The history of Special Education in Pakistan goes back farther than the history of Pakistan itself. With the earliest school for disabled children established in Lahore in 1906, it has now been more than a century since institutions dedicated to the education of special children have been in operation. Since then the development of special education institutions has been anything but smooth, coming to almost a complete standstill for quite some time after the partition of India. Rapid developments started in the 80’s when 1981 was declared the International Year of the Disabled by the United Nations. Currently, a network of federal, provincial, and NGO-based institutions provide education to approximately 24000 special children, which is hardly 4% of the total population of children with special needs in Pakistan. What are the reasons behind this shortfall in academic institutions for those with special needs? How can this shortfall be erased efficiently? How are the current institutions performing? And what needs to be done to improve their performance? 
We posed these and some other questions to Sara Chak, a Developmental Therapist working in the Developmental Pediatrics Department at the Children’s Hospital, Lahore. Sara has a Masters in Special Education from Punjab University and has been working with special children for the last six years. Currently, she works with the parents or guardians of children with special needs.
STEP:The Special Education system relies on the detection of disabilities in infants and young children. In Pakistan, how advanced is the system of detection of disabilities which would lead a child to be described as having special needs?
Sara Chak: Most disabilities such as Down Syndrome, Cerebral Palsy, bone defects, and epilepsy are identified at birth and most hospitals in Pakistan currently have an advanced system of assessing newborns for these conditions. Some disabilities, such as visual and hearing impairments, are diagnosed later on in the child’s life, but again the pediatric departments of most hospitals have the resources to perform tests to diagnose these disabilities. The problem, of course, lies in the fact that most children in Pakistan, are not born in hospitals. Traditional midwives are unable to assess newborns for theses disabilities and thus their detection is delayed, sometimes indefinitely.
One area of assessment where Pakistan lags behind is the psychological testing of those with visual or hearing impairments. Currently no institution in Pakistan currently provides tests for the intellectual assessment of these students, which hinders the academic progress of these children.
STEP: What is the next step taken once a child with special needs has been identified?
SC: This depends on the institution the child is taken to by his or her guardians and the recommendations of those they consult, usually the doctor who diagnosed the disability. Here at the Children’s hospital we have two learning centers: the two-hour learning center and the four-hour learning center. The two-hour learning center is mostly for children under the age of five, where each child is taught on a one-on-one basis. Apart from teaching the child, the teacher focuses on preparing the child to work in a group environment. In the four hour learning center, group teaching sessions take place everyday. These are continued as long as we feel that the child is benefiting from them. Once we feel that the child has reached his or her learning potential, we guide him/her through an occupational placement program. In this process, we help the child figure out a skill he or she would like to learn and one which we think the child is capable of doing. We refer him/her to vocational training institutes for people with special needs. Thus our aim is to make him/her an independent member of the society.
STEP: What kinds of jobs do these children usually end up with?
SC: All kinds. Traditionally, they went to vocational training centers to learn embroidery, woodwork, etc. But, recently two of my students trained to work at fast food restaurants and are currently working as part of the service staff at these restaurants.
STEP:Which other institutions are currently providing Special Education?
SC: Currently there is mixture of institutions. There are government-run institutions, non-governmental charity organizations, and private institutions. But the number of such institutions is not enough to cater to the demand. And these institutions are usually concentrated in the urban centers of Pakistan.
STEP:What major changes do you think are required in the Special Education sector?
SC: Firstly, I think the training of special education teachers needs to be altered. Currently in Pakistan the only degree offered in Special Education is a Masters degree. No other degree or diploma even has Special Education in its syllabus. In my opinion, Special Education should be introduced as a subject as early as possible. In other countries it is offered as a high-school level subject. For example, Special Education is an O-Level subject but this is not offered to students in Pakistan. The B.Ed degree that most teachers have should certainly require that the holder have some training in dealing with special children. A two-year course is not enough for a person to learn the intricacies of dealing with these children and making special education part of the B.Ed degree would increase the pool of teachers available to teach at Special Education institutions. In fact, if the society as a whole is to learn to accept and include those with special needs, we need to introduce the concept of special needs to children at a primary or secondary school level.
The Masters degree itself needs to be extended to a three year program and should include a year long mandatory internship. Currently, this internship is only a few months long and in my opinion this just isn’t enough. Teaching Special children is a skill best learned in an actual school, and thus greater on-field experience is needed to improve the quality of the graduates.
Secondly the institutions themselves need some changes in the way they are run. It is sad to see when the government offers excellent resources for Special Education but nobody knows how to use them. An example of this is the automatic Braille translation machine. Many institutions have them but they are not being used to their maximum potential. While they could be used to automatically translate large amounts of important material, very few people know how to use them leading them to be used marginally for manually translating text. Teachers are not taught how to operate them, it is a mechanics job to do so. Thus either teachers should be trained how to use these resources or trained personnel should be available to them.
Teachers themselves should pass through a vigorous screening procedure. Due to the mentioned lack of training in special education, most teachers in these schools have no experience or qualifications in teaching Special Children. Thus they have very little knowledge of their physical, psychological, or emotional needs. Another change which is happening on a global level but will take time to be implemented in Pakistan is the elimination of Special Education institutions altogether. Mainstreaming has almost completely replaced Special Education institutions in the developed world. Laws are in place which allow no school to reject a student on the basis of a disability. This way every school has to be prepared to handle a child with special needs. The structure of the schools needs to be such that allows special children to maneuver easily, they have teachers trained to deal with these children and other resources such as special computers and books are available in all schools. The idea of isolating these children is no longer morally or socially acceptable.
STEP: Could you elaborate on the concept of mainstreaming. Has this been adopted by schools in Pakistan?
SC: Mainstreaming defies the idea that children with special needs need to be segregated from other children. There are many benefits that come with doing this. First of all the special child does not feel isolated from the society. This makes it easier for them to become contributing members of the society. By segregating these children we only encourage their role as social outcasts. At this point, some private schools do admit children with special needs but in my experience, the facilities they have are far from satisfactory. They usually allocate a separate room for these children which nullifies the purpose of mainstreaming altogether.
STEP: An advantage of mainstreaming would be the wider acceptance of people with physical or mental disabilities in society. How far do you think the lack of this acceptance is a problem currently?
SC: This is a huge problem in Pakistan. As a therapist, I deal with special children everyday who are intentionally or unintentionally hurt by strangers, peers, and even their own family members. For example, those with visual or hearing impairments are often dealt with as if they have a mental disability, hampering their academic and social development. Even family members are guilty of ridiculing these children. A common example is that of children with Down Syndrome. They are often highly excited by music and can’t help moving enthusiastically when music is played. Family members will use this “trick” to entertain themselves and play music at odd times knowing the child will not be able to restrain himself from dancing. This ridicule has deep repercussions on the child’s development. We need to become mature as a society and learn how to deal with those with special needs in an accepting and respectful manner.
STEP:What are the opportunities available to people with special needs in higher education?
SC: Most universities do not discriminate against applicants because of their disabilities. I know for a fact that there are students with disabilities studying in GCU and FC College. But the number of such students is few. You have to understand that even though there are opportunities available to students to gain higher education, very few have access to good quality primary and secondary education which would make them eligible for higher education.
STEP: Ending on a positive note, could you mention some of the success stories of Special Education in Pakistan?
SC: A major positive step taken by the Musharraf government was to open the CSS examinations to those with special needs. They were allowed assistance in the examination and thus the civil service has now been opened to these people. This is a major step in the right direction since it proves that with the right assistance, those with special needs can be as contributing members of society as those without.
Rising Sun Institute, LRBT, Children’s Hospital are examples of special education institutes that are making a difference. STEP would like to laud their efforts and encourage readers to contribute to institutions like these which are providing education and training to those with special needs in any way they can.


Lovely article. It’s one of those things I’ve never thought about. Thank you for bringing such an interesting perspective on such a neglected but important issue.
Mariyam, I was wondering if you or Sara know of any examples of mainstreaming special education in Pakistan. Any school that has really taken this message to heart and went on to show that it not only can be done but that it can have positive impact on the social development of ALL children in the school?
Also, in your research, did you find any data on roughly how much do we spend per special child’s education? I ask because I was wondering if creating something like a voucher system, where government (or an NGO) gives the school X amount of money if they take in a special needs child, will create a financial incentive for mainstreaming in private schools. For example, Punjab Education Foundation gives vouchers worth Rs 300 per child. What if it gave Rs. 500 per special child, if the school integrated these children with others? Would that create the right set of incentives for the educational marketplace to move toward mainstreaming special education?
A lovely article indeed,Mariam .This is a very important issue that you have discussed. I wanted to share my experience too,A couple of days back i came across a 8 year old girl ,in Islamabad, who had this hearing impairment .She was a servant’s daughter and my aunt decided to help her.So my aunt looked up a couple of schools for special children,and found this school which was run by an NGO(which was in turn run by a socialite),who supposedly working for the welfare of the “POOR”.It really made me sad when I actually came to know how much she was charging.She sent my aunt a text message which said:
1) First Meeting with the parents=Rs.1000
2)30mins speech therapy=Rs.300
3)monthly tution fee=Rs.5000
and to add to my horror the text ended with:”THERE WILL BE NO CONCESSION ON THE FEE!!!!”
that makes me wonder what good does a voucher worth Rs.300, offered by the Punjab Education Foundation,do to these children????