The study analyses the determinants of urbanization in semi-arid regions and the role of institutions in dealing with the issue. Focusing mainly on three semi-arid districts of Pakistan, i.e. Mardan, Faisalabad, and Dera Ghazi Khan (D.G Khan), the study draws on qualitative information gathered through the in-depth interviews of rural to urban migrants and key stakeholders. The push factors described by majority of urban respondents in all three districts are mainly economic, i.e. lack of employment and business opportunities in rural areas. Few respondents considered death of family members/relatives, conflict with other tribes and lack of health facilities as significant push factors behind their decision of migration. Although socio-economic factors were the primary cause of migration, climate change was not considered a direct reason. Nevertheless, a few respondents agreed that climate change had indirect effect on their decision to migrate. The pull factors are almost common in all three districts. These include better employment opportunities, proximity to their village and access to basic facilities such as educational institutions, hospitals, road and transport networks, sanitation amenities, etc. in the cities.