Community World Service Asia, with the support of Act for Peace (AfP) has set up three Rural Health Centres (RHC) in in the villages of Nabiser, Dhoronaro and Hyder Farm, located in the Umerkot district of Sindh in Pakistan since 2015. These health centres are run and managed by Community World Service Asia and are supporting more than 100,000 people in the district. The RHCs provide routine OPDs, Reproductive Health Services, Family Planning Services, Health Education Sessions, Antenatal and Postnatal services, and also provide free of cost medication and a full range of preventive health coverage.
The community mobilizers assigned with these RHCS regularly visit and monitor the catchment population to mobilize, organize and increase the awareness of the communities residing in these areas on health issues. They are also delivering health awareness sessions for men and women in their villages and for children in their schools.
Access to well-equipped health facilities is a major issue for most rural communities in Sindh. In order to provide health services nearly at the doorstep of these deprived communities, free medical camps were organized in three different Union Councils in the farther catchment areas of the RHCs. The religious ethnicities of the communities where the medical camps were set up were mainly Hindu and Muslims, belonging to different sects and castes of each religion.
The Medical camps services focused primarily on Mother and Child Care. The first two camps were set up at the Syed Muhammad Memon village and Abdul Majeed Arain village through the 24th and 25th of November, while the third camp was organized at the Daim Nohri village on the 30th November. Apart from delivering free consultations, free medicines were also provided to patients visiting the camps. Acute Respiratory Infection (ARI), Gastritis, Diarrhea, flu and fever were found to be the most common health concerns while diagnosing patients at these camps.
Antenatal cards were also issued to pregnant women visiting the medical camps and were advised to visit their nearby Rural Health Center for further consultation and medication. The lady medical officers at the camps shared key awareness messages on the importance and methods of family planning. Community Mobilizers conducted sessions on Child Spacing, family planning and the importance of check-ups during pregnancy among camp visitors as well.
A focal person from the town committee also visited the medical camp and appreciated the efforts of the health team involved and emphasized on the need to conduct these camps on a monthly basis.
The three villages where the camps were set up were all at a distance of seven to nine kilometres from the district of Umerkot. These areas were identified as the most vulnerable in terms of access to health facilities and frequency of diseases. Most of the community members from these villages are unskilled laborers and farmers who cannot afford expensive medical treatment or travel costs to health centres in the cities.
Community World Service Asia is working in partnership with Christian Aid towards making the hazard prone communities of Thatta more resilient to disasters and its impacts through various participatory activities. Under this project, small mitigation schemes have been designed to provide access and safe evacuation to make communities more resilient to flooding, cyclones and other natural hazards.
Following a series of meetings between community mobilization and community based Disaster Risk Reduction (DRR) teams, the design and implementation of the mitigation scheme for Raeem Dino Thaheem village was planned. After attending the Village Development Training conducted in May this year, the Village Organization (VO) of Raeem Dino Thaheem listed down the issues faced in the village on priority basis. Referring to this list, the project team decided to work on reconstructing the main road linking the village to Bello and Darro city.
Laborers to work on the road construction were selected from amongst the VO members of the village in question. A total of ten VO members from Raeem Dino worked on leveling the ground and widening the road through earth-filling. These laborers worked effortlessly for ten days under the cash for work scheme of the project. As a result, the road was successfully completed within the timeline, benefiting approximately 1500 people residing in Raeem Dino Thaeem and nearby villages.
Ali Hassan, a member of the Rahim Dino Thaheem VO, expressed,
Being part of the construction activity gave me a sense of ownership. We worked hard so that the whole community can benefit as a result. I appreciate this project’s team to provide us with this platform, enabling us to work for the betterment of our own people.
The training helped my organization to better understand methods of budgeting and keeping financial records. It also gave us the competence to develop sound and applicable financial policies for our work,
Muhammad Bakhsh Khaskheli, from the Rural Development Association (RDA) participated in a financial management training organized by Community World Service Asia in Mirpurkhas in May this year. The objective of the financial management training was to increase the financial management capacity and improve policy development of local community-based organizations. Kashkheli particularly sought after these improvements for his organization.
Our financial procedures were not that swift, and we had to work hard on assembling documents, making photocopies, and preparing missing formats for going through the annual audits. Moreover, we do not have an internal audit department, so an internal audit committee consisting of three executive body members did our internal monitoring. However, this committee was not competent to conduct an internal audit that provides insight on future planning and procedural intricacies.
A resident of Hyderabad city, 42-year-old Muhammad Khaskheli works as a program manager in RDA. Khaskheli’s primary responsibilities include program development, implementation, and resource mobilization. He is also responsible for corresponding with donors.
Khaskheli attended the Financial Management training, expecting that it would help improve and develop RDA’s financial management system. Various topics were covered in the training, such as financial planning, bookkeeping, and accounting. Khaskheli remarked,
The session on accounting taught us to base accounting on the principles of consistency, accountability, transparency, viability, integrity, stewardship, and accounting standards. The session was highly interactive. For each principle, the participants shared examples on how to harmonize accounting with these principles.
Khaskheli gained valuable information and tools at this training, which he introduced at his organization in order to improve their financial management. After the training, RDA developed updated financial management and Human Resources’ manuals. Community World Service Asia outsourced a consultant, who visited Khaskheli’s office, discussed and reviewed every policy and procedure in the updated manuals, before finalizing it, and then a held a one-day workshop with the staff to orient them on it. The consultant also supported RDA with developing specific policies in the newly revised manuals.
Before this training, we had a very simple manual, but we were not able to develop a clear financial management system. However, these revised manuals’ detailed policies and procedures have positively affected the organization’s financial management in different ways,
Khaskheli affirmed.
Our financial procedures have improved since the training. Now, we have a better financial policy system and our documentation is complete and updated, ready for audits.
According to updated policy, the organization will hire a professional consultant to lead the internal audit committee and provide reports that will help in identifying policy and procedural gaps that are beneficial for future planning. This will continue until RDA attains resources to develop an independent audit department. After the training, RDA developed procedures to minimize financial risks. A code of conduct was also incorporated within the finance and administration departments and a clear delegation of authority was planned.
The training led to profound changes in the organization’s budgeting techniques. According to Khaskheli,
budget reporting has become easy.” At RDA, budget reports only included numerical figures before, now however, they include proper budget codes and budget narratives where necessary so that external stakeholder can easily understand the budgets. Khaskheli attested, “Because of the training, we better understand how to prepare budgets through an accountable and transparent financial system.
Adding further, Kashkheli stated,
Rural Development Association is a growing grassroots organization. We needed to develop a robust financial management system to make our financial matters transparent, easily functional, and to increase our credibility among the communities we are working with and other stakeholders, including donors.
Life was not easy for Indra, a mother of three children and married to a mentally handicapped man, Hoto Mal. The family lived with Hoto’s parents in the village of Kundo Meghwar, and Indra worked hard to support her family since her husband was unable to work due to his mental condition. Despite these difficult living conditions, Indra remained positive and hardworking since she believed that her situation was God’s will. She chose not to worry about anything but instead to accept everything as it came. Indra was content and loved her family.
Six months ago, Community World Service Asia started a skills-enhancer program of Embroider and Appliqué in Indra’s village, and it selected many women from rural villages in the district to become artisans in the program. Indra was amongst the women chosen. Through this program, women artisans are supported to become self-sufficient by teaching them embroidery and sewing techniques, linking them to the markets, and are also taught business tactics so that the women will sell their products at a market rate. Indra was already sewing women’s clothes, but she now has another platform through which she can enhance her handicraft skills. After being chosen as an artisan, Indra expressed,
I really feel proud of myself because now I can manage all my domestic expenses without any help and can give my children a better life. My aim in life is to educate my children so that they can live fulfilling lives.
Indra learned many new stitching styles such as the Hurmich, Kacho, Pako and Moti Taakna at the trainings, along with making trendier and subtler designs. She tried different color pallets and identified the ones that had the most demand. She is delighted and thankful that she was able to learn new handicraft skills through this program.
After enhancing her skills as an artisan through the program, Indra now receives product orders from surrounding villages and designers based in Karachi (through the project). Through the course of the trainings, she has established strong linkages with buyers in nearby villages and the local markets. This is where she plans to sell the orders that she is currently working on and also to promote her own private orders.
Indra has already received orders from local retailers and villagers. Once the trainings and the project ends, she also plans to introduce her own new products and designs to ensure that she provides unique and one-of-a-kind products to her clients.
Through these gained handicraft skills, women artisans like Indra earn decent incomes that are unprecedented for rural women. Besides acquiring skills, these trainings and classes are an imperative avenue of social interactions and much needed entertainment for these girls and women. Prior to her participation in the project, Indra was not allowed, and even did not get the time, to go out of her house or her village much. Now, she has made many close friends at the training centers and is looking forward to meeting them every time.
I feel much happier as a person now as I now have friends whom I can talk to, share my views with and also gossip with,
smiled Indra.
We artisans will use these lifetime skills to earn as much as possible. I really appreciate the positive and rare work environment provided to women like me. This type of environment will not only change the future for artisans like us, but it will also enhance the skills of and inspire other non-artisan women.
While my personal achievement is important to me, I believe that true happiness is achieved by serving others. Zareena, 17-year-old gender activist from Umerkot.
The lifestyle and traditions of the people of Ahori Farm (a rural village in Kharor Syed) in Umerkot have remained the same for years. Most of the residents here toil the land on a daily basis in an effort to survive. Through this on-going mundane lifestyle, little thought is given to educating girls or helping them develop as equal and empowered community members of Ahori farm. Many girls here do not go to school and educating girls is widely condoned in the village.
Seventeen-year-old Zareena is a rare exception in this close-knit village of Ahori Farm. She has always been different than the other girls – she spoke out against inequalities and had a fierce inclination towards education and learning new things. With her determination, she completed secondary school, unlike a majority of the girls her age in the village. However, Zareena is now being pinched by the bitter-truth of the society she has been born it – her further education has been put to a stop. Due to cultural and social reasons, her parents have refused the continuation of her further studies.
Only twenty percent of the Ahori farm girls have been allowed to complete their education fully, and sadly, Zareena was not among them. All of her friends, Monika, Roshana, Sonia, and Nadani, have also been prevented from pursuing higher education due to the same reasons. To fulfill their urge to study and as an act of goodwill, Zareena and her friends started giving home tuitions to younger boys and girls in their neighborhood.
In May 2017, a skills development center was set up in Ahori Farm. Many of the girls immediately enrolled for trainings on embroidery and other handicraft skills at the centre but Zareena had no interest in learning those kind of skills and did not join the centre.
Soon after, though, she found out about the gender equality related activities that were part of the same project (Community World Service Asia & YCare). That is what sparked her interest in the project. She was soon contacted and was selected to be trained as a community gender activist in the project. After receiving a couple of sessions of the training, Zareena realized that it was the centuries’ old norms and traditions of their village that had led to suppressing women. These customs had left the women with no determination to progress.
As women, we regularly face situations where we are treated unfairly in life, and yet are not allowed to question this tradition or reality. I had never heard about the term gender discrimination before I took the gender training. In the training, I not only discovered the concept of gender discrimination, but I also learnt how to understand gender inequalities and all its complex dynamics.
Zareena was very apprehensive about her work as a community gender activist when she started it initially at the village level. She knew that the society that she had grown up in would not accept women in such roles of change and influence. However, seventeen-year-old Zareena persevered and decided to take the risk and try changing the old norms of her community by starting from her own home. She tried to talk to her parents about the need and importance of girls’ education and how a change is vital towards the pre-conceived perception set of women in their community. At first, they ignored her, but Zareena’s mother slowly began to understand her, and eventually agreed with her. Sensing the positivity, Zareena was encouraged to further magnify this notion and cause.
With the support of her mother and elder brother, Zareena conducted interactive meetings on Girls Education and Women’s Role in Decision making with targeted households in her village. Many in her village still did not welcome a girl as young as Zareena talking about such unmentionable concerns.
More than a hundred girls still do not attend formal school in Ahori Farm even today. However, Zareena is hopeful that she can convince many parents in the village to allow their daughters to be enrolled in schools. Zareena’s elder brother has assured her that he would establish a girls’ tuition center for free.
The centre has provided me a platform through which I can serve the girls of my village in supporting them to be educated. Recently, from our village, five girls, including myself, have just enrolled into the Government High School and Government Girls Degree College in Umerkot. The parents of the other four girls trust and support my cause. They have faith in me for improving the lifestyle of our people. More than anything, I am grateful to my mother and to Mr. Ramesh Kumar, a member of our Community Gender Activists group, both of whom stood by me, helped and supported me.
According to the project team, many more parents from Zareena’s village are now allowing and encouraging their daughters to attend not only primary but high-schools as well.
It is difficult to manage all expenses within a small income like my husband’s. Healthcare treatments were most sidelined as the incoming money barely lasts a day with two young daughters and an elderly mother to care for. All of it is consumed in household expenses. If there was a dire need for healthcare, we would travel long distances to access services. It seemed like a burden in terms of both time and money. In addition, we women here are more dependent on men to travel far distances which makes it even more inconvenient to avail the healthcare resources,
expressed a twenty-three years old, Zeena unhappily. The family of four, the family’s only source of income is her husband’s daily wage of approximately PKR 150 (USD 1.5). With this menial income, meeting everyday needs become very difficult for the family.
Two years ago, when Zeena was expecting her second daughter, she heard of a Maternal Neonatal Child Healthcare (MNCH) center established in Ranta village from her neighbors. Upon finding out that the MNCH center is located near her village, Zeena’s husband allowed her to visit the MNCH on her own for a check-up.
After my first visit to the MNCH, I started visiting the center regularly through my nine months of pregnancy as prescribed by the lady doctor there. The doctor’s fees at the MNCH was minimal, thus very affordable for villagers like ourselves, who earn less and have no savings.
The services provided at the center were always timely and effective,
added Zeena who, along with her husband, was also given health and hygiene sessions at the MNCH for her to start developing a healthy diet during pregnancy and after.
My hemoglobin was low therefore the lady doctor advised me to eat food which contains iron including fish, green vegetables and beans. My husband made sure I took a healthy diet as prescribed by the lady doctor as this time he was more aware.
I was also given a family planning session. It was the first time I took part in a session like this, as in our area there is no concept of child birth spacing. In fact, here parents opt for more children so that they can contribute financially once they grow up. I was very glad to know about family planning as it highlighted the importance of good health for women and infants,
expressed Zeena.
Zeena adopted healthy and hygienic nutritional practices at home which improved the health of her baby and her during pregnancy. After her daughter’s birth, Zeena visited the MNCH for antenatal care regularly, which helped the doctor to treat and prevent potential health problems throughout the course of her pregnancy. It also aided in promoting healthy lifestyles in the village, benefiting both mothers and children.
After a smooth nine-month pregnancy, Zeena gave birth to a healthy daughter at the MNCH center without any complications as she had strictly followed the diet chart and took all her prescribed medicines on time. Zeena’s husband and mother-in-law were very pleased with the services and efforts of the staff at the MNCH.
It is difficult to find effective services especially for pregnant women in our area. When Zeena was pregnant the first time, we had to travel to Belo city which was very costly and Zeena would get very tired during travel as well. The MNCH at Ranta is a blessing as many in nearby villages now have a proper health facility, which is affordable for our community, to go to. Zeena’s second pregnancy was very easy for us as I would bring her to the MNCH regularly as per doctor’s advice. The doctor guided us well and today I am blessed with a healthy grand-daughter,
shared Zeena’s mother-in-law.
Zeena has regularly been attending the MNCH for postnatal care. She was given a session on breast feeding by the midwives at the MNCH. Zeena was also advised on breast-feeding her newborn for six months and gradually to start feeding her small meals as per diet plan then after. The effectiveness and sustainability of the MNCH is empowering rural women and communities in many villages of Thatta. Moreover, the center is facilitating in addressing the health needs of the community and in raising awareness on health issues and rights of women and children.
An exposure visit of fifty-five rural farmers from different villages in Badin, Sindh, to the Wheat Research Institute (WTI) in Sakrand, Central Cotton Research Institute (CCRI), Agriculture Training Institute (ATI) and the Seed processing unit of Sindh Seed Cooperation took place in September. This visit was conducted as part of building the capacity of rural farmers on adopting sustainable agricultural practices, under the CFGB supported, Sustainable Farming and Food Security project implemented in Sindh, Pakistan.
Through this project, together with the participation of the farming communities, we are promoting the production of food, fiber, and other produce using farming techniques that aim to protect the environment, public health, communities, animal welfare as well providing long-term development and food security among the communities. Most of these Sindhi communities are most affected by climatic hazards and the adverse impact of climate change.
Muhammad Yousif Channa, Senior Instructor at ATI and Coordinator of Integrated Pest Management (IPM) Unit, Sakrand facilitated this farmers’ exposure visit. The work and development of high yielding new wheat varieties of WTI were shared with the farmers and the two new wheat categories, of early and late sowing, released by WTI, were introduced to them.
The farmers then visited the Wheat Museum where different varieties of wheat were on display. The different types of machinery in use to implement the diverse practices used for wheat crop management were shown to the farmers. This learning was essential to the rural farmers’ knowledge as they could see it’s practical implementation, enabling them to easily apply it in their own farming to ensure successful integration of sustainable agricultural practices in their villages.
Ashraf Soomro, Director at the WTI, Sakrand, engaged the farmers in an interactive discussion to identify and address the issues they face in crop management. While responding to questions about water shortage Ashraf Soomro recommended sowing wheat on Ridge, which was also demonstrated to them, as it would save 30% to 40% of the water. He also shared with them hand bills and a booklet on wheat production technology.
At the CRRI, the farmers watched a presentation on the institute itself, the many cotton varieties it has developed and most importantly on cotton pesticides and the damages it does. The Senior Scientific Officer at the institute, then went on to talk about insects that are beneficial to crop growth and how those can be managed. During these presentations, it was learnt that development of different cotton takes 10-12 years.
The Plant Physiologist at CCRI delivered an in- depth presentation on crop production technology, focusing on soil analysis and fertility management, for the farmers. He emphasized on the importance of soil analysis, without which it would be impossible to identify if the soil is enriched with nutrients or not.
After the CCRI, the farmers’ visited the Seed Processing Unit of the Sindh Seed Corporation. The focal person at the Unit, shared and demonstrated the process of adulteration, the removal of broken and shriveled seeds, and the process of seed grading, to ensure the production of the best seed quality.
As the last stop of the exposure visit, the farmers were introduced to the Agriculture Training Institute (ATI) and to different methods of adopting sustainable agriculture practices. The Senior Instructor at the ATI demonstrated different and cost effective methods of farming. These included compost making, plantation with pitcher irrigation, drip irrigation by using water material, propagation via air layering and organic gardening, all carried out at the ATI.
Ashraf Memon, Instructor and Veterinary Doctor at ATI, not only shared better livestock management practices but also responded to queries and prescribed medicines and indigenous techniques to control the various diseases.
The farmers were very appreciative of this exposure and learning opportunity. Not only did they learn various crop management techniques first hand but would also take back the learnings to share among their farming communities. For them it was much appreciated the visit as they learned different techniques of cop management which will be useful for them to implement in their field of work.
Since our forefathers’ time, we used to sow either by placing the seed or a vegetative part of the plant in the soil. The technique of Air Layering, i.e. to make new plants from the branch which is in the air, was very new and we couldn’t ever imagine that we could produce a new plant this way. This exposure visit has taught us innovative techniques of farming which can be beneficial for us.
Ghulam Mustafa Kaloi, farmer from Babar Kaloi village, Badin.
It was the first time for me to ever visit such specialized institutions. Visiting the Cotton Research Institution was a great opportunity for us to witness and learn how to develop new cotton varieties and manage pests through an integrated approach.
Muhammad Zaman Lalial, Ghulam Hussain Lalial village, Badin.
We waste many thing which, if processed properly, can be very productive for the land. One of the example is the dispose off the medical infusion drips after utilization however we have learnt that that wasted drip can further be used for drip irrigation where there is scarcity of water. This was a new learning for me at the Agriculture Training Institute Sakrand. Water scarcity is a serious issue in our village and we cannot afford expensive irrigation Drip and Sprinkler irrigation systems due to our weak financial status. I learnt the simple and no-cost DRIP irrigation technique by using the waste material at the ATI and I applied that technique at home for kitchen gardening. I am very thankful for being given this exposure visit as it has taught me a lot.
The Youth Alumni of Hyderabad, Pakistan, organized an event titled “Muktalif Magar Muttahid” (different but united) in celebration of International Peace Day. Aqsa Rajput, a senior member of the Alumni, while welcoming the guests spoke about the value peace, dignity and respect holds as a basic human need irrespective of one’s beliefs or thoughts.
Celebrating the idea of peace among people of different faiths, alumni speakers shared their thoughts and views. Some highlighted issues of racial and religious discrimination prevalent in societies globally while others shared possible ideas to overcome these issues and maintain interfaith harmony.
Aqsa Rajput, among many other Youth Alumni members, has participated in various trainings on governance, democracy, constitutional rights and other such themes in the last three years. This unique event on Peace Day, where all panelists were youth members themselves, was organized by her as a way of sharing her learnings with her peers and other youth members. Aqsa shared that organizing and taking part in such activities also helps youth members like herself in enhancing their leadership and communication skills. Being the first speaker at the event, Aqsa underscored the many types of discrimination that is practiced in various countries, religions and societies and how the most vulnerable suffer the most in such circumstances. With that, she also highlighted the importance of education and how that plays a key role in empowering communities, specially girls. Aqsa had recently visited Nepal as part of a youth exposure and exchange visit, of which she gave an example of how people of completely different faiths and religions live peacefully and happily in one county.
As part of her address, Aqsa focused on the need for building more peace and establishing frequent interfaith dialogues among people of varying religions to develop a relationship of mutual respect and dignity.
Participants, representing various universities in Sindh, shared other similar examples. One youth member, Salman Chattha, used Canada as a good example of a country where people of many faiths live together peacefully. He highlighted how the Canadian government provides equal opportunities to their own people, as well immigrants and minorities, recognizing them as an asset of the country and celebrating religious diversity, rather then seeing it as a liability. Salman also referred to Quaid-e-Azam’s address at the first constituent Assembly on11th August, 1947, in which he shared his vision of Pakistan, being a country that would celebrate and ensure “equality of all citizens”
Another youth activist, Mahrukh Parvez, shed light on the international theme of this year’s Peace Day – Together for Peace: Respect, Safety and Dignity for All. She reiterated that,
the world needs to come forward for fostering peace.
She further added,
I strongly condemn the human rights violations in Myanmar of the Rohingya community.
The panel sessions then followed a question answer exercise, where participants shared their views and experiences on discrimination, if any, that they had faced. Some girls among the participants, quoted experiences of gender discrimination faced by them. Another youth member shared his own experience of practicing religious discrimination towards people of other faiths, and acknowledged how the panel and speaking sessions at the event made him realize that all citizens are equal irrespective of their belief, caste or creed. Queries on other similar issues were put forward to the speakers and were discussed in detail. Many participants claimed that their understanding on accepting and celebrating diversity has fairly improved since participating at the Peace Day event.
Towards the end of the day, a theatre performance on the theme of religious discrimination by youth group members was held. The event concluded with participants coming together to share messages of peace in solidarity with the Myanmar’s Rohingya community.
Shazia, a participant at the event expressed,
I am now taking a positive message of peace being the only solution for a country’s development and progress.
Many other participants, after the event, committed to being more determined and active in promoting and enhancing peace and tolerance among their communities.