Improving Public Health Delivery in Punjab, Pakistan: Issues and Opportunities


Callen, Michael, Saad Gulzar, Ali Hasanain, Abdul Rehman Khan, Yasir Khan, and Muhammad Zia Mehmood. 2013. “Improving Public Health Delivery in Punjab, Pakistan: Issues and Opportunities.” The Lahore Journal of Economics 18 (SE): 249-269.

Date Published:

September 2013


Pakistan has a large and dispersed primary public health system that gives citizens access to trained doctors and staff, and to subsidized medicines. However both the use of these facilities and health outcomes remain low. Improvements in information and communications technology provide exciting opportunities to leverage technology to improve management. This paper presents a detailed qualitative and quantitative study of the institutional context in which such interventions in the public health sector in Punjab would be trialed. We describe the structure and management of primary healthcare facilities, present selected results from a survey of a representative sample of basic health units, and identify some key issues. We also report and discuss officials’ responses to the question of how services might be improved.

Publisher's Version

JEL classifciation: 118
Keywords: Healthcare infrastructure, public sector management, Pakistan
Last updated on 10/26/2016