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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.

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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.

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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:

  1. Food: Immediate provision of food supplies to ensure affected individuals have access to nutritious meals.
  2. 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
  3. 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.
  4. 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:

  1. Multipurpose Cash Assistance (MPCA)
  2. Emergency Healthcare
  3. Dignity & Hygiene Kits
  4. Temporary Shelter Kits
  5. 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.

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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 communities
Health 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

719

“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.

  1. Improving Health and Education Services in Migration Prone Union Councils of District Umerkot ↩︎

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The National Disaster Management Authority (NDMA) on Thursday warned that extreme heatwave conditions would persist across parts of Sindh and Punjab in June, with temperatures likely to remain above 48 degrees Celsius.

The authority’s National Emergency Operations Centre said that Umerkot, Tharparkar, Tando Ala Yar, Matiari and Sanghar districts in Sindh are expected to be affected, while in Punjab, Rahim Yar Khan and Bahawalpur are most likely to experience heatwave conditions.

In its advisory, NDMA also said that from May 31 to June 5, dust storms, gusty winds and light rain are also likely to occur in the upper regions of the country.

Extreme Weather Conditions

On Thursday, harsh weather conditions persisted across the Sindh province, even though temperatures dropped in most cities.

The Met Office recorded the maximum temperature in Jacobabad at 50.5°C, followed by Dadu at 49°C . Except for Karachi, which barely missed the mark with a high of 39.5°C and 63 per cent humidity, all other cities in the province registered temperatures above the 40 degree-mark.

Severe heatwave conditions persist across most parts of the province with daytime maximum temperature being 6-8 degrees above normal in Dadu, Kambar Shahd­adkot, Larkana, Jacobabad, Shik­arpur, Kashmore, Ghotki, Sukkur, Khairpur, Naushahro Feroze, Shaheed Benazirabad districts and 5-7 degrees above normal in Sang­har, Hyderabad, Mitiari, Tando Allah Yar, Tando Moha­mmad Khan, Mirpur Khas, Umerkot, Tharparkar and Badin districts.

The heatwave conditions are likely to persist till June 1st.

Warning the authorities to remain alert and take necessary measures, the NDMA advisory urged citizens to stay hydrated, avoid outdoor activities between 11am and 3pm.

Many labourers from remote areas travel daily to cities for work, but the current heatwave has severely disrupted their livelihoods pattern and led to worsening health conditions. The extreme heat makes commuting difficult.

The heatwave has also impacted people staying at home, as inconsistent electricity and lack of cooling options limit their ability to cope with prolonged heat stress. The ongoing hot and dry weather is stressing water reservoirs, crops, vegetables, and orchards, while also increasing energy and water demand, which is difficult to manage during the current crisis.

Community World Service Asia’s Response:

Community World Service Asia (CWSA), in collaboration with district authorities, has established a heatstroke centre/camp at the District Headquarters (DHQ) Hospital in Umerkot. The CWSA team initially launched their services by providing cold drinking water, conducting awareness sessions, and referring heatstroke patients to the DHQ. These awareness sessions are delivered directly to pedestrians, patients, and their attendants, messages to prevent heat strokes and raise awareness on precautionary measures are also broadcasted over speakers for public awareness. Every day, more than 1,000 people visit the centre to quench their thirst, as there is no fresh water facility available nearby to them. People not only come to drink water but also carry some back for family members or relatives who are hospitalised at the DHQ. So far, 20 critical patients have been referred to the emergency department after receiving initial treatment.

The CWSA health team has set up heatstroke corners at each public dispensary operated by CWSA to manage emergency cases and serve patients visiting from nearby villages seeking urgent medical services in the extreme heat. The team provides cold drinking water, first aid, ORS, and glucose sachets to visitors seeking medical care.

With additional support, CWSA also plans to establish three heatwave facilitation centres for three months in Umerkot district which will offer clean, cold drinking water, juice and shaded rest areas. Each centre will have generators, pedestal fans, stretchers, necessary furniture, basic medical equipment, and medicines. Two Lady Health Visitors (LHVs) and two medical technicians will rotate among the centres. The paramedic staff will perform emergency procedures such as checking blood pressure, administering medications, clearing airways, and initiating IVs if necessary. They will also apply cold bandages or towels to reduce body temperature. Critical patients will be referred to the nearest healthcare facility, with transportation provided.

These centres will also distribute informational, educational, and communication (IEC) materials to raise awareness about heat-related illnesses. The centres will operate throughout the peak summer months until the end of August.

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

1244

Pakistan’s National Disaster Management Authority (NDMA) has issued a heatwave alert for most parts of the country, especially for Punjab and Sindh provinces.

“It is forecasted that heatwave conditions are likely to develop over most parts of the country, especially Punjab and Sindh from May 21 and likely to advance into severe heatwave conditions from May 23 to May 27,” announced NDMA on Thursday.

The forecast delineates three separate heat wave spells. The initial spell is expected to persist for two to three days, followed by a subsequent spell lasting four to five days towards the end of May. Temperatures are anticipated to further escalate up to 45 degrees Celsius in June. The NDMA spokesperson has cautioned about the likelihood of a third heatwave spell in the initial ten days of the month, which could last for 3 to 5 days.

The NDMA underscores that heat waves will impact both human and animal populations, necessitating proactive measures before the onset of the anticipated heatwaves nationwide.

During the second heatwave, which is anticipated to persist for four to five days, the impact is expected to be felt particularly in Tharparkar, Umerkot, Sanghar, Badin, and Khairpur districts of Sindh.

Reflecting on past experiences, Pakistan encountered its worst heatwave in 2022, as highlighted in the 2022 report by Amnesty International. The report underscores the lethal repercussions of extreme heat, especially for more vulnerable communities and populations such as children, the elderly, individuals with disabilities, and those with chronic diseases.

Heatwaves exacerbate health conditions, leading to heat strokes, cramps, and aggravating pre-existing health issues such as diabetes, ultimately culminating in fatalities or accelerated deterioration of health.

Warnings have been issued by the provincial and district governments in Sindh, Punjab and KPK provinces of extreme weather in coming days and have advised people to take precautionary measures such as drinking plenty of water and avoiding direct exposure to the sun. The government is seeking assistance from humanitarian organisations in establishing heatwave camps/centres where affected people may find shelter and cold water, as well as receive basic first-aid treatment.

Community World Service Asia’s Response:

Community World Service Asia (CWSA), in partnership with district authorities, plans to establish four heatwave centres or camps in Umerkot district. These include one central site in Umerkot city and three additional camps near health facilities already supported via CWSA projects: Government dispensary Ramsar, Government Dispensary Jhamrari, and Government Dispensary Cheelband. These camps aim to offer basic services such as first aid, shelter, seating, clean drinking water, and juices to vulnerable individuals in the area, including pedestrians exposed to the sun and at risk of dehydration. With the expected rise in heatwave occurrences, CWSA will plan to expand its efforts to provide similar assistance, as well as first-aid treatment and public awareness campaigns in areas where it maintains operational presence.

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
The Nation Newspaper
The Dawn Newspaper

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Lal Ji, his wife and three children of village Umeed Ali Chandio just outside Nabisar (Umerkot district) live in a very neat, well-kept, almost picturesque home. He is a landless farmer who works eight acres of a landlord’s holding and shares the proceeds with the owner. But he blindly followed farming procedures unchanged for centuries. He cites the example of how millets, guar and mauth lentils were sowed all together in the same plots despite each having a different ripening time.

“When the first crop was ready and we harvested, we damaged nearly half of the remaining unripe species underfoot and with the sickle. That was the way passed down to us by our elders and it simply did not occur to us that planting each specie in separate plots could double the yield of those ripening later. It had to be the staff and trainers of this organisation (Community World Service Asia (CWSA)) to teach us how to do the right thing under!” says Lal Ji.

Asked why it was like that and why he or other farmers did not think logically to increase their yield, Lal Ji simply shrugs and says that was the way of the elders. “But now we are awakened and I am myself surprised how such a simple thing eluded us,” he adds.

If that ancient practice put Thar farmers at a disadvantage, the periodic disasters added to the deterrent. In 2021, Thar was invaded by a pestilence of locust. That year Lal Ji had invested PKR 40,000 (Approx. USD 143) in the eight acres he was farming. This sum had all been borrowed from the landlord and when the locusts wiped out every last bit of green from his fields. He went under debt and had to live by selling off some of his livestock. The year that followed was hardly any better. If there was no locust, the summer rains failed and once again Lal Ji kept body and soul together by disposing off some more of his livestock.

The beginning of 2022 brought in succour. The multi-purpose cash grant, agricultural and vegetable seeds together with training under CWSA & DKH’s food security and livelihood support, smoothed the bumpy road Lal Ji was treading. His excitement about learning to plant millets, guar and mauth in different plots is still viable two years after learning this evident truth. The cash grant helped him pay off his debt and the year when the rest of Sindh was drowned out by the worst deluge known in living memory, his fields in the troughs of the dunes did well with the natural irrigation.

In December 2023, he recounted how he had harvested 400 kilograms each of millets, guar beans and mauth. The millets he kept for his family while the rest he sold. However, being the judicious man that he is, Lal Ji retained enough seeds for his 2024 summer plantation.

Another thing that Lal Ji and the others learned in the training was that selling the harvest wholesale fetched better prices. Earlier they would be approached by the bania (Indian caste consisting generally of moneylenders or merchants) from town who would offer the farmers a price for the standing crop. Since these poor farmers did not have the means to truck their harvest to the market, they reluctantly accepted the offer even when they knew it was fifty percent below the market price. Those who did not, would harvest and pack 40-kilogram sacks to haul to market by donkey as and when they required cash. Though they got marginally more per kilogram than selling the standing crop, the price was still below the market rate.

The training taught them to work cooperatively. In late 2022, when the separately planted crops were nearing harvest, the bania arrived with his offer only to be disappointed. He was told that this time the farmers were to bring their goods to him. And so, Lal Ji and five others filled up their sacks, hired a pick-up truck and hauled the harvest to the market where they sought the best buyer. The profit astonished the group. Once again Lal Ji is amazed why they had not thought of this simple mechanism by themselves.

It takes motivation, a bit of awareness raising and the freedom from worry for communities to think of the future. Following the first CWSA intervention, the village organisation repeatedly beset the District Education Officer and got a regular teacher for the village school who, they insisted, must be a local person and not from another district. This was to ensure interest and regular presence. The teacher, a Nabisar young man, now attends school daily.

Meanwhile, Lal Ji sends his two sons and daughter to the school in Nabisar town. They walk the three kilometres to and fro. For pre-teenage children that’s a tough walk through the sand, but Lal Ji says that the produce of the kitchen garden has added so much vigour to their lives for the children to even be tired when they return in the afternoon. “They also take PKR 20 each for something to eat from their school tuck shop,” says the man.

Sixty rupees daily sounds expensive and Lal Ji says he had always given his children this daily allowance. In days of adversity, he borrowed the sum from the village shop keeper. Now he gives it out from his own purse.

Almost breathless in his narration Lal Ji moves on to the boon of hydroponic agriculture. It is the greatest discovery in Lal Ji’s vocabulary. He shows off his trays of young maize seedlings and narrates how he has already fed one round of this miracle to his three goats even as the second is ready for cutting. The two goats that are in milk have markedly increased yield and his wife is able to give the three children half a glass each with breakfast.

A few houses away, young Bilawal is a livestock keeper with thirty goats who had long supplied the village with dairy products. He too has hydroponic trays in a shed for his livestock and has already fed his livestock three rounds from them. He says his four trays are too few for his stock and plans to increase them to twelve.

“Earlier I got not more than 250 ml of milk a day from each goat. This hydroponic feed is always available, even in the driest part of summer. And now my goats yield twice as much milk,” recounts Bilawal. From the five to six litres of milk from ten lactating goats he produces yogurt and clarified butter (ghee). While the yogurt is used at home, the ghee is a cash produce.

Bilawal says that livestock feed was always a problem during the drier months of summer. As a result, milk output almost dried up during those times. But since he has discovered hydroponic gardening, his goats are yielding very well. If things go well, Bilawal hopes to add a couple of buffaloes to his stock before the end of 2024.

It seems the livestock farmers of village Umeed Ali Chandio have hit the lode.

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