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Pakistan (3rd)*
Population: 220.9m (2020)
Area: 881,913 sqkm
Diarrhoea deaths: 32,379 (2019)
ORS coverage: 37% (2018)
ORS + Zinc coverage: 8% (2018)
* Pakistan has the third highest number of diarrhoea deaths in the World
National EML download: National Essential Medicines Lists. Co-packaged ORS and Zinc was first listed in the 2020 list (PDF download).
National policy
✅ ORS+Zinc in National Clinical Guidelines
✅ ORS included in the National Essential Medicines List
✅ Zinc included in the National Essential Medicines List
✅ Co-packaged ORS & Zinc included in the National Essential Medicines List (since 2020). However, health issues are devolved to provinces in Pakistan and it appears provinces are yet to adopt the co-packaging of ORS and Zinc. None of the current provincial EML mention co-packaging – see Sindh (2022), Khyber Pakhtunkhwa (2017), Punjab (2017) and Balochistan (2017).
Zinc availability
✅ Zinc available “over the counter”
✅ Any retailer can sell Zinc
Outlets for Zinc tablets:
✅ Pharmacies
✅ Drug stores/shops
✅ Supermarkets
❌ General retail outlets
✅ Community Health Workers
❌ Door-to-door sales people
✅ Government hospitals/clinics
✅ Private hospitals/clinics
❌ Campaigns and outreach
❌ Other
Co-pack availability
❌ Co-packaged ORS and Zinc available
❌ Discussions underway about introducing co-packaged ORS and Zinc – but respondent interested in conducting a systematic review (ORSZCA is following up)
Outlets for co-packaged ORS and Zinc tablets:
❌ Pharmacies
❌ Drug stores/shops
❌ Supermarkets
❌ General retail outlets
❌ Community Health Workers
❌ Door-to-door sales people
❌ Government hospitals/clinics
❌ Private hospitals/clinics
❌ Campaigns and outreach
❌ Other
Co-packaged ORS and Zinc brands (may not be exhaustive)
N/A
Co-packaged ORS and Zinc manufacturers (may not be exhaustive)
N/A
Co-pack costs
Typical cost of a ORS/Zinc co-pack in the PUBLIC sector
N/A
Typical cost of a ORS/Zinc co-pack in the PRIVATE sector
N/A
✅ Diarrhoea programmes currently on-going
| Name | Organisation | Funder | Diarrhoea specific | Target area |
| Diarrhea Pneumonia control program ‘ | UNICEF & Health Department | No | ||
Additional information
None
Information based on 1 questionnaire and 1 comment