The Pre-Crisis Market Analysis (PCMA) was conducted in the Jamshoro, Umerkot, and Tharparkar districts of Sindh, Pakistan in late 2016. The three districts studied contain different livelihoods zones and bear different levels of risk for chronic drought and sudden-onset emergency, affecting the markets for goats, fodder, and water. While the study looked at the goat and wheat flour market systems, this report focuses on the wheat flour market only. The report recommends striking a balance between meeting basic needs in emergency response, and mitigation and longer-term development and resilience efforts. Specifically, it recommends conducting targeting and needs assessment exercises, investing in school feeding programs, expanding the fortification of wheat flour and improving the regulation of wheat flour quality.