In Pakistan, access to and availability of health services is low, particularly among poor and rural populations. Approximately 81 percent of the population in Khyber Pakhtunkhwa lives in rural areas which poses specific challenges for accessing health services. Increasingly, the private sector plays a critical role in ensuring access to key child health and family planning services.

  • 35%
    of modern contraceptive users in Pakistan obtain their methods from the private sector
  • 44%
    of mothers visited a private facility for their first newborn care visit
  • Baby
    per 1,000 live births is the under-five mortality rate in Khyber Pakhtunkhwa

In Pakistan, maternal mortality, neonatal mortality, and under-five mortality rates remain high, particularly among rural populations. Only 20 percent of currently married women of reproductive age in Khyber Pakhtunkhwa used a modern method of contraception and 26 percent had an unmet need for family planning. In this challenging context, the private sector plays a critical role in ensuring access to key family planning and child health services. While less than half of women deliver in a health facility, among those women who do, 70 percent nationally and 60 percent in Khyber Pakhtunkhwa choose a private facility. The private sector is also the dominant source of sick child care in Pakistan. National data show that 51 percent of children with diarrhea and 60 percent with symptoms of acute respiratory infection are taken to a private clinic for advice or treatment. 

SHOPS Plus is implementing three activities to address issues of access and availability:

  1. Conducting a private facility enlistment to support the Khyber Pakhtunkhwa Healthcare Commission in better regulating private health care establishments
  2. Conducting an assessment to identify opportunities and barriers to increasing the role of pharmacies in the provision of family planning products and services
  3. Contributing to the scale up of chlorhexidine for newborn cord care in the private sector

Program Components



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.