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Home , Badin, Mirpur Khas

Community infrastructure and livelihood IOM EMERGENCY AND EARLY RECOVERY restoration

From August onwards, IOM’s community SEPTEMBER NEWSLETTER restoration and one room shelter teams are operating as one integrated team, in order to promote synergies IOM is implementing emergency and early recovery between the two projects and benefit from programs across Pakistan including: partnerships formed with organizations working under the one room shelter program. Seven of these • One room shelter support partners have been requested to submit project • Response to new flooding in and Khyber proposals following an orientation on budget and Pakhtunkhwa proposal guidelines. • Humanitarian communications • Response to the complex emergency in Khyber Eighty proposals were received from partners during Pakhtunkhwa and FATA August for small scale community infrastructure and • Provision of primary healthcare services livelihood projects. Proposals are being assessed and • Restoration of community infrastructure and verified by the technical team. livelihoods Over 10,000 patients treated in August 2011 The community restoration team is continuing to Half of targeted one room shelters completed! assess and verify proposed target villages and IOM’s medical teams are currently providing projects for the community infrastructure primary healthcare, referral and health promotion st By 31 August 2011, IOM had supported the He shared his experience working with IOM and restoration project in and Sindh. Teams services in four clinics: Rural Health Centers construction of 18,339 one room shelters. All of visit villages where IOM’s one room shelter program Fazilpur and Kot Mithan in Punjab, and in clinics at IOM’s local implementing partner, Mehran Welfare targeted shelters have complete foundations and Trust (MWT). “MWT and IOM’s one room shelter is already in process, as the aim is to achieve close Tehsil Headquarter Hospital Johi and Dispensary 82% have completed walls. integration between the two programs. Faiz Muhammmad Leghari. team conducted sessions on the program methodology and on safe building techniques”. 89% shelters are complete in , Six street pavement and water drainage projects During August 2011, IOM doctors treated 7,116 57% in Punjab, 62% in northern Sindh and 31% in He continued, “Before flood we built pakka (brick) are currently underway. Over eighty proposals are patients at the health facilities in Punjab and 3,493. southern Sindh. Out of 35,160 target shelters, 52% being assessed and verified by field teams. Since September 2010, IOM’s teams have treated houses but we were not sensitized and well aware of are complete (see table below for further details). the importance of different steps such as over 71,000 patients in Punjab and over 90,000 Distribution of household repair and community patients in southern Sindh. A disaggregation of excavation, use of cement mortar, use of slab and One of these completed shelters belongs to Anwar support under girder. We were doing our clean up toolkits is now almost complete. data reveals that over 41% of patients are Ali and his family, who live in village Wand Distributions targeted IOM’s one room shelter children, 35% are female patients and 5% are constructions mechanically but now there is a Bamboo Khan Chandio, Union Council Jamali in difference. beneficiaries, and the tools have been helpful in elderly patients. district Qambar Shadadkot in northern Sindh. completing the shelters, constructing boundary walls, “Now we are building our shelters by observing all clearing pathways and repairing irrigation channels. Patients were treated for a variety of illnesses Mr Ali has eight family members, including his including diarrhea, acute respiratory illnesses and the steps willfully and know the importance of each elderly father who lives with him. He also serves as step. The change in our behavior is due to the skin infections. IOM’s X-ray facility at Kot Mithan focal point for the village committee, continues to provide free-of-cost diagnoses for sessions conducted by MWT and IOM team. IOM representing a group of 25 beneficiaries and and MWT teams frequently visited us and ensured patients with suspected tuberculosis. responsible for distributing cash and mobilizing the that all the beneficiaries are adopting DRR (disaster community to help the most vulnerable. risk reduction) techniques”. Remote teleradiology and telemedicine services benefited 50 patients this month. X-rays were read by specialists at tertiary care hospitals and IOM clinics to enable proper diagnosis and treatment. Completed Completed Completed Target Province Severely flood-affected districts foundations walls shelters IOM’s referral services benefited 53 patients this shelters # % # % # % month. Patients are sent by ambulance or hospital vehicle to a referral health facility when specialist Khyber Pakhtunkhwa , , Nowshera 1,100 1,100 100% 1,100 100% 979 89% treatment, such as a life saving caesarean section, is Bhakkar, , not available on site. Punjab Layyah, Muzzafargarh, Rahim Yar 12,612 12,612 100% 11,547 92% 7,247 57% Khan, Rajanpur IOM’s team completed its infrastructure damage , Shikarpur, Kashmore, Northern Sindh 11,252 11,252 100% 10,106 90% 6,984 62% assessment of RHC Kot Mithan and RHC Pipri , Qambar Shadadkot (including a maternity center) and consultation with the World Health Organization and local Southern Sindh Dadu, Jamshoro, 10,196 10,196 100% 6,103 60% 3,129 31% government authorities. Total 35,160 35,160 100% 28,856 82% 18,339 52%

Update: 1 September 2011 IOM , House 1, Street 83, G-6/4 Islamabad +(92) 51 283 10 61-65 [email protected] IOM responds to new flooding in Sindh Khas and and is on IOM’s Humanitarian Communications standby in the event of further requests from the Heavy rainfall caused canal breaches and significant relevant District Coordination Officers or the Watan Card Phase I: Over 8,000 Watan Cards flooding in six districts in southern Sindh from 10th- PDMA. remain to be collected in Khyber Pakhtunkhwa. 12th August 2011. At the end of August, the IOM is following up on these cases through Provincial Disaster Management Authority Additionally, with funding provided by the United awareness sessions, radio and text message (PDMA) Sindh estimated that 2.5 million people States Agency for International Development campaigns and linkages with Lady Health Workers. had been affected by the flooding, which has (USAID), IOM was able to support the National In Punjab, registration melas and visits by Mobile affected seven districts: , , Disaster Management Authority’s response to Registration Vans enabled the registration of over , Tando Muhammad Khan, Tando Allah the new flooding. Four staff seconded by IOM to 2,200 individuals this month. Yar, and Thatta. NDMA were deployed to southern Sindh to support the response. Over 50 trucks transported Watan Card Phase II: IOM’s Humanitarian On 22nd August, 145,000 people were reported as NDMA relief items to the affected areas between Communications team will be launching a displaced in over 560 relief camps in the affected 14th and 23rd August. 23,000 food ration packs nationwide information and facilitation campaign in districts. An estimated 554,000 houses have been were procured and distributed to those displaced by support of the Phase II of the Watan Card program damaged or destroyed in southern Sindh. 705,000 the floods on behalf of NDMA. being implemented by the national registration acres of cropland has been damaged, including vital authority NADRA. Phase II is expected to be cotton cash crops that were ready for harvest, and 16 people were killed by flash floods in Kohistan launched on 7th September 2011. IOM is providing newly planted rice crops. in Khyber Paktunkhwa on 24th August 2011. IOM human resource support to PDMA and the Citzen is closely coordinating with the NDMA, the PDMA Damage Compensation Program (CDCP) Centers. Success story: Homeless families receive relief In response to a request from PDMA, IOM Khyber Pakhtunkhwa and the Humanitarian non food item and food relief mobilized part of its prepositioned emergency Country Team and has emergency shelter and Human Network: In Punjab, IOM’s team met shelter and non food item kits in southern Sindh. non food items on standby in case a response is with Union Council Secretaries and added 59 During routine activites in Layyah district in Punjab, IOM distributed emergency kits to over 1,000 requested. Secretaries from Muzzaffargarh and 16 Secretaries IOM’s Humanitarian Communications team households (7,000 individuals) in Badin, Mirpur from Layyah to the Human Network. identified 24 families still living in a health facility, Basic Health Unit Sahu Wala, after they lost their Health promotion: IOM’s team will distribute land due to massive erosion during the floods. The ORS and aquatab sachets provided by UNICEF in team visited the families and assessed their living awareness sessions in the 9 most disease-prone conditions and needs. Needs were highlighted to all districts in Khyber Pakhtunkhwa. The Aap Ki partners including government authorities and Awaz radio show continues with a particular focus humanitarian organizations working in the district. on prevention and treatment of diarrhea. Public Service Announcements on diarrhea are broadcast The team lobbied the government for a letter of on Dilbar Radio in Khyber Pakhtunkhwa. A radio approval for exceptional distribution of relief items. and print campaign on malaria and dengue is being Upon receipt of this approval, IOM was able to rolled out in at the request of distribute hygiene kits, kitchen sets and mats to the district authorities. families. In addition, the Integrated Development Support Program (IDSP) distributed a 6kg date Contingency plans and early warning systems: packet to each of the affected families. The team District evacuation plans and messages for Khyber also held awareness sessions on health and hygiene Pakhtunkhwa and Sindh were approved by district promotion and the use of the hygiene kits in the authorities. An evacuation planning matrix for four BHU during the distribution. Response to the Complex Crisis in Khyber populations and returned households. tehsils in Muzaffargarh district is uploaded on Pakhtunkhwa and FATA www.floodmgarh.com Pakistan Flood Response in the Media IOM is also participating in the Inter Agency In close coordination with the FATA Disaster Early Recovery Needs Assessment (IAERNA) Awareness sessions in August 2011: IOM produced a documentary “Recovering Management Authority (FDMA) and Shelter which aims to determine early recovery needs in Awareness Participants from Floods”, the story of an IOM one room Cluster in Khyber Pakhtunkhwa, IOM is Bajaur, Mohmand, Orakzai and South Waziristan. Villages Province Sessions shelter beneficiary, Hafeez Mai, and her family to distributing 5,000 raised beds (charpai) among covered held Female Male commemorate the one year anniversary of the the conflict-affected displaced households in New IOM’s Humanitarian Call Center in Peshawar floods. Watch it here: www.youtube.com/ Durrani camp in Kurram agency. IOM’s teams in continues to support the IDP Vulnerability KPK 86 192 475 2375 iommigration#p/a/u/1/cxhXVd_GKpw FATA and Khyber Pakhtunkhwa continue to liaise Assessment Profiling (IVAP) exercise, particularly Sindh 167 292 1841 3729 with government authorities, and is actively seeking the data cleaning process, which cleared the data of Punjab 123 189 371 1941 For regular updates, please join IOM Pakistan funding to increase both emergency relief and early over 2,000 households this month. In , IOM Flood Response’s Facebook page at: recovery activities in the province, particularly those has identified over 700 ‘off camp’ displaced families 2,687 8,045 www.facebook.com/pages/IOM-Pakistan-Flood in support of the underserved ‘off-camp’ from Kurram into Kohat this month. Total 376 673 10,732 -Response/144782588874579