The Planning and Development Department of Khyber Pakhtunkhwa is proposing the implementation of a new mega project called the Peshawar Uplift Program (PUP) to address civic issues in Peshawar. Rapid population growth and unplanned construction have caused health and infrastructure problems like sewage flowing into irrigation channels and rivers. Only a small percentage of the population is connected to sewer lines or uses solid waste facilities. Past development schemes were fragmented. The PUP aims to improve civic amenities, raise awareness, and coordinate stakeholders at a total cost of Rs. 1000 million over multiple years. The implementation strategy is to house PUP at P&D Department and execute it through program-based flexible coordination of