Much of this surge can be traced back to systemic failures within the country’s healthcare and social landscape. Poorly regulated blood banks and hospitals with quack doctors that engage in unsafe injection practices continue to expose thousands to infection. In many clinics, basic protocols, such as sterilising equipment or discarding used syringes, are either inconsistent or completely ignored. Add to this the near absence of routine HIV screening for pregnant women, and entire families become vulnerable to undetected transmission.
The government must allocate a greater amount of resources towards HIV prevention and treatment, while continuing to partner with international organisations that can offer support through technical, financial and logistical means. It must also ensure strict safety protocol are followed in hospitals and institutions, with inescapable penalties for those who are found violating rules. The current trend cannot be reversed through goodwill alone. It will take political will, funding, accountability and a long-term commitment to public health and human rights. If ignored, the present escalation of HIV in Pakistan will not only become a health catastrophe, but also a social and economic burden.