In 2025, MSF opened a paediatric tuberculosis (TB) programme at a rural health centre in the Keamari district of Karachi, Sindh province, to enable early testing and diagnosis and make it easier for people in remote areas to receive care. In July, we extended treatment for cutaneous leishmaniasis. This parasitic infection causes skin lesions that MSF has been treating in Pakistan since 2008, for patients at Dogra hospital in Khyber Pakhtunkhwa province. We also improved access to maternal and child healthcare by starting a neonatal care programme in Dogra hospital.

Devastating floods triggered by heavy monsoon rains struck the country again in 2025. In response, MSF supported a government health facility in Buner in Khyber Pakhtunkhwa, by offering general healthcare consultations, psychosocial support, and health promotion activities. In Punjab province’s Multan and Muzaffargarh districts, we distributed essential relief items, including blankets and hygiene kits. In addition, our mobile teams conducted general healthcare consultations in Multan.

In Balochistan, a province with alarmingly high maternal death rates, we continue to run vital reproductive and neonatal health services in Kuchlak, Chaman, and Dera Murad Jamali. In Balochistan, MSF's services continue to be a lifeline for marginalised communities, including Afghan refugees who are living under fear of deportation and with underserved needs.

In Gujranwala, Punjab, we are improving care for patients with drug-resistant and/or multidrug-resistant TB at our dedicated site. There, we can provide screenings, diagnosis, and treatment, as well as encourage early diagnosis through outreach and health promotion activities.  

After being displaced from their homes by conflict over a decade ago, people have been returning to Tirah valley in northwest Khyber Pakhtunkhwa. An MSF team has been running a clinic for communities in Tirah since 2022, offering general and emergency healthcare, services for mothers and children, and referrals.