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2968

Free Medical Camps for drought affected communities of Amerhaar village of Umerkot district in Sindh were set up under our emergency response and health project supported by Hope Bridge. Over a hundred local community members, of which 44% were women and 52% children, came to take free health consultancies at the medical camp. Prior to the medical camp being set up, the local residents of Amerhaar and other surrounding villages were informed of the medical camps dates and timing by our health team. As a key activity of the medical camps, awareness sessions on Nutrition and Health, focusing on the causes and symptoms of malnutrition and preventive measures of diarrhea, were also held. More than fifty community members participated in these sessions.

My husband is an unskilled laborer and I have vocational skills on hand embroidery. Together, we both earn a scanty income which is not enough to serve a family of seven members. Our household expenses often exceed the monthly income we earn. We reside far from major cities and as a result, have a difficult time finding quality healthcare as we need it. Initially, we travelled to urban areas to avail health care facility of which most expense was born out of pocketing, landing us in poverty. The free medical camps organized in Subhani village provided basic health care to the unprivileged communities. Other than providing general check-ups, the medical team sensitized the community members on personal, domestic and environmental hygiene, nutritious diet, food diversification and importance of breast-feeding through various health sessions.

Champa Bai, Subhani village, Union Council Kaplore, Umerkot

Most of our income expense is spent on healthcare. Residing in an unhygienic environment, often give birth to various illnesses in the family. As an unskilled laborer, my husband does not earn a sufficient income to fulfil all household expenses. It is difficult for people like us to even afford general health diagnosis or treatment as we reside in remote rural areas. Healthcare facilities do not reach in our area. As a result, we have constrained access to health services. Availing healthcare in Umerkot city is costly, both in terms of travel and treatment. The medical camps organized under the health project[1] have reached the poor patients in rural areas. Besides treating diseases other important topics covered by these camps include balanced diets, the significance of including vitamins, minerals, protein, the importance of hygiene and sanitation, basic sanitation techniques such as correct hand washing and environmental cleanliness. I came to the medical camp with the complaint of weakness and frequent headaches. After a thorough check-up, the medical officer diagnosed hypotension and anemia. I was prescribed with multivitamins and advised to drink lemonade regularly for instant energy.

Aami village, Subhani village, Union Council Kaplore, Umerkot

[1] Emergency Response Health Project in Umerkot, implemented by Community World Service Asia and supported by HopeBridge.

We had to travel to Umerkot city to avail healthcare treatment, which is 47 kilometers away from our village. Travel through a taxi costs us PKR 5000 (Approx. USD 33) and the consultation fee of the doctor is PKR 2000 (Approx. USD 13). As a sole bread earner in the family, it is difficult to bear large amounts of money on healthcare. The free medical camps organized in April, 2019 at Subhani village provided free consultations, money and health education to communities residing in remote areas of Umerkot. In the previous medical camps, more than a hundred patients were treated from our village. People in the village are more aware about maintaining a hygienic environment and exercising healthy practices in their homes. The medical doctor has prescribed amoxicillin, paracetamol, an anti-allergy tablet and cough syrup for the cough and fever I was suffering for a few days. The past five years have been difficult for our family due to the severe drought conditions in Subhani village. The fields do not provide a good harvest as there is little water for irrigation. The seeds we sow are wasted mostly. The total expense of the household mounts up to PKR 14,000 (Approx. USD 92) whereas, I earn a small income of PKR 9,000 (Approx. USD 59) as a laborer. Many times I have to request for loan from friends and neighbors to make ends meet.

Kirshan, Subhani village, Union Council Kaplore, Umerkot

I brought my son to the medical camp, organized in April 2019, as he complained about gastro, diarrhea and vomits. The medical officer thoroughly examined him and prescribed some medicines. The medicines included flagyl gravinate, ORS and paracetamol. He was further advised to drink boiled water and avoid unhygienic food items. I reside in Subhani village, which is a remote area in Umerkot district. Accessibility and availability of proper healthcare service is a great challenge. The medical camps organized by Community World Service Asia under their health program, has served as a blessing for our community. People from nearby villages also availed the free health service, doctor’s advice and health education sessions.

Ghaman, Subhani village, Union Council Kaplore, Umerkot

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Mithal, a 45-year-old widow and mother to a 13 years old son, lives in Phul Jhakro village located in Thatta district, Sindh. Mithal and her son live with her mother and brother. The brother is often unwell and unable to bring home a regular income. The family is therefore faced with severe financial crises throughout the year. As a means of income, Mithal worked in the local agricultural fields picking chillies and cotton and grazed crops. The floods that hit southern Pakistan in 2010 destroyed those lands and its crops, shrinking the earnings of the family even further, forcing them to live in substandard conditions.

Responding to the floods, Community World Service Asia initiated relief and recovery projects in Phul Jhakro village and conducted Disaster Risk Reduction (DRR) Trainings in 2011.

Many villagers attended the DRR training and I was one of the participants as well. The trainings were very helpful as various exercises were conducted in order to minimize the devastating effects a disaster leaves behind. These trainings have made us more aware and prepared for any kind of disaster including fire, floods and earthquakes,

added Mithal.

Mithal proudly added that after the informative and life-saving DRR interventions, many of her fellow villagers started to become more open-minded and started welcoming new ideas and learning.

We established a school in our village in order to promote education amongst our children. The teacher belonged from our village as well. Disaster Risk Reduction Trainings are given in schools as well which has built additional knowledge and has made our children more aware in relation to disaster management.

Observing the keen interest and rapid learning of the people of Phul Jhakro, a vocational training center to develop and enhance local women artisans’ handicraft and production skills was established by Community World Service Asia and its partners. As part of the center’s program, a three-month Adult literacy class for women was conducted.

Earlier, Mithal only gave thumb impressions as her identification as she was unable to read or write. At the Adult Literacy Trainings, she learnt to read, write, and calculate basic mathematics. She also learnt to sign her name. Mithal was appointed as the monitor of her class which gave her even more confidence and motivation.

This training enhanced my educational skills, giving me the confidence to speak to other people and negotiate while taking handicraft orders.

Mithal said that many women in her village were unable to read and write as most did not go to school for basic education but with the adult literacy and vocational classes, things had changed for the better.

The vocational center conducted a three-month training which focused specifically on strengthening our stitching and designing skills. We were taught about family colors and how to use light and dark colors together to form vibrant designs which are both appealing and beautiful. A variety of new techniques were also taught, including appliqué work and cushion embroidery. Different stitches were practiced including Kacho Stitch, Lazy Dazy Stitch, Moti Stitch and Pakko Stitch. I enjoyed working on the cushion designs as it was new to me and I found the work to be very elegant.

Establishing and promoting the indigenous and national handicraft industry has benefits for all. Not only does it provide additional employment locally but also raises the living standards of rural communities. As part of the livelihoods and Women empowerment projects supported by Community World Service Asia and its partners, exposure visits were conducted where rural artisans met with urban buyers of Bhit Shah and Karachi. Mithal was among those who were an active part of these visits.

The exposure visits to Bhit Shah and Karachi further amplified my understanding and broadened my knowledge about the handicrafts market. In Bhit Shah, I saw block printing work on Ajraks which was completely new to me. Initially, we did embroidery on necklines of shirts only. The exposure visit to Karachi enhanced our perception and we learnt to do embroidery on shirt borders, waistcoats, bags, cushion covers and other open pieces of cloth. We now know how to keep samples of our work for future use and display for buyers.

Mithal also attended the training conducted at the campus of Textile Institute of Pakistan in Karachi, where she learnt how to make high fashion shirts, jeans and different designs of Kurtis.

The same artisans were then given orders of products to produce for a Fashion Show that would launch their handicrafts brand, Taanka, to the fashion and textile market in Lahore. Working on the production of those products was a completely different experience according to Mithal.

We made laces with various designs of embroidery, Muko and Zari work. We were not aware of what the final product, using our designs and embellishments, would look like. On my way to Lahore for the Fashion Show, I kept wondering what our pieces will be used for and how they would look and worried about the kind of response our work would get. However, when we got to the venue of the event in Lahore (the Pakistan Fashion Design Council), we saw the finished products for the first time; including sarees, shirts, kurtis, lehngas (long skirts), long coats, waistcoats, trousers, bags and scarves. We were amazed to see the complete products and how the laces and embroidery pieces were used to make such a beautiful collection. We did this, I thought to myself in disbelief!

Mithal had never in her life gotten the chance to showcase her work and talent at such a high profile event which made her even more nervous regarding peoples’ expectation and response to her work. Mithal excitedly expressed,

It was a wonderful feeling to see our work on the ramp. The zari, muko and embroidery work on the laces was immensely appreciated by the designers and guests at the event.

As Mithal shared, the women of their area have always been entirely dependent on the men in their family to go out of their homes.

This concept has changed and I now travel independently on my own. I have travelled to Karachi and Lahore. My first airplane trip to Lahore was one of the best experiences of my life. I was extremely excited to travel so far from home to promote my work further. My brother has been very supportive throughout my journey. Many villagers discouraged him not to allow me to travel on my own and promote my work. But my brother always encouraged me to move forward with my talent as I was working for a positive cause and change; for the betterment of our lives.

Mithal now receives many orders as the demand for her designing and embroidery has increased. She has received orders of various products including rillis, laces, shirts and jewellery.

My land was destroyed due to the flood of 2010. After receiving two orders of PKR 11,000, I utilized that money on replenishing the land and bought seeds to grow crops on the land again. My brother was very happy with this progress and we now grow wheat on our land which has increased our source of income further.

Mithal also now conducts DRR trainings on her own in her village to expand and strengthen women’s knowledge, empowering them in decision-making processes at times of calamity.

The villagers address me as an officer as I have travelled to Lahore and Karachi to progress my hard-work. Even my son calls me a professional officer and proudly walks in the streets of our village.

Most women in the village are more encouraged now as they see Mithal’s example, by stepping out in the world to play a better role in the socio-economic development in her respective community.

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Taulka Hospital in Samaro area has a total capacity of twenty beds, but at an average, we usually have more than fifty patients admitted at a time. At the hospital, we attend to around five to seven hundred patients in a week through our Out-patient Department (OPD) and carry over a hundred baby deliveries.

In September 2018, we started partnering with Community World Service Asia’s health program and since then our hospital has seen many improvements. Through this partnership, we were facilitated with the provision of women medical staff. This really helped us in establishing the family planning section at the hospital and increased the attendance of women and child patients.  The newly recruited women staff are on duty regularly and provide OPD, antenatal and postnatal care. They facilitate daily child deliveries and also conduct health awareness sessions for families and women. Moreover, if we come across complicated cases, their team and ours work together to refer patients to other hospitals when needed,

shared Dr. Kailash Lanthi, who is a Medical Superintendent (MS) at the Taulka Hospital in Samaro.

The Taulka hospital of Samaro is equipped with basic facilities that include an X-ray machine, an expanded program on immunization (EPI), a laboratory and two in-house pharmacies.

As we collaborated with CWSA’s health team, our hospital was provided with high-quality, internationally manufactured medicines that are available free-of-cost at our pharmacy. These medicines are otherwise rarely available in rural areas such as Samaro. As a medical practitioner, I can confidently prescribe the highest quality medicines to my patients now as I am sure of their availability. We also received positive feedback from the patients about the new medicines working very effectively. In fact, some patients now insist to be given these medicines as they are certain they are more effective.

According to Dr. Kailash, the collaboration with CWSA has resulted in the development of great health and medical facilitators’ team at the hospital. The Lady Health Visitor (LHV) and community mobilizer have enhanced awareness among local communities about health care through regular health awareness sessions and field visits amongst the masses residing in nearby villages.

The local communities have moved away from traditional self-treatment and home remedies and now only come to the hospital for medical consultations and treatment. We normally find a daily high attendance rate in the OPD section now.

The health sessions have increased awareness and promoted positive maternal and neonatal health behaviors among the local communities. Increased access to and community involvement in maternal and child health services have ensured the delivery of quality healthcare services.

The patients now ask questions regarding their health and regarding the medicines, they are prescribed. This shows that they have become more conscious of receiving proper and relevant medical treatment.

Dr. Kailash, however, feels that the physical condition of the hospital building is fragile and requires extensive maintenance.

We have written letters to the concerned departments for the maintenance of the building at least four times but we have not received any positive response yet. Some of the medical practitioners’ positions are also still vacant, which leaves us with inadequate human resources to efficiently run the hospital.

Our hospital has a designated dental unit, but since no qualified dental surgeon has been appointed to the post yet, the unit is not operational. We also need to upgrade our labour room with more trained staff and equipment. For instance, we have an ultrasound machine, but we do not have a sinologist to operate the ultrasound system. There is also no access to ultrasound tests at night for people living in these rural villages. This is why we have no choice but to refer cases to other hospitals in the city, despite being equipped with an ultrasound machine at our own hospital. Sadly, families are forced to travel long distances to access radiology services which become very costly as well. We are still writing to concerned higher authorities highlighting the challenges of the hospital and have not given up yet.

Dr. Kailash recommended that the existing medical staff (women) at the hospital are given advanced trainings in sonology so that the ultrasound equipment available at the hospital can be utilized and patients can be tested here, instead of being referred to city hospitals. He also suggested for establishing a small laboratory where hemoglobin testing and blood transfusion is possible for pregnant mothers and child patients.

Our hopes are high and we believe that things will improve,

quoted Dr. Kailash positively.

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Many rural and agrarian communities in Badin have benefited through Community World Service Asia’s Sustainable Agriculture and Food security project which started in 2015. This initiative, supported by PWS&D and CFGB, seeks to ensure food security and sustainability in rural areas by introducing and promoting innovative farming skills among local villagers. By doing this, they are positively impacting the community sustainably by guiding them on how to acquire their own necessities rather than merely distributing tangible products such as food kits or shelters. Through the project, villagers are encouraged to become self-sufficient instead of dependent on external assistance.

Using various methods, the project is equipping rural communities of Badin with essential knowledge on health, nutrition, and sustainable agriculture. The project recently held a Farmers Festival for women farmers to celebrate World Food Day and the achievements of these farmers over the last two years. The festival featured many performances, including poem recitals, song competitions, and two didactic dramas enacted by local children and the village’s theater group, which has been formed as part of Community World Service Asia’s projects in the area. More than three hundred and fifty women from Union Council Khairpur Gambo and Pangario of Badin and fifteen elementary school students from the same area participated in the festival. The children (students) enlightened the attendees at the festival on the importance of kitchen gardening, tree plantations, good nutrition, environment conservation and the history of World Food Day through tableau performances. Representatives from the National Rural Support Programme (NRSP), Participatory Village Development Programme (PVDP), Arche Nova, Society for Safe Environment and Welfare of Agrarians in Pakistan (SSEWA-Pak) and Local Support Organizations (LSOs) also participated at the festival.

I came to this festival because the project staff has become like family. They teach us so much that I respect them. When I received the invitation to this festival, I was very excited to attend the event. The atmosphere in this festival is delightful. It is a wonderful opportunity for us women to come out of our houses, enjoy ourselves, and learn. What we learn will help us change our lives,

remarked, Fozia Iftikar one of the farmers at the festival.

The mother of four children, aged between 4-11 years, Fozia deeply cares for her family. She hopes that her children will be able to learn vocational skills that will help them in the future but has not yet been able to find an opportunity for them. Fozia lives in Shukaraldin, a rural village of Badin, where her husband works as a farmer on a small plot of his own land. Due to the nature of his work, Fozia’s husband does not earn a steady monthly income. Fozia explained,

After every six months, my husband sells whatever crop he has been growing on the land, and we live off the profits. However, we have to wait for that income since some crops, like cotton and peppers, take six months until they are ready to sell.

Fozia is not able to do full-time work because of her young children, but she does sewing at home. She rarely receives sewing commissions, and when she does, they are usually from relatives. Thus, the family’s main source of income is through her husband’s farming. The family is dependent on the water and weather for their crop’s wellbeing, creating an unstable financial foundation for the family.

Two years ago, Fozia started growing a kitchen garden after the team came to her village and began to teach the community about health and nutrition. They encouraged the villagers to create kitchen gardens so that families would have food security and eat more healthily. Fozia shared,

We learn a lot from the project team who taught us about health and hygiene. Because of this teaching, my family has been able to prosper. We didn’t know anything about growing vegetables until they taught us about it. My family did not pay any attention to health, but now we are all very interested in this matter.

Community World Service Asia holds teaching sessions in Fozia’s village once or twice a month. The staff teaches the community members about agricultural techniques so that kitchen gardeners will be able to maintain their produce. Sessions for men on fishing and other food-gaining practices are also held.

Fozia confidently asserted that it is easy to maintain her kitchen garden, and she appreciates the change—in terms of finances and health—that it has brought in her family. “I am very happy,” she expressed,

I like eating my freshly grown vegetables. The healthiest diet for my family is to eat our homegrown vegetables.

Ever since Fozia’s family has been eating homegrown vegetables, the family has had some extra money, initially used to purchase vegetables. They use it on other household necessities, such as oil, sugar, clothes, and the children’s school books. Moreover, when Fozia’s kitchen garden has excess vegetables, she either sells them to generate more income, or she gives them to people who do not have any food.

Fozia has also noticed that her family’s health has improved. She estimates that in a year, there may be one or two illnesses among her children, but no more than that. Furthermore, she noted that her family is much more energetic than they were when they ate vegetables from town.

This kitchen garden has had positive effects on my family. We eat clean and healthy food which has improved our health,

Fozia declared.

Fozia’s children did not like eating vegetables before, so the family often ate lentils, the children’s favorite meal. Fozia did not know the nutritional value of vegetable before. However, after Community World Service Asia began holding sessions in her village, she discovered that their diet was unhealthy. Now, the family consumes vegetables at least once a day rather than only once or twice a week as they did previously. After Fozia began attending the sustainable farming sessions, her family has much more variety in their diet.

The vegetables that we used to buy in town are grown with polluted water, and they were always several days old when we bought them. On the other hand, the water I use to grow my vegetables at home is clean, safe water. Our homegrown vegetables are much fresher than the ones in town. We grow all sorts of vegetables at home, such as tomatoes, cauliflowers, pumpkins, squash, and many more. Homegrown food is optimal for my family’s wellbeing.

Rural women have been trained in kitchen gardening under the food security project. Fozia Iftikhar is just one of many women who have benefited from the project. Another woman farmer, Heeri, from village Prem Nagar, Jhudo, expressed herself at the farmers’ festival,

The kitchen gardening training build our skills and knowledge in growing vegetables at home. Before this, we always had to buy vegetables from the nearby market which was not only tasteless but also difficult to purchase due to high prices. With the kitchen gardening training and vegetable seeds provided by the livelihoods team, we are no more dependent on our men to fetch vegetables from the nearby market.

She further added that the nutrition training also helped enhance inclination towards taking healthy and balanced diets through the food that is available to them.

Nasreen, another farmer, from Shukarddin Araen village, Jhudo, further added,

Kitchen gardening is a ray of hope for me and my family. My family enjoys fresh and chemical free vegetables from our garden. In addition, I have earned PKR 35000 by selling fresh vegetables in nearby markets. This has improved our standard of living.

The community will continue these kitchen gardens. We did not force this project on people. All we did was sensitized and mobilized them. People are beginning to realize the benefits of kitchen gardens themselves,

a staff member of the project assured.

Hundred percent of the target families have been trained in nutrition and kitchen gardening, providing fresh vegetables at the doorstep of villagers. Families were provided with vegetables seeds to grow in their kitchen gardens. This availability of vegetable at their doorstep not only increased diversity in their meals but also enhanced the quality and quantity of food consumption of the targeted families. A periodic survey report revealed that acceptable food consumption score of the targeted families have increased up to 70% at the end of second year of the project implementation. This was at 43 % initially. Through the teaching sessions in villages, the food security project staff hopes to see continued development in the communities of Badin. The change evidenced in the lives of village women, such as Fozia Iftikhar, reveals that the project is bringing the world one step closer to achieving the second sustainable development goal: Zero Hunger.

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I was the only one who could support my family at the time

. Seeta, 17-year-old artisan, Umerkot.

In a remote village of Umerkot, Seeta lives with her two brothers and parents. Their father used to work as a chef in Karachi where he earned a monthly income of PKR 10,000 (approx. US$ 100). However, a couple of months ago, his head was injured and he was admitted at a hospital where he had to be treated immediately. The medical treatment, though necessary was extremely expensive. Since Seeta’s elder brother had his own children and wife to support and their younger brother was too young to work and was studying, all the medical expenses of their father’s treatment landed on Seeta’s fragile shoulders. Seeta became her family’s strongest and only support; emotionally and financially, at this difficult time.

During this crisis, a Women Enterprise Group (WEG) (under the CWSA & Ycare project) was established in Seeta’s home village, Panju Meghwar. Though it was difficult for Seeta to take time out of all the household chores she was responsible for, she recognized this as the perfect opportunity to enhance her handicraft skills and improve livelihood prospects for the family. Upon joining the WEG, Seeta learned various handicraft skills, such as different stitches, color combinations, and use of assorted fabrics and threads. After the WEG participants learned these skills, the project team helped the women in linking them to urban markets from which they would receive orders with fair profits.

Through feedback from the trainers and project team it has been observed that Seeta is evidently a highly talented artisan. She easily understands design, has the ability to handle any type of fabric, and has excellent time management and quality control.

None of the artisans from the WEG were confident or willing to take orders for embroidery on different fabrics, such as organza or crape, as they were all afraid of the material being easily damaged and being too thin. However, Seeta was the only one among the artisans who took up the challenge and completed the given orders in time and in very good quality. Inspired by her, the other artisans have now also started taking orders on fabric and material that’s new to them.

Seeta has learnt to produce new products like cushions, short shirts, trousers and stationary pouches. The chevron dupattas, with exquisite mirror work and hurmutch stitch, are her most popular and most sold products.

I have started working on orders that require varied types of threads and fabrics and have generated PKR 30,000 in the last three months for my family. I have used this money on my brother’s education, household expenses, and on my father’s treatment. Thankfully, my father is beginning to feel better now.

Seeta feels, and rightly so, that this is only the start. She confessed that at times one needs a push only and that she got from the trainings and by being part of the WEG. Once you get the push, there is no looking back, She plans to continue practicing and perfecting her skills and teach other girls in her village as well. Not only is this a convenient and acceptable business for women in their community, but also something that will remain with them through generations. Seeta further expressed,

I’m thankful to Community World Service Asia because it made me realize that a girl can also be independent and support her family. I am proud of myself for the achievements I have made, and I am more confident after participating in the Women Enterprise Group.

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Group photo of Participants with EVC Team and Sofia Noreen in Mirpurkhas.

Community World Service Asia, through its networks and alliances, continuously seeks new and effective ways to maximize program impact, by utilizing the influence and ideas of specialized experts, including government officials, consultants, civil society workers, media personnel and academia,  who can make a difference.

By partnering with government departments, we assist vulnerable communities to work together on shared goals and actions. Our teams use this network of partnerships to encourage different communities to work towards bringing change, improve their lives and that of others.

To strengthen these partnerships and collaborations, two trainings, each of one day, were organized with government departments in Sindh.  Representatives from various departments such as the Social Welfare team, Women Development, Police, Education, Health, District Councils, and Population welfare teams were trained in a series of information sharing and capacity strengthening sessions on Gender laws and mainstreaming in districts Umerkot and Mirpurkhas in April this year. The trainings focused on enhancing Women’s Empowerment through increasing knowledge on and implementation of Gender Related Policies and Laws for the various line departments.

Sofia Noreen, a consultant with over 27 years of professional experience in research, programme designing and execution, monitoring, international development and liaison & coordination, facilitated the sessions.  Having practical experience on work around gender, women empowerment and governance, she had many interesting examples and exercises to share with the group of participants to ensure effective learning.

The training sessions were designed to enhance engagement and interaction among participants, while providing them sufficient space to share their personal experiences and professional learnings. By the end of the training, participants understood the role of social institutions in formation of gender roles and impact of gender roles towards gender discrimination in accessing nutrition, health, education, income/resources and decision-making forums at all levels. Participants were able to identify and differentiate between the various roles each official and department had to play towards development and gender mainstreaming considering the Gender Development Index and Gender Empowerment measures.

“The training was very relevant to our field of work. The training introduced the patriarchy system and how it plays an important role in assigning different roles, keeping in view the gender perspective,” shared Saroop Chand, Assistant Director Social Welfare, Umerkot.

Group exercises, individual reflections, role plays and presentations highlighted Pakistani and Sindhi women’s status of empowerment on education, health, income and decision-making. To further enhance the participants knowledge, some sessions focused on teaching basic definitions, frameworks, policies and laws relevant to the governing various sectors.

“I mostly decline training proposals I receive. However, the agenda of this training was quite appealing and relevant to my work. Sofia stressed on implementing the existing laws and policies in the country. Through proper implementation, we can omit the gender difference in every field of life and encourage empowerment of both men and women equally for the betterment of our society,” positively expressed Afroza Chohan, Incharge Women Complaint Cell, Mirpurkhas and Umerkot.

An exercise on clarifying the difference between gender and sex was one of the key topics of one of the sessions. Key institutions, such as family, academia, peer groups, religious institutes and media that play a vital role in establishing societal gender roles were identified as well. “On basis of these roles, some sections of society are given powerful status within societal structures while others are considered subordinate and subjugated. Hence, it is important to emphasize on the difference between gender and sex,” shared Sofia Noreen.

“The content of the training was unique and informative. I was unaware of many of the laws and policies related to Gender but this experience built a strong perspective towards women empowerment. The training stressed on how the process of socialization shapes our thoughts and actions and at which level one needs to work on changing the unjust mindsets,” said Junaid Mirza, Assistant Director Social Welfare, Mirpurkhas.

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In response to the severe climate change lead drought in the Sindh and Baluchistan provinces of Pakistan, Community World Service Asia activated its emergency food security and nutrition project in Umerkot last month. This initiative, which is supported by the Presbyterian World Service & Development (PWS&D) and the Canadian Food Grains Bank (CFGB), aims to assist 1,600 most vulnerable drought affected families through food distribution and nutritional programs for six months.

Since most of the affected families belong to purely agrarian communities, millet seeds will also be distributed among them for the next sowing season to ensure their nutritional and livelihood sustainability. The first round of this project’s food distribution was conducted during the last week of April at four different villages, namely Rohiraro, Bhadi, Dhalo Jo Tarr and Ramsar, in Umerkot District. The distribution points were selected in consultation with the local communities to ensure easy access for all selected project participants.

Food packages distributed under this project are developed using the Sphere minimum standards for food security which ensures the provision of 2,100 kilo calories per person per day. The package includes 60kgs of wheat flour, 15kgs of Rice, 7kgs of pulses, 4kgs of sugar, 6liters of cooking oil, 400g of tea leaves, 800g of iodized salt and a pack of 10 matchboxes for every family until they start harvesting their own produce. These families will also be provided16kgs of millet crop seed in June.

Community Voices:

“During the last few months, our family could barely afford three meals a day as due to our poor financial conditions. We had limited availability of food at home, most of which was borrowed at high interest rates. The small amount of money that my four daughters earn by embroidering traditional Sindhi caps is not enough to even cover the expense of my medicines as I am a patient of Epilepsy. A few days ago my husband fractured his hand in an accident, increasing our problems and expenses further. In this difficult time, the food aid provided to us through this project has been a blessing for our family.  The quality of food has been good and will be sufficient to serve my family three meals a day for more than a month. We are hopeful that there will be a good downpour this year and we will have sufficient harvest from our fields.”

Reshama, wife of Kirshan, resident of Ranhar village, UC Kaplore, Umerkot District

“The past two years have been very difficult for my family as there have been limited work opportunities in the area and there have been no harvests from our fields. We have bee surviving with limited resources. Access to food has been challenging. My elder son earns a meager income which is not sufficient to provide food to a six-member family thrice a day. Some community members lend us food sometimes.

We are now eating three meals daily for four consecutive days as a result of the food assistance provided under the food aid project. The food items received from the team are of good quality and quantity. I am glad to see my children sleeping with their stomachs full.”

Kheian, wife of Pargho, residing in Ranhar village, UC Kaplore, Umerkot District

“Due to my physical disability, I manage and try to earn through the little livestock we own. Providing basic necessities for my family of eight people was becoming very difficult. The drought in the area further worsened our living conditions, making our lives more difficult. We barely had any means of income or food. We were not even able to migrate to other areas due to lack of resources.  In order to feed my family, I had to sell some of my livestock, leaving me with only three goats. The situation was getting worst by the day. My miseries came to an end when Community World Service Asia came knocking at my door to provide food assistance. The food package provided is enough to meet the food needs of my family for an entire month.”

Chander Singh, resident of Bhadi village, UC Kaplore, Umerkot District

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A theater play was performed by a local theater group called Pirbhat.

A district level event to commemorate International Women’s Day was held with participation of local communities, humanitarian and relevant government body representatives on the 28th of March (2019) in Mirpurkhas. This event, with an attendance of over two hundred participants, was organized by Community World Service Asia’s team under its Gender Mainstreaming project in collaboration with the Social Welfare Department of Mirpurkhas.

Sayyada Banu, Additional Director of Social Welfare Sindh, and Nafisa Qurban, Deputy Director of Social Welfare, Sindh, graced the event as special guests to applaud and promote the accomplishments of Sindh’s rural women. Other guests at the event included representatives of District Information, District Bar Association, District Council, the Police Department, and the District Municipal Department.

Agha Sardar, Project Officer at CWSA’s Umerkot office, welcomed the guests and shared the objective of the event, which was to congregate different people from different segments of life to honor and acknowledge the contribution of rural women towards the development of a prosperous and empowered society.

Today we celebrate the inspiring role of women around the world and encourage them to work towards achieving women’s rights and build more equitable societies,

said Kiran Bashir, Project Manager, CWSA, as she addressed the audience while briefly introducing the project as well.

Sumaira Baloch, an active Social Worker in Mirpurkhas district, spoke on the topic too.

Women have been created beautifully. They can work as hard as men. However, women face many challenges due to which they often lack behind in different fields of work. Every day should be celebrated as women’s day, to highlight these challenges and the remarkable ways in which women can and do overcome these challenges. Issues such as harassment at work, domestic violence and discrimination require immediate attention and action plan. We need to honor and respect women who choose to come out of their homes and work and allow them opportunities to work along with men with pride and honor.

Appreciating CWSA’s efforts towards organizing the IWD event at a district level, Shagufta, an advocate by profession and an active social worker expressed,

I am pleased to be part of this event which honors the contribution of women towards the betterment of the society. I truly believe in both genders thinking and working together for a successful development process. As member of the District Engagement Group (DEG), working under the EVC Project, we aim to listen to the voices of marginalized communities. We want to ensure that no one is left behind.

Nusarat Miyano, a vigorous social worker in Mirpurkhas shared the everyday challenges a woman faces as a housewife or as a professional. She talked of the harassment that young girls and woman face at educational institutes and workplaces as a key challenge. 

It is important to build awareness regarding the existing laws in the country that protect women. Sessions must be held so that women can fight for their rights to overcome these challenges.

As part of the event, a theater play was performed by a local theater group called Pirbhat[1]. The play highlighted the essential role of women in decision-making, especially in matters related to child marriages, girl’s education and economic empowerment. Koshaliya, an artisan in Umerkot since 2015, was invited on stage to share her views of women empowerment.

CWSA gave me an opportunity, such that most women of our community can only dream of. Their livelihoods team facilitated us with a six months vocational and adult literacy training. My life changed dramatically after that. I became a Sales Marketing Agent and received other trainings on skill development as well. I visited Karachi, Lahore and Islamabad to promote our handicrafts. Our products were appreciated at national level as they were exhibited through exhibitions and fashion shows. We are continuously getting orders of embroidered apparel with the support of the CWSA. As a result, more than a thousand women, residing in remote villages of Umerkot, have become economically stronger and are supporting their families in many different ways.

Radha Bheel, another local social worker, congratulated all the participating women for their numerous achievements, despite the many social and cultural hindrances they face in their communities.

We live in a male dominant society, where it is difficult for a woman to even move freely. In a world like this, I commend the women of today for the many achievements they have made. This shows that women have the capabilities and talent to prove that they can achieve the impossible.

This was followed by a screening of a short video case story that demonstrated the skill building journey of the artisans and how that eventually lead to the launch of commercial handicrafts brand, called Taanka, for them.

Addressing the attendants, Shafique Husain Memon, Divisional Director Information Mirpurkhas, congratulated CWSA for organizing an event that appreciates women in every walk of life. He stressed on the importance of educating women.

We all have the responsibility to promote the rights of women in every field and honor their contributions towards change and progress.

Sayyada Baano, expressed,

I feel fortunate to be attending this dynamic event especially organized to celebrate International Women’s Day. Women play a strong role along with men in building a harmonious society. However, there is need for women to participate freely and openly. The Sindh Government is making efforts to protect the right of women by putting emphasis on strong implementation on laws such as Domestic Violence Act 2013. This will facilitate deprived women and protect them from the social evils.

The poor condition of women living in Dar-ul-Amman[2] has saddened me. Women are neglected, scared and tortured. It is unfortunate to see how the society, especially the male dominant segment, has dealt with this. I assure you that the Government of Sindh will take strong actions in protecting women’s rights to build a safe society for women to live peacefully and freely.

Junaid Mirza, Assistant Director Social Welfare Mirpurkhas, thanked the guests and speakers for honoring the women of today. He assured to hold and support such events with the collaboration of Government departments.  Traditional Sindhi Ajraks[3] were presented as gift to the speakers and dignitaries at the closing ceremony of the event.

[1] A local theater group formed under the livelihoods project. Members of the group were trained under the project.

[2] A shelter home for women victims of violence.

[3] Ajrak (Sindhi: اجرڪ‎) is a unique form of block printed shawls and tiles found in Sindh, Pakistan.

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Working as a field labourer is quite tough at times. The earning from it also depends entirely on the availability of work. A meager earning of PKR 200 per day is often insufficient to meet the needs of eight family members. Most of the income is spent on daily household expenses which includes food and utilities,

shares Haleema.

Haleema is a fifty-five-year-old mother to six children who lives in Ranta village, located in the Sujawal district of Sindh province in Pakistan. Her husband, Phul, is much older to her and has been diagnosed with severe diabetes for some years now. The diabetes has left Phul bed ridden and unfit for any sort of physical work. With no other source of income for the family, Haleema and her eldest son work as daily labourers at local agricultural fields whenever there is an availability. Through this they manage to earn up to PKR 4,000 (indicate $ equivalent in brackets) per month.

Ranta is a remote village which is located at least twenty-two kilometers away from the nearest town. For many years, there were no health facilities in Ranta or in any of the nearby villages for residents to seek medical help at. The closest health centre was located miles away from these rural settlers. With the little income that families like Haleema have, it was nearly impossible to bear the costs of travel to these health facilities for any sort of medical treatment, let alone the medical fees.

The travel and medical expenses were unaffordable for us because of which we rarely went to avail health treatments or seek medical check-ups even when we would fall sick. We would mostly treat ourselves with local remedies, which were not very effective,

 confessed Haleema.

However, when the Maternal Neonatal Child Health Center (MNCH) was set up in our village in 2012, one of our troubles had lessened. Health care finally became accessible to poor people like us. It brought a bit of ease in our life. This health centre is only a few minutes’ walk from our home which makes it very practical for us to access, without any money,

expressed Haleema happily.

This year (2019) in February, I fell severely ill. I first went to the MNCH for a check-up on the 4th of February. The lady doctor, Shazia, who saw me there was very kind and cooperative and conducted a thorough check-up of mine,

said Haleema.

According to Dr. Shazia, Medical Doctor at the MNCH,

Haleema was suffering from high fever and chest complications. After running some tests, Haleema was diagnosed with malaria. A course of anti-malaria tablets for a week was prescribed and a follow-up visit was scheduled after the completion of the course.

By the time that Haleema made her follow-up visit to the MNCH, she was feeling healthier. Dr. Shazia further prescribed some multivitamins and gastric tablets to her so that she would maintain a healthy diet. Haleema was also given a health awareness session where she was encouraged to use mosquito nets to protect her and her family from diseases like Malaria and Dengue. In addition, she was advised to follow a more nutritional diet which would increase her family’s immunity in the long-run.

Haleema has been a member of the Village Health Committee and Health Management Committeeⁱⁱ since 2015. Today, as an active member of the committees, she provides counselling and builds awareness on health issues and family planning for the women of Ranta and other nearby villages. She encourages women to avail health services of the MNCH and to take care of their health which would be beneficial for the entire family.

I avail every opportunity I can get to counsel women. I have shared health benefits and provided advice during social gatherings, wedding occasions and even during harvesting crops in fields.

Diseases of all kinds are persisting in remote areas due to poverty, poor health and hygiene and lack of awareness. In this situation, it is essential to provide continuous health education sessions and avail primary health services to ensure healthy lives and promote general well-being,

expressed Haleema positively.

ⁱ Sustainable Development Goal 3: Ensure healthy lives and promote wellbeing for all at all ages.

ⁱⁱ Village Health Committee and Health Management Committee formed under the Health project to ensure community participation, ownership and support to communities in building awareness.

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Two in-house orientation sessions for forty-four staff members on Training Evaluation Methodology, Complaint Response Mechanisms and Theory of change (ToC) were conducted by our MEAL unit in Umerkot this February. The day-long orientations[1] aimed at developing ToC documents for new projects together with participating staff members, strengthen their capacity on CRM and introduce them to new and simple evaluations process, tools and methodologies.

Revising Evaluation Methodologies

Program teams of CWSA have been evaluating trainings conducted under the various thematic areas that the organization works in through a variety of approaches and tools in the past. During these evaluations, certain gaps were identified in the existing methodologies applied which lead to incomplete information and to an extent challenges in measuring project impact. To address this gap, CWSA’s MEAL unit revised the organization’s evaluation and monitoring system and planned thorough orientations of it to different program teams so that a common methodology is consistently applied through all projects and division of responsibilities, through the process, is clarified among all relevant staff members.

During the orientation,  the guidelines of the methodology and its process flowchart was discussed with all participants in detail and the development of the Learning Outcome form to measure training objectives was explained. Participants were briefed on the standardization of a training evaluation methodology and the learning outcome form within the organization.

This new form (Learning outcome) has been designed to identify between four to six learning outcomes from the objectives of each training. The form will be completed by every training participants at the pre and post stage, resulting in a systematic comparison of the participants learning before and after a training conducted by CWSA. The previous forms used by the training teams included lengthy questions that were not reflecting the training objectives or provide a clear learning impact.

“It is good that some responsibilities are shared among different departments for this new training evaluation methodology and we will definitely get support from MEAL Unit”. Shahab Anjum, Program Coordinator, exclaimed.

Reinforcing Complaint Response Mechanisms

There was a need for a detailed orientation on CRM as new staff are recruited under CWSA’s latest Drought Response and Emergency Food Relief projects[2] in the Sindh province. This was also a good opportunity for existing staff to receive a refresher course on CRM as it is vital for our accountability processes to the communities we serve.

In the session on CRM, staff was oriented on the different procedures and channel processes of lodging and addressing complaints. These included complaints made internally, by CWSA employees and consultants, and externally, by community members, vendors and partnering organizations. Participants were thoroughly oriented on the complaint form with each being provided a hard copy for review and input.

Staff members raised questions on the timelines set for responding to complaints, processes of logging and redress and conditions of appeal, which were all addressed and carefully explained by the MEAL team.

Older staff members shared their experiences of receiving and responding to complaints on different occasions of projects’ deliverance processes which was important learning for newer employees.

“Initially the complaint boxes were rarely used by project participants. As their learning grew, they started to share their hurdles with us. This has built trust in the communities we work in as we aim to address the issues timely,” shared Lata Kumari Khatri, Enterprise Development Officer.

Introducing Theory of Change (ToC)

The session on Theory of Change took the last slot in the day-long orientation session but was the most labour intensive and engaging for the participants. Taking the format of a mini workshop, the session focused on the concept and purpose of ToC and its significance in the successful evaluation of projects.

The task of planning and carrying out evaluation research that provides information on the fieldwork practices and lessons learnt in general is a challenge.  Within the wider TOC framework, logic or outcomes models were identified to be very closely related, often being used to take a more narrowly practical look at the relationship between inputs and results.

The approach of ToC was explained briefly with the inclusion of its difference from Logical Framework Approach (LFA) and other project progress tracking documents. Participants reviewed how Theory of Change allows staff members to see the bigger picture, including issues related to the environment or social contexts that you cannot control. During the session, the staff learnt of all the different pathways that might lead to change, even if those pathways are not related to each of their program.

Participants were divided in groups of two to develop their own ToC document for the projects they are directly engaged in. A sample of an ideal ToC was shared with them for reference prior the activity.

By the end of the sessions, participating staff members developed specific skills on integrating ToC in organizational planning and evaluation processes.

“We learned a different perspective to view our project proceedings and outcomes. This tool will be very useful in guiding teams to maximize inputs in bringing greater change through the projects we work on,” expressed Sardar Shah, Project Officers.

[1] The orientation was divided into two sessions so that the group is divided into 22 participants each and a session each is dedicated to each group.

[2] Financially supported by Ministry of Foreign Affairs, Japan, & Canadian Foodgrains Bank

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