DISTRICTHEALTHPROFILE

DistrictSwat

2009

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
healthcareproviderandimprovehealthcaresystem.ThePAIMANprogramis
jointlyimplementedbyJohnSnowInc(JSI),ContechInternational,JohnHopkins
Center for Communication Program (JHU/CCP), Agha Khan University and
PopulationCouncil.

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.

AdministrativeSetup................................................................3

4.

Culture......................................................................................3

5.

DemographicInformation........................................................3

6.

DistrictHealthSystem..............................................................6
a. Organogram..............................................................................6
b. HealthFacilities........................................................................6
c. HumanResourcePosition........................................................7
d. HealthIndicators......................................................................7
e. BudgetAllocation.....................................................................8

7.

EducationSector.......................................................................8


INTRODUCTION

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: This section facilitates reader in approaching the district
fromotherdistrictsorprovincial/federalcapitalbyroad,railorair.
3. Culture: Knowledge of cultural and social customs facilitates in getting
accesstothegeneralpopulation.Thissectionprovidesbriefaboutcultural
setupandlivelihoodinthedistrict.
4. District Administrative Setup: A brief on district administrative setup
alongwithreportinglinesisgiveninthissection.
5. Demographic Information: Demographic breakdown of the district
population structure, by age and sex, is important from Mother &
Newborn Child Health (MNCH) point of view. The information given in
thissectioncanusedtopredictthetargetpopulationinupcomingyears
andplaninterventionsforimprovementofhealthstatusinthedistrict.
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
ofeducationalinstitutionsinpublicsectorisgiveninthesectionthatcan
be useful in planning collaborative strategies for improvement of health
statusinthedistrict.
Weanticipatethatthisdocumentwouldbehelpfulforplanningdistricthealth
interventionsbyPAIMANandgovernmenthealthauthorities.

1|Page

DISTRIC
CT HEALTH
H PROFILE
E
SWAT

1. DisstrictataGlan
nce
Sw
watisavalley andanadmin
nistrativedistrictin
thee NorthWestt Frontier Prrovince (NWFFP) of
Pakistan located 160km/100 miles from
Islaamabad, the capital of Pakistan.
P
It is the
uppervalleyofttheSwatRiverr,whichrisesinthe
ndu Kush rangge. The capital of Swat is Saidu
Hin
Shaarif, but the main town in
n the Swat vaalley is
Mingora. It wass a princely state
s
in the NWFP
unttil it was dissolved
d
in 1969. With high
mo
ountains,gree
enmeadows, andclearlakees,itis
a p
place of greatt natural beau
uty that used to be
popular with tourists as "tthe Switzerland of
Pakistan".
heareawasccaptured
In December2008,mostofth
by the Taliban insurgency. The Islamist militant
mbedor
leaadersbanned educationforrgirlsandbom
torrched more than 170 scho
ools along witth other
govvernmentowned buildin
ngs. The Pakistani

Kalam, Sw
wat

W
Wadudia
Hall, Saidu
S
Sharif

Swat Handiicrafts

2|Page

govvernmentinlateMayof20
009beganam
militaryoffensivetoregainccontrol
oftheregion.
2. Acccessibility
On
necangetthereeitherfrom
mPeshawar(1
160KMs)orIsslamabad(250
0KMs).
Mo
ost of the to
ourists who visit
v
Swat firstt arrive at th
he historical city of
Pesshawar, the capital
c
of N.W
W.F.P Provincee. You can also drive to Sw
wat by
hirringacarfrom
mtheLocalReentACarServvices.Thecheeapestwayto
oreach
Sw
wat is using public transport which is eaasily availablee. All of them
m leave
fro
omthemainb
busstandatPeeshawar.
3. Ad
dministrativeSSetup
Likke any other district in thee country, disstrict Swat is headed by District
D
Coordination Offficer (DCO) assisting Zila Nazim
N
and is accountable
a
t him.
to
CO,appointedbyprovincialgovernmentffromthefedeeralorprovinccialcivil
DC
serrvice,coordinateswithExeecutiveDistricttOfficers(EDOs),whoheadeach
ofthedistrictoffficesincludingghealth.
Disstrict Swat has
h 6 Tehsilss i.e. Khwazaakhela, Kabal, Madyan, Barikot,
B
Mingora,Kalam..Eachtehsilcomprisesofcertainnumbeersofunionco
ouncils.
ndistrictSwatt,56ruraland09urban.
Theereare65uniioncouncilsin
4. Culture
TheemainlanguaageoftheareeaisPashto.TThepeople
of SwataremaiinlyPakhtuns,,Yousafzai's, Kohistanis
dGujars.Som
mehaveveryd
distinctivefeaatures.The
and
Dardicpeopleo
oftheKalamrregioninnorthernSwat
aree known as Kohistanis and speak the To
orwali and
Kalami languagges. There arre also somee Khowar
usebefore
speeakersinthe Kalamregion.Thisisbecau
Kalam came und
der the rule of
o Swat it was a region
butary to Chitral the Kalaamis paid a tribute of
trib
mo
ountainponiestotheMehtarofChitraleeveryyear.

5. DeemographicIn
nformation
Acccording to ce
ensus report of year 1998
8, total popu
ulation of Swaat was
1,2
257,602.Ata populationgrrowthrateof 3.32,theprojjectedpopulaationof
Sw
watin2008is1
1,743,361.
Un
nioncouncilwisebreakupofpopulation(2009)isshow
wnbelow:

3|Page

Sr.#
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.

NameofUnion
Councils
Kalam
Utroor
Balakot
Mankyal
Bahrain
Madyan
Bashigram
Tirat
Fatehpur
Miadam
Shin
Kotanay
KhwazaKhela
Salpin
JanoChamtalay
GuliBagh
CharBagh
Thelegram
Kishawara
Sherpalam
Ronyal
Shawar
MattaKharare
Chupryal
Berthana
Gwalary
Biha
Baidara

Male

Female

15656
7584
11729
9323
14017
14786
8737
11975
17297
12261
14143
12437
13636
11667
19581
14484
17953
9513
13236
15433
16283
15101
13830
17590
14808
15344
12171
16473

14451
7001
10827
8606
12939
13648
8064
11054
15967
11317
13055
11481
16950
10770
18075
13369
16572
8782
12218
14246
15030
13840
12766
16236
13669
14164
11234
15206

Total
Population
30107
14585
22556
17929
26956
28434
16801
23029
33264
23578
27198
23918
35313
22437
37656
27853
34525
18295
25454
29679
31313
29041
26596
33826
28477
29508
23405
31679

Durishkhela
Asharay
Darmai
Sakhra
BaraBandai
KuzaBandai
Dherai
Hazara
KozAbakhel
BerAbakhel
TotanoBandai

12873
10720
11077
16564
18006
14081
19693
15441
15336
15715
10282

11883
9895
10225
15290
16620
12997
18178
14254
14156
14507
9492

24756
20615
21302
31854
34626
27078
37871
29695
29492
30222
19774

4|Page

Sr.#
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.

NameofUnion
Councils

Qalagay
KalaKalay
Deolai
ShahDherai
BaraSamai
Islampur
Dangram
Kokarai
Manglawor
AkaMarof
Bamikhel
50. Qambar
51. Odigram
52. TendoDag
53. Ghalegay
54. Barikot
55. Kota
56. Shamozai
57. Shahdara
58. MalookAbad
59. RangMohallah
60. Malakanan
Landaykas
61. Gulkada
62. SaiduSharif
63. AmanKotFaiz
Abad
64. RaheemAbad
BanrIngaro
65.
Dherai

Male

Female

Total
Population

10606
18888
13912
11121
19764
17704
11259
17831
14947

9791
17436
12842
10265
18243
16343
10392
16459
13798

20397
36324
26754
21386
38007
34047
21651
34290
28745

12500

11538

24038

12927
14648
9129
19342
18389
17730
19416
14984
12808
16288

11932
13521
8426
17855
16975
16367
17923
13831
11823
15036

24859
28169
17555
37197
35364
34097
37339
28815
24631
31324

14666

13537

28203

13395
15527

12365
14332

25760
29859

13014

12013

25027

14251

13154

27405

15036

13879

28915

Following table shows the demographic information of different

populationgroupsinthedistrict:

Standard
Estimated
PopulationGroups
Demographic
Population2008
(%)
Newborn
4
69734
011months

2.24

39051

1223months

5|Page

PopulationGroups
Under5years

Standard
Demographic
(%)
15.87

Estimated
Population2008
276671

014years

44.04

767776

Womeninchildbearing
age(1549years)

21.8

380053

MarriedChildbearingage

15.5

270221

PregnantWomen

4.5

78451

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
District Officer Health (DDOH), Medical Superintendent of Tehsil
HeadquarterHospitals(THQ)andDistrictCoordinatorsofNP,EPI,MIS,CDC
andI/cDHDC.
a. Organogram
The organizational structure of district health department is given
below:

b. HealthFacilities
ThenumberofhealthcarefacilitiesindistrictSwatisgivenbelow:

Type
THQH
CivilHospitals
RHCs
BHUs
MCHCs

No.
1
6
3
41
3

No.ofbeds
110
225
44

6|Page

Type
Dispensaries
LeprosyClinics
ReproductiveHealthServicesA(RHSA)
FamilyWelfareCentres

No.
17
3
1
22

No.ofbeds

c. HumanResourcePosition
Totalhealthcarepersonnelofselectedpositionsworkinginthedistrict
aredetailedinthefollowingtable:

Number
Posts
Sanctioned Filled(Dec.2008)
Gynecologist
3
0
Pediatrician
3
1
Anesthetist

Radiologist

WomenMedicalOfficers(WMOs)
12
10
MedicalOfficers(MOs)
95
78
BloodTransfusionOfficers(BTOs)

LadyHealthVisitors(LHVs)
57
57
Nurses
31
30
Midwifes

LadyHealthWorkers(LHWs)
263
263
LaboratoryTechnician
2
2
HealthTechnician
92
92
Vaccinators
5
5

d. HealthIndicators

Dataforyear2008
Indicator

(Source:National
ProgramforFP&PHC)

Totaldeliveriesconductedbyskilledattendant
Numberoflivebirths
Numberofstillbirths
Totalnewborndeaths
Totalobstetric(maternal)deaths

7635
9234
68
194
13

7|Page

e. BudgetAllocation
TotalbudgetallocationofcurrentyearforDistrictHealthDepartmentin
districtSwatisasunder:

Year200910
Item
(AmountinRs)
TotalDistrictHealthSectorBudget
195.90million
Development

34.950million

NonDevelopment

160.950million

7. EducationSector

Primaryschool
Boys
Girls
841
491

NumberofInstitutions
Middleschool Highschool
College
Boys Girls Boys Girls Boys Girls
83
54
68
22
13
4

Univ.

8|Page