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Saba, 25, resides with her eight-member family in Mohallah Railway station at Pithoro Taluka[1]. Her home is three kilometers away from Community World Service Asia’s health center in Pithoro of Umerkot District. Saba was in her third trimester in November 2020.

“My husband worked in a textile company as part of the skilled labor before he lost his job amid COVID-19 and was earning PKR-15,000/month. In August 2020, he was diagnosed with Hepatitis. It has been difficult to make ends meet, as my husband was the sole bread earner. We had to take loan from relative to keep our livelihoods going.”

Diarrhea, Tuberculosis (TB), Hepatitis, skin infections and malnutrition are some of the more common health problems reported among communities in Pithoro. During Covid-19 it was very difficult for these rural communities to access medicine and other health services as most humanitarian organisations were unable to operate due to strict restrictions or closures of offices.

“I was able to visit the health facility for checkups as the women medical staff at the Mother Neonatal Child Health Centre is very comforting and efficient in healthcare delivery.”

Saba visited CWSA’s health facility with her sister-in-law for the first time in her first trimester.

“I was so pleased with the health services. The medical doctor conducted a thorough check-up and prescribed some medicines, which I easily got from the pharmacy free of cost. The medical team also gave a health session to maintain a healthy diet and shared a diet plan for me to follow. I strictly follow the plan and it has been very beneficial in terms of health. I did not feel weak or tired throughout my pregnancy period.”

Saba has to face some challenges due to the unavailability of laboratory services in the health facility.

“We have to travel to Mirpurkhas for blood tests, Ultrasound, Hepatitis, Urine-DR and blood CP. Moreover, the tests can be expensive with one blood test costing up to PKR 1500 (Approx. USD 9) in the district’s laboratory. People in my neighborhood do not have sufficient income to manage their household expenses. For this reason, we cannot afford additional expenses of healthcare at quality medical facilities.”

ⁱ A tehsil (of taluka) is an administrative division in some countries of the Indian subcontinent that is usually translated to “township”.

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“For years, I have been chopping wood and selling it in the local market known as Pithoro Market. The COVID-19 lead lockdown imposed in our district minimised work opportunities for many of us. Market places had been shut down and people stayed indoors with no opportunity for businesses to operate or grow. Consequently, I was also unable to sell the wood and earn any sort of income. To further add to our worries, we also lost our home during the heavy rains in August (2020). Our house was made of mud and was fragile. We were forced to move out of the village as most of the village was flooded with rainwater. To survive, we built a tent near the main road on a nearby higher ground as a temporary shelter. We have been living here for weeks now. We plan to rebuild our home as soon as the land dries out and return to our village.”

Jarviz is a father to five children and belongs to a remote village named Saint John Colony, located in Talka[1] Pithoro in district Umerkot of Sindh. He is the sole breadwinner for his family despite being physically disabled due to polio at a very young age. Before COVID-19 hit the country, Jarviz earned PKR 200 daily (approx. USD 1) which was not quite sufficient to cover all the needs and expenses of his family of seven (including himself) but the family stayed together and lived on a day to day basis. Jarviz has been a strong man and always helpful towards everyone he knew and is therefore an inspirational member of the community’s Village Committee for over a year now.

“I have been a member of Saint John Colony’s Village Committee (VC) since its formation in August 2019. We are ten members in total with equal numbers of both genders. The committee is formed to ensure community participation and facilitate Community World Service Asia’s (CWSA) health project team in project planning, implementation, and coordination with government line departments and other NGOs. The main objective is to address the problems and needs of the community together. As an active member, I have been involved in conducting health sessions and organising free medical health camps with the project team in remote villages in the area,” shared Jarviz Masih. 

Jarviz also remotely took part in the health sessions conducted by CWSA’s health team on COVID-19 safety in May and June 2020, under its health program.

“The sessions sensitised me on social distancing, hand washing, using protective gear and avoiding public gathering to eliminate the transmission of the virus. In addition, the team held sessions on family planning and health and hygiene. One of the key purposes of these sessions were for VC members to replicate the teachings in our communities to make communities aware on COVID-19 preventive and safety measures as much as possible. I myself delivered sessions sensitising 157 people in my village in the following two months. The health team has been continuously providing remote counselling and educating us on accessing Taluka hospitals in case of emergency or other general health issues.”

“In one instance, a woman in our neighborhood delivered a baby at home in an emergency. After her delivery, due to high blood pressure, she suffered from fits. I immediately contacted the health team and they advised us to immediately head towards the THQ[2] Pithoro, as the medical staff of the government was available there. The paramedic in Pithoro referred the women to the Female Medical Officer in Mirpurkhas hospital. The timely counselling and consultations benefitted and the woman was safely and immediately admitted to the hospital and is being treated well,” narrated Jarviz.

As a humanitarian response to the COVID-19 crisis, Community World Service Asia (CWSA), with support of United Methodist Committee on Relief (UMCOR), implemented a project addressing the immediate needs of affected communities in Umerkot district in Sindh province of Pakistan. Jarviz was selected as a participant of this project.

“A cash assistance of PKR 24,000 was provided to me and my family in two installments in the months of August and September 2020. With the money received, I purchased groceries for my family to put food on the table. In addition, I bought some clothes and crockery items for my daughter as her wedding is planned in a month’s time. The assistance was very beneficial and timely for me and my family.”

[1] A tehsil (of taluka) is an administrative division in some countries of the Indian subcontinent that is usually translated to “township”.

[2] Taluka Headquarters

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Under the Enhancing disaster resilience against droughts in Sindh Province project, supported by the Ministry of Foreign Affairs, Japan,[1]  eight Disaster Risk Reduction (DRR) committees have been set up in eight villages, with fifteen members in each. Established in April 2019, the committees work towards strengthening the local community’s capacity to manage emergencies and collaborate with government agencies and relevant authorities to reduce risks during emergencies. These DRR committees play a pivotal role in facilitating the implementation and oversight of the project and to ensure community ownership and inclusion to maintain its long-term sustainability.

As physical interaction and implementation of any kind was not possible after the nation-wide lockdown imposed due to the COVID-19 pandemic in the country since March, Community World Service Asia’s DRR team got in touch with the members of the committees through mobile phones. Together they discussed ways of raising community awareness on COVID-19 symptoms and how to stay safe from it. Upon agreement, training sessions with the DRR committees were planned and conducted in April 2020.

Haji Chanesar village in Umerkot district was one of the selected areas and five members of its DRR Committee were part of the remote training session. They were informed about what communities should be doing to be prepared to respond to a case, how to identify a case once it occurs, and how to properly implement the preventive measures to ensure there is no further transmission of the virus.

Prem, 28, is married and a father to three children. After completing his intermediate, he was engaged in different volunteer work as he had grave interest in helping others. As a member of the DRR Committee, he looks after and operates the RO plant established in the village and also supports in the implementation of the project activities. Prem, who is an active member of the DRR Committee of Haji Chanesar village was one of the participants in this training.

The trained members of the committee then replicated the learnings separately in a number of neighbouring villages. Over two hundred local community members were introduced to information on COVID-19 and learnt basic hygiene measures to protect against the infection. By the end of these awareness sessions, communities were able to identify basic symptoms of coronavirus, common transmission channels, how to assess the risk of infection and key preventive measures.

An isolation room was established in Haji Chanesar, in case anyone is infected or is suspicious of being infected. The sessions alerted the villagers and they followed all SOPs[2] strictly especially at homes.

“In my home, none of my children go out to play nor does my wife socialize with her friends or family. We have limited our external activities, and we only go out when food or important household commodities need to be purchased. We have been fortunate till date as no case of coronavirus has come up. To prevent the spread of the virus in our area, we remain secure at home and maintain physical distance,” Prem concluded positively.

[1] Disaster Risk Reduction
[2] Standard of Procedures

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Mohan Maghwar, 35, lives with his wife and three children of seven & five years while little one is of three months old, in the remote village of Rantnor, located in the Thar Desertⁱ in the south of Pakistan. All kinds of natural life here is dependent on the annual rainwater. Rantnor is deprived of most basic survival facilities including healthcare, electricity, clean drinking water or sufficient livelihood sources.

Earning an income through traditional Sindhi cap weaving and manufacturing, Mohan was the sole breadwinner for his growing family. His wife would also help him with the weaving. He would receive many orders from the local markets and neighbouring buyers for which Mohan would buy raw materials and work on a fortnightly basis and then sell the finished product providing him a comfortable means to sustain his family. However, as COVID-19 struck the country, he soon lost his only source of livelihood.

“Our lives were going fine before the coronavirus came in the country and the national lockdown was imposed. Before the pandemic, I was earning up to PKR 600 (approx. USD 4) on every cap my wife and I produced. Sadly, our work was suspended because of closure of markets and restrictions on gatherings. There were no orders to work on and no money to earn due to limited or no work opportunities. I was worried about making ends meet without any source of income.”

As a humanitarian response to the COVID-19 crisis, Community World Service Asia (CWSA), with support of United Methodist Committee on Relief (UMCOR), is implementing a project addressing the immediate needs of drought affected communities in Umerkot. Through the project, 1,206 families will be provided with two cash grants, each of PKR 12,000 (approx. USD $ 75/-) in September through mobile cash transfer services. This cash assistance is aimed at addressing the food insecurity caused by drought, repeated locust-attacks and the economic implications of COVID-19 on the most vulnerable communities in remote areas of Sindh.

Rantnor was among the project’s target villages due as the family’s livelihoods was severely affected by the lockdown amid COVID-19 and drought. CWSA’s team identified Mohan and his family as project pariticpant of this humanitarian response as they were most affected by not only COVID-19 but other natural and climate induced crises as well.  Mohan received two rounds of cash assistances of PKR 12000 each (Approx. USD 75) in August and October 2020.

“With the money received, I purchased groceries and invested some money in a business and established a small enterprise shop at home, as I have marketing experience and utilized the cash assistance in creating a livelihood opportunity.”

ⁱ 55kilometers from Pakistan’s Umerkot District

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“I earn PKR 300 everyday (Approx. USD 3) working at a brick kiln. I also own ten acres of farmland; however, the cultivation is far less due to lack of rainfall and proper irrigation in the area. This year I was only able to grow Guar[1] on the field as the cash assistance provided by Community World Service Asia was consumed for tillage on the land. I purchased Guar seeds from a loan I took from a local seller. I am confident that I will be able to pay off the loan after the harvest season,” shares Mangal, a resident of Vickloker village, located in Umerkot. He lives with five other members of his family. Before the locust attacks they all lived a comfortable and content life together.

In 2019, Mangal cultivated Guar on his land, but the locust invasions completely destroyed the crops. The attacks proved to be catastrophic for the local crops in most parts of Southern Pakistan. Lack of harvest in the area affected the livelihoods of many farmers.

“The earnings we received after selling the crops helped us fulfil our family needs and household expenses. Sadly, this year we had nothing to sell or earn. The local farmers have followed conventional approaches to combat the attack of the locusts. These techniques included making noise and the use of fire smoke. Unfortunately, these attempts did not help much and most of the fields were left bare and eaten. As a result there was no harvest season.”

As part of an Emergency Response project, Community World Service Asia (CWSA), supported by Japan Platform, provided cash assistance to 1600 agrarian families this August. Rural families whose livelihoods were most affected by locust attacks and COVID-19 received conditional cash grants that helped farmers to plough lands to eradicate locust eggs before hatching.

“If effective steps to stop the hatching of new eggs are not taken, existing crops will be destroyed and this will eventually have a significant impact on farmers’ food security and welfare. However, the support we got this year saved us.”

Mangal’s family was among families that received a cash grant of PKR 13500/- (Approx. USD 86) under the emergency response project in Umerkot.

Mangal plans to save some of the harvested crops for household use and sell the rest in the local market as a means of livelihood.

“The money is going to help me repay the loan I took earlier to manage household expenses and to help me buy food for my family.”

[1] Guar is an important legume crop. It is cultivated for fodder as well as for grain purpose.

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Chothay is a 26 year old mother of three who lives with her husband, Kapil and children in Haji Chanesar village of Umerkot.

“My husband teaches at a nearby private primary school. We also grow cotton and wheat as joint croppers on a 5-acre field close to our house. Together with my husband’s salary and our earnings from the field, we bring home an income of PKR 15,000/- (Approx. USD 91) every month.”

Most of Chothay and Kapil’s income is spent on household utilities and ensuring to provide three meals for their children. The couple’s elder daughter attends a private school in the locality for which they pay a monthly fee of PKR 1000/- (Approx. USD 6).

“We are used to cooking on conventional mud-made stoves, which have one burner that results in contiguous smoke emissions. This meant more fuel consumption and the fire was hard to manage. The intense fire also damaged cooking utensils and left dark stains on all our crockery and cutlery. With the fire being unmanageable due to high winds, there have been many cases of houses burning down or women’s hands being burned or lungs being affected due to spending long hours in the kitchen. It even took longer to cook the food,” explained Chothay.

Gathering wood for the fire was also a laborious job often shouldered by the women in the house.

“Most of us would have bruised hands and legs when we return from fetching firewood due to the difficulty in breaking the branches and shrubs from trees and bigger plants.” 

In October 2019, Community World Service Asia conducted a training on making and using fuel-efficient stoves for twenty-five women in Haji Chanesar. The participants of the training were taught how to construct the stoves and were sensitised on its health and environmental benefits, including reduction of smoke emissions and decreased deforestation with lesser wood consumption. These trained women then replicated the same training in more than five hundred households in over sixty villages in the last ten months.

“We witnessed multiple fire flaring-up incidents in Haji Chanesar in the months of May and June last year, resulting in burnt hands, depreciated kitchen utensils and increased air pollution due to the smoke. Whereas, ever since we have started using fuel-efficient stoves, such accidents have minimised. Lesser shrubs and branches are used and cut down now which has also resulted in increased forestry and greenery,” said Chothay.

Chothay and many housewives of rural Umerkot now consume less fuel to cook as compared to when using traditional stoves.

“We are now saving time as well as energy while cooking our meals. We are coughing less and cooking more all while using two burners simultaneously. It has also reduced health risks as we do not burn our hands and less smoke is generated. We are using lesser wood which has reduced deforestation in our area and we now see more greenery in our area which is refreshing.”

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Ratni is a 70-year-old widow who lives with her son and his family in Senate John Colony, located in Pithoro of Umerkot district in Sindh, Pakistan. They all live together in a cob house made of mud and straw.

“My son, Khemchand, is a teacher at a local private school. He used to earn a reasonable monthly income of PKR 8000 before COVID-19 forced all schools in the region to shut down. The school administration discontinued paying its teachers as the school was not equipped to carry out online classes and there were no incoming student fees that could cover teachers’ salaries. However, the recent monsoons brought some relief to us agrarian communities. The rains have revived the agricultural activities and have given us opportunities to work on the fields. My son and daughter-in-law started working on the fields and were able to bring home some income through that. It was not much but was better than nothing. Sometimes, I would also assist them on the field to earn a bit more to make ends meets.”

The harvest season lasts three months in rain-fed areas of Umerkot and until the next monsoon season arrives, there will be less or no opportunities to work on the fields. Therefore, Ratni, Khemchand and his wife had no work to do once the three-month period ended in August.

“We had no livelihood by then and were forced to sell some of our household possessions to buy essential food supplies for the house and particularly for my four young grand-children. We also had to take some loan from our neighbours when there was nothing left to sell.”

Community World Service Asia (CWSA), with support of United Methodist Committee on Relief (UMCOR), is implementing a Humanitarian Assistance project responding to the immediate needs of drought affected Communities in Umerkot. As part of the project, 1, 206 families will be provided with two cash grants, each of PKR 12,000 in September through mobile cash transfer services to address food insecurity caused by drought, repeated locust-attacks and the economic implications of COVID-19.

Senate John Colony’s Village Committeeⁱ provided a list of families living in the area who were most affected by the COVID-19 pandemic and other natural disasters to be supported through the project. As a result, CWSA’s emergency response team contacted Ratni as a project participant and she received the first cash assistance of PKR 12000 (Approx. USD 72).

“Through the money I received, I paid back the loans I had taken from neigbhours to survive in the last months and bought some food essentials for home. I have also saved some money to buy school books for my grandchildren for when the schools resume.”

ⁱ Village Committees are voluntary associations established for local administration. They are extra constitutional authorities comprised of 7-8 members including male and female from different caste in the village.

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Dodo (far right) with his family

Dodo Maru Bheel is a 74-year-old father of two children, a son and a daughter, and a resident of Moriya village in UC Sekhro district of Umerkot, Sindh. He and his wife and younger daughter currently live with their son and his family (of six members, a wife and four children). Dodo has a visual impairment but he has never considered that as a disability or something that would hinder his life plans or goals. He is as resilient as can be and everyone in the village admires his determination and strength.

Dodo experienced a fatal road accident a few years ago. Due to an unavailability of an ambulance or timely first aid in the area, Dodo was unable to access appropriate medical facilities which further worsened his injuries from the accident. Since his financial conditions were unfavourable, he could not even afford most of the prescribed treatment at a bigger health centre in the nearest urban city. Dodo suffered a severe head injury which eventually lead him to lose his eye-sight completely.

With his sudden visual impairment, Dodo was unable to find any employment or paid work. He used to work as a daily labourer in the Umerkot city and surrounding areas. The elderly couple, along with their daughter, hence became financially dependent on their son. Their son, a daily wager, worked as a mason and the money he earnt barely met his own family’s basic day-to-day expenses, let alone a whole household of now nine members.

As the COVID-19 pandemic hit Pakistan, the government imposed a country-wide lockdown to restrict the spread of the virus. Many daily wagers lost their jobs during the lockdown; Dodo’s son was among them. The family could barely afford a single meal a day. Dodo and his son were struggling to keep their house running and their families fed. This dire situation prompted Dodo to sell a few of his goats during the days leading up to Eid-ul-Adha in late July 2020. His goats were his only remaining livestock and a supporting income means. Dodo also borrowed some money during the early days of the lockdown from a local landlord to meet their household expenses.

In April 2020, Dodo’s wife had received cash assistance of PKR 12000 (approx. US $ 71) from Ehsaas Kafalat Program as a part of the government’s COVID-19 relief fund. With that amount, Dodo and his wife planned to run a small scale, home-based business but his former creditors pushed him to pay back his loans with that amount so he was unable to use it for anything else.

The lockdown in the country has now eased but COVID-19 has left the country in a severe economic crisis that has pushed many underprivileged communities into poverty. Dodo and his son sold almost all the resources they had to sustain their family’s survival needs and are left with nothing now.

Community World Service Asia and UMCOR have initiated a project to respond to the needs of hazard and COVID-19 affected marginalised communities in rural Sindh. As part of the project, together with the support of village committees, the project selected Dodo as a participant of its cash-assistance. This will ensure that Dodo receives PKR 24000/- in two monthly installments to start his own small scale, home-based business.

Dodo and his family are happy to be selected and are looking forward to efficiently utilising the cash that they will receive next week and returning to a somewhat normal semblance of their life, as they did before the COVID-19 crisis. Dodo also hopes to save some of this money to consult an eye specialist for his eye-sight treatment.

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The PUKAR theater group performing at a local village after the training on Interactive Theater for Influencing in 2019.

Imam Uddin Soomro is an active member of the Pakistan Kissan Mazdoor Tehreek (PKMT), an alliance of small-scale and landless farmers including women farmers. Imam collects data on crops and conducts awareness sessions for farmers on sustainable agriculture, green revolution and globalization. As a member of a local theatre group named, PUKAR, since 2018, Imam also performs as an interactive theatre artiste in rural villages, organises learning events and writes articles on agriculture and farmers’ rights in local languages.

The PKMT was formed in 2008 as a result of a series of discussions among powerless farmers and social and political activists who felt that an organised platform to voice their demands was essential for small-scale farmers facing social and economic constraints.

“We perform plays that enable us to interact with different communities. The theatre plays address issues that are part of the PKMT struggle, including feudalism and the impact of corporate agriculture. As a theater performer, I was selected as a participant in a training tilted, Interactive Theater for Influencing, in July 2019. The training provided technical knowledge and capacity building opportunities on skills required to influence communities to bring about progress in the society. Our skills of script-writing, communications and character-building were further enhanced in the seven-day residential training.” said Imam.

All seven members of the PUKAR theater group participated in the training which gave them networking and experience- sharing opportunities with other like-minded participants. The session on ‘team building’ and ‘inhibition breaking’ helped participants self-assess themselves and understand their pivotal and influential position in society. Participants learnt about stage directions, allowing the audience to grasp every performers’ act and the message they are conveying through their role plays.

“We met with other theater groups from Peshawar, Sindh and Islamabad. All the groups had different interactive skills to perform as we all engage with different kinds of audiences. The members of other groups shared the issues they highlighted through their plays and how they passed on the resolutions,” shared Imam.

On the last day of the training, participants developed action plans to further implement the learning and skills learnt during the training.

“Initially, we would randomly select issues and base our plays on those issues. After the training, we altered our strategy. We now plan a meeting to identify the common issues that are prevalent in the communities through meetings with community members and develop a script for the play accordingly to work together to rectify the challenges people are facing. CWSA has extended support in reviewing the scripts which we plan to avail,” expressed Imam.

A group exercise that engaged the training participants in planning a theater play with other members of the group allowed collaborative learning and practical experience-sharing through coordination among the members. Imam narrated,

“When we acted with other theater performers, we learnt to show strong facial expressions as that also largely impacts the deliverance of the message and not just the dialogues. This joint exercise helped in modifying our acting and delivery gestures in order to have an even stronger impact in the communities we perform.”

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Prepared by the Communications Office

August 26, 2020

This year’s fifth monsoon spell in Pakistan started on Monday August 24th and continued throughout Tuesday, swamping districts of Mirpurkhas, Umerkot, Tharparkar, Mithiari, Sanghar, Nowshero Feroze, Jamshoro, Tando Muhammad Khan, Tando Allahyar, Karachi, Thatta, Sujawal, Badin, Dadu, Hyderabad, Chor and Tando Jam in the Sindh province. Monsoon rains and subsequent flooding have left 90 people dead, 40 injured and large-scale infrastructural damage across Pakistan so far this year. Almost 900 houses have been fully damaged, while 195 have been partially damaged in the affected areas.

Pakistan’s National Disaster Management Authority (NDMA) has confirmed 31 deaths in Sindh, 23 in Khyber Pakhtunkhwa, 15 in Baluchistan, 10 in Gilgit Baltistan, 8 in Punjab and 3 in Pakistan Administered Kashmir during this monsoon season in Pakistan.

Many houses and public buildings, such as public hospitals, offices and schools, in rain-hit districts are flooded with rainwater and are currently inaccessible. The agrarian community has suffered even more massive damages to their land and harvests. Huge amounts of livestock in rural regions have also perished with the flash floods. Moreover, many rural communities in Badin and Tharparkar districts of Sindh have been displaced and have personally relocated to safer and more low-risk areas.

According to Pakistan Metrological Department, continued heavy rains and thunderstorms in lower Sindh are expected the week ahead which may further aggravate the situation. The Government of Sindh has therefore declared Emergency throughout the Sindh province.

Community World Service Asia’s (CWSA) Response

CWSA’s Emergency response team is currently providing emergency cash assistance to flood affected families in district Dadu and are engaged in relief operations responding to the needs of COVID-19 affected communities in district Umerkot and Karachi city of Sindh. The team is also regularly monitoring the rain and floods situation and plans to extend their humanitarian response to provide support to flood-affected communities in other areas when required.

Contacts:

Shama Mall
Deputy Regional Director
Programs & Organizational Development
Email: hi2shama@cyber.net.pk
Tele: 92-21-34390541-4 

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Tele: +92 42 3586 5338

Source:

www.ndma.gov.pk
www.tribune.com.pk
www.pmd.gov.pk

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