Pakistan map
UNICEF photo: Thirteen-year-old Lali Kaur, holding her baby sister, stands with her young cousin outside their family’s temporary shelter on the side of the main road in Shikarpur District in Sindh Province. They have been displaced by recent flooding © UNICEF/Pakistan2012-Zaidi Thirteen-year-old Lali Kaur, holding her baby sister, stands with her young cousin outside their family’s temporary shelter on the side of the main road in Shikarpur District in Sindh Province. They have been displaced by recent flooding.

Pakistan

In 2013, UNICEF and partners plan for:
831,300

children under 5 at risk of acute malnutrition access nutrition services

1,785,000

children affected by acute watery diarrhoea have access to lifesaving curative interventions

1.5 million

people provided with safe water per agreed-upon standards

2013 requirements (US$)

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Humanitarian situation

UNICEF and partners are responding to three concurrent emergencies: the displacement of 734,000 people in the northwest due to insecurity, early recovery from the 2011 floods affecting over 5 million people in southern Sindh Province, and the 2012 floods affecting almost 5 million people in Northern Sindh, Southern Punjab and Balochistan. Overall, the situation of children is dire, with poor access to health care, acute malnutrition rates above internationally agreed-upon emergency levels1, unsafe water and poor sanitation, which in combination puts the lives of children at significant risk.  Education, if accessible, is of poor quality, and the gaps and weaknesses in the child protective system expose the most vulnerable and disadvantaged children to violence, abuse and exploitation. In addition, as Pakistan is prone to recurrent natural disasters, emergency preparedness activities and response in 2013 will be of paramount importance, and must include efforts to strengthen resilience though national capacity development and preparedness.

Planned results for 2013

2013 programme targets

Nutrition

  • 831,300 children under 5 at risk of acute malnutrition access nutrition services
  • 383,000 children under 5 provided with micronutrient supplementation

Health

  • 750,000 children immunized against measles
  • 1,785,000 children affected by acute watery diarrhoea have access to lifesaving curative interventions

WASH

  • 1.5 million people (including approximately 604,000 children) provided with safe water per agreed-upon standards
  • 2,870,000 emergency-affected persons benefit from hygiene and sanitation promotion

Child protection

  • 306,000 children and 153,000 women will be provided with safe access to community spaces for learning, recreation and protection referrals

Education

  • 313,200 children (40 per cent girls) will benefit from temporary learning centres.

In 2013, UNICEF will support humanitarian assistance in coordination with the Government of Pakistan, other United Nations agencies and non-governmental organizations (NGOs) in order to respond to the needs of the millions of children and women affected by insecurity and floods. UNICEF will deliver an integrated package of maternal, newborn and child health and nutrition services at the community level (including immunization against preventable childhood diseases) in addition to nutrition services (screening and treatment of acute malnutrition), thereby reducing the risk of disease, permanent stunting and developmental delays among children. UNICEF will provide water, sanitation and hygiene (WASH) services to 1.5 million people in the affected areas, to ensure the supply of lifesaving drinking water and reduce the risk of water-related diseases through hygiene promotion for 2.87 million people. Child-friendly temporary learning spaces will provide a protective and stimulating learning environment for more than 313,000 children during times of humanitarian crisis and when children are most at risk. To reduce the risk of exposure to violence, abuse and exploitation, UNICEF will provide safe spaces and foster a protective environment for some 306,000 children and 153,000 women.

UNICEF will continue to lead the WASH and nutrition clusters, co-lead the education cluster with Save the Children, and lead the child protection area of responsibility, ensuring coordinated assessment, response and information management.

Results from 2012

UNICEF originally appealed for US$88,400,000 and later reduced the requirements to US$69,577,000 following the end of the 2011 floods appeal. As of 31 October a total of US$26,458,809, or 38 per cent of the revised requirements, were received as contributions for humanitarian action in 2012. Funding received for the displacement due to insecurity was relatively low, which had an impact on the results achieved. UNICEF has provided maternal and child health care services to some 535,000 children in accessible emergency-affected areas during 2012. To prevent and respond to high levels of malnutrition, 412,500 children under 5 and 209,400 women were screened for malnutrition, with 30,716 children under 5 admitted to outpatient therapeutic programmes. To prevent water-related disease outbreaks, UNICEF and partners provided daily safe drinking water to 1.14 million people (including 458,000 children) in the emergency-affected areas. In flood-affected areas, 112,545 children (45 per cent girls) were enrolled in temporary learning centres; of these, over 101,000 children (45 per cent girls) were mainstreamed within the formal school system following the 2011 floods. Forty per cent of those children had never been to school. In the northwest, 7,130 children (48 per cent girls) were reached through 21 camp schools, and 428,100 children (40 per cent girls) were enrolled in school under the Welcome to School Initiative. In addition, through 313 Protective Learning and Community Emergency Services (PLaCES) centres, 81,120 children (46 per cent girls) and 28,375 women were reached with protection, psychosocial support and recreation services as well as life skills education. PLaCES and temporary learning centres (TLCs) aim to build the resilience of communities with an emphasis on child-centred disaster risk reduction interventions. The above results for children and women might have been even more impressive had it not been for the challenging funding situation in 2012 as well as the constantly changing security situation, which required maximum agility and flexibility in the programming approaches and outreach.

UNICEF funding requirements for 2013

UNICEF requires US$64,950,000 to provide lifesaving and critical programme interventions and cluster coordination functions at the federal and sub-national levels. The funding requirements are formulated within agreed-upon frameworks such as the humanitarian community’s Humanitarian Operational Plan and Early Recovery Action Framework for Khyber Pakhtunkhwa Province(KP) and the Federally Administered Tribal Areas (FATA), as well as the Monsoon 2012 Humanitarian Operations Plan, in addition to potential needs arising from 2013 floods. The consequences of underfunding are grave, as lack of funding will greatly increase the vulnerability of emergency-affected children and women to potentially fatal diseases, undernutrition and social protection risks.

1 Aga Khan University, Pakistan Medical Research Council and Nutrition Wing, Ministry of Health, ‘Pakistan National Nutrition Survey 2011’ (draft), May 2012, <http://pakresponse.info/LinkClick.aspx?fileticket=scqw_AUZ5Dw%3D&tabid=117&mid=752>, accessed 13 December 2012.