YouthAIDS
AIDSMark



Greenstar Social Marketing Pakistan


Program
Focus:
HIV/AIDS, malaria, reproductive health, child survival

Target
Regions:
Nationwide

Target
Population:

Low income married women of reproductive age and sexually-active groups at risk of sexually-transmitted infection HIV/AIDS transmission


2006 Estimated Health Impact:

Unintended pregnancies averted: 1.1 million (explained)

Episodes of malaria averted: 7,900 (explained)


Products:





 

Safeload IUD since 2006

PUR
safe water treatment since 2005

Novodol oral contraceptive since 2005

Baby Active infant food fortification since 2005

Supernet insecticide-treated mosquito net since 2005

Femi-ject injectable contraceptive sine 2003

Clear 7 STI kit since 2003

Clean Delivery Kit since 2003

Megestron injectable contraceptive since 2002

Female Voluntary Surgical Contraception (VSC) since 2001

Postinor2 emergency contraception since 2001

Vitalet since 2000

Touch condom since 1996

Novaject injectable contraceptive since 1996

Lo-Femenal oral contraceptive since 1996

Nova oral contraceptive since 1996

Multiload IUD since 1995

Sathi condom since 1987


Local
Collaboration:
Government of Pakistan, PAVHNA, Save the Children-US, Population Council, JSI, National Rural Support Program, The Future’s Group, CONTECH, JHU/CCP, Mercy Corps, AKU, NCMNH, and others.

Current
Donors:

British Department for International Development (DFID)

The David and Lucile Packard Foundation

The Federal Republic of Germany through KfW Entwicklungsbank (the German development bank)

The Global Fund To Fight AIDS, Tuberculosis and Malaria (Global Fund)

The Johns Hopkin University (JHU-CCP)

John Snow Inc.

The Micronutrient Initiative

Procter & Gamble

United Nations Population Fund (UNFPA)

UNAIDS

U.S. Agency for International Development (USAID)


Year Program Began: 1987

Project Activities and Highlights

Natural Disaster Relief

•

Immediately after the October 2005 earthquake hit Pakistan, PSI/Greenstar introduced PuR to survivors. Working with UNICEF and other key partners, PSI/Greenstar has distributed more than 7 million PuR sachets – enough to treat 70 million liters of water, supplying an estimated 70,000 families. Communication and monitoring campaigns continue to be conducted among partners and communities on proper use of PuR and the importance of safe water and sanitation. Working with UNFPA, Greenstar is reaching women in need with reproductive health products and services. In addition, Greenstar is working to help 100 private health providers rebuild their services in affected areas.

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HIV/AIDS

• In addition to marketing of disease prevention products, Greenstar has trained more than 700 providers; conducted behavioral, mapping and population-based research amongst high-risk groups; established the New Start clinics in Pakistan catering to high-risk groups. Greenstar established a network of 30 local NGOs to motivate safer behavior, and implemented a two-year peer-outreach program amongst brothel-based female sex workers in the red light district in Hyderabad.
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Malaria

• Greenstar initiated a small pilot project in 2004 to socially market insecticide treated nets (ITNs) in four of the highest risk malaria districts - Karachi, Hyderabad, Lasbela and Muzzafargarh. The project is the first social marketing effort of its kind in Pakistan and targets those at highest risk, especially pregnant women and children under 5 years. Project activities include establishing baseline data on knowledge, attitudes and practice of target audience regarding malaria, its prevention and use of mosquito nets and identifying and training local NGOs/CBOs in net distribution.
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Reproductive Health

• Greenstar
Sabz Sitara
(Greenstar) is among the largest private sector reproductive health networks in the world. Greenstar has trained more than 17,000 private health providers (female and male doctors, female paramedics, and pharmacists) since establishing its continuing medical education and followup service programs in 1995. It was the first, and remains the largest, such network within the PSI world. Greenstar clinics are nationally recognized for delivering comprehensive, affordable, international-quality health products and services to more than 10 million low-income clients per year throughout Pakistan. The network provides 19 products and services toward the objective of family health for low-income Pakistanis.
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Child Survival

• Iron-Folic Acid, Multivitamin Supplements
Given the high rates of anemia among pregnant women in Pakistan, Greenstar will soon be introducing an iron-folic acid supplement to be taken during pregnancy to reduce the chance of birth defects and reduce iron deficiency among mothers. The Vitalet multivitamin is also being re-formulated to boost natural lifetime stores of iron and folic acid for women of reproductive age.
•

Infant Food Fortification
56% of children in Pakistan suffer from iron deficiency anemia. In late 2005, Baby Active sprinkles were introduced containing a combination of iron, vitamins and iodine to supplement the diets of children aged 6-24 months.

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Tuberculosis

• DOTS
In Pakistan, tuberculosis (TB) poses a serious and growing health problem: WHO ranks Pakistan sixth among the 22 highest burden countries. With the full support and inputs of the National TB Control Program, Greenstar added TB-DOTS to its portfolio of services with funding from the Global Fund in 2005. This large scale project to reduce TB-related morbidity and mortality expands and contributes to the established national TB-DOTS strategy by increasing knowledge and access to high-quality TB-DOTS information and treatment through 1500 Greenstar-trained private sector providers in 5 cities across Pakistan. The program aims to achieve successful completion of treatment of 35,000 TB patients, serving a total population of 25 million.
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Future Plans

  • The Sabz Sitara (Green Star) name has become synonymous with quality, affordable family planning in Pakistan. Therefore, the organization will launch a nonprofit associate called GoodLife to cater to the broader spectrum of health needs, including safe water, nutrition, TB, HIV, and malaria.
• Continue working to reestablish private health capacity in earthquake-affected areas.
• Raise funds for nationwide launch of PuR safe water treatment.

Back to Where We Work

Earthquake victims look on during a demonstration on the use of PUR Purifier of Water.

PSI/Pakistan's Greenstar clinics offer quality, affordable, reproductive health products and information.

Publications

• A Greenstar is Born: Social Marketing Family Planning Services in Pakistan

• Social Marketing Helps Eliminate Iodine Deficiency in Pakistan

• Search PSI's research for studies on Pakistan



• Greenstar Website

• Contact Info
 
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