MNCH Services Delivery project, funded by JHPIEGO/MCHIP, is being implemented in district Larkana & Noshehro Feroze by IHS. The overall project goal is reducing maternal, newborn, and child mortality by ensuring 24/7 access to MNCH services in both public and private sectors by increased availability, coverage and Enhanced quality of MNCH services with Improved behavior and practices of communities in both the districts.

A health service delivery contracting-out project implemented by IHS with funding by the Government of KPK and MDTF (World Bank), in district Battagram with management of all the health facilities in the districts for revitalization and strengthening the health services under Public Private Partnership contract with GoKPK.
Healthcare services were provided in all the public health facilities (including 01 type-D THQ hospital, 02 RHCs, 28 BHUs and 09 CDs/01 MCH Centers/01 TBC). HUB approach was applied for the implementation of project activities in the district.

A health service delivery contracting-out project implemented by IHS with funding by the Government of KPK and MDTF (World Bank), in district Torghar with management of all the health facilities in the districts for revitalization and strengthening the health services under Public Private Partnership contract with GoKPK.
Healthcare services were provided in all the public health facilities (including 09 BHUs- District Torghar is deficient of existence of any DHQ/THQ and RHC in the entire district). HUB approach was applied for the implementation of project activities in the district and one BHU, designated as hub, was strengthened with provision of healthcare services on 24/7 basis.

A health service delivery contracting-out project implemented by IHS with funding by the Government of KPK and MDTF (World Bank), in district Kohistan with management of all the health facilities in the districts for revitalization and strengthening the health services under Public Private Partnership contract with GoKPK.
Healthcare services were provided in all the public health facilities (including 04 RHCs, 33 BHUs, 02 TBCs, 02 LCs and 01 CD - District Kohistan is deficient of existence of any DHQ/THQ in the entire district). HUB approach was applied for the implementation of project activities in the district and three RHCs were designated and strengthened as hubs for the adjacent health facilities.

Successfully completed the 10 days refresher training of 630 CMWs (including 187 CMWs from AJK, 97 CMWs from FATA and 346 CMWs from Balochistan) in coordination with the respective MNCH Programs, funded by TRF. In addition to the training of CMWs IHS also had a focus on the capacity building of 14 Nursing and CMW tutors from AJK, FATA, Balochistan and GB as Master Trainers, to create a pool of local resource persons and enhance the capacity of local health personnel.
After evaluation of the trainees, as per the pre & post-test tools, knowledge & skills of CMWs were improved from 29-46% to 59-86% (as of different training batches in AJK, FATA and Balochistan).

Successfully completed the 10 days refresher training of 92 CMWs in Gilgit Baltistan, in coordination with MNCH Program Gilgit Baltistan, funded by TRF. In addition to the training of CMWs IHS also had a focus on the capacity building of 08 Nursing and CMW tutors from Gilgit Baltistan as Master Trainers, to create a pool of local resource persons and enhance the capacity of local health personnel.
After evaluation of the trainees, as per the pre & post-test tools, knowledge & skills of CMWs were improved from 9-15% to 70-85% (as of different training batches in Gilgit Baltistan)

Successfully completed the 10 days refresher training of 822 Medical Technicians working at public health facilities with department of health- Gilgit Baltistan, in coordination with the DoH Gilgit Baltistan, funded by TRF. In addition to the training of MTs, IHS also had a focus on the capacity building of 10 nursing tutors from Gilgit Baltistan as Master Trainers, to create a pool of local resource persons and enhance the capacity of local Health Personnel.
After evaluation of the trainees, as per the pre & post-test tools, knowledge & skills of MTs were improved from 21-46% to 63-85% (as of different training batches in Gilgit Baltistan).

A project funded by the Norwegian government under the Norway Pakistan Partnership Initiative (NPPI). IHS implemented this health service delivery contracting out project in coordination with UNICEF, UNFPA and MNCH Program Sindh in the districts of Larkana and Shaheed Benazir Abad (SBA) in Sindh province. This program entailed delivery of free MNCH services to a population of 2.78 million in both the districts through the public sector health facilities. It was a 30 month intervention undertaken for the first time in Pakistan under contracting out.
HSDC/IHSAS provided an integrated obstetric care model by linking of public facility obstetric and newborn care with the existing health system and support system for care at community level. HSDC/IHSAS accomplished this by working with a broad range of partners such as the public and private health care sectors, Non-Governmental Organizations and local communities.

Integrated Health Services implemented this ERF/UNOCHA funded project Taluka Garhi Yasin, District Shikarpur and supported the Operations at three Public Health facilities including one RHC and Two BHUs to provide free healthcare services including general OPD management, MNCH services and Health education sessions at health facility level as well as at community level. Medical camps were also organized with distribution of Health & Hygiene kits among communities. Refurbishment/repair work of the damaged Health facilities was also carried out.
Project beneficiaries: 31,722 (14,597 Women, 3,995 Men, 6,650 Girls<15 Yrs., 5,629 Boys<15 Yrs. and 851 Elderly>50 Yrs.)

IHS adopted approach of Mobile Health Units for the health services delivery to the flood affected population of District Nawabshah. The project was funded by ERF/UNOCHA, MNCH & Primary Healthcare Services were provided through four mobile medical units in the entire district, benefiting the maximum population. Health Education was imparted along with distribution of Clean Delivery Kits, Newborn Kits and Health & Hygiene Kits.
Project Beneficiaries: 46,040 (13,874 women; 9,226 men; 11,378 boys<15 yrs.; 11,562 girls <15 yrs.)

IHS launched a novel intervention to create awareness about tuberculosis through establishing ‘Health Clubs’ at school level in ten districts of Pakistan (Sialkot, Narowal, Mandi Bahauddin, Gujrat, Khushab, Tando Muhammad Khan, Tando Allahyar Khan, Bagh, Muzafarabad and Quetta). The project was funded by the Global Fund (GFATM and in association with Mercy Corps and the National TB Program Pakistan.
During this 5 year program students of middle and high schools were trained to become ‘Ambassadors of Health’ and they imparted education among their class fellows, families and the community at large on health issues specially the spread, treatment and prevention of TB. Every year 1500 students were trained as ‘TB Ambassadors’ in 50 schools of the above mentioned districts. This program increased the case detection and treatment completion rates of the disease in the selected areas. During this 5 years project, IHS sensitized 133183 school students about TB, it prevention, detection and treatment, completed training of 263 School TB Clubs including 7437 school TB club members and 500 school TB club in-charges (Teachers). These School TB Club members identified 4466 TB suspects and supervised the complete course of TB treatment of 378 TB patients as TB DOTS facilitators.

IHS has been conducting monitoring & evaluation surveys of projects & interventions funded by Micro Nutrient International, Concern Worldwide, Plan International (Pakistan), Save the Children (UK) and as a host of other organizations. IHS has been working in all provinces of Pakistan and conducted project evaluation studies in over 40 districts.
We have a pool of human resource including trained field workers, HMIS experts and public health consultants to conduct such surveys that enables us to complete our assignments in short period of time with reliable results and accurate assessments.

Behavior Change Communication in Communities through School Health Clubs with School Children as Ambassadors of Health & Hygiene and Messengers of Change in district Layyah, funded by WHO & implemented by Integrated Health Services.
The efforts and interventions by various organizations and development partners had targeted curative measures but for a long term solution and early recovery it is required that health and hygiene awareness be created among the affected communities to prevent diseases and reduce the cost and effort associated with curative measures.
School children were chosen for this intervention as the target audience because they are the future generations and if educated at this stage of life they can become lifelong ambassadors of health. They have immense energy which if not rightly channelized can cause frustration and lead them towards disarray. While if intelligently used they can become the most vocal proponents of health awareness not just in their schools, families but the community as well.

The World Bank’s South Asian Regional Development Marketplace (SARDM) awarded IHS with a one year project on reducing stigma associated with HIV through creation of ‘Youth HIV Forums’ at colleges. IHS was one of the 25 organizations from the 8 SAARC countries selected out of a total of over 1100 applicants after a long & thorough process of selection held at Mumbai. This project was a BCC intervention targeting the youth & channelizing their energies to create awareness about HIV with special reference to the socio-cultural aspects of the Pakistani society with a special focus on IDUs & MSMs to educate them on preventive measures to reduce HIV transmission. This was the first of its type initiative taken in the world where energies of the youth were channelized through organized forum.

After the 2005 earthquake, in league with the UAE Red Crescent Society & the Embassy of United Arab Emirates in Pakistan, IHS operating a 24 hr. curative & preventive health facility in Baissian (7 km. short of Balakot) in February 2006. Around 150 Patients visited the facility daily and are provided free treatment. Till the end of 2008, over 150,000 patients had received treatment from this facility free of cost. Besides treatment the facility specific health education was provided to the ‘mothers’ on how to manage the health and development of their children starting from birth to the teens.

IHS conducted a GIS survey, in the four provinces and FATA/FANA, for the World Bank to map the primary healthcare facilities. It involved digital mapping of the locations and setting up of communication systems. The survey took 11 months to complete and was the first of its kind in Pakistan. In the 2nd phase of the project secondary & tertiary care facilities are also planned to be added in the data base and made available through a web based server for ready access of information and coordination between the users & partners.

Implemented on behalf of Concern Worldwide, IHS conducted health awareness trainings and capacity building sessions on general health issues ranging from hygiene to communicable diseases, MCH, and First Aid for ‘Village Health Councils’. Separate trainings were conducted for men and women through multimedia aids and practical demonstrations. Trainings were tailor-made to meet the needs of the local population in accordance with the socioeconomic and cultural practices.

As the implementing consultant of Save the Children (UK), IHS executed a comprehensive school health initiative in Bagh and Muzafarabad districts of AJK. This project was a pilot intervention in two union councils (Bagh & Langarpura) only. IHS after developing a viable school health system transferred it to the public sector health facilities of the area. The IHS school health program for these areas had three basic components: including School health capacity building of teachers and health professionals in the public sector institutions, Health screening of all school going children and networking of health facilities for referral and follow up of school health services on long term and self-sustainable basis.

IHS has the unique honor of having developed the National Hepatitis Case Management and Counseling Guidelines for the Prime Minister’s Program for Hepatitis Control & Prevention.
IHS consultants in liaison with 32 leading Hepatologists & Gastroenterologists of the country developed these guidelines which after field testing are now in the process of being adopted across Pakistan in all public sector health facilities.
Hepatitis has remained a focal point of our activities. IHS was the first organization in Pakistan to launch mass awareness and vaccination programs from 1996-8. During the process 73,000 Hepatitis B and C screenings were conducted along with over 2 million vaccinations. Marked variation in prevalence of Hepatitis B & C was noted among various socioeconomic groups and geographical areas.

Since 1996 IHS has developed and printed millions of health awareness material including handouts, leaflets and newsletters for a diverse range of population including school children, house wives, mothers, village elders/councils, office and industrial workers & executives. Some of these were sponsored while most were undertaken by IHS through its own resources as a contribution towards creating a health conscious and healthy society. Such trainings and workshops have been held in many cities, towns and villages across Pakistan.

In 1998 IHS conducted a study on the incidence of worm infestation among school going children in district Attock. 53% of the children tested were found positive for worms. De-worming of 93% children of the area was later carried out by IHS.

During the last 21 years, approx. 1.65 million school children have remained enrolled with IHS School Health. The data obtained through periodic examinations and sick reports is being evaluated in order to develop effective interventions to prevent and correct diseases at an early stage. This data and the feedback that we have been receiving helped us in making and tailoring the health education material for students and teachers in a most effective manner besides developing interventions that can be more cost effective and sustainable.
IHS has developed manuals for capacity building in school health of various stakeholders including teachers and medical professionals and our staff has been conducting these trainings in many schools both in the public and private sector. Manuals are available both in Urdu and English.

IHS was the pioneer in setting up medical services at Rescue 15 Islamabad with Islamabad Police. IHS doctors operated this medical system from Jan 2000 to November 2005. It was not funded by any one particular group. Without putting any burden on the government exchequer IHS arranged the finances for operations and salaries through charging Rs. 50/- as medical examination fee of new applicants of driving license (IHS organized the medical aspects of license issuing on modern lines and established proper clinical examination rooms at traffic police offices in Islamabad).

IHS organizes free medical camps periodically through its own resources in the slums around and in Islamabad, Azad Kashmir, Balakot and many other areas. Some of the camps have been sponsored by organizations like CIDA, Dar-ul-Hikmat International, etc. others have been held through our own resources.
IHS provides doctors, medics, nurses and medicines for such activities. We organize the whole activity starting from creating awareness to managing logistics, procuring drugs, deputing staff and actually running the camp followed by preparation of reports.