Heroin smuggling across international borders in the form of "body packers"

To detect the body packers at international border and how to manage them. Patients brought by law enforcement agencies from international departure lounge were admitted and their CT scan abdomen scout view was performed and capsules were counted. They were keenly observed and treated symptomatic along with laxative. Stool was checked for capsules every time they went to toilet. Capsules were collected, opened or cut and examined for chemical assay. They were discharged and handed back to law enforcement agencies after clearance. The study was done at National Poison Control Center and Department of Radiology in Jinnah Postgraduate Medical Centre, Karachi from 1999 to 2002. out of 380 cases of body packers reported to NPCC ended up in 2 mortalities that gave the recovery rate of 99.47%. The complications observed were intestinal obstruction [2], intestinal perforation [1], respiratory depression, and coma [2]. CT scan [scout view] is mandatory and become a potential document for giving clearance certificate to the body packers

Introduction of voucher scheme in 6 union councils of Tehsil Choa Saiden Shah, district Chakwal [MoH- UNFPA supported district] for pregnant women to reduce maternal mortality

To reduce maternal and neonatal mortality rates encouraged by a 'voucher' system for provision of free transport service to the pregnant women mothers: Voucher scheme along with community transport system was established to reduce 2[nd] delay in maternal mortality/ morbidity for marginalized populations in MOH-UNFPA supported district Chakwal. Under SMTS program ambulances was parked in each union council to provide emergency transport services. The vouchers were available to all service providers and each voucher will be used for a single referral case. The study was done in 6 union councils of district Chakwal during 4[th] November 2008 to 4[th] February 2009. After the implementation of scheme there were 453 beneficiaries out of which all were reported in time to health care facility and no mortality/ morbidity were reported. The result showed that SMTS is found to be a beneficent scheme for the people of CSS as it remarkably reduces the maternal mortality and morbidity