Académique Documents
Professionnel Documents
Culture Documents
September 2010
TABLE OF CONTENTS
Reporting Period: 28 July - 15 September
Overview
1
Funding
18
OVERVIEW
The Pakistan floods began in July 2010 following The impact of the floods will continue to be felt for
heavy monsoon rains in the Khyber Pakhtunkhwa, years, even decades, to come. Initial estimates from
Sindh, Punjab, Gilgit-Baltistan, Balochistan and Pak- the Government of Pakistan and the International
istan-Administered Kashmir regions of Pakistan. The Financial Institutions suggest that tens of billions of
disaster has inexorably worsened for five straight dollars in damage has been dealt to the economy
weeks, with floodwaters engulfing the country from and infrastructure. The cost in human terms is incal-
north to south. Over two thousand people have died culable. Continued efforts need to be made immedi-
and over a million homes have been destroyed since ately to ensure there is sufficient support for re-
the flooding began. sponding to the immediate crisis as well as the early
recovery components that need to be addressed
More than 20 million people have been affected, simultaneously. Recovery – and fulfilling every
exceeding the combined total of people affected by child’s right – will take a long time. We need to only
the 2004 Indian Ocean Tsunami, the 2005 Kashmir look back at the Tsunami and Haiti to recognise that
earthquake and the 2010 Haiti earthquake. In funding large-scale emergencies involve saving lives in the
terms, the revised interagency appeal disaster (US$ immediate response but also rebuilding the fabric of
2 billion) issued on 17 September was the largest societies - some of which was already frayed - in a
ever, surpassing even that for the Haiti earthquake resilient manner.
earlier this year. With over 10 million children hit by
the flooding, the humanitarian crisis in Pakistan is so
massive that the actual scale continues to elude the Fast Facts
imagination of the public across the world.
• One-fifth of Pakistan’s total land area
is flooded - with the flood waters still
Approximately one-fifth of Pakistan’s total land area
moving Pakistan is experiencing several
has been underwater due to the flooding. Flooding
disasters simultaneously.
has also destroyed large tracts of agricultural land
and crops within an already food-insecure country. • Twenty million people are affected,
Given the widespread crisis, the risk of child malnu- including over 10 million children of which
trition looms large, with the very young extremely 2.8 are under five.
vulnerable. Malnutrition is compounded by the
• The WASH Cluster led by UNICEF is
vicious circle of contaminated water, bad sanitation collectively reaching over 6 million people
and poor hygiene practices, which is also likely to with a combination of safe water supplies
lead to illness and further malnutrition, and malnutri- and water treatment for families. As part
tion in turn increasing the risk of sickness. of this effort some 2.5 million people are
receiving safe water through UNICEF.
Some areas of Pakistan, notably Sindh Province,
continue to be flooded and hundreds of thousands • The Health Cluster with major
of people are still being evacuated. The emergency support from UNICEF reached half a
is by no means over. In other areas, as flood waters million children under-five with polio
immunisation and more than 420,000
recede, people are moving back to homes. Liveli-
children have been immunised against
hoods have been destroyed in areas where people
measles.
were already struggling to meet their daily survival
requirements before the floods. • Key nutrition supplies reaching over
375,000 children under-five and 50,400
pregnant and lactating women.
• 35,000 children have access to
educational and recreational services and
26,000 children and women have received
psycho-social support.
• Some 16,400 schools are affected and 1.8
million children are at risk of being unable
to attend school.
UNICEF’s revised funding requirement is
US$ 252.3 million, with a remaining funding
gap of US$ 160.8 million as of 17 September.
Punjab Pakistan-Administered
Kashmir
Balochistan
Sanitation
4 - Children in Pakistan
Hygiene Promotion complex with gaps and a lack of flow of information
from provincial to field level and between Govern-
Over 60,000 hygiene kits that cater to the needs of ment and non-governmental actors. However this is
women and adolescent girls have been distributed being addressed through the Cluster and information
benefiting over 420,000 people. More than 71,000 focal points are beginning to be identified.
hygiene promotion sessions have been conducted
for over 499,000 people. Meanwhile, UNICEF will continue to focus simulta-
neously on relief and early recovery for the next six
WASH in Schools months across the country, except in Sindh where
the focus will be primarily on relief for the time
WASH has started with the restoration of school being.
water and sanitation systems in 660 schools for the
populations using schools as temporary shelters.
As the water recedes, families will be able to move
back to their places of residence and the schools will
become available again for students. The WASH pro-
gramme is closely coordinating with the Education
Cluster and partners to cover schools affected (over
5,000 schools are being used as shelters).
HEALTH
ber 2010 reported that some 236 health facilities had been
damaged and 200 were destroyed in four flood-affected
provinces.
Emergency Health
6 - Children in Pakistan
Khyber Pakhtunkhwa. The Government is also pro- tribution, conducting Mother and Child Weeks (MCW)
viding services to more than 1.7 million patients in to deliver a defined package of maternal, newborn
camps and health facilities in Sindh and Punjab. and child health care services.
Some 81,800 clean delivery kits and 110,000 new-
born care kits soon to arrive in affected areas will UNICEF will also expand efforts to provide medicine,
help mothers give birth safely and ensure proper equipment, other supplies and operational support
care can be given for their babies. UNICEF also im- to Lady Health Workers and Community Midwives
mediately started distributions and pre-positioning and health facilities to resume and to restore com-
of Oral Rehydration Salt and zinc to treat up to 2.1 munity-based basic maternal, neonatal and child
million episodes of diarrhoea with 3 months worth health services.
of supplies to be given to LHWs in all flood-affected
districts. UNICEF is also supporting an effort to front-
load antibiotics for treating pneumonia and referrals
have been made for acute cases of acute respiratory
illness (ARI).
NUTRITION
mised nutritional status of children, and pregnant and lactat-
ing women, resulting in increased morbidity and mortality.
Based on the estimation that 20 million people are affected,
there are an estimated 2.8 million children that need support.
There are approximately 126,000 children at risk of being
severely malnourished and 420,000 children are at risk of be-
ing moderately malnourished.
STRATEGIC RESULT
Responding to Immediate Needs
The nutritional status of
Surveys and Monitoring
girls, boys, and women is
Surveys shows that 40 per cent of households have lost all
protected from the effects of their food stocks. Fifty per cent of breast feeding mothers re-
ported that they have reduced breast feeding and 15 per cent
humanitarian crisis have stopped breast feeding since the floods. These findings
provide qualitative information for further assessments in
the specific areas such as infant feeding in emergencies.
However, nutritional surveys are still required to provide
quantitative data for strengthening planning and implemen-
tation of nutrition interventions in flood-affected areas.
8 - Children in Pakistan
ment of acute malnutrition; 180,000 (43 per cent of Challenges and Looking Forward
annual caseload) moderately acute malnourished
children. At the same time 126,000 pregnant and lac- The main challenge remains lack of partners to
tating women at risk of malnutrition will be provided implement emergency nutritional interventions and
with supplementary food rations in collaboration the need for training of regular development part-
with WFP, and micronutrient deficiencies will be ad- ners on humanitarian nutritional response program-
dressed and prevented through provision of multiple ming. Increased funding is needed for community
micronutrient supplementations to 376,065 children and facility-based management of acute malnutrition
aged 6-36 months and 123,200 pregnant and lactat- in all affected provinces. Due to the ongoing critical
ing women. needs, scale and requirements of this emergency,
UNICEF is compelled to bring supplies by air at very
Nutrition Cluster Coordination high costs. At the same time, planning is ongoing
with a focus on community-based management of
Through Cluster partners, 17,762 children and 29,462 severely malnourished children to cover all the needs
pregnant and lactating women have received forti- and prevent a deterioration of the nutritional status
fied blended food and BP5 biscuits. With the arrival of young children and pregnant and lactating wom-
of new stocks of ready-to-use therapeutic foods, en, including protection and promotion of optimal
UNICEF as Cluster-lead in Nutrition is launching infant and young child feeding practices.
scale-up efforts for treatment of severely malnour-
ished children under 5 and micronutrient supplemen-
tation for children under 5 and pregnant and lactat-
ing women.
Cluster partners have agreed to establish three sub- Note: All figures are in US dollars. Funds required are as
working groups: Nutrition Assessment and Surveil- of the revised inter-agency appeal launched 17 September
lance, Community Management of Acute Malnutri- 2010. Amounts reported are on an interim basis as of 15
tion and Infant and Young Child Feeding. September 2010. Funded amounts reflect actual contribu-
tion amounts.
EDUCATION
rary shelters by displaced families. Subsequent assessments
will be required to determine the psychosocial impact of the
disaster on students and teachers, and the needs of local
education authorities and managers.
Capacity Building
10 - Children in Pakistan
Education Cluster Coordination The crisis has also prompted actors in the education
sector to reach out to all children including out-of-
UNICEF and Save the Children UK coordinate the school (OOS) children in flood-affected areas. Educa-
Cluster with the Ministry of Education in Islamabad tion Learning Centers established for affected popu-
and in 5 districts across 4 provinces. The Cluster is lations are filled with children of both sexes who
working with the Government and partners to ensure have never been to schools before—there is no data
that education interventions are appropriately priori- for those out of school before or after the floods.
tised, but in the first month of the emergency imme- Special advocacy campaigns will be designed during
diate life-saving interventions were the focus of most the early recovery phase to increase enrolments of
stakeholders. OOS children with special focus on primary and mid-
dle level. Special emphasis will be paid to enrolling
By the end of August however the Education Cluster adolescent girls into adolescent girls learning cen-
Thethe
identified nutritional
need to focusstatus of on provi-
immediately tres, which are in the process of being established.
sion of school supplies (including tents, school in
girls,
box kits and boys and
recreation women
kits) is next school
ahead of the
year. The Education Clusters in Islamabad and sub-
protected
national Clusters infrom theare
provinces effects
focusingof
on plans
to construct temporary school structures to com-
humanitarian
pensate crisis
for the schools that were damaged and that
are not safe for children. The aim is to ensure con-
tinuation of education during the transition period
from tents to permanent buildings. At the same time
communication materials have been developed and
distributed for IDP shelter schools across the affected
areas in all the provinces.
CHILD
death and destruction. In addition, there is a high risk that
certain forms of gender-based violence (GBV) against both
women and children (girls especially) will escalate post-
PROTECTION flooding at both the community level and within temporary
settlements.
Referral Services
12 - Children in Pakistan
Child Rights Monitors working at the community - including reports of trading food for sex among
level and who refer vulnerable children to appropri- the most vulnerable who have lost food stocks and
ate services. livelihoods. Lastly, more dedicated human resources
are needed for GBV. Programme officers are in place
Child Protection Sub-Cluster Coordination in Sukkur and Hyderabad and Child Protection Sub
Cluster coordinators working at the provincial level
UNICEF and the Pakistani Ministry of Social Welfare are covering GBV until provincial level GBV Sub
have activated the Child Protection Sub Cluster at Cluster coordinators are recruited.
the national level as well as in the four provinces and
Pakistan-Administered Kashmir. Child Protection Sub
Clusters at the provincial level are currently conduct-
ing rapid assessments to better map child protection
needs and assess vulnerability.
PRIORITIES data from the field when it comes to damaged schools and
occupied schools in the provinces that have been affected by
the flood. In addition:
• Gender checklists have been shared to mainstream
gender into Flood Emergency Relief and Early Recovery
Response activities.
14 - Children in Pakistan
In Pakistan’s flood-devastated Sindh province,
female health workers play key role
Ms. Jatoi was teaching a session on health promotion to the local village when she
received warning of the impending floodwaters. She and the other villagers quickly
took what belongings they could carry and fled to higher ground, where they
camped on a roadside for the next four weeks. From there they watched in horror
as the waters rose rapidly, washing away the lives they once knew.
Three weeks later, the village residents returned and began to rebuild their lives.
Ms. Jatoi and her team of lady health workers started conducting sessions with
children in the impoverished, flood-affected villages they serve – areas that are the
most vulnerable to outbreaks of disease and diarrhea, especially among children.
UNICEF has supported the LHW programme in Sindh province since its inception,
providing the health workers with blood pressure monitors, thermometres and
health treatments such as ORS and zinc supplements.
It also supplies lady health workers with information, communication and educa-
tion materials in order to support their training and outreach activities.
In the difficult post-flood environment, Ms. Jatoi and her team are a vital link to the
community. They are essential to ensuring that the millions of children affected by
the disaster in Pakistan are protected from a further deadly spread of illness and
disease there.
Dan Toole, our Regional Director for South Asia has been
appointed UNICEF’s Special Representative for the Flood Re-
sponse for 3 months to lead on overall strategic planning of
UNICEF’s work; coordination of direct UNICEF support to the
effort as well as our Humanitarian Cluster role and resource
mobilisation. The current UNICEF Representative Martin
Mogwanja will continue in his current role as Humanitarian
Coordinator to support the overall humanitarian effort.
16 - Children in Pakistan
25 17 September 2010
Affected population Revised FERP released for
US$ 2 billion
20 UNICEF revised
requirements in FERP
for US$ 252.3 million
15 26 August 2010
UNICEF Immediate Needs
Document revised for
US$ 141 million
10
6 August 2010
5 UNICEF Immediate Needs
Document released for 11 August 2010
US$ 47.3 million PIFERP released for
US$ 459 million
Inter-Agency Collaboration
and Coordination
The revised Pakistan Floods Emergency Response
Plan (FERP) appealing for over US$ 2 billion was
launched on 17th September. This is considered to
be the biggest ever humanitarian appeal for relief
and early recovery for the flood affected populations
across the country, over a period of 12 months.
MOBILISATION
Asia, visited the flood-affected areas to survey the damage
themselves and to reinforce an urgent plea for support to the
Pakistani people.
The top five government donors and the top five National
Committees for funding received so far are as follows:
UNICEF would like to thank all the private and public sector
donors for the contributions and the pledges that have been
On 30 August, UNICEF Executive Director An- received so far.
thony Lake (right) administers an oral polio
vaccine to a baby at the Prang Government
Primary School in Charsadda District, Khyber-
Pakhtunkhwa Province.
18 - Children in Pakistan
The table below illustrates the sectoral breakdown of funding received (excluding pledges) as of 15 September.
Requirements have been updated to reflect the most recent needs presented in the recently launched Pakistan
Floods Emergency Response Plan.
Note: All figures in US Dollars. Sectoral requirements based upon the Pakistan Floods Emergency Response Plan. Funds required are as of the
revised inter-agency appeal launched 17 September 2010. Amounts reported are on an interim basis as of 15 September 2010. Funded amounts
reflect actual contribution amounts of funds received by UNICEF. Pledges are not included.
Totals in the table may not be exact due to rounding.
140
123.8 Requirements
120
Gap
100
84.9 Received
80
60 50.8
WASH
US$ 84.9 million
Health
US$ 34.5 million
Nutrition WASH
US$ 9.6 million US$ 90.4 million
Website: www.unicef.org/pakistan
© United Nations Children’s Fund
September 2010