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Pakistan Humanitarian 1 1 Pakistan Humanitarian Situation Report No. 27 Learners participating participating Learners PAKISTAN Situation in Numbers in story writing competition practicing practicing competition writing in story KP Waziristan, in South distancing social © UNICEF/ Reporting Period: 1 – 31st July 2021 (monthly) 5.59 m children in need of Key Highlights humanitarian assistance • Pakistan is facing the fourth wave of COVID-19 cases starting from July, there have been 1,029,811 confirmed COVID-19 cases and 23,360 deaths 110.5 m reported with a positivity rate of 7.7 per cent in the country on 31st July. people in need (https://covid.gov.pk/stats/). • Over 50.7 million people have been reached with messages on COVID-19 prevention and on access to services. 1,029,811 confirmed • Through UNICEF supported health sites, 103,512 children were admitted corona virus cases in for Severe Acute Malnutrition treatment. Pakistan • Over 2.64 million people benefited from continuity of primary healthcare services at UNICEF supported health facilities 1.7 million • UNICEF has reached 317,457 parents, caregivers, children and individuals Children and women with psychosocial support through trained social workforce. require nutrition services • Through UNICEF support 1,500,000 people have been reached with handwashing behaviour change programme. • 5% of Pakistan’s target population is fully vaccinated whereas; 18% is UNICEF Appeal for partially vaccinated. Preparedness and Response US$ 61.4 million UNICEF’s Response and Funding Status People reached (through 68% national Media channels) with… © UNICEF/PAKISTANFunding Status (in US$) Funding status 12% C4D, CE C4D, AAP and People at high risk supported Other 64% Humanitarian with hygiene promotion… funds, $1m Resources, WASH Funding status 18% $4m Carry- People, including children 71% forward, receiving PSS $7m Child Funding status 17% Protection Children accessing safe formal and non-formal education,… 15% Funding status 16% Education Children and women accessing primary health care in… 75% Funding Health Funding status 43% gap, $49m Children provided with MMN 13% Funding status Nutrition 19% 0% 20% 40% 60% 80%100% 1 Leveraging resources and working with government and partners helped WASH, CP and C4D in getting better results 1 Funding Overview and Partnerships In 2021, with the revised appeal UNICEF Pakistan needs US$ 61.4 million to support the in-country humanitarian response. US$ 12.21 million (20 per cent) have been received to provide humanitarian support in the country. Additional funds have been received from USAID to support the rollout and response of COVID-19 vaccine. A critical funding gap of US$ 49.19 million (80 per cent) persists and impede the provision of essential emergency services throughout the country especially for preparedness, nutrition and C4D response. In addition to the humanitarian resources received during the year, US$ 3.76 of existing resources have been re- purposed to support the on-going response. This includes funds received from the United Kingdom, Canada, UNICEF’s set-aside funds, Global Thematic Funds and regular resources. UNICEF expresses its sincere gratitude to the Governments of United Kingdom, United States, and the Austrian Committee for UNICEF, Asian Development Bank, Central Emergency Response Fund (CERF), World Bank, ECHO, Global Partnership for Education, Gavi -The Vaccine Alliance, Solidarity Fund, Standard Chartered, along with all its public and private donors for their contributions. Situation Overview and Humanitarian Needs By the end of June, the National Command and Operation Centre (NCOC) took a detailed review of the disease situation in the country and corresponding non-pharmaceutical interventions (NPIs) being carried out. Forum agreed on implementation of some key NPIs/decisions. These decisions were implemented from 1st July to 31st July 2021 to be review on 27th July 2021 at NCOC. It was decided that normal working hours for public/private offices with 100 per cent attendance will be continued. Market/business activities will continue till 10:00 pm. However, essential services were allowed 24/7. Observance of summer vacation in the education sector was to be at the discretion of respective federating units. Ban on closure of shrines remained in place and cinemas remained shut. Public transport could operate with 70 per cent occupancy with strict COVID-19 Standard Operating Procedures (SOPs). Rail services were allowed to operate with 70 per cent occupancy with strict COVID-19 SOPs. The government is urging compliance on wearing masks and broader lockdowns continue to be implemented with stringent enforcement protocols based on risk assessments. Since the beginning of July, a clear rise in COVID-19 cases (as can be seen in the graph below) was witnessed indicating the beginning of fourth spike of cases. The latest surge is a concern and is mainly due to the more contagious and deadly Delta variant, along with lax in social attitudes and increased activity around Eid-ul-Azha. Towards the end of July, the government was once again planning stricter restrictions including scaling back market closure timings from 10pm to 8pm, closure of indoor dining/outdoor dining (till 10pm), resumption of 50 per cent work-from-home policy, public transport to operate with 50 per cent occupancy and two days in a week to be observed as safe days when all commercial activities will remain closed with provinces free to choose which days these will be. The Humanitarian Response Plan (HRP) 2021 was launched jointly by the Ministry of Foreign Affairs, Government of Pakistan and UN on 9th June 2021. The HRP aims to provide integrated lifesaving services to some 4.3 million most vulnerable people affected by shocks ensuring living conditions, resilience, and protection whereas the overall needs are for 11 million people across the country. EPIDEMIOLOGICAL OVERVIEW As of 31st July, there have been 1,029,811 confirmed cases, 66,287 active cases, 940,164 recoveries and 23,360 deaths reported. The highest number of these cases are in Sindh, followed by Punjab and Khyber Pakhtunkhwa (detailed figures are given in map below). The bar graph below shows the daily COVID-19 cases from 1st to 31st July 2021. 2 Confirmed cases across the country Based on data from NCOC2, as of the end of July, Pakistan conducted 15,995,153 laboratory tests. COVID-19 Vaccine Updates: The COVID-19 vaccination rollout started on the 3rd February 2021 in Pakistan. The vaccination is being carried out in a phased manner with priority first given to frontline health/workers, senior citizens to people in lower age brackets. Starting from 27th May, the vaccination registration has now been opened for above 18 years old; hence, the entire population over 18 years can now get registered and vaccinated, provided that the supply chain is maintained. Pakistan has received 44.9 million vaccines doses so far and by 28th July following was the vaccine utilization and balance Vaccine Doses Arrived Doses Utilized Balance AstraZeneca 2,474,400 1,148,595 1,325,805 Cansino 2,029,200 1,172,675 856,525 Moderna 5,500,000 238,947 5,261,053 PakVac 1,337,410 760,416 576,994 Pfizer 127,070 31,145 95,925 Sinopharm 12,720,000 7,723,757 4,996,243 Sinovac 20,550,000 13,513,431 7,036,569 Sputnick 200,000 200,000 0 Grand Total 44,938,080 24,788,966 20,349,114 NCOC vaccine related statistics on 30th July are shown below3. The gender gap of COVID-19 vaccination is shown in the below graph for both first and second dose of vaccine as of 30th July 2021. 2 https://ncoc.gov.pk/#section2 3 https://ncoc.gov.pk/ 3 20,000,000 15,000,000 64%, 11,164,887 10,000,000 Male Female 5,000,000 64%, 4,555,309 36%, 6,328,540 - 36%, 2,540,230 Dose I Dose II Government Supply agreement: With Government supply agreements Pakistan has received in total 33.63 million doses of vaccines. Out of which 20.5 million are SinoVac, 10 Million are Sinopharm, 1.7 million are Cansino Bio, 1.37 million are PakVac, and 26.9 thousand are Pfizer vaccine. Donations: Pakistan has also received donation of 2.7 Million doses of Sinopharm vaccine. Private Entities: Private entities have purchased 510 thousand doses of vaccines; out of which 200 thousand are Sputnick and 310 thousand are Cansino Bio. COVAX, Humanitarian Action for Children Access to COVID-19 Tool Accelerator Updates: From COVAX Pakistan has received 8.38 Million doses of vaccines: AstraZeneca 2.47 million doses, Pfizer 100,160 doses, and 5.5 million doses of Moderna Vaccine. Through COVAX in the month of July Pakistan has received 6.37 million doses of Vaccines which include AstraZeneca Second shipment and Moderna two shipments. Cold Chain Updates: • All 23 ultra-cold chain equipment (CCE) have been installed: 5 in Federal EPI, 16 in districts and 2 in NIH for lab products. • UNICEF will provide 18 additional Ultra Cold Chains (UCCs)Pakistan to support Pfizer vaccine distribution. The placements of these UCCs are being confirmed by the government, so that installation of generators and air conditioners and their specifications can be confirmed. Vaccine Communication: UNICEF Pakistan was actively involved in vaccine communication since the beginning of the vaccination drive. The government is now soliciting support in mass vaccination drives and branding of the adult vaccination centres. The government has gradually started a mass media campaign on COVID-19 vaccinations and SOPs from 17th July and the Paid Search Marketing (PSMs) can be seen on Television. Oxygen needs in the country: Considering the increasing case load of COVID-19 positive cases (mainly delta variant) on daily basis, Pakistan is in the initial phase of fourth wave and is faced with risk of more cases with enhanced requirements for case management and oxygen therapy.
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