CHD is the acronym and working name of the Chibistan Health Directorate, it is Chibistan's official health body and acts similar to a ministry. Unlike most other directorates of Chibistan, CHD's work is not limited to the geographical location of Chibistan; it is actively laying the foundations of a primary healthcare service throughout the surrounding remote northern areas of Pakistan. Our services are available for all citizens completely free of charge; irrespective of race, religion, caste or creed; and are for all echelons of society, rich or poor. Discrimination is not tolerated.
We are funded primarily by The Chibistan Trust. However, we are aware that if we are to fulfil this colossal task, we are going to need help. We therefore seek advice, co-operation, support and even partnership from like-minded individuals and organisations from around the world.
Sohail bin Younus
THE CHIBISTAN TRUST
The Trust wholeheartedly supports CHD and looks forward to the day when a primary healthcare service can be accessed by all. To bring about such a change is a painful and slow processwhen it involves changing the mindset of a nation. In the meantime we cannot afford to be armchair critics, but rather, we must immerse ourselves in actively playing our part in making Pakistan a great nation.
"Having the ability to save lives and restore good health are blessings. Yet it’s not easy…
A typical day brings with it tired legs, aching feet, fatigued arms and an exhausted brain. But by the end of the day I forget all that, as my heart is proudly satisfied of what I have achieved that day. That’s me, a happy soul!"
The World Health Organisation defined “health” as “a state of physical, mental and social wellbeing and not merely the absence of disease or infirmity” (WHO, 1946).
Healthcare facilities should provide a therapeutic environment in which the overall design of the building contributes to the process of healing and reduces the risk of healthcare- associated infections rather than simply being a place where treatment takes place.
In turn, the healthcare planning and design process therefore needs to be correspondingly broad enough to include not only the issues surrounding the treatment of disease, but also the promotion of health and prevention of disease – essentially the creation of a safe and therapeutic care environment.
The Raja of Chibistan
An opportunity to build a new primary care building provides the chance to design a modern state- of- the art facility that inspires and intuitively supports safe, effective and efficient patient care, with the flexibility to meet future developments in healthcare, technology and patient needs. This applies equally to the refurbishment and extension of existing buildings.
With this in mind, the CHD vision is to establish primary healthcare centres in neighbourhoods across inner city areas, urban settings and rural communities across Pakistan.
Do we let young women die needlessly from breast cancer? Pakistan has the highest rates of breast and ovarian cancer in Asia. Breast cancer is the most common as it kills nearly 40,000 women every year in Pakistan. According to the World Health Organization (WHO), breast cancer rates are getting worse and it is not sparing even younger age groups. In the UK however, there has been a dramatic fall in such cases, which can be directly attributed to early diagnosis from breast-screening programmes in the primary healthcare environment.
Acute hospitals deliver specialist healthcare services to a large population. It is more cost-effective and safer to centralise specialist staff and equipment in acute settings, which most patients access less frequently. Acute hospitals are generally made up of a number of specialist departments, each tailored to deliver a specific service from dedicated accommodation.
Primary and community care buildings may deliver a wide range of frequently accessed, less specialised, primary and community care services. Many of these services can be delivered from shared generic accommodation. Such shared use of space is central to the successful design and operation of primary and community care buildings.
The range of services delivered from primary and community care buildings is likely to change more frequently than those delivered from acute hospitals (to reflect prevailing needs, policy and technology). The buildings that house them should be flexible enough to accommodate these changes, including where decisions are taken to deliver hospital services in primary and community care settings.
The CHD places great importance on design quality and to this end, a conscientious effort has been made to follow strategic designs of NHS Primary Care Centres in the United Kingdom.
Integral to the CHD vision is its aim to locate in-house retail pharmacies in CHD Primary Healthcare Centres in inner city areas, urban settings and rural communities across Pakistan.
Positioned at the very front of the building with access directly from the foyer area, a CHD pharmacy can easily be accessed by those not using other centre facilities.
Our diversity of locations brings both opportunities and challenges in supporting developments in pharmacy premises improvements. CHD has identified the need to underpin any extended professional roles for community pharmacists by ensuring that their premises are fit for future purpose. This means addressing a range of potential improvements from access to pharmacies for people with disabilities (e.g. visual, hearing, physical), to the provision of areas allowing greater privacy (e.g. for the provision of emergency hormonal contraception, methadone supervision) or simply for clients’ requiring greater privacy.
In addition, new and emerging technologies, such as robotic dispensing systems, touch screen technology and the electronic transfer of prescriptions, will serve to further improve the efficiency of pharmacies and address some of the workload issues. These new technologies will assist in freeing up time to allow the community pharmacist to further develop their clinical role in caring for patients and better utilise their knowledge and skills. The future design of pharmacy premises will therefore need to take into account these new technologies alongside providing premises which reflect the clinical role of the health centre pharmacist.
In the fee-free environment of a CHD Primary Healthcare Centre, a retail pharmacy is the primary source of revenue. Income is generated from the sale of prescription and non-prescription medicines and general pharmacy associated goods and therefore assists in future self-sustainability.
Imam Muslim mentioned in his introduction to his Saheeh that Abd-Allah ibn al-Mubarak said: “There is no difference of opinion concerning giving charity on behalf of the deceased.” And the Prophet ﷺ said: When a person dies, all his good deeds will also come to an end except for three:
Narrated by Abu Hurairah, Sahih Muslim.
Sa’d ibn ‘Ubaadah’s mother died when he was absent, and he said: “O Messenger of Allah, my mother has died when I was absent. Will it benefit her if I give in charity on her behalf?” The Prophet ﷺ said: “Yes.” S’ad said: “I ask you to bear witness that my garden that bears fruit is given in charity on her behalf.” Narrated by al-Bukhaari, 2756.
Sadaqa Jariyah is the perfect way of honouring the memory of a loved one. The benefits to the deceased and the donor continue for years to come. The donor further benefits from the abundance of du’as made by recipients that are complete strangers to them.
You may have thought about it many times over the years but were never able to do anything about it? It may not have been intentional on your part, but when you have so many responsibilities and commitments in this modern world we live in, many desires and obligations are left unfulfilled. The desire to face your parents on the day of judgement knowing that you fulfilled your duty grows with time.
How then, do you invest in a sadaqah jariyah project that benefits countless people every day, without you having to worry about how to run it?
An opportunity now avails itself that can help you fulfil your sadaqah jariyah wishes for your deceased loved ones; for they will receive the benefit of your donation for many years to come insha’Allah.
At each CHD Primary Healthcare Centre a prominently positioned ‘Thank You’ wall lets everyone see how that particular centre came to be and how it is funded.
Each major donation
A separate plaque honours those from abroad who are making small but vital regular sadaqah jariyah payments via the Chibistan Trust to help fund the running of the Healthcare Centre.
A quarterly Newsletter to your e-mail account keeps you abreast of all the latest developments at CHD
A sadaqah jariyah opportunity also exists to have the primary healthcare centre named after a loved one; It would be named for example: Abbas Ali Memorial - Primary Healthcare Centre
We may even be able to build a centre in or near a location of your choice.
What's on your mind?
Feel free to discuss your ideas and requirements. We are good listeners and here to help!
Read how health and social care started
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In the near future we are not limiting ourselves to primary healthcare...
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