{"id":81232,"date":"2026-04-27T21:10:28","date_gmt":"2026-04-28T01:10:28","guid":{"rendered":"https:\/\/apnaorg.com\/wp\/articles\/punjabs-roadmap\/"},"modified":"2026-04-27T21:09:28","modified_gmt":"2026-04-28T01:09:28","slug":"punjabs-roadmap","status":"publish","type":"articles","link":"https:\/\/apnaorg.com\/wp\/articles\/punjabs-roadmap\/","title":{"rendered":"Punjab\u2019s Roadmap"},"content":{"rendered":"<p align=\"left\"><strong><em>By Shehryar Nabi<\/em><\/strong><\/p>\n<p align=\"left\"><strong>The Friday Times<\/strong>: 08 Jan 2016<\/p>\n<p><strong>Will a busier provincial government&nbsp;benefit&nbsp;people  more?<\/strong> <br \/>\n        <br clear=\"all\"><br \/>\n        <img loading=\"lazy\" decoding=\"async\" border=\"0\" width=\"600\" height=\"400\" src=\"https:\/\/apnaorg.com\/prose-content\/english-articles\/page-144\/article-6\/pictures\/index_clip_image001.jpg\" alt=\"Description: Punjab&rsquo;s Roadmap\"> <br \/>\n      One October morning, Aizaz Akhtar  received an unusual request from his boss, Chief Minister Shahbaz Sharif, to  accompany him on trip to a mystery location in Kasur. With Sharif and his  staff, Akhtar rode a helicopter, hopped onto a disguised bus and eventually found  himself at a hospital. He had been brought along for a surprise government  inspection.<\/p>\n<p>Used wrappers were scattered  across the floor, which looked like it hadn&rsquo;t been swept for a long time.  Bedsheets were stained. Sharif called for the hospital staff to step into  reeking, unclean bathrooms that were out of service and demanded an explanation  for why they had been neglected.<\/p>\n<p>Upset by these conditions, Sharif  cracked down on the management. The district official overseeing the hospital  prayed to keep his job, but that did not save him. Sharif made it clear that he  had not performed satisfactorily and suspended him from duty.<\/p>\n<p>As the head of the chief  minister&rsquo;s Special Monitoring Unit (SMU), Akhtar&rsquo;s job was to now create a  scorecard to rank cleanliness for all hospitals in Punjab. The method arms the  chief minister with troubling data points to pressure department secretaries  into disciplining the officers in charge.<\/p>\n<p>&ldquo;The use of data is absolutely  essential to the way they think now in terms of the job that needs to get done.&nbsp;The  data is evidence for them to take action,&rdquo; Akhtar says.<\/p>\n<p>Extend this process to health,  education and sanitation and you have what is called the Reforms Roadmap, an  initiative by Sharif to fix inefficiencies within the government of Punjab that  have left many people underserved.<\/p>\n<p>According to  the World&nbsp;Bank,  the rate of children who die before their fifth birthday is higher in Punjab  than any other country in South Asia due in large part to low access to basic  public healthcare. The Population Council estimates that over 300,000 thousand  young children die in Punjab from health complications every year.<\/p>\n<p>In primary education, an Annual  Status of Education Report found that in most districts, over thirty percent of  class five children cannot demonstrate basic reading and math skills because of  underperforming government schools.<\/p>\n<p>Over 30% of  class five children lack basic reading and math skills<\/p>\n<p>The government  has reported some promising results of the Roadmap approach. According to its  own data, Basic Health Units are now almost fully stocked with their required  medical supplies and provided patients with 17 million more units of critical  medicine than last year. Vaccine coverage has surged above 90 percent. Teacher  attendance and training is above 95 percent province-wide and overall&nbsp;studentenrollment  is nearing 90 percent.<\/p>\n<p>But some of the  most important outcomes are still not moving. SMU found that although district  hospitals in Punjab are almost fully stocked with medicine, about half of  patients had to purchase them elsewhere because the medical supply had been  poorly managed. Despite high enrollment and more teachers, students still  demonstrate low levels of education. The question the Roadmap now faces is how  its&nbsp;investment ininputs  will make a meaningful impact on the quality of life.<\/p>\n<p>SMU, the nerve  centre of the Roadmap, is a&nbsp;small office&nbsp;within  the chief minister&rsquo;s secretariat where a staff of 20-somethings and a focus on  technology give it the air of a startup company. Its guiding principles are  that of &ldquo;deliverology&rdquo;, an approach to government effectiveness devised by  world-renowned government delivery expert Michael Barber who plays a central  role in the Roadmap. First introduced through Barber&rsquo;s Punjab Schools Roadmap  in 2010, the approach represents a break from past efforts at reform.<\/p>\n<p>Traditionally,  the federal government would take&nbsp;loans&nbsp;from  international development banks such as the World Bank and the Asian  Development Bank on the condition that whole departments would be reformed. But  after years of implementation, progress was still not obvious because the  changes failed to reach the lowest tiers of government, where citizens are most  directly affected.<\/p>\n<p>Instead of trying to restructure  departments, the Roadmap&rsquo;s method focuses on making progress on manageable,  clearly defined indicators on what it considers essential inputs such as  medical stockpile, student enrollment and staff attendance.<\/p>\n<p>External monitors &ndash; army veterans  selected for their discipline &ndash; are sent to government facilities in each  district to report data on these indicators on mobile devices. SMU then  analyzes the data and identifies problem areas. These are brought to the  attention of the chief minister, who uses the alarming numbers to prod  officials into action. If they fail to act, they risk losing their jobs.<\/p>\n<p>SMU has also introduced new  technologies to improve government efficiency and track data more accurately.  These include a digitized referral system for requesting medicines and a  station in hospitals to mark staff attendance by recording biometric data.<\/p>\n<p>The Roadmap  has&nbsp;started addressing quality directly. Feedback is being collected from patients  to identify and&nbsp;address&nbsp;problems  that lead to the misallocation of drugs in district hospitals. School textbooks  in reading and math (other subjects, like Islamiyat, were left to the Education  Department) are being upgraded to reflect international education standards.<\/p>\n<p>Critics of the Roadmap say it has  taken far too long for quality to become a central concern. But Hafsa Iqbal, an  associate at SMU who works on education, thinks that inputs had to be in place  before it could shift priorities.<\/p>\n<p>&ldquo;If the teachers are not coming  to school and teacher attendance is not up to par&nbsp;then how do you improve  quality? It was more about getting the basics right and then focus on quality,&rdquo;  Iqbal says.<\/p>\n<p>Some who work in education think  that while the Roadmap is giving the government much-needed mobilization, using  the chief minister&rsquo;s authority as an incentive from the top without fixing  problems within departments will not yield meaningful changes. A development  researcher who spoke on the condition of anonymity thinks that without addressing  perverse incentives to manipulate data at the local level, numbers could be  easily used to show the illusion of progress.<\/p>\n<p>&ldquo;The changes  will not be decimal changes on a chart. You can see them permeate: people&nbsp;start&nbsp;to see  kids who are becoming more functional and you have teachers who are much more  committed. But those aren&rsquo;t the stories coming through,&rdquo; the researcher says.<\/p>\n<p>A civil servant who wished to  remain anonymous thinks that the Roadmap&rsquo;s methods could actually demotivate  government employees.<\/p>\n<p>&ldquo;Our feedback from the ground was  that some of this stuff was really demeaning for the teacher as though the  teacher was a culprit on a payroll. It&rsquo;s not sending a good message down,&rdquo; the  civil servant says.<\/p>\n<p>Fawad Shams, a freelance  education consultant, argues that genuine reform will only happen when  communities become central to the decision-making process.<\/p>\n<p>&ldquo;The biggest issue is the absence  of any kind of public sphere where one would have teachers, parents, community  members and technocrats come together and have a debate or dialogue about  reforms. Instead what you see is a set of bureaucrats heading every sub  department within the sector and decisions made with the stroke of a pen, unilaterally,  pursuing quick fixes,&rdquo; he says.<\/p>\n<p>But Akhtar strongly believes that  the technology and data-driven approach is creating meaningful reform because  it is gradually instilling a work ethic of high performance within the  government.<\/p>\n<p>&ldquo;We are using this method to  embed it as a culture to deliver public services to the people of Punjab. And  once they get it, any new government which comes in is going to have to work  the same way,&rdquo;&nbsp;he says.<\/p>\n<p>As SMU starts to implement quality-focused projects  and takes a closer look at the effect its model is having on learning and  health in the coming months, a clearer picture on whether a busier government  has translated into a better life for Punjabis will come into view.<\/p>\n<p><br clear=\"all\">\n      <\/p>\n","protected":false},"featured_media":0,"template":"","language":[],"class_list":["post-81232","articles","type-articles","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/apnaorg.com\/wp\/wp-json\/wp\/v2\/articles\/81232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apnaorg.com\/wp\/wp-json\/wp\/v2\/articles"}],"about":[{"href":"https:\/\/apnaorg.com\/wp\/wp-json\/wp\/v2\/types\/articles"}],"wp:attachment":[{"href":"https:\/\/apnaorg.com\/wp\/wp-json\/wp\/v2\/media?parent=81232"}],"wp:term":[{"taxonomy":"language","embeddable":true,"href":"https:\/\/apnaorg.com\/wp\/wp-json\/wp\/v2\/language?post=81232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}