Background The government of Pakistan is committed to achieving the post millennium development goals in partnership with the World Health Organization, International monetary funds and the World Bank. To facilitate the challenges of globalization and achieving a prosperous Pakistan in the 21st century partnership stakeholders secretariat practicing collaboration of the public health subsystems together public and private medical universitities hospital to raise the health status of society.

Objectives To describe the aspiration of public private partnership stakeholders in practicing the utility of primary health care services in Pakistan.

Methods The operational policies and the practices of collaboration in the utility of primary health care services in the towns, Pakistan, from 2006 to 2013 was analyzed by using documents, interviews with key informants and participant observation. Universality, redistribution, policy, practice, attitude, belief, oral poliomylitis vaccine, integration and plurality, quality, establishment etc in health services were judge as the analytical categories took by the office of administration in 2001, to conform the national health policy continue until the present date.

Result The practices of the collaboration in health management in Pakistan, related to true changes are the political, personal gain, establishment, belief, poliomylitis etc. Socialization is variable to make headway for the town to assume the pessimistic management of the entire health system, so that all health subsystems coexisted.

Conclusion The health management in the municipality towns was unsustainable variable, mainly because it was not the stakeholder's priority to spending on primary health care and was not a trademark of the de facto administration.