Aims & Objectives of the program

The Institute of Children Lungs Disease Hospital (I-CLDH) is the biggest project of the Helping Hands Foundation (HHF). This is planned to be a 3 storied, state of the art, 100 bedded hospital caring for the mothers and children.

Vision

To be the leader in Child healthcare, research & education.

Mission

To be a regional healthcare system providing exceptional quality services, through a competent, compassionate and dedicated professional work force, with a commitment to education and research, accessible to all, that ensures client safety and satisfaction

Facilities/Amenities/Area of Campus

The institute of Mother & Child Care (I-MACCA) has evolved as an innovative, inventive and ingenious model that can escort to highest standard of the care for the lowest of the lesser lot. We have envisioned to build it up on the following five creative pillars for the I-MACCA

1. Institute of Children Lungs Disease Hospital (OPD)
2. Pairing Mother & Child
3. Preventive strategy
4. Research with indigenous resources
5. Paperless

Free yet state of the art care

Name of departments

1. Peads
2. Psychiatry
3. Vaccination
4. Laboratory
5. Dispensary
6. Admin & Finance

Date of Establishment

8 June 2012

Affiliations/partnerships

No

Name of Donors

1. Adnan Ahmed Shiekh
2. Shaikh Faisal Saeed
3. Mehmood Saleem
4. Shafiq Patafi
5. Zulfiqar Ali
6. Shiekh Asif Habib
7. Bhai Naseem

Name of Geographical Area

South Punjab Multan Pakistan

Target Groups/Beneficiaries

Children (New born to 18 years old)

Activities/services/ Types of examination

1. Peads
2. Psychiatry
3. X-ray
4. Vaccination
5. Laboratory
6. Dispensary

Fee Structure

Free

Aims & Objectives of the program

Community Health Empowerment. This is one of the Community Empowerment programs of the Helping Hands Foundation. It initiates the Primary Preventive Strategies to make the communities healthier, wealthier and prosperous.
Having worked with I-CATCH (International-Community Access to Child Health) program of the Section on International Child Health (SOICH) of the American Academy of Pediatrics, to bring about a positive behavioral change in the community, we launched native program as Community Access to Child Health (CATCH) to focus on the indigenous health problems with indigenous solutions

The behavioral change is a slow, lengthy and a continued process. The communities do not change like a bulb with a click of button, but one has to toil a lot. This is a thousand-mile journey but is traversed with a single step to begin with. We have learnt with experience that the communities work like a crop. We have to give a lot of input to begin with and then continue doing so. The people change after the desired time and effort has been there. And they change like the harvest of a crop. Then it takes little time to adopt the desired attitudes.
We have, therefore, planned:

1. To take up community awareness programs at the people doorstep.
2. To work in perpetual cycles of motivation regarding various issues.
3. To interact with people individually and collectively at all levels like at home, at masjids, at community centers and at various camps.
4. To conduct seminar and establish camp for various campaigns.
5. To coordinate and collaborate with national and international agencies to foster our objectives

We will prioritize breastfeeding, iodized salt, vaccination, nutrition, antenatal care, hand hygiene, dental hygiene, smoking, addiction, sexual health, home violence, child abuse and safe delivery in our endeavors.

Facilities/Amenities/Area of Campus

Name of departments

1. Hand WASH (Wash And Save Health)
2. Breast Feeding
3. Initiative for Mother Milk Awareness for Newborns – (IMMAN)

Date of Establishment

2012

Affiliations/partnerships

1. Society for Special Person
2. Punjab welfare Trust for disabled persons

Name of Donor

1. Mian Ghulam Mujtaba
2. Mian Abdul Rehman
3. Shiekh Arif
4. Shafiq Pitafi

Name of Geographical Area

1. Al-Quraish Colony Sher Shah Road Multan

Target Groups/Beneficiaries

1. Child bearing aged mothers, Mother in Laws, Mother with pregnancy and newly born babies for breastfeeding counseling, Mothers with growing aged children, Father and other decisions makers of the family related MNCH, Trained birth attendants, Traditional birth attendants, Ulma -e- Karaam, Community Activists/leaders, local teachers, counselors.

Activities/services

We have accomplished a number of plans and strategies under the CATCH.

Our first was with the Section On International Child Health (SOICH) of the American Academy of Pediatrics (AAP). We worked in the community for “Improving child health through maternal education”.

This went a success, though it was a long time, almost 14 months, before we could see a definite improvement in the various indicators. Our approach of using Community Health Workers (CHW) to educate mothers in community has gained a great popularity.
We have a team of CHWs that has roots in the community. Being from the community, they have access to all the homes and are able to influence the people.
We have a computerized record of the whole community and our health workers can go to them for further service provision, if the need arises.
The success story has been published at various journals & newsletters across the world as given in the below links.

References

1. Duncan B, Mustafa G, Staton D, Anders B, Kurbasic M, Nakakeeto M et al. Child healthcare workers in resource-limited areas improve health with innovative low-cost projects. J Trop Pediatr. 2012;58(2):120-124.
2. http://www.aappublications.org/content/29/7/35.1.
3. http://www.mdedge.com/familypracticenews/article/36907/editorial-improving-child-health-throughmaternal-education.
4. http://www.aappublications.org/content/31/10/39.2.
5. http://www.mdedge.com/familypracticenews/article/32690/infectious-diseases/limited-resourcesgreat-ideas.
6. http://www.mdedge.com/pediatricnews/article/40365/international-child-health-network.
7. pediatricnews.com

Later we have worked in the community at a wider scale, now encompassing a population of over 200,000. We are reaching the people:

8. At various global days like world women day, world children day, world sleep day etc.
9. at their homes individually.
10. at their homes collectively in the form of “corner meeting”.
11. at the schools
12. at the seminar room of the Institute of the Mother and Child Care (I-MACCA), Multan by inviting the community people mostly women or religious leaders.
13. at various camps like Flu vaccination camp or Breast-Cancer screening Camp.

We collaborated with the Stop TB Partnership and won the Round-8 grant of the Challenge Facility for Civil Society.

 Fee Structure

Free

Pricing/ Discount/Subsidy/Free Service Policy/ Fee structure if any

Free

Striving for healthy lungs of Children

The Pediatric Lung Association is erected to have a wider and specific focus on the pediatric lung diseases. This plans to foster links between professionals, patients and communities to have a broad base appeal and effectiveness. This forum is open for all walks of society agree with our objectives of lung health

Aims & Objectives of the program

Our objectives are

1. To prevent lung diseases of children
2. To promote lung health of children
3. To treat various lung ailments of the children

We plan to achieve our objectives through various initiatives, program and strategies.
Among these are

Pediatric Asthma: 

This is most common chronic disease of children. We will work:

1. To teach children to understand asthma and manage it.
2. To screen the children with Lung Function Tests in schools and outsides.
3. To provide diagnostics and therapeutic facilities.

Pediatric Tuberculosis: 

This is most common chronic illness of children.
The diagnosis of TB is difficult in children. The tests usually are not available, and the patients are extremely poor to manage the tests or the drugs. We will

1. Provide awareness about the disease, mode of spread and need to get treated for Latent TB and TB.
2. Provide diagnostic tools at various levels.
3. Provide medicines whenever and wherever is required.

Pediatric Pneumonia: 

This is most common acute infection of the children. This is the biggest killer of children in Pakistan and worldwide. We plan

4. To provide guidelines for its management.
5. To suggest steps for its prevention and control

Tobacco Control: 

We plan to offer a variety of smoking control and prevention programs targeted to specific groups and schools.

1. Freedom from Smoking: For people who already smoke.
2. Teens Against Tobacco: A peer-teaching tobacco control program to deter youngsters from taking up smoking.

Environmental Health: 

Lung disease can be caused or aggravated by air pollution. So, we plan

1. Advocatefor clean air & educate public on health hazard of air pollution.
2. Publishreports on air pollution & quality of air.

Advocacy Programs:

We plan to persuade the District Government & Policymakers to fund for lung-related research, develop & enforce laws/regulations for lung health & patronize domestic health programs e.g. asthma & TB control activities & their registry.Advocacy Programs

Research:

To know disease burden in the community & schools, rate of increase of diseases and factor causing the diseases.

Public Awareness:

To educate the public about the impact and prevention of lung disease we will use web site, news releases, print, broadcast, electronic media and conferences

Facilities/Amenities/Area of Campus

We have accomplished a number of plans and strategies under the PLA banner.

Research:

We have biggest program and data for lung function test, technically called Spirometry.
This project is named as PASS (Program for Asthma Screening in Schools). Under this program, PLA team goes to the schools and performs the spirometry. All the children who do not have normal lung function are referred for the consultant advice at the Institute of Mother And Child Care (I-MACCA).

We are the only center in Pakistan whose data has been selected for defining the Global Lung equation by the Global Lung Initiative (GLI) of the European Respiratory Society (ERS).

Providing drugs to the poor:

The poor populations suffer disproportionately from lung diseases and have minimum/no resources to get diagnosed or treated. For this we are providing:

1. Free/subsidized diagnostics.
2. Free/subsidized medicines.
3. Round the clock consultation.

Follow up Clinics for lung diseases:

PLA is running Follow Up Clinics at the Institute of Mother And Child Care (I-MACCA) to cater the children with Lung diseases. Twice weekly, a team of trained workers, doctors and respiratory consultant takes care of such patients and advise them as is pertinent. Following services are provided:

4. A consultant with his team of doctors and respiratory therapists advises children for their lung problems.
5. There is always a need to educate the parents about the disease, answer their queries, teach them the right way of using the drugs and assessing their asthma control. The PLA has employed the 2 respiratory therapists that provide this service at the Follow up clinic regularly.
6. The respiratory therapists examine each child and record its general parameters, records the vitals and fills up the data needed to assess the control of the child asthma.
7. The respiratory therapists and doctor educate the parents on various issues of lung health such as:
8. Nature of the disease like asthma, TB and Cystic fibrosis
9. Course of the above diseases.
10. Helping to identify the allergens.
11. Helping to devise strategies for avoiding from allergens or decreasing exposure to allergens.
12. Appropriate management plans.
13. Customized treatments for children of variable background and disease severity.
14. Techniques of performing Peak Flow Rates (PFR) measurements.
15. Techniques of proper recording of PFR.
16. Techniques of proper spacer use & care.

17. Asthma Action Plan education

Diagnostic Equipment for pediatric asthma:

The asthma is the most common chronic illness of children. It is usually treated without making a proper diagnosis in terms of its staging and severity. The diagnostic tests are quite expensive. The parents do not have resources to have this disorder diagnosed properly. The basic test like Lung Function Test is not available in government sector.
PLA has managed to arrange a Spirometer machine with a respiratory therapist. They are available on the Follow up days.

1. We provide the Lung Function Tests for free to the children coming to our Asthma Follow up clinic.
2. Spirometer is most modern in its series and can measure more than 45 parameters of lung functions.
3. It can also keep record of the tests and is very helpful in looking at the trends of lung functions over period of months or years.
4. The records of the tests are maintained and are used for the subsequent visits.

PLA is also providing Oscillation Spirometry working with Impedance resistance assessment. This equipment is first of its kind in the country and can be used to assess the lung function tests in children who can’t make a forced expiratory effort like:

1. Very young children less than 5 years.
2. Children with mental handicap or cerebral palsy.
3. Children with motor delay or who can’t understand the commands.
4. Children with neurological deficits.

Donation of equipment:
The PLA has donated all the related equipment that was required for the examination of the children for respiratory disease to the Nishtar Medical university, Multan. It included:

17. Pediatric stethoscope
18. Pediatric weight & Height measurement machines.
19. Blood pressure equipment
20. Torch etc.
21. Provision of Asthma Follow up Cards.

The asthma is a chronic disease. It needs a long term follow up. The patients usually lose their treatment slips. To ensure proper record of treatment and a better follow up there was a need of follow up cards.

The PLA has donated 1000 Follow up cards, worth Rs: 10,000/= to the Asthma Follow up Clinic. These cards are given to the patients and the record of medicines and illness is kept on them.

Pediatric TB:

PLA has managed to provide few tests that are not available in the government facility to help in the diagnosis of tuberculosis. It includes the provision of:

22. Tuberculin test vials with disposable syringes.
23. Culture for various specimens for the TB.

Name of departments

Pediatric Lung Association

Date of Establishment

2008

Affiliations/partnerships

No

Name of Donor

Kashif Riaz

Ahsan Rasheed

Farah Mukhtar

Name of Geographical Area

Al-Qureish Colony Sher shah Road Multan

Target Groups/Beneficiaries

I-CLDH OPD Patients & School students

Fee Structure

Free

Scholarship Policy

Pricing/ Discount/Subsidy/Free Service Policy/ Fee structure if any

Free

International recognition of our services on Lung health

https://europeanlung.org/en/projects-and-campaigns/healthy-lungs-for-life/hold-your-own-healthy-lungs-for-life-activities/healthy-lungs-for-life-event-reports/spirometry-camps-and-a-training-workshop-in-pakistan/

https://europeanlung.org/wp-content/uploads/2021/04/Camp-reports-4.9.19.pdf

https://europeanlung.org/wp-content/uploads/2021/04/Post-event-report-on-clean-Air.pdf

https://europeanlung.org/wp-content/uploads/2021/04/Report-Hands-on-spirometry-workshop22.7.19.pdf

School Health Services

The schools typically are only concerned with books, studies, scores and awards. They are least bothered about the short-term or long-term health of the students. The Schools do not consider play grounds, well-lit rooms, clean toilets, healthy foods, nutritious stuff at canteens and healthy sitting arrangements their priority.
Healthy Children-Healthy Nation is a dream of Helping Hands Foundation. And one such initiative to make it happen is Health-MAPS (Health Management & Awareness Program for Schools) which is to make and keep the school children healthy over the time and over the years.

Aims & Objectives of the program

 In recent times, when billions are being spent on provision of quality education, little is being done regarding health to improve performance standards of our talented children. We believe that every student is important and vital. However, less attention is paid to educate them on proper diet, grooming and nourishment. Not only students, but their parents also need authentic opinion to provide the best possible support environment. Most of our children might excel in academics, sports and life; provided they are fit physically, mentally and emotionally.
Peak performance remains a dream until translated into reality by the vigor of a healthy individual.

Facilities/Amenities/Area of Campus

Health-MAPS helps the schools to do wonders by improving performance level of the students by helping them stay healthy, agile and active. Healthy students have lesser leaves, better participation and better results.

Health MAPS strives for “Healthy children—Healthy Nation” through a program of continuous physical and mental growth assessment of the school children from play group to intermediate. It continuously provides them guidance for healthy environment at schools and homes.

Name of departments

Health-MAPS (Health Management & Awareness Program for Schools)

Date of Establishment

2000

Affiliations/partnerships

No

Name of Donor

Dr. Ghulam Mustafa  

Name of Geographical Area

Bosan Road Multan

Target Groups/Beneficiaries

School Students

Activities/services

To begin with we are focusing on schools that are a name to be reckoned with on the educational landscape of the city. The name that is synonymous with quality and excellence. Those who have a definite focus on the performance standards of their students by providing quality education.

What we do? Health MAPS Team monitors growth & health of the students starting from 3 years to 18 years at regular intervals. It provides vital information to students and parents to help them adopt life style and habits which lead to a healthy life. It helps school management maintain a school environment congenial to learning and health by counseling on the provision of proper physical environment, classroom furniture, lighting & sounds, air flow, break during study, opportunity for physical exercise, non-accidental buildings and grounds, hygienic canteens & toilets etc. we counsel parents on any hidden problem which, God forbid, may grow into some fatal disorder in the future.

How we do it? We deliver through a 4 monthly physical check up with computerized record of weight, height, head circumference, chest circumference, mid upper arm circumference, general physique, blood pressure, body mass index, tonsils, teeth, ears, eyes, heart, chest, abdomen, testis and throat. Students and teachers are delivered Health Essentials, a session in every 3 months on healthy living style and habits by a Child specialist, Eye specialist, ENT specialist or Dentist etc. We computerize the all records and compare growth with the WHO’s (World Health Organization) recent growth charts/Standards. If the growth of a child is falling short from normal at any examination, we send a letter to the parents and suggest having thorough examination of their child.

Fee Structure  

Free

Project Background

A special Project has been launched by PWTD. The ideology of this Program is to provide expert

assistance to intellectually impaired children in the Community through trained Community Resource Persons. These Community Resource Persons are currently working with many children in different areas of Lahore. Monthly monitoring meetings of the Psychologists are held with the parents of special children.

Introduction

Intellectually impaired children have potential and capabilities which can be maximized to enable them to live as independently as possible. This can be achieved only if specialized assistance is provided at the right time with right approach. The number of such children in normal population is alarming. In now a time, few in suggestion working for the intellectual impaired children’s such as special education oriented retarded that is not enough.There is a large number of unattended and uncared intellectually impaired children and their families who need awareness, guidance & services to enable them to minimized their own stress and family play a role for intellectual impaired children for the use full citizen of the society.

Vision

To make intellectually impaired children, physically handicap children useful citizens of society by providing core requisites to organizations specifically meant for the disabled.

Goals of CBR Project

• To identified the intellectually impaired children in society with the help of social worker, psychologist, and sociologist and provide special services.
• To access the intellectually impaired children in the institutions who are low financial condition with the assistance of Social worker, psychologist, sociologist.
• To aware the parents/families of Intellectually impaired children to engaged in deferent educational activities.
• To aware the society about the intellectually impaired children and must be cooperate and coordinate with them.
• To engaged Intellectually impaired children, In deferent sort of responsibilities /activities at home.

Aims & Objectives of the program

Community-based rehabilitation (CBR) was initiated by WHO (World Health Organization) following the Declaration of Alma-Ata in 1978 in an effort to enhance the quality of life for people with disabilities and their families; meet their basic needs, and ensure their inclusion and participation

CBR or community based rehabilitation is an approach to community development that is applied for equalisation of the social integration & opportunities of people with disabilities. This programme is executed through the CBR members, PWDs and their families. CBR programme aims to provide support to people with disabilities within the community with proper education, vocational training, health care services & other sociological needs. here, we will discuss the major objectives of the program

Improvement of the life of people with disabilities

One of the main objectives of community based rehabilitation is to enhance the quality of life of people with disabilities within the community.

Involvement of PWDs at every level
People with disabilities must be involved in the CBR programme at every level or every stage that includes the initial part of the program & implementation. To provide value to the participation, the people with disabilities within the community must have basic decision making roles.

Making a positive attitude towards PWDs
Making a positive attitude towards people with disabilities is another major objective of community based rehabilitation programmes. Community members should be motivated to give support & encourage PWDs for involving the CBR activities.

Providing support to the PWDs who need special assistance

CBR members should provide support & guidance to the PWDs who need special assistance such as sensory, mental support, psychological assistance, physical support, etc. Moreover, old citizens, people with epilepsy & leprosy should be provided special care and support from the community members.

CBR programme must be flexible
CBR programmes must be flexible so that they can be operated within local conditions at any level. Community-based rehabilitation doesn’t have only one model of the community. This is because socio economic contexts & other requirements of individual communities may need several solutions. Flexible CBR programmes always ensure the participation of the community. So, flexibility is important for community based rehabilitation.

Should be sensitive to the women & girl child

All community based rehabilitation activities must be very sensitive to the women & girl child. This is because women & girls are not equally treated in some communities across Asia. The CBR members should take an initiative to take care of women & girls with disabilities.

The importance of community based rehabilitation programmes is huge. The approach of CBR programmes can be multi sectoral & it includes non-governmental & governmental that provides assistance.

What we do:

Community-Based Rehabilitation (CBR) project of HHF & SSP was started in collaboration with Punjab Welfare Trust for Disabled (PWTD). Since Sep. 2019 our 10 CRPs (Community Resource Persons) are providing home-based services to children and adults with Special Needs in the area of Hher Shah Road Multan. Currently, 250 &  children & adults with special needs are registered in our CBR project. We intend to gradually extend

Here we enrolled 74 persons with multiple disabilities. These persons are other than CBR program, But HHF is providing them all services that are offered to enrolled children free of cost.

Stakeholders:

• Punjab Welfare Trust for Disable
• Society for Special Persons
•  Social Welfare Department
• Pakistan Bait ul Maal
• NADRA
• District Health Department (Civil Hospital, Nishtar Hospital
• Government Special Education Schools

Date of Establishment

Aug 2019

Affiliations/partnerships

Society for Special Person

Punjab Welfare Trust for disabled persons

Name of Donor

Punjab Welfare Trust for disabled persons

Name of Geographical Area

Sher Shah Road Multan 3 UCs

Target Groups/Beneficiaries

Children with disabilities

Adults with disabilities

Activities/services

• Registration/enrollment of CWDs
• Assessment of special needs as per their disability
• Work plan for children
• Community Resource Person will visit 5 Children With Disabilities daily as per work plan,
• CRP educate the children.
• Outpost meeting conduction, CRP will come and join the meeting for counseling of children,
• International days related to disabilities celebrations with children & their parents.
• Capacity building & counseling sessions of parents
• Arrangements & delivery of assertive devices as per their disability like customized wheel chairs, white cane, hearing aids, artho devices etc
• Admission to school.
• Registration to Pakistan Bait ul maal
• Assist parents to issue disability certificate & CNIC from NADRA.
• Free pick & drop for all these services
• Refreshment

*Report Attached

Fee Structure

Free

Pricing/ Discount/Subsidy/Free Service Policy/ Fee structure if any

Free