Program-endorsed interventions for control of priority non-communicable and communicable diseases found missing, leading to wide variation in care practices; contextualized care interventions developed and piloted to inform the programmatic scaling in Punjab.

• Location: Mainly three districts in Punjab; and seven public hospitals in KP province…
• Activities:
  • Contextualized diabetes-hypertension care intervention piloted, in partnership with the Directorate General Health Service Punjab, at 14 public health facilities in Sargodha district (Punjab).
  • Contextualized hypertension-diabetes care intervention piloted, in partnership with the Directorate General Health Service Punjab, at 26 private health facilities in three selected districts of Punjab.
  • Contextualized chronic lung health care intervention piloted, in partnership with the Directorate General Health Service Punjab, at 30 public health facilities in three selected districts of Punjab.
  • Contextualized Hepatitis C (and B) case management intervention piloted at seven selected public hospitals in KP province.
  • Contextualized Hepatitis B vaccination of health workers and newborns at public health facilities.
• Outputs: 
  • Experience and evidence has led to province-wide scaling of diabetes-hypertension, chronic lung health care, and hepatitis B vaccination in Punjab. The hepatitis C (&B) case management intervention is also being considered for scaling in KP and other provinces in Pakistan.