In Punjab, DDCF launched two rounds and allocated funds to three experiments in education and four in the health sector. The total financial allocation for 7 DDCF pilots was approximately over PKR 256 million.
The three DDCF education pilots focused on improving learning achievements through in-service teacher training (INSET) and by providing mentoring and lesson support. Health pilots emphasized on improving Basic Health Unit (BHU) management, mother and child traceability
for 100% immunization coverage and provision of basic healthcare facilities at the district level. The health pilots were relevant and appropriate in the context of what works in wider public health sector landscape in developing countries, across the globe.
Round 1 – Education Pilots
DDCF Round 1 in Punjab was launched in February 2014 and the first round focused on education, with an allocated budget of £500,000. The first round of the DDCF in Punjab targeted primary education and funded three pilots with potential benefits for over 200,000 people. The
three pilot projects were:
The “Learning boost” is the most advanced pilot project that focused on, improving teachers and children’s numeracy and literacy. The second pilot project of DDCF R-1 was “Learn while you teach” that aimed to improve teaching skills for science and mathematics. While another pilot project was Education Data Management System, its primary objective was to improve District Planning and monitoring of education. However, the three pilots benefitted 200,000 children (40% females), 3,200 schools, 1,500 head Teachers (40% females), 230 DTEs, 7,100
primary teachers (45% females) and 200 communities. DDCF manageable size ensured a high level of attention to detail both in design and implementation.
1. ‘Learning Boost’ was the most advanced pilot and the pilot reached out to 86,992 individuals (44,526 women). The beneficiaries included 373 teachers, 30 DSD officials and 26,000 children attending treatment schools. Moreover, the intervention benefited 46,226 children attending community activities (maths and reading camps), 14,240 parents (70% mothers), and 53 community learning workers (75% women).
2. 17,715 individuals benefitted from the second pilot “Learn while you teach” and 16000 teachers, 1537 primary school teachers, and 178 DTEs.
3. 79,600 students benefited from the EDMS pilot project while there were 4,800 primary school teachers and 114 DTEs.
Round 2 Health Pilots
During the course of Round 1, the Challenge Fund launched Round 2, primarily focusing Health and put an emphasis on gender, children and marginalized groups. DDCF Round 2 included the following four pilot projects that ensured health service delivery with a special focus on maternal and child health.
1. Har Zindagi
The first pilot project was “Har Zindagi- Every life matters” which aimed to redesign immunisation cards to achieve significant performance improvements in immunisation administration such as increased uptake and retention of children. The second pilot project was “Teemardar-Medicine Inventory Management” the project focused on SMART procurement and distribution of medicines. This project aimed to automate inventory management system of medicines to reduce corruption and to increase transparency and efficiency. The third pilot project was Tele Medicine Solution that aimed to equip a Basic Health Unit (BHU) in 1 remote district with Tele-diagnostic facilities and adequate training. While the fourth pilot project was Integrated Ambulance Service (IAS), its primary objective was to establish an automated ambulance service dashboard to cater to Emergency Obstetric and Newborn Care (EmONC) needs.
1. Har Zindagi pilot reached out to approximately 21,000 children and mothers (15,500 women) in the two districts. 16,383 new born babies were vaccinated in Sahiwal and Sheikhupura. It showed a 5% increase in uptake for vaccination and 25 % in retention.
2. Teemardar targeted a district with a total population of 3.5 million with the daily number of patients per medical unit estimated at around 3,500. This shows the pilot benefitted 1.3 million patients per annum who are the direct beneficiaries from improvements in the governance of medicine procurement and distribution.
3. Under Tele-Diagnosis the District Government used 3 pieces of equipment in 6 BHU’s of Sheikhupura on a rotational basis. The intervention targeted 82,000 patients, most were pregnant women. The result shows that there 17 % ANC scans for pregnant women that increased ANC follow up from 15% to 60% and there was also an increase of patients using BHU by 50%.
4. Under the (IAS) project, DG Hafizabad deployed 15 ambulances that aimed to cater pregnant women in entire rural areas of Hafizabad. The intervention targeted 5,500 deliveries and 915 medical emergencies and the result shows that 2500 deliveries have benefitted from the service. This project was adopted and scaled up. There are plans to extend to the whole province as Mahfooz Maa.