Indus Hospital & Health Network and Government of Sindh working together to make a Sindh & Pakistan healthier

Pakistan, the fifth largest country in the world (by population) has a mixed health system comprising public and private hospitals for its 230 million people. Sindh, Pakistan’s second-largest province (by population), has a total population of 47.9 million. Its capital Karachi, the most populous city in Pakistan, has a relatively high population growth rate in Pakistan, at 2.4% per year, driven mainly by the constant influx of poor rural migrants. Although the wealthy households living in urban areas have sufficient access, the urban poor, living in slums coupled with insufficient infrastructure and social services, end up being exposed to health problems more than the general population. Indus Hospital & Health Network has always been on the frontline in providing quality healthcare services to the under-served population of remote areas. Through a public-private partnership, IHHN has been working with the Sindh Government to help serve the region and make universal healthcare a reality.

IHHN & Government of Sindh Public-Private Partnership

In the health sector, Public-Private Partnerships are defined as institutional relationships between the government and the private sector to achieve a shared goal based on a mutually agreed division of labor and resources. They are supported by larger legal frameworks, institutional frameworks, and sustained political championing.

Achievements & Collaborations

Since the Indus Hospital & Health Network came into existence on the soil of Sindh, it has had a natural connection with the people of the province. The hospital started working through the support of common people and donation, however, soon it started collaborating with the provincial government through public-private partnerships.

The Government of Sindh (GoS) has a special focus on the betterment of citizens’ lives, especially on their healthcare. To materialize its vision of health for all, the Government has started supporting Indus by donating a generous amount of PKR 2 billion per annum. The donation was amplified by a grant for the grey structure of the new Indus Hospital. Appreciatively, the grant has helped Indus in completing the building much before its estimated time and the management of IHHN is grateful to the Honorable Chief Minister of Sindh, Syed Murad Ali Shah, Minister for Health, Sindh, Azra Fazal Pechuho, and Secretary Health, Syed Kazim Hussain Jatoi for their support.

The Sindh Government’s initiative to contract out government health facilities to private partners is based on the intent for quality and cost-efficient services. They have displayed a high level of commitment to improving the performance of the health sector and the health indicators of the province.

The Finance Department of the Sindh Government has implemented a large-scale PPP initiative with the IHHN. Health PPPs are organized under the oversight and accountability structures of a broader PPP initiative. A high-level PPP Policy Board, headed by the Chief Minister of Sindh, was created to formulate PPP policy in the province.

With the assistance and funding provided through partnering with the Government of Sindh, IHHN has expanded its network throughout the province and has made significant steps toward achieving its goal of providing quality and free healthcare to all.

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Syed Murad Ali Shah

Chief Minister of Sindh
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Azra Fazal Pechuho

Provincial Minister for Health, Sindh
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Dr. Kazim Hussain Jatoi

Dr. Kazim Hussain Jatoi

Since 2015, IHHN is managing the 300-bed District Headquarter Hospital, Badin. In 2018, the relocation of the campus took place, and presently all inpatient, outpatient, Emergency, and Day Care services are being carried out at the new campus.

After seeing the improved health indicators of Badin, the Government of Sindh and IHHN decided to take a step further by establishing the Physical Rehabilitation Center to help physically challenged people.

IHHN’s Regional Blood Center, Jamshoro supports four operational blood banks that are providing safe and screened blood to 800-bed Liaquat University of Medical & Health Sciences; a 700-bed Civil Hospital; and District Headquarter Hospital, Badin; and Civil Hospital, Thatta.

In February 2021, IHHN established a dedicated Pediatric Hematology and Oncology clinic at District Headquarter Hospital Badin to treat childhood cancer patients.

The Government of Sindh has played a revolutionary role in tackling the COVID-19 pandemic. It took prompt measures to control the virus by locking down the city, establishing new healthcare facilities, and upgrading the existing ones with the support of the Indus Hospital & Health Network. 

The honorable CM sought IHHN’s expert advice by including Dr. Abdul Bari Khan in his Special Task Force. With their combined efforts, the IHHN was successful in implementing the following measures: 

Indus Hospital & Health Network helped the Government of Sindh in setting up a 100-bed Quarantine Center in Dumba Goth. as well as a 120-bed COVID-19 Hospital in Gadap Town, and a 20-bed COVID-19 Unit in Badin. 

IHHN was a major testing center for samples collected at government-run hospitals. It received samples from districts Thatta, Badin, South Karachi, West Karachi, Korangi, and Central Karachi. Indus is also helped in establishing the Expo center HDU.During the COVID-19 pandemic, IHHN helped the Government of Sindh set up a 100-bed Quarantine. Now all IHHN campuses are providing COVID-19 vaccination. 

IHHN started a dedicated Clubfoot clinic at Taluka Hospital, Kandh Kot in 2020

Zakat is one of the five pillars of Islam. It is the specific amount of wealth that a mature Muslim, who is Sahib-e-Nisaab, gives to the poor with the intention of Zakat, upon the completion of the Zakat year.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

The meaning of Nisab is a specific amount of four types of wealth, which if owned by a mature Muslim, Zakat will be compulsory upon. The four types of wealth are:

  • Gold (7.5 Tolas, 87.48 Grams)
  • Silver (52.5 Tolas, 312.36 Grams)
  • Business wealth (value of which equals 52.5 Tolas Silver)
  • Currency/Cash (value of which equals 52.5 Tolas Silver)

Zakat is not just a fundamental pillar of Islam. It is also a revolutionary concept with the potential to ease the suffering of millions around the world.
As Allah (SWT) tells us in the Holy Qur’an:
“And be steadfast in Salah (prayer), and give Zakah. Whatever good you send forth for yourselves, you will find it with Allah. Certainly, Allah is watchful of what you do.” (Qur’an 2:110)
It is also a right that the poor have over us.
“And those in whose riches there is a specified right. For the one who asks and the one who is deprived.” (Qur’an 70:24-25)

Zakat is 2.5% of the wealth one possesses above the Nisab.

If someone is a Muslim, non-Sayyid, and they do not possess 52.5 Tolas silver, or its value in gold, currency, business wealth, or wealth surplus to their needs, they are eligible to receive Zakat.

No, Zakat is only obligatory upon Muslims.

There are eight categories of people who are eligible to receive Zakat:
  1. The poor
  2. Needy
  3. Administrators of Zakat
  4. Those whose hearts have been recently reconciled
  5. Those who have been enslaved
  6. Those in debt
  7. In the cause of God
  8. Travellers (including refugees)
As Allah (SWT) tells us in the Holy Qur’an: The Sadaqat (prescribed alms) are (meant) only to be given to the poor, the needy, to those employed to collect them, to those whose hearts are to be won, ¹⁹in the cause of the slaves and those encumbered with debt, in the way of Allah and to a wayfarer. This is an obligation prescribed by Allah. Allah is All-Knowing, Wise.

‘Hawl’ refers to a lunar year. E.g. When a person achieves the Nisab for the first time, then from this date till the same date in the next lunar year his ‘Hawl’ is complete.

For Zakat to be due, it is a condition for one lunar year to have passed. If one lunar year hasn’t passed on someone’s wealth, then Zakat is not due.

Yes, Zakat will be due at the time of Zakat due date for this amount. Even though a year hasn’t passed on having the amount. This is known as ‘Maal-e-Mustafaad’ in Shariah terms, as in wealth received midway through a year.

The midway of a year is not taken into consideration, but the zakat due date is considered. For example, you Zakat due date is the first of Ramazan , and before the first of Ramazan, your wealth decreased to below the Nisab, but on the coming of the first of Ramazan, your wealth met the Nisab criteria, then Zakat will be due. The drop earlier in the year beneath the Nisab criteria will not be considered

Yes, you will still be required to pay Zakat of 2.5%. For the payment of Zakat, ‘intention’ or ‘Niyyat’ is mandatory and common charity/donation cannot be considered as Zakat. Therefore, you are required to calculate your Zakat on your Zakat calculation date and then the calculated amount may be given to the identified Mustahiq-e-Zakat either in full or in tranches throughout the year, with the intention of that amount being considered as Zakat only.

For every year that you owe Zakat, take 2.5% from the total wealth you had at the end of that year and pay that in Zakat. If you are not sure how much wealth you had, you must estimate it to the best of your ability. For example, it is now Ramazan 2022. You have not paid Zakat for the last 5 years. You need to work out how much wealth you owned every Ramadan for the last five years and pay 2.5% of that.

The best way for you to do this would be to take the jewellery to a jeweller and ask them to value just the gold and silver parts of the jewellery. The valuations they give will be the total on which you have to pay Zakat. Precious stones are not liable for Zakat.

If money for Hajj has been paid and the place has also been confirmed, then there is no Zakat on this amount. But if the Zakat date falls before payment, then there will be Zakat due on this amount.

Yes, Zakat is due on this amount. But it is up to you – you can either pay Zakat on the amount each year, or when the money is received, you can pay for the previous years.

If your friend accepted that he had the debt and did not deny it, then Zakat is due on this amount. Calculate your zakat here

In this scenario, there is no Zakat due on the house value. However, whatever rent was received, add this to your other wealth on which Zakat is due and pay the total due Zakat amount for the Zakat year. Also, there is no Zakat on the house until you sell it. Once you have sold the house and received the money, then there will be Zakat payable on that amount, if it remains in your possession till your Zakat due date.

Every year at the time of paying Zakat, you would need to calculate the total selling price for all the goods for sale in your shop. For example, all the clothes for sale in your shop add up to a total selling value of a particular sum of money. You would add this to your other wealth when calculating your total payment.

If you haven’t received the funds, then Zakat isn’t due. But if you have received the funds, Zakat is due.

This amount is the group’s collective ownership. Thus, each participant will pay Zakat on his/her share, or permission can be given to one person who will pay Zakat from the fund on behalf of everyone.

In Shariah terms, poor and needy is classified as someone who does not have the Nisab amount in their ownership. The meaning of Nisab here is 52.5 tolas silver or the equivalent of that in cash/gold, or extra to what is needed.

Zakat cannot be given to ‘Usool’ and ‘Furuu’. ‘Usool’ is parents, grandparents and so on. ‘Furuu’ is children, grandchildren and so on. Similarly, Zakat cannot be given to husband or wife. Besides this, Zakat can be given to other relatives.

If the orphan doesn’t possess the ‘Nisab’, and he isn’t a ‘Sayyid’, then he can be given Zakat. If he possesses something of the value of nisab, he cannot be given Zakat.

Zakat can only be given in those projects wherein possession is achieved of the Zakat amount. This means the person who can claim Zakat and is eligible for Zakat payment becomes the owner of the amount. Thus, to give food, clothing, medicine etc. to a poor person from the Zakat money is permissible. And those projects wherein ownership of the Zakat money is not achieved, Zakat cannot be given for example, spending in Masajid, digging wells etc.

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