Strengthening Primary Healthcare Delivery in Urban Settings

Urban primary healthcare in Pakistan is strained, underfunded, fragmented, and often inaccessible to those who need it most. This initiative works at the intersection of system design and community insight, building health models that are not only data-informed but built to respond to the lived realities of urban populations. Through a multi-phase approach that spans baseline data collection, community engagement, and rigorous policy translation, the project aims to redefine how urban primary healthcare is understood, delivered, and scaled. With a focus on Rawalpindi and Karachi, it sets out to identify systemic gaps, generate actionable insights, and prototype solutions that can inform national healthcare planning. Ultimately, this initiative is not just about improving services today; it’s about laying the groundwork for a more equitable, efficient, and resilient health system for Pakistan’s future.

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Donor: Gates Foundation

Location: Karachi, Rawalpindi
Timeline: 2025 – 2027

Areas of focus: Urban primary healthcare reform

Objectives: This project aims to strengthen urban primary healthcare systems in Pakistan by combining community insight with data-driven health service design. By identifying gaps, testing solutions, and informing national policy, it lays the foundation for scalable, equitable healthcare reform.

Our Approach:

Project Story

Planning & Mobilization

The project kicked off with team recruitment, tool design, and sample development. Coordination with stakeholders and local authorities laid the groundwork for field implementation.

Trainings

Enumerators and supervisors were trained across Rawalpindi and Karachi. Field plans and monitoring strategies were finalized to ensure quality and consistency.

Fieldwork & Data Collection

Survey teams launched household-level data collection in both cities. Daily field reports fed into real-time dashboards for continuous oversight.

Data Analysis & Quality Check

Cleaned data was reviewed and analyzed for accuracy, trends, and key findings. Visualizations and summary outputs were prepared for interpretation.

Reporting & Submission

The final phase focused on synthesizing insights into a comprehensive report. Findings were shared with donors and partners to inform future urban health interventions.

Field Team Trainings

Our team begins the training of Aapi’s in data collection.

How to collect information

The field team learns how to go about collecting data