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Published Date: Apr 14, 2014

Poverty and Social Impact Analysis (PSIA) Chief Minister’s Initiative for Primary Healthcare District Lodhran, Punjab – Pakistan
Research Team: 
Kanwar Muhammad Javed Iqbal
Mohsin Ali Kazmi
Zaheer Abbas
Mehwish Javed
Ishfaq Ahmed
Advisory Team: 
Dr. abid Qaiyum Suleri 
Dr. Vaqar Ahmed  
Executive Summary 
(1) Poverty and Social Impact Analysis (PSIA) involves the analysis of the distributional impact of policy reforms on the well-being of different stakeholders 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. PSIAs often draw on a wide range of analytical tools and data sources in attempting to understand policy impact. These tools range from those that are highly qualitative and participatory to those that are quantitative and often driven by economic theory. The scope and content of PSIAs are usually driven by the policy agenda of the day and the timeframe in which the studies need to be completed.  
(2) Under UNDP SPRSM project, a Strengthening PRS Monitoring provincial secretariat has been established in Planning & Development (P&D) Department in Punjab. The project has a strong focus on research studies, impact evaluations and assessments under which the project, in consultation with the Health Department and Punjab Rural Support Programme, has planned to undertake a Poverty & Social Impact Analysis of the project ―Chief Minister‘s Initiative for Primary Healthcare (CMIPHC)‖ being run by Punjab Rural Support Programme (PRSP).  
(3) Chief Minister‘s Initiative for Primary Healthcare (CMIPHC) project was started for the welfare of the poor and aimed at catalyzing the health care needs of the poor and marginalized sections of rural society through improved community participation and inclusiveness. Its asserted objective is to create a wholesome impact on the health
status of the poor and marginalized and thereby help them improve their livelihoods. PSIA will provide a better understanding of impact assessment of the Chief Minister‘s Initiative for Primary Healthcare (CMIPHC). 
(4) For the purpose of present PSIA, Sustainable Development Policy Institute (SDPI) was outsourced by UNDP SPRSM Punjab to furnish Poverty and Social Impact Analysis (PSIA) report of CMIPHC in Lodhran district. This PSIA was planned to inform the project design on strategies for poverty and social impact of health services related aspects. The overarching aim of the PSIA study is to analyze poverty and social nexus in the context of health care services to different segments of the society. 
(5) The objective of the PSIA study is to help take informed policy decisions through measuring the social and poverty impact of ―Chief Minister‘s Initiative for Primary Health Care‖ of Lodhran district. The CMIPHC in Lodhran district was ranked top based on periodic performance. The selection of Lodhran district for present PSIA becomes very relevant so as to measure the impact trends of the intervention and represent the maximum benefit so far achieved in a unit district for the entire programme.  
(6) This assignment was expected to play an important role in informing the policy discourse through measuring the poverty and social impact of ―Chief Minister‘s Initiative for Primary Healthcare‖ on access of different segments of society to quality health care services. 
(7) This PSIA study entails consultation with UNDP-SPRSM and PRSP team at each stage. All designed tools and methodology was shared and discussed with UNDP SPRSM team. SDPI research team worked on both qualitative and qualitative tools to cover all possible dimensions of this PSIA study. 
(8) For secondary research, after acquiring relevant data from SPRSM UNDP and PRSP, the SDPI research team reviewed it. On the basis of review, it was able to devise comprehensive qualitative and quantitative research tools. Moreover, the data set, shared by the PRSP, also served in putting up a quality report after the completion of the PSIA exercise. Desk review was meant for initial review and preparation of tools together with policy and model analysis purpose for mid-term analytical work through triangulation prior to produce a quality report.