Chocked Pipes
A roadmap for health reform for Pakistan has just been released.
 
  • Establishing a country framework for health systems performance assessment (initiated in 2009).
    Funding: WHO-led platform to Strengthen Monitoring and Analysis of Country Health Systems
  • Developing an IT-supported demand side health financing tool, which can enable efficient, timely and well-targeted cash transfers in order to protect the poor against catastrophic spending on health, and to establish a seed Health Equity Fund as a means of resourcing cash transfers (initiated in 2008).  Funding: Rockefeller Foundation
  • Background research for the publication entitled 'Choked Pipes: Reforming Pakistan's Mixed Health System'. The publication charts a roadmap for health reform in Pakistan.
  • Presenting the first consolidated review of health systems constraints in Pakistan in a document entitled 'Health Systems in Pakistan—a Way Forward: the Gateway Paper'.   This strategy was recognized as a blueprint for health reform and provided the basis for formulation of a new national policy for Pakistan. Pro bono time contribution Sania Nishtar
  • Conducting a series of national meetings—the Post-Gateway Roundtables to develop consensus on the strategy proposed by the Gateway Paper. (2005-07) Funding support for the meetings was provided by: Department of International Development UK and the World Bank
  • Developing drafts of the national and provincial (NWFP) health policies of Pakistan under Memoranda of Understanding (MoU) with the Federal Ministry of Health, and with the provincial government of NWFP, both of whom expressed a desire to develop a health policy based on the Gateway Paper's approach to health systems. Time contribution Sania Nishtar
  • Conducted an assessment of corruption in health service delivery. Funding: Asian Development Bank-supported Partnership for Transparency Fund (PTF)
  • Research in the area of priority setting for health systems research; the study aimed at the development of a locally suited priority-setting model. Funding: Global Forum for Health Research, Geneva
  • Research in the domain of communications. The intervention campaigns used as part of these projects went beyond the public service announcement approach, utilizing lessons from behavioural research capitalizing on the strengths of social marketing. Funding: Canadian International Development Agency. Details of the campaigns can be accessed  
 

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