The aim of the paper is recommending an innovation funding mechanism to sponsors (mainly external donors / private sector locally and internationally) the prosthetic and orthodontic services sector in Pakistan. Please find attached document that provides the context. Below are bullet points to help (more suggest) the thinking process to attract donors, how can donors be attracted for a big market, keeping in mind that few people can clinically afford a prosthetic (amputee ) or orthodontic (fore example for polio)device . – there are 197’000’000 people in Pakistan – there are 5 Provinces , Sindh, Punjab, Baluchistan, Khyber Pakhtunkhwa (that includes FATA) and then there is the special statutes of AJ&K as part of the Federal Government. – there are 158 districts in Pakistan and in each such district should have a primary setup of prosthetic and orthodontic devices. – There are only 30 workshops in Pakistan (unofficially) – There are 1 million people that need a prosthetic or orthodontic device (0,5% of a population according to WHO recommendations) – Mobility devices are provided by a prosthetic-orthopedist (P&O): it make sense that education is key of any donor strategy – When people are mobile you give them the means to promote for their own rights – “Why” and “Who” would be willing to support prosthetic and orthodontic services in Pakistan? – What guarantees / assurance would be necessary from the Government to attract “transition funds (donor budgets). ? – How could a combination of Government guarantees/assurance and the involvement of the private sector? – Pakistan is active with the WHO and Gate Initiative? This helps for policies, but still, tangible implementation is missing. – Overall Health insurance is still missing, yes there is the Prime Minister Health Insurance for the very poor, but the administrative pathway is extremely complicated. – Insurance -> unpredictability: related to the private sector / GVT need to recognize P&O workshops – assurance and insurance not be confused. Some additional thinking 1. For any investor do donate or invest in any P&O Centre, there first needs to be a government “assurance” on basic sustainability such as HR , running cost and basic materials (don’t confuse with “insurance” ). I think we have this with MPRC . In my view, for any Centre with the right commitment from GVT with assurance on ownership, is a solid basis to request “transition funds” our outside donors that will see their investment with tangible results. Others, such as INDUS go a step further and are confidently investing before GVT commitment; Indus counts on multiple high donors on various health activities and is successful on the combined approach. 2. For example, a center such as MPRC is putting too much “hay on their fork “, yes MPRC is at an efficiency rate of 200%, which of course looks very good, but is not a “selling” point. Again, in my view, the 100% should be equal to GVT support while the additional % should be as “sales model”, “selling” their capacity and motivate Human Resources ( Human Resources are key to sustainability and key do private investors ) and show “private practice” thinking. This is an important point, as it dictates the “revolving fund” and “true” annual budgets. Any center should be responsible for x% of income generating funds that is re-invested in the center/sector. 3. World Banks Asia could be partners on guiding centers or governments-where-there-is-no-insurance on sustainability. 4. Mobility is provided by prosthetist-orthoptist (P&O): it makes sense that education is key of any donor strategy. 5. Additional support to a center is an amalgam of many resources, whether it is private or Prime Minister Heath Insurance, Zaka or anything additional. The latter can only work if there is access to centers and human resources. Centers that are eventually recognized by any insurance and Government. Pakistan needs at least 158 P&O centers (thus in each district hospital) and 5 centers of excellence, provincial referral centers. The latter is where education and services go together. “One-third of all the private investments today in the world is an investment which is done to lessen the market conditions if there is an impact”. Is there any evidence to that and who are those donors / private investors and what drives them to this noble cause?
Wellbeing advancement is a huge and complex subject, including parts of meanings of wellbeing, commonsense and political ways to deal with advancing wellbeing, training, social arrangement and specific thoughts identified with precaution ways to deal with way of life administration. In that capacity, it requires cautious examination and thought as far as the present UK socio-political culture and regarding the advancement of wellbeing advancement into its current state (Scriven and Orme, 2001). Wellbeing advancement includes an awesome assortment of individuals, callings and players, including lawmakers, specialists, attendants, social consideration experts, instructors and teachers, the legitimate calling, and obviously, the overall population. It contacts everybody in our general public in some shape, from the promoting on cigarette bundles to the healthful data showed on grocery store nourishments. Consequently, it is of worry to everybody in the public eye, since it thinks about wellbeing, anyway it is characterized, as being to a specific degree sensible, in that the control of way of life and natural elements can bolster individuals in accomplishing ideal wellbeing and prosperity. In any case, its extremely many-sided quality, mostly because of its recorded development, halfway because of the mind boggling social and political communications which characterize the circle of wellbeing in the public arena, can imply that shortsighted ideas of wellbeing, wellbeing advancement and related ideas are hard to characterize and to accomplish. This paper will address a portion of the complexities of the issues of wellbeing advancement. It will endeavor to characterize what wellbeing advancement is, the thing that thoughts, goals and ideas it incorporates, and how wellbeing advancement is acknowledged in a pragmatic sense. It will likewise address the requirement for investigation of the results and cooperations of wellbeing advancement exercises, and their social and institutional setting. It will, of need, talk about parts of the medicinal services frameworks inside the United Kingdom which relate to the subject, and of the socio-political frameworks and narratives which support the present atmosphere. It will then look at crucial parts of wellbeing advancement, for example, wellbeing instruction and correspondence, participative ways to deal with wellbeing advancement, and assessment of wellbeing advancement activities. The creator will likewise endeavor to discuss moral, political and proficient problems that emerge in new practices and approaches for advancing wellbeing and investigate the improvement of methods for advancing wellbeing that handle social and monetary disparities and that are all encompassing and socially touchy. What is Health Promotion? Tones (2001) portrays wellbeing advancement as a challenged idea, raising instantly the thought of contrasting meanings of wellbeing advancement, maybe dependent on various conceptualisations of wellbeing or diverse social or political objectives. Wellbeing advancement has frequently been seen as synonymous with wellbeing instruction, while wellbeing training then again is regularly accepted to be a crucial segment of wellbeing advancement (Tones, 2001). It is likewise connected with and maybe compatible with meanings of general wellbeing (Tones, 2001). This association with general wellbeing promptly removes the idea of wellbeing advancement from the individual circle and places it immovably in people in general circle, inside the setting of the social and political frameworks of the country being referred to, or inside a worldwide viewpoint, the two of which are material to this exposition and discourse. Tones (2001) recommends an equation for wellbeing advancement where solid open arrangement is duplicated with wellbeing instruction, building up their relationship as the reason for our meanings of the idea. The World Health Organization characterizes wellbeing advancement as the way toward empowering individuals to expand command over, and to enhance, their wellbeing. This conventional definition proposes that wellbeing itself is an individual state over which people can have some proportion of control. Jones et al (2002, p.xi) likewise propose that for some individuals, wellbeing advancement implies focusing on conduct, yet see it as something forced upon them which does not really work for them. Nonetheless, given that advancing heath is a differing, complex and multi-faceted action (Jones et al, 2002, p5), these definitions don't address the scope of exercises and belief systems related with the procedure. Wellbeing advancement arrangement seems to join different methodologies which incorporate enactment, money related measures, tax collection and hierarchical change. Tones (2001) shortsighted proposal of an equation of the association of wellbeing training and sound open approach as a meaning of wellbeing advancement does not center around the job of the person. Both are similarly imperative in our comprehension of this issue. Tones (2001 p4) anyway additionally proceeds to talk about a model of wellbeing advancement which centers around the motivation behind solid open arrangement and wellbeing training, or, in other words be the strengthening of people and networks to lessen or expel the different boundary spreventing the attainnment of wellbeing for all. This is a more valuable definition, yet rather hopeful, as it proposes that such an objective is achievable, and there might be immense contrasts in people's thoughts of 'wellbeing' and their capacities to accomplish this. Wellbeing advancement and wellbeing instruction are regularly likewise observed as synonymous. Wellbeing instruction can be as mind boggling an issue as wellbeing advancement to characterize. Instruction suggests someone 'educating' or teaching, and someone adapting new data. Tones (2001) p 15) portrays emancipatory instruction, a rationalistic procedure which includes basic awareness raising which prompts the interpretation of basic reasoning about social issues without hesitation. Wellbeing training includes correspondence and the transmission or sharing of data, yet in addition suggests that such data must be absorbed by the beneficiary and after that used with the end goal to realize change in oneself or in parts of conduct, way of life or condition. There are incredible advantages in embracing the curent aggregate way to deal with advancing wellbeing, which expects to include individuals not just in their own wellbeing and prosperity however in acting together upon theirf physical, social, political and financial condition for wellbeing (Sidell et al, 2002, p 1). Such methodologies take into account the consolidation, approval and advancement of individual and gathering needs dependent on decent variety in race, ethnic or religious character, social or way of life personality, economic wellbeing and social and geological disparity. Verifiable Milestones in Health Promotion Webster and French (2003 p9) propose that while the quick wellsprings of wellbeing advancement and current ways to deal with general wellbeing lie in the political history of the 1970s, there are roots which go substantially additionally back, belligerence that all networks have had some enthusiasm for co-ordinated network activity to guarantee a superior life. The verifiable connection between wellbeing advancement and general wellbeing is entrenched, with a standout amongst the most noteworthy points of reference being the development of the National Health Service in 1948, whose medicalised approach at first obstructed general wellbeing and wellbeing advancement activities as we see them today for a treatment-arranged way to deal with disease (Webster and French 2003 p 10). Webster and French (2003 p11) recommend that the three original archives which propelled what we know see as the wellbeing advancement development were: the Lalonde Report New Perspectives on the Health of Canadians (1974); the World Health Organization's Global Strategy for Health for All continuously 2000 (1981) and the Ottawa Charter for Health Promotion 1986). It was these archives which, altogether, set out a dream for wellbeing change which surpassed the customary methodologies of sanitation designing, way of life wellbeing instruction and avoiding and minding wellbeing administrations which described wellbeing advancement to that point. Rather, wellbeing advancement ended up concerned chiefly with enabling nationals that that they could take control of their wellbeing an in this manner accomplish the most ideal possibility of a full and pleasant life (Webster and French, 2003, p 15). This idea of strengthening seems key to current points of view on wellbeing advancement and to its impacts on the National Health Service, including on such ideas as patient interest and coordinated effort, benefit client inclusion and patient rights. This messengers a move far from the medicalisation of wellbeing towards a more social meaning of wellbeing where control is evidently conveyed all the more similarly among the individuals who encounter and the individuals who imply to influence wellbeing, sickness and health. This is something that the World Health Organization seems to have reliably upheld, a positive and comprehensive perspective of wellbeing which includes mental, physical and social components (Tones, 2001 p6). The Ottawa bargain, which incorporates the key standards of value, strengthening and the reorientation of the wellbeing administrations, mirrors this thought of demedicalisation, where shared working by the numerous organizations worried about wellbeing advancement is accepted to expand the capability of any technique or arrangement in this field (Tones, 2001, p7). Inside the UK, strategy drivers which have driven wellbeing advancement activities are excessively various and complex, making it impossible to completely investigate inside the setting of this paper. Nonetheless, legislative activities, changes in wellbeing and social administrations, changes in ways to deal with general wellbeing and changes in statutory control and obligation regarding open administrations have all shaped piece of the UK wellbeing advancement center (Jones et al, 2002 p 9-13). Be that as it may, there has all the earmarks of being a counter culture of base up drivers also, with strengthening prompting the empowering of the exercises of network and intentional gatherings to achieve change at nearby and even national levels. This mirrors the general picture of all encompassing wellbeing advancement as a network improvement movement instead of an approach established in p>GET ANSWER