The situation of maternal and child health (MCH) is lagging behind the overall development of the country. Morbidity and mortality rates are high, malnutrition is wide spread, immunisation programmes have dropped below the critical threshold. Paediatric facilities represent 4.5 % of total hospital capacity, while children make up nearly half of the population. This situation was addressed by the "Second Family Health Project" (total cost: DM 118 million), with a German contribution of DM 50 million. Additional German assistance was requested for the completion of the "Paediatric Hospital and Institute of Child Health" (PH&ICHL) in Lahore, the capital of Punjab province. This hospital were to serve as a "centre of excellence", regional training hospital and as headquarters of the "Ambulatory Service Programme". Planning for the second phase (out of three) of this construction project needed re-assessment regarding compliance with policy guidelines of the German Agency for Financial Cooperation. An interdisciplinary team of local and international experts (in public health, peadiatrics, hospital administration, construction and medical technology) was assigned to make a detailed study of the sector and the programme.
Provide comprehensive information for a decision on the eligibility of the requested funding contribution. Activities included: General programme outline: Problems, causes, structures, policies, bottlenecks, potential impact of planned hospital Justification and purpose: Health sector development, project purposes and indicators of impact, conformity with national goals and donor guidelines in the sector Programme design: Previous measures and current status, evaluation of extension plans, recommendations Comprehensive analysis of costs and funding Project impact and risks: Comprehensive financial and social assessment, risk assessment as to achieve a sustainable effect on the child health situation in Punjab.