Islamabad: Pakistan has achieved a landmark breakthrough in the fight against malnutrition. According to a midterm independent evaluation by the Aga Khan University's Institute for Global Health and Development, the Benazir Nashonuma Programme of the Benazir Income Support Programme (BISP) has reduced child stunting by 6.4 percent in target populations-one of the strongest results ever documented globally for a large-scale nutrition initiative.
The evaluation highlights measurable improvements in birth outcomes, child survival, and maternal health. These findings were presented at a high-level event attended by representatives from BISP, as well as federal and provincial health departments.
The study revealed that stunting among children under five declined by 6.4 percent among Nashonuma beneficiaries compared to non-beneficiaries. The prevalence of low birth weight dropped by 5.6 percent in intervention districts. Most notably, the programme reduced the number of babies born too small or too weak by 7 to 8 percent-a record outcome rarely achieved by large-scale nutrition programmes worldwide.
Equally significant was the 20 percent reduction in stunting at six months of age among infants whose mothers enrolled in the programme during the first or second trimester and continued participation through breastfeeding. If sustained and reconfirmed in the 2026 endline evaluation, this would mark a historic breakthrough not only for Pakistan, but also for global child nutrition efforts. Additional improvements were observed in early initiation of breastfeeding, immunization coverage, and antenatal care visits.
Chairperson BISP Senator Rubina Khalid said: 'The findings provide clear evidence that social protection, when linked with nutrition interventions, delivers meaningful results for vulnerable women and children. Scaling up the programme is essential to address Pakistan's high burden of malnutrition and to strengthen our human capital. We believe that healthier mothers are the foundation of a healthier nation. Pakistan's success with Nashonuma proves to the world that large-scale solutions to malnutrition are not only possible, but effective.'
Dr. Zulfiqar Bhutta of AKU added: 'These results demonstrate that investing in early nutrition pays off for generations to come. The Nashonuma Programme is showing measurable progress in reducing stunting, lowering low birth weight, and improving maternal and child health. The evidence is among the strongest observed globally and represents a powerful return on investment.'
Launched in 2020 under BISP, the Benazir Nashonuma Programme has already reached more than 3.5 million women and children across 156 districts, delivered through a network of over 540 facilitation centres nationwide. The programme is built on scientific evidence, including rigorous cluster randomized trials conducted between 2014 and 2019.
Its integrated package offers antenatal and postnatal care, immunization, social and behaviour change communication, treatment of acute malnutrition, conditional cash transfers, and specialised nutritious food supplements produced locally. The programme is implemented in partnership with UN agencies including the World Food Programme (WFP), the World Health Organization (WHO), and the United Nations Children's Fund (UNICEF).
Despite these gains, Pakistan continues to face a severe nutrition crisis: 40 percent of children under five suffer from stunting, 28 percent are underweight, and more than half are affected by anaemia or other micronutrient deficiencies. These challenges have long-lasting effects on children's growth, learning ability, and productivity.
As South Asia's largest social protection programme, BISP is uniquely positioned to tackle these issues and to build Pakistan's human capital. The midterm evaluation of Nashonuma reaffirms its potential to drive measurable national progress against malnutrition-while contributing valuable global evidence on how to improve child health and nutrition worldwide.