Peshawar: Community Uplift Program (CUP) Pakistan organized a Dissemination Workshop of the Pilot Phase of the Project funded by DFID through Palladium Grouptitled; “Improvement in Quality of Family Planning and ReproductiveHealth Services through Citizen-Led Performance Monitoring using Community Score Card as a Social Accountability Tool” at Pearl Continental Hotel Peshawar.The Chief Guest at the event was Mr. Fazal Nabi Khan, Secretary Population Welfare Government of Khyber Pakhtunkhwa and Mr. Masood Younas the Additional Secretary Health represented the Secretary HealthGovernment of Khyber Pakhtunkhwa.
Citing evidence based performance indicators, regarding the success of this phase of the project, the Chief Executive of CUP Pakistan, Iftikhar Ur Rahman, presented the achievements, challenges and the framework for the scale-up of the project in cooperation with the “Independent Monitoring Unit” of the Health Department.The CSC process involved, social mobilization of the communities, identification of community activists/users (male and female) and tracking of facilities in terms of official entitlement and recorded in relation to the actual holdings of staff, equipment & medicines. Based on a set of agreed performance indicators between facility staff/district health managers and community activists, the community activists scored performance from 1-5 with 1 as the lowest level of ranking/satisfaction related to a particular indicator. The service facility staff also conducted its own performance evaluation against the same indicators and scored as they saw it.This was followed by three citizen-facility staff interface meetings for three clusters of facilities which were participated by community, service facility staff and district health and population welfare officials. Nine (9) agreed action plans were formulated related to each facility for addressing key issues that were identified in the interface meetings resulting from the performance scoring. Also Joint Citizen Monitoring Committees (JCMCs) were constituted were agreed membership and terms of reference;
The results analyzed by the JCMCs as of end January 2016, indicate that almost 90% of the nine (9) agreed action plans have been implemented, although the pilot project target was to ensure that at least 50% of the nine (9) agreed action plans are implemented by the end of the pilot phase!
A lively discussion took place between citizens and the provincial and district health staff in which it was evident that time has changed as citizens are more aware of their rights to quality healthcare.
Speaking to the participants, Mr. Masood Younas Fazal Nabi Khan, Secretary Population Welfare Department made a passionate appeal to all stakeholders including citizens to collaborate and enable CUP Pakistan to improve the demand side through application of good governance tools such as the CSC.He fully supported the way forward plans through the scale up phase of the project, which envisages support to the IMU-Health of KPK by providing citizen feedback through the CSC process which is “horizontal monitoring”…….thus closing the loop and integrating the “independent vertical monitoring” by the IMU-Health with citizen feedback through “horizontal monitoring” by the use of CSC process.
Dr. Akhtar said, Project Director IMU-Health mentioned that the contours of the CUP-IMU partnership is based on the desire of the health secretary to improve governance in “Reproductive, Maternal, Newborn Child Care” service facilities for “demand creation” which in the longer term will improved performance indicators laid down by the Health Department..
Mr. Fazal Nabi Khan, Secretary Population Welfare was very passionate in his keynote address by saying that he considered the Government of KPK accountable to the citizens for providing them quality healthcare services.I have had a chance of several meetings with the Chief Executive of CUP Pakistan, He stated that he was fully in picture the challenges and successes of this project. “I strongly believed many months ago that this pilot project will strengthen the work of the Independent Monitoring Unit (IMU) as well as the Internal Monitoring and Evaluation System of the Population Welfare Departmentsaid the Chief Guest, after all, these public services are for the citizens of KPK and by including them in the feedback on timely and quality service delivery, this pilot project has created a model for citizen inclusive healthcare which is a sustainable, replicable and scalable for joint citizen-service joint action planning & monitoring:.Having seen these evidence based results of the pilot phase, he fully supported the framework for the scale up as presented by the Chief Executive of CUP Pakistan.