Government ministries use SystemSolving to develop data-backed health systems and fuel sustainable, locally owned progress. We have helped deliver historic gains in immunisation, safe childbirth, and health equity.

Between 2013 and 2026, the government raised national full immunisation coverage from 54% to 81%, with massive progress in areas like Sindh (29% to 75%), KP (53% to 72%), and Balochistan (16% to 57%), while Punjab rose from 66% and stabilised at 90%.
Punjab health officials slashed child mortality from 93 to 55 deaths per 1,000 live births between 2014 and 2024.
Punjab medical teams expanded skilled birth attendance from 68% to 83%, securing critical care for newborns during their first moments of life.

Between 2013 and 2026, the government raised national full immunisation coverage from 54% to 81%, with massive progress in areas like Sindh (29% to 75%), KP (53% to 72%), and Balochistan (16% to 57%), while Punjab rose from 66% and stabilised at 90%.

Punjab health officials slashed child mortality from 93 to 55 deaths per 1,000 live births between 2014 and 2024.

Punjab medical teams expanded skilled birth attendance from 68% to 83%, securing critical care for newborns during their first moments of life.
November 24, 2025
4 min read
When we began working with the Government of Sindh on maternal and newborn health, the challenges were daunting – overstretched facilities, unreliable…
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November 13, 2025
4 min read
When we began work in Punjab, Pakistan in 2014, one in eleven children died before their fifth birthday – far worse than in Punjab, India, where focus…
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August 28, 2025
2 min read
It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…
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July 18, 2025
3 min read
In March 2020, the world locked down overnight. No pilots. No randomised controlled trials. Just bold action in the face of uncertainty. Because the s…
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July 10, 2025
3 min read
In March 2024, Ethiopia launched its first single-dose HPV vaccine campaign. This was a huge first step for preventing cervical cancer in the country.…
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June 26, 2025
4 min read
In 2022, Dr. Azra Pechuho, Minister of Health in Sindh, Pakistan, reviewed data suggesting maternal health facilities across the province were functio…
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June 6, 2025
4 min read
Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…
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April 29, 2025
2 min read
Low immunisation coverage in low- and middle-income countries is often the result of limited outreach vaccination capabilities. Often needed for the m…
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February 27, 2025
3 min read
Gathering data on low immunisation communities is an important first step to increasing vaccination coverage for citizens. Once immunisation coverage…
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August 20, 2024
2 min read
Citizens often face a wide variety of problems during flooding crises, but strong support from governments, NGOs and partners can overcome these chall…
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August 19, 2024
2 min read
Labour services have not always been up to the standards needed for expectant mothers, but significant improvements are being made in low- and middle-…
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July 10, 2024
3 min read
Investment in primary education is falling short of targets in many low- and middle-income countries (LMICs). But there are proven strategies to turn…
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June 17, 2024
2 min read
The vast majority of frontline staff work exceptionally hard. But governments require evidence of performance to address concerns. Accountability is i…
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June 14, 2024
2 min read
Some of the world’s best organisations are seeing positive change by letting frontline workers take the lead in suggesting and creating solutions. Und…
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June 11, 2024
2 min read
Governments and donors often want to address major health and education issues with one large policy adjustment. But it is the small, daily, improveme…
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June 10, 2024
3 min read
Many people agree that sustainability is the right path to follow, but delivering it is something else entirely. Sustainability is an important goal i…
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March 9, 2023
3 min read
The province of Sindh in Pakistan ran one of the largest Measles-Rubella (MR) vaccination campaigns, reaching around 20 million children in two weeks.…
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December 5, 2022
2 min read
Sue advises Acasus on technical issues in the health sector. September 14 Our founder, Fenton Whelan, invited me to an all-staff meeting in Duba…
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August 4, 2022
2 min read
Immunisation coverage in Balochistan stands at 38%, the lowest in Pakistan. The province faces unique challenges in increasing routine immunisation; i…
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April 5, 2022
2 min read
We summarise four challenges below and mention some of the best practices that can help partners and implementers overcome them. Reliance on self-repo…
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August 10, 2021
2 min read
A few weeks ago, Taimur Khan Jhagra, Health Minister and Finance Minister in Khyber Pakhtunkhwa, Pakistan, used his Twitter account to highlight gende…
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