Pakistan has a large vulnerable population in need of social protection. Current social protection programs are inefficient and inadequately funded, spending less than 3% of GDP. This results in a lack of awareness, complex procedures that exclude many, and benefits that mainly go to men and the non-poor rather than those most in need. Options for reform include expanding coverage to more vulnerable groups, developing additional insurance programs targeted at informal workers, increasing funding and priority for labor market programs to address unemployment, and better integrating and coordinating programs between federal and provincial governments.