Table 3

Provincial planning and governance initiatives

PunjabSindhKhyber PukhtunkhwaBaluchistan
PlanningSector strategy developed. Roadmap for primary care in placeSector strategy district action plans developedSector strategy and district action plans developed. Roadmap for primary care in placeSector strategy developed
Regulatory authoritiesEstablished and functionalNotifiedEstablished and functionalUnder consideration
Minimum service delivery packageDeveloped and costedDeveloped and costedDeveloped and costedDeveloped and costed
Service delivery integrationFunctional integration into three programmesFunctional integration proposed. Not implementedSingle integrated project, but parallel programmes coexistFunctional integration proposed. Not implemented
Private sector harnessingNew modalities:
  • Regulatory health commission

  • Contracting out of equipment/technology maintenance

  • Contracting out of medicine and supplies delivery

  • Contracting out of facilities maintenance

New modalities:
  • Regulatory health commission

  • Contracting-out management of secondary facilities in nine districts

  • Contracting-out ambulance services, in selected districts

New modalities:
  • Regulatory health commission

  • Contracting-out started for district health systems in six districts, rolled back

Under consideration