In 2013, UNICEF and partners plan for:
children under 5 with acute malnutrition to access outpatient therapeutic treatment
children affected by acute watery diarrhoea to access lifesaving curative interventions
people (including approximately 579,120 children) to be provided with safe water per agreed-upon standards
2013 requirements (US$)
Update of Humanitarian situation
UNICEF and partners are continuing to respond to the protracted emergency in the northwest due to internal displacement of 1.04 million people caused by insecurity in the Federally Administered Tribal Areas (FATA). An influx of nearly 144,000 internally displaced persons (IDPs) was witnessed, first in mid-March 2013 from Tira Valley (Khyber Agency) and subsequently in mid-May 2013 from Para Chamkani (Kurrum Agency). About 10 per cent could be accommodated in three existing camps. The remaining 90 per cent are spread out in nearby districts of Khyber Pakhtunkhwa Province (KP), mostly in Peshawar Valley. About 97,000 families (consisting of 600,000 people) are expected to be returned by the end of the year.
Early recovery activities in response for the 2012 floods (affecting almost 5 million people in Northern Sindh, Southern Punjab and Balochistan) concluded in March 2013. However, because of Pakistan’s vulnerability to recurrent floods and other natural disasters, emergency preparedness is of paramount importance in 2013, and includes efforts to strengthen resilience through national capacity development and preparedness.
Overall, the situation of children is dire, with poor access to health care, acute malnutrition rates above the 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.
Adjusted planned results for 2013
2013 adjusted programme targets*
- For estimated 500,000 people affected by Monsoon Floods 2013
- 121,190 children under 5 with acute malnutrition access outpatient therapeutic treatment **
- 283,557 children under 5 are provided with micronutrient supplementation
- 557,462 children and women access infant and young child feeding (IYCF) support through community outreach services
- 482,536 children are immunized against measles
- 458,316 children affected by acute watery diarrhoea access lifesaving curative interventions
- 1,447,800 people (including approximately 579,120 children) are provided with safe water per agreed-upon standards
- 1,720,700 emergency-affected persons benefit from hygiene and sanitation promotion
- 107,521 children and 49,020 women have access to protective learning and community emergency services (PLaCES)
- 159,707 children (52 per cent girls) benefit from temporary learning centres.
*The overall targets are based upon the operational plan and early recovery for 2013 IDPs in KP and FATA, continuing early recovery in areas affected by 2012 floods till March 2013 and emergency preparedness for 2013 Monsoon. floods.
**Previous target of 831,300 children under 5 was for number screened. The target has been adjusted to those accessing treatment.
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. Following three consecutive years of significant flooding, a main focus of UNICEF’s programmes with the Government and partners in the coming months will be the prepositioning of essential stocks for 500,000 people as contingency planning. This is extremely urgent, since August/ September constitute the peak time for flooding in Pakistan. Whereas the early recovery activities for the 2012 floods concluded in March 2013, the emergency focus on the IDPs in KP and FATA will have to continue during the rest of the year. Programme targets for 2013 have been adjusted accordingly in the adjoining box. UNICEF will deliver an integrated package of maternal, newborn and child health and nutrition services at the community level to nearly half a million children (including immunization against preventable childhood diseases and the screening and treatment of acute malnutrition), to reduce the risk of disease, permanent stunting and developmental delays among children. UNICEF will provide water, sanitation and hygiene (WASH) services to 1.4 million people in the affected areas, to ensure access to clean drinking water and reduce the risk of water-related diseases through hygiene promotion for 1.7 million people. During humanitarian crises, when children are most at risk, child-friendly temporary learning spaces will provide a protective and stimulating learning environment for 160,000 children and protective learning and community emergency services (PLaCES) will be provided to nearly 110,000 children. Also UNICEF will ensure uninterrupted supply of antiretroviral (ARV) medicines and nutrition support to people living with HIV, especially children living with HIV and to HIV positive pregnant women for prevention of mother to child transmission (PMTCT).
UNICEF will continue to lead the WASH and nutrition clusters, co-lead the education cluster with Save the Children, and lead the child protection sub-cluster, ensuring coordinated assessment, response and information management.
Results from 2013
The early recovery phase of the 2012 floods was concluded in March 2013. An inter-agency humanitarian response plan (including early recovery at the places of return) was developed in January 2013 for Khyber Pakhtunkhwa (KP) and Federally Administered Tribal Areas (FATA) and later revised upward to cover the needs of the newly displaced people from Tirah valley (Khyber Agency) in March 2013, along with those of the existing internally displaced person (IDPs).
Through end of June, UNICEF has provided maternal and child health care services to 153,639 children in accessible emergency-affected areas during 2013. To prevent and respond to high levels of malnutrition, 132,790 children under 5 and 119,698 women were screened for malnutrition, with 66,497 children under-5 admitted to outpatient therapeutic programmes. To prevent water-related disease outbreaks, UNICEF and partners provided daily safe drinking water to 356,122 people in the emergency-affected areas.
In flood-affected areas, 34,227 children (41 per cent girls) were enrolled in temporary learning centres in the early recovery phase of the Flood 2012 response. In the northwest, 13,821 children (50 per cent girls) were reached through 41 camp schools. In addition, through 292 Protective Learning and Community Emergency Services (PLaCES) centres, 64,673 children (48.5 per cent girls) 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.
UNICEF funding requirements for 2013
UNICEF originally appealed for US$ 64,950,000 and is now reducing the funding requirements to US$ 48,908,153 following the conclusion of the 2012 floods appeal. As of 30 June 2013, a total of US$ 21,159,319, or 43 per cent of the revised requirements, was received as humanitarian contribution. Funding received for the displacements due to insecurity was relatively low, which impacted adversely on the results achieved. The funding requirements are formulated within agreed-upon frameworks such as the Humanitarian Operational Plan and Early Recovery Assistance Framework for Khyber Pakhtunkhwa province (KP) and the Federally Administered Tribal Areas (FATA) as well as for the need for contingency stock requirements to respond to potential monsoon floods in 2013. Lack of additional funding will greatly increase the vulnerability of emergency-affected children and women to potentially fatal diseases, under-nutrition 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.