H‐No, 140‐C, Block2, PECHS, Karachi Pakistan

Phone: +92‐21‐4532804‐4527698 Fax 021‐4559252

Email: info@hands.org.pkWebsite: www.hands.org.pk

HANDS is one of the largest NGO of country having strong roots in the community and works in most of the districts of Sindh & Baluchistan. HANDS is currently working in 18 districts of Sindh and in Jafferabad & Quetta in Baluchistan since many years and has its regional offices at all places. HANDS has more than 1000 staff and about 100,000 volunteers available.

Sindh Flood Situation HANDS Report#09

Date: September, 07, 2010

HANDS Partners in Flood Relief Government of Sindh

Care International

Packard Foundation

Goal

Population Council

PPAF

ENGRO

UNICEF

Medico International

WHO

Health Net TPO International

NATPOW

1 Mr. Zulfiqar Parach 29 Dr. Nasir Ghayasuddin

2 Ms.Tomoko Arimara 30 Mr. M. Iqbal Arbi

3 Al Shamsha & Salin 31 Mr. Abdul Wahab Lakhani

4 Ms. Sheila 32 Mr. Abdul Razzak Muhammad Hussain

5 Mr. Faran Jindani 33 Dr. Sohail Salat

6 Ms. Alison Eriksson 34 Mr. Anis Danish

7 Ms. Saima Gowani & Sohail Danani 35 Mr. Saqib Abdul Razzak

8 M/s. Aahung 36 Ms. Ayesha Nasir

9 Mr. Nusrat Safi 38 Haji Zakria Bilwani

10 Dr. Munir Amanullah 39 M/s. Din Group

11 Ms. Sumaira Bilwani 40 Mrs. Ghazala Pervaiz

12 Dr. Arif 41 Mrs. Rabia Fawad

13 Dr. Javed 42 Mrs. Sadia Kamran

14 Dr. Hayek 43 Mrs. Marium Umair

15 Dr. Ahmed 44 Mrs. Fatima Faisal

16 Dr. Baroudi 45 Mr. Abdul Ghaffar Dhedhi

17 Ms. Amna & Ibrahim 46 M/s. Sind Medical Stores

18 Mr. Amin Younus 47 Dr.Ali Muhammad Mir

19 M/s. Sind Medical Stores Dr.Qadeer Ahsan

20 Mr. Khayal Khan

21 Mr. Harshe Chanrai

22 Mr. Jeewanjee & Shirin Currimjee

23 M/s. Medico International

24 Haji Muhammad Memorial Trust

25 M/s. Population Council

26 M/s. Goal

27 M/s. PPAF Engro

Names of philanthropist who supported HANDS in Flood Relief

Acknowledgements

We would like to say thankfulness to our team members who truthfully burn the mid night oil

to make activities of emergency project possible. In particular, we acknowledge the efforts of

our higher management who supported us in every possible way. Thanks to our Team Leader

Dr Sheikh Tanveer Ahmed who showed great interest in this emergency and encouraged us at

every step. We are also gratified to our field and office based teams for their active

participation for getting our ends, we appreciate hard work of District Executive Mangers who

extensively traveled to flood affected area along with their teams for the rescue of community

peoples. In conclusion we want to pull out our sincere regards for Care International, GOAL

international, Medico International, PPAF, Engro Foods, WHO, UNICEF, Packared foundation,

HealthNetTPOInternational, NATPOW and Philanthropists etc who facilitated and funded us

for supporting poor flood affected community of SINDH. In addition special thanks to

Population Council and FALAH for providing medicines vehicles, offices and Human Resources

including Pediatricians in this worst condition.

Zafar Ali Daharaj

General Manager

Social Mobilization, Advocacy &Disaster Management

The malicious flood waters

devastated towns and villages of

SINDH, downed power and

communications lines, and happened

major damage to constructions.

More than one week after the initial

arrival of the floods hundreds of

thousands of people remain without

electricity, piped water and

communications. Many key roads

and major bridges are smashed up or destroyed. Sukkur ,Skhirpur ,Jacoabad, and Kashmore

remain accessible only by water or air because entire infrastructure system was wrecked by

flood The prevailing socio‐economic conditions along with flood situation have exacerbated

the living circumstances of women, men, boys and girls residing in the flood‐affected districts.

Millions have lost their homes, their

assets, and source of revenue, and are

in desperate need of emergency aid.

The incidence of acute diarrhea and

other water‐borne disease and scaled

up stress levels among women, men,

boys and girls are among the direct

health‐related consequences of the

disaster. The floods have shattered

not only household items but also

clothing. Families are sleeping in open spaces and purdah is violated as female members are

Sindh Flood Situation HANDS Report#08 Date: September, o7, 2010

exposed to unfamiliar surroundings.

Non‐availability of safe drinking water

and damage to sanitation infrastructure

are causing skin problems and infections,

especially among women and children.

One hundred percent crop losses have

been recorded in many areas; millions

hectares of standing crops have been

washed away in Sindh.

Seed stocks have been destroyed, severely compromising the possibility to plant staple food

crops in September for hundreds of thousands of farmers. Surviving people animals may perish

if immediate food support is not provided. Short‐ to medium‐term needs to re‐establish

agricultural livelihoods will include support for seeds (wheat and vegetables), fertilizers, tools

and irrigation rehabilitation, and the restoration of basic services including education, health

and nutrition. Unless aid activities are

rapidly scaled up to reach those who

remain displaced and without immediate

access to food and clean drinking water,

additional loss of human lives and

further suffering will occur. Life‐saving

assistance should focus on the provision

of food, clean drinking water and

sanitary facilities, shelter and NFIs

(including clothing), and emergency

medical services . Whereas HANDS is the key organization in flood emergency of SINDH whose

team has been burning mid night oil for facilitating flood affected people of Pakistan and

HANDS is among 5th the largest national organization to conduct this assessment within 03 days,

HANDS with collaboration of district governments and local NGOs network have planned rescue

and relief work in these districts. HANDS staff and volunteers have rescued more than 95,194

persons from the inundated areas of Sukkur ,Skhirpur ,Jacoabad, and Kashmore districts.

After submerging areas of northern

Sindh (including Kashmore, Kandhkot,

Shikarpur, Jacobabad, Ghotki, Sukkur,

Khairpur, and Dadu )the flood water has

changed its direction towards the

concrete areas of southern Sindh Thatta,

The Indus River breached an

embankment at Surjani, leading to

evacuations in Thatta district of Sindh

Province. The three talukas of districts Thatta absolutely have been flooded by water.

Thousands of people have been moved out by HANDS and are sitting under the open sky.

Several villages were also seen

submerged by water. The Indus River

flows through the town of Thatta and

most of the settlements are on either

side of the river, the towns of Sujawal,

Bathoro and Daro also were overrun by

floodwaters; about 15060 people have

been evacuated by HANDS teams from

Sujjawal, Jattahi and Mir pur bathoro

and shifted to safer places.

HANDS Response

HANDS is one of the largest not for profit

organization of country and having strong

roots and work in all districts of Sindh &

Baluchistan. HANDS has more than 1000

staff and about 13,000 volunteers

available and mobilizing all within couple

of days

HANDS has extensive experience of Emergency Response and implementing relief activities

with coordination of district governments, UNOCHA, & other Humanitarian Agencies & civil

society organizations.

Till now HANDS taken following response activities

• Declared emergency and

shifted all staff of 1500

persons including Chief

Executive, all General

Managers and 12,000

volunteers in disaster response

activities in 10 districts of

Sindh and 02 district of

Baluchistan

• Established two Disaster Response Central Office at HANDS Regional Office one in

northern Sindh in Sukkur, and other in sothern Sindh at Thatta and declared 11

regional offices in Sindh and 01 office in Quetta‐Baluchistan as Emergency Response

Centers. HANDS Liaison office Islamabad is active in mobilization of national &

international resources

• Diverted initial budget of Rs. 4 million from HANDS core budget toward emergency

response activities of Evacuation & Food provision immediately. Till now HANDS has

become successful in mobilizing Rs. 400 million through Care International, GOAL

international, Medico International, PPAF, Engro Foods, UNICEF, Population

Council,WTO, Packard Foundation, ARY, Philanthropists etc

• HANDS established 71 camps and provided shelter and providing food, water, sanitation,

health services, live stock services to 12,000 families on daily basis

• Partnership with Oxfam GB for WASH and World Food Program (WFP) for provision of

Food in relief camps is in pipeline

• A national consortium for flood relief is established which is consisting of Health Net

TPO International , NATPOW & HANDS

• HANDS has also signed partnership with Basic Need UK for funds mobilization from all

over the world for flood relief & rehabilitation in Sindh

.

Evacuation/ Rescue Operation

HANDS has mobilized its staff of 150

persons & volunteers of 550 persons

along with 20 vehicles to Kashmore,

Kandhkot, Shikarpur, Jacobabad, Ghotki,

Sukkur, Khairpur, Dadu, Thatta and

Jaferabad districts for evacuating the

people from danger places to safe

places.Many thousands people of flood

affected area was shifted to the safe places by HANDS (community was not willing to evacuate)

within two day. HANDS has also engaged 03 Boats in Kashmore, Jacobabad and Thatta district

for medical services to people between

water, evacuation of people etc. HANDS9

teams have evacuated more than 95194

people as far from district Shikarpur,

Kashmore, Jacobabad, Ghotki, and Sukkur

districts. As it is learnt that almost 4

million are displaced. Almost 2 million

acres are covered in water! Towns are

flooded; electrical poles stand in deep, fast‐flowing water. Water continues to flow onwards,

threatening new areas – every hour, every

day. After submerging areas of Kashmore,

Kandhkot, Shikarpur, Jacobabad, Ghotki,

Sukkur, Khairpur, and Dadu the flood

water has changed its direction towards

the concrete areas of Thatta. The Indus

River breached an embankment at Surjani,

leading to evacuations the people of the

all town and villages of Thatta. HANDS team has been evacuating people from the most

vulnerable points, which have been made sensitive areas from flood point of view and HANDS

team evacuated more than 15060 people from those disaster expected regions of Thatta as far.

Shelter/Establishment of Relief camps

This is as fact as steel that scale of the

flood disaster is unbelievable – and

somehow still not understood outside

Pakistan. It is a ‘slow‐evolving, rapid

on‐set emergency.’ The floods span

the country unlike anything in

decades. But the entire emergency in

Sindh and Baluchistan was faced by

HANDS courageously and team of

HANDS burn mid night oil for providing

every facilities to affected community of

SINDH where as HANDS has established 71

relief camps 24 in district Sukkur, 05 In

Shikarpur, 10 in Kashmore & 1 in Jacobabad,

1 in Matayri, 26 in Thatta, 01 in Ghotiki 01

in Khairpur mirs and 01 in Quetta districts.

Before establishing camps anti‐mosquito

spray was started in all area to control

malaria and other diseases. In every camp all basic facilities are provided to flood affected

people such as food, medicines and drinking water and the cooked and uncooked food by

HANDS, in addition packets of ORS have also been distributed among flood victims to protect

children and elderly people from dehydration and gastroenteritis. HANDS also planned

establishment of many more relief camps and Tent cities within couple of days in different

districts. Till now shelter have been provided to 187905 displaced people of flood

Food Supplies HANDS is also sharing out cooked and uncooked food for affected people in the seven districts Ghotki, Sukkur, Khairpur, Kandhkot, Jacobabad, Matiari and Thatta provided cooked and uncooked food to 187905 peoples respectively, further HANDS started providing Food Ration of one month to 10,390 families in Sukkur, Shikarpur, Kashmore and Khairpur, Hyderabad, Matiari, Thatta & Quetta Districts. In addition the distribution of food is being made according to the approved plan of Care international, Medico International, PPAF, Engro Foods, and Philanthropists

1.1 Water And Sanitation Hygiene (WASH) For safe drinking water and sanitation HANDS provide water to all camps through water connections, water tankers, hand pump and tab water and clean water has been provided to 187905 people till now. As we know that Latrine facility is very important for these camp sites where a lot of peoples living in one shelter so from sanitation point of view 64 latrines have

been constructed therefore HANDS has begun distributing kits containing essential items like buckets, soap, detergent, sanitary pads, and water purification tablets. In conjunction with these distributions, HANDS is training families on effective emergency hygiene practices to reduce the risk of water‐borne. And WASH benefiting 32681 peoples in district Khairpur, Kashmore‐Kandhkot, Sukkur and Thatta and Relief camps established by HANDS in the above districts in collaboration with Care international, Medicos international, PPAF Engro, Goal and UNICEF.

1.2 Medical Camps HANDS has treated just about 70862 OPD patients through mobile camp and Fixed Medical Camp services for the flood affected people in order to make available the medical services to the sick, and injured including preventive vaccination for different viral, fungal, bacterial and other diseases. And also conducted health & hygiene sessions with the affected communities in the relief camps of Sukkur, Khairpur and Shikarpur districts. HANDS not only work in flood affected area but also provide health facilities in other district of SINDH as in District Karachi (Rural) where HANDS CDG Hospital providing the facility of OPD, LAB, Ultrasound, Ambulance etc Services in all 03 camps of flood affected peoples.

• More than 216 Mobile Medical Camps were arranged by

HANDS in district Sukkur, Ghotki, Shikarpur, Kashmore, Jacobabad & Khairpur district with support of donors

• 03 medical camps are held by HANDS on daily basis with support of Engro Foods & PPAF in district Sukkur along with 03 Ambulances

available around 13 relief camps in Rohri‐Sukkur

• HANDS arranges 12 medical camps on daily basis with support of Care international in Sukkur, Shikarpur, Kashmore and Jacobabad

• HANDS planning to arrange 03 medical camps with the support of GOAL in relief camps of Sukkur, Shikarpur and Khairpur

• HANDS arranges 03 medical camp with the support of Medicos International relief camps in Sukkur

• HANDS also arranges 14 medical camps in Thatta district

• HANDS also arranges 01 medical in each district of Matiari, Karachi Rural with support of philanthropists

Schooling in Relief camps

last week, the first tent school opened up in Kashmore, Kandhkot, Shikarpur, Jacobabad, Ghotki, Sukkur, Khairpur districts– school of affected district 90 per cent destroyed by the flood. The tent school is the first step towards rebuilding the educational system from scratch. It is thought that mostly schools were destroyed

and hundreds of students were displaced. The few schools that are still standing have been declared dangerous and unusable. Similar tent schools are opening in other camps for displaced people in the region. HANDS and its donor partners are supplying learning materials such as school‐in‐a‐box kits and school bags for students. In very camps of HANDS, schools have been opened not only schools have been opened in makeshift tent but also teachers have been hired

so that those teachers can teach displaced students properly. And many distressed parents send their children to HANDS school for getting education the schools provide a place for children to learn and play further it has been noticed that class includes

many small girls who are in the class for the first time.

.Achievements of HELP

• Established 24 schools in flood affected districts with the support of Care international, UNICEF and Govt. Education & Literacy department.

• Identification & Selection of teachers at Sukkur , Shikarpur , Khandkot and Thatta

• Identified & enrolled children in relief camp schools

• Provided text books to children at two relief camps • Conduct meeting with EDO‐ affected districts for the provision of text books

Establishment of Diarrhea Technical Center (DTC) at Civil Hospital Kandhkot

HANDS ever focus

on health and

education of poor

people of Pakistan,

for that cause

whole staff of

HANDS work hard

round the clock so

that qualitative

health, and

education

facilities be provided to poor community of country. Similarly for flood affected people of

district Kashmore DTC was established at Civil Hospital Kandhkot by HANDS with the

collaboration of WHO

team and Health

Department. Cholera,

as well as many other

diarrheal diseases, is

certainly increasing in

the flood ravaged

areas of Pakistan, An

outbreak of diarrhea

suspectedly caused

by contaminated food HANDS DTC treated more than 173 flood victims of district Kashmir in

current week. The organization provides free medicines services to the patients of diarrhea and

other waterborne diseases besides providing purification tablets in the flood‐hit area

Emergency Response Center in Quetta

HANDS has established

provincial office at Sibi Quetta

road near Bolan Petroleum

service at capital of

Baluchistan Quetta as Central

Emergency Response Center.

Moreover HANDS initiated its

relief work by providing these

IDPs food and safe drinking

water and made coordination with other aid agencies for backing of flood affected people. HANDS has been operating an emergency relief program round the clock since August 2010 in

Baluchistan but there is even now. Severe scarcity of food, shelter, clean water, sanitation, and

health and hygiene materials needed for hundreds of thousands affected people, who lost

everything in their devasted homes Where as HANDS have established relief camps in Quetta.

HANDS also planned establishment of many more relief camps in different Schools and Tent

cities within couple of days. Till now 6412 people has been provided shelter to displaced people

of flood. And the duration of this period of relief operation HANDS has provided cooked and uncooked

food to 6412 peoples respectively, safe drinking water through tankers at relief camps. HANDS

has treated just about OPD

patients through mobile

camp and Fixed Medical

Camp services for the flood

affected people in order to

provide the medical

services to the sick, and

injured including

preventive vaccination for

different viral, fungal, bacterial and other diseases, And also conducted health & hygiene

sessions with the affected communities in the relief camps of Quetta.

Summary of HANDS‐Flood Emergency Response Activities

District

Support in Evacuation

Relief Camps

Shelters

Food Support

Nonfood Support

Hygiene Kit

Milk Biscuits and food supplements

Water

Hand Pumps

Pit latrine

Medical Camps

Schools

Livestock vaccination

Kashmore/ Kandhkot

30780

10 300 27590 310 310 10123

10123

27590 12 16 15123 4 315

Shikarpur

17533

5 150 22439 160 160 8532 8532 22439 5 14 14400 3 158

Sukkur 14784

24 720 38302 730 730 13870 13870 38302 9 34 25436 9 161

Jacobabad

20995

1 30 10289 30 30 10289 243

Khairpur

5429 1 30 50421 30 30 50421 1 2631 3

Matiari 3769 1 30 7331 30 30 7331 1231

Karachi Rural

2346

Thatta 15060

26 780 15523 451 451 8763 8763 15523 5238 5

Ghotiki 1232 1 30 1548

Larkana 672 1 500

Quetta 18765

1 60 6512 6512 2345

Total 129019

71 2630 178407 1741 1741 41288 41288 178407

27 64 71031 24 634

2. Urgent Relief Needs Thousands of people still surrounded by water and there is need of shifting them to safe places. Transport is not available and no any arrangements are being seen to rescue them. There is need of at least 10 more Vehicles (Four Wheel) for rescuing the people especially from Jacobabad, Shikarpur and Thatta. HANDS providing Food Ration along with Shelter, Health, WASH, and Livestock services to 11000 families and is looking for resource to provide full package to 32,000 more families on very URGENT basis. People are sitting in open air and they need temporary Shelter. Most 32,000 tents, plastic sheets are required for this purpose to HANDS There is threat of spread of Diseases. Diarrhea to Children and Skin Diseases are most common issues. There is need of Medicines of Rs. 10 million on URGENT basis. There is also need of animal feed and vaccinations to prevent the loss of further livestock. Relief Items Required: Necessary relief items for effected families which are currently in need are as under:

Summary of Requirement by HANDS in next 90 days for support to 40,000 families of 200000 affected persons

Item Unit Cost Rs Total Beneficiaries

Total Cost of Three month

5000

Medical Camps per medical camp per day

200,000 10,000,000

100

Food per day per person

200,000 630,000,000

10

Water And Sanitation Hygiene (WASH) per person per day

200,000 63,000,000

3500

Pit Latrines per latrine

200,000 3,000,000

500

Non‐Food Items per family once

200,000 6,000,000

50

Live Stock services (fodder, vaccination etc) per day per family

200,000 54,000,000

50

Biscuits/Food supplement/dry food etc per day per family

200,000 54,000,000

15000

Tents/Shelter per family once

200,000 180,000,000

Total Budget 1,600,000 1,000,000,000

HANDS need about Rs. 1000 million (US$ 12 million) for relief activities for three month. International, national & local humanitarian community should immediately come forward to help these affected people! 3. HANDS Emergency Relief Center Contacts

HANDS has already extensive network of its regional & field offices in almost all affected areas. HANDS established two separate well equipped office as Flood Response Central office of northern Sindh in Sukkur and Flood Response Central office of southern Sindh in Thatta. HANDS also deputed very experienced full time staff which includes, Flood Emergency Operations Manager, sector specialist of Health, Water & Sanitation, Education, Livestock, Agriculture, Shelter & Camp Management, and Social Mobilization etc along with support staff of finance, operations, MER etc. Following offices are declared as Emergency responses Control Centers along with their contacts

Office name Person In charge Contact

HANDS Karachi Head Office

Dr. Sheikh Tanveer Ahmed‐ Chief Executive HANDS/ Chief Coordinator Flood Emergency Response

Dr. Aslam Khan –

Chief Operating Executive

HANDS

Zafar Dehraj‐GM Social Mobilization Disaster Management/Coordinator Flood Emergency Response

tanveer.ahmed@hands.org.pk Ph: 0300‐8200507, 021‐34532804

aslam.khan@hands.org.pk ,

Cell: 03022233915, 021‐34532804

zafar.dehraj@hands.org.pk Cell# 0302‐8222650

HANDS Emergency Response Center for Northern Sindh

Mr. Saifullah Bhutto Operation Manager Flood Emergency Response Northern Sindh

HANDS District Office Sukkur, H. No. B‐ 67, Street No. 4, Hamdard Cooperative, Housing

saifullah.bhutto@hands.org.pk Tel:071‐5633881 Cell# 0333‐2276663

HANDS Emergency Response Center for Southern Sindh

Society, Air Port Road, Sukkur

Mr.Gulam Mustafa Zoar Operation Manager Flood Emergency Response Southern Sindh

HANDS Regional Office Thatta, Hashimabad Society House # A‐18, Opposite City School, Makli District Thatta.

mustafa.zoar@hands.org.pk Tel:0298772435 Cell# 03123065545

HANDS Liaison Office Islamabad

Dr. Sarwat Mirza Chief Technical Executive (CTE) HANDS

sarwat.mirza@hands.org.pk Cell # 0300‐8297503

Kandhkot Emergency Response Center

Mr. Guhram Khoso Coordinator Kashmore at Kandhkot ER office

guhramali@yahoo.com Cell # 0301‐3849246 0333‐42522024

HANDS Regional Office Jacobabad

Mr. Murtaza Nonari Coordinator Jacobabad/ Kashmore ER Support office

HANDS District Office, near male Nursing School, Channa Mohala, Jacobabad

Jacobabad@hands.org.pk murtaza.noonari@hands.org.pk Tel : 072 2652101, Cell# 0300‐3170992

HANDS Regional Office Hyderabad

Mr. Abdul Razaq Umrani Coordinator Hyderabad ER Support Office

hyderabad@hands.org.pk Ph: 0332‐3809020, 022‐2654478

HANDS Regional office Matiari

Ms. Azra Shakeel Shah Coordinator Hala/Matiari ER Support office

matiari@hands.org.pk Phone: 0223‐331110

HANDS Regional Office Shikarpur

Dr. Masood Akber Coordinator Shikarpur ER Support office

HANDS District Office, Near High School. 02, Station Road Shikarpur

masood.akbar@hands.org.pk Tel: 072‐6521688

HANDS Regional Office Quetta

Mr. Ahmed Jan Coordinator Baluchistan ER Support office

Email: ahmed.jan@hands.org.pk; Tel:081‐2839258

HANDS Regional Office Dadu

Mr. Abdul Aziz Babar Coordinator ER Support Office

HANDS Regional Office Dadu, Opposite Army Public School & College, Dadu

Email: aziz.babar@hands.org.pk; Tel # 0254022140

PICTURES GALARY