Transforming Public Services in Pakistan
Punjab is the most highly populous province in Pakistan, with over 100 million residents. The sheer number of people alone presents a challenge for public service delivery; in Punjab, these challenges were made more complex by labor and security issues.
Additionally, in many cases, the team lacked reliable, comprehensive data to understand the situation on the ground.
A high priority for the team was to establish a strong data system for each of the priorities. One of the world’s largest monitoring systems was established in Punjab with a fleet of motorbiking data collection teams who helped geo-tag 11,000 water treatment facilities across the province, creating the first working map of every facility and its status. The team used smartphones that could reliably geo-tag locations and applications that could reliably update data.
Interventions included the installation of automated chlorinators at water treatment facilities; tracking facility performance at the regional level; and using improved data as an asset to drive regular stock-takes with the Chief Minister, so the government could problem solve and prioritize effectively.
As part of our broader work, we co-developed a six-month Leadership Programme to help government officials across the province deliver on multi-sector goals beyond those for which we were providing direct support. Participants explored the concepts of Deliverology, applied what they were learning to their own work, and reported progress back.
Punjab was successful in every roadmap assigned to the SMU:
- Improving quality and quantity of education, with increases in student and teacher attendance as well as improvements in student performance
- Improving healthcare delivery by increasing doctor attendance (from 40% to 85% in one year) and medicine distributed at no cost (46% to 74% in a little over a year)
- Sweeping improvements to drinking water, and a corresponding reduction in water-borne illness
- An additional 4 metric tonnes of solid waste collected, leading to visibly cleaner cities and improvements in citizen perceptions of their cities cleanliness
Nearly 31 million additional residents improved their access to clean, safe drinking water.
Through our Leadership Program, trainees were able to see increased effectiveness in their own programs, such as increases in school enrollment, increase in loan disbursement to farmers, reduction in counterfeit drug use, and more.
Most importantly, our "I do, We do, You do" approach, along with mentorship and continuing education, ensured the government of Punjab established the skills and structures to deliver on priorities time and time again, creating an enduring framework for change, even as political leadership changes. The Delivery Unit model has been and continues to be employed throughout sectors in the government of Punjab, with success.
Let’s work together to make change happen.
