Health Services

Medical Camp

HEALTH DEPARTMENT

Department of Health, Gilgit-Baltistan has developed a Health Sector Strategy 2013-2018 in conjunction with development partners and with technical assistance from the Technical Resource Facility. Based on accepted good practice instruments such as Joint Assessment of National Health System Tools, the Strategy which was developed through a consultative process lays out the roadmap to address key health sector reforms such as human resources, management, information systems, logistics and financing. The Strategy details the capital and recurrent costs associated with its implementation. These implementation costs would be additional to the present five year health expenditure projections of PKR 3.7 billion recurrent and PKR 1.3 billion capital, calculated at current trends. Implementation would require an additional PKR 2.9 billion in recurrent and PKR 1.3 billion in capital expenses, raising the total budget to PKR 6.6 billion recurrent and PKR 4.7 billion current respectively (includes an estimated PKR 2 billion for vertical Programme funding at current trends). The primary risk to implementation is the uncertain nature of funding that the province receives from the federal government. Also, limited capacities in management and human resources will be concerns in strategy implementation.
Medical health services

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Historically, the Department of Health (DoH), Gilgit-Baltistan (GB) has played a limited role in priority setting and policy development, mostly concerning itself with service provision through public health facilities. Following the passage of the Empowerment and Self Government Ordinance 2009 (ESGO), the province gained power to legislate in the health sector as more control was ceded to its Legislative Council. After the 18th Constitutional Amendment and the 7th National Finance Award 2010 (NFC), pressure on the province to evolve local mechanisms and capacity to handle management and service delivery became more acute. Patchy and sporadic data coverage and major issues in data validity and reliability hamper decision making and management. Before the passage of the ESGO, Gilgit-Baltistan relied solely on federal funding; disbursements which were often less than allocations. This financial weakness is a major concern for the province to contend with in its Strategy implementation process.

Priority Areas

The Gilgit-Baltistan Health Sector Strategy is aimed at addressing major issues in health. The restructuring and reform process will help the goal of providing accessible, affordable, preventive, curative, promotive and rehabilitative health services to the population of the province. Prioritized areas, which emphasize the systems approach have been identified

  • Governance and Accountability
  • Human Resource Management
  • Service Delivery
  • Health Management Information Systems
  • Pharmaceutical and Medical Supplies
  • Management Health Finance
Health Force