Pakistan's Progress Toward SDG 3: Good Health and Well-Being A Focus on Balochistan Province

Sustainable Development Goal 3 (SDG 3) commits United Nations member states to ensuring healthy lives and promoting well-being for all at all ages by 2030. Pakistan, as a signatory to the 2030 Agenda, has undertaken a range of policy, institutional, and programmatic measures to advance this goal, including the adoption of the National Health Vision 2016–2025, the expansion of the Sehat Sahulat Programme (universal health insurance), the scale-up of the Expanded Programme on Immunisation, and the continued deployment of Lady Health Workers in underserved communities. These efforts are contextualised within the framework of the 18th Constitutional Amendment, which devolved health governance to the provinces, placing primary responsibility on sub-national governments. This monograph examines these national steps and situates them specifically within Balochistan—Pakistan's largest but most health-deprived province—where geographic remoteness, chronic underfunding, insecurity, and low institutional capacity severely constrain SDG 3 progress. Provincial-level responses, including the Balochistan Health Sector Strategy 2019–2024 and the World Bank-financed Balochistan Human Capital Investment Project, are critically assessed. The monograph concludes that while the policy architecture is broadly aligned with SDG 3 targets, the implementation gap in Balochistan remains profound, and meeting the 2030 deadline will require equity-focused resource allocation, improved community outreach, and sustained political commitment.