WHO designates AKU as collaborating centre

 By Abdul Qadir Qureshi 

(Pakistan News & Features Services)

The World Health Organization (WHO) has opened a collaborating centre on sexual and reproductive health and rights (SRHR) at the Aga Khan University Medical College’s Department of Community Health Sciences (CHS) in Karachi, This is the first such centre specific to SRHR in Pakistan and the fourth in general in the country. 

The partnership incorporates AKU into a network of over 800 WHO collaborating centres in over 80 member states working with the global health body on areas such as nursing, occupational health, communicable diseases, nutrition, mental health, chronic diseases and health technologies. 

Dr Sarah Saleem, a professor of population and reprictive health at AKU, will lead the centre and provide strategic support in implementing WHO's mandated work and programme objectives, and develop and strengthen institutional capacity in the 22 countries and territories within the EMRO (Eastern Mediterranean) region. She is also the principal investigator for the Eastern Mediterranean hub for research capacity strengthening, based within AKU’s CHS Department, which was initiated in 2019 and has trained over 200 participants in sexual and reproductive health research, including gender-based violence. 

“This enables so many people to take their first steps towards quality research, policy and development in SRHR. We are contributing to a cause, a country and a region,” she remarked. 

The collaboration aims to provide technical input and expertise on WHO’s repository of SRHR evidence, guidelines and training resources; to assist WHO in building national and regional capacity on sexual and reproductive health through training on SRHR; and to support WHO in conducting collaborative research, under WHO's leadership, on SRHR at the regional level.  

The team is in the process of forming a virtual network of institutions within EMRO to discuss their needs and share knowledge. The team is already developing an open-access SRHR repository housed within the AKU library. This project is led by Dr Peter Gatiti, AKU Associate Vice Provost and University Librarian, and it will serve as a region-specific one-stop rich resource for scientists, researchers and policymakers. 

The WHO collaborating centres are institutions such as research institutes, parts of universities or academies, designated by the director-general to carry out activities in support of the organization's programmes. 

The WHO gains access to top centres worldwide and the institutional capacity to ensure the scientific validity of global health work. Conversely, designation as a WHO collaborating centre provides institutions with enhanced visibility and recognition by national authorities, calling public attention to the health issues on which they work. 

Dr Farina Abrejo, a senior instructor, is the co-principal investigator at the centre. AKU's School of Nursing and Midwifery is also working with the centre, represented by Dr Saleema Gulzar.

DS Railways visits Karachi Cantonment Station

 By Abdul Qadir Qureshi

(Pakistan News & Features Services)

The Divisional Superintendent Pakistan Railways, Karachi Division, Kashif Rasheed Yusufani, has emphasized that railway was a public service entity and as such every one working in the organization should devote all their energies and resources in providing the best possible service to commuters. 

He made these observations while addressing the reservation staff at the Karachi Cantonment Station during a visit to the station including the visit to Current Booking office and platforms 1 to 8. 

During the visit he also inspected the coaches of Korakoram Express at one of the platforms and inquired from passengers about the facilities being provided to them. 

During inspection of reservation office, the DS Railways called for an early reformation of queue management system, making air-conditioning system functional and providing increased seating capacity for passengers. 

While reviewing the schedules of departing trains, he issued directive for ensuring their on-time departure in order to prevent inconvenience to the passengers. During the visit, DS Karachi was accompanied by Divisional Commercial Officer and DTO, Ishaq Baluch, and other concerned officials.

Public-private partnership to boost immunization in high-risk Karachi UCs

 By Abdul Qadir Qureshi 

(Pakistan News & Features Services)

Efforts to integrate private providers for boosting routine childhood vaccination in Karachi’s low-income areas are set to receive a much-needed shot in the arm as a memorandum of understanding, signed by the Sindh Department of Health and the Aga Khan University goes into effect. 

The agreement entails integrating local private healthcare providers at the neighbourhood level to plug the gap in the government’s immunization infrastructure and develop sustainable community networks for increasing immunization coverage. 

The project, funded by the Bill and Melinda Gates Foundation, targets hot spots of immunization refusals in eight union councils of Karachi to increase zero dose vaccination provided at birth as well as Penta-3 vaccination in under six-month children which is a marker of complete vaccination in under six-month children. Through the project, immunization services and basic preventive care will be offered at 18 Expanded Programme of Immunization (EPI) centres set up within neighbourhood private provider clinics, NGO clinics and maternity homes. 

Community members in the districts where the project is to be implemented report that private clinics located in the local neighbourhood are the mainstay for their daily illnesses but do not offer immunization services, and while polio teams go from door to door to administer polio drops, the same facility is not available for other childhood vaccines for which families must visit government hospitals located at a considerable distance. 

According to AKU’s senior lead for the project, Professor Shehla Zaidi, AKU with EPI Sindh and other government stakeholders will co-design novel action learning strategies for co-opting private providers for quality assured services including pay for performance, quality accreditation scores and positive behaviour recognition, supported digital communication and community networks. The project will build sustainable links with the Sindh Health Department’s Action Plan for Strengthening Public Private Partnerships 2021-26 and regulatory frameworks towards urban primary health centres. 

Elaborating on the unique challenges of immunization delivery in megacities, Dr Irshad Memon, head of the EPI in Sindh, asserted that immunization rates in Karachi are far lower than in the province’s rural districts. “So far we have struggled to put in place a system to ensure that private providers report immunization volumes, provide free services and deliver quality-assured services. Hence this project fills a key need for technical assistance for effective private engagement for the urban poor. We need sustainable health systems as we don’t want to see super high-risk union councils in five years,” he explained.