Poverty and social Impact Analysis (PSIA) of Chief Minister Initiative of Primary Health Care in District Lodhran
Duration: October 2012 to March 2013
Poverty and Social Impact Analysis (PSIA) involves the analysis of the distributional impact of policy reforms on the well-being of different stakeholder groups with a particular focus on the poor and vulnerable. PSIAs are analytical exercises that attempt to understand the likely poverty and social impact of particular policy choices. The project has a strong focus on research studies, impact evaluations and assessments to undertake a PSIA of “Chief Minister’s Initiative of Primary Health Care (CMIPHC)” being run by Punjab Rural Support Programme (PRSP). The initiative was taken for the welfare of the poor. PSIA provided a better understanding of impact assessment of CMIPHC.
- To help take informed policy decisions through measuring the social and poverty impact of CMIPHC in Lodhran district.
- To analyze the poverty and social nexus in the context of health care services to different segments of the society.
- The overall analysis depicts good social and health outcomes when compared with the baseline before the start of CMIPHC in Lodhran. The Basic Health Unit (BHU) operations were almost transparent, and Punjab Rural Support Programme (PRSP) system of monitoring was in place to ensure staff attendance and provision of services. As far as the medicine purchase is concerned, PRSP has a centralized system and Community Support Groups (CSGs) have no role either in purchase or distribution of medicines. No major flaw observed, which could be big threat to Public Private Partnership (PPP) model as well as an overall progress towards Millennium Development Goals (MDGs). The current assessment shows that there are more underlying gaps that need to be addressed for the creation and existence of effective organizational mechanisms to redresser grievances.
- The Community Support Groups (CSGs) can be instrumental for social inclusion, social influences of programme, grievance redressing mechanism, monitoring progress and programme’s sustainability. The CSGs need a proper institutional setup and active role in Basic Health Unit (BHU) affairs. The government policies support PPP model, therefore, continuity of programme with certain improvements would bring further visible outcomes towards MDGs.