In a significant move to enhance Pakistan's public health framework, the Ministry of National Health Services Regulations and Coordination (MoNHRSC) has established a dedicated task force to conduct a strategic review of the country’s Global Health Initiatives (GHIs). Dr Sameen Siddiqi and Dr Shifa Habib from AKU’s Department of Community Health Sciences are leading this initiative. Both experts bring a wealth of experience in public health systems and policy, setting a solid foundation for this crucial review.
Pakistan is supported by several GHIs, including the GFATM (Global Fund for AIDS, Tuberculosis, and Malaria), GAVI (Global Alliance for Vaccines and Immunisation), and the GPEI (Global Polio Eradication Initiative). These initiatives have played a vital role in strengthening the country’s healthcare system and addressing endemic diseases. However, challenges remain, particularly in the fight against polio, which continues to affect the nation’s public health landscape. Acknowledging the need for adaptive reforms, the task force aims to evaluate the relevance, effectiveness, and long-term impact of GHIs to align them with the evolving health needs of the country.
Since its inception meeting on July 4, 2024, the task force has been actively engaging with various stakeholders, from government officials to healthcare practitioners and global health partners. Over 250 key informants have been interviewed across federal, provincial, and district levels, providing crucial insights into the public health landscape. While detailed findings will be compiled into a comprehensive report for the MoNHRSC, preliminary insights indicate a pressing need for improved coordination, sustainable domestic financing, and adaptive monitoring mechanisms to enhance the effectiveness of GHIs.
Key stakeholders in this strategic review process include the Federal and Provincial Ministries of Health, international donor agencies, implementing partners, community organizations, and local health service providers. Their collective input is expected to shape a roadmap for reforms that address both the strengths and critical gaps in the current system.
The implications of this strategic review are far-reaching, particularly for the interventions and programs related to TB, HIV, malaria, polio, and immunization. The findings are anticipated to lead to a roadmap that ensures the long-term sustainability of these essential public health programs and facilitates their transition to domestic financing.
