HANDS Pakistan Update -3 from Tharparkar on 15/03/2014

Current Situation: Government of Sindh has announced drought emergency in district Tharparkar In response to the drought-hit deaths of more than 162 children in Tharparkar, HANDS Pakistan has declared a state of emergency with provision of Rs. 55 million financial aid. In response to the emergency HANDS teams started gathering second hand information about the drought situation. Following points were observed;

As per DHQ hospital record Total 22 deaths recorded in Last one month.

Mostly neonatal deaths occurred and the major cause was Sepsis/ Birth asphyxia. Out of these

05 deaths of preterm babies probably caused maternal malnutrition.

Other cases were as 1 case of NNT, 06 Pneumonia, 02 VSD & 02 Diarrhea.

Data of Children less than Five Years age admitted and Deaths at CIVIL HOSPITAL MITHI from January 2014 to February, 2014

Month / Year Total Admission (Adults/Children)

Admission of Children Under 5

years

Death of Children Under 5 years

JAN 2014 665 195 18

FEB 2014 682 174 23

MARCH 2014 (Till 15th March) NoData No Data 08

TOTAL 2014 1347 369 49

Nutrition Stabilization Centre working here at DHQ since September 2013. Till today they

received patient as;

Year Cases Year Cases

Under 6 Above 6

2013 03 2013 04

2014 42 2014 31

Mortality 01

Data from THQ Hospital Nagarparkar showed;

OPD Malnutrition Cases

Labor Room Cases LBW Mortality

Dec 2013 16 Dec 2013 04 03 No Data

Jan 2014 15 Jan 2014 21 03 01

Feb 2014 27 Feb 2014 31 05 01

In Chachro at a private facility where CEmONC services being provided, have not such HMIS

record but on discussion with HCP said that in last month she conducted 43 deliveries, mostly

are preterm, (before 35 weeks of gestation). Pregnant ladies are mostly anemic had Hb% was

less than 7g/dl.

There is no such hot area pointed by any authority or media till now.

Diplo and Nagarparkar are mostly affected from food insecurity and more cases of

malnutrition are there.

HANDS Drought Relief Emergency Response in district Tharparkar: After examining the situation HANDS Drought Relief Emergency Response center has been established in Mithi for coordination and emergency response at affected areas and more than 200 HANDS professional staff and volunteers are involved in emergency relief services.

HANDS Pakistan Update -3 from Tharparkar on 15/03/2014

Unicef funded to HANDS PKR 55 Million for CMAM Project in 20 UCs of TalukaMithi and Taluka Diplo initially for 6 months and our teams are screening children for SAM (Severely Acute Malnutrition) & MAM (Moderately Acute Malnutrition).

Government of Sindh health department has provided medicines for Mobile medical camps

HANDS Volunteers core and professionals are involved in rapid assessment

HANDS Tharparkar is facilitating to NGOs/INGOs and Government departments in filed visits and data sharing.

Rapid Assessment by HANDS Pakistan for proper data collection: HANDS professional teams are conducting Rapid Assessment of District Tharparkar to know original situation through proper data collection tools and technical support of UN-OCHA, dissemination of report is expected in coming week. As per quick situation analysis of Crises through rapid assessment by covering whole district.

Below are the few highlights.

Low rainfall has caused crop failure, which coupled with outbreak of sheep pox epidemic in small livestock, has affected household food security.

A huge loss of livestock is being reported in the areas, that is one of the biggest sources of livelihood for the people.

Although the food is available in the nearest market ,but people don’t have adequate power of purchase.

Peoples are also facing high cost of transportation in most of the areas, therefore they are unable to reach health facilities.

Cases of motility of Peacock are also reported due to rani Khaet deases. As per focus group discussions conducted at different villages;

o Villagers are unable to pay for the transport to buy food or to reach hospital. o It costs about 800-5,000/- to reach District Headquarter or nearest hospital

facility where they could get proper treatment. o Livestock being main source of income was used either to get food supplies or

was sold in such situations. The main reason behind death of animals reported by villagers is sheep pox.

HANDS Pakistan Update -3 from Tharparkar on 15/03/2014

Provision of Medical Services :

HANDS Tharparkar team is conducted regular mobile medical camps in HANDS CMAM Project funded

by Unicef intervention areas in 20 Union Councils of Taluka Mithi including islam Kot and Diplo Talukas

in collaboration with District Health department, with essential medicines till date total 1332 patients

were treated through mobile medical camps.

Screening Results under HANDS CMAM Project funded by Unicef

No of Villages Screening SAM SAM-Complicated MAM PLW

11 1132 57 07 (With LBW Anemic & Fever)

102 80

The SC patient parents ask time to admit on Monday. Every child of SAM & MAM is suffering

from fever. First aid was given to them and for further treatment referred to health facilities.

Provision of Medical Services through group of Health care providers from KPK

A group consist of 11 Health Care providers under the leadership of Dean Khyber Medical University

KPK along with CE HANDS visited HANDS intervention area in Taluka Deplo and organized Mobile

medical camps in different locations villages about 850 patients were treated and providing medicines

with support of HANDS Pakistan.

HANDS Pakistan Update -3 from Tharparkar on 15/03/2014

Coordination Meetings at Mithi Tharpakar by HANDS

Chief Executive HANDS Dr.Shaikh Tanveer Ahmed, GM Disaster Management Program and

HANDS Tharparkar team conducted meeting with Mr.TajHaider (Chairman Relief Committee

Government of Sindh) in Mithi Tharparkar including Khyber Pakhtunkhwa Government

delegation for discussion regarding situation and possible solutions.

Meeting with Director General PDMA conducted by General Manager Disaster Management

Program and DEM HANDS Tharparkar

Meetings with DC & ADC II conducted by General Manager Disaster Management Program

and DEM HANDS Tharparkar

Meeting with DG Health and District Health Officer conducted by General Manager Disaster

Management Program and DEM HANDS Tharparkar

Meeting with PDMA Government of Khyber Pakhtoon Khawah (KPK) conducted, regarding

field /area mapping for KPK health Care providers visit.

Representatives from different NGOs/ INGOs visited to HANDS Emergency response Centre at

HANDS District Office Mithi and Conducted meetings with GM Disaster Management Program

and District Executive Manager HANDS.

HANDS Tharparkar is the part committees and Joint Control Room established by Government

A Joint Control Room is established at Mithi which is joint managed by NDMA, PDMA Sindh

and District Administrator ,HANDS Tharparkar is the part of Joint Control Room..

HANDS is also one of selected 05 members organizations the committee to address drought

situation in Tharparkar formed by Social Welfare department.

HANDS Pakistan Update -3 from Tharparkar on 15/03/2014

HANDS Pakistan Focal person’s contacts information: 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) Dr. SatramRoopani District Executive Manager ,HANDS Drought Relief Emergency Response center

HANDS District office Tharparkar, near Rangers Camp, Muslim Colony Mithi

Ph: 023261498, Cell# 0346‐8225621 Email: satram.roopani@hands.org.pk