A quick search found a pack of 100 disposable syringes in Pakistan for PKR 1100/- which is less than USD 4.
That's 4 cents per syringe. Seems quite reasonable to me. Seems they don't have economics as an excuse.
https://ailaaj.pk/products/apple-disposable-syringe-5ml-100s
A month's wage in Pakistan is about $125. So each syringe would feel like a cup of Dunkin does to many in the USA