Finance Planning Department District Chitral

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Home Departments About Health Department

About Health Department

People of Chitral, in general, are poor and experience moderate levels of mortality, morbidity and disability. An appropriately defined and maintained set of health indicators provides information for the elaboration of relevant profiles of a population’s health situation.

In Chitral, 40% ofthe population uses improved sources drinking water while sanitation facilities are available to 40% of the population. Health indicators don’t show a better picture than that of overall Khyber Pakhtunkhwa which suggest that health services in Chitral need improvement and co-coordinated efforts to meet National as well as the millennium goals.

Demographics Chitral KPK Pakistan
Population under age of 15 years 181274 11607763 84102699
Population under age of 1 years 15832 4127204 29903182
Population annual growth rate (%) 1.4 2.89 1.9
Crude Death Rate 3.2 12.5 7.7
Crude Birth Rate 18 29 25
Life Expectancy at birth 61 64 65
Total fertility rate 5.5 4.3 4.1
%age of urban Population 11 % 16.87 32.5
Source: District Health Department, Chitral

In Chitral, like rest of the country, community social structures and belief systems are defined and dominated by men, which perpetuates gender imbalances and contributes to poor outcomes in fertility behavior and reproductive health. Thus, the contraceptive use remains low (51%) A considerable need for family planning services remains unmet, which has not been converted into effective contraceptive usage partly because of family dynamics of a male dominated society. Social indicators in Chitral are much better than the rest of the districts of Malakand Division. LHW coverage in Chitral is quite high covering 85% of the population.There is a growing commitment by both the provincial and district governments to review and reform the equity of service delivery.

Health and Nutrition Chitral KPK Pakistan
% of total population using improved source of drinking water 40 73 88
% of total population using adequate sanitation facilities 40 39 54
% of 12-23 months children fully immunized 98.9 73 75
% of pregnant women immunized for tetanus 60 65 49
Contraceptive Prevalence Rate (Any Modern Method) 51 23.6 -
Antenatal Coverage 66 49 -
Source: District Health Department, Chitral

Disease Pattern

Health department has adopted DHIS as regular reporting mechanism to collect information on diseases and other variables. Currently, DHIS is in transitional stage, and is establishing itself as a tool to be used for evidence based planning and management. According to information captured from the consolidated DHIS reports that include reports from PHC and Secondary health facilities, 30.51% of patients visit the health facilities complaining of acute respiratory infections followed by 9.54 % of the patients suffering with fever from different causes, 8.13 % from Hypertension and 6.54% of the patients from diarrhea and dysentery has been reported to visit the public health facilities. Urinary Tract Infections are reported in 5.37% of the population whereas Pneumonia is reported in 4.9% and Asthma in 1.7% of the population. Two cases of AIDS have been detected in district Chitral. Chitral not only shows the usual communicable but also non-communicable diseases in its disease pattern which translates the increasing trend of double burden of disease.

Infrastructure

Public health infrastructure is fundamental to the provision and execution of public health services at all levels. A strong infrastructure provides the capacity to prepare for and respond to both acute and chronic/on-going threats to the citizen’s health. Infrastructure is the foundation for planning, delivering, and evaluating public health.

District Chitral consists of 56 health facilities for a population of 402,832 people. Every Union Council should have at least one health facility e.g. BHU or Civil Dispensary as a minimum requirement, to optimally cater the needs of the population. DHQ hospital is the main referral hospital of the district and receives patients from THQs, RHCs, BHUs and other facilities in the district for secondary care services. Preventive care is also provided at the DHQ, such as health education, immunization, antenatal care and family planning. Chitral has a District Headquarter (DHQ) Hospital in UC Chitral II and three Tehsil Headquarter (THQ) Hospitals in UC Shoghore, UC Drosh I and UC Charun each.

Along with the DHQ and THQ, district Chitral has 6 RHCs, 19 BHUs and are 43 Civil Dispensaries. Some of the UCs e.g. UC Chitral 1, UC Danin and UC Drosh II have no health facility whereas there are also some UCs that have five health facilities e.g. UC Asherat and UC Tarich.

The largest UC by area is UC Yarkhon and the second largest is UC Arundu whereas population wise the largest UC is UC Arundu followed by UC Khot but the criteria for distribution of health facilities in the district remains unclear. As a general standard each health facility should be at least at a distance of 5 kms from another but in case of district Chitral the ratio between population and area is disproportionate and catchment area population is always an important factor.

 

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