Population Program Wing

POPULATION PROGRAMME WING (PPW)

Introduction
Population Welfare Program was devolved to the Provinces in 2010, under the 18 th Constitutional Amendment. At the time of devolution, a wing namely Population Programme Wing was created and placed in the Planning &
Development Division with the mandate to coordinate at the national & international level in the area of population welfare to advance the agenda of population and development in Pakistan. The Population Programme Wing was shifted from Planning & Development Division to Ministry of National HealthServices, Regulations & Coordination (NHSR&C) in 2013. The Population Programme Wing is headed by Director General (Population), M/o NHSR&C.


Functions
i. Develop National Population Policy Framework / Vision;
ii. Develop National Action Plan(s) for execution of the Population Policy Framework / Vision;
iii. Coordinate with Provincial and Regional Population Welfare Departments (PWDs), NGOs, CSOs and other Organizations working in the field of Reproductive Health and Family Planning (RH&FP);
iv. Coordinate with International Agencies / Organizations to muster financial and technical assistance for population welfare program in Pakistan;
v. Undertake joint performance review of all implementing partners (PWDs,NGOs, CSOs and Private Sector) and provide technical and professional
guidance for effective implementation of RH & FP programmes;
vi. Develop / Review National Standards and Protocols for capacity building / training on RH&FP and quality assurance for improved RH&FP Service Delivery;
vii. Administrative control of the Central Warehouse & Supplies (CW&S);
viii. Coordinate the matters relating to the National Trust for Population Welfare (NATPOW) and the National Institute of Population Studies (NIPS);
ix. Ensure Contraceptive Commodity Security, Supply Chain Management and
Warehousing of contraceptives for Provincial and Regional PWDs;
x. Deal with residual matters of the defunct Ministry of Population Welfare (MoPW).CCI Recommendations
The CCI approved the recommendations in its 40 th meeting on 19 th November, 2018. The Recommendations are aimed at accelerating the efforts of the
Government to reduce Population Growth Rate (PGR), lower Total Fertility Rate
(TFR) and increase Contraceptive Prevalence Rate (CPR). These
recommendations focus on the following areas:
i. Establish National & Provincial Task Forces
ii. Ensure Universal Access to FP/RH Services
iii. Increased Financial Allocations by the Provincial and Federal Governments
iv. Legislation (s): FP&RH Rights Bill, Child Marriage Restraint Act, Premarital Counseling, etc.
v. Advocacy & Communication: National Narrative, BCC and Mass Media Movement to Call of Action
vi. Training & Curriculum: include Population Studies & Population Dynamics in educational curricula
vii. Ensure Contraceptives Commodity Security and strengthen Supply
Chain Management System
viii. Seek Support of Ulema: Training courses on FP for Ulemas and
Khateebs.

National Action Plan
The Council of Common Interests (CCI) in its meeting held on 19 th November,2018 directed Ministry of National Health Services, Regulations & Coordination (MoNHSR&C) to “prepare an action plan with financial modalities for operationalization of the recommendations in consultation with all relevant
stakeholders and submit for the approval of the Federal Task Force at the earliest.”
In pursuance to the above direction MoNHSR&C held a series of meetings with
Secretaries / DGs of Health & Population Welfare Departments of the Provinces
and AJ&K and GB and finalized an Action Plan with consensus. Other
Implementing Partners from Public and Private Sector also participated in the
finalization of the Action Plan.
The Action Plan spells out the actions required to implement each CCI
Recommendation with timelines, budget, output / impact indicators as an
evidence to the implementation. It also indicates the responsible body to carry
out the Action Plan and other stakeholders involved in the implementation of the
particular Action. This Action Plan aims to:
? Increase the present Contraceptive Prevalence Rate (CPR) of 34% to
50% by 2025 and 60% by 2030;
? Reduce the present Fertility Rate of 3.6 births per woman to 2.8 births by
2025 and 2.2 birth per woman by 2030;
? Lower the present Average Population Growth Rate of 2.4% to 1.5% by
2025, and to 1.1% by 2030.

National Narrative
The CCI directed to develop a National Narrative in consultation with provinces
and other stakeholders to create a sense of urgency and necessity of reducing
population growth rate and achieving socio-economic wellbeing for all.

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In view to develop the National Narrative a study was commissioned to carry out
the review of advocacy strategy in Pakistan. Similarly, another study was carried
out on Pakistan Economy Analysis (PEA). Based on the outcome of the
aforesaid studies, a draft National Narrative was developed and presented to the
National Consultative Group. After review and revision of the National Narrative
by the National Consultative Group, the revised version of the Narrative was
circulated to Provincial Governments and other Implementing Partners in the
public & private sector. Based on the feedback received from Provincial
Governments and other Implementing Partners, a National Narrative has been
finalized for its consideration / approval by the Federal Task Force. The theme of
the National Narrative is as follows:
“Parents have the right to freely and responsibly decide the number
and spacing of their children to fulfill the fundamental rights of their
children and family by maintaining a Balance/ Tawazun between their
family size and resources. The Government and society have the
responsibility to facilitate parents to achieve this balance by providing
universal access to family planning information and services, thereby
achieving sustainable development.”
Pakistan Population Fund
Expenditure on Family Planning in Pakistan is around 1$ per capita as against
our commitment of 2.5$ per capita made at FP2020, London Summit-2012. The
CCI, while keeping in view accelerated efforts required for the implementation of
CCI Recommendation / Action Plan as well as keeping in view low per capita
expenditure of FP/RH in Pakistan, decided to set up a Pakistan Population Fund
worth Rs. 10 billion per annum (non-lapsable). This fund shall be administered by
a body to be decided by the Federal Task Force. The fund shall be utilized for the
following purpose:
i. Meet, for 5 years, 50% amount of additional allocations made by the
provinces for procurement of contraceptive commodities over and
above the budget provision of F.Y 2018-19 in the respective head;
ii. Meet, for 5 years, 50% cost of increase in LHWs for 100% coverage
for doorstep services in rural and peri-urban areas;
iii. Support innovative approaches of Federal & Provincial Governments
for reaching poor and marginalized population to reduce population
growth and increase contraceptive prevalence rate (CPR).

International Commitments
FP2020 Commitments
The Pakistan’s commitments for FP22020 is given in the following:
? Commitment 1: Raise the CPR to 50 percent by 2020, by ensuring the
optimal involvement of the public and private health sectors in family

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planning, and move towards universal coverage of reproductive health
services meeting the SDG target 3.7 by 2030.
? Commitment 2: Offer greater contraceptive choices through an improved
method mix, by better counselling and expanding the use of long acting
reversible methods, availing all possible opportunities in the health system
(especially antenatal and post-delivery consultations) and training 33
percent of all LHVs, FWWs and community based workers (LHWs and
CMWs) to provide a wider range of contraceptive products.
? Commitment 3: Expand the program focus by providing services and
information to men and gatekeepers so as to reduce unmet need among
those women who cite husbands/social/religious opposition as reasons for
non-use.
? Commitment 4: Focus on addressing the information and FP service
needs of nearly 100,000 married adolescent girls aged 15-19 thereby
reducing their unmet need and meeting the reproductive health
informational gaps of unmarried youth by providing life skills based
education.
? Commitment 5: Provincial Ministers of Finance assure an increase in
financing, moving towards the 2020 goal of $2.50 per capita that includes
both private and public funding for family planning, (especially new
initiatives) with support from the Federal government.
Sustainable Development Goals-SDGs (2015-30)
Directly Related to RH&FP
o SDG 3.7: 3.7 By 2030, ensure universal access to sexual and
reproductive health-care services, including for family planning,
information and education, and the integration of reproductive
health into national strategies and programmes
Indirectly Relate to MMR, IMR and 5> Mortality
o SDG 3.1: By 2030, reduce the global maternal mortality ratio to less
than 70 per 100,000 live births
o SDG 3.2: By 2030, end preventable deaths of newborns and
children under 5 years of age, with all countries aiming to reduce
neonatal mortality to at least as low as 12 per 1,000 live births and
under-5 mortality to at least as low as 25 per 1,000 live births

Pakistan’s Commitments at ICPD25 Nairobi Summit
In November 2019, at the 25 th anniversary of the ICPD Program of Action (Cairo-
1994), ‘The Nairobi Summit – ICPD25: accelerating the promise’ was jointly
arranged by the Government of the Republic of Kenya, Kingdom of Denmark and
the UNFPA. The summit reviewed the progress made by 179 countries which
adopted ICPD Program of Action in Cairo in 1994.
Pakistan is a signatory to the ICPD Programme of Action and participated in the
conference at the level of Prime Minister in September 1994. The ICPD is aimed
at moving population policy and programmes away from a focus on human
numbers to a focus on human lives, emphasizing on improving the lives of

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individuals and increasing respect for their human rights. The signatories agreed
that Reproductive Health is a basic human right. The ICPD Programme of Action
(PoA) underscores the integral and mutually reinforcing linkages between
population & development. It urges the empowerment of women both as a highly
important end in itself and as a key to improving the quality of life for everyone.
The Nairobi Summit – ICPD25 was attended by the top leadership of United
Nations Member States, parliamentarians, local governments and authorities,
international financial institutions, inter-governmental organizations, community-
led organizations, civil society organizations, private sector partners and
academia participated in the summit. The Member States made afresh
commitments to accelerate the progress to achieve the unfinished business of
ICPD Program of Action, through the transformative vision – the three zeros by
2030: i) No unmet need for contraception; ii) No preventable maternal deaths;
and iii) No violence or harmful practices against women and girls.
Pakistan made following commitments at Nairobi Summit – ICPD25:
i. Lower the present Average Population Growth Rate of 2.4 % to 1.5 %
by 2025, and to 1.1 % by 2030;
ii. Increase the present Contraceptive Prevalence Rate of 34 % to 50 %
by 2025 and 60 % by 2030;
iii. Reduce the present Total Fertility Rate of 3.6 births per woman to 2.8
births by 2025 and 2.2 birth per woman by 2030;
iv. Reduce Maternal Mortality Rate from 170 to less than 70 per 100,000
live births by 2030;
v. No preventable maternal deaths;
vi. Life Skills Based Education for Adolescents & Youth;
vii. Allocation of additional resources raising the per capita expenditure on
FP to $2.50;
viii. Offer greater choices in Contraceptive Mix;
ix. Cross Party support for Population Issues;
x. Strengthen Procurement and Logistic Systems for timely, regular and
uninterrupted availability of contraceptives at all Public SDPs;
xi. Creating a population fund worth Rs. 10 billion/ per annum which will
be replenished every year.

Forums created for advancing the agenda of FP/RH, with
Secretariat in Population Programme Wing
Federal Task Force (FTF) on Population
In pursuance of the CCI Recommendations, a Federal Task Force under the
chair of the President of Pakistan has been constituted. Its members include
Provincial Chief Ministers, Chief Minister of GB & Prime Minister of AJ&K,
Provincial Chief Secretaries and key Federal Ministers, among others. The
TORs of the FTF on Population are:

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i. Approve an Action Plan along with financing modalities for the
implementation of the recommendations approved, in principle, by CCI;
ii. Oversee and monitor performance of the action plan through pre-set
performance indicators and its regular updation;
iii. Ensure funding by the Federal & Provincial Governments for the
implementation of the activities of the Action Plan;
iv. Steer the process of legislation/ approval of Bills by the Parliament /
Provincial Assemblies;
v. Appraise the efforts and support provided by the relevant Federal
Ministries, especially Finance, Information, Education, Planning and
Development, Religious Affairs and NHSR&C and International
Partners (IPs) in the implementation of the Action Plan;
vi. Promote public private partnerships among all stakeholders in
population related activities and also encourage CSR projects by the
Corporate Sector;
vii. Build national consensus on policy directions for Population for all
stakeholders in Pakistan.
Country Engagement Working Group (CEWG)
CEWG was constituted in 2016 to review and steer the efforts of the
stakeholders working in Family Planning / Reproductive Health (FP/RH) to
achieve the targets Pakistan committed at 2012 London Summit on FP.
According to the TORs of CEWG, which were developed with consensus of
all provincial governments, its meetings are held on quarterly basis. The
meetings of CEWG are held, on rotation basis, at provincial headquarters and
chaired by the respective Secretary of Population Welfare Department
(PWDs). Its members include DG (PPW), MoNHSR&C, Chief Population,
MoPD&R, Secretaries of PWDs, Secretaries of Provincial Departments of
Health, Representatives of CSOs / NGOs / INGOs and Development
Partners. TORs of CEWG are:
i. To provide a supportive environment to accelerate achievement of FP
2020 targets;
ii. To facilitate access to additional technical and financial (if requested by
any Province/Region/CSOs) support;
iii. To share knowledge, experiences and best practices amongst
Provinces/ Region CSOs;
iv. The working group may commission Task Team(s) if required, to host
meetings and workshops for provinces to share experiences /
innovations, troubleshooting, meeting common challenges;
v. To work with key partners for reporting progress and results against
the FP 2020 targets;
vi. CEWG may revisit its composition, ToRs and working mechanisms as
and when required;
vii. All decisions to be taken by consensus of Federal / Provincial /
Regional members, as far as possible. CSOs and other development
partners will have a supportive role only;

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viii. CEWG will be led by the provinces and its meetings shall be held
quarterly to be chaired by Secretary PWD of the respective Province;
ix. Federal Government and the PWDs to nominate focal persons who will
coordinate and assist the chairperson for reporting progress on
FP2020 goals.
Contraceptive Commodity Security Working Group
(CCSWG)
A Contraceptive Commodity Security Working Group (CCSWG) has been
constituted and its members include DG (PPW), Secretaries of Provincial
and Regional PWDs, Representatives of CSOs and Representatives of
Development Partners. Its TORs are as follows:
i. The Contraceptive Commodity Security Working Group (CCSWG)
shall work as a sub-group of Country Engagement Working Group
(CEWG) and its meetings would be supported by UNFPA;
ii. The CCSWG shall meet quarterly on a date preceding the CEWG
meeting and the outcome of CCSWG meeting would be placed before
CEWG for its information, approval and record;
iii. The Group shall monitor contraceptive commodity security situation in
Pakistan and suggest / recommend solution(s) to ensure zero stock
outs;
iv. The Group shall Facilitate Inter-Provincial lending/ borrowing of
Contraceptives, lending/borrowing between Provincial Governments
and the Federal Government including AJK, GB and ICT, and lending
and borrowing between the PWDs and other Organizations in the
public and private sector;
v. The Group will ensure forecasting of contraceptive requirement for five
years (CCI Action Plan period) with specific requirement of each
Province, AJK, GB and ICT, and finalize annual procurement plan (s);
vi. The Group will discuss the viability of pooled procurement with
provincial Planning and Finance Departments, if, when and where
required and sort out the process irritants/ obstacles, if any;
vii. The Group shall facilitate pooled procurement of Contraceptives in
terms of forecasting, preparing specs, floating tenders, bid evaluations,
etc. and procurement to ensure economy of scale;
viii. The Group shall take all steps to improve supply chain management
system to ensure timely transportation and distribution of
contraceptives commodities from Central Warehouse & Supplies,
Karachi up to the Service Delivery Points and shall ensure availability
of three (3) months stocks at each SDP through dash board
monitoring;
ix. The Group shall ensure that all Provincial and Regional PWDs
maintain stocks (either received from Government resources or
through donors) and records while using Government owned an online
Logistics Management information System (www.dmis,gov.pk) and
ensure that online contraceptive data is available at all level of supply
chain and used for policy and strategic decisions;

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x. Facilitate indigenous production of contraceptives in Pakistan using all
forums directly or indirectly involved in pharmaceutical / contraceptive
production;
xi. CCSWG can review its Composition and TORs through consensus
and add/ coopt any other Member in the Working Group depending on
the need;
xii. Director (P&S) / Director (Coord) of PPW will extend Secretariat
Support to the CCSWG.
Advocacy and Media Group
The members of the Advocacy and Media Group include DG (PPW),
Representatives of the Regional and Provincial PWDs, Representatives of
CSOs and the Representative of UNFPA. The TORS of Advocacy & Media
Group are as under:
i. Steer all matters relating to Advocacy and Media Campaign Committee
on Advocacy and Media for creating a positive social environment for
FP/RH;
ii. Carry out updating and further refinement of the National Narrative and
aligned Advocacy/ communication campaigns to ensure
standardization of messages and intensive dissemination;
iii. Ensure that the campaigns would focus on the rights of women,
communities’ perceptions about family size and gender preference;
iv. Advise and support PPW to collaborate with PEMRA for
dissemination of Family Planning & Reproductive health messages in
print and electronic media i.e. Radio, Television and print media for
educating the people / influencing people behavior;
v. Engage with electronic media personnel, media houses and local
NGOs for sustainable communication interventions;
vi. Sensitize the concerned Ministries/Departments including Information
and relevant stake holders for promoting family Planning and
Reproductive health;
vii. Engage Federal as well as Provincial stakeholders to work on
information (IEC material) for using different communication tools of
media for social awareness purpose;
viii. Develop guidelines for a workable and accessible social media
strategy;
ix. Create and administer WhatsApp groups of all concerned for sharing
of information and innovative ideas.