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    Khyber Pakhtunkhwa Health Sector Review: Hospital Care
    Khyber Pakhtunkhwa Health Sector Review: Hospital Care
    Khyber Pakhtunkhwa Health Sector Review: Hospital Care
    Ebook162 pages1 hour

    Khyber Pakhtunkhwa Health Sector Review: Hospital Care

    By Asian Development Bank

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    About this ebook

    This publication presents a detailed review and assessment of the governance, infrastructure, and financing aspects of hospital care in Pakistan's Khyber Pakhtunkhwa Province. Fast demographic growth, poor access to and utilization of health services, an underfunded public health system, and fragmented reform initiatives are among the key challenges in the province. The Government of Khyber Pakhtunkhwa commissioned the Asian Development Bank to conduct the review to aid the creation of a comprehensive strategy to guide investments and projects in the health sector.
    LanguageEnglish
    PublisherAsian Development Bank
    Release dateOct 1, 2019
    ISBN9789292617653
    Khyber Pakhtunkhwa Health Sector Review: Hospital Care

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      Book preview

      Khyber Pakhtunkhwa Health Sector Review - Asian Development Bank

      KHYBER PAKHTUNKHWA HEALTH SECTOR REVIEW

      HOSPITAL CARE

      OCTOBER 2019

      Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)

      © 2019 Asian Development Bank

      6 ADB Avenue, Mandaluyong City, 1550 Metro Manila, Philippines

      Tel +63 2 8632 4444; Fax +63 2 8636 2444

      www.adb.org

      Some rights reserved. Published in 2019.

      ISBN 978-92-9261-764-6 (print), 978-92-9261-765-3 (electronic)

      Publication Stock No. TCS190481-2

      DOI: http://dx.doi.org/10.22617/TCS190481-2

      The views expressed in this publication are those of the authors and do not necessarily reflect the views and policies of the Asian Development Bank (ADB) or its Board of Governors or the governments they represent.

      ADB does not guarantee the accuracy of the data included in this publication and accepts no responsibility for any consequence of their use. The mention of specific companies or products of manufacturers does not imply that they are endorsed or recommended by ADB in preference to others of a similar nature that are not mentioned.

      By making any designation of or reference to a particular territory or geographic area, or by using the term country in this document, ADB does not intend to make any judgments as to the legal or other status of any territory or area.

      This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) https://creativecommons.org/licenses/by/3.0/igo/. By using the content of this publication, you agree to be bound by the terms of this license. For attribution, translations, adaptations, and permissions, please read the provisions and terms of use at https://www.adb.org/terms-use#openaccess.

      This CC license does not apply to non-ADB copyright materials in this publication. If the material is attributed to another source, please contact the copyright owner or publisher of that source for permission to reproduce it. ADB cannot be held liable for any claims that arise as a result of your use of the material.

      Please contact [email protected] if you have questions or comments with respect to content, or if you wish to obtain copyright permission for your intended use that does not fall within these terms, or for permission to use the ADB logo.

      Corrigenda to ADB publications may be found at http://www.adb.org/publications/corrigenda.

      Notes:

      In this publication, $ refers to United States dollars.

      On the cover: Hospital bed and overcrowded patients in Khyber Pakhtunkhwa (photos by Mr. Hiddo Huitzing and Michael Niechzial).

      Cover design by Francis Manio.

      CONTENTS

      TABLES, FIGURES, AND BOXES

      Tables

      Figures

      Boxes

      FOREWORD

      The Asian Development Bank (ADB) has been providing technical and financial support to the health sector in Pakistan, particularly the Khyber Pakhtunkhwa Province, for the last 2 decades. ADB’s Operational Plan for Health 2015–2020 identifies three key areas of investment for supporting the developing member countries achieve universal health coverage.

      Knowing that good governance guided by a health systems approach promotes effective delivery of health services and that investment in health care leads to economic growth, the Government of Khyber Pakhtunkhwa desires to lead the province in the 21st century with approaches that are in tandem with international best practices, taking guidance from global research and local circumstances. The main strategies for taking forward this intent would be (i) strengthening health systems for better governance; and (ii) collaborating with health and non-health sectors, public and private sectors, and the citizens for a shared vision and interest. Further, delivering quality health care services to all is the goal of the Government of Khyber Pakhtunkhwa, which seeks to improve the health status of an increasing number of citizens on an equal basis through expanded access to effective essential health care, backed by adequate referral services and resources.

      Health is coexistent with other sectors such as economy, environment, education, transport, food security, and other non-health sectors. A holistic approach is necessary to achieve the desired objectives of a better performing health sector.

      What makes this assessment unique is the focus on hospital care, which the previous assessments disregarded. The insights into health governance, hospital autonomy, contracting, infrastructure, status of physical and human resources, projections on demand for inpatient services, quality of hospital care, and health financing have brought up a key recommendation that the Department of Health will closely review and try to incorporate in its updated health sector strategic directions.

      I would like to offer my gratitude to ADB for commissioning this health sector review, bringing a cross-national team of experts, and organizing the events leading to this conclusion.

      Farooq Jamil

      Secretary Health, Government of Khyber Pakhtunkhwa

      PREFACE

      As a founding member of the Asian Development Bank (ADB), Pakistan has a long history of collaboration with ADB. Together, much progress has been made in accelerating the country’s economic and social advancement and addressing developmental needs across multiple sectors.

      Pakistan has typically experienced more challenges in improving health outcomes than other countries in South and East Asia. Health is a critical contributor to a country’s economic and social prosperity, and therefore it is vital for governments to prioritize this sector when considering development objectives. With relatively high infant mortality, neonatal mortality, and maternal mortality, Pakistan has long way to go to meet the Sustainable Development Goals on health.

      Located in the northwestern region of Pakistan, Khyber Pakhtunkhwa is the smallest province geographically, characterized by high population growth and a large refugee population. It faces a set of unique obstacles in the

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