The government soon combined its population planning efforts in hospitals and clinics into a single program.Thus population planning was a dual effort led by the Family Planning Association and the public sector.Pakistan's extremely high rate of population growth is caused by a falling death rate combined with a continuing high birth rate.

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Its land area, however, ranks thirty-second among nations.

Thus Pakistan has about 2 percent of the world's population living on less than 0.7 percent of the world's land.

First, the Continuous Motivation System Programme, which employed young urban women to visit rural areas, was initiated. Based on the premise that greater availability would increase use, shopkeepers throughout the country stocked birth control pills and condoms. The unmarried urban women had little understanding of the lives of the rural women they were to motivate, and shopkeepers kept the contraceptives out of sight because it was considered mannerless to display them in an obvious way.

Following Zia ul-Haq's coup d'tat in 1977, government population planning efforts were almost halted.

The discrepancy is particularly obvious among people over fifty: men account for 7.1 percent of the country's total population and women for less than 5 percent.

This figure reflects the secondary status of females in Pakistani society, especially their lack of access to quality medical care.

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There is an average of 146 persons per square kilometer, but the density varies dramatically, ranging from scarcely populated arid areas, especially in Balochistan, to some of the highest urban densities in the world in Karachi and Lahore.

About 68 percent of the population lived in rural areas in 1994, a decrease of 7 percent since 1970.

The government was able to attract funding from many international donors, but the program lost support because the targets were overly ambitious and because doctors and clinics allegedly overreported their services to claim incentive payments.