HomeContactConsultative Workshop on District Health Systems

Defining stewardship, monitoring, and service delivery; functions and responsibilities

October 22, 2011: The Government of KP had requested the World Bank to support the health sector in KP through a grant from the Multi Donor Trust Fund (MDTF) for Khyber Pakhtunkhwa and Balochistan.

In response, the Trust has agreed to finance a Revitalizing Health Services in Khyber Pakhtunkhwa (KP) Project.


The proposed Grant would help finance the costs associated with strengthening the health services affected by the crisis and militancy in KP, and provide the population in the affected districts with improved access to health care services.  The proposed support will help respond to the situation by improving management as well as availability of services at the primary care level, and improving the functionality of secondary care hospitals to provide referral services through contracting out management of the PHC system.

The objective of the proposed three year project is to improve the availability, accessibility and delivery of primary and secondary healthcare services at the district level. It is expected that by the end of the project the following key results will be achieved: a) increased utilization and coverage of primary and secondary health care services in the districts; b) adequately equipped and functional health infrastructure; c) improved supervision and timely utilization of allocated resources through key management decisions based on evidence; and d) increased community satisfaction with publicly provided health services.

A consultation was held from October 20-22, 2011 in Bhurban with the Government of KP, development partners and experts in health systems to enlist the critical areas where the government needs to focus  for successful project implementation. The consultation was also attended by the Secretary Health from KP, Mr.Munir Azam, while DG health was present for the duration of the meeting, in addition all development partners sent their representatives this lead to very fruitful and focused discussions on the district health systems, with special reference to the recent changes in the governance structures.

Objectives of the Consultation:

  1. To review the functions and responsibilities of the district health office in light of the recent and proposed changes in the health environment. (18th amendment, outsourcing management)
  2. To clearly outline the proposed Essential Package of Health Services (EPHS), which need to be outsourced to the private sector for service delivery
  3. To discuss mechanisms for incorporating community voice in decision making as well as grievance redressal, both for community and service delivery staff
  4. To outline a results framework for monitoring performance of service delivery to achieve health goals
  5. To enable GoKP to draft guidelines for TORs of District Management