Published 2025-03-20
Keywords
- Local governance,
- Healthcare,
- , Accountability,
- WHO,
- Welfare State and Good Governance.
How to Cite
Abstract
Local governance in healthcare sector is important wiz-a-wiz – the functioning of a welfare state. Here is an attempt to understand local governance in the healthcare framework. A well-developed healthcare structure is essential to ensure equitable health access and the better health outcomes particularly for the down trodden segments of society. The current research is important for policy makers and all stakeholders who want to improve local healthcare governance in Pakistan.
The echoes of a welfare state sounds well if the provision of essential services such as health, education, and basic health facilities are ensured to every citizen. Political, administrative and financial challenges continue to hamper the actual realization of the ideals of a welfare state. The 18th Amendment was the first practical step to encourage decision making regarding health issues at local level. Moreover, the role of District health authorities, resource utilization, and participatory role of local representatives and civil society are also important to mitigate disparities with reference to provision of healthcare services in urban centers and rural areas. In this research, primary and secondary sources, a qualitative method has been employed for data collection.
The research concludes the idea that a vibrant and responsible local governance in the healthcare sector may guarantee Pakistan to become a welfare state. For this, sustained political stability, strong local government apparatus, community participation, decentralization of financial powers, and a comprehensive accountability mechanism are essential for Pakistan being a welfare state to fulfill its commitment regarding provision of healthcare facilities and overall, well-being of its citizens. This research will suggest measures to improve coordination between federal, provincial and local healthcare authorities for greater transparency, autonomy, local decision making and formulation of healthcare policies. A true resilient and empowered local government is panacea for our health care woes.