Ministers no longer drive about arrogantly in motorcades a dozen vehicles long. The PTI’s term has seen little scandal. And the party has ended a free-for-all in which provincial assembly members could appoint friends and family to public-sector jobs (many of the 119,000 teachers could hardly read or write). Federal handouts to the provinces have increased, and in Khyber Pakhtunkhwa money is at last ending up where it is meant to.
The PTI now wants to see locals flocking to use public services. It has certainly made schools more appealing: the party has appointed 40,000 more teachers, rebuilt institutions blown up by the Taliban and furnished others with toilets and electricity. Teacher absenteeism has fallen. B
The diagnosis is less mixed when it comes to health care. The PTI has employed many more medical staff, raising the ratio of doctors per 1,000 people from 0.16 to 0.24. It has also begun, albeit far from smoothly, to roll out a comprehensive health-insurance card for poor families. All this has had an effect. The number of operations in public hospitals has doubled since 2013; inpatient cases have risen by half as much again. Such change comes despite objections from special interests that lose out from reforms. Pharmacists broke the shelves of a new drug dispensary at one Peshawar hospital, so incensed were they by its offering medicine at the wholesale price.