The Project consists of the following components:

Component 1: Health Services Quality & Utilization:

The component aims to improve maternal and new- born health, especially among poor and vulnerable households. This will enable a strong start in a child’s first 1,000 days. The evidence show that first 100 days are most important for the cognitive and physical development of a child. Under this component both demand and supply side interventions have been planned. On the demand side, poor pregnant and lactating mothers will get a conditional support upon meeting the criteria like ANC visits and skilled birth attendance, immunization and HNP awareness and counselling. While on the supply side Basic Health Units (BHUs) will be strengthened in terms of physical and human resources.

Quality of Health Services (approximately US$38 million equivalent):

(a) Strengthening the primary health-care facilities in the provision of good quality services and their adherence to Minimum Service Delivery Standards (“MSDS”) by: (i) upgrading of selected basic health units (“BHUs”) in select districts to provide uninterrupted (“24/7”) services all days of the week, including provision of essential equipment, medicines and supplies; and (ii) upgrading of selected rural health centres in the selected districts to provide neonatal intensive care on a pilot basis; (b) hiring/recruiting and/or training healthcare personnel, including paediatricians, medical officers, lady health workers and lady health visitors; (c) providing nutrition services through outdoor therapeutic program counters; (d) providing population welfare services in close coordination with the department responsible for population welfare; and (e) upgrading/scaling-up the electronic medical records system for, and implementing the Environmental and Health Care Waste Management Plan (“EHCWMP”) in, health facilities in the Select Districts.

Utilization of Health Services (approximately US$64 million equivalent):   Increasing the utilization of key health services among poor and vulnerable households, as identified through the NSER, in the select districts, through: (a) implementing a conditional cash transfer program and providing Conditional Cash Grants (“CCGs”) to eligible pregnant or lactating women and/or parents of children up to 2 years of age (“Eligible CCG Beneficiaries”); and (b) carrying out outreach, social mobilization and information dissemination campaigns among health service beneficiaries.

Component 2: Economic and Social Inclusion:

This component comprises of supplementary activities to improve selected households’ economic and social inclusion. It is expected to contribute to building and improving human capital among poverty-stricken households. Productive inclusion of selected youth will be enhanced through education/skills training, microfinance and asset transfer. In addition, improvement in early childhood education (ECE) is also a part of this component.

Economic Inclusion (approximately US$40 million equivalent): Promoting the economic inclusion of poor and vulnerable eligible young parents through the provision of technical assistance, goods and training, including and not limited to provide: (a) labour market readiness training; (b) Livelihood Support Grants (“LSGs”) or the Productive Assets; and (c) intensive coaching aimed at improving adaptive productive behaviour to help increase resilience of households of the eligible young parents.

Social Inclusion for Education (approximately US$30 million equivalent): Strengthening the selected education programs/ initiatives through: (a) conducting an initial needs assessment; (b) filling the gaps in learning through training of school-related staff; (c) developing detailed lessons; (d) conducting specialized early childhood education social mobilization campaign; (e) upgrading classroom facilities to be conducive to learning; and (f) establishing and building capacity for a special foundational learning cell in the SED.

Component 3: Efficiency and Sustainability through Social Protection Services Delivery Systems and

Project Management

Modernizing and improving coordination and interoperability of Punjab’s social protection systems and programs by strengthening the administrative, operational, policy and planning functions and capabilities of Punjab Social Protection Authority (PSPA), including the development of IT systems and technical assistance for: (a) enhancing procurement, financial management, human resources, auditing and monitoring and evaluation functions; as well as (b) upgrading and/or customizing systems for identifying and mobilizing program beneficiaries, defraying benefits and/or rendering welfare services/program, and redressing grievances

Key Principles of the Project:

Poverty targeting:

For objective targeting based on the household poverty status, the NSER will be used.

Geographic targeting of most vulnerable districts:

Initially, 11 out of 36 districts in Punjab have been prioritized. Among these 11, 8 districts are from South Punjab, where poverty is more concentrated The number of districts covered by the project depends on the scope and cost of planned activities, as well as available resources.

Integrated, but selective approach

Interventions will be integrated (addressing both demand and supply challenges) in the same set of locations within the same households, multi-sectoral (health, education, SP) and selective (complementing existing programs).

Gender-focused:

The Project will: (i) address gender gaps in immunization and school enrolment for early education; (ii) promote ante-natal care (ANC) and skilled birth attendance; and (iii) address specific constraints faced by women in income-generating activities and diversification of income sources among the potential beneficiaries.

Key Achievements of PHCIP:

Institutional Arrangements

Institutional arrangements with all components, counterparts, and stakeholders.

Three Project Steering Committee (PSC) meetings under the Chair of Chairman Planning & Development Board, Punjab have been conducted.

Conducted 3 Project Coordination Committee (PCC) meetings at Planning & Development Board, Punjab with the participation of all components of PHCIP.

Constitution & notification of District Coordination Committees (DCCs) for the smooth operations in the 11 target districts of Punjab Human Capital Investment Project (PHCIP).

Health Services Quality and Utilization

Institutional arrangement with NADRA for CNIC and family verification of BISP beneficiaries.

Institutional arrangement with the Bank of Punjab as payment service provider for the disbursement of Conditional Cash Grants under Aaghosh (Health & Nutrition Conditional Cash Transfer) Program.

Training of 300 plus Lady Health Visitors on Electronic Medical Record (EMR) Application including beneficiary enrolment criteria, process of data entry and detailed orientation of payment cycle for pregnant & lactating women (PLW) under Aaghosh Program in district Bahawalpur & Muzaffargarh.

Engaged 100 plus Lady Health Workers (LHWs) and trained them on Social Mobilization and Behavioural Change Communication (BCC) interventions to sensitize targeted households about the services & facilities offer for PLWs under Aaghosh (H&N CCT) Program of PHCIP.

Economic Inclusion

Contract agreement with Institute of Rural Management (IRM) in joint venture with National Rural Support Program (NRSP) as an Implementation Partner for economic inclusion component (Package-1: District Muzaffargarh & Bahawalpur and Package-2: District Rahim Yar Khan & Rajanpur).

Acquired data from National Socio-Economic Registry (NSER) from updated Survey of 2018-2019, Benazir Income Support Program (BISP).