Health Need Assessment on Child Health Services in Pakinsan

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Pakistan compromises a total land mass of 307,374 square miles (796, 095 square km). Extending along the Indus River it follows its course from the valleys of the Himalayas down to the Arabian Sea, bordering along with India, China, Afghanistan and Iran (Geographia, 2013).
The whole Pakistan is divided into four province; Sindh, Punjab, Baluchistan and NWFP. The national language of Pakistan is Urdu but different languages are spoken in different provinces. Pakistan is the 6th most populous country having a total population of 179.2 million (The World Bank, 2012). Rural areas in Pakistan are densely populated compromising 63.8% of the total population (Trading Economics, 2010).


Until 2000, the child and infant mortality rates were progressing to attain the Millennium Development Goal 4 until the impact of natural and man-made disasters hit Pakistan (United Nations Pakistan, 2011).

Table 1: causes of under five deaths in Pakistan. (National Institute of Pakistan Studies and Macro International Inc., 2006-2007).

The current under five year child mortality rate in Pakistan is 89 deaths per 1,000 live births while the Infant mortality rate is 74 deaths per 1,000 live births. Unfortunately, this rate is 28% higher in rural than in urban areas. Mainly due lack of education, lack of family planning, Lack of vaccination, low birth weight, mal nutrition, overcrowded houses, and non-breast fed children (National Institute of Pakistan Studies and Macro International Inc., 2006-2007).

An evidence based health need assessment will provide relevant data on prevalence, incidence and risk factors associated with child mortality which will aid in the effective commissioning of services and proper utilisation of the current resources...

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... order to build rapport.
c) Time consuming
d) Lack of cooperation form the respondents.
3- Mixed-method Research

1. Due to cultural and traditional reasons there might be lack of co-operation mostly from rural areas and in some urban areas so local authority will be involved and female interviewers will be employed to interview mothers.
2. To implement and accomplish this project a strong leadership by program manager will be required.
3. Conflicts regarding funding will be resolved by prioritizing the needs.
Statisticians and data analyst will work together to analyze and draw conclusions form the statistical data. Although, complete implementation of the findings might not be possible but needs would be prioritized. Different strategies and interventions will be presented to stakeholders to improve the health care system.

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