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So Much Aid, So Little Development YXT Whether you re new toSince 1950, Pakistan has received more than $58 billion in development assistance from donors and international agencies, yet has achieved little socioeconomic improvement. Samia Altaf, a public health specialist, explains why, telling an eye opening tale of how development really works or fails to work on the ground. So Much Aid, So Little Development follows one major initiative, the Social Action Program developed by the Pakistani government and