• Is Family Planning Cost Effective in Pakistan This study found that family planning investments in the Pakistan are highly cost effective in that each USD invested would save around USD 5.3 in social sector costs over the next ten years. Since these estimates are based on current government programme costs which are less efficient than the private sector, cost savings would be even more pronounced if the government would fund NGOs and the private sector rather than managing its own services.


  • The MARVI Experience: A successful commercial model of health outreach with low literate village women The NGO: HANDS trained poorly literate village from the district of Umerkot (which is among the bottom 5 among all districts in Pakistan in terms HDI) to provide basic Health Outreach. This was a commercial model where these outreach workers generated their income by selling health and family planning supplies. Over a 5 year period this resulted in increase in the district level CPR from 9% to 26% (32% in Marvi served areas). Marvis exceeded their assigned areas to seek commercial sales and were also responsible in helping increase skilled birth attendance to nearly 50%.  


  • Establishing an Urban Experimental Site Much of the development debate has focused on rural poverty while 55% of Pakistanis now live in cities. We have established a urban site where we (and our colleagues) can test interventions that help alleviate poverty, improve health and education. 

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