Pakistan: Humanitarian assistance for internally displaced people

Emergency appeal n° MDRPK0036 July 2009

This Revised Emergency Appeal seeks CHF 7,974,802 (USD 7,341,928 or EUR 5,251,486) in cash, kind, or services to support the Pakistan Red Crescent Society (PRCS) to assist 13,000 displaced families (91,000 people) in non-confrontation areas for seven months. Appeal coverage: With contributions received to date, in cash and kind, the appeal is approximately 15 per cent covered with further contributions in the pipeline. Additional funds are urgently needed to enable PRCS to scale up its response to the crisis. Appeal history:

• On 5 June 2009 a meeting was held in Geneva, hosted by the International Federation and the International Committee of the Red Cross with PRCS representatives, to present the Red Cross Red Crescent Movement’s response plan for this humanitarian crisis. The importance of a strong Movement coordination framework was agreed. A joint statement was issued at the end of June clarifying roles and responsibilities of Movement partners.

• This emergency appeal was launched on 4 June 2009 for CHF 23,926,179 (USD2 2.44 million or EUR 15.76 million) in cash, kind or services to support PRCS to assist 20,000 (approximately 140,000 people) displaced families in non-confrontation areas for seven months.

Pakistan continues to face a growing humanitarian crisis as the government operation continues against the militants. Authorities, including the national database and registration authority (NADRA), have registered and verified that there are approximately 1.9 million displaced people. However, it has been estimated that three mllion people are currently displaced. This appeal revises the total number of families for both the emergency and early recovery phases. Under the emergency phase, the PRCS/International Federation’s operation aims to assist 56,000 internally displaced people (8,000 families) south east of the Indus river and 35,000 individuals (5,000 families) in the early recovery phase; bringing the total number of targeted families to 13,000 (91,000 individuals).

First aid being provided to a child by the doctor in the PRCS/International Federation assessment team in Haripur district. Photo: International Federation/Mubashir Fida.

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The reasons for the revision of the appeal are as follows: • Exclusion of Swabi: based on discussions in tripartite meetings between PRCS, the

International Federation and the International Committee of the Red Cross (ICRC), it has been agreed that ICRC will be supporting the PRCS to assist displaced people in the Swabi area (both in and outside of camps). Swabi was one of the main areas of intervention in the preliminary appeal.

• This appeal is based on the revised targeted needs on the ground identified through rapid assessment. Two main areas of intervention stipulated in the preliminary appeal, food and camp management have been taken out. World Food Programme is covering the food needs.

Following a rapid assessemnt, the PRCS/International Federation have stepped up efforts to bring relief to the displaced people. A detailed assessment is being carried out in Haripur and distribution of non-food items is expected to start on 6 July. Health provisions have also started in Shinkiart district. Water and sanitation activities commenced on 3 July in Haripur. As one of the major humanitarian organisations in the country, the public expectation are very high on PRCS to support the IDPs. PRCS continues to play a significant role in support of the most vulnerables including support to 8 camps set up for displaced people. The International Federation is closely coordinating its support to the PRCS activities with ICRC and other RCRC partners in order to maximise the use of Movement resources. To date, multilateral contributions to the appeal have been received from: British Red Cross, Japanese Red Cross, Republic of Korea Red Cross, Netherlands Red Cross, and Swedish Red Cross/Swedish government. The PRCS has received bilateral contributions from the following: American Red Cross, Canadian Red Cross, Danish Red Cross, Iranian Red Crescent, Turkish Red Crescent, and United Arab Emirates Red Crescent. PRCS has also received important contributions from within the country. The International Federation, on behalf of PRCS, would like to thank all donors who have given generously to this appeal. Operations will end December 31, 2009 and a final report will be made available March 2010, three months after the end of operations. <click here to view the attached Emergency Appeal Budget; here to link to a map of the affected area; or here to view contact details>

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The situation More than 1.9 million displaced people (261,750 families) have been verified by the national database registration authority (NADRA) as the government forces’ operation against the militants persists in parts of North West Frontier Province (NWFP) and the Federally Administered Tribal Areas (FATA). Out of the total, 24,642 families are living in camps while the rest are residing off-camps, either with host families, in government buildings or in any other ad-hoc arrangements. NADRA verifications have not yet been completed. NADRA verified approximately 96 per cent of the displaced people are staying in NWFP, three per cent in Punjab, while the rest are scattered throughout the country. Some displaced families have started to return to their homes in Buner and Bajaur. According to United Nations Office for the Coordination of Humanitarian Affairs (UN-OCHA), an average of 300 families return to Buner every day. The provincial government continues to distribute cash grants among the NADRA registered families through smart cards. As of 30 June, more than 56,000 families have received their cash cards. The shelter cluster has started some work and is developing a detailed plan to prepare camps for the coming monsoon season.

Coordination and partnerships Coordination meetings are being held regularly among the Red Cross Red Crescent Movement partners in the country, led by PRCS. The International Federation is working very closely with PRCS and ICRC in its response. The Red Cross Red Crescent Movement is also coordinating with other organizations on national and provincial levels. The PRCS and International Federation are attending relevant Inter-Agency Standing Committee (IASC) cluster meetings. A joint “PRCS-International Federation-ICRC framework” has been agreed upon and signed by all three parties. A joint statement clarifying roles and responsibilities of all movement partners in this response was issued last week. The Danish Red Cross, German Red Cross, and Netherlands Red Cross consortium is working bilaterally with PRCS in Swabi district.

Red Cross and Red Crescent action A PRCS/International Federation team from the national headquarters was deployed in Haripur on 27 June 2009. The team included both relief and health personnel. They coordinated with the government authorities in the Haripur community concerning the overall living conditions of all displaced people, their needs as well as the health and care situation in the district. A field office for the operation has been set up in Haripur. A site for a warehouse in Haripur has been finalized. A total of 93 (81 male and 12 female) volunteers have been identified and trained. Detailed assessment and verification of displaced families in Haripur started on 29 June. To date, a total of 1,300 families have been assessed and verified.

Detailed health and water and sanitation assessments have also been completed in Mansehra and Haripur. The sanitation facilities, particularly in the district, are poor. At the same time, they lack sufficient health and care infrastructure to deal with the large and ever increasing number of internally displaced people (IDP or displaced people). Based on this assessment, a health plan has been developed. According to this plan, one mobile health unit will be based in Haripur. A total of 50 psychosocial sessions will be conducted for displaced people. At 10 sites latrines will be rehabilitated/constructed and washing pads will be constructed, including washing facilities, while essential hygiene promotion will also be conducted simultaneously. Latrine construction commenced on 3 July 2009.

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The PRCS/International Federation mobile health unit carried out assessments in Shinkiari and recommended health and water and sanitation interventions. The team also treated 250 patients in a rural health centre and on a poultry farm in Shinkiari on 27 and 30 June respectively.

PRCS continues to provide support to displaced people in camps. So far, a total of 6,412 families (41,004 individuals) have been accommodated in eight PRCS/ICRC managed camps. The details of the eight PRCS camps up to 27 June are as follows:

Camp location Families IndividualsRang Mala (A& B) Malakand

1,253 7,638

Pitao, Malakand 445 2,637 Shah Mansoor Township, Swabi

1,998 12,754

Shah Mansoor Township 2, Swabi

1,138 7,300

Government college, Timargarah

472 3,281

Commerce college, Timargarah

426 2,857

Technical college, Timargarah

280 1,992

Benazir Camp, Risalpur

400 2,545

TOTAL 6,412 41,004

The needs Beneficiary selection: Vulnerabilities have been exacerbated for people who belong to one or more of the following groups: women and children (these are the priorities, as they form the majority of the displaced population); women headed households; socially isolated (minority groups), isolated from services, lack of transport options; the ill; frail; aged or those who have disabilities, with no financial reserves and no income generation abilities. The total number of families to be assisted under this appeal is 13,000 (approximately 91,000 people). Under the emergency phase, the target is to support 8,000 displaced families (56,000 people) and 5,000 displaced families (35,000 people) will be assisted in the early recovery phase. (This includes return packages and livelihood interventions).

Immediate needs: Basic household items, health and care, psychosocial support and water and sanitation. Longer-term needs: These needs include returnee packages and a livelihoods programme.

The proposed operation The proposed locations for this operation are the souteast of the Indus river; areas included are Haripur, Abbottabad and Mansehra (in Hazara division) and Hassan Abdal, Attock and Batagram. The proposed operation will include relief, health and care, water and sanitation, psychosocial support (PSP) and livelihood interventions.

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Breakdown of the beneficiaries are as follows: Emergency Phase (8,000 families) Early Recovery (5,000 families)

Emergency phase:

In Hazara division, the most vulnerable displaced people are the people living in schools as they do not have relatives or friends to host them. These people have not received assistance apart from the support of the local communities and two local organizations (but not everywhere). People living in rural areas and specific sectors (like displaced people living in caves, factories and farms) have also been identified. The plan is to assist the most vulnerable 5,000 families in Haripur, Mansehra and Abbottabad.

In Hassan Abdal, Attock and Batagram, the proposed operation will be focused on displaced people living with host families. Detailed assessments in the urban areas will be carried out to identify the areas and families. The plan is to support 3,000 families in these areas.

Early recovery phase: Under the early recovery phase, the plan is to support the displaced families upon return to their homes through giving return packages (for 2,500 families) and later on providing livelihood assistance (for 2,500 families). A detailed assessment for early recovery has been planned in the coming month. Given the uncertainty of the situation and expanding military operations, the timeframe is not clear for early recovery. Hence, implementation of the activities under this phase will be carried out when “safe and voluntary return” is possible.

Emergency phase: Support to 8,000 displaced families (56,000 displaced people) Overall objective: The urgent needs of 8,000 families (56,000 people) displaced in non-conflict areas of Hazara division (Haripur, Abbottabad and Mansehra) and Hassan Abdal, Attock and Batagram are met; the outbreak of diseases is prevented.

Intervention HARIPUR MANSEHRA ABBOTTABAD Hassan Abdal, Attock and Batagram

NFI 2,000 2,000 1,000 3,000 Health and PSP 15,000 patients 15,000 patients WatSan 2,000 2,000 1,000 Return package 2,500 Livelihood 2,500

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Relief distributions (basic non-food items) Objective: The household needs of 8,000 displaced families are met over the next three months.

Expected results Activities planned The immediate needs of 8,000 displaced families living outside of the IDP camps in non-conflict areas are met through relief distributions.

• Coordinate with concerned authorities (NADRA) to facilitate the registration of displaced people for a database.

• Identify 8,000 most vulnerable displaced families (2,000 families in Haripur, 1,000 families in Abbottabad, 2,000 families in Mansehra and 3,000 in Hassan Abdal, Attock and Batagram)

• Conduct field assessments, selection and social mobilization for the verification of 8,000 families.

• Engage community’s participation in planning and distribution of relief items.

• Mobilize and train approximately 50 community volunteers in assessment, distribution, and monitoring and evaluation in each district.

• Transportation of relief items from the PRCS/International Federation existing stocks at Mansehra hub warehouse and other PRCS warehouses at strategic locations to the distribution points.

• Distribution of non-food items to the selected families. • Procurement of items not available in the disaster preparedness

warehouse. • Develop a monitoring and evaluation system for the continuous

improvement of delivery systems. • Replenishment of stocks utilized from PRCS warehouse. • Develop an exit strategy (laying the basis for the early recovery

phase).

Each family will receive the following non-food items:

Item Quantity Kitchen set 1 Sleeping mats 2 Mosquito nets 2 Family hygiene parcel 1 Jerry cans 2 Bed sheets 4 Foam mattresses 2 Buckets 2 Kerosene stove 1 AM/FM Radio 1

Emergency health and care This programme will cover health and care as well as psychosocial support. Objective (health and care): Provide primary health care services to 30,000 people (15,000 in Haripur and 15,000 in Mansehra) living outside camps in public buildings and host families in areas of Hazara division.

Expected Results Activities planned Reduced morbidity and mortality through improved access to basic healthcare services in the target IDP population, especially among women and children.

• Detailed health needs assessment, including mapping of existing health facilities, service gaps and areas of displaced people concentrated outside camps in Haripur, Mansehra and Abbotabad.

• Establishment of two mobile health units (one each for Haripur and Mansehra) for provision of comprehensive primary health care services.

• Identification and training of volunteers among the displaced people

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in community based health and first aid (CBHFA) in Haripur, Mansehra and Abbottabad.

• Dissemination of information, education and communication (IEC) materials for health education and promotion among the displaced people in Haripur, Mansehra and Abbotabad.

• Dissemination / distribution of clean delivery kits and mosquito nets among IDPs in Haripur and Mansehra.

• Strict surveillance and implementation of Disease Early Warning System (DEWS) in Haripur and Mansehra.

• Establishment of a referral system to secondary (district hospitals) / tertiary (medical teaching hospitals) health care facilities.

• Development of a coordination mechanism with the ministry of health and other partners through health clusters.

Objective (psychosocial support): Provide psychosocial support activities to 5,000 displaced families (living outside of camps in public buildings and host families) in areas of Hazara division for seven months.

Expected Results Activities planned Reduced psychological stress and trauma among 5,000 families in Hazara division.

• Establishment of psychosocial support activities for displaced people in Haripur, Abbottabad and Mansehra. • Training of PSP volunteers identified from the population of displaced people. • Supplemental psychosocial support training for CBHFA volunteer • Supplemental psychosocial support for women and children. • Community mobilization sessions among displaced people. • Integration of PSP activities with distribution and relief activities. • Coordination with government sectors and other partners responsible for implementation of psychosocial support activities.

Water, sanitation, and hygiene promotion Objective: To improve health and reduce the risk of water and sanitation related diseases for 5,000 IDP families (2,000 in Haripur, 2,000 in Mansehra and 1,000 in Abbottabad) for seven months, through access to safe water supplies, appropriate sanitation facilities and hygiene promotion activities in accordance with SPHERE standards.

Expected results Activities planned Access to safe water and adequate sanitation facilities among the targeted displaced population has been established along with increased awareness about hygiene practices.

• To conduct a detailed assessment in the affected areas on the water supply, sanitation and hygiene needs of the displaced population.

• To provide water purification tablets for household level water treatment and education on their use to families identified in the assessment.

• To improve existing latrines and construct emergency latrines, where needed for families identified in the assessment.

• To provide buckets and jerry cans for storing water to families identified in the assessment.

• To distribute hygiene kits (women hygiene kits and childrens hygiene items) and washing tubs to address hygiene needs.

• Conduct participator hygiene and sanitation transformation (PHAST) sessions in displaced families at household level, in the schools and public spots.

• Conduct hygiene promotion sessions with target communities of displaced people.

• To educate communities of displaced people about safe waste disposal to reduce the risk of increasing disease carrying vectors.

• To organise clean up campaigns in communities of displaced people.

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Early recovery phase: Support to 35,000 displaced people (5,000 families) Overall objective: The urgent needs of 5,000 recently returned vulnerable displaced families (35,000 people) are met. Return package Objective: To assess the recovery needs of the selected areas and to provide assistance to 2,500 families to face the winter approaching in four months when returning home.

Expected results Activities planned Basic needs of the IDP families upon their return home are met.

• Detailed recovery needs assessment. • Identify beneficiaries as recipients of the winterization packages

(includes shelter, a stove per family and blankets). • Distribute winter packages to 2,500 families when returning home. • Develop additional recovery activities in keeping with the

assessment, and emerging needs of the community and appraise the possibility of community based disaster management (CBDM) initiatives in returning communities.

• Concentrate focus on the needs of women and children (particularly female headed households), in the planning and design of future activities.

• Ensure social inclusion for minority groups (religious, disabled and so on).

• Monitor and evaluate the activities and provide reporting on distributions.

• Develop an exit strategy based on long-term recovery needs. Livelihoods

Objective: To assist displaced people in replacing, repairing, re-establishing, strengthening and sustaining their household income (for 2,500 families).

Expected results Activities planned 2,500 families have improved livelihood means.

• Conduct household and livelihood needs and capacity assessments.

• Develop beneficiary targeting strategy and registration system with communities to deliver intended assistance.

• Scope the capacity of PRCS and International Federation to deliver a voucher/cash programme/cash for work or any other recovery initiative for vulnerable families to reinforce economic and social security. Implement accordingly.

• Provide training to communities with enhancement of livelihoods skills.

• Distribute resources according to plans emanating from livelihoods assessments which may include seeds, tools etc.

• Monitor and evaluate the activities and provide reporting on distributions.

• Provide support to the most vulnerable groups for restoration and alternative livelihood options.

• Develop an exit strategy. Logistics For the success of this operation, efficient and timely coordination and delivery of logistical support should be met. For this, activities that need to be carried out include:

• In-country logistics team to coordinate closely with PRCS and the Kuala Lumpur Regional Logistics Unit to determine the most appropriate, effective and cost-efficient sourcing strategy for the required

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relief items. • Mobilization table to be regularly updated and to be available on the International Federation’s

Disaster Management Information System (DMIS). • Coordinate mobilization of relief goods available in the country (Manshera hub); coordinate reception

of all incoming goods and coordinate warehousing. • Centralize the provision of standard vehicles as required. • Coordinate efficient dispatch of goods to the distribution points. • Register, track and report the movement of goods throughout the supply chain. • Coordinate replenishment of PRCS’ disaster preparedness stocks dispatched from the Mansehra hub.

The International Federation, through the Regional Logistics Unit based in Kuala Lumpur, will provide technical support, staff and advice, and work with partner national societies regarding their possible contributions and in-kind donations for outstanding needs. This also includes working with PRCS to support and build logistics capacity through training, workshops and providing delegates to support the logistics function.

Communications – Advocacy and Public information The communications team of the International Federation’s country office, supported by the Regional and Zone communications unit, will ensure enhanced and continuing media coverage of major milestones in the Pakistan Red Crescent IDP. Activities to be conducted include:

• Support to PRCS to organize regular media and stakeholder briefings. • Preparation of press releases and media materials tied to major operational developments. • Support for national and international media trips to highlight PRCS/IFRC operations. • Production and distribution of video material, educational tools and communication material. • Production of compelling online information materials the International Federation and other

national societies’ websites.

Capacity of the National Society The PRCS national headquarters is carrying out the operation through its district branches. The national headquarters of the PRCS will be providing support for the operation to help all displaced people. Sufficient staff for each programme will be recruited on needs basis. Training and utilization of 100 volunteers from the community will be required. Apart from the provincial branch, the national society has 10 district branches in North West Frontier Province. In the Hazara division, the PRCS has two district branches (one in Haripur and other in Mansehra). The national society also maintains a disaster management cell in Batagram. For the Pakistan earthquake operation, a field office is also being maintained by the PRCS in Mansehra. This field office carries out activities in the earthquake affected areas and has expertise in health, disaster management, water and sanitation, livelihood, logistics, IT and gender. Staff from the field office is already being utilized by PRCS in the IDP camps. There are a total of 17 PRCS NDRT trained staff in NWFP. Two staff in NWFP are also trained as part of the RDR Team. Capacity of the Federation The International Federation in Pakistan has a country office in Islamabad; it also maintains a field office in Mansehra (specifically for the Pakistan earthquake operation). The International Federation’s will provide technical support to the national society on ground. Apart from this, the country office will also assist in coordination and communication among the Movement partners. A Movement coordinator and a logistics delegate are the additional staff recruited for this operation.

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Budget summary See attached budget (Annex 1) for details.

Yasemin Aysan Bekele Geleta Under Secretary General Secretary General Disaster Response and Early Recovery

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How we work All International Federation assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGO's) in Disaster Relief and is committed to the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable. The International Federation’s activities are aligned with its Global Agenda, which sets out four broad goals to meet the Federation's mission to "improve the lives of vulnerable people by mobilizing the power of humanity".

Global Agenda Goals: • Reduce the numbers of deaths, injuries and impact from

disasters. • Reduce the number of deaths, illnesses and impact from

diseases and public health emergencies. • Increase local community, civil society and Red Cross Red

Crescent capacity to address the most urgent situations of vulnerability.

• Reduce intolerance, discrimination and social exclusion and promote respect for diversity and human dignity.

Contact information For further information specifically related to this operation please contact:

In Pakistan - Pakistan Red Crescent Society:

• Ilyas Khan, PRCS secretary general: phone 00 92 333 511 4223; email: sec.general@prcs.org.pk. In Pakistan - International Federation country office:

• Pepe Salmela, Head of country office, phone: +92 308 888 8054; email: pepe.salmela@ifrc.org; • Asar ul Haq, Programme coordinator, phone: 00 92 300 856 8136; email:

asar.muhammad@ifrc.org. • For media enquiries: Teresita Usapdin, communication coordinator, mobile +92-300-555-4505,

email: teresita.usapdin@ifrc.org In New Delhi - International Federation South Asia regional office:

• Azmat Ulla, Head of regional office, phone: +91 11 2411 1125; fax: +91 11 2411 1128; email: azmat.ulla@ifrc.org

• Mette Petersen (Regional Resource Mobilization/PMER delegate); phone: +91.11.2411.1122; email: mette.petersen@ifrc.org

In Kuala Lumpur-International Federation Asia Pacific zone office (phone:+603 9207 5700)

• Jagan Chapagain, Deputy Head of Zone, email: jagan.chapagain@ifrc.org • Daniel Bolanos, Disaster response delegate, phone: +603 9 207 5724; mobile: +6012 283

7305, email: daniel.bolanos@ifrc.org • Jeremy Francis, regional logistics coordinator, phone: +603 9207 5753, fax: +603 2168 8573,

email: jeremy.francis@ifrc.org; • Juan Galvez (regional logistics delegate); phone: +60 3 2628 2707, fax: +60 3 2168 8573;

email: juan.galvez@ifrc.org; • Penny Elghady, resource mobilization and PMER coordinator, phone: +603 9207 5775,

email: penny.elghady@ifrc.org. • Please send all funding pledges to zonerm.asiapacific@ifrc.org. • For media enquiries: Jason Smith, zone communications manager, mobile: +6012 387 0829,

email: jason.smith@ifrc.org

<Emergency Appeal budget and map below; click here to return to the title page>

REVISED APPEAL BUDGET SUMMARYPAKISTAN : HUMANITARIAN ASSISTANCE FOR IDPs MDRPK003

ORIGINAL REVISED VARIANCE

RELIEF NEEDSShelter 4,584,400 1,379,675 (3,204,725)Clothing & Textiles 187,500 885,280 697,780Food 2,442,000 0 (2,442,000)Water & Sanitation 1,937,250 100,000 (1,837,250)Medical & First Aid 549,000 112,000 (437,000)Teaching Materials 15,000 14,000 (1,000)Utensils & Tools 270,000 388,266 118,266Other Supplies & Services 9,810,000 3,999,143 (5,810,857)

Total Relief Needs 19,795,150 6,878,364 (12,916,786)

CAPITAL EQUIPMENTVehicles Purchase 204,000 0 (204,000)Computers & Telecom Equipment 185,847 11,000 (174,847)Office/Household Furniture & Equip. 336,665 0 (336,665)Medical Equipment 20,000 0 (20,000)

TRANSPORT, STORAGE & VEHICLESStorage - Warehouse 28,020 18,419 (9,601)Distribution & Monitoring 11,000 23,220 12,220Transport & Vehicles Costs 413,695 132,430 (281,265)

PERSONNELInternational Staff 504,000 120,000 (384,000)National Staff 100,000 54,500 (45,500)National Society Staff 180,000 118,100 (61,900)Consultants 10,000 5,000 (5,000)

WORKSHOPS & TRAININGWorkshops & Training 70,000 30,000 (40,000)

GENERAL EXPENSESTravel 66,000 8,500 (57,500)Information & Public Relations 204,500 38,000 (166,500)Office running costs 151,096 14,457 (136,639)Communication Costs 50,008 4,450 (45,558)Professional Fees 11,000 0 (11,000)Financial Charges 4,996 0 (4,996)Other General Expenses 25,000 0 (25,000)

PROGRAMME SUPPORTProgramme Support - PSR (6.5% of total) 1,555,202 518,362 (1,036,839)

Total Operational Needs 4,131,029 1,096,438 (3,034,590)

Total Appeal Budget (Cash & Kind) 23,926,179 7,974,802 (15,951,376)

(Less) : Available Resources 1,173,499

Net Request 23,926,179 6,801,303

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