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INDUS HEALTH NETWORK JOINS HANDS WITH MONHSRC TO ORGANIZE NATIONAL VISION FOR SURGICAL CARE 2025

Islamabad, November 15, 2018: Pakistan’s premier health services institution, The Indus Health Network (IHN) has collaborated with the Ministry of National Health Services Regulation and Coordination (MONHSRC) and hosted the Stakeholder Engagement Conference for National Vision for Surgical Care (NVSC) 2025 today at Serena Hotel, Islamabad.

Additional Secretary for National Health Services, Regulations and Coordination, Iqbal Durrani inaugurated the NVSC 2025 Conference advocating the need for strengthening surgical systems in Pakistan and creating a roadmap which includes development of infrastructure, technical expertise and service delivery. The conference was attended by the federal ministries, provincial government departments, local and international surgeons, anesthetists and obstetricians.

NVSC 2025 Conference was led by the Indus Health Network in collaboration with the Ministry of National Health Services Regulation and Coordination (MONHSRC), with technical support from the World Health Organization and Harvard Medical School – Program in Global Surgery and Social Change. A steering committee of 25 local and international experts guided the process. The steering committee was chaired by Dr. Safi Malik, Director Programs-MONHSRC and Dr. Sania Nishtar, President Heartfile.

Globally 5 billion people lack access to safe and lifesaving surgical care. Majority of these individuals live in Lower Middle Income Countries including Pakistan. Moreover, 16.9 million people die from surgically preventable diseases each year and approximately 28-32% of the global disease burden is attributed to surgically treatable conditions. This includes childbirth complications, cancer related surgeries, surgeries that can improve vision – such as cataracts, heart disease related surgeries and much more. Additionally, unsafe surgical care can cause substantial harm and can create further complexities.

Commenting on the positive development in the medical arena of Pakistan, Dr. Assad Hafeez, Director General of MONHRSC stated, “To deal with this growing global health problem, member states including Pakistan signed a resolution at the 68th World Health Assembly in 2015 promising to strengthen surgical systems as an integral component of universal health coverage. Through this initiative, Pakistan will be the first Asian country to adapt a locally relevant version of this framework.”

John G. Meara, MD, DMD, MBA, Kletjian Professor of Global Surgery and Director of the Program in Global Surgery and Social Change and Professor of Surgery in the Department of Surgery, at Harvard Medical School said “Providing safe, affordable, timely surgery will save millions of lives and trillions of dollars in lost productivity. Agencies should play a critical role in integrating surgical care into health system strengthening and sustainable development if they want to achieve meaningful, long-lasting outcomes.”

Dr. Walt Johnson, MD, MBA, MPH, Head for Emergency and Essential Surgical Care Program at World Health Organization, and Clinical Professor of Neurosurgery at the Loma Linsa University Medical Center added “Most people assume that surgery is very expensive. But it’s been shown for a number of years that it’s actually quite cost effective,” He further added “To bring the 88 lowest-income countries up to the standard-of-care of middle-income countries would cost about US$ 420 billion over 15 years, which seems like a lot, but if you don’t do that, the total cost in disability and lost productivity would be more than US$ 12 trillion over the same time period – so it’s a very good investment,” Moreover he said  “We need to see surgery as an investment, not a cost. It’s an important distinction.”

Speaking at the event, CEO of IHN, Dr. Dr Abdul Bari Khan stated, “The strategic approach for NVSC 2025 involves stakeholder engagement, situational analysis of current surgical system, consensus on a roadmap and eventual drafting of provincial surgical plans and their implementations”. He further said that, “As a next step, provincial plans will focus on implementation of frameworks through six domains which include infrastructure, service delivery standards, workforce, information management, finance and governance relevant to surgical care delivery.”

Through the NVSC 2025 Conference, Pakistan is working towards improving health strategy to ensure that adequate, lifesaving surgical care is universally available.

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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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