Tomb of Zulfiqar Ali Bhutto and Benazir Bhutto at Ghari Khuda Bakhsh, Larkana “Disaster risk reduction has been a part of USAID’s work for decades. ……..we strive to do so in ways that better assess the threat of hazards, reduce losses, and ultimately protect and save more people during the next disaster.” Kasey Channell, Acting Director of the Disaster Response and Mitigation Division of USAID’s Office of U.S. Foreign Disas ter Ass istance (OFDA)

PAKISTAN EMERGENCY SITUATIONAL ANALYSIS

District Larkana August 2014

“Disasters can be seen as often as predictable events, requiring forward planning which is integrated in to broader development programs.” Helen Clark, UNDP Administrator, Bureau of Crisis Preven on and Recovery. Annual Report 2011

Disclaimer iMMAP Pakistan is pleased to publish this district profile. The purpose of this profile is to promote public awareness, welfare, and safety while providing community and other related stakeholders, access to vital information for enhancing their disaster mitigation and response efforts.

While iMMAP team has tried its best to provide proper source of information and ensure consistency in analyses within the given time limits; iMMAP shall not be held responsible for any inaccuracies that may be encountered. In any situation where the Official Public Records differs from the information provided in this district profile, the Official Public Records should take as precedence.

iMMAP disclaims any responsibility and makes no representations or warranties as to the quality, accuracy, content, or completeness of any information contained in this report. Final assessment of accuracy and reliability of information is the responsibility of the user.

iMMAP shall not be liable for damages of any nature whatsoever resulting from the use or misuse of information contained in this report. The user agrees to indemnify and hold harmless iMMAP and anyone involved in storing, retrieving, or displaying this information for any damage of any type that may be caused by using this information.

The terms used and the maps presented in this profile do not imply the expression of any opinion whatsoever on the part of iMMAP and USAID concerning the legal status and the area of any administrative unit or its authorities.

NOTE: This district profile is a live document and it will continue to improve based on its users feedback and upon availability of more accurate and authenticated sources as and when they become available. It’s not always possible to publish these profiles in hardcopy format; however iMMAP will ensure that these updates are made available on DRR Pakistan Information Management Portal. For updated version of following profile, please visit www.drrpakistan.pk/pesa.

Any questions/ comments concerning information presented in this report can be addressed to:

iMMAP Pakistan Services Desk H.# 25, College Road, F-7/2, Islamabad, Pakistan Tel: +92.51.835.0755 eMail: [email protected]

Credits

iMMAP has been providing Information Management [IM] and Disaster Risk Reduction [DRR] capacity building services in Pakistan since 2010. Based on our lessons learned, while interacting with thousands of humanitarian partners and government officials, both national and international; we believe that the following are 7 basic requirements to improve Disaster Response and Management life cycle:

1. Information Management [IM] is a must for effective disaster response and monitoring; 2. Coordination among all stakeholders [both national and international] is of utmost importance to reduce redundancy and duplication in such critical situations – going beyond clusters and getting connected with local community representatives; 3. Appropriate logistic arrangements are critical for humanitarian relief and mitigation. However, it must be born in mind that logistic requirements drastically vary from disaster to disaster, based on its time, geography, and nature; 4. Disasters and Development are intimately connected. Its important that all disaster responders are aware of the long term implications of their actions of relief and early recovery; 5. It is important that we, as disaster responders, take full responsibility of self-accountability and transparency not only to the satisfaction of the government officials but the general public as well. Not-for-profit sector must be driven by a cause! 6. National, Regional, and International Public/ Private Partnerships [PPP] is the only way to implement sustainable Disaster Risk Management [DRM] measures; 7. Media must be integrated in our response efforts. This vastly helps to disseminate the right information, minimize duplication of efforts, and make all stakeholders aware of your organization’s input/activities.

Pakistan Emergency Situation Analysis [PESA] is a series of District Profiles (DP), which is developed with the above-mentioned 7 basic requirements in focus. PESA DPs are one of the most effective iMMAP IM services in Pakistan, which directly contribute to thousands of humanitarian relief providers’ effective emergency response and disaster management.

I can not conclude this note without thanking iMMAP Pakistan team that has contributed tirelessly, under extreme emergency pressure, to consistently deliver their best on time, during the 2010, 2011, 2012, and 2013 floods, 2013 earthquake in Balochistan, and the most recent drought emergency in Tharparkar, Sindh during 2014.

I particularly wish to express my great appreciation and thanks to my mentors, colleagues, and friends Mr. Fayyaz Ali Khan and Ms. Kathrin Lauer for their continuous feedback and reflection on the profiles quality. At many times, I parked their feedback, due to the time constraints of the service we have been trying to deliver. However, their feedback have always been valued and appreciated. Mr. Naeem Ahmad, being the M&E professional, has proven himself to be a gem for iMMAP. I also appreciate the efforts of other staff members who have been with us in the past and many new faces that joined iMMAP recently for their work with an exceptional dedication. This includes: Farooq Laghari, Qassim Jan, Sumbal Kazmi, Salman Mulk, Zohaib Fazal, Hadya Ali, Dr. Ahmad Ali Malik, Fatima Gillani, Fatima Ali, Zeeshan Ahmad, Sarfaraz Meher Din, Muhammad Shafique, Muhammad Javed Iqbal, Muneeb Muzamil, Mahwish Muzamil, Tariq Sardar, Wajid Ali, and last but not the least Nouman Ali, our amazingly skilled graphic designer.

Mehdi Bokhari PESA Project Director

Foreword

Timely response to a disaster may save precious human lives and reduce economic costs. However, natural disasters, typically, occur unexpectedly. Consequently, in most cases, the afflicted population lacks the necessary tools and capacity to handle such tragic occurrences and the devastation is manifold more than it should be.

“Before the next disaster hits, now is the time to recommit to making smart investments that save lives, property, and money. Whether at home or abroad, measures to improve response, increase disaster management capacity, plan and prepare, can have dramatic dividends.” (Kasey Channell: Acting Director of the Disaster Response Team for USAID’s Office of U.S. Foreign Disaster Assistance.) It is so true, as preparation for unexpected calamities is a tough task. However, if certain precautions are taken, they might lessen the overall damage. This series of district profiles, prepared by iMMAP and funded by USAID, is one such effort to enhance Government of Pakistan, humanitarian organizations and all other stakeholders’ efforts towards rapid needs assessment, disaster response and mitigation.

These profiles are divided into four sections namely background information, disaster history and its impact, hazard vulnerability and capacity assessment (HVCA) and coordination and support services.Background information provides an overview of history, geography, culture, and communication infrastructure. It also provides detailed analyses of demography, livelihood, food security, health and education. The second section provides detailed history of disasters in the district; information about losses and damages; and gap analyses of above mentioned sectors. HVCA section provides detailed analyses of district hazards, vulnerabilities and capacities that exist in the local community. Coordination and support services section gives information on whom to contact in emergency/disaster situations. The motivation stems from the idea that at the time of disaster all the stakeholders in general and the donors and disaster managers in particular can have a fair idea of what to expect and how to prepare for. It is expected that this contribution of USAID and iMMAP would lead to a well-coordinated and coherent response by different humanitarian organizations on managing similar disasters.

Having stated the above, it is very candidly admitted that these profiles are by no means exhaustive and in fact require a lot more input to qualify these as good enough documents for disaster preparedness. However, these are live documents and would be improved upon as and when required. There appears to be an element of repetition, which is owed to the fact that while these documents depict the district profiles in normal circumstances, the same then provide a detail account of the impact of the emergency assistance provided by the government and the humanitarian organizations and the remaining gaps. Due to time and resources constraints, the information provided in these profiles is mainly base on secondary source data. Depending on the end users’ response and funding availability, this exercise would be extended to other districts of the country.

Major (Retd) Tahir Iqbal iMMAP Pakistan Chairman

Table of Contents District at a Glance...... i Abbreviations ...... iii 1 Background Information ...... 1 1.1 Introduction...... 1 1.1.1 History 1 1.1.2 Geography 2 1.1.3 Culture (Ethnicity, Religion and Politics) 2 1.1.4 Administrative Division 3 1.1.5 Road Network Infrastructure 3 1.1.6 Irrigation 4 1.1.7 Solid Waste Management 7 1.2 Demography ...... 9 1.2.1 Population Characteristics 9 1.2.2 Population Growth Pattern 10 1.2.3 Population Distribution by Age and Gender 10 1.2.4 Dependent Population 10 1.3 Livelihood ...... 13 1.3.1 Main Sources of Livelihood/Income 13 1.3.2 Agriculture 14 1.3.3 Industry 16 1.3.4 Livestock 16 1.4 Food Security ...... 17 1.4.1 Availability 17 1.4.2 Access 18 1.4.3 Utilization 19 1.5 Health and Immunization ...... 20 1.5.1 Health Facilities 20 1.5.2 Immunization 20 1.6 Education ...... 22 1.6.1 Highlights 22 1.6.2 District School Enrolment Ratio 22 1.6.3 Gender and Level Wise Details 23 2 Disaster History and Its Impact ...... 26 2.1 Disaster in District ...... 26

2.1.1 Disaster History 26 2.1.2 Impact of Disaster on Demography 29 2.1.3 Impact of Disaster on Livelihood & Agriculture 30 2.1.4 Analysis of Food Security Situation 30 2.1.5 Impact of Disaster on Health 31 2.1.6 Impact of Disaster on Education 32 3 Hazard Vulnerability and Capacity Analysis ...... 33 3.1 Hazard Vulnerability and Capacity Analysis ...... 33 3.1.1 Hazard 33 3.1.2 Vulnerability 34 3.1.3 Capacity 36 4 Sectoral DRR Mitigation Measures ...... 40 4.1.1 Education 40 4.1.2 Infrastructure 41 4.1.3 Health 41 4.1.4 Livelihood 42 4.1.5 Food 42 4.1.6 Wash 42 4.1.7 Government and Humanitarian Sector 43 5 Coordination and Support Services ...... 44 5.1 Important Contacts ...... 44 5.1.1 Departmental Focal Points 44 5.1.2 Emergency Response 44 5.1.3 List of NGOs Working in District Larkana 45 5.2 Health Facilities ...... 45

List of Tables Table 1.1-1: Administrative Division of District Larkana 3 Table 1.1-2: Mouzas Reporting Sources of Irrigation 4 Table 1.1-3: Irrigation by Type 4 Table 1.1-4: District Larkana Fly tip Amount Calculation at Urban (city) level 7 Table 1.1-5: District Larkana Operational Budget-Activities of waste removal 8 Table 1.1-6: Type of vehicles used for solid waste loading /transportation to the Landfill sites 8 Table 1.2-1: Estimated Population of District for 2014 9 Table 1.3-1: Number of Mouzas Reporting Sources of Employment 13 Table 1.3-2: Land Utilization Statistics of District Larkana (000 Hectares) 14 Table 1.3-3: Food and Cash Crops Cultivated in District Larkana 14 Table 1.3-4: Livestock in District Larkana 16 Table 1.4-1: Number of Mouza Reporting Major Crops 17 Table 1.4-2: Distance of Mouzas from Wholesale Markets 18 Table 1.4-3: Percentage Distribution of HH by Source of Drinking Water 19 Table 1.4-4: Percentage Distribution of HH by Type of Toilet 19 Table 1.5-1: Number of Health Facilities by Type 20 Table 1.6-1: Gross and Net Enrolment Rates by Gender and Locality at Different Levels 23 Table 2.1-1: Summary of Losses and Damages in Floods/Rains 2011 29 Table 2.1-2: Crop Loss and Area Damaged Due to Floods 2011 30

List of Maps 1: Reference Map ii 2: Irrigation Infrastructure Map 5 3: Fresh Water Availability Map 6 4: Population Density Map 12 5: Health Facilities Map 21 6: Education Facilities Map 25 7: Risk Analysis Map 27 8: Safe Locations Map 28

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Abbreviations ACO Agriculture Census Organization BHU Basic Health Unit CD/GD Civil Dispensary/Government Dispensary CFW Cash For Work DCR District Census Report DDRMP District Disaster Risk Management Plan ECP Election Commission of Pakistan FAO Food and Agricultural Organization GER Gross Enrolment Rate GOS Government of Sindh HH Household NADRA National Database and Registration Authority NDMA National Disaster Management Authority NDP National Drainage Program NER Net Enrolment Rate NFIs Non-Food Items NGO Non-Governmental Organization NHA National Highway Authority PBS Pakistan Bureau of Statistics PCO Population Census Organization PDMA Provincial Disaster Management Authority PLW Pregnant and Lactating Women PSLM Pakistan Social and Living Standard Measurement Survey RHC Rural Health Centre RSU Reform Support Unit SDPI Sustainable Development Policy Institute SMCs School Member Committees SUPARCO Space and Upper Atmosphere Research Commission TRF Technical Resource Facility UC Union Council UNICEF United Nations Children's Fund UNOCHA United Nations Office for the Coordination of Humanitarian Affairs WFP World Food Program WHO World Health Organization

DISTRICT LARKANA 1

1 Background Information 1.1 Introduction

1.1.1 History District Larkana is situated in the upper part of the Sindh province. Larkana was founded on the banks of the Ghaar Wah Canal, about 300 years ago by a tribe called "Laraks". Before Laraks, this city was known as Chandka, named after the most influential tribe of the area –Chandio. Larkana has the privilege of being the seat of one of the oldest civilizations of the world, the Indus Valley Civilization. Moen Jo Daro, which means “Mount of Dead”, which was one of the largest settlements of the Indus Valley civilization and is designated as UNESCO world heritage, is situated 32 km away from the city of Larkana on the west bank of Indus River. The city of Moen Jo Daro was built in 2600 BC during the peak of the Indus civilization. Buddhist Stupas can also be seen in this archeological site1. After the fall of the Indus Civilization, this region was ruled by different dynasties, including the Soomras (1024-1351), the Summas (1335-1520), the Arghuns (1520-1650), the Kalhoras (1657- 1783) and the Talpurs (1783-1843). When Britain invaded the subcontinent, General Charles Napier, a commander in the British Army, defeated the Talpur dynasty and conquered Sindh in 1843. Larkana was developed during the Kalhora and later on under the Britsh rule. The city of Larkana developed mainly due to the Ghaar Wah canal, which was dug during the Kalhoras’ rule. Later on, Britain also contributed the development of Larkana. General Charles Napier was appointed as the first Governor General of Sindh. The province was divided into different administrative units and assigned to Zamindars (landlords) to collect taxes for the British government. The British government developed these areas as urban centers. People migrated from other districts and provinces as well and started to reside here. The British Empire named these small developed areas as "Talukas". They built a network of roads, schools, dispensaries and many other civic amenities throughout the province. Larkana got the status of a Municipal Committee in 1855. It was made district headquarters in 1901 with its main towns being Nao Dero, Qamber and Rato Dero2. With the completion of the Sukkur Barrage in 1931, two major canals (Dadu canal and Rice canal) were taken out of this barrage to irrigate the western lands of Indus River. These canals run along the eastern and western borders of the district and irrigate most of the lands of the district. Larkana became the divisional Headquarter in 1988. After the promulgation of Local

1 Small & Medium Enterprise development Authority (SMEDA), “A Brief Profile of Larkana”, (http://www.smeda.org/index.php?option=com_content&view=article&id=78&Itemid=180) accessed on 23/03/2013 2 Official website of District Government Larkana (http://www.larkana.gov.pk/Admin/AboutDistrict.aspx) accessed on 23/03/2013

BACKGROUND INFORMATION 2

Government System on 14/08/2001, Larkana division was abolished. On 13/12/2004, a new district Kamber Shahdadkot was carved out of the existing district of Larkana. 1.1.2 Geography District Larkana lies in 670 56” 20’ to 680 29” 34’ east longitudes and 270 7” 31’ to 270 56” 2’ north latitudes. This district is bounded by district Shikarpur and Khairpur on the east, district Jacobabad on the north, district Kamber Shahdadkot and Dadu on the west, and district Naushero Feroz on the south. Due to the physical features of the lands of district Larkana and the well-established canal system, most of the lands are irrigated croplands. The district comprises of plains with no hilly terrains. Although there are some barren lands spread all over the district, mainly in the Dokri taluka, majority of the lands are fertile and available for vegetation. Indus River flows along the eastern border of the district. The district has extreme climate in summers and a moderate one in winters. The network of canals and general emersion of soil during the summer add moisture to the heat. The hot weather continues up to the middle of October, after which nights become cool and the day temperature also begins to recede. The mean maximum and minimum temperature in summer season is approximately 430C and 330C while that of the winter season is 210C and 110C respectively. The average annual rainfall is about 100 to 125 millimeters. Dust storms are common and hot winds blow continuously for about 40 days around the middle of May every year3. 1.1.3 Culture (Ethnicity, Religion and Politics) Larkana has a rich traditional Sindhi culture. Women usually wear Shalwar Qameez but quite often dress in the traditional attire, Ghaghra or Parro as well. Traditionally, women wear bangles. Men usually wear a Shalwar Qameez distinguished by broader bottoms, and a traditional Sindhi style cap. People of this district are pre-dominantly Sindhi speaking but Urdu, Balochi and Brohi are also spoken in the district. Bhutto, Rind, Bhugio, Sheikh, Unnar, Chandio, Magsi, Soomro, Memon and Kalhoro are the major clans of this district. Islam is the religion of majority in this district followed by a minority of Hindu community. Larkana enjoys significant importance in the political history of Pakistan as two prime ministers and a chief minister belonged to this district. This district has the privilege of giving Pakistan a leader of international repute, Zulfqar Ali Bhutto. His daughter Benazir Bhutto was also internationally known and a prominent leader of Pakistan. Bhutto family has been serving Pakistan in the political arena and their struggle for a democratic Pakistan is internationally recognized. Their political party i.e., Pakistan People’s Party (PPP), is the dominant political party of this district. This district is represented by two National Assembly and four provincial

3 Small & Medium Enterprise development Authority (SMEDA), “A Brief Profile of Larkana”, (http://www.smeda.org/index.php?option=com_content&view=article&id=78&Itemid=180) accessed on 23/03/2013

DISTRICT LARKANA 3 assembly seats. In the general elections of 2008, Pakistan People’s party swept all the national and provincial assembly seats4. 1.1.4 Administrative Division District Larkana has its district headquarters at Larkana city. This district has four talukas, named: Larkana, Dokri, Rato Dero and Bakrani. It has 44 union councils and 184 mouzas (revenue village). Out of these mouzas, 153 are rural, 14 are urban, 3 are partly urban and 14 are un-populated mouzas. Table 1.1-1: Administrative Division of District Larkana

Kanungo Number of Mouzas Patwar Circles/ Larkana Circles/ Supervisory Partly Un- Tapas Total Rural Urban Forest Tapas urban populated Larkana District 13 51 184 153 14 3 - 14 Larkana Taluka 4 15 52 40 9 2 - 1 Dokri Taluka 3 10 30 28 2 - - - Rato Dero Taluka 3 13 56 52 3 - - 1 Bakrani Taluka 3 13 46 33 - 1 - 12 Source: Mouza Statistics of Sindh 2008, Agriculture Census Organization 1.1.5 Road Network Infrastructure Road network is considered as a vehicle for economic development and social change. Efficient road network not only develops a quick and efficient transportation system but also opens up new area hitherto remained closed. It brings about social integration among rural and urban sectors and greatly assists in providing access to basic needs such as education, health facilities, etc. It brings rural areas in constant touch with urban segment of a society and creates better understanding necessary for social change and political awareness. Larkana district covers an area of 201,000 hectares yet it has only 632 kilometers of good quality roads, which are inadequate for the area and its population5. A National Highway (Indus Highway, N55) connects Larkana with other major cities of the province. The district headquarter of Larkana is linked with its taluka headquarters of Dokri, Rato Dero and Bakrani through metaled roads. Other important road links in Larkana district are given as under:  Road from Larkana to Nasirabad via Rasheed Wagan and Goth Mehrab Sandilo  Road from Larkana to Moen Jo Daro via Bakrani, Arija, Wakro and Channa Mochi  Road from Larkana to Khairpur via Farid Abad, Purano Abad, Razidero, N5  Road from Larkana to Kamber via Bero Chandio,  Road from Larkana to Shikarpur via Rato Dero

4Election Commission of Pakistan (http://www2.ecp.gov.pk/vsite/complete/Search.aspx?constituency=NA&constituencyid=NA-204) accessed on 19/03/2013 5 Sindh Development Statistics, (2008), Lahore University of Management Sciences (LUMS), pp.262

BACKGROUND INFORMATION 4

 Road from Larkana to Sukkur via Nau Dero, Madeji, Jindo Dero 1.1.6 Irrigation The district has a well-established canal irrigation system. Two major canals i.e., Rice Canal and Dadu Canal irrigate the district. Rice canal is non-perennial while the Dadu canal is perennial. Rice canal runs through the district for 76 kilometers and the Dadu canal for 80 kilometers. The katcha area (the area alongside the Indus River) of Larkana, Rato Dero and Dokri taulkas is brought under cultivation during Rabi season, which is termed as “Sialabi” cultivation6 (Flood cultivation). As the table 1.1.2 shows, majority of the mouzas are irrigated through canals. Out of the 156 rural mouzas; 145 (93%) are irrigated with the help of canals, and 95 (60%) are irrigated through tube wells. Table 1.1-2: Mouzas Reporting Sources of Irrigation

NUMBERS OF MOUZAS REPORTING SOURCE OF IRRIGATION RURAL ADMINISTRATIVE SPRING/ POPULATED TUBEWELL/ ARID FLOODING/ UNIT CANAL RIVER RAVINE STREAM/ MOUZAS WELL (BARANI) TORRENT KAREZ 156 145 6 95 - - - 2 Larkana District 100 93 4 61 1 42 41 3 36 - - - - Larkana Taluka 100 98 7 86 28 19 - 19 - - - 1 Dokri Taluka 100 68 68 4 52 51 1 30 - - - 1 Rato Dero Taluka 100 98 2 58 2 34 34 2 10 - - - - Bakrani Taluka 100 100 6 29 Source: Mouza Statistics of Sindh 2008, Agriculture Census Organization From 2008-09 to 2009-10, there is an increase of 8.2% in the irrigated area. Canal irrigation has also increased by 11.1%. Table 1.1.3 shows the irrigation statistics of District Larkana Table 1.1-3: Irrigation by Type

Irrigation Type 2008-09 2009-10 Canal 18,713 20,784 Tube well 6,089 6,044 Total Irrigated Area 24,802 26,828 Un-Irrigated 16135 23,193 Total Sown Area 40,937 50,021

6 Official website of District Government Larkana (http://www.larkana.gov.pk/Admin/AboutDistrict.aspx) accessed on 23/03/2013

DISTRICT LARKANA 5

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Jadam Kalhoro Minor DISTRICT LARKANA 7

1.1.7 Solid Waste Management “Solid Waste Management (SWM) is the generation, separation, collection, transfer, transportation and disposal of waste in a way that takes into account public health, economics, conservation, aesthetics, and the environment, and is responsive to public demands.”7 No proper updated data was found on the current situation of Solid waste management system at rural (Taluka) level in the district Larkana. Likewise such other major districts of Sindh, District Larkana also has no proper solid waste management system at rural (Taluka) level, right from collection to the disposal at landfill sites. So likewise other such rural areas of other districts, indiscriminate dumping and open burning of waste is a common practice in at rural level. Nevertheless, at urban (city) level of district Larkana solid waste management (SWM) annual plan and such other concerned projects reports can be useful for understanding the situation throughout the district. District Larkana has one main dumpsite, eight 08 secondary sites, as well as, one tertiary site located at urban (city) level. While the main dumpsite, Four 04 secondary and one tertiary site are outside the city boundary. The remaining sites are within the city boundary. Four 04 sanitary landfill facilities have been planned to cover the solid waste collection in urban areas of the district.8 Besides increasing of the solid waste collection efficiency shows the fly-tip situation (accumulation of household related wastes, construction and demolition waste, debris, special waste streams) to be a major obstacle to achieving a “clean” city picture. At instance Larkana data was been taken as basis for further calculation and a ratio of 65% debris, 15% of household and household related waste and 20% was also been taken into consideration. The overall scenario can easily be revel in the data of table below9. Table 1.1-4: District Larkana Fly tip Amount Calculation at Urban (city) level

% Household and Population household Total m3 (Waste) % of Debris % of Others Sum Equivalent related solid waste 582,000 8,157 1,224 5,303 1,630 8,157 Source: Asian Development Bank; SOLID WASTE MANAGEMENT SITUATION & ACTIVITY PLAN (April 2011)/Technical Assistance on Improving Efficiency and Accountability of North Sindh Urban Services Corporation Limited For household and household related solid waste as well for other wastes has a removal capacity of 150m³ per day and unit been calculated, while for debris removal only 75m³ per day and unit (Urban/City level). One unit consists of one excavator (loader) and 4 dumpers with 4m³ loading capacity each. The cost for one unit and day has been assumed with PKR 29,500 (US$

7 Journal of Environmental and Occupational Science Environ Occup Sci 2012; 1(2):129-131 8 Asian Development Bank; SOLID WASTE MANAGEMENT SITUATION & ACTIVITY PLAN (April 2011)/Technical Assistance on Improving Efficiency And Accountability of North Sindh Urban Services Corporation Limited 9 Ibid

DEMOGRAPHY 8

343). For district Larkana (Urban level) operational budget of overall waste removal is given in the table10. Table 1.1-5: District Larkana Operational Budget-Activities of waste removal

Population Household- Waste Other waste Debris removal Fly-tip removal Equivalent removal removal 582,000 2,800 24,255 3,728 30,783 Source: Asian Development Bank; SOLID WASTE MANAGEMENT SITUATION & ACTIVITY PLAN (April 2011)/Technical Assistance on Improving Efficiency and Accountability of North Sindh Urban Services Corporation Limited Table below shows the number of transportation facility for the loading and transfer of solid waste from the different concerned locations at urban (city) to the concerned landfill sites. Table 1.1-6: Type of vehicles used for solid waste loading /transportation to the Landfill sites

Net Population Dumper Master van Loader Chingchi Hino/Mazda Volume/Population Equivalent equivalent 1 (8 582,000 11 3 2 1 10.122 Containers) Source: Asian Development Bank; SOLID WASTE MANAGEMENT SITUATION & ACTIVITY PLAN (April 2011)/Technical Assistance on Improving Efficiency and Accountability of North Sindh Urban Services Corporation Limited

10 Asian Development Bank; SOLID WASTE MANAGEMENT SITUATION & ACTIVITY PLAN (April 2011)/Technical Assistance on Improving Efficiency And Accountability of North Sindh Urban Services Corporation Limited

DISTRICT LARKANA 9

1.2 Demography

1.2.1 Population Characteristics In Pakistan, male population is more than the female population and is among those four countries where life expectancy for female, at birth, is less than that of males11. Sex ratio in district Larkana is 106 male per 100 females, which is equal to the ratio at the national level that is also 10612. Though there could be other possible reasons for such a difference in male to female ratio, one probable reason of this ratio could be underreporting of females during national surveys. Besides, a very high maternal mortality rate13 and poor health care at the district and provincial level14 are likely to be instrumental for this difference. District Larkana, like majority of the other districts in Sindh, is rural by its characteristics as 71 percent of the population resides in rural area as compared to the 29 percent that resides in the urban areas. Table 1.2-1: Estimated Population of District for 2014

AGE TOTAL RURAL URBAN GROUP (IN BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE BOTH SEXES MALE FEMALE YEARS) ALL AGES 1,679,571 865,970 813,601 1,194,097 614,895 579,202 485,475 251,076 234,399 00 -- 04 295,068 148,640 146,428 216,753 108,591 108,162 78,315 40,049 38,266 05 -- 09 292,730 154,955 137,775 212,438 112,813 99,625 80,292 42,142 38,150 10 -- 14 195,779 110,112 85,667 135,294 77,313 57,980 60,485 32,799 27,686 15 -- 19 168,492 83,343 85,149 115,013 56,506 58,508 53,479 26,837 26,641 20 -- 24 150,681 71,577 79,104 105,443 49,565 55,878 45,238 22,011 23,226 25 -- 29 123,935 63,056 60,878 87,300 44,120 43,180 36,635 18,937 17,698 30 -- 34 96,378 50,403 45,975 67,699 35,057 32,642 28,679 15,346 13,333 35 -- 39 76,363 40,039 36,324 53,844 28,029 25,815 22,520 12,010 10,509 40 -- 44 70,345 34,401 35,944 49,627 24,188 25,439 20,718 10,213 10,505 45 -- 49 55,954 29,045 26,909 39,523 20,431 19,092 16,431 8,614 7,817 50 -- 54 46,462 24,312 22,150 33,127 17,329 15,799 13,334 6,983 6,351 55 -- 59 29,975 15,874 14,101 21,147 11,136 10,011 8,828 4,738 4,090 60 -- 64 31,744 16,688 15,056 23,154 12,283 10,871 8,590 4,405 4,185 65 -- 69 16,260 8,514 7,746 11,670 6,102 5,568 4,590 2,413 2,177 70 -- 74 15,112 7,851 7,261 11,305 5,936 5,369 3,807 1,915 1,892 75 & ABOVE 14,293 7,160 7,133 10,759 5,495 5,263 3,534 1,665 1,870 Source: Estimated for 2014 population on the basis of table 4, Census 1998

11 A profile for District Badin: 2009, South-Asia Partnership Pakistan http://www.sappk.org/district-profiles-with- focus-on-livelihood-related-issues-0 retrieved on 05-03-2012 12 Labour Force Survey 2010-11: Pakistan Bureau of Statistics 13 0.5 for Sindh, Pakistan Demographic and Health Survey, 2006-07: National Institute of Population Studies, Pakistan. pp. 179 14 Mean distance from hospital/dispensary is 12 km for Sindh: Pakistan Mouza Statistics, Table 15

DEMOGRAPHY 10

1.2.2 Population Growth Pattern In 1998, the total population of the Population Growth Pattern district was 1,002,772. Population of district Larkana has an estimated growth 1,800,000 1,600,000 rate of 3.26% per annum, which means 1,400,000 that the population will double itself in 1,200,000 1,679,571 1,679,571

15 1,000,000 1,626,232 1,574,595 1,574,595

21.47 years from 1998. 46.65 percent 1,524,605 1,476,209 1,476,209

800,000 1,429,356 1,383,998 1,383,998 1,340,085 1,340,085 1,297,573 1,297,573

of the population is below 15 years of 1,256,415

600,000 1,216,568 1,177,991 1,177,991 1,140,643 1,140,643 1,104,485 1,104,485 1,069,478 1,069,478 1,035,585 1,035,585

age and 2.72 percent is 65 years or 400,000 1,002,772 above. The estimated population for 200,000 2010 is 1,679,571, showing a 67% - increase in 16 years from 1998. 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

1.2.3 Population Distribution by Age and Gender

Out of the total population, 52 percent 75+ 0.4% 0.4% are males and 48 percent are females. 70-74 0.5% 0.4% FEMALE 65-69 0.5% 0.5% MALE Largest cohort of population is 5-9 years, 60-64 1.0% 0.9% which decreases with 5 years interval. 55-59 0.9% 0.8% 50-54 1.4% 1.3% Total population in this cohort is 295,068. 45-49 1.7% 1.6% Except in the age groups of 15-19, 20-24, 40-44 2.0% 2.1% and 40-44, in all the rest of the age 35-39 2.4% 2.2% 30-34 3.0% 2.7% groups, male population outnumbers 25-29 3.8% 3.6% female population. 20-24 4.3% 4.7% 15-19 5.0% 5.1% 10-14 6.6% 5.1% 5-9 9.2% 8.2% 1-4 8.8% 8.7% 1.2.4 Dependent Population The economically dependent population is Dependent Population percent considered to be the population that is less than 15 years and more than 65 years of age. In addition to them, widowed, and/or divorced women are also considered Labor Force dependent population. Dependent 50.63% population in the case of Larkana district is 49.37 percent of the total population and Dependent 49.37% the working population is 50.63 percent, which shows that dependency ratio16 in the district is 98 percent.

15 Rule of 70 http://controlgrowth.org/double.htm retrieved on 05-03-2012 16 Dependency Ratio= (Population < 15 Years + Population > 65 Years)/ Population 15-65 Years

DISTRICT LARKANA 11

Table 1.2.2: Population Details by Taluka Estimated Taluka Population Male Female Pop Density Sex Ratio Average HH Size HH BAKRANI 355,807 183,451 172,357 878 106 5.8 61,346 DOKRI 355,116 183,094 172,022 838 106 5.3 67,003 LARKANA 457,974 236,127 221,847 909 106 6.7 68,354 RATODERO 510,674 263,299 247,376 855 106 5.9 86,555 TOTAL 1,679,571 865,970 813,601 870 106 5.9 283,258 Source: Estimated using Table 1 of Census 1998

DEMOGRAPHY 12

WGS84 China Kilometers India August 20, 2014 GILGIT DISPUTED TERRITORY INDIANADMINISTERED 16 BALTISTAN PART OF PART JAMMU KASHMIR& http://www.immap.org KHYBER PUNJAB PAKHTUNKHWA FATA 8 SINDH Taluka boundary Taluka boundary District - 838 0 855 - 839 878 - 856 909 - 879 4 Afghanistan BALOCHISTAN | 0 y or area or of its authorities, or concerning the delimitation Arabian Sea iMMAP_PAK_Larkana PopulationDensity Map_v01_082014 Arabian Sea t Legend Population Density Iran Web Resources: Projection/Datum: Creation Date: Map Doc Name: USAID concerning the legal status of any country, territory, whatsoever on the part of the iMMAP, Alhasan Systems, or on this map do not imply the expression of any opinion The designations employed and the presentation of material Disclaimers: Population: Derived from table 1, district census report of itsfrontiers or boundaries. Alhassan Systems PrivateLimited: Admin boundaries ci Map data source(s): S h i k a r p h u r S h i k a r p h u r K h a i r p u r K h a i r p u r 855 L a r k a n a L a r k a n a RATODERO 909

LARKANA F e r o z F e r o z 878 TALUKS N a u s h a h r o BAKRANI N a u s h a h r o J a c o b a b a d J a c o b a b a d 838 DOKRI

August,2014 8.7% 8.7%

8.2% 8.2%

FEMALE MALE Larkana PopulationDensity Map 878 838 909 855 870 5.1% 5.1% 5.1% 5.1% 4.7% 4.7%

3.6% 3.6% (No./Sq.Km) Pop.Density Pop.Density 2.7% 2.7% 2.2% 2.2% 2.1% 2.1% 1.6% 1.6% 1.3% 1.3%

0.9% 0.9% 0.8% 0.8% 0.5% 0.5% 0.4% 0.4% 0.4% 0.4% Sindh- K o t K o t S h a h d a d 355,807 355,116 457,974 510,674 S h a h d a d 1,679,571 0.4% 0.4% 0.5% 0.5% 0.5% 0.5% Population Population 0.9% 0.9% 1.0% 1.0% 1.4% 1.4% : Population Density Map : Population

1.7% 1.7% 2.0% 2.0% D a d u

4 D a d u 2.4% 2.4% 3.0% 3.0% 3.8% 3.8% J a f f a r a b a d J a f f a r a b a d 4.3% 4.3% Area Area 405.17 423.58 503.73 597.20 5.0% 5.0% 1,955.24 (Sq. Km)(Sq. 6.6% 6.6% 8.8% 8.8% 9.2% 9.2% Summary of Estimated population 2013 population Estimated of Summary Taluka Name Taluka J h a l J h a l 5-9 1-4 75+ M a g s i M a g s i 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 BAKRANI BAKRANI DOKRI LARKANA RATODERO Total DISTRICT LARKANA 13

1.3 Livelihood

1.3.1 Main Sources of Livelihood/Income While agriculture is the main source of employment for the rural population of the district, in the urban areas of the district, people are engaged in various economic activities like trade, services, personal business, and government and private jobs. Larkana city is the main trading center of this district. The following table shows the number of rural mouzas reporting sources of employment in district Larkana. Majority of the male population is associated with agriculture (in 86% of rural mouzas). While in the category of some, services sector, personal business, overseas employment and labor are frequent in male population. Since district Larkana is a rural district, where 71% of the population resides in rural areas, sources of livelihood are less diversified for the resident population. Agriculture sector is the dominant employer for the population of this district. The Agriculture Census 2000 classifies rural households under three broad categories: agricultural households that operate land as owner-cultivators or tenants; livestock owners; and non-agricultural households. In district Larkana, the share of non-agricultural households in total rural households is 35.9% percent, while agricultural households and livestock owners constitute 35.2% percent and 28.9% percent respectively17. Given the cultural trait of Sindh and rural areas, where women actively work side by side with the men, the female participation in economic activity is reasonable in this district, as 135 mouzas (53%) have reported that women are also engaged in agriculture. In the category of some, services sector and casual labor are sources of livelihood for the female population. Table 1.3-1: Number of Mouzas Reporting Sources of Employment

PERSONAL OVERSEAS GENDER QUANTIFICATION SERVICE AGRICULTURE TRADE INDUSTRY LABOUR BUSINESS EMPLOYEMENT MOSTLY 2 135 - - - - 2 MALE SOME 148 16 16 10 46 38 153 NONE 6 5 140 146 110 118 1 MOSTLY 1 83 - - 1 - 19 FEMALE SOME 132 15 4 2 14 9 133 NONE 23 58 152 154 141 147 4 Source: Mouza Statistics of Sindh: 2008, Agriculture Census Organization The categories under which these mouzas have reported against different livelihood sources are: • Mostly: population of 50 percent and above • Some: population between 1 percent and 50 percent

17 Arif, et al (2010), “The 2010 Flood and Poverty in Pakistan: A Preliminary District-level Analysis”, Pakistan Institute of Development Economics Islamabad, Background Paper for Conference on the " The Environments of the Poor”, 24-26 Nov. 2010, New Delhi

LIVELIHOOD 14

• None: less than or equal to 1 percent 1.3.2 Agriculture Larkana contributes significantly in agriculture sector of Sindh because its climate is suitable for production of various crops including the Kharif crops of rice, Jowar and sugarcane and Rabi crops of wheat, Gram and oil seeds. In addition to these, fruit orchards are abundant in this district. Mouza statistics have reported that fruit orchards are widespread in 13% of the mouzas18. Climate of Larkana district is suitable for growing guava, lemon, mangoes and date. However, due to water-logging and salinity, dates can grow better than other fruits. Good quality of mangoes and guava are generally grown in Ratedero, Dokri, and Larkana taulkas.

Total reported area of the district is 201,000 hectares, out of which 64,000 hectares (32%) are cultivated. Within the cultivated area, 50,000 hectares are net sown19 whereas 14,000 hectares are currently fallow lands20. The remaining 68% of the total reported area is un-cultivated; out of which 26,000 hectares are not available for cultivation and 42,000 hectares are culturable waste21. Table 1.3-2: Land Utilization Statistics of District Larkana (000 Hectares)

Larkana Area Reported Area 201 Total 64 Cultivated Area Net Sown 50 Current Fallow 14 Total 137 Culturable Waste22 42 Un-cultivated Area Forest 69 Not available for Cultivation 26 Source: Sindh Development Statistics (2011) Area sown and production of food and cash crops in 2008-09 are reported in the Table 1.3.3. Table 1.3-3: Food and Cash Crops Cultivated in District Larkana

Area Sown in 2008-09 Production in 2008-09 Area Sown in 2010-11 Type Crop (000 Hectares) (000 Tonnes/bales) (Acres) FAO Wheat 39.2 113.7 - Food Rice 95.1 370.2 246,853 Sugarcane 0.3 13.6 1,105 Cash Cotton 3.6 15.2 2,367 Source: Crop Area and Production by Districts for 28 Years; 2008-09 Pakistan Bureau of Statistics (PBS)

18 Sindh Mouza Statistics, (2008), Agriculture Census Organization, Government of Pakistan pp.80 19 Net Area Sown means the area which has been sown at least once in a year. It will include areas under crops, fruits, vegetables etc. 20 Current Fallow means the part of the cultivated area which has not been used for cropping during the year under reference but for which the total vacant period does not exceed three crop seasons. 21 Sindh Development Statistics, (2008), Lahore University of Management Sciences (LUMS) 22 Culturable waste means cultivable land not actually cultivated. It includes all grazing and other land, not included under forest. Sindh Development Statistics 2008, pp 81.

DISTRICT LARKANA 15

The Area sown and production trends of different food and cash crops, over the last 28 years, are given as follows:  Wheat Wheat crop, over the time, has Index of Area & Production of Wheat shown mixed response, both in 3 2.5 area as well as production. As the 2 corresponding graph shows, from 1.5 1981-82 onwards, both area and 1 0.5 production was consistently 0 increasing. In 1999-00, both area and production decreased but it 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 regained the momentum and Area Production started increasing. Interestingly, increase in the production is far more than the increase in the area which shows the high per acre yield of wheat crop. But due to the secession of Kamber district, both area and production decreased in 2005-06.  Rice Over the years, the trends, in area Index of Area & Production of Rice Crop sown and production of rice crop, have been mixed. In 1981-82, both 2 area and production started 1.5 decreasing till 1985-86 but started 1 increasing afterwards. The increase 0.5 in production was more rapid than 0 the increase in area till 1999-00 when there was a sharp fall in both 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 again. Area and production Area Production increased for the next five years up till 2005-06, when Kamber was carved out of district Larkana, and as a result the area and production both decreased.  Sugarcane Index of Area & Production of Sugarcane Crop

Sugarcane is the major cash crop of 1.2 this district. As compared to the food 1 crops, cash crops are not cultivated 0.8 with the same intensity. Since the last 0.6 0.4 28 year, both area and production of 0.2 sugarcane have perpetually 0 decreased, as shown in the

corresponding graph. 1981-82 1982-83 1983-84 1984-85 1985-86 1986-87 1987-88 1988-89 1989-90 1990-91 1991-92 1992-93 1993-94 1994-95 1995-96 1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09

Area Production

LIVELIHOOD 16

1.3.3 Industry The existing manufacturing units operative in Larkana are Sugar Mill, flour mills, rice mills, chilies and spices processing units, processed foods, ice factories, oil mills, plastic pipes, steel pots, clay pots, furniture and gold ornaments. Industrial estate in Larkana was established in 1964-65 with an aim to promote small industries within the city. It is spread over 59 acres and the total plots are 313 with the size of plots being 1 to 2 canals. 1.3.4 Livestock Livestock sector maintains a unique position within the agriculture sector of Pakistan. It contributes 51% to the value addition in agriculture sector of Pakistan. It also contributes 9% to the GDP of Pakistan23. Besides, this sector provides foreign earnings, dairy products’ needs, food security and daily cash income to the people of Pakistan. It helps to reduce the income inequalities, especially in case of emergencies (floods, crop failure). Hence this sector is considered as most secure source of livelihood for small farmers and landless poor. The share of Sindh province in livestock population of Pakistan is 20%. The livestock population of district Larkana is given in the following table: Table 1.3-4: Livestock in District Larkana

Livestock Population Cattle 216,199 Buffalo 531,329 Sheep 52,237 Goat 248,057 Camel 608 Horse 521 Mule 107 Ass 82,161 Domestic Poultry 889,812 Source: Livestock Census (2006)

23 Economic Survey of Pakistan (2011-12), Ministry of Finance, Government of Pakistan

DISTRICT LARKANA 17

1.4 Food Security Food security can be broadly divided into four components24:  Availability of food in terms of sufficient quantity available through domestic production or imports  Access to adequate resources given the socio-political and economic arrangements of the community  Utilization Refers to the body’s ability to make use of the nutrients provided. This requires clean water sanitation and health care  Stability includes an all-time access and utilization of food without any fear of losing it due to any shock (natural calamity, economic shock). This component points out to sustainability of food in an area. 1.4.1 Availability Wheat along with other crops like rice, cotton and sugarcane is produced in most of the rural mouzas of district Larkana. Besides, vegetables and fruits are also produced in the district. As the following table shows, wheat and rice are cropped in 92% and 94% of the mouzas respectively. Rice is dominant among food crops cultivated in this district. The table also shows that this district produces cash crops as well and the overall crop based production of food is surplus in the district. Table 1.4-1: Number of Mouza Reporting Major Crops

NUMBERS OF MOUZAS REPORTING MAJOR CROPS ADMINISTRATIVE UNIT WHEAT RICE COTTON SUGARCANE MAIZE PULSES ORCHARDS VEGETABLES LARKANA DISTRICT 144 147 10 8 - 19 21 20 LARKANA TALUKA 38 42 2 2 - 15 13 10 DOKRI TALUKA 27 21 8 - - - - 3 RATO DERO TALUKA 51 50 - 2 - - 4 - BAKRANI TALUKA 28 34 - 4 - 4 4 7 Source: Mouza Statistics of Sindh: 2008, Agriculture Census Organization Food availability not only depends on the obtainability of wheat but also depends on other cereals like maize etc. As far as cereal food is concerned, this district is producing surplus food for its food requirements. In addition to cereals, animal based food (meat, milk, milk products) availability is also important for total food availability, and that also is produced in surplus quantities in this district. Combining both the crop based and animal based food production, district Larkana is self-sufficient in food production25.

24 Define by Food & Agriculture Organization 25 Food Insecurity in Pakistan (2009), Sustainable Development Policy Institute (SDPI), Islamabad

FOOD SECURITY 18

1.4.2 Access Per capita availability of food items alone is not a reliable indicator of food security. If the available food is socio-economically not accessible to the masses, it cannot make a society food secure. The income level of the households reflects access to food, capacity of consumption and even food poverty. Average monthly income of a household (HH) in this district is less than Rs.11, 000/- which is considered as extremely low26. Child dependency (ratio between children and household members in economically active age group) is one of the limiting factors in meeting the daily needs of households and is an important indicator to measure access to food. The increased dependency ratio enhances the spending of the household on child care and food, which results in per capita reduction of socio-economic access to food. Child dependency ratio is reasonable in this district. The share of household expenditures on food is 61.8% of the total income in Sindh. So the inadequate level of income, high food expenditures, and high inflation (particularly food inflation) hinders access to food27. The table below shows physical access to food in district Larkana by providing distances of different mouzas from the wholesale markets. Average distance from the fruit and vegetable market of a mouza is 11 and 9 kilometres respectively whereas the distance from the grain market is 10 kilometres. Such long distances impede access to food. Table 1.4-2: Distance of Mouzas from Wholesale Markets

Overall Mouzas by Distance (in Kilometres) by Facility Rural Mean Type of facility Populated Less 51 & Distance 1 - 10 11 – 25 26 – 50 Mouzas Than 1 Above (KM) Number 156 10 3 94 59 - - Livestock Market Percent 100 2 60 38 Number 156 10 1 95 60 - - Grains Market Percent 100 1 61 38 Number 156 11 2 89 61 4 - Fruit Market Percent 100 1 57 39 3 Number 156 9 3 98 55 - - Vegetable Market Percent 100 2 63 35 Number 156 9 7 104 45 - - Govt. Procurement Centre Percent 100 4 67 29 Source: Mouza Statistics of Sindh: 2008, Agriculture Census Organization

26 Food Insecurity in Pakistan (2009), Sustainable Development Policy Institute (SDPI), Islamabad 27 Ibid

DISTRICT LARKANA 19

1.4.3 Utilization In addition to food availability and access, proper assimilation of food in the body is essential. Food utilization and stability depicts this absorption of food and its sustainability. Improved sanitation facility, clean drinking water, health infrastructure and individual health status along with female literacy play vital role in food absorption. According to Food Security Analysis (FSA) 2009, access to improved drinking water is reasonable in this district28. Table 1.4-3: Percentage Distribution of HH by Source of Drinking Water

Water Delivery System Larkana Tap Water Hand Pump Motor Pump Dug Well Other Total 1 73 24 0 1 Urban 4 49 47 0 1 Rural 0 39 9 1 2 Source: PSLM 2012-13 Sanitation conditions in district Larkana are quite reasonable where 67% of the households use flush toilets and 33% of the households have non-flush toilets. The sanitation facility is comparatively worse in rural areas of the district and the female literacy rate is 31% only. Table 1.4-4: Percentage Distribution of HH by Type of Toilet

Flush Non-Flush No Toilet Urban Rural Total Urban Rural Total Urban Rural Total 96 47 67 4 53 33 0 0 0 Source: PSLM 2012-13 In a nutshell, this district is surplus in availability of food, has a relatively poor socio-economic access; and a relatively reasonable food utilization environment. Combining all the indicators of food security i.e. availability, access, utilization and stability, it can be ascertained that Larkana is a food secure district of Pakistan.

28 Food Insecurity in Pakistan (2009), Sustainable Development Policy Institute (SDPI), Islamabad

HEALTH AND IMMUNIZATION 20

1.5 Health and Immunization

1.5.1 Health Facilities According to the Health Facility Assessment 2011 (HFA) made by Technical Resource Facility (TRF), the total health facilities of district Larkana are 62. There is only one teaching hospital with a capacity of 1,230 beds. These health facilities are sufficient for only 14% of the estimated 2014 population of the district29. Table 1.5.1 gives details of health facilities in the district. Table 1.5-1: Number of Health Facilities by Type

Type Number Bed Strength Teaching Hospitals 1 1,230 District headquarter hospital 0 0 Tehsil headquarter hospitals 2 60 Rural health centres 5 26 Basic Health units 28 56 Govt. Rural Dispensaries 24 - MCH centres 2 - Sub health centres 0 - Grand Total 62 1,372 World Health Organization (WHO) 2010

1.5.2 Immunization 90 Immunization coverage estimates are used to 80 monitor immunization services, and to guide 70 disease eradication and elimination efforts. This 60 50 Urban indicator is the measure of the percentage of 40 Rural children of age 12-23 months, who have received 30 20 Total all the doses of BCG vaccine, three doses of polio & 10 pentavalent vaccines and 1 dose of measles vaccine 0 in a given year. In district Larkana, around 66% pregnant women have received tetanus toxoid injections. In urban areas this percentage is 64% and in rural areas it is 67%30. Record based31 immunization data of district Larkana shows that 65% (Male 71%: Female 59%) of the children aged 12-23 months have received full immunization. In the urban areas this percentage is 66 percent (Male 74%: Female 68%) and in the rural areas it is 64% (Male 69%: Female 60%). The corresponding graph shows the percentage of children of 12-23 months that have been immunized by the type of Antigen based on records32.

29 WHO Standard is 2 health facilities and 25 beds per 10,000 people. 30 Table 3.11, Pakistan Social and Living Standards Measurement Survey (PSLM)2012-13 31 Table 3.4 (b) Based on record: Children who reported having received full immunization who also have an immunization card, expressed as a percentage of all children aged 12-23 months. Also immunizations to be classed as fully immunized a child must have received: ‘BCG’, ‘DPT1’, ‘DPT2’, ‘DPT3’, ‘Polio1’, ‘Polio2’ 32 Table 3.5: Pakistan Social and Living Standards Measurement Survey (PSLM)2012-13

DISTRICT LARKANA 21 Nepal

India 20 08 14 WGS 1984 http://www.immap.org DisputedTerritory AJK Gilgit- Baltistan Kilometers 10 Punjab Islamabad KhyberPakhtunkhwa FATA Sindh 5 Balochistan iMMAP_Pakistan_Larkana Health Facilities Map_A4L_140820 settlements GENERAL HOSPITALS GENERAL CENTER HEALTH RURAL UNIT HEALTH BASIC CHILDRENHOSPITAL HOME MATERNITY CENTER WELFARE FAMILY DISPENSARY PHYSICIAN GENERAL MEDICAL STORES SPECIALIST Road Network River Indus BoundaryTehsil District Boundary Provincial Boundary International Boundary 0 | Arabian Sea ! ! Legend Õ ! Ñ ! H ! ! Æ P Æ P Æ P Æ P Æ P " ) ntry, territory, city or area or of its authorities, or ! u Map Doc Name: Creation Date: Projection/Datum: Web Resources: an Map data source(s): Alhasan Pvt Limted (AdminBoundaries,Education co Facilities), National Geo-SpatialAgency, WFP (Road Netwrok) concerning the delimitation of itsfrontiers or boundaries. Disclaimers: The designations employed and the presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the iMMAP, Alhasan Systems, or USAID concerning the legal status of any Oman Om ! ! ! Turkmenistan ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! SUKKUR ! ! ! ! ! ! Æ P ! ! Æ P ! ! " ) ! ! ! ! ! H Æ P ! ! ! ! " ) ! ! Æ P ! ! ! " ) ! ! ! Æ P Æ P ! Æ P ! ! H " ) ! ! Æ P LARKANA Æ P Æ P ! " ) Õ ! Æ P Æ P Æ P LARKANA Æ P ! ! H ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! KHAIRPUR ! ! ! ! ! SHIKARPHUR ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! Date (August 2014) (August Date ! ! ! !! ! ! ! ! ! ! ! ! ! Æ P ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! Æ P ! Æ P ! ! Æ P ! " ) ! ! ! ! ! ! ! ! ! ! ! !! ! ! Æ P ! ! ! ! ! ! ! ! ! Æ P ! ! ! !! ! ! ! ! ! ! ! ! ! ! Æ P ! ! Æ P ! ! ! ! ! ! ! ! ! Ñ ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! LARKANA ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! Æ P ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! RATODERO ! ! ! ! ! ! !! ! ! ! ! Æ P ! Sindh- Larkana Health Facilities Map ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! Æ P ! Æ P ! ! ! ! ! " ) !! ! ! ! ! H ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! " ) ! ! ! ! Æ P Æ P ! ! ! ! " ) ! ! Æ P ! ! ! ! ! ! ! Æ P ! H ! ! Æ P " ) Æ P ! Õ ! Æ P ! ! Æ P " ) ! ! ! ! Æ P ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! Æ P ! ! ! ! H ! ! ! ! ! ! ! ! ! ! ! ! !! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! !! ! Æ P ! ! ! ! ! ! Æ P ! ! LARKANA ! ! ! ! ! ! ! ! JACOBABAD ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! FEROZ ! Æ P : Health Map Facilities ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P 5 ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! !! ! ! ! ! !! NAUSHAHRO ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! TALUKS ! ! ! ! ! ! ! ! ! ! ! ! ! BAKRANI ! ! ! ! !! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! Æ P ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! Æ P Æ P ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! !! ! ! ! ! ! !! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! DOKRI ! ! ! ! ! ! ! KOT ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! ! ! SHAHDAD ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! ! ! ! ! ! ! Æ P ! Ñ ! ! Æ P ! ! ! ! ! ! ! ! ! Æ P ! ! ! ! ! Æ P ! ! ! ! ! DADU EDUCATION 22

1.6 Education

1.6.1 Highlights

Literacy Rate (10 years and above) 54% Adult Literacy Rate (15 years and above) 50% GPI Primary 0.74 GPI Middle 1.32 GPI Secondary 0.59 GPI Higher Secondary Secondary 0.56 Population that has ever attended School 54% Male 71% Female 37% Population that has completed primary level or higher 47% Male 62% Female 30% Student Teacher Ratio 34 Primary 33 Middle 36 Secondary 34 Higher Secondary 43

Source: District Education Profile, Larkana 2012-13 and PSLM Survey 2012-13

1.6.2 District School Enrolment Ratio The education status is not quite poor in district Larkana. The overall literacy rate (for the population of 10 years and above) is 54%; for male it is 71% and for female it is 37%. For the urban rural comparison, urban literacy rate is higher than the rural, which is 67% (male: 82% and female: 52%); whereas the rural literacy rate is 43% (male: 61% and female: 24%). Adult literacy rate (for the population of 15 years and above) is 50 %. Gross Enrollment Rate33 (GER) at the primary level in Larkana is 83% (Male: 92%, Female: 72%), in urban community it is 93% (Male: 99%, Female: 86%) and in rural community it is 78% (Male: 89%, Female: 64%). Net Enrollment rate34 (NER) at the primary level in district Larkana is 58% (Male: 65%, Female: 50%), in urban community it is 64% (Male: 71%, Female: 57%) and in rural community it is 54% (Male: 61%, Female: 45%). Table 1.6.1 shows details of Gross and Net Enrolment Rates by Rural, Urban and Gender at different levels.

33 Total enrolment in a specific level of education, regardless of age, expressed as a percentage of the eligible official school-age population corresponding to the same level of education in a given school year. 34 Enrolment of the official age group for a given level of education expressed as a percentage of the corresponding population.

DISTRICT LARKANA 23

Table 1.6-1: Gross and Net Enrolment Rates by Gender and Locality at Different Levels

Urban/ Rural/ Gross Enrolment Rates Net Enrolment Rates Gender Middle Matric Primary Middle Matric District Primary Group (5-9) Group (10-12) Group (13-14) Group (5-9) Group (10-12) Group (13-14) Male 99% 65% 69% 71% 27% 23% Urban Female 86% 61% 60% 57% 32% 16% Total 93% 63% 64% 64% 30% 19% Male 89% 50% 59% 61% 18% 13% Rural Female 64% 31% 19% 45% 14% 7% Total 78% 42% 40% 54% 16% 10% Male 92% 56% 63% 65% 21% 17% Total Female 72% 45% 39% 50% 22% 12% Total 83% 51% 51% 58% 22% 14% Source: Pakistan Social and Living Standard Measurement Survey 2012-13

1.6.3 Gender and Level Wise Details The total enrollment of students in the government schools of district Larkana is 220,079 (Male: 128,841 and Female: 91,238). Out of a total of 6,502teachers, 4,753 are male and 1,749 are female teachers. This illustrates that one teacher is teaching averagely 34 students. The total boys’ schools of District Larkana are 219, and the total female schools are 251. Besides, there are 716 mixed gender schools. Thus, the total number of schools is 1,186 and averagely every school has an enrolment of 186 students and a teaching staff of around 535.

Primary The total number of primary level schools, that are reported, is 1,055 and the total enrollment at the primary level is 146,291 (Male: 83,994 and Female: 62,297). Total number of teachers, at the primary level, is 4,481, out of which 3,358 are male and 1,123 are female teachers. Thus, on an average, each primary school has an enrolment of 139 students with a teaching staff of 4. However, the student class ratio is 46 and each school has averagely around 3 class rooms.

Middle There are a total of 61 middle schools reported. Total enrollment, at the middle level, is 8,665 (Boys: 3,738 and Girls: 4,927). The total number of teachers at the middle level is 243, out of which 140 are male teachers and 103 are female teachers. Thus, on an average, each middle school has an enrolment of 142 students with a teaching staff of 4. However, the student class ratio is 33 and each school has averagely around 4 class rooms.

Matric There are a total of 58 secondary schools. Total enrollment at the secondary level is 44,657 (Boys: 28,005 and Girls: 16,652). The total number of teachers at the secondary level is 1,306, out of which male teachers are 873 and female teachers are 433. Thus, on an average, each secondary school has an enrolment of 770 students with a teaching staff of 23. However, the student class ratio is 64 and each school has averagely around 12 class rooms.

35 District Education Profile, Larkana 2012-13

EDUCATION 24

Higher Secondary There are a total of 12 higher secondary schools in the district. Total enrollment at the higher secondary level is 20,466 (Boys: 13,104 and Girls: 7,362). The total number of teachers at the higher secondary level is 472, out of which male teachers are 382 and female teachers are 90. Thus, on an average, each higher secondary school has an enrolment of 1,706 students with a teaching staff of 39. However, the student class ratio is 92 and each school has averagely around 19 class rooms. Table 1.6.2: Enrolment and Educational Facilities by level and Gender36 Level Enrolment School Facilities Teachers Boys Girls Total Boys Girls Mixed Total Male Female Total Primary 83,994 62,297 146,291 188 208 659 1,055 3,358 1,123 4,481 Middle 3,738 4,927 8,665 10 22 29 61 140 103 243 Secondary 28,005 16,652 44,657 18 16 24 58 873 433 1,306 Higher Secondary 13,104 7,362 20,466 3 5 4 12 382 90 472 Total 128,841 91,238 220,079 219 251 716 1,186 4,753 1,749 6,502

36 District Education Profile, Larkana 2012-13.

DISTRICT LARKANA 25 Nepal

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2 Disaster History and Its Impact 2.1 Disaster in District

2.1.1 Disaster History District Larkana is one of the oldest districts of Sindh. It was hit by 2010/2011 rains and floods. River Indus, after receiving water from 5 of its tributary rivers, causes floods in the northern and southern parts of Sindh province. The upper region of Sindh Province comprise of the districts of Jecobabad, Shikarpur, Kashmore, Larkana and Kamber Shahdadkot on the right bank of River Indus and Ghotki, Sukkur, Khairpur, Naushahroferoze and Larkana on the left bank of River Indus. These districts on the right and left banks of River Indus are prone to severe threat when River Indus is in high flood. The districts in the lower Sindh prone to riverine flooding include Dadu, Jamshoro and Thatta on the right bank of River Indus and Tando Muhammad Khan, Larkana and Hyderabad on the left bank. The length of River Indus along the province is 750 kms.

DISTRICT LARKANA 27

WGS84 China Kilometers Aug18,2014 Systems, or India n 16 Gilgit Baltistan DisputedTerritory Azad IndianAdministered Kashmir http://www.immap.org Part of Jammu & Kashmir Khyber Pakhtunkhwa Punjab FATA 8 Sindh 4 Settlement at Risk Roads Railway Streams Canals Indus River Maximum Flood Risk (2010-12) UC Boundary boundaryTaluka District boundary Afghanistan Balochistan | 0 iMMAP_PAK_Larkana RiskAnalysis Map_v02_081814 Arabian Sea Legend Arabian Sea Iran Web Resources: Projection/Datum: Creation Date: Map Doc Name: whatsoever on the part of the iMMAP, Alhasa on this map do not imply the expression of any opinion The designations employed and the presentation of material Disclaimers: WFP:Roads, Railway frontiers or boundaries. Sindh Irrigation and DrainageAuthority (SIDA): Rivers, Canals or area or of its authorities, or concerning the delimitation of its National GeospatialAgency: Settlements Facilities, Education Facilities. USAID concerning the legal status of any country, territory, city Alhassan Systems Private Limited: Admin boundaries, Health Map data source(s): S u k k u r S u k k u r S h i k a r p h u r S h i k a r p h u r Bahman K h a i r p u r K h a i r p u r Pir Bhutto Bakhsh RATODERO Dero Saidu Akil

Ratodero Ratodero Ii Phul Banguldero L a r k a n a L a r k a n a Dhamraha Fatehpur Jumo Machhi Agham TALUKS Banguldero BAKRANI Warisdino F e r o z F e r o z LARKANA Abad Purano Unknown15 Mad Bahu Mad N a u s h a h r o N a u s h a h r o Naich J a c o b a b a d J a c o b a b a d Kothi Arija Bagi Pathan Beriochandio Rashid Wagan Dokri

DOKRI Mehrabpur Karani Tatri August,2014 Badeh-ii Garello

Larkana RiskAnalysis Map Yaru Lakhir : Risk Analysis Map Analysis : Risk Sindh- 7

K o t K o t S h a h d a d S h a h d a d D a d u D a d u J a f f a r a b a d J a f f a r a b a d J h a l J h a l M a g s i M a g s i DISASTER HISTORY AND ITS IMPACT 28

WGS84 China Kilometers Aug18, 2014 India 16 DisputedTerritory Gilgit IndianAdministered Baltistan Azad Part of Jammu & Kashmir http://www.immap.org Kashmir Punjab Khyber Pakhtunkhwa

Settlements 8 FATA Sindh 4 Posible Safe Settlements Roads Railway Canals IndusRiver Posible Safe Locations MaximumFlood Risk(2010-12) UC Boundary boundaryTaluka Districtboundary Balochistan Afghanistan | ! ( 0 iMMAP_PAK_Larkana Safe LocationMap_v02_081814 Legend Arabian Sea Arabian Sea ontiers or boundaries. r Iran Web Resources: Projection/Datum: Creation Date: Map Doc Name: or area or of its authorities, or concerning the delimitation of its USAID concerning the legal status of any country, territory, city whatsoever on the part of the iMMAP, Alhasan Systems, or this map do not imply the expression of any opinion The designations employed and the presentation of material on Disclaimers: WFP:Roads, Railway Facilities, Education Facilities. Sindh Irrigation and DrainageAuthority (SIDA): Rivers, Canals f Alhassan Systems Private Limited: Admin boundaries, Health National GeospatialAgency: Map data source(s): S u k k u r S u k k u r ! ( K h a i r p u r Bahman K h a i r p u r S h i k a r p h u r ! ( S h i k a r p h u r ! ( ! ( ! ( ! ( ! ( ! ( Pir ! ( ! ( Bhutto Bakhsh ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! (

! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( RATODERO ! ( Dero ! ( Saidu ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Akil ! ( ! ( ! ( ! ( ! ( ! ( ! ( Ratodero Ratodero Ii ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Phul ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Banguldero L a r k a n a ! ( L a r k a n a ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Dhamraha ! ( ! ( ! ( ! ( Fatehpur ! ( ! ( Jumo ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Machhi ! ( Agham ! ( ! ( TALUKS ! ( ! ( ! ( ! ( Banguldero ! ( ! ( ! ( ! ( ! ( BAKRANI ! ( Warisdino F e r o z ! ( ! ( ! ( F e r o z ! ( ! ( LARKANA ! ( ! ( ! ( ! ( Abad ! ( ! ( ! ( ! ( ! ( ! ( Purano ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Unknown15 ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Mad Bahu Mad ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( N a u s h a h r o ! ( ! ( ! ( N a u s h a h r o ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Naich ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( J a c o b a b a d ! ( J a c o b a b a d Kothi ! ( ! ( ! ( ! ( Arija ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Bagi ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Pathan ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( ! ( Beriochandio ! ( ! ( ! ( ! ( Rashid Wagan ! ( ! ( ! ( ! ( Dokri ! ( DOKRI ! ( Mehrabpur ! ( ! ( ! ( Karani ! ( ! ( ! ( ! ( Tatri ! ( Badeh-ii ! ( Garello ! ( August,2014 ! ( ! ( ! ( ! ( ! ( Yaru Lakhir Larkana PossibleSafe Locations Map

Sindh- K o t K o t S h a h d a d S h a h d a d : Safe Locations Map Locations : Safe

8 D a d u D a d u J a f f a r a b a d J a f f a r a b a d J h a l J h a l M a g s i M a g s i Possible safe locationsare basedon maximum floodextents in recent 3 years(2010-2012). modelling and theactual situation in the field maytherefore differ, field verification would Floodextents are derived from MODIS imagery throughGIS models. These possible safe locations are based on berequired.

DISTRICT LARKANA 29

2.1.2 Impact of Disaster on Demography As mentioned above, district Larkana was severely hit by floods 2010 and rains/floods in 2011. According to the PDMA Sindh figures, the total affected population, in 2010, was 490,000. The inundated crop area of the district was 25,028 acres37. The district falls under the category of low risk districts as declared by PDMA Sindh in rains/floods 201138. Assessments showed that 115 villages of 7 union councils in all the 4 talukas were affected in 2011. A population of 54,355 persons was affected and there were 6 casualties and 1 injury. In total, 5,794 houses were damaged. Geographically, 2.68% of the district was inundated and 2 percent of the sown area was affected due to these rains/floods. Table 2.2.1 summarizes the losses and damages of 2011 rains/floods.

Table 2.1-1: Summary of Losses and Damages in Floods/Rains 2011

Attribute Figures 2010 Figure 2011 Source Total Households 2010 249,137 Estimated Affected Households 83,051 9,213 Contingency Plan 2012 Total UCs 51 FAO UC Affected 2 46 PDMA Sindh Total Villages 184 Mouzas ACO Villages/Settlements Affected 115 408 Sindh Contingency Plan 2012 Total Houses Affected 22,000 5,794 Sindh Contingency Plan 2012 Total Population 1,476,209 Estimated Affected Population 490,000 54,355 Male N/A 17,323 Female N/A 37,032 PDMA Sindh Deaths 7 6 Injuries N/A 1 Total Area (acres) 476,883 PCO Total Affected Area (acres) N/A 12,793 FAO Area Sown N/A 251,081 FAO/PDMA Sindh Crop Area Damaged 25,028 5,396

37 Pakistan Floods 2010- District Profile Matiari 2010, UNOCHA http://floods2010.pakresponse.info/DistrictProfiles.aspx retrieved on 11/03/2013 38 Flood 2010, Disaster Management Apparatus in Sindh, PDMA Sindh

DISASTER HISTORY AND ITS IMPACT 30

2.1.3 Impact of Disaster on Livelihood & Agriculture Along with the demographic losses, due to floods/rains 2010 and 2011, the loss to agriculture sector exacerbated the sources of livelihood for the people of this district. The following table shows the loss to agriculture sector of this district. Table 2.1-2: Crop Loss and Area Damaged Due to Floods 2011

Major Crops Area Area sown (Acre) 2,367 Cotton Area Damaged (Acre) 118 % 5% Area sown (Acre) 246,853 Rice Area Damaged (Acre) 4,937 % 2% Area sown (Acre) 1,105 Sugarcane Area Damaged (Acre) 0 % 0 Area sown (Acre) 756 Other Area Damaged (Acre) 340 % 45% Total Area Sown 251,081 Total Area Damaged 5,396 Source: Flood Situation Update, 2011, Food & Agriculture Organization (FAO) As given in the table above, 5% of the cotton and 2% rice crops were damaged along with 45% of the other crops. Besides, 92 livestock heads died due to these floods39. 2.1.4 Analysis of Food Security Situation Since district Larkana is agro-based and majority of the households are engaged in agriculture farming and livestock rearing activities and still others in non-agriculture activities/casual labour. Among these three types of the households, empirical studies have shown that poverty is relatively higher in the non-agriculture households, followed by livestock households and small farmers40. It has been shown in the previous section that many individuals of this flood affected district lost their homes (54,355 houses were damaged), their crops (5,396 Acres of crop area affected) and heads of livestock (92 livestock died). Due to the lack of an industrial base, the sources of income of households, situated in this severely affected district, are less diversified, with their heavy dependence on agriculture, livestock and casual labour. The deplorable social indicators i.e., large household size, poor literacy level, higher mortality rate, infrastructure with poor access to education and health facilities show the higher level of poverty and deprivation in this district with. Through the destruction of roads, transport and market infrastructure, the floods had a significant negative impact on commodity market. As a result, the functioning capacity of the markets (transporters, processors, wholesalers and retailers) decreased with upward

39 Flood Situation Update, 2011, Food & Agriculture Organization (FAO) 40 Arif, et al (2010), “The 2010 Flood and Poverty in Pakistan: A Preliminary District-level Analysis”, Pakistan Institute of Development Economics Islamabad, Background Paper for Conference on the " The Environments of the Poor”, 24-26 Nov. 2010, New Delhi

DISTRICT LARKANA 31

movement of transaction costs and shortage of food commodities. This phenomenon hindered the socio-economic access of food in the district41. The losses to crops and livestock along with the poor functioning capacity of the markets reduced the expected income of the population of this district. Thus the floods and rains affected people of the district Larkana had to face a number of key challenges to recover their livelihood, agriculture and livestock; directly affecting the food security situation. 2.1.5 Impact of Disaster on Health Severe floods can not only cause destruction to heath care infrastructure but also affect health indicators of the affected population. The 2010 floods and 2011 rains resulted in damage to the public health infrastructure in Sindh Province. Distirct Larkana was one of the worse affected districts in 2010 floods but was comparatively less affected in 2011 rains. According to the Sindh Rural Support Organization (SRSO) flood report 2010, a large number of internally displaced persons (IDPs) settled in Larkana and some of the other districts. The health and nutrition issues were at its peak and the reported cases of births in the relief camps and the health and diet issues of the pregnant women were of great concern. The increasing rate of death cases due to hunger, diarrhoea, gastro and other diseases needed immediate attention of the authorities and relief workers. The hospitals were overcrowded and did not have capacity to cope with the situation, and the number of cases reported for severe dehydration, gastro and malnutrition were in hundreds in a day in this district. To handle the situation there was need for more medicines, expert doctors, support staff and emergency hospitals for the IDP packed districts including Larkana, Sukkur and Khairpur42. According to OCHA, health facilities in district Larkana were completely destroyed and resultantly health services were disrupted. Respiratory infections were widely reported in the following winter and diseases like diarrhoea, skin diseases, suspected malaria and measles were reported after the floods.43 In floods 2010, WHO took the initiative to conduct health facilities’ assessment of nine most affected districts in Sindh. In District Larkana, Taluka Hospital Rato dero and Taluka Hospital Dokri were partially damaged while Chandka medical college hospital had reported no damage and was fully functional after the floods44.

41 Ibid 42 Sindh Rural Support Organization (SRSO), Daily Flood relief Report Sep 14, 2010 43OCHA- PAKISTAN FLOODS 2010 – LARKANA DISTRICT PROFILE (Jan 2011) 44 WHO- Secondary Level Health facilities Assessment in Sindh http://www.who.int/hac/crises/pak/pakistan_secondary_level_health_facilities_sindh.pdf

DISASTER HISTORY AND ITS IMPACT 32

2.1.6 Impact of Disaster on Education Due to the floods/rains of 2010, 458 school facilities were damaged, out of which 4 were fully destroyed and 16 were partially damaged. 4,384 schools were occupied by the IDPs. Also, heavy rains affected the school going children. Due to the damages to the schools, houses and roads; education of 36,640 students was affected (Girls: 15,755 girls, Boys: 20,885). Teachers numbering 1,374 were also affected. Due to the floods/rains of 2011, 6 school facilities were damaged, out of which 3 were fully destroyed and 3 were partially damaged. Due to the damages to schools, houses and roads, education of 480 students was affected (Girls: 206 girls, Boys: 276). Teachers numbering 16 were also affected45.

Floods 201246: A population of 40,000 persons in 203 villages was affected and there were 4 casualty and 11 injuries. 5,195 houses were partially damaged and 100 houses were completely destroyed.

45 Damage Need Assessment, Sindh-EMIS Reform c Unit, Department of Education and Literacy, Government of Sindh. 46 Losses and Damages Details46 as of 23 January, 2013

DISTRICT LARKANA 33

3 Hazard Vulnerability and Capacity Analysis 3.1 Hazard Vulnerability and Capacity Analysis Prior to analyzing existing hazards; vulnerability to hazards and capacity to cope with the same of the district and its population needs to be understood. An explanation of the terms used is given under each heading, as follows: 3.1.1 Hazard A hazard is a situation which triggers disaster. But it can be also defined as: “A potentially damaging physical event, phenomenon or human activity that may cause the Loss of life or injury, property damage, social and economic disruption or environmental degradation”47 A hazard is a situation that has the potential to harm the health and safety of people or to damage plant and equipment. Hazards can be divided into two categories.

Natural Hazard Natural hazards are natural processes or phenomena within the earth system that may constitute a damaging event. For example typhoons, tsunamis, earthquake and volcanic eruption cyclones, earthquakes, floods, landslides, storms are natural hazards.

Man-made Hazard Any industrial, nuclear, or transportation accident, explosion, power failure, resource shortage, or other condition, resulting from man-made causes, which threaten or cause damage to property, human suffering, hardship or loss of life constitute ‘Man-made Hazard. Hazard matrix of District Hazard Frequency Area affected/union councils Severity/Force Year Riverine floods Monsoon Mostly Eastern part of the district Medium 2010,2011,2012 Flash floods Seasonal Western part of the district Low ---- Heavy Rains Monsoon Entire district Medium 2011,2012 Epidemics Seasonal Entire district Low Through out Earthquake Rare Entire district Low --- Transport accidents Frequently Entire district Low Every year

47 “Urban Governance and Community Resilience Guides”, (2010), Asian Disaster Preparedness Center

HAZARD VULNERABILITY AND CAPACITY ANALYSIS 34

3.1.2 Vulnerability Vulnerability is a situation which is: “The attributes and circumstances of a community or system that makes it sensitive, vulnerable or susceptible to the damaging effects of a hazard48” Vulnerability precedes disasters, contribute to their severity, hinder and obstruct the disaster response. It is divided into three parts:

Physical/Material Vulnerability Weakness of the built environment and lack of access to physical and material resources i.e. living in hazard prone areas or in unsafe buildings, lack of savings, insurance and assets constitutes physical/material vulnerability.

Social/Organizational Vulnerability Social/Organizational Vulnerability refers to inequality in social systems that discriminate against and marginalize certain groups of people from accessing resources and services. People who have been marginalized in social, economic or political terms are vulnerable to disasters. Weakness in social and organizational areas may also cause disasters e.g. deep division can lead to conflict and war. Conflict over resources due to poverty can also lead to violence.

Attitudinal/Motivational Vulnerability Existence of fatalistic myths and religious beliefs influence people’s vulnerability to disaster risks. If people believe that disasters are ‘acts of God’ and if they have low confidence in their ability to affect change or have ‘lost heart’ and feel defeated by events they cannot control, these people are often harder hit by disasters. Vulnerability Matrix Physical/material Social/organizational Attitudinal/motivational District Larkana is vulnerable to According to 1998 census, total riverine and flash floods. River population of the district Larkana Indus runs down on the eastern was 1,002,772 while the estimated side of the district, making this part population for year 2014 is There is lack of training, appropriate vulnerable to riverine floods. While 1,679,571.The district has an skills and awareness on disaster risk district’s western part is vulnerable estimated growth rate of 3.26% per management, both at the to flash floods because of the annum, which means that the community and the public servants’ presence of Khirthar mountain population will double itself in 21.47 level. Skills to handle emergencies ranges. In 2010 flood, 115 to 204 years50 from 1998. Such rapid are very weak and need to be villages/settlements49 of 7 union growth in population gives birth to strengthened. councils in all the 4 talukas were many socio-economic problems and affected. A population of 92,000 makes the area vulnerable to persons was affected. Torrential different natural and made-made

48 Participant’s Course Workbook, Asian Disaster Preparedness Center (ADPC) 49 UNOCHA, Pakistan Floods 2010, Larkana District Profile, (Jan 2011) 50 Rule of 70 http://controlgrowth.org/double.htm retrieved on 05-03-2012

DISTRICT LARKANA 35

Physical/material Social/organizational Attitudinal/motivational rains in 2011 and 2012 hit Larkana, hazards again. Disasters are rooted in Like majority of the other districts in development failures e.g. unsafe Sindh, district Larkana is rural by its buildings that could not withstand characteristics. 71 per cent of the cyclones, tsunami, earthquakes and population resides in rural area as Perception of disaster risk is different results in disasters. In Larkana compared to the 29 per cent that for the people of district Larkana. district, 51.2551 per cent people use resides in the urban areas. Most They consider poverty, a big threat to wood/bamboo material for roof people in rural areas lack job their lives not disasters. construction. This percentage is opportunities, health and higher in rural areas (73.10 per educational facilities which escalate cent) as compared to (18.80 per the risk against different hazards. cent)52 urban areas. [Floods, rains etc.] Dependent population (the population that is less than 15 years Lack of knowledge, on the part of and more than 65 years of age The people of the district do not the general public and local officials including widows and divorced have a stockpile of physical about severity of hazards - that may women) in the case of Larkana resources at union council/ district affect them, associated risks, district is 49.37 per cent of the total level which could be used in damage, and precautions to be population and the working emergency situation. They do not taken, is perhaps one of the most population is 50.63 per cent, which have boats, ropes, torches, significant hindrance in present day shows that dependency ratio53 in stretchers, and first aid tools etc. efforts to mitigate the potentially the district is 98 per cent, which is disastrous effects of most hazards. very high and as such makes the population highly vulnerable. The status of education is quite poor in district Larkana. The overall The Floods, in 2010 and heavy rains Land use planning and wise illiteracy rate (for the population of in 2011 and 2012 resulted in management of land are rarely 10 years and above) is 46%; for male damage to the public health followed by the people of the it is 29 and for female it is 63 %. For infrastructure in district Larkana. In district. People prefer to live near the urban rural comparison, rural floods, 2010 Taluka Hospital Rato river side for agriculture purposes, illiteracy rate is higher than the dero and Taluka Hospital Dokri which is mostly in low lying areas urban. Illiterate people cannot be were partially damaged54. that receive the heaviest damage. easily mobilized and made aware of the different disasters’ risks. In whole district, piped water is available to only 1 per cent of the There is lack of Community Based housing units while 73 per cent55 of Disaster Risk Reduction (CBDRM) Advocacy seminars and awareness the households have hand pumps projects in the vulnerable areas of raising campaigns regarding disaster inside the housing units. By drinking the district. Focus of the different risk reduction are very limited. unsafe and contaminated water organizations working in the area is people gets vulnerable to hepatitis only towards relief side. and other water born disease. According to an initial assessment, Non-structural mitigation measures

51 Pakistan Social and Living Standards Measurement Survey (PSLM), 2012-13 6 Pakistan Social and Living Standards Measurement Survey (PSLM), 2010-11, pp. 380 53 Dependency Ratio= (Population < 15 Years + Population > 65 Years)/ Population 15-65 Years 54 WHO- Secondary Level Health facilities Assessment in Sindh, (Feb,2011) http://www.who.int/hac/crises/pak/pakistan_secondary_level_health_facilities_sindh.pdf, retrieved on 3-20-2013 55 Pakistan Social and Living Standards Measurement Survey (PSLM), 2012-13

HAZARD VULNERABILITY AND CAPACITY ANALYSIS 36

Physical/material Social/organizational Attitudinal/motivational by the district education which include trainings, workshops, department 2010-11, about 541 seminars, land use planning and schools are fully affected; among building codes etc are not properly which more than 90 per cent implemented by the concerned schools are damaged56 due to departments in the district which

Internally Displaced Persons (IDPs) makes the people vulnerable to (2010 flood). different hazards eg floods, earthquakes etc. Poverty, disasters and vulnerability and are interlinked as it has been Livelihoods of the people are not observed that, during disasters, sustainable that is it can’t cope with majority of the affected population and recover from stress and shocks are the poor of the community. The and when disaster strikes; these incidence of poverty has increased livelihoods collapse. As a result poor as floods/rains have reduced income people get poorer and fall under level of the households by damaging the poverty line. their assets and sources of income and thus have aggravated the household poverty. In many households there is just one earning person with many dependents. There are no Disaster Management Committees (DMCs) and Emergency Response Committees (ERTs) in the Weak and damaged parts of the vulnerable communities of the canals and protection Bund on the district. DMCs and ERTs have river Indus can, unexpectedly, representations from vulnerable create a disaster like situation in the communities’ which includes ex- district. In monsoon season they counsellor, religious leaders, union can overflow, break and have council sectary, youth, farmer’s breaches. representation etc. DMC and ERT

members are trained (on DRR and first aid etc.) and are first responder to any emergency situation.

3.1.3 Capacity Capacities are resources, means and strengths, which exist in households and communities and which enable them to cope with, withstand, prepare for, prevent, mitigate or quickly recover from a disaster. The combination of all the strengths attributes and resources available within a community, society or organization that can be used to achieve agreed goals constitute its capacity to cope with hazards57.

56 Flood report on educational sector of Sindh province, 2010-11, Reform Support Unit, Department of Education & Literacy, Government Of Sindh, pp. 45 57 Participant’s Course Workbook, Asian Disaster Preparedness Center (ADPC)

DISTRICT LARKANA 37

Physical/Material Capacity In most disasters, people suffer their greatest losses in the physical and material realm. Access to physical/material things or objects count as physical capacity. A few examples of physical and material resources are cash, food, land, properties and tools.

Social /Organizational Capacity When everything physical is destroyed, people still has their skills, experiences and knowledge; they have family and social networks. They have leaders and systems for making decisions. They also have local, collective ‘wisdom’ reflected in their cultural practices that help them reduce or cope with disaster risks.

Attitudinal/Motivational Capacity People also have positive attitudes and strong motivations such as the will to survive and willingness to help each other. Capacity Matrix Physical/material Social/organizational Attitudinal/motivational District Larkana is vulnerable to According to 1998 census, total riverine and flash floods. River population of the district Larkana Indus runs down on the eastern was 1,002,772 while the estimated side of the district, making this part population for year 2014 is vulnerable to riverine floods. While There is lack of training, appropriate 1,679,571.The district has an district’s western part is vulnerable skills and awareness on disaster risk estimated growth rate of 3.26% per to flash floods because of the management, both at the annum, which means that the presence of Khirthar mountain community and the public servants’ population will double itself in 21.47 ranges. In 2010 flood, 115 to 204 level. Skills to handle emergencies years59 from 1998. Such rapid villages/settlements58 of 7 union are very weak and need to be growth in population gives birth to councils in all the 4 talukas were strengthened. many socio-economic problems and affected. A population of 92,000 makes the area vulnerable to persons was affected. Torrential different natural and made-made rains in 2011 and 2012 hit Larkana, hazards again. Disasters are rooted in Like majority of the other districts in development failures e.g. unsafe Sindh, district Larkana is rural by its buildings that could not withstand characteristics. 71 per cent of the cyclones, tsunami, earthquakes and population resides in rural area as Perception of disaster risk is different results in disasters. In Larkana compared to the 29 per cent that for the people of district Larkana. district, 51.2560 per cent people use resides in the urban areas. Most They consider poverty, a big threat to wood/bamboo material for roof people in rural areas lack job their lives not disasters. construction. This percentage is opportunities, health and higher in rural areas (73.10 per educational facilities which escalate cent) as compared to (18.80 per the risk against different hazards. cent)61 urban areas. [Floods, rains etc.]

58 UNOCHA, Pakistan Floods 2010, Larkana District Profile, (Jan 2011) 59 Rule of 70 http://controlgrowth.org/double.htm retrieved on 05-03-2012 60 Pakistan Social and Living Standards Measurement Survey (PSLM), 2012-13 6 Pakistan Social and Living Standards Measurement Survey (PSLM), 2010-11, pp. 380

HAZARD VULNERABILITY AND CAPACITY ANALYSIS 38

Dependent population (the population that is less than 15 years Lack of knowledge, on the part of and more than 65 years of age The people of the district do not the general public and local officials including widows and divorced have a stockpile of physical about severity of hazards - that may women) in the case of Larkana resources at union council/ district affect them, associated risks, district is 49.37 per cent of the total level which could be used in damage, and precautions to be population and the working emergency situation. They do not taken, is perhaps one of the most population is 50.63 per cent, which have boats, ropes, torches, significant hindrance in present day shows that dependency ratio62 in stretchers, and first aid tools etc. efforts to mitigate the potentially the district is 98 per cent, which is disastrous effects of most hazards. very high and as such makes the population highly vulnerable. The status of education is quite poor in district Larkana. The overall The Floods, in 2010 and heavy rains Land use planning and wise illiteracy rate (for the population of in 2011 and 2012 resulted in management of land are rarely 10 years and above) is 46%; for male damage to the public health followed by the people of the it is 29 and for female it is 63 %. For infrastructure in district Larkana. In district. People prefer to live near the urban rural comparison, rural floods, 2010 Taluka Hospital Rato river side for agriculture purposes, illiteracy rate is higher than the dero and Taluka Hospital Dokri which is mostly in low lying areas urban. Illiterate people cannot be were partially damaged63. that receive the heaviest damage. easily mobilized and made aware of the different disasters’ risks. In whole district, piped water is available to only 1 per cent of the There is lack of Community Based housing units while 73 per cent64 of Disaster Risk Reduction (CBDRM) Advocacy seminars and awareness the households have hand pumps projects in the vulnerable areas of raising campaigns regarding disaster inside the housing units. By drinking the district. Focus of the different risk reduction are very limited. unsafe and contaminated water organizations working in the area is people gets vulnerable to hepatitis only towards relief side. and other water born disease. Non-structural mitigation measures According to an initial assessment, which include trainings, workshops, by the district education seminars, land use planning and department 2010-11, about 541 building codes etc are not properly schools are fully affected; among implemented by the concerned which more than 90 per cent departments in the district which schools are damaged65 due to makes the people vulnerable to Internally Displaced Persons (IDPs) different hazards eg floods, (2010 flood). earthquakes etc. Livelihoods of the people are not Poverty, disasters and vulnerability sustainable that is it can’t cope with and are interlinked as it has been and recover from stress and shocks observed that, during disasters, and when disaster strikes; these majority of the affected population livelihoods collapse. As a result poor are the poor of the community. The people get poorer and fall under incidence of poverty has increased

62 Dependency Ratio= (Population < 15 Years + Population > 65 Years)/ Population 15-65 Years 63 WHO- Secondary Level Health facilities Assessment in Sindh, (Feb,2011) http://www.who.int/hac/crises/pak/pakistan_secondary_level_health_facilities_sindh.pdf, retrieved on 3-20-2013 64 Pakistan Social and Living Standards Measurement Survey (PSLM), 2012-13 65 Flood report on educational sector of Sindh province, 2010-11, Reform Support Unit, Department of Education & Literacy, Government Of Sindh, pp. 45

DISTRICT LARKANA 39

the poverty line. as floods/rains have reduced income level of the households by damaging their assets and sources of income and thus have aggravated the household poverty. In many households there is just one earning person with many dependents. There are no Disaster Management Committees (DMCs) and Emergency Response Committees (ERTs) in the Weak and damaged parts of the vulnerable communities of the canals and protection Bund on the district. DMCs and ERTs have river Indus can, unexpectedly, representations from vulnerable create a disaster like situation in the communities’ which includes ex- district. In monsoon season they counsellor, religious leaders, union can overflow, break and have council sectary, youth, farmer’s breaches. representation etc. DMC and ERT

members are trained (on DRR and first aid etc.) and are first responder to any emergency situation.

SECTORAL DRR MITIGATION MEASURES 40

4 Sectoral DRR Mitigation Measures

4.1.1 Education  The NGOs should work on awareness building programs for encouraging enrolment in schools, by incorporating teachers, students and youth in their community based programs. Increased enrolment would lead to enhanced literacy and literate people can easily be mobilized and made aware of the different disaster risks.  NGOs working in the education sector should organize community-based programs that provide girls with opportunities to develop their skills (i.e., livelihood skills), providing information to parents about their children’s learning or about the benefits of education.  Affected or damaged schools should be repaired and reconstructed on priority basis with DRR principles in view.  Government should introduce disaster risk reduction courses for teachers’ training and should add DRR in the curriculum to support large-scale awareness.  Local Philanthropists should be encouraged to take initiative to raise an emergency fund for immediate repair of infrastructure, support to affected poor students and parents after any disaster.  Government should introduce a ‘School Safety policy’ taking all locally relevant hazards into account and adopting DRR measure for the existing schools and construction of new schools.  From pre-school to secondary school, Integrate DRR trainings into the formal and non- formal education curricula.  NGOs and other organizations working in the education sector should organize workshops to provide teachers with training on disaster preparedness and early warning signs.  Education department should produce support materials linked with disaster risk reduction for teaching and learning.  The Government and NGOs should invest in DRR sector and should corporate DRR measures in improving school buildings as these can be used as shelter and evacuation centres in case of emergency.  Incorporate disaster risk reduction measures i.e, ensure their suitable location and construction while establishing new schools in order to avoid future hazard threats.  Humanitarian organizations should take on board the District Education Department and should provide trainings and necessary skills to the education officials to enable them to prepare School Based Disaster Risk Management Plans (SBDRM-Plan) for each school in the district.

DISTRICT LARKANA 41

4.1.2 Infrastructure  Awareness programs should be organized by District Disaster Management Authority about the need of land use planning and building codes so that it can be followed by all the stakeholders, to avoid future threats.  The Communication and Works department should utilize the available funds on the maintenance of roads and find alternative routes that can be used in case of emergency.  Active people from the community can be used for disseminating early warning for the local endangered communities because people have lot of trust in informal and locally influential sources of information; e.g. a religious leaders, a teachers, an NGO worker or a local government official. But firstly these active people should also be trained on EWS.  Organizations that are involved in construction of homes, health, education and other facilities should work with the government to establish and strictly enforce strict construction codes so that of future threats can be mitigated.  DRR Planners, District and Provincial authorities should identify safe land and location for low income citizens who are living near the flood prone areas.  Awareness regarding investment in the DRR sector should be initiated in order to avoid future threats.

 Brick lining projects should be initiated by the government for strengthening the canals.

 Radio can be a very important part of early warning system but care should be taken while transmitting early warnings. It should be in clear words and confirmed through reliable sources to avoid false reports and unnecessary panic.

 Media in district Larkana should expand its role as a watchdog in monitoring and handling of donations in the post disaster phase so that the funds are given to the affected people of the district rather than self interest groups.

4.1.3 Health  NGOs should encourage the community participation in the awareness sessions, programs and trainings, related to water treatment practices and hygiene practices which will capacitate the vulnerable communities of the area against the communicable diseases.  Health department should take care of establishment of health facilities focused on certain population. All the health related issues should be dealt by them. But the responsibilities have to be identified.  Health facilities should be located on higher grounds along or near good roads and adequate means of transportation readily accessible to the community.  A logistic system should be put in place for determining the requirement of medicine, maintaining an inventory, storing and stocking, issuing and controlling the use of

SECTORAL DRR MITIGATION MEASURES 42

medicine, stockpile of emergency medicine and supplies, special arrangement with vendors and suppliers for emergency purchases in time of disaster.  Advocacy seminars should be organized at district level for the training of medical staff to implement National Health Programs.  DDMA should assign the responsibilities of health department to ensure the availability of medical and paramedical personal in hospital, BHU’s, MCHC, and RHC’s. Moreover, mobile health teams should be mobilized so that the health facilitators can visit the local areas to provide basic health care especially for the vulnerable group such as people with disabilities, elderly persons, children, females and those who hesitate to go to the hospitals because of cultural constraint and long distance. 4.1.4 Livelihood  Fodder stocks should be maintained by the livestock department of the district to cope with emergencies.  Livestock owners should be encouraged to insure their cattle heads.  Capacity can be built through awareness programs on livelihood diversification.  Flood control and salinity control projects can be conceived to make more land available for cultivation  NGO’s should organize advocacy seminars, trainings and awareness sessions for improved agricultural practices by incorporating CBOs’ chairmen and presidents as they have great influence over the community members.  Irrigation department should carry out hydraulic studies so that flooding can be avoided and find out catchment areas and water courses for surface run off.

4.1.5 Food  Number of Food distribution point should be established in the emergency hit area and should be easily accessible to most of the needy population.  For extremely vulnerable groups such as elderly persons, people with disabilities, female and children, separate desk and queues at food distribution point should be established so that they do not suffer difficulties in attaining food  Civil administration should look after the availability of food. 4.1.6 Wash  Innovative approaches are required to ensure the availability of low-cost, simple, and locally acceptable water and sanitation interventions. Integrating these approaches into existing social institutions such as schools, markets, and health facilities is required.  Municipal workers should monitor the quality of water and should distribute chlorine tablets for water purification in order to avoid diseases like cholera and hepatitis etc.  DRR measures should be incorporated in the construction of sewerage system in order to minimize the possibility of over flowing of sewage water in rainy days and to mitigate the hygiene issues.

DISTRICT LARKANA 43

 NGOs in district Larkana should install raised hand pumps to maintain adequate access to water supplies in the event of a flood.

 Waste Water treatment projects should be initiated in district Larkana to avoid deterioration of aquatic environment.

4.1.7 Government and Humanitarian Sector  District Disaster Management Authority should coordinate with the NGOs working in different sectors to address the problems of people. The NGOs working on different projects can be invited and can be asked for initiation of DRR projects in the vulnerable areas of the district.  Coordination among key stakeholders should be strengthened for the implementation of disaster risk reduction measures and effective emergency response through assignment of responsibility to each stakeholder. Stakeholders must have joint meetings to address the issues faced by them.  District Disaster Management Authority should appeals for assistance through media at the national and international level.  NGOs should follow the bottom up approach for the initiation of any CBDRM project. The bottom-up approach implies that whole process should start at the community level. Community members should invite to participate in every step of the planning process. It will give a sense of ownership to the community who in turn constructively contribute to achieve project objectives.  District Disaster Management Authority and NGOs should employ the requisite staff who have a combination of practical experience and up to date theoretical knowledge related to Disaster Management and Sustainable development (Disaster Managers, Rescue and Relief providers etc.), should stockpile equipment (Boats, Jackets, medicine, food etc.) to build institutional capacity at the district level.

COORDINATION AND SUPPORT SERVICES 44

5 Coordination and Support Services 5.1 Important Contacts

5.1.1 Departmental Focal Points Telephone Numbers S# Department Office In charge Designation Office Mobile Mr.Qahwar Ali Laghari DC 074-9410337

1 Administration Ghulam Qadir Janijo ADC-1 074-9410361 - Saif Ullah Abro ADC-2 074-9410241 - 2 Police Javaid Soonharo Jiskani SSP 074-9410412 - 3 Agriculture Mr.Abid Ali Qureshi Director Agriculture 074-9410770 - 4 Health Dr. Adbul Fatah Bughi District Health Officer 074-9410711 - 5 Social Welfare 074-9410369 6 Livestock Dr.Abdur Raheem District officer 0345-3833227 7 Work And services Mr. Khalid Ahmad Sheikh XEN 074-9410501 0300-3401644 8 Information Mr.Darshan Lal District Officer 074-9410393 Mr. Shafi Muhammad 9 Accounts District Account officer 074-9410398 Janijo Mr.Syed Rasool Baksh Director School 10 Education 074-9410519 - Shah Education Source: DCO Office Larkana 5.1.2 Emergency Response S.No Name or Organizations Office Contact 1 Edhi Ambulance 074 - 404 5906 /404 1921 2 Natural Gas Complaint 1199 3 Electricity Complaint 074-9410080 4 Police Emergency 15/074-9410418 5 Telephone (Complaint) 1218 6 Telephone Enquiry 1217 7 PIA Flight enquiry 114 8 GPO 074-4047072 9 TCS Courier 074-4057445 10 Fire Brigade 074-9410366

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5.1.3 List of NGOs Working in District Larkana Name Contact Indus Community Development Organization (ICDO) 0242-526067/0300-3010135 Oxfam GB 051-2653341-42 Young Welfare Society 0243-524223/0243-790358 Healthy Environment Creative Society 0242-526043 Sarang Welfare Association 0334-3166123 Rural Development Foundation (RDF) 022-3038043/03332991305 Sindh Graduates Association (SGA) 021-32765867/021-32724359 World Health Organization (WHO) 051-9255184 Cavish Development Foundation (CDF) 051-2212434/051-2112205 US Agency for International Development, Pakistan (USAID) 051-20800000 Aga Khan Foundation Pakistan (AKFP) 051-111-253-254/051-2270512 National Commission for Human Development (NCHD) 051-9216200 Sewa Development Trust Sindh (SDTS) 0243-554082/0300-3123739 The United Nations Children's Fund (UNICEF) 051-2097700/ 051-2097763 /051 2097803 Integrated Rural Awareness & Development Organization (IRADO) 022-383-0301 AL-Noor Development Social Welfare Association (ANDSWA) 0726-617118 Source: www.himpakistan.pk 5.2 Health Facilities List of health facilities in district Larkana

Taluka Union Council Health Facility Name HF Type Bakrani Geretto RHC Geretto Rural Health Centre Bakrani Areeja BHU Areeja Basic Health Unit Bakrani Wada Mahar BHU Wada Mahar Basic Health Unit Bakrani Purano Abad BHU Purano Abad Basic Health Unit Bakrani Pathan BHU Pathan Basic Health Unit Bakrani Naich BHU Naich Basic Health Unit Bakrani Mehrabpur BHU Mehrabpur Basic Health Unit Bakrani Mad Baho BHU Mad Baho Basic Health Unit Bakrani Rashid Wagan CD/GD Rashid Wagan Dispensary Bakrani Purn Abad CD/GD Purn Abad Dispensary Bakrani Naich CD/GD Naich Dispensary Bakrani Naich CD/GD Naich Dispensary Dokri UC-I, UC-II RHC UC-I, UC-II Rural Health Centre Dokri UC-I Badha BHU UC-I Badha Basic Health Unit Dokri Bagi BHU Bagi Basic Health Unit Dokri YaroLakhair BHU YaroLakhair Basic Health Unit Dokri Seehar BHU Seehar Basic Health Unit Dokri Karani BHU Karani Basic Health Unit Dokri Tatri CD/GD Tatri Dispensary Dokri Tatri CD/GD Tatri Dispensary Dokri Dokri CD/GD Dokri Dispensary

COORDINATION AND SUPPORT SERVICES 46

Taluka Union Council Health Facility Name HF Type Larkana Bero Chandio Bero Chandio Basic Health Unit Larkana Akil BHU Akil Basic Health Unit Larkana UC-II UC-II Basic Health Unit Larkana Uc-I Uc-I Basic Health Unit Larkana UC-5 Larkana City UC-5 Larkana City Basic Health Unit Larkana UC-02 City Larkana UC-02 City Larkana Basic Health Unit Larkana UC-02 City Larkana UC-02 City Larkana Basic Health Unit Larkana Larkana UC-I Larkana UC-I Basic Health Unit Larkana Larkana UC-I Larkana UC-I Basic Health Unit Larkana Larkana Larkana Basic Health Unit Larkana City-02 City-02 Basic Health Unit Larkana City-01 City-01 Basic Health Unit Larkana Phull BHU Phull Basic Health Unit Larkana Beero Chandio BHU Beero Chandio Basic Health Unit Larkana Kothi BHU Kothi Basic Health Unit Larkana Fateh pur BHU Fateh pur Basic Health Unit Larkana UC-I CD/GD UC-I Dispensary Larkana UC-04 CD/GD UC-04 Dispensary Larkana Phull CD/GD Phull Dispensary Larkana Fateh pur CD/GD Fateh pur Dispensary Larkana Fateh pur CD/GD Fateh pur Dispensary Larkana Beero Chandio CD/GD Beero Chandio Dispensary Larkana Bagi CD/GD Bagi Dispensary Larkana Akil CD/GD Akil Dispensary Larkana Akil CD/GD Akil Dispensary Larkana UC-09 MCHC/CHC UC-09 Mchc/Chc Larkana Arija MCHC/CHC Arija Mchc/Chc Rato Dero Pir Bux Bhutto RHC Pir Bux Bhutto Rural Health Centre Rato Dero Naudero RHC Naudero Rural Health Centre Rato Dero Bangul Dero RHC Bangul Dero Rural Health Centre Rato Dero Saidudero BHU Saidudero Basic Health Unit Rato Dero Rato Dero Rato Dero Basic Health Unit Rato Dero Pir Bux Bhutto Pir Bux Bhutto Basic Health Unit Rato Dero Bahman BHU Bahman Basic Health Unit Rato Dero Warsi Dino Machi BHU Warsi Dino Machi Basic Health Unit Rato Dero Waris Dino Machi BHU Waris Dino Machi Basic Health Unit Rato Dero Rato Dero-2 BHU Rato Dero-2 Basic Health Unit Rato Dero Pir Bux Bhutto BHU Pir Bux Bhutto Basic Health Unit Rato Dero Pir Bux Bhutto BHU Pir Bux Bhutto Basic Health Unit Rato Dero Bengul Dero BHU Bengul Dero Basic Health Unit Rato Dero Jumo Agham BHU Jumo Agham Basic Health Unit Rato Dero Warsi Dino Mashi CD/GD Warsi Dino Mashi Dispensary Rato Dero Warsi Dino Mashi CD/GD Warsi Dino Mashi Dispensary

DISTRICT LARKANA 47

Taluka Union Council Health Facility Name HF Type Rato Dero Saio dero CD/GD Saio dero Dispensary Rato Dero Pir Bux Bhutto CD/GD Pir Bux Bhutto Dispensary Rato Dero Pir Bux Bhutto CD/GD Pir Bux Bhutto Dispensary Rato Dero Bangul Dero CD/GD Bangul Dero Dispensary Rato Dero Bahman CD/GD Bahman Dispensary Rato Dero Bahman CD/GD Bahman Dispensary Rato Dero Bahman CD/GD Bahman Dispensary Rato Dero Bahman CD/GD Bahman Dispensary Rato Dero Naudero MCHC/CHC Naudero Mchc/Chc