“My father drank alcohol daily and used to beat my mother,” quietly recounted a 15 years old daughter of Mohan from Haji Chanesar Mari village.
Mohan, father to five sons and two daughter, was a hopeless alcoholic, living with his family in the small but close-knit village of Haji Chanesar Mari in Umerkot. He was a selfish man who only thought of himself and never considered the impacts of his drunkenness on his wife and children. Many evenings, Mohan’s children witnessed their mother, Devi, being beaten by their drunk father. Some evenings, one of the children would become victims of his physical and verbal abuse as well.
As a small, independent farmer, Mohan earned well. Despite his sufficient earnings, Devi, was unable to save any money for the dowry of their daughters or for the purchase of cattle for the family’s nutritional support. All of Mohan’s extra earnings were consumed on alcohol. “He was consuming alcohol of at least PKR 200 regularly,” shared Devi. “At times, when he would be out of money, he would lend money from others to fulfill his alcohol craving.”
“Despite having such a beautiful family, I have mostly thought of myself only throughout my adult life,”shared Mohan himself one day. “I never dream about a better life, education, health or of other facilities for my children.”
Sajan, a gender activist in their village, took a lead to work with families affected by severe alcoholism. He had selected at least five households with whom to start work with. People advised him to consider working on other social issues, realizing the challenges he may face working with alcohol addicts. However, Sajan remained firm in his disposition as he considered alcoholism as one of the root causes of many gender based discriminatory practices and mind sets in their community. “Local alcohol is produced and is easily available from nearby villages,” Sajan pointed the severity of this issue.
Sajan and his colleague decided to train local children to play the role of drug addicts and their family members and demonstrate how one alcoholic would easily ruin a whole family. This drama was performed in Mohan’s house in his very presence. Mohan’s own son performed the role of an alcoholic who drank daily and beat his wife. At the end of the interactive play, a communal issue (alcoholism) was laid in front of the acting village leader in the play to find a resolution, seeking support from other men of the community as well. The alcoholic, played by Mohan’s son, was not even considered in the village decision making as the community saw him as a senseless man who was incapable of supporting himself or his family. “It was a very shameful moment for me that the character played by my son was hated by everyone and was failing everywhere in the community,”Mohan said disappointedly, “I realized that that could become the future of my children if I continue to drink this way.”
The story and performances touched Mohan’s slumbering soul and made him realize the impact of his disgraceful attitude on his family. He promised to quit drinking alcohol. Mohan kept his promise and quit soon after he saw the theater performance. Relinquishing a severe addiction as such as suddenly left Mohan unwell and ill. At this time, Sajan supported Mohan in acquiring medical support in Umerkot city where the doctor strictly advised him not to consume alcohol at all during this time. If he followed his advice, Mohan’s health would be better soon.
It has been month and half since Mohan has consumed a single drop of alcohol. Mohan and his family are very grateful to Sajan for not only helping Mohan leave his addiction but also in re-strengthening the family’s long lost bond. “I have stopped hanging out with friends who drank with me. I wish to become a proud father for my children and a responsible husband to my wife.”
Small efforts can sometimes bring a big change. We should never gauge or underestimate any effort that is made with complete sincerity and dedication; the results may not be seen at once but gradually it may change lives positively.
A group photo of Community World Service Asia Jhuddo staff with the delegation of Sindh Agricultural University.
Ashar Nasir, Project manager, sharing organizational profile and how to develop and implement a project.
Appreciation Letter presented by the Department of Rural Sociology, Sindh Agriculture University, to Community World Service Asia, Jhuddo Office.
The participants were given orientation on how to develop and function a Community Based Organization.
Dr. Ghulam Mujtba sharing his experiences with the members of the community in Fazal Wadho village.
A group photo of university professors with the community of Fazal Wadho village.
The delegation from Sindh Agriculture University and the community members were given an orientation session at Fazal Wadho village.
Dr. Muhammad Javed Shaikh, Assistant Professor, briefed the student regarding the purpose of the visit.
Community extension worker sharing his experience of social mobilization and its processes at grass root level.
A group of 37 students of the Rural Sociology Department, Sindh Univeristy, accompanied by senior professors and chairman of the Rural Sociology Department (RSD), visited Community World Service Asia’s Jhuddo Office this April. The purpose of the study tour was to orient students on the working methodologies and policies of humanitarian organizations and NGOs’ and the role and structure of Community Based Organizations (CBO). Something different from the usual theoretical classroom learnings at the RSD, this exposure tour was designed to familiarize students with the different cultures and living patterns of rural communities and provide them with a practical learning experience.
Ashar Nasir, Project Manager at Community World Service Asia, along with other staff, welcomed the group of students and faculty members at the local office. An introductory session, on the organization and its various projects and thematic areas, kick-started the exposure visit for the eager guests.
The group first visited Fazal Wadho village; one of the targeted villages of Community World Service Asia’s Promoting Sustainable Agriculture project in Badin. Participants were welcomed by members of the Community Based Organization (CBO). Mohammad Hassan, community representative of Fazal Wadho village, gave a detailed presentation on the village profile and its’ previous and existing initiatives with different organizations. He also briefed the participants on the history of the CBO’s formation, its objectives and their role in local development. This was followed by a question and answer sessions in which a student asked about the importance of CBOs at a community level. To his response, it was shared that CBOs bridge communication and networking gaps between feudal lords and higher officials and the local community people. The CBOs also amplify the voices of the village people on local issues and together with concerned departments develop resolutions to those issues.
Community World Service Asia’s role, through their various Food Security and Livelihoods projects in the area, in forming the CBOs and VOs and equipping them with necessary resources and knowledge, was highlighted. The students and their faculty were told about the role the women of the community are playing in being trained on Nutrition and Kitchen Gardening to develop balanced nutritious diets for their families and themselves through the Sustainable Farming project in Badin. Many other field experiences were shared with the group, including the exposure visit to Sindh Agricultural University where the women project participants actively observed the workings of different departments. They also shared their experience of participating in the Farmers Festival which displayed their home grown vegetables on sale stalls and connected them with local retailers.
Dr. Ghulam Mujtaba Khushk, chairman of RSD, appreciated the efforts of the CBO in local development. He appreciated the informative and effective opportunity given to the students and the faculty members; increasing their knowledge and learning in relation to the different practicalities of rural life and how people of various local communities are being involved to build a sustainable livelihood together. The students and faculty members learnt about project implementation, project planning and social mobilization. Concluding the visit, Dr. Ghulam Mujtaba presented an appreciation letter and a shield to Community World Service Asia Team for their commitment and contribution to the communities.
A stall showcasing antiques and cultural shawls which attracted many people at the festivals.
Minister for Culture and Tourism Sindh, Syed Sardar Shah, visited Taanka stall. He appreciated the work of the artisans and commended the efforts of the program teams to promote the cultural handicrafts. He added that such events will bring back harmony and cultural spirit in the area which has been badly affected by the inequalities of life.
A musical concert was also conducted where a large audience enjoyed cultural tunes.
Local artist playing musical instruments to entertain Festival participants.
A range of products were exhibited, which attracted many customers, including handicrafts, apparel, jewelry, tote bags and clutches and home décor.
The festival was very rich in terms of diverse activities, colorful stalls and participation of people, as some of the participants wore cultural clothes to promote their traditions and culture they follow.
Children trying out necklaces and bangles at the Community World Service Asia stall.
Community World Service Asia participated in Thar & Parkar Festival to promote the handicrafts of artisans of Thatta and Umerkot.
The handmade apparels, hand bags and clutches were most popular amongst the customers.
The Sindh Culture and Tourism Department organized a two-day “Thar and Parker Festival” at the historical Umerkot Fort from the 24th – 25th of March. The various arts and crafts of the culturally rich Thar were put on display on a number of stalls at the vibrant festival. Apparel, rillies, handbags, fancy clutches, jewelry and other handmade crafts were on display and for sale. The entertaining event featured cultural activities such as camel and horse races, folk musical concerts and standing stalls of delicious local food.
The festival was inaugurated by Syed Sardar Ali Shah, Minister of Culture and Tourism in Sindh. “This festival will show the more beautiful facets of our rich desert which has formerly remained hidden as the region has predominantly been known for its natural disasters and subsequent deaths of children,” announced Mr. Shah. He added that such events will bring back harmony and a cultural spirit to the region which has suffered consistently in the past. Dost Mohammad Rahimoon, MPA Sindh, also present at the inauguration ceremony added, “The festival will provide a forum to people to showcase their rich culture and traditions for the entire world to see.”
Local artisans of Umerkot, along with Community World Service Asia staff, participated at the event, showcasing and promoting their handicrafts from Umerkot and Thatta. A range of products including casual apparel, jewelry and other home accessories produced under the brand “Taanka” were exhibited for sale at the festival. A large number of people visited the stall and watched the artisans hand make some of the products “live”. Syed Sardar Shah, also paid visited the Taanka stall and appreciated the quality work of the artisans that stood out among the many stalls at the festival.
Women from near and far villages, attended the event and were very happy to see a large variety of cultural apparels and antiques at the stalls. Families enjoyed tableau and the many music and theatre shows being performed by local communities and theater groups. Folk musician sang and entertained audiences at the festival for hours and received much applause and cheers. The festival ended with sparkling, large fireworks on the second day, lightening the lives of the people of Thar with color, happiness and celebration.
A walk was commenced to observe Health Day at Rural Health Center, Hyderfarm.
Women from nearby villages actively participated in the Health Day Awareness Walk at Rural Health Center, Nabisar.
Women of residual and nearby villages at the Rural Health Center, Hyderfarm attending an Awareness Session on Importance of Healthcare.
On Health Day, health sessions were conducted with women participation to highlight the health right of women and children.
Health Day Awareness Walk was conducted by the MNCH team of Community World Service Asia at the Rural Health Center, Nabisar.
Community World Service Asia is provides medical care with a focus on maternal, neonatal and child health (MNCH) through supporting three Rural Health Centers (RHC) in Umerkot since 2015. These health centres provide healthcare to the most vulnerable communities affected by recurrent natural disasters, disease and poverty. The primary aim is to provide medical care through curative and preventive services while adopting a community-based approach by ensuring participation of village health committees and government health department.
The MNCH team organized World Health Day on 7th April at the RHCs in Umerkot in participation of a large number of community members from catchment area, government health staff of each RHC and professionals from NGOs and Civil Society Organizations. The main focus of the day was the topic of “Depression” which was the universal theme of this international day globally. Attention was also given to other more common health issues in the area such as heatstroke, diarrhea and anemia.
Depression is one of the many results of poor health, poverty, economic and social injustices and power imbalance prevalent in the rural society. The main purpose of celebrating this day was to raise common public awareness on various health issues and to sensitize the community and paramedic staff on mitigating the health problems common in the community through self-care and knowledge building.
Topics discussed on World Health Day in Umerkot:
To increase public awareness regarding various causes and preventive measures of depression
To provide detail knowledge of getting prevented from various diseases including diarrhea and missiles.
To encourage most vulnerable groups of people to frequently and regularly checkup the women during pregnancy in MNCH Centers.
To promote self-care among people of rural area.
To motivate the paramedic staff to make their efforts in providing health facility to vulnerable community of the catchment area of all three RHCs.
Medical Superintendents (MSs) of each health facility, health committee representatives, community activists and project staff gave orientations to the community members including men, women and children, on the major causes, prevention and mitigation of depression, heatstrokes and diarrhea. They imparted key messages on good health that aimed to enable men, women and children to lead healthy and productive lives and continue being of valuable existence in lives of their families and communities.
Rural healthcare lags in quality, affordability, and accessibility for several reasons. The main problem faced by health authorities in this regard is lack of awareness. One of the major reasons for such a deplorable state of health in these areas is the lack of health facilities. The establishment of health centers is ensuring better health and is supporting an improved standard of living for the people of rural Sindh.
At least five hundred mud houses were destroyed when a fire broke out on the afternoon of May 10th, in village Vakrio near Islamkot town in Tharparkar district. The reported fire broke out due to a short circuit and immediately engulfed a thatched house in the village Vakrio. Due to strong winds, the fire spread to more than 500 thatched and cemented houses, reducing them all to ashes and rubble within minutes.
Luckily, at that time that the fire erupted, village residents were out working in the fields, saving them from the ravenous fire. Seven people from the village have however been reported injured. Most of the village livestock was also grazing in the fields at that time of the day, yet around 100 cattle have reported been killed in the fire.
Vakrio residents ran out their houses to save their lives, but did not have ample time to save their livestock or their belongings. All their ornaments, clothes, crockery, seeds stocks for next cultivation, stocks of fodder, food, were all burnt to ashes in front of their eyes.
The village residents all tried their best to extinguish the fire together by throwing barrels of water and sand on the blazing fire, but despite their efforts, they were not able to save the hundreds of homes. Only two hundred houses in the entire village were unharmed from the fire.
This is the tenth such incident this year, on an average around three houses have been burned in each incident, but there has been no immediate solution to this recurring tragedy.
The people of Vakrio spent the night in the open land and appealed to relevant authorities and welfare departments to help them rebuild their houses and rehabilitate back to their usual life.
Emergency shelter kits, food package and nonfood items such as cooking utensils to cook their food are immediate requirements of the affected communities.
Community World Service Asia Response: Community World Service is in contact with local partners in the area on the updated information of the tragic event. It is closely monitoring and will devise its response plan accordingly.
Contacts: Felix Dennis Joseph Associate Director
Disaster Management Program
Email: dennis.joseph@communityworldservice.asia
Cell: +92 300 8557414
Palwashay Arbab Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Ph: +92 42 3586 5338
“Daughters have always been preferred in our family, unlike other families in the village. My husband and I have never given priority to our two sons over our two daughters. We love all of them equally,”
said Hurmi, a resident of Haji Chanesar village in Umerkot. Hurmi is the Vice President of the Steering Committee of the village and a gender activist in the area.
“My first child was a daughter. Normally in our community, daughters are considered as burdens and families are not so happy when a girl is born. But the case was different at our home. I am lucky to have a husband who loves daughters more.”
When the skills development center was set up at Haji Chanesar Village, Hurmi helped identify artisans who were most in need of a sustainable livelihood. Later in the project stage, a steering committee was formed for which Hurmi was nominated as Vice President by the unanimous vote of the artisans themselves.
“After the Community Management Skill Training, the Steering Committee was well equipped with knowledge on how to manage communities and resolve their issues and conflicts. As the Vice President, my role was more influential as many expected me to bring change in the rigid traditions we have been following for years.”
“The center brought countless benefits to women and girls in residual and nearby villages. They used to work in the fields in the season of cotton picking. Parents of young girls felt insecure sending their daughters to the fields, as they worked under the scorching sun and the bushes and thorns would tear their clothes or injure them. The center serves as a shadow in their lives. We encouraged the men of our families to send their wives, sisters and daughters to the center without a worry as the environment is safe and secure. Women in our area now work without worrying about traveling long distances while carrying heavy crops on their heads.”
As a dedicated member of the Steering Committee, Hurmi worked actively for the well-being of her fellow villagers. Recognizing her consistent efforts and dedication, Hurmi was selected as a participant of a ToT for Gender Activists.
“When I joined the Gender Group as an activist, my in-laws and neighbors discouraged me saying such activities for women were not part of our culture and it was not right to let women and girls talk so boldly on sensitive issues. My husband on the other hand, supported me strongly. He motivated me to work as a gender activist and change the mind-sets of the people who did not allow their daughters to grow socially and economically,”
reiterated Hurmi with a confident smile.
“When I started working as a gender activist, I realized that the people in these rural communities are still living in a backward world, where caste difference was a firm way of life. One of the reasons for some families to not send their daughters to the skills center was the issue of caste difference. They could not allow their daughters to sit with women belonging to a lower caste than them. They also believed that sending their daughters to the skill building center will bring dishonor to their traditions and cultural values,”
narrated Hurmi disappointedly,
“We conducted gender awareness sessions. We also led sessions to individual households to have a direct impact. Girls in our village started to go to school and early childhood marriages started to decrease.”
“Recently, a 16-year-old girl was getting married in our village. Our gender activist group visited the household and briefed the family about the problems young girls face in early marriages. When the girl’s in-laws (to be) came to schedule the wedding for February 23rd, the father of the 16-year-old refused instantly. The in-laws were furious to see his reaction. The daughter’s family called us to talk to the in-laws and explain the disadvantages of early childhood marriages to them as well. When the in-laws were also enlightened on the subject, they too understood and postponed the marriage to three years later. It is not just about one change in one house. People have started to think over many rigid traditions followed by us for ages as a result of these awareness sessions.”
“There was another instance of a man named Mohan. His wife, Dhai, was very disturbed as Mohan use to drink a lot. He used to waste his earnings on buying alcohol. He did not even spare Dhai’s minimum wage which she earned through stitching and agricultural work. He even hit Dhai when he was drunk. He once hit her with a small axe while he was drunk. He also used to beat his children. We tried to talk to him but he did not listen. So, we went to a doctor to talk about Mohan’s condition. We requested the doctor to scare Mohan by lying to him, stating that his health is weakening. When Mohan fell ill, the doctor came to Mohan and stated that he has cancer. Mohan got so scarred that he stopped consuming alcohol himself. Mohan has not been drinking since three months now. His wife is very relieved as he does not hit her or her children as his mental state has now improved. He does not waste money on drinking now and is more calm and caring towards his family. Yesterday, our steering committee held a meeting with the villagers. At the meeting, Mohan informed us that he has quit smoking as well. His wife is very happy now. Everybody in the village is curious to know how Mohan has changed so much.”
It is important for women to participate proactively for work on gender equality as only women can understand the problems of other women well enough. They will work towards resolving issues in a more realistic and practical manner.
“Women easily communicate their issues to us. I am happy when I help others to live a better life, especially when daughters are treated well. Now that we have been given a chance to live a better life, we must walk forward together to build a progressive society instead of letting each other down. I wish to see an all girls’ educated and equality based society”
Improving teachers’ skills and knowledge is seen as one of the most important investments, of time and resources, that local, state, and civil leaders can make to education.
“The Teachers Training and the Master Teacher Training conducted by Community World Service Asia, was a new experience of professional development for us. With its focus ranging from classroom processes and structures to teachers’ personal and teaching traits, it taught us a lot. It was a learning opportunity for us teachers that was explicitly aimed at enhancing teaching skills and increasing student achievement,”
expressed Hameeda Memon, a 42 years old teacher at the Government Girls Primary School, Civil Hospital, Thatta.
Hameeda has been teaching for 23 years and has always been passionate about teaching.
“I was not familiar with the various teaching methods I learnt at the training. Our students have mostly been engaged in mindless memorization. The lessons were not properly understood and the students studied enough to achieve passing marks only. I wanted the students to enjoy their work but was unable to encourage them towards building interest in academic books,” added Hameeda, “In the teachers training, we were taught various theories and methodologies like students. We were the students this time. Morning meeting exercises and role play activities were conducted. We engaged in group activities and learnt how to develop low and cost no learning material. All this involvement through the interactive exercises increased our interest in teaching. That was when I realized how important it is to engage students in practical activities like these to keep their minds and bodies fresh to comprehend lessons better and achieve greater outcomes.”
Sessions on Gender education and Health Hygiene and Environment were the most informative and appealing content for Hameeda.
“It was the first time for me to learnt about these topics. We all were aware of the terms but we never studied them in our context. I now believe that these topics should be included in the curriculum to increase student’s knowledge on it as well. Teachers’ should emphasize on gender education and hygiene like they do on discipline and class work.”
Hameeda feels more confident and prepared about our classes after receiving the training.
“The Master Teacher Training was more about teaching methods and adult learning. It focused on planning and reporting skills of teachers for better class presentation and school management. These trainings have influenced our classroom practices significantly and have lead to improved student achievement. Zia, a student in my class, was very weak in her studies. She rarely spoke in the class and had difficulty in understanding her lessons. After the morning meetings and role plays, she started to speak up and participate in conversations. Today, she sits in the first row of the class and manages the black board and charts displayed in the classroom. Likewise, I have given other students certain responsibilities for classroom management. This ownership has motivated students to be more attentive.”
“Learning is a continuous process; more learning leads to better results. Even as teachers, we have a lot to learn and there is always room for improvement. If we are trained, we will deliver our lessons efficiently and more effectively, with the result being, our students benefiting in the long run. In addition, the reputation of the school will improve and the enrolment of students will increase. It’s a cycle of improvement at every stage. That’s why trainings like these should be an on-going process,”
Hasan of village Fazal Wadho, participant, expressed, “We were wasting valuable natural resources, but now I will utilize these resources for sustainable agriculture practices.”
Capacity building session on pest management in cotton crop at Central Cotton Research Institute.
Orientation in relation to different wheat production at Wheat Research Institute.
Dr. Muhammad Waris Sanjrari, Director, Central Cotton Research Institute with the participants of the exposure visit.
Lakhano Rabari, participant at the exposure visit, shared his views saying, “We have been engaged in the agricultural sector for decades but with limited knowledge. This exposure has enhanced our capacity and concepts in crop production technologies and pest management.”
Participants briefed about different wheat trails at Wheat Research Institute.
Briefing at Agriculture Training Institute about new innovation which indicates presence of water in different soil depths.
Dr. Muhammad Waris Sanjrai addressing farmers about Cotton Production technology.
Dr. Karim Bux Laghari sharing development of new wheat varieties at Wheat Research Institute.
An exposure visit of sixty farmers from Badin, Sindh, to the Central Cotton Research Institute, Agriculture Training Institute and Wheat Research Institute was conducted and facilitated in Sakrand last week of March under the Promoting Sustainable Agriculture Farming project supported by Canadian Foodgrains Bank (CFGB).
Mr. Muhammad Yousaf Channa, coordinator and senior Instructor for the Integrated Pest Management (IPM) unit at Agriculture Training Institute in Sakrand, facilitated the visit along with Community World Service Asia staff. The participants were welcomed by Dr. Abdul Waris Sanjrani, Director,Central Cotton Research Institute (CCRI).
The CCRI is engaged in multidisciplinary researches conducted in the field of Agronomy, Plant Breeding and Genetics, Cytogenetics, Entomology, Plant Pathology, Plant Physiology and a newly established section, Transfer of Technology. Since its inception, the Institute has successfully evolved considerable number of high yielding cotton varieties at required fiber qualities. Abdullah Keerio and Saira Bano, Scientific officers at the Institute, introduced production technology to the participants. Shah Nawaz Khoro, Senior Scientific Officer, explained Cotton Insect pests. A documentary was also screened showing the cotton production technology.
Abdul Wahab Soomro and Vishandas Suthar, also Scientific officers at the Institute, facilitated the participants through their visit of the greenhouse placed with parental genes of cotton plants imported from various countries for development of further progenies. The Glass house was another visiting site in the location where cotton cultivars were planted in winter in controlled environments to save the time required for evaluation of new variety. The participants were amazed to visit the Cold Room where decades old cotton seeds are preserved.
At the Agricultural Training Institute (ATI), the group of visiting farmers was welcomed by Dr. Ghulam Mustafa Jamali, Principal of the Institute (ATI). The farmers were briefed about the integrated crop and pest management process and systems by the coordinator at ATI and experienced new procedures of organic backyard gardening, compost making, optimum use of available waste resources for more productive plantation and innovative methods to measure soil moisture. At the Wheat Research Institute, Dr. Kareem Bux Lagari, briefed the participants regarding the varieties of wheat grown in experimental fields and demonstrated how different strains and wheat are developed. The farmers then visited the demonstration field where production technologies were functioning and lastly to the Wheat Museum where a large variety of wheat was on display.
The Sindhi farming community is very apprehensive about the current cropping season. They are looking for best suitable crop varieties in accordance to the soil composition and the changing climate. Previously they use to purchase any variety of plant to yield but these exposure visits have made the farmers more aware about seed selection and crop management as per changing seasons. Moreover, the farmers are now planning to use waste material for crop and vegetable production. One of the participant has already started making compost from the waste material and is planning to go for ridge sowing in the following wheat season to collect a good yield.
The people of Sindh are likely to experience another wave of extreme heat for the third consecutive year – albeit 2 months earlier than in previous years – as the mercury surged to unseasonably high temperatures on Monday, April 10, 2017.
The Met Office reported that Karachi would experience hot to very hot weather on Tuesday (today) and the maximum temperature would range at 42°C, with humidity, and a “real feel” averaging in at 44°C. In view of the forecast, the mayor of Karachi announced setting up 12 centers in the city’s hospitals for heatstroke patients and the Provincial Disaster Management Authority (PDMA) is spearheading contingency plans across Sindh.
In other parts of the province, Sukkur, at 46°C, as well as Hyderabad and Nawabshah at 45°C are recorded among the hottest places in Sindh today. Government officials fear that the coming three days would be highly critical and have ordered all hospitals across the province to be on high alert.
Weather forecasts for the coming 10 days indicate that temperatures are expected to soar even higher. In districts Tharparkar and Umerkot of Sindh, expected temperatures will be 44-45°C from the 12th through the 16th, accelerating to 47°C from the 17th through the 19th. Temperatures in Shaheed Benazirabad District (formerly Nawabshah) are predicted to increase to 45- 46°C from the 11th through the 14th, rising to 46 – 47°C from 15th through the 19th. Temperatures are predicted to begin to decrease steadily from the 20th through the rest of April.
When the human body’s core temperature exceeds 40 degrees Celsius it becomes very difficult for the body to cool itself. This can lead to heat exhaustion, heat stroke — and often even death. Young children, the elderly, persons with pre-existing conditions such as heart disease and diabetes, and, persons working outdoors are particularly vulnerable to heatstroke. Women are more susceptible than men, and the obese are also more susceptible to heat exhaustion and heat stroke. Contrary to popular belief, electric fans are more harmful than do good during periods of extreme heat, as blowing hot air decreases the body’s ability to cool itself.
A severe heat wave with temperatures as high as 49 °C (120 °F) struck southern Pakistan in June 2015, resulting in the deaths of more than 1,000 people from dehydration and heat stroke, mostly in Sindh province and its capital city, Karachi. The heatwave also struck the same region in 2016; however, due to good coordination and anticipatory response, mitigation measures and awareness raising campaigns, few human lives were lost.
Community World Service Asia Response:
Community World Service is closely monitoring the situation through close contact with the local authorities and will react accordingly. Community World Service Asia provided preventive and curative support to people affected or at-risk of the heatwaves in 2015 and 2016.
Contacts:
Karen Janjua Senior Program Advisor
Regional Programs and Resource Mobilization
Email: karen.janjua@communityworldservice.asia
Tel: +92 51 230 7484
Palwashay Arbab Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Tel: +92 42 3586 5338
Health & Hygiene session in the catchment area of RHC Dhoronaro.
Family planning session for women project participants in RHC Hyder Farm.
Health & Hygiene session in Village Nabisar with women project participants.
The school children actively participated in the Health & Hygiene sessions.
Roles and responsibilities of health committees being discussed with the communities.
Project Manager meeting with health committee.
Project Manager and Quality & Accountability Officer meeting with communities.
Prescribed medicines are provided to the patients (women) at all Rural Health Centers.
Patient Treatment by lady doctor at RHC Hyder farm.
Village women health committee formation process underway.
According to the Pakistan Demographic and Health Survey (PDHS), 2012-13, maternal and child death remains a major concern in Pakistan. In the provincial public sector, health services are provided through a tiered referral system of health care facilities; with increasing levels of complexity and coverage from primary, to secondary and tertiary health services. Primary care facilities include Basic Health Units (BHUs), Rural Health Centres (RHCs), Government Rural Dispensaries (GRDs), Mother and Child Health (MCH) Centres and TB centres. Most of these public health facilities lack the provision of a broader range of preventive and curative health services.
Community World Service Asia conducted a baseline survey in first year (2015) of its health project inception in Umerkot and these are the major findings of the study:
Very few, small private clinics operational in some villages of the targeted Union Councils. These clinics are not affordable for most of the community members (selected in the sample size) as they have low monthly incomes, with an average of only PKR 8733
According to 91.7% of the respondents, there are no antenatal services. 99% of respondents replied that there are no postnatal services. 5% reported the absence of delivery services whereas 96.1% reported the absence of family planning services
100% of respondents replied that there are no women medical officers available at the health facility, whereas, 76.5 % reported the absence of Lady Health Visitors (LHVs) in the health facility. A 99.5% and 81.4% responded positively to the presence of male doctors and Medical Technician (MT) respectively
5% respondents raised the need for a presence of medical staff to improve health services in the area
8% respondents raised the need for provision of essential medicines, whereas 37% believed that the provision of 24 hours emergency services were essential to improve the quality of services
2% of the respondents believed better infrastructure and cleanliness of health facilities were key to further improving the overall health services of the area
What is the project doing?
After analysing the results of the baseline survey, three Rural Health Centres (RHCs) were set up by Community World Service Asia, with the support of Act for Peace. All three of these RHCs are functioning with a focus on delivering primary healthcare services in the district of Umerkot.
The health facilities established, have deployed Female Medical Officers (FMOs), LHVs and Medical Technicians in their centres at Hyderfarm and Nabisar Road along with providing medicines. In RHC Dhoronaro, a lady doctor sits in shifts and rotationally visits the centre as well.
The social mobilizers, under the project, have formed two Health Committees in addition to the existing six committees formed last year. An advocacy forum has also been developed at district level to address emerging health issues. The village Health Committees and advocacy forum consists of eight to ten members including both men and women activists from the community, who are responsible to facilitate and support health services provided under the project. The village Health Committees meet monthly, with facilitation of the community mobilizers, and share their committees’ progress, problems and challenges and plan for the next month. A total of eight village Health Committees and a district health advocacy forum are running actively and meet regularly at the health facility. They conduct joint meetings in the villages on a fortnightly or monthly basis to discuss the pertaining issues regarding health and other community based problems. These meetings are properly documented and shared with the project management team. The discussions of these meetings are recorded for further planning, improvement and implementation of the project activities.
Clinical support is also given at these curative and preventive RHCs with focus to Maternal, Newborn and Child Health (MNCH) services. These services are delivered by women health staff comprising of FMOs and LHVs along with two medical technicians and one male and one female social mobilizers. The main focus of the services is on reproductive health of women of childbearing age.
Recognizing maternal, neonatal and child health care as a major component of the health services, the project team provides antenatal and postnatal assistance to local women. Complicated cases are referred to the secondary level health care facilities in the area. The MNCH services at the RHC focus on continuum of care including family planning, pre-pregnancy, pregnancy, labour and childbirth, postpartum, newborn care, and child health and support high-impact, evidence-based interventions that saves lives.
Health education sessions are being conducted for men, women and children at the health facilities, in the surrounding villages of each RHC and at schools. Major topics on health education, such as Personal Hygiene, Family Planning, Reproductive Health, Hepatitis, HIV/AIDS awareness, Importance of Breastfeeding and Safe Drinking Water, with emphasis to prevalence of the disease, have been included in the IEC materials developed for building the knowledge of the communities. Through general OPD, patients are treated and facilitated along with being provided necessary medicines.
The project team assessed the nutritional status of women and children under five, of all the three RHCs, through analysing their medical history, physical examination, and height to weight balance and various other parameters. The patients are then referred accordingly to different NGOs, providing nutritional care, based in the district. More complicated cases are referred to District Headquarter Hospitals of Umerkot and Mirpurkhas. Counselling sessions to malnourished, lactating and pregnant women are also provided. Children under the age of five are facilitated with de-worming medicines and family planning services are being provided to women by LHVs across the three healthcare facilities. The LHVs brief the women from these communities on the importance and benefits of family planning and the various, free of cost methods available for family planning at the health facilities.
What have we achieved so far?
The availability of services such as primary care, behavioural health, emergency, and public health services are a basic human right which must be provided to all. The project has worked towards providing this basic right and has achieved the following so far:
12,156 community members provided with curative and preventive healthcare services
11,307 individual have participated in health education sessions
2,414 women provided with antenatal and postnatal services
868 individuals have availed family planning services
5,426 women and children were assessed for nutritional balance
42 baby deliveries conducted at the health facilities
25 delivery kits were provided to women as per criteria
Participation in seven coordination meetings with line departments, other NGOs and civil society organizations working at district level.
Community World Service Asia is implementing the project through its own staff, including two lady doctors, three LHVs, two Medical Technicians, two community mobilizers and a manager located in Umerkot. They are implementing the project with equally involving the Health Committees and District Advocacy Forum. The health team continues to maintain regular dialogue with the government line departments at the Federal, Provincial and District levels to ensure the efficacy and implementation of the program. Regular coordination meetings are held between key, district stakeholders including NGOs and civil society organizations.
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