Decentralization reforms in the public health sector in Pakistan

Aneeqa Suhail*, Awais Gohar, Trui Steen

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterScientific


This chapter highlights the major administrative decentralization reforms and the current structure of the public health system in Pakistan. Specifically related to the public health sector, decentralization has widely practiced reforms in both developed and developing countries. These reforms were also initiated in Pakistan to restructure the public health sector and improve service delivery and performance. Having outlined decentralization reforms at provincial level, they critically assess the implementation of these reforms in two provinces (Punjab & KPK) and relate it to the typologies of management mechanisms adopted during each reform. The chapter is based on secondary data sources, including research articles, government documents, WHO reports and website reviews. It provides a fresh way to analyze systematic decentralization reforms in the public health sector in Pakistan and further highlights that hierarchy-type mechanisms have been a prominent trend with some flavor of market- and network-type mechanisms seen in the decentralization reforms in the public health sector of Pakistan.
Original languageEnglish
Title of host publicationPublic sector reforms in Pakistan
Subtitle of host publicationHierarchies, markets and networks
EditorsA. Zahra, G. Boukaert, M.Z.I. Jadoon, N. Jabeen
PublisherPalgrave/Macmillan Publishers
ISBN (Electronic)978-3-030-96825-0
Publication statusPublished - 2022

Publication series

NamePublic Sector Organizations
PublisherPalgrave Macmillan


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