1. Pakistan Presentation 2016
Government of Pakistan
Ministry of Climate Change
Pakistan Presentation
2016

2. Government of Pakistan
Profile of Pakistan
Government of Pakistan
As per Economic Survey of Pakistan
Population: 191 million
Population Density: 234 persons per sq. km
Urban Population: 39.2%
Rural Population: 60.8 %
Population below 19 years: 44 %
Projected population by 2030: 242 million

3. Poverty Trends in Pakistan
Government of Pakistan
Poverty Trends in Pakistan
Ministry of Planning, Development & Reform measures poverty on consumption based approach using data from Household Integrated Economic Survey (HIES). The official poverty line in Pakistan is calorie based, and consumption based absolute poverty is estimated after converting the household consumption level to adult equivalent based on recommended nutritional requirements of 2350 calories per person per day and providing almost equivalent amount for other basic needs.
Source: Economic Survey of Pakistan

4. Planning & Development Framework
Government of Pakistan
Planning & Development Framework
National Sanitation Policy 2006 – following SACOSAN-II in Pakistan
Pakistan Approach to Total Sanitation (PATS) 2010
Vision 2025 Pakistan emphasis on improving sanitation and eliminating open defecation

5. Institutional and Legal Framework
Government of Pakistan
Institutional and Legal Framework
Federal Government – Coordination and Facilitation
Ministries of: Climate Change; Planning, Development & Reforms; Finance; Health Services Regulation and Coordination; Federal Education and Professional Training; Housing; Information and Communication
Provincial Government-
Financing, Regulating, Monitoring & Reporting
Departments of Local Government; Public Health Engineering; Urban Development; Health; Education; Finance; Town Planning; Communication & Works; Environment; and P&D
Local Government Acts 2013 Implementation and Reporting
Metropolitan Corporations; Municipal Corporations; Municipal Committees; Tehsil Councils; District Councils; Tehsil Councils and Union Councils

6. Government of Pakistan
Success Stories
Government of Pakistan
Punjab
PATS started in response to floods 2010 for ODF.
Since the start in 2011, reduction in open defecation from 23% in 2011 to 17% in 2014
Government approved about US 1.4 million dollars and another commitment of US 1 million dollars for ODF through PATS and ending open ponds/sewage.
Sindh
Saaf Suthro Sindh piloted in three districts now being scaled up in 16 districts under multi-sectoral nutrition support by international partners.
Dedicated sanitation directorate, GPS baseline, NGOs as implementing partner, behavioral change to construct and use latrine and active involvement and ownership of health department and local councils.

7. Why PATS Prioritizing Sanitation
Devoting enough attention and resources to sanitation services, particularly when compared to spending on water supply and other infrastructure services
Making sanitation investments pro-poor
Provision of multiple options that fit well within the socio-cultural, political environment of Pakistan
Provision of reinforcement values to provide greater programming flexibility in adopting context specific solutions as well as the opportunity to engage in meaningful discourse

8. PATS Conceptual frame work

9. Key Components of PATS

10. Pakistan approach to total sanitation - journey to scale up
In 2006, national sanitation policy was formed and PATS was part of the policy
In 2010 under the humanitarian assistance program of UNICEF the PATS implementation was initiated to reach out to 7 million flood affected people
As a result of this implementation more than 4000 villages were verified as ODF villages

11. PATS
The humanitarian assistance program was rolled out in close collaboration with respective provincial governments.
After 2012, Punjab government initiated the implementation of PATS in 40 selected villages (4 Ucs) in Punjab.
Based on the earlier success, the project was further scaled to 218 villages in district Rahim Yar Khan and Bahawalpur reaching out to additional 250,000 people.
In , the PATS approach extended to 1000 villages in association with development partners in southern districts of Punjab with an objective to reach about two million people.

12. PATS
A scaling up of PATS in Punjab was initiated in 2014 with financing from Government of Punjab with a focus on hard to reach areas, and a formal commitment of PKR 400 million made for The overall goal of “Scaling Up PATS - Open Defecation Free Programme in Punjab” is to reach out to 9,000,000 population in 3,360 villages of Punjab by for better sanitation, health, hygiene and environment.

13. PATS
The programme seeks the establishment of village WASH committees in each target village and WASH clubs in each school with one Community Resource Person for 300 households, one mason for each village and one entrepreneur for sanitation marketing/business for accessories at each union council (a cluster of villages)
The PATS has successfully mobilised the communities to construct latrine and adopt safe hygiene practices. Under the Government initiated programme PKR 3,452 million is being spent under PATS, of which 82% will be contributed by the local communities, 17% by the Government of Punjab and 1% by the international partners.

14. PATS
The PATS has successfully mobilised the communities to construct latrine and adopt safe hygiene practices. Under the Government initiated programme PKR 3,452 million is being spent under PATS, of which 82% will be contributed by the local communities, 17% by the Government of Punjab and 1% by the international partners.

15. PATS
At one side, PC-I for scaling – up PATS- ODF Programme includes a comprehensive strategy for implementation of the programme while on the other side, WASH sector Development Plan has guided on resource gaps, its identification and requirement along with strategic action plan. This has enabled to reach 16% of villages of Punjab in 1st phase and same strategy will be replicated in next 3 years to have ODF Punjab

16. Coordination and Monitoring Mechanism
WASH Coordination Committees have been notified at Provincial level and District levels under the supervision of Planning & Development Department and District Coordination Officer by fixing their role and responsibilities.
Further, a Four Tier Approach has been adopted in Master Plan. The programme has a strong coordination mechanism with creation of one provincial and 36 district WASH committees that have representation of all relevant Government departments and civil society partner organisations

17. Coordination and Monitoring mechanism

18. Reward to ODF communities
To apprise the efforts of communities and ensuring the sustainability, an ODF certificate is provided. However, some communities have been provided following rewards on pilot basis:
Rehabilitation of rural water supply schemes
Small scale sewerage treatment units and wet lands
Water Ponds
Afridev handpumps
WASH facilities in schools
Latrine material to the poorest of poor
Hygiene / Water Kits
Support for the poorest of poor in form of latrine material

19. WASH & Nutrition
Multi Sector Nutrition Strategy has been approved in 2015 by Government of Punjab on which basis a holistic model of WASH namely “Multi Sectoral Nutrition Strategy for WASH Including Water Supply, Sanitation, Hygiene, Waste Water Treatment, Disposal of Solid Waste” will be implemented in 9 Villages of Brackish / Barani Districts one from each District having population > 10,000. Through this scheme total solution regarding WASH will be provided in 9 villages covering soft and hard component and same will be replicated in other areas

20. Urban & Rural Sanitation Trends
Government of Pakistan
Urban & Rural Sanitation Trends
Urban Sanitation Trends
Rural Sanitation Trends
Total Sanitation Trends

21. Government of Pakistan
Hygiene - Hand Washing
Overall, out of 191 million population, about 122 million in Pakistan hand wash with water and soap.
In Punjab, out of 100 million population 72 million wash hands with soap and water.
In Sindh, out of 44 million population 23 million wash hands with water and soap.
In KP province, out of 26.8 million population around million wash hands with water and soap.
In Balochistan; out of 9.85 million, 3.16 million wash hands with water and soap and another 3.16 million reported to use other cleansing agents to wash hands with water.
Pakistan Demographic and Health Survey

22. School Sanitation in Pakistan
Government of Pakistan
School Sanitation in Pakistan
Major shift is in Punjab where special initiative of missing facilities started in prioritized districts.
Under UNICEF supported special initiative, menstrual hygiene training manual and monitoring toolkit developed through an operational research project.
Source: Pakistan Education Statistics, and

23. Provincial Policies, Strategies and Plans
Government of Pakistan
Provincial Policies, Strategies and Plans
Balochistan
Draft Sanitation Policy, Draft WASH Sector Plan and Comprehensive Development Strategy Balochistan
Khyber Pakhtunkhwa
Draft Sanitation Policy, Integrated Development Strategy KP and Hygiene Campaign for ODF
Sindh
Draft Sanitation Policy and development of WASH Sector Plan started
Punjab
Draft Sanitation Policy, draft WASH Sector Plan, Health Sector Plan 2018 and Economic Growth Strategy 2018

24. Government of Pakistan
: US 340 million dollars
: US 540 million dollars
Sanitation Share for is: million US dollars

25. Government of Pakistan
M&E System
Government of Pakistan
Five yearly
Multiple Indicators Cluster Survey (MICS)
Pakistan Demographic Health Survey (PDHS)
National Nutrition Survey
2-3 yearly basis
Global Analysis and Assessment of Drinking Water and Sanitation (GLAAS)
Joint Sector Review Reports
Research Studies MDG Reports
Yearly Basis
Pakistan Social Living Measurement Standards Survey Joint Monitoring Programme
Annual Development Programme
Poverty Reduction Strategy Progress Reports
Annual Education Status Report District Health Information System

26. Knowledge Management Government of Pakistan
Mapping of Inequities in basic Water Supply and Sanitation
Service Delivery Assessment Reports Punjab and Sindh
PDHS MICS 2011 MICS 2010
PSLM ,
Draft WASH Sector Plan in Punjab, Balochistan and Sindh – Integrated development Strategies in KP

27. Government of Pakistan
Partnerships
Government of Pakistan
Ministry of Climate Change organized PACSOAN–II in February 2015 in collaboration with Provincial Governments and Development Partners
PACOSAN Declaration emphasised on capitalizing the political leadership and community ownership
PATS serves as a platform of partnership for Government, Local and International organisations in Pakistan
Pakistan Approach to Total Sanitation - PATS

28. Government of Pakistan
Trends and Coverage
Government of Pakistan
Overall numbers of households with “no toilets” in Pakistan- Millions
Region
Pakistan
Punjab
Sindh
KPK
Balochistan
No Toilet Population 30
17.23
5.06
4.39
2.30
Total population
191.71
100.59
44.09
26.84
9.59

29. Government of Pakistan
Inequities and Rights
Government of Pakistan
Inequities- Access to Sanitation
National study – mapping of inequities in water and sanitation 2015
WASH Poverty Diagnostic Survey planned in 2016
Sustainability Check 2016
Training of Trainers manual on “WASH Rights” by CSOs
Disabilities and MHM issues being tested at limited scale

30. Government of Pakistan
Health and Sanitation
Diseases - Punjab District Health Information System (DHIS)
Challenges and Progresses
Children under five- 31% under weight, and 43.7% underweight Rural HHs spent 20% of their income on medical treatments Pneumonia, diarrhoea and malaria collectively in children contribute to 50% of deaths Punjab Health Sector Plan 2018 identified WASH as preventive health Multi nutrition strategies in provinces integrate WASH.
Under five mortality rate reference is PDHS
Medical treatments reference is Economic Survey of Pakistan

31. Government of Pakistan
Conclusions and Plans
Pakistan achieved MDG target of improved sanitation. With current rate of decline, Pakistan shall be ODF in next five years.
Pakistan has reached a tipping point, and toilet use is fast becoming the new norm.
PACOSAN-II mobilized the political leadership to spotlight the issues of sanitation, and shall be held biannually to capitalize the synergies.
The Local Government Acts 2013 and Local Councils offer the opportunity of integrating sanitation into local development initiatives.
The implementation, advocacy and monitoring framework will be aligned with Sustainable Development Goals.

32. Conclusion and Plan
Scaling Up PATS to have ODF Punjab by 2018 following Provincial WASH Sector Development Plan
Activating Forums of Provincial and District Coordination Committees to strengthen monitoring, resource mobilization and performing respective roles by Government Institutions, development partners, civil society organizations etc.
Upgrading MIS and Development for progress monitoring
At intuitional level, we aim to develop and regularise the standards of service delivery and making arrangements for capacity building
Proper monitoring and evaluation framework will be developed at provincial level to track the progress and see the impact