Humanitarian context and action in Pakistan OCHA/Stacey Winston Donor Briefing Shamadan Hall 2, Serena Hotel, Islamabad, Pakistan 6 February 2013

Current situation Complex Emergency- KP & FATA 758,ooo people still displaced 76% of 289 million USD required given in Monsoon Emergency 25 million people affected since million people affected in million received (37 million USD pledged) of the 169 million USD requested in million USD still needed with focus on residual relief needs and livelihoods

Complex Emergency in North-West Pakistan (KP & FATA) 758,ooo people are still displaced, while 18,400 people (4,000 families) are expected to be displaced from South Waziristan in 2013 (FDMA) Over 2,500 families have fled the Tirah Valley (Tribune, 6 Feb 2013) 282,000 people are expected to return to Kurram Agency in 2013 (FDMA) The 2013 Humanitarian Operation Plan will be available at the end of February 2013 Ongoing response Registration and other protection services for all IDPs Food distributions limited to half rations (for cereals) to all registered IDPs and returnees from January to April 2013 Emergency shelter for all in-camp IDPs Primary health care services to IDPs and the host communities off camp Water, hygiene and sanitation services for in-camp IDPs Food and nutrition services for pregnant and lactating women and including children under 5 years in and outside camps Education services for children in and outside camps

Impact of underfunding Food distributions limited to half rations for all registered IDPs and returnees from January to April 2013 Child protection services for 134,000 children in D.I. Khan, Hangu, Tank and Kurram Agency were discontinued Reproductive health or newborn services for 2,800 pregnant displaced women were stopped Provision of emergency child protection and psychosocial support for 47,323 conflict-affected children (New Durrani 8,140, Togh Sarai 2,649, and in Jalozai 36,534) from Khyber Agency by Save the Children-SC/Sida was discontinued at the end of December 2012 Education services for 36,534 displaced children in Jalozai camp by UNICEF was discontinued at the end of December 2012 Provision of education support services for 36,534 displaced children in Jalozai camp by IRC/SV Fund was discontinued by the end of December 2012

Continuing needs Emergency tents and NFIs for 16,114 IDP families in camps Education for 23,000 children in camps and 60,855 children in host communities Livestock and agricultural livelihood support to 70,000 families Food rations for 180,000 displaced families Mobile health services for 163,102 displaced families Reproductive health support to 2,800 pregnant women Drinking water to 510,000 people and WASH facilities for 112,000 people Some 61,000 children and 50,000 pregnant and lactating women both in camp and off camp require emergency nutrition services Specialist care for 4,500 severely malnourished and 10,000 moderately malnourished children in host communities Protection services for 134,000 children and 163,102 displaced families Transitional shelters for 10,128 returnee families Shelter repair kits for 9,830 families

2012 Monsoon Emergency

2012 Monsoon Emergency - Floods Response (to date) CLUSTERGOVERNMENTUN AND NGO partners FundsUS$ 91 million allocation to provinces/districts US$ 9.9 million (CERF Grant) US$ 49 million received; (US$ 37 million pledged) Food Around 1 million food packs distributed (1 per family) 35,860 MT food packs distributed to 1.4 million people by WFP (as of 27 Jan 2013) 7,887 families provided food packs by partners Conditional cash grants: 18,000 families Health & Nutrition 6 Mobile Health Units treated 94,122 patients as of 4 Dec. in Sindh, Balochistan and Punjab 2 mobile health units in Punjab have been closed while others are functional(PRCS) 10,558 mosquito nets distributed(PRCS) Essential medicines enough for 837,500 people provided DEWS coverage: 1 million people PHC Services coverage: 855,000 people CMAM/IYCF beneficiaries: 530,000 at 265 CMAM sites Shelter 128,307 tents 136,990 blankets 9,475 tarpaulin sheets (PRCS) 55,096 tents/emergency shelters distributed 112,730 blankets distributed 93,664 tarpaulin sheets WASH 11,330 jerry cans 26 dewatering pumps 6,249 Hygiene kits 6 water treatment plants deployed, each can treat 20,000 liters water per day. So far, 11 million liters of water have been treated and provided. Three plants have been closed in Sindh and Punjab while three others are still working in Balochistan. (PRCS) Safe drinking water beneficiaries: 578,000 people WASH NFIs beneficiaries: 630,000 people Sanitation beneficiaries: 300,000 people Hygiene promotion beneficiaries: 296,000 people Aqua tabs/sachets: 500,000 people

2012 Monsoon Emergency MHOP Revised to reflect residual humanitarian needs and ongoing livelihoods needs 4.8 million people affected, 43,000 still displaced (TSSU -January 2013) 1.1 million affected are returning to no shelter in areas of origin (TSSU - January 2013)

Detailed Food Security Assessment (Food Security Cluster) 42.6% of the households were found to have acceptable food consumption, 29% had poor food consumption and 30% were borderline Various coping strategies are practiced such as skipping meals (75%), skipping meal for entire day (62%), relying on less preferred and less expensive food (66%) Some 68.7% of households reported contracting new debts since the floods An estimated 28% decrease in wheat cultivation Livestock ownership, particularly of large ruminants has dropped by 40% Destruction of access roads (for 76% of HHs) and high transportation costs (for 62% of HHs) are major constraints while accessing markets

Focus on livelihoods - MHOP Significant livelihood support needs include agricultural inputs required for almost 180,000 families, as a significant proportion of Pakistan’s rural population depends on agricultural activities Critical agricultural inputs (seeds, fertilizers, and toolkits etc) for winter crops (oilseed, fodder, legumes) are needed to help small farmers (landholders and tenant farmers) revitalize their livelihoods Most of the economic and social activities which had virtually come to a standstill are still in jeopardy The most vulnerable men and women need to be supported through cash for work activities and restoration of their small businesses restoring basic community infrastructure to ensure access to basic services, farms and markets; and strengthening the resilience of vulnerable populations through DRR activities

Residual Relief Needs as of December 2012 At least 1 million people require primary health services 11,937 households need tents 121,249 households need 242, 497 tarpaulin sheets 209, 255 households need 418,508 blankets Protection services for some 93,000 elderly, 764,000 children < 14; some 24,000 women with no male/community support 325, 771 households need 651,502 mats/bedding and 315,298 kitchen sets More than 1 million people require WASH services 400,000 children under five and pregnant and lactating women need specialist nutritional support 3,183 schools need to be renovated to assist 441,610 children At least 1,730 more temporary learning centres are required for 183,102 children

Challenges in humanitarian response Attacks on Aid Workers YearIncidentsKilledKidnappedInjured Total people affected January female 7 male 2 female 4 male 5 Grand Total

Ensure assistance is needs-based and not based on registration carried out on the basis of identification documents Access to most areas in FATA and parts of Balochistan is extremely limited due to insecurity and movement restrictions Timely issuance of visas, renewal of NGO MOUs with the Government of Pakistan, and consultations on pending Rules and Regulations are all critical to timely delivery of humanitarian assistance in Pakistan Challenges in humanitarian response – con’t

Preparedness and Response Planning (P&RP) and Resilience Preparedness and Response Planning (P&RP) for 2013 has commenced Preliminary work underway on inter-agency capacity building of district officers in disaster response for the most vulnerable districts Resilience and disaster risk reduction are at the core of preparedness and response planning Infrastructure reform is critical

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