Background: Public Private Partnership has been experimented as an approach in Pakistan in
2005 and in eighteen districts of Khyber Pakhtunkhwa including Abbottabad in 2011, to improve
delivery of maternal and child health services. This study was conducted to assess the utilization
of maternal and child health services before and after implementation of Public Private Partnership
in district Abbottabad. Methods: A cross sectional study was conducted in district Abbottabad
from July to December 2014. Study included all the 53 basic health units, outsourced to People’s
Primary Healthcare Initiative in 2011. Data related to selected maternal and child health services
indicators (family planning services, antenatal and post-natal care, safe delivery, tetanus toxoid
vaccination of pregnant women and child immunization), before and after the introduction of
Public Private Partnership, was collected. Significance tests (t-test) was applied and p-value <0.05
was taken as significant. Results: Marked improvement was observed in vaccination of target
children (127%) and women (42%), respectively. Similarly, utilization of family planning
services, antenatal and postnatal care increased by 60%, 9% and 38%, respectively. Public Private
Partnership had significant effect on postnatal visits (p<0.001), family planning services
(p<0.001), women vaccinated with tetanus toxoid (p<0.001) and children vaccinated in Expanded
Program of Immunization (p=0.003). Conclusion: Public Private Partnership improved the
utilization of maternal and child health services, particularly family planning services and
maternal & child immunization. The partnership may be scaled up and extended, for an improved
coverage of maternal and child health services.