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This study carried out trend analysis of Pakistan s MNCH resource allocations and expenditures and to see if such allocations and expenditures are made in line with the health policy objectives. Trend analysis was carried out based on the data collected from the published documents of various Ministries,other data collected from the federal and provincial coordinators of the national programs providing maternal and child health care services and primary data collected from the selected Districts of Pakistan during FY 2005-2010. Trend analysis of allocations and expenditures shows more resources for recurrent activities as compared to development activities; share of public spending remaining low as a percent of GDP; absence of MNCH specific budgeting, lack of integration across health care Programs and projects that may result in duplication of services and weak link of health expenditures with specified health policy objectives.