Okay I can tell you only about my ancestral village not far from Attock/Hazro and Islamabad.
- Village. On my first visit to Pakistan in mid eighties nearly 30 years ago majority of people had toilets in their houses. Of course these were not to what I was used to but after bit of a shock they did what they needed to do. Essentially it was a small brick built cubicle with a door and air outlets at top. It was just a hole and cemented around. And I understand a pit had been dug first. It had not water supply but you filled the bucket from a tap in the garden wall that was fed from a tube well.
- As a interesting tit bit the village was recieving some funding from some entity that I forget [it was not government] for the those who could not afford to build their own toilets. This would mean by about 1990 everybody had access to their own toilet. Izzat and modesty drove familes because non wanted their females to 'go out'.
- The village had recieved electrecity by about 1976 soon after the Tarbela Dam came online. A communal water supply for the village was organized with my late dear grandad being the push for the whole project. Government agreed to fund to the capital cost. Because our village is on hilly area a large tube well was constructed at a lower point which then was pumped to a large water tank slightly higher then the village level on a mounted concrete structure which itself was constructed on a crest of a hill. From there everybody could enjoy piped water. However this is Pakistan we are talking about. Because our village is divided along tribal/biraderi groups the underlying rivalry began to eat away at what was a cooperative project. Everybody had to pay for the running costs - electrity bills and maintenance for the pump. By the time I was went there this communal water supply had fallen to disuse as nobody paid the bill and government cut off the supply to the tube well. Soon the pump was stolen or sold. All that was let was the concrete water tanks and some of the piping which was fast being stolen for scrap metal. Sad.
Today everybody has their own tube well but because of the elevation these wells have to be bored very deep to strike water. As my grandad told me the tragedy was everybody could not be bothered to work together and pay together. Now everybody was paying out of their backsides as each tube well cost a fortune.
There were good examples though of communal effort. I saw everybody agree to provide 25% of the cost of having a open drain and block paving of the village streets. The other 75% of the cost was provided by some government project. Again there was lot of petty politics as one side said that one of the villagers who was acting as chair of the project was pocketing some money but the matter was resoved in a huge 'jirga' in my grandads garden where all the men of the area came. Tea was served and not a women was in sight. It was grand show of male dominated society. This project was completed about 1988.
As regards rubbish this was recycled. We had people [from Afghanistan] coming every week who took the rubbish away which I presume was sorted and sold.
I must add here that our district is on the old GT belt - the corridor along the GT road from Peshawar - Mardan- Attock - Islamabad/Rawalpindi - Jhelum - Gujranwallah - Lahore was and probably still is the most developed part of Pakistan. Significant number of people room this 'belt' migrated abroad, are ex-pats etc. Today for instance in our village almost everybody has a car let alone basic sanitation.
In Islamabad rubbish was collected by the CDA although here we also still had 'scrap dealers' coming to collect anything that migt be recycled. We had a large open air market near our neighbourhood in Islamabad that just began to take shape but now is a permanent fixture. Every monday traders from all over - Afghans/Tajiks/Baloch/Chinese Uigurs/Kashmiri/Gilgiti/Sindhi and locals would pitch stalls. From delicious nuts, fruits to knives could be bought. It was a sight to behold. Central Asia in a one camp. However the place would have rotting food and rubbish the next day giving of stench. But eventually after locals protested CDA left these huge commercial bins. Even then rotting rubbish was left. This was resolved by CDA sending cleaners the day after. On my last visit to Pakistan the site was crisp and clean the next day after CDA workers cleaned up. However the neighbourhood was prosperous with many residents having pull so not sure if this can be used as benchmark.
Finally my feeling is Pakistan is cleaner and has better sanitation then India. It still is South Asia but I think it does better although cities like Karachi are probably as dirty as any Indian city. Possibly having lower population density also helps.
I hope this helps to answer your request ....