A STUDY recently published in the Lancet has painted a distressing picture for our future generations. It finds that Pakistan ranks among the worst nations, with 14.3pc preterm births. The figure is a bleak testament to the state of our health infrastructure. Preterm babies are at high risk of death. Those who survive are likely to suffer disability and developmental delays, and even chronic illnesses. Pakistan has also long reported shockingly high figures for stunting. Latest figures by the World Bank indicate that over 40pc of children under five in Pakistan are stunted. The South Asian average stands at 31pc. Stunting not only hampers physical growth but also impairs cognitive development, leading to reduced educational outcomes and productivity in adulthood. If left unchecked, it will render vast swathes of our population unable to contribute to Pakistan’s progress.

Why has Pakistan seemingly abandoned its mothers and children? An unfortunate cocktail of reasons is to blame. Year after year, health expenditure remains inadequate, sidelined in favour of more ‘immediate’ concerns. While public health initiatives exist, they lack the reach, consistency and monitoring necessary to make a lasting impact. The situation is exacerbated by the rural-urban divide, with remote regions deprived of even basic healthcare. Environmental challenges, such as flooding and locust attacks, have compounded the problem. Sixty-nine districts reported nearly 48pc stunting in children under five. Such figures should sound warning bells at the highest echelons of power. A Rs8.5bn plan to combat stunting and malnutrition in some 31 districts was recently unveiled, offering some hope. Socioeconomic factors must also be considered. There is limited awareness about maternal nutrition, poor antenatal care, deep-rooted beliefs that prevent the consumption of a varied diet by expecting mothers, early marriages, and the practice of feeding boys more than girls. All these contribute to both preterm births and stunting. Ignorance, sadly, isn’t always bliss. Pakistan needs a multipronged approach. A sizable increase in health expenditure is non-negotiable. Awareness campaigns must be ramped up, as well as collaboration with global health agencies. The health of our children is the health of our nation. It is high time we invest in our future by prioritising the well-being of our youngest citizens. If not now, then when?

Published in Dawn, October 9th, 2023