HANDS Emergency Response for Badakshan Earthquake affected People of

District Shangla & Chitral- 2015

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 ,103525 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

Injured Deaths Partially damaged Houses

Fully Damaged

Houses

School damaged

1 Khyber Pakhtunkhawah

22 1415 232 62895 25852 495

2 Gilgit Biltistan 06 92 10 4477 671 --

3 Punjab 16 79 05 20 -- --

4 AJ&K 04 23 02 60 16 02

5 FATA 05 211 30 6553 2981 --

Grant Total 53 1820 279 73985 29520 497

29%

51%

Figure: 01 Status of Households

Partially Damaged (Liveable)

Fully Damaged (Unliveable)

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 1995. 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. 12775

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

livening in their partially damaged houses while 44% families are living with host families

Table: 01 Current Household Possession (% of families)

Bedding Mats

Blankets

Kitchen Sets

Hygiene articles

water storage pots

Adequate fuel

Emergency Shelter/roofing kit

Shelter Toolkits

6.7 9.8 9.7 5.3 10.0 24.0 5.3 14.4

15%

85%

Source of Water

Protected sources (protected wells/hand pumps/springs)

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 daily-wage 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: 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.

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.

Overall report of disease wise patients consulted at medical camps:

Disease Total < 5 Years >5 years

Male Female Male Female

Diarrhea - - - - -

Dysentery - - - - -

ARI 291 58 81 45 55

S. Malaria 6 - - 3 1

Skin Disease 214 39 53 28 38

Heat Stroke - - - - -

Eye Infections 115 22 20 16 22

Others 320 65 94 46 62

AFP Cases - - - - -

S. Measles - - - - -

Total 748 184 248 138 178

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.

57.7 18.5

23.8

Children < 5 Years Adult Male Adult Female

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

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.

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Male Female Male Female

24.6

33.2

18.4

23.8

Age and Gender wise distribution of patients

< 5 Years Male

< 5 Years Female

> 5 Years Male

> 5 Years Female

0 20 40 60 80 100

ARI

Malaria

Skin Disease

Eye Infections

Others

58

0

39

22

65

81

0

53

20

94

45

3

28

16

46

55

1

38

22

62

Disease Pattern among different Age groups (in

Numbers)

> 5 Years Female > 5 Years Male < 5 Years Female < 5 Years Male

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 -2015 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.

32.0

0.5

21.1

10.7

35.7

0.0

10.0

20.0

30.0

40.0

ARI Malaria Skin Disease Eye Infections Others

Percentage Distribution of Diseases

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.

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 10000 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 27000 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 . 29000 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.

Emergency Contact details of HANDS Pakistan & KP: HANDS (UAN) Universal Access Number 021-111-666-333

NDMA's Help Line Number 111-157-157 & 051-9205037

For complain contact NDMA UAN No. 111-157-157 & 051-9205037 Provincial Emergency Operational Cell Contact No. PDMA Punjab, 042-99203162,64 PDMA KP, 091-9213845 FDMA 091-9216864 and 091-9218351 SDMA AJ&K 05822-921643 GBDMA 05811-920874

HANDS Pakistan contacts information: Dr. Shaikh Tanveer Ahmed, Chief Executive ‐ HANDS Pakistan 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 03008200507 Email: tanveer.ahmed@hands.org.pk , Website: www.hands.org.pk Dr. Muhammad Sarwat Mirza - Chief Research & Development Executive, HANDS Pakistan HANDS Islamabad Office: H. No. 241, Street 86, Sector G-9/4, Islamabad

Tel: +92-51-2325560; Cell: 0346-1117788

Email: sarwat.mirza@hands.org.pk, Website: www.hands.org.pk

Dr. Muhammad Aslam Khan - Chief HRD Executive, HANDS Pakistan 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 0300‐2010061 Email:aslam.khan@hands.org.pk, Website: www.hands.org.pk Muhammad Raheem Marri, General Manager ‐ Disaster Management Program HANDS 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 0346‐8209561 Email: raheem.marri@hands.org.pk , Website: www.hands.org.pk Donations: HANDS Account No.003800613865-03 (Habib Bank Limited) HANDS Zakat Account No. 003800705395-03 (Habib Bank Limited) Ghulam Mustafa Zanor , Senior General Manager ‐ IDEAS Program , HANDS 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 0346‐8209538 Email: ghulam.mustafa@hands.org.pk Website: www.hands.org.pk Nadeem Wagan , General Manager ‐ ICR&A Program , HANDS 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 0345‐8227501 Email: nadeem.wagan@hands.org.pk website: www.hands.org.pk