A number of health information systems (HIS) to capture data on communicable diseases under different public initiatives are operational in Khyber Pakhtunkhwa (KP). These systems, however, work in silos each focusing on the monitoring the activity or disease of its own interest. The province frequently faces emergency situations but it does not have system to provide regular, timely, and valid information on disease outbreaks and other health related disasters. The IDSRS is integrating existing HISs to establish one platform for timely and appropriately responding to the outbreaks of communicable diseases. Consolidated guidelines have been developed for this purpose and health care professional/staff, and community groups are being trained to run the system effectively. The pilot is also helping the government in establishing first public health lab in any province to do testing for communicable diseases. As per its commitment to implementing international Health Regulations (IHR 2005), Pakistan has to establish an integrated disease surveillance and response system.
The project started in September 2015 and it will continue until June 2017. The DDCF has awarded a grant of PKR 73.665 million of which PKR 52.7 million (71% of the grant) has already been disbursed till the end of October 2016.
Pilot Beneficiary, Results and Impact
All public sector hospitals/health facilities service users are the direct beneficiaries of the pilot. Around 5% of the population (285,000) people living in target districts irrespective of ages and gender will directly benefit from the intervention. The pilot will also benefit a large number of health care professional/support staff indirectly. Specific information and disaggregated data on beneficiaries would become available once the pilot ends in July 2017.
Adoption and Scale-up Status
An MoU has been signed between the Health Department (HD) KP and SNG which binds the latter to support the pilot during implementation and scale-up. A Special Steering Committee for DDCF Round 2 pilots housed in Health Department oversees the progress. District Oversight Committees, established in the six SNG districts review progress periodically. The Health Minister KP, in a meeting on 25 November 2015, has given direction for the scale-up of this pilot across the province. The SNG is working with the HD to prepare proposals for early mainstreaming of this model into the working of provincial government.
Economic Cost-Benefit Analysis and Scale-up
Average cost of implementing the model in one district is estimated at 45 million per year. At this rate, it will cost approximately PKR 1.25 billion to adopt this model across the province. This needs to be done preferably in three phases to ensure that the new practices are properly embedded in health care apparatus. The cost for each phase of implementation is estimated at PKR 405 million. The IDSRS system will benefit everyone in the province by early detection of alerts and prompt action to prevent any communicable disease from spreading.
Directorate General Health Services Khyber Pakhtunkhwa, Pakistan.