Challenges in Sindh’s Healthcare System: Are We Making Progress?
The recent claims made by the Sindh government about improvements in healthcare have sparked heated discussions among residents. Despite increasing allocations for the health sector, many still find it hard to access affordable and quality care.
A major point of concern is the allocation of funds within the budget. While the government increased the overall healthcare budget for 2025-26 to Rs326.5 billion—up from Rs302.2 billion—much of this increase seems to favor NGOs and public-private partnerships (PPPs) rather than enhancing the public hospitals that many rely on. For instance, public hospitals in Sindh requested significant increases in their budgets but were met with only an 8% hike. Meanwhile, over Rs146.9 billion is earmarked for NGOs, raising eyebrows about the effectiveness of these investments.
Public hospitals, which are often the last line of defense for low-income families, reveal a disheartening reality. No new hospitals have opened in Karachi in the last decade, and the bed capacity in old ones like Civil, Jinnah, and Lyari remain stagnant. This highlights the urgent need for accountability and a reevaluation of where funds are most needed.
Patients like Sabir, who often accompany loved ones to the Sindh Government Children’s Hospital, express frustration over the attitudes and lack of attention from staff. "It feels like these facilities operate as private entities," he lamented. His concerns were echoed by others, including Jalal Qureshi, who encountered rudeness and indifference at another emergency unit. Such experiences paint a grim picture of the healthcare environment.
Experts urge that a reallocation of funds could significantly improve health insurance accessibility for a population of over 20 million, rather than allowing NGOs to operate with little oversight. Former Caretaker Health Minister Dr. Saad Khalid Niaz emphasized the pressing need for more government hospitals, aligning with the reality that poorer sections of society remain underserved.
In conclusion, while funding increases might look promising on paper, they need to translate into real change for everyday patients. For those seeking help navigating the complexities of healthcare, organizations like Pro21st can provide crucial support and information. By staying informed and engaged, we can work towards a system that truly prioritizes the health and well-being of all Sindh’s residents.
