Filth, Bedbugs and Toxic Water: The Horror Inside Sindh’s Public Hospitals
Patients in Sindh's government hospitals face contaminated water, filth, and crumbling infrastructure despite large budget allocations.

Patients visiting government hospitals in Karachi and across Sindh are facing a nightmare that extends far beyond their medical ailments. A harrowing look into the province's public healthcare system reveals a systemic collapse characterized by contaminated drinking water, overflowing sewage, and a shocking lack of basic hygiene, according to a report by The Express Tribune.
Budget Millions, But No Clean Water
Despite the Sindh Health Department receiving significant annual budget allocations, the reality on the ground is a stark contrast to the financial figures. Public hospitals are currently grappling with deteriorating infrastructure and a severe absence of essential facilities. One of the most critical failures is the lack of safe drinking water.
Many district hospitals are reportedly operating without reverse osmosis (RO) water filtration plants. This forces sick patients and their exhausted attendants to spend their limited resources buying bottled water from external vendors. Even in facilities where filtration systems are installed, they are allegedly left to rot due to a lack of regular maintenance or failure to replace filters.
Horrors from the Wards: Bedbugs and Smells
The human cost of this negligence is reflected in the stories of those trapped in these facilities. Rizwana Khatoon, a resident of North Karachi who brought her daughter to the Sindh Government New Karachi Hospital for a high fever, described a scene of utter neglect. She reported that the wards were infested with bedbugs and insects, filled with unpleasant odors, and lacked basic necessities like soap and working taps in the washrooms.
According to Khatoon, the cleaning staff performed only one basic round of cleaning per day, leaving the environment hazardous for recovering patients.
A Systemic Failure of Management
The crisis is not limited to one facility. At the Sindh Government Saudabad Hospital, patient Ghulam Shah raised serious questions about where public funds are actually going. He alleged that while water tankers are regularly supplied, the storage tanks are so poorly maintained that the water remains unsafe. Shah also highlighted other critical failures, including:
- Poor quality of food provided to patients.
- Unprofessional conduct by hospital staff.
- Insufficient security arrangements during the night.
- Patients being forced to buy their own medicines from private sources.
Lost in the Maze
Beyond the hygiene crisis, the administrative chaos is making healthcare inaccessible. Tariq Fareedi, a patient at the Sindh Government Liaquatabad Hospital, pointed out a complete lack of directional signboards and information desks. This leaves elderly patients and those traveling from remote areas wandering aimlessly, unable to find registration counters or their assigned doctors.
The Outsourcing Failure and Elite Privilege
In an attempt to fix these issues, the government has outsourced various services, including food distribution and sanitation. However, patients report that the quality of these outsourced services remains abysmal. Furthermore, there are growing allegations of a "two-tier" system, where influential individuals receive preferential treatment while ordinary citizens struggle to get even the most basic medical assistance.
With nearly 90 per cent of hospitals lacking covered waiting areas for attendants, the province's healthcare system stands as a grim reminder of the gap between budgetary spending and actual service delivery. Without transparent expenditure and urgent supervision, these hospitals continue to be places of hardship rather than healing.