Humanitarian Aid or Dependency? Rethinking Pakistan’s Foreign Relief Model

By Tahir Ali Shah 

 

For decades, Pakistan has been a major recipient of international humanitarian aid, receiving billions of dollars from donor agencies, international NGOs, and multilateral organizations such as the United Nations and the World Bank. Despite this steady influx of assistance, the country continues to struggle with poverty, economic instability, and underdeveloped social services. This raises an important question: Has international aid helped Pakistan achieve self-sufficiency, or has it created a cycle of dependency that hinders sustainable progress?

According to a report by the AidData Research Lab, Pakistan received over $68 billion in foreign aid between 2000 and 2020. However, the country still ranks low on the Human Development Index (HDI), facing persistent issues such as malnutrition, low literacy rates, and inadequate healthcare services. A 2021 study by the Brookings Institution highlights that while humanitarian aid provides short-term relief, it often fails to address the root causes of economic stagnation and underdevelopment. As a result, many analysts argue that Pakistan’s reliance on external assistance has contributed to a lack of structural reforms and economic resilience.

One of the fundamental flaws in Pakistan’s aid model is the absence of long-term sustainability in humanitarian strategies. Many donor-funded projects operate on short-term cycles, focusing on immediate relief rather than building institutional capacity. A study by the United Nations Development Programme (UNDP) found that only 20% of international aid to Pakistan is allocated to projects with long-term economic or social development goals. The remaining funds are often used for emergency response efforts, which, while necessary, do little to create lasting change. Additionally, the lack of strict accountability mechanisms has resulted in significant mismanagement, causing funds to fail to reach their intended beneficiaries.

The impact of aid dependency is particularly evident in the education sector. Despite receiving nearly $3 billion in education aid between 2010 and 2020, Pakistan still has the second-highest number of out-of-school children in the world, according to UNESCO. Over 22.8 million children remain out of school, with rural areas suffering the most due to a lack of infrastructure and trained teachers. Corruption and inefficiency in the education sector mean that large portions of aid are either misused or fail to reach the schools in need.

The healthcare system in Pakistan has faced significant challenges despite receiving substantial foreign aid. A report from the World Health Organization (WHO) indicates that Pakistan received approximately $5 billion in health aid between 2005 and 2020. However, the country still struggles with one of the highest maternal mortality rates in South Asia, reporting 186 deaths per 100,000 live births. The underlying issues—such as poor healthcare infrastructure, a lack of medical personnel, and an uneven distribution of resources—have limited the positive impact of foreign aid on overall health indicators.

Countries that have successfully transitioned from aid dependency to self-sufficiency have done so by prioritizing local funding and development. For example, Rwanda has significantly reduced its reliance on foreign aid by investing heavily in domestic revenue generation and infrastructure development. According to a report by the International Growth Centre (IGC), Rwanda increased its tax-to-GDP ratio from 9% in 2000 to over 16% in 2020, enabling it to finance its own development initiatives. Similarly, South Korea, which was once one of the largest recipients of foreign aid, strategically shifted its focus toward industrialization and innovation, eventually becoming one of the world’s leading economies.

Pakistan can learn valuable lessons from these success stories. Strengthening domestic revenue collection through tax reforms is crucial. Currently, Pakistan's tax-to-GDP ratio is only 9.5%, one of the lowest in the region. By implementing tax policies that ensure businesses and high-income individuals contribute fairly, the government could reduce its reliance on foreign assistance. Encouraging foreign direct investment (FDI) and supporting small and medium enterprises (SMEs) can also enhance economic resilience. The Asian Development Bank (ADB) suggests that improving Pakistan’s business climate could attract billions in investment, further decreasing the need for foreign aid.

Another critical area for reform is governance and transparency in the utilization of aid. A report from Transparency International highlights that Pakistan ranks 140 out of 180 countries on the Corruption Perceptions Index. Mismanagement and a lack of oversight in aid projects often result in funds not reaching the communities most in need. Establishing independent monitoring bodies and enforcing strict financial accountability can help ensure that foreign aid is used effectively for long-term development instead of temporary relief.

While humanitarian aid has played a crucial role in supporting Pakistan during crises, such as natural disasters and conflicts, its long-term effectiveness remains uncertain. Without a shift towards self-reliance and strategic development planning, Pakistan risks remaining trapped in a cycle of foreign dependence. The future economic resilience of the nation depends on its ability to chart an independent course, leveraging both domestic resources and sustainable policies to ensure lasting progress.

By integrating more sustainable economic policies, improving governance, and fostering innovation, Pakistan can begin to break free from the cycle of dependency and build a future focused on self-sufficiency rather than reliance on foreign aid.

Tahir Ali Shah is a humanitarian professional with over 25 years of experience managing protection and development programs across South Asia, the Middle East, and Africa.

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