In September 2006 Social Development Foundation Khanewal was awarded with a mother and neonatal
project called PAIMAN and the purpose was to promote awareness and sensitize community regarding
“Birth preparedness and Complication readiness”.
The Pakistan Initiative for Mothers and Newborns Health (PAIMAN) is a five-year project funded by the
United State Agency for International Development (USAID). It is committed to assist the Government of
Pakistan to reduce maternal, neonatal and child morbidity and mortality in ten selected districts of the
country through viable and demonstrable approaches.
PAIMAN works within a framework of 5 Strategic Objectives (SOs).
Increase awareness and promote positive maternal and neonatal health behaviors.
Increase access of the community to health services including emergency obstetric and newborn care.
Involvement in maternal and child health services and ensures services are delivered through Health and
ancillary health services.
Improve service quality in both the public and private sectors, particularly related to the management of
obstetrical and neonatal complications.
Increase capacity of Mother and Neonatal Health managers and care providers. Improve management and
integration of services at all levels.
Targeted areas of SDF in PAIMAN project.
Punjab is most populated province of Pakistan. Punjab has two parts that is upper Punjab and South
Punjab. Out of these two south Punjab is most neglected, backward and out reach area of Pakistan.
Mostly people are depends on agriculture. Poverty rate is too high because of which more than 45%
people are living under the poverty line in southern Punjab. Population rate is 2.7% that is boosting up the
poverty rate. Almost thirty percent people are living in slum areas where the community has not direct
access to health institutions, water and sanitation, sufficient infrastructure, services and other utilities like
electricity etc. District Khanewal was formed in 1985.It includes four Tehsils, which include Khanewal
itself, Kabirwala, Mianchannu, and Jahania. Its surrounding districts are Jhang and Toba Tek Singh on the
north, Sahiwal district on the east, Vehari on south and district Multan on west. District Khanewal is
spread over an area of 4349 square kilometers. Khanewal have 100 union Councils in its four tehsils. SDF
team visited the union Council Norisuhag. This u/c covers 16 villages. The people living under authority of
this union council are facing many problems. Their source of income depends upon agriculture and labour.
The poverty situation of this reflects that the people have very limited access to various resources
particularly in context with health and education. Moreover the other facilities including cleanliness,
sanitary, safe drinking water, sanitation and others also lack in the area. The current situation of this UC
indicates that one basic health unit is functioning there properly as compare to another, which also lacks a
number of facilities. The people have no interest to visit this BHU, as they prefer to travel Khanewal,
Mianchannu or Multan for medical treatment. Most of staff appointed at this center in paper, is working in
Khanewal district headquarter due to massive relations and nexus with the local politicians. The UC Nazim
and councilors concerned also have no interest to improve the physical infrastructure of this BHU, as they
don't bother to provide medicines and staff at this center. It seems to be very shameful to those who claim
themselves as flag bearers of the masses, but don't pay their full attention towards basic rights of the
people. Social Development Foundation is working in UC 7, 8, 9, 10 of Khanewal and 77, 78, 79, 80, 81,
86, 99 of Mianchannu