Background: Pakistan is facing double burden of disease and the contribution of mortality by non-communicable
diseases has over numbered the communicable diseases. The focus of health system of Pakistan is inclined more
towards communicable disease and maternal & child health. Therefore, there is a need to review health policy, health
sector budgeting and health setup in order to meet the needs of healthcare in context of non-communicable disease.
Objective: To review the health system capacity to manage the emerging challenge of non-communicable
diseases in Pakistan.
Methodology: A thorough literature search on PubMed and Google Scholar was done. Reports from W.H.O, other
national and international organizations and government & non-government policy papers were also reviewed. We
used following search terms; Non Communicable Disease, Health system capacity, Pakistan.
Results: Several health system issues emerged through the review of the health system capacity for NCDs.
These included lack of political commitment, services more focused on communicable disease and MNCH, inadequate
human resources, lack of inter-sectoral approach, insufficient funding opportunities and fragmented health system.
These issues can be addressed through government support for combating burden of NCDs, provision of services for
NCD at PHC level, human resource training regarding NCDs and integrated care system. Finance should be allocated
for NCDs and existing HMIS should also be used for utilizing information regarding NCDs.
Conclusion: Health systems framework to NCD means in summary re-examining the planning and organization of
the entire health system, from service provision to financing, from information generation to ensuring adequate supply
of pharmaceuticals/technologies or human resources, from improving facility management to performance monitoring.