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Background: Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC) infrastructure, Pakistan's health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan. Methods: An exploratory study was conducted in a rural district in Khyber Puktunkhwa (KP) province, in Pakistan. A conceptual framework was developed comprising of three organizational, individual, and external environmental factors. Qualitative research methods comprising of semi-structured interviews with doctors working in basic health units (BHUs) and in-depth interviews with district and provincial government health managers were used. Document review of postings, rules of business and policy actions was also conducted. Triangulation of findings was carried out to arrive at the final synthesis. Results: Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies and medical facilities contributed to lack of motivation among both male and female doctors. The physicians accepted government jobs in BHUs with a belief that these jobs were more secure, with convenient working hours. Male physicians seemed to be more motivated because they faced less challenges than their female counterparts in BHUs especially during relocations. Overall, the organizational factors emerged as the most significant whereby human resource policy, career growth structure, performance appraisal and monetary benefits played an important role. Gender and marital status of female doctors was regarded as most important individual factor affecting retention and motivation of female doctors in BHUs. Conclusion: Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies, and medical facilities contributed to lack of motivation in physicians in our study. Our study advocates that by addressing the retention and motivation challenges, service delivery can be made more responsive to the patients and communities in Pakistan and other similar settings.

This study investigates the perceptions and experiences of students regarding the various aspects of online education while studying at the Pakistani Higher Education Institutes (HEIs) and universities that shifted to online modes of instruction during the COVID-19 pandemic. The focus of this study was to identify the level of satisfaction of students with the support being provided to them by their institutes and instructors; the use of different modes of communication and assessment methods; and their home study environment. It also explored the positively and negatively influencing factors affecting online education, as perceived by them. An online questionnaire-based cross-sectional survey research design was chosen for conducting this study. Data were collected from 707 respondents belonging to various Pakistani HEIs and universities and analyzed using the SPSS software. The results revealed a considerable dissatisfaction among the study population regarding online education being provided to them during the COVID pandemic. The participants raised concerns over the lack of institutional support and the quality of online instruction. Other issues raised included unsuitable study environments, unavailability of electricity, and connectivity issues. Overall, the majority of the students indicated that they would not like to opt for online classes in the future once the pandemic was over.

This article reviews 62 years (1957–2018) of research in library and information science in Pakistan. A comprehensive bibliometric study was conducted using the four leading databases (Web of Science, Scopus, Library and Information Science Abstracts, and Library, Information Science and Technology Abstracts). The researchers found a positive upward trend. Library research is on the rise in Pakistan. The Department of Information Management at the University of the Punjab is the major contributor to the library and information science literature. Forty percent of the total publications were published in two Pakistani journals. Older and well-established institutions like the University of the Punjab and the University of Karachi have taken the lead in publishing research. The Baluchistan and Khyber Pakhtunkhwa provinces require more focus and funding.

This study was carried out to investigate the current and prospective challenges faced by academic libraries in Pakistan and to present possible solutions addressing these challenges. The research design was qualitative, adopting the phenomenology approach. In-depth interviews of 14 senior academic library leaders from public and private sector universities of Pakistan were conducted. Leadership crisis was identified as the top challenge followed by those related to changing user behavior, human resources, financial, technological issues, and changes in higher education. Prospective challenges encompassed issues related to technological modalities, human resources, research data management and library space. While the study participants indicated their readiness to cope with these challenges, they agreed that there was a need of collective effort for human capacity building, initiation of compatible smart services, effective policy making and creation of societal awareness. The support from key players such as the library professionals, library associations, top management, LIS schools, HEC and other funding agencies was deemed to be vital for this purpose.