Health & Nutrition Conditional Cash Transfer (H&N CCT) of AAP aims to incentivize pregnant & lactating women (PLW) to avail health facilities for themselves and new born children. This initiative is being launched on a pilot basis in two districts namely Tharparkar & Umerkot. The targeted beneficiaries of the program include women registered under National Socio-economic Registry (NSER) of Benazir Income Support Program (BISP). The component of Conditional Cash Transfer (CCT) for PLW has been assigned to Social Welfare Department (SWD). For strategic support, a dedicated Social Protection Unit (SPU) has been set up in SWD to implement H&N CCT Component as a part of Sindh Enhancing Response to Reduce Stunting and Malnutrition (SERRSP).

Social Protection Unit plans to dole out a fixed amount at different stages; a) Rs.1500/- per trimester/quarter to avail health facility b) Rs.4000/- for safe birth delivery and c) Rs. 2000/- on birth registration. The benefit amount shall be provided during the first 1000 days of child from conception to the age of two years. In this connection, a third party will be engaged to develop Management Information System (MIS) based on bio-matric identification for distribution of benefit amount among the identified PLW. H&N CCT has the following different compliance mechanism and specialists for its implementation:

• Operations
• Monitoring, Evaluation & Research (MER)
• MIS & IT
• Social Mobilization & Communication
• Enrolment & Compliance
• Payment Mechanism
• Grievance Redress Mechanism
• Coordination

The main activity of the H&N CCT is to create demand for nutrition services, promote behavioural change and increase uptake of health and nutrition services focused on the first 1,000 days of life. It aims to incentivize health check-ups of pregnant and lactating mothers, and growth monitoring and immunization of children less than 2 years of age, by providing a regular and predictable cash transfers to targeted poor and vulnerable households.
The other major activity for H & N CCT is to set up an efficient MIS-based disbursement system along with a comprehensive Operations Manual for Health & Nutrition CCT. The Operation Manual has been prepared which provides a detailed mechanism for MIS-based H & N Conditional Cash Transfer with identification of beneficiaries, their enrolment and compliances. Role of different stake-holders with Health Department’s major responsibilities for managing a proper supply system at Health Facilities.
A process of hiring of technical staff and consultancy services has been initiated.
Website of SPU has been launched.
Two field/Coordination offices have been set up at Mithi and Umerkot.