Operational Assistance to the Children's Hospital Quetta

Country: 
Pakistan
Region: 
Area of competence: 
Health Facilities and Services
Donor organization: 
KfW (KfW Development Bank)
Start of Project: 
08/1996
End of Project: 
06/1998
Staff-month: 
44
Value of service: 
€ 668,500
Partner Organisations: 
-
Description of Project: 

The Children's Hospital Quetta (CHQ) was designed, tendered and supervised during construction by EPOS. With the emphasis shifting from a Government dominated hospital towards an autonomous status during project implementation, the operational set up of the hospital had to be re-designed. The CHQ is the first hospital providing secondary level care to children within the Province, and aims to be self-financing within the shortest possible period. During the construction period it became obvious that the conceptualising and commissioning of such a hospital is beyond the capacity of the Provincial Health Authorities and the newly formed Board of Directors.

Description of Services: 

The objective of the operational assistance component added to the major infrastructure investment project, was to create a framework which allowed the hospital to provide high quality care to the children of the Province, to operate according to international standards, to be self-financing, to provide training and enable research activities - to act as a centre of excellence. This was in line with overall Government policies to privatise social services. The services were provided by a hospital management specialist, a nursing advisor, and a pool of short term experts covering a wide range of expertise from clinical services, hospital financing / accounting, to head-hunting for key-personnel. Specific activities included: - Development and implementation of an autonomy concept - Establishment of CHQ as a non-governmental organisation, including design of appropriate standing orders and procedures, and guidance to the supervisory board - Development of a suitable management system, financing structure, accounting system, etc., including fee for services structure, service purchase agreements with government, semi-government and private authorities - Introduction of adapted clinical guidelines, nursing procedures, child centered care - Training of staff, in particular specialised nursing staff - Marketing of services - Assistance to the Board of Directors in commissioning the hospital, including appointment of staff, preparation of budgets, identification of sources for funding, etc.