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Achievements of Healthcare Services Vis-À-Vis the Millennium Development Goals Targets: Evidence from Pakistan
Abstract:This study investigates the impact of public healthcare facilities and socio-economic circumstances on the status of child health in Pakistan. The complete analysis is carried out in correspondence with fourth and sixth millennium development goals. Further, the health variables chosen are also inherited from targeted indicators of the mentioned goals (MDGs). Trends in the Human Opportunity Index (HOI) for both health inequalities and coverage are analyzed using the Pakistan Social and Living Standards Measurement (PLSM) data set for 2001-02 to 2012-13 at the national and provincial level. To reveal the relative importance of each circumstance in achieving the targeted values for child health, Shorrocks decomposition is applied on HOI. The annual point average growth rate of HOI is used to simulate the time period for the achievement of target set by MDGs and universal access also. The results indicate an improvement in HOI for a reduction in child mortality rates from 52.1% in 2001-02 to 67.3% in 2012-13, which confirms the availability of healthcare opportunities to a larger segment of society. Similarly, immunization against measles and other diseases such as Diphtheria, Polio, Bacillus Calmette-Guerin (BCG), and Hepatitis has also registered an improvement from 51.6% to 69.9% during the period of study at the national level. On a positive note, no gender disparity has been found for child health indicators and that health outcome is mostly affected by the parental and geographical features and availability of health infrastructure. However, the study finds that this achievement has been uneven across provinces. Pakistan is not only lagging behind in achieving its health goals, disappointingly with the current rate of health care provision, but it will take many additional years to achieve its targets.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1131309Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 473
 Pakistan Millennium Development Goals Report 2013. Pakistan Planning Commission, Government of Pakistan; 2014.
 World Development Indicators 2013 (Internet). The World Bank (cited 20th august, 2016). Available from:
 Bourguignon F, Ferreira FHG, Menendez M. Inequality of Opportunity in Brazil. Review of Income and Wealth. Vol. 53, No. 4: pp. 585-618.
 Barros RPd, Ferreira FHG, Vega JRM, Chanduvi JS. Measuring Inequality of Opportunities in Latin America and the Caribbean. Conference Edition ed. Washington, D. C.: The World Bank; 2009.
 Barros, RPd, Molinas, J, Saavedra, J. Measuring Inequality of Opportunities for Children. Unpublished, World Bank, Washington (2008).
 Shorrocks AF. Inequality decomposition by population subgroups. Econometrica. 1984; 52(6):18.
 Celidoni M, Procidano I, Salmasi L. Determinants of Inequality in Italy: An approach based on the Shapley decomposition Review of Applied Socio-Economic Research. 2011; 1(1).
 Shaikh Bt. Private Sector in Health Care Delivery: A Reality and A Challenge In Pakistan. J Ayub Med Coll Abbottabad. 2015;27(2):496–8.
 Malik MA, Wasay M. Economics of health and health care in Pakistan. The Journal of Pakistan Medical Association. 2013;63(7):814-5.
 Ministry of Natonal Health Services, Regulations and Coordinations, Governement of Pakistan (Available from: http://nhsrc.gov.pk/.
 Usman A, Baig A, Amjad A, Amjad U. Reformative Measures for Basic Health Units in Pakistan. Iran Journal of Public Health 2015; 44(8).
 Nishtar S. Restructuring Basic Health Units – mandatory safeguards. February 8, 2006.
 Islam A. Health Sector Reform in Pakistan: Future Directions the Jornal of the Pakistan Medical Association 2002;52(4):174-82.
 Effectivenss of Basic Health Services Provided in Rural and Urban Areas of District Peshawar.
 National Programme for Family Planning & Primary Health Care, Pakistan (Available from: http://lhwp.punjab.gov.pk/website/Introduction.aspx?id=12).
 Sindh govt regularizes 25,576 lady health workers (press release). The Express Tribune 2014.
 KP regularizes services of 13,500 lady health workers (press release). Pakistan DAWN 2014.
 Baluchistan regularizes services of over 7,000 lady health workers (press release). Pakistan DAWN 2014.
 Mumtaz Z, Salway S, Nykiforuk C, Bhatti A, Ataullahjan A, Ayyalasomayajula B. The role of social geography on Lady Health Workers' mobility and effectiveness in Pakistan. Social Science & Medicine. 2013; 91.
 Hafeez A, Mohammad BK, Shiekh MR, Shah SAI, Jooma R. Lady health workers programme in Pakistan: challenges, achievements and the way forward. Journal of Pakistan Medical Association 2011; 61(3):5.
 Khan MH, Saba N, Anwar S, Baseer N, Syed S. Assessment of Knowledge, Attitude and Skills of Lady Health Workers. Gomal Journal of Medical Sciences 2006;4(2).
 Farooq S, Durr-E-Nayab, G. M. Arif. Welfare Impact of Lady Health Workers Progamme in Pakistan Pakistan Development Review. 2014;53(1).
 Khan A. Childhood Immunization in Pakistan. Pakistan Research and Development Solutions, 2012.
 Murtaza F, Mustafa T, Awan R. Child health inequalities and its dimensions in Pakistan. Journal of Family and Community Medicine. 2015; 22(3).
 Aslam M, Kingdon G. G. Parental Education and Child Health - Understanding the Pathways of Impact in Pakistan. Oxford 2010.
 Chen Y, Li H. Mother’s education and child health: Is there a nurturing effect? Journal of Health Economics 2009; 28:413–26.
 Nasrullah M, Bhatti JA. Gender Inequalities and Poor Health Outcomes in Pakistan: A Need of Priority for the National Health Research Agenda. Journal of the College of Physicians and Surgeons Pakistan. 2012; 22(5):273-7.