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Nishtar S, Gluckman P, Armstrong T. Ending childhood obesity

Nishtar S, Gluckman P, Armstrong T. Ending childhood obesity: a time for action. Lancet 2016 Jan 22. pii: S0140-6736(16)00140-9. doi:...

Nishtar S. Delivering the WHO we need. BMJ, May 19, 2017

Nishtar S. Delivering the WHO we need. BMJ, May 19, 2017...

Nishtar S. Opinion: A new deal for health. Devex May 2, 2017.

Nishtar S. Opinion: A new deal for health. Devex May 2, 2017.

Nishtar S. Open letter to WHO DG candidates

Nishtar S. Open letter to WHO DG candidates: reply from Sania Nishtar. 2017 May 20;389(10083):1978-1979. doi: 10.1016/S0140-6736(17)31254-0. Epub 2017 May...

Tuberculosis Oped

Saving Women and Girls

Ending childhood obesity: a time for action

18th Amendment: five years on

Published in The News International on April 12, 2015: It has been five years since enactment of the 18th Amendment to the constitution of Pakistan and four years since the end of the term of several committees that were given the mandate to iron out related implementation issues. Despite progress, major issues still lurk that negatively impact performance of the federal and provincial governments. These issues need to be addressed urgently. Just for clarity, this comment refers only to the provincial autonomy-related covenants of the 18th Amendment and matters arising as a result of abolition of the concurrent legislative list. The comment underscores the need for an institutional arrangement to tackle post-18th Amendment issues, outlining several points. First, the amendment has created an ‘ambiguity’ in the employment status of thousands of federal functionaries, whose services were either placed with the provinces after abolition of several federal ministries and/or transfer of respective departments from federal to the provincial level or those that were transferred to other federal ministries. These functionaries have been placed in a lower hierarchy and are not entitled to the...

Ending childhood obesity: a multidimensional challenge

Peter Gluckman P, Nishtar S. Armstrong T. Ending childhood obesity: a multidimensional challenge. The Lancet 2015. DOI: http://dx.doi.org/10.1016/S0140-6736(15)60509-8 Accessible...

The drug pricing policy

Published in The News International on January 06, 2015: The drug pricing policy is on the prime minister’s table for the final approval. Three dimensions of pricing need to be segregated: 1) Initial price setting, either of originator brands of new chemical entities (NCE) or their generic substitutes; 2) rationalisation of prices of medicines currently in the market; and 3) grant of annual price increase. With regard to the first dimension, notwithstanding existing controversies, there is clarity in the policy direction since the prices of NCEs are to be fixed under the regional basket formula and that of generic substitutes, 30 percent less than the originator brand price. The third dimension can be debated, but from a policy stance its direction is clear as the annual price increase has been linked to the Consumer Price Index. The problem relates to the second point, where there are ambiguities and room for manoeuvrability. First, the government’s intention, evident in the title of the policy “to purge the system of discretion”, would be seriously undermined and the policy would paradoxically end up increasing the...