TRF+ Briefing papers

Health Budget Brief, Primary and Secondary Health Care Department, Government of Punjab

This briefing paper presents an analysis of budget allocations made to the Primary and Secondary Health Care Department (P&SHD) during the Fiscal Year (FY) 2016-17 and compares it with FY 2015-16.


Health Budget Brief, Specialised Health Care and Medical Education

This briefing paper presents an analysis of budget allocations made to Punjab’s Specialised Health Care and Medical Education Department (SH&ME) for the Fiscal Year (FY) 2016-17, and compares it with FY 2015-16. 


TRF Briefing papers

Briefing papers have been prepared to disseminate the recommendations of key TA assignments.

Provincial health sector strategies

After devolution, TRF assisted the Health Departments of Khyber Pakhtunkhwa, Sindh and Punjab in preparing their health sector strategies. Three briefing papers outline the strategies and key actions.


These papers were disseminated at the Health Sector Reforms Conference held on 2-3 July 2013 in Lahore.


Sehat Zindagi Communications Initiative


Read about the communications initiative entitled Sehat Zindagi ("Health is Life")designed to support the implementation of the MNCH Programme Communications Strategy.

Watch the Talk Shows and Dramas produced in Urdu as part of the initiative here.

We have a limited number of boxed DVD sets of the dramas and talk shows available free of charge to public health institutions, medical colleges, nursing and community midwife schools, other training institutions or NGOs focused on maternal and child health. Please contact to request your set.

MNCH Programme

Five briefing papers were prepared to illustrate aspects of TRF work supporting the National MNCH Programme. They were launched at the Community Midwives: Handling Motherhood with Care seminar held on 24 June 2013.

  1. Mid-term evaluation of the Pakistan National Maternal and Child Health Programme 
    The evaluation found that components 1 (Integrated delivery of MNCH services at district level) and 2 (Training and deployment of community midwives) were fully achieved, with marked progress on institutional deliveries and skilled birth attendance. However, it noted less progress in the strengthening of management structures, and limited progress in relation to the provision of comprehensive family planning services and communication interventions. 
  2. Assessment of quality of training of community midwives
    The MNCH Programme trains and deploys community midwives (CMWs) as frontline skilled birth attendants. An assessment of CMW training indicated that they lack the knowledge and desired skills, and identified issues in the training curriculum, quality of training and examination system, as well as other factors that have a direct effect on the competencies and performance of CMWs. 
  3. Training curriculum of community midwives
    Following the assessment of CMW training, the curriculum was reorganised by the Pakistan Nursing Council in collaboration with TRF and UNFPA. The revised curriculum improves on competencies, sequences and emphasis; it introduces ‘block’ teaching and links it with monitoring, supervision and examination systems.
  4. Deployment guidelines of community midwives
    The MNCH Programme targeted to train 12,000 community midwives, however their deployment has been erratic with no standardised guidelines or supportive system. The TRF responded to this need by developing Deployment Guidelines through a consultative process with key stakeholders. These guidelines and related interventions aim to facilitate deployment of CMWs in the field after successful completion of their 18-months training.
  5. The MNCH monitoring system 
    After devolution, the approach for monitoring progress of the MNCH Programme by provincial programmes was fragmented. A uniform monitoring and supervision system was developed through a consultative approach. This online, user-friendly system integrates information generated through the CMWs and the District Health Information System.