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Pakistan’s Constitution has evolved in several ﺳﺎﻟﻮں ﻣﯿﮟ ﮐﺌﯽ اﮨﻢ ﻃﺮﯾﻘﻮں ﺳﮯ50 ﭘﺎﮐﺴﺘﺎن ﮐﺎ آﺋﯿﻦ ﮔﺰﺷﺘﮧ
significant ways during the past 50 years. وﯾﮟ ﺗﺮﻣﯿﻢ ﮐﮯ ذرﯾﻌﮯ18 ﻣﯿﮟ2010 ﺗﯿﺎر ﮨﻮا ﮨﮯ۔ ﭘﺎرﻟﯿﻤﻨﭧ ﻧﮯ
Parliament addressed the most sensitive issue of ﺻﻮﺑﺎﺋﯽ ﺧﻮدﻣﺨﺘﺎری ﮐﮯ ﺣﺴﺎس ﺗﺮﯾﻦ ﻣﺴﺌﻠﮯ ﮐﻮ ﺣﻞ ﮐﯿﺎ ﺗﮭﺎ۔ ﯾﮧ
provincial autonomy through the 18th ﻣﯿﮟ ﭘﺎﮐﺴﺘﺎن ﭨﻮٹ ﮔﯿﺎ1971 وﮨﯽ ﻣﺴﺌﻠﮧ ﺗﮭﺎ ﺟﺲ ﮐﯽ وﺟﮧ ﺳﮯ
Amendment in 2010. It was the same issue which ﺗﮭﺎ اور اس ﮐﮯ ﺑﻌﺪ ﺳﮯ ﺑﺎﻗﯽ ﭼﺎروں ﺻﻮﺑﻮں ﻣﯿﮟ ﺗﻠﺨﯽ ﮐﺎ ﺑﺎﻋﺚ
had led to the dismemberment of Pakistan in وﯾﮟ ﺗﺮﻣﯿﻢ ﮐﮯ ذرﯾﻌﮯ ﮐﻨﮑﺮﻧﭧ ﻟﯿﺠﺴﻠﯿﭩﻮ ﻟﺴﭧ ﮐﻮ18 ﺑﻨﺎ ﺗﮭﺎ۔
1971 and had been a source of bitterness in the ﺧﺘﻢ ﮐﺮ دﯾﺎ ﮔﯿﺎ اور ﻣﺘﻌﺪد وﻓﺎﻗﯽ وزارﺗﯿﮟ ﺻﻮﺑﻮں ﮐﮯ ﺣﻮاﻟﮯ ﮐﺮ
دی ﮔﺌﯿﮟ۔
remaining four provinces ever since. The
Concurrent Legislative List was abolished through
the 18th Amendment and a number of federal
ministries were devolved to the provinces.
A system of caretaker governments was not وﯾﮟ18 اﺻﻞ آﺋﯿﻦ ﻣﯿﮟ ﻧﮕﺮاں ﺣﮑﻮﻣﺘﻮں ﮐﺎ ﻧﻈﺎم ﻧﮩﯿﮟ دﯾﺎ ﮔﯿﺎ۔
provided in the original Constitution. The 18th ﮐﺎ اﺿﺎﻓﮧ ﮐﺮ ﮐﮯA-1 ﻣﯿﮟ ﺷﻖ224 ﺗﺮﻣﯿﻢ ﻧﮯ آﺋﯿﻦ ﮐﮯ آرﭨﯿﮑﻞ
Amendment introduced caretaker governments 2012 اﻧﺘﺨﺎﺑﺎت ﮐﮯ دوران ﻧﮕﺮاں ﺣﮑﻮﻣﺘﯿﮟ ﻣﺘﻌﺎرف ﮐﺮاﺋﯿﮟ۔
during the election by adding Clause 1-A in Article وﯾﮟ ﺗﺮﻣﯿﻢ ﮐﮯ ذرﯾﻌﮯ ﻧﻈﺎم ﮐﻮ ﻣﺰﯾﺪ ﺑﮩﺘﺮ ﮐﯿﺎ ﮔﯿﺎ۔20 ﻣﯿﮟ
224 of the Constitution. The system was further
refined through the 20th Amendment in 2012.
Other amendments were made to the Constitution اﻧﺘﺨﺎﺑﯽ ﻋﻤﻞ ﻣﯿﮟ ﻧﻤﺎﯾﺎں اﺻﻼح ﮐﮯ ﻟﯿﮯ آﺋﯿﻦ ﻣﯿﮟ دﯾﮕﺮ ﺗﺮاﻣﯿﻢ
to reform the electoral process in a significant ﮐﮯ ذرﯾﻌﮯ ﭼﯿﻒ213 وﯾﮟ ﺗﺮﻣﯿﻢ ﻧﮯ آرﭨﯿﮑﻞ18 ﮐﯽ ﮔﺌﯿﮟ۔
way. The 18th Amendment, through Article 213, اﻟﯿﮑﺸﻦ ﮐﻤﺸﻨﺮ اور ﮐﻤﯿﺸﻦ ﻣﻤﺒﺮان ﮐﯽ ﺗﻘﺮری ﮐﮯ ﺻﺪر ﮐﮯ
did away with the discretionary powers of the ﺻﻮاﺑﺪﯾﺪی اﺧﺘﯿﺎرات ﮐﻮ ﺧﺘﻢ ﮐﺮ دﯾﺎ اور وزﯾﺮ اﻋﻈﻢ اور ﻗﺎﺋﺪ
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CSS Books, Notes, Past Paper Saturday, 08 April 2023 Prepared by: Mohsin
National Magazine, Daily Mcqs Dawn HD Newspaper WhatsApp 03410280618
president to appoint the chief election ﺣﺰب اﺧﺘﻼف ﮐﮯ درﻣﯿﺎن ﻣﺸﺎورت ﮐﮯ ﺑﻌﺪ اور ﭘﺎرﻟﯿﻤﺎﻧﯽ ﮐﻤﯿﭩﯽ
commissioner and commission members and ﮐﮯ ذرﯾﻌﮯ ﺗﻘﺮرﯾﻮں ﮐﯽ ﺳﮩﻮﻟﺖ ﻓﺮاﮨﻢ ﮐﯽ۔
provided for the appointments after consultation
between the prime minister and the leader of the
opposition and through a parliamentary
committee.
The Indian parliament had been struggling for ﮨﻨﺪوﺳﺘﺎﻧﯽ ﭘﺎرﻟﯿﻤﻨﭧ ﮐﺌﯽ دﮨﺎﺋﯿﻮں ﺳﮯ اﭘﻨﮯ آﺋﯿﻦ ﻣﯿﮟ اﺳﯽ
decades to pass a similar amendment to their ﻃﺮح ﮐﯽ ﺗﺮﻣﯿﻢ ﻣﻨﻈﻮر ﮐﺮﻧﮯ ﮐﮯ ﻟﯿﮯ ﺟﺪوﺟﮩﺪ ﮐﺮ رﮨﯽ ﺗﮭﯽ ﻟﯿﮑﻦ
constitution but has not succeeded so far. These وﯾﮟ اور19 اب ﺗﮏ ﮐﺎﻣﯿﺎب ﻧﮩﯿﮟ ﮨﻮ ﺳﮑﯽ ﮨﮯ۔ ان دﻓﻌﺎت ﮐﻮ
provisions were further refined through the 19th وﯾﮟ ﺗﺮﻣﯿﻢ ﮐﮯ ذرﯾﻌﮯ ﻣﺰﯾﺪ ﺑﮩﺘﺮ ﮐﯿﺎ ﮔﯿﺎ۔20
and 20th Amendments.
Half a century after it was passed, the 1973 ﮐﺎ آﺋﯿﻦ ﺗﯿﺎر ﮨﻮ رﮨﺎ ﮨﮯ۔1973 ﻧﺼﻒ ﺻﺪی ﮔﺰر ﺟﺎﻧﮯ ﮐﮯ ﺑﻌﺪ ﺑﮭﯽ
Constitution continues to evolve.
The provisions relating to the defection of ﻣﯿﮟ اﺻﻞ آﺋﯿﻦ ﮐﮯ ﻣﻨﻈﻮر ﮨﻮﻧﮯ ﮐﮯ ﺑﻌﺪ ﺳﮯ ﻗﺎﻧﻮن ﺳﺎزوں1973
legislators have undergone several modifications ﮐﮯ اﻧﺤﺮاف ﺳﮯ ﻣﺘﻌﻠﻖ دﻓﻌﺎت ﻣﯿﮟ ﮐﺌﯽ ﺗﺮاﻣﯿﻢ ﮐﯽ ﮔﺌﯽ ﮨﯿﮟ۔
since the original Constitution was passed in ﻟﯿﮑﻦ،اﮔﺮﭼﮧ اﺻﻞ آﺋﯿﻦ ﻣﯿﮟ اﻧﺤﺮاف ﮐﯽ ﺷﻖ ﺷﺎﻣﻞ ﻧﮩﯿﮟ ﺗﮭﯽ
1973. Although the original Constitution did not ، ﺳﺎل ﮐﮯ ﻟﯿﮯ ﻋﺎرﺿﯽ ﺷﻖ ﯾﺎ دوﺳﺮے ﻋﺎم اﻧﺘﺨﺎﺑﺎت ﮐﺎ اﻧﻌﻘﺎد10
include a defection clause as such, a temporary ﻣﯿﮟ ﺷﺎﻣﻞ ﮐﯿﺎ ﮔﯿﺎ ﺗﮭﺎ ﮐﮧ اﯾﮏ96 آرﭨﯿﮑﻞ،ﺟﻮ ﺑﮭﯽ ﮨﻮ۔ ﺑﻌﺪ ﻣﯿﮟ
provision for 10 years or the holding of the ﮐﺴﯽ ﺳﯿﺎﺳﯽ ﺟﻤﺎﻋﺖ ﮐﮯ اﻣﯿﺪوار ﯾﺎ ﻧﺎﻣﺰد،اﯾﻢ اﯾﻦ اے ﮐﺎ ووٹ
second general election, whichever occurred later, ﻋﺪم اﻋﺘﻤﺎد ﮐﯽ ﻗﺮارداد ﮐﯽ ﺣﻤﺎﯾﺖ ﻣﯿﮟ ڈاﻻ،اﻣﯿﺪوار ﮐﮯ ﻃﻮر ﭘﺮ
was included in Article 96 that the vote of an اﮔﺮ اس ﺳﯿﺎﺳﯽ ﺟﻤﺎﻋﺖ ﮐﮯ ارﮐﺎن ﮐﯽ اﮐﺜﺮﯾﺖ ووٹ ڈ،ﺟﺎﺋﮯ ﮔﺎ
MNA, as a candidate or nominee of a political اﻟﺘﯽ ﮨﮯ۔ اﯾﺴﯽ ﻗﺮارداد ﮐﮯ ﺧﻼف ووٹ دﯾﮟ۔
party, cast in support of a no-confidence
resolution, would be disregarded if the majority of
the members of that political party cast their vote
against such a resolution.
A significant feature of the amended 63-A was ﮐﯽ اﯾﮏ اﮨﻢ ﺧﺼﻮﺻﯿﺖ ﯾﮧ ﺗﮭﯽ ﮐﮧ اﮔﺮﭼﮧA-63 ﺗﺮﻣﯿﻢ ﺷﺪہ
that although defecting members would be ﻟﯿﮑﻦ آﺋﯿﻦ ﻣﯿﮟ اﯾﺴﺎ،ﻣﻨﺤﺮف ارﮐﺎن ﮐﻮ ﻧﺎاﮨﻞ ﻗﺮار دﯾﺎ ﺟﺎﺋﮯ ﮔﺎ
disqualified, there was nothing in the Constitution ﮐﭽﮫ ﺑﮭﯽ ﻧﮩﯿﮟ ﺗﮭﺎ ﺟﺲ ﻣﯿﮟ ﯾﮧ ﺗﺠﻮﯾﺰ ﮐﯿﺎ ﮔﯿﺎ ﮨﻮ ﮐﮧ ان ﮐﮯ
which suggested that their votes would be ووﭨﻮں ﮐﻮ ﻧﻈﺮاﻧﺪاز ﮐﯿﺎ ﺟﺎﺋﮯ ﮔﺎ۔ ﺳﺘﻢ ﻇﺮﯾﻔﯽ ﯾﮧ ﮨﮯ ﮐﮧ ﻣﺌﯽ
disregarded. Ironically, a majority judgement of a ﻣﯿﮟ ﺳﭙﺮﯾﻢ ﮐﻮرٹ ﮐﮯ ﭘﺎﻧﭻ رﮐﻨﯽ ﺑﯿﻨﭻ ﮐﮯ اﮐﺜﺮﯾﺘﯽ2022
five-member Supreme Court bench declared in ﻓﯿﺼﻠﮯ ﻣﯿﮟ ﮐﮩﺎ ﮔﯿﺎ ﺗﮭﺎ ﮐﮧ ﻣﻨﺤﺮف ارﮐﺎن ﮐﮯ ووﭨﻮں ﮐﻮ ﻧﻈﺮ اﻧﺪاز
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CSS Books, Notes, Past Paper Saturday, 08 April 2023 Prepared by: Mohsin
National Magazine, Daily Mcqs Dawn HD Newspaper WhatsApp 03410280618
May 2022 that the votes of the defecting ﮐﮯ آﺋﯿﻦ ﻣﯿﮟ ﺷﺎﻣﻞ ﻋﺎرﺿﯽ ﺷﻖ1973 اور اﺻﻞ،ﮐﯿﺎ ﺟﺎﺋﮯ ﮔﺎ
members would be disregarded, going back to the اس ﻏﯿﺮ ﻣﻌﻤﻮﻟﯽ ﻓﺮق ﮐﮯ ﺳﺎﺗﮫ ﮐﮧ اس ﺑﺎر،ﮐﯽ ﻃﺮف واﭘﺲ ﺟﺎﻧﺎ
temporary provision included in the original 1973 ﻧﻈﺮ اﻧﺪاز ﮐﯿﺎ ﮔﯿﺎ۔ ﻣﻨﺤﺮف ارﮐﺎن ﮐﺎ ووٹ ﻋﺎرﺿﯽ ﻧﮩﯿﮟ ﺗﮭﺎ۔،
Constitution, with the ominous difference that this اﺧﺘﻼف ﮐﺮﻧﮯ واﻟﮯ ﺟﺠﻮں ﻣﯿﮟ ﺳﮯ اﯾﮏ ﻧﮯ ﻓﯿﺼﻠﮯ ﮐﻮ "آﺋﯿﻦ ﮐﯽ
time, disregarding the vote of defecting members دوﺑﺎرہ ﺗﺤﺮﯾﺮ" ﮐﮯ ﻃﻮر ﭘﺮ ﺑﯿﺎن ﮐﯿﺎ۔
was not temporary. One of the dissenting judges
characterised the judgement as “rewriting of the
Constitution”.
While recounting the significant ways in which the ﻣﺎﺿﯽ ﻣﯿﮟ ﺟﻦ اﮨﻢ ﻃﺮﯾﻘﻮں ﺳﮯ آﺋﯿﻦ ﺗﯿﺎر ﮨﻮا ان ﮐﺎ ذﮐﺮ ﮐﺮﺗﮯ
ﮐﭽﮫ دﯾﮕﺮ ﺗﺮاﻣﯿﻢ ﮐﯽ اﮨﻢ ﺿﺮورت ﮐﯽ ﻧﺸﺎﻧﺪﮨﯽ ﮐﺮﻧﮯ ﻣﯿﮟ،ﮨﻮﺋﮯ
Constitution evolved in the past, one can’t help
ﮐﻮﺋﯽ ﻣﺪد ﻧﮩﯿﮟ ﮐﺮ ﺳﮑﺘﺎ۔
pointing out the critical need for some other
amendments.
The power of the executive to promulgate ﮐﮯ ﺗﺤﺖ آرڈﯾﻨﻨﺲ ﺟﺎری ﮐﺮﻧﮯ ﮐﮯ128 اور89 آﺋﯿﻦ ﮐﮯ آرﭨﯿﮑﻞ
ordinances under Articles 89 and 128 of the ﻟﯿﮯ اﯾﮕﺰﯾﮑﭩﻮ ﮐﻮ اﺧﺘﯿﺎر دﯾﻨﮯ ﮐﯽ ﺿﺮورت ﮨﮯ ﮐﯿﻮﻧﮑﮧ ﻣﻘﻨﻨﮧ ﮐﮯ
Constitution needs to go as any legislation ﺑﻐﯿﺮ ﮐﻮﺋﯽ ﺑﮭﯽ ﻗﺎﻧﻮن ﺳﺎزی ﺟﻤﮩﻮرﯾﺖ ﭘﺮ اﯾﮏ دﮬﺒﮧ ﮨﮯ۔
without legislatures is simply a blot on
democracy.
The powers of the government to make ﮐﮯ ﺗﺤﺖ ﻣﻘﻨﻨﮧ ﮐﺎ ﺳﮩﺎرا ﻟﯿﮯ ﺑﻐﯿﺮ ﺑﺠﭧ ﻣﯿﮟ84 آﺋﯿﻦ ﮐﮯ آرﭨﯿﮑﻞ
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CSS Books, Notes, Past Paper Saturday, 08 April 2023 Prepared by: Mohsin
National Magazine, Daily Mcqs Dawn HD Newspaper WhatsApp 03410280618
modifications in the budget and authorise ﺗﺮﻣﯿﻢ ﮐﺮﻧﮯ اور وﻓﺎﻗﯽ ﮐﻨﺴﻮﻟﯿﮉﯾﭩﮉ ﻓﻨﮉ ﺳﮯ اﺧﺮاﺟﺎت ﮐﯽ اﺟﺎزت
expenditure from the Federal Consolidated Fund دﯾﻨﮯ ﮐﮯ ﺣﮑﻮﻣﺘﯽ اﺧﺘﯿﺎرات ﺟﻤﮩﻮرﯾﺖ ﻣﯿﮟ ﻧﺎﻗﺎﺑﻞ ﻗﺒﻮل ﮨﯿﮟ اور
without recourse to the legislature under Article اﺳﮯ ﺗﺒﺪﯾﻞ ﮨﻮﻧﺎ ﭼﺎﮨﯿﮯ۔
84 of the Constitution is simply unacceptable in a
democracy and should change.
Lastly, parliament was coerced in 2010 to water ﻣﯿﮟ ﭘﺎرﻟﯿﻤﻨﭧ ﮐﻮ ﺟﺠﻮں ﮐﯽ ﺗﻘﺮری ﻣﯿﮟ اﭘﻨﮯ2010 ،آﺧﺮ ﮐﺎر
down its role in the appointment of judges and it وﯾﮟ ﺗﺮﻣﯿﻢ19 ﮐﺮدار ﭘﺮ ﭘﺎﻧﯽ ﭘﮭﯿﺮﻧﮯ ﭘﺮ ﻣﺠﺒﻮر ﮐﯿﺎ ﮔﯿﺎ اور اﺳﮯ
had to post-haste pass the 19th Amendment. ﮐﻮ ﺟﻠﺪ ﺑﺎزی ﻣﯿﮟ ﭘﺎس ﮐﺮﻧﺎ ﭘﮍا۔ ﭘﺎرﻟﯿﻤﻨﭧ ﮐﻮ ﭼﺎﮨﯿﮯ ﮐﮧ وہ
Parliament should amend Article 175-A to assert ﯽ ﻋﺪاﻟﺘﻮں ﻣﯿﮟ ﺟﺠﻮں ٰ ﻣﯿﮟ ﺗﺮﻣﯿﻢ ﮐﺮے ﺗﺎﮐﮧ اﻋﻠA-175 آرﭨﯿﮑﻞ
its rightful role in scrutinising the appointment of ﮐﯽ ﺗﻘﺮری ﮐﯽ ﺟﺎﻧﭻ ﭘﮍﺗﺎل ﻣﯿﮟ اﭘﻨﺎ ﺻﺤﯿﺢ ﮐﺮدار ادا ﮐﯿﺎ ﺟﺎ
judges to the superior courts. ﺳﮑﮯ۔
WHILE the elites are locked in an internecine ﺟﺐ ﮐﮧ اﺷﺮاﻓﯿﮧ آﭘﺲ ﻣﯿﮟ اﻗﺘﺪار ﮐﯽ ﮐﺸﻤﮑﺶ ﻣﯿﮟ ﺟﮑﮍے ﮨﻮﺋﮯ
power struggle, millions of flood-affected, ﺑﮯ ﮔﮭﺮ اور ﺑﮯ ﺳﮩﺎرا ﺷﮩﺮﯾﻮں، ﻻﮐﮭﻮں ﺳﯿﻼب ﺳﮯ ﻣﺘﺎﺛﺮہ،ﮨﯿﮟ
homeless and destitute citizens have been left to ﮐﻮ اﭘﻨﺎ ﭘﯿﭧ ﭘﺎﻟﻨﮯ ﮐﮯ ﻟﯿﮯ ﭼﮭﻮڑ دﯾﺎ ﮔﯿﺎ ﮨﮯ۔ ان ﻣﯿﮟ ﺳﮯ زﯾﺎدہ ﺗﺮ
fend for themselves. Most of these wretched ، ﺧﻮراک- ﺑﺪ ﺣﺎل ﺧﺎﻧﺪاﻧﻮں ﮐﻮ ﻋﻤﻠﯽ ﻃﻮر ﭘﺮ اﭘﻨﯽ ﺿﺮورﯾﺎت
families have been practically forced to cater to ﺻﺤﺖ اور ﺳﺐ ﺳﮯ ﺑﮍھ ﮐﺮ اﭘﻨﮯ ﻧﻔﺴﯿﺎﺗﯽ ﻃﻮر ﭘﺮ ﺻﺪﻣﮯ،رﮨﺎﺋﺶ
their own needs — food, shelter, health and above ﺳﮯ دوﭼﺎر ﺑﭽﻮں ﮐﯽ ﺗﻌﻠﯿﻢ ﮐﻮ ﭘﻮرا ﮐﺮﻧﮯ ﭘﺮ ﻣﺠﺒﻮر ﮐﯿﺎ ﮔﯿﺎ ﮨﮯ۔
all, the education of their psychologically
traumatised children.
climatic challenges. Another, possibly disastrous, ﻣﻮن ﺳﻮن، ﻣﻤﮑﻨﮧ ﻃﻮر ﭘﺮ ﺗﺒﺎہ ﮐﻦ،دﮐﮭﺎﺋﯽ دے رﮨﯽ ﮨﻮ۔ اﯾﮏ اور
spell of monsoons is about to begin, yet the Sindh اس ﮐﮯ ﺑﺎوﺟﻮد ﺳﻨﺪھ ﺣﮑﻮﻣﺖ ﻧﮯ،ﮐﺎ ﺳﭙﯿﻞ ﺷﺮوع ﮨﻮﻧﮯ واﻻ ﮨﮯ
government has neither rehabilitated the broken ﻧﮧ ﺗﻮ ﭨﻮﭨﮯ ﮨﻮﺋﮯ آﺑﭙﺎﺷﯽ ﮐﮯ ﺑﻨﯿﺎدی ڈﮬﺎﻧﭽﮯ ﮐﻮ ﺑﺤﺎل ﮐﯿﺎ ﮨﮯ اور
irrigation infrastructure, nor restored the old ﻧﮧ ﮨﯽ ﭘﺮاﻧﮯ ﺑﻨﺪ دﮬﻮروں )ﺗﺎرﯾﺨﯽ ﺳﭙﻞ وﯾﺰ( ﮐﻮ ﺑﺤﺎل ﮐﯿﺎ ﮨﮯ
clogged up dhoras (historical spillways) to save ﺗﺎﮐﮧ ﺳﯿﻼﺑﯽ ﭘﺎﻧﯽ ﮐﻮ ﻧﮑﺎل ﮐﺮ ﺷﮩﺮوں ﮐﻮ ﺑﭽﺎﯾﺎ ﺟﺎ ﺳﮑﮯ۔ ﻧﯿﺰ
the cities by draining out the floodwater. Also, the ﺗﺒﺎہ ﺷﺪہ ﻣﮑﺎﻧﺎت ﮐﯽ ﺗﻌﻤﯿﺮ ﻧﻮ ﮐﺎ وﻋﺪہ اﺑﮭﯽ ﺗﮏ ﭘﻮرا ﮨﻮﻧﮯ ﮐﺎ
promise of reconstructing destroyed houses is اﻧﺘﻈﺎر ﮨﮯ۔
still waiting to be fulfilled.
In such a situation, the citizen has two options. اﯾﺴﯽ ﺻﻮرت ﺣﺎل ﻣﯿﮟ ﺷﮩﺮی ﮐﮯ ﭘﺎس دو راﺳﺘﮯ ﮨﻮﺗﮯ ﮨﯿﮟ۔
First, he could join a political party that represents وہ اﯾﺴﯽ ﺳﯿﺎﺳﯽ ﺟﻤﺎﻋﺖ ﻣﯿﮟ ﺷﺎﻣﻞ ﮨﻮ ﺳﮑﺘﺎ ﮨﮯ،ﺳﺐ ﺳﮯ ﭘﮩﻠﮯ
his class or at least protects his rights and ﺟﻮ اس ﮐﮯ ﻃﺒﻘﮯ ﮐﯽ ﻧﻤﺎﺋﻨﺪﮔﯽ ﮐﺮﺗﯽ ﮨﻮ ﯾﺎ ﮐﻢ از ﮐﻢ اس ﮐﮯ
liberties. But here this option has long been ﺣﻘﻮق اور آزادﯾﻮں ﮐﺎ ﺗﺤﻔﻆ ﮐﺮﺗﯽ ﮨﻮ۔ ﻟﯿﮑﻦ ﯾﮩﺎں ﯾﮧ آﭘﺸﻦ اس
closed to him. Post-war working class ﮐﮯ ﻟﯿﮯ ﮐﺎﻓﯽ ﻋﺮﺻﮯ ﺳﮯ ﺑﻨﺪ ﮨﮯ۔ ﺟﻨﮓ ﮐﮯ ﺑﻌﺪ ﮐﯽ ﻣﺤﻨﺖ ﮐﺶ
movements that were inspired by Marxist, ﻟﯿﻨﻨﺴﭧ اور ﻣﺎؤﺳﭧ ﻧﻈﺮﯾﺎت،ﻃﺒﻘﮯ ﮐﯽ ﺗﺤﺮﯾﮑﯿﮟ ﺟﻮ ﻣﺎرﮐﺴﺴﭧ
Leninist and Maoist ideologies, or the later left- ﯾﺎ ﺑﻌﺪ ﻣﯿﮟ ﺑﺎﺋﯿﮟ ﻃﺮف ﺟﮭﮑﺎؤ رﮐﮭﻨﮯ واﻟﮯ ﺗﺮﻗﯽ ﭘﺴﻨﺪ ﭘﻠﯿﭧ،
leaning progressive platforms, are all but extinct, ﺟﻦ ﻣﯿﮟ ﮐﭽﮫ، ﺳﺒﮭﯽ ﻧﺎﭘﯿﺪ ﮨﻮ ﭼﮑﯽ ﮨﯿﮟ،ﻓﺎرﻣﺰ ﺳﮯ ﻣﺘﺎﺛﺮ ﺗﮭﯿﮟ
barring some existing on the fringes. But that اس ﮐﻮ ﭼﮭﻮڑ ﮐﺮ ﻟﯿﮑﻦ اس ﮐﺎ ﯾﮧ ﻣﻄﻠﺐ ﻧﮩﯿﮟ ﮐﮧ،ﻣﻮﺟﻮد ﮨﯿﮟ
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doesn’t mean that progressive or class-based ﺗﺮﻗﯽ ﭘﺴﻨﺪ ﯾﺎ ﻃﺒﻘﺎﺗﯽ ﺳﯿﺎﺳﺖ ﺧﺘﻢ ﮨﻮ ﭼﮑﯽ ﮨﮯ۔ اس ﮐﮯ
politics is passé. On the contrary, leftist ﺑﺎﺋﯿﮟ ﺑﺎزو ﮐﯽ ﺣﮑﻮﻣﺘﯿﮟ ﯾﺎ ﮐﻢ از ﮐﻢ ﺑﺎﺋﯿﮟ ﺑﺎزو ﭘﺮ ﻣﺒﻨﯽ،ﺑﺮﻋﮑﺲ
governments or at least left-oriented social ﯾﻮرپ اور ﯾﮩﺎں ﺗﮏ ﮐﮧ ﻣﻮدی،ﺳﻤﺎﺟﯽ اﯾﺠﻨﮉے ﻻﻃﯿﻨﯽ اﻣﺮﯾﮑﮧ
agendas continue to shape much of the world, ﮐﮯ ﮨﻨﺪوﺳﺘﺎن ﺳﻤﯿﺖ دﻧﯿﺎ ﮐﮯ ﺑﯿﺸﺘﺮ ﺣﺼﻮں ﮐﻮ ﺗﺸﮑﯿﻞ دﯾﺘﮯ
including Latin America, Europe and even Modi’s رﮨﺘﮯ ﮨﯿﮟ۔
India.
It’s a pity that the current ‘democratic’ ،ﯾﮧ اﻓﺴﻮس ﮐﯽ ﺑﺎت ﮨﮯ ﮐﮧ ﺳﻨﺪھ ﻣﯿﮟ ﻣﻮﺟﻮدہ 'ﺟﻤﮩﻮری' ﻧﻈﺎم
dispensation in Sindh, if not in much of the ﺗﻮ اس ﻧﻘﺼﺎن دہ 'ﭘﺮﻧﺴﭙﻞ،اﮔﺮ ﻣﻠﮏ ﮐﮯ ﺑﯿﺸﺘﺮ ﺣﺼﻮں ﻣﯿﮟ ﻧﮩﯿﮟ
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country, is rooted in this pernicious ‘principal- ﮐﻼﺋﻨﭧ' ﺗﻌﻠﻘﺎت ﻣﯿﮟ ﺟﮍا ﮨﻮا ﮨﮯ۔ ﺑﮯ ﺑﺲ ﻏﺮﯾﺒﻮں ﮐﻮ اﭘﻨﮯ ﺧﺎﻧﺪان
client’ relationship. The hapless poor must give up ﮐﮯ ﻟﯿﮯ ﮐﭽﮫ ’ﭨﮑﺮے‘ ﺣﺎﺻﻞ ﮐﺮﻧﮯ ﮐﮯ ﻟﯿﮯ اﭘﻨﯽ ﺳﯿﺎﺳﯽ آزادی ﺳﮯ
on their political freedom to get some ‘crumbs’ for دﺳﺘﺒﺮدار ﮨﻮﻧﺎ ﭼﺎﮨﯿﮯ۔
their family.
Mercifully, the status quo is now under attack. اب ﺟﻤﻮد ﭘﺮ ﺣﻤﻠﮧ ﮨﻮ رﮨﺎ ﮨﮯ۔ ﻣﺮﮐﺰی ﻃﺎﻗﺖ ﮐﺎ،ﻣﮩﺮﺑﺎﻧﯽ ﺳﮯ
The principal power centre, Punjab, is politically ﺳﯿﺎﺳﯽ ﻃﻮر ﭘﺮ ﮨﻠﭽﻞ ﻣﭽﺎ رﮨﺎ ﮨﮯ۔ ﺑﻠﻮﭼﺴﺘﺎن اور، ﭘﻨﺠﺎب،ﻣﺮﮐﺰ
ﮐﮯ ﭘﯽ ﮐﻮ ﻣﺴﻠﺢ ﺷﻮرﺷﻮں ﮐﺎ ﺳﺎﻣﻨﺎ ﮨﮯ۔ اور ﺳﻨﺪھ ﻣﺎﯾﻮﺳﯽ ﮐﯽ
sweltering; Balochistan and KP are facing armed
ﻟﭙﯿﭧ ﻣﯿﮟ ﮨﮯ۔ اس ﺗﺒﺎہ ﮐﻦ دور ﻣﯿﮟ ﻻﮐﮭﻮں ﻏﺮﯾﺐ ﺑﭽﻮں ﮐﯽ
insurgencies; and Sindh is seething with
ﺗﻌﻠﯿﻢ ﮐﻮ ﻧﻈﺮ اﻧﺪاز ﮐﺮﻧﺎ ﻣﻠﮏ ﮐﻮ ﺟﺪﯾﺪ ﭨﯿﮑﻨﺎﻟﻮﺟﯽ اور اﻧﺘﮩﺎﺋﯽ
discontent. In these cataclysmic times, ignoring
اﻧﺴﺎﻧﯽ وﺳﺎﺋﻞ ﺳﮯ ﭼﻠﻨﮯ واﻟﯽ دﻧﯿﺎ ﻣﯿﮟ اﯾﮏ ﺑﻨﺠﺮ زﻣﯿﻦ ﺑﻨﻨﮯ ﮐﮯ
the education of millions of poor children is like ﻟﯿﮯ ﺗﯿﺎر ﮐﺮﻧﮯ ﮐﮯ ﻣﺘﺮادف ﮨﮯ۔
preparing the country to become a wasteland in a
world run by cutting-edge technology and super-
human resources.
WHEN I began working in low-income settlements ﮐﯽ دﮨﺎﺋﯽ ﮐﮯ1980 ﮐﯽ دﮨﺎﺋﯽ ﮐﮯ آﺧﺮ اور1970 ﺟﺐ ﻣﯿﮟ ﻧﮯ
in the late 1970s and early 1980s, there was no اواﺋﻞ ﻣﯿﮟ ﮐﻢ آﻣﺪﻧﯽ واﻟﯽ ﺑﺴﺘﯿﻮں ﻣﯿﮟ ﮐﺎم ﮐﺮﻧﺎ ﺷﺮوع ﮐﯿﺎ ﺗﻮ
such thing as NGOs and civil society. Activists in وﮨﺎں اﯾﻦ ﺟﯽ اوز اور ﺳﻮل ﺳﻮﺳﺎﺋﭩﯽ ﻧﺎم ﮐﯽ ﮐﻮﺋﯽ ﭼﯿﺰ ﻧﮩﯿﮟ
low-income settlements usually formed an ﺗﮭﯽ۔ ﮐﻢ آﻣﺪﻧﯽ واﻟﯽ ﺑﺴﺘﯿﻮں ﻣﯿﮟ ﺳﺮﮔﺮم ﮐﺎرﮐﻨﻮں ﻧﮯ ﻋﺎم ﻃﻮر
association which they got registered under the ﭘﺮ اﯾﮏ اﻧﺠﻤﻦ ﺑﻨﺎﺋﯽ ﺟﺴﮯ اﻧﮩﻮں ﻧﮯ ﺳﻮﺳﺎﺋﭩﯿﺰ اﯾﮑﭧ ﮐﮯ ﺗﺤﺖ
Societies Act. The activists of the association رﺟﺴﭩﺮ ﮐﺮاﯾﺎ۔ اﻧﺠﻤﻦ ﮐﮯ ﮐﺎرﮐﻨﺎن ﻧﮯ ﺳﯿﺎﺳﺖ داﻧﻮں ﯾﺎ
invited politicians or bureaucrats to their ان ﮐﮯ ﻟﯿﮯ ﭼﺎﺋﮯ اور،ﺑﯿﻮروﮐﺮﯾﭩﺲ ﮐﻮ اﭘﻨﯽ ﺑﺴﺘﯽ ﻣﯿﮟ ﻣﺪﻋﻮ ﮐﯿﺎ
settlement, arranged a meeting for them with tea ان ﮐﮯ اﻋﺰاز، اﻧﮩﯿﮟ ﮨﺎر ﭘﮩﻨﺎﺋﮯ،ﺳﻤﻮﺳﻮں ﺳﮯ ﻣﻼﻗﺎت ﮐﺎ اﮨﺘﻤﺎم ﮐﯿﺎ
ﻣﯿﮟ اﯾﮏ ﺳﯿﭙﺎﺳﻨﺎﻣﮧ ﺗﯿﺎر ﮐﯿﺎ )ﺟﻮ اس ﻣﻮﻗﻊ ﭘﺮ ﭘﮍھ ﮐﺮ ﺳﻨﺎﯾﺎ
and samosas, garlanded them, prepared a
اور اﭘﻨﮯ ﻣﻄﺎﻟﺒﺎت ﭘﯿﺶ ﮐﺮﻧﮯ ﮐﺎ وﻋﺪہ ﮐﯿﺎ۔ آﻧﮯ واﻟﮯ،(ﮔﯿﺎ
sipaasnama in their honour (which was read out
اﻧﺘﺨﺎﺑﺎت ﻣﯿﮟ اﭘﻨﮯ ﻣﮩﻤﺎﻧﻮں ﮐﯽ ﭘﺎرﭨﯽ ﮐﻮ ووٹ دﯾﮟ۔
on the occasion), and put forward their demands,
promising to vote for their guests’ party in the
forthcoming elections.
ﺳﮍﮐﻮں ﺗﮏ رﺳﺎﺋﯽ اور، ﺳﯿﻮرﯾﺞ،ﻣﻄﺎﻟﺒﺎت ﻋﺎم ﻃﻮر ﭘﺮ ﭘﺎﻧﯽ
The demands were usually related to water,
ﭨﺮاﻧﺴﭙﻮرٹ ﺳﮯ ﻣﺘﻌﻠﻖ ﺗﮭﮯ۔ اﮔﺮ ﯾﮧ ﻣﻄﺎﻟﺒﺎت ﭘﻮرے ﮐﯿﮯ ﮔﺌﮯ ﯾﺎ
sewage, access to roads and transport. If these
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demands were fulfilled or promised to be fulfilled, ﭘﻮرا ﮐﺮﻧﮯ ﮐﺎ وﻋﺪہ ﮐﯿﺎ ﮔﯿﺎ ﺗﻮ اس ﺑﺴﺘﯽ ﮐﻮ اس ﺳﯿﺎﺳﺘﺪان ﯾﺎ
the settlement was named after the politician or ﺑﯿﻮروﮐﺮﯾﭧ ﮐﮯ ﻧﺎم ﺳﮯ ﻣﻨﺴﻮب ﮐﯿﺎ ﮔﯿﺎ ﺟﺲ ﻧﮯ ان ﮐﻮ ﭘﻮرا ﮐﺮﻧﮯ
bureaucrat who helped fulfil them. If the demands ﻣﯿﮟ ﻣﺪد ﮐﯽ۔ اﮔﺮ ﻣﻄﺎﻟﺒﺎت ﭘﻮرے ﻧﮧ ﮐﯿﮯ ﮔﺌﮯ ﯾﺎ ﻧﻈﺮ اﻧﺪاز ﮐﯿﮯ
were not fulfilled or were ignored, there would be ﮔﺌﮯ ﺗﻮ ﻣﺘﻌﻠﻘﮧ اﺗﮭﺎرﭨﯽ ﮐﮯ دﻓﺎﺗﺮ ﮐﮯ ﺳﺎﻣﻨﮯ ﻣﻈﺎﮨﺮے ﮐﯿﮯ ﺟﺎﺋﯿﮟ
demonstrations, sometimes violent, before the ﺑﻌﺾ اوﻗﺎت ﭘﺮﺗﺸﺪد ﺑﮭﯽ۔،ﮔﮯ
offices of the relevant authority.
For water, communities often got together and ﮐﻤﯿﻮﻧﭩﯿﺰ اﮐﺜﺮ اﮐﭩﮭﮯ ﮨﻮ ﺟﺎﺗﮯ ﮨﯿﮟ اور ﻣﻮﺟﻮدہ،ﭘﺎﻧﯽ ﮐﮯ ﻟﯿﮯ
tapped the existing water lines ‘illegally’, and اور اﭘﻨﯽ،ﭘﺎﻧﯽ ﮐﯽ ﻻﺋﻨﻮں ﮐﻮ 'ﻏﯿﺮ ﻗﺎﻧﻮﻧﯽ ﻃﻮر ﭘﺮ' ﭨﯿﭗ ﮐﺮﺗﮯ ﮨﯿﮟ
connected their self-help sewage lines to the ﻣﺪد آپ ﮐﮯ ﺳﯿﻮرﯾﺞ ﻻﺋﻨﻮں ﮐﻮ ﻗﺮﯾﺒﯽ ﻗﺪرﺗﯽ آﺑﺸﺎر ﺟﯿﺴﮯ ﻧﺎﻟﮯ
nearest natural outfall such as a nullah. اﯾﺴﻮﺳﯽ اﯾﺸﻦ ﻧﮯ ﺑﺴﺘﯽ ﮐﮯ،ﺳﮯ ﺟﻮڑ دﯾﺘﮯ ﮨﯿﮟ۔ ﺑﻌﺾ اوﻗﺎت
Sometimes, the association also hired a journalist ﺧﻮﻓﻨﺎک ﺟﺴﻤﺎﻧﯽ اور ﺳﻤﺎﺟﯽ ﺣﺎﻻت ﮐﯽ رﭘﻮرﭨﻨﮓ ﮐﮯ ﻟﯿﮯ اﯾﮏ
to report on the terrible physical and social اس ﻋﻤﻞ ﮐﮯ،ﺻﺤﺎﻓﯽ ﮐﯽ ﺧﺪﻣﺎت ﺑﮭﯽ ﺣﺎﺻﻞ ﮐﯿﮟ۔ درﯾﮟ اﺛﻨﺎ
ﺣﮑﺎم ﮐﻮ اﯾﺴﻮﺳﯽ اﯾﺸﻦ ﮐﮯ ﺳﺎﺗﮫ ﻣﺬاﮐﺮات ﮐﺮﻧﮯ ﭘﺮ،ذرﯾﻌﮯ
conditions in the settlement. Meanwhile, through
ﮐﺮاﭼﯽ ﮐﺎ ﺑﯿﺸﺘﺮ ﺣﺼﮧ اس ﻃﺮح ﺳﮯ ﺗﺮﻗﯽ.ﻣﺠﺒﻮر ﮐﯿﺎ ﮔﯿﺎ ﺗﮭﺎ
this process, the authorities were forced to hold
ﮐﺮ ﭼﮑﺎ ﮨﮯ۔
negotiations with the associations. Much of
Karachi has developed piecemeal in this manner.
Earlier, community organisations were part of the اس ﺳﮯ ﻗﺒﻞ ﮐﻤﯿﻮﻧﭩﯽ ﺗﻨﻈﯿﻤﯿﮟ ﺗﺮﻗﯿﺎﺗﯽ ﺑﺤﺚ ﮐﺎ ﺣﺼﮧ ﺗﮭﯿﮟ۔
development debate.
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involvement in the issues discussed. The زﯾﺮ ﺑﺤﺚ ﻣﺴﺎﺋﻞ ﻣﯿﮟ ﻣﺘﻌﻠﻘﮧ ﺷﻤﻮﻟﯿﺖ ﻧﮩﯿﮟ ﮐﯽ۔ ﺗﺸﺨﯿﺺ
diagnostic was prepared in 2017, and to date very اور آج ﺗﮏ اس ﺳﮯ ﺑﮩﺖ ﮐﻢ ﮐﺎم ﮨﻮا، ﻣﯿﮟ ﺗﯿﺎر ﮐﯿﺎ ﮔﯿﺎ ﺗﮭﺎ2017
little has materialised out of it. ﮨﮯ۔
It also happens often that for some reason, the اﮐﺜﺮ اﯾﺴﺎ ﺑﮭﯽ ﮨﻮﺗﺎ ﮨﮯ ﮐﮧ ﮐﺴﯽ وﺟﮧ ﺳﮯ ﻋﻄﯿﮧ دﮨﻨﺪﮔﺎن اﯾﻦ
donors stop funding the NGOs, as a result of ﺟﯽ اوز ﮐﻮ ﻓﻨﮉ دﯾﻨﺎ ﺑﻨﺪ ﮐﺮ دﯾﺘﮯ ﮨﯿﮟ ﺟﺲ ﮐﯽ وﺟﮧ ﺳﮯ ان ﮐﮯ
which their programmes come to a standstill. ﭘﺮوﮔﺮام ﭨﮭﭗ ﮨﻮ ﺟﺎﺗﮯ ﮨﯿﮟ۔ ﭘﺎﮐﺴﺘﺎن اﯾﺴﮯ ﮐﯿﺴﻮں ﺳﮯ ﺑﮭﺮا ﭘﮍا
Pakistan is full of such cases, which have left ﺟﻨﮩﻮں ﻧﮯ ﮐﻤﯿﻮﻧﭩﯿﺰ ﮐﻮ ﺟﮭﻨﺠﮭﻮڑ ﮐﺮ رﮐﮫ دﯾﺎ ﮨﮯ۔ ﺑﮩﺖ ﺳﮯ،ﮨﮯ
communities in the lurch. Many internationally ﺑﯿﻦ اﻻﻗﻮاﻣﯽ ﻣﺎﻟﯿﺎﺗﯽ ﭘﺮوﮔﺮاﻣﻮں ﮐﮯ ﻟﯿﮯ ﮐﻤﯿﻮﻧﭩﯽ ڈاﺋﯿﻼگ ﮐﯽ
funded programmes require community ﻟﯿﮑﻦ ﻣﯿﺮے ﺗﺠﺮﺑﮯ ﻣﯿﮟ ان ﻣﯿﮟ ﺳﮯ ﺑﮩﺖ ﺳﮯ،ﺿﺮورت ﮨﻮﺗﯽ ﮨﮯ
dialogues, but many of them in my experience are ﻋﻼﻗﮯ ﮐﯽ ﺗﻌﻠﯿﻢ ﯾﺎﻓﺘﮧ اﺷﺮاﻓﯿﮧ اور ﭘﺮوﺟﯿﮑﭧ ﮐﮯ ﻋﻤﻠﮯ ﮐﮯ
more a dialogue between the educated elite of the درﻣﯿﺎن زﯾﺎدہ ﻣﮑﺎﻟﻤﮯ ﮨﯿﮟ۔
area and the project staff.
It is becoming increasingly necessary that the ﯾﮧ ﺗﯿﺰی ﺳﮯ ﺿﺮوری ﮨﻮﺗﺎ ﺟﺎ رﮨﺎ ﮨﮯ ﮐﮧ ﮐﻤﯿﻮﻧﭩﯽ ﮐﯽ ﻗﯿﺎدت اﭘﻨﺎ
community leadership takes over their original اﺻﻞ ﮐﺮدار ﺳﻨﺒﮭﺎﻟﮯ اور ﺳﻤﺎﺟﯽ اور ﺟﺴﻤﺎﻧﯽ ﺗﺮﻗﯽ ﺳﮯ ﻣﺘﻌﻠﻖ
role and becomes the direct spokesperson of ﺗﻤﺎم ﮔﻔﺖ و ﺷﻨﯿﺪ ﻣﯿﮟ اﭘﻨﮯ ﻟﻮﮔﻮں ﮐﺎ ﺑﺮاہ راﺳﺖ ﺗﺮﺟﻤﺎن ﺑﻨﮯ۔
their people in all negotiations with social- and اور اﯾﻦ ﺟﯽ اوز ﮐﺎ ﮐﺮدار ﯾﮧ ﮨﻮﻧﺎ ﭼﺎﮨﯿﮯ ﮐﮧ وہ اﯾﺴﯽ ﻗﯿﺎدت ﮐﯽ
physical-related development. And the role of ﺗﺨﻠﯿﻖ ﻣﯿﮟ ﻣﺪد ﮐﺮﯾﮟ اور اس ﺳﮯ دور ﭼﻠﯿﮟ۔ ﺳﻨﺪھ ﻣﯿﮟ
NGOs should be to support the creation of such a ﭘﺮوﮔﺮام اس ﮐﯽ ﻣﺜﺎﻟﯿﮟ ﮨﯿﮟ ﮐﮧ ﯾﮧ ﮐﯿﺴﮯ ﮐﯿﺎSRSO اورNRSP
leadership and walk away. The NRSP and SRSO ﺟﺎ ﺳﮑﺘﺎ ﮨﮯ۔
programmes in Sindh are examples of how this
can be done.
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Given that human capital is the foundation of ﯾﮧ دﯾﮑﮭﺘﮯ ﮨﻮﺋﮯ ﮐﮧ اﻧﺴﺎﻧﯽ ﺳﺮﻣﺎﯾﮧ ﭘﺎﺋﯿﺪار اﻗﺘﺼﺎدی ﺗﺮﻗﯽ ﮐﯽ
sustainable economic growth, the recent budget ﺳﻤﺎﺟﯽ اﺧﺮاﺟﺎت ﻣﯿﮟ ﺣﺎﻟﯿﮧ ﺑﺠﭧ ﮐﭩﻮﺗﯿﻮں ﺳﮯ ﺻﺤﺖ،ﺑﻨﯿﺎد ﮨﮯ
cuts in social spending will worsen the condition ﮐﯽ دﯾﮑﮫ ﺑﮭﺎل ﮐﮯ ﺑﻨﯿﺎدی ڈﮬﺎﻧﭽﮯ ﮐﯽ ﺣﺎﻟﺖ ﻣﺰﯾﺪ ﺧﺮاب ﮨﻮ
of the healthcare infrastructure. With the ﺑﮍﮬﺘﯽ ﮨﻮﺋﯽ ﻏﺮﺑﺖ،ﺟﺎﺋﮯ ﮔﯽ۔ زﻧﺪﮔﯽ ﮐﯽ آﺳﻤﺎن ﭼﮭﻮﺗﯽ ﻗﯿﻤﺖ
skyrocketing cost of living, rising poverty and the ﭘﺎﮐﺴﺘﺎن،اور ﺻﺤﺖ ﮐﺎرڈ ﮐﯽ ﻏﯿﺮ ﯾﻘﯿﻨﯽ ﺻﻮرت ﺣﺎل ﮐﮯ ﺳﺎﺗﮫ
Sehat Card’s uncertain fate, it is important to talk ﻣﯿﮟ ﺻﺤﺖ ﮐﯽ دﯾﮑﮫ ﺑﮭﺎل ﮐﮯ ﺑﺎرے ﻣﯿﮟ ﺑﺎت ﮐﺮﻧﺎ ﺿﺮوری ﮨﮯ۔
about healthcare in Pakistan.
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CSS Books, Notes, Past Paper Saturday, 08 April 2023 Prepared by: Mohsin
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UHC remains a neglected area. ﯾﻮ اﯾﭻ ﺳﯽ اﯾﮏ ﻧﻈﺮ اﻧﺪاز ﺷﺪہ ﻋﻼﻗﮧ ﮨﮯ۔
The only other alternative available for poorer ﻏﺮﯾﺐ ﻃﺒﻘﻮں ﮐﮯ ﻟﯿﮯ دﺳﺘﯿﺎب واﺣﺪ ﻣﺘﺒﺎدل 'ﺳﺴﺘﯽ' ﻧﺠﯽ
segments is to seek healthcare from ‘affordable’ ڈاﮐﭩﺮوں ﺳﮯ ﺻﺤﺖ ﮐﯽ دﯾﮑﮫ ﺑﮭﺎل ﮐﺮﻧﺎ ﮨﮯ۔ ﺗﻮﻗﻌﺎت ﮐﮯ
private doctors. Contrary to expectations, this ﯾﮧ ﺑﮭﯽ ﺑﮩﺖ زﯾﺎدہ ﺧﻄﺮہ ﮨﮯ۔ ﻟﯿﺒﺮ ﻓﻮرس ﺳﺮوے،ﺑﺮﻋﮑﺲ
also poses a high risk. Going by the Labour Force ﮨﻢ دﯾﮑﮫ ﺳﮑﺘﮯ ﮨﯿﮟ ﮐﮧ ﭘﺎﮐﺴﺘﺎن ﻣﯿﮟ، ﮐﮯ ﻣﻄﺎﺑﻖ21-2020
Survey 2020-21, we can see that 37.2pc of ﻓﯿﺼﺪ ﻣﯿﮉﯾﮑﻞ ﭘﺮﯾﮑﭩﯿﺸﻨﺮز ﻃﺐ ﻣﯿﮟ ڈﮔﺮی ﻧﮩﯿﮟ رﮐﮭﺘﮯ۔37.2
medical practitioners in Pakistan do not hold a ﻓﯿﺼﺪ ﮐﺴﯽ ﺑﮭﯽ ﺷﻌﺒﮯ ﻣﯿﮟ ڈﮔﺮی ﻧﮩﯿﮟ رﮐﮭﺘﮯ۔25 ان ﻣﯿﮟ ﺳﮯ
degree in medicine; 25pc of these do not hold a 69 رواﯾﺘﯽ اور ﺗﮑﻤﯿﻠﯽ ادوﯾﺎت ﮐﮯ ﭘﯿﺸﮧ ور اﻓﺮاد ﻣﯿﮟ ﺳﮯ
degree in any discipline. Of traditional and ﻓﯿﺼﺪ ﺑﻐﯿﺮ ﮐﺴﯽ ڈﮔﺮی ﮐﮯ ﻣﺸﻖ ﮐﺮ رﮨﮯ ﮨﯿﮟ۔
complementary medicine professionals, 69pc are
practising without any degree.
Most of these ‘medical specialists’ end up ان ﻣﯿﮟ ﺳﮯ زﯾﺎدہ ﺗﺮ 'ﻃﺒﯽ ﻣﺎﮨﺮﯾﻦ' ﺑﯿﻤﺎری ﮐﯽ درﺳﺖ ﺗﺸﺨﯿﺺ
prescribing short-term fixes to manage the ﮐﺮﻧﮯ ﮐﮯ ﺑﺠﺎﺋﮯ ﻋﻼﻣﺎت ﮐﻮ ﺳﻨﺒﮭﺎﻟﻨﮯ ﮐﮯ ﻟﯿﮯ ﻗﻠﯿﻞ ﻣﺪﺗﯽ اﺻﻼ
symptoms, rather than accurately diagnosing the ﺣﺎت ﺗﺠﻮﯾﺰ ﮐﺮﺗﮯ ﮨﯿﮟ۔ اﯾﻨﭩﯽ ﺑﺎﺋﯿﻮﭨﮑﺲ ﺑﻐﯿﺮ ﮐﺴﯽ وﺟﮧ ﮐﮯ
disease. Antibiotics are prescribed without ﺟﺲ ﺳﮯ اﯾﻨﭩﯽ ﺑﺎﺋﯿﻮﭨﮏ ﻣﺰاﺣﻤﺖ ﻣﯿﮟ،ﺗﺠﻮﯾﺰ ﮐﯽ ﺟﺎﺗﯽ ﮨﯿﮟ
reason, leading to increased antibiotic resistance. اﺣﺘﯿﺎﻃﯽ ﺗﺪاﺑﯿﺮ ﭘﺮ،اﺿﺎﻓﮧ ﮨﻮﺗﺎ ﮨﮯ۔ وﯾﮑﺴﯿﻦ ﻣﯿﮟ ﮨﭽﮑﭽﺎﮨﭧ
Vaccine hesitancy, lack of focus on preventive ﮐﯽ ﺑﺤﺎﻟﯽ ﻧﮯ19- ﺑﮍﮬﺘﯽ ﮨﻮﺋﯽ آﺑﺎدی اور ﮐﻮوڈ،ﺗﻮﺟﮧ ﮐﯽ ﮐﻤﯽ
measures, increasing population and resurgence ﭘﺎﮐﺴﺘﺎن ﻣﯿﮟ ﺻﺤﺖ ﮐﯽ دﯾﮑﮫ ﺑﮭﺎل ﮐﯽ ﻣﺎﻧﮓ ﻣﯿﮟ اﺿﺎﻓﮧ ﮐﯿﺎ ﮨﮯ
of Covid-19 have increased the demand for ﻟﯿﮑﻦ زﻧﺪﮔﯽ ﮐﯽ ﺑﮍﮬﺘﯽ ﮨﻮﺋﯽ ﻻﮔﺖ ﻧﮯ ﻏﺮﯾﺐ ﻃﺒﻘﺎت ﮐﯽ،
ﺑﺮداﺷﺖ ﮐﺮﻧﮯ ﮐﯽ ﺻﻼﺣﯿﺖ ﮐﻮ ﮐﻤﺰور ﮐﺮ دﯾﺎ ﮨﮯ۔
healthcare in Pakistan, but the rising cost of living
has crippled the capacity of the poorer segments
to afford it.
comfort of their homes. Some external borrowing ان ﮐﮯ ﮔﮭﺮوں ﮐﺎ آرام ﮐﭽﮫ ﺑﯿﺮوﻧﯽ ﻗﺮﺿﮯ ﺻﺤﺖ ﮐﮯ ﺷﻌﺒﮯ ﮐﯽ
can also be directed towards the health sector. In ﻃﺮف ﺑﮭﯽ ﻟﮯ ﺟﺎ ﺳﮑﺘﮯ ﮨﯿﮟ۔ اس ﺳﻠﺴﻠﮯ ﻣﯿﮟ ورﻟﮉ ﺑﯿﻨﮏ ﮐﯽ
this regard, the $300m allocated to the ﺟﺎﻧﺐ ﺳﮯ ﻧﯿﺸﻨﻞ ﮨﯿﻠﺘﮫ ﺳﭙﻮرٹ ﭘﺮوﮔﺮام ﮐﯽ ﺗﺮﻗﯽ ﮐﮯ ﻟﯿﮯ
development of National Health Support ﻣﻠﯿﻦ درﺳﺖ ﺳﻤﺖ ﻣﯿﮟ اﯾﮏ ﻗﺪم ﮨﮯ۔ ﺻﺤﺖ ﮐﯽ300$ ﻣﺨﺘﺺ
Prog ramme by the World Bank is a step in the دﯾﮑﮫ ﺑﮭﺎل ﮐﮯ ﺷﻌﺒﮯ ﻣﯿﮟ ﺑﮭﯽ زﯾﺎدہ اﻋﺘﺪال ﮐﯽ ﺿﺮورت ﮨﮯ۔
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CSS Books, Notes, Past Paper Saturday, 08 April 2023 Prepared by: Mohsin
National Magazine, Daily Mcqs Dawn HD Newspaper WhatsApp 03410280618
right direction. There is also a need for greater ادوﯾﺎت ﮐﯽ ﻣﺸﻖ ﮐﺮﻧﮯ ﮐﮯ ﻻﺋﺴﻨﺲ ﺟﺎری ﮨﻮﻧﮯ ﺳﮯ ﭘﮩﻠﮯ ﺗﻤﺎم
moderation in the healthcare sector. Stringent درﺧﻮاﺳﺖ دﮨﻨﺪﮔﺎن ﮐﻮ ﺳﺨﺖ ﺷﺮاﺋﻂ ﭘﻮری ﮐﺮﻧﯽ ﮨﻮں ﮔﯽ۔
conditions must be met by all applicants before
licences to practise medicine are issued.
However, it is not just a money problem. As a ﺑﺤﯿﺜﯿﺖ ﻗﻮم ﺛﻘﺎﻓﺘﯽ. ﯾﮧ ﺻﺮف ﭘﯿﺴﮯ ﮐﺎ ﻣﺴﺌﻠﮧ ﻧﮩﯿﮟ ﮨﮯ،ﺗﺎﮨﻢ
nation, there is a need for a cultural change where ﺗﺒﺪﯾﻠﯽ ﮐﯽ ﺿﺮورت ﮨﮯ ﺟﮩﺎں اﺣﺘﯿﺎﻃﯽ ﺗﺪاﺑﯿﺮ ﭘﺮ زﯾﺎدہ ﺗﻮﺟﮧ دی
there is greater focus on preventive steps. This ﺟﺎﺋﮯ۔ اس ﺳﮯ ﺻﺤﺖ ﮐﯽ دﯾﮑﮫ ﺑﮭﺎل ﮐﮯ ﺷﻌﺒﮯ ﻣﯿﮟ وﺳﺎﺋﻞ ﮐﻮ
will help improve efficiency in the healthcare ان ﮐﮯ ﺳﺐ ﺳﮯ زﯾﺎدہ ﭘﯿﺪاواری اﺳﺘﻌﻤﺎل ﮐﮯ ﻟﯿﮯ دوﺑﺎرہ ﻣﺨﺘﺺ
sector by reallocating resources to their most ،ﮐﺮﮐﮯ ﮐﺎرﮐﺮدﮔﯽ ﮐﻮ ﺑﮩﺘﺮ ﺑﻨﺎﻧﮯ ﻣﯿﮟ ﻣﺪد ﻣﻠﮯ ﮔﯽ۔ ﭘﺎﮐﺴﺘﺎن ﻣﯿﮟ
productive use. In Pakistan, 20m infants remain 200 ﻣﻠﯿﻦ ﺷﯿﺮ ﺧﻮار ﺑﭽﻮں ﮐﻮ وﯾﮑﺴﯿﻦ ﻧﮩﯿﮟ دی ﮔﺌﯽ ﮨﮯ۔20
unvaccinated; 200m women lack access to family ﻣﻠﯿﻦ ﺧﻮاﺗﯿﻦ ﺧﺎﻧﺪاﻧﯽ ﻣﻨﺼﻮﺑﮧ ﺑﻨﺪی ﮐﯽ ﺧﺪﻣﺎت ﺗﮏ رﺳﺎﺋﯽ ﺳﮯ
planning services. Although such preventive ﻣﺤﺮوم ﮨﯿﮟ۔ اﮔﺮﭼﮧ اس ﻃﺮح ﮐﮯ ﺣﻔﺎﻇﺘﯽ اﻗﺪاﻣﺎت – وﯾﮑﺴﯿﻦ
measures — vaccines and family planning ﮐﮯ ﺑﮩﺖ ﮨﯽ ﻣﻌﻤﻮﻟﯽ- اور ﺧﺎﻧﺪاﻧﯽ ﻣﻨﺼﻮﺑﮧ ﺑﻨﺪی ﮐﯽ ﺧﺪﻣﺎت
services — have very insignificant costs, the ﺣﮑﻮﻣﺖ ﻣﻄﺎﻟﺒﮧ ﮐﯽ ﻃﺮف ﺳﮯ رﮐﺎوﭨﻮں ﮐﯽ،اﺧﺮاﺟﺎت ﮨﻮﺗﮯ ﮨﯿﮟ
government has failed to ensure adherence due وﺟﮧ ﺳﮯ اس ﮐﯽ ﭘﺎﺑﻨﺪی ﮐﻮ ﯾﻘﯿﻨﯽ ﺑﻨﺎﻧﮯ ﻣﯿﮟ ﻧﺎﮐﺎم رﮨﯽ ﮨﮯ۔
to demand-side constraints.
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