I.

SITUATIONOVERVIEW
Emergency Relief Coordinator and UnderSecretary GeneralforHumanitarianAffairsValerieAmoscompleted athreedaymissiontoPakistanon5December.Thevisit providedanopportunitytogainafirsthandimpressionof progress made in the 10 weeks since her previous visit, and to emphasize the continued commitment of the humanitariancommunitytothepeopleofPakistan. Ms Amoss key message was that while a lot has been achieved, much more remains to be done. She stressed thattheworldmustnotcloseitseyestotheneedsofthe Pakistanipeople.Shethankedthedonorcommunityfor its generous contributions in the four months since the monsoonfloodsbegan,butcalledformoresupportasthe responseinmostpartsofthecountrycontinuestomove intothecriticalearlyrecoveryphase. ThefirstdayofMsAmossvisitwasspentinSindh,where shemetfloodaffectedpeopleanddiscussedrecoveryand relief efforts in Jamshoro district. Latest figures from an exercise profiling previouslyidentified camps in Sindh indicatesthatthepopulationofthesecampshasfallento 134,000(fromover1million).Thereductionissignificant, though the figures do not include newlyestablished settlements, including secondary displacement sites in returnareas,andfurthersurveysareneededtoestablish the overall number of displaced persons in the province. Outside the camps, huge numbers of people in Sindh continuetodependonreliefassistance,includingfamilies stranded in their areas of origin and persons who have returnedtodestroyedhomesandvillages.

Issue99December2010

EmergencyReliefCoordinatorValerieAmosmeetswithIDPsand partnersinKPKsJalozaiCamp,whichcontinuestohostalmost97,000 peopledisplacedbyconflictinFATA.Photo:Rizwan/AFP

Thisdisasterisfarfromoveranaerialphotographofavillagein SindhsurroundedbyfloodwatertakenduringtheEmergencyRelief CoordinatorsvisittoPakistanlastweek.Photo:Rizwan/AFP

In addition to floodaffected areas, Ms Amos visited Jalozai Camp in Khyber Pakhtunkhwas (KPK) Nowshera district, which still hosts almost 97,000 conflictdisplaced persons, mainly from Bajaur agency in the Federally Administered Tribal Areas (FATA). The Pakistan Humanitarian Response Plan, launched in early 2010 to ensure a coordinated response to the needs of conflict affected persons in KPK and FATA, extends until the end of this month. Discussions with the Government and donorsareunderwayonhowbesttoensurethatresidual needs, including those of both IDPs and returnees, are adequatelycoveredin2011. Elsewhere in the northwest, conflictaffected IDPs have begun to return to FATAs Orakzai and South Waziristan agenciesandarebeingprovidedwitharangeofsupport at departure points. However, many more IDPs from these and other conflictaffected areas will be unable to returnbeforewintersetsin.Theonsetofwinterisalsoa keyconcernforfloodaffectedpersonsinthefarnorthof the country and efforts to preposition food, shelter materials, medicines and other basic necessities before snowblocksroadaccesscontinue. InPunjabeffortstoscaleupsheltersupportforreturned persons continue to be a priority, with many families without access to construction materials to rebuild their homes. Further returns have been reported from Balochistan as road access continues to improve, though latest estimates indicate that over 30,000 people remain in camps in the province, mainly in Jaffarabad and Nasirabaddistricts.Withoutscaledupsupportforreturns peoplemayremaininthesecampswellintonextyear.

OCHA Pakistan, Serena Business Complex, Sector G-5, Islamabad, Pakistan Tel +92 (51) 2600254-5 www.pakresponse.info

Pakistan Humanitarian Bulletin

II.CLUSTERRESPONSE
Agriculture The cluster has now provided 455,000 households with seeds and fertilizer for the rabi season, including 87,000 households reached in KPK and Punjab since last week. Distribution to an additional 50,000 households in Balochistanisnowunderwayandwillbecompletednext week. Once completed, the cluster will commence distribution of animal feed to 260,000 floodaffected livestockowners.Theabilityoftheclustertoscaleupits activitiesinSindhcontinuestobeconstrainedbyfunding shortfalls. Planning of cashforwork programmes to support rehabilitation of over 1,000 water courses continues, with work due to begin later this month to ensurethattargetedsystemsareupandrunningintime forthedryseasoninMarch/April. CampCoordinationandCampManagement Sindh continues to be the major focus of the clusters activities.Thetrendofreturnfromcampsintheprovince continues: latest information from an exercise profiling previously identified camps in Sindh indicates that indicatesthatthepopulationofthesecampshasfallento 134,000 (from just over 1 million). The reduction is significant, though the figures do not include newly established settlements, including secondary displacementsitesinreturnareas,andfurthersurveyswill be needed to establish the overall numbers currently displaced persons in the province. Cluster members are undertakingregularvisitstoreturnareasinSindh,bothto monitor conditions and identify the needs of returning populations. Given the significant damage to houses in theprovince,developmentof additionalcamps orcamp likestructuresaroundsomeoftheworstaffectedvillages is being planned, as a means of ensuring that basic facilitiesareinplaceascommunitiesrebuildtheirhomes. Management of the camps will be handed over to the communitiesthemselves. CommunityRestoration As part of broader efforts to prepare for winter in the northofthecountry,thecommunityrestorationclusteris currentlysupportingconstructionofwinterizedsheltersin GilgitBaltistan.Sheltersarebasedontraditionaldesigns, thermal efficient, and include living areas, kitchens and bathrooms. It is anticipated that 500 shelters will be completed by the end of this month. A similar project is planned in floodaffected areas of Swat district in KPK. Underfunding continues to be a major constraint, with just3percentofrequirementssofarcovered.

9 December / Issue 9

Education The education cluster has now reached over 236,000 children, including almost 25,000 during the past week. Keyinterventionsinclude: establishment of 2,685 temporary learning centres, benefittingover150,000children establishment of 140 adult learning centres, benefitting4,420adults training of 2,445 teachers on education in emergencies repairof219schoolsinPunjab,KPKandBalochistan, benefittingcloseto34,000children. Much, however, remains to be done and the cluster has completed provincelevel response plans for the coming months. Plans are now being consolidated at the federal level but the necessary scaling up of education interventions will only be possible with injection of significantadditionalfunds. FoodSecurity Thefoodclustercontinuestoshiftitsfocustowardsfood forwork and cashforwork programmes. The ongoing FloodRecovery Assessmentwill provide afoundationfor expanded early recovery interventions. Final results will be presented to the humanitarian community on 16 December and will include information on livelihood, healthandeducationindicators,aswellasfoodinsecurity acrossfloodaffectedareasandassistancereceivedsofar. Emergency food deliveries continue, with 4.7 million people reached with monthly rations during the current distribution cycle an increase of 1.7 million since last week. The cluster is urging donors to confirm contributions to prevent a break in the commodity pipelineinJanuary,specificallyforwheat(themainstayof thefoodbasket).Theclustersfundingshortfallcurrently standsat$237million.Otherchallengesincludeeffective tracking of population movements in Sindh and pre positioning of food in the north, where the onset of winterisalreadyposingaccessconstraints Health Acute respiratory infections (ARI) continue to be the leading cause of consultations reported through the clustersdiseaseearlywarningsystem(DEWS),makingup 29 percent of the total consultations between 26 Novemberand2December:

OCHA Pakistan, Serena Business Complex, Sector G-5, Islamabad, Pakistan Tel +92 (51) 2600254-5 www.pakresponse.info

Pakistan Humanitarian Bulletin

9 December / Issue 9 capacity,whileenhancedintegrationofcommunitybased management of acute malnutrition (CMAM) remains a priority. Protection Rapid protection assessments have been completed in KPK,BalochistanandSindh.WorkisongoinginPunjab,in conjunction with a village profiling exercise. Critical protection concerns identified include inequitable access to assistance by the most vulnerable, child labour and child abuse, issues around land and property rights, protection concerns related to NADRA registration and payment of compensation, and gender based violence. The cluster continues to advocate with provincial and federal authorities to address these issues and increase use of complaint and referral mechanisms already in place.Inrelationtothelatter,informationcampaignson legalservicesareunderwayinBalochistan.Inresponseto continued incidence of genderbased violence, the GBV subcluster now has fulltime coordinators in place in all five hubs. The coordinators envisage strengthening on goingactivitiesinthefieldofreferralandcommunication networks and advocacy and partnerships with local organizations. Response to cases of sexual violence in south Sindh continues to be a challenge due to lack of services and safety measures for survivors something which is being raised at all levels in order to ensure appropriateaction. ShelterandNFIs With rebuilding underway in many areas, the shelter clusterisemphasizingtheneedfortechnicalsupportand provisionoftherightinformationtoensuremoreresilient communities and reduced risk of future disasters. As previouslyreported,thefocusinseveraldistrictsofSindh is still on emergency response, and provision of emergency shelter material and nonfood items to returning families continues to be a priority. Items for winterareneededacrossthecountry,andparticularlyin KPKandGilgitBaltistaninthenorth.InPunjabtheshelter clusterisworkingwithOCHAsCriticalSituationsMatrix toprioritizeitsinterventions,thoughthelackofcapacity and resources in the province continue to pose major challenges. Almost 670,000 households have now received emergency shelter support (43 percent of the estimated need). Coverage in Punjab has improved (57 percent now reached) while coverage in Sindh remains low (35 percent). Distribution of nonfood items to date includes almost 50,000 toolkits and over 1 million blankets. Cluster members have also committed 90,000 early recovery shelters (of which 5,300 have been completed), representing 10 percent of the estimated numberofdestroyedhouses.

ARIcasescontinuetoriseastemperaturesdropacrossthecountry. RatesrelativetootherdiseasesarehighestinKPK,butarerisinginall provinces.Source:DEWS

The health clusters key current priority is scaled up support in snowfall areas of KPK, PakistanAdministered Kashmir, GilgitBaltistan and Balochistan. The clusters draft early recovery strategy is being finalized and will provideabasisforreactivationofthehealthcaresystem inareasdamagedbythefloods,withspecialemphasison maximizingaccessforthereturningpopulationtoabasic packageofqualityessentialhealthservices. Logistics In KPK, many roads and bridges are still badly damaged. Airliftoffoodandnonfooditemssuchaswinterizedtents will be critical in the coming months as winter snow creates further access difficulties. Agencies are asked to share expected airlift requirements in advance of winter (pakistan.logs@logcluster.org).Inthesouth,anumberof areas in Sindhs Jamshoro, Dadu and Jacobabad districts are still not accessible by road. An updated map of road conditions in the province is available on the cluster website, at: http://www.logcluster.org/ops/pak09a/map roadconditionssindhprovince/geographicmap_view. The cluster has so far facilitated the airlift of 11,588 metric tons of relief cargo since 5 August, including through the use of the nine UNHAS helicopters that continuetooperateinSindh. Nutrition To date almost 280,000 children under age 5 have been screened for malnutrition, of which 16,941 have been identified as severely malnourished and admitted to stabilization centres and outpatient therapeutic feeding programmes. A further 30,151 children have been identified as moderately malnourished and admitted to supplementary feeding programmes. Data collection and entry for nutrition surveys in Sindh and Punjab has now beencompleted.DatacollectionisongoinginKPK,while training will begin in Balochistan in late December. Trainingoflocalpartnerscontinuesasameansofbuilding

OCHA Pakistan, Serena Business Complex, Sector G-5, Islamabad, Pakistan Tel +92 (51) 2600254-5 www.pakresponse.info

Pakistan Humanitarian Bulletin

Water,SanitationandHygiene Relief interventions including the provision of tankered watercontinue,buttheemphasisinmostareasisnowon recovery. Coverage continues to be uneven: of the 2.2 million people now benefitting from restored water systems, 76 percent are in KPK. The planned WASH Damage Needs Assessment has been delayed but is due tobegininPunjabnextweek.Theclusterisworkingwith partners to ensure more comprehensive reporting of

9 December / Issue 9 interventions in the field. The National Disaster Management Authority has developed a draft Early Recovery and Reconstruction Strategy on Water, Sanitation and Hygiene in Flood Affected Areas of Pakistan. The plan is currently under discussion within thecluster.Fundingshortfallscontinuetolimittheability of the cluster to scale up its early recovery support as required sofar just29percentof overall requirements havebeencovered.

III.FUNDING
LatestlevelsoffundingofthePakistanFloodsEmergencyResponsePlanareasfollows:

RegularlyupdatedinformationonhumanitarianfundingforPakistanisavailableonOCHAsFinancialTrackingService,at: http://fts.unocha.org/pageloader.aspx?page=emergemergencyDetails&emergID=15913

CONTACTINFORMATION
OCHA,Islamabad ManuelBesslerHeadofOfficebessler@un.org StaceyWinstonPublicInformationwinston@un.org +923008502690 ShaneDohertyReportingdohertys@un.org +923008502653 OCHA,NewYork SeverineReyDeskOfficerrey@un.org +19173675336 OCHA,Geneva YasmineRockenfellerDeskOfficerrockenfeller@un.org +41792173041

OCHA Pakistan, Serena Business Complex, Sector G-5, Islamabad, Pakistan Tel +92 (51) 2600254-5 www.pakresponse.info