Emergency Plan of Action (EPoA) Pakistan: Monsoon Floods 2014

Transcription

1 Emergency Plan of Action (EPoA) Pakistan: Monsoon Floods 2014 DREF Operation MDRPK010 Glide n FL PAK Date of issue: 22 September 2014 Date of disaster: 3 September 2014 Operation manager: Shesh Kafle Disaster Management Coordinator IFRC Pakistan Delegation shesh.kafle@ifrc.org Operation start date: 3 September 2014 Point of contact: Ghulam Muhammad Awan Director of Operations Pakistan Red Crescent Society dirops@prcs.org.pk Expected timeframe for Relief: 6 months Expected timeframe for possible Recovery interventions: To be indicated in the Revised Emergency Appeal scheduled to be published in a few weeks after the publication of this Emergency Appeal. Overall operation budget: CHF 2,877,277 DREF allocated: CHF Number of people affected: 2,275,946 Number of people to be assisted: 227,500 (32,500 families) 1 Host National Society presence (n of volunteers, staff, branches): Together with the national headquarters, Pakistan Red Crescent Society (PRCS) base units 3 provincial branches and 14 district branches are involved in the response. Some 150 volunteers and staff have been mobilized and are involved in the ongoing operations. Red Cross Red Crescent Movement partners actively involved in the operation: At the time of launching this Emergency Appeal, the International Federation of Red Cross and Red Crescent Societies (IFRC) is the Movement partner actively involved in supporting the Pakistan Red Crescent Society (PRCS) response. However, PRCS is maintaining close coordination with other Movement partners with in-country presence the International Committee of the Red Cross (ICRC), Canadian Red Cross Society, Danish Red Cross, German Red Cross, Norwegian Red Cross, Emirates Red Crescent and Turkish Red Crescent who are likely to support the National Society s response should the situation escalate. Other partner organizations actively involved in the operation: National Disaster Management Authority (NDMA), state and provincial disaster management authorities, Pakistan Army, Department of Health (DoH), World Health Organization (WHO), World Food Programme (WFP) and United Nations Office for the Coordination of Humanitarian Affairs (OCHA). A. Situation analysis Description of the disaster & Summary of the current response Delayed monsoon rains coupled with additional water flowing in the main water courses has resulted in inundation of a large area of land, and loss of life, damage to property and infrastructure, agricultural and lifestock. In the first week of September, the four eastern rivers of Pakistan (Chenab, Ravi, Sutlej, Jhelum) were overflowed and triggered flash flooding in the Azad Jammu & Kashmir (AJK), Gilgit Baltistan (GB), and Punjab regions. Similarly, continuous raining have affected the neighboring country of India which had to release water from its dam into Pakistan to manage the water level. The Government of Pakistan has not asked for international assistance. However, Provincial and State Governments have declared a few districts as being calamity hit. The National Disaster Management Authority (NDMA) reports that the floods, resulting from the late monsoon rains, have left more than 300 people dead and over 2,27 million people affected across AJK, GB and Punjab. 2 These figures are likely to rise as daily updates from the affected regions are 1 32,500 families (7 persons per family) 2 Government of Pakistan, Climate Change Division, National Disaster Management Authority, Monsoon Weather Situation Report 2014; 16 September

2 P a g e 2 validated and published. With more than 3,166 villages submerged, thousands of people living in communities on the periphery of the rivers have been displaced. The Provincial Disaster Management Authorities (PDMAs) in Punjab and Sindh along with other government departments and the armed forces have evacuated villages at risk of being inundated. Currently there are 177 relief camps operational with about 65,842 persons residing in them. Based on the information obtained at this stage, the most critical needs include food, emergency health, safe water and emergency sanitation services, emergency shelter and essential household items. TIMELINE 1 st week of September Heavy rains and flash and riverine flooding in the four eastern rivers of Pakistan (Chenab, Ravi, Sutlej, Jhelum) affected the AJK, GB, and Punjab regions. Immediate impact includes inundation of a large area of land along with loss of life, damage to property and infrastructure, agricultural and livestock losses. With more than 3,166 villages submerged, thousands of people living in communities on the periphery of the rivers have been displaced. DMIS and PRCS website updated. PRCS dispatches teams to conduct preliminary assessments in affected areas. 8 September A regional information bulletin on the IFRC response for monsoon floods in the South Asia region published. 9 September PRCS convened its first briefing session for Movement partners on the current flood situation, the immediate response actions, and planned activities. 12 September The Emergency Plan of Action for DREF was launched to support 465,905 people for 3 months with CHF 299,798 to ensure that the immediate needs of flood-affected populations are met through provision of emergency health services, food, emergency shelter and essential household item assistance. Pakistan NDMA makes a request to the United Nations Humanitarian Coordinator for a Multi-Sector Initial Assessment (MIRA) to be carried out in the five worst affected districts of Punjab (Jhang, Mandi Bahauddin, Multan, Chiniot and Hafizabad). No additional requests have been made by the government for international support. 16 September The Government of Pakistan continues to lead the nation-wide response through the NDMA and provincial disaster management authorities. The NDMA has issued flood warnings in southern Punjab and Sindh provinces. Local authorities have been warned to take all necessary measures to avoid any loss of life and property. The NDMA is providing daily updates on the damages and losses caused by the floods. PRCS is coordinating with government authorities and other humanitarian actors in the country. PRCS has deployed mobile health units (MHUs), and conducted distributions of food and emergency shelter and essential non-food items (NFIs). PRCS Sindh district branches are also supporting evacuation of vulnerable villages. Region Deaths Injured Houses destroyed or damaged Villages affected People affected Crop area affected (Acres) Livestock lost AJK , ,489 2,048 1,875 GB , , Punjab ,052 2,909 2,227,482 1,690, Total ,799 3,166 2,275,946 1,692,933 2,663

3 P a g e 3 Overview of Host National Society Disaster Management is a core activity of the Pakistan Red Crescent Society (PRCS). Within the past ten years, the National Society has trained a core group of disaster response team members at national, provincial and district levels, equipping them with skills to effectively carry out response activities. PRCS also has an updated contingency plan for monsoon, itemizing the organization s human resource capacity and pre-positioned stock available to respond rapidly and appropriately to the current situation. Furthermore, over the recent years, the National Society has launched responses to both large and small scale disasters with the support of the IFRC. Of note are the largescale operations in response to the 2005 earthquake and 2010 floods. There have also been a number of DREFsupported operations in response to smaller, more localized disasters. The PRCS has a national headquarters in Islamabad, and strong presence in each of the flood affected regions, with volunteers and staff at state, provincial and district levels. The PRCS national headquarters has been coordinating the assessment and response efforts from its operational room in Islamabad, to facilitate coordination with provincial and regional branches as well as Movement partners with in-country presence. The PRCS has conducted initial assessments and has deployed mobile health units, conducted distributions of food and emergency shelter and essential NFIs. Sindh district branches are also supporting evacuation of vulnerable villages. To date, the actions of the PRCS are as follows: Relief items Region Remarks AJK GB Punjab Sindh Total Assessment teams MHUs (ambulance and emergency medicine kit) MHUs (ambulance, HR & medicines) patients treated patients treated Food packs (22 KG) 3 3,350 3,350 Emergency shelter and essential NFIs The packs include, tents, tarpaulin sheets, hygiene kits, kitchen sets, blankets, mosquito nets, jerry cans etc. Apart from the above-mentioned response, PRCS Punjab Branch has distributed cooked food to 52,000 individuals along with 69,000 litres of bottled water. The branch has also distributed 1,000 tents to affected people donated to them by local philanthropists. Furthermore, the PRCS Sindh district branches are supporting the local authorities with evacuation of vulnerable villages Overview of Red Cross Red Crescent Movement in country In addition to the International Federation of Red Cross and Red Crescent Societies (IFRC), in-country Movement partners include the International Committee of the Red Cross (ICRC), Canadian Red Cross Society, Danish Red Cross, German Red Cross, Norwegian Red Cross, Emirates Red Crescent and Turkish Red Crescent. The partners are ready to support the National Society s response should the situation escalate. A PRCS staff assisted the residents of a community who have been settled in temporary emergency shelters provided by PRCS in Sheikh Basti in Bagh district. The community lost their homes to the recent monsoon floods. Photo: PRCS. The IFRC has a Country Delegation office in Islamabad and receives technical support, when needed, from the South Asia Regional Delegation in New Delhi, India, as well as the Asia Pacific Zone Office in Kuala Lumpur, 3 The PRCS distributed its 22 KG food pack consisting of 10 kg wheat flour, 2kg ghee, 2kg sugar, 2kg rice, 2kg daal channa, 1kg daal masoor, 800gm salt, 200gm red chilli powder, 400gm dry milk, 95gm tea and 1.5ltr water.

4 P a g e 4 Malaysia. Since the first week of September, IFRC has been closely monitoring the rainfall and flooding situation, providing technical support to the PRCS and has contributed to the development of an information bulletin on the IFRC response to monsoon floods in the South Asia region. A DREF for CHF 299,798 has been approved and issued on 12 September Two Land Cruisers with drivers have been provided by ICRC to support MHU operation in the flood affected areas of AJK. Movement Coordination On 9 September 2014, PRCS convened its first briefing session for Movement partners on the current flood situation, the immediate response actions, and planned activities. The meeting was chaired by the National Society s Director of Operations. Representatives from PRCS, IFRC, ICRC, and Partner National Societies participated. A subsequent briefing session is to be scheduled soon. The IFRC Pakistan Delegation, on 11 September, convened a meeting with Partner National Societies to complement previous updates and coordination messages sent electronically. IFRC will assume a coordination role in support of PRCS, including the mobilization of international disaster response tools as may be required. The Danish Red Cross, with bilateral projects in the affected areas, is planning to make a bilateral contribution to the PRCS operation within the framework of this EPoA. The Red Cross Society of China has given an un-earmarked contribution of USD 50,000 (approx. CHF 46,717). These and possible future bilateral contributions will be reflected in more detail in the revised EPoA and future budgets. External Coordination The IFRC Pakistan Delegation is in coordination with other humanitarian actors in the country through fora such as the Humanitarian Country Team, UN OCHA and the Pakistan Humanitarian Forum (a network of international and national non-governmental organizations). This coordination includes the sharing of regular updates on the PRCS response to the floods. The WFP has also collaborated with the Pakistan Red Crescent Society by topping up the society s food packs with high energy biscuits, during recent relief distributions undertaken by PRCS in five districts in Punjab province. Overview of non-rcrc actors in country At the national level, the Government of Pakistan, through the NDMA, has taken the lead in coordinating the response, and undertaking relief activities including provision of food, portable water, emergency shelter and nonfood items. At provincial and district levels, the response is being coordinated by the respective provincial, state and district disaster management authorities. The table below summarizes the relief provided by NDMA and PDMAs as at 16 September Region Total Relief items distributed Islamabad AJK GB Punjab Capital Territory Tents 4, , ,875 Plastic mats 2,500 10,000 12,500 Blankets 5, ,000 1,000 26,850 Life jackets Water Purification Plants Aqua Tablets 471, ,000 The Pakistan Army is leading search and rescue efforts, while the Punjab Emergency Service Rescue 1122 is undertaking life-saving responses in affected districts 5. As of 16 September 2014, NDMA has coordinated the deployment of 19 helicopters and 574 boats from the Army and district administrations, evacuated 526,416 persons, and housed around 60,000 persons in camps in AJK, GB and Punjab. 4 Government of Pakistan, Climate Change Division, National Disaster Management Authority Monsoon Weather Situation Report 2014, 16 September UN OCHA Monsoon Update Pakistan; Issue 5; 8 September 2014

5 P a g e 5 The United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is issuing situation updates to humanitarian actors on a regular basis while the World Health Organization (WHO) has issued a health situation report on the flood emergency, outlining the public health concerns, the health needs, priorities and gaps. Updates on PRCS response to the floods have also been shared with OCHA and the Pakistan Humanitarian Forum. The NDMA has made a request to the United Nations Humanitarian Coordinator for a Multi-Sector Initial Assessment (MIRA) to be carried out in the five worst affected districts of Punjab (Jhang, Mandi Bahauddin, Multan, Chiniot and Hafizabad). As the Government of Pakistan has requested international assistance, the cluster system has not been formally activated. However, relevant clusters have been holding various informal meetings, the shelter cluster for example through a working group. Needs analysis, beneficiary selection, risk assessment and scenario planning The NDMA is providing daily updates on the damages and losses caused by the floods. The figures reported at this stage are preliminary and in all likelihood incomplete. The situation is still evolving and the numbers are likely to rise as the situation becomes clearer over the coming days. As of 16 September 2014, the damages and losses in AJK, GB and Punjab were as follows: Region Deaths Injured Houses destroyed or damaged Villages affected People affected Crop area affected (Acres) Livestock lost AJK , ,489 2,048 1,875 GB , , Punjab ,052 2,909 2,227,482 1,690, Total ,799 3,166 2,275,946 1,692,933 2,663 Reports suggest that at least 65,842 are living in camps while an still to be determined number have taken refuge on higher ground, along road, and with host families. The WHO, in its first health situation report 6, has identified the following as the major health concerns: Increase in acute respiratory infections (ARI), diarrhea, and skin diseases in affected population Damage to roads and infrastructure thus compromising access to information and health services Shortage of essential medicines due to substantial magnitude of problem Damage to crops and stored grains thus resulting acute shortage of food for both human and livestock Accidents and injuries Shortage of anti-snake venom and anti-rabies vaccines Interruption of routine vaccination activities. Major public health concerns include an increase in acute respiratory illnesses, diarrhea and skin diseases in the flood-affected population. The report also cites other priority areas, such as: Shelter for flood-affected population Provision of safe drinking water for affected population Appropriate sanitation and disposal services Supplies for water purification and chlorination Food and nutrition Maternal, neo-natal and child health (MNCH) services Transportation and referral services Vaccination for commonly-occurring diseases and routine Expanded Program on Immunization (EPI) At present, communities on the periphery of the rivers are most affected. As the floodwaters move further south, it is highly likely that communities in Sindh province will also be affected. These areas are likely to be inundated and are already under high alert. Local authorities have been warned to take all necessary measures, including pre-emptive evacuations, to avoid preventable loss of life and property. 6 Health Situation Report # 1, Flood Emergency 2014, Pakistan September 8, 2014

6 P a g e 6 According to OCHA, flood water has now entered upper Sindh along the Indus River. 122 camps have been deployed in the six likely affected districts to accommodate the population displaced or likely to be displaced from within the flood plains. The concerns above have been mirrored in preliminary assessments undertaken by the Pakistan Red Crescent Society. However, the situation is still ongoing and it is difficult to predict how the situation will play out. Further assessments will be undertaken by the Society in the coming days, and these combined with the MIRA (mentioned above), will be used to guide recovery interventions to be undertaken by the Society, as part of this Appeal (see also Proposed Strategy section below). Risk Assessment Relief efforts and assessments in affected areas are constrained by a lack of access as flood water has inundated roads. In some places, the Army has had to do mechanical breaches using explosives to ease the pressure of the flood waters. Contractors and machinery has been mobilized for emergency repairs in many places. It is expected that access will improve in the coming days when floodwaters recede. However, the situation might further worsen during upcoming winter seasons. Presently there are 65,842 displaced people living in camps. Mobilization of trained staff and volunteers is a pre-requisite to the success of this intervention. PRCS Senior Management will ensure that the mobilization of volunteers and staff is done in a timely manner and to meet the required needs. As a major portion of the budget is allocated to the procurement of relief items, standard procurement procedures will be followed in order to complete the operations in the stipulated timeframe. Beneficiary selection At the district level, PRCS branches participate in district coordination meetings (DCM), which are hosted by respective district coordination officers. The DCM, having an overview of the situation, assigns the geographical areas to be covered by different humanitarian organizations, including PRCS. The National Society s technical departments then are engaged in the initial damage and needs assessment and planning for the relief and response operation. Region PRCS Case Load (HH) AJK 1,800 GB 200 Punjab 30,500 Total 32,500 As per the PRCS s 2014 contingency plan for monsoon, the organization will take responsibility for humanitarian support to 10% of the overall affected population. As per the NDMA, more than 2,275,000 people are affected which equals around 325,000 families. PRCS will therefore assume a case load of 32,500 affected families pending more detailed and solid data from ongoing assessments. The following broad considerations will be taken into account in the selection of beneficiaries in the target areas: Unaccompanied elders and elderly couples Sick or people with disabilities and/or family members with disability Pregnant or lactating mothers Unaccompanied orphans and destitute children Families who have family members who have died Families who have lost the main income earner A PRCS staff registered beneficiaries of the recent floods Families headed by divorcees or widowed persons without a source of income in Muzaffarabad district. Photo: PRCS. Families that have lost all properties houses and crops damaged B. Operational strategy and plan Overall objective The overall objective is to ensure that the immediate needs of flood-affected populations are met through provision of food, NFI s, emergency shelter, emergency health services and water and sanitation services over a period of six months Proposed strategy In coordination with the NDMA and respective disaster management agencies in the AJK State and affected Provinces, the PRCS has initiated rapid assessments and implementation of immediate response operations. The

7 P a g e 7 mobilization of staff and National Disaster Response Teams (NDRT) and Branch Disaster Response Teams (BDRT), from the national headquarters and affected Provinces respectively, is ongoing. This monsoon flood response 2014 is hinged on PRCS involvement in the following areas of response while ensuring proper coordination at all tiers of the organization: Distribution of food, emergency shelter and essential household items Provision of emergency health services and health promotion Water and Sanitation, including safe drinking water, hygiene promotions and emergency toilets Psychosocial support These sectors are defined in the PRCS Contingency Plan for the Monsoon The emergency shelter and essential household item packs include tents/tarpaulin sheets, hygiene kits, kitchen sets, blankets, mosquito nets and jerry cans. These items will be dispatched from existing disaster preparedness stocks. The items are not included in the attached budget, only distribution costs. In the revised EPoA, PRCS will consider appealing for support to replenish what has been distributed, to ensure that the level of preparedness stocks remain at planned levels. Considering Pakistan s disaster profile, which includes the threat of earthquakes, it s essential to keep the preparedness stocks at planned levels. This Emergency Appeal will be revised once detailed damage and needs assessments are undertaken. With villages submerged, houses destroyed, acres of farmland inundated and livestock lost, there will be future needs for recovery interventions such as livelihoods assistance, shelter, longer term health interventions such as Community Based Health and First Aid (CBHFA), water and sanitation and hygiene promotion interventions, disaster preparedness and risk reduction activities. A clearer picture of the damages and losses is expected by end September or early October Operational Support Services Human resources Some staff who will be supporting this Emergency Appeal (IFRC and PRCS) will be moved from the IFRC Development Operational Plan 2014 budget to the emergency operations budget as they are directly involved in the response operation. Additionally, a request for the deployment of RDRT may also be considered. The operations will be supported by volunteers and staff members existing in both PRCS and IFRC Pakistan Country Delegation. Volunteer and staff per diem are also covered in the operational budget. PRCS has already insured 500 volunteers who will be mobilized for this operation. As such, volunteer insurance costs are not included in the budget. The PRCS Director of Operations will manage the response through the relevant departments and sectors, while the Director of the Health department will be responsible for execution of health-related interventions. Logistics and supply chain Logistics support will be provided following IFRC procedures to source and procure relief items needed, and to ensure the efficient and timely delivery of these items for the success of the operation. Non-food relief items are being sourced from pre-positioned stocks. A Joint IFRC and PRCS Committee for food procurement is in place. Established before the flooding started, it will shorten the time for procurement and delivery. Procurement of food items will follow the preparedness measures agreed within the PRCS and IFRC procedures framework. The emergency shelter and essential household items in this plan will initially source from existing PRCS Disaster Preparedness Stocks stored at its Provincial warehouses in Punjab, AJK and GB that are to be replenished through 4 PRCS NHQ Warehouses (2xHaripur, 1xMultan & 1xKarachi). Regarding the 6 mobiles health Units, they are being dispatched from PRCS NHQ, Islamabad to support the affected areas. The continuous supply of required medicines will be done through existing PRCS NHQ medicine stock followed by replenishment by local procurement through Joint (PRCS and IFRC) Medicine Procurement Committee following IFRC procurement procedures. In addition to the existing PRCS vehicle fleet, rented vehicles would also be needed and used for this response operation. For the IFRC monitoring and support to this response operation, VRP vehicles would be used (three additional VRP vehicles have been budgeted for).

8 P a g e 8 Communications There has been close coordination between IFRC and PRCS communications colleagues on generating public interest and support for this disaster. A proactive approach has been taken towards engaging the media, and interviews have been given to leading international print and broadcast media including BBC and Al Jazeera. A consistent flow of public information materials has been generated including talking points, news stories, photographs and video material which have been shared with National Societies and promoted across IFRC online platforms. Some of this content has also been cross-posted by key stakeholders including AlertNet, OCHA s IRIN service and ReliefWeb. Looking ahead, the focus will be on maintaining the flow of communications materials that will support the visibility efforts of partners in their domestic markets. Focus will also be on continued media relations and promotion via social media, to maintain public interest in the floods and effectively position the IFRC and PRCS as lead players in the response effort. Security The recent floods have affected the areas of GB, Punjab Province and the State of AJK. At present, IFRC the security team does not see any immediate concerns in the flood affected areas. Having said that, most of these areas will be new intervention areas for IFRC. Preliminary security assessments will need to be carried out once areas of intervention are identified including access routes, travel distance and timings, accommodation facilities and telecommunications. There will also be requirement to inform local authorities of RCRC presence and the nature of the work in the area. All personnel deploying will receive a security briefing and instructions on how to maintain constant communication with radio rooms and security. It is also imperative that acceptance is gained due to the likely threat of disturbances from the local communities in anticipation of receiving aid. Protests in affected areas can be expected and can also be very spontaneous. These can cause delays in movement when they happen. IFRC security will be present with its current structure to support emergency activities in relation to the recent floods. Planning, monitoring, evaluation and reporting (PMER) In the current PRCS setup, the PMER department is responsible for leading the monitoring function. Both the process and results monitoring will be carried out as per PRCS contingency plan Similarly, the real-time evaluation (RTE) and the final evaluation will also be done Response narrative reporting is done on standard PRCS emergency reporting templates and their frequency depends on the duration of the operation. PMER officers at provincial level support disaster management teams by compiling and disseminating situation reports. At the national headquarters level, the PMER teams assist the disaster management team in refining situation reports, which they then disseminate. In its 2014 Contingency Plan for Monsoons, PRCS has outlined how monitoring of response activities will be carried out. This involves regular monitoring visits (process and result monitoring) to ensure that activities are implemented in compliance with established check-lists, and conducting surveys to measure beneficiary satisfaction with the services delivered. In addition, the National Society has planned a review workshop during which key persons from all tiers involved in the response will reflect on what went well and identify recommendations to be considered for future response operations to ensure organizational learning. A regional information bulletin was issued on 9 September 2014, covering four countries affected by floods in South Asia. Following this Emergency Appeal, an operation update will be issued within the first month of the operation to report on progress. At the end of the operation, an internal review will be conducted to capture the lessons learnt and for use in future reference with the view of promoting better programming. A final report will be available 90 days after the end of operation. Finance and Administration Operational expenses such as volunteer per diem, transportation, communication and coordination activities are factored in. Finance and administration support to the operation will be provided by PRCS national headquarters, with support from the finance team of the IFRC Country Delegation. The IFRC Administration department will provide the support and facilitation (travel and accommodation) as and when required.

9 C. DETAILED OPERATIONAL PLAN Quality programming / Areas common to all sectors Outcome 1: Continuous and detailed assessment and analysis is used to inform the design and implementation of the operation and lessons learnt are drawn from the implementation Output 1.1: Initial and continuous needs assessment are updated following consultation with beneficiaries Activities planned Week Conduct rapid and continuous assessments x x x x x x Develop further the emergency plan of action based on the findings from the assessment x x x In consultation with relevant departments, mobilize volunteers for the response x x x x x x x x x x x x Output 1.2: The management of the operation is informed by a comprehensive monitoring and evaluation system Monitor the response operation (process and results monitoring) x x x x x x x x x x Establish a beneficiary information and complaints addressing mechanism for the continuous improvement of x x x x x delivery system Conduct Real Time Evaluation (RTE) and revision of Plan of action where appropriate x x x x Conduct final evaluation of response operation x x x x Health & care Needs analysis: The specific public health concerns included an increase in the number of cases of diarrhoea, acute respiratory illness (ARI) and skin infections, adding a burden to an already stretched public health delivery system. In addition, damages to the roads and infrastructure are limiting the access to the health services. There is therefore a need to provide health services to the door step of the affected population by deploying mobile health units. The supply of essential medicines also requires consideration. Population to be assisted: The foremost intervention in the in flood-affected communities is the provision of clean and safe water and proper acute health care with appropriate referral services, including reproductive health care, with provision of medicines by deployment of mobile health units. Disease surveillance is essential in preventing outbreaks of cholera, measles, polio and malaria, all prevalent in Pakistan especially in flood conditions. Curative health services, psychosocial support, health promotion and disease prevention messages and campaigns must be undertaken together with national, provincial and district health authorities. Outcome 1: The immediate risks to the health of affected populations are reduced Output 1.1: Target population is provided with rapid medical management of injuries and diseases Activities planned Week

10 Deployment of 6 mobile health units (MHUs) x x x x x x x x x x x x x x x x x x x x x x x x Medical procurement to maintain adequate medical supplies for MHUs x x x x x x x x Transportation of medicine x x x x x x x Closely coordinate, and where possible collaborate with department of health. x x x x x x x x x x x x x x x x x x x x x x x Referral of patients to the higher level health facilities. x x x x x x x x x x x x x x x x x x x x x x x Organize health education sessions for the targeted populations x x x x x x x x x x x x x x x x x x x x x x x Outcome 2: To provide Psychosocial Support to Flood Affected Population of Punjab, AJKA and GB. Output 2.1: The psychosocial well-being and resilience of families in Punjab, AJK and GB have been enhanced to enable them to return to normal life. Conduct PSP training for staff and volunteers x x Conduct psychosocial sessions and education (group and individual) Provide referral for severe psychological cases to local psychiatrist Identification of extremely vulnerable individuals (EVIs) and extremely vulnerable families (EVF); Follow up and Referral to concerned department x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x Coordination and cooperation with all relevant stakeholders x x x x x x x x x x x x Conduct social and cultural activities (need based) x x x x Water, sanitation and hygiene promotion Needs analysis: Due to torrential rains and flash flooding in the AJK and Punjab, Sialkot, Hafizabad, Toba Tek Singh, Jhelum, Gujrat districts and parts of AJK are badly affected. The immediate needs are clean drinking water and sanitation support in terms of distribution of clean drinking water, provision of aqua tabs, sanitation facilities for families, children and older persons, and sessions for safe hygiene practices. Population to be assisted: The PRCS NHQ assessment teams at Punjab branch indicated 10,000 families (70,000 people) are in critical need of water and sanitation support. Outcome 1: Water and sanitation related diseases are reduced for flood affected families for (six) months by increased access to safe drinking water, sanitation and hygiene promotion Output 1: Immediate reduction in risk of waterborne diseases and water related diseases in targeted communities Activities planned Week Deployment of water filtration plants x x Provide safe drinking water to the most vulnerable flood effected people through emergency water treatment and x x x x x x x x x x x x distribution. Establish water distribution and storage (through trucking) in x x x x x x x x x x x x

11 areas as required Output 1.2: Improved access to and use of adequate sanitation by target population. Selection of sites for 150 latrines (community level) x x x x Construction of 150 appropriate emergency latrines for flood affected population Output 1.3: Hygiene promotion activities are provided to the targeted population. x x x x x x x x x x x x x x Procurement of aqua tablets x x x x Conduct trainings for volunteers on hygiene promotion activities x x x x Conduct emergency hygiene promotion activities and cleanup campaigns in the flood affected area with special x x x x x x x x x x x x x x x x x x x x x x x x emphasis on the needs of women and children. Printing and dissemination of IEC material x x x x x x x x x x x x x x x x x x Shelter and settlements (and household items) Needs analysis: As per the report of NDMA dated 16 September, 2014, 47,799 houses have been destroyed or damaged (pending detailed disaggregated data). A large part of these families are likely displaced, in addition to those temporarily displaced in spontaneous settlements or camps. The numbers will be refined in the coming days and weeks through ongoing assessments. The assessment reports by PRCS and other humanitarian organizations so far have clearly reflected the need for emergency shelter and essential household items. Population to be assisted: PRCS will initially support a caseload of 4,780 families (10% of the caseload) with emergency shelter and essential household items (tents/tarpaulin sheets, hygiene kits, kitchen sets, blankets, mosquito nets and jerry cans). PRCS coordinates with district authorities to identify the underserved areas. The PRCS will support families with totally damaged houses for emergency shelter and essential household items. Outcome 1: The emergency shelter and essential household needs of 4,780 flood-affected families (approximately 33,460 people) are met. Output 1.1: 4,780 flood-affected families (approximately 33,460 people) have received emergency shelter and essential household items. Activities planned Week Select and verify 4,780 families, involving the community in planning and distribution process x x x x x x x x Mobilize existing disaster preparedness stocks from PRCS warehouses to distribution sites in accordance with the distribution plan x x x x x x x x Distribute emergency shelter and essential household items to 4,780 families x x x x x x x x x x x x x x x Promote awareness on best practice techniques for emergency shelter (at distribution sites) x x x x x x x x x x x x x x x Food security, nutrition and livelihoods

12 Needs analysis: Monsoon rains have affected 2,275,946 people, and as per the rapid assessment reports from the PRCS, the immediate needs of the affected population include food. Population to be assisted: PRCS will initially support 32,500 families (227,500 people) with food assistance and will coordinate with district authorities to identify the underserved areas. Outcome 1: The basic food needs of 32,500 flood-affected families (approximately 227,500 people) are met. Output 1.1: 32,500 flood-affected families (approximately 227,500 people) have received food packs. Activities planned Week Undertake local procurement of food packs following IFRC procurement procedures x x x x x x Undertake food quality testing and inspection x x x x Transport food parcels from PRC warehouses to distribution sites in accordance with the distribution plan x x x x x x x x x x Distribute food parcels to 32,500 families (see annex 1 for the composition of a food packs) x x x x x x x x x x Content of PRCS Dry Food Parcel (61 Kg) Sr.# Items Packing weight Unit of measure Calories per unit Calories per packing size (per 15 days) Calories per day (for family of 7) Calories per day (per person) 1 Wheat Flour (20) 20 KG 3,390 67,800 4, Rice 15 KG 3,650 54,750 3, Lentils (Daal Channa) 6 KG 1,091 6, Lentils (Daal Masoor) 6 KG 3,460 20,760 1, Ghee 5 KG 8,760 43,800 2, Sugar 7 KG 3,970 27,790 1, Tea 1 KG Salt 1 KG Total 61 24, ,456 14, , Budget See Annex for details.

13 EMERGENCY APPEAL 22/09/2014 MDRPK010 Pakistan : Monsoon Floods 2014 Budget Group Appeal Budget CHF Food 1,836,250 Water, Sanitation & Hygiene 137,000 Medical & First Aid 150,000 Teaching Materials 20,550 Total RELIEF ITEMS, CONSTRUCTION AND SUPPLIES 2,143,800 Storage, Warehousing 15,000 Dsitribution & Monitoring 60,700 Transport & Vehicle Costs 193,965 Total LOGISTICS, TRANSPORT AND STORAGE 269,665 National Staff 27,660 National Society Staff 149,000 Volunteers 25,000 Total PERSONNEL 201,660 Consultants 20,000 Total CONSULTANTS & PROFESSIONAL FEES 20,000 Workshops & Training 5,620 Total WORKSHOP & TRAINING 5,620 Travel 12,000 Information & Public Relations 8,000 Office Costs 7,025 Communications 12,200 Shared Support Services 21,699 Total GENERAL EXPENDITURES 60,924 Programme and Supplementary Services Recovery 175,608 Total INDIRECT COSTS 175,608 TOTAL BUDGET 2,877,277