IHHN-led Clinical Engagement Program
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IHHN-led Clinical Engagement (CE) Program Receives Global Award

The Clinical Engagement Program – The UK Aid Fleming Fund Country Grant II, led by the remarkable team at Indus Hospital and Health Network (IHHN), a consortium partner of DAI, won the second annual AMR Industry Alliance award.

The Second Annual Stewardship Prize was awarded by the AMR Industry Alliance, one of the world’s largest private sector coalitions tackling antimicrobial resistance (AMR), with over 100 diagnostic and pharmaceutical companies joining forces. The Alliance promotes innovative and scalable approaches to AMR stewardship in low- and middle-income countries (LMIC).

Background

The Fleming Fund is an initiative by the UK Government to tackle AMR, especially in LMICs. The Fleming Fund has been actively working with Pakistan’s human and animal health sector since 2019. As the lead grantee, DAI is facilitating the Government of Pakistan to become a model for AMR One Health interventions. As one of the partners, Indus Hospital and Health Network (IHHN) is working on empowering healthcare practitioners (HCP) by implementing the CE program.

The Clinical Engagement (CE) program has aimed to enhance interaction between the laboratory and all clinical care providers since January 2021 to improve several aspects identified in AMR containment action plans at six tertiary care public hospitals across Pakistan. These include Jinnah Postgraduate Medical Center (JPMC) and Dr. Ruth K. M. Pfau Civil Hospital Karachi (CHK) in Karachi, Sindh; Sheikh Zayed Hospital (SZH) Lahore and Nishtar Medical University Hospital (NMUH) Multan in Punjab, Medical Teaching Institute Hayatabad Medical Complex (MTI-HMC) in Peshawar, Khyber Pakhtunkhwa, and Provincial Headquarters Hospital in Gilgit, Baltistan (PHQ-GB).

Our Work – Clinical Engagement (CE) Program

The basic framework of the program focuses on three areas: Diagnostics Stewardship, Antibiotic Use, and Infection Prevention and Control (IPC).

The program’s main activities included conducting a Baseline survey based on WHO PPS methodology on antibiotic utilization in target hospitals to measure Antimicrobial Use (AMU) in healthcare facilities. The survey found that Ceftriaxone, a third-generation Cephalosporin, is the most prescribed antibiotic among all six sites and that clinical teams in most hospitals lack the capacity to oversee and implement AMR and AMU surveillance due to poor infrastructure for Antimicrobial Stewardship. Advocacy meetings with higher management have been held, leading to the development of antibiograms to facilitate the selection of empirical therapy, the development of antimicrobial prescription guidelines, and the establishment of a robust antimicrobial stewardship and Infection Prevention and Control (IPC) program in the health care facility. Teaching and training sessions for HCPs have also been conducted.

An endline survey has also been conducted to determine the impact of the CE program. Communications material and teaching aids related to AMR, AMU, and IPC have been disseminated at all these hospitals. Capacity building of the facility-based Microbiology labs is being done at JPMC (ISO 15189 preparedness), NMUH (SOP development and enhancing Internal Quality Control (QC) Practices), and PHQ-GB (Initiation of Microbiology Lab after seven years of dormancy).

Our Team

Indus Hospital and Health Network is proud of its incredible team that has brought international recognition to the CE Program and made it a resounding success.

The program’s senior leadership includes Dr. Saba Jamal, Senior Director of Laboratory and Blood Transfusion Services at IHHN, and Project Director, CE Program; Dr. Nazia Khursheed, Chair Pathology at IHHN, and Principle Investigator in the Fleming Fund Country Grant II: CE program; and Dr. Madeeha Fatima, Project Manager, CE Program.

The program’s six site managers include Dr. Ali Raza, Hayatabad Medical Complex; Dr. Kamran Ahmed Farooqui, Dr. Ruth K. M. Pfau Civil Hospital Karachi; Dr. Sadia Iqbal, Nishtar Medical University Hospital; Dr. Salima Rattani, Sheikh Zayed Hospital Lahore; Dr. Sidra Khan Ghouri, Jinnah Postgraduate Medical Center; Imdad Hussain, Site Coordinator, Provincial Headquarters Hospital; Asim Arif, Grant Coordinator and Finance; and Malik Faheem, Finance.

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Indus Hospital & Health Network is a not-for-profit company registered under section 42 of the Companies Ordinance 1984. The company has tax exemptions under the Income Tax Ordinance 2001.

Charity Registration No. PCP-R2/2019/234 National Tax No. 3162706-4
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Indus Hospital & Health Network is a not-for-profit company registered under section 42 of the Companies Ordinance 1984. The company has tax exemptions under the Income Tax Ordinance 2001.

Charity Registration No. PCP-R2/2019/234 National Tax No. 3162706-4

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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.

There is no Zakat on the wealth of a minor.

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

Yes, you can exclude this loan, but if your wealth increased by Zil-Qadah, then Zakat will be due on the extra amount as well.

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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