Abdul Ghaffar, Assad Hafeez.
Making informed policy and decisions in Pakistan: role of health policy and systems research.
Pak J Public Health Jan ;1(1):2-3.

These days, if you ask a cynic or a skeptic Pakistani or even an international expert on Pakistan that what is the most critical challenge which Pakistan is facing at this point in time, the most likely response will be governance and governance within the health sector is definitely not an exception. Political life in Pakistan since its creation has been dominated by three factions: the military, the civil service and politicians (mostly feudal). Especially in a country like Pakistan, where authoritarian rule and brief periods of democracy have characterized the general political system, little is actually known about how decisions are made and what their impacts are on objectives such as improving health status, making the system more responsive to beneficiary and public demands, reducing financial risks of illnesses, as well as improving efficiency, quality and access of health services. Poor governance, which includes uninformed decisionmaking, in the health sector has led to misdirected spending of funds intended to improve the health status of the population.

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