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4 th ANNUAL PUBLIC HEALTH CONFERENCE 2 3 December, 2013 Public Health in Pakistan: A Decade of Past Experiences and Future Challenges 2 nd December, 2013 Registration (8:00 9:00 AM) Inaugural (9:00 9:30 AM) Recitation Welcome Address: Dr. Assad Hafeez (Executive Director, Health Services Chief Guest: Mr. Imtiaz Inayat Elahi (Secretary, National Health Services Regulations & Coordination) : Samina N. Khalid (Assistant Professor, Health Services Plenary Session-I (9:30 11:00 AM) Technical Resource Facility Theme: Strategic Applications of Health Strategies person Mr. Imtiaz Inayat Elahi (Secretary, National Health Services Regulations & Coordination. Prof. Dr. Masoom Yasinzai (Vice Chancellor, QAU) Mr. Farooq Azam (Team Leader, Technical Resource Facility) Dr. Mariyam Sarfraz (Instructor, Health Services Academy.) Rapporteur Dr. Amna Maqbool/Dr. Sheze Haroon (Public Health Students) Key Note Begum Shehnaz Wazir Ali (person, Population Association of Pakistan) Speaker KPK Health Strategy Punjab Health Strategy Sindh Health Strategy Remarks by Chief Guest: Mr. Imtiaz Inayat Elahi (Secretary, National Health Services Regulations & Coordination) Tea Break (11:00 11:30 AM) Poster session (11:00 11:30 AM) Sessions (11:30 1:30 PM) Sessions I (Hall A) IPAS-PNC-NCMNH II (Hall B) World Health Organization III (Hall C) Iv (Hall D) Themes Preventing Unsafe Abortions in Pakistan Nutrition: A call for action towards Improved Nutrition and food security Dr. Zafar Ikram (ADG Health Services /Provincial Dr. Nima S. Abid (Country Director, WHO) Coordinator MNCH, Punjab) HMIS Dr. Birjees Mazhar Qazi (Executive Director, NIH) Policy /Strategy Mr. Farooq Haroon (Advisor, SRSP KPK) Co-chair Dr. Azra Ahsan (Consultant Obstetrician, Technical Consultant NCMNH-Ipas Pakistan) Ms. Nighat Durrani (Registrar Pakistan Nursing Council) Dr. Baseer Achakzai (Director Technical, NHSR&C) Dr. S. M. Mursalin (Technical Coordinator, HIS, WHO) Dr. Fazal-e-Hakim Khattak (Deputy Chief Health, Planning Commission) Dr. Kizar Ashraf (Program Officer, Nutrition, WFP) Dr. Muhammad Isa (USAID) Dr. Arshad Mehmood (Director, Monitoring and Evaluation-JSI) Ms. Rahal Saeed (Communication Specialist, NCMNH) Dr. Rukhsana Khan (Assistant Professor, Health Services Mr. Aijaz Ali (Instructor, Health Services Dr. Katrina A. Ronis (Assistant Professor, Health Services Rapporteur Dr. Ahmad Abdullah (PhD Fellow Health Services / Dr. Zamurd Khan Dr. Rozina Khalid/Mr. Abdul Momin/ Dr. Waseem Iqbal/ Dr. Kiran Yousaf Ms. Aimen Saleemi/ Dr. Fatima Ali/ /Dr. Qaiser Khan Dr. Mehreen Mujtaba/ Dr. Imran Ms. Kanza Kaleem Discussant Dr. Gul Rashida (Director HR &Trainings, Population Council Pakistan) Dr. Shakila Zaman, (Professor, LMDC) Mr. Abdul Wahab (Project Coordinator,HRIS, DoH Punjab) Dr. Muhammad Najeeb (Director, External Publicity Wing, Ministry of Information Technology) Key Note Professor Ghazala Mehmood (Dean QPGMI/Executive Member SoGP) Dr. Sania Nishtar (President, Heartfile) Dr. Ejaz Qadeer (Program Manager, NTP) Dr. Babar T. Shaikh (Program Manager, AKHS) 1. Post-abortion complications and care in 1. Inter-sectoral action for nutrition - pportunities and challenges for Paskistan (Dr. Shehla Zaidi) 1. Assessment of Civil Registration and Vital Statistics in Pakistan- 2013 (Dr. 1. Post-Devolution Strategies for Family Planning in Pakistan (Dr.

Pakistan findings from the national study (Dr. Zakir Hussain Shah) 2. Expanding provider base for safe postabortion care in Pakistan Experience and lessons learned from Ipas-PNC-DoH project on integration of PAC (misoprostol) into the Mid Level Providers curriculum and trainings in Punjab District Chakwal (Dr. Ghulam Shabbir Awan) 3. Moving forward on Policy - PRHTAC experience (Dr. Zahida Sarwar) 4. Institutionalizing Misoprostol and MVA - Clinical Trainings for safe Postabortion care in Pakistan- NCMNH-Ipas Experience (Dr. Nasira Malik) 5. Experience sharing on Pre-service Tutors and Mid Level Providers trainings on MPAC (Ms. Clara Pasha, Mrs. Nighat Yasmeen, Ms. Naheed Akhtar) 6. Advocacy For Post Abortion Care Services In Pakistan (Ms. Rukhsana Faiz) 2. Knowledge Attitude and Practice Regarding Folic Acid Deficiency; A Hidden Hunger (Dr. Aliya Hisam) 3. Knowledge And Counselling Skills Of Lady Health Workers Around Complementary Feeding In Gujar Khan (Dr. Sobia Khalid) 4. A Public Health Nutritional Assessment Of Elderly In Islamabad (Mr. Abdul Momin Rizwan) 5. Nutrition and Food Security (Dr. Walter A. Sanchez) 6. Scaling up Nutrition in Pakistan (Dr. Khizar Ashraf) 7. "Association of Vitamin D deficiency with Tuberculosis in Adults (Dr. Fawad Mashhadi) 8. Consumption Of Calcium Rich Foods By Lactating Women From Different Socioeconomic Groups (Ms. Arooj Ejaz) S. M. Mursalin) 2. Workload Indicators of Staffing Needs (WISN) of Doctors working in Department of Ophthalmology, Kuwait Teaching Hospital, Peshawar (Dr. Mehran Qayum) 3. Inventory study involving three data sources: revised TB incidence Pakistan (Dr. Ejaz Qadeer) 4. E-Governance in Health Care (Mr. Anayat Ali) Farid Midhet) 2. Public Private Partnership in Health Khyber Pakhtunkhwa: KPH is making a difference. (Dr. Fazal Qayum) 3. Socio-economic Inequalities in Nutritional Status of Women (SINSow) in Pakistan (Prof. Abdul Gaffar Billoo) 4. Engaging Young and Low Parity Couples in Adoption of Family Planning for Birth Spacing: Opportunities and Challenges. (Dr. Abo-ul Hassan) 5. Governance for Equity in Health Systems Program International Development Research Centre IDRC CRDI Canada (Dr. Qamar Mahmood) 6. Reaching Out For Timely Planning Of Birth (Dr Muhammad Najeeb Khan, Musharraf Rasool Cyan, Dr. Zafar Ishaq) Lunch Break (1:30 2:15 PM) Sessions (2:15 4:00 PM) Sessions V (Hall A) VI (Hall B) MEDVC VII (Hall C) VIII (Hall D) Themes Demography and Environmental Health Disease Vectors in Pakistan: Insecticide Resistance Management Pharmacy: Pharmacists in Primary Health Care Dr. Zahid Pervaiz (DG Health, Punjab) Dr. Zahid Hussain (Executive Director, FGSH) Mr. Arshad Khan (Drug Regulatory Authority of Pakistan) Mr. Tauseef Ahmad (Country Representative, Dr. Zulfiqar Khan (Coordinator HSS, WHO) Dr. Gul Majeed (man Faculty of Pathfinder International) Pharmacy, QAU) Mr. Marc Saba (Country Representative, UNAIDS) Dr. Qutab-u-Din Kakar (Focal Person-Dengue, WHO) Khalid Saeed Bukhari (WHO, Essential Medicine, Country Pharmacist) Dr. Ramesh Kumar (Instructor, Health Services Ms. Tallat A. Faridi (Instructor/Researcher) Mr. Azhar Hussain (Director, Pharmacy Ms. Fakhra Nazir (MEDVC Specialists) Department, Hamdard University) Social Sciences Maj. Gen. Viqar A. Khan (Commandant/Dean, AFPGMI) Dr. Shaista Habibullah (Director, NIRM) Dr. Naila Azam (Coordinator MPH, AFPGMI) Dr. Rozina Khalid (Assistant Professor, Health Services Rapporteur Ms. Aiman Saleemi/Dr. Saima Paracha Ms. Asma Sana (MEDVC Specialist)/Mr. Ali Arslan Dr. Haseeb Ahsan / Ms. Wajiha Shoaib Dr. Zamurd Khan/Dr. Uzma Mumtaz/ Mr. Uzair Mukhtar Discussant Dr. Tayyab Masud (Sr. Social Sector, Economist) Dr. Hamayun R. Rathor (Professor MEDVC) Mr. Ayyaz Kiyani (Consultant, Public Health Pharmacist) Key Note Dr. Ali Tauqeer (CEO, Lead Pakistan) Dr. Hamayun R. Rathor (Professor MEDVC) Dr. Shehla Zaidi (Prof. Community Medicine, AKU) 1. Effects of male literacy on family size 1. Review of insecticide resistance status in 1. Pharmacist role in malaria care and (Dr. Humaira Mahmood) Pakistan: Strategies for insecticide control - (Ms. Madiha Khalid) 2. Female's health issues in disasters focusing resistance management (Prof. Dr. 2. Drug Policy and its implication in PHC on Floods and Earthquakes of Pakistan Hamayun Rashid Rathor) (Mr. Azhar Hussain) (Ms. Razia Sharif) 2. Insecticide resistance monitoring (Dr. 3. Community Pharmacies as primary 3. Public Health Risk and Vulnerabilities Munir Ahmad) care centers (Mr. Ayyaz Kiani) Assessment of In the Context of Disaster 3. Insecticide resistance status of Dengue 4. Recent developments in pharmacists Management (Mr. Junaid Ahmed) vectors in Pakistan (Mr. Soaib Ali Hassan) role in PHC (Mr. Khalid Saeed) 4. Environmental Framework on Disaster and 4. Insecticide resistance status of Malaria 5. Access to Essential Medicines in Public Health Issues Associated With vectors in Pakistan (Mr. Imtinan Akran Pakistan: Policy and Health Systems Dr. Siham Sikandar (Consultant, Public Health Specialist) Prof. Abdul Hafeez (HoD, Anthropology, QAU) 1. Disabilities And Rehabilitation (Dr. Tahira Gul) 2. Health And Social Problems Of Female Prisoners Of Adiala Jail Rawalpindi (Ms. Saima Bairam) 3. Excessive use of mobile phones is disturbing our social fabric (Dr. Tahira Amjad) 4. Access to Safe Water and Sanitation Facilities to school children is still

Internally Displaced People Within The Context of Pakistan (Ms. Haleema Sadia) 5. Comparison of oral hygiene among school children of rural and urban setting in Rawalpindi (Dr. Um-e-Kalsoom) 6. Relationship between perceived marital conflict and life stress in adolescent (Ms. Shehnaz Akhtar) 7. Evaluation of water and soil samples for Naegleria isolation from Azad Kashmir, Pakistan (Dr. Abdul Mateen) 8. Awareness About Causes Of Bleeding Gums Among School Students (Dr. Ghazala Wazir) Khan) 5. Dengue knowledge and its management among physicians of Pakistan- A Multi- Centre study (Dr. Ibrar Rafique) Research Concerns (Dr. Shehla Zaidi) Socially, Environmentally or Politically neglected agenda (Ms. Sahar Yasmeen) 5. Maternal and Social Risk factors associated with low birth weight in Rawalpindi (Dr. Farah Rashid) 6. Prevalence of Overweight in Teenage Students in a Public High School in Urban Islamabad: Relationship with Socioeconomic Status and Lifestyle (Dr. Shireen Rafeeq) 3 rd December, 2013 Plenary Session-II (9:30 10:30 AM) Theme: Public Health Future Directions person Dr. Jehanzaib Aurakzai (Director General Health, National Health Services Regulations & Coordination) Professor Dr. Muhammad Umar (Principal, Rawalpindi Medical College) Dr. J. P. Steinman (Principal Advisor Health Sector Support Program, GIZ) Dr. Samina N. Khalid (Assistant Professor, Health Services Rapporteur Mr. Aijaz Ali (Instructor, Health Services Dr. Saima Paracha/Dr. Tahira Gul (Public Health Students) Dr. Inayat H. Thaver (Professor Public Health, Health Services Dr. Sania Nishtar (President, Heartfile) Dr. Farid Midhat (Chief of Party, MCHIP, Jhpiego) Tea / coffee break (10:30 11:00 AM) Sessions (11:00 1:00 PM) Sessions IX (Hall A) Save The Children X (Hall B) XI (Hall C) XII (Hall D) Themes Reproductive & Child Health Infectious Diseases Primary Health Care Psychosocial Health & Well Being Mr. Ghulam Asghar Abbasi (Chief Health Section, Planning Commission) Dr. Iqbal A. Lehri (Director General, NEPHRAN) Dr. Nabeela Ali (Chief of Party, JSI) Dr. Farah Qadir (HoD, Behavioral Sciences, FJWU) Dr. Naseer A. Baloch (DG Health, Balochistan) Prof. Dr. Muhammad. Iqbal (Sarhad University of Sciences) Dr. Matee-ur-Rehman (Quality Manager, Shifa International Hospital) Mr. Martin Dawson (Program Manager, DFID) Mr. Ghulam Qadri (Deputy Country Director, Save the Children) Dr. Zahid A. Butt (Associate Prof. Public Health, Shifa Trust Hospital) Dr. Shaikh Tanveer Ahmad (Chief Executive, Health & Nutrition) Ms. Zehra Kamal (Behavioral Scientist) Dr. Asma Badar (MNCH Specialist, Save the Children) Dr. Kiran Saqib (Instructor, Al-Shifa Trust Eye Hospital) Dr. Nelofer Amir (Instructor, Health Services Dr. Rukhsana Khan (Assistant Professor, Health Services Rapporteur Dr. Zakir H. Shah/Ms. Maha Malik /Mr. Ali Raza Mr. Mudassar Mushtaq (Instructor, Health Services Dr. Maria/ Ms. Aimen Saleemi Dr. Zakir H. Shah (/Dr. Sobia Memon /Dr. Abdul Hameed/Dr. Arshad Arain Dr. Imran Marwat/Dr. Sadaf Sardar/Dr. Nazish Batool/Dr. Sidra Malik Discussant Dr. Huma Khawar (Gavi Representative, Save The Children) Dr. Rana Saleem (Associate Prof. Punjab University) Mr. Shakeel Ahmed (Chief Operating Officer, PSU, KPK) Dr. Ali M. Mir (Director Programs, Population Council) Key Note Speaker Dr. Tabish Hazir (Consultant Pediatricians, PIMS) Dr. Zaheer Abbas (Principal, FMDC) Dr. Brig. Nasira Khalid (Head of Management Sciences, AFPGMI) Dr. Ayesha Khan (R&DD) Dr. Rakhshanda Perveen (CEO, Sachet)

1. EPI status in the country and how EPI guidelines and strategies can bridge the gaps in immunization coverage (Dr. Muhammad Tariq Iqbal) 2. Experience sharing from immunization service delivery in Balochistan (Mr. Sardar Iftikhar) 3. Effect of Antenatal Counseling on Exclusive Breastfeeding (Dr. Ume Sughra) 4. Q/A session and wrap-up 5. Frequency of Co-Existence of Dengue and Malaria in patients presenting with Acute Febrile Illness (Dr. Aliya Hisam) 6. Investigation of Measles outbreak among children of Hazro, district Attock, January 2013. (Dr. Ambreen Chaudhry) 7. ''Dengue Epidemics: Knowledge perhaps is the only key to success'' (Dr. Ambreen Ansar) 8. TB Prevalence Survey Pakistan: TB Burden higher then estimates (Dr. Ejaz Qadeer) 9. TB Patients Learning About Second Hand Smoke (TBLASS) A randomized controlled trial (Dr Nauman Safdar) 10. Retrospective analysis of acute hepatitis E infection in hospitalized pregnant cases (Dr. Najma Javed Awan) 11. Infectious diseases: Remains leading cause of neonatal mortality among low birth weight infants in a tertiary health care centre, Karachi, Pakistan (Dr. Ibrar Rafique) 1. Learning from evidence: Advice seeking behavior among Primary Health Care physicians in Pakistan (Dr. Asmat Ullah Malik) 2. Capacity Enhancement through Multimix Trainings of Health Care providers Brings Positive Behavior Change Among them to Deliver Quality Care Services related to Birth Spacing (Dr. Khalid Parvez) 3. Health care utilization and cost of treatment in Pakistan (Dr. Imran Bari) 4. "Outcome evaluation of component 2 of USAID s MCH Program Sindh" (Prof. Sohail Agha) 5. Impact of Terrorism on Public Health Programmatic Intervention in Pakistan (Mr. Rehan Khan) 6. Improving quality of health care in public and private sector in Pakistan: Role of public- private partnerships, the Challenges and Way Forward (Dr. Erum Zafar Malik) 7. Ambulatory care management of drug resistance intb patients (Dr. Ejaz Qadeer) Lunch Break (1:00 2:00 PM) Poster session (2:00 2:30 PM) Sessions (2:30-4:00 PM) Sessions XIII (Hall A) XIV (Hall B) XV (Hall C) Research &Development Solutions Themes Maternal Health Communicable and Non-Communicable Diseases Adolescent Sexual-Reproductive Health Mainstreaming SRH Information and Rights Beyond 2015 Prof. Rizwana Ch. (Consultant Gynecologist, HFH) Dr. Huma Qureshi (Executive Director, PMRC) Prof. Dr. Mehmood Jamal (Executive Director, PIMS) 1. Stress, Anxiety, Depression, and Posttraumatic Stress Disorder (PTSD) Among Individuals Exposed to 2010 Floods in Pakistan' (Mr. Naeem Aslam) 2. Back into the fire: Relapse of under 20 years drug addicts after their phase of rehabilitation in the year 2012 (Dr. M. Salman Qureshi) 3. Self efficacy and life orientation among burn survivors (Ms. Sumaira Muhammad) 4. Attention Deficit Hyperactivity disorder at Boys High School students Rawalpindi (Dr. Nosheen Zaidi) 5. Psychological Resilience and Social Adjustment among University Students of Pakistan. (Ms. Hiba Noor) 6. Exploring Quality of Life and Mental Health Related Concerns among Adults with Disabilities (Ms. Ayesha Yaqoob) 7. Implications of Weight on Levels of Life Satisfaction and General Wellbeing among Female University Students: A Comparative Study Using Asian BMI scores (Ms. Nayab Chaudhary) 8. Predicting exercise and dietary fat intake behaviors of child-bearing age women in Pakistan (Dr. Farhana Shahid) 9. Impact of Acid Attacks on Interpersonal Relationships of Victims (Ms. Arooj Mujeeb & Anila Kamal) XVI (Hall D) Public Health (Free Papers) Prof. Saima Iqbal Ahmed (HoD Community Health Sciences, Shifa Hospital) Dr. Saima Hamid (Assistant Professor, Health Services Dr. Riaz Hussain Solangi (Project Director, White Ribbon Alliance) Prof. Aslam Shah (Principal Rawal Medical College) Dr. Zafar Hayat Maken (Project Director, FMDC) Dr. Najma Lalji (MNCH Advisor, TRF) Dr. Arif Noor (Country Director, Mercy Corps) Dr. Tania Goldner (Deputy Country Representative, UNICEF) Dr. Ghulam Shabir (Country Director, IPAS) Dr. Samina N. Khalid (Assistant Professor, Health Dr. Shahzad A. Khan (Assistant Professor, Health Dr. Rozina Khalid (Assistant Professor, Health Dr. Ahmed Abdullah (Sr. Instructor, Shifa

Services Services Services College of Medicine)/Dr. Qaiser Khan Rapporteur Mr. Aijaz Ali/ Dr. Kausar Khan /Dr. Kiran Umeed Dr. Shahid Mehmmod Qazi /Dr. Muhammad Bilal Mr. Mazahar Nisar/Ms. Haji Bibi/Ms. Shumaila Mushtaq Dr. Zeeshan (PhD Fellow)/ Dr. Abdul Momin/Mr. Ali Raza Discussant Dr. Shamsa Rizwan (Public Health Consultant) Dr. Muhammad Tariq (USAID, DELIVER PROJECT) Dr. Ayesha Khan (RnDS) Prof. Dr. Majeed Rajput (Islamabad Medical Dental College) 1. Characteristics of active Community Midwives in five rural districts of Sindh, Pakistan (Dr. Farid Midhet) 2. Overcoming Supply and Demand Barriers to Postpartum Care (PPC) towards Achieving the Millennium Development Goals (MDGs) in Rural Pakistan (Dr. Hammad Habib) 3. Integration of Services leading to Improved Contraceptive Uptake during postpartum period Experience Sharing from District Mandibhauddin (MBD) (Dr. Fauzia Assad) 4. Screening of Pregnant Cases for HCV and the Barriers Faced By Positive Cases in Their Management at District Jaffarabad (Balochistan) (Dr. Abdul Waheed) 5. Public Private Partnerships For Improving Maternal & Neonatal Health Service Delivery (Dr. Rehana A. Salam) 6. Bringing Sustainable Behavior Change through Improving access to Birth spacing opportunities and services through Community based workers and private health care providers in Rural Remote Areas (Mr. Zulfiqar Sario) 7. "Impact of Increased Skilled Birth Attendance in Pakistan between 2006 and 2012" (Prof. Sohail Agha) 1. Extent of Passive Smoking in Teenage Group and Associated Symptoms (Dr. Aliya Hisam) 2. Enhanced Diabetes-CVD Management Through Primary Health Care in Pakistan (Dr. Naila Qaiser) 3. Lung Function Abnormalities Among Fuel Filling Workers In Karachi, Pakistan (Prof. Fauzia Imtiaz) 4. Prevelance And Predisposition of Smoking Among The Female University students of Islamabad, Pakistan (Dr. Hashim and Dr. Ejaz Ahmed Khan) 5. Pollution of Picturesque Soan River (Dr. Nabeela Fazal Babar) 6. Delivering Enhanced Cvd Hypertension Care Through Private Health Facilities In Pakistan. Making Birthing Safe For Pakistan Women (Dr. Shifa Saleem) 7. Perception of Naswar as a Risk Factor in Causing Oral Cancer (Dr. Sarah Ihsan) 8. Awareness About breast cancer among women of reproductive age (Dr. Farah Rashid) Closing Ceremony, Health Services Academy (4:00 5:00 PM) Concluding Session The Window of Opportunity HRH Graduation Ceremony Conference Proceedings Awards Ceremony Remarks by Partners Remarks by Chief Guest: Honorable Mrs. Saria Afzal Tarar (State Minister, National Health Services - Regulations a& Coordination) Closing remarks by Executive Director Vote of Thanks 1. SRH and MH information needs of adolescent girls (Dr. Ayesha Khan) 2. Leadership development in girls successes and pitfalls 3. Adolescent friendly centers convincing the communities to enable girls (Mr. Rashid Javed) 4. Life skills education uptake and outcomes (Mr. Qadeer Biag) 5. Understanding Maternal, Neonatal, Sexual and Reproductive Health of Adolescent Girls and Young Mothers - AGYM for advocacy in Pakistan (Dr. Yousaf Hayat) Ms. Khawar Mumtaz (NCSW) Dr. Farzana Bari (QAU, Gender specialist) Dr. Samia Rizwan (UNICEF) Mr. Rabbi Royan (UNFPA) Dr. Saba Khattack (Former Member Social Sector Planning Commission 1. EPI Immunization status of neonates visiting Kuwait Teaching Hospital during the year 2010 2. Hospital Course Of Children Less Than Five Years Age Suffering From Acute Watery Diarrhea With Pre- Hospital Antibiotic Exposure Vs. Non Exposed Children Visiting Pediatric Opd In Three Teaching Hospitals In Peshawar From 2006 To 2009 3. Pre-Hospital Antibiotic Exposure In Children Less Than Five Years Age Suffering From Acute Watery Diarrhea Visiting Pediatric Opd In Three Teaching Hospitals In Peshawar From 2006 To 2009 4. Pre-Hospital Exposure To Antibiotics In Children Suffering From Acute Watery Diarrhea Differences In Acute Illness Scores At Presentation To Emergency Room In A Tertiary Care Hospital In Peshawar 5. Seasonal Variation of Common Pediatric Infectious Diseases in Children Less than Five Years Ages Visiting OPD in a Local Teaching Hospital in Peshawar, Khyber PakhtunKhwah 6. Seasonal Variation Of Acute Gastroenteritis In Less Than 5 Years Children Visiting Pediatric Opd In Three Teaching Hospitals In Peshawar 2 Year Surveillance Data