Developing countries often face the unexpected: disease outbreaks, natural disasters, and political unrest. To sustain advances in their health systems while safeguarding communities, health staff and organizations need strategies that promote system resilience—the capacity to anticipate and respond to crises; maintain core functions when shocks strike; and reorganize when extreme conditions or circumstances arise.
In Sindh Province, as in the rest of Pakistan, logistics data for the immunization supply chain was sporadically collected and seldom used for years. Stockouts of critical vaccines were commonplace, resulting in poor coverage rates and frequent outbreaks of measles and other vaccine-preventable diseases. In 2013-2014, the federal and provincial governments, supported by JSI, USAID, UNICEF, and WHO, developed and launched a web-based vaccine logistics management information system (vLMIS) to address this problem, and started an ongoing effort to scale up use of the system across the nation.
Dr. Arshad Mahmood, Deputy Chief of Party of JSI’s Health System Strengthening Project in Pakistan, has spent the majority of his professional life monitoring and evaluating Pakistan’s health interventions, asking important questions about program impact: Is our program improving health? Is it saving lives? Could this intervention improve health more efficiently and sustainably?
Pakistan ranks fifth in terms of Tuberculosis (TB) burden, at an alarming figure of 620,000 TB patients out of a total population of 177 million people.
Perhaps one of the most challenging public health interventions in Pakistan is building awareness of healthy behaviors and its country-wide promotion, especially when it requires accessing women in rural areas of Pakistan.
Over the past three years, the United States government has made an unprecedented investment in supply chain management and logistics to improve access to family planning across Pakistan. The result has been a huge improvement in the lives of Pakistani women and children of Pakistan.