Swat District / Khyber Pakthunkhwa Province / Pakistan

A healthy life for mothers and children: Developing the primary health care system

Welcome to Chitawar – one of the health care facilities supported by Malteser International
Welcome to Chitawar – one of the health care facilities supported by Malteser International

When you feel seriously sick, you go to a doctor for treatment. When a woman is pregnant, she seeks a doctor for pre-natal care. A simple, almost automatic response – but not so easy when you live in a rural or rather remote area in Pakistan. The health system there is often not as developed and prepared for its tasks as international and national standards would want it to be. If health facilities are furthermore damaged or destroyed – as they were in Swat through the civil conflict in 2009 and the floods in 2010 – the situation becomes even more difficult.

In the Swat district, Malteser International is rehabilitating and expanding two Basic Health Units (BHUs) and one Civil Dispensary and equiping them according to international (WHO) and national standards. The staff of the health centres is being trained to improve the quality of primary health care, with special emphasis on mother and child healthcare. The capacity building also includes trainings on issues like pharmaceutical logistics and the country’s disease early warning system. To develop the health system in general, there is a close cooperation with the district’s health authority. The objective is to continue on the way towards a health care system that is affordable and of good quality.

 

It was the worst flooding since recordkeeping in today’s Pakistan began: In July and August 2010, massive monsoon rainfall made the rivers in Pakistan swell rapidly. In the north of the country, flash floods of the mountain rivers washed away everything that was built or stored too close to the river beds: bridges and roads, houses and belongings. Mud- and landslides blocked roads and the communication infrastructure was destroyed in many locations. In the south of Pakistan, the run-off from rainfall in the mountainous north led to a wave along the Indus River which flooded vast parts of the lowland for several months, displacing hundreds of thousands people from their homesteads. Everywhere in the affected areas, people lost their income as fields were covered with mud, most of the harvest was destroyed and livestock perished. More than 20 million people were affected by the floods; 1,750 people died. The overall damage can only roughly be estimated and is unimaginably high. The reconstruction efforts will take several years – as will Malteser International’s commitment for relief activities. Our overall aim is to “build back better”: to assist the communities in improving their living conditions to an even higher level than that prior to the flood, while, at the same time, raising their resilience towards future incidents – whether they are natural or man-made disasters.

Malteser International has been working in Pakistan since the earthquake of October 2005. Its main areas of intervention have been and will remain in the sectors of health and disaster preparedness. With their long-term presence in the country, Malteser International’s teams will also be able to react quickly after new emergency situations.

  • Improvement of the primary health care services in the Swat district, especially for mother and child health care
  • Improvement of the population’s health status with a special focus on mother-child health
  • Rehabilitation and equipment of health facilities
  • Expansion of health facilities: mother and child health facilities, sanitation facilities
  • Training of health facility staff in primary health care, mother and child health care and medical logistics

Project Data
Duration: since August 2010
Financing:Federal Ministry for Economic Cooperation and Development (Germany), Malteser International

Contact
Malteser International:Christof Ruhmich
info@malteser-international.org
 

Media library

Ajbiv Bibi: grateful for Malteser International’s help. Discover her story! Photo: Jorge Scholz

Ajbiv Bibi: grateful for Malteser International’s help. Discover her story! Photo: Jorge Scholz
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Interview with Nafees Masud, Lady Health Supervisor in Pakistan
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Nach der Flut: Christine Prokopf hat die Projekte im Swat-Tal besucht und berichtet über die Perspektiven der Arbeit dort.