Pakistan, a country having population of more than 180 Million portrays a gloomy picture in the sector of health due to a very little percentage of the funds allocated for the purpose. CSC, with the cooperation of its partners, initiated a number of projects of Health such as Primary Health Care, Sexual Reproductive Health, Nutrition, safe deliveries, family planning, emergency obstetric care, STIs management and HIV & AIDS prevention and control and care and support to PLHIVs.

The basic methodology includes participatory need analysis with a focus to strengthen Community empowerment for social/financial sustainability (with the development of community -based-organization (CBOs), women groups, male/female adolescents youth groups), high risk groups identification including FSWs, MSM & Transgender and truck drivers etc. CSC has also focused on reducing myths and misconceptions in the perspective of religion about issues related to Reproductive Health through sensitization of religious leaders, Key vulnerable communities, teachers & other community leaders. Improved Access to affordable, quality and comprehensive gender sensitive and youth friendly Sexual & Reproductive Health (SRH) services have been provided through clinics, Mobile Service Units and referral mechanism, while at the same time Advocacy is being carried out with policy makers, media personals and elected representatives of the Government of the area. 
CSC has also been playing an important role in developing Public Private Partnerships with Government District Health Authorities at District Head Quarter Hospitals and Basic Health Units, National/ Provincial AIDs Control Programs through infrastructure development, provision of staff services, equipment and medicines etc. Technical capacity of health service providers (i.e. Medic and Para-medics, Traditional Birth Attendants (TBA), Councilors/ Psychologists, Community Based Distributors (CBD), Traditional Hakeems) was built through trainings and educational programs.

IMPROVING THE REPRODUCTIVE HEALTH AND RIGHTS OF MARGINALIZED AND UNDERSERVED COMMUNITIES IN DERA GHAZI KHAN (APR 2006 TO SEP 2010)

Community Support Concern (CSC) implemented a 4½ years project with the technical assistance of Interact Worldwide and financial support of European Commission in District Dera Ghazi Khan. The overall objective of the project was “to contribute to poverty reduction and improved health status of Dera Ghazi Khan (DGK) in line with current Government of Pakistan policy priorities in health & nutrition, population welfare and women’s development”, where as specific objective was to contribute to improved reproductive health seeking behavior and improved reproductive rights in 42 villages of 14 union councils at District DGK. Access to health services in DGK remained very limited due to a severely overburdened health and welfare infrastructure, lack of trained personnel, and the fact that it was not possible for women in rural areas to travel to existing facilities as their mobility was extremely restricted due to orthodox cultural norms. Cultural norms in these communities had inhibited discussion about reproductive health (RH) issues, and restricted the flow of good quality information related to RH. In some cases these norms were fostered myths and misconceptions, including how RH issues relate to Islam. The salient outcomes of the project reflected:-

• The social organization led to develop 81 community based groups in form of CBOs, Women     groups, Female youth groups, Male youth groups, Emergency obstetric contingency committees     which were trained on comprehensive Reproductive Health aspects.

•  81 Religious leaders were sensitized on Rights Based Reproductive Health scenario.

• 124 Traditional Birth attendants were trained on safe deliveries, who were conducted 6109     deliveries in the project areas throughout the project period.

•  Reproductive Health services to 265,399 clients were provided under Public Private Partnership     (Govt Health department) at DHQ, Basic health units and through mobile medical services units.

• More then 100 male female initiated their small business at grass root level through project    support.

Third party Final Evaluation report reflected that mean age marriages has been increased from 15 to 18 years, knowledge regarding danger signs (at least 3) during pregnancy, delivery and post natal period increased by 85.4%, 87.9% and 95.9% respectively. Moreover 90 % CBOs members and youth adolescents have advanced knowledge on RH&R, women mobility by 42%, and their control over resource increased by 98%, 50% Religious Leaders actively taking part in promotion RH&R, CPR increased by 23.1%, Pregnant women check-up by trained Birth attendant increased by 71.9%, 2 or more Ante-natal check increased by 60%, immunization against tetanus increased by 42.4%, 57.7% deliveries conducted by trained birth attendants at home level during which 100% TBAs washed their hand before delivery process, 60% used new tread for code tying where as use of new blade for cord cutting  remained 92% during deliveries. Quality of care protocols were available and adopted in service outlets therefore more than maximum clients were seems satisfied during exit interview. Public private partnership with Health department demonstrated at good working relationship for provision of services at BHU/ DHQ and at grass root level. Project management remained very satisfactory and all record of operational interventions including statistical data of health service outlets made in professional way.