• Sixteen patients report demands for money by staff
• A report based on the monitoring of 80 Rural Health Centres (RHCs) across Pakistan in November 2011

ISLAMABAD, December 26, 2011: A Free and Fair Election Network (FAFEN) report on Monday said specialized services like labour and eye rooms as well as equipment were found lacking in some of the 80 Rural Health Centres (RHCs) monitored in November.

FAFEN Governance Monitors visited 47 RCHs 27 Punjab districts in November,15 in Sindh’s 10 districts, nine in eight Khyber Pakhtunkhwa (KP) districts, seven in as many districts in Balochistan and two in as many districts in Federally Administered Tribal Areas (FATA).

The report said 82% of the RHCs did not have ophthalmology rooms. More than a fifth (22%) were without operation theatres for minor operations and 18 lacked labour rooms. At least 80% of the centres had wards for in-patients, x-ray and dental rooms and laboratories.

Almost half (48%) of the RHCs did not have working ECG machines, 26 lacked functional x-ray machines and 27 were without generators for power back-up.

More than a quarter of the RHCs lacked wheelchairs – at least a fifth in all regions except FATA. However, at least 80% of the observed RHCs were equipped with stretchers, ambulances, oxygen tents, syringe cutters and sterilizers.

According to the report, 37 patients interviewed by FAFEN monitors at the observed RHCs complained they were not getting free medicines from the in-house pharmacies while 20 reported they were being overcharged. Another 16 patients said demands for illegal money were made by staff for providing services.

Thirty patients seeking treatment reported the doctors were not on duty while 46 said they were not satisfied with the short time allotted to them and 39 expressed dissatisfaction with the overall behaviour of the health practitioners.

Eleven patients reported the support staff was not on duty, 22 were not satisfied with the support extended to them while 35 were not happy with the overall behaviour.

In-house pharmacies had enough stocks in all but three of the RHCs – two in KP and one in Sindh. However, they were not available for free (as per doctors’ prescriptions) at six RHCs.

Food commodities were not provided to vulnerable groups (lactating mothers and malnourished children) in 82% of the monitored RHCs. Female staff was not present to attend to female patients in 13 RHCs nationwide.  Advisory services to nursing mothers were not offered at 17% of the monitored facilities.

At least 90% of the RHCs were connected by proper roads with a similar proportion having electricity and fans.

Similarly, at least 80% were clean and had boundary walls. However, the buildings of a quarter of the RHCs were not in good condition. Of these, eight were in Punjab, five in Balochistan, four in Sindh and three in KP.

Moreover, 95% of the facilities lacked Sui gas connections. Only four centres nationwide – two in Sindh and one each in KP and Balochistan – had gas connections.

Nearly half (47%) of the monitored RHCs did not have telephone landlines. At least 80% of the centres had washrooms with running water and properly shaded waiting areas for patients. More than a third (34%) did not have arrangements for clean drinking water.

To download complete report, click here