This initiative sought improvement in public healthcare services by ensuring presence and punctuality of doctors and other staff during duty hours. A biometric attendance system was needed to ensure that all employees in health facilities mark their attendance on a daily basis, promoting a culture of health workers checking-in on time across the province. The PITB initiative was introduced in district headquarters hospitals (DHQs) and tehsil headquarters hospitals (THQs) across the Punjab by July 2015. CCTV cameras were also installed for surveillance purposes. Biometric-enabled tablets were also distributed among basic health units (BHUs) and rural health centres (RHCs). All staff members now have to mark their daily attendance through these devices. Clinical and non-clinical attendance has improved significantly, across the Punjab. The system provides real-time data about attendance of all categories of government staff. It has improved services and strengthened the health delivery network. District coordination officers and district health authorities are also able to monitor the attendance of each healthcare facility.