Pakistan—the fifth most populated country in the world—is extremely vulnerable to climate change and food insecurity. The Global Climate Risk Index ranks Pakistan as one of the most climate-affected countries in the world. With an economy heavily reliant on agriculture (almost 20% of GDP), even minor climactic incidences can have dramatic effects on food security.
To help build seeds of resilience in marginalised communities, CWSA implemented a humanitarian assistance, early recovery, and development (HERD) project, with the support of PWS&D, in highly food-insecure Sindh province.
The project, which supported 23,319 people, provided emergency food assistance during the first stage of intervention. Further stages provided families with seeds and training on climate-smart agriculture. Additionally, 300 women artisans received training to expand their livelihood opportunities.
Watch the Seeds of Resilience video, which documents the changes in the community, and then engage in discussion and dialogue using the provided discussion questions.
**This project received financial support from the Government of Canada through the Canadian Foodgrains Bank.
Nestled between the irrigation provided by the Nara branch of the Indus on one side and the grey-white sand dunes on the other, Behram Mallah is a village of boatmen from an ancient time when the Nara was the most convenient mode of transport. Their sailboats with their high sabot-shaped prows, once cleaved the waters from its southernmost navigable point to Rohri, where it takes off from the mighty Indus. They transported food, agricultural produce and fruit to the many river ports whose remnants still dot the meandering route of the Nara.
However, as time passed, roads were built and buses began to replace the camels that once plodded along leisurely. The mariners of old were forced to adapt. About eight years ago, Mushtaq’s great-grandfather abandoned his boat to become a small-time farmer. By the time Mushtaq grew up, the small plot of land belonging to senior Mallah had been divided repeatedly and even sold off in parcels to enable his father to educate his three sons up to high school and run a tube well boring and installation service. Today, Mushtaq’s father is landless, except for the house where he lives with his sons.
In 2020, Mushtaq married Nafisa while he worked as a daily wage construction labourer. He did not confine his wife to housework but instead sent her to the nearby middle school, where she studied in grade nine. The couple knew that becoming wealthy was a distant dream, but they aspired to start a family that could one day improve their circumstances.
Three years passed and young Nafisa was still unable to conceive. They knew of a well-known gynaecologist in Khairpur, but getting there by local bus required a six-hour journey, followed by an overnight stay due to the long queue of patients at the clinic. Alternatively, they could hire a taxi for PKR 12,000 (approx. USD 43) for a round trip and return home the same evening after seeing the doctor. The couple opted for this option.
Nafisa shyly recounts her experience. “The doctor’s fee was PKR 800 (approx. USD 2.8) and she prescribed medication that was only available at her clinic’s pharmacy. This cost us PKR 8000 (approx. USD 29). We were told to return after a month.” Although the doctor’s consultation fees were modest the medication cost was substantial.
Mushtaq explains that they did not have ready cash and borrowed money from his father, brothers and uncles to cover these costs. Over nearly a year, the couple made around ten trips each costing them about PKR 22,000 (approx. USD 79). Each time they returned with a bag full of medication costing PKR 8000 (approx. USD 27), all on borrowed money.
Despite the doctor’s assurance, Nafisa did not conceive. The couple was also advised to undergo expensive tests at the doctor’s in-house laboratory.
Mushtaq then heard about a container stationed at the abandoned health centre in Choondko, staffed by a Lady Health Visitor (LHV) Rabia, who was on call 24 hours a day. In March 2023, the couple, unfamiliar with the Disasters Emergency Committee (DEC) and Community World Service Asia (CWSA) and their work, visited the centre. They were advised to return the next day for a consultation with Dr Sabeen. Choondko, just 12 kilometres from their home, was more accessible and affordable than the ardous trip to Khairpur.
Nafisa is unsure about the exact methods employed by Dr Sabeen and Rabia, but after the second visit, and with no medication expense and free ultrasound, she became pregnant. By March 2024, little Ramesha was two months old, bringing immense joy and hope to her parents. Mushtaq recounts that there was only so much his family could lend him, so he had to borrow PKR 80,000 (approx. USD 287) on interest to cover the cost of the trip to Khairpur. Although he has repaid PKR 110,000 (approx. 394), he still owes PKR 30,000 (approx. USD 107).
The final twist in Nafisa and Mushtaq’s story came when, at full-term, the expectant mother was told during her visit to the centre that she needed specialised care due to complications expected during delivery. The Choondko centre recommended a clinic in Sukkur, but the couple opted for the “well-known” doctor in Khairpur, paying an additional PKR 40,000 (approx. USD 143) for the delivery.
As the reputation of the doctors at Choondko and Nara Gate spread, the patient traffic to the “well-known” doctor’s clinic decreased. Even after having her delivery performed by the famous doctor, Nafisa has continued to visit Choondko for check-ups with Dr Sabeen.
In village Rohiraro, Umerkot, Mauta is a remarkable and outspoken woman. Originally from a village near Chhachro, she was married into Rohiraro, where she and her husband raised six sons. Though she did not receive formal education herself, Mauta was determined to ensure her sons received an education. She sent them through government primary, middle schools and high school, all the way to the twelfth grade. She laughingly admits she thought this was the highest level of education because she had no idea about university degrees. When her eldest completed what she believed was the “ultimate” level of schooling and returned to the village, Mauta set him to work looking after their livestock. With nearly 30 goats, Mauta considered herself well-off and believed her educated son was gainfully employed helping with the animals.
In 2020 when Community World Service Asia (CWSA) began its interventions1 in Rohiraro, Mauta became a very active member of the Village Management Committee set up to ensure community ownership and engagement in the project. She gained a new perspective through her involvement, including the benefits of family planning, which she enthusiastically promoted within the community through door-to-door campaigns, even accompanying women to nearby government facilities to help them plan childbirth.
“It was for the first time I learned that twelve grades of education is no education at all. That there are universities which provide even higher learning,” she says. Determined to send her eldest son to university, she faced opposition from her husband. He is an unskilled labourer with no formal education. He believed that they could not afford the expense of sending their sons to expensive educational institutions. Mauta disagreed, insisting that their livestock could be used to fund her sons’ education. “What is the point of having a large livestock if it could not send our sons to college?” she remarked. She sold some goats to raise PKR 40,000 (approx. USD 144) for her son’s admission to Sindh University in Hyderabad. A year later, she sold more animals to cover his annual fees.
She also enrolled her second son in Sindh University and her third in Allama Iqbal Open University in Umerkot. The younger two are in the intermediate programme post-matriculation and also aspire to attend university. Mauta may not understand what her sons are studying, but she takes pride in the fact that they can speak English and have even taught her to write her name in Sindhi.
“My youngest son is in grade nine and also keen to go to university. He wants me to pay for a private tutor to help him in his studies so that he can make the grade for university,” she says. She shared that traditionally boys in Rohiraro dropped out after matriculation, but Mauta’s decision to send her sons to university has inspired other families to prioritise their sons’ education. According to her, at least 20 other boys from the village are now attending colleges in Umerkot.
“Since my boys started university, everyone began to look at me with awe and reverence,” says Mauta. Although she has no daughter, she insists she would not have held a girl back from education even if it meant selling her livestock. This is very brave of her given she is from a remote village in the Umerkot desert.
To keep her sons in university, Mauta has taken up sewing, using her skills to meet the day-to-day household expenses. In addition to minding her livestock, she sews women’s dresses on order.
What motivated her to take such a bold step after the first few VMC meetings? Mauta credits the visiting social mobilisers whose eloquence impressed her. She wanted her sons to be like them.
When asked about her proudest moment since her sons began higher education, Mauta does not hesitate. She says it was not about her sons but her own growth. At the recent International Education Day celebrations, organised by CWSA and Act for Peace (AFP), in her village, Mauta delivered a speech advocating for education in front of a crowd. The pride she felt came not from the attentive audience but from the applause that followed.
This was the first time she had ever given a speech, and Mauta believes that while her sons’ education has progressed, so has her personal development.
Under the Health-Education Project supported by Act for Peace ↩︎
Sawal and her husband Sikandar Ali, a driver, faced immense hardship when they lost their livestock and home during the torrential rains. For almost two months, the couple and their five-year-old daughter were forced to live in makeshift tents on higher grounds, on a sharing basis with other villagers. In June 2022, the rural areas of Sindh were severely impacted by heavy rains, devastating villages and leaving the residents in dire conditions. Subhan Panhyar village, located in Khairpur District, was among the hardest hit, with nearly everyone left without land and food.
The villagers had to ration food items among themselves for months, often finding it insufficient. There were days when the village elders went without food to ensure the younger children could eat. Sawal and her family endured this struggle for two months, compromising on food, shelter, and land. The rains took everyone’s possessions and destroyed the lands that provided a means of livelihood. In the villages of Khairpur, nearly every family worked in the fields and depended on agriculture, but the floods struck just as the land was ready for harvest. The rains ruined everything, leaving the villagers without crops to sell or consume, which severely worsened their situation.
Sawal, after having her daughter, tried to conceive another child many times, but nothing seemed to work. The long gap between having children was distressing for her family, who desperately desired a new family member. Sawal and Sikandar traveled from their small village to Ranipur in search of better clinics but their efforts were unsuccessful. Sikandar also took Sawal to a government hospital in Karachi, but they returned empty-handed.
“It used to cost us a lot,” Sawal said, “A trip to Sukkur would mean spending PKR 2000 (approx 7.2 USD) on commuting and another 1500 PKR (approx 5.4 USD) on prescribed medicines. When we went to Karachi, we ended up in extreme debt. I took a loan of PKR 20,000 (approx 72 USD) from my boss, where I work as a driver, but we had to return because we couldn’t afford the living expenses in a city like Karachi.” Despite their efforts and expenses, Sawal was still unable to conceive, leaving her devastated.
Community World Service Asia (CWSA) has been implementing flood response projects in flood affected districts of Sindh, including Khairpur. With the support of Disaster Emergency Committee (DEC) and CAFOD, CWSA launched a Flood Recovery Response that included the establishment of two Rural Health Clinics (RHC), the provision of two Mobile Health Units (MHU), and free medicines, awareness through medical camps and health sessions.
When a community mobiliser of CWSA held a health session in Subhan Panhyar, the villagers were informed about the visiting hours, location, and health facilities of the nearby Mobile Health Unit. Upon hearing this, Sawal wasted no time and decided to visit the clinic.
In January 2024, when Sawal visited the clinic for the first time, she was prescribed medications to improve her health, including calcium and vitamins. After just one month of consistent treatment, Sawal was able to conceive. “I could not believe it when the doctors gave me a strip test, and it came back positive,” Sawal said. “We had been trying for months with no success. It was the lady health workers and the medications from the health unit that made the difference. Previously, doctors had given me medications without explaining the problem. At the clinic, they told me my body was too weak to bear a child. Once my health improved, I conceived quickly.”
The medical staff guided her to maintain a healthy diet and lifestyle, ensuring both she and her baby received the necessary nutrients for a healthy pregnancy. Sawal is now three months pregnant. She has visited the clinic twice—once when she was upset about not being able to conceive, and the second time to inform the Lady Health Worker (LHW) and Lady Health Visitor (LHV) of her pregnancy. She continues to visit the clinic as needed, receiving medicines for her unborn child, herself, and occasionally for her daughter if she is unwell.
“We wasted so much money on city doctors and medicines. If only I had known earlier about this health clinic, we wouldn’t be in debt,” Sawal reflected. Currently, Sikandar owes his boss PKR 20,000, but Sawal is hopeful that they will repay it. With their desire for a new baby almost fulfilled, Sikandar is now free of stress and works day and night to earn more as their family will soon be expanding.
Since the project’s implementation in March 2023, a total of 40,556 patients have visited the Rural Health Clinics (RHCs) for the first time, and 48,945 patients have visited the MHUs for general OPD. At the RHCs in Nara Gate and Choondko, primary health care services are provided, including General OPD, Antenatal Care (ANC), Prenatal Care (PNC), and normal baby deliveries. Each day, the dedicated CWSA staff at these RHCs and Mobile Health Units (MHUs) accommodate up to 120 patients at each location, ensuring that vital healthcare services reach those in need.
Not far from Umerkot town, Janhero is a large village with 10,000 people. At the time of partition, it likely had around one-fifth of that number. Nevertheless, it caught the attention of a dedicated officer from the Education Department, leading to the establishment of the first primary school here in 1948. Among its alumni are several doctors, custom officers, a senator and an officer in the National Accountability Bureau, which Ahmed Ali, the headmaster, recounts with visible pride. In addition to this school, the village now has three other girls’ schools and seven boys’ schools. However, since its inception, the Government Boys Primary School has been a co-educational institution currently having a total of 250 pupils, of which 80 are girls.
Ahmed Ali, himself an alumnus, emphasises that there never was a tradition of corporal punishment at the school. However, the Early Childhood Care and Education, Positive Learning Environment and Inclusive Environment trainings he undertook with Community World Service Asia (CWSA) in 2023, had a considerable impact on his teaching methods. Even before applying what he learned, he passed on his training to his colleagues and today all four government teachers at the school are properly trained.
“Earlier, the system was to read a lesson from the textbook and instruct the children to learn it at home. Rote was the method, there was no emphasis on understanding. Also, the students were never involved in the learning process. But now we invite the children to ask questions and play roles,” says Ahmed. He adds that though there are Hindu and Muslim students, there is no religious prejudice in his school.
The partnership between Community World Service Asia and Act for Peace (AFP) made the training possible and provided an additional teacher. Young Abdul Ghaffar is an artist in his spare time and he was lucky the village had many schools which occasionally called upon him to paint murals on classroom walls. However, this work was sporadic with gaps in between. Since the reopening of the school after the summer break in 2023, he has secured a regular teaching position with a stable salary, thanks to the education team’s intervention. This has made life easier for him and his dedication has benefited the school and its students.
“More than the pay, it is the sense of achievement I have interacting with my nursery class,” says Ghaffar. “From being unlettered, I have seen children progressing in these past seven months into forming letters and figures and when I draw something on the board, they copy it with so much joy.” He adds that when he informed the children he would leave when the project ended, they all clamoured for him to stay. That, surely, is the best feedback any teacher could ask for.
Ahmed Ali notes that the school has received two rounds of hygiene kits for the students, with the second distribution taking place in January. Since the formation of the hygiene society in school and the students being tasked with ensuring personal cleanliness, there is a clear difference compared to before CWSA’s intervention. The students can now demonstrate the proper way to wash their hands. Ahmed points out that since the first distribution of the kits, the old practice of using dust or clay to cleanse the hands has nearly disappeared. He has observed that his students now encourage their families to always keep soap in the house.
Twelve-year-old Farhan’s father, Yunis, was a teacher at this same school before retiring to run a small grocery store. The boy wants to follow in his father’s footsteps and become a teacher. But Yunis thinks his son should become a police officer, which Farhan wryly recounts. He wants to teach because there are few teachers in his school. His favourite subjects are Sindhi, Science and Islamiyat. For now, Farhan aims to complete twelve grades, the minimum level of education required to join the police but hopes to eventually persuade his family to support his dream of attending university to train to become a teacher.
Ten-year-old Heer speaks clear, unaccented Urdu. Her father, a journalist and president of the local press club, often plays Urdu news bulletins on the television at home, which has helped her language. She enjoys Science and Maths and wants to become a doctor so that she can run a clinic in the village and provide quality treatment to people who currently have to travel to Umerkot when ill.
Arooj Fatima, whose father is a teacher in a neighbouring village, also wants to become a doctor. But unlike Heer, she is quite clear that she will have a clinic in Hyderabad so she can make some money as well. Though both girls say they are proficient in maths, they do not consider engineering a career.
Ten-year-old Bhawani Shankar is also focused on his future. His father, a master bricklayer, has advised him to become a customs officer. Bhawani understands that this will require hard work and a college degree, but he is determined to pursue it for his parents’ sake. When asked how his Urdu is so clear, he credits it to attending school.
The bell rings for the mid-morning break and headmaster Ahmed Ali shows the students at play outside. Activities like badminton, hula hoops, and skipping ropes fill the schoolyard with colour and joy as children use equipment they have not seen before. The headmaster said that this was part of the education project by CWSA and AFP. Previously, the school had no sports equipment and students were discouraged from making noise during the breaks, he added.
According to Ali, before this initiative, the school only had a couple of footballs and a cricket bat, used exclusively by boys. Although girls shared classrooms with boys, they did not play with them and often stayed inside. The new variety of sports equipment encouraged girls to participate in games.
These youngsters’ ambitions and dreams are a sign of the impact of the education they receive. Many children have previously completed high school without a vision of their future. This small initiative by AFP and CWSA to improve the education system in remote Janhero represents a major leap forward for the village’s children.
Such progress would hardly have been possible without the Village Management Committee (VMC). Elderly Laxman, an active member of the VMC, emphasises his role in enrolling around 50 out-of-school children. When the education project began, he went door to door, often hearing the same response: that children had to participate in farm labour alongside their parents. “I told them it is education that will break the shackles of their poverty, not farm labour they have done through countless generations. An educated child stands every chance of getting a respectable job. But if they force their children into labour, the cycle will continue,” says Laxman. He now maintains a directory of parents’ phone numbers and to follow up if a child misses school.
The VMC also supports 12 children who are either orphans or from poor families as they cannot afford school supplies. Laxman says that several better-off committee members pool resources to provide these children with the necessary materials. Additionally, the VMC financially assists the few village youngsters who have reached university.
“The committee’s biggest success surely is getting out-of-school children enrolled and ensuring that students do not leave the village with their parents on the seasonal harvest migration,” says Laxman. It is now ensured by the committee that one or two members of every migrating family remain behind to ensure that children do not drop out of school.
The 2024 monsoon season has wreaked havoc across Pakistan, especially in Balochistan, Punjab, and Sindh. Heavy rains have led to widespread flooding, landslides, and significant infrastructure damage. Unusually high temperatures have exacerbated the situation, accelerating snowmelt in regions like upper KP, Azad Jammu and Kashmir, and Gilgit-Baltistan. According to the National Disaster Management Authority (NDMA), as of September 1, the country has experienced above-average rainfall and a total of 306 people have lost their lives, including 155 children. Additionally, 584 people have been injured, with 212 of them being children.
Moreover, the Pakistan Meteorological Department has announced today that a moist current from the Bay of Bengal is expected to move into the upper parts of the country from September 2. Rain, wind, and more thundershowers are predicted for Sukkur, Larkana, Khairpur, Dadu, Jacobabad, Karachi, Hyderabad, Thatta, Badin, Tando Allahyar, Tando Muhammad Khan, Tharparkar, Mithi, Mirpur Khas, Umerkot, and Sanghar on September 3 and 4. Farmers are advised to manage their activities according to the weather forecast.
A strong spell of monsoon rain is anticipated in the tribal areas of Dera Ghazi Khan from September 2 – 7, which may result in severe flash floods in Rajanpur and DG Khan. PDMA Balochistan has declared 12 districts as calamity-hit.
Extreme Weather Causes Chaos in Sindh
Pakistan’s Indus River experienced a significant surge in water levels from upstream, resulting in severe flooding in the kacha areas (riverine regions) in Sindh. In Khairpur district alone, 33,178 people were affected including 11,060 men, 13,700 women, and 4,209 children. Union Councils (UCs) Ripri of Taluka Gambat, Sadar Ji Bhatyoon, Hadal Shah, and Rahoja/Mohal in Taluka Kingri are significantly affected by subsequent flooding.
In Mirpur Khas, heavy rains began on August 26, submerging UC Roshan Abad and UC Khuda Bux in Taluka Jhuddo. On August 28, 131 mm of rain was recorded in Mirpur Khas resulting in a total of 1,477 houses left partially or completely damaged.
In Umerkot, 149 mm of rain was recorded this past week, leaving UC Kundri and Samero underwater. This forced residents to migrate and caused massive damage to their homes.
In Mirpur Khas, almost all onion, cotton, and fruit crops are submerged, with only sugarcane unaffected. This has worsened the situation for the affected population, who rely heavily on agriculture for their livelihoods. In Khairpur, 80% of the ready crops are damaged.
Flood affected communities are suffering from water borne and climate induced diseases, such as malaria, diarrhea, scabies and gastroenteritis, while pregnant women and newborn babies are experiencing malnutrition due to limited food supply, low resources and lack of health facilities. With roads and communication channels temporarily lost, pregnant women have no access to quality delivery services leading to delayed, unhygienic and problematic labour cases. The animals in the communities are also suffering from waterborne diseases, with an acute shortage of fodder.
Many families, along with their remaining livestock, have sought refuge on protected bunds as most villages in flood-hit districts are left submerged. Despite some water discharge, the water level has continued to rise, creating an alarming situation, especially if further rainfall occurs or upstream flooding happens.
Flood affected communities in Sindh are in urgent need of humanitarian assistance including:
Food: Immediate provision of food supplies to ensure affected individuals have access to nutritious meals.
Multi-Purpose Cash Assistance: Financial support to affected families to enable them to purchase essential items and meet their immediate needs according to their priorities
Emergency Shelter and Non-Food Items (ESNFI): Distribution of essential items like tarpaulin tents, household items, and sleeping mats to provide shelter and comfort to those displaced by the flooding.
WASH (Water, Sanitation, and Hygiene) and dignity kits: Provision of clean water, sanitation facilities, and hygiene kits to prevent the spread of diseases and maintain personal hygiene, preserving the dignity of affected individuals.
The Deputy Commissioner, Khairpur has appealed to the aid community to extend their support to katch and low-lying areas of District Khairpur, that have been declared calamity hit. Local and provincial authorities and the humanitarian community are closely coordinating to plan and respond in an efficient and effective way. A joint assessment led by international humanitarian organisations has also been completed for Khairpur and Sukkur divisions in late August which has verified and reinforced the need for the assistance mentioned above.
The Provincial Disaster Management Authority (PDMA) of affected provinces are managing the response. The District Disaster Management Authority (DDMA) recently issued a call for a localized response, urging humanitarian partners to assist the affected people.
Some people in Khairpur walk through the stagnant water, up to a foot deep, to reach their homes.In Khairpur, affected communities are using boats to cross roads, as the main access routes are submerged underwater.CWSA Team giving Health Education Session to the flood affected community in Taulka Gambat district Khairpur.CWSA’s Mobile Health Unit in Mirpur Khas where people receive medical assistance. These MHUs are equipped with qualified doctors and free medicines.Health and Education Session by CWSA team for the affected community in Mirpur Khas.CWSA’s Lady Health Worker and Doctor in field to assist the affected community in Khairpur.Village Dhanasar submerged under water in Umerkot District. Homes of the local residents are under water due to heavy rainfall in Umerkot.
Community World Service Asia’s Response
Community World Service Asia (CWSA) is in close coordination with the local government, affected communities and other stakeholders active in the region. To address the urgent health needs of the affected population, our health teams are on the ground, delivering essential primary healthcare services through our Mobile Health Units and Free Medical Camps. Our mobile units are equipped to reach remote and severely impacted areas, providing critical medical care, disease prevention awareness and medicines, and health education to those who have been displaced or are otherwise unable to access traditional healthcare facilities.
We have been providing medical assistance and conducting health education sessions in nearly all the rain-affected areas of Mirpur Khas and Khairpur. On Friday, August 30, in Mirpurkhas’s Benazir Colony village, where over 150 homes remain submerged, CWSA’s team held a free medical camp, serving 162 patients and distributing essential medicines and hygiene materials. A one-day free medical camp in village Tapa Doulatpur of the same district was also set up, conducting 142 OPD sessions, along with health and hygiene awareness sessions for men, women and children. The most highly reported medical cases included fever, skin infections, diarrhea, ENT issues, eye infections, and UTIs.
In addition to the ongoing response, CWSA proposes the following humanitarian actions based on the current needs:
Multipurpose Cash Assistance (MPCA)
Emergency Healthcare
Dignity & Hygiene Kits
Temporary Shelter Kits
Promoting Quality & Accountability in Humanitarian Action
Community World Service Asia’s team is coordinating with the District Government and the District Health Officer (DHO) who have requested for additional medical camps in Mirpur Khas to assist affected communities. We are also in close coordination with other humanitarian actors and disaster management authorities and participated in a cross-sectoral meeting to assess the on-going situation and plan a coordinated response in the Sukkur & Khairpur Division. This meeting was led by UNOCHA and IOM and was attended by 28 INGOs/NGOs.
As the crisis unfolds, our efforts will focus on mitigating the ongoing challenges faced by affected communities, ensuring they receive the necessary support to rebuild their lives and recover from yet again another climate disaster.
Contacts:
Shama Mall Deputy Regional Director Programs & Organisational Development Email: shama.mall@communityworldservice.asia Tele: 92-21-34390541-4
Palwashay Arbab Head of Communication Email: palwashay.arbab@communityworldservice.asia Tele: 92-21-34390541-4
Sources: Relief Web PDMA, Sindh NDMA Pakistan Metrological department Office of the Deputy Commissioner, Khairpur Joint Fact-Finding Mission Report, Khairpur & Sukkur Division.
Widespread destruction of local infrastructure and agricultural lands has also been reported as a result of the floods.
Pakistan’s Indus River experienced a significant surge in water levels from upstream, resulting in severe riverine flooding in the kacha areas (riverine areas) as monsoon rains hit several provinces in full force this week. These riverines and flash floods have both caused wide spread damages in different areas of Pakistan. In Sindh province, district Khairpur is among the most severely hit, with one person reported dead, two seriously injured, and thousands affected, requiring urgent humanitarian assistance and rehabilitation efforts.
A total of 3700 hundred families in Khairpur alone have been affected by the torrential rains and subsequent floods, with 270 families (along with their livestock, for most families a sole livelihood source) left displaced, and temporarily relocated along the protective bands or with relatives. Local authorities and field teams report 28,969 people affected (11,060 men, 13,700 women, and 4,209 children) in 36 villages in the district.
Flood affected communities are suffering from water borne and climate induced diseases, such as malaria, diarrhea, scabies and gastroenteritis, while pregnant women and newborn babies are experiencing malnutrition due to limited food supply, low resources and lack of health facilities. With roads and communication channels temporarily lost, pregnant women have no access to quality delivery services leading to delayed, unhygienic and problematic labour cases. The animals in the communities are also suffering from waterborne diseases, with an acute shortage of fodder.
Extensive damage to local infrastructure and agricultural lands due to the floods have also been reported. Thousands of hectares of standing and prepared crops, including cotton, dates, bananas, jowar (Sorghum), and vegetables, have been destroyed. More than 25 primary, elementary, and high schools have also been partially damaged, ruining the educational infrastructure, furniture, and fixtures, and disrupting academic activities just when the schools had reopened for new term.
An emergency needs assessment has identified the following needs:
Evacuation, rescue, relief, and rehabilitation efforts
Food Support
Non Food Items (NFI)
Shelter Kits
Medical camps with medicines and ambulance services
Nutritional support for children
Tent-schools and child-friendly spaces
WASH support, including Hygiene kits, Dignity Kits and Pit toilets
Hand pumps and drinking water
Animal fodder, treatment, and vaccination
Homes have been destroyed, families displaced, and essential resources are scarce. Immediate support and action are urgently needed to provide relief and rebuild lives.
CWSA’s Mobile Health Units are active and are reaching affected communities in remote flood affected areas to meet their urgent health needs.CWSA’s health teams are on the ground, providing essential primary care through our Mobile Health Units to meet the urgent needs of the affected population.These mobile units are equipped with medicines, qualified doctors and equipment to reach and support remote and severely impacted communitiesHealth Education sessions are being held with affected communities in Khairpur.Affected communities are using boats to reach the main roads, as the access routes are submerged in rainwater.Health Education sessions are being held with affected communities in Khairpur.
Community World Service Asia’s Response: Community World Service Asia (CWSA) is in close coordination with the local government, affected communities and other stakeholders active in the region. To address the urgent health needs of the affected population, our health teams are on the ground, delivering essential primary healthcare services through our Mobile Health Units. These mobile units are equipped to reach remote and severely impacted areas, providing critical medical care, disease prevention awareness and medicines, and health education to those who have been displaced or are otherwise unable to access traditional healthcare facilities.
Contacts:
Shama Mall Deputy Regional Director Programs & Organisational Development Email: shama.mall@communityworldservice.asia Tele: 92-21-34390541-4
Palwashay Arbab Head of Communication Email: palwashay.arbab@communityworldservice.asia Tele: 92-21-34390541-4
Sources: Relief Web NDMA Pakistan Metrological department Dawn
“It became quite burdensome to make the weekly trip to Umerkot for my regular check-ups. This necessitated a significant expenditure of both energy and money, as one cannot visit a hospital in Umerkot without having at least three thousand in their pocket. Upon reaching the hospital, I often found myself lacking sufficient funds to purchase all the prescribed medicines, ending up with only buying a few out of the lot,” shared Cheeno, an 80-year-old grandfather living in the small village of Ramsar, located 65 kilometres away from Umerkot city. The little village is connected by a road to the rest of the district.
With age, Cheeno developed several health issues, including Acute Respiratory Infection, making him susceptible to coughs and flu even in hot weather. “It was challenging for me to walk the 10 kilometres distance to reach the road from our village where one could catch a ride to Umerkot city. I recall that the journey to Umerkot for my check-ups would worsen my condition, and by the time I reached the hospital, walking became troublesome,” explained Cheeno. The journey to Umerkot has consistently proven exhausting for residents of Ramsar, but they had not choice if they wanted to prioritise their health and get a check-up done at a health facility. That was the nearest to them.
Cheeno is blessed with fifteen grandchildren; nine boys and six girls. He has twenty-three members in his family, including his wife, three sons, and their families. All three of his sons work as labourers on agrarian fields alongside their wives to ensure three meals for their children and parents. They work on daily wages for land owners.
With all his sons working (though only seasonally), which is a big blessing for families living in rural Umerkot, Cheeno has lived his set of struggles. He reflects on the challenges the family has faced, “My wife cannot walk; she has weak legs. Sometimes, I had to carry her on my back to the road to take her to Umerkot for her medical treatment. We were leading a very difficult life.” With limited access to health facilities, most families, especially elderly and those disabled, faced severe challenges to access even the most basic health care.
In July 2022, Community World Service Asia (CWSA) operationalised a public dispensary and initiated quality health services in Ramsar. The dispensary had been non-functional previously due to lack of resources, such as medical staff, equipment and medicines. In collaboration with Act for Peace (AFP) and with the support of the Australian government, CWSA launched this health project1, operating from a government dispensary and, over the past year, has provided free medicine and diagnosis to over 7,000 patients.
“When I first learned that the dispensary was functional, I felt relieved and happy. Now, we could obtain medicines by walking just a few meters. Since discovering this dispensary, we have stopped taking the long rides to Umerkot. During my initial visit to the dispensary in August 2023, I experienced severe respiratory problems that I have been suffering from due to old age. To my surprise, I was given medicines for free. These medicines really helped me,” shared Cheeno. He continues to visit the dispensary whenever he runs out of medications, and his tendency to catch the flu has significantly diminished. Presently, he only suffers from a cough, attributed primarily to physical weakness and age.
Community World Service Asia has been providing a range of medical services at the Ramsar Dispensary, including OPD services with vital medicines offered free of cost. Awareness raising sessions on family planning and women’s reproductive health, antenatal and postnatal care services, baby delivery services, and general well-being counselling sessions are conducted at the dispensary and with the community members on a regular basis. Cheeno’s family has been availing these health services ever since its launch.
Village Committees have actively participated in this project through health education sessions, international days, capacity-building trainings, and meetings held in their villages and at dispensaries. The community has supported organising these events, disseminated health awareness, and referred patients to clinics. They have also ensured the protection of dispensary staff and medical equipment. As a result of these interventions over the past two years, health awareness has increased, leading to improved women’s health and reduced infant mortality. Prior to CWSA’s involvement, the village of Ramsar had numerous kidney disease cases. Now, due to proper medication and awareness sessions, the situation has significantly improved.
“When I first came here with my son, we realised we had to tell everyone at home about this dispensary since it was such a blessing. I was eager to bring my wife here as she needed treatment for her weakness and recurrent illnesses too. She was prescribed different calcium and vitamins, and gradually, she was able to take a few steps on her own,” shared Cheeno. This marked a significant relief for Cheeno, as his wife, who was almost bedridden due to her weak legs, could now walk. Following Cheeno, all his other family members, especially the women, have become regular visitors at the dispensary. From his daughters-in-law receiving baby delivery services to his grandchildren availing regular medical check-ups, the Ramsar Dispensary has addressed many healthcare needs for Cheeno’s family and many others living in the area.
Under its health program, Community World Service Asia has extended primary healthcare services in three Union Councils (UCs) – Faqeer Abdullah, Sekhro, and Kaplore – in District Umerkot. The health centres have prioritised Maternal, New-born, and Child Health (MNCH) by operating in three government health dispensaries in collaboration with the district health department. “I used to take loans from landlords for my visits to Umerkot, but now we are happy and less burdened. We have a great service nearby, and we are even able to save the money that we used to spend on medicines, all thanks to CWSA and AFP,” smiled Cheeno.
Improving Health and Education Services in Migration Prone Union Councils of District Umerkot ↩︎
