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Background:

The current monsoon spell that started in the second week of July 2022 has caused widespread flooding and has led to extensive human and infrastructure damage across many parts of Pakistan. The Government of Pakistan estimates that around 33 million people across the country are affected by the rains, floods and consequent impacts such as landslides. More than 421,000 refugees living in calamity-declared districts are also affected or at risk. As of August 2022, some 6.4 million people are estimated to need of assistance.[1]

According to the National Disaster Management Authority (NDMA)’ Monsoon Situation Report on August 30, 2022, around 1,057,388 houses were damaged (including 324,386 fully and 733,002 partially damaged). In addition to this, around 5063 KM roads have been washed away, 243 bridges have collapsed, and 730,483 animals have died.

Southern and central Pakistan have been most affected, particularly Balochistan and Sindh provinces. Balochistan has received 5.1 times its 30-year average rainfall as of 27 August, while Sindh’s is 5.7 times its 30-year average. b

Death and injury is extensive and likely higher because of unreported number in Balochistan, Khyber Pakhtunkhwa (KP), and Sindh provinces. In the same vein, livestock and agriculture was impacted threatening food security. In addition, the floods are expected to strain existing healthcare services as gastrointestinal illnesses, malaria, skin infections, snake bites and injuries are anticipated to increase significantly.

Current situation and implications for Pakistan, Sindh province

Sindh province is affected most adversely by heavy rainfall and resultant flooding in Pakistan. Over 110 districts have declared a state of emergency in Sindh province. According to the Provincial Disaster Management Authority of Sindh, over 240,000 people remain displaced in the province as of 3 December 2022. Nearly 90% of flood-displaced people are reportedly with host communities, while the remaining are in tent cities and relief camps. While receding flood waters have allowed millions of people to go home, there are reports of significant service gaps in areas of return, in addition to extensive impacts to homes, agriculture, and livelihoods. In general, access to clean food, water, clothing, shelter and the ability to find safe areas to rest and sleep has and continues to be a challenge.

Public health concerns are high due to damaged infrastructure, stagnating water and inadequate sanitation facilities. In Sindh, between July and early October, nearly 350,000 people were suspected of having malaria, more than 700,000 had some form of diarrhea, and over 770,000 people reported skin-related diseases. The practice of open defecation has increased from one-fifth before the floods to over one-third of the affected population, with 6 million no longer having home sanitation facilities.[2]

Women and girls are vulnerable to sexual exploitation and abuse because safeguarding measures are not designed into the programmes by the organisations. Protective mechanisms such as safe spaces and support services have either been destroyed or no longer exist. Moreover, women play a large role in the household, as such, access to clean water for cooking, cleaning and toileting no longer exist. Similarly, the services such as information provision, participation, and feedback are unavailable to them and other vulnerable groups resulting in being excluded from the participatory approach at all levels.

Overview of Damage in Sindh (according to Provincial Disaster Management Authority (PDMA) Sindh from June to Dec 2022)[3]:

  • 8,422 people injured
  • 801 deaths
  • 436,435 Livestock Perished
  • 642,672 houses partially Damaged, 1,415,677 houses fully damaged
  • 3,777,272 acres of land damaged
  • 12,356,860 people affected
  • 194,562 people displaced
  • 59 health facilities fully damaged and 461 partially damaged[4]

Geographical focus of CWSA: Sindh, Pakistan

Recommended programming for recovery and rehabilitation in the following areas:

  1. Food/cash assistance – to reduce food consumption gaps and supporting populations as they restore livelihood and/or livestock.
  2. Reconstruction/rehabilitation of livestock and agriculture – replacement of lost livestock, rehabilitating surviving livestock, restoration of agricultural produce, reconstruction of animal shelters, re-establishing irrigation infrastructure and equipment as part of restoring livelihoods amongst impacted populations.
  3. Cash assistance/cash for food/cash for work – These efforts are targeted towards disaster risk reduction (DRR) in that strategies are implemented to prevent new disaster risks, reducing existing disaster and managing residual risks in order to strengthen resilience and reduction of disaster related losses.
  4. Shelter – with the view of mitigating gender-based violence, exploitation of children etc. as a consequence of displacement. Moreover, the provision and utilization of shelter packs that are procured using local materials to flood-proof homes as part of overall DRR strategies.
  5. Healthcare services – provision of essential medicines, menstrual hygiene products, and malarial treatment in an effort to support existing medical services. In addition, leveraging existing public health clinics and local government facilities that are in need of rehabilitation and improvement. Integrated Sexual Reproductive Health (SRH), clean delivery kits/newborn baby kits, capacity building of local health workers (LHWs, Marvi workers).
  6. Quality & accountability (Q&A) – To mainstream Q&A across humanitarian organizations and Accountability Learning Working Group (ALWG) organizations, systems, tools, procedures and standards and to undertake capacity building in Q&A and Safeguarding of staff. Also, to develop resources in local languages for dissemination on a wider scale.
  7. Education – De-watering, cleaning, and disinfection of schools to facilitate the resumption of educational activities in a safe and healthy learning environment, distribution of educational teaching and learning materials, training teachers on psychosocial support, multi-grade teaching and teaching in emergencies, training and mobilization of School Management Committee (SMC) members on psychosocial support, safe school reopening, and functioning of schools. Programs to build teacher’s capacity on the learning environment, teachers’ trainings on positive learning environment (PLE), teachers training on early childhood care and education (ECCE) and play based learning activities.

[1] https://reliefweb.int/report/pakistan/pakistan-2022-floods-response-plan-01-sep-2022-28-feb-2023-issued-30-aug-2022

[2] https://reliefweb.int/report/philippines/asia-and-pacific-weekly-regional-humanitarian-snapshot-25-31-october-2022

[3] https://reliefweb.int/report/pakistan/provincial-disaster-management-authority-pdma-sindh-daily-situation-report-december-14-2022

[4] https://reliefweb.int/report/philippines/asia-and-pacific-weekly-regional-humanitarian-snapshot-25-31-october-2022

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In 2021, the drought killed their three-acre crop and with it their hopes for food on their plates. But Kasturi and her husband Khamiso, who is diagnosed with acute asthma, considered the family fortunate to be project participants of  Community World Service Asia (CWSA), PWS&D & CBGB’s[1] food aid programme starting in April and spread over six months. In  September with her fractured arm still not fully healed she had not returned to her work as a midwife.  Though at the rate of PKR 500 (Approx. USD 2.23) at most for a delivery and two to three cases per month, she was making very little, but even that was not to be sniffed at and she was keen to return to her work. Her orthopedic surgeon, however, told her she would not be able to resume work before February 2023. 

With their son grazing a livestock owner’s twelve cows for PKR 400 per cow per month, the family at least had a steady income of PKR 4800. Living with the hope that the summer monsoon will not fail, the couple worked their three-acre spread and sowed it with guar, mung and millets in June 2022. After a long time,  heaven was benevolent and they saw the seed sprout and grow as it had not been seen in years. 

But when the rain did not stop for four straight days, their chaunras (Hut) began to collapse. So great was the rain and so excessive its weight on the thatch that half a dozen rafters simply cracked under the strain. As the downfall began, the August installment of ration aid came in the way and the family lost the entire supply of wheat flour. Kasturi, forever looking at the brighter side, said all was not lost for she fed the flour to her goats. As for the rice and lentils, that can easily be cleaned and used. 

The last food aid was due a few weeks after this interaction and Kasturi was of the view that it would see  them through to the time that the first of their millet will be in the grain silo. When their entire lot is harvested and their larder and silos filled, they will dispose of the rest against cash. As all desert dwellers know that the rafters are the major rebuilding expense and some of that income will go to providing the PKR  30,000 (Approx. USD 13.35) to make their homes habitable again. That is a good deal better than the drought.  If the rains destroyed their shelters, at least they were enough to give them a harvest as they had not seen in many years.

[1] Presbyterian World Service & Development & Canadian Foodgrains Bank

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Shehdev of village Veri Sal Sarety lying 6 kilometres southwest of Umerkot, the second youngest of seven brothers is a bachelor while all the others are wedded. One of them passed away some years ago leaving behind three little children. Then the widowed mother walked out of the home leaving her children in the care of their uncle. Shehdev thus cares for four souls that includes these three children and his mother. Herself illiterate, the mother is a remarkable women for she and her husband had worked hard to educate all her seven sons. No surprise then, that Shehdev is a matriculate.

Shehdev works as a bricklayer wherever he can get work. And this is mostly in Umerkot, 6 kilometres away. With the fare being PKR 60 (Approx. USD 0.27) out and back, his daily wage varying between PKR 800 and PKR 1000 (Approx. USD 3 and 4.45), is enough to put reasonable food on the table for the five-member family. To supplement this income, Shehdev’s mother goes to the flooded cotton fields to pick the ripe crop. She knew the flood has caused venomous snakes to take refuge among the vegetation, but the work cannot be given up, especially at a time when other work is hard to find.

In July, the deluge came and construction work came to a halt. Some little savings from his work helped Shehdev and his family make it through the first couple of weeks before things began to get difficult. Had there not been some work helping local landowners drain their flooded fields and for his mother to endanger her life in the cotton fields, Shehdev would have gone under debt.

In early September 2022, food was the least of Shehdev’s worries because his mother continued her work and brought some cash. He was more concerned with the rebuilding of his collapsed home. Sahehdev, now living under a makeshift tent on higher grounds nearby to escape the flood waters, admitted the cost would be negligible because the clay for the bricks was locally available and the rafters for the collapsed roof were undamaged. Being a bricklayer himself, he was better acquainted than most with the work and as soon as he got some cash, he would begin reconstruction. If only his two yearling bulls had not died during the rains, he could have easily disposed of them for a neat PKR 70,000 (Approx. USD 312) and raised his home in quick time. But without that ready cash gone, he has to rely for cash from his mother’s farm work and himself if he is called to help drain a field. Shehdex, who is now supported through one of Community World Service Asia’s development projects, will only be able to return to work as a bricklayer when construction begins again after the last crowds have dissipated.

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The death toll from the Pakistan floods is now recorded at 1,700, with over 33 million people affected. Quoted as the ‘tenth costliest’ disaster in a decade with some areas still under flood water which could possibly take a few more months to recede. Areas where flood waters have receded, the needs of children and women are becoming more and more urgent and critical. Malnourished, hungry children are struggling to fight against malnutrition, diarrhea, malaria, dengue fever, typhoid, acute respiratory infections, and painful skin conditions.

Millions of agrarian communities have lost their homes and livelihoods and have no access to food, shelter, or clean drinking water.

Community World Service Asia, with the support of its partners, is on the ground in Pakistan, providing immediate support to some of the most hard-hit and remote flood-affected communities.

Our response is currently focused in four districts of Sindh, the province most severely hit by the disaster. We have deployed seven Mobile Health Units (MHUs) that are operational across Mirpurkhas, Matiari, Umerkot and Khairpur.

The Mobile health Units are providing curative and preventive health care through experienced and trained health and medical practitioners to flood-affected communities living in temporary shelters and camps as well as communities that are currently hard to reach due to stagnant flood-water.  The most common illnesses reported at the MHUs since its operations are skin diseases, diarrhea, malaria, eye infections, and more. We are also conducting health awareness sessions on common diseases found in the area such as scabies, malaria, diarrhea, Acute Respiratory Infection (ARI), hepatitis C as well as on family planning, malnutrition, maternal and neonatal care.

CWSA’s Emergencies teams are closely working with government health departments to identify areas and communities who are still left unreached. Further needs assessments and participants selection is underway with the engagement of affected communities for our cash support projects which will also start implementation shortly.

28,007 Flood affected people reached through MHUs

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Twenty-five year-old Vadhri of Rohiraro rarely leaves home. Even though her village is just sixty kilometres southeast of Umerkot, she has not been to town for a couple of years. She may have had some liberty had her husband been alive, but since his death in 2018, she has been under the constant watch of her meddlesome, overbearing father-in-law.

Vadhri’s husband was a maker of the famous farasi (camel and goat hair carpet) of Sindh. Working ten hours a day, seven days a week, he made around PKR 4000 a month (Approx. USD 20). Though it was a pittance for the masterful work he was doing, he kept at it but remained perpetually in bondage to the middleman who provided him the required materials for the product. To this loan shark he was obligated to sell his produce at a price set by the buyer. That, it goes without saying, was considerably lower than the market price. Like hundreds of other Meghwar men engaged in this craft in Umerkot, he was too poor to procure the materials and become independent of the exploitation.

What little time he got, he laboured in the five-acre plot of land he owned in the village. Long years ago, when his father was a young man, rains were timely and plentiful and this holding provided the family with sufficient food for the year. But things had changed and now there were years when rains failed and he lost what he had invested in his land.

Meanwhile, even the priceless and exquisitely beautiful farasi was going out of fashion. Once a prized adornment in any self-respecting Sindhi home, its demand dwindled and craftsmen turned to other professions. Vadhri’s husband resolved to become a driver. From what he knew, that was a line of good and regular income. But to be a driver he did not have to go to school. All that was needed was to attach himself to a vehicle as helper to the driver.

The rules for this apprenticeship are that he was to clean the vehicle, fetch the master his cup of tea and food and be much like a slave. The master considering he was doing the apprentice a favour by teaching him a valuable skill, did not pay any salary. And so from being a slave to the farasi middleman and making a meagre living, the man became a slave to the driver without a salary.

Over time, he was permitted to do a little bit of reverse and forward practice in the village. But before he could actually master the skill, misfortune struck. On a journey perched precariously atop some baggage on a desert road, the vehicle he was riding struck an unseen speed breaker. The jolt threw the poor man onto the road where he quickly gave up his ghost because of a head injury. He was barely twenty-five years old.

Vadhri was left alone to fend for herself and her three little children. It was just as well that she was a skilled embroiderer of the prized Sindhi cap. But she too was in bondage to the buyer who supplied her the materials and purchased each complete piece for PKR 800 (Approx. USD 4). It took Vadhri a week to finish one cap, but there never was a month when she had work all four weeks. Her income therefore floated around PKR 2500 per month (Approx. USD 12).

She was fortunate to receive the monthly monetary aid under the Benazir Income Support Programme1  (renamed Ehsas) which allowed her to maintain her eldest child in the local school. Evidently a very foresighted woman, Vadhri dreams of enrolling the other two when they reach the age because, as she says, it is only be through education that they will break the shackles of poverty.

Despite the BISP support being just PKR 1000 per month (Approx. USD 8) and her own income only a little more, Vadhri, began to put away little by little. When she had saved about PKR 5000 (Approx. USD 24), she started a small general merchandise store in the village. This she gave to the charge of her father-in-law. Once again, the profit was not consumed but ploughed back into the business to constantly increase it. Meanwhile, she herself continued diligently with her cap making to feed her family.

But PKR 2500 Approx. USD 12) can scarcely keep a family of four fed for a month. Therefore, while she restricted herself to two meagre meals a day, she ensured that her children were fed as best as they could be given the tiny resource. And so, if the CWSA field staff picked a deserving candidate for food aid under the Humanitarian, Early Recovery, and Development project, it was Vadhri. This was just in time because the PKR 7000 (Approx. USD 34) accrued from selling her 2021 autumn crop of millets, guar and lentils was all but used up over the winter when children need more nourishment.

Since April 2022, her three children have food much better than they had ever had in their lives. Vadhri herself is now eating three meals a day. In mid-May, her larder still contained some of the supplies of the first handout even as she expected the second instalment the next day. She will not have to sell her goats to feed her family, she says. Why, in those difficult days of the Corona virus she had to sell two of her eight goats and had fretted that she soon might be left with no goats at all.

In May 2022, with food secured, Vadhri was yet putting away all her cap income for she had no idea how much longer the food aid would continue. There will be a time she will have to buy her own food for which she needed to save up, she said. Her next concern was that the PKR 500 (Approx. USD 2) that she spends every month on her school-going child should always be at hand. Soon the next child too will be eligible for enrolment. The food aid has made that possible.

Meanwhile, as her store continues to grow, one can only wish her well and would like to see her blossoming into an entrepreneur in a year or so.

1 The Benazir Income Support Programme is a federal unconditional cash transfer poverty reduction program in Pakistan.

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Local and national non-profit organisations and Disaster Management Authorities (DMAs) are most often the first responders to a disaster, besides communities themselves. While being at the forefront and equipped with rich indigenous knowledge and experience, they face a multitude of challenges while responding to multiple crises due to institutional and staff capacity constraints. “Local organisations are often focused on their project work and have limited resources. The knowledge and opportunities to mainstream accountability in their working mechanisms is limited and complying with all international standards becomes difficult. Therefore, there was a need for formal capacity building of local organisations and disaster management authorities, on quality response and accountability to affected people” says Aamir Malik, Director RAPID Fund, Concern Worldwide.

As a Core Humanitarian Standard (CHS) Alliance member and Sphere regional partner and focal point, Community World Service Asia partnered with Concern Worldwide (CWW) to augment the skills and competencies of Concern’s staff, their partner organisations and DMAs, on Quality and Accountability to Affected Populations (Q&AAP) through a series of workshops. “Concern assessed institutional needs for training and identified gaps between project interventions and the application of Quality & Accountability standards. Concern collaborated with Community World Service Asia, who already have substantial expertise in the field of mainstreaming Q&A, Sphere, and Core Humanitarian Standard in humanitarian action,” shared Ishtiaq Sadiq from Concern Worldwide.

After an MoU was signed between the two organisations in 2019, a thorough consultative process between the two parties took place. Multiple meetings were arranged to discuss and finalise course outlines of Q&AAP trainings; complete workshop materials were developed and finalised as per CWW feedback. During the COVID-19 pandemic in 2021, the trainings transitioned into a virtual model. Since the start of the collaboration, eight workshops have been conducted for 187 participants representing 87 different partner organisations from Sindh and Balochistan as well as PDMA Sindh. These workshops aimed to raise awareness on key standards such as Sphere and the CHS that support organisations with effectively mainstreaming and implementing quality and accountability through a people-centred approach. Through the learning series, participants were enabled to outline opportunities and challenges in implementing Q&AAP, and were provided a platform for experience sharing and peer learning on its practical implementation

Participants strengthened their skills on Q&A standards and commitments and learned to apply them according to their contexts. They also designed a Q&AAP learning action plan tailored to their specific needs and identified ways of collaborating and coordinating with other partners to improve Q&AAP in a response. “We not only designed a training workshop for the participating organisations, but we provided technical support in mainstreaming the standards in the organisation systems and policies,” shared Aamir.

Concern’s Rapid Fund collaborated with CWSA on its Q&A interventions and jointly developed a plan for its implementation. CWSA conducted the Q&A focused trainings for them with the facilitation of the Rapid Fund team.

Lessons Learned; Improving Accountability Together

A virtual meeting was held in June 2022 to draw conclusions on the workshops’ successes and failures to improve content and resources for future workshops. During the meeting, the objectives and methodology of the workshop were shared, the draft content was presented and analysed and results and challenges thoroughly discussed. By the end of the meeting, recommendations for future learning events were brainstormed and shared.

Participants’ Selection, Self-Assessment and Pre-Training Coordination

Gender balance was ensured during participants’ selection which was done based on relevance and experience of the training topic allowing richer, more contextualised discussions and peer learnings.
Self-assessment done by each participating organisation to evaluate its structure, policies and procedures was an effective tool to gauge organisational standing on Q&AAP and identify improvement areas. This led to effective development of training plans and agenda based on participants’ needs and expectations.

Resources such as Sphere handbooks shared prior to the training were useful, allowing participants to review them and come prepared with some knowledge of the topics to be discussed. WhatsApp groups were created for participants, which allowed peer learning and continuous coordination.

Workshop Assessment

Appropriate time allocation and pace, and recap of learnings from the previous day played a key role in keeping participants engaged throughout the workshop and ensured consistent productivity during the sessions. The workshops were conducted online for which orientation on Zoom was given to participants in addition to provision of internet devices to prevent technical glitches. The training was made interactive and engaging through open discussions, breakout rooms and utilization of Google Jamboard. Comprehensive sessions on Prevention of Sexual Exploitation and Abuse (PSEA) increased awareness of most organisations. Case studies for Q&AAP guidelines were shared from the Asia Pacific region such as a CRM developed by World Vision in Sri Lanka, giving participants contextualised and local examples from the region.

Pre- training resource sharing proved to be effective and were used post-training by participants to refer to guidelines, standards and other tool kits. The pre and post tests were easy to take/complete.

Institutional Capacity Strengthening

Upon training completion of each module, a technical assistance phase was launched within a couple of months that offered coaching and mentoring support to organisations in developing and updating Q&AAP related guidelines, namely a Code of Conduct (COC) and Complaint Response Mechanism (CRM). CWSA provided inputs and guidance through sharing of templates, sample documents and key notes to participating organisations throughout the process; their progress was regularly monitored until final submissions were made by each of them.

Updated policies of organisations were appreciated by networks and funding partners. It also paved way for more effective implementation of Q&A tools and techniques in organisational processes and policies.
The ARTS Foundation did not have a CRM prior to the workshop; they utilised the draft shared with participants during the technical assistance phase to develop one from scratch. SHIFA developed specialised policies on each topic as the organisation had a joint policy before the workshop. Community Development Foundation (CDF) developed its COC and CRM policies which provided them a pathway to apply for CHS Alliance membership.

Key Learnings & Takeaways:

“The participating organisations are now more familiar with globally recognised Quality & Accountability initiatives including Sphere, Humanitarian Standard Partnership (HSP) and Core Humanitarian Standard (CHS). Organisations have also mainstreamed CHS and the Sphere handbook in their newly developed or revised policies and guidelines on CoC and CRMs for improved accountability towards the communities they are serving.” Speaker/Technical Expert on Q&A

“Nari Development Organisation (NDO) has established a CRM and placed complaint boxes within the office and the communities we are working in. We are also conducting orientation sessions with the NDO staff and communities regarding the new CRM policy and its processes. This initiative has mainstreamed accountability towards the communities and staff we work with and ensures a people-centred approach.” Zahid Hussain, Nari Development Organisation (NDO)

“Every action has to be guided by the common belief in the equality of all people, the inviolability of their rights and the right of each individual to self-determination. In the spirit of solidarity and humanity, the goal of every organisation is to improve the lives of people in the places where they can work. This workshop provided guiding tools, such as CoC and CRM, which allowed us to mainstream accountability in all the work we do. We updated our existing policies and adhered to the CHS and Sphere standards to better respond and allow community voices to be heard.” Liza Khan, Community Development Foundation (CDF)

“The extensive feedback we received on our existing CoC and CRM allowed us to mainstream CHS and Sphere Standards in our revised policies. Moreover, we receive all kinds of complaints. Some are relevant to our work and some do not relate to our work. There have been instances when we have received fake complaints as well. Organisations should be able to differentiate between these complaints and address them equally and in a transparent manner.” Gulab Rai, Sukaar Foundation

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Some six hours from Karachi, we set foot on a wooden boat to sail through a village that was drowning in water. A village that could never have been imagined to be sailed through instead of being walked through. A village that once was home to over 2700 people and more than five hundred families. A village with green, fertile lands for pasture and two neatly built public schools for the children who called this village their home. A home that was no more for many.

After sailing for more than two kilometers through what seemed like a deserted ghost town, with houses half submerged in water, tree tops peeking out from under, an eerie sound of insects and nothing but mucky brown water under us, we reached a house which showed some sign of life and sound. The only inhabited house in the entire village. As we carefully stepped out of the boat, directly into a portion of the house, we were warmly greeted with a smile and a hug by an aging woman. She was Tejan, the proud owner of this fairly large house with five to six rooms surrounding an open patio in the middle.

The floors were muddy, with standing water in most parts of the house and in the patio laid some charpayis1 which had silver utensils lined up, like they were just washed. Tejan quickly commented, “We just got done washing all the utensils”. To which our natural question was how and with what they were washing their utensils and clothes (as those were also hanging freshly washed on the ropes in the courtyard). “We use this water (pointing at the flood water settled around their house). This is the only water we have access to. We use it to wash clothes and to bathe. We try to keep it in the sun so that the dirt settles down first. We used to have a water reserve (pointing at a water tank) but with the rains, it leaked and all the dirty water got mixed into it. So we have no option but to use this. We use it for cooking too.”

We were soon joined by a group of more women – young and old, living in the same house. Some six to seven families, all related presumably, lived in this once lively house. All the women were cheerful despite the experiences they had recently lived through and the conditions they were currently living in. These women, along with a few small children (a baby, one slightly older and a 13-year-old), were the only ones who had ‘willingly’ stayed back when the entire village was evacuated by army helicopters some three weeks ago. When asked why they had stayed back, they said they had to protect their home and their belongings and could not leave it to the water to take away.

After more casual conversation, it was revealed that this household belonged to a Baloch tribe, who are traditionally considered more conservative in this area, and Baloch women ‘never mingle with men from outside their community’. It was due to this very reason that these women, along with most of their children and babies, were ‘asked’ to stay behind and protect their assets so that they are not exposed to other men and other communities living in emergency camps or outside on the roadside (where many families of this village had temporarily settled).

Tejan is a widow and mother of eleven children, most of them married. Two of her sons live in this house with them. One of them, who works at a government office, returned to his job after the rains to ensure some livelihood remains. The other son, who relied mostly on their livestock and small agrarian garden, has temporarily settled on the roadside in a self-made tent with his children to get whatever in-kind support he can from government agencies, good samaritans or charity organisations passing by.

Since the monsoon rains hit their village two months ago, Tejan’s brother has been occasionally supporting their household – he sends in some dry food (like flour, lentils, sometimes milk) and water. The water he sends is treated like “holy water”, Tejan laughed. “We use it very sparingly as we know it cannot last all of us (women living here and children) very long. I do not think my brother can also keep supporting us more. His own house and lands have also been affected.”

With increasing food insecurity by the day, the iron ladies of this house must ensure that the food they get in charity must last them long enough to sustain as they have no idea when the water around their house and in their village will recede, or when they will receive proper help and aid. They are living in constant uncertainty. The only hope they have is their prayer and the belief that help will come. “We mostly eat one meal a day. That meal consists of some flour we cook together with chopped onions, chillies and rarely tomatoes (chutney). We cook all of it together because we do not have enough fire-wood or fuel so we cannot waste it on cooking roti and curry separately. The chai we make is not what we used to have before. Our chai was very good, now it’s just like warm water.”

“Many of us have not stepped out of this house since the floods. We stay here and look after the house and the little children. We do not let them go out much and have to guard them well as there are many snakes in the water that come to our house too. We have heard that a lot of the children in our village have also gotten sick. Moreover, just one trip, one side of the way, costs 50 rupees (US $0.21) per person. We cannot afford this ride up to the road so we let our sons and men bring to us what we need and what they can bring,” shared Tejan.

Skin and eye infections have become increasingly common among displaced residents of this village. Even the families living on the road cross through the water now and then and are exposed to all sorts of water borne infections. Tejan confirmed that the younger mothers in her house needed health and medical support, especially the ones with small babies. They could not afford going to the roadside in a boat, let alone traveling some far distance to a hospital.

While proudly walking us through her house, Tejan stopped at a door. A door that once led to her backyard blooming with fresh vegetables. With tears in her eyes, she showed us how it was all under 8 to 10 feet of water. This house was once her sanctuary, a place she was proud of and where all her happy memories were lived. If given a choice, she would never leave this house but living in the current conditions was challenging. They were without clean water, food, clean clothes, a secure house and a livelihood. The walls of their house were leaking and most of their outer walls were totally damaged. The only thing still intact was their dignity and that they will not let go off.

[1] A traditional woven bed used across South Asia

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Pakistan has endured intense rainfall and severe monsoon weather since June 2022, causing catastrophic flooding and landslides across the country. As of 13 September 2022, an estimated 33 million people have been affected, with 6.4 million now requiring humanitarian assistance. Sindh has been hardest hit by the floods, with the southern province accounting for 88% of damaged or destroyed houses and the highest number of casualties.

While the severity and magnitude of the current crisis is extraordinary, the disaster-prone country
frequently experiences floods triggered by seasonal monsoon rains, with some of these events causing
major humanitarian crises. In 2010, floods submerged one-fifth of Pakistan’s land mass, directly affecting
20 million people.

The situation for people and families often worsens after a flood as survival forces unthinkable decisions
such as selling remaining possessions, relocating and withdrawing children from education. Early
information means people are able to make informed decisions about survival without compromising their recovery. Here are key lessons on communication, community engagement and accountability (CCEA) from past flood emergencies in Pakistan, along with recommendations for the current response. Please note that all recommendations must be adapted to the local context.

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