Health planning in Pakistan: a case study
Green, A.; Rana, M.; Ross, D.; Thunhurst, C.
International Journal of Health Planning and Management 12(3): 187-205
1997
ISSN/ISBN: 0749-6753 PMID: 10175303 DOI: 10.1002/(sici)1099-1751(199707/09)12:3<187::aid-hpm479>3.0.co;2-0Document Number: 533055
Health planning is an essential function of the state. For it to be successful, a number of conditions need to be satisfied. In particular it needs to be flexible, participative and integrated with other decision processes. Despite some strengths, the health planning system in Pakistan has generally failed to provide the framework to allow such an approach. Links between strategic and operational planning have been weak; decision-making has been very centralized; there has been a lack of functional clarity; the respective roles of bureaucrats and politicians have been unclear; and, links between capital and recurrent budgets and between planning and implementation have been weak. As a result, there is a number of imbalances in the allocation of resources. The introduction of a revised health planning system for Pakistan is discussed. The constraints on such a system and an initial assessment of its success are presented.