48% of Pakistan’s elderly in flood-hit areas lack access to health facilities – survey

nternally displaced flood-affected people sit next to their tent as they take refuge at a makeshift camp at Dera Allah Yar in Jaffarabad district of Balochistan province on September 22, 2022. (AFP)
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Updated 25 October 2022
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48% of Pakistan’s elderly in flood-hit areas lack access to health facilities – survey

  • HelpAge International says 69% of older people interviewed for the survey reported they did not have proper shelter
  • 87% of respondents in flood-hit areas complain of health conditions, with 42% dealing with more than one ailment

ISLAMABAD: An international non-governmental organization warned on Monday older people in Pakistan’s flood-affected areas were facing a tough situation due to the breakdown of health services, adding 48% of the people interviewed said they had no access to them which was putting their lives at risk.

HelpAge International, which was founded in 1983 and is based in London, works to secure the rights of older people to help them lead dignified, secure, active and healthy lives.

It conducted a survey in Pakistan to determine the situation in flood-hit areas after nearly a third of the country was submerged in the wake of the recent monsoon floods which claimed nearly 1,700 lives and affected over 33 million people.

It noted that while there was no disaggregated data to determine how many older people had lost their lives or been injured, elderly segments of populations facing humanitarian emergencies were always more vulnerable since they were more likely to be left behind and faced information and physical access barriers in obtaining assistance.

“Almost nine out of ten (87 percent) of older people reported having a health condition, with 42 percent having more than one,” said the survey released on Monday. “The top six health conditions were joint aches and pains (31 percent), hypertension (23 percent), respiratory problems (23 percent), diabetes (18 percent), heart problems (17 percent) and gastro-intestinal issues (16 percent).”

“Despite the scale of health conditions among older people,” it added, “almost half (48 percent) of older people reported they could not access health services.”

HelpAge maintained it was imperative for humanitarian actors to take into account the specific needs of older people in the flood response to ensure they were not ignored.

The organization said 69 percent of older people interviewed for the survey informed they did not have shelter.

“This varied between locations, with those interviewed in Sindh significantly less likely to have shelter (85 percent) compared to those interviewed in Balochistan (39 percent) and Khyber Pakhtunkhwa (8 percent),” it continued. “This is unsurprising given that Sindh is the worst affected region. Over 2 million homes were affected by the floods in Pakistan, of which 88 percent were in Sindh.”

HelpAge said most people were unable to work in the flood-affected regions, adding it had seriously affected their ability to earn an income and meet food consumption and other essential needs.

The organization pointed out in a press release that only 2.3 percent of older people in Pakistan received a pension outside the public sector workforce, adding they were entirely dependent on aid or their families if they were not able to work.

“Older people play a vital role in families in Pakistan,” HelpAge said. “But older people who are barely able to meet their own basic needs, are also caring for children, with 78 percent of those interviewed caring for three or more children. Unsurprisingly, many older people are experiencing severe anxiety.”


Economists flag high production costs, low exports as key risks for Pakistan in 2026

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Economists flag high production costs, low exports as key risks for Pakistan in 2026

  • Financial experts urge government to address high interest and taxation rates to attract more foreign direct investment this year
  • Economists note strong performance by Pakistan’s stock market, reduced inflation as key macroeconomic gains in the last year

KARACHI: Pakistani economists and business leaders urged the government on Wednesday to cut high production costs, arrest inflation and increase exports to capitalize on macroeconomic gains in 2025 as the country prepared to ring in the new year.

Prime Minister Shehbaz Sharif this week highlighted his government’s economic achievements over the past two years, saying that inflation had fallen from 29.2 percent to 4.5 percent, while foreign exchange reserves had more than doubled from $9.2 billion to $21.2 billion.

While Pakistan reported some economic gains during the year, such as comparatively low inflation, a $100 million current account surplus in November and a strong performance by the stock market, economist Sana Tawfik said deeper reforms were still needed to address pressing economic issues.

“When we talk about stability and growth, we cannot deny that there are challenges in the economy,” Tawfik, head of research at Arif Habib Limited, told Arab News. “High energy tariffs, interest rates and the broader cost of doing business need to be addressed if Pakistan wants to sustain growth, boost exports and attract foreign investment.”

Pakistan reported consumer inflation at 6.1 percent in November, saying it was projected to remain within the moderate 5.5-6.5 percent range in December.

Muhammad Rehan Hanif, president of the Karachi Chamber of Commerce and Industry (KCCI), agreed that high power tariffs were eroding the effectiveness of Pakistan’s exports.

“Our interest rate is still 10.5 percent, while the region is at six or seven percent,” Hanif lamented. “[While] electricity costs around 12 cents per unit here, compared to about nine cents in Bangladesh.”

The KCCI president also pointed to the country’s poor infrastructure, particularly that of its commercial capital Karachi, as a major challenge for the year ahead.

He said dilapidated roads, poor drainage and poor industrial conditions were damaging Pakistan’s image for visiting buyers and diplomats, discouraging investment.

“Infrastructure is the biggest challenge the industrialists in Karachi are facing,” he explained.

‘EXPORTS ARE OUR LIFELINE’

More troubling for Pakistan is the fact that foreign direct investment (FDI) inflows fell by more than 25 percent to $927 million during the July-November period, as per data from the central bank. Pakistan’s FDI inflows have never surged beyond $3 billion in nearly 20 years.

Economists say high energy costs along with interest and taxation rates are responsible for low FDI in the country.

Hanif stressed the importance of increasing Pakistan’s exports to ensure macroeconomic gains in 2026.

“Exports are our lifeline,” he said. “When 7 to 8 million Pakistanis abroad can generate $37 billion [in remittances], why are 250 million people here exporting only $32 billion?“

Tawfik agreed, saying that shifting to an export-driven economic model was essential for long-term sustainability.

“It is about time that we move from an import-driven economy to an export-driven one,” she said, adding that macroeconomic stability was a prerequisite for restoring investor confidence and attracting FDI.

Meeting the International Monetary Fund’s benchmarks, ensuring timely inflows from creditors and continuing reforms such as privatization of state-owned enterprises (SOEs) will also be critical in 2026, she added.

‘YEAR OF MACROECONOMIC STABILITY’

Despite these challenges, financial experts recognized that 2025 marked a clear improvement for Pakistan compared to the previous two years.

“The year 2025 can be described as a year of macroeconomic stability and overall, we saw some improvement in different macroeconomic indicators,” Tawfik said.

She noted that inflation, which had surged to a record 38 percent in May 2023, had been reduced to single-digit figures in 2025.

Pakistan’s Finance Adviser Khurram Schehzad said this week the Pakistan Stock Exchange has delivered 50 percent-plus returns in US dollar terms since January 2025, making it one of the “best markets in Asia.”

Tawfik said 2026 could see “positive” developments if the government maintains macroeconomic stability.

The economist said she expected growth at around 3.7 percent, inflation to remain within the central bank’s five to seven percent target range and a relatively stable exchange rate with modest depreciation.

However, she cautioned that without addressing high energy costs, easing business conditions and boosting exports, the government could risk squandering its hard-won macroeconomic gains.

“It is important to take all stakeholders on the same page and work in the same direction for overall economic betterment.”