Geneva Health Forum Archive

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Reform of Health Systems for Chronic Diseases in Pakistan

Author(s): S. Nishtar1
Affiliation(s): 1Heartfile, Islamabad, Pakistan
Key mesages: 1 – Countries must develop institutional capacity to address chronic diseases.
2 – Health systems reconfiguration is needed to mainstream chronic diseases into country health planning.
3 – Public-private partnership is a feasible governance model to address chronic disease.
Summary (max 100 words):

In its initial stage, the public-private partnership program on non-communicable diseases (NCDs) in Pakistan, has set up a population based surveillance system, consolidated data from pilot interventions and initialized work to develop tools of intervention. In the next phase, the program will focus on reorienting health system to a more preventive orientation around NCDs. As the private sector partner in this arrangement, Heartfile is also concurrently working to mainstream health reform in Pakistan to achieve broader health systems goals – a strategy, which will assist the needed health systems change for NCDs. These changes include strengthening and upgrading in-service training and ongoing education, ensuring the availability and access to drugs, upgrading infrastructure at all levels of care, developing tools to enable providers to practice screening and treatment and leveraging all stakeholders to deliver services. A strategy for reconfiguring health information systems has also been developed to support the institutionalization of the NCDs program. This focuses on reliable and timely access to information on mortality, morbidity, risk factors and their socio-economic determinants and gathering evidence from health policy and systems research to guide the development of individual policies and programs and data from forecasting and comparative reviews of national health accounts for planning.

Conclusion (max 400 words): Reorientation of health systems is needed to mainstream NCD prevention and control into country health planning.
Lessons learned: 1 – Countries must develop institutional capacity to address chronic diseases.
2 – Health systems reconfiguration is needed to mainstream chronic diseases into country health planning.
3 – Public-private partnership is a feasible governance model to address chronic disease.

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