Saving Lives in Malakand


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Newsletter of Malakand Response Program from Save the Children, Pakistan (2010)

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Saving Lives in Malakand

  1. 1. Saving Lives Saving LivesEmergency Response for conflict-affected children and Response to communities in Pakistan in Pakistan displaced communities 2009-2010 2009-2010
  2. 2. The EmergencyThe conflict between the Taliban insurgents and the Pakistani military triggereda massive humanitarian crises in April 2009, when approximately 2.3 millionpeople from districts Swat, Buner, Dir and Shangla in the Malakand region ofKhyber Pakhtunkhwa (KPK) were forced to flee their homes. After completionof military operations by mid last year, most Internally Displaced Persons (IDPs)from these districts later returned home. Thousands of families from SouthWaziristan, Orakzai, and Kurram, and other conflict-affected areas, however,still remain displaced. The majority of conflict-affected families had lost theirlivelihoods and were deprived of basic social services such as access to basichealthcare, education and protection. Both displaced and returnee children andtheir families were desperately in need of food, protection, education,healthcare and nutrition services and livelihoods support. Children mostlysuffered from communicable diseases, disruption in education, and experiencedpsychological stress related to conflict, violence and displacement. The displacedcommunities on return encountered damaged or destroyed infrastructureincluding homes, schools and health centres, disrupted public services, and lostlivelihoods, in addition to uncertain security situation and frequent violence. Team Leader’s Note Save The Children’s Response Save the Children initiated the Emergency Response in May 2009 to support Save the Children’s Malakand the conflict-affected communities in KPK, with the main objective to ensure Response Program (MRP) recently that children and families affected by the crisis receive immediate assistance. completed it’s first year of An integrated relief and recovery program was initiated for displaced emergency support for children and communities, which included provision of essential food and non-food communities, effectively reaching out items, protection for children and women, livelihoods support and to over half a million people affected education, and provision of basic health and nutrition services. Since the by the conflict. We have provided crisis began one year ago, Save the Children has reached an estimated essential humanitarian services to 750,000 people (including approximately 440,000 children). This was made children and communities displaced possible through support from multiple donors and the International Save from conflict-affected districts in KPK the Children Alliance members, contributing over $18 million for the and FATA agencies through emergency response program. The Malakand emergency response program integrated interventions, while we focused on meeting urgent needs of the displaced communities, supported are transitioning our programs the resettlement towards recovery and rehabilitation, and recovery in to reach out to even more children areas of origin, and communities in the coming year. and continued We acknowledge and appreciate the support to those support provided to MRP in the past who could not yet year and hope for it to continue in return. future. This annual newsletter is dedicated to the children affected by conflict, their resilience and the lovely smiles which we have tried to The children of four displaced restore over the past one year. We families from hope you enjoy reading it! Buner are enjoying a cold Hassan Noor Saadi, Team Leader, MRP bath from the tub provided by Save the Children PAGE 1
  3. 3. Children ProtectionSince the emergency began, over 26,757 children have benefited from Savethe Children’s child protection programs, particularly Child Friendly Spaces Saifullah’s Storythat provided psychosocial support to children through play therapy andrecreational activities. Save the Children established 56 child protectionnetworks to identify child protection issues and refer children in need of “Thesupport to appropriate health and social service providers. Additionally, 15Child Friendly Spaces were established in Kohat to support displaced CFS ischildren living in this district. Save the Children also established 64 WomenFriendly Spaces (WFS) that provided a safe environment for women as well my as their children, to share their concerns home and gain vocational skills benefitting over 1500 away women. from For further information contact, Wajahat Ali Farooqi, home.” Child Protection Manager, MRP; Saifullah Rehman, 11, points to the drawing of his hometown at CFS Rangpur, DI Khan Saifullah Rehman, 11, with his family, left his home in Machi Khel South Waziristan when the fighting intensified and moved to Rangpur in Dera Ismail Khan. At Machi Khel, Saif was studying at school but in Rangpur there were no schools and since Saif’s family has moved into a small Saima, 7, and her friends at the Child Friendly house there was no playground or open Space in the Buner district space for him to play. So Saif spent his time loitering in the streets and hearing Accountability to Beneficiaries terrible stories about the conflict. In January 2010, Save the Children established Child Friendly Spaces (CFS) in Save the Children upholds accountability to beneficiaries, a complaints and host communities of D.I. Khan to provide response system was thus developed in December 2009. A telephone line a safe learning and educational was chosen as the most appropriate method of receiving and responding to environment for IDP children. The CFS complaints from beneficiaries as it maintained anonymity and ensured wider also provided psychosocial support to accessibility. The system was piloted in Buner district in January 2010. The children through play therapy and initial test sites included Child Friendly Spaces and Save the Children- recreational activities. Saif and his brothers supported health facilities where the complaints and response hotline was learned about the center from the CFS promoted through posters. Each poster displayed Minimum Standards for supervisors, who encouraged displaced the relevant intervention, portrayed beneficiary rights and encouraged families to enroll their children at the CFS. beneficiaries to voice their concerns where required. In the beginning, Saif remained distant and After a month of successful implementation, the system was replicated to drew pictures of the conflict such as tanks districts Swat and D.I Khan, and the number of interventions where the and guns. The CFS supervisors engaged hotline was promoted was also increased. Each district field office is now him in communicative plays, creative managing its own complaints and response hotline and with total of 19 expression and basic literacy classes with complaints registered from all districts for different programs. “Real time the help of educational aids. assessments” were also introduced, through which valuable feedback from Soon, Saif immersed himself in the beneficiaries at Save the Children program sites was received and efforts activities, especially in reading, drawing, were made to ensure immediate responses and ratification. painting and playing sports. Now, he comes to the CFS regularly and drags his For further information contact, Sajjad Akram, Monitoring, Evaluation & Accountability siblings and peers to join in as well. Manager, MRP; PAGE 2
  4. 4. Jaan-Sher’s Story Seven-year-old Jaan Sher lives in Buner district with his siblings and his mother, Sadiq Jan. In order to escape the fighting in Buner, his family had fled to Swabi, a safer district. These conflict-affected communities suffered from widespread communicable diseases due to crowded living conditions and poor hygiene. Unfortunately most village-level government health facilities lack doctors, equipment and medicines, with Jaan Sher’s village being no exception. After several months of being displaced, Jaan Sher’s family finally headed back home. To help such returnee communities, Save the Children sent 10 mobile health teams to various villages in Buner, to support government health facilities and provide urgently needed treatment and medicines for the returnee population. In just three months, the mobile health teams treated over 50,800 patients. Three days after the mobile health team began traveling to Jaan Sher’s village, Sadiq Jan brought her children to the Basic Health Unit. She explained that Jaan Sher had diarrhea and her other son, Lukman Sher, used to get frequent stomachaches. In addition, Sadiq Jan and her two-year-old Hilma had skin rashes. Save the Children’s medical doctor examined the children, prescribed them medicines which they receivedJaan Sher (left), his from the pharmacy. The doctor also educated Sadiq Jan about the importance of basic personal brother, Lukman- hygiene at the household. She had been using traditional oils to treat her skin rashes, while the Sher, and two doctor advised to apply medicated lotion and take oral medication instead. Save the Childrensisters, Shama and promotes access to free-of-cost healthcare, and ensured all patients at the health clinics received Hilma free medical care. Sadiq Jan left the hospital a happy and satisfied mother. “I have been to doctors in Mardan Health Save the Children’s emergency health teams treated over 355,579 patients in Mardan, Swabi, Buner, Swat, and Swabi, but I am DI Khan and Kohat over the past year, through support to 28 government health facilities. Save the more satisfied with Children deployed medical teams at supported facilities, conducted minor repairs and provided essential medicines, supplies and equipment to strengthen the government health facilities and promote provision of this lady doctor quality maternal and child health services. Furthermore, 12 ambulances provided emergency referral (from SC in Buner). services for pediatric, medical and obstetric cases from rural health facilities, for specialized medical care at secondary and tertiary hospitals. I will come again if The medical teams provided antenatal care to over 28,292 women, and provided Clean Delivery Kits to more than 5,114 pregnant women in third trimester. For health education and promotion, over 2500 Child we have any Hygiene Kits containing household items for personal hygiene, were distributed to younger children, while problems.” similar number of IEC materials in form of family health booklets were distributed to mothers.Sadiq Jan, mother of Weekly health education sessions were conductedJan Sher at supported health facilities to increase awareness on communicable disease prevention and promoting healthy behaviors. Save the Children supported IMNCI training for over 500 lady health workers from conflict-affected communities, in collaboration with district department of health and National LHW Program. For further information contact Malek Zaeem UlHaq, Health & Nutrition Advisor, MRP; Save the Children’s Lady Health Visitor, treating a baby admitted at Save the Children’s supported health facility in Mardan district PAGE 3
  5. 5. Nutrition Save the Children implemented a Community Management of Acute Malnutrition program for malnourished children and mothers affected by conflict, in four target districts Mardan, Swabi, Swat and Buner, in partnership with two local organizations; NRSP and RAHBAR. The implementing partners conducted community mobilization and screenings at the household level, for identification of acutely malnourished children using mid-upper arm circumference procedure and referring identified cases to designated health centres or mobile nutrition sites. Children identified with moderate acute malnutrition were provided a monthly ration of fortified blended food, micronutrient supplements and de- worming tablets, while the identified pregnant and lactating women received nutritional supplements. Children identified with severe acute malnutrition, were provided with ready-to- use therapeutic food preparations and symptomatic outpatient medication, where required, at the designated health centres or mobile nutrition sites. Over 4240 malnourished children and 870 pregnant and lactating women were supported through outpatient and supplementary feeding programs. Save the Children established four Nutritional Stabilization Centers at district headquarters hospitals in the target districts, where children with severe acute malnutrition and medical complications were treated as inpatients and provided with specialized medical care along with nutritional supplements. A total of 130 children were successfully treated at the four centers during the project duration, while all four centers were handed over to district health departments in May 2010, at the end of project.Zainab, 7, is being tested by Save the Children’s MobileNutrition Team for Mid Upper Arm Circumference For further information contact Malek Zaeem UlHaq, Health & Nutrition(MUAC), used for assessing the nutritional status of Advisor, MRP; mzaeem@savechildren.orgchildren at BHU Manyar, Swat.Repair and RehabilitationSave the Children conducted minor but essential infrastructure repair and rehabilitation of 21 government health facilities inconflict-affected districts D.I Khan, Swat, Buner, Swabi and Kohat. The repair and rehabilitation work ensured that allsupported health facilities were fully functional and met basics hygiene and safety standards. The repair work includedplastering and cementing of walls, floors, ceilings and roofs, paint work (weather shield, distemper and enamel), laying of plaincement concrete, brick and mechanical works as well as carpentry works such as repair of doors and windows. Furthermore,plumbing work, provision of clean water supply and construction of toilets athealth facilities wascarried out. Save theChildren also establishedfour nutritionalstabilization centers atDHQ hospitals, for whichrefurbishment of existinginfrastructure andconstruction of kitchenand toilets (at DHQSwabi) was carried out. A view of a BHU at MadiKhel, D.I Khan before (left) and after (right) the repair and rehabilitation work done by Save the Children PAGE 4
  6. 6. Education Reshma Bibi’s StorySave the Children established 24 temporary schools in 20 hostcommunities in district Mardan during the immediate emergencyresponse, benefiting over 2,000 displaced children, while 20teachers were hired from among the displaced population to teachenrolled children at these temporary schools. Save the Childrenconducted minor repair and rehabilitation of 50 schools in districtMardan, out of which 40 were girls’ schools, which enabled 12,000conflict-affected children to resume their education. In districtBuner, 20 satellite schools were established in 9 union councils,whereby 800 out of school girls were enrolled, 20 schoolmanagement committees were formed and 20 female teachers fromlocal communities were hired and provided training. In districtLower Dir, the education program targeted 27 Union Councilsreaching out to more than 14,000 children. Save the Childrenrecently initiated an education project titled Welcome to SchoolInitiative, through which the capacity of 792 government primaryschool teachers and 3168 Parent Teachers Councils (PTC)members in 396 schools of Swat and Lower Dir will be enhanced. Reshama Bibi,11, learns alphabets at a satellite school established by Save theFor further information contact Khurshid Khan Khalil, Education Advisor, MRP; Reshma Bibi, 11, lives in village Manrai in district Buner. Her father, Umer is a farmer owning small pieces of land. There was no Government Girls Primary School around Manrai in 5 km radius, so when Reshma was 5 she got admitted in class prep at a Boys school 1 km away from her home. After a few months, however, her father did not want her to continue her education in the said school due to culture sensitivity, social restrictions and pressure. Reshma was a very serious and enthusiastic student but due to lack of options she could not continue her studies. In May 2010, Save the Children established 20 Satellite schools in District Buner for out of school girls. Reshma Bibi became one of the many girls, in this area, who were now able to easily acquire education. She got enrolled in a Satellite school by her father in Class prep. She proves to be an extremely bright student, outshining in her class and showing great interest in new teaching methodologies. Now Reshma bibi aspires for higher Mujeebullah, 8, learns to read and spell English numbers at a education. She hopes to become a teacher temporary school in Mardan district supported by Save the one day and help promote education for Children. girls , particularly in this deprived area. PAGE 5
  7. 7. Livelihoods Gulnaz’s Story Save the Children provided over 23,392 extremely vulnerable families in DI Khan and Buner with cash grants to help them meet their basic needs.113 cash-for-work projects in Swat were completed and these projects employed more than 5,920 laborers. Save the Children provided micro-enterprise improvement grants to more than 1,430 families in Swat, Buner and D.I Khan. To improve families’ earning capacity, livestock management training was provided to 3,270 people, agricultural skills training to 2,200 people, and business skills training to over 1,380 individuals. Through the livelihoods program, over 38,500 sheep, goats, cows, and buffalo, and more than 43,450 chickens were vaccinated against common diseases, benefiting over 6000 farmers. Livestock support was provided (food supplements and de-worming medicines) to over 6,250 families in Swat and Buner, while vegetable seeds, kitchen gardening tools, and organic manure was also given to 2,200 women and their families from conflict affected districts, out of which 1,800 also received fruit saplings to support their livelihoods. Gulnaz’s daughter Saira is happy to support her mother and grandmother with their shop For further information contact Aqeel Nawaz Khan, Livelihoods Advisor, MRP; Gulnaz, 32, belongs to a village in Sarwai. 6 years back her husband had suddenlyNon-Food Relief gotten sick and became unable to support his family. Gulnaz and her mother-in-law,Save the Children conducted monthly food distribution for over 32,380 Mohammada Jan, opened a small grocerydisplaced families from June 2009 to February 2010. The food and women’s accessories shop at herdistribution program provided more than 226,000 conflict-affected house. Before the conflict, they normallypeople with monthly food baskets, while approximately 75% of these earned USD 6 to 12 per month and rarelybeneficiaries were women and children. managed to save. As the conflictSave the Children successfully completed a Cash-for-Food pilot project intensified, the family was forced to fleewhich benefited over 11,200 conflict-affected families in Buner. their hometown with no source of income during their displacement. They returnedFood Distribution home when it was safe again but Gulnaz could not resume her business as they hadOver 190,000 people have benefited from provision of shelter kits, no money to buy kits, household kits, hygiene kits and winterization kits. Save the Children’s livelihoods team In response to flash floods, 50,000 water identified Sarwai and Gulnaz’s village, Hall, purification sachets and for the micro-enterprise improvement over 3,100 bars of program for conflict-affected returnees in Dettol soap were Buner. The Livelihoods Officer helped distributed to flood- Gulnaz determine her needs and develop affected families in plans to restart her business. She added a Mardan and Swabi. variety of items like bangles, jewelry and henna. Her shop is the only woman-owned shop of its kind in her village. Only two weeks after this intervention, A playground constructed Gulnaz had already earned USD 18 and through Save the was able to save some amount every Children’s cash-for-work month for reinvesting. interventions in Swat PAGE 6
  8. 8. Save the Children USA Malakand Response Program Pakistan Country Office Designed by; Nadia Ashraf Edited by; Malek Zaeem UlHaq © Save the Children Federation Inc. 2010 Tammana, 7, at a mobile Child Friendly Space in Buner, said, “we don’t have a doctor in our village, so I want to become a doctor”Save the Children is the leading independent organization creating lasting change for children in need in the UnitedStates and around the world. For 75 years, Save the Children has been helping children survive and thrive by improvingtheir health, education and economic opportunities, and in times for acute crises, mobilizing assistance to help childrenrecover from effects f war, conflict and natural disasters.Save the Children USA is a member of the International Save the Children Alliance, a global network of 28 independentSave the Children organizations working to ensure the well-being and protection of children in more than 120countries. Save the Children USA has been providing humanitarian and development assistance in Pakistan since 1985.