After the Measles outbreak in 2012,the Government of Pakistan (GOP) formally requested USAID to support design, development and deployment of vLMIS on the lines of cLMIS, as its 9th recommendation from the federal ombudsman report.
Based on Ministry of National Health Services, Regulation &Coordination (MNHSRC) request to USAID in April 2013, the Government of Pakistan (EPI/PEIat the federal, provincial district and union council level), WHO, UNICEF, GAVI, World Bank, USAID sought technical assistance from USAID |DELIVER PROJECT and John Snow, Inc. (JSI),to design, develop and deploy vLMIS in 54 priority (Polio endemic and adjacent) districts.
The system is reported by around 600 vLMIS operators of federal, provincial, district and union council level workforce.It provides real time data access on the latest and up to date information on key vaccine logistics and cold chain indicators from the district/sub-district to the national level, which can then be used towards improving and informing decision making. The application provides a user specific login through which users from various levels can see the desired information. Each user is assigned privileges such as data entry or access to reports according to his/her job description. Once data is entered into the system it is uploaded onto the central server housed in MoNHSRC from where it is compiled and accessible from anywhere in the form of analytical reports, illustrative graphs and maps.
The scale-up of vLMIS to remaining districts of Pakistan has been planned in the next Comprehensive Multi-year Strategic Plan (cMYP). The financial gap analysis and operational cost for the remaining districts is reflected in cMYP as per GAVI&Global Immunization Vision and Strategy (GIVS).
The 2012-13 Pakistan Demographic and Health Survey (PDHS) reports an overall routine immunization coverage of 54 percent among children age 12-23 months. With regard to specific vaccines, 85 percent of children had received the BCG immunization and 61 percent had been immunized against measles. Coverage of the first dose of the DPT and polio vaccines was relatively high (79 percent and 92 percent, respectively); however, only 65 percent and 85 percent of these children went on to receive the third dose of DPT and polio, respectively. Thus, there was a large dropout of 14 percent and 7 percent, respectively, between the first and third dose of the DPT and polio vaccines. Five percent of children did not receive any vaccine at all.
The cLMIS was launched by the Prime Minister of Pakistan in July 2011 as the first web-based LMIS under the ownership of the Government of Pakistan (GOP), and provides contraceptives logistics data for both health and population departments since January 2010.
It was initially piloted in 19 districts and upon successful implementation was later scaled-up to all 143 districts of Pakistan in October, 2012.
cLMIS is reported by more than 850 district based cLMIS operators from Population Welfare Department (PWD), Department of Health (MNCH, LHW Program), PPHI and GSM, FPAP and Marie Stopes Society (MSS), on monthly basis. cLMIS also encompasses data reported on daily basis from the Central Warehouse and Supplies (CW&S), Karachi.
cLMIS provides central, district and sub-district level consumption, storage and distribution data of family planning products to feed contraceptive supply chain policy, procurement, financing, inventory management& stock monitoring.
The 2012-13 Pakistan Demographic and Health Survey (PDHS) reports the current national contraceptive prevalence rate (CPR) as 35%. This means that 35 percent of currently married Pakistani women are using some method of contraception; 26 percent use modern methods, and 9 percent use traditional methods. Of the modern methods, condoms and female sterilization are used most often (9 percent each). Among traditional methods, withdrawal is the most popular, used by 9 percent of currently married women.
The Government of Pakistan (NTP/PTP/MNHSRC) with financing and technical assistance from the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM)and USAID | DELIVER PROJECT launched TB-DMIS in March 2013.
TB_DMIS is being reported by more than 150 operators from national, provincial, district and sub-district warehouses/stores, TB-DOTS / MDR Diagnostic and Treatment facilities in more than 100 districts of Pakistan.
The "2011 Annual Report of NTP" reports Case Detection Rate (CDR) as 65% with a total of 270,422 TB cases (all types) including 105,748 NSS+ cases.The treatment success (TSR) and cure rates have been reported as 91% and 75% respectively.