Sindh government and World Bank agree to launch $ 400 million project – Pakistan
KARACHI: Chief Minister Syed Murad Ali Shah on Friday in his virtual meeting with a World Bank team led by its country director Najy Benhassine discussed a $ 400 million human capital investment project in Sindh .
The government of Sindh and the World Bank have agreed to finalize the project by completing its remaining documents so that it can be launched from the following financial year.
The World Bank would finance 85 percent of the project while the provincial government would provide funding of 15%.
CM Shah said it would be called the “Sindh 1000 Days Plus Program” to further strengthen the continuum of care for integrated health services for universal health coverage.
He added that the formation of human capital would be done through integrated health, early childhood education, adult literacy, skills development of women, economic inclusion and a social registry. .
Mr. Shah said some interventions would be implemented through public-private partnerships (PPP) such as social registry, skills development, ambulance, microfinance, telehealth and others.
The CM discussing the details of the project said that out of 30 districts, 271 underserved union councils were selected.
According to Mr. Shah, out of a total of 1093 government dispensaries (GDs), 293 were selected based on criteria based on two factors – the GD located four kilometers from a basic health unit (BHU) and the GD which n has no blanket for women. health workers. “On average, each GD is nine kilometers from a BHU,” he explained and added that initially 93 GDs located in five districts – Tharparkar, Thatta, Sujawal, Jamshoro, Qambar-Shahdadkot – would be covered, while the rest would be covered. after one year of the initial program.
It was pointed out that according to research conducted in 2017-2018, distance to a health facility was one of the main reasons for not seeking health care. This barrier runs deeper when it comes to teens, widows, divorcees, remote areas, uneducated women and the lowest wealth quintile, according to the study.
The study indicates that children who live five kilometers from a facility are 17% more at risk of death. Distance is the most important factor influencing the use of health services.
Health Minister Dr Azra Pechuho said 293 dispensaries would cover a population of 9.744 million. The GDs would be integrated into district health systems such as DHQ, THQ, RHC and BHU through 88 ambulances, or one ambulance for a group of five dispensaries.
Project components include reproductive, maternal, newborn and child health (RMNCH) and the formation of a medical records system.
The third component of the project includes early childhood education, apprenticeship and skills development for adolescent girls.
As part of the school infrastructure and community support for early childhood education (ECE) components to improve equity, access, school readiness and retention would be improved and expanded.
Social protection of economic inclusion and empowerment of women and girls based on the socio-economic components of the project would cost $ 126 million.
As part of this program, a social register would be created. The chief minister said that the economic empowerment of women and girls will come through financial literacy, skills development, micro-finance and training of community health workers.
He said the Islamic Development Bank (IDB) has shown interest in social protection and will integrate it into PC-1 under a partnership component.
Under this program, telehealth services would be created and promoted.
The World Bank team discussed all components of the meeting and agreed to finalize the remaining documents and approvals so that it can be launched from the next fiscal year.
Posted in Dawn on May 22, 2021