The key objectives of the study were to:
1. Present evidence on socio-economic and regional disparities in health
outcomes particularly Mother, New-born and Child Health in Pakistan
(MNCH) and to compare the extent of these inequalities with the
2. Critically analyse the level and pattern of resource allocation on
health, in general, and on MNCH in particular in Pakistan. More
specifically, to examine the implications of these allocation patterns
on health inequalities in Pakistan. Also to examine how investing more
in MNCH and targeting these public subsidies effectively towards the
marginalized groups can promote simultaneously, the two central goals of
public finance which are (i) to achieve efficiency and (ii) achieve
equity in public health spending;
3. Conduct a Utilization Incidence Analysis of public spending on MNCH
related health services so as to determine whether public spending on
MNCH, at present, in Pakistan is being effectively targeted towards the
4. Provide policy recommendations on the basis of the findings of the
analysis and point out future directions for research.
The report is organized as follows: Section 1 Introduction. Section 2
presents the standard methodologies followed by development
practitioners to measure health inequalities across countries and
provides evidence on health inequalities in Pakistan. Section 3 analyses
the level and pattern of public health spending across sub-sectors and
regions in Pakistan and discusses the possible repercussions of these
allocations on health inequality in Pakistan. Section 4 presents the
methodology of measuring the incidence of public health spending across
socio-economic groups; reviews relevant studies conducted in other parts
of the world; and presents empirical results in the context of MNCH
related services in Pakistan. Chapter 5 concludes and presents policy
recommendations in light of the key findings of the study.
Malik, S.M.; Janjua, Y. An analysis of equity issues in public spending on MNCH in Pakistan. Maternal and Newborn Health Programme Research and Advocacy Fund (RAF), Pakistan (2013) x + 117 pp.
An analysis of equity issues in public spending on MNCH in Pakistan.