Project Completion Report Project Name : Provision of Healthcare Services to Flood affected Women and Children in two Union Councils of Tehsil D.G. Khan Funded by : Concern worldwide Location : Union Councils: Haji Ghazi and Jakhar Imam Shah, Tehsil and District D G Khan Implemented by: Al-Asar Development Organization, D.G.Khan CONTENTS Page Background information 1 Project Output 1 Achievements 6 Overall Impact of the Project 11 Case Studies 12 Recommendations 13 Awareness Publications 14 Picture Gallery 17 ANNEXURES A, B & C Background Information Dera Ghazi Khan (D. G. Khan) District is situated in southwestern part of Pakistan. The district covers an area of 11922 square kilometers. According to the 1998 Census of Pakistan, the district had a population of 1,643,118 persons and estimated current population is 2,165,708. The district is divided into 3 tehsils including main tehsils of D.G Khan and Taunsa. Of 59 total union councils, 51are located in rural, while 8 union councils are located in urban part of the district. Geographically D.G Khan is divided into two regions i.e. the western half of the district is covered by Sulaimain Mountains and other is plane in the east. The cultivation and livestock breeding are main source of income for rural population. Heavy monsoon rains and floods caused devastation on a massive scale in district D.G Khan. The road contact of Dera Ghazi Khan to Multan, Muzaffargarh and the rest of Punjab was suspended as national highway was flooded at various locations and some key bridges collapsed. Flood water caused severe damage to houses, public infrastructures, crops, roads and bridges. Project Output Project named “Provision of healthcare services to flood affected women and children in two Union Councils of Tehsil DGKhan” started from November, 01, 2010, in two union councils haji ghazi and jhakar imam shah funded by Concern worldwide and implemented through Al-Asar Development Organization. This project has successfully been completed on 06-02-2011. The strategy of implementation of project was as under. i. Identification of affected areas through meetings with local peoples following social mobilization process. Finally 22 severe flood affected locations, where disease incidence/ prevalence rate is high, which was determine through conduction of comprehensive baseline survey, were selected for program interventions in each of UC Haji Ghazi and Jakhar Imam Shah. ii. Identification of village volunteers in these locations through village level meetings by social mobilization teams iii. Orientation meeting with volunteers for the organization of free medical camps and awareness session iv. Conducted meetings with the concern health centers for referral cases 1 v. Free medical camps started from November 15, 2010 to February 3, 2011. List of identified villages and focal presons of Union council Jhakar Imam Shah and Haji Ghazi with maps where camps organized is as under; List of Villages of U/C Jhakar Imam Shah Sr. no Union Council Name of Village Focal person/volunteer 1 Jhakar Imam Shah Basti Samandri Khadim Hussain 2 Jhakar Imam Shah Basti Rindan Ghulam Shabbir 3 Jhakar Imam Shah Basti Dhori Ghulam Jaffar Chandia 4 Jhakar Imam Shah Basti Binani wala Hafiz Saeed Ahmad 5 Jhakar Imam Shah Basti Hamsheera Muhammad Shahid 6 Jhakar Imam Shah Basti Shikrey wala Master Iqbal Hussain 7 Jhakar Imam Shah Shairo Jadeed Hafiz Allah Bukhsh 8 Jhakar Imam Shah Kaleem Abad Master Muhammad Ayoub 9 Jhakar Imam Shah Chah Dom wala Muhammad Ansar Laskani 10 Jhakar Imam Shah Basti Dadi wala Bilal Ahmad 11 Jhakar Imam Shah Basti Sahool wala Muhammad Riaz 12 Jhakar Imam Shah Basti Jee wala Dr. Peer Bukhsh 13 Jhakar Imam Shah Basti Madan Wala Ghulam Farid 14 Jhakar Imam Shah Basti Qaim wala Syed Muhammad Akbar 15 Jhakar Imam Shah Huday wala, Mouza Abdul Ghafoor Abreened 16 Jhakar Imam Shah Basti Luarkha Hafiz Ghulam Rasool 17 Jhakar Imam Shah Basti Kumhar wala Muhammad Mujahid Shah 18 Jhakar Imam Shah Basti Mian wala Haji Abdul Kareem 19 Jhakar Imam Shah Basti Malkani Qalandar Muneer Hussain Malkani 20 Jhakar Imam Shah Basti Matam wala Muhammd Asif 21 Jhakar Imam Shah Basti Jaal Wala Muhammad Latif, Muhammad Ayoub 22 Jhakar Imam Shah Basti Mochi wala Muhammd Iqbal Khan 2 3 U/C Haji Ghazi Sr. no Union Council Name of Village Focal Person/Volunteer Syed Nadeem Abbas, 1 Haji Ghazi Dari Miro Abdul Rasheed Nutkani 2 Haji Ghazi Basti Peepal wala Syed Ghulam Abbas 3 Haji Ghazi Bait Malana Khalil Ahmad , Malik Wahid Bukhsh Muhammad Yaqoob, Haji Ghulam 4 Haji Ghazi Band Kastori Rasool 5 Haji Ghazi Basti Gopang Saeed Ahmad, Jan Muhammad 6 Haji Ghazi Bhatti wala Ghulam Yasee, Muhammad Ramzan 7 Haji Ghazi Basti Rid wala Fayyaz Ahmad, Muhammad Ijaz 8 Haji Ghazi Rakh Chavni Ghulam Sadiq, Faiz Muhammad 9 Haji Ghazi Basti Makory wala Muhammad Hanif, Iqbal Javed 10 Haji Ghazi Sindh wala/khadim khosa Raiz Hussain 11 Haji Ghazi Haidar Wala/Basti Malkana Hafiz Noor Muhammad, Ashiq Hussain 12 Haji Ghazi Basti Wasti Wala Khalid Mehmood, Muhammad Naveed 13 Haji Ghazi Bait Malana II Ghulam Haidar, Noor Muhammad Hafiz Amir Bukhsh, Muhammad 14 Haji Ghazi Basti Jatt wala Ramzan 15 Haji Ghazi Nasir wala Syed Ibrar Naqvi, Muhammad Jamil 16 Haji Ghazi Rind Wala Malik Ghulam Rasool, Ghulam Asghar 17 Haji Ghazi Pathan wala/Jatti wala Muhammad Bilal 18 Haji Ghazi Basti Darakh Wala Muhammad Amin Basti Darkhan wala/Bhatti 19 Haji Ghazi Munir Ahmad Fauji, Saeed Ahmad wala 20 Haji Ghazi Jattoi wala Muhammad Tanveer , Allah Ditta 21 Haji Ghazi Peer Fatheh Shah Syed Mujahid Hussain 22 Haji Ghazi Mochi wala Sheikh Mehmood, Ahmad Bukhsh 4 5 Beneficiary Numbers ADO provided health facilities in the shape of free medical camps to the affectees of flood. In the free medical camp in which doctors male and female, paramedic staff provides the primary health care services to the flood affactees. Data of beneficiaries is as under; Category No. of Families Age breakdown Male Female Total Flood 4569 Under 18 7568 7636 15204 Affectees Over 18 4569 15133 19701 Total 3200 Under 18 7568 7636 15402 Over 18 4569 13333 19701 UC AND GENDER-WISE BENEFICIARIES 6000 5318 4977 5000 4188 4329 4000 3380 3307 3000 2494 2600 2238 2075 2000 1000 1 0 Above 18 Under 18 Above 18 Under 18 Pregnant Above 18 Under 18 Above 18 Under 18 Pregnant Yrs Yrs Yrs Yrs Women Yrs Yrs Yrs Yrs Women Males Females Males Females UC Haji Ghazi UC Jhakhar Imam Shah 6 Commutative Beneficiaries from Free Medical Camp GENDER-WISE BENEFICIARIES 12000 10295 10000 7568 7636 8000 6000 4569 4838 4000 2000 0 Above 18 Yrs Under 18 Yrs Above 18 Yrs Under 18 Yrs Pregnant Women Males Females Males Females DISEASE PATTERN (N = 34906) 2% 15% 12% 1% 1% Diarrhea 4% Dysentery AWD ARI Malaria/ PUO Skin Eye Infection 31% Maternal 23% Other 11% 7 Final Activities Completed Free medical camps and awareness session started from November 15, 2010 to February 03, 2011. Main activities during free medical camp were as under; • Provision of primary health care services by doctors and paramedic staff • Male and Female health & hygiene awareness session • Registration of data of pregnant women • Serious patients were referred to nearest BHU/RHC/DHQ • Distribution of 3300 Hygiene and safe delivery kits • Distribution of 1500 Mosquito Nets • Distribution of Lades pads and Pampers for children Summary of final activities Sr. No Name of Activity Target Achieved Remarks 1 Free Medical Camp 132 132 Health and Hygiene Awareness 2 Session 264 264 Mosquito Nets Target was 1100. ADO distributed 1500 Mosquito 3 Nets among the pregnant and 1500 1500 new born baby mothers Safe Delivery Kits ADO distributed 2500 4 3300 3300 Female underwire 5 Hygiene Kits 3300 3300 Serious patient referred to Serious patient were referred 6 BHU/RHC/DHQ to nearest BHU/RHC/DHQ, 600 546 DGkhan 8 Final indicator results During the baseline survey it was found that in adults, the most common reported ailments were diarrhea, while respiratory diseases , skin diseases, Malaria, Hyper tension, Diabetes and fungal infection were also common. The same disease pattern was noted in children diarrhea was the most common ailment, , and eye infections were frequently reported in children and adults. During survey 3300 pregnant women identified in both union councils Haji Ghazi Ghazi. During the organization of free medical camps and awareness session, pregnant women and child were focused. It was provided them the free medical checkup, free medicines , awareness regarding pregnancy period of pregnant women and awareness about safe delivery, use of ORS for children, use of safe drinking water. It was conducted special session of MOC exercise regarding use of “Pure” to clean the water for safe drinking. It was distributed safe delivery kits, hygiene kits along with mosquito nets and lades pads and pampers for children (donation received from Turkish team and NETPAO). Coordination ADO has good coordination with line departments and other partner NGOs/INGOs. During this disaster AADO developed good coordination with Health Department i-e EDO health Office, RHCs/BHUs , Field staff of health departments like LHV, TBAs of DGKhan, WHO, Green Star Social Marketing, NETPAO, Punjab Welfare Trust for disable , pharmaceutical companies , local donors for health services. ADO conducted meeting with EDO health more then three time. The agenda of meetings were; Ø briefing regarding implementation of project in selected union councils Ø Meeting regarding request for medicines and mosquito nets for flood affected communities Ø Progress sharing on monthly DCM(district coordination meeting) 2- ADO also conducted meeting with WHO team- D.G.Khan and participated in two trainings held at WHO Hub Office Multan. One was on Logistic support System (LSS) for management of medicines and other was on expiry calendar, safe disposal of expiry medicines and management of warehouse.