HANDS Emergency Response for Badakshan Earthquake affected People of District Shangla & Chitral Background Situation:

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1 HANDS Emergency Response for Badakshan Earthquake affected People of District Shangla & Chitral Background Situation: An Earthquake Struck at 2:09 pm Pakistani time on Monday 26 October 2015., The Pakistan Metrological department reported the magnitude of the earthquake was 8.1 (US Geological Survey reports it at 7.5). The quake was 196 km (120 miles) deep and centered at 82 km (51 miles) south-east of Feyzabad in a remote area of Afghanistan in the Hindu Kush mountain range. Severe tremors of this earthquake were felt across the country from north to south, in Karachi, Islamabad, Lahore, Sialkot, Quetta, Peshawar, Swabi, Kohat, Abbottabad, Swat, Malakand and Gilgit etc. According to US Geological Survey, the powerful quake was also felt in India, Afghanistan and UAE. According to the NDMA the Earthquake have affected 52 Districts across of Pakistan affected by the earthquake which includes Khyber Pakhtunkhawah 22, Gilgit Biltistan 06, Punjab 16, Azad Kashmir (AJK 04) & in FATA 05 districts total 279 deaths, 1820 injured, houses are partially and fully damaged reported. While as per Pakistan Metrological Department over 123 aftershocks with magnitude ranging from 2.5 to 5.3 on richter scale have been recorded so far. S.No Province / area Total Districts affected 1 Khyber Injured Deaths Partially damaged Houses Fully Damaged Houses School damaged Pakhtunkhawah 2 Gilgit Biltistan Punjab AJ&K FATA Grant Total

2 HANDS Rapid Assessment of District Shangla : District Shangla was part of District Swat for many years and was declared a separate district by the Government in It is spread over an area of 1586 sq.km with a population of 512,212. The Population growth rate is 3.27% and average household size is 8 persons per family. The socio-economic indicators of Shangla are comparatively low. Due to recent earthquake 49 people have been killed and 184 people got injuries in district Shangla houses were damaged in district Shangla in the result of earthquake (PDMA KP). Sector wise Assessment Results: Rapid Assessment data revealed that nearly 80% population has been affected. 7% of families have been migrated to nearby areas and further 4% families have intention to migrate. Shelter: Figure.01 depicted that more than half of the households in five affected union councils have fully damaged while 29% of household were partially damaged. Further analysis regarding current living conditions demonstrated that nearly 16% families have no shelter to live, 6.3% families are living in tents, 20% families are 51% Figure: 01 Status of Households 29% Partially Damaged (Liveable) Fully Damaged (Unliveable) livening in their partially damaged houses while 44% families are living with host families Table: 01 Current Household Possession (% of families) Beddi ng Mats Blanket s Kitc hen Sets Hygiene articles water stora ge pots Adequate fuel Emergency Shelter/roofing kit Shelter Toolkits

3 Food Security: Below diagram shows the source of livelihood of community and losses ensued due to earthquake. More than 40% people were associated with coal mine work; nearly one-third were daily wage laborers while 20% people associated with agriculture followed by livestock rearing that is 17%. Further analysis showed that people whose main livelihood was dailywage labor, Agriculture and Livestock rearing were badly affected and received huge loss due to earthquake. Nutrition: Assessment findings divulged no change in breastfeeding practices. More than 38% women were breastfeeding their children before and after earthquake. People have received plumpy nuts and liquid milk as assistance in few of the villages. Below diagram showing percentage of pregnant and lactating women which are slightly less than national trends. Protection: Population of more than half of the villages is facing difficulty in obtaining assistance. Not enough assistance for all, difficult access and some specific groups were excluded were the foremost reasons. Likewise, half of the KIs responded about security concerns affected women and boys in getting assistance in their villages. Majority of Women and girls were confronting multiple problems like lack of space and privacy, lack of bathing facilities and act of violence and harassment. WASH: Only 15% population has access to protected source of water while natural streams were the main source of water. Majority of community people spent half hour to collect water before crises. Now after earthquake they spend 45 minutes to collect water. More than 90% of people don t treat water for drinking purpose. Health: 85% 15% Source of Water Protected sources (protected wells/hand pumps/springs) There were one District Head Quarter, One Dispensary and One private clinic in earthquake affected areas. Average distance of those health facilities were 7.5 kilometers from affected union councils. After earthquake DHQ and private clinic in Peerabad and Lilowni UC were functional. Diarrhea and seasonal cold, cough and fever were main health problems in communities. Education: Assessment results revealed that in in majority of villages schools were available and education was providing to all of the school before and after earthquake. Mass Communication: Mobile network was available in hundred percent areas while Radio and community places like (Masjid, Ibadat Gah) were other sources of communication.

4 Assistance Received: People of 60% of villages have received food package as assistance while only 10% have received tents and blankets during recent earthquake. In addition medical services were also provided by different organizations. Recommendations: In current situation, people need below assistance on urgent basis. Temporary shelter to prevent them from cold weather including winterization kits Conditional/ unconditional cash grants to fulfill the requirements of food and immediate needs Restoration of drinking water sources or provision of water filters Support of emergency latrine Health education regarding health & hygiene Medical services to counter seasonal diseases Support in rebuilding damaged houses Need to address the protection issues Coordination meeting with district adminstration Shangla: Medical Services by HANDS Pakistan in district Shangla: Responding to Earthquake emergency in district Shangla HANDS has deployed 5 mobile medical camps consisted of one doctor, LHV, dispenser, Volunteers with medicines at village Basi lower 1 camp, village Basi Upper 1 camp, village Kuz Alpuri 3 camps, UC Alpuri, Tehsil Alpuri, district Shangla. More than 670 patients were treated. HANDS teams have conducted Medical Camps in all assigned affected Union Councils. Furthermore, health education sessions on Health & Hygiene, WASH, ARI etc were also held in those communities.

5 Overall report of disease wise patients consulted at medical camps: Disease Total < 5 Years >5 years Male Female Male Female Diarrhea Dysentery ARI S. Malaria Skin Disease Heat Stroke Eye Infections Others AFP Cases S. Measles Total Below diagram highlighting medical services provided to fewer than 5 years children, adult male and adult female. Nearly 57.7% under five years children were consulted and get medical services while 18.5% were adult males and 23.8% were adult females who visited medical camps to receive primary healthcare services Children < 5 Years Adult Male Adult Female

6 Age and Gender wise distribution of Patients: Below diagram is highlighting around 57% female and 43% male patients get treatment from medical camps. More than half of the patients were less than 5 years while remaining patients were above 5 years. Number of Age and Gender wise distribution of patients < 5 Years Male < 5 Years Female > 5 Years Male Male Female Male Female > 5 Years Female under-five years female patients were high that is 33%. Diseases Pattern: As for as disease pattern is concerned in different age group patients diagram visibly depicted that number of under-fiveyear s children is high in each disease.. There were 03 suspected malaria cases in adult males and 01 in adult females. Number of patients was high in Acute Respiratory Infections, skin disease and eye infection. Key factors of these morbidities may be frequent use of hazardous water while fetching water and performing household chores. Further analysis regarding percentage distribution of diseases diagnosed in patients during mobile medical camps revealed that ARI (32%) was the major diagnosed disease followed by Skin diseases (21%)and eye infections (10.7%) that is followed by malaria and diarrhea reported as 16%, 10% and 9.7% respectively. Percentage of Acute Respiratory Infections could be high due to cold weather and as it is contagious therefore it could easily be spread in others in disaster situation. Others Eye Infections Skin Disease Malaria ARI Disease Pattern among different Age groups (in Numbers) > 5 Years Female > 5 Years Male < 5 Years Female < 5 Years Male 46

7 Percentage Distribution of Diseases ARI Malaria Skin Disease Eye Infections Others Distribution of one month food package and Blankets to Earthquke affacted families of district Shangla with support of Zakat foundation: HANDS Pakistan provided one month food package and blankets to 100 deserving families affected by the earthquake in worst affected districts Shangla of KP with support of Zakat foundation. The Project was implemented in 01 affected union council Alpuri with support of local district government. All selected families received 30 days food package with dignity according to the distribution protocols of HANDS. All the affected beneficiaries were selected through HANDS Beneficiary Management Information System (BMIS). The food package were comprise of Wheat Flour, Rice, Sugar, Salt, Cooking oil, pulses,, chilies and spices. HANDS considered most poor, deserving/ vulnerable families through the assessment, who have faced any type of loss.

8 Monitoring Visit by Chief Executive HANDS Pakistan to monitor ongoing relief activities at Earthquake affected areas of district Shangla: The Chief Executive HANDS Pakistan along with General Manager Disaster Management and shangla team visited Earthquake affected Villages of union council Alpuri, Chakesar and Sarkool of district shangla, during visit CE HANDS monitor the ongoing relief activities by HANDS Pakistan and conducted meetings with Government authorities, elected representatives, affected community and HANDS field teams. HANDS Pakistan Emergency Response Plan for district Chitral & Shangla: HANDS Pakistan is planning to target the previous beneficiaries covered under flood response with additional cash grants of Rs.5000 per family. Further 750 families will be selected for roofing kits support in Chitral and Shangla. HANDS is also discussing with PDMA-KP to extend the relief efforts at Shangla and Chitral. The medical services will remain continues in Shangla and 750 families will be identified for roofing kit material, each beneficiary received 10 wooden bars, 8 CGI sheets, 5 Double fleece Blankets, 4 Sleeping Mats, 1 Plastic Sheet and 1 Solar light under MYHP-DFID Project HANDS Disaster Management Program: HANDS Disaster Management Program aims to reduce, or avoid the potential losses from the hazards, assure prompt and appropriate assistance to victims or survivors of disaster, and achieve rapid and effective recovery.

9 HANDS has established ThirteenDisaster Risk Management Centers in Two Provinces i.e. Sindh and Punjab, inlcuding districts are Karachi, Thatta, Sukkur, Jacobabad, Kashmore, Mirpurkhas,Hyderabad, Umerkot, Sanghar,Matiari, Ghotki, Jamshoro and Muzafargarh. HANDS has its base office with well-equipped warehouse in Karachi. HANDS Disaster Management Program responded to major disasters in Pakistan and has vast experience to deal with emergency responses during the recent disaster in Pakistan and out of the country. 1. Heat Stroke Affected Emergency Response at Karachi: 2015 Immediately Emergency Response was initiated by establishing Heat Stroke Relief camps at Jinnah Hospital Karachi and at HANDS Hospital Jamkanda Bin Qasim town of District Malir more than people have been received HANDS relief including referral and medical services in Karachi 2. Emergency Response at Nepal Earthquake: 2015 Immediately Emergency Response was initiated to evacuate the Earthquake affected people of Nepal and total 1000 families received the immediate support from HANDS. 3. Flood Emergency in Southern and Northern Punjab: 2014 Immediately Emergency Response was initiated to evacuate the effected population by providing transport, Medical services and Dewatering Machines and Food support to more than 7000 families in 6 districts Muzafargarh, Rajanpur, Sialkot, Chiniot, Mandi Bahaudin and Jhang. 4. IDPs of North Waziristan Agency 2014: HANDS Pakistan got the NOC from SAFRON and PDMA KPK and Emergency Response was initiated within 36 hours to provide assistance to IDPs at Bannu more than 5000 patients/ clients were treated through HANDS medical services and hundreds of families received food support. 5. Drought in Tharparkar in March 2014: Emergency Response was initiated within 5 hours in two districts of Southern Sindh Tharparkar and Umerkot and Relief package was provided to 6,000 families. 6. Earthquake in Awaran Balochistan in October 2013: Emergency response was initiated within 8 hours & comprehensive relief package was provided in hard conditions and conflicted areas within two months to 10,000 families in three districts Awaran, Panjgur and Kech. 7. Rain Emergency 2012 in Northern Sindh, South Punjab & Balochistan: Emergency response was initiated within 6 hours in 06 districts of Sindh, Punjab and Balochistan which includes Jacobabad, Kashmore, Ghotki, Shikarpur, Rajanpur and Jaferabad) Emergency relief package was provided to families. 8. Rain Emergency 2011 in Southern Districts of Sindh: Emergency response was initiated within 8 hours in 8 districts of Southern Sindh, Umerkot, Badin, Sanghar, Matiari, Shaheed Benazirabad, Mirpurkhas, Thatta & Jamshoro families were reached within 2 months 9. Flood Emergency 2010: Emergency response was initiated within 4 hours in 7 worst affected districts of northern and southern Sindh & 36,000 families were reached within 1 month.

10 Emergency Contact details of HANDS Pakistan & KP: HANDS (UAN) Universal Access Number NDMA's Help Line Number & For complain contact NDMA UAN No & Provincial Emergency Operational Cell Contact No. PDMA Punjab, ,64 PDMA KP, FDMA and SDMA AJ&K GBDMA HANDS Pakistan contacts information: Dr. Shaikh Tanveer Ahmed, Chief Executive HANDS Pakistan 140 C, Block 2, PECHS, Karachi, Ph: , Cell# Website: Dr. Muhammad Sarwat Mirza - Chief Research & Development Executive, HANDS Pakistan HANDS Islamabad Office: H. No. 241, Street 86, Sector G-9/4, Islamabad Tel: ; Cell: sarwat.mirza@hands.org.pk, Website: Dr. Muhammad Aslam Khan - Chief HRD Executive, HANDS Pakistan 140 C, Block 2, PECHS, Karachi, Ph: , Cell# aslam.khan@hands.org.pk, Website: Muhammad Raheem Marri, General Manager Disaster Management Program HANDS 140 C, Block 2, PECHS, Karachi, Ph: , Cell# raheem.marri@hands.org.pk, Website: Donations: HANDS Account No (Habib Bank Limited) HANDS Zakat Account No (Habib Bank Limited) Ghulam Mustafa Zanor, Senior General Manager IDEAS Program, HANDS 140 C, Block 2, PECHS, Karachi, Ph: , Cell# ghulam.mustafa@hands.org.pk Website: Nadeem Wagan, General Manager ICR&A Program, HANDS 140 C, Block 2, PECHS, Karachi, Ph: , Cell# nadeem.wagan@hands.org.pk website: