Over the past seven years the Lady Health Worker Programme (LHWP) has become important to the Government of Pakistan's plan to raise the health status of women and children in villages and poor urban areas. From 1999-2002 an extensive external evaluation of the programme was conducted. This briefing note presents a summary of information collected from the evaluation's quantitative surveys and available in the Balochistan Survey Report.
Reporting on the Evaluation Results The Balochistan Survey Report presents information, collected through quantitative surveys, on the performance of the LHWP in Balochistan. It is one of a series of reports providing the results of the evaluation. In addition to Provincial reports there are also three national level reports: the Final Report which addresses key policy, service delivery and programme management issues, the Quantitative Survey Report providing an extensive analysis of the quantitative results; and The Financial and Economic Analysis which details the costs of the LHWP.
The Balochistan Survey Report The Balochistan Survey Report covers:
The level of compliance with the Programme's recruitment and training criteria
The range and level of preventive, pro-motive, curative and referral services provided by the Lady Health Worker (LHW)
The difference between high performing and poor performing LHWs
The activities of the LHW including hours of work and the number of registered clients.
The knowledge and skills levels that the LHW and her supervisor bring to their jobs.
The quality of the organisational support received by the LHW and the Lady Health Supervisor (LHS).
Service Delivery
Over 30 million people are receiving services from a LHW in their village, which has cost on average of Rs. 26,500 per LHW per year over the life of the programme. This is a low rate of funding and is having a negative impact on the level of service delivery. A fully funded programme would be more expensive but service levels and health outcomes would be a lot better. This is important because LHW services are having a positive impact on the health of the poor, particularly women and children. LHWs are contributing directly to improved hygiene and higher levels of contraceptive use, iron supplementation, growth monitoring and vaccinations amongst their clients. Almost three out of four communities report that the LHW has generally improved people's life in the village.
On average only 32 percent of the LHWs clients in Balochistan are receiving the preventive and promotive services for which they are eligible (see Figure 1).
Reporting on the Evaluation Results The Balochistan Survey Report presents information, collected through quantitative surveys, on the performance of the LHWP in Balochistan. It is one of a series of reports providing the results of the evaluation. In addition to Provincial reports there are also three national level reports: the Final Report which addresses key policy, service delivery and programme management issues, the Quantitative Survey Report providing an extensive analysis of the quantitative results; and The Financial and Economic Analysis which details the costs of the LHWP.
The Balochistan Survey Report The Balochistan Survey Report covers:
The level of compliance with the Programme's recruitment and training criteria
The range and level of preventive, pro-motive, curative and referral services provided by the Lady Health Worker (LHW)
The difference between high performing and poor performing LHWs
The activities of the LHW including hours of work and the number of registered clients.
The knowledge and skills levels that the LHW and her supervisor bring to their jobs.
The quality of the organisational support received by the LHW and the Lady Health Supervisor (LHS).
Service Delivery
Over 30 million people are receiving services from a LHW in their village, which has cost on average of Rs. 26,500 per LHW per year over the life of the programme. This is a low rate of funding and is having a negative impact on the level of service delivery. A fully funded programme would be more expensive but service levels and health outcomes would be a lot better. This is important because LHW services are having a positive impact on the health of the poor, particularly women and children. LHWs are contributing directly to improved hygiene and higher levels of contraceptive use, iron supplementation, growth monitoring and vaccinations amongst their clients. Almost three out of four communities report that the LHW has generally improved people's life in the village.
On average only 32 percent of the LHWs clients in Balochistan are receiving the preventive and promotive services for which they are eligible (see Figure 1).
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