Health Sector Assessment of Khyber Pakhtunkhwa

on behalf of the Asian Development Bank (ADB) with focus on Behavior Change Communication (BCC) in the area of Mother and Child Health (MNCH)

Project Description:

Behavior Change Communication (BCC) should be an integral part of every approach to improving a health system, especially in developing countries and emerging nations. Communication is considered to be a key element in changing behaviors. One of Pakistan’s main challenges is the poor outcomes for Mother and Child Health (MNCH), which are even poorer in KP. The Maternal Mortality Ratio in the province is 206/100000 (178/100.000 in Pakistan), only 48 percent of deliveries take place in the presence of a skilled birth attendant (52 percent in Pakistan) and 60 percent receive ANC from a skilled birth provider (73 percent in Pakistan). Therefore, implementing efficient BCC strategies for MNCH to improve the behavior of mothers, their families and healthcare providers is an important step in the right direction.

Main project features:

The assessment focused on secondary care facilities, since most BCC activities have been focusing on primary care interventions. It aims to analyze if any BCC efforts have been made on the secondary level so far and if not, which steps could be undertaken to implement a successful BCC strategy for secondary care facilities.

Activities performed:

Analyzed the situation of MNCH in KP with a focus on health-seeking behavior of mothers and their families. Identified BCC challenges on demand side, supply side and cross-cutting level. Drafted of a BCC strategy for secondary care interventions for KP. Methods used: literature review on MNCH and BCC in Pakistan and in KP. Conducted interviews with important stakeholders (DOH, JICA, UNICEF, WHO, Health Service Academy, PIDE, NIPS, LHWP, et al) in Islamabad and Peshawar. Conducted a workshop with the government of KP in Peshawar around BCC.