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Data & Policy Center / Human Development

Where Pakistan Stands on Health and Education

Data & Policy Center · Human Development
LAUNCHED 14 AUG 2026 · TRACKED AND EXPANDED CONTINUOUSLY
Literacy rate, age 10+
63%
▲ up from 61% the prior year · male 73% · female 54%
Out-of-school children
28%
▼ down from 38% in 2023 · Balochistan highest at 45%
Public education spending
0.8%
▼ down from 1.9% of GDP in FY2019–20
Public health spending
0.8%
of GDP, FY2025 · among the lowest in the region
Life expectancy at birth
67.8 yrs
▲ rising gradually over the past two decades
Maternal mortality ratio
155
▼ per 100,000 live births · down from 193 in 2016
The Trend Lines

Public education expenditure, FY2019–20 to FY2024–25

% of GDP, fiscal year
Education spending has been cut by more than half in five years, even as out-of-school numbers stay high. Source: Economic Survey of Pakistan 2025–26, Chapter 10.

Out-of-school children by province, 2025

% of children aged 5–16
Balochistan's rate is more than double Punjab's, despite a shared constitutional guarantee under Article 25-A. Source: Economic Survey of Pakistan 2025–26, Chapter 10.
Policy Landscape

Access: the constitutional right to education

Article 25-A of the Constitution, added by the 18th Amendment in 2010, makes free and compulsory education a fundamental right for every child aged 5 to 16. Education itself was devolved to the provinces in the same amendment, so each province has since passed its own Right to Education Act to give the constitutional guarantee legal force locally. Fifteen years on, implementation has lagged well behind the legal guarantee, which is a large part of why out-of-school numbers remain high and vary so sharply by province.

Curriculum and national planning: the Single National Curriculum and Uraan Pakistan

The federal government has been rolling out a Single National Curriculum since 2021, intended to bring public, private, and madrassah-stream schools onto one common syllabus; rollout across provinces and grade levels remains uneven. Human development also sits inside the national growth plan tracked on PIVRA's Economy & Livelihoods page: Uraan Pakistan's fifth pillar, Equity, Ethics and Empowerment, places education, health, and social protection under the same five-year national targets as export growth and energy reform.

Health coverage: the Sehat Sahulat Program

Pakistan's main health-financing vehicle for lower-income households is the Sehat Sahulat Program, a government-funded scheme that issues a card entitling a household to cashless inpatient treatment at empanelled public and private hospitals. Coverage and funding have varied by province since the program's national rollout, with some provinces scaling enrollment back over cost concerns while others have kept it broader. It operates alongside chronically low public health spending, which is why a household holding a coverage card can still face large out-of-pocket costs for care the scheme does not fund.

Where the Gaps Are

Investment is falling as the need is not

Public spending on both education and health sits at just 0.8% of GDP, near historic lows for each, even as enrollment gaps and out-of-school numbers show a system that still needs to expand capacity rather than contract it.

Access is deeply uneven across provinces

Balochistan's out-of-school rate of 45% is more than double Punjab's 21%, despite both provinces operating under the same constitutional guarantee. A national average obscures how differently this sector is actually experienced depending on where a child lives.

Gender gaps persist despite overall gains

The national literacy rate has risen, but the gap between male literacy (73%) and female literacy (54%) remains close to 20 points, and enrollment gaps between boys and girls widen at every stage past primary school.

From PIVRA's Own Research
Issue Brief · IB-2026-02

The AI Divide: An Inequality Between Educated and Less-Educated Workers in Pakistan

Dr. Kanwal Rubab

Examines how disparities in education, digital access, skills, and occupational opportunity may create an emerging AI capability divide among Pakistani workers, the same underlying education gap this page tracks, and recommends inclusive skills development to prevent it from deepening existing labour-market inequality.

Read the full brief →