ASD Background


The encouraging achievements of the Association in last about fifteen years include:

•  Research for better health interventions Since 1995, the Association has been a member of international research programs. In the last eleven years multiple operational research activities have been carried out to inform the national program decisions as well as contribute to the global evidence/ discussion on feasibility and effectiveness of health interventions. The range of research experiences include:

•  Observing TB treatment.

•  Policy reviews and stakeholders' analysis.

•  Survey of facilities and households to assess situation and interventions.

•  Prospective studies to evaluate disease control interventions.

•  Qualitative studies to learn about experiences of managers, care providers and patients.

•  Economic analysis to assess cost effectiveness and feasibility of interventions/ strategies.

•  Molecular study - mycobacterium tuberculosis. Evaluation studies to inform strategies/operation 'Demonstrated ability to get the research into program policy and practice.



In 1995, the Association was established by a group of public health professionals and social scientists to address the health systems development needs in health programmes. The founding members had the recognized technical and managerial experience in their respective fields of expertise. The Association started working with a three-and-a-half year DFID-supported randomized controlled trial and associated economic and social studies on directly observed treatment for tuberculosis control. This research work was followed by a unique experience of “getting research into policy and practice” related development work of about two years. A set of guidelines and training materials for managers and various categories of care providers were developed and strategic frameworks and implementation plans for provincial and national programme were developed. Four publications in international peer-reviewed journals, including Lancet, also came out of the initial research work. The encouraging performance enabled the team to win a DFID-supported five-year TB Knowledge Programme (2001 – 2006). This programme provided Association and its partners an opportunity to continue research and development activities related to tuberculosis control. The research and development work in the first few years enabled the Association to start contributing in international technical forums/bodies such as International Union Against Tuberculosis and Lung Diseases (IUATLD). With enhancing recognition, the Association has been able to expand the scope and size of its work in Pakistan. The increased scope includes DOTS implementation support; work in HIV/AIDS and malaria control, as well as nutrition and health systems development. Currently the Association is the lead non-government partner supporting DOTS implementation in more than twenty districts of Pakistan (covering a population of more than 40 million). The Ministry of Health as well as other partners recognizes the contribution, and Association currently represents the non-government partners in Inter-Agency Coordination Committee (IACC) and Country Coordinating Mechanism (GFATM related).