The IMF requires all of the economies that it lends to go through conditions. The idea is that if a country successfully implements these, then it can get its economy back on its feet and it will no longer need the IMF. Pakistan has been under some form of IMF patronage for 14 years. It's trying to get another 1.1 billion from the fund, but the fund is dragging its feet. Because of their poor track record, the IMF is un-eager to lend too much to these countries.