Hi Adam, Thanks for writing this great blog. Thoroughly enjoyed it!
Just one query. How excatly are you defining a "doctor" here? This is relevant because in India and Pakistan we have a lot of quacks and a lot of people do go to them! So in the WHS, what's the definition used? If the quacks are included, it could explain a significant part of the low quality of services.
Moreover, it is my impression that a major problem in countries such as India and Pakistan is that people don't go for "cheap prevention" but rather go for "expnesive cures". That could also explain the high number of visits to doctors and them serving a greater than expected set of patients.