Health Care

PIDE Working Papers

2007:32

Health Care Services and Government

Spending in Pakistan

Muhammad Akram

International Institute of Islamic Economics

International Islamic University, Islamabad

and

Faheem Jehangir Khan

Pakistan Institute of Development Economics, Islamabad

PAKISTAN INSTITUTE OF DEVELOPMENT ECONOMICS

ISLAMABAD

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All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or

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otherwise—without prior permission of the author(s) and or the Pakistan Institute of Development

Economics, P. O. Box 1091, Islamabad 44000.

© Pakistan Institute of Development

Economics, 2007.

Pakistan Institute of Development Economics

Islamabad, Pakistan

E-mail: publications@pide.org.pk

Website: http://www.pide.org.pk

Fax:

+92-51-9210886

Designed, composed, and finished at the Publications Division, PIDE.

CONTENTS

Page

Abstract

v

1. Introduction and Background

1

2. Literature Review

2

3. Policies Emphasising Health Care Services in Pakistan

4

3.1. Health Millennium Development Goals (2015)

5

3.2. Medium Term Development Framework (2005–10)

7

3.3. Poverty Reduction Strategy Papers

9

3.4. National Health Policy (Health Sector Reform)

9

4. Public Health Care Service Delivery in Pakistan

10

4.1. Access to Health Care Services

11

4.2. Public Sector Spending on Health Care Services

13

5. Research Focus

16

Methodology

16

Data Sources

17

6. Results and Discussion

18

7. Conclusion and Policy Implications

22

Conclusion

22

Policy Implications

23

References

24

List of Tables

Table 1. Health Related Indicators (Regional Comparison)

5

Table 2. National Medical and Health Establishments

8

Table 3. Registered Medical and Paramedical Personnel

12

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Page

Table 4. Health Consultations in Past...