Pakistan is susceptible to both natural and man-made disasters that cause significant loss of life, livelihoods and infrastructure, reversing development gains. The Human development report 2014 ranked the country at 146 out of 187 countries across the world on the human development index.
Women and girls face discriminatory situations in terms of health care access; these include social and cultural norms, proximity of public health facilities and low investment of family resources in health care for women and girls.
Access to medicines is very poor; two-thirds of the population lack access to essential medicines and the remainder are subjected to non-evidence-based supply. Non-availability of essential medicines is one of major reasons for the low utilization of public health care facilities
Pakistan is considered high burden and high risk for malaria, sixth highest burden of tuberculosis globally and is among the high multidrug-resistant tuberculosis burden countries.
Health and the environment
It is estimated that 318 400 people a year die as a result of environmental factors, and the proportion of disability-adjusted life years attributable to the environment is estimated at 22.0%. Environmental degradation and challenges (related to air, water, food, soil and coastal waters) continue to increase. Three significant causes of environmental degradation have been identified: air pollution makes up half the total damage, inadequate water supply, sanitation and hygiene account for a third and soil degradation accounts for the remaining damage
The leading causes of maternal mortality are still postpartum haemorrhage, eclampsia and sepsis. The main challenge impeding further reduction of maternal and child mortality are insecurity and the countrywide maldistribution of the limited human resources in the health sector; a shortage of female doctors and paramedics at the primary health care level, and of skilled birth attendants at the community level; inequitable access to care; low quality of interventions and limited capacity in planning, management and evaluation; the cultural and geographic isolation of women; and poor access to improved drinking water and sanitation
Both incidence and prevalence of mental disorders are steadily rising against a background of growing insecurity, economic instability and terrorism. The situation, with the massive increases in health problems and limitations in the provision of services in the health sector, has resulted in a growing gap between what is urgently needed for intervention and the resources available