1. Worrying Facts Presented by: National Trust for Population Welfare N A T P O W

2.  High maternal mortality 350-400/100,000 LB¹  Low skilled birth attendance 18%  One out of three women marry before 18  One out of three married girls have a child by 19  One-third have children less than 24 months apart  Average birth spacing among women between 15 and 19 is 21 months  Lack of access to economic resources  Cultural/Tribal/Religious traditions or customary practices Challenges

4.  Population living below poverty line 44%  People with no access to safe drinking water 64%  People who are living in single room houses 65%  Population with no sanitation 88% Challenges Continue

5. Summary Implications Shortage  Educational facilities  Health Services  Housing Units  Food  Clean Water  Living Space  Over crowding

6. Maternal Mortality Ratio 100,000 Live Births CountryCurrent Level MDG Target ( by 2015) Bangladesh320N.A Bhutan255140 India254 < 100 Nepal281N.A Pakistan276150 Sri Lanka3936 Lao PDR405260 Mongolia49N.A

7. Infant Mortality/1000 Live Births CountryCurrent Level MDG Target ( by 2015) India55< 30 Nepal48N.A Pakistan7543 Sri Lanka11.29 Lao PDR5545 Mongolia19.6N.A

8. Post ICPD Scenario Indicators Pre- ICPD Post-ICPD followed by MDGs 199119972009 Infant Mortality Rate/1000 Live Births1088578 Maternal Mortality Ratio / 100,000 Live Birth 500350276 Total Fertility Rate (per women)5.44.64.0 Population Growth Rate (%)2.632.381.8 Contraceptive Knowledge (%)789496% Contraceptive Prevalence Rate (%)122430%

9. Service Delivery

10. NATPOW Introduction NATPOW is a non-profit Organization established by the Government of Pakistan, working throughout Pakistan since 1994. NATPOW works with 350 CSOs/ Private Sector Partners to build effective partnerships for interventions with special emphasis on following:  Community Mobilization and Participation  Advocacy and Awareness Raising  Capacity Building  HRD  Reproductive Human Rights  RH & FP for providing better health service to the communities.

11. 1. Literacy for Family Health Initiative-LFHI Partner Organization: NCHD Objectives  Building capacity and enhance the competency of Literacy Teachers  Aims to reach 2.5 Million direct beneficiaries in 03 years,  Targeting 25-30 students per centre and 90% women Highlighted Projects

12. 2. Scaling-up best practices in Pakistan to integrate Family Planning into Maternal, Neonatal and Child Healthcare services (HTSP) Objectives  To reduce maternal, newborn and infant/child mortality and morbidity, to provide a comprehensive maternal and reproductive health packages to flood affected areas.  Mobilize communities to promote maternal health through LHWs  LHW and Community mobilzers will increase demand for Family Planning Highlighted Projects

13. 3. Family Health Center Objectives  To provide better health services to the marginalized communities  To provide RH&FP conselling and services, to promote healthy timing & spacing of Pregnancy  Social Mobilization for long-term positive behavior change of communities towards health issues Highlighted Projects

14. 5. KAP Baseline Household Survey Objectives  To reach out 2.1 million people 1,050,000 children under 18,462,000 women and 588,000 men  Selected 31 most flood affected districts to protect them from water, sanitation and hygiene related diseases  Will improve hygiene behaviors through mass awareness campaigns that will benefit the whole population of the districts Highlighted Projects

15. 4. Post Flood Health Care Relief Project 2010 Objectives  Provision of Mother & Child Healthcare services, including RH&FP  50 Mobile Service Units were mobilized to provide Healthcare services to poor and needy people  Each MSU visited 3 villages per day to cater for healthcare needs of about 5000-6000 people per day Highlighted Projects

16. Pakistan Flood 2010 16 1UNFPA2010- 2011 USD 0.148 million MSU for 20 Flood Affected Districts. UNFPA, WHO, 2UNFPA2010USD 0.04 Million Medicines and nutrients in Flood Affected Areas 3Inspired Sisters UK 2010USD 0.100 Million Inspired Sisters aided in the form of clothes, shoes, mattresses, blankets and pillows worth 100,000 US$ (in-kind support) for Flood Affected Areas 4Kimse Yok Mu Turkey 2010USD 5.6 Million Kimse Yok Mu supplied 03-Help Trains including Medicines, Tents, Food, and Shoes etc. 2,300,000 US$ (in-kind support)

17. 2010 MSU Project Villages Covered (Camps) 8,460 Ante-Natal Care 57,931 TT Vaccination 10,074 Referral for Save Delivery 6,813 Post-natal Care 26,055 UNFPA RH Kits Distribution15,322 Family Planning Client 35,011 General Ailment158, 073 17

18. MSU Project 2011 25 MSUs 7 Districts Health Department & PWD Sindh Safe Motherhood & Child Healthcare Services Special Focus on: –Basic Emergency Maternal and Neonatal Care –Reproductive Health & Family Planning –EmONC –General Ailment –Health Promotion Service Each MSUs –05 Staff Members –LHV/ Family Welfare Worker –Community Midwife (CMW) –Family Welfare Assistant (Male), and Driver. 18

23. Flood Relief 23/09/11 Activity planned for Mirpur Khaas –30 tents for 60 families –200 family bags –20 cows for 400 families 23

26. Crisis Response Cell – CRC Back End Support to Field Activities Monitoring results from MSU’s Updates from Field Staff Share Information with Media, and Donors Share Regular Updates with GoP, Provincial Govt., NGOs, Partners. 26

27. Help in sustaining NATPOW’s established 60-Family Health Centers (FHC) in Most deserving-Underserved areas of Pakistan to provide Safe Mother & Child Healthcare services, like:  Supply of Medicines  Events which can raise funds for these centers  Monthly cash for bearing expense of one center  Help for raising awareness to these communities  Donate for organizing Health management committees  Donate for saving more lives Way Forward

28. NATPOW Donors/Partners 28

29. Thank You