PTI will ensure universal health coverage and enhance the focus on primary care while upgrading secondary & tertiary facilities
Pakistan faces a double burden of disease: high prevalence of communicable diseases (e.g. TB, Hepatitis, diarrhoea, etc) and non-communicable diseases (e.g. Diabetes, heart diseases, etc) simultaneously. Moreover, low coverage and quality of care results in a maternal mortality rate of 170 per 100,000 births, and a child mortality rate of 86 per 1000 live births, one of the worst in the region. These problems are exacerbated by weak health delivery systems: Facility coverage is low, especially in remote areas (e.g. 56% BHU coverage in Balochistan), positions are vacant (e.g. doctors in BHUs), staff is not always present and essential medicines are not always available.
We will upscale the Sehat Insaf Card Programme across Pakistan to provide access to quality healthcare to citizens, especially the poor.
We will ensure that citizens have coverage for a defined package of services, insured through a number of policy interventions such as public insurance for the poor, mandatory employee insurance etc.
We will double the size of the Lady Health Worker (LHW) programme to ensure each woman has access to complete package of LHW services (including family planning, pregnancy management, neonatal care), with adequate training, support and service structure for LHWs.
We will ensure the availability of diagnostic facilities, preventive and curative treatment for communicable diseases such as Hepatitis, Tuberculosis and HIV.
We will double efforts to increase vaccination coverage in provinces with lesser coverage (Balochistan and Sindh in particular)
We will increase number of 24/7 BHUs &RHCs equipped with basic package of services, staff and ambulance service to ensure each village has access to a facility within 10 km radius and reduce the burden on tertiary hospital
We will launch an incentive programme to attract more doctors, LHWs and nurses to BHUs, particularly in remote locations
We will establish training institutes for nurses and paramedical staff nationwide.
We will enhance focus on childhood nutrition, through LHWs and BHUs
We will invest in a referral system at BHU level, ensuring capture of adequate patient data, and efficient referrals to secondary & tertiary healthcare facilities
We will upgrade secondary care facilities and enhance service delivery at Tehsil Head Quarter Hospitals & District Head Quarter Hospitals by ensuring provision of adequate equipment, specialist doctors and medicines
We will build state of the art hospitals in major urban centres to ensure the best healthcare facilities to the poor
We will encourage private sector participation and partnership to improve the service delivery standard of public health facilities.
We will depoliticise hospitals, governed by autonomous professional boards.
We will review and report on access and quality of service delivery at each facility through collection of regular data.
We will expand the capacity of the public healthcare system through additional capacity in existing facilities, making new facilities or public-private partnership.
We will create a mental health policy and champion initiatives to promote and address mental health issues through improve service delivery and research.
PTI will put in place the most ambitious education agenda in Pakistan’s history, spanning reform of primary, secondary, tertiary, vocational, and special education.
Since the devolution of Education as a subject to the provinces, a national consensus on critical matter of equity in education has been evasive. Pakistan’s National Curriculum has not been reviewed or updated in the past 12 years, and no national consensus on medium of instruction and teaching of languages exists. The education budget allocation remains well below the prescribed 4% of GDP and poor education planning results in supply and demand mismatches. Nearly 22.5 million children are out of school in Pakistan and the ones who are not learning commensurate to their age or grade. The public school delivery system is under-resourced and has capacity constraints. At the higher education level, research volume and quality is limited, and university administration continues to be highly politicised.
We will establish a National Ministry/Commission for Human Capital Development to forecast future domestic and international labour force requirements to increase or decrease supply of different fields of education, evaluate the curricula based on needs and trends of the labour market and develop a National Human Development Strategy annually to propose the supply of any new fields of technical or professional education.
We will establish a National Commission for Education Standards that will issue a revised “Minimum Standards” list within 6 months of its constitution and initiate a National Dialogue and technical consultation to approve a policy on the teaching of languages at each level of education.
We will build the largest public-private partnership for education access in the developing world through vouchers for low-fee private schools & access to credit for educated youth to teach students in their communities.
We will create an Education Fund for young entrepreneurs to develop technology and communication-enabled solutions to provide access to education in remote areas.
We will establish minimum standards for all public schools to ensure provision of facilities and a child-friendly learning environment.
We will launch a nationwide literacy programme to engage 50,000 youth volunteers to teach literacy in exchange for university credits.
We will launch a Teach for Pakistan effort to bring high quality talent into the public system as teachers or coaches.
We will launch a large-scale teacher certification programme.
We will increase schools at secondary level for girls by upgrading schools every year in high-enrolment areas and launching nation-wide radio, television and online self-learning programmes for secondary students
We will provide stipends to secondary school-going girls to reduce barriers to access.
We will establish a National Steering Committee to enact examination board overhaul and move towards instituting a standardised central examination scheme and participate in the PISA-D.
We will launch a strategy to provide equipment, teacher training and competitions and co-curricular activities for students to improve instruction and learning of STEM subjects.
We will establish at least 10 technical universities in Pakistan to provide skills to our youth
We will provide public scholarships and set up a National Endowment Fund for international universities, and provide international distance-learning opportunities for tertiary education.
We will attract foreign university graduates from Pakistan to teach and supervise research in local universities.
We will create partnerships with international universities to improve teaching and research quality and will incentivise research quality (as judged by international benchmarks) as opposed to research volume.
We will remove political influence and create an independent, transparent mechanism to select Vice Chancellors and senior administrators.
We will regulate university curriculum to include compulsory courses on communication, reasoning, IT literacy as well as instruction in social sciences.
We will transform the National Vocational and Technical Training Council (NAVTTC) to a best-in-class organisation to plan, monitor and support provincial bodies in implementation.
We will streamline the role of provincial institutions such as TEVTA, Skills Development Funds, Boards of Technical Education and eliminate obsolete institutions.
We will engage foreign technical universities and providers under public-private partnership agreements to offer specialised, high-quality training.
We will expand vocational training programmes to provide relevant, high-quality skills to post-secondary students each year and will create partnerships with local industries and foreign governments to employ vocational and technical graduates.
We will map out and register all seminaries across Pakistan including information on finances, and introduce literacy and mathematics teaching as formal subjects within the Madrassah curriculum.
PTI’s youth policy will provide the youth the three Es: Education, Employment and Engagement. Our policy will ensure that we create a group of educated, skilled young people that are invested in making Pakistan a great nation.
Pakistan is experiencing a youth bulge, with over 63% of the population under age 25. Out of these, 43 million are currently between ages 15-24. However, this population faces constraints of poor education and skills. The UNESCO Institute for Statistics estimated in 2016 that around 25 percent of the Pakistani youth was illiterate with no vocational or technical skill.
We will double the size of existing skill development & vocational training programmes.
We will launch a national programme to provide practical training to graduates in the public & private organisations.
We will establish a liaison office under the Ministry of Foreign Affairs to promote foreign placement of young Pakistani talent.
We will invest in the youth members of local government bodies by training them and empowering them to conduct village-level activities for other young people.
Launch a Youth in Politics and Community Challenge Fund to engage the youth in national & provincial development by giving small grants to young people for solving pressing problems of their communities
We will revitalise the youth Parliament and create programmes in which young people can intern with parliamentarians as staffers or researchers
We will expand the Sehat Insaf card to the poorest families across Pakistan and launch special assistance programmes for differently-abled persons. We will retain and strengthen the Benazir Income Support Programme (BISP).
Pakistan’s public spending on social protection is low at 0.54%, nearly half of South Asia’s regional average is ~1% of GDP. Consequently, Pakistan’s Human Development Index (HDI) is 0.550, lower than that of nearby Bangladesh’s 0.579 and the lowest in South Asia. 29.5% of Pakistan’s population lives below the poverty line. This translates to about 60 million people and 8 million Households that live below a consumption level of Rs.3030 per adult equivalent per month. While BISP has been a big breakthrough over the last decade, other safety nets like Bait-ul-Maal, Zakat & Usher have been underperforming consistently.
We will expand the Sehat Insaf card to BISP beneficiaries nationally using a phased approach.
We will retain and improve BISP as the primary social safety net for the poor, and launch special assistance programmes for differently-abled persons.
We will develop specific development packages for all provinces and special economic packages for districts in extreme poverty with a focus on provision of basic infrastructure, education, healthcare, drinking water and nutrition.
We will improve capacity and delivery of the other 4 existing social protection programmes: Workers Welfare Fund (WWF), Employees Old-Age Benefits Institution (EOBI), Zakat Fund, and Pakistan Bait-ul-Maal.
We will increase the supply of safe drinking water in urban slums and rural communities by providing point-of-use solutions and water treatment plants at the local level through public-private partnership.
Only 36% of Pakistan’s population has access to clean drinking water, which puts us off-track from meeting Sustainable Development Goal 6 of universal safe water provision by 2030. As a result of diarrhoea caused by microbial contaminants in the water supply, nearly 39,000 children under the age of 5 die in Pakistan every year.
We will increase and sustain the national spending on water and sanitation.
We will immediately launch a clean drinking water supply campaign in Karachi that will provide point-of-use purifying solutions to households. In the long run, we will undertake comprehensive reform at the Karachi Water and Sanitation Board to upgrade infrastructure, retail framework and eliminate pilferage from pipelines.
We will follow the launch in Karachi by launching similar initiatives in major cities across the country within the first year of government; Lahore, Islamabad, Peshawar and Quetta.
We will provide resources and support to local government bodies to provide filtration plants through a public-private-partnership model.
In parallel, we will launch a public awareness programme to generate and manage demand for safe water, and promote conservation of drinking water.
PTI recognises climate change and our increasing environmental pollution; the damage it is causing and the threat it poses to our future. We will take action to manage climate change and make Pakistan greener under our Green Growth Agenda by investing in long term adaptation to climate change, addressing the root causes of environmental pollution, strengthening our institutions, planting 10 billion trees in 5 years, and by improving our disaster relief management and risk reduction. Environmental conservation will be at the core of PTI’s governance.
Pakistan ranks 7th on the most adversely affected countries due to climate change. Both, climate change and environmental pollution pose a grave threat to Pakistan’s sustainable future. The negative impact on our weather pattern is already evident; rising temperatures, major flooding, prolonged droughts, unpredictable rainfalls etc cost Pakistan an estimated USD 6 to 14 billion annually, even though we barely contribute 0.2% to global emissions (one of the lowest in the world). Furthermore, air and water pollution cost Pakistan an additional estimated USD 3 billion per annum. It is now imperative to tackle climate change and reverse environmental degradation as Pakistan’s situation will only worsen as the economy grows, especially when we have no concrete plan in place.
We will ensure that Pakistan as a nation takes responsibility to reverse environmental degradation and manage climate change to safeguard its citizens, natural endowments and investments.
We will educate our children to be the custodians of nature and guardians of our sustainable future.
PTI’s cross-sectoral and multi-dimensional Green Growth Agenda will aim to address this challenge holistically, as this cannot be managed with ad-hoc initiatives or by any single ministry, and responsibly partner in the evolution of the global eco-civilisation.
We will establish a Green Growth Task Force under the Prime Minister’s cell to facilitate necessary legislation and implement the Green Growth Agenda.
We will develop an alternate economy, based on green growth with environmental care at the core; this will provide decent “green” jobs and equip our country to face challenges of climate change and environmental pollution.
We will enact requisite green legislation to champion initiatives such as mandatory environmental education, green building codes, zero waste policy and reducing plastic use in our economy.
We shall endeavour to deliver affordable and sustainable clean energy, promote clean transport, champion green infrastructure, effectively manage waste, promote efficient agriculture and preserve our wetlands wildlife and biodiversity.
We will ensure all relevant policy reforms across Pakistan include measures and initiatives to counter existing and potential negative impacts of climate change.
We will further strengthen financing of institutions for climate change risk reduction.
We will implement an action plan for energy conservation; on the demand side we will incentivise adoption of energy efficient initiatives and on the supply side we will reduce transmission losses.
We will strategically enhance our diplomatic and technical engagement at all relevant multilateral forums, especially the climate change negotiations, to safeguard our national interests.
We will expand and restore the fractured forests of Pakistan through a “10 Billion Tree Tsunami” spread over 5 years under principles of true forest valuation, community stewardship as well as public-private partnerships.
We will strengthen disaster management, especially our response (rescue and relief) capability and capacity, while also reducing disaster risk.
We will mainstream climate risks and the associated costs into decision making and development planning to climate proof our infrastructure and make future development resilient and adaptive to climate change.
We will aggressively implement initiatives and strive to stop polluting and start cleaning our air and water.
We shall aim to internalise and integrate true environmental costs in all economic decisions and present a yearly national “Eco budget”.
We will take a rights-based approach to provide the necessary resources and infrastructure to diagnose, facilitate/assist and integrate differently-abled persons into mainstream society.
An estimated 10 percent of the population of Pakistan has a disability. Despite this, public spending and infrastructure for rehabilitation and inclusion of persons with disabilities is limited. Pakistan has one of the worst population to occupational and physical therapist ratios globally, which reflects on the neglect the sector has faced. The 2% quota allocated for the disabled is often not implemented in spirit. Worst of all, Pakistan ignored the United Nations Convention on the Rights of Persons with Disabilities, to which it is a signatory, by not collecting critical data on persons with disabilities in the National census.
We will regularly conduct nationwide surveys to ascertain the extent of disability prevalence and to generate actionable information on supporting persons with special needs.
We will define and acknowledge all categories of disabilities and issue specialised CNIC or disability certificate to ensure that differently-abled persons will receive privileges and facilities without any discrimination.
We will ensure 2% job quota fulfilment for differently-abled persons at all government establishments.
We will provide training, skills and finance through public-private partnerships for differently-abled persons, and income support to differently-abled persons with severe disabilities.
We will invest in the provincial Special Education Departments and Institutions to uplift their infrastructure, human resource and assistive technologies.
We will mainstream individuals with mild disabilities into mainstream schools by offering assistance to overcome/off-set the disability.
We will promote early screening and interaction for children with disabilities by training related medical staff and health workers.
We will offer assistive devices / technologies such as hearing aids, wheelchair, etc., through federal and provincial programmes.
We will conduct provincial and national Special Olympics and Sporting events and arrange for sports federations to sponsor international participation of special athletes.
We will develop Disability Resource Centres at each district, equipped with necessary equipment for screening and therapy of differently-abled persons.
We will deploy efforts to reduce the population growth rate for the health of mothers, children and families and the prosperity of Pakistan by reducing the impending burden on its resources.
With a population growth rate of 2.4% and one of the lowest contraceptive prevalence rate in the region of 35%, Pakistan will face extreme pressure on its natural and economic resources if the population continues to grow as it is.
We will ensure the adequate availability of contraception to all married women of reproductive age (MWRA) through the population welfare and healthcare network of Basic Health Units, Lady Health Workers and Community Midwives.
We will build on the existing consensus from religious leaders of all major schools of jurisprudence on using temporary birth spacing methods and publicise their endorsement at the community and household level.
We will revitalise national family planning programmes, including providing air-time on national television to promote behaviour change and increase uptake and continuation of contraception.
We will undertake important structural reforms to ensure coordination between the Departments of Health and Departments of Population Welfare to ensure that expecting mothers and new parents are counselled on family planning.
We will provide state patronage to sports, arts and culture by providing the necessary resources alongside local and international exposure to athletes, artists and artisans.
Sports in Pakistan, except cricket, have faced systemic neglect from the Government. In the 2016 Summer Olympics, Pakistan had only 7 representatives, none of whom had originally qualified, and were given wildcard entries by the Rio Olympics. From a population of nearly 200 million, this means one athlete per 27 million people, an abysmal performance. Largely, this is a result of policies that do not adequately invest in sports and resources at the grassroots. Moreover, despite having a rich cultural heritage and artistic community, Pakistan at best holds a handful of art, film and literary festivals, none of which are through state patronage. In contrast to other countries that have successfully projected and promoted their arts and culture globally, we have not used this potential for Pakistan’s image-building in the international community.
We will establish vibrant community centres at the district level, where exhibitions, road shows, literary events and workshops can take place.
We will provide (1) Playgrounds at Tehsil level, (2) Training centres and gymnasiums at Divisional Level to be used for training provincial and national teams and (3) Category A (National and International standard) sports complexes at the provincial level through a phased approach.
We will hold inter-district, inter-division, provincial and national games annually for young people.
We will partner with local and international private partners to hold Expos, Exhibitions, Literary Festivals, Art and Culture Shows and Events to boost Pakistan’s image internationally and provide enriching experiences for the citizens.
We will create scholarships and fellowships to promote Pakistan’s image in varsities across the world.
We will revitalise Pakistan’s National Council of Arts and create art and culture exchange partnerships with international Art Councils and bodies to provide international exposure to local artists.
We will launch a rigorous campaign of cultural diplomacy through the Foreign Office to promote Pakistan’s soft image.