PMID- 24932928 OWN - NLM STAT- MEDLINE DCOM- 20140819 LR - 20140617 IS - 1020-3397 (Print) IS - 1020-3397 (Linking) VI - 20 IP - 1 DP - 2014 Feb 11 TI - Community participation eludes Pakistan's maternal, newborn and child health programme. PG - 10-6 AB - This study looked at the comprehensiveness of the primary health care approach being applied in Pakistan's National Maternal, Newborn and Child Health (MNCH) Programme launched in 2005. The methods included a review of the programme's guideline documents, in-depth interviews with managers/advisors and focus group discussions with community groups and service providers. The MNCH Programme is applying a selective primary care model. Programme advisors and managers were concerned about the quality of training, political interference and incomplete implementation. Service providers were not working together as envisioned. Community midwives complained about the community's perceptions of them. Community members were unaware of MNCH Programme implementation in their areas. Pakistan's primary health care programme needs to be reviewed and revised according current thinking on community participation and inter-sectoral collaboration to accelerate progress towards achievement of Millennium Development Goals 4 and 5. FAU - Akhtar, T AU - Akhtar T AD - Consultant Research and Development, Khyber Medical University, Peshawar, Pakistan. FAU - Khan, Z AU - Khan Z AD - Directorate of Research and Development, Khyber Medical University, Peshawar, Pakistan. FAU - Raoof, S AU - Raoof S AD - Consultant Research and Development, Khyber Medical University, Peshawar, Pakistan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140211 PL - Egypt TA - East Mediterr Health J JT - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit JID - 9608387 SB - IM MH - Child MH - Child Health Services/*organization & administration MH - *Child Welfare MH - Child, Preschool MH - *Cooperative Behavior MH - Data Collection MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Maternal Health Services/*organization & administration MH - *Maternal Welfare MH - Models, Organizational MH - Organizational Objectives MH - Pakistan MH - Pregnancy MH - *Primary Health Care MH - Program Evaluation EDAT- 2014/06/17 06:00 MHDA- 2014/08/20 06:00 CRDT- 2014/06/17 06:00 PHST- 2012/01/08 00:00 [received] PHST- 2012/11/06 00:00 [accepted] PHST- 2014/06/17 06:00 [entrez] PHST- 2014/06/17 06:00 [pubmed] PHST- 2014/08/20 06:00 [medline] PST - epublish SO - East Mediterr Health J. 2014 Feb 11;20(1):10-6.