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IOM EMERGENCY AND EARLY RECOVERY AUGUST NEWSLETTER

IOM is implementing emergency and early recovery programs across Pakistan including: • One room shelter support • Restoration of community infrastructure and livelihoods • Provision of primary healthcare services • Humanitarian communications • Community based disaster risk management training • Response to complex emergency in and FATA • Training of trainers in camp coordination and management

Over 10,000 one room shelters completed!

By 28th July 2011, IOM had supported the construction of 10,446 one room shelters. 94% of targeted shelters have complete foundations and 61% have completed walls. 68% shelters are IOM responds to new flooding in complete in Khyber Pakhtunkhwa, 38% in Punjab, 27% in northern Sindh and 20% in southern Sindh. In district , Sindh, three villages were Out of 34,590 target shelters, 30% are complete. flooded due to breach in Kheer Thar Canal on 2nd July 2011. The Information Officer from the This week in Khyber Pakhtunkhwa, IOM’s social Humanitarian Communications team reported the mobilizers visited 512 beneficiaries in 18 village breach to IOM opertions in northern Sindh. councils. In Punjab, beneficiaries and implementing partners discussed issues they are facing during A rapid assessment was carried out by IOM, shelter construction. Beneficiaries received toolkits WHO and WFP, identifying temporary shelter and to aid shelter construction. In northern Sindh, medicine as the priority needs for the 300 people teams visited 59 village councils and reviewed the displaced by the flooding. one room shelter manual with implementing partners and village councils, including IOM’s IOM distributed 58 temporary shelters and non procedures, implementing partner responsibilities, food items on 8th July 2011 from the prepositioned village council formation, and selection of focal items in , the sub office for operations in points and beneficiaries. northern Sindh.

Completed Completed Completed Target Province Severely flood-affected districts foundations walls shelters shelters # % # % # % Khyber Pakhtunkhwa , , Nowshera 1,100 1,100 100% 1,100 100% 752 68% Bhakkar, , Punjab Layyah, Muzzafargarh, Rahim Yar 12,565 12,565 100% 8,740 70% 4,745 38% Khan, Rajanpur Jacobabad, Shikarpur, Kashmore, Northern Sindh 10,825 10,279 95% 6,792 63% 2,944 27% , Qambar Shadadkot Southern Sindh Dadu, Jamshoro, 10,100 8,754 87% 4,368 43% 2,025 20% Total 34,590 32,698 94% 21,000 61% 10,446 30%

Update: 1 August 2011 Humanitarian Communications Training of trainers in camp coordination and camp management Humanitarian Communications field staff identify gaps and needs during activities and awareness IOM has been requested to lead the contingency sessions. They communicate these gaps to the relevant planning process for the Shelter and Non Food working groups and follow them up on regular basis. Items Cluster and the Camp Coordination and Recent reports include 500 cases of scabies and 190 Camp Management (CCCM) Cluster. cases of malaria in , Sindh. These were reported to the health working group. At the request As part of the CCCM contingency planning of the WHO, the team will share the frequently asked process, IOM organized a training of trainers for questions (FAQs) document that has been developed 23 participants from 21st to 26th July 2011. on the prevention and treatment of malaria and Participants included IOM staff members and staff diarrhea. Lack of Basic Health Units in was from local and international NGOs. also reported to the WHO during health sector meeting. Humanitarian Communications in Participants benefited from a thorough review of collaboration with WHO also conducted a Training CCCM theory, including a review of best practices of Trainers (TOT) in from 20th to 22nd and international standards in camp coordination July 2011. The participants were trained on health and management. guidelines and promotion. The trainers are now equipped to carry out a round The Department of Agriculture has requested the of trainings during August for government and Humanitarian communications team to produce and NGO staff across Pakistan, including Khyber print pamphlet on flood precautionary measure as a Pakhtunkhwa, Punjab and Sindh to increase disaster risk reduction (DRR) approach. These the capacity of government and humanitarian pamphlets are printed and ready fro dissemination. organizations to respond to a future emergency.

The Humanitarian Communications team attended a meeting in Khyber Pakhtunkhwa to discuss the future of the internally displaced persons (IDP) Vulnerability Assessment Profiling (IVAP) exercise. The team also shared the Humanitarian Communications contingency plan with the UN Office for the Coordination of Humanitarian Affairs (OCHA).

A training was conducted by the International Rescue Committee (IRC) for the Humanitarian Communications team involved in the Watan Card support program. Staff also attended a training on humanitarian principles organized by RED-R (UK) in Khyber Pakhtunkhwa and Sindh. The Watan card collection deadline was publicized in a print advertisement in Kaavish newspaper in (image on right in translation). A radio campaign broadcast the extension of Watan Card collection deadline from 22nd to 31st July 2011. This radio campaign was conducted in Dadu, Jacobabad, Jamshoro, Thatta, Shikarpur and Hyderabad on 12 radio channels. Also 5,000 beneficiaries were facilitated in Khyber Pakhtunkhwa and Sindh by the Humanitarian Call center regarding Watan card collection for phase I.

This month, information campaigns included public service announcements (PSAs) on flood safety measures, Watan Card collection deadlines and prevention of acute watery diarrhea. Health care services for flood affected communities

During July, IOM provided curative care services to more than 12,000 patients at Rural Health Center (RHC) Fazilpur and RHC Kot Mithan in southern Punjab and Dispensary Faiz Muhammad Leghari and Clinic Juhi in southern Sindh. Patients were treated for various medical conditions including acute respiratory infections, diarrheal diseases and severe skin conditions. IOM’s curative services are particularly beneficial for patients who live in remote areas and cannot find medicines in close vicinity.

IOM provides an X-ray facility in RHC Kot Mithan, Rajanpur. Doctors in Kot Mithan provide free-of-cost diagnosis services for tuberculosis Responding to the complex emergency in suspects in the catchment area of Kot Mithan. In Khyber Pakhtunkhwa and FATA many villages, these diseases go unnoticed and can be fatal without treatment. IOM’s diagnostic IOM has ongoing programming in six agencies, services mean that many of these patients are now four frontier regions and nine districts in Khyber being referred to tertiary health care centers. Pakhtunkhwa and the Federally Administered Tribal Areas (FATA). Teleradiology services for proper diagnosis of different medical and surgical conditions of patients Projects include the distribution of emergency in RHC Kot Mithan benefited another ten patients shelter and non food items, public and community in July. X-Rays are read by expert radiologists in quick impact infrastructure projects, socio-cultural tertiary care hospitals and IOM clinics and and peace building activities, media programming, diagnoses are sent back to Kot Mithan. health and education projects, humanitarian message development and dissemination, including This month, IOM assisted referral services served a Humanitarian Call Center, support to returns and 73 patients. Patients were sent to various secondary grievance desks in camps. or tertiary healthcare facilities in Sindh and Punjab. IOM is preparing to meet shelter needs of those IOM’s health team regularly conducts health displaced by the recent conflict in Kurram Agency, awareness sessions during clinics at the health in coordination with the FATA Shelter Cluster, facility, as well as at mobile camps in remote areas, provincial and agency authorities. in order to promote better understanding and awareness about health and diseases among the IOM is also preparing a comprehensive FATA- affected population. Special emphasis is placed on wide early recovery needs assessment to be raising awareness regarding on water and vector conducted in the coming month. borne and communicable diseases. Schools are an important target for health promotional activities. The Floods One Year On With the start of monsoon season IOM is placing an increased focus on hygiene awareness and health IOM produced a documentary “Recovering promotion campaigns in the catchment areas from Floods”, the story of an IOM one room surrounding IOM clinics. shelter beneficiary, Hafeez Mai, and her family to commemorate the one year anniversary of the IOM has completed an assessment swith the help floods. of IOM and PWD engineers in preparation for the refurbishment and upgrading of partially A documentary launch and photo exhibition was damaged health facilities RHC Kot Mithan, held at Nomad Gallery in Islamabad from 30th Rajanpur, Punjab and Basic Health Unit Pipri, July—4th August 2011. The documentary can be Dadu, Sindh after consultation with the WHO, viewed at www.iom.int and www.usaim.org. provincial and district health authorities. Community based disaster risk management

To date, 201 community focal points (177 men and 24 women) from district Bhakkar in Punjab have been trained in community based disaster risk management (CBDRM). Participants included community leaders, headmasters, headmistresses, lady health supervisors, lady health workers, health facility managers, union council secretaries, local revenue officials, local representatives from the Forest and Irrigation Department and Rescue 1122 services.

The training curriculum includes both theory and practical lessons. Disaster risk management (DRM) response kits of fibre glass boats with Community Restoration engines, first aid kits, life jackets and general response kits were handed over to local tebsil (sub- The community restoration team is continuing to district) authorities. assess and verify proposed target villages and projects for the community infrastructure IOM trainers were very encouraged by the active restoration project in Punjab and Sindh. Teams participation of those who attended the training. visit villages where IOM’s one room shelter Participants requested more information regarding program is already in process, as the aim is to DRM related problems they faced and further achieve close integration between the two trainings in their communities. programs. Separately, in collaboration with Rescue 1122 , Community meetings are held in each village and IOM organized refresher trainings for CBDRM prospective projects are identified with input from teams trained in district Jhang last year. To date, 72 the village inhabitants. In many villages, individuals including 30 females have participated. communities prioritized the restoration of roads The trainees include previously trained community and water drainage systems as roads were members as well as new volunteers. A third and completely destroyed during the floods, impeding final training session is scheduled this week. the community’s access to health facilities, schools and markets. Another major need expressed by community groups is access to water for agriculture, drinking and washing. In some villages, the ground water table is very low; in others, there are insuffient hand pumps to access the water. In many areas, the soil is unsuitable for ground boring. As a result, women must travel long distances to fetch water. Restoration of water schemes has been identified as imperative in many villages in Punjab and Sindh.

In Punjab, six street pavement and water drainage projects have started. Four projects are in Rajanpur and two in Muzaffargarh district. In Sindh, over a hundred projects have been identified, and technical assessments are underway.

To date, 12,005 community clean up and shelter construction toolkits have been distributed in Punjab, 10,400 in northern Sindh and 3,500 in southern Sindh. All one room shelter beneficiaries in northern Sindh have now received a household repair toolkit.