Multi-Sectoral Rapid Need Assessment Flood Emergency-District 10-Sep-2014

Muslim Aid UK – Field Office

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Table of Contents Ser Title Page # A Situational overview and summary 2 A.1 Map of flood in district Jhang 3

B Methodology 4 C Study limitations 5

D Flood devastations in Tehsil Jhang 6 E Flood devastations in Tehsil 18-Hazari 7 F Flood devastations in Tehsil 7 G Flood devastations in Tehsil A.P Sial 8 H Findings 9 H1 Shelter 9 H2 Health and nuitrition 10 H3 WASH 11 H4 Food security and livestock 12 H5 NFIs 14 I Preferred needs identified 15 Annex1 List of Health facilities 17

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

A. Situational Overview and summary The widespread devastations of ferocious floods are visible in district Jhang of Punjab. The system of life is totally paralyzed in the area where thousands of houses have been submerged in water. High flood has wreaked everything and almost 250 of 41 Union Councils1 of the district are adversely affected, dislocating thousands of people. Two main consecutive torrents each of 5,25000 and 8,50000 cusecs of flood water entered in district Jhang on 08th and 10th Sept, 2014 which swamped all the four tehsils of district including Pix of one breach at 18-Hazari tehsil Jhang, tehsil 18-Hazari, Shorkot and A.P Sial. The district administration warranted the contingency arrangements for saving Trimmu Headworks (which is in fact the conjunction of river Jehlum and river Chanab), Jhang City, 18-Hazari city and . The discharging capacity of Trimmu Headworks is 6,45000 cusecs at maximum while upcoming flood was more than 8,50000 cusecs which was almost impossible for the district administration to control or manage, therefore the Rescue Operation the Atharan Hazari (18) protective dyke was breached at three different cites which increased manifold the existing massive catastrophe of tehsil 18 Hazari because the flowing pressure of breached water was tremendous causing numerous houses into mud debris. Army troops were purposely deployed for mitigating any unforeseen situation, patrolling flood affected areas, shifting affectees to safer places through water boats and helicopters. Police, Rescue 1122 officials, Al-Khidmat foundation and Falah e insanyat played significant role in evacuating affectees i.e. rescue operation. 285625 District Jhang comprises of 4 Tehsils (Jhang, Atharan Hazari, (26%) Shorkot and A.P.Sial) comprising 85 Union Councils. Out of 85 827437 (74%) UCs, the initial data collected of 41 affected UCs, consisting of total population of 1113062 as reported in [1]. The pie chart provides that 74% (827437) people are intensely flood affected whereas the rest of 26% (285625) is either safe or not directly affected. It entails that the overwhelming population with houses demolished; farms and commodities are spoiled. The magnitude of this flood disaster is ever greater in the history of Jhang. As per the recorded natural calamities in district Jhang, the floods of 1973 and that of 1992 is known to be most destructive; however this flood of Sep 2014 is found the worst of all, with countless measure of calamities.

1 Data provided to Muslim Aid by District government and Health department of District Jhang Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

A.1 Map of flood in district Jhang

River Jehlum

River Chanab

Jhang City

Trimmu Barrage at

. The dark blue line was the actual river. . The water in sky blue shows the inundated area due to flood

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

B. Methodology

Comprehensive and separate data collection tools were developed for Focus Group Discussion (FGDs) with affected communities, Key Informant interviews (KII), meetings with respective government departments and field based working NGOs were conducted to gauge the exact data whatever possible. This was done to address several discrepancies, technical mistakes and doubts pertaining to data collection and analysis which are in particular to emergencies and crisis.  Secondary data collection from Health department as per data collection tool. This was done through meetings with Medical superintendent of DHQ Jhang, pediatrician and EDO health department of Jhang  8 Focus group discussion (FGDs) with IDPs communities in flood affected areas of tehsil Jhang and tehsil 18-Hazari.  Secondary data collection from District Livestock department and meeting with director and Assistant director of livestock District Jhang  5 Interviews of Key informants who had been volunteering services for IDPs  Meeting with the focal person for IDPs of Al-Khidmat Foundation and Falahe insanyat foundation  Meeting with rescue 1122 and army personnel’s deployed for rescue operation

C. Study limitations  Stringent deadlines, time limitations and emergency situation  Primary data collection was not extensively made which could have the representation of each and every region ie UC and . For this purpose, methodology of focus group discussion and key informants interviews was thoroughly applied.  Limited houses being sunk in water or damaged were watched.  Some of the Secondary data received from different line departments though being considerably authentic, however it was not perfect, exact and error free.  The death tolls of men and animals too were not exactly confirmed due to emergency situation and mainly involvement in rescue operations of different departments.

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Sr# Tehsil Affected UCs D. Flood devastations in Tehsil Jhang 1. Jhang UC 46 2. Jhang UC 52 According to data provided by district 3. Jhang UC 54 government, tehsil Jhang has 17 severely 4. Jhang UC 55 affected UCs (names given in table-1). The 21 5. Jhang UC 58 6. Jhang UC 64 % aggregate (actual) population of these UCs is 7. Jhang UC 74 448108 and the population directly affected or 79 8. Jhang UC 75 displaced is 331119 which means that the % 9. Jhang UC 76 10. Jhang UC 77 population directly submerged into water is 11. Jhang UC 78 79% and rest of 21% is either safe or affected 12. Jhang UC 79 13. Jhang UC 80 indirectly. Tehsil-Jhang 79% 14. Jhang UC 82 Line chart 1- provides the distribution of affected Population 15. Jhang UC 83 population in different UCs of tehsil Jhang. The 16. Jhang UC 84 17. Jhang UC 85 line split gives trend that overall UCs’ 35000 population lies in range of 25000 to 30000 30,000. Only three UCs lies below 25000 20000 25000 populations. 15000 1- Population distribution Tehsil Jhang Line Chart 2- shows the population 10000 split of aggregate (actual) population 5000 and directly affected population. It 0 UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC gives that out of the 17 affected 46 52 54 55 58 64 74 75 76 77 78 79 80 82 83 84 85 population of Tehsil Jhang, the 7 UCs are 100% affected or submerged in 40000 water. These are highlighted by 30000 Yellow circles glowing. The Black line as in Line Chart 1- gives the total 20000 population while the Red Line shows 10000 the affected population. 2- Black line = Actual population, Red line= Affected Column Chart 3- gives the UC vise % 0 UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC damages in Tehsil Jhang. The Red 46 52 54 55 58 64 74 75 76 77 78 79 80 82 83 84 85 Column in the chart offers the range of damages 60%=50%, Blue<50% than 60% or equal to 100%). 8 UCs 100 are with 100% devastation which 80 means totally submerged into water or 60 inundated. Whereas the Yellow 40 columns give damages occurred more 20 than 50% and the dark-blue shows 0 UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC UC the UCs with devastations of <50% 46 52 54 55 58 64 74 75 76 77 78 79 80 82 83 84 85 (Less than 50%).

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

E. Flood devastations in Tehsil 18-Hazari According to data provided by district Sr# Tehsil Affected UCS government, tehsil 18-Hazari has 09 severely 1. 18-Hazari UC 65 2. 18-Hazari UC 66 affected UCs (names given in table-2). The 20 % 3. 18-Hazari UC 67 aggregate (actual) population of these affected 4. 18-Hazari UC 68 UCs is 257409 and the population directly 80 5. 18-Hazari UC 69 affected or displaced is 206178 which means % 6. 18-Hazari UC 70 7. that the population directly submerged into 18-Hazari UC 71 8. 18-Hazari UC 72 water or the area inundated is 80% and rest of 9. 18-Hazari UC 73 20% is either safe or not directly flood-hit. Tehsil-18 Hazari 80 % Line Chart 4- shows the population split of affected Population aggregate/actual population and directly 40000 affected population. It gives that out of the 09 severely affected UCs of Tehsil 30000 18-Hazari, the 5 UCs are 100% affected 20000 or completely inundated. These are highlighted by Yellow circles glowing. 10000 4- Black line = Actual population, Red line= Affected The Black line as in Line Chart 4- gives 0 population the total population while the Red Line UC 65 UC 66 UC 67 UC 68 UC 69 UC 70 UC 71 UC 72 UC 73 shows the affected population. UC vise % damages (Red=100/>50%), Blue<50% Column Chart 5- gives the UC vise % damages in Tehsil 18-Hazari. The Red 100 Column in the chart offers the range of damages 50%

F. Flood devastations in Tehsil Shorkot 29 % Tehsil Shorkot has 7 severely affected UCs Sr# Affected Tehsil (names given in table-3). The aggregate (actual) UCS 71 1. Shorkot UC 100 population of these UCs is 179350 and the % 2. Shorkot UC 101 population directly affected or displaced is 3. Shorkot UC 103 127597 which means that the population directly 4. Shorkot UC 104 5. Shorkot UC 109 submerged into water is 71% and rest of 29% is 6. Shorkot UC 113 either safe or not directly affected. Tehsil-Shorkot 71 % 7. Shorkot UC 114 affected Population Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Line Chart 6- shows the population split 35000 of aggregate population and directly 30000 affected population. It gives that out of 25000 the 7 affected population of Tehsil 20000 Shorkot, 3 UCs are 100% affected or 15000 submerged in water. These are 10000 100% highlighted by Yellow circles glowing. 5000 6- Black line = Actual population, Red line= Affected The Black line as in Line Chart 6- gives 0 population the total population while the Red Line UC 100 UC 101 UC 103 UC 104 UC 109 UC 113 UC 114 shows the affected population. The Black line split gives trend that overall UCs’ population lies in range of 25000 to 30,000; whereas only one UC 114 lies below 25000 populations and one other UC 104 is with above 30,000 populations. Column Chart 7- gives further UC vise UC 114 % damages in Tehsil Shorkot. The Red Columns in the chart represents the UC 113 range of damages =100%. It means UC 109 that 3 UCs (UC-114, UC-113, UC-109) UC 104 UC vise % damages of Tehsil Shorkot are completely UC 103 swamped in water and the dark-blue UC 101 column shows the UCs with UC 100 devastations of 60%<50% (Less than 0 20 40 60 80 100 60% and greater than 50%).

Tehsil A.P Sial 64% G. Flood devastations in Tehsil A.P. Sial Sr# Affected Tehsil UCS Tehsil A.P Sial has 8 severely affected UCs 1. A.P Sial UC 115 (names given in table-4). The aggregate 36% 2. A.P Sial UC 117 3. A.P Sial UC 119 (actual) population of these UCs is 228195 and 4. A.P Sial UC 120 the population directly affected or displaced is 5. A.P Sial UC 122 162543 which means that the population 64% 6. A.P Sial UC 123 directly flood hit is 64% and rest of 36% is either 7. A.P Sial UC 127 8. A.P Sial UC 128 safe or not affected directly.

Line Chart 8- shows the population split of aggregate population and 35000 directly affected population. It gives that 30000 out of the 8 affected population UCs of 25000 Tehsil A.P Sial, 2 UCs are 100% 20000 15000 Mulsim Aid: 10000 Multi-Sectoral Rapid Need Assessment of Flood Emergency6- Black line District = Actual Jhang population,-2014 Red line= Affected 5000 population 0 UC 115 UC 117 UC 119 UC 120 UC 122 UC 123 UC 127 UC 128 affected or submerged in water. These are highlighted by Yellow circles glowing. The Black line as in Line Chart 8- gives the total population while the Red Line shows the affected population. The Black line split gives trend that overall UCs’ population lies in range of 25000 to 30,000.

Column Chart 9- gives further UC vise UC 128 % damages in Tehsil A.P.Sial. The Red UC 127 Columns in the chart represents the UC 123 range of Flood-hit population =100%. It UC 122 means that 3 UCs (UC-123, UC-122, UC 120 UC-115) of Tehsil A.P.Sial are UC 119 completely flooded in water and the UC 117 dark-blue shows the UCs with UC 115 devastations of 70%50% (Less than 0 20 40 60 80 100 70% and greater than or equal to 50%).

H. Findings H1. Shelter It is a bit pre-mature to give the exact figure with 100% certainty that which % of flood-hit houses has been fully or partially affected. It is however very obvious from the data that 74% population of 41 UCs of district Jhang is directly flood-hit which is alarmingly substantial. Hundreds or thousands families managed either to their remote relatives or started staying under open sky at relatively raised locations, not submerged into water. It is worth mentioning that rural areas mostly comprising of mud houses or houses without raised platforms and without DRR considerations. It was observed that many houses turned into mud wreckages or cracked because water assessed, is likely sustained for several weeks. The respective affected population in the already discussed 41 UCs gives 79% flood hit population in Tehsil Jhang, 80% in 18-Hazari, 71 % in Limited families in tents fetching water Shorkot and 64% in A.P Sial. As per the data provided by district government, the total affected population of 41 UCs of district Jhang is 827437. It is assumed as per the HH generalized standard in Pakistan that one HH comprises of 7 members. This gives a total of 118205 houses which are flood hit. It is again assumed that 55% houses of Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014 the affected population are partially or fully damaged which gives 65012 which is very optimum figure of analysis. The detail discussion with Key informants and affected communities provided 55% (65012) houses either partially or fully damaged. The scale of devastation is tremendous in the sense that once a house or a room is cracked, it is the imminent sign of danger which is preferred to be restructured instead of compromised living. It was reported by the local communities that after several days of flood water; their houses, boundary walls and rooms started collapsed. Now, since the flood water just crossed district Jhang till 13th of Sep 2014, the displaced families are turning back to their homes. This tremendous devastation induces a call for the immediate support in terms of either repair, re-construction of fully demolished houses or at least facilitation in terms of arranging chopals, tents and temporary shelters so that the sustained vulnerabilities of the overwhelming majority of affected population, who are directly exposed to open sky, may be initially curtailed.

H. 2. Health and Nutrition District Jhang being considerably backward, has already been undergoing the enormous stresses owing the increasing demands for health and medical facilitation. The huge damages inflicted by roaring water is ever in the history of district which is going to likely engage the existing infrastructure in fullest, increasing the limitations manifold. Being the initial phase of Flood-disaster, rescue operation was found in progress in which thousands of people were evacuated through water-boats or helicopters. The significant pressure on Health facilities due to flood borne diseases was not observed nor confirmed from the monthly data with health departments. The reason is because of quite initial days. The data shared by Health department provides the total affected females are 430267; out of which 33904 which are almost 7% of the total affected females are pregnant women. The MCH centers in the district are given below. It was not further confirmed the extent of damages to these centres.

Name of MCH Centres Name of U.C & No. Tehsil Urban/ Rural MCH Centre No. 1 Shorkot (Health Dept) UC 126 Shorkot Shorkot Urban MCH Centre No. 2 Shorkot (Health Dept) UC 126 Shorkot Shorkot Urban MCH Centre No. 2 Jhang UC 97 Jhang Urban MCH Centre No. 3 Jhang UC 98 Setelite Town Jhang Urban MCH Centre No. 4 Jhang UC 99 Bagh Jhang Urban MCH Centre Dosa UC 71 Dosa Jhang Rural T.B Clinic Jhang UC 97 Road Jhang Sadar Jhang Urban

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

LIST OF RURAL HEALTH CENTRE IN DISTRICT JHANG Sr. # Name of RHCs Name of U.C & No. Tehsil Urban/ Rural 1 UC 68 Rodu Sultan Jhang Rural 2 Kot Shakir UC 72 Kot Shakir Jhang Rural 3 Haveli Sheikh Rajoo UC 77 Haveli Sheikh Rajoo Jhang Rural 4 Shah Jewana UC 79 Shah Jewana Jhang Rural 5 Bagh UC 99 Bagh Jhang Rural 6 UC 62 Mochiwala Jhang Rural 7 UC 56 Mukhiana Jhang Rural 8 Haveli Bahadar Shah UC 100 Haveli Bahadar Shah Shorkot Rural 9 Garh Mahraja UC 127 Garh Mahraja A.P Sial Rural

Moreover list of sub-health centers is given in Annexure.1 for ready reference. It is notable that sub-health centers in affected UCs need to be properly highlighted. Though there are several health units as given in tables, however communities’ preference to DHQ is prevalent. In detail discussion with MS-DHQ Jhang, pediatrician and EDO health shared anticipated repercussions entailing the outbreak of many diseases including diarrhea and gastro- diseases, temperature, malaria, skin infections, eyes infections, headache and other pains, scabies and bronchitis diseases (cough etc). 25 snakes bite cases were reported in which 8 were hospitalized for proper care and medication. It was added that district government had established 9 emergency points where health services were being provided. EDO health shared that polio department has not disturbed the frequent polio vaccination and no compromise has been made on ongoing polio campaign.

H. 3. Water, Sanitation and hygiene (WASH) As per the data provided by district government, the total affected population of 41 UCs of district Jhang is 827437. It is assumed as per the HH generalized standard in Pakistan that one HH comprises of 7 members. This gives a total of 118205 houses which are flood hit. While focus group discussion with community it was inferred that almost 75% HHs do have self-owned water resources in the form of water-pumps or hand-pumps. This confirms the occurrence of 88653 water resources. Due to tremendous flow of roaring flood with the range of height from 2feet to 10 feet, almost all the water resources have been adversely affected. They are either filled with mud or have been contaminated. The damages to water resources can cause serious gastro

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014 and bronchial diseases. The outbreak of diarrhea is very imminent to occur therefore. So effective measurements for safe drinking water is the emergency based issue, needs to be dealt with.

Since the community is overwhelmingly rural in nature being already scare of sanitation facilities because of the feeble socio-economic conditions; then the catastrophe and the havocs of flood are also widespread, gives the complete ruining of sanitation system where existed. Poor sanitation is mainly linked with multiple diseases and the stagnant water situation for weeks and months on door step may prove more fatal.

It was assessed through Key informants interviews and Focus group discussion with community that open defecation was the 70 most common practice. Several reasons can be affixed like poverty, unawareness, perennial cultures and not-sound 60 latrines 65%

considerations of community. It was found that almost 65% 50 Without Latrines 35% (considered lowest figure) of affected community don’t avail any 40 house based latrines and 35% of affected communities do have 30 latrines in either forms like flush latrines and pet latrines. The 20 10 open defecation by 65% of community is a serious issue which requires the attention of WASH sector. Community mobilization 0 on large scale and installation of latrines is the only recommended remedy for the alarming situation.

Hygiene situation too, is nothing different rather highly un- inviting. It is dared to mention that almost 90% of flood hit men of communities were observed without shirts. Dirty dresses, filthy faces and everything unclean is very common. Perhaps due to flood the condition might show the poor picture of society. However, while discussion with communities at many different places, unhygienic practices were found prevalent. Use of soap, cutting nails, combing hair and brushing teeth is damn scarce. Like personal hygiene, the unawareness of menstrual hygiene the awareness is supposed to be nominal. Provision of hygiene kits is suggested to maximum families in order to ensure adapting to improved practices of personal hygiene. Women and mothers should be oriented in particular for women and child hygiene which can strongly curtail many diseases associated with it. It is suggested that without large scale sensitization and mobilization, only provision of hygiene kits will not be sufficient to serve the purpose.

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

H. 4. Food Security Existing stock of food It was not possible to gauge the % of HHs having existing stock of food and those relying on daily wages or monthly income. However it was clear that the existing stock of grain is severely affected being sunk in water for days. It was too, not possible for communities to bring everything out of home in such unforeseen emergency situations. The overall community being vulnerable is either hardly able to expend savings on food and grains or to sell assets for managing food. A complete package for compensation is required by government or other private sector donor agencies to inhibit the widespread miseries of the affected community.

Farming and agriculture Jhang, being agri-land, where the main source of income of almost 90% population is farming and agriculture. As per assessment 20% people are farmers and 80% are tenants or working in Farmers fields. The current crops are chiefly the rice, maize and sugar cane. The whole area being inundated has destroyed all types of crops. Rice and maize are buried in mud and there is no chance of survival however sugar cane, where height of flood water was less than height of sugarcane may have chances of survival. It provides the obvious measure of devastations in terms of cash crops and the main source on which 80% community is relying, is destroyed completely. One can just imagine the misfortunes brought with the un-controlled waves of water.

Livestock:

775612 % of Large and Small 800000 664614 Animals 576060 Small 600000 Anim Large als Anim 400000 254133 38% als 200000 113782 62% 5470 9481 864 0

Secondary data from district Livestock department gives that almost 1481269 are large animals and 918747 are small size animals in district Jhang. It further the %of Large animals is almost 62% and those of Small animals is 38%. The data describes the community trend towards large animals is substantial. It gives an obvious inference that animals fodder is

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014 sufficient for sustaining the large animals including buffaloes, cows, camels, donkeys, horses and mules. Apart from, the data in Column chart 11, the rearing of buffaloes is highest, followed by goats and cows. The data also provides that almost every HH owns the livestock which claims the maximum trend of livestock in rural areas of district Jhang. The district officials claimed their vehement efforts devoted to the animals’ vaccination. Deep concerns were raised regarding animals whose vaccination was not carried out which may create contiguous diseases especially those animals’ diseases attached to flood.

Animals Fodder Animals fodder was assessed as the major problem. Those animals which were not brought alongside on the raised platforms and protected from being drowned by one or the other way, were in highest demands for fodder. Crops being inundated and destroyed on large scales were perished and animals’ fodder might rise with the precarious demand with time. Support in providing fodder, Total mixed ration (TMR) and Vanda for livestock is highly recommended.

H. 5. Non Food Items (NFIs):

 Hygiene kits  Shelter kits  Aqua boxes

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

I. Findings

Preferred needs identified

Thematic Preferred Needs Identified Sector  Repair and construction of damaged houses and provision of shelter facility whatever possible  Provision of tents, shelter, temporary shades and chopals according to needs Shelter  Shades and Sayabaan for livestock to protect them exposed to harsh weathers and could be managed bitterly  Provision of shelter kits  Capacity building on DRR  Mass awareness to deal with outbreak of diarrhea and other associated diseases relating to digestive disturbances with a focus on children who are likely the principal victims. Other common diseases like malaria, fever, cold and cough should be evenly dealt with.  Apart from the common diseases, eye infection, scabies must be given paramount attention because these diseases are in particular associated with displaced families.  Mothers and child health services are insufficient and a loud call to provide these services on easy access is being felt. So it is strongly Health and recommended to establish a mechanism or a stand still facility Nutrition where to provide Mother and child health services exclusively. This includes natal, ante natal, post natal and other related services.  Nutritional food for pregnant women and lactating mothers along with babies and neonates is hereby strongly suggested so that mal-nutritional issues might be addressed effectively.  Support for over-burdened health facilities is hereby recommended to adequately serve the tremendous influx of patients. This support can be provided in terms of provision of medicinal, diagnostics instruments /facilities or the provision of skilled staff to expedite the provision of services based on the need of health facility in coordination with Medical superintendent and district government.  Installation of Community Hand Pumps for safe drinking water  Provision of hygiene kits and aqua-boxes and water treatment Water, methods/ techniques Sanitation and  Construction of domestic pet-latrines or low cost latrines to curtail Hygiene maximally the frequency of open defecation and environmental pollution  Adequate sensitization and extensive mobilization for adapting to Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

improved health and hygiene practices and to have mass awareness regarding personal, domestic, menstrual and environmental hygiene practices

 Provision of sugar, tea packs and cooking oil to displaced families  Provision of nutritious food for pregnant and lactating mothers, neonates and babies which can compensate breastfeeding Food  Motivation for mothers on breastfeeding which is the most perfect Security and balanced diet for neonates (Food,  Support in providing animals fodder, Total mixed ration (TMR) and Nutrition Vanda for livestock which is scarcely available and  Facilitation in deworming, vaccination (Food and mouth disease Livestock) vaccination in particular), acto-parasites injections, spray for ticks etc, treatment for extra heat victimization, entero-toximia and immunization for large and small animals  Support in providing seed grains and grain-stock  Hygiene kits Non-Food Items  Aqua boxes  Shelter-kits Cash-  Provision of cash grants for meeting the day to day basic and Grant fundamental needs which are highly substantial

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

ANNEX.1 -- LIST OF SUB HEALTH CENTRES & LOCATION IN DISTRICT JHANG Sr. Urban/ Name of SHC Name of U.C & No. Tehsil # Rural 1 Bhareri, Mauza Bhareri UC 68 Rodu Sultan Jhang Rural 2 Chalian wala, Mauza Chalian wala - Jhang Rural 3 Chak Arayan, Muza Chak Arayan - Jhang Rural 4 Kot Murad, Mauza Kot Murad - Jhang Rural 5 Aura Sharif, Mauza Aura Sharif UC 72 Kot Shakir Jhang Rural 6 Mari Shah Saghira, Mauza Mari Shah Saghira - Jhang Rural 7 Subhiana Gharbi, Mauza Subhiana Gharbi - Jhang Rural 8 Najaf Abad, Mauza Najaf Abad - Jhang Rural 9 Abbas Pur, Muaza Abbas Pur UC 79 Shah Jewana Jhang Rural 10 Kot Zulfiqar, Basti Kot Zulfiqar - Jhang Rural 11 Dosera, Mauza Dosera - Jhang Rural 12 Hassan Shah, Chak Hassan Chah UC 99 Bagh Jhang Rural 13 Athu, Basti Athu - Jhang Rural 14 Noon, Chak Noon - Jhang Rural 15 Korian, Basti Korian - Jhang Rural 16 Chak No. 262 UC 62 Mochiwala Jhang Rural 17 Chak No. 175/JB - Jhang Rural 18 Chak Aura - Jhang Rural 19 Chak Salamat Pura UC 56 Mukhiana Jhang Rural 20 Chak No. 260 - Jhang Rural 21 Nika Doultana - Jhang Rural 22 Kharora Baqir - Jhang Rural 23 Chak Rustom Sargana UC 100 Shorkot Rural 24 Ludha Mahni - Shorkot Rural 25 Chak No. 485/JB - Shorkot Rural 26 Chak Nourang Shah UC Ahmad Pur Sial A.P Sial Rural 27 Kassowana - A.P Sial Rural 28 Diraj, Mauza Diraj - A.P Sial Rural 29 Inayat Shah UC 127 A.P Sial Rural 30 Kot Bahadar - A.P Sial Rural 31 Kot Mapal - A.P Sial Rural

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014