Pakistan currently spends 0.8 percent of its GDP on health: the lowest such investment in South Asia. Long-term under-investment and poor governance have left the country with a very poor health infrastructure that lacks adequate facilities, trained human resources and medication. A host of ailments—particularly malnutrition and reproductive health problems—plague the poor due to their limited awareness of basic nutrition, health and hygiene care, and preventive measures, especially in the rural areas. Socio-cultural norms make women dependent on men for decisions affecting their health, such as age of marriage, birth spacing, access to formal health care, and nutrition. High fertility rates result in a significant number of women requiring reproductive health care during disasters, but this is often overlooked. 1.4 million pregnant and lactating women were affected during the 2010 floods.