This section segregates data by districts for some health indicators where the availability of data made it possible to do so. The section has been based on the Multiple Indicator Cluster Survey (MICS), which is a sample survey on human development carried out at a district/town level in each of the four provinces of the country. The NWFP released its MICS in 2001, followed by Balochistan and Punjab in 2004; the Sindh report is still in the publication pipeline.
Results of MICS are envisaged to make a valuable contribution to the devolution process in terms of providing baseline data for district planning, implementation, and monitoring with emphasis on key human development indicators. Data presented herewith in this section show that there is a wide intra-provincial/inter-district variation in key health indicators. Analysis of this is outside the scope of this document but these data indicate that each district has to develop and implement strategies based on their own respective needs, and that there is evidence to show that these vary from district to district.
Developing data systems at the provincial-district level is a requirement of the devolution agenda; within this framework, MICS provides a useful entry point for further work to be carried out. The health sector must effectively capitalize this opportunity
for gathering health data possible with this instrument. The MICS data can also be further supplemented by data from the Health Management and Information System, which captures data at a district level. However, data from this source remain largely unutilized because of the time delays involved in their transfer from the points of collection to places where they could be utilized for decision-making, due to lack of capacity and institutional focus at a district level to gather data and other issues.The first chapter of this document has articulated a number of recommendations to bridge these gaps.
District-wise situation with reference to Adequate Sanitation
257
District-wise situation with reference to Female Literacy
258
District-wise situation with reference to Infant Mortality Rate
259
District-wise situation with reference to Under-5 Malnutrition
260
District-wise situation with reference to Immunization
261
District-wise situation with reference to Breast Feeding
262
District-wise situation with reference to Ante-natal by Trained Personnel
263
District-wise situation with reference to deliveries by Skilled Birth
Attendants
264
District-wise situation with reference to Contraceptive Prevalence Rate
265
District-wise situation with reference to awareness of HIV/AIDS among women
266