Process Evaluation of Community Mobilization Activities (PDF, 87.83 MB)
This report presents findings of the process evaluation of community mobilization activities implemented under the PAIMAN Project. April, 2010.
Effect of Dai Training on Maternal and Neonatal Care (PDF, 83.90 MB)
The Safe Motherhood Applied Research and Training (SMART) project was an operations research project to develop and test interventions to reduce maternal and neonatal mortality in DG Khan district Pakistan. As part of the combined community and health facility intervention component of the project, 228 dais attended an eight-day training. This study compares responses of trained and untrained dais on knowledge, skills, and practices. March, 2010.
Initial Assessment of Community Midwives in Rural Pakistan (PDF, 1.68 MB)
Pakistanís Maternal Mortality Ratio (MMR) is 276 per 100,000 live births and Neonatal Mortality Rate (NMR) is approximately 54 per 1000 live births (NIPS, 2007). The role of a skilled birth attendant (SBA) is crucial in reducing this high level of mortality. The concept of community midwifery has been recently introduced in Pakistan. The goal of this study, funded by USAID through the Pakistan Initiative for Mothers and Newborns (PAIMAN) project, was to assess the potential of community midwifery services in rural Pakistan in order to provide necessary evidence for future decisions regarding the training, practice and placement of community midwives (CMWs). March, 2010.
Assessing the Potential Acceptability of a New Cadre of Community Midwives for Pregnancy and Delivery Related Care in Rural Pakistan: Findings from a Qualitative Study (PDF, 44.95 MB)
This report presents the findings of an operations research study to assess the potential acceptability of a new cadre of community midwives for pregnancy and delivery related care in rural Pakistan for the PAIMAN project. March, 2010.
Guidelines for setting performance targets (PDF, 764 KB)
Under Local Government Ordinance 2001 of Pakistan, devolution of political power and decentralization of administrative and financial authority and responsibility to the districts has offered a renewed opportunity as well as challenge for strengthening the district health system for effective delivery of quality health services that are accessible, efficient and equitable. One of the main thrusts of district health system strengthening is to improve district health system management. This guideline provides a brief view of how to set performance targets at district level. 2008.
District Financial Flow System Review & Recommendations (PDF, 1.31 MB)
This assessment of financial flow systems is based using a mix of quantitative and qualitative data gathered from the Khanewal, Lasbella and Jaffarabad districts and a selection of Tehsil/Taluaka within these districts, through field visits and using open-ended self administered questionnaires. 2006.
District Health Management Teams: An Analysis & way forward (PDF, 1.31 MB)
This report presents findings of a study—based on qualitative methods including literature review and interviews of stakeholders—to explore ways and means to increase efficiency of existing District Health Management Teams (DHMTs) and ensure their sustainability. 2008.
Decision Space Analysis in Pakistan (PDF, 797 KB)
In Pakistan, decentralization to the district level has been in the process of implementation since 2001. District-level officials have become increasingly responsible for the effective implementation of local health services and the USAID-sponsored PAIMAN project has been charged with improving the district-level capacities in order to improve the implementation of specific interventions to improve maternal and neonatal health in 10 selected districts. The report presents findings and conclusions of a survey of 126 key officials in 17 districts and one agency. 2008.
Assessment of District Health Supervisory System (PDF, 469 KB)
The supervisory performance assessment was designed to guide the development of the improved supportive supervision system by providing a better understanding of the challenges health supervisors encounter. A variety of qualitative techniques were instituted which included; observations, discussion with supervisors and supervisee and record review, enriched with national and international literature review.2006.
Health Facility Assessment (PDF, 3.39 MB)
This report presents results of a survey conducted to assess the MNH services profile, physical infrastructure, equipment/supplies, human resources, auxiliary services and quality of provider-client interaction in 10 districts of intervention in four provinces of Pakistan. 2005.
Review of Public Private Partnership (PPP) Models (PDF, 630 KB)
Existing health care delivery system, both in the public and private sectors, was assessed through a survey labeled Health Facilities Assessment (HFA). This survey was conducted by PAIMAN in 10 districts of intervention in four provinces of Pakistan for detailed evaluation of MNH services. The objectives of survey were to assess the MNH services profile, physical infrastructure, equipment/ supplies, human resources, auxiliary services and quality of provider-client interaction. 2006.
PAIMAN has networked over 800 Ulama of all sects. Ulama are using their voluntary service to reach out to general populace with behavior change messages regarding health and well-being of mothers and children. The evaluation report presents the results of this unique Ulama Intervention.
The third edition of "Role of Religious Scholars in Ensuring the Health of Mother and Newborns" published with inputs from various religious scholars on previous editions. This book served as the primary source of material for ulama in their advocacy work at the community level.
Communication, Advocacy and Mobilization (CAM) describes the detailed outline of communication, advocacy and community mobilization activities being implemented during the life of PAIMAN project (2005 - 2010).
This Repository provides a brief overview of the number of communication and advocacy products, produced for PAIMAN by CCP in first five years of the implementation of the project as part of the CAM strategy for reaching out to various audiences.