Access to healthcare remains a challenge in Pakistan, especially for people in isolated rural communities, urban slums and areas affected by conflict.
Healthcare for women and children is a serious concern: women in rural areas die from preventable complications during pregnancy and delivery, and neonatal care is unavailable in many areas: according to the Pakistan Demographic and Health Survey, one in every 11 children dies before the age of five. MSF continues to support health authorities in responding to urgent needs.
Mother and child health in Balochistan
MSF runs a 60-bed paediatric hospital in Quetta, with a neonatal unit, an inpatient therapeutic feeding centre for children under five years with severe acute malnutrition, and an isolation ward. In 2016, 800 patients were admitted to the hospital and 2,385 malnourished children received treatment. Until April, the hospital also operated a paediatric ward.
In Kuchlak, 20 kilometres north of Quetta, MSF manages a mother and child health centre offering outpatient treatment and nutritional support for children under five and 24-hour emergency obstetric care. Patients with emergency obstetric complications are referred to Quetta. Psychosocial counselling is also available in the clinic. Until July, MSF offered outpatient paediatric and reproductive health services. In 2016, MSF staff carried out 39,527 outpatient consultations and assisted 4,989 births.
In Kuchlak and Benazir Bhutto hospital in Mari Abad, MSF treated 2,555 patients for cutaneous leishmaniasis.
Near the Afghan border, MSF works with the Ministry of Health at Chaman district headquarter hospital, providing reproductive, neonatal and paediatric healthcare, and inpatient and outpatient nutritional support for malnourished children under five. These services are available to local residents, Afghan refugees and people who cross the border seeking medical assistance. In 2016, 1,060 patients were admitted to the neonatal and paediatric wards, 4,080 births were assisted, including 248 caesarean sections, and 1,321 malnourished children received treatment. MSF supports the Ministry of Health in emergency room for trauma cases and treated 6,971 patients in 2016.
MSF continues to work in the eastern districts of Jaffarabad and Naseerabad, supporting an inpatient therapeutic feeding programme for severely malnourished children, and the general paediatric and neonatal wards in Dera Murad Jamali district headquarters hospital. Teams also run an outpatient therapeutic feeding programme through a network of mobile clinics and outreach sites. In 2016, MSF reopened the mother and child health unit in collaboration with the health authorities; 11,474 children were treated for malnutition, 821 patients were admitted to the neonatal and paediatric wards, and 484 births were assisted.
Year MSF first worked in the country: 1986.
|Patients treated in feeding centres||16,300|
|Individual mental health consultations||9,400|
|People treated for kala azar||2,700|
|No. staff in 2016||1,649|
|2016 Expenditure||€22.9 million|
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