Untitled

Government of Pakistan
Finance Department
Gender Responsive Budgeting Initiative
Gender Budget Statement (Federal)
2006-2007
Education – Health – Population Welfare
INTRODUCTION

One of the priority tools for Gender Responsive Budgeting (GRB) is a Gender Budget
Statement (GBS). A Gender Budget Statement is a summary document published by a
Finance Division/Department, but that is actually produced by concerned line ministries,
as it is about THEIR spending. Finance only acts as the overall organiser and publisher.
The GBS shows what the programs and budgets of these line ministries are doing in
respect of promoting gender equality. It can also be seen as an accountability mechanism
in which government reports on its work to advance the cause of gender equality.
A pilot provincial GBS was developed by the Finance Department, Government of
Punjab in 2006, which covered four to six programs each for the sectors of Education,
Health and Population Welfare. In 2007, a Federal GBS was planned with inputs from the
three concerned Ministries. In this respect, a one-day training workshop was organized by
the project on 19th April 2007 to orientate the relevant officials of the three focal
ministries on the concept and methods to prepare a GBS. External assistance was
subsequently required for government officials in finalizing the GBS.
Based on the above process, it was agreed by participants, that a Gender Budget
Statement for the Federal Level would be prepared after departments had completed the
process of drawing up the budget and allocating resources to different programmes in
response to the annual budget call circular. The sub-programmes were chosen on the
basis of their relevant importance vis-à-vis gender equality and/or on the basis of sizeable
resource allocations.
A Note on Selection of Financial Year

A Gender Budget Statement exercise is ultimately intended to be a regular annual report
published on budget day. Therefore, it is meant to focus on the current year at hand and
the coming year. A serious shortcoming of this exercise and subsequent published
document, was that data available at the Federal level was sporadic and scattered, since
the primary data bank was at the provincial level. The Federal level was simply the
provider of funds and not responsible for collecting or maintaining monitoring data.
Many projects actually had to calculate and consolidate data for this exercise manually
through periodic reports received from their various provincial offices. Therefore, for
them this was a tedious task. Data for 2005-2006 was already available to them since it
was a year earlier. However, data for 2006-2007 (ending June 2007) was still not
available to them at the time of compilation for this GBS (August to November 2007),
since it had not yet filtered up to them from their provincial offices. Therefore, a decision
was made to compile this Gender Budget Statement for 2005-2006 as the “current” year
and 2006-2007 as the “future” year.
One of the important aims of this exercise is to encourage better and more timely data
collection and reporting. Therefore, for the future, a Gender Budget Statement MUST be
developed for the current year at hand, with targets estimated for the next financial year.
If information is not yet readily available then one can give what *is* available. If one
does the GBS ‘on time’ (i.e. for tabling on budget day) one cannot have the full year’s performance for the current budget year, as it is not yet finished. In that case, information can be put in for a nine-month period. Or, because of the province-federal gap, for the federal GBS it could be reduced to even a six month period. Selection of Projects
Projects were selected on the basis of suggestions given by focal persons of all Ministries during a GRBI training workshop in April 2007 on Gender Budget Statements. The outcomes of that workshop were used as a basis for this and relevant projects corresponding to the areas identified by the workshop participants were then suggested by the focal persons met in each Ministry. Data Collection Methodology
Individual project offices within the ministries were contacted to obtain the data required
for compiling the Gender Budget Statements. Since this activity is for the Federal level
projects, it has been a difficult task to access data, since the actual figures and
performance indicators are housed at the provincial level. The Federal Ministries are
only the funding agencies for these projects, while the actual implementers are the
provinces. Therefore, data coming from provinces is collected monthly rather than yearly,
so collating the data is an issue. Primary information on activities and annual budget
allocations and some input and output indicators have been gleaned from PC-1s, while in
all other cases, inputs and outputs have had to be identified individually and then their
targets found for the specific years.
Therefore, if GBS is to become standard practice it should contribute to improving the
monitoring that should be institutionalized at the federal level, rather than the provincial
level.
Gender Budget Statement – Education

The following projects were identified for the purpose of compiling a Gender Budget
Statement:
• Capacity Building of Teachers training Institutions of MoE and Training of Elementary School Teachers in FANA, FATA, ICT and AJK • Presidents Education Sector Reforms – Provision of Missing Facilities These projects were identified after a series of discussions with the Special Advisor, Education in the Planning and Projects Wing of the MoE. This special Wing of the MoE is responsible for the planning and coordination of all government and donor-funded Education projects, both Federal and Provincial. Since however, education is a provincial subject, there were few projects that were managed and funded at the Federal level. Most other projects were purely managed at the provincial level. Others, such as the two selected, were also fairly newly established and/or had experienced delays in start up. However, both, especially the ESR – Provision of Missing Facilities project, were
extremely relevant to gender concerns.
Gender Budget Statement – Health

The following projects were identified for the purpose of compiling a Gender Budget
Statement:
• The National Programme for Family Planning and Population Welfare – Lady • Improvement of Nutrition through PHC/Public Health Awareness • ADB Health Reproductive Health Project
The Health projects were selected with the assistance and guidance of MTBF consultants
deputed in the Ministry of Health, since the focal persons identified by GRBI were no
longer part of the Ministry. Most of the projects in the MoH were geared towards both
men and women, but the projects selected were specifically targeted towards women. The
Lady Health Workers Programme was national in its scope, while the Nutrition/PH
Awareness programme, although recently completed, specifically targeted mothers in its
strategy1. Both these made very relevant cases for the purposes of compiling a Gender
Budget Statement. The ADB Reproductive Health Project was one that had been
suggested by participants of the April 2007 Gender Budget Statement training conducted
by GRBI.
Gender Budget Statement – Population Welfare

The following projects were identified for the purpose of compiling a Gender Budget
Statement:
• Communication Strategy (Population Welfare Programme) • Non-Clinical Training (Population Welfare Programme) • Clinical Training (Population Welfare Programme) • Population Welfare Services, Islamabad Capital Territory (Population Welfare These projects were all components of the overall Population Welfare Programme,
Approved PC-1 Federal Activity 2003-2008. These specific components were selected
with the help of the Director, Financial and Technical, MoPW, who was also the focal
person for GRBI and who had also attended Gender Budget Statement workshop. Since
all projects in this Ministry are targeted towards either women, couples and/or families,
the selection amounted to those components which had been identified by participants of
the April 2007 training, i.e awareness-raising, service delivery and capacity building.


1 A GBS is ideally NOT supposed to cover projects that have been completed, rather one that has a budget
for the coming year. However, since this was a project that had been pointed out by the Ministry of Health
focal persons at the April 2007 workshop, it was included for the purposes of this task.
GENDER BUDGET STATEMENT – EDUCATION

1. Programme
Presidents Education Sector Reform Programme

2. Sub-Programme
Provision of Missing Facilities
3. Gender Issues

The majority of public schools in the country lack physical facilities such as drinking
water, electricity, furniture, latrines and in some cases, even buildings. While this is the
case for both girls and boys schools, girls suffer more especially due to lack of latrines, as
they unlike boys, have nowhere to go. This applies to female school teachers as well. The
lack of boundary walls also impact on girls, especially in conservative areas. Therefore,
providing such physical facilities is one of the most vital inputs in improving access for
girls.
4. Planned Activities

• Construction of additional classrooms • Provision of clean drinking water and electricity, where available • Boundary walls for girls schools only • One computer lab for every girls middle school
5. Budgetary Allocations

FY 2005-2006:

6. Inputs
Required Inputs
FY 2006-20072 Targets
Provision of 6 basic
FY 2007-2008
facilities in 1200 schools
(Quantity)
(June 07)
Toilets 1909 where missing facilities are 2 The project actually began implementation in 2006, therefore, in this particular Gender Budget Statement, figures are available for 2006-2007 and onward targets for 2007-2008.
7. Outputs

FY 2006-20073 Targets
FY 2007-2008
(Quantity)
(June 07)
execution in 13 districts Fast track school
8. Overall Assessment
The project plans to cover 16,000 schools all over the country over a 5 year period. Since
the project has only begun in 2006 (although allocations had been made in 2005), it is
still too early to estimate its impact. However, out of a target of 1200 schools for the first
year, approximately 80% have been covered. Specific targets such as computer labs,
construction of toilets and classrooms etc. have been met by 100% completion rate.

* all information received from Project Office Islamabad, unless stated otherwise
1. Programme:
N/A

2. Sub-Programme:
Capacity Building of Teachers Training Institutions of MoE and Training of Elementary
School Teachers in ICT, FATA, FANA and AJ&K

3. Gender Issues

Teacher training is a mandatory element for quality education service delivery. There are
several existing institutions around the country that are meant for teacher training, both
men and women. However, they face an acute shortage of physical facilities, materials
and training staff which automatically discourages more women than men, as it provides
a hostile and unfavourable environment for omen to work in. If given the appropriate
financial and technical staff, these institutions can help create a trained cadre of men and
women who will be able to further train school teachers and increase the standard of
education service delivery for boys and girls.
4. Planned Activities

• In-service training of teachers and Head-teachers (male and female) of selected • Scholarships to B.Ed students (male and female) and Diploma in Education • Support of civil works at NISTE and FCE
5. Budgetary Allocations

FY 2005-2006:

6. Inputs
Required Inputs
FY 2005-20064 Targets
FY 2006-2007
(Quantity)
(June 06)
10 PCs; 2 fax machines; 2 printers; 1 colour printer; 1 multi-media; 1 photocopier; 4 Figures unavailable as project began implementation in 2006
7. Output

FY 2005-2006
FY 2006-2007
(Quantity)
(June 06)
4207 teachers and head-teachers (male and female) 700 scholarships to be awarded to men and women (100 B.Ed and 50 Diploma scholarships in each area government; 100+100 in ICT)
8. Overall Assessment

It is too early to assess this project as it has only become operational at the Federal level
this year. This was due to a late release of funds, however, the provinces/area
governments began implementation a year earlier. The average number of male
elementary school teachers in the project areas versus female elementary teachers is
19,273 male teachers to 13,886 female teachers. These are also traditionally conservative
areas therefore a greater emphasis can be placed on female teachers and deserving
students to equalize this ratio.

* all figures obtained from Project Office Islamabad, unless stated otherwise
Gender Budget Statement – Population Welfare

1. Programme

Population Welfare Programme
2. Sub-Programme

Communication Strategy
3. Gender Issue

The first step towards an understanding of any issue, comes from having the knowledge
and awareness of the issue itself. Most programmes tend to ignore the fact that
communication is a vital tool in being able to successfully impart any level of activity. In
the case of population welfare, it is first important that both men and women know the
benefits of these activities, before they can actually begin to accept it as a common
practice. Women in particular, are virtually ignored when it comes to targeted
communication regarding family planning and health services. Indeed, even those who
are meant to impart such knowledge i.e family welfare workers or population personnel,
are often unaware of the benefits and methods of population welfare practices. Therefore
it is vital that communication techniques be incorporated into population welfare
activities and be targeted towards both men and women.
4. Planned Activities

• Advertisement and publicity through TV /radio spots, press and print material • Research and surveys (public opinion polls) • Conducting awareness-raising seminars and conferences on vital population based • Foreign study tours for cross-country experience sharing

5. Budgetary Allocations5

FY 2005-2006:
6. Inputs

Inputs FY
2005-2006
Targets6
Target7 Actual8
FY 2006-2007
(June 06)

7. Outputs

Outputs Inputs
FY 2005-20069 Targets10
Target Actual
FY 2006-2007
religious scholars
8. Overall Assessment
The MoPW’s communication activities have been fairly visible through its TV spots and
outdoor publicity campaigns. However a near accurate number of the population covered
through these media campaigns is difficult to estimate since most of the activities are
conducted nationwide and there is no monitoring mechanism available to record the
number of viewers, readers etc.
6 Figures taken from approved Federal PC-1 7 Figures taken from approved Federal PC-1 8 Figures taken from Project Office, Islamabad 9 Figures taken from Population Yearbook 2005-2006 10 Figures taken from Population Yearbook 2006-2007 1. Programme

Population Welfare Programme
2. Sub-Programme

Non-Clinical Training
3. Gender Issue

Population welfare activities cannot be successful without proper capacity building and
motivation of staff, since it is their responsibility to create levels of awareness to
beneficiaries in addition to delivering services. Since women are the primary target
beneficiaries of such activities both directly and indirectly, it is only logical that majority
of the staff (mobilizers, welfare workers, LHWs etc) are also women. Training and
sensitizing female staff towards population welfare practices and services, is therefore an
extremely important precursor to implementing population welfare programmes.
4. Planned Activities

• Human resource development of field functionaries (programme and non- programme) of population welfare programme at the federal and provincial level.
5. Budgetary Allocations11

FY 2005-2006:

6. Inputs

Required Inputs
FY 2005-2006
(Number of Persons
Target Actual
FY 2006-2007
Trained)
(June 06)
Programme Personnel
Pre-Service training
Non-programme Personnel
Other
7. Outputs

FY 2005-200612 Targets13
Target Actual
FY 2006-2007
Population Welfare Training Institute (PWTI), Lahore
Programme Personnel
Pre-Service
Non-Programme Personnel
Other

Population Welfare Training Institute (PWTI) Karachi
Programme Personnel
Pre-Service
Non-Programme Personnel
Other departments

8. Overall Assessment
Non-clinical training component has been focusing on its targeted activities. Particular
focus has been on orienting female religious scholars as well as local government
representatives. This is a very important target group for such activities, particularly the
latter who has a large target audience base among women and can be very influential in
spreading an appropriate message to them. Figures show that numbers far exceed the
targets set in terms of the number of participants attending the programs, which indicates
the level of interest among various target groups of the issue.
* All figures obtained from Directorate of Non-Clinical training, Ministry of Population
Welfare, Islamabad
12 Gender dis-aggregated data unavailable 13 Gender dis-aggregated data not available 1. Programme
Population Welfare Programme
2. Sub-Programme

Clinical Training
3. Gender Issue

In the same way that human resource development is a vital need for trained personnel,
technical or in the case of population welfare, clinical training is also just as important.
The use and application of various forms of contraceptives and the pros and cons on
reproductive health for men and women, both require medically trained personnel.
Women in particular, who form the bulk of population welfare staff, therefore need to be
skilled enough to manage these services.
4. Planned Activities

• To develop and impart career development courses for programme personnel such as Assistant Sister Tutors, FTOs, FWCs and Master Trainers. • To impart HRD programmes for programme and non-programme staff, including
5. Budgetary Allocations14

FY 2005-2006:

6. Inputs15

Required Inputs
FY 2005-2006
Targets16
(No. of Persons Trained)
Target17 Actual
FY 2006-2007
(June 06)
14 Amounts are as per approved PC-1 15 Gender dis-aggregated data not available 16 PC-1 Federal Activity 2003-2008; pp68-69 17 PC-1 Federal Activity 2003-2008; pp68-69 18 Figures taken from Population Yearbook 2005-2006; p14 7. Outputs19

FY 2005-200620 Targets21
Target Actual
FY 2006-2007
FWCs, FTOs, ASTs (3,4,5 months) Pre-service training of Female FWAs (3 weeks) Refresher Training of Paramedics (1 and 2 weeks) Orientation of Non- programme personnel on
FP/RH (1-2 days)
8. Overall Assessment
The clinical training component has achieved most of its targets set for the duration of the
5 year programme. In fact, in most cases, it has overshot its set targets. Since this is a
primarily staff-related component, it is not difficult to complete the numbers. Since the
emphasis is on female welfare attendants, majority of those targeted are women
themselves.
19 Gender dis-aggregated data not available 20 Information Obtained from Population Yearbook 2005-2006; p14 21 Figures obtained from Ministry of Population Welfare, Islamabad 1. Programme

Population Welfare Programme
2. Sub-Programme

Population Welfare Services, ICT
3. Gender Issue

One of the key service delivery tools of population welfare, is the use and practice of
contraceptives among men and women. The provision of contraceptives is not simply a
matter of providing contraceptive medication. Rather it is also access to services such as
counseling, which can help particularly women in better being able to understand the
need for and use of contraceptives. Women already have great difficulties in accepting
the fact that they have a right to family planning services and that the use of contraceptive
is not harmful to them. Men also play a large role in keeping women ignorant of these
practices to further their power relationships in society. It is an added burden then that
they also do not have appropriately targeted facilities that can provide them with both the
advice and the medication that they need. In fact, many reproductive health services also
target men which is essential to create overall awareness among the community as a
whole.
4. Planned Activities

• Setting up population service centres within the Islamabad Capital Territory • Provision of reproductive health facilities • Provision of contraceptives through FWCs, and Mobile Service Units • Increasing the numbers of current contraceptive users through the recruitment of
5. Budgetary Allocations22

FY 2005-2006:

6. Inputs

Required Inputs
FY 2005-2006
Targets23
Target Actual
FY 2006-2007
(June 06)
Service “A” Centres 22 Amounts are as per approved PC-1 23 This project no longer uses physical targets to monitor progress. It instead has a list of performance indicators that it uses for monitoring performance.
7. Outputs

Outputs Inputs
FY 2005-2006
Targets24
Target Actual
FY 2006-2007

8. Overall Assessment
The project has managed to achieve a sizeable proportion of its targets since inception in
2003. Although its targets have not been very ambitious in terms of size, the area that it is
servicing (Islamabad Capital Territory), is primarily urban and educated, hence there has
been a greater level of awareness among users of contraception. The highest form of
contraception in this area has been of condom use, followed by oral pills. However the
percentage use of injectables is the highest in terms of achievement (132% usage),
followed by Copper-T (97% achievement rate).
GENDER BUDGET STATEMENT – HEALTH

1. Programme

National Programme for Family Planning and Primary Health Care
2. Sub-Programme

Lady Health Workers Programme 2003-2008
3. Gender Issue
Providing primary and basic health facilities to women at their doorstep is the first step to
ensure access to curative and preventive healthcare to women, especially those in remote
and rural areas. Services at the doorstep are also necessary for many women because of
the restrictions on their moving beyond their homes. Many such women lose their lives or
suffer from chronic health problems, simply because there are no health facilities
available nearby. The Lady Health Worker is therefore, the most essential player in
allowing poor women and children, access to equitable healthcare without having to
travel to far-flung urban centres.
4. Planned Activities

• Selection, training and deployment of 100,000 LHWs throughout the country
5. Budgetary Allocations25

FY 2005-2006:

6. Inputs

Required Inputs
FY 2005-200626 Targets27
FY 2006-2007
Target Actual
(June 06)
47,473,388 units 47,473,388 units 27,521,905 units 25 Lady Health Workers Programme, Project office, Islamabad 26 Demand of Drugs/Medicines and Non-Drug Items for National Programme for FP and PHC for the Year 2005-06. 27 Cumulative Requirement of Drugs/Medicines and Non-Drug Items for Year 2006-2007 (NP). National Programme for FP and PHC 7. Outputs28

FY 2005-2006
Target Actual
FY 2006-200729
Refresher Trainings –
Child Health
Trainers 15,250
Refresher Trainings –
Counseling Cards
Trainers 10,800
Basic Training
LHWs 4,890
Refresher Training
Revised Manual
District Master Trainers

8. Overall Assessment
The programme is a major contribution in terms of enabling women to pursue
employment opportunities, given the ambitious target of employing 100,000 LHWs and
4,000 Supervisors across the country. Through this cadre, approximately 60% of the total
population and 80% of the target population (of women and children) is being covered to
date.
28 Figures obtained from Project Office, Islamabad 29 Targets unavailable at time of compilation 1. Programme

ADB/GoP Reproductive Health Project
2. Sub-Programme

Reproductive Health Project
3. Gender Issues
Women’s reproductive health is one of the most important component of women’s health
issues. Several women are unaware of the provisions available for them to support their
reproductive activities, including safe motherhood and contraception. Access to and
awareness of these services, is the key element in developing a strong base for
reproductive health activities for women, as well as improving the numbers of
contraceptive prevalence rate, maternal mortality and infant mortality indicators, among
others.
4. Planned Activities

• Recruitment and Training of LHWs to support the National Programme for Primary Health and PHC – LHW component
5. Budgetary Allocations

FY 2005-2006:

6. Inputs

Required Inputs
FY 2005-2006
FY 2006-2007
(Quantity)
(June 06)
7. Outputs30

FY 2005-2006
FY 2006-2007
(Quantity)
(June 06)

8. Overall Assessment

This programme is a component of the overall ADB/GoP project and primarily supports
the National Programme in 3 major areas; payment of stipends and salaries for LHWs,
procurement of vehicles and drugs and non-drug items. In accordance with the LHW-
MIS there has been an appreciable improvement in targeted indicators along with
capacity building for RH in terms of recruitments and procurements under taken through
RHP. The following improvements have been recorded:
• Increase in CPR from 11% in 1994 to 38% in 2007 • Increased awareness in RH target groups (women and children) • Capacity building of doctors, LHWs and LHSs regarding contraceptives use
However the impact and utilization status were considerably influenced (adversely) by
the complexity of involvement of six executing agencies in ADB funded RHP including
disparities between PC1s and Loan Agreements.

* all information received from RPH Project Office, Islamabad
30 The outputs for this project were primarily aimed at recruitment and training, rather than service delivery. This was the responsibility of the larger National Programme for Family Planning and PHC. 1. Programme:
N/A
2. Sub- Programme:
Improvement of Nutrition through PHC/Public Health Awareness
3. Gender Issues
Most women are aware of their own nutritional needs and those of their children but are
unable to provide for them due to lack of financial resources or access to proper
nutritional sources. As a result, many women and children suffer from malnutrition that
leads to many disorders and also creates problems in reproductive health. Therefore,
meeting the nutritional requirements of women ad children in particular is extremely
important, as is making them aware of what is required, so that mothers are able to meet
these needs within their own households to the best of their abilities.
4. Planned Activities31

• provision of child and maternal health care; promotion of breast feeding; • prevention of night blindness, iron deficiency anemia, as well as iodine deficiency disease through media awareness and training and distribution of supplements. 5. Budgetary Allocations


6. Inputs

Required
FY 2005-06
FY 2006-07
(Quantity)
(June 06)
TV Spots 1074 TV Spots 1247 TV Spots 780 CCTV Spots 40235 CCTV Spots 50345 CCTV spots Radio spots 1340 Radio spots 1450 28000 Cinema 214 Cinema 214 Radio Spots 31 Ministry of Health Yearbook, 2005-2006; p6 Procurement of Iron
Procurement of Iron
Procurement of
Procurement of
Micronutrients TB
Micronutrients TB
Patients
Patients
Glit"Vit for TB Patients Glit"Vit for TB Patients 7. Outputs
Outputs FY
FY 2006-07
(Quantity)
(June 06)
participants Trained participants Trained Research Studies on Research Studies on - knowledge, attitudes knowledge, attitudes and practices
8. Overall Assessment32
This project has just recently been completed and is in the stages of developing a new
PC- 1. The project has seen the following as some of its achievements in its duration:
• The National Plan of action on Micronutrient Control has been launched and • Iron Wheat Flour Fortification - GAIN Project implementation Unit started in • PC-1 on Nutrition for the 2006 -2010 prepared and submitted to the Ministry of • The National TB Control Programme, Ministry of Health required micronutrient supplementation for the TB patients. Purchase of drugs & medicine for the 40,000 T.B patients (combination two micronutrient i.e. Tab Supradyn and Stress Tab 600 (a combination of B-Complex, Zinc, Vitamin C, Folic Acid) that can delay absorption of over dosage and toxic effects of isoniazid, was procured .


* all information received from Project Office Islamabad, unless stated otherwise

Source: http://www.prsm.gov.pk/Documents/GBS_2006_2007_Federal.pdf