After a four-year gap, the Khyber Pakhtunkhwa (KP) government in Pakistan has resumed outsourcing public hospitals to private organisations, aiming to improve services in underperforming healthcare facilities. In Chitral, Khyber Pakhtunkhwa Health Foundation signed a tripartite agreement with Aga Khan Health Service-Pakistan to manage the Tehsil Headquarters Hospital in Garam Chashma and rural health centres in Mastuj and Shagram. The agreement was signed by Dr Hayat, district health officers Dr Farman Wali of Upper Chitral and Dr Naseem of Lower Chitral, and AKHS-P General Manager for Chitral and Gilgit-Baltistan, Merajuddin.