ANNEX 3Intellectual & Developmental Disabilities in Community Activities 2018

Inception Report

Objective of inception report

The main objective of this Inception Report is to promote mutual understandings at

the Analyzing session which is scheduled at the beginning of the program. Participants are

expected to share the activities of each participant and/or each country. Participants are also

expected to clarify the problems and set up objectives for each through this report writing.

1. General Information

(1) Name of Country

According to Constitution of Pakistan, the official name of the country is

“Islamic Republic of Pakistan.”

(2) Area (sq. km)

796,096 km²

Source: Census 2017

(3) Life expectancy

Males: 65.8

Females: 68.2

Average: 67

Source: Population Census of Pakistan 2017

(4) Infant mortality rate (IMR)

62 (Deaths per 1,000 live births)

Source: Economic Survey of Pakistan 2016-2017

(5) Maternal mortality rate (MMR)

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For only accepted candidates

170 Death per 100,000

Source: Economic Survey of Pakistan 2016-2017

(6) Literacy rate

Male: 70 Percent

Female: 48 Percent

Total: 58 Percent

Source: Economic Survey of Pakistan 2017-18

(7) Population

According to Population Census of Pakistan 2017, the total population of Pakistan

was 207.77 million, with 106.45 million male, 101.32 million female, and 10,418 transgender

people. The average annual growth remained at 2.40.

a) Districts

ADMINISTRATIVE UNITS / DIVISION / DISTRICT WISE POPULATION

Administrative UnitsNumber of Divisions

Number of Districts

Population 2017

PAKISTAN 28 129 207,774,520

KHYBER PAKHTUNKHWA

07 25 30,523,371

FATA - 07 5,001,676

PUNJAB 09 36 110,012,442

SINDH 06 29 47,886,051

BALOCHISTAN 06 32 12,344,408

ISLAMABAD - - 2,006,572

DISTRICT WISE POPULATION IN ADMINISTRATIVE UNITS

PROVISIONAL CENSUS RESULTS -2017 KHYBER PAKHTUNKHWA

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District Sr. NoADMN. UNITS / AREA /

District POPULATION 2017

KHYBER PAKHTUNKHWA 30,523,371MALAKAND DIVISION 7,514,6941 CHITRAL DISTRICT 447,3622 UPPER DIR DISTRICT 946,4213 LOWER DIR DISTRICT 1,435,9174 BUNER DISTRICT 897,3195 SWAT DISTRICT 2,309,5706 SHANGLA DISTRICT 757,8107 MALAKAND PROTECTED AREA 720,295HAZARA DIVISION 5,325,1218 KOHISTAN DISTRICT 784,7119 BATAGRAM DISTRICT 476,61210 MANSEHRA DISTRICT 1,556,46011 TORGHAR DISTRICT 171,39512 ABBOTTABAD DISTRICT 1,332,91213 HARIPUR DISTRICT 1,003,031MARDAN DIVISION 3,997,67714 MARDAN DISTRICT 2,373,06115 SWABI DISTRICT 1,624,616PESHAWAR DIVISION 7,403,81716 CHARSADDA DISTRICT 1,616,19817 PESHAWAR DISTRICT 4,269,07918 NOWSHERA DISTRICT 1,518,540KOHAT DIVISION 2,218,97119 KOHAT DISTRICT 993,87420 HANGU DISTRICT 518,79821 KARAK DISTRICT 706,299BANNU DIVISION 2,044,07422 BANNU DISTRICT 1,167,89223 LAKKI MARWAT DISTRICT 876,182D.I. KHAN DIVISION 2,019,01724 D.I. KHAN DISTRICT 1,627,13225 TANK DISTRICT 391,885

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PROVISIONAL CENSUS RESULTS -2017 FATA

District Sr.NoADMN. UNITS / AREA /

District POPULATION 2017

FATA 5,001,6761 BAJAUR AGENCY 1,093,684

2 MOHMAND AGENCY 466,984

3 KHYBER AGENCY 986,973

4 KURRAM AGENCY 619553

5 ORAKZAI AGENCY 254356

6 N.WAZIRISTAN AGENCY 543254

7 S.WAZIRISTAN AGENCY 679,185

PROVISIONAL CENSUS RESULTS -2017 PUNJAB

District Sr.No ADMN. UNITS / AREA POPULATION 2017

  PUNJAB 110,012,442 RAWALPINDI DIVISION 10,007,821

1 ATTOCK DISTRICT 1,883,5562 RAWALPINDI DISTRICT 5,405,6333 JHELUM DISTRICT 1,222,6504 CHAKWAL DISTRICT 1,495,982

SARGODHA DIVISION5 SARGODHA DISTRICT 3,703,5886 BHAKKAR DISTRICT 1,650,5187 KHUSHAB DISTRICT 1,281,2998 MIANWALI DISTRICT 1,546,094

FAISALABAD DIVISION 9 FAISALABAD DISTRICT 7,873,91010 JHANG DISTRICT 2,743,41611 CHINIOT DISTRICT 1,369,74012 TOBA TEK SINGH DISTRICT 2,190,015

GUJRANWALA DIVISION 16,123,98413 GUJRANWALA DISTRICT 5,014,19614 HAFIZABAD DISTRICT 1,156,957

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District Sr.No ADMN. UNITS / AREA POPULATION 2017

15 GUJRAT DISTRICT 2,756,11016 MANDI BAHAUDDIN DISTRICT 1,593,29217 SIALKOT DISTRICT 3,893,67218 NAROWAL DISTRICT 1,709,757

LAHORE DIVISION 19,398,08119 LAHORE DISTRICT 11,126,28520 KASUR DISTRICT 3,454,99621 SHEIKHUPURA DISTRICT 3,460,42622 NANKANA SAHIB DISTRICT 1,356,374

SAHIWAL DIVISION 7,380,38623 SAHIWAL DISTRICT 2,517,56024 PAKPATTAN DISTRICT 1,823,68725 OKARA DISTRICT 3,039,139

MULTAN DIVISION 12,265,16126 VEHARI DISTRICT 2,897,44627 MULTAN DISTRICT 4,745,10928 LODHRAN DISTRICT 1,700,62029 KHANEWAL DISTRICT 2,921,986

D. G. KAHN DIVISION 11,014,39830 D. G. KHAN DISTRICT 2,872,20131 RAJANPUR DISTRICT 1,995,95832 LAYYAH DISTRICT 1,824,23033 MUZAFFARGARH DISTRICT 4,322,009

BAHAWALPUR DIVISION 11,464,03134 BAHAWALPUR DISTRICT 3,668,10635 BAHAWALNAGAR DISTRICT 2,981,91936 RAHIM YAR KHAN DISTRICT 4,814,006

PROVISIONAL CENSUS RESULTS -2017 SINDH

District Sr.No

ADMN. UNITS / AREA POPULATION 2017

   SINDH 47,886,051HYDERABAD DIVISION 10,592,635

1 BADIN DISTRICT 1,804,5162 DADU DISTRICT 1,550,2663 *JAMSHORO DISTRICT 993,1424 HYDERABAD DISTRICT 2,199,463

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District Sr.No

ADMN. UNITS / AREA POPULATION 2017

5 * MATIARI DISTRICT 769,3496 TANDO ALLAH YAR DISTRICT 836,8877 TANDO MUHAMMAD KHAN DISTRICT 677,2288 THATTA DISTRICT 979,8179 *SUJAWAL DISTRICT 781,967

KARACHI DIVISION 16,051,52110 KARACHI WEST DISTRICT 3,914,75711 KARACHI SOUTH DISTRICT 1,791,75112 KARACHI CENTRAL DISTRICT 2,971,62613 MALIR DISTRICT 2,008,90114 KORANGI DISTRICT 2,457,01915 KARACHI EAST DISTRICT 2,907,467

LARKANA DIVISION 6,192,38016 JACOBABAD DISTRICT17 KASHMOR DISTRICT 1,089,16918 LARKANA DISTRICT 1,524,39119 KAMBAR SHAHDADKOT DISTRICT 1,341,04220 SHIKARPUR DISTRICT 1,231,481

MIRPUR KHAS DIVISION 4,228,68321 MIRPUR KHAS DISTRICT 1,505,87622 THARPARKAR DISTRICT 1,649,66123 UMER KOT DISTRICT 1,073,146

SHAHEED BENAZIRABAD DIVISION 5,282,27724 SANGHAR DISTRICT 2,057,05725 NAUSHAHRO FEROZE DISTRICT 1,612,37326 SHAHEED BENAZIRABAD DISTRICT 1,612,847

 SUKKUR DIVISION 5,538,55527 GHOTKI DISTRICT 1,646,31828 KHAIRPUR DISTRICT 2,404,33429 SUKKUR DISTRICT 1,487,903

PROVISIONAL CENSUS RESULTS -2017 BALOCHISTAN

District Sr.No

ADMN. UNITS / AREAPOPULATION 2017

BALOCHISTAN 12,344,408QUETTA DIVISION 4,174,562

1 QUETTA DISTRICT 2,275,699

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District Sr.No

ADMN. UNITS / AREAPOPULATION 2017

2 PISHIN DISTRICT 736,4813 KILLA ABDULLAH DISTRICT 757,5784 CHAGAI DISTRICT 226,0085 NUSHKI DISTRICT 178,796

ZHOB DIVISION 1,542,4476 LORALAI DISTRICT 397,4007 MUSA KHEL DISTRICT 167,0178 BARKHAN DISTRICT 171,5569 KILLA SAIFULLAH DISTRICT 342,81410 ZHOB DISTRICT 310,54411 * SHERANI DISTRICT 153,116

SIBI DIVISION 1,038,01012 SIBI DISTRICT 135,57213 ZIARAT DISTRICT 160,42214 KOHLU DISTRICT 214,35015 DERA BUGTI DISTRICT 312,60316 HARNAI DISTRICT 97,01717 LEHRI DISTRICT 118,046

NASIRABAD DIVISION 1,591,14418 JAFARABAD DISTRICT 513,81319 NASIRABAD DISTRICT 490,53820 JHAL MAGSI DISTRICT 149,22521 KACHHI DISTRICT 237,03022 SOHBATPUR DISTRICT 200,538

KALAT DIVISION 2,509,23023 KALAT DISTRICT 412,23224 WASHUK DISTRICT 176,20625 MASTUNG DISTRICT 266,46126 KHUZDAR DISTRICT 802,20727 AWARAN DISTRICT 121,68028 KHARAN DISTRICT 156,15229 LASBELA DISTRICT 574,292

MEKRAN DIVISION 1,489,01530 KECH DISTRICT 909,11631 GWADAR DISTRICT 263,51432 PANJGUR DISTRICT 316,385

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b) age (10 years)

0-4 Years: 10.9%

5-14 Years: 21.2%

15-59 Years: 61.4%

60 Years and above: 6.5%

Source: Economic Survey of Pakistan, 2017

c) income level (rich, middle, poor, poorest)

Wealth Index

Poorest 18.3

Poorer 19.1

Middle 19.1

Richer 19.6

Richest 23.9

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(8) Education System (Number of schools & students in each district)

Education system in Pakistan does not show an encouraging configuration at the moment.

Reaching at the zenith of prestige and power mainly owes to the nation’s education system,

that how well it is inclusive, integrated, progress oriented and forthcoming. Educational

investment with a well-designed planning is the key to a decent and modern education

system. In case of Pakistan, the allocation of funds is too meager, i.e. on average, 2 percent of

the Gross Domestic Product (GDP) is spent on education, which is amongst the lowest in the

region. Additionally, the element of corruption in utilization of the allocated funds can not be

ruled out, which further exacerbate the education situation in Pakistan. Lack of facilities at

government run educational institutions, particularly at primary and secondary level,

inadequate training of teachers, lack of use of modern technologies, and poor quality of

education, and unequal student to teacher ratio are the undenied features of public sector

education system in Pakistan. Private education system is mostly beyond the access of a

common man, which cater to the needs of only middle or higher-class people. Along with

public and private education system, the third one is Madrasa system (Religious education).

The existence of multiplicity of systems and absence of universal education system create

bifurcation among people and result in social imbalance.

Number of Schools and Students in Each District*(*Source: District Education Profile 2014-15)

Punjab Province

Number of SchoolsInstitutions by Level

Primary Middle High Higher Sec Total

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Boys 18,682 3,557 3,355 327 25,921 Girls 19,171 4,781 2,770 343 27,065

Total 37,853 8,338 6,125 670 52,986

Number of Enrollment

District and Level-wise Institutions (Punjab)

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District and Stage-wise Enrollment (Punjab)

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Sindh Province Number of Schools/Institutions

Number of Enrollment by Stage

District and Level-wise Institutions (Sindh)

13/45

District and Stage-wise Enrollment (Sindh)

14/45

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Khyber Pakhtunkhwa Province Number of Schools/Institutions

Number of Enrollment

16/45

District and Level-wise Institutions (Khyber Pakhtunkhwa)

17/45

District and Stage-wise Enrollment (Khyber Pakhtunkhwa)

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Balochistan Province Number of Schools/Institutions

Number of Enrollment by Stage

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District and Level-wise Institutions (Balochistan)

20/45

District and Stage-wise Enrollment (Balochistan)

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Regional/Tribal Areas Gilgit Baltistan (GB)

Azad Jammu & Kashmir (AJK)

Federally Administrated Tribal Area (FATA)

Islamabad Capital Territory (ICT)

Gilgit BaltistanNumber of Schools/Institutions

Number of Enrollment

District and Level-wise Institutions (GB)

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District and Stage-wise Enrollment (GB)

Azad Jammu & Kashmir (AJK)

Number of Schools/Institutions

Number of Enrollment

District and Level-wise Institutions (AJK)

23/45

District and Stage-wise Enrollment AJK

FATA

Number of Schools/Institutions

24/45

Number of Enrollment

District and Level-wise Institutions (FATA)

District and Stage-wise Enrollment (FATA)

25/45

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(9) Health System (Number of hospitals in each district)Health system in Pakistan has been witnessing rapid changes in the last couple of decades for

conforming to the new challenges of changing demographics, epidemics, and increasing cost

of healthcare. Although Pakistan has made progress on a number of the health indicators, yet

it largely failed to achieve the target value on most of the indicators set in Millennium

Development Goals (MDGs), mainly pertaining to reduce child mortality, improve maternal

health, and combat HIV/AIDS, Malaria and Other diseases (Goal No. 4,5, and 6).

The overall healthcare system is highly convoluted and complex. Nonetheless, state provides

healthcare through a three-tier structure; including, i) primary health care through Basic

Health Units (BHUs), ii) secondary healthcare through Tehsil Headquarter Hospitals (THQs)

and District Headquarter Hospitals (DHQs), and iii) tertiary care through teaching hospitals

mostly situated at divisional and provincial level. There is also a mushroom abundance of

private healthcare providers, working under the oversight of the government. The brief

sketch of health facilities in Pakistan is given in the figure below.

Hospitals

Dispensaries

BHUs Sub Health Centres

Maternity & Child Health Centres

Rural Health Centres

TB Centres

Population per Beds

1,167

5,695

5,464

733

675

339

1,613

Health Facilities in Pakistan

Source: Economic Survey of Pakistan 1015-16

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Number of hospitals in each districtPUNJAB: NO. OF HEALTH FACILITIES IN PUNJAB

NO. OF HEALTH FACILITIES IN PUNJAB

 District Sr.No. Teaching Hospitals DHQ THQ RHC BHU Total

RAWALPINDI DIVISION

1 ATTOCK DISTRICT 0 1 5 5 60 712 RAWALPINDI DISTRICT 4 0 4 10 98 1163 JHELUM DISTRICT 0 1 2 5 45 534 CHAKWAL DISTRICT 0 1 2 9 65 77

SARGODHA DIVISION          

5 SARGODHA DISTRICT 0 1 4 14 117 1366 BHAKKAR DISTRICT 0 1 3 3 40 477 KHUSHAB DISTRICT 0 1 3 7 40 518 MIANWALI DISTRICT 0 1 3 9 40 53

FAISALABAD DIVISION          

9 FAISALABAD DISTRICT 3 0 5 12 168 18810 JHANG DISTRICT 0 1 2 9 58 7011 CHINIOT DISTRICT 0 1 2 3 36 4212 TOBA TEK SINGH DISTRICT 0 1 2 6 66 75GUJRANWALA DIVISION          

13 GUJRANWALA DISTRICT 0 1 3 9 88 10114 HAFIZABAD DISTRICT 0 1 1 5 32 3915 GUJRAT DISTRICT 0 1 1 9 89 100

16MANDI BAHAUDDIN

DISTRICT 0 1 1 8 51 6117 SIALKOT DISTRICT 0 2 2 8 88 10018 NAROWAL DISTRICT 0 1 1 7 56 65LAHORE DIVISION          

19 LAHORE DISTRICT 11 2 4 6 37 6020 KASUR DISTRICT 0 1 2 12 82 9721 SHEIKHUPURA DISTRICT 0 1 1 7 65 7422 NANKANA SAHIB DISTRICT 0 1 0 9 62 72SAHIWAL DIVISION          

23 SAHIWAL DISTRICT 0 1 2 10 75 8824 PAKPATTAN DISTRICT 0 1 1 4 53 5925 OKARA DISTRICT 0 2 2 10 96 110MULTAN DIVISION          

26 VEHARI DISTRICT 0 1 2 10 77 9027 MULTAN DISTRICT 3 0 4 8 76 9128 LODHRAN DISTRICT 0 1 2 4 48 55

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29 KHANEWAL DISTRICT 0 1 3 4 82 90D. G. KAHN DIVISION          

30 D. G. KHAN DISTRICT 0 1 1 9 51 6231 RAJANPUR DISTRICT 0 1 2 6 32 4132 LAYYAH DISTRICT 0 1 3 4 40 4833 MUZAFFARGARH DISTRICT 0 1 2 13 71 87BAHAWALPUR DIVISION          

34 BAHAWALPUR DISTRICT 1 0 4 10 72 8735 BAHAWALNAGAR DISTRICT 0 1 4 10 101 11636 RAHIM YAR KHAN DISTRICT 1 0 3 19 104 127

TOTAL 23 34 88 293 2461 2899Source: Health Profile of Punjab, Health Department, Government of the Punjab. https://health.punjab.gov.pk/directory/reports/Division_and_district_wise_facilities.pdf

SINDHSindh: Primary Healthcare Facilities

S. No. Category Total No. of Health

Facilities

No. of HFs with PPP Node

No. HFs with PPHI

No. HFs with Health

Dept.1 Rural Health Centers 125 114 1 102 Basic Health Units 757 0 648 1093 Dispensaries 792 0 326 4664 Mother & Child Health Centre

(MCH Centers)67 0 27 40

5 Sub Health Centers/ Clinics 3 0 2 16 Homeopathic Dispensaries 1 0 0 17 Urban Health Centers 1 0 0 18 Unani Shifa Khana 36 0 9 27  TOTAL 1782 114 1013 655

Source: Health Department, Government of Sindh (https://www.sindhhealth.gov.pk/primary)

SINDH: LIST OF ALL HEALTHCARE FACILITIES

District Sr.No

ADMN. UNITS No. of Hospitals, Dispensaries,

& LaboratoriesHYDERABAD DIVISION  

1 BADIN DISTRICT 2522 DADU DISTRICT 1823 JAMSHORO DISTRICT 1104 HYDERABAD DISTRICT 236

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District Sr.No

ADMN. UNITS No. of Hospitals, Dispensaries,

& Laboratories5 MATIARI DISTRICT 926 TANDO ALLAH YAR DISTRICT 1057 TANDO MUHAMMAD KHAN DISTRICT 818 THATTA DISTRICT 1049 SUJAWAL DISTRICT 94

KARACHI DIVISION  10 KARACHI WEST DISTRICT 15011 KARACHI SOUTH DISTRICT 11112 KARACHI CENTRAL DISTRICT 8813 MALIR DISTRICT 11114 KORANGI DISTRICT 9015 KARACHI EAST DISTRICT 88

LARKANA DIVISION  16 JACOBABAD DISTRICT 9317 KASHMOR DISTRICT 9718 LARKANA DISTRICT 19019 KAMBAR SHAHDADKOT DISTRICT 11520 SHIKARPUR DISTRICT 194

MIRPUR KHAS DIVISION  21 MIRPUR KHAS DISTRICT 19222 THARPARKAR DISTRICT 53623 UMER KOT DISTRICT 185

SHAHEED BENAZIRABAD DIVISION  24 SANGHAR DISTRICT 20525 NAUSHAHRO FEROZE DISTRICT 18426 SHAHEED BENAZIRABAD DISTRICT 277

 SUKKUR DIVISION  27 GHOTKI DISTRICT 10128 KHAIRPUR DISTRICT 31429 SUKKUR DISTRICT 162

Total  -- 4739Source: Health Department, Government of Sindh (https://www.sindhhealth.gov.pk/primary)

KHYBER PAKHTUNKHWA: LIST OF ALL HEALTHCARE FACILITIES

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Distri

ct

Sr.No

ADMN.

UNITS

Teachi

ng

Hospita

l

DH

Q

TH

Q

Civil

Hospit

al

Other

Hospit

al

Civil

Dispensari

es

RH

C

BH

U

T.B

Clini

c

Sub-

Healt

h

Cente

rs

MCH

Cent

re

Lepro

sy

Clinic

Tot

al

MALAKAND DIVISION

1CHITRAL

DISTRICT 

1 3     28 4 21 1   3 3 64

2UPPER DIR

DISTRICT 

1     4 10   33 5 2 2 3 60

3LOWER DIR

DISTRICT 

1 2     19 4 33 7 2 9 2 79

4BUNER

DISTRICT 

1   3   8 3 19 1     3 38

5SWAT

DISTRICT1

  1 6   17 3 41 1   3 3 76

6SHANGLA

DISTRICT 

1 3 1   12   15 1   1 2 36

7

MALAKAND

PROTECTED

AREA

 

1 1 2 3 9 5 20     2 1 44

HAZARA DIVISION

8KOHISTAN

DISTRICT 

        1 3 34       2 40

9BATAGRAM

DISTRICT 

1   1   9 2 28 1   1 2 45

10MANSEHRA

DISTRICT 

1 1 8 2 59 8 60 1   3 5 148

11TORGHAR

DISTRICT 

            9         9

12

ABBOTTAB

AD

DISTRICT

1

1   5   42 4 54 1 1 2 1 112

13HARIPUR

DISTRICT 

1   2 4 8 4 41 1 6 2 1 70

MARDAN DIVISION

14MARDAN

DISTRICT1

1 1 2 1 13 6 49 1 2 2 1 80

15SWABI

DISTRICT   1   3 1 9 4 40 2   3 1 64

PESHAWAR DIVISION

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Distri

ct

Sr.No

ADMN.

UNITS

Teachi

ng

Hospita

l

DH

Q

TH

Q

Civil

Hospit

al

Other

Hospit

al

Civil

Dispensari

es

RH

C

BH

U

T.B

Clini

c

Sub-

Healt

h

Cente

rs

MCH

Cent

re

Lepro

sy

Clinic

Tot

al

16CHARSADD

A DISTRICT 

1 1 1   7 3 44 1 1 2 1 62

17PESHAWAR

DISTRICT4

    2 6 36 3 48 4   4 1 108

18NOWSHERA

DISTRICT 

1   2 1 10 7 30 1 1 2   55

KOHAT DIVISION

19KOHAT

DISTRICT 

1   1 1 9 4 21 1 3 2 1 44

20HANGU

DISTRICT 

  1 1 1 1 1 13 4 2 2   26

21KARAK

DISTRICT 

1 1 3 3 3 4 19 1   2   37

BANNU DIVISION

22BANNU

DISTRICT1

1     1 21 2 35 1   2 1 65

23

LAKKI

MARWAT

DISTRICT

 

1   2 1 4 5 27 1 2 2   45

D.I.KHAN DIVISION

24D.I.KHAN

DISTRICT1

1 1 3 1 28 4 39   2 6   86

25TANK

DISTRICT 

        8 3 18   2     31

Total 9 19 16 48 30 371 86 791 37 26 57 34

1,52

4

Source: Year Book 2016-17, Health Department, Government of Khyber Pakhtunkhwahttp://www.healthkp.gov.pk/wp-content/uploads/2018/01/DOH-Yearbook-2016-17.pdf

BALOCHISTAN: LIST OF ALL HEALTHCARE FACILITIES

Total health facilities in Balochistan

Balochistan Province Number of Health Facilities by Type  DHQ THQ RHCs BHUs TotalNumber of Facilities 27 10 82 549 668

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Source: Health Facility Assessment – Balochistan, District Profile

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(10) Major Industry (Number of people working for each industry)

(11) Employment rate4.1 % (Women: 7% & Men: 3.2%)Source: Labour Market Profile 2018 (http://www.ulandssekretariatet.dk/sites/default/files/uploads/public/PDF/LMP/LMP2018/lmp_pakistan_2018_final_version.pdf)

2. Intellectual and Developmental Disabilities

(1) Laws concerned with persons with Intellectual and Developmental Disabilities:

There is no specific law in the country concerning with the well-being and welfare of

PWIDD. However, following are the laws concerning with persons with Disabilities

including Persons with Intellectual and Development Disabilities:

The Constitution of Pakistan

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The Disabled Persons (Employment And Rehabilitation) Ordinance 1981

The Disabled Persons (Employment And Rehabilitation) Rules, 1987

The Disabled Persons (Employment And Rehabilitation) Amendment Act, 2012

Convention on the Rights of Persons with Disabilities (CRPD) ratified by Pakistan on

5 July 2011

(2) Financial Assistance for persons with Intellectual and Developmental Disabilities

At Federal Level

Special Friends of PBM: PBM has envisioned providing wheel chairs to every

disabled person in the country. A family who has two or more special children will be

called as Special Family and will have the right to be benefited through this new

scheme. Rs 25,000/- are being given to each family annually having two or more

disable members and Rs 10,000/- annually for one disable member of a family. An

amount of Rs 64 million has been disbursed during July, 2017 to February, 2018

under PBM special friends’ programme.

Punjab Province

i. Punjab Social Protection Authority has given Khidmat Cards to more than

87,000 PWDs including PWIDD as a financial assistance @ Rs. 1500/month

in Punjab.

ii. Punjab Bait ul Maal has reserved 10% from annual financial grant for persons

with disabilities. In this regard, Rs. 29,548,500/- have been disbursed among

4760 PWDs/PWIDD through Bait ul Maal from the period 2013 till date in

Punjab.

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(3) Services including CBR available for persons with Intellectual and Developmental

Disabilities (PWIDD)

Vide Notification F. No. 2-8/95-NCRDP issued in May, 2010 by the Federal

Government, the PWDs are entitled to get following benefits across Pakistan:

i. Fare Concession: 50% concession in air and rail fare for PWDs

ii. Bank Account: facility to open individual bank account

iii. Free Medical: PWDs are entitled to free medical treatment in all Government

Hospitals/Dispensaries

iv. Assistive Devices: Assistive devices, such as wheel chair, white cane, and hearing

aid, are provided free of cost by Bait-ul-Mal and Social Welfare Departments in

provinces

v. Duty free vehicle: PWDs are entitled to get duty free vehicle

vi. Age relaxation: 10 Years Upper age relaxation for entering into government service

Under the umbrella of the Disabled Persons (Employment & Rehabilitation) Ordinance,

following services are envisioned for the PWDs including PWIDD:

Registration: District Assessment Boards (DABs) for registration of PWDs including

PWIDD. The DABs deal with following four (04) categories of disability:

Persons with physical impairments

Visually impaired

Hearing/speaking impaired

Intellectual impaired/mentally challenged

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According to Population Census of Pakistan 2017, the disabled population by nature of

disability is given in the table below.

DISABLED POPULATION BY NATURE OF DISABILITY(In percent)

Administrative

Unit

Total Disabled

PopulationBlind Deaf/Mute Crippled Insane

Mentally

Retarded

Having Multiple

DisabilityOthers

Pakistan 3,286,630 8.06 7.43 18.93 6.39 7.6 8.23 43.37

Rural 2,173,999 7.92 7.53 20.52 5.94 7.32 8.23 42.55

Urban 1,112,631 8.32 7.24 15.81 7.28 8.15 8.22 44.97

KP 375,752 7.24 7.69 31.73 5.9 7.43 8.11 31.9

Rural 327,638 7.46 7.52 32.25 5.81 7.26 8.22 31.48

Urban 48,114 5.71 8.84 28.21 6.55 8.63 7.31 34.75

Punjab 1,826,623 8.48 8.17 20.83 6.75 7.87 8.07 39.84

Rural 1,338,410 8.58 8.16 20.84 6.29 7.63 8.18 40.32

Urban 488,213 8.22 8.2 20.79 7.99 8.51 7.77 38.52

Sindh 929,400 7.48 6.18 10.56 6.13 7.45 8.92 53.29

Rural 385,984 6.24 6.02 11.25 5.34 6.81 9.06 55.28

Urban 543,416 8.36 6.29 10.07 6.69 7.91 8.82 51.86

Balochistan 146,421 8.42 5.24 14.81 4.6 5.61 6.35 54.96

Rural 117,971 7.11 5.2 14.31 4.25 5.53 6.24 57.36

Urban 28450 13.87 5.42 16.86 6.03 5.97 6.83 45.02

Islamabad 8,434 9.22 12.09 29.89 12.46 8.05 4.55 23.73

Rural 3,996 9.78 12.16 29.65 6.03 8.63 4.02 29.73

Urban 4,438 8.72 12.03 30.1 18.25 7.53 5.05 18.32

Employment: 2% quota reserved for employment in public sector organizations. In

Punjab, it is 3%

Training and Rehabilitation: District Training and Rehabilitation Committees

constituted at district level

No fee for competitive exams: No fee for test/interview in Federal and Provincial

Public Service Commission

Facilitation in competitive exams: People with physical, visual and hearing

disabilities are allowed to sit for competitive exams

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(4) Number of services and those beneficiaries in each district (province)

So far 1,89,312 persons with disabilities have been assessed and issued disability

certificates in Punjab

Skilled persons with disabilities are being referred to Akhuwat for micro loaning to

generate self-employment. To date 5,330 PWDs have benefitted from Akhuwat

initiatives in Punjab

3. Outline of your organization

(1) Background, vision, strategy

Background

After the dismemberment of one unit in West Pakistan in July, 1970, the former provinces of

Sindh, Punjab, NWFP and Balochistan were revived. As result the West Pakistan Directorate

General of Social Welfare and the West Pakistan Council of Social Welfare were bifurcated

into four parts. One Directorate and one Council were established in each province as such.

In other words, two organizations have principally been set up by the provincial governments

to look after social welfare programs in their respective provinces. In 1979 a separate

department of Social Welfare was established. Afterwards in 1996, the segment of Women

Development and in 1998 the segment of Bait-ul-Maal was also attached with Social Welfare

Department. Later on in 2012, a separate department of Women Development was

established and the segment of women development was separated from Social Welfare and

Bait-ul-Maal Department.

Vision and Strategy

The Social Welfare & Bait ul Maal Department, Government of the Punjab has the to provide

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Social Protection and Institutional care services to the marginalized segments of Society

including orphans, destitute Women, Children, Elderly, Disabled and poor. For this reason, it

has outreach through different offices/field units at all district and selective tehsil levels.

(2) Major programs, covered areas, covered population, number of beneficiaries

Social welfare Department, Punjab provides a range of social protection and welfare services through a number of institutions and services as following:

Children: 26

• Abandoned Babies Home-Gehwara for 0-6 Years: 03

• Model Children Home- Orphanages for 6-18 Years: 12

• Lost & Found Children-Nigehban for Boys of 6-18 Years: 08

• Destitute & Needy Girls-Kashana for Girls of 10-16 Years: 03

Women: 97

• Shelter Home- Dar-ul-Amaan: 36

• Mother & Child Home -Dar-ul-Falaah: 06

• VAWC, Multan: 01

• Benazir Bhutto Shaheed Crisis Centers for Women: 12

• District Industrial Homes-Sanatzaar: 36

• Qasr-e-Bahbood, Modern Art & Craft Training Center: 03

Senior Citizens: 08

• Old-Age Homes (Aafiat) for Age 60 & Above

Persons with Disabilities: 05

• Chaman for Mentally Challenged Children, age 7-14 yrs: 01

• Nasheman for Persons with Physical Disabilities: 03

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• Half-Way Home, Dar-ul-Sukoon, Rehabilitation Center

for patients discharged from IMH & Fountain House: 01

Miscellaneous: 03

• Beggars/Vagrant Beggars Home at Lahore: 01

• Drug Addicts Rehabilitation Center at Multan: 01

• Social Welfare Training Institute (SWTI) at Lahore: 01

Collaborative Services: 284

• Medical Social Services Units (MSSU) at Hospitals: 122

• Model Drug Abuse Centers in Psychiatry Ward in Punjab: 10

• Socio-Economic Rehabilitation Centers (SERC) for

Women & Juvenile Prisoners in Punjab: 19

• Community Development Projects in Punjab: 133

Institutes of PWDs including PWIDDSocial Welfare & Bait ul Maal Department, Punjab has a legal footing of “Disabled Persons

(Employment & Rehabilitation) Ordinance, 1981” for welfare of PWDs. Nonetheless, the

employment and rehabilitation of PWDs has remained a challenging task for social welfare

department (SWD). In this regard, SWD has taken a number of affirmative actions, ranging

from registration of PWDs, to employment against 3% quota, training, provision of artificial

limbs, help in issuance of Khidmat Cards, daily wages, and other rehabilitative measures.

With a history of more than 35 years working in disability sector, the SWD is still coping

with the emerging challenges concerning PWDs. Although, SWD has been dealing with other

forms/nature of Disabilities, but it remained in-capacitated to extend it full support to Persons

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with Intellectual and Development Disabilities (PWIDD).

Social Welfare Department, Government of the Punjab has established institution for the

welfare of persons with disabilities at Provincial Headquarter i.e. Lahore. There are three

institutions:

I. CHAMAN provides institutional care for

mentally retarded children. It provides

psychiatric treatment, counseling, and free

boarding lodging facilities to mentally

challenged children for the age 7-14 years. In

2017, 41 mentally retarded children benefitted.

II. NASHEMAN is serving persons with disabilities by imparting training in the field of

Mobile Repairing, Motor Wending, Computer Training, Vocational Training, cane

work as well as Art & Craft. In

NASHEMAN, visually impaired

persons, hearing impaired and

physically impaired are provided

training regularly to make them

economically self-sufficient &

independent and active part of the society During the aforementioned training, the

trainees are provided free boarding / lodging facility, food, Medical treatment,

Recreational facilities and monthly stipends @ Rs. 1000/- to Rs. 1500/- per head per

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month out of Government funds for the betterment of persons with disabilities. Two

more institution "NASHEMAN" has also been established through ADP 2017-2018 at

Faisalabad and Bahawalpur. During 2017, 73 special persons have been provided

training in different skills and rehabilitated.

III. Half Way Home (Dar-us- Sakoon) is a rehabilitation center for patients discharged

from Institute of Mental Health &

Fountain House. This institution provides

an enabling and conducive convalescence,

supportive and rehabilitative services to

mentally retard people. During 2017, 44

discharged patients from mental hospitals have been benefitted.

Your position and duty

I am working as Assistant Director (Admn) at Directorate General of Social Welfare & Bait

ul Maal, Punjab, Lahore. I am responsible for administration, planning, and implementation

of field programs pertaining to community development in general and welfare and

rehabilitation of persons with disabilities (PWDs) in particular all across Punjab.

4. Community Development program which includes Intellectual and Developmental Disabilities issues as one of the activities. (If you know any)

NA

5. Situation of Persons with Intellectual and Developmental Disabilities

(1) Pakistan has one of the highest reported rates of childhood intellectual disabilities in

the world. Prevalence estimates vary from 19.1/1000 for serious intellectual disability

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to 65/1000 for mild intellectual disability. Due to lack of state-of-the-art knowledge,

diagnostic, and medical facilities, there is a significant delay in detection of intellectual

disabilities especially in rural setting where more than 70% of population of Pakistan

resides.

(2) Diagnosis (professional responsible for diagnosis)

Diagnosis of mental illness is done at mental health hospitals by medical

superintendents/ad. Medical Superintendents

(3) Education (Special Education and/or Integrated Education)

Special education as a field of study is relatively new in Pakistan. interest in the field

mainly stemmed by the International year for Disabled Person in 1981 and by United

Nations Declaration of 1983-92 as decade of the Disabled. Special Education in

Pakistan is mainly divided as per the broad categories of disability, including, mental

disability 30 per cent, visual impairment 20 per cent, hearing impairment 10 per cent

and physical disability 40 per cent. However, integration on a selective basis has been

introduced in some ordinary schools in Pakistan.

(4) Vocational training and Job Opportunity

There are a number of government and non-government institutions providing

vocational training and job opportunities to PWDs. At national level, the renowned

government and semi-government institutes include Punjab Skills Development Fund

(PSDF), National Vocational & Technical Training Commission (NAVTTC),

Technical Education & Vocational Training Authority (TEVTA), Punjab, Punjab

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Vocational Training Council (PVTC) etc. Moreover, a number of NGOs are also

supporting the cause of training and job placement of PWDs.

(4) Support Organizations

a) governmental agencies

Social Welfare Departments in all provinces

Special Education Departments in all provinces

Technical and Vocational Training Institutes

Social Security Institutes/Mechanism such as Zakat, Bait ul Maal

b) number of NGOs concerned with Persons with Intellectual Disabilities

Following are the leading NGOs working at provincial/national level for PWDs

including PWIDD:

Pakistan Disabled People Organization (PDPO)

Danishkadah -Empowering persons with disabilities (PWDs)

ASHDS - Ahmer Social and Human Development Society

Sindh Welfare Association of the Deaf (SWAD)

Pakistan disabled Foundation

Pakistan Assistive Technology Foundation (PATF)

Children Youth and Families Foundation

Pakistan Society for the Rehabilitation of the Disabled

Association for special society assistance

PAD-Pakistan Association of The Deaf

Friends of Disables Society

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6. Based on the information above, what are the issues to solve to conduct effective supports for persons with Intellectual and Developmental Disabilities?

Lack of reliable data: There is a need to collect data on PWDs including PWIDD so

as to devise viable policies for PWIDD.

Integrated interventions: There is dire need to develop feasible, cost effective,

community level interventions, which can be integrated to existing welfare programs

and healthcare systems.

Rehabilitation: Re-integration and rehabilitation of PWIDD is direly needed.

Inadequate legislative and enforcement framework: The longstanding Disabled

Persons (Employment & Rehabilitation) Ordinance, 1981 is outdated, not

contemporary and have no effective mechanism for the employment and rehabilitation

of PWDs including PWIDDs.

Advocacy campaign: In adequate acceptance of PWDs in society. There is need to

launch advocacy campaign.

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