Integrated Service Delivery (ISD) Monitoring

About Project
Pakistan faces ongoing challenges with Wild Polio Virus circulation and high levels of malnutrition. Addressing these issues is a top priority for the government, with a focus on integrating efforts to improve health outcomes in Super High-Risk Union Councils (SHRUCs). The ISD approach aims to provide a comprehensive set of services to address these priorities effectively.

Objectives:

1. Update Monitoring Framework:
   • Develop and finalize a robust monitoring framework and data collection tools for the ISD program, ensuring alignment with existing health information systems.
   • Review and update indicators for health, nutrition, WASH, and child protection services, with a focus on integration and cross-service reporting.
2. Conduct Monitoring Activities:
   • Implement two cycles of independent monitoring to assess the delivery and impact of ISD services in the 40 SHRUCs.
   • Evaluate population coverage and the effectiveness of health interventions, including immunizations, nutrition support, and WASH services.
3. Build Capacity:
   • Train the ISD team on effective monitoring and reporting techniques, ensuring data flow from service delivery points through to higher levels of the health system.
   • Integrate gender and social inclusion indicators to ensure equitable access to services.

Scope and Components:

• Health Interventions: Essential immunizations, treatment of childhood diseases, antenatal and postnatal care.
• Nutrition Services: Screening and treatment for malnutrition, micronutrient supplementation, promotion of feeding practices.
• WASH: Safe water supply, sanitation improvements, hygiene promotion.
• Child Protection: Birth registration and community awareness.
• Community Engagement: Family practices and collaboration with local influencers.

The ISD monitoring project aims to enhance the integration and effectiveness of health services in SHRUCs, contributing to the reduction of polio transmission, improved child health outcomes, and better overall service delivery in vulnerable communities. The project will provide critical insights for course correction and decision-making, ensuring that the benefits of integrated services are maximized.