INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH

6-11

Authors: Wais Mohammad Qarani and Samina Iqbal Kanji

The purpose of this paper is to analyze the health system of the two neighboring countries i.e. Pakistan and Afghanistan; and recommend strategies to translate the available opportunities into effective actions within the countries. Therefore, the WHO, Health System Framework is used to analyze the Pakistan and Afghanistan health system in terms of; 1) leadership and governance 2) health financing 3) health workforce 4) medical products and technologies 5) information and research and 6) service delivery. Both the countries are having multiple strengths and opportunities in terms of healthcare delivery system. On the other hand, both the countries are affected by multiple challenges including; un-met Millennium Development Goals and un-met national health indicators. Thus, appropriate strategies are required to be developed and executed in order to meet the national need for health.

15-21

Authors: Pasha Ghazal

Alcoholism is turning in to a growing problem in Pakistan despite its status of a “dry land” where 96% of the population do not drink and alcohol drinking is prohibited by law. Out of estimated ten million alcohol abusers, one million develop alcohol use disorders. Stress is the prevalent factor responsible for alcohol abuse. Moreover, the recent trend of alcohol abuse at a young age of 14 years is of growing concern. Literature research conducted using PubMed, Google Scholar resulted in almost no research articles or reviews directly addressing this problem. Hence, this review is the first on this subject. In this context, this review would try to comprehend current scenario of alcoholism in Pakistan. The role of globally recognized and FDA approved treatment medications is also discussed together with raising importance of psychosocial support therapy for alcohol addicted patients. In addition to that underlying neurobiology and different stages of alcoholism are elucidated.

31-38

Authors: Laila Khan1, Manzoor Ahmed2, Tahira Gul3, Umaira Azeem4

The maternal and infant mortality in Pakistan is still high. The use of safe and important methods of contraception allows men and women to decide the number and spacing of their pregnancies and to improve the uptake and continuation of use of family planning services through improving the quality of family planning services. objectives of this study is to assess the quality of family planning services, asses information provided by providers to clients, asses client knowledge and satisfaction with services provided preferred choice and current method of contraception used by client. A cross sectional study was conducted from May to July 2014 in Family Planning Department of PIMS hospital, Islamabad by using consecutive sampling technique for data collection. Data was analyzed by using SPSS version 16. The information about each element of quality of care is present as a list of 25 indicators of quality of care each indicator specifies a percentage, mean or SD. Among 100 clients with 0.05 margin of error and 95% Confidence level (Zα/2). Majority of the clients were satisfied with the services of the facility. (40.27%) of the clients would like to have next child after >5 years while the mean age of the youngest child was 11.77 months with Standard deviation SD of 9.850. Majority of the clients (57%) choose Intra Uterine Contraceptive Device (IUCD) after consultation and 62.50% want to change their method. Non-availability of IEC material on FP was another problem. Rate of discontinuation is higher among women who have not been adequately counseled about side effects. It is concluded from this research study that the information provided to the clients were inadequate, this might be due to provider’s improper training and poor interpersonal communication and technical skills.