies. Little are
they aware of the ill effects of hospital waste and insecticides on human health
and environment. It is with this background that Plan Pakistan and district health
department took up the task of Production of IEC (Information, Education and
Communication) material on most common issues and its Dissemination
throughout the district.
The activity would be effective with respect to generating awareness on
the issue among a wider audience; developing network among the various
stakeholders, including government officials and local authorities; and making the
information on health related issues widely available. The production of
educational material (i.e. video, audio, posters, leaflets) and its dissemination
through organizing a series of interaction programs has proved to be an effective
approach for creating awareness.
The video-spots and the other materials could be successful in terms of
raising awareness among the local authorities, medical practitioners, hospital
staff, non-governmental organizations (NGOs), community based organizations
(CBOs), health department, media and the general public, among others, about
the close linkage between the health issue and their prevention. This project will
bring together the concerned government departments on to a common forum to
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Promoting Healthy Behaviors through Health Education in district Vehari


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openly discuss the health issue in the district and arrive at a consensus to think
beyond a typical technology. The availability as well as access to information and
current situation of health problems is currently restricted to a few. It is therefore
assumed that the information will reach far and wide with all participants being
supplied with basic Information.
IEC material containing information relating to public health issues and
highlighting the necessity for the promotion of preventive technology as a long
term strategy will be widely disseminated through cable, television, FM radio and
the wide circulation of posters among the various stakeholders. Urgent need for a
more elaborate program with elements of capacity building for the health care
professionals as well as for personnel involved in various disciplines is also felt.
Thus two principal types of activities will be supported by PHBHEP: public
information and awareness campaigns, training and awareness workshops.
Following methodology was therefore adopted in order to accomplish assignment
successfully.

1. Identification of issues and topics: A series of consultative meetings


were held with all key stakeholders. Minutes of meetings are annexed. Plan
Pakistan and district health department Vehari had signed MOU for the period
of three years i.e. three months a year. Therefore following topic/issues were
identified to cover under this assignment during whole period of assignment
for the period of three years.
i.

Self Health Care (Personal Hygiene & Health) (target population,


whole community);

ii.

Safe Water Supply;

iii.

Safe food practices

iv.

Hepatitis

v.

Anemia of Reproductive age women

vi.

Worm infestation

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
vii.

Scabies

viii.

Breastfeeding

ix.

STIs

x.

Adolescent Health

xi.

Self Medication

xii.

Quackery

xiii.

Traditional care

xiv.

Mal-practices by qualified professionals

xv.

Re-use of syringes

xvi.

Dental practices

xvii.

Insecticides complications and prevention

xviii.

Environment

xix.

Child care

As per understanding with all key stakeholders health education material for
those topics which never have been already touched like Quackery, self
medication, traditional healers, mal-practices by the qualified professionals will
be developed at some time during next part of assignment in forthcoming three
years as new messages would be developed through a consultative process in
order to avoid any controversy. Moreover, we will have to pre-test
messages prior to introducing those into community. Furthermore, we may need
approval from a specific agency for a specific message to introduce among
communities. Therefore It was decided to target first three topics and to look for
audio and/or video messages developed by health department and other health
organizations so that may be adopted for broadcasting on air before 30th June
2009. Moreover, all relevant collected material was handed over to the DOH II,
district Vehari to be used in future. It was also decided to conduct two trainings
on the following topics
1. Syndromic Management of STIs for health professionals i.e.
MOs, Medical Assistants, LHVs, Dispensers, etc.

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
2. Hospital Waste Management for the First Level Care Facility
level staff.

2. Consultative Meetings with the Experts: A series of consultative


meeting was held with experts at the provincial level from health department,
international and national NGOs, other organizations working on developing
IEC material for health education of the communities. List professionals
consulted is annexed too.

3. Collection of material: All the available channels including telephone,


email, peer networks, personal contacts were used to contact the
organizations who had developed IEC material especially on the selected
topics. The most effective channel was personal contact and opportunity at
the time of consultative meeting was availed for this purpose. More than150
items were collected directly and about 100 items were collected from the
internet. List of material collected is annexed and all material was handed
over to the office of DOH II so that it may be used in future for the same and
also other projects.

4. Sharing of collected material and selection for re-printing and

adoption: Draft version of selected material is being presented for


preparation of soft copies with logo of both the partners. As far as Adolescent
Health & STIs is concerned, it was decided to take those up at a later stage in
order to avoid any stigma which may be associated to this topic. Department
of Health is only working on safe water and sanitation aspect of Environment,
which are already included in the list. Insecticide complications are being
dealt by department of Agriculture; however material will be sought in future
to be used under this project. Following material given in a table format has
been selected and sample soft copies attached for approval of both the
partners.
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Topic

Type of material

Safe Health Care

Video clip & audio spot on personal hygiene

(Personal hygiene &

Video clip & audio spot on hand washing

health)

Video clip & audio spot on safe blood transfusion


Video clip & audio spot on safe sex
Video clip & audio spot on hair dresser & use of barbar
Posters on No Smoking (4)

Safe drinking water

Video clip, audio spot on clean drinking water

Safe food practices

Video clip, audio spot on healthy living


Video clip & audio spot on safe food practices

Hepatitis

Video Clip & audio spot


Posters (6) + (6)

Anemia

Brochure

Breastfeeding

Video clip & audio spot


Leaflet

Worm infestation

Pamphlet

Scabies

Brochure

Child care

Video clip & audio spot on immunization


Brochure on nutrition

Dental practices

Video clip & audio spot


Posters

Re-use of syringes

Video clip & Audio spot

STIs

Flow charts for Syndromic management

Adolescent Health

Booklet

Environment

Poster by WHO

Additional

Video clips (2) on Dengue fever


Video clip on Gastro
Brochure on school health promotion

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If approved for re-printing, then final version with logo will be presented well in
time.

5. Copy rights: it was discussed in details with all the experts including
Additional Director Health Education o/o DGHS Punjab and others, who
persistently opined that all of the IEC material prepared by those
organizations is public property and can be reprinted and used in the interest
of community provided it is acknowledged that whose original production it
was.

6. Training Workshops: Two training workshops were part of the current


assignment and district health department suggested to train master trainers
on the following two topics
i.

Syndromic management of STIs for health practitioners in the public


sector

ii.

Hospital waste management for first level care facility staff

However, district health authorities requested to conduct training within 1-2


weeks after 30th June 2009 because all the officers were busy as a result of
closing on June 30th.

Alternatively EDO (H) advised to conduct seminar targeting not only health
personnel but also all segments society including lawyers, laborers, employees
from other district government departments like social welfare, finance, etc.

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Summary & Conclusion: In changing behavior, acquisition of knowledge is


the first step; this project has successfully taken the first step in BCC. Changing
behavior requires sustained education and role modeling. An effort is being made
in this regard. An incremental change in attitude and behavior would be apparent
after a while. Health education programs need be conducted on regular basis
and can be made attractive through skits, plays, songs etc by the children. The
participation of mothers and families in such activities may be encouraged.

A collaborative effort by both the partners has been very effective in


achieving desirable results. Undoubtedly such collaborations hold a great
potential to bring the various stakeholders on board to discuss the issue and look
at possible solutions. It has been realized that this partnership should be
extended toward other programs in the health sector but also with other
departments like education and community welfare, etc.

Promoting Healthy Behaviors through Health Education in district Vehari

Annexure I

Project (PHBHEP)
Minutes of the meeting

A meeting was held in the office of Plan Pakistan Vehari regarding Health
Education material development under public private partnership agreement
between Plan Pakistan and District Health Department on 22nd June 2009.
Following members participated

1. Dr. Muhammad Jameel Chaudri, EDO(H) district Vehari


2. Dr. Ghulam Mohaydin DOH II, district Vehari
3. Dr. Naeemullah Consultant, UNICEF
4. Mr. Khalid Pervaiz, PUM Plan Pakistan Vehari
5. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari
6. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to review the topics suggested; and progress and
material submitted by Dr. Tanvir Ahmad Zaver, and to provide comments. Dr.
Tanvir A Zaver distributed the lists of health professional consulted and list of
material collected. Following decisions were taken
1. Dr. Muhammad Jameel Chaudry commented on the topics selected and
advised to include Safe Health Care, Safe Water Supply and Safe Food
Practices as a first priority and also to exclude some managerial topics;
thus the final list of topics for the whole period of three years assignment
is as under

i.

Self Health Care (Personal Hygiene & Health) (target population,


whole community);

ii.

Safe Water Supply;

iii.

Safe food practices

iv.

Hepatitis

v.

Anemia of Reproductive age women

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vi.

Worm infestation

vii.

Scabies

viii.

Breastfeeding

ix.

STIs

x.

Adolescent Health

xi.

Self Medication

xii.

Quackery

xiii.

Traditional care

xiv.

Mal-practices by qualified professionals

xv.

Re-use of syringes

xvi.

Dental practices

xvii.

Insecticides complications and prevention

xviii.

Environment

xix.

Child care

Thus following topics were excluded form the previous list


i.

Hospital Waste (to be excluded as taken over by PAIMAN; however


training may be scheduled for those health personnel working in
BHUs as they were not included in PAIMAN trainings.)

ii.

Quality Health Care (Monitoring) (managerial issue to be excluded)

iii.

QMS (ISO Certification) (excluded to be taken as separate


assignment by Plan Pakistan)

2. It was decided to target first three topics and the consultant was advised
to look for audio and/or video messages developed by health department
and other health organizations so that may be adopted for broadcasting
on air before 30th June 2009. Moreover, all relevant material would be
collected for the topics to be handed over to the DOH II, district Vehari to
be used in future. DOH II was of the opinion to conduct two trainings and
topics to be decided later, while EDO (H) advised to conduct seminar
targeting not only health personnel but also all segments society including

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lawyers, laborers, employees from other district government departments
like social welfare, finance, etc.

Copy circulated to
1. Dr. Muhammad Jamil, EDO (H) Vehari
2. Dr. Ghulam Mohayyedin, DOH II, district Vehari
3. Mr. Khalid Pervaiz PUM, Plan Pakistan district Vehari
4. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari

For information and feedback

Dr. Tanvir Ahmad Zaver


Health Education Specialist,
39-D Jinnah Market Wahdat Road, Lahore
Cell: 0300 4749039
Tel: 042 7524402
Email: drzaver@hotmail.com

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Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
Minutes of the meeting

A meeting was held in the office of DOH II District Vehari regarding Health Education
material development under public private partnership agreement between Plan Pakistan
and District Health Department on 8th June 2009 and 9th June 2009. Following members
participated

7. Dr. Ghulam Mohaydin DOH II, district Vehari


8. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to finalize the list of topics to be included for whole three
years assignment and then prioritize topics for the current period till 30th June 2009.

After thorough discussion, keeping n view the current status of health education material
and activities in district Vehari, following topics were finalized for development of health
education material during 3 years

1. Self Health Care (Personal Hygiene & Health) (target population, whole
community) (SEMINAR FOR ALL PUBLIC AND COMMUNITY MEMBERS)
(Video spot) (self budget for health)
2. Safe Water Supply
3. Safe food practices including micronutrients)
4. Hospital Waste (to be excluded as taken over by PAIMAN)
5. Quality Health Care (Monitoring) (management issue excluded)
6. QMS (ISO Certification) (to be taken as separate assignment by Plan Pakistan)
7. Anemia
8. Worm infestation
9. Hepatitis
10. Scabies
11. Breastfeeding

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12. STIs
13. Adolescent Health
14. Self Medication
15. Quackery
16. traditional care
17. mis-practices by qualified professionals
18. re-use of syringes
19. dental practices
20. Insecticides complications and prevention
21. Environment
22. child care
It was decided messages will be developed with special emphasis on training for health
staff and preparation of guidelines for first three topics, while messages will be developed
for general community for rest of all topics. All communication strategies and methods
including pamphlets, banners, calendars, audio-visuals, etc will be used for community
targeting messages.

Keeping in view time constraints, it was decided following three topics will be focused
till 30th June 2009 with training of the master trainers
1. Hospital Waste
2. Anemia
3. Worm infestation

In order to accomplish task well in time, apart from other following persons were
identified to be contacted immediately
1. Dr. Sabiha Khurshid, Project Director MNCH Punjab
2. Dr. Fazal Mehmood FOM PAIMAN, Punjab
3. Dr. Fawad, Shalimar Hospital Lahore
4. Dr. Muhammad Anwar Janjua, National Coordinator PAIMAN, Contech
International Lahore

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5. Dr. Shahid Ahmed, Public Health Specialist, Contech International Lahore
6. Health Education Officer o/o DGHS Punjab

List of persons to be trained as master trainer would be as under:Institution

Number

1. DHQ Hospital

2. THQ Hospital

3. RHCs

10

Total

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In the meeting with EDO(H), it was advised by EDO(H) to keep liaison with DOH II and
to keep all collected material at the office of DOH II with using his office while visiting
district Vehari during the period of assignment

Copy circulated to
1. Dr. Muhammad Jamil, EDO (H) Vehari
2. Dr. Ghulam Mohayyedin, DOH II, district Vehari
3. Dr. Naila Yasmeen, Health Officer, Plan Pakistan PUM Vehari

For information and feedback

Dr. Tanvir Ahmad Zaver


Health Education Specialist,
39-D Jinnah Market Wahdat Road, Lahore
Cell: 0300 4749039
Tel: 042 7524402
Email: drzaver@hotmail.com

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Annexure II
List of experts consulted
Date: 10th June 2009
1. Dr. Sabiha Khurshid, Project Director MNCH, Punjab, Huma Block
Lahore
2. Dr. Hijab, Deputy Project Director, MNCH Punjab
3. Mr. Amjad, Procurement Officer MNCH, Punjab
4. Dr. Fazal Mahmood, FOM PAIMAN, Punjab, 69, Gulberg II M.M. Alam
Road, Lahore
5. Dr. Tahir Manzoor, Health Officer, UNICEF, Lahore
Date: 11th June 2009
1. Dr. Haq Nawaz Bharwana, Director PHDC, Lahore
2. Dr. Aamar PHDC, Lahore
3. Dr. Khalid, PHDC, Lahore
4. Dr. Rizwana Muzzaffar, Dean IPH Lahore
5. Mr. Zeeshan, WHO office, Lahore (Dr. Babar Alam was away)
6. Dr. Fida Ali, Director Medical Education o/o DGHC Punjab, Lahore
7. Dr. Azhar Masood Bhatti, add. Director EPI, Punjab Lahore
8. Mr. Shahid Pervaiz Additional Director Health Education o/o DGHS
Punjab Lahore
9. Mr. Zulifqar Nabi Malik, Jahandad Society, Shadman, Lahore
10. Dr. Akhtar Rashid, Save the Children US, 39-L Gulberg Lahore
11. Dr. Mukhtar Awan, Falah Project, Lahore
12. Dr. Naila, UNICEF, Lahore
Date: 12th June 2009
1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator
2. Dr. Qamar Salman, Deputy CEO, Contech International
3. Dr. Shehzad Awan, Contech International
4. Dr. Ahmad, Nadeem, Contech International
5. Mr. Naseem Ahmad Khan, ex-Planning officer Health Department
6. Mst. Sarosh Iqbal, Contech International
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Date: 13th June 2009


1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator
2. Dr. Shahid Ahmad, Public Health Consultant, Contech International
Health Consultants
3. Dr. Shehzad Awan, Contech International
4. Dr. Ahmad, Nadeem, Contech International
5. Mr. Ali Murtaza, Jahandad Society Jauhar Town, Lahore
6. Mr. Muhammad Jaffary, Jahandad Society Jauhar Town, Lahore
Date: 15th June 2009
1. Mr. Babar Alam, WHO office, Lahore
2. Mr. Zeeshan, WHO office, Lahore
3. Mr. Shahid Pervaiz, Additional Director Health Education, o/o DGHS,
Lahore
4. Mr. Haq Nawaz Bharwana, Director PHDC
5. Mr. Shahid Sharif, Assistant Liberarian PHDC
6. Dr. Siddique Padhiar Deputy Provincial Coordinator National Prgram
7. Mr. Nabi Batt UNICEF, Lahore
Date: 16th June 2009
1. Dr. Junaid Habibullah, Director Hospital Waste Management, Shalimar
Hospital, Lahore
2. Mr. Imran Yousaf, Shalimar Hospital, Lahore
3. Dr. Sohail Safdar, DMS, Jinnah Hospital, Lahore
4. Dr. Shahid Ahmad, Public Health Specialist, Contech International,
Lahore
Date: 17th June 2009
1. Mr. Imran Yousaf, Assistant Librarian, PHDC, Lahore
Date: 18th June 2009
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1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS
Punjab, Lahore
2. Mr. Babar Alam, WHO Operational Officer, Lahore
3. Dr. Mukhtar Awan, Falah project, Lahore
4. Dr. Muhammad Arshad Usmani, Director Headquarter, o/o DGHS
Punjab, Lahore
Date: 19th & 20th June 2009
1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS
Punjab, Lahore
Date: 22nd June 2009
Meeting was held with district health authorities and Plan Pakistan PUM
Vehari for finalization of topics and sharing of the material.

Consultations were made and health education material was collected from the
above-named experts

Dr. Tanvir Ahmad Zaver


Health Education Specialist,
39-D Jinnah Market Wahdat Road, Lahore
Cell: 0300 4749039
Tel: 042 7524402
Email: drzaver@hotmail.com

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List of material collected

Annexure III

1. Brochure, Referral Guide with various messages (5) Maan aur bache
ka hafta by UNICEF & others
2. Leaflet Haamla Khwaateen kay liye Mufeed Mashwary by USAID &
others
3. News Letter (3) by Women Health Project.
4. Leaflet Hamari Sehet-Haqaiq kya hain? (2) by IPH.
5. Brochure Cure TB to stop TB by Health Department.
6. Counseling Cards for Taleem-e-Sehet by multiple organizations.
7. Nesaab for Trainers by National LHW Program
8. Book for Training of Trainers for Breast Feeding by National Council
for Breast Feeding.
9. Report of Internal Assesment of LHW Program 2007
10. Trainers Guide Refresher Course for LHWs Bachy ke Sehet by
National LHW Program.
11. Booklet Sehet ke Dastak by PAIMAN.
12. Annual Report 2006 by PLAN Pakistan.
13. Ghaza aur Sehet by Nutrition Wing, Ministry of Health Pakistan.
14. Diet Manual for Pakistan by Nutrition Wing, MoH Pakistan.
15. Leaflet Maan ka Doodh by UNICEF & others.
16. Leaflet Life Skills based Education by World Population Foundation
(WPF).

23

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
17. Leaflet Imtezaaj by Pakistan Rural Workers Social Welfare
Organization (PRWSWO)
18. Card Hero by WPF
19. Aurtoon ke Sehet ke Kitaab by Jahandaar Society.
20. Card Bahadur Ladki by WPF.
21. Card I Love my Life Now by WPF
22. Pocket Calendar by PLAN RHIA
23. Community Health Workers Training Manual by PLAN Pakistan.
24. Guideline Mamta ke Hefazat by UNFPA & NCMH
25. National Food based Dietary Guidelines by Nutrition Wing, MoH.
26. National Study of Reproductive Tract and STIs by FHI & DFID
27. Brochure National Learning Forum 2007 by WPF
28. National Plan of Action by Nutrition Wing, MoH
29. Trainers Manual for RHIA by SACHET Paksiatn.
30. Training Manual for Parents/Service Providers ARH by WPF
31. Brochures One & Two Years after Earthquake by PLAN Pakistan.
32. 10 Years Review by WPF
33. Mamta ke Hefaazat instructions for use by UNFPA & NCMH
34. Booklet Iodine ke Kami by UNICEF
35. Training 2000 Instruction Manual by Department of Health.
36. Brochure Bachpan Poori Zindage ka Aaina-Daar by Zahanat
Foundation
37. Brochure Empowering the Adolescents (5) by SACHET

24

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
38. Leaflet Nojawan aur Balooghat by PLAN RHIA
39. Brochure Universal Salt Iodization by UNICEF & others.
40. Brochure Maan aur Bachay ke Negeh-Daasht by RAASTI
41. Trainers Manual Injection Safety etc. by PM Program for Prevention
& Control of Hepatitis.
42. Training Manual for Sanitary Workers by PM Program for Prevention
& Control of Hepatitis.
43. Training Manual for Doctors and Administrators by Health
Department.
44. Training Program for Para-Medical Staff Health Department.
45. SOPs Hospital Waste Management by Health Department
46. Plan for Health Care Establishment for Hospital Waste Management
by Health Department.
47. Hospital Waste Management Plan by PM Program for Prevention &
Control of Hepatitis.
48. Training Manual for Para-Medical Staff by PM Program for
Prevention & Control of Hepatitis.
49. Training Manual for Managers and Doctors by PM Program for
Prevention & Control of Hepatitis.
50. National Guidelines on Hospital Waste Management by PM Program
for Prevention & Control of Hepatitis.
51. IMCI Introduction by WHO, UNICEF & Ministry of Health.(6)
52. IMCI Identification by WHO, UNICEF & MoH.

25

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
53. Treating the Child by WHO, UNICEF & MoH.
54. Assess & Classify Sick Child by WHO, UNICEF & MoH.
55. Birth Spacing for Healthier Families by FALAH
56. Supportive Supervision by USAID & PAIMAN
57. Child Week Health and Cleanliness by UNICEF
58. Iodized Salt by Jahandaad Society.
59. Maan kay Doodh kay Sath by Multiple Organizations.
60. Immunization for Children by Multiple Organizations.
61. Sasti Flush Latrines by Multiple Organizations.
62. Womens Health Book by Jahandaad Society.
63. Tool Kit for Teachers by UNICEF.
64. Maan by Jahandaad Society
65. Sehet Maan aur Bachay ke Zemadaari(8) by PAIMAN.
66. EMNOC Manual by UNICEF
67. Paper Guidelines by UNICEF.
68. Leaflet Maan ka Doodh by Health Department
69. leaflet Ashaal ya Dast by Health Department
70. Leaflet Hath Safai by Health Department
71. Leaflet Daant Achay Sehet Achi by Health Department
72. Leaflet Hepatitis B by Health Department
73. Leaflet Saaf Paani by Health Department
74. Leaflet Dil ke Bemariyaan by Health Department
75. Leaflet Hepatitis B, C and Hamal by Health Department

26

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
76. Leaflet Hamal kay Doraan Khoraak by Health Department
77. Leaflet Thodi se Ahteyaat Bohat Saara Sukh by Health Department
78. Leaflet Hifzaan-e-Sehet kay Asool by Health Department
79. Leaflet Sehet Baksh Adaat-o-itwaar by Health Department
80. Leaflet Maan ka Doodh Ahmeyaat-o-Zaroorat by Health Department
81. Leaflet Diabetes and Care by Health Department
82. Leaflet Exercise by Health Department
83. Leaflet Hefaazti Teekay by Health Department
84. Leaflet Hepatitis Guidelines for Patients by Health Department
85. Leaflet Typhoid Prevention by Health Department
86. Leaflet Barsaat Care by Health Department
87. Leaflet Hepatitis A & E Care by Health Department
88. Leaflet Hepatitis C Care by Health Department
89. Leaflet Mutwazan Ghaza by Health Department
90. Leaflet 10 point National Breast Feeding Policy by Health Department
91. Leaflet Help line by PAIMAN
92. Induction Training Curriculum for Nurses by Health Department
93. Handout for Participants for Lactation Management by UNICEF
94. Communication & Supervision Curriculum for Outreach Workers
Supervisors by Health Department
95. CDC & Information, Education, Communication Facilitators Guide by
Health Department

27

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
96. CDC & Information, Education, Communication Curriculum for
Outreach Workers by Health Department
97. Laboratory Techniques Curriculum by Health Department
98. Reproductive Health Training for LHVs by Health Department
99. Hospital Management Training Course by Health Department
100.

Strengthening of MCH Services in Punjab by Health Department

101.

Trainers Curriculum on Danger Signs of Pregnancy by Health


Department

102.

Training of Trainers Curriculum by Health Department

103.

Training of Trainers Workshop Supporting Material by Health


Department

104.

MCH Curriculum for LHVs Additional Supporting Material by


Health Department

105.

Session Outline Financial Management Training Course by Health


Department

106.

Health System Strengthening Component by Second Family


Health Project

107.

Taleem-e-Sehet Guide for Health Workers by PHDC

108.

Health Services Utilization An Article by Prof. Amman Ullah Khan.

109.

Utilization of Rural Basic Health Services in Pakistan a Research


Study by Mohammad Akram Pervaiz et. al.

110.

Taaleem-e-Bilamal (booklets 6, units 22) by WHO

111.

Brochure Tobacco free youth with leaflets by WHO

28

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
112.

Leaflet Sehat Afza Shehron ka Project by WHO

113.

Leaflet Epilepsy by WHO

114.

Leaflet Nasha ek Baimari by WHO

115.

Environment by WHO

116.

Khoon ki kami a brochure by Health Department Punjab

117.

Zindagi ki dor PAIMAN

118.

TV Talk shows by PAIMAN

119.

Media Products: a repository by PAIMAN

120.

Booklet on Maan aur bache ki sehat by PAIMAN

121.

Sehat ki Dastak a pictorial booklet by PAIMAN

122.

Bachon ki Ghaza by Health Department Punjab

Calendars:
123.

Nozaida Bachy ke Dekh Bhaal by WHP

124.

Hamal kay Doraan Khatarnaak Alamaat by WHP

125.

Hamal kay Doraan Mamooli Alamaat by WHP

126.

Zachgi kay liy Tayyari by WHP

127.

Smoking Warning by Health Department

128.

Hepatitis Care (6) by Health Department

129.

Vaccination Schedule by Health Department

130.

Hospital Waste by Health Department

131.

Blood Transfusion by Health Department

132.

Sehet-mand Maan, Sehet-mand Bacha by Health Department

29

Promoting Healthy Behaviors through Health Education in district Vehari


Project (PHBHEP)
133.

Wall Calender by PAIMAN.

134.

Table Calendar by PAIMAN

135.

World No Tobacco Day (3) by WHO

136.

Hifazti teekon ka schedule by WHO

137.

Thank you for not smoking by WHO

138.

our Health our Environment by WHO

139.

Maina; beti ya beta barabar by UNICEF

140.

AIDS by MoH

141.

Hifazti teeke by MoH

142.

Children diarrhea by UNICEF

143.

Our safe Heaven by WHO

144.

Disaster early warning Device byWHO

145.

Our Life Saver by WHO

146.

A real disaster by WHO

Electronic versions (about 100) and hard copies of the above-mentioned


material handed over to DOH II

30