Last updated: 02/4/2020
Programme objectives

To promote poor people’s access to health services.

References
PMHNP. n.d. “About the program”. <http://www.pmhealthprogram.gov.pk/about-us/>. Prime Minister National Health Program website. Accessed 18 May 2018.
Country
Geographic area
Previous programme name (if any)
 
Institutions and agencies involved
Start date
2015
References
PMHNP. n.d. “Program launch in Islamad”. Prime Minister National Health Program website. <http://www.pmhealthprogram.gov.pk/launch-ceremony/>. Accessed 18 May 2018.
Programme components
Conditionalities (if any)
 
Contribution type and amount
 
Targeting methods
Geographical Targeting
References
PMHNP. n.d. “Frequently Asked Questions”. Prime Minister National Health Program website. <http://www.pmhealthprogram.gov.pk/faqs/> Accessed 18 May 2018.
Targeted areas
Currently, 23 priority districts are being targeted: Isalamabad, Muzaffarabad, Quetta, Kotli, Skardu, Rahim Yar Khan, Khanewal, Narowal, Sargodha, Lasbela, Loralai, Kech, Kech, Diamer, Bajaur Agency, Khyber Agency, Gwadar, Hyderabad, Sajawal, Tando Muhammad Khan, Abbotabad, Mardan, Chitral, and Kohat.
References
PMHNP. n.d. “Launch Plan”. <http://www.pmhealthprogram.gov.pk/districts-covered-by-the-program/> Prime Minister National Health Program website. Accessed 18 May 2018.
Target groups
Poor families.
References
PMHNP. n.d. “Frequently Asked Questions”. Prime Minister National Health Program website. <http://www.pmhealthprogram.gov.pk/faqs/> Accessed 18 May 2018.
Eligibility criteria
People living in the 23 priority districts who earn less than USD2 per day (according to the BISP survey) are eligible for the programme.
References
PMHNP. n.d. “Frequently Asked Questions”. Prime Minister National Health Program website. <http://www.pmhealthprogram.gov.pk/faqs/> Accessed 18 May 2018.
Eligibility reassessment (if any)
 
Type of benefits
Health insurance
Amount of benefits
The programme provides a secondary care package of up to PKR50,000 (which should be increased to 100,000 if exhausted) that can be used for the following health care services: inpatient services (all medical and surgical procedures); emergency treatment requiring admission; maternity services (normal delivery/c-section); maternity consultancy (up to four times before and once after delivery); fractures/injuries; and post hospitalisation services. Another package for priority treatment of up to PKR250,000 per family per year covers: inpatient services (all medical and surgical procedures); heart diseases (angioplasty/bypass); diabetes mellitus; burns and RTA (life, limb saving treatment, implants, prosthesis); end-stage kidney diseases/dialysis; chronic infections (Hepatitis/HIV); organ failure (liver, kidney, heart, lungs); cancer (chemotherapy, radiotherapy, surgery). For indoor treatment, patients are entitled to PKR350 to cover transportation costs three times a year. Free transportation is available for transfer to tertiary care hospitals.
Payment/delivery frequency
PMHNP. n.d. “About the program”. <http://www.pmhealthprogram.gov.pk/about-us/>. Prime Minister National Health Program website. Accessed 18 May 2018. PMHNP. n.d. “Frequently Asked Questions”. Prime Minister National Health Program website. <http://www.pmhealthprogram.gov.pk/faqs/> Accessed 18 May 2018. Popalzai, Hashim. 2017. Prime Minister’s National Health Program’, Benazir Income Support Programme. <http://bisp.gov.pk/wp-content/uploads/2017/01/nser/9_presentation_nser.pdf>. Accessed 18 May 2018.
Benefit delivery mechanism
Services are provided in public and private empaneled hospitals.
References
Popalzai, Hashim. 2017. Prime Minister’s National Health Program’, Benazir Income Support Programme. <http://bisp.gov.pk/wp-content/uploads/2017/01/nser/9_presentation_nser.pdf>. Accessed 18 May 2018.
Benefit recipients
Beneficiaries themselves and their families (defined as husband, wife and any unmarried children).
References
Popalzai, Hashim. 2017. Prime Minister’s National Health Program’, Benazir Income Support Programme. <http://bisp.gov.pk/wp-content/uploads/2017/01/nser/9_presentation_nser.pdf>. Accessed 18 May 2018.
Minimum and maximum duration of benefits (if any)
Beneficiaries themselves and their families (defined as husband, wife and any unmarried children).
References
Popalzai, Hashim. 2017. Prime Minister’s National Health Program’, Benazir Income Support Programme. <http://bisp.gov.pk/wp-content/uploads/2017/01/nser/9_presentation_nser.pdf>. Accessed 18 May 2018.
Coverage
1,428,572 people are currently enrolled (2017)
References
PMHNP website. n.d. <http://www.pmhealthprogram.gov.pk/>. Accessed 23 July 2018.
Programme expenditure
PKR20 billion (allocation for 2017-2018 fiscal year).
References
SDPI. 2017. A Review of Federal Budget 2017-18. Sustainable Development Policy Institute. <https://www.sdpi.org/publications/files/a-review-of-federal-budget-2017-2018.pdf>. Accessed 23 July 2018.
Monitoring and evaluation mechanisms and frequency
The National Database and Registration Authority (NADRA) developed a central management information system, which tracks: the number of enrolled beneficiaries; number of admissions and discharges; level of financial utilisation; complaints management and redressal; hospital claims and reimbursements; and beneficiary feedback. The government also conducts random team visits and third parties should conduct patient satisfaction surveys.
References
Popalzai, Hashim. 2017. Prime Minister’s National Health Program’, Benazir Income Support Programme. <http://bisp.gov.pk/wp-content/uploads/2017/01/nser/9_presentation_nser.pdf>. Accessed 18 May 2018.
Legal Framework
 
MIS
 
Population Group