DistrictDeraIsmail

Khan

2009

DISTRICTHEALTHPROFILE

The document was made possible through support provided by the United
States Agency for international Development (USAID), under the terms of
cooperative agreement number 391A00050103700 and subagreement
number3609802forPAIMAN.

The Pakistan initiative for Mothers and Newborns (PAIMAN) is a 6year USAID
fundedprojectdesignedtoreducecountrysmaternalandneonatalmortalityby
making sure that women have access to skilled birth attendants during
childhood and throughout postpartum period. PAIMAN works at national,
provincial and district levels to strengthen the capacity of public and private
health care provider and improve health care system. The PAIMAN program is
jointly implemented by John Snow Inc (JSI), the Contech International, John
Hopkins Center for Communication Program (JHU/CCP), Agha Khan University
andPopulationCouncil.

Copyright2009byJohnSnowInc(JSI).AllRightsReserved

Publishedby
PAIMAN(PakistanInitiativeforMothersandNewborns)
House6,Street5,F8/3,Islamabad,Pakistan
ChiefofPartyPAIMAN
Dr.NabeelaAli

Forinquiries,pleasecontact
ContechInternationalHealthConsultants
2GModelTown,Lahore,Pakistan
Tel:0423588879899
Fax:04235845774
Email:contech@brain.net.pk
Web:www.contech.org.pk

Disclaimer:
ThisreportismadepossiblebythegeneroussupportoftheAmericanpeoplethroughthe
United States Agency for International Development (USAID). The contents are the
responsibilityofJSIResearch&TrainingInstitute,Inc.anddonotnecessarilyreflectthe
viewsofUSAIDortheUnitedStatesGovernment.

TableofContents

INTRODUCTION...................................................................................1
1. DistrictataGlance.......................................................................2
2. Accessibility..................................................................................3
3. Culture..........................................................................................3
4. DistrictAdministrativeSetup.......................................................4
5. DemographicInformation............................................................4
6. DistrictHealthSystem..................................................................6
a. Organogram..............................................................................6
b. HealthFacilities........................................................................7
c. HumanResourcePosition........................................................7
d. HealthIndicators......................................................................8
e. BudgetAllocationandUtilization.............................................9
7. EducationSector..........................................................................9



1 | P age

The purpose of this document is to simplify, package, and communicate

complex information on vital statistics and the local burden of disease in a
practical,accessibleformatfordistricthealthplanning.Itisintendedforuseby
District Health Management Teams (DHMTs), federal/ provincial/regional
governments and other development partners. Most of the information is
providedintabularformatwithshortexplanatorycaptionsandminimumtextto
provide picture of the current demography and disease burden. The data
sourceisthedistricthealthandeducationdepartments;however,specificdata
inthisreporthasbeentakenfromDistrictCensusReport1998.

Thedocumenthasbeendividedintovarioussectionsmentionedbelow:
1. District at a glance: This section contains general information about the
district;likehistory,location,areaetc.
2. Accessibility:Thissectionfacilitatesreaderinapproachingthedistrictfrom
otherdistrictsorprovincial/federalcapitalbyroad,railorair.
3. Culture: Knowledge of cultural and social customs facilitates in getting
access to the general population. This section provides brief about cultural
setupandlivelihoodinthedistrict.
4. DistrictAdministrativeSetup:Abriefondistrictadministrativesetupalong
withreportinglinesisgiveninthissection.
5. Demographic Information: Demographic breakdown of the district
populationstructure,byageandsex,isimportantfromMother&Newborn
Child Health (MNCH) point of view. The information given in this section
can used to predict the target population in upcoming years and plan
interventionsforimprovementofhealthstatusinthedistrict.
6. District Health Department: This section provides basic information of
district health department. It provides organogram of the department,
types of health facilities, human resource and budget information, and
selectedhealthindicators.
7. District Education Sector: The information regarding tehsil wise number of
educational institutions in public sector is given in the section that can be
usefulinplanningcollaborativestrategiesforimprovementofhealthstatus
inthedistrict.

We anticipate that this document would be helpful for planning district health
interventionsbyPAIMANandgovernmenthealthauthorities.
INTRODUCTION

1. Dis
De
No
cap
Kh
on
Pu
Wa
the
The
Ba
De
Riv
bas
gas
loc
strictataGlan
era Ismail Kha
orthWest Fro
pital of the d
an.Thedistric
the east by
njab Province
aziristan and
e northwest b
e district has
lochleaderM
espite being s
ver, the area
sic urban infr
s, railroads
cated on the I
D
nce
an is the sout
ontier Provinc
istrict is the t
ctofDeraIsm
y District Bak
e, to the so
Zoab district
by Tank and L
an area of 7
Mr.Ismailfrom
situated on th
is dry and ve
rastructure lik
and adequat
ndus Highway
DISTRICT

th most distr
ce of Pakista
town of Dera
mailKhanisbo
khar & Mianw
outhwest by
of Baloachist
Lakki Marwat
7,326 km. It
famousMira
he bank of th
ery hot. The c
ke potable wa
te health car
y which links
T HEALTH
D I Khan
ricts of
n, the
Ismail
ounded
wali of
South
tan to
t districts.
is an old tow
nitribe.
he Indus
city lacks
ater, fuel
re. It is
Pakistan
PROFILE
2 | P
wn establishe

City of DI K
Tomb at Lal
P age
ed by a
Khan
l Mohra




fro
agr
Th
by
Arc
nea
Sha
Am
the
sog
exp
2. Acc
DI
Hig
con
cap
D.I
con
Riv
wh
nea
op
tw
3. Cu
De
the
po
sig
nat
lan
Kh
cyc
nat
and
De
Ma
mu
om North to S
ricultureandv
is area is rich
the exca
cheological re
arby temple
ahirule.
mongstfoodp
e dates that
ghaat of this
portedtomid
cessibility
Khanis340k
ghway, the jo
nnectedtoBa
pitalofPeshaw
.Khan to Mia
nnects it toB
ver. The bridg
hich the appr
arest railway
positebanko
iceaweekflig
lture
eraIsmailKhan
e people live
pulation is a
gnificant segm
tionallanguag
nguage and la
an(DIKhan)i
cle of extrem
tural resource
doverexploita
era Ismail Kha
adrassas(relig
ushroomgrow
South along W
virtuallynoin
h in ancient h
avation of
elics at the Ka
provide evi
products,DIKh
t it produce
district is "Dh
esat,USAand
kmsouthofPe
urney time is
annuviahighw
warviaKohat
anwali throug
Bhakkar in Pu
e on theIndu
roach to Bha
station is 20
ofthe IndusR
ghtsareavaila
nisarelative
below povert
a mix of eth
ment of Urdu s
geisundersto
nguage of peo
ismostlyinha
me poverty. M
es, which are
ation.
an is full of r
giousschools)
wthduringAfg
West Bank of
dustries.
istory, as pro
Rahman D
afir Kot Fort
dence of Hi
hanisfamous
s. One of b
hakki Date" w
dEurope.
eshawarand
around five h
way,whichfur
tandDarraAd
gh Chashma
unjab, situate
us Riverwas co
kkar was ma
0km away at
iver.Thereis
ablefromIslam
lylessdevelo
ty line. Many
nic Balochi a
speaking imm
odandspoke
ople. The sem
abitedbyrura
Most of the
e decreasing r
religious senti
operateinth
ghanWarand
f River Indus.
oven
Deri.
and
ndu
sfor
best
which is
withthepart
hours from Pe
rtherconnect
damKhail.An
Barrage. The
d on the eas
onstructed in
ade through
Darya Khan
alsoalocald
mabad.
pedareaofP
people are s
and pashtun
migrants is also
nbyall,while
miarid area of
lcommunitie
communities
rapidly due to
iments and a
heneighbourh
Talibanera.
D
3 | P
There is ver
lyconstructed
eshawar. The
tsittothepro
otherroadco
e third majo
stern bank of
early 1980s,
a boat bridg
on the easte
domesticairpo
Pakistanandm
erving in Arm
segments, w
o present. Urd
eSeraikiisthe
f district Dera
scaughtina
are depende
o shortage of
a number of
hoodandthey
Dhakki Date Tre
P age
ry little
dIndus
e city is
ovincial
onnects
r road
f Indus
before
ge. The
rn and
ortand
mostof
my. The
while a
du, the
enative
a Ismail
vicious
ent on
f water
Islamic
ysawa
ee



4 | P age

4. DistrictAdministrativeSetup
Like any other district in the country, district D.I.Khan is headed by District
Coordination Officer (DCO) assisting Zila Nazim and is accountable to him.
DCO,appointedbyprovincialgovernmentfromthefederalorprovincialcivil
service, coordinates with Executive District Officers (EDOs), who head each
ofthedistrictofficesincludinghealth.
DistrictD.I.Khanhasfivetehsils.Eachtehsilcomprisesofcertainnumbersof
unioncouncils.Thereare47unioncouncilsindistrictD.I.Khanwith34rural
and13urban.

5. DemographicInformation
Districthasapopulationof852,995asper1998Census.Populationinyear
2008isabout1,167,317.
NamesofTehsilsareasunder:
1. Choudwan
2. Darbankalan
3. Paniala
4. Darazinda
5. Kulachi
Names of Union councils with population in urban and rural areas are as
follows:

S# UrbanUnionCouncil Male Female Total

1 DeraCity1
9914 9525 19439
2 DeraCity2
13804 13262 27066
3 DeraCity3
9806 9421 19227
4 DeraCity4
17325 16645 33970
5 DeraCity5
10472 10061 20533
6 DeraJaat1
12168 11691 23859
7 DeraJaat2
11110 10674 21784
8 Kulachi
13493 12964 26457
9 Muriyali
14282 13722 28004
10 Dewala
14572 14000 28572
11 Paniyala
10493 10081 20574
12 Paroa
13646 13110 26756
13 Pharpur
11375 10929 22304
TOTAL 162460 156085 318545



5 | P age

S# RuralUnionCouncils Male Female Total

1 Shorkot
11669 11211 22880
2 Rattakulachi
10896 10468 21364
3 RakhMandhran
15593 14982 30575
4 Kaich
9054 8699 17753
5 Dhapshumali
15713 15096 30809
6 Maddi
11593 11138 22731
7 Yarak
12534 12042 24576
8 BandKurai
17219 16544 33763
9 Gilloti
11026 10594 21620
10 AbdulKhail
10614 10197 20811
11 KotlaSaidan
13650 13115 26765
12 Malana
15458 14851 30309
13 BaggiQammar
7891 7581 15472
14 DrabanKalan
14288 13727 28015
15 Chudwan
13002 12492 25494
16 Naiwaila
13238 12718 25956
17 Mirran
16159 15525 31684
18 Marrah
13789 13249 27038
19 KotJaai
14248 13689 27937
20 Kathgarh
12621 12127 24748
21 Bhagwani
13186 12668 25854
22 KiiriKhasour
14010 13460 27470
23 Bilotsharif
11455 11005 22460
24 Lacchra
10785 10363 21148
25 Kurrai
12709 12211 24920
26 Laar
13382 12858 26240
27 Kirrishamozai
12844 12340 25184
28 Looni
13258 12738 25996
29 GaraEsaKhan
10350 9944 20294
30 Hissam
8547 8211 16758
31 Hathala
11710 11250 22960
32 Chehkan
13041 12530 25571
33 Zandani
13867 13323 27190
34 Musazai
13478 12949 26427
TOTAL 432877 415895 848772
GRANDTOTAL 595337 571980 1167317

6 | P age

Following table shows the demographic information of different population
groupsinthedistrict:

PopulationGroups
Standard
Demographic
(%)
Estimated
Population
(2008)
Newborn 4.0
80,860
011months 2.24 45,281
1223months
Under5years 15.87 320,810
014years 44.04 890,263
Womeninchildbearingage(1549
years)
21.8 440,684
MarriedChildbearingage 15.5 313,331
PregnantWomen 4.5 90,967

6. DistrictHealthSystem
The health care delivery network is headed by Executive District Officer
(Health). Being the team leader, the EDO Health is assisted by the Deputy
DistrictOfficersHealth(DDOH),theMedicalSuperintendent(MS)ofDistrict
Headquarter (DHQ) Hospital and Tehsil Headquarter Hospitals (THQ) and
districtcoordinatorsofverticalprograms(EPI,MIS,NPFP&PHC).
a. Organogram
The organizational structure of district health department is given
below:

7 | P age

b. HealthFacilities
ThenumberofhealthcarefacilitiesindistrictDIKhanisgivenbelow:

Type No.
DHQHospital 1
THQHospitals 1
RHCs 4
BHUs 29
CivilDispensaries 26
MCHCs 5
CivilHospital 4
ReproductiveHealthCenters 3
S.H.C 2

Totalnumberofpatientbedsavailableindifferenthealthfacilitiesof
DistrictDeraIsmailKhanisasunder:

NameofInstitution
#ofbeds
FacilitiesunderEDOHealth,DIKhan 88
DistrictTeachingHeadquarterHospitalDIKhan 351
MuftiMahmoodMemorialHospitalDIKhan 200
TOTAL 639

c. HumanResourcePosition
Total health care personnel of selected positions working in the district
aredetailedinthefollowingtable:

Posts
Number
Sanctioned Filled
Gynecologist 2 2
Pediatrician 1 1
Anesthetist 2 2
Radiologist 1 1
WomenMedicalOfficers(WMOs) 13 13
MedicalOfficers(MOs) 56 56
BloodTransfusionOfficers(BTOs) 0 0
LadyHealthVisitors(LHVs) 53 53



8 | P age

Posts
Number
Sanctioned Filled
Nurses 90 90
Midwifes 35 35
LadyHealthWorkers(LHWs) 700 631
LaboratoryTechnician 11 11
HealthTechnicians 86 86
Vaccinators 49 49

d. HealthIndicators

Indicator
DataforJanMar2009
(Source:BaselineMIS
SurveyPAIMAN)
NumberofANCcasesregistered 935
NumberofpregnantwomenprovidedTT2
immunization
1794
PNCcasesvisitedbyLHWwithin24hrsof
delivery
2495
Numberofchildren<1yrreceivingDPT3
immunization*
987
Numberofchildren<5yrtreatedfordiarrhea
atpublicHFs
2172
Numberofchildren<5yrtreatedfor
pneumoniaatpublicHFs
3441
Numberoffacilitiesreportingstockoutof
contraceptivecommodities
(DHQH/THQH/RHCs)
8
Indicator
DataYear2008
(Source:National
ProgramforFP&PHC)
Totaldeliveriesconductedbyskilledattendant 7772
Numberoflivebirths 9944
Numberofstillbirths 319
Totalobstetric(maternal)deaths 14
Totalnewborndeaths 197

9 | P age

e. BudgetAllocationandUtilization
TotalbudgetallocationofcurrentyearforDistrictHealthDepartmentin
districtDIKhanisasunder:

Item Year200809(Rs)
Total 103810770/
Developmental(withpay&allowances) 97293450/
NonDevelopmental
WithEDO(H)
WithMS(withpay&allowances)

6517320/
4415920/

7. EducationSector
DeraIsmailKhanisalsohometooneofthenotableuniversitiesofPakistan;
theGomalUniversity.Theuniversityisspreadoveracresoflandoutsidethe
city and is a small village in itself. Gomal University was setup in 1947.
Apart from this well known university, there are two degree colleges for
boys and two for girls in Dera Ismail Khan. One degree college for boys is
locatedinKulachiandotherinPaharpur.Thefollowingisasummaryofthe
availableeducationalfacilities:

NumberofInstitutions
Schools
College
Univ.
Primary Middle High Elementary
Higher
secondary
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
774 368 59 22 58 19 1 1 4 02 4 2 01
Source:www.fida.com.pk/deraIsmail.htm