PMID- 26610759
OWN - NLM
STAT- MEDLINE
DCOM- 20160808
LR  - 20240327
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 5
IP  - 11
DP  - 2015 Nov 26
TI  - Role of development partners in Maternal, Newborn and Child Health (MNCH) 
      programming in post-reform times: a qualitative study from Pakistan.
PG  - e008665
LID - 10.1136/bmjopen-2015-008665 [doi]
LID - e008665
AB  - OBJECTIVES: Despite certain reforms undertaken in Pakistan to reorient its health 
      system, the health-related millennium goals lagged behind many neighbouring and 
      regional countries. This study was conducted to understand the implications of 
      government reforms including the devolution on the National Maternal Newborn and 
      Child Health (MNCH) programme; and to determine donors' and development partners' 
      current and prospective role in the post-reform scenario. SETTING: The donor 
      agencies based in the federal capital Islamabad, as well as the federal and 
      provincial government offices involved in the financing, design, oversight and 
      implementation of various MNCH initiatives in Pakistan, were included in the 
      sample. PARTICIPANTS: A descriptive qualitative study based on individual 
      in-depth interviews with representatives from donor agencies and government 
      offices (8 each) involved in programmes directly related to the MNCH sector. 
      RESULTS: The reforms are denounced as deficient in terms of detailed planning and 
      operationalisation of the vertical programmes including that for MNCH. The 
      government had to face coordination challenges with the provinces, which has 
      affected donor engagement and funding mechanisms to a great deal. Investment in 
      MNCH, population and nutrition has been the topmost priority of development 
      partners in Pakistan. Their contributions towards health systems also include 
      assistance in developing and implementing provincial health sector strategies, 
      establishment of Health Sector Reform Units and investments in service delivery, 
      research and advocacy. CONCLUSIONS: Any health sector reform must be complemented 
      by a roll-out strategy, including robust support to the provincial health systems 
      and to their capacity building. Development partners must align and coordinate 
      their strategies with provinces to stabilise the MNCH programme in Pakistan. More 
      coordination between the different tiers of the government and the donors could 
      streamline MNCH partnership in post-reform times.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Pervaiz, Farrah
AU  - Pervaiz F
AD  - Health Systems & Policy Department, Health Services Academy, Islamabad, Pakistan.
FAU - Shaikh, Babar Tasneem
AU  - Shaikh BT
AD  - Health Systems & Policy Department, Health Services Academy, Islamabad, Pakistan.
FAU - Mazhar, Arslan
AU  - Mazhar A
AD  - Health Systems & Policy Department, Health Services Academy, Islamabad, Pakistan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151126
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adult
MH  - Child
MH  - Child Health Services/*organization & administration
MH  - Delivery of Health Care/*organization & administration
MH  - Female
MH  - Financing, Organized
MH  - Health Care Reform/*standards
MH  - Health Policy
MH  - Health Priorities/organization & administration
MH  - Humans
MH  - Infant, Newborn
MH  - Male
MH  - Maternal Health Services/*organization & administration
MH  - Pakistan
MH  - Prospective Studies
MH  - Qualitative Research
PMC - PMC4663406
EDAT- 2015/11/28 06:00
MHDA- 2016/08/09 06:00
PMCR- 2015/11/26
CRDT- 2015/11/28 06:00
PHST- 2015/11/28 06:00 [entrez]
PHST- 2015/11/28 06:00 [pubmed]
PHST- 2016/08/09 06:00 [medline]
PHST- 2015/11/26 00:00 [pmc-release]
AID - bmjopen-2015-008665 [pii]
AID - 10.1136/bmjopen-2015-008665 [doi]
PST - epublish
SO  - BMJ Open. 2015 Nov 26;5(11):e008665. doi: 10.1136/bmjopen-2015-008665.