Pakistan Initiative for Mothers and Newborns (PAIMAN)
The Council is overseeing the management of the monitoring and evaluation component of the Pakistan Initiative for Mothers and Newborns (PAIMAN) a five-year project designed to assist the Government of Pakistan in implementing the full spectrum of interventions necessary to address mother and newborn health.
The Pakistan Initiative for Mothers and Newborns (PAIMAN) is a five-year project designed to assist the government of Pakistan in implementing the full spectrum of interventions necessary to address mother and newborn health. The project, begun in mid-2005, focuses on ten districts throughout Pakistan.
The project leadership, an eight-partner consortium led by John Snow, Inc., includes Pakistani and international organizations: the Aga Khan Foundation, Contech International Health Consultants, Greenstar Social Marketing, Johns Hopkins University Center for Communication Programs, Pakistan Voluntary Health and Nutrition Association, the Population Council, and Save the Children USA. Other organizations have offered to help with specific aspects of the project.
The project’s preliminary strategic framework was developed after initial discussions among the partners and stakeholders; this framework will be revisited as the project progresses. The project workplan also was developed during this period.
Pakistan’s maternal and newborn mortality and morbidity rates are high despite an extensive health service network. One of the main issues is insufficient awareness among women, families, and attendants of major maternal and newborn complications. Most maternal and newborn deaths occur at home without a skilled health provider attending. According to available statistics, over 80 percent of women deliver at home, and trained health professionals conduct only 5 percent of these deliveries. This is true despite the fact that Pakistan has an extensive network of public-sector delivery facilities; however, they reach only about one-third of the country’s population. Seventy percent of the population are served by the private sector.
Many factors come into play regarding the high maternal and newborn morbidity and mortality rates. The PAIMAN project is exploring all of these factors, including sociocultural issues, lack of awareness within communities, nonavailability of skilled staff, bureaucratic and political issues (e.g., those that have an impact on staffing and accountability), difficulties with vertical service-delivery programs, the lack of a regulatory framework for the private sector, low levels of health care spending, and the lack of coordination between stakeholders and partners.
The PAIMAN team works closely with the government of Pakistan and other partners in formulating the vision and strategies for this project. PAIMAN intends to reduce maternal, newborn, and child mortality in Pakistan through viable and demonstrable initiatives and capacity building of existing programs and structures within health systems and communities. Doing so will ensure improvement and supportive links in the continuum of health care for women from the home to the hospital. The project’s strategic framework lays out wide-ranging programmatic objectives and implementation strategies and anticipated outcomes for the project.
Within the project, the Council’s specific responsibility is to oversee the management of the monitoring and evaluation component, including operations research and knowledge management.
Assessing the feasibility of home administration of misoprostol in the prevention of postpartum hemorrhage in rural Pakistan (PDF)
Mir,Ali Mohammad; Wajid,Abdul; Gull,Sadaf
Publication date: 2010
Assessing the potential acceptability of a new cadre of community midwives for pregnancy and delivery related care in rural Pakistan: Findings from a qualitative study (PDF)
Wajid,Abdul; Mir,Ali Mohammad; Rashid,Zubaida; Aziz,Abida
Publication date: 2010
Deaths of women of reproductive age: In-depth analysis of data from the Pakistan Demographic and Health Survey 2006-07 (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2010
Effect of dai training on maternal and neonatal care: An operations research study (PDF)
Miller,Peter C.; Rashida,Gul; Wajid,Abdul; Tasneem,Zeba; Mahmood,Lubna; ul Haque,Minhaj
Publication date: 2010
Greenstar Social Marketing private-sector activities in PAIMAN project: Process evaluation of Greenstar Social Marketing initiatives to improve and expand maternal and newborn health services and coverage (PDF)
Afridi,Munir
Publication date: 2010
Improving maternal and neonatal health: Measuring the impact of the PAIMAN project in ten districts in Pakistan
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A Summary--Comparing Baseline and Endline Survey Findings (2005-2010) (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2010
Improving maternal and neonatal health: Measuring the impact of the PAIMAN project in ten districts in Pakistan--Comparing baseline and end-line household survey findings (2005-2010) (PDF)
Mahmood,Arshad
Publication date: 2010
Initial assessment of community midwives in rural Pakistan (PDF)
Wajid,Abdul; Rashid,Zubaida; Mir,Ali Mohammad
Publication date: 2010
Process evaluation of community mobilization activities (PDF)
Shah,Zakir Hussain
Publication date: 2010
Training institutions for community midwives in Pakistan: An initial assessment (PDF)
Shah,Zakir Hussain; Salim,Momina; Khan,Mumraiz
Publication date: 2010
Assessing routine health information system in selected PAIMAN districts by using lot quality assurance sampling (LQAS) technique (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2008
Assessment of knowledge and attitudes of married women on maternal and newborn health (MNH) in selected union councils of project districts (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2008
PAIMAN News Roundup no. 2 (PDF)
Publication date: 2008
Assessment of district health supervisory system (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Buner district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Dadu district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Dera Ghazi Khan district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Jaffarabad district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Jhelum district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Khanewal district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Lasbela district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Rawalpindi district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Sukkur district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline household survey: Upper Dir district (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Buner (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Dadu (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district DG Khan (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Jaffarabad (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Jhelum (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Khanewal (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Lasbela (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Rawalpindi (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Sukkur (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Baseline survey: Summary report of district Upper Dir (PDF)
Pakistan Initiative for Mothers and Newborns (PAIMAN)
Publication date: 2006
Project Stats
Location: Pakistan
Program(s):
Reproductive Health
Topic(s):
Monitoring and evaluation
Newborn/infant health
Postpartum maternal care
Safe pregnancy, antenatal, and delivery care
Duration: 11/2004 - 9/2009
Population Council researchers:
Arshad Mahmood
Zeba Sathar
Non-Council collaborators:
Aga Khan Foundation
Contech International Technical Consultants
Greenstar Social Marketing
John Snow, Inc
Save the Children
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