In Punjab, Pakistan’s most populous province, healthcare is trundling along narrow alleys and parking up in urban slums.

Rawalpindi city – enormous, densely inhabited, lying cheek-by-jowl with the federal capital Islamabad – struggles with an imbalance between healthcare resources and demand. It’s a hotspot of contrasts: five kilometres and a small bridge over a seasonal stream separate the office of the District Health Authority from the area of Phagwari, an urban slum.