Edhi and Government of Punjab work together

2. Social Welfare Department,
Punjab
Vs.
Edhi Homes
Field and Community Work
Group 5

3. Group Members
• Saima Khan 4602034
• Shukaiba Ghafoor
4601092
• Anayatullah 4614269
• Anam Humayun
4606110
• Bilal Zia 4604061
• Huzaifa Azim Butt
4607118
• Munazza Karamat
4611232
• Syed Mujtaba Rizvi 4614278
• Zukhruf Fida Malik 4608209
• M. Shahrez Rafiq
4606025
• Irfan Zafar
4604014
• M. Waseem Abbas 4602239
• Isfandyar Ikram
4609120
• Tamara Khan 4609200
• Michelle Naeem 4608231
• Touseef Ahmed Janjua
4603259
Field and Community Work - Group 5 3

4. Sequence of Presentation
• Introduction
• Psychological Analysis
• Administrative Analysis
• Case Studies
• Financial Analysis
• Conclusion
• Recommendations
Field and Community Work - Group 5 4

5. Introduction
• Objective of the Community Work
• To study the existing facilities for the Elderly
• Why Elderly Services?
• Emerging needs of Pakistani Society
• Field Visits
• 2nd January, 2019 Aafiyat: Social Welfare Department, Punjab
• 3rd January, 2019 Bilquis Edhi Home for Males, Lahore
Field and Community Work - Group 5 5

6. Aafiyat
Social Welfare Department, Punjab
• First old age home - 1975 -
Aafiyat (Security) Lahore.
• 5 more
• Multan, Rawalpindi, Narowal,
Sahiwal and Toba Tek Singh
• Services include
• Shelter, food, health care and
recreational facilities
• Capacity
• 50 residents per institution at a
time.
• Currently,
• 6 old age homes
• Facility
• New Building
• Clean and Well managed
Field and Community Work - Group 5 6

7. Bilquis Edhi Homes
• 18 homes all over Pakistan
• 8500 males and females
• Edhi homes in different cities
• Karachi 7
• Multan 1
• Lahore 3
• Islamabad 1
• Peshawar 1
• Quetta 1
• Chitral 1
• Role - take up the abandoned and provide free shelter
Field and Community Work - Group 5 7

8. Psychological and Special Needs
Of the Elderly
Field and Community Work - Group 5 8

9. Data Collection
Open Ended and
Close Ended
Questions
Direct
Interviews
Field and Community Work - Group 5 9

10. Questions Revolved Around:
• Training of attendants and
staff
• Facilities to cater to special
needs of elderly people
• Physical
• Psychological
• Ways to tackle the
loneliness of the
residents
• Issues of bonding
• Reconciliation with the
families
• Effects
• Modes
• Process
Field and Community Work - Group 5 10

11. Findings and Observations
Field and Community Work - Group 5 11

12. Training of Staff
Aafiyat
• A proper designated Social
Welfare Training Institute
BUT the staff failed to answer
satisfactorily about the techniques
they learnt in training
Edhi Homes
• No formal institute to train the staff
• The area manager decides as to
what role is to be assigned to a
particular individual
Most of the attendants were in old
age themselves
Field and Community Work - Group 5 12

13. Facilities to cater special needs of
elderly people
Aafiyat
• A two-storey building with no elevator
• Heaters in many rooms but not in All
• No movement and support equipment
• Peaceful environment
• No separation of couples
Edhi Homes
• Single-storey building with no need of
elevator
• Wide open windows and NO heaters
at all
• No movement and support equipment
• Family separation according to gender
even for elderly couples
Field and Community Work - Group 5 13

14. Physical And Psychological Health
Facilities
Aafiyat
• A Psychologist from Punjab
University and an internee pay
visits after 3-4 months.
BUT the residents had no idea
about the psychologist or the
internee
All the 3 posts of nurses are
VACANT
Edhi Homes
• No doctor or nurse deputed in the center
• A routine check up twice a month at Iqbal
town Dispensary
Most of the residents had visible health
issues e.g. cataract
No arrangements for a psychologist or a
psychiatrist
Field and Community Work - Group 5 14

15. Arrangements To Tackle The
Loneliness Of The Residents
Aafiyat
• Rooms are provided with
Televisions
• Designated common room for
indoor activities
• Tours and freedom to go outside
The female residents cook too
Edhi Homes
• A common room with a television
• Spend time sitting in the sun
outside
No special arrangements for
engaging the residents
Not allowed to leave the facility
Field and Community Work - Group 5 15

16. Bonding And Issues Among
Residents
Aafiyat
• Quarrels and arguments among residents -
less frequent
• A procedure of complaint to the warden
 Some reported nepotism playing its part in
resolution of the matter
 The bonding among residents was very
profound
Edhi Homes
• Occasional arguments among residents
Settle their issues among themselves
Limited interaction among residents
Field and Community Work - Group 5 16

17. Reconciliation With The
Families
Aafiyat
• If profound willingness, meetings
with the family members, in the
presence of staff, can leave with
free will
Most of the residents were not
willing to go or had nowhere to go
Edhi Homes
• Most of the residents are
reconciled with the families
• Unclaimed are transferred to larger
centers mostly to Multan
All residents expressed a sense of
longing for their loved ones
especially those who were left
there due to economic constraints.
Field and Community Work - Group 5 17

18. Administrative Aspect

19. Scope
Aafiyat (Old Age Home)
• Categories of residents:
• Old employees of the institution
itself
• Govt. employees with pensions
• Well-off people staying by free will
• People with jobs but no homes
• People with no means and no
homes
Edhi Homes
• Any person is free to come
• 24/7 availability of facility
• No medical requirements
• Usually people with no means
were residing in Edhi
foundation.
Field and Community Work - Group 5 19

20. Organizational Structure
Aafiyat
• Decentralized system
• A Social Welfare Officer (BS-17) at
the top
• Helped by a junior clerk and two
naib Qasid
• Advisory Committee including
residents
Edhi Homes
• Centralized administrative system
• Circle In-charge is responsible for
the functioning of the different
centers.
• Each center
• In-charge helped by four clerks and
two peons
• No such Advisory Committee.
Field and Community Work - Group 5 20

21. Human Resources
Aafiyat
• A part time doctor and two
nurses for providing medical
facilities
• Aafiyat employs 13 people as
drivers, cooks, laundrymen
etc.
Edhi Homes
• No doctor. In case of
emergency the residents are
referred to public hospitals
• Apparent lack of formal
structure. Hence, no clarity as
to how many people are
employed
Field and Community Work - Group 5 21

22. Functioning
Aafiyat
• People usually drop their loved ones, or
the volunteers bring the people in need to
the home.
• Aafiyat can accommodate a maximum of
50 people at a time.
• For admission in Aafiyat homes, one
needs to fulfil a criteria.
• Advisory Committee provides for the local
oversight needed for smooth functioning.
Edhi Homes
• Usually police brings the elderly citizens
to the Edhi homes.
• There is no such limit in case of Edhi
Homes.
• No such criteria for admission in Edhi
Homes.
• No such local oversight is present in the
case of Edhi Homes.
Field and Community Work - Group 5 22

23. Case studies
Success Stories
Differences in Narrative and
Reality

24. Sequence
• Case studies
• Muhammad Anwar
• Rafia Rasheed
• Shakeel Ahmed
• Success stories
• Rubina Chand Rani
• Shafique Ahmed Mashriqui
• Contradictions in reality
• Aafiyat old age home
• Bilquis Edhi home
Field and Community Work - Group 5 24

25. Case studies
• Muhammad Anwar from
Chunian
• Brought by his son about six
years ago
• Businessman
• Not satisfied with
administration
• Deformed knee and feels
neglected by the physicians
Field and Community Work - Group 5 25

26. Case studies
• Rafia Rasheed
• Joined almost a year ago
• Divorced
• Siblings settled abroad
• Her daughter is bipolar
• After her father’s death- alone to
look after her daughter
• She wants her daughter to be
with her in Aafiyat.
• Concerns regarding absence of
female attendants and stipend
• No physician visits the campus
Field and Community Work - Group 5 26

27. Case studies
• Shakeel Ahmed • Brought to Edhi homes by his
brother
• Widower , his sons settled in
Canada
• Sharing a room with two other
elderly people
• Apparently weak, wearing dirty
clothes
Field and Community Work - Group 5 27

28. Success stories
• Rubina Chand Rani • Shafique Ahmed Mashriqi
Field and Community Work - Group 5 28

29. Success stories
• Rubina Chand Rani
• Widow, her sons are settled in USA
• Very active - Aafiyat for the last 8 years
• Some issues with her visa
• In touch with her children
• Complaint against the non availability of
female attendant.
• Shafique Ahmed Mashriqui
• Successful column writer, poet, teacher.
• Aafiyat facilitated him grow his intellectual
capabilities .
Field and Community Work - Group 5 29

30. Contradictions in reality
• Aafiyat
• Applicants were not settled as
per the criteria described.
• Financially sound people
were willingly residing there .
No efforts for reconciliation as
discussed on the website
were being made.
• Bilquis Edhi Home ( Shelter
for male)
• Only three adult males were
residing there.
• Mentally sound and unsound
were residing together.
Field and Community Work - Group 5 30

31. Financial Management
Field and Community Work - Group 5 31

32. Areas of Research in Finance
Areas
1. Funding
2. Expenses
3. Procedures
Followed by:
• SWOT Analysis
• Areas for improvement
Field and Community Work - Group 5 32

33. Finances – Aafiyat
Funding
• Allocated by Government of
Punjab
• Donations in kind
• Increasing rate
Expenses
• Infrastructure and
operational
Costs
Procedures
• Irregular releases
• Audit
Field and Community Work - Group 5 33

34. Strengths
1. Government backing
2. Better infrastructural facilities
Weaknesses
1. Insufficient number of recreational activities
2. Lack of stipends for personal needs
3. Lack of mediation system to reconcile
families
4. Lack of female caretakers
Financial System SWOT - Aafiat
Field and Community Work - Group 5 34

35. Opportunities
1. Private funding to be allowed in cash/cheques
2. Collaboration with foreign aid agencies
3. Budget allocation towards marketing
campaigns
Threats
1. Dependency on the government for funds
2. Irregular intervals causing time lags in release
of funds
Financial System SWOT - Aafiat
Field and Community Work - Group 5 35

36. • Extreme weather expenses budgetary
allocation (Rs. 5000/ per month is very
meagre).
• Elevators to be installed
• Budget release mechanism improvement
• Exemption from GST
• Procurement and Repair procedural
inefficiencies
Areas of Improvement - Aafiat
Field and Community Work - Group 5 36

37. Finances - Edhi Old Age Home
Funding
1. Private funding but not
foreign
2. Inter-movement of funds
Expenses
1. Infrastructural, medicines,
food etc.
1. 6-8 thousand per
individual
per month
Procedures
1. 100K petty cash
(reimbursement in 2-3
days)
2. Internal Audit
Field and Community Work - Group 5 37

38. Financial System SWOT - Edhi Old Age Homes
Strengths
1. Discounts due to brand image
2. Discounted import duty for the organization
3. Availability of a large number of volunteers
Weaknesses
1. The cost of verification of families is high
2. Uncertainty of funds
Field and Community Work - Group 5 38

39. Opportunity
1. Facility to be expanded to keep families together
Threats
1. Organization can be sensitive to changing
government laws regarding donations
Financial System SWOT - Edhi Old Age Homes
Field and Community Work - Group 5 39

40. 1. Spending on training
2. Less reliance on volunteers
3. Foreign funding to be allowed
Areas of Improvement- Edhi Old Age Home
Field and Community Work - Group 5 40

41. Conclusion
• Social Welfare Department, Punjab
• Limited budget
• Limited capacity
• Success story
• Edhi Homes
• Larger donations
• Excessive Capacity
• Needs to learn from Government Sector
Field and Community Work - Group 5 41

42. Psychological Recommendations
• Psychological counseling
• Services of psychiatrists and psychologists
• Reconciliatory process with the families
• Separation of mentally unstable from mentally sound residents
• Social interactions of the residents
Field and Community Work - Group 5 42

43. Administrative Recommendations
• A more decentralized structure of the organizations specially
Edhi
• Families must not be separated
• Separate facilities might be made for couples
Field and Community Work - Group 5 43

44. Financial Recommendations
• Proper budget must be allocated in both organizations
• Facilities as elevators, escalators, heating and cooling systems,
nursing and medical
• Financial decentralization to ensure greater inclusion of the
residents’ needs than a more centralized one
• Private donors and helper socialites
Field and Community Work - Group 5 44

45. Field and Community Work - Group 5 45

46. Field and Community Work - Group 5 46