Humanitarian Response & Recovery Program
Sindh Floods Response in 2020
Save the Children in consultation with the National Disaster Management Authority (NDMA) conducted an initial observation of Badin and Thatta districts. The SC team accompanied NDMA officials to visit district administration and communities to collect data about 2020 floods damages and losses. Based on the rapid needs assessment findings, 700 most vulnerable households were assisted with the food items and 400 households with emergency relief tents in district Dadu, Sindh. Eight dewatering pumps were handed over to Sindh provincial government for water removal particularly around key areas such as school buildings, Basic Health Units (BHUs) etc.to ensure the smooth access to essential services.
Azad Jammu & Kashmir (AJ&K) Earthquake and Avalanche Response
Since 2019, Save the Children has been responding to the emergencies of earthquake and avalanche in collaboration with National Disaster Management Authority (NDMA), State Disaster Management Authority (SDMA), Crisis Management Cell and State and district Administration in AJ&K. Save the Children Pakistan Programme supported Department of Health and Department of Education in their efforts to rehabilitate earthquake affected schools, health facilities in Mirpur and avalanche effected schools and health facilities in District Neelum & Jehlum Valley. This was done in coordination and collaboration with relevant state line departments and District authorities. SC distributed required health equipment and supplies, learning kits and furniture to Health, Education and Social welfare departments in district Mirpur, Neelum & Jehlum Valley.
Learning Kits for 4,190 children were handed over to 31 schools in district Neelum/Jhelum Valley and Mirpur, AJ&K. Furniture for 4,826 children was handed over to 31 schools in district Neelum/ Jhelum Valley and Mirpur, AJ&K.
Minor repair and maintenance work was done for WASH facilities in 15 schools of Neelum/Jhelum valley and 9 schools of Mirpur.
Education Management Information System (EMIS) was established and IT equipment are installed to strength at District Education Office (DEO) in district Neelum, AJ&K.
Under Avalanche emergency project AJ&K, medical equipment was handed over to health department for 14 health facilities and infection & prevention supplies for 10 health facilities in district Neelum and Jhelum Valley.
Health related Information, Education and Communication (IEC) material, IT equipment and tools to strengthen the District Health Information System (DHIS) was handed over to RMNCH, Regional Directorate in Muzaffarabad, AJ&K. Ÿ Minor repair and maintenance work was carried out for WASH facilities in 6 health facilities of district Neelum/Jhelum valley.
Billboards were installed at seven prominent places in districts Neelum, Jhelum Valley and Mirpur which displayed the message regarding Maternal Neonate and Child Health (MNCH).
Child Protection Units (CPU) and referral desks are established with five district line departments. IT equipment & furniture was handed over to the Directorate of Social Welfare, AJ&K for line departments at district Neelum.
Handing over ceremonies were organised with the Deputy Commissioners, District Education Officers, Regional Director – RMNCH and with Directorate of Social Welfare at State offices Muzaffarabad and district Neelum/Jhelum Valley and Mirpur, AJ&K.
Past Humanitarian Assistance
Save the Children started its program in Pakistan to help government deal with the Afghan refugee crisis and continued this support from 1979 to 2010. During the earthquake of 2005, Save the Children provided support to over a million people in KP and AJK by providing emergency shelter; constructing schools and health centres and supporting protection of children. Save the Children spent over $100 million in the earthquake response and rehabilitation programs. In 2010 flood, Save the Children provided support to over 7 million affected population across 14 most affected districts in KP, Punjab and Sindh through provision of food, shelter, health services, education and protection work by investing approximately $150 million into the response. Save the Children also affected provided support to the IDP crisis in 2009 and 2011. Additionally, Save the Children was an active contributors to the flood responses of 2011 and 2012. All our humanitarian work has been carried out in close coordination with the federal, provisional, and district level authorities.
Health and Nutrition
Since 2000, Save the Children has worked with the Government of Pakistan and partners to keep new-born health on national agendas and acted as a catalyst to develop evidence-based new-born care services and practices. Save the Children's Saving New-Born Lives (SNL) program is a globally recognized intervention in new-born health. Save the Children has worked in Pakistan to raise awareness, conduct research and support country and global-level efforts to institutionalize equitable and highly effective coverage of highimpact new-born services and practices at national, provincial, and regional scale. These include the use of chlorhexidine for umbilical cord care, Neonatal resuscitation (Helping Babies Breathe), Kangaroo Mother Care for care of premature and low birth weight babies, Case Management of Pneumonia and Diarrhea, Essential new-born care and Community Case Management (CCM). 4.2 million Women and children benefited from Save the Children's Maternal new-born and Reproductive Health services.
The impressive achievements include pioneering a successful model of public private partnership in the district Battagram on behalf of KP Government. This resulted in post disaster revitalization of health systems in 100% primary and secondary health care facilities through drastic improvement in poor infrastructure and equipping the facilities with essential supplies and provision of quality services. Similarly, there was gender and disability focused renovation of 12 secondary care facilities which were equipped with solar panels. Kangaroo Mother Care wards were established in two district head quarter hospitals in rural Sindh.
Working with provincial government of Sindh, Save the Children implemented the innovative EU funded Women & Children Improved Nutrition in Sindh (WINS) project. With this 22 million Euros program 1.6 million women and children directly benefitted from Nutrition specific and Nutrition sensitive activities carried-out under WINS in two districts of Sindh province.
Save the Children also helped establish Scaling up Nutrition Alliance of civil society alliance in Pakistan (SUN-CSA) and served on its executive committee until 2017. The SUN-CSA efforts resulted in government budgetary allocations for nutrition programming and legislation on Child Nutrition in four provinces such as important legislation on breast feeding. Advocacy and campaigns were organized against breast milk substitutes marketing at all levels. Moreover, as part of Scaling Up Nutrition Civil Service Network (SUN CSN) global campaign “Nutrition Cannot Wait ” , the team in coordination with communications team has integrated activities aligned with Pakistan's campaign work plan in consultation with relevant stakeholders.
Save the Children in Pakistan has implemented 47 education projects since 2005 benefitting 1.6 million children and adults in 2,200 schools nationwide. Early Childhood Care and Education (ECCE) model was introduced and implemented in 401 government schools in four districts of Khyber Pakhtunkhwa (KP) in 2011.This model was then adapted by the KP government and implemented in the entire province in 2015 onwards. A national curriculum was successfully introduced in 2011-15 in 30 madrassahs along with ECCE in the district of Battagram. Literacy and Numeracy Boost approaches aim to improve the literacy and numeracy skills of children in grades 1 to 3. This program was developed in response to the growing evidence of gaps in basic literacy and numeracy learning.
We also developed an Accelerated Learning Program (ALP) which is a community based/managed education program. ALP provides opportunities to out of school and working children aged 9-12 to complete their primary education within 36 months to get mainstreamed in the formal schools. Save the Children successfully reached 16,000 working and out- ofschool children through our Accelerated Learning Centres held in the 2nd shift at public schools. Till 2018; a total of 1,083 primary schools were refurbished nationwide, 155 additional toilets were constructed and safe drinking water facilities were provided in 126 schools in KP, Baluchistan and AJK. Additionally, after the 2005 earthquake, 136 public schools were constructed in KP and AJK. Due to our efforts in Baluchistan, the percentage of girl primary graduates entering middle school increased from 4% to 56% and the percentage of boys increased from 9% to 70%.
Currently, there are 70 Accelerated Learning Centres (ALC's) in Shikarpur district of Sindh province, with 1,786 out of school girls aged 9-12 are enrolled into primary ALC's. In addition to this, 516 out of school girls aged 10-18 years are enrolled into middle level ALCs. 90 teachers from local communities are hired and trained. The project has raised awareness at the community level and effectively advocates for improvement of girls' education and decreasing early child marriages by engaging parents.
Child Protection and Child Rights Governance
We have contributed US$ 33 million in Child Protection in Pakistan since 2010. Save the Children has developed a model “Child Protection System” by engaging communities, civil society and government to respond to child protection issues. The model has been tested in fourteen districts of Sindh, KP and Punjab provinces since 2009.Sindh government is replicating this model in the entire province since 2016. Save the Children also established Mobile Child Protection Units in Karachi and Lahore for Children on the Move (focused on out of school children). Our efforts resulted in child related laws being included in the curriculum of Police Training Institute in Punjab, KP and Baluchistan. Save the Children has provided technical support for legislation on Child Rights at the provincial and national level. Since 2013, Save the Children in collaboration with respective government departments has registered over 30,000 child rights violation cases from 12 districts in Sindh, KP and Punjab. The nature of reported cases were missing child (lost and found), early marriage, disabled children, children in labour, birth registration, abuse, physical and humiliating punishment, Out of School Children (OOSC), and violence among others.
Water, Sanitation and Hygiene (WASH)
Save the Children International (SCI) in Pakistan is part of a five member evaluation committee that has been selected for WASH sector working group, along with Ministry of Climate Change (MOCC) and National Disaster Management Authority (NDMA). Save the Children is also supporting Ministry of Climate Change (MoCC) to conduct a comprehensive mapping study of 35 sub indicators under the five pillars of the Clean Green Pakistan Index (CGPI) i.e. access to safe drinking water, access to safe sanitation, waste water management, solid waste management and tree plantation in selected cities of KPK and Punjab. This exercise will also support the development of a waste water management pilot (plan) for KPK and Punjab for the launch of PM sanitation initiative. Furthermore, youth clubs with support of other federal ministries will be engaged in the Clean Green Campaign and the aim is to engage maximum number of children and young people to promote environmental friendly practices.