district health profile di khan

8/11/2019 District Health Profile Di Khan

1/12

District

Dera

Ismail

Khan

2009

DISTRICT

HEALTH

PROFILE


2/12

The document was made possible through support provided by the United

States Agency for international Development (USAID), under the terms of

cooperative agreement number 391A00050103700 and subagreement

number36098

02

for

PAIMAN.

The Pakistan initiative for Mothers and Newborns (PAIMAN) is a 6year USAID

fundedprojectdesignedtoreducecountrysmaternalandneonatalmortalityby

making sure that women have access to skilled birth attendants during

childhood and throughout postpartum period. PAIMAN works at national,

provincial and district levels to strengthen the capacity of public and private

healthcare providerand improve health care system. ThePAIMANprogram is

jointly implemented by John Snow Inc (JSI), the Contech International, John

Hopkins Center for Communication Program (JHU/CCP), Agha Khan University

andPopulationCouncil.

Copyright2009byJohnSnowInc(JSI).AllRightsReserved

Publishedby

PAIMAN(PakistanInitiativeforMothersandNewborns)

House6,Street5,F8/3,Islamabad,Pakistan

ChiefofPartyPAIMAN

Dr.NabeelaAli

Forinquiries,pleasecontact

ContechInternationalHealthConsultants

2GModelTown,Lahore,Pakistan

Tel:0423588879899

Fax:04235845774

Email:[email protected]

Web:www.contech.org.pk

Disclaimer:

ThisreportismadepossiblebythegeneroussupportoftheAmericanpeoplethroughthe

United States Agency for International Development (USAID). The contents are the

responsibilityofJSIResearch&TrainingInstitute,Inc.anddonotnecessarilyreflectthe

viewsofUSAIDortheUnitedStatesGovernment.


3/12


4/12

1 | P a g e

The purpose of this document is to simplify, package, and communicate

complex information on vital statistics and the local burden of disease in a

practical,accessibleformatfordistricthealthplanning.Itisintendedforuseby

District Health Management Teams (DHMTs), federal/ provincial/regional

governments and other development partners. Most of the information is

providedintabularformatwithshortexplanatorycaptionsandminimumtextto

provide picture of the current demography and disease burden. The data

sourceisthedistricthealthandeducationdepartments;however,specificdata

inthis

report

has

been

taken

from

District

Census

Report

1998.

Thedocumenthasbeendividedintovarioussectionsmentionedbelow:

1. District at a glance: This section contains general information about the

district;likehistory,location,areaetc.

2. Accessibility:Thissectionfacilitatesreaderinapproachingthedistrictfrom

otherdistrictsorprovincial/federalcapitalbyroad,railorair.

3. Culture: Knowledge of cultural and social customs facilitates in getting

accesstothegeneralpopulation.Thissectionprovidesbriefaboutcultural

setupandlivelihoodinthedistrict.

4. DistrictAdministrativeSetup:Abriefondistrictadministrativesetupalong

withreportinglinesisgiveninthissection.

5. Demographic Information: Demographic breakdown of the district

populationstructure,byageandsex,isimportantfromMother&Newborn

Child Health (MNCH) point of view. The information given in this section

can used to predict the target population in upcoming years and plan

interventionsfor

improvement

of

health

status

in

the

district.

6. District Health Department: This section provides basic information of

district health department. It provides organogram of the department,

types of health facilities, human resource and budget information, and

selectedhealthindicators.

7. DistrictEducationSector:The informationregardingtehsilwisenumberof

educational institutions in public sector is given in the section that can be

usefulinplanningcollaborativestrategiesforimprovementofhealthstatus

inthedistrict.

Weanticipatethat thisdocumentwould be helpfulforplanningdistricthealth

interventionsbyPAIMANandgovernmenthealthauthorities.

INTRODUCTION


5/12

1. Di

De

No

ca

Kh

on

Pu

W

th

Th

Ba

De

Ri

ba

ga

lo

trictataGla

ra Ismail Kh

rthWest Fr

italof thed

an.Thedistri

the east by

njab Provinc

ziristanand

northwest

edistricthas

lochleaderM

spite being s

er, thearea

sicurban inf

, railroads

atedonthe I

ce

n is the sou

ntier Provin

istrict is the

tofDeraIsm

District Bak

e, to the s

Zoabdistrict

yTankand

anareaof

r.Ismailfrom

ituated on t

isdryand v

astructure li

and adequat

ndusHighwa

ISTRIC

th most dist

e of Pakista

ownofDera

ailKhanisbo

har & Mian

uthwest by

ofBaloachist

LakkiMarwat

,326 km. It

famousMira

e bank of t

ryhot. The

epotablew

e health ca

ywhich links

HEALTH

D I Khan

icts of

n, the

Ismail

unded

ali of

South

an to

districts.

isanold to

nitribe.

e Indus

ity lacks

ter, fuel

e. It is

Pakistan

PROFILE

2 |

nestablishe

City of DI

Tomb at Lal

a g e

dbya

han

Mohra


6/12

fr

ag

Th

by

Ar

ne

Sh

A

th

so

ex

2. Ac

DI

Hi

co

ca

D.I

co

Ri

w

ne

op

tw

3. Cu

De

th

posig

na

la

Kh

cy

na

an

DeM

m

mNorth to

icultureand

isarea is rich

the

exca

heological r

arby temple

ahirule.

ongstfoodp

dates tha

haatof this

ortedtomid

cessibility

Khanis340k

hway,thejo

nectedtoBa

italofPesha

.Khan to Mi

nects it to

er.Thebridg

ich the app

arest railway

positebank

iceaweekfli

lture

raIsmailKha

people live

pulationis

a

nificantsegm

tionallangua

guageand la

an(DIKhan)i

le of extre

tural resourc

doverexploit

raIsmail

Kh

drassas(reli

shroomgro

outh along

irtuallynoin

inancienth

vation

of

lics at the K

provide evi

roducts,DIK

it produce

district is "D

esat,USAan

msouthofP

urneytime is

nnuviahigh

warviaKohat

anwali throu

hakkar in P

eontheIndu

oach to Bha

station is 2

ftheIndusR

htsareavail

isarelative

belowpover

mix

of

eth

entofUrdu

eisundersto

nguageofpe

smostlyinha

e poverty.

s,which are

tion.

nis

full

of

iousschools)

thduringAfg

est Bank o

dustries.

istory,aspro

Rahman

firKot Fort

dence of Hi

anisfamou

s. One of

akkiDate"

Europe.

eshawarand

aroundfive

ay,whichfu

andDarraA

gh Chashma

njab, situate

sRiverwasc

kkar was m

km away at

iver.There is

blefromIsla

lylessdevelo

y line.Many

nicBalochi

peaking imm

odandspoke

ople.These

bitedbyrura

ost of the

decreasing

eligioussenti

operateint

hanWarand

River Indus.

ven

eri.

and

ndu

for

est

hich is

withthepart

oursfromP

therconnect

amKhail.An

Barrage. Th

d on the ea

onstructed in

de through

Darya Khan

alsoa local

abad.

pedareaofP

peopleares

ndpashtun

igrants isals

nbyall,whil

iaridareao

lcommunitie

communities

apidly due t

mentsand

a

eneighbour

Talibanera.

D

3 |

There is ve

lyconstructe

shawar. The

sittothepr

otherroadco

third majo

tern bank o

early1980s,

a boat bridg

on the easte

omesticairp

akistanand

erving inAr

segments,

present.Ur

Seraikiisthe

fdistrictDera

scaughtina

are depend

shortage o

number

of

oodandthe

hakki Date Tre

a g e

y little

Indus

city is

vincial

nnects

r road

Indus

before

e. The

rn and

rtand

ostof

y.The

hilea

u,the

native

Ismail

vicious

nt on

water

Islamic

sawa

e


7/12

4 | P a g e

4. DistrictAdministrativeSetup

Likeanyotherdistrict inthecountry,districtD.I.Khan isheadedbyDistrict

Coordination Officer (DCO) assisting Zila Nazim and is accountable to him.

DCO,appointed

by

provincial

government

from

the

federal

or

provincial

civil

service,coordinateswithExecutiveDistrictOfficers(EDOs),whoheadeach

ofthedistrictofficesincludinghealth.

DistrictD.I.Khanhasfivetehsils.Eachtehsilcomprisesofcertainnumbersof

unioncouncils.Thereare47unioncouncilsindistrictD.I.Khanwith34rural

and13urban.

5.

Demographic

Information

Districthasapopulationof852,995asper1998Census.Populationinyear

2008isabout1,167,317.

NamesofTehsilsareasunder:

1.

Choudwan

2. Darbankalan

3.

Paniala

4. Darazinda

5.

Kulachi

Names of Union councils with population in urban and rural areas are as

follows:

S# UrbanUnionCouncil Male Female Total

1 DeraCity1 9914 9525 19439

2 DeraCity2 13804 13262 27066

3

Dera

City

3

9806

9421

19227

4 DeraCity4 17325 16645 33970

5 DeraCity5 10472 10061 20533

6 DeraJaat1 12168 11691 23859

7 DeraJaat2 11110 10674 21784

8 Kulachi 13493 12964 26457

9 Muriyali 14282 13722 28004

10 Dewala 14572 14000 28572

11

Paniyala

10493

10081

20574

12 Paroa 13646 13110 26756

13 Pharpur 11375 10929 22304

TOTAL 162460 156085 318545


8/12

5 | P a g e

S# RuralUnionCouncils Male Female Total

1 Shorkot 11669 11211 22880

2

Rattakulachi

10896

10468

21364

3 RakhMandhran 15593 14982 30575

4 Kaich 9054 8699 17753

5 Dhapshumali 15713 15096 30809

6 Maddi 11593 11138 22731

7 Yarak 12534 12042 24576

8 BandKurai 17219 16544 33763

9 Gilloti 11026 10594 21620

10

AbdulKhail

10614

10197

20811

11 KotlaSaidan 13650 13115 26765

12 Malana 15458 14851 30309

13 BaggiQammar 7891 7581 15472

14 DrabanKalan 14288 13727 28015

15 Chudwan 13002 12492 25494

16 Naiwaila 13238 12718 25956

17 Mirran 16159 15525 31684

18

Marrah

13789

13249

27038

19 KotJaai 14248 13689 27937

20 Kathgarh 12621 12127 24748

21 Bhagwani 13186 12668 25854

22 KiiriKhasour 14010 13460 27470

23 Bilotsharif 11455 11005 22460

24 Lacchra 10785 10363 21148

25 Kurrai 12709 12211 24920

26

Laar

13382

12858

26240

27 Kirrishamozai 12844 12340 25184

28 Looni 13258 12738 25996

29 GaraEsaKhan 10350 9944 20294

30 Hissam 8547 8211 16758

31 Hathala 11710 11250 22960

32 Chehkan 13041 12530 25571

33 Zandani 13867 13323 27190

34

Musazai

13478

12949

26427

TOTAL 432877 415895 848772

GRANDTOTAL 595337 571980 1167317


9/12

6 | P a g e

Following table shows the demographic information of different population

groupsinthedistrict:

PopulationGroups

Standard

Demographic

(%)

Estimated

Population

(2008)

Newborn 4.0 80,860

011months 2.24 45,281

1223months

Under5years 15.87 320,810

014

years

44.04

890,263

Womeninchildbearingage(1549

years)21.8 440,684

MarriedChildbearingage 15.5 313,331

PregnantWomen 4.5 90,967

6. DistrictHealthSystem

The health care delivery network is headed by Executive District Officer

(Health). Being the team leader, the EDO Health is assisted by the Deputy

DistrictOfficersHealth(DDOH),theMedicalSuperintendent(MS)ofDistrict

Headquarter (DHQ) Hospital and Tehsil Headquarter Hospitals (THQ) and

districtcoordinatorsofverticalprograms(EPI,MIS,NPFP&PHC).

a. Organogram

The organizational structure of district health department is given

below:


10/12

7 | P a g e

b. HealthFacilities

ThenumberofhealthcarefacilitiesindistrictDIKhanisgivenbelow:

Type

No.

DHQHospital 1

THQHospitals 1

RHCs 4

BHUs 29

CivilDispensaries 26

MCHCs 5

CivilHospital 4

ReproductiveHealthCenters 3

S.H.C

2

Totalnumberofpatientbedsavailableindifferenthealthfacilitiesof

DistrictDeraIsmailKhanisasunder:

NameofInstitution #ofbeds

FacilitiesunderEDOHealth,DIKhan 88

DistrictTeachingHeadquarterHospitalDIKhan 351

MuftiMahmoodMemorialHospitalDIKhan 200

TOTAL 639

c. HumanResourcePosition

Total health care personnel of selected positions working in the district

aredetailedinthefollowingtable:

PostsNumber

Sanctioned Filled

Gynecologist 2 2

Pediatrician 1 1

Anesthetist 2 2

Radiologist 1 1

WomenMedical

Officers

(WMOs)

13

13

MedicalOfficers(MOs) 56 56

BloodTransfusionOfficers(BTOs) 0 0

LadyHealthVisitors(LHVs) 53 53


11/12

8 | P a g e

PostsNumber

Sanctioned Filled

Nurses 90 90

Midwifes

35

35

LadyHealthWorkers(LHWs) 700 631

LaboratoryTechnician 11 11

HealthTechnicians 86 86

Vaccinators 49 49

d. HealthIndicators

Indicator

DataforJanMar2009

(Source:BaselineMIS

SurveyPAIMAN)

NumberofANCcasesregistered 935

NumberofpregnantwomenprovidedTT2

immunization

1794

PNCcasesvisitedbyLHWwithin24hrsof

delivery

2495

Numberof

children


12/12

district health profile di khan

Documents