Society: education, population & human development
Pakistan's society through the lens of education, demography and human development: literacy, the 18th Amendment, population transition, the HDI and SDG benchmarks for CSS Pakistan
The demographic profile
Pakistan is the world's fifth most populous country. The sixth and last housing-and-population census conducted under the digital methodology, the Census of 2023 (notified in the Gazette in August 2023), recorded a population of 241.49 million, up from 207.68 million in the 2017 census. The intercensal average annual growth rate was reported at 2.55 percent (2017) easing to roughly 2.55 percent again over 2017-2023 by official figures — among the highest in South Asia and well above India (now under 1 percent) and Bangladesh.
The total fertility rate (TFR), per the Pakistan Demographic and Health Survey (PDHS) 2017-18, stood at 3.6 births per woman, down from 5.4 in 1990-91 but still far above replacement level (2.1). Contraceptive prevalence rate (CPR) remained stuck near 34 percent, with high unmet need for family planning. The country has not completed its demographic transition: declining mortality outpaced fertility decline, producing rapid growth.
Youth bulge and the dependency question
Pakistan's median age is approximately 20 years; about 64 percent of the population is under 30. This 'youth bulge' is framed in policy discourse (and the UNDP Pakistan National Human Development Report 2017, themed 'Unleashing the Potential of a Young Pakistan') as a potential demographic dividend — but a dividend is conditional on education, skills and job creation. Without these, the bulge becomes a liability: under-employment, migration pressure and instability.
Urbanisation
The 2023 census put the urban share at about 38.8 percent, with Karachi (over 20 million in the metropolitan region) and Lahore as megacities. Rural-to-urban migration strains housing, water and sanitation. Pakistan's urbanisation rate is the fastest in South Asia. The Council of Common Interests (a constitutional body under Article 153) approved the 2023 census results, which then triggered the delimitation of constituencies by the Election Commission ahead of the February 2024 general elections — demonstrating how demography feeds directly into the constitutional and electoral order.
Health indicators
Key indicators a candidate must retain: under-five mortality around 67 per 1,000 live births (PDHS 2017-18); maternal mortality ratio of 186 per 100,000 live births (Maternal Mortality Survey 2019); stunting in children under five at approximately 40 percent (National Nutrition Survey 2018) — a chronic malnutrition crisis. Public health spending has hovered near 1 percent of GDP, far below the WHO-recommended floor. Polio remains endemic in Pakistan and Afghanistan alone, a recurring international-image issue. These numbers are the raw material of essay paragraphs on the 'social sector' and human security.