Sitting outside a government-administered zakat (charity) office, Parveen Naz waits her turn to cajole a desk worker for the paltry grant to feed her four children and ailing husband.
Naz, 32, a telephone operator who suffers tuberculosis and looks a decade a older due to malnutrition, has been struggling to keep herself and her family alive since she and her spouse were laid off more than two years ago.
"I would have committed suicide, because at times it becomes intolerable to see my children's famished faces," Naz said, despairing of getting much help from the corruption-riddled zakat office. "But it's their existence which prevents me from doing so."
Her husband began sniffing heroin after protracted unemployment, and has left all family responsibility to Naz.
"I have lost two sons because I couldn't get medical treatment for them. I do not want to lose the surviving children, but all I can see is darkness ahead," she said.
Naz' family is not alone in its misery.
Some 50 million Pakistanis or 33 percent of the population are living in poverty, according to the State Bank of Pakistan's annual report released last week.
Poverty has risen 13 percent over the past 15 years, the report found, despite the economy's skyrocketing performance on paper in the past three years.
Expecting any significant short-term drop in poverty was "simply a pipedream," according to a sober warning by the central bank.
The Pakistani economy has performed robustly since 2000 with most major economic indicators beating all-time records.
Foreign exchange reserves have soared from a mere US$1.97 billion in 2000 to above US$11 billion last September; exports grew 22 percent to US$11 billion for the year ended June and GDP grew by 5.1 percent, compared to 3.6 percent previous year.
But appears to be strong economic growth has had little impact on the lives of tens of millions of Pakistanis.
"Despite the impressive improvement in macroeconomic fundamentals, the popular perception about the economy amongst media and commentators does not reflect the improvement," the central bank stated in its annual report last week.
The bank blamed poor economic policies of the previous regimes of now-exiled Prime Ministers Benazir Bhutto and Nawaz Sharif since 1987.
But independent economists pointed the finger at the current administration of President Pervez Musharraf.
"The government has compiled data for the Pakistan household integrated survey but is reluctant to make it public because I am sure that reveals a further increase in poverty," Qaiser Bengali, chief of the Social Policy and Development Centre (SPDC) said.
The survey is one of the main mechanisms for evaluating the impact of social developments in Pakistan.
He said boosting public spending was the only answer.
"The debate is not whether [poverty] is 33 percent or 36 percent but the focus must be on how to eradicate it meaningfully. Only a well-directed and high public development expending could arrest the trend."
Islamabad awarded a record 30 percent boost to development spending in the annual budget in June to 160 billion rupees (US$2.8 billion) or 3.6 percent of GDP.
Economists shrug off the increase as inadequate.
"Any level of public development expenditure below 7 percent of GDP could hardly make a dent in poverty levels or propel sustainable economic growth," economist Shahid Hasan Siddiqui said.