Build Awareness
Encourage timely care and healthier behaviour.
Sehatmand Pakistan
National Primary Preventive Healthcare Initiative
Dastak Shifa Tak
No Patient Left Midway
A preventive-healthcare initiative designed to reach poor and underserved communities at their doorsteps and workplaces, connecting awareness and screening with assessment, diagnosis, referral, treatment pathways and follow-up.
National Initiative — Beginning from ChakwalThe Challenge
Healthcare Often Begins Too Late
Limited awareness, distance, financial pressure, loss of daily wages, inadequate transport and weak referral or follow-up systems can delay medical care until an illness becomes serious.
Late diagnosis increases suffering, raises treatment costs and places additional pressure on families and healthcare institutions. Preventive healthcare must therefore move closer to where people live and work.
Screening alone is not enough. The pathway should continue towards appropriate care.
The Initiative
From Screening to Continued Care
Dastak Shifa Tak is designed as a continuing preventive-healthcare pathway—not simply a series of temporary medical camps.
Identify Risks
Screen people through approved clinical protocols.
Enable Assessment
Connect concerns with qualified medical review.
Create Referrals
Guide patients towards suitable institutions.
Navigate Treatment
Help patients understand recommended next steps.
Follow Up
Maintain appropriate contact after screening or referral.
Programme Model
One Initiative, Two Connected Responsibilities
Both components operate in parallel: one supports the individual patient journey, while the other addresses the conditions shaping community health.
Dastak Se Shifa Tak
Reaching people who may not otherwise seek preventive care and continuing, where required, towards assessment, diagnosis, referral, treatment and follow-up.
- Awareness and healthier behaviour
- Registration, consent and screening
- Risk identification and medical assessment
- Diagnosis, referral and treatment navigation
- Appropriate follow-up
Healthy Communities
Addressing the environmental, behavioural, social and workplace conditions that repeatedly affect individual and collective health.
- Safe water and sanitation
- Air quality and environmental health
- Food safety and healthier lifestyles
- Green cover and cleaner surroundings
- Workplace health and local responsibility
Dastak Se Shifa Tak
The Patient Pathway
A connected journey designed to prevent patients from being left without guidance after a health risk is identified.
STEP 1AwarenessUnderstanding risks and early action.
STEP 2Healthier BehaviourPractical change and timely advice.
STEP 3RegistrationRecords, consent and safeguards.
STEP 4ScreeningApproved preventive checks.
STEP 5Risk IdentificationRecognising further-care needs.
STEP 6AssessmentQualified professional review.
STEP 7DiagnosisAppropriate diagnostic services.
STEP 8ReferralConnection to suitable institutions.
STEP 9Treatment NavigationGuidance through next steps.
STEP 10Follow-UpAppropriate contact after referral.
The journey must not end at screening.
Healthy Communities
Addressing the Conditions That Shape Health
Individual treatment cannot create a healthy society if people continue living or working in conditions that repeatedly harm their health.
Safe Water
Identifying risks associated with unsafe drinking water.
Sanitation
Promoting safer sanitation practices and infrastructure.
Air Quality
Addressing practical indoor and outdoor air-quality risks.
Food and Lifestyle
Promoting hygiene, activity, healthier diets and tobacco avoidance.
Environmental Health
Supporting cleaner areas, waste management and green cover.
Workplace Health
Identifying preventable risks across formal and informal work.
Doorstep and Workplace Outreach
Reaching People Where They Live and Work
Doorstep Outreach
Health awareness and approved screening within villages, neighbourhoods, peri-urban areas and other underserved communities.
Workplace Outreach
Preventive-health engagement with workers who may find it difficult to visit healthcare facilities during normal working hours.
Safe and responsible outreach: All activities must follow appropriate clinical, consent, privacy, safeguarding and occupational-safety requirements.
Starting PointChakwal Model
Building the Model Before Wider Expansion
Chakwal is the starting point for developing and implementing the structured Dastak Shifa Tak model.
The programme will integrate population assessment, community mapping, approved screening protocols, referral pathways, patient follow-up, volunteer engagement, data systems, risk management and impact measurement.
The model will be documented, reviewed and improved before wider replication.
A National Vision Built on Collaboration
The long-term ambition is to create a credible platform that other institutions and districts can adopt, adapt and support. This is an aspiration—not a claim that nationwide implementation has already taken place.
The scale of the challenge requires a national movement, not the effort of one organisation alone.
Referral and Patient Navigation
Connecting Patients with Appropriate Care
A screening programme becomes meaningful only when people can access suitable assessment, guidance and treatment pathways.
Referral Network
The proposed district- and tehsil-level directory may include government, charitable, nonprofit and approved private hospitals, diagnostic centres, specialist clinics, rehabilitation services and welfare organisations.
- Clinical suitability
- Geographic accessibility
- Affordability and availability
- Institutional consent
- Dignity and confidentiality
- Follow-up capability
Patient Navigation
Navigation can help patients understand referrals, locate appropriate institutions, prepare documents, identify possible assistance and report referral outcomes.
- Explain next steps
- Support appointment coordination
- Guide documentation
- Identify possible welfare support
- Record outcomes
- Follow up appropriately
Patient navigation does not guarantee free treatment or acceptance by another institution unless a formal arrangement exists.
Community Ownership
Reconnecting People with Their Places of Origin
National and overseas Pakistanis can reconnect with communities of origin through professional advice, patient support, local organisation and responsible development.
Connection That Continues
A person may leave a community, but responsibility and connection need not end.
Contributions may support screening, safe water, sanitation, environmental improvements, scholarships, livelihoods and institutional relationships.
Satellite Integrated Development Clusters
Where sufficient local commitment exists, a cluster may coordinate preventive health, patient navigation, environment, education, livelihoods, volunteers and local resources.
Each cluster should be based on verified need, participation, clear leadership and measurable outcomes.
Volunteers and Community Workforce
Mobilising People for Preventive Health
Volunteers can support the initiative through appropriate training, supervision, safeguards and clearly defined roles.
University and College Students
Approved awareness, registration, community mapping and non-clinical activities.
School Scouts and Medical Marshals
Age-appropriate health awareness and basic support roles within strict limits.
Retired Professionals
Experience, coordination and leadership from medical and other professional fields.
Community Volunteers
Mobilisation, communication, follow-up and identification of vulnerable people.
Clinical Professionals
Qualified supervision and approved clinical responsibilities.
Codes and Safeguards
Defined training, conduct, supervision and reporting requirements.
Volunteers must not diagnose, prescribe or perform clinical tasks beyond their qualifications and authorised roles.
Institutional Partners
Collaboration Across Society
A credible preventive-healthcare model requires healthcare, research, technology, governance, community and resource partnerships.
Government and administration
Healthcare institutions
Universities and colleges
Corporate sector
Chambers of commerce
Professional bodies
Insurance and Takaful
Community organisations
Technology, Data and Safety
Responsible Information. Safe Screening.
Technology can support better decisions only when patient privacy, clinical governance and safeguarding remain central.
Data Protection
- Informed consent
- Minimum necessary data
- Medical confidentiality
- Role-based access
- Secure storage and cybersecurity
- Responsible retention and reporting
- Protection of children and vulnerable people
No identifiable patient information should be published without lawful authority and informed consent.
Clinical Governance
- Qualified supervision
- Approved screening scope and protocols
- Equipment and infection-control standards
- Emergency response and referral thresholds
- Consent, documentation and safeguarding
- Quality assurance and incident reporting
Monitoring and Impact
Measuring the Complete Healthcare Pathway
Success should be measured by more than the number of people screened. Every published figure must be verified, dated and tied to a defined reporting period.
People Reached
People Screened
Risks Identified
Assessments Required
Referrals Completed
Diagnoses Confirmed
Treatment Pathways Begun
Follow-Up Completed
Communities Reached
Workplaces Engaged
Volunteers Trained
Patient Satisfaction
Frequently Asked Questions
Understanding the Initiative
Is Dastak Shifa Tak a medical camp?
No. It is intended as a continuing preventive-healthcare pathway connecting screening with assessment, diagnosis, referral, treatment and follow-up.
Is the initiative already operating throughout Pakistan?
No. Chakwal is the starting point for developing and testing the structured model. Wider expansion will require additional partners, evidence, planning and resources.
Does screening guarantee free treatment?
No. Treatment arrangements depend on the receiving institution, patient eligibility, available welfare resources and formal partnership agreements.
Will volunteers diagnose patients?
No. Diagnosis and medical treatment must remain under appropriately qualified healthcare professionals.
Who can become a partner?
Government institutions, healthcare providers, universities, businesses, professional bodies, development partners and suitable community organisations may discuss participation.
How will patient information be protected?
Patient information should be handled through approved consent, privacy, security and medical-confidentiality procedures.
Sehatmand Pakistan
From Awareness to Action. From Screening to Treatment.
Dastak Shifa Tak seeks to build a pathway through which communities are reached, risks are identified and patients are not abandoned after screening.
No Patient Left Midway