District Social Sector Plan

District Level SOCIAL SECTOR PLAN

UTTARKASHI

of 43 AUG 2013 – JUL 2014

UTTARKASHI : A MOUNTAIN OF SERIAL DISASTERS

Uttarkashi district is located in the extreme northwest of the Uttarakhand state and is spread over an area of 8016 square km. The population density of the district is 40 per square km, which is the minimum among the districts of Uttrakhand. Its northern boundary touches Tibet and Himachal Pradesh. The district is located between Bhagirathi and Asi Ganga Rivers. For administrative purposes the district is divided into 6 blocks, 427 gram panchayats, 673 villages, 2 Nager Panchayats and one Municipal area.

In the recent years, Uttarkashi has been facing the brunt of multiple natural disasters that has destroyed peace and development efforts. It is constantly trying to overcome the damages and losses.

On 20th October 1991, a 6.1 magnitude earthquake severely damaged Uttarkashi. The fear of earthquakes is still very much alive in the minds of people. On 23rd September 2012, Uttarkashi city again experienced an unexpected trauma of the Varunavat hill erosion that has led to continuous landslides and destructions in Uttarkashi city area. The treatment process of Varunavat hill erosion is still ongoing to prevent more damages. This was a rare case of soil erosion and landslides. In this period, a large number of structures were damaged. Structures, which are situated on foot of the hill, were completely destroyed. Since that period, part of the city has been evacuated by the district administration.

Since last ten year years, from the time of first Varunavat hill erosion tragedy till the last year’s September 2012 mishap, Gangori and Bhatwari and several other parts of Uttarkashi have suffered repeated “extreme damages” due to cloudburst and flash flood in Bhagirathi River. The flash flood in Bhagirathi River took a number of lives, and damaged bridges and structures, disrupted road connectivity, etc. This badly affected connectivity between nearby areas; Gangotri area was totally cutoff from Uttarkashi, and conditions are still not good.

The flash flood on 16-17 June 20131, in Bhagirathi and in Ashi Ganga, occurred due to cloudburst accompanied by landslides. This severely affected more than 300 villages, of 6 blocks, of district Uttarkashi, widely damaged state roads, connecting roads and bridges, footpaths, private & public properties. Bhatwari and Gangori areas of Ganga valley and Barkot-Hanumanchatti area of Yamuna valley were cutoff for several days from rest of the Uttarkashi. Access to district headquarters and

1 Ref. Cover Photo: picture courtesy, DMMC, GoUK Page 2 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Maneri-Gangotri areas is still difficult. About 1352 villages are still disconnected. Helicopters, porters and mules are supplying the daily needs of the affected families. Due to continuous rain, repairing and opening of roads for commuters is almost impossible to handle.

Among all the six blocks, Bhatwari and Naugaon are most affected areas. Bhagirathi River has changed its flow washing away hundreds of houses, hotels, agricultural land, road, and bridges. Maximum villages (63) that are cut off from motorable roads are in Bhatwari block and then Chinyalisaur (43 villages). This non-connectivity affects people’s livelihood status and creates difficulties to access necessary services in time.

Apart from roads and bridges, drinking water supply tanks and pipe lines also have ruptured. The district reported damages in 837 residential houses, of which 310 are completely and 527 3are partially damaged. Education department lost 73 primary schools completely and 66 primary schools partially. About 29 secondary schools are partially and 7 are completely damaged. 14 Aganwadi centers are completely damaged, of which one aganwadi center’s utensils were washed away in flood (NP run Balmiki Basti Aganwadi Center)4. Due to the floods and building collapse 7 are reportedly dead and 6 are injured seriously. Livelihoods have been badly impacted as most of the population depends mainly on agriculture and tourism.

Health sector, with NRHM support, is functioning in the district and trying to cope with urgent needs. The health department in the district has been conducting medical camps. But the department faces challenges, as it already has low human resource as against their requirement. Expectant mothers on prior information by ANM & ASHA workers are carried away by helicopter from non-connected areas to district hospital for checkup and delivery. Health department, with 3 CHCs, 10 PHCs, 81 Health Sub- Centers and 23 allopathic dispensaries, is providing health services to 330,086 population of Uttarkashi district. District has 87 ANM & 567 ASHA workers and 599 AWWs; these are supporting health services at grassroots level.

With such daunting challenges it is important that the district gears up for a quicker transition from the disaster to a recovery process of hope. And so, this Social Sector Plan for Uttarkashi district is an attempt to plan for immediate needs and supports so that the district along with all populace can transit through theses harder times.

2 Source: DM letter to Chief Secretary, let no 631, dated 23 July- available on http://uttarkashi.nic.in 3 Information provided by District Administration. 4 WCD-ICDS, Uttarkashi

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT THIS SOCIAL SECTOR PLAN (SSP) IS ALL ABOUT…

The Government of Uttarakhand invited the United Nations to organize a Emergency Needs Assessment immediately after the disaster to find out if there are any life threatening issues at hand. That Assessment conducted in the first half of July 2013 showed that although there were issues in terms of connectivity and access to services, the threat to human life was minimal. Following this, the Government asked the support of United Nations to assist in preparing a district level Social Sector Plan that would cover Health, Education, Food Security, Livelihood and Shelter. Five districts administration, i.e. Rudraprayag, Chamoli, Uttarkashi, Pithoragarh and Bageshwar have comprehensive SSPs, which were prepared with technical assistance from UNDMT. The objective of SSP was that affected communities must be able to recover from the shock of the disaster at the quickest time in the transitional phase. The overarching goal was:

To quantify the needs for each of the sectors to enable a convergent and coordinated recovery process wherein Government, NGOs and corporate sector could bring-in their respective capacities and capabilities to implement the plan. The scope of the sectoral plans include both the development deficit and the needs/damage emerging out of the recent disaster. Hence the plans aspire to reduce both the primary and the underlying risk factors.

The participatory process called for: (a) data collection (input by relevant line departments) based on the social sectors relating to damages and existing status of services in severely affected villages, (b) clusterization of affected villages depending on their proximity and access, (c) identification of needs and preparation of plan in close coordination with various line-departments in the district. The UN Disaster Management Team placed at the district level would organize the three activities mentioned, while at the UNDMT at State Level was to guide the district team with additional inputs and coordinate the process for commonality in approach.

Coordination: Once the plans were done, in the second stage, they were placed before various line- departments at the district and state level, and also to the corporate agencies and NGOs. The stakeholders pick from the needs mentioned in Social Sector Plans based on their mandate, capacity and geographical presence. Negotiations are done at this level to avoid duplication, improve quality of recovery plan, and strengthen close coordination between all stakeholders.

Partnership Building: In the next stage the Corporate or NGO submit detailed project proposal (DPP) to the district administration for contributing to the recovery process. UNDMT team facilitates the interface as well as the formulation of the DPPs. Subsequently the districts and state administrations then issue an authorization on the basis of the DPP submitted by the NGO or corporate or sign a MoU with the third party (Corporate or NGO) so that the DPPs are taken forward. Certain activities which require administrative action are taken up by the district administration or state government. Plan is clearly stated. All the DPPs systematically implement parts of the SSP. Hence the SSPs are helping

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT various stakeholders to come together to initiate a coordinated recovery process in the five worst affected districts.

SECTOR: HEALTH, HYGIENE AND CHILD NUTRITION

Nodal Departments: Department of Health, and Department of Women & Child Welfare Nodal Agency: Directorate of Health; State ICDS Cell Flagship Programs: NRHM, JSY; ICDS Frontline Worker: ASHA, ANM; Anganwadi Worker Allied Departments/Agencies: Department of Social Welfare, Department of Education

The National Rural Health Mission (NRHM) in Uttarakhand was launched in 2005 with the aim to improve health system and health status of all people of the state. Main function and key objectives of the NRHM is to facilitate rural people to increasingly access and utilize quality health services and to reduce child and maternal mortality by providing complete and equitable access to various public health services to all groups of people with emphasis on women and children’s health and their immunization.

The Government of Uttarakhand is committed to improving the health status and quality of life of its people, by focusing on health issues with the objective of reducing disease burden, creating an enabling environment, influencing direct and indirect health determinants such as nutrition, water, sanitation and other factors like education and employment in the state. National Rural Health Mission (2005-2012) was formally launched in Uttarakhand on 27th of October 2005. Its focus is to strengthen primary health care through grass root level public health interventions based on community ownership. The core strategies of NRHM are as follows:

 Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own, control and manage public health services.  Promote access to improved healthcare at household level through the female health activist (ASHA).  Health Plan for each village through Village Health Committee of the Panchayat.  Strengthening sub-centre through an untied fund to enable local planning and action and more Multi Purpose Workers (MPWs).  Strengthening existing PHCs and CHCs, and provision of 30-50 bedded CHC per lakh population for improved curative care to a normative standard (Indian Public Health Standards5 defining personnel, equipment and management standards).

5http://nrhm.gov.in/about-nrhm/guidelines/indian-public-health-standards.html Page 5 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT  Preparation and Implementation of an inter-sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and nutrition. The institutional mechanism at district level under NRHM is as follows:  Village Health, Sanitation and Nutrition Samiti (at village level consisting of Panchayat Representative/s, ANM/MPW, Anganwadi worker, teacher, ASHA, community health volunteers  Rogi Kalyan Samiti (or equivalent) for community management of public hospitals  District Health Mission, under the leadership of Zilla Parishad with District Health Head (Chief Medical Officer) as Convener and all relevant departments, NGOs, private professionals etc represented in it.

Organizational / Institutional / Administrative Context: Subject Present Status Requirements District Hospital In Uttarkashi one district level hospital is The district hospital needs support to work (combined with functioning, and headed by Principal with full capacity and to serve people of the Female Hospital) Superintendent of district hospital. disaster prone area.

It has 27 posts of physicians, experts, Pathologist, medical officers, but only 9 are in Cardiologist, position. ENT surgeon, Gynecologist Hospital also lacking medical support Dermatologist , staff; against 79 sanctioned post of Pediatrician for district female hospital support staff 54 are working and 26 are vacant including 2 lab technicians and District hospital need to check functional 12 lab assistant post. condition of all operational tools and equipments as per standard norms for district There is one Pathology lab, Blood Bank level hospital. Unit and X-ray unit.

Bed-98 operational (108 sanctioned)

No of Operation theater- there is 3 OTs- (1) Eye Ot , (2) General OT- also used by female hospital, (3) Ortho. OT

There is one ICU with 4 bed is operational. Female hospital has 50 sanctioned bed one new born stabilization unit –no facility for treatment. As Pediatrician and supporting para medical staff are not available. For the female hospital yet no post has been sanctioned. A proposal is already sent to the state

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT government for process. CHC There are 03 CHCs in the Block All CHCs need to be well equipped with all Headquarters of Chinyalisaur, Navgaon essential support systems - like uninterrupted and Purola Blocks of the District with the electricity support and additional drinking capacities of 10, 30 & 50 beds water filter installation. respectively. One pathologist is urgently required at Yamuna Valley-Naugoan CHC. CHC Chinyalisaur has 03 Medical Officers There is a need for at least 3 General (including 01 lady doctor and 01 Practitioners and 1 more lady doctor (General Ophthalmologist), while CHC Naugaon is Physician / Gynaecologist) headed by 01 Medical Officer and also served by 01 Dentist. There is 01 lady doctor serving two CHCs (Naugaon & Purola) on rotational basis. CHC Purola has 02 Medical Officers (01 Pediatrician & 01 Physician).

01 Pharmacist, 01 Lab technician, 02 health instructors, 02 ANMs & Nurses are also attached to these CHCs.

PHC There are 10 PHCs in 06 Blocks of the Alternative lighting arrangement and safe district. drinking water facility are required in all the All PHCs have 01 Physician and 01 PHCs and additional sanitation facilities are Pharmacist. needed in six PHCs. Four PHCs - Bhatwari, Dunda, Chinyalisaur and Mori are also supported by the Optometrist

Each PHC is linked with about 14 to 18 Sub Centers.

Sub-Centers The District has 83 sub centers, which Since all sub-centers are functional, there is serve about 676 villages of six blocks, no requirement for any new sub-center. and each Sub Center serves at least 7-8 villages. All sub-centers are functional and there is no damage reported.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT ICDS Centers There are 933 AWC functioning in the There is urgent need of reconstruction of 14 District. Out of 933 AWCs, 599 are full AWC damaged in the affected area to take and 334 are mini-centers, having 1052 extra nutritional care for children under the sanctioned posts of AWW against which age group of 0-3 and lactating mothers and 929 are working. pregnant women. For the transition phase a temporary structure like a CFS or Temporary Out of 933 AWC, 14 are completely Learning Center may be set up or hired in 14 damaged due to current calamity. locations. Selected cluster of 32 villages have about 649 pregnant women & lactating mothers and 1882 children 6 under the age group of 0- 3yers. ICDS-AWCs need to tack extra nutritional care for all of them. Human Resources:

Subject Present Status Requirements Doctors (General Against 27 sanctioned post only 9 are Need to fill the following posts urgently : Physicians) at Doctors/Physicians are posted at district Pathologist (1) District Hospital hospital. Cardiologist (1) Child Specialist /Pediatrician (1) Against three Female Medical Officer ENT surgeon ( post, there is only one lady doctor- on Radiologist contract basis to support Female Ward. Dermatologist Following post in district hospital is Female Medical officer vacant ; Pathologist (1) Cardiologist (1) Child Specialist /Pediatrician (1) ENT surgeon ( Radiologist Dermatologist Female Medical officer

Doctors (General Against 59 sanctioned posts for doctors 03 General Physicians - MBBS-MD are Physicians) only 27 are posted, thus 32are required required for three of the CHCs (1 each) of the for smooth operation of health services district. in district. 12 doctors out of the 27 are on contractual basis.

But as per discussion with health dept. 3 are needed urgently to base them in CHCs and to cover adjoining areas.

Nurses In Uttarkashi 83 sub centers are served Regarding norms of appointment of ANM for 676 villages through 97 ANMs. There are health services the department feels that it

6 Source figure from Department of WCD-ICDS-Aganwadi, Uttarkashi Page 8 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT 20 nurses available in all CHCs/PHCs should be relaxed for hill states, as 3000 population managed by one ANM is little Each village though does not have ANM difficult as the villages are small and far off. If but almost each village is covered under such relaxation is done, there will be an ANM’s service. possibility of having more ANMs and more Sub-centers.

Anganwadi There are 933 AWW available in the No new AWW requested by department, Workers district including in the damaged except for the reconstruction of damaged centers. (sanctioned no. are 1052) AWCs. The number of AWWs is sufficient for now.

Pathologists No pathologist is available in the district Two pathologists are urgently required; 1 for hospital the district hospital-Ganga valley; and 1 for Yamuna Valley to be placed at Naugaun CHC. In Naugaon CHC blood storage system is installed, but no pathologist is available. Lab Technicians In district hospital, out of 8 sanctioned There is a urgent need for two pathologists to post of Lab Technician 6 are working and support the existing pathology lab and testing against the 15 lab assistant post only 3 requirement. are in position. There is no need of more lab-technicians as Four Lab technicians are working in 3 of now at CHC & PHC level. CHCs. Due to limited expertise, lack of arrangements and equipments, they are just carrying out simple blood tests and few advanced tests.

For most of the pathological tests, patients need to visit district hospital or private pathologists.

As mentioned the District hospital has only 3 Lab Assistant on daily basis, but no Pathologist is there, so the problem remains the same.

Pharmacist 49 pharmacists are working in the The number of pharmacists available is district. sufficient for the district.

Supplies and Equipment

Subject Present Status Requirements District Hospital Uttarkashi has one district level Hospital District hospital requires the following for (combined) ward this includes Female Hospital. handling emergencies better: unit one

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Incubator machine, Oven & Microscope- It faces lack of general surgical operative Binocular. instruments & machines. For surgery following operative instruments Though the district hospital has one are required; at least one set of each- operational blood bank unit &  Choleeystectry Set supportive mechanical support, for  Appendectomy Set effective result it needs more  Hysterectomy Set instrumental support and modification.  Laparoscopy Set

Auto clave vertical Though the District hospital has one There is a need of 1 more Autoclave –vertical Large & Section autoclave machine, but that is not & Section machine at operation theater. Machine enough to handle the pressure of requirement.

Pathological Labs: One set of equipment is available at Request for two more sets: 1 for Yamuna Microscope and district hospital’s pathology lab; valley CHC-at Naugaon and another for Ganga other equipment CHCs do not have any proper pathology valley to be placed at the District Hospital lab. A lab for very general tests for children is run by a Lab-Assistant Tables, Chairs and The kind of tables and furniture used are 2 sets of pathology lab-specific tables are Furniture not adequate for conducting proper required. tests in the pathological labs, although no furniture or equipment is reported as damaged due to the calamity. Vaccine and Vaccines are pre-positioned in the Since the population is low, distance is far, It Medicine district hospital from where, depending is requested that size of vaccine vials be Prepositioning on need, these are shifted to CHCs, PHCs reduced. It should preferably be made for 2-3 and other location for immunization. dosages only, as per hill area’s requirement. The vaccines presently in stock are Maximum size should be 5 doses per vial. adequate enough for the district.

However, because the vials come in about 10 dose sizes, due to less population, poor connectivity and inability to reach many places on a single day, the administration postponds vaccination dates very often to ensure that there are at least 6 – 8 children to get the same vaccine. This is done to reduce waste of vaccine. Vaccine Storage Procedures are in place, but due to Review logistic needs at the block level and facilities (ILR & disruption in connectivity, possibility of plan alternatives. Vaccine carriers need to be Deep Fridge) cold chain breakage. At Uttarkashi checked for quality and cold chain points in district hospital, there is vaccine all locations need to be reviewed for storage with ILR & deep fridge, and it appropriate action. This should be done by

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT is available and working effectively. the CHC under the supervision of Block Medical Health Officer All three CHCs and PHC that are located at block headquarter also Solar energy back up facility for all ILRs in have deep ILR and deep fridge for CHCs. storage of vaccines and medicines. Some of the “cold chain points” that are located in “cut of locations” may not be able to be functional as only short term storage facilities are available in those places. Computer with Each PHC & CHCs have 1-2 computers. For each of the CHCs, 1 more computer will printer in CHC be useful. Naugaon CHC may require it early, as there is a plan to establish a mini “blood bank”. Safe Drinking The drinking water available in the CHCs All 3 CHCs and 10 PHCs installation of water Water at CHCs and and most PHCs are not of good quality – filter for drinking water, so that the spring PHCs, brackish and muddy on many occasions. water can be purified and be available for Due to this the staff and patients have health center staff and patients. difficulties in finding proper source of drinking water. District Hospital female ward also requires a water purifier.

Uninterrupted Due to frequent power cut and Installation of solar power systems for Power Supply emergencies in CHCs and PHCs, there is lighting and power back up for essential a need for extra power backup for electrical components in 13 locations (3 CHCs lighting arrangements and heating and 10 PHCs). Naugaon CHC should be done arrangements. on preference basis as it handles more patients and provides more services.

Nutrition Tracking In the aftermath of the disaster, due a) Provision for supply of 1500 Muac of Children to lack of jobs and livelihood options tapes among AWWs and ASHA it is possible that some children are workers and establish a system for getting undernourished. nutrition level reporting in the district; at least all the selected villages must be covered (in which case 100 MUAC tapes will be required). b) Technical support from 1 person for 3 months with software support for analysis of data can be done through State NIC.

Coordination and Information Management: Subject Present Status Requirements

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Child vaccination No records are reportedly damaged at No requirement requested as of now. records the PHC / CHC level. However, several However, it may be useful to check along with families have lost the immunization routine checkup if all the children have cards of children and pregnant women. vaccination cards or not. Those who have lost their cards must be given a duplicate after appropriate verification. (1000 additional Immunization / Child Tracking Cards to be made available to replace missed / lost cards after verification.) Integrated Disease Deputy CMO heads IDSP structure in Due to frequent failure of network Surveillance System the district. A district Data Manager connectivity and electricity, there are (IDSP) and a Data Entry Operator help in communication problems specially during strengthening functioning of “IDSP-Call Center” . emergencies due to which reports get delayed. IDSP-District Data Manager directly Increase in tele-density in the area will be receives weekly reports on “set critical not only for improving service delivery formats”, from following resource in emergencies, but also for emergency points – response in the region.  ANM from village and their operational areas,  Pathology /lab –blood testing centers- both govt. & private,  PHC & CHCs- pharmacist, medical officer  Allopathic dispensaries – pharmacist

After cross checking of received information by district data manger, with permission of Deputy CMO, the data is processed for data entry. After data entry District Data Manager forwards it to State Server. After assessment and approval of the entered data by the state office it is posted on the national Server.

Thus, IDSP system exists in the district and functioning properly. However during emergency it was very difficult to receive and forward information due to tele-connectivity, as the villages are not well served by telephone operators.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Service Delivery and Capacity Building:

Subject Present Status Requirements Medical camps During emergency period mobile Medical camps in outreach areas should be a medical teams, including 33 Ayurveda regular exercise to avoid emergencies for and Homeopathic doctors, were poorer population. deployed to villages/Sub centers, where roads are cutoff and access to PHC/CHCs Additional doctors’ support is required for is limited. medical camps. Generally though the doctors are not permitted to leave the health centers, In general, no medical camp except they have been forced to move out to reach Family Planning related camps within the communities through the medical camps. PHC campus are organized by govt. health department. Therefore, in A need for 8 medical camps for 3 months in 3 absence of medical camps in distant blocks. areas people suffer a lot specially women.

Patients generally avoid going to the PHCs/CHCs, due to the distance and travel costs involved, until the patient gets really serious. Vaccination Camps Once in a week at PHC, CHCs & District Village Health Nutrition Day should be Hospital. organized on a monthly basis to ensure that (On Wednesday). all missed out children during the month can be vaccinated. An Outreach camp can be Health department is organizing VHND organized in four different locations by each and intensification for immunization of PHC on a different day (e.g Friday). Thus, un-served and under-served areas on each of these 4 places will get once in a monthly basis. month access to vaccines, while in PHCs and CHCs vaccines will be available on all Wednesdays.

To serve extreme remote area for vaccination, VHND reward should be raised from Rs 600- for two persons (this Rs 600/- amount is paid under norms of NRHM for rural hill.) to Rs. 800 for two persons. Training of AWW, ANM & ASHA trainings are continuing These front line workers can be trained in PH, ASHA and teachers with support of NRHM. nutrition, nutrition survey, hygiene survey, for 3 days in PH, Presently, 97 ANM, 567 ASHA and 929 first aid and assisting as first responder in Nutrition, Nutrition (599 full & 330mini AWC) AWWs are emergencies for 3 days. At least all 81 ASHA Survey & Hygiene posted in the district. Theses ground and AWW in selected villages are to be promotion level workers are receiving their regular trained. departmental training. But, it was

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT informed by administration that they have only “weight & height” measuring system to calculate their body-mass and nutritional status.

Community Based Presently, ICDS centers are The only Set up a daily information system through the Monitoring of SNP mode of supporting with SNP to children community or ASHA worker, or the AWW in ICDS centers below 6 yrs of age and to pregnant and herself so that performance of all ICDS lactating mothers. Due to the roads centers are monitored on daily basis. State being cut off in many locations, poor NIC can be of help in setting up such a communication network, and with 14 communication system for information ICDS centers damaged, it is important to collection and processing. It may also require monitor performance of ICDS centers on third party support to establish the system. daily basis so that nutrition and health education reach to every person who is eligible for services in the ICDS centers.

Community based If any SAM or MAM case is identified or Organize availability of additional Nutrition Centers any other child or pregnant woman at a supplementary nutrition to number of for SAM / MAM (if critically unhealthy condition, the children / women (as may be required) identified) person may require additional through the ICDS center if found to be of supplementary nutrition. However, under nourished and monitor it at the since it is not possible to take children community level through the ASHA worker so and pregnant women to the nutrition that the child / woman regularly consumes care center at the district, it may be sufficient nutritious meal to regain health. In better to organize it locally in the village other words, the AWW plays the role of itself. service provider and the ASHA monitors it on behalf of the community & government. Provision needs to be kept aside for 40 children for 60 days period of special SNP. Vaccine movement Procedures are in place, but due to Review logistic needs at the block level and and logistic needs disruption in connectivity, possibility of plan alternatives. (cold chain cold chain breakage. management) Health Emergency The district, CHC, PHC and Sub-centers Revisit existing protocols, devise new Risk Management are not geared to cater to the needs protocols of operation for emergencies with Plan arising from catastrophic events like the external technical support. This plan would one that took place on 16 – 17 June propose SOPs and set roles & alternate roles 2013 to follow in emergencies up to the PHC level.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Health Hygiene and Child Nutrition No Cost/unit Remark Sector response plan Unit Months Total INR Units INR A Infrastructure Approx amount per unit on 1 Reconstruction of damaged ICDS centers Unit 14 140000 1 1,960,000 reconstruction of 14 completely damaged ICDS centers B Human Resources 2 Doctors (General practitioners) persons 4 52,000 12 2,496,000 Doctors 3 for 3 CHCs & 1 lady doctor are needed to support the existing health system 3 Doctors (Specialists) persons 5 100,000 12 6,000,000 One cardiologist, dermatologist, ENT surgeon, gynaecologist and one pediatrician are required for the district hospital. 4 Pathologists / Lab Technicians persons 2 18,000 12 432,000 2 pathologists required for Naugaon CHC and District Hospital C Supplies and Equipments 5 Supply of MUAC tapes for fortnightly unit 1,500 30 1 45,000 The ICDS centers(929 AWW) and nutritional tracking will 567 ASHA workers regularly monitor and report back on nutrition level of children 6 Organizing transitory ICDS centers Unit 14 1,000 12 168,000 Cost on organizing 14 transitory ICDS centers on rental basis for 12 months

7 Upgrading of pathological laboratories units 2 120,000 1 240,000 Cost on purchase of additional microscopes and equipments for the district hospital lab and Naugaon lab.

of 43 8 Solar energy back-up system for ILRs, Unit 16 35,000 1 560,000 Solar energy back up system CHCs and PHCs including battery, to be arranged for 3 CHCs to run the ILRs, the CHCs and 10 PHCs 9 Furniture units 8 7,000 1 56,000 Furnitures (lab type) for the four labs (3 CHCs and 1 district hospital) - 2 sets each 10 Computers, Printers units 3 40,000 1 120,000 One set of printers and computers for CHCs. 11 Water purifiers units 14 13,000 1 182,000 One set of water purifiers for Femae ward of District Hospital, 10 PHCs and 3 CHCs for purification of drinking water from the springs. 12 Additional Sanitation Facility units 6 120,000 1 720,000 One more sanitation facility in 6 PHCs are required 13 Instruments for OT and other instruments units 1 1,400,000 1 1,400,000 Approx estimate on instruments for district hospital & 1 set of microscope required for the district hospital for Naugaon CHC (Laparasopy, Appendectomy, Autoclave –vertical & Section machine etc) D Coordination & Information Management 14 Nutritional survey by third party person 1 100,000 5 500,000 One technical person supports for 3 months in collation, analysis and verification of data, and follows up with the ICDS / administration on SAM/MAM cases (cost Rs. 100,000 x 3). Data management & analysis system to be with NIC. (cost Rs. 200,000) Lumpsum kept. Actuals may marginally vary.

15 Restoration of records and immunization Unit 3 1,000 1 3,000 Additional 1000 Child Immunization tracking cards to be provided - to replaced missed / lost cards

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT E Service Delivery & Capacity Building 16 Training of AWW, ASHA and teachers for persons 85 400 2 68,000 Training of ASHA / ICDS workers 2 days in PH, Nutrition, Nutrition Survey & along with health workers in nutrition, Hygiene promotion malnutrition tracking & hygiene promotion. 17 Medical Camps Unit 24 12,000 9 2,592,000 Organizing doctors, medical assistants, travel etc. for medical camps (3 blocks x 8 camps per month = 24 camps per month) for 9 months 18 Community based Nutrition Centers for per child 40 120 60 288,000 Provision for 40 children up to 60 SAM / MAM (if identified) days of additional support.

19 Organizing VHND (in 4 locations every unit 4 12,000 12 576,000 Organize special vaccination drive to month) cover missed out women and children for vaccination and health education along with nutrition check up - Cost of travel, additional medicines, organizing cost covered. 20 Health Emergency Risk Management per 1 360,000 1 360,000.0 Health Emergency Risk Management Plan (including technical service cost for district plan for the district, blocks and 1 person, data collection as may be PHC/Sub-Centers to be developed required, and several discussion / based on broad principles set out for meetings etc at the district & block level) the state. 1 specialist for 2 months, meetings & travel costs are added. Lumpsum kept aside. Actuals may vary.

Total : Health, Hygiene and Child Nutrition 18,766,000

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT SECTOR: EDUCATION AND CHILD PROTECTION

Organizational / Institutional / Administrative Context:

Nodal Departments: Department of Education, Ministry of Human Resource Development Nodal Agency: Directorate of Education, State SSA Cell Flagship Programs: SSA, Mid-Day Meal Frontline Worker: School Teacher and Gram-Pradhan

In Uttarakhand state, Department of education has a unified structure covering basic education, secondary education, State council of Education Research and Training and Uttarakhand Board of school education. Exams are placed under the umbrella of Directorate of School Education. Sarva Siksha Abhiyan (SSA) is implemented as state's main programme for universalizing Elementary Education. Its overall goals include universal access and retention, bridging of gender and social category gaps in education and enhancement of learning levels of children. SSA provides for a variety of interventions including, inter alia, opening of new schools and special training camps for the dropped out and out of school children for their admission in age appropriate classes, construction of schools and additional classrooms, separate toilets for boys and girls, adequate drinking water facilities, provisioning of regular teachers, part time teachers, training and academic resource support, textbooks, uniform and mainly supports for learning achievement.7

Subject Present Status Requirements Damage to schools In the district, 95 primary schools are The schools, (11 in all) which are partially and 80 schools are totally partially damaged, and campus that are damaged. safe may be shifted to transitional schools (temporary structures or hired In the selected clusters, 7 primary schools buildings) for the time being (with Child are partially and 4 primary schools are Friendly Spaces structured into it. This completely damaged. has been agreed upon with the Education Department at the State level Due to damage in school building more by NGOs to support it.) than 351 primary class students are suffering without their school.8 Partially damaged primary & secondary schools need to be additionally surveyed The government has issued an order, to by Education / PWD department to see schools, to teach students who are from if retrofitting option can be used or they any of the damaged schools. need to be demolished and rebuilt in the same location, or needs to be relocated. 7 secondary / Inter collages are also partially damaged.9 4 completely damaged schools need

7http://ssa.uk.gov.in/ 8Among 11 affected schools, 3 have not reported students numbers, thus figures are from 9 primary schools. Source: District Basic Education Department. Page 18 of 43 reconstruction. For these schools alternative arrangements such as a transitional school may be an option (Child Friendly Spaces – as agreed between the Education Department and NGO representatives)

To restart schools, first the department needs to identify “safe place” to install tents or hire the building and other related facilities. Sanitation In the villages under SSP, 13 of them have There is a need to make available 21 Facilities only a single toilet and in at least four toilets in 17 schools to make them schools there is a need for two more sufficient for children studying in these toilets. schools.

Human Resources

Subject Present Status Requirements Teachers or Para- In the district 965 primary school 7 schools are disconnected with no teachers teachers are working against 1126 approach road; so for school teachers, it sanctions post. is difficult to access school in right time even in normal weather. About 9 Similarly, 672 teachers for middle school teachers may be required. (exact are working, against 860 sanctioned number to be finalized). Maximum such posts. schools are in Bhatwari block.

Thus, there is a shortage of primary and Therefore, schools which are damaged middle school teachers in the district. or cut off from road can be served by a team of volunteers- educators temporarily until the connectivity is established by reconstructing bridges which may take about an year.

Care Takers for The children in Child Friendly Spaces, 18 Caretakers will be required who are Child Friendly when established in all places where trained in organizing Child Friendly Spaces schools are partially or completely Spaces (CFS) at the community level for broken (18 locations) would need protection, education & nutrition of appropriately trained care takers to take children. care of children’s needs, including psycho-social counseling.

9 Source: District Education Department-Primary section.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Education and Need to track schools functioning, set up One Education and Child Protection Child Protection CFS and monitor children attendance in Coordinator to be appointed for 6 Coordinator schools and CFS months. NGO sector may help in this section.

Subject Present Status Requirements School in box 11 primary schools are damaged. To turn students’ focus from disasters Provision for “School in a box” with and damages, it is a need to provide educative materials and can be of help in extra exposure to interesting study tools these 11 schools. and materials to children of 11 primary schools through School in a Box. For the children in 15 ICDS centers who ECD kit (Early have been highly impacted, the children 15 ECD kits will be motivational for Childhood find it difficult to learn, play and be in a affected 15 ICDS centers Development kit) joyful environment. ECD materials used in ICDS have been damaged / washed way, Recreation kits also need to be provided even if there were some limited to 32 village schools resources. Recreation Kit It would be better to provide all 32 Very few schools have recreational village cluster’s primary and upper materials to make the bigger children primary school such recreation kits. play. Playing makes the children forget (The school annual maintenance funds worries, remain excited about the are insufficient to invest in more positive side of life and to express recreational items.) These shall come themselves. Children who have been either as donation from the NGOs to the highly stressed need to have a friendly schools / ICDS centers or from the environment that attracts them to education department for schools and school. Such environment can help WCD for ICDS centers. students learn joyfully and overcome the fear psyche.10 Mid-day Meal As per discussion with District Education The District Education Officer and Officer, Uttarkashi, Schools have ration the BDOs to monitor MDM because for MDM, and no shortage is yet reported due to lack of access and poor by school authorities. communication in these places there can be poorer service delivery. It is Authority informed that students of also important to monitor hand- damaged/ not functioning schools are instructed to join the nearest school. washing practices through field visits and regular information gathering Government order has been issued to the from schools. teachers to be at their posting place till further order, and all transfers have been kept in suspension.

10This is based on discussion with a group of people worked with APF, Uttarkashi.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Drinking Water Drinking water facility and pipeline is There is a need to repair in water Facility broken in one school, and 19 other pipeline and other 19 schools require schools do not have any facility for safe safe drinking water system to be drinking water. established.

Coordination &Information Management

Subject Present Status Requirements Assessment on Most of the primary schools are located A detailed assessment on vulnerability school safety within village periphery and at easily of schools needs to be done by an accessible places for children. external expert. Often schools are built on donated land, which is in all All Primary and Upper Primary schools probability a vulnerable land as it is less are built on gram samaj (village costly. This assessment therefore should community) donated land and /or include: (a) Policy review on site government land. selection for schools; (b) “whole school concept and safety of schools in Middle and Secondary schools need more Uttarakhand; (c) Assessment of schools land for construction than primary which are under immediate exposure to schools. Because these schools are made hazard – Zonation of schools under for a cluster of student population, vulnerable locations. It is needed to look managing quality land and location for into the exposure of schools to hazards school construction is a little difficult. against established standards for Therefore, most of the times these educational institutions. schools are built at vulnerable locations. All 769 Primary and 275 Upper Primary The standard of structure and schools should be assessed. construction of schools are not very scientific as they are generally constructed by local contractors with the help of less skilled laborers.

System for For tracking of students, school Coordination meetings with school tracking of attendance registers are main source of authority, parents are required children information. This is maintained by the regularly, and this must be done by (attendance in class teachers. school authorities. This will reduce drop- schools / outs and ensure continuity in education. transition schools) Cluster and block level officers also cross check attendance registers, count students and some time verify with students.

Children who are missing from school for a long time also need to be tracked, and this needs to follow a proper system of reporting. Indeed, the education

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT department has already initiated the process and all missing students from the district have been listed.

Hygiene Hygiene practices in schools are a major Organize hygiene campaign for school Promotion in issue-as reported by authorities. Due to students of 20 primary and secondary Schools number of reasons hand wash habits are level schools to showcase them as not in practice. Sanitation practices in models for WASH in the district11. schools are not in a very good shape. This is just not a matter of availability of Educative material in appropriate number of toilets and gender-segregated sketches for sensitizing children may be number of toilets. prepared and distributed among children. This may need a major campaign and orientation program to stimulate attitude and behavior towards use of right WASH practices.

In primary schools with NHRM support a school health programme “Chirayu” is running. Welfare of 29 persons of the district are either dead Cost on travels and communication for abandoned, or missing in flood in District. Therefore tracking of children of these families, orphaned and there is a possibility that their children, if identifying family members (especially single parented any, are now left without adequate care, children) if they are orphaned or single children or under single parent care.. parented, and organizing appropriate welfare measures through the Social Welfare Department. Welfare measures may include facility for their continued education, appropriate shelter, etc. A corpus for their future also may be thought off.

Service Delivery

Subject Present Status Requirements School Safety Safety plans are prepared by some of the For safety of children and staff of Plans schools; the exact number is not clear. schools, there is a need to conduct But it is more on paper and not very frequent orientation, awareness, and much linked with a daily practice and mock drills. It should be a regular behavior. exercise in all disaster prone schools of the hilly region. 10 schools will be taken NDRF provided training in 15 schools of up initially as a model, and it should be Bhtawari blocks, in May 2013. handled by a separate agency to help in training so that (a) preparation of plans

11 Suggestion from District School Education authorities. Page 22 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT (b) conducting of mock drills (c) capacity building of staff and few senior students – are all done with good quality.

NCC, NSS should be involved in school safety program.

All teachers should be made aware about school safety plans. Orientation on school safety plan and training in school safety features should be provided to teachers as a long term measure. Continuation of Schools need to have appropriate plans Training of Education department Education in for continued education during officials, school principals12& senior Emergencies emergencies and major natural disasters. managers of schools in INEE for 3 days Training may be held for teachers, school (for 120 persons). Cost shall be borne by management and government officials the education department or an NGO on INEE. Role of teachers as initial who is willing to bear the cost. volunteers in supporting rescue and relief operation in their own locality is Better to conduct training for School minimal as they have not been trained Management Committee about the adequately in this. management of school and continuation of education in emergencies. Training of Due to the traumatic experience many Train 50 teachers in psycho-social Teachers on children are still under the psychological counseling, so that they can help Psycho-Social impact of it and they are either children and other traumatized Support for frightened or they show sense of colleagues (if any) to live normally. Children resentment or anger (more than what was normal). This may be conducted on pilot basis by selecting some teacher’s from every block for orientation and training.

12INEE Standard 2 on “Teaching & Learning” says “Teachers and other education personnel receive periodic, relevant and structured training according to need and circumstances”, so that Standard 1 & 3 can be achieved.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Education & Child Protection Cost/unit Remark Sector response plan Unit No Units Months Total INR INR A Infrastructure Average cost of repairs. Accurate 1 Repair of Partly Damaged Schools Schools 7 100,000 700,000 1 cost on each building may vary. Average cost of reconstruction. Reconstruction of Completely 2 Schools 4 2,500,000 10,000,000 Accurate cost on each building Damaged Schools 1 may vary. 1 unit in 13 schools, 2 units in 4 3 Sanitation Facility unit 21 22,000 1 462,000 schools B Human Resources Approximate number of teacher that may be required to support 7 cut off villages until the bridges are 4 Teachers or para-teachers persons 9 12,000 12 1,296,000 built to connect the villages. Cost to be borne by Education Department 18 caretakers for 18 CFS to be 5 CFS Caretakers persons 18 6,000 12 1,296,000 estabilished. Cost to be taken care of by NGOs. One coordinator for CFS planning & execution, monitoring of schools and qualitative functioning of 6 Education & CP Coordinator persons 1 75,000 6 450,000 schools in the transitional structures. The cost may come from NGOs. C Supplies and Equipments Rent, relocation, setting up of Transitional Schools / Child Friendly transitional structure etc cost for 18 7 units 18 12,000 12 2,592,000 Spaces schools that are fully / partly damaged.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT 7 for damaged schools and 4 for 8 School in a box pcs 11 18,000 1 198,000 poorly equipped schools 15 ICDS centers will get the ECD 9 ECD kit pcs 15 12,000 1 180,000 kits for the chidlren to play and learn. 32 affected primary and upper schools in the clusterized villages 10 Recreation Kit kit 32 6,000 1 192,000 will receive the recreational kits for children. Cost to come from the MDM 11 Midday Meal unit 0 program of the government 1 unit in 19 schools, & repair of 1 12 Drinking Water Facility units 20 40,000 1 800,000 unit in 1 school D Coordination & Information Management

A detailed assessment on vulnerabilty of schools is done by an external expert. Assess the Technical Assessment on school 13 person 1 200,000 1 200,000 "whole school concept safety implementation in SSA supported schools (150,000 salary+50000 on travel etc)

IEC on Hygiene Promotion in 14 units 2,000 20 1 40,000 Cost of IEC materials - lump sum Schools kept. Actuals may vary.

Cost on travels and communication for tracking of children of families with death (6) and missing (23) Welfare of abandoned, orphaned persons, and organizing 15 person 29 3,000 1 87,000 and single parented children appropriate welfare measures to ensure their safety and access to house, education and long term food security.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT E Service Delivery & Capacity Building Preparation of school safety plans in 10 schools as model; includes 16 travel & faciliation cost to technical agency, organizing mock drills, School Safety Plans unit 10 12,000 1 120,000 purchase of snacks for trainers. Training of 50 teachers in psycho 17 Training in Psycho-Social Support social support for students & for Teachers persons 50 700 2 70,000 community for 2 days Training of 120 teachers on 18 Training of teachers and school Education in Emergenicies. - as a management on Education in preventive model for ensuring Emergencies & School Safety Plans persons 120 700 3 252,000 education. Total : Education & Child Protection 18,935,000

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT SECTOR: FOOD, FOOD SECURITY & LIVELIHOOD

Nodal Departments: Department of Food & Civil Supplies, Department of Rural Development Nodal Agency: Directorate of Civil Supplies, District Development Officer Flagship Programs: PDS (Fair Price Shops); Antodaya Anna Yojana, MNREGA Frontline Implementer: PDS dealer (with PRI), RojgaarSahayak, Gram-Pradhan

The primary Policy objective of the Department of Food & Public Distribution 13 is to ensure food security for the country through timely and efficient procurement and distribution of food grains. The functions include (a) procurement of various food grains, (b) building up and maintenance of food stocks, (c) their storage, (d) movement and delivery to the distributing agencies and (e) monitoring of production, stock and price levels of food grains. The focus is on incentivizing farmers through fair value of their produce by way of Minimum Support Price mechanism, distribution of food grains to Below Poverty Line (BPL) families and covering poor households at the risk of hunger under Antyodaya Anna Yojna (AAY), establishing grain banks in food scarce areas and involvement of Panchayati Raj Institutions in Public Distribution System (PDS).

In Uttarakhand, Regional Food Comptroller (in short : RFC of Garhwal & Kumaun region) controls the supply of food grains, kerosene and other essential items. On demand from the district administration, the RFC provide food grains to the internal warehouses of the district and through FPS it is distributed to the consumers at the determined price.

Subject Present Status Requirements Relief Distribution Joshiyara, Tiloth, Dhontri, Chinyali, Relief distribution centers are Gaynasu, Maneri, Naugaon, and some functioning well. more places have food grain storage facilities and are supporting affected Distribution mechanism is working areas for food supply and relief smoothly, though loading –unloading distribution. cost has risen.

For all affected areas, where road While planning, for distribution of relief connectivity is not available, free food materials for affected population of grains, sugar, refined oil, are distributed distant areas, it is essential to calculate to each family of such affected villages at loading-unloading cost as per location. a walkable food distribution center.

Initially, it was distributed to all flood affected population. Now it is restricted to families of those villages where road connectivity is still not available.

Each village of selected cluster has PDS

13http://dfpd.nic.in/ Page 27 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT shop within accessing distance for villagers. About 4397 families of the “affected cluster of cut of road” are getting free ration supply through PDS system.

The district administration has issued an advisory to all NGOs / Donors not to call the villagers to outside of their village to collect relief materials. All materials, if distributed, must be done in the villages. Calling people to nearby towns to receive relief materials is absolutely forbidden.

This arrangement is being enforced in order to ensure last mile connectivity of relief material.

Cost of food distribution is coming down as connectivity through mule & porter are now in better stage. Earlier, places where Chopper carried food supplies (beyond Menari..), now due to restoration of connectivity, mule and porters are transporting loads. This reduces cost of transportation also raises chances of employment opportunities of local labor force. Local Market and Administration is supporting Markets prices should be controlled relief support transportation cost for shopkeepers of through subsidies on essential goods and cut off area, but for small items of daily action against hoarding by use, such as tea, tooth-paste, coffee administration. powder, which is not, supplied by govt. in their relief baskets. Continue the support to shops for transportation cost which certainly has This arrangement also helped local small helped in stabilizing prices in the region. shop keepers in running shops and making essential goods available to the customers at affordable price.

The administration is supporting shops for transportation cost which is a very good way of containing the price rise. Pattern of Major livelihood activities are agriculture Government may plan soft loans; livelihood and animal husbandry, and then jobs – interest free loans and cash transfer private sector and government. programs against intended outputs as major issues for improving livelihood

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT In urban and semi-urban areas religious faster. pilgrimages and tourism related industries or activities provide livelihood Govt. may waive or exempt taxes from for a large population. affected business sector and other commercial establishments. This may Information about apple growers not support a little to overcome some of the being able to sell apples has also come losses. in. Due to increased transport cost, businessmen do not want to go to Options for alternative livelihood distant villages to buy apples, as the cost activities may be explored. of it in the markets will increase. WCD has proposed to buy apples for ICDS Agriculture, horticulture animal through GMVN, and GMVN will purchase husbandry should be promoted and apples from the community. investment should rise. This may be done by NGOs, Social Welfare Department, Rural Development Department and Agriculture Department.

District needs an intensive micro study for identification of potential and alternate livelihood activities for hill community of disaster prone area. A livelihood policy will be useful. The UN Agencies or other Agencies working in Livelihood issues may help the government for this14.

There is also a need to create business model for selected activities, and emphasize on Promotional strategies for the potential alternative livelihood activities, etc.

Human Resources

Subject Present Status Requirements MGNREGA In selected cluster of 32 villages, there Most works under MNREGA are planned Planners are 5,070 MGNREGA cardholders and and mapped by block development about 4397 families are getting free officer with guidance of set regulations. ration. To overcome the situation, there is a need to plan activities under MNEREGA, as per people’s immediate needs.

14 Suggestion from Mr. S. Bagauli, IAS, Addl. Secretary Page 29 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT It may be connected with individual shelter / house construction, building local connectivity channels like roads and bridges, maintenance of agricultural land, construction of small shops, etc.

There is need to increase technical staff (3 engineers for 3 blocks) to designing, planning and fast sanctioning of MNEREGA projects, for implementation at village level for affected and needy population.

Demand for Work by job card holders of affected area should be accepted immediately. Livelihood Different departments have their subject There is need for a team of livelihood Planning Experts experts. During district plan all have experts (1 in district), including finance compiled their information. However, experts (1 for promoting financial livelihood has come up to be an inclusion and cash transfer), to plan out important issue and thousands of people detailed plan of action with coordination in the district and other districts / state of administration at state and district have lost livelihood because of the level. This can be fulfilled by individual disaster in this district and other larger NGOs working on livelihood issues neighboring districts. Many NGOs and and those who have cash transfer government is also planning to have programming included into their plan. more Cash Transfer Programs over the next few years.

Subject Present Status Requirements Gap filling in food There are about 900 households headed Food basket to be provided up to the basket for female by women. These may need additional end of March 2014 for about 900 headed food supplies as they do not have the Families, after that they will get supply households main bread winner in family. Due to the from PDS. disaster their alternate income has dwindled. DSO informed that they already have supplied food materials through PDS to each card holders till September. Apart from PDS regular supply, “each family “ of cut off village gets free extra ration through PDS shops. Supplementary ICDS is the only source to provide such The affected cluster of villages has food for pregnant supplementary support. about 649 pregnant and lactating and lactating mothers who have need of

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT mothers and other The free distribution of ration among supplementary food. 15 vulnerable groups most affected villages does not take into The ICDS center should ensure to fulfill account the pregnant and lactating their need of nutrient supplement food mothers separately for the immediately. A list of materials that supplementary needs. may be given is attached.

Gap filling food District administration, through SDM, DSO Until the road connectivity is ensured, baskets for cut off is distributing free ration to families in cut food baskets are required for 4397 families of villages. Each affected family can families of the affected villages. The receive their portion of food packets number will keep dwindling as the roads (covering 15 kg rice, 15 kg wheat flour, 5 keep getting connected regularly. A plan kg pulses, 1 kg salt, 1 liter refined oil, 3 kg to get all roads connected by end of sugar, 50 gm masala) from PDS (Fair Price October is in place. So, this plan is for 3 Shops) of their village. months. (Aug 13 – Oct 13). Awareness Govt. is making awareness campaign for MNREGA may support other livelihood building MNREGA programme activities, which are not listed in the generally approved list of activities. It Information dissemination is still required should be undertaken as per local at grassroots level. requirement. IEC Materials on MGNREGA activities and other livelihood support programs of government may be prepared and used.

Communication & Information Management

Subject Present Status Requirements Improving access Presently, supplies for free distribution The list of items provided may vary in to free are sent to dealers after taking demand the PDS, as per need of the people on distribution of by telephone and distribution is crossed onset of winter season. food to affected checked by the village head. Government can think of giving families. temporary cards to people who are The District Magistrate has instructed to receiving food grains in places which are give free food grain to others also who do not actually their domicile to avoid not have ration card at the location, such multiple collections of food grains and as school teachers, doctors, laborers, etc. ration. Workers who are involved in loading- unloading, road construction, etc. are also getting free ration in fields, so that relief and routine work is not disturbed due to non availability of food supply, in cut off affected areas.

15 Information source : from Anganwadi centers – through WCD-ICDS Cell, Uttarkashi Page 31 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Communication The information that is added in Communication on newly added on government MGNREGA activity list and also those alternative livelihood options should be programs and clauses that are being modified by published for public use. There is also a facilities authorities are not much published. need for open public discussion among rural population. To add some more activities as per local Communication requirement and to support traditional In selected cluster of 32 villages and on alternate livelihood activities need more public among 5070 MGNREGA job cardholders livelihood options intervention at various levels. there is an immediate need for an exposure to latest information / regulations related to MNREGA through appropriate information sharing mechanism: use of loudspeakers to educate people; public posters about the changes in policies; IEC on revised entitlements and livelihood benefiting policies. Awareness on With the Right to Food Act in place, and Need to have a campaign on nutritional Food Aid with several food aid programs going on, food in the villages and about various Programs and people in villages are not aware of their food aid and food security schemes – Home based entitlements. They also are not aware of through community based innovative nutritional food nutritional values of many traditional IEC tools. 30 street plays and 10,000 food. As the winter sets in, food insecurity sun-visors with tips on nutrition & food can have impact on nutrition intake aid programs can be one way of among the poor, specially women and presenting the knowledge about these children programs & nutritious meal.

Service Delivery and Capacity Building

Subject Present Status Requirements Capacity and At the district level, departments jointly Each block office and tehsil office has Coordination at discuss with the District Magistrate communication equipments such as the Block level regularly on several issues. phone and fax. But there is a need for appropriate plan to place additional However, inter-departmental information human resource to support the block sharing for coordination of activities can be administration in emergency situation. improved. The Block Development officer may Regular communication between and with also call for regular meeting of NGOs, block staff is little difficult due to poor Corporates and other line departments connectivity in most of the block areas. for reviewing the recovery programs. Some block/ tehsil offices are not well equipped for communication to carryout smooth emergency operations.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT NGO - NGO-Government-DM review meeting To ensure distribution of relief Government held once in a month. NGOs have asked materials in a time bound and proper Coordination the administration to make NGOs part of manner there is need for coordination, Meeting emergency response operations. participatory planning and monitoring. Monitoring of the development The administration in principle has agreed activities and status of flagship for frequent review meetings with schemes by NGO and Administration documented evidence. together can help reach benefits of it for larger part of population society. Administration said that relief work and For this the NGOs and the District distribution that is done by NGOs is Administration / Block Administration excellent. The DM asked the NGOs for the to meet at least once a month for next list of relief receivers; their name, village. 12 months. This information would be posted on the Official District Website.

Cash for work on The government has announced increase More expert hands are required to clearance of in the number of days of work under develop proposals and technical debris and MNREGA. advices to execute ideas to generate improving access/ 150 days of work for the 5070 families. road etc. under District administration is in the process to MNREGA in the utilize MNREGA scheme and fund the same There is also a need for strict and affected villages. in all affected villages. regular monitoring and human resource support to make activities In selected cluster 5070 people are job replicable. cardholders of MGNREGA and theses are Closer coordination is required so that from 32-affected villages. A plan may NGO promoted “cash for work” develop to provide them immediate cash programs are streamlined with the for work under MGNREGA MNREGA, and go beyond in terms of covering activities that may not otherwise be covered under MNREGA.

Training of Youth With departments of Micro, Small and Awareness building trainings with on Livelihood Medium Enterprises, Youth Affairs and appropriate handbooks explaining Related Programs Rural Development having several various schemes are to be made programs for livelihood promotion, it is available for 1,000 youth in the district. important that the youth take advantage of them.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Food, Food Security and Livelihood Cost/ Remark Sector response plan Unit No Units Months Total INR unit INR A Human Resources 1 One engineer each full time engaged in assisting the Block Planners for use of MGNREGA person 3 150,000 3 1,350,000 admin for planning programs under MNREGA along with block staff 2 One livelihood expert to assist the district in planning livelihood based activities and Livelihood Experts person 1 120,000 9 1,080,000 strengthening rural economy. This person can be with the NGO working on livelihood. 3 To help the government improve upon the existing cash transfer schemes and ensure more financial inclusion of Cash Transfer & Financial vulnerable communities. The person 1 120,000 4 480,000 Inclusion Expert person can be with an NGO who have more financial transfer related programs and can give additonal support to government. B Supplies and Equipments 4 Gap filling in food basket for Food basket @ Rs. 1450 per female headed households kit 900 1,450 9 11,745,000 family for 9 months (July '13 - Mar '14). Details attached 5 Supplementary food for pregnant Food basket @ 642 per and lactating mothers and other kit 649 642 4 1,666,632 pregnant & lactating woman for vulnerable groups 9 months (July '13 - Mar '14

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT 6 Gap filling food baskets for 4397 Food basket for Aug - Oct '13 to families in cut off valleys be delivered before 30 Sept, to kit 4,397 1,450 4 25,502,600 4397 families. (details of materials given separately.) C Communication & Information Management 7 Awareness building on Food Aid 30 street plays and 10,000 sun- per and Home Based Balanced 32 12,000 1 384,000 visors with tips on nutrition & Nutrition village food aid programs 8 IEC on MGNREGA & other food per Miking, posters, and media 32 4,000 1 128,000 security programs of government village announcements D Service Delivery & Capacity Building 9 Inter-departmenal Planning at the Cost for inter-departmental District / Block level planning meetings at the district unit 1 500 12 6000 and block levels. Cost on snacks, tea etc. 10 NGO - Government Coordination Cost for coordination meetings Meeting with NGOs and Corporates to unit 1 2000 12 24000 be spent by district administration as cost on tea, snacks etc. 11 Training of youth on schemes Train 1000 youth with appropriate IEC materials about various schemes available, how persons 1,000 600 1 600,000 to access, and facilities in the schemes - with focus on the disaster 12 Cash for work on clearance of Approx. Cost required for debris and improving access/ road executing MNREGA in target etc under MGNREGA in the villages. The money to come job cards 5070 142 150 107,991,000 affected villages from MNREGA and other schemes, and cash for work programs of NGOs. Total : Food & Nutrition 150,957,232

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT SECTOR: SHELTER

Nodal Departments: Rural Development Department/Ministry of Housing & Urban Poverty Alleviation, State Cell of Swajal Programme Nodal Agency: Rural & Urban Housing/Infrastructure, District Flagship Programs: Indira AwajYojana, Rajiv AwajYojana, SwajalPariyojna Frontline Worker: Gram-Pradhan, Village Panchayat Officer Allied Agencies: Public Works Department, Uttarakhand Institute of Rural Development, Uttarakhand Rural Engineering and Service Department

Four types of houses exist in the disaster-affected areas: (i) huts (thatch and bamboo structures that can be re-erected); (ii) kuccha structures (non-engineered house made of mud, grass, bamboo, thatch or sticks,); (iii) semi-pukka structures (a more robust type of house which is a mix between a kuccha structure and pukka- usually made of stone); and, (iv) pukka structures (engineered house made of materials resistant to wear such as stone, brick, clay tiles, metal). The Government of Uttarakhand estimates that a total of 5423 houses were either fully or partially damaged across the five affected districts, which need external assistance to rebuilding. Land issues are also important in shelter reconstruction. Most of the beneficiaries are landless and would require land prior to reconstruction. Thus, adequate support to procure land is inseparable from housing reconstruction.

Subject Present Status Requirements Damage to In the district, 1401 residential houses (only Need a large investment to support and Houses Pucca Houses) are damaged in which 176 are rehabilitate families affected, specially those completely damaged, 283 are severely whose houses are completely and severely damaged and 942 are partially damaged/ damaged (459 houses) slightly affected. This also requires technical assessment for Most number of houses are damaged in construction of new houses and Bhatwari (90+88+247) & then Chinayalisaur repair/retrofit slightly damaged house. tehsil (11+83+271) & Badkot tehsil area (30+34+230). There is immediate need to identify land to relocate and rehabilitate affected families. In selected cluster of 32 villages, 69 residential The government has proposed to rebuild houses are completely damaged and 151 are about 300 houses, which may be increased slightly affected.16 further. There is a need for support in rebuilding/ repairing another 350 houses In selected cluster of villages, part of some which are either damaged or are in extremely villages are demarcated as land slide prone vulnerable position. area by geological survey.

Damage to Commercial buildings (hotels and shops) are Need alternative arrangements of damaged

16Report as on 13 August, 2013, District Administration, Uttarkashi. Page 36 of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Commercial also damaged in the district. structures as support to. Soft loans may be a buildings good option along with compensation. No Panchayat Building has reported damages.

Human Resources

Subject Present Status Requirements Geological / In the district, a sole Assistant Geologist has Affected villages have to be geologically Geotechnical been working since 23rd June 2013 from inspected for displacement. Assessment of Geology and Mining Unit, Uttarakhand state affected villages side for the geological survey of affected If village site is found unsuitable, then sites – Need for villages for displacement/shifting and for rehabilitation will be investigated, which Geologists rehabilitation/ re-establishment. may be three to four sites for evaluations for a single village population. More than 40 villages have suffered damages to houses by landslide/ sinking and land losses Thus for evaluation of vulnerable village for due to sudden rise of water level in displacement and rehabilitation sites, at least rivers/tributaries – affecting nearby village three geologists are urgently required for population. investigation of affected places before winter fully sets in.

Landslide Division, Geological Survey of India, Dehradun; WIHG (Wadia Institute of Himalayan Geology, Dehradun; Geological IIT Roorkee; Geosciences and Geohazard Division of IIRS (Indian Institute of Remote Sensing), Dehradun; Geology Dept. in HNB Garhwal Central University and Kumaon University) and Geology and Mining Unit, Uttarakhand with expert technical manpower are in Uttarakhand State. These need to be pulled together in one platform. Synergy with research institutes and related organizations with implementing modern techniques to accelerate pace in

Civil Engineers Though there is a regulation to take prior Engage knowledgeable engineers (3 persons for Structural permission for construction of pucca houses, for 3 blocks) for retrofitting of public Planning even in rural areas, but practically this is not in buildings that are partly damaged. use. Partially damaged houses of rural areas also Rural housing: Indira Aawas Yojana exists in need technical support along with monetary the districts & blocks. support to repair and make safe house for living. Structural planners / engineers from various departments and universities can be of help in It is also recommended that agencies, which

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT designing housing structure as per location give permission for house construction in requirement & acceptable cost limits. rural areas, should function more effectively.

Subject Present Status Requirements Warm clothing District administration, NGOs and some Need more warm cloths as winter is fast and blankets private donors are distributing blankets to approaching. It is advisable that the donated affected families. cloths must be checked before distribution, to ensure that it is really useful for hill people. This is a need to ensure proper distribution keeping the dignity of the people in mind among nearly 320 families whose houses have been fully or partly damaged in the 32 villages. Transitional As on 18 Aug 2013, 137 families (596 persosn) This needs an innovative approach with fast Shelter are still residing in relief camps. Since their working schedules, to plan-out for houses are fully damaged or irreparably construction of transitional shelters for damaged, these people cannot go back to the affected population who are still living in same place, as they have lost the land as well. seven relief camps. With the winter approaching, the current places where they are temporarily put up will About 137 families are in relief camps and become inadequate. may waiting for transitional Shelter to shift for better living place.

Permanent In the district a large number of permanent Need close coordination between various Houses houses are damaged and compensated. departments for identification and allocation of land, and for financial support Number of families living in land slide prone areas may require to be relocated to safer Banks should be asked to provide soft loans, areas. For all such families there is need for with no interest/low interest, for permanent house. Land for shifting and reconstruction of permanent houses by rehabilitation purpose is being searched by affected families. administration, though it is a very challenging issue. Houses may be built by the government / NGOs and Corporates with the participation of community. All completely damaged and severely damaged houses need to be rebuilt urgently.

Indira AawasYojana/ House loan from bank for affected families and cash transfer from other schemes are options that can work in this shelter sector with some strict regulation Coordination &Information Management

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Subject Present Status Requirements Communication Knowledge of regulatory policies, simple Mode of operation and salient features of the on government techniques in choosing site and materials for housing may be disseminated through programs and construction and basic safety standards to be various miking, local media, NGOs, Radio, schemes relating maintained to be repeatedly instilled in the display boards showing safe & unsafe to shelter / minds of people. Schemes and support of locations in the locality etc may be put up / housing government for rebuilding the houses of done. Vulnerable and forbidden areas for people also need to be made known with construction of houses may be mapped using relevant information. GIS tools and put up in public places as no construction zones, so that people will be aware of it, and will not construct houses on it.

IEC on Safe NDMA, DMMC and several experts have come Awareness drive should be conducted among Shelter Building out with books and basic information for low urban and rural population regarding cost safe shelter building. regulation and its benefits of prior permission for making houses in rural areas.

IEC and campaign materials, display boards, public information camps and demonstration of rural housing models are required.

Service Delivery

Subject Present Status Requirements Capacity building Capacities of local masons need to be rapidly In each of the six selected clusters there is a of local masons improved / increased for risk reduction in the need of at least one demonstrative skill short term and in long term, before development program with local masons is reconstruction work starts in full swing. organized. Local community representatives, (DMMC has organized some basic trainings in skilled construction laborers also need to be the past—prior to the disaster.) part of it. 6 trainings for about 30 persons each for 6 days would be the ideal. Cash Transfer Since the reconstruction of houses will be Cash transfer modules in case of family Module done by the family, and that major portion of constructing its own house with financial it will come as grant / soft loan there is support of government, must be done in possibility of cutting corners – exposing the such a way that within five working days, houses to further hazards. from the time a person notifies the government of having completed a particular portion of task, the task must be verified and money must be credited.

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Shelter Cost/unit Remark Sector response plan Unit No Units Months Total INR INR A Infrastructure Average cost on rebuilding of 459 houses at an average rate of Rs. 500,000 per house. Actuals may vary marginally Reconstruction of damaged and from house to house. The 1 units 459 500,000 1 229,500,000 extremely vulnerable houses government may give about 300 - 400 houses, and the rest may come from Corporate agencies and NGOs with participation of the community The cost of rebuilding may come from NGOs and 2 Repair of partly damaged houses units 942 50,000 1 47,100,000 Corporates with government and affected families also contributing where possible. B Human Resources Cost for hiring 3 geologists for 2 months period to assess the 3 Geologists persons 3 150000 2 900000 vulnerabilities and identification of safer zones To plan and oversee shelter construction under the housing schemes; conduct repair / 4 Civil Engineers persons 3 125000 3 1125000 retrofitting of public buildings; cost of hiring 3 engineers for 3 months. C Supplies and Equipments Cost on provision of winter kits Warm clothing and blankets Unit 320 2,580 1 825,600 5 (Winter Kits) for 320 families

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Cost on transitional shelter / paid up rent of Rs. 3000 per month to 137 families, until Unit 137 3,000 8 3,288,000 houses are available, which is expected to be by Feb 2014 - cost allotted for 8 months (July - 6 Transitional Shelter - Families Feb) D Communication and Information Management Preparation & dissemination of IEC materials using various manuals of the government / NDMA on safe shelters are to Unit 40000 5 1 200000 be communicated through appropriated printed materials. Approx. cost allotted for printing 7 IEC on Safe Shelter Building and local campaign. IEC, media communication, public announcement, display boards citing "No Construction villages 32 10,000 1 320000 Communication on government Zone" etc on housing and programs and schemes relating shelter based schemes and 8 to shelter / housing safety standards. E Service Delivery and Capacity Building Training of 180 persons for six Capacity building of local masons, days on the essentials of safe PRI Members, local contractors, persons 180 600 6 648,000 shelter building, and govt. technical officials, skilled demonstrating it in the process 9 laborers by building a real model house.

Total : Shelter 283,906,600

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT Focus Villages in SSP - Uttarkashi

of 43 SOCIAL SECTOR PLAN – UTTARKASHI DISTRICT PERSONS CONSULTED / PARTICIPATED IN THE PLANNING UTTARKASHI

Name of Govt. Designation/Department Contact No. Email Id Officials Dr. Pankaj Pandey, IAS District Magistrate, 01374-222280/ [email protected] Uttarkashi 9837911999 Mr B. K. Mishra ADM, Head Quarter, 01374-222109 / Uttarkashi 9412076308 Shri Parshu Ram District Education Officer, 01374- 222122/ Verma Uttarkashi 9411551706 Dr. Mayank Upadhay, Chief Medical Officer, 01374- 222106/ [email protected] Uttarkashi 9411551706 Dr M. K. Rao, Deputy CMO/Secretary, 01374-222738 Red Cross, Uttarkashi Smt. Vimila Majkhola, Dist. Program Manager, 01374- 22106/ [email protected] NRHM, Uttarkashi 9411721030 Shri Devendra Singh Dist. Disaster Project 01374-222126 / Patwal Office, Uttarkashi 9410350338 Dr Mukul Choudhary, Distt Program Officer, 01374-224656 / WCD, Uttarkashi 9411599607 Shri S S Chauhan Project Director, Dept. 01374-2222 / Rural Dev./ NREGA 9456347272 Dr. Dinesh Nadoni, Ditt Statistical & Economic 01374-222292 / [email protected] Officer, Uttarkashi 9410199518 ShriP.S. Bachhawan Chief Revenue Accountant, Uttarkashi Shri K S Bisht Dist Supply Officer, 01374- 223829 / Uttarkshi, PDS Uttarkashi 9410571551 Shri Vijay Nath Shukla, Sub Deputy Collector, 01374-222109 / Uttarkashi 9411337474