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Introduction

The national population programme started in 1965. passing through changes in its approach and initiatives.. In 2002 the programme has been decentralized under the administrative control of province. The approved population policy in year 2002. is on ground to reduce the unmet need and enhance accessibility to family planning services.

A population sector perspective plan up to 2012 has been approved with focus on population stabilization in collaboration with public/private sector organization. The planning commission has developed a mid term development (MTDF) for achieving sustainable development goals.

Many initiatives have been taken by the department to enhance the accessibility. increase the contraceptive prevalence rate . lowering the population growth rate . coordination .relocation of more than one hundred FWCs and its establishment in the health outlets. delegation of powers to the districts. development of reference material and decentralization and thus resulting in management improvements.

The programme is having three main components i.e. Administrative Organization Component(Provincial set-up. District set-up and Tehsil set-up). Service Delivery Component(Reproductive Health Services Centers.Mobile Service Units. Family Welfare Centers and Male Mobilizers)and Support component(Information Education and Communication.Training.Logistic.Monitoring/Evaluation and Management Information System).These are summarized as under

The Family Planning /Reproductive Health services are provided by the programme/non-programme service delivery i.e. Family Welfare Centers. Reproductive Health Services Centers/Training centre. Mobile Service Units . Male Mobilizers and the non-programme service delivery i.e. Outlets of the Provincial Line Departments.(Health. Social Welfare and Social Security). Registered Medical Practitioners. Hakeem and Homeopaths. Keeping in view the findings of the strategic plan and demographic indicators of the province. The network of service delivery has been increased to cover 100 % population and the services are made accessible to the un-served/underserved areas. The number has been expanded to meet the challenges, achievement of MDGs regarding fertility reduction. Increasing the contraceptive prevalence rate, and reducing, the population growth rate as envisaged in the current plan.

To ensure effective coordination and reviews of the programme. at the provincial level there is the Provincial Population Welfare Council headed by the Chief Minister. Provincial Technical Committee headed by Secretary health. Provincial Coordination Committee headed by the Chief Secretary and a District Technical Committee in each district headed by the Executive District Officer. Health are functional and meet periodically to review the performance and take measures for further improvements. Beside the existing committees. Tehsil Population Welfare Committee to be headed by the Tehsil Nazim and Union Council Committee headed by union council Nazim are proposed for coordination at their respective levels.

The organizational capacity assessment carried out through the strategic plan concluded that t he DoPW's capacity for financial management. focusing of clients. policy and planning system. governance. transparency and accountability and technical interventions is satisfactory. However. it requires further strengthening and emphasizing on overall motivation of the employees. current learning. evaluation systems, and links with other organizations and line departments.

The main areas as mentioned in the strategic plan. which needs to be addressed are, implementation of standard operating procedures(SOPs).focused efforts for achieving political involvement and advocacy with planners. strengthening monitoring/evaluation. enhancing counseling and poor female mobility has been addressed in the PC-1 document.

The strategic plan prepared for the development of FYP(2009-14) PC-1. aims in decreasing the TFR, increasing the CPR and supports the existing structure and system being implemented with the outputs i.e. policy planning . administration and management. monitoring and evaluation system,enhanced, technical capacity and addressing socio-cultural issues. To achieve this. an implementation plan has been developed. budget provision proportionally made with maximum share to the service delivery component particularly and management followed by support components as a strategic intervention in the PC-1. The organizational capacity assessment concludes that the financial management, focusing of clients. policy & planning system, governance, Transparency, accountability and technical intervention is satisfactory which will be addressed for strengthening.