The Politics of Pakistan's COVID-19 Response: A State-in-Society Approach

This paper takes a "state-in society" approach to understand the evolution of Pakistan's COVID-19 response, which was laid claim to and contested by multiple agencies within and adjacent to the state, and by multiple levels of government. The capacity of the health system of Pakistan was already overstretched by the needs of its population but in recent years it has been hamstrung by ongoing protests by the medical community concerning the privatisation of public sector hospitals, to which were added protests over the lack of PPE in the public sector. These resulted in frequent closures of out-patient departments at major hospitals. When the government announced a relief package to mitigate effects of COVID, traders and big businesses lobbied the government to obtain the lion's share in the form of concessions such as loan deferments and tax refunds. The unconditional cash grants programme was hyped about by the government but the cash for the poor could not be disbursed effectively due to the absence of local governments at the grass-root level. As an appropriate response to the pandemic, especially in relation to the lockdown policies, was contested and negotiated among multiple actors in the Pakistani state and society, the Pakistan military emerged as a dominant force in this "field of power". In this paper, I present an account of Pakistan's response to COVID-19 as it evolved in 2020 and discuss the implications of this response for democratic culture in Pakistan.