The following recommendations focus on creating a more integrated, equitable, and accessible healthcare system in Pakistan, leveraging both public and private sectors, and urging preventative care and financial sustainability:

o   Increase investment in impactful initiatives like the Lady Health Worker programme and adopt a multifaceted approach to overcome financial constraints. This is essential for equitable healthcare distribution, especially in underserved regions.

o   Give focused attention to the LHW programme as a crucial element of primary healthcare provision at the community level.

o   Implement a paradigm shift in healthcare strategy, highlighting a proactive and preventive approach.

o   Link primary healthcare services to health insurance and social health insurance systems to move towards universal healthcare coverage.

o   Introduce and consider various financing mechanisms at the government level, involving the private sector, including insurance companies and general practitioners, given their significant role in healthcare provision.

o   Address the profit motive and lack of standards in private healthcare facilities to provide quality healthcare provision.

o   Significantly increase investment in district-level healthcare infrastructure to improve accessibility and quality of services.

o   Enhance the linkage between primary and tertiary care to create a more integrated healthcare system.

o   Develop a unified health insurance programme to guarantee financial protection and accessibility for all, irrespective of socioeconomic status.