Updates from late 2022

Current Situation

• Pakistan population: 235,017,405
• Population 60+ years: 15,964,800
• Proportion in rural areas: 62.5%
• Literacy rate: 52%
• Proportion below poverty line: 24.3%
• Health budget 2022-2023: 1.05bn US$
• Health expenditure per capita: 39 US$
• Osteoporosis & fragility fractures: Missing from National Action Plan
• National data on fragility fractures: Not available
• Launched January 20, 2023

Challenges

• Broaden workforce: Engage related disciplines including physiotherapy, nutrition
• Engaging more centers and National Societies
• Developing National Guidelines
• Resources – Administrative Support/Coordinator

Exemplar Initiatives and Programs

• Understanding – retrospective study on current practices re. bone health in hip fractures.
• Benchmarking – Path finder audits for hip and vertebral fractures against IOF best practices.
• Educating – Patient education programme tailored to local contexts, including fall prevention, nutrition and physical activity.

Activities at a National Level

• FFN-Pakistan – Establishment of Board & different forums with specific objectives
• National data – National Hip Fracture Registry under development
  • National engagement – FFN-Pakistan initiated – 12 centres from 8 cities have joined
  • Meeting 1: Jan 2022, Meeting 2: Aug 2022
• Research – Determining the most feasible FLS model for secondary fracture prevention locally – ongoing project in an academic medical center
• Education – Online courses planned for winter 2022 with support from FFN Global experts
• Patient education programme tailored to local contexts
• Bringing Inclusivity: Engaging Nurses
  • CME Webinar Series: Bone & Mineral Matters
  • Role of Nurses in Care of Fragility Fractures
  • Hip Fractures in the acute care setting
  • Role of Nurse Coordinators
• First Inaugural Meeting of Board of FFN-Pakistan 30th Nov 2022

Plans and Area of Focus for 2023

• FFN-Pakistan
  • Promotion of awareness and education on 1st & 3rd pillars of call to action of FFN-Global in Pakistan
  • Facilitate in developing Provincial Chapters of FFN-Pak
• Education and Training Committee
  • Develop educational material for secondary fracture prevention in all local languages
  • Educate physicians, nurses, physiotherapists, nutritionists on SFP
• Communication and Networking
  • FFN-Pak Newsletter
  • FFN-Pak Website development
  • You tube channel
• Scientific Committee
  • Organization of Two Regional Asia pacific Pocket meetings
• Secondary Fracture Prevention SIG
  • Engage multidisciplinary teams in Institutes
  • Ensure maximum institute participation
• Hip Fracture Registry
  • Monitor complete data entry
• Vertebral Fragility Fracture
  • Integration of a vertebral fracture identification service into a fracture liaison service”.
  • Pathfinder Audit for vertebral Fragility Fracture (Different institution)

Partners

• Bone & Mineral Disease Research Group, Aga Khan University
• Pakistan Orthopaedic Association
• Indus Hospital Health Network
• Trauma Centre, Civil Hospital Karachi
• Liaqat National Hospital Karachi
• Services Institute of Medical Sciences Lahore
• Institute of Rheumatic Diseases (IRD)
• Central Park Medical College
• National Hospital & Medical Centre
• University of Health Sciences (UHS) Punjab
• Institute of Neurosciences (PINS)
• Lahore General Hospital, Pakistan
• Allied Hospital/Faisalabad Medical university, FSD
• Nishtar Medical University and Hospital Multan