Musakhel is a tribal society based on a kinship system. Once the sardars had great influence over the people, but with the passage of time this influence has decreased gradually. However, the sardars’ families still enjoy a superior status because of their economic prosperity.

The majority of the people draws its normative structure from the Pushtun culture. The Jafars of Drug have a distinct culture, which has traces of the Baloch culture of people in Dera Ghazi Khan. Although educational expansion and media exposure has introduced some changes in society, the majority of the population is following centuries old codes of conduct. The traditions of vulvar (bride price), generation-after-generation rivalries, hospitality, and keeping fire arms are still prevalent in Musakhel.

Musakhel is a kinship based society where the tribal system prevails. Decision making is at community level for most of the time and conflicts are resolved through mediation at the community level or by a court of law. Arms are frequent and crime rates are increasing. Child labour is defined as training in family trades and apprenticeship. The educational expansion and media exposure has not done much for the acceleration of socio-cultural change.

Women are socially, economically and politically marginalised. Women are subject to male domination. Health is a major problem for women, as there is no single lady doctor available in the entire district. However, women in Musakhel district do have the right to inheritance according to Islamic laws.