Health System Reform: Decentralization of Health System in Pakistan

The 18th Amendment of 2010 in the Constitution of Pakistan was a significant development that allowed provincial governments to evaluate and address gaps in the human, administrative, managerial, and financial resources of the healthcare sector. Though, recent events such as the COVID-19 pandemic and the 2022 flood have exposed the shortcomings in the healthcare policy when provincial autonomy was not fully utilized. This study is an effort to incorporate the valuable scholarship on the sensitivity of health systems in low-and-middle-income countries(LMICs) for the progressive development across implementation cycles of reform policies. It is an additional contribution to research and development that will further enhance our understanding of this complex issue and open up new windows for further research on the subject.