Health plays an important role in shaping the human capital. Good health enhances the productivity and efficacy of the labor force which leads to the economic growth and human welfare. World health organization (WHO) has defined health system as "all organizations, people and actions whose primary intent is to promote, restore or maintain health". Healthcare delivery system is comprehensive therefore; for the analysis purpose; WHO health care system framework will be used. It has six building blocks which will be utilized as an instrument. The six blocks is comprised of leadership, human resource, information, medical products and technology, financing and service delivery. Intermediate output leads to the desired health outcomes. This paper presents the comprehensive analysis of the health care systems of Pakistan and United States America with the help of WHO health care system framework followed by health system challenges and concludes with some practical strategies to overcome those challenges.

Abstract"The Sindh government has recently proposed amending the old child marriage laws to include stricter penalty and punishments". The practice of early marriage has increasingly been recognized as human rights violation affecting girls more than boys with severe consequences. Though the numbers of cases have reduced worldwide, it still remains pervasive in South Asia, predominantly in Pakistan. Despite national laws and international agreements, this public health issue presents a threat to the lives and health of children, especially young girls. This paper highlights the major determinants of child marriages, the magnitude of the problem and its implications along with some of the public health measures to reduce the impact.

One of the most complex ethical dilemmas faced by health care professionals working with terminally ill patients is whether, when, how and how much to tell terminal ill patients about their diagnosis and prognosis of disease. Deception is still sometimes used by health care professionals while treating terminally ill patients (Tuckett, 1998). Truth telling to terminally ill patients is a common ethical dilemma that nurses have to deal with on a daily basis when families are reluctant to disclose the poor diagnosis with patients. However, by abiding by certain principles and ethics, the nurses can make the best decision. The purpose of this paper is to review, analyze and evaluate the case scenario in light of four principles of Beauchamp and Childress (2001) namely autonomy, beneficence, non-maleficence, and justice.

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