Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan
Abstract Objective: To study health related Millennium Development Goals in context of Pakistan’s progress in improving health system of Pakistan. Methods: Chronological landscape of health conditions with temporal limit of 2000 to 2015 and progress was measured in five, ten and fifteen years...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2020-11-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/567 |
| _version_ | 1797820559522791424 |
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| author | Fehmi Aziz Faheem Tahir Naveeda Akhtar Qureshi Admin |
| author_facet | Fehmi Aziz Faheem Tahir Naveeda Akhtar Qureshi Admin |
| author_sort | Fehmi Aziz |
| collection | DOAJ |
| description |
Abstract
Objective: To study health related Millennium Development Goals in context of Pakistan’s progress in improving health system of Pakistan.
Methods: Chronological landscape of health conditions with temporal limit of 2000 to 2015 and progress was measured in five, ten and fifteen years of MDGs in view of Public Sector Health Care Segment (PSHCS). Statistical package IBM-SPSS-21 was used for analyzing the data. ANOVA was conducted at level of significance (p<0.05).
Results: Different parameters of PSHCS in context of MDGs were analyzed to evaluate the improvement in public health conditions. No difference in infrastructure was observed during the MDGs (2000-2015) era; Hospitals (p=0.262), Basic Health-Units (p=0.910), Mother & child health centers (p=0.345), Rural Health Centers (p=0.226) Tuberculosis centers (p=0.660), Total-Beds (p=0.220) and Population per bed (p=0.772). However, significant difference was observed in no. of dispensaries (p=0.001). We also observed significant difference in workforce; Registered doctors (p=0.024) dentists (p=0.001) nurses (p=0.047) midwives (p=0.032) and lady-health-workers (p=0.007). No significant difference was observed in the expenditures; health-expenditure (p=0.515), development-expenditure (p=0.678), current-expenditure (p=0.481), percentage-change (p=0.998) expenditure as per GDP (p=0.908). Family planning sector was also without any significant change; Population growth (p=0.108), crude birth rate (p=0.705), crude death rate p=0.460) and life expectancy (p=0.319). It was observed that sick population preferred private facilities compared to the PSHCS facilities.
Conclusion: We did not observe any significant difference in most of the health care segments during 2000-2015 and MDGs remained underachieved. Therefore, a way forward is proposed for improvement in PSHCS to persevere SDGs.
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| first_indexed | 2024-03-13T09:41:12Z |
| format | Article |
| id | doaj.art-1b0ecfdb346040d19b76f66eb9c9c93c |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:41:12Z |
| publishDate | 2020-11-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-1b0ecfdb346040d19b76f66eb9c9c93c2023-05-25T04:24:54ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822020-11-0110.47391/JPMA.394Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of PakistanFehmi Aziz 0Faheem Tahir1Naveeda Akhtar Qureshi2AdminDepartment of Zoology, Quaid-i-Azam University, Islamabad, PakistanDepartment of Chemical Pathology and Endocrinology, Public Health Laboratories Division, National Institute of Health, PakistanDepartment of Animal Sciences, Quaid-i-Azam University, Islamabad, Pakistan Abstract Objective: To study health related Millennium Development Goals in context of Pakistan’s progress in improving health system of Pakistan. Methods: Chronological landscape of health conditions with temporal limit of 2000 to 2015 and progress was measured in five, ten and fifteen years of MDGs in view of Public Sector Health Care Segment (PSHCS). Statistical package IBM-SPSS-21 was used for analyzing the data. ANOVA was conducted at level of significance (p<0.05). Results: Different parameters of PSHCS in context of MDGs were analyzed to evaluate the improvement in public health conditions. No difference in infrastructure was observed during the MDGs (2000-2015) era; Hospitals (p=0.262), Basic Health-Units (p=0.910), Mother & child health centers (p=0.345), Rural Health Centers (p=0.226) Tuberculosis centers (p=0.660), Total-Beds (p=0.220) and Population per bed (p=0.772). However, significant difference was observed in no. of dispensaries (p=0.001). We also observed significant difference in workforce; Registered doctors (p=0.024) dentists (p=0.001) nurses (p=0.047) midwives (p=0.032) and lady-health-workers (p=0.007). No significant difference was observed in the expenditures; health-expenditure (p=0.515), development-expenditure (p=0.678), current-expenditure (p=0.481), percentage-change (p=0.998) expenditure as per GDP (p=0.908). Family planning sector was also without any significant change; Population growth (p=0.108), crude birth rate (p=0.705), crude death rate p=0.460) and life expectancy (p=0.319). It was observed that sick population preferred private facilities compared to the PSHCS facilities. Conclusion: We did not observe any significant difference in most of the health care segments during 2000-2015 and MDGs remained underachieved. Therefore, a way forward is proposed for improvement in PSHCS to persevere SDGs. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/567 |
| spellingShingle | Fehmi Aziz Faheem Tahir Naveeda Akhtar Qureshi Admin Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan Journal of the Pakistan Medical Association |
| title | Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan |
| title_full | Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan |
| title_fullStr | Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan |
| title_full_unstemmed | Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan |
| title_short | Millennium development goals (MDGs-2000-2015) to sustainable development goals (SDGs-2030): a chronological landscape of public sector health care segment of Pakistan |
| title_sort | millennium development goals mdgs 2000 2015 to sustainable development goals sdgs 2030 a chronological landscape of public sector health care segment of pakistan |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/567 |
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