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Dawn News 29 June 2024
Dawn News 29 June 2024
Dawn News 29 June 2024
Editorial
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Pension burden
AFTER years of bureaucratic resistance(opposition,)مزاحمت, the ECC(Economic Coordination Committee,
)اقتصادی'رابطہ'کمیٹیhas finally approved changes to the federal government’s pension system to reduce
the rapidly(quickly, )تیزیgrowing burden(load, )بوجھof pension costs on the budget. The reforms
alter(change, )تبدیلthe formula to calculate gross pension, penalise voluntary(optional,)رضاکارانہ
retirements, change the method for future pension increases, adjust family pension
entitlements(benefits,)مراعات, eliminate multiple pensions, establish a pension fund, and initiate other
measures to introduce savings in the federal pension system. The introduction of the
contributory(contributive, )شراکتpension scheme(plan, )منصوبہfor the new civilian employees and
military personnel(staff, )عملہis perhaps the most significant reform being rolled out(implemented. A
report suggests that the government has deferred(postponed, )موخرpension cuts for(reduction in
pensions, )پنشن'میں'کمیexisting pensioners and employees due to questions over its “legal mandate(legal
authority,)قانونی'اختیار, which might have resulted in “substantial(significant, )کافیsavings”. The new
pension rules will come into force for civilian employees from the next fiscal year(financial year,)مالی'سال
and for military personnel the year after.
Many of the changes had already been announced in this year’s budget but remained
unimplemented(not carried out,)نافذ'نہیں. The draft(proposal, )مسودہchanges in pension rules are in line
with recommendations of the Pay and Pension Commission of 2020 regarding amendments(changes,
)ترامیمto the pension scheme for existing pensioners(retired people, )پنشن'لینے'والےand employees to
curtail(reduce, )کم'کرناfuture increases in annual(yearly, )ساالنہpension costs “without compromising on
the government’s pension philosophy”. Successive(consecutive, )پے'در'پےgovernments have been
struggling since the 1990s to strike(attack, )حملہa balance between ensuring financial
sustainability(endurance, )پائیداریof pension liabilities(debts, )ذمہ'داریاںand providing an
adequate(sufficient, )کافیincome in retirement to public sector employees. With the annual pension bill
becoming the fourth-largest budget expense following interest payments, defence costs and
development spending, reforms are unavoidable(inevitable,)ناقابل'انکار, especially with the ongoing
economic crisis adding urgency(importance, )فوری'ضرورتto the need for fiscal
consolidation(strengthening,)استحکام.
The question is whether the measures are enough to slash(reduce, )کم'کرناthe annual pension liabilities
of existing pensioners, or those who will retire and join the rollover(renewal, )تجدیدin the next 30-40
years. As the annual federal pension budget is estimated to rise to more than Rs1tr for both existing
military and civilian pensioners next fiscal year, the ‘reforms’ are likely to yield(produce, )پیدا'کرناonly
Rs4bn, or 0.4pc of pension liabilities, in savings in the first year according to some officials quoted in a
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media report. Some estimates indicate that the consolidated(strengthened, )مستحکمfederal and
provincial pension bill would grow at 22-25pc a year for the next 35 years unless serious reforms are
implemented. The cost of inaction(inactivity, )غیر'فعالیhas been enormous(huge, ;)بہت'بڑاthe national
pension bill has risen 50 times during the last 20 years. The liability doubles roughly(approximately,)تقریبًا
every four years. If vested(self-interest, )مفادinterests continue to stall meaningful(significant,)معنی'خیز
changes, the government may not be left with enough money for most pensioners or social and
economic development in the next 10 years. One hopes that the issue is revisited(reviewed,)دوبارہ'دیکھنا
and stronger reforms are introduced to reduce burden on the state.
‘Hot pursuit(chase,’)تعاقب
WHILE Pakistan faces a major problem in the form of terrorists from Afghanistan infiltrating(entering
secretly, )داخل'ہوناthe country, unilaterally(one-sidedly, )یکطرفہtargeting militants on Afghan soil may
create more problems than it solves. The defence minister has again discussed the option of ‘hot
pursuit’ of TTP terrorists into Afghanistan; this is not the first time such a suggestion has been made.
While talking to Voice of America, Khawaja Asif said Pakistan could strike(attack, )حملہtargets in
Afghanistan as Kabul was “exporting” terrorism to Pakistan. He also observed that while the TTP(Taliban
group, )تحریک'طالبانwas operating from across our western border, a few thousand militants were active
“within the country”.
Considering the sensitivities involved, the defence minister should have been careful(cautious, )احتیاطin
his choice of words. As mentioned, cross-border terrorism is a major threat to our security, while ties
with the Taliban regime(government, )حکومتin Kabul are hardly(barely, )بمشکلcordial(friendly,)دوستانہ.
But that does not mean that Pakistan should publicly(openly, )عوامی'طور'پرadvocate(support, )حمایتfor
violating the territorial sanctity(sacredness, )تقدسof a sovereign country. There are two major reasons for
this. Firstly, if Pakistan were to take major unilateral(one-sided, )یکطرفہaction against militants across the
border, ties with Afghanistan would very quickly go south. It will not be in this country’s interest to lose
whatever goodwill(kindness, )نیک'نیتیremains for Pakistan in Kabul. Secondly, using our justified
concerns about cross-border terrorist havens(sanctuaries, )پناہ'گاہیںto initiate hot pursuit(chasing,)تعاقب
may give other regional states ideas about violating our sovereignty(independence,)خودمختاری, in the
name of targeting ‘militants’. For example, Indian leaders — including the current prime minister —
have boasted about(bragged, )شیخی'مارناstriking terrorists ‘in their homes’, a thinly veiled(barely hidden,
)بمشکل'چھپاthreat to Pakistan. This country has, of course, correctly said on record that no one should
harbour(shelter, )پناہany illusions(delusions, )وہمof violating its territorial integrity. Promoting the concept
of hot pursuit then should be discouraged(dissuaded,)حوصلہ'شکنی. The terrorist threat is real, and the
TTP and other malign(harmful, )نقصان'پہنچاناactors cannot be given free rein(control, )قابوto cause
havoc(destruction, )تباہیin Pakistan. But the best options available to the state include raising the issue
with the Afghan Taliban, and strengthening(making stronger, )مضبوط'کرناour internal security. Pakistan
must keep up(maintain, )برقرار'رکھناthe pressure on the Taliban to remove the TTP and other terrorist
groups from our borders, and prevent them from staging(preparing, )تیاریattacks across the
frontier(border,)سرحد. Moreover, as the defence minister noted, thousands of militants are active on our
soil. Eliminating this threat should be the prime objective of the newly announced Azm-i-
Istehkam(Resolve to Strengthen, )عزم'استحکامcampaign.
Of fatal flaws
IT is remarkable(notable, )قابل'ذکرhow chaos(disorder, )افراتفریseems to be the only constant with the PTI.
Late on Thursday, it emerged(appeared, )ظاہر'ہوناthat the party’s erstwhile(former, )پہلےsecretary
general, Omar Ayub Khan, had resigned from various positions he held within the party. The
development followed a confrontation(clash, )ٹکراؤbetween Mr Ayub and angry PTI supporters earlier in
the day after Imran Khan and his spouse(partner, )ساتھیBushra Imran’s pleas for suspension(pause,)معطلی
of sentence in the ‘iddat case’ were rejected. It also came amidst(among, )درمیانrumours(gossip, )افواہیںof
the formation of a forward bloc(pro-government group, )آگے'کا'گروہin the National Assembly. It seems
that even die-hard(staunch, )پکاloyalists(supporters, )وفادارlike Hammad Azhar and Murad Saeed were
taken off(removed, )ہٹا'دیاguard by Mr Ayub’s decision: in messages shared on social media platform X,
the former asked that Mr Ayub reconsider(rethink,)دوبارہ'سوچنا, while the latter(late, )بعد'کاspoke
passionately(enthusiastically, )جوش'سےabout the need for unity within the party’s ranks. It then
emerged(appeared, )ظاہر'ہوناthat the resignation had been tendered(offered, )پیش'کیاdays earlier and had
also been endorsed(supported, )حمایت'کیby the party’s jailed chief.
Opinion
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The debate between President Biden and former president Trump was, in the words of one
commentator(analyst,)مبصر, a match between a derelict(abandoned, )بے'سہاراand “infirm(weak,”)کمزور
Biden and an “unstable” felon(criminal,)مجرم, Trump. Accordingly(therefore,)لہذا, the world’s
mightiest(strongest, )طاقتورcountry will be led by someone who is either “not quite there” or someone
who is pathologically(disease-like,“ )مرض'کی'طرحreckless(careless,”)بے'پروا. One can hear the
Doomsday(judgment day, )قیامتClock tick-tocking towards “midnight”.
The US is politically more polarised(divided, )تقسیمthan ever. A less polarised and more informed political
society might have been expected to moderate(average, )درمیانیthe recklessness(carelessness, )الپرواہیor
compensate(reimburse, )معاوضہ'دیناfor the cluelessness(ignorance, )ناواقفیتof its leadership. But the
American polity is irreconcilably(incompatibly, )ناقابل'مصالحتdivided between the ‘besotted’ (for Trump)
and the ‘haters’ (of Trump) — which renders(makes, )بنا'دیناBiden irrelevant(unrelated,)غیر'متعلق, and yet
a possible winner! This is what the US has been reduced to while being the world’s mightiest military
and economic power.
Like it or not, the rest of the world has a vital(essential, )اہمstake(risk, )خطرہin the policies
pursued(chased, )پیچھا'کیاby the US as ‘leader of the free world’. But neither Biden nor Trump measure
up(meet expectations, )مطابق'ہوناto the minimum essentials(basics, )ضروریاتfor such a role. Moreover,
the US political process by and large does not take account of the impact of its policies and
follies(foolishness, )حماقتیںon the rest of the world. This may be true of other countries, but their ability
to benefit or harm the rest of the world is relatively(comparatively, )نسبتًاlimited. So what is to be done if
we are to avoid the prospect(outlook, )نظارہof the US leading the world over the cliff(precipice,?)چٹان
Like it or not, the rest of the world has a vital stake in the policies pursued by the US as ‘leader of the
free world’.
However, securing intellectual agreement on such a panacea(cure-all, )عالجis far easier than translating
it into reality. For a start, this would require democratising(making democratic, )جمہوری'بناناthe decision-
making processes of the UN and its affiliated(associated, )منسلکbodies, which the US and other great
powers are anything but willing to contemplate(consider,)غور'کرنا. Nevertheless(however,)بہر'حال, the
idea of One World, in which we win or lose and live or die together, needs to be promoted with far
greater urgency(immediacy, )فوریand realism(pragmatism, )حقیقت'پسندیthan has been the case.
How might this be possible? Let us resort(turn to, )رجوع'کرناto childhood imagination and build on old
Hollywood movie themes, such as a war of the worlds, etc. Suppose alien intelligent life discovered us
and saw our world as an inviting place for conquest(victory, )فتحand occupation. How would we react to
such a palpable(tangible, )محسوسthreat? Would we, as in the movies, overcome(defeat, )مغلوبall our
divisions and differences to unitedly(together, )متحدmeet and overcome such a threat? Or would we, in
accordance with the prevailing(dominant, )غالبreality, dismiss as juvenile(youthful, )نوجوانthe very idea
of making a serious and sincere attempt on a scale(large extent, )وسیع'پیمانےand speed that would make a
real difference? Can we mimic(imitate, )نقل'کرناthe movies and bring ourselves to see
contemporary(modern, )عصریexistential(relating to existence, )وجودیchallenges as we might an alien
invasion(attack, )حملہif it became a reality? If so, we might yet make the right choices in time.
Even so, no one country with all its supposed superlatives(high praises, )بہترینis able and wise enough to
be the sole(only, )واحدleader of such a global undertaking(project,)پروجیکٹ. The current
dysfunction(inefficiency, )خرابیof the American political process underscores(highlights, )واضح'کرتاthis
fact. It should incentivise(motivate the best minds and enablers to come together as never before to
meet and overcome these threats. If the US political process can sufficiently(adequately, )کافیbuy
into(accept, )قبولthis urgent global imperative(essential,)ضروری, it may yet provide a major contribution
to such a global endeavour(attempt, )کوششand become worthy of its self-image(self-perception,
)خود'تصورas a shining City on a Hill.
The price of failure was affordable(economical, )سستیup until now(until present,)اب'تک. This is
increasingly no longer the case. One could afford to be sceptical(doubtful,)شک'میں, cynical(distrustful,
)شک'زدہ, lazy, self-centred(egocentric,)خود'غرضand self-deluded(self-deceived, )خود'فریبیwithout having
to imminently(soon, )جلدpay an existential price(life cost, )وجود'کی'قیمتfor such irresponsibility.
Accordingly, one could more or less comfortably(easily, )آرام'سےacknowledge(admit, )تسلیم'کرناthe
existential urgency of doing things without bothering(caring, )فکر'کرناto do them — and get away
with(escape blame, )بچ'نکلناthe hypocrisy(double standards,)منافقت. No longer. This insight(understanding,
)سمجھneeds to become an imperative that informs political processes all over the world — and of such
processes, arguably(possibly, )بحث'طلبnone is more important than the dysfunctional(inefficient,
)غیر'فعالیone in the US that occupies our screens today. It has facilitated if not promoted the
indescribable(beyond description, )ناقابل'بیانhorrors(terrors, )خوفwe are compelled to(forced to,)مجبور
helplessly(without help, )بے'بسی'سےbear witness(testify, )گواہی'دیناto on a daily basis. Unless such
obscenities(vulgarities, )گندگیare immediately and effectively addressed, they will ensure survival
imperatives remain helpless cries in the wilderness(uncultivated area,)بیابان.
What can Pakistan do? It can be true to itself, which, of course, is easily said but has remained
impossible to achieve. Its ‘leaders’ need to do on a national scale(countrywide, )قومی'سطحwhat has been
suggested is imperative on a global scale. It can try to set an example for the rest of the world as other
countries must similarly try to do. Only then will they be able to collectively(together,)اجتماعی'طور'پر
contain the fatal(deadly, )مہلکpotential of global realpolitik(pragmatic politics,)حقیقی'سیاست. Only a
realisation(awareness, )احساسthat the wolf is at the door can transform counsels(advisors, )مشیرof
perfection into practical and realistic policies at the national, regional and global levels.
Ironically(oddly,)عجیب'طور'پر, the global display of US political dysfunction may yet save the world by
highlighting the scale and immediacy(urgency, )فوریof the stakes involved, and thereby(thus,)اس'طرح
compel(force, )مجبورthe country to become something more than Biden or Trump. Otherwise, the rest of
the world will have to find ways to survive on their own by cooperatively(collaboratively,)مل کر
confronting the US as they would invading aliens.
The writer is a former ambassador to the US, India and China and head of UN missions in Iraq and
Sudan.
Surprisingly, it did not occur to media pundits(experts, )ماہرینor policy advisers to challenge how an
economic growth rate as sluggish(slow, )سستas 2-3pc could possibly absorb a population growth rate of
over 2pc and pull the country out of an economic abyss(depth,)گہرائی. In a nutshell(in summary,
)مختصر'طور'پر, among the numerous(many, )کئیremedies for reviving(bringing back, )بحالیthe economy,
the strong potential impact of reducing the population growth rate was overlooked(ignored,)نظر'انداز.
More than five years have passed since the Supreme Court took notice of the 2017 population census,
which reported a growth rate of 2.4pc. Another census was held in 2023, supposedly(allegedly, )مبینہto
validate these results. The latest census ended up recording an even higher five-year
intercensal(between censuses, )مردم'شماری'کے'درمیانpopulation growth rate, with the latest figure
standing at 2.55pc. The population estimate of 241m is unacceptably(intolerably, )ناقابل'قبولhigher than
any projections made for 2023 by international agencies such as the projections(forecasts,)توقعات, in
addition to national demographers(population experts, )آبادی'کے'ماہرینand statisticians(data analysts,
)اعدادیات'کے'ماہرین.
The political buzz around(excited talk, )گفتگوthe 2023 census results resembled(looked like, )مشابہan
auction(sale,)نیالمی, with each province and political group asking for greater allocation of resources,
commensurate(proportionate, )مطابقwith their population size.
The prime minister must prioritise(give importance, )ترجیح'دیناthe challenge of reducing the population
growth rate.
The provinces and parties that gained additional seats and resources were presumed(assumed,)فرض'کیا
the winners, and those that reduced their share of the pie(share, )حصہby declaring smaller numbers, the
losers. Amid the enthusiasm(excitement, )جوشfor financial resources and political representation, the
principle that the census(population count, )مردم'شماریcount is meant to calculate the needs of the
citizens, according to the Constitution, was forgotten.
Of deep concern is the fact that the exaggerated(overstated, )مبالغہintercensal population growth rate
has gained wide acceptance among officials, including economic policy planners. Up to the 1990s, the
Planning Commission, tasked with five-year plans, would have expressed concern over
evidently(obviously, )ظاہرdistorted(misrepresented, )بگاڑناpopulation figures. In that scenario, the
contested(challenged, )چیلنج'کیاintercensal(between censuses, )مردم'شماری'کے'درمیانgrowth rate of 2.55pc
would have been re-evaluated(re-assessed, )دوبارہ'تشخیصand verified through consultations at the
highest level before it was accepted. The concerned census commissioners would have
meticulously(thoroughly, )تفصیلیweighed and vetted(examined, )جانچthe numbers, even to the point of
scrutinising a decimal(numeric, )اعدادیplace of change in population growth because of its multiple
implications for economic planning.
Those were the good old days, when the addition of a million or even thousands of citizens to the
population was taken seriously and the associated needs duly(properly, )مناسبaddressed. Population-
related concerns were prioritised in policymaking. The current NFC(National Finance Commission,
)قومی'مالیاتی'کمیشنaward, which gives 82pc weightage(importance, )اہمیتto population size, is a
pernicious(harmful, )نقصان'دہincentive(motivation, )ترغیبto exaggerate population size. To top it
all(moreover,)مزید, many view the census as merely(only, )صرفan exercise to allocate
parliamentary(legislative, )پارلیمانیseats and demarcate(mark boundaries, )حدود'کا'تعین'کرناconstituencies.
Realising that lowering fertility(birth rate, )زرخیزیrates was conducive(favorable, )سازگارto human
development, the leadership of many a country formulated(devised, )ترتیب'دیاand implemented effective
population policies. President Suharto of Indonesia in 1967, Sheikh Mujibur Rahman of Bangladesh in
1975, and president Khamenei of Iran in the late 1980s took that course of action. Even the Muslim Gulf
states(Middle Eastern countries, )خلیجی'ریاستیںhave an average total fertility rate(birth rate,)پیدائش'کی'شرح
of two children per woman. Saudi Arabia now has a fertility rate of 2.4 children per woman, which is one
child less than Pakistan.
When the Government of Pakistan declared an educational emergency last month, it raised hopes that a
population emergency would follow. There has been a clear neglect(ignorance, )نظراندازof the education
sector despite(in spite of, )باوجودArticle 25-A of the Constitution, which makes free primary education
mandatory(required,)الزمی. The failure of not reducing fertility has increased the number of out-of-
school children.
If the population policy of 2002 had been successfully implemented, fertility rates would have reached
2.1 children per woman by 2020. Consequently(therefore,)نتیجتًا, we would not have a single child out of
school based on our existing efforts to raise educational enrolment(admission, )داخلہrates. However, as
things stand, there are 23m children who are out of school due to the challenge of
accommodating(adjusting, )سازگار7m additional children each year. As a result, we are leaving behind a
generation of incapacitated(disabled, )معذورchildren who cannot read or write and are likely to be
stunted(growth restricted, )رکاوٹdue to poor nutrition(diet,)غذا.
We ask the prime minister to prioritise the challenge of reducing the population growth rate for multiple
reasons. The most important among them is to protect the fundamental human right of millions of
children to basic education. This nation is in dire(terrible, )شدیدneed of leadership on an important policy
matter which impacts the lives of millions.
The oversight(supervision, )نگرانیof not pursuing(chasing, )پیچھا'کرناthe 2002 population policy, or the CCI
Plan of Action, 2018, does not implicate(involve, )ملوث'کرناthe government in power as it spans(extends,
)پھیلتاtwo decades of negligence(carelessness,)غفلت. What is available now is an opportunity for the
current political leadership to seize(grab, )قبضہthe moment and make a difference through appropriate
course correction(change of direction,)راستے'کی'اصالح.
It is an opportune time for the prime minister to mobilise(organize, )متحرک'کرناall four chief ministers in
the next meeting of the Council of Common Interests(group of stakeholders, )مشترکہ'مفادات'کی'کونسلto
renew their pledge(promise, )وعدہto the CCI’s population decisions of 2018. The religious leadership
stands united in supporting the new population narrative of tawazzun (balance), which gives individuals
the right to balance their family size in accordance with their resources.
Additionally, all major political parties currently in power in the provinces have expressed their support
for decisions of the CCI in their respective 2023 manifestos(declarations,)اعالنات.
Not taking immediate policy action on tackling(addressing, )نمٹناpopulation growth rates will be a huge
blunder(mistake,)غلطی, one with a huge cost for the country.
Labour cases
BEFORE 1972, significant labour litigation(lawsuit, )مقدمہdid not exist in Pakistan. When the first PPP
government assumed(supposed, )فرض'کیاcharge under the leadership of Zulfikar Ali Bhutto, it carried out
several amendments in the Industrial Relations Ordinance, 1969, purportedly(allegedly, )مبینہfor the
welfare(well-being, )فالحof workers. In this context, two additions were made in the labour judiciary:
junior labour courts (JLC) and the National Industrial Relations Commission (NIRC).
Labour courts did exist and disposal(removal, )نکاسیof cases was far quicker than it is now, court
proceedings began on time and defaulting(failing to pay, )قرض'نا'ادا'کرناparties were rarely(seldom,
)شاذ'و'نادرgranted adjournments(postponements,)ملتوی'کرنا. All proceedings took place in court and not in
judges’ chambers, which is currently practised in some courts, and judges followed all rules
faithfully(loyally,)وفاداری.
For one of our company’s cases in a Lahore labour court, certain attendance and payroll(salary list,)تنخواہ
registers were submitted as evidence. Later, the same records were required by the audit(examination,
)معائنہdepartment of the company. A company representative approached the court for the material but
the request was denied. However, the material could be photocopied within the judicial
premises(building,)عمارت. The judge also ordered the company to make advance payment of electricity
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charges for the photocopy machine to the court. Although the judge’s order caused hardship(difficulty,
)مشقتfor the company, he was correct about not permitting the registers to be taken out of the court
premises. It prevented any tampering(interference, )چھیڑ چھاڑwith the evidence.
For expeditious(speedy, )جلدیlabour litigation, it was made mandatory for JLCs to decide cases within
seven days. In the beginning, these fora(forums, )فورمadhered(followed, )پابندیto the stipulated(specified,
)مقررtimeframe(time period, )مدتbut eventually lethargy(sluggishness, )سستیcrept in(entered stealthily,
)داخل'ہوگیا, resulting in months of delay. Hence, the primary purpose of JLCs stood thwarted(prevented,
)روکناand the previous system was restored. The NIRC, on the other hand, was instituted with the
mandate to register trade unions and federations.
In view of the government’s pro-labour policy, NIRC head, retired justice Abdul Hameed, was
sympathetic(compassionate, )ہمدردtowards workers and, to appease(pacify, )راضی'کرناunion leaders, he
adopted an aggressive stance(position, )موقفtowards representatives of the employers; he even ordered
the imprisonment(jail, )قیدof a factory manager from Faisalabad. This particular decision sent waves of
fear through the factory owners, making them wary(cautious, )ہوشیارof labour unions, and they also
began to see the Commission as an intimidating(frightening, )خوفناکbody — an impression that lasted for
nearly five years.
As activities of the labour federations and unions fell silent(stopped talking,)خاموش'ہوگیا, the NIRC too
became dormant(inactive,)غیر'فعال. After the devolution(decentralization, )منتقلیof labour laws to the
provinces through the 18th Amendment in 2010, a new concept of provincial and trans-provincial(inter-
provincial, )بین'صوبائیcompanies came into existence. The labour cases of provincial companies would
continue to be filed before the labour courts, and those of trans-provincial companies went to the NIRC.
abused(mistreated, )بدسلوکیand threatened him over his trade union activities and even
barred(prohibited, )روکاhim from entering the plant.
The judge asked me to swear on the Holy Quran to deny the worker’s allegations against me, and when I
did so, both the petitioner and his lawyer vanished(disappeared, )غائبfrom the court. This proves that
only compliance(adherence, )تعمیلwith specified procedures and fora(forums, )فورمfor the
redressal(remedy, )تدارکof workers’ woes — along with strict curbs(severe restrictions, )سخت'پابندیاںon
bogus(fake, )جعلیlitigations — ensures accelerated(sped up, )تیزdelivery of justice as well as a collective
sigh of relief for the tormented(suffering,)اذیت'زدہ.
The writer is a consultant in human resources at the Aga Khan University Hospital and Vital Pakistan
Trust.
It is critical to understand the importance of the proposed human milk bank, the type of babies it
intends to help, and the diligence and assurances made to ensure compliance with Islamic principles.
Human milk banks play a critical role in caring for small or sick newborns worldwide who are either born
prematurely or are too ill to tolerate infant formula due to an underdeveloped or compromised
digestive system.
Unlike human milk, formula milk does not contain the antibodies, growth factors, and bioactive
molecules that help protect the baby’s gut from inflammation and infection. In very small babies; for
example, those being managed in neonatal intensive care unit for prematurity; these factors are
essential to provide protection against harmful bacteria which may prevent absorption of necessary
nutrients and/ or damage the delicate intestines, resulting in an almost fatal condition called necrotising
enterocolitis (NEC). Being derived from cow’s milk, infant formula contains very different types of fats
and proteins, making them less absorbable and increasing stress on the gut, leading to further damage.
Formula milk is also more concentrated than human milk, and its use in premature babies can result in
leaky gut and absorption of excessive water, which can again lead to damage. Also, formula lacks the
necessary chemicals known as human milk oligosaccharides, which form a biofilm in the gut that
protects against infection.
Human milk banks play a critical role in caring for small or sick newborns.
For all the above reasons, human breast milk is the best option for feeding premature and critically sick
babies, especially those at risk for NEC.
When breast milk from the mother is not available, donor human milk from a milk bank is often
recommended as the next best alternative to provide these vulnerable babies with the nutrients and
protection they need.
The World Health Organisation strongly recommends exclusive breastfeeding in the first six months of
life — not always possible, especially when the mother delivers prematurely. Pakistan has the highest
rates of prematurity in the world. Providing an alternative source of protection for these babies when
their mother does not have enough breast milk is essential.
In the proposal by the Sindh government, a conservative strategy was to be adopted by focusing on
protecting the smallest and the most premature of babies, and which included assurances to ensure
Sharia compliance. The service would have been provided without any remuneration or money involved.
It was to ensure that only milk from a Muslim mother was given to a Muslim baby and this milk would
only be given to babies under 34 weeks of age, whose mothers did not have enough milk to feed their
babies.
The milk bank would have followed strict protocols to educate its users about milk kinship in Islam, and
maintain a record of the identity and lineage of both the donor and recipient.
In this way, they intended to address concerns about milk kinship and create safeguards. The
programme was developed with the involvement and oversight of religious scholars, ensuring that all
practices were in line with Islamic teachings.
According to a spokesperson for the milk bank effort, they had ensured that every requirement provided
was fulfilled before the issuance of the guidance (fatwa). However, the ulema who provided the initial
guidance reconsidered and withdrew their support “without discussion”, and published a revised fatwa.
Moving forward, we must engage in open and informed discussions about the benefits of human milk
banks and how they can be implemented within our cultural and religious standards. Increasing public
awareness, creating educational programmes, and consultations with different religious leaders are
needed to help dispel myths and rebuild trust. Paediatric and religious societies must work together to
find solutions that uphold our religious values while advancing our healthcare system.
Let us focus on the health and well-being of our children and develop ways to implement this vital
programme in a manner that respects our religious beliefs. By doing so, we can ensure that our babies
receive the best possible start in life, and can survive and thrive for a healthier and brighter future for
Pakistan.
The writer is the chair of Paediatrics & Child Health at Aga Khan University.
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