We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The Indus civilization in South Asia (c. 320 – 1500BC) was one of the most important Old World Bronze Age cultures. Located at the cross-roads of Asia, in modern Pakistan and India, it encompassed ca. one million square kilometers, making it one the largest and most ecologically, culturally, socially, and economically complex among contemporary civilisations. In this study, Jennifer Bates offers new insights into the Indus civilisation through an archaeobotanical reconstruction of its environment. Exploring the relationship between people and plants, agricultural systems, and the foods that people consumed, she demonstrates how the choices made by the ancient inhabitants were intertwined with several aspects of society, as were their responses to social and climate changes. Bates' book synthesizes the available data on genetics, archaeobotany, and archaeology. It shows how the ancient Indus serves as a case study of a civilization navigating sustainability, resilience and collapse in the face of changing circumstances by adapting its agricultural practices.
Developing countries, with limited monitoring and auditing capabilities, face significant tax evasion issues. This study examines the impact of various text message combinations on promoting tax compliance, particularly in encouraging service providers to submit monthly sales tax returns in Khyber Pakhtunkhwa, Pakistan. A randomised controlled trial involved 18,087 service providers and tested three types of SMS reminders. These included a basic reminder for the due date, a reciprocity message emphasising social responsibility, and a loss aversion (LA) message highlighting financial penalties and deactivation. Subsequently, service providers who didn’t file on time received one of three warning messages. These warnings included a basic alert about potential legal action, financial penalties, and deactivation, as well as a message framing continued non-compliance as an active choice (AC). Overall, the interventions did not significantly influence tax filing behaviour beyond basic reminders and warnings. However, compliance improved for early registrants with the LA reminder and AC warning, and these results were robust to multiple hypothesis testing corrections. Compliance worsened for recent registrants in all combinations except the LA reminder and AC warning. These findings suggest that targeted low-cost messages that convey vague threats can improve tax compliance among certain taxpayer groups.
How can societies effectively reduce crime without exacerbating adversarial relationships between the police and citizens? In recent decades, perhaps the most celebrated innovation in police reform has been the introduction of community policing, where citizens are involved in building channels of dialogue and improving police-citizen collaboration. Despite the widespread adoption of community policing in the United States and increasingly in the developing world, there is still limited credible evidence about whether it realistically increases trust in the police or reduces crime. Through simultaneously coordinated field experiments in a diversity of political contexts, this book presents the outcome of a major research initiative into the efficacy of community policing. Scholars from around the world uncover whether, and under what conditions, this highly influential strategy for tackling crime and insecurity is effective. With its highly innovative approach to cumulative learning, this project represents a new frontier in the study of police reform.
This article examines, for the first time, a significant aspect of Bangladesh’s Liberation War in 1971: the fate of ‘stranded Bengalis’ in West Pakistan during and after the war. The war ended with over 90,000 Pakistani prisoners of war (POWs) captured in East Pakistan-turned-Bangladesh, who were then transferred to Indian custody. The government of Pakistan responded by holding hostage roughly the same number of Bengali military personnel, civil servants, and their dependants in West Pakistan as leverage for the return of its captured POWs. Neither group would return home immediately in what arguably became one of the largest cases of mutual mass internment post-1945. Drawing on a wide range of untapped sources, both official and personal, this article traces the trajectory of this crisis of captivity in which the Bengali officials and officers—hitherto serving the Pakistani state—found themselves as rightless citizens with ‘enemy’ status after December 1971. Their wartime experiences, more than half a century after the war, warrant recognition in widening the understanding of 1971, not only in the history of regional and global politics but also at what was arguably the home front—a thousand miles away from the ‘war zone’ in East Pakistan.
Climate anxiety has a negative impact on the mental health and psychological well-being of the vulnerable population. The goal is to assess many factors that affect mental health and psychological well-being, as well as how climate change affects mental health in Pakistan’s vulnerable population. This study provides evidence-based insights into the long- and medium-term impacts of extreme weather events on mental health. To obtain information on these variables, this research uses a quantitative approach and a cross-sectional survey design with a multivariate regression model for empirical tests on a sample of parents and children with an impact on mental health from climate change anxiety. Results indicate that individuals who experience shock climate change anxiety and its effects on mental health and psychological well-being. Climate change can have detrimental effects on children’s mental health. (1) Children’s Stress Index (CSI): (2) climate change anxiety (CCA), (3) generalised anxiety disorder (GAD) and (4) major depression disorder (MDD), as reported by the children with mental health outcomes. The findings of this study show that climate change has a stressful effect on mental health. The article concludes with a discussion on strategies to address the anticipated mental health issues among children due to climate change.
Overseas Pakistanis continue to grow in number, expanding the national community abroad. The three main challenges that exist for the Pakistani government in protecting its citizens abroad are interconnected and have to do with maintaining remittances, increasing educational opportunities, and potentially loosening visa restrictions that hamper the ability of Pakistanis to travel and interact with other countries economically. While the world has focused on security, mainly evaluating Pakistan from an Afghanistan-focused lens as US and NATO forces remained in the country till August 2021, Pakistanis have been busy seizing opportunities for themselves and their families, indicating a high level of agency. The Pakistani government is motivated by its diaspora’s agency and self-identity needs, and welcomes engagement. This movement has now resulted in remittances becoming Pakistan’s largest source of national foreign exchange. In order to maintain remittances, the Pakistani government’s activities are likely to intensify over time. As the Pakistani government engages with its citizens abroad, one of the most interesting revelations about this research is the lack of direct military involvement.
What is the effect of community policing in settings where trust in the police is low and local legal institutions make witness cooperation unusually critical for certain kinds of offenses? We study the effect of a citizen-centric problem-oriented policing (CPOP) intervention introduced in March 2019 in Punjab’s Sheikhupura Region, a mixed urban-rural region of 4.9M people. Treatment roll-out in Pakistan was significantly hampered by frequent transfers of the regional and district police officers, reflecting the challenges of implementing institutional reforms in settings where the police face frequent personnel changes. Despite these challenges, the intervention, which included regular town hall meetings at which citizens could share their concerns, led to significant increases in overall perceptions about the police and in citizen beliefs that police have good intentions with respect to addressing crime. Despite the favorable institutional environment for increased trust to lead to crime reduction, we find no evidence of downstream impacts of the program on self-reported crime victimization or crime reported to the police. Observational evidence from follow-up visits suggests that this was because of resource and institutional challenges that limited community police officers’ agency and prevented them from responding to community concerns.
What is a populist judge, and when do judges embrace populism? Populist judges bypass legal and procedural constraints, seek an unmediated relationship with the public, and claim to represent the public better than political elites. Judicial populism can emerge in response to institutionalized dissonance in the political system. Dissonant institutionalization facilitates contestation between state institutions and can undermine the legitimacy of political institutions. This legitimacy crisis can imbue judges with a belief in their role as representatives of the public interest. In Pakistan, the dissonance caused by unresolved differences between the civil-military bureaucracy and the elected political leadership—differences that were embedded into the constitutional framework, facilitated the rise of judicial populism. I outline the key features of judicial populism and study the dynamics surrounding the rapid expansion of populist jurisprudence between 2005 and 2019 in Pakistan, with a focus on public interest litigation that became the cornerstone of the judiciary’s populist turn. Through case analysis, archival research, and semi-structured interviews, I discuss features of the populist approach to jurisprudence and trace how dissonance within Pakistan’s political system created new opportunities for the judiciary and changed judicial role conceptions within the legal and judicial community.
This chapter examines issues of factual misinformation and misperception in the case of the US drone campaign in Pakistan. It first shows that, while the drone campaign is empirically quite precise and targeted, it is largely seen as indiscriminate throughout Pakistani society. In other words, there is a pervasive factual misperception about the nature of the drone strikes in Pakistan. Second, the chapter shows that this misperception is consequential. Notably, it shows that Pakistani perceptions of the inflated civilian casualties associated with the strikes are among the strongest drivers of opposition to them in the country. It also provides evidence suggesting that this anti-drone backlash fuels broader political alienation and violence in Pakistan. Finally, the chapter shows that these misbeliefs about drones (and the reactions they inspire) are not shared by local civilians living within the tribal areas where the incidents occur. In sum, the chapter demonstrates that factual misperceptions about US drone strikes in Northwest Pakistan are generally widespread and consequential in the country, but not in the areas that actually experience the violence.
Climate anxiety has a negative impact on the mental health and psychological wellbeing of the vulnerable population. The goal is to assess many factors that affect mental health and psychological wellbeing, as well as how climate change affects mental health in Pakistan’s vulnerable population.
Methods
This study provides evidence-based insights on the long- and medium-term impacts of extreme weather events on mental health. To obtain information on these variables, this research uses a quantitative approach and a cross-sectional survey design with a multivariate regression model for empirical tests on a sample of parents and children with an impact on mental health from climate change anxiety.
Results
Results indicate that individuals experience shock and climate change anxiety, and their effects on mental health and psychological wellbeing. Climate change can have detrimental effects on children’s mental health. (1) disaster risk health (2) children’s stress index (3) public health concerns, (4) climate change anxiety, (5) generalized anxiety disorder, and (6) major depression disorder, as reported by the children with mental health outcomes.
Conclusions
The findings of this study show that climate change has a stressful effect on mental health. The paper concludes with a discussion on strategies to address the anticipated mental health issues among children due to climate change.
This chapter presents case studies from ten countries: Argentina, Brazil, Egypt, India, Iran, Japan, Pakistan, South Africa, South Korea, and Spain. These cases show that many world leaders believe that nuclear latency provides greater international influence.
Primary healthcare (PHC) plays a crucial role in improving health outcomes and reducing healthcare burden, especially in low-to-middle-income countries (LMICs). However, PHC has not received adequate attention in Pakistan despite its recognized importance. This study aims to examine the current state of PHC in Pakistan, identifying factors compromising its quality and effectiveness.
Methods:
To find relevant data, the authors conducted a thorough literature search on PubMed, Google Scholar, and Cochrane Library from inception till 2 July 2022, without any language restriction. The following keywords were employed during the literature search, separated by Boolean operators AND, OR: “Primary Healthcare”, “PHC”, “Healthcare primary”, “Primary Health”, and “Pakistan”.
Results:
Pakistan’s PHC infrastructure shows promise, with a considerable number of healthcare facilities in place. However, various factors hinder its effectiveness and compromise the quality of care provided. Insufficient investment, resource constraints, inadequate training of healthcare providers, lack of oversight, and limited access to essential medicines and equipment are some of the key challenges observed. Improving PHC in Pakistan is vital for addressing the population’s healthcare needs, particularly in rural areas. Adequate investment, enhanced training programs, improved oversight mechanisms, and increased availability of essential resources are necessary to strengthen the PHC system. By prioritizing PHC and addressing the identified challenges, Pakistan can enhance healthcare access, reduce healthcare burden, and improve overall health outcomes for its population.
Conclusion:
It is high time LMICs like Pakistan recognize PHC as the most economically feasible pathway toward accomplishing healthcare targets and adopt adequate measures to elevate its standards.
To determine the short- and medium-term cardiac outcomes in children admitted with multisystem inflammatory syndrome in children at a tertiary care centre in Pakistan.
Methods:
Children fulfilling the criteria for multisystem inflammatory syndrome and admitted to the hospital between April 2020 and March 2022 were enrolled in this prospective longitudinal cohort study. From admission to discharge, laboratory and cardiac parameters were recorded for all patients, who were subsequently followed up in clinics at various intervals. Data analysis was conducted using STATA version 15.0.
Results:
A total of 51 children were included, with viral myocarditis (41.2%) and toxic shock syndrome (33.3%) being the most common phenotypes. The cardiovascular system was most commonly affected in 27 children (53%) with laboratory evidence of inflammation and myocardial injury with median and interquartile levels of ferritin 1169 (534-1704), C-reactive protein 83 (24-175), lactate dehydrogenase 468 (365-1270), N-terminal pro-B-type natriuretic peptide 8,656 (2,538-31,166), and troponin 0.16 (0.02-2.0).
On admission, decreased left ventricular ejection fraction was observed in 58.8% of patients and impaired global longitudinal strain in 33.3%. At discharge, left ventricular ejection fraction had normalised in 83% of patients. Pericardial effusion resolved in all patients, and valvulitis resolved in 86% by 12 months. Paediatric ICU admission was required in 42 (82%) of patients with an overall mortality of 12% (n = 6).
Conclusion:
Our study finds high hospital mortality for multisystem inflammatory syndrome in children compared to 1-2% from previous studies. Yet, in Pakistan, surviving children with multisystem inflammatory syndrome show favourable short- to medium-term cardiac outcomes
Data on associations between inflammation and depressive symptoms largely originate from high income population settings, despite the greatest disease burden in major depressive disorder being attributed to populations in lower-middle income countries (LMICs).
Aims
We assessed the prevalence of low-grade inflammation in adults with treatment-resistant depression (TRD) in Pakistan, an LMIC, and investigated associations between peripheral C-reactive protein (CRP) levels and depressive symptoms.
Method
This is a secondary analysis of two randomised controlled trials investigating adjunctive immunomodulatory agents (minocycline and simvastatin) for Pakistani adults with TRD (n = 191). Logistic regression models were built to assess the relationship between pre-treatment CRP (≥ or <3 mg/L) and individual depressive symptoms measured using the Hamilton Depression Rating Scale. Descriptive statistics and regression were used to assess treatment response for inflammation-associated symptoms.
Results
High plasma CRP (≥3 mg/L) was detected in 87% (n = 146) of participants. Early night insomnia (odds ratio 2.33, 95% CI 1.16–5.25), early morning waking (odds ratio 2.65, 95% CI 1.29–6.38) and psychic anxiety (odds ratio 3.79, 95% CI 1.39–21.7) were positively associated, while gastrointestinal (odds ratio 0.38, 95% CI 0.14–0.86) and general somatic symptoms (odds ratio 0.34, 95% CI 0.14–0.74) were negatively associated with inflammation. Minocycline, but not simvastatin, improved symptoms positively associated with inflammation.
Conclusions
The prevalence of inflammation in this LMIC sample with TRD was higher than that reported in high income countries. Insomnia and anxiety symptoms may represent possible targets for personalised treatment with immunomodulatory agents in people with elevated CRP. These findings require replication in independent clinical samples.
The genus Ornithodoros is notably diverse within the family Argasidae, comprising approximately 134 species distributed among 4 subgenera, 1 of which is the subgenus Pavlovskyella. In an earlier study, we identified distinct soft ticks as Ornithodoros (Pavlovskyella) sp., which were collected from animal shelters in Khyber Pakhtunkhwa, Pakistan. Providing additional collections from that same locality and a comprehensive analysis involving detailed morphological and mitogenome-based comparisons with closely related species, this study formally designates a novel species for these specimens. Adults and late-instar nymphs of the new species display a dorsoventral groove, small cheeks not covering the capitulum, 5 small even humps on tarsus I and a transverse postanal groove intersecting the median postanal groove perpendicularly. It also lacks a tuft of setae on the ventral surface of the hood which separates the novel species from Ornithodoros papillipes. Ventral chaetotaxy of tarsus IV indicates 4–7 setal pairs in nymphs and 5–7 pairs in adults that separate the new species from Ornithodoros tholozani sensu stricto and Ornithodoros crossi, 2 morphologically closely related species that occur in geographical proximity. Phylogenetic analyses of the full-length mitochondrial genome and the 18S and 28S ribosomal RNA genes, combined with pairwise nucleotide comparisons of cox1, cox2, atp8, atp6, cox3, nad3, nad5, nad4, nad4L, nad6, cytb, nad1, nad2, 12S rDNA, 16S rDNA, 18S rDNA and 28S rDNA further support that the new species belongs to the Pavlovskyella subgenus, clustering with O. tholozani, Ornithodoros verrucosus and Ornithodoros tartakovskyi.
Sinf-e-Aahan (2021) and Ehd-e-Wafa (2019) are two scripted television shows produced by Inter Services Public Relations (ISPR), the public relations wing of the Pakistan Armed Forces. Both shows merge the national, military spheres with domestic, civil spheres within its narrative universe, albeit in contrasting ways. This is a departure from military-sponsored scripted television made under the monopolistic state control of television. How do military-sponsored shows maintain the domestic and military spheres in their visual landscape? With attention to visual representation in the serials and using secondary data available on the production team’s choices, I argue that the conventions of domestic serial content force military characters to engage in issues of domesticity, such as marital conflict and reputation scandals. Military and familial logics meld together in instances where the military inserts itself into the domestic sphere within these shows, without embracing the messiness and moral ambiguity of such spaces.
This chapter extends the analysis in Chapter 6 by examining the origins and consequences of national security institutions in Pakistan from 1947 to 2015. Unlike India, the persistent threat of bureaucratic punishment prevented the emergence of integrated institutions, despite the salient international threats faced by its political leaders. Instead, Pakistan has cycled between siloed and fragmented institutions, with civilian leaders tending to adopt the former and military rulers tending to choose the latter. The chapter argues that the reason for this pattern stems from differences in political agenda. Military leaders have historically pursued ambitious programs to transform Pakistan’s society and economy, which would allow the military to return to the barracks. A medium-n analysis of Pakistan’s institutional performance suggests that siloed and fragmented institutions tended to perform poorly relative to India’s integrated institutions. Process tracing of the 1999 Kargil War illustrates that this poor performance can be attributed to low-quality bureaucratic information upon which Pakistan’s leaders based their choice for conflict.
The commemoration of Husain’s martyrdom named “Muharram” implies for the Shi’ite community that it publicly expresses its grief. This emotion is central to its definition, as Muharram is referred to as the “month of mourning” and the Shi’ite as a “community of mourners.” However, Muharram would not be equivalent across Pakistan, as a young Shi’ite fakir, who will serve as our guide, in this comparative study, points out. According to him, the sadness would be greater in Lahore (Punjab) than in Sehwan (Sindh), and for this reason Muharram would be better celebrated there. The comparison of the ritual process in these two cities, drawn from the experiences of this fakir and the ethnographer, will show how the production and expression of sadness are subject to contrasting experiences on the one hand, and divergent aims on the other, depending on the position of the actors in the social context in which they are lived.