| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year – 1 DLR | PHC Facility Readiness Management System, including Standards, based on Norms updated and approved by the Sindh Health Care Commission | Target achieved in 2023-24 Health Facility readiness scorecard has been developed and made part of M&E Checklist. |
| Year-3 DLR | 30% BHUs and RHCs meeting satisfactory scorecard score, of which at least 15% are in lagging areas. 15% points increase in health facility readiness score over FY 2024-25 value in at least 15 districts, including 20% lagging areas | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year – 1 DLR | Competency-based training system developed for female PHC providers to deliver MNCH, based on approved framework, modules and monitoring tools developed”. | Target Achieved in 2023-24. System is developed and notified by the Health Department. |
| Year-3 DLR | DLR 2.2: 50% of PHC providers -- LHVs, W/MO, nurses, posted at RHCs and BHUs in at least 15 districts-- competent in pre-defined protocols (50% score), of which at least 20% are from lagging districts. | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year – 1 DLR | DLR 3.1 - Referral guidelines developed and relevant indicators included in DHIS2 | Target Achieved in 2023-24. Referral strategy and guidelines developed and notified by Health Department for implementation across the Province. |
| Year-3 DLR | DLR 3.2 - At least 15 districts have functional referral mechanism for women and newborns with (or at risk of) complications during peri-partum period. | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-2 DLR | At least 85,154 cases notified per annum, of which 4499 are through community case reporting. | Target Achieved in 2024-25. 116,413 cases have been verified by TPV among them 5,755 reported through Community (LHW/CHW). |
| Year-3 DLR | At least 85,154 cases notified per annum, of which 4499 are through community case reporting. | TPV is under process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-1 DLR | Annual EPI work plan developed and endorsed | Target Achieved in 2023-24. Costed implementation plan developed and endorsed |
| Year-3 DLR | Baseline Penta-I (85%) PAD Document At least a 3% point increase in provincial coverage for Penta-1; Target 88% Baseline FIC (61%) PAD Document and (b) up to 15% point increase in fully immunized child within lagging areas from baseline Target 76% | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-2 DLR | 15% of districts have effectively implemented/rolled out DHIS2, 20% of which come from lagging areas | TPV is under process |
| Year-3 DLR | At least 15 districts have effectively implemented/rolled out DHIS2, 6 of which are lagging districts | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-1 DLR | 7.1: 70% of PHC facilities reporting no stock outs of FP and nutrition commodities and essential medicines, of which at least 20% are in lagging areas | Implementation in process |
| Year-3 DLR | 7.2: 80% of PHC facilities in at least 15 districts have at least 80% of the essential medicines, nutrition and family planning commodities | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-1 DLR | Approved framework to improve traceability of expenditure for PHC in IFMIS | Target achieved in 2023-24. Public Finance Note (PFN) has been notified by the Finance Department |
| Year-3 DLR | Budget allocations for PHCs trackable within provincial IFMIS | Implementation in process |
| DLRs | DLR Description | Achievements and Implementation Plan |
|---|---|---|
| Year-2 DLR | At least 10% of total public expenditure on health is on PHC in Years 1 and 2 | 1. Target achieved in 2024-25. 2. Government of Sindh spent more than 25% on PHC in F.Y 2022-23 & 2023-24. |
| Year-4 DLR | At least 15% of total public expenditure on health is on PHC in Years 3 and 4. A 5-percentage point increase in the % of total public health expenditure that is on PHC, average for the remaining two fiscal years of the Program, relative to the average of Yr 1 and Yr 2. | Implementation in process |