Multi-Sectoral Rapid Need Assessment Flood Emergency ...

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Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014 Multi-Sectoral Rapid Need Assessment Flood Emergency-District Jhang 10-Sep-2014 Muslim Aid UK –Pakistan Field Office

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Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Multi-Sectoral Rapid Need Assessment Flood Emergency-District Jhang

10-Sep-2014

Muslim Aid UK –Pakistan Field Office

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Table of Contents Ser

# Title

Page

A Situational overview and summary 2

A.1 Map of flood in district Jhang

3

B Methodology 4

C Study limitations 5

D Flood devastations in Tehsil Jhang 6

E Flood devastations in Tehsil 18-Hazari 7

F Flood devastations in Tehsil Shorkot 7

G Flood devastations in Tehsil A.P Sial 8

H Findings 9

H1 Shelter 9

H2 Health and nuitrition 10

H3 WASH 11

H4 Food security and livestock 12

H5 NFIs 14

I Preferred needs identified 15

Annex1 List of Health facilities 17

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

A. Situational Overview and summary

The widespread devastations of ferocious floods are visible in district Jhang of Punjab.

The system of life is totally paralyzed in the area where thousands of houses have been

submerged in water. High flood has wreaked everything and almost 250 villages of 41

Union Councils1 of the district are adversely affected, dislocating thousands of people.

Two main consecutive torrents each of 5,25000 and 8,50000 cusecs of flood water

entered in district Jhang on 08th and 10th Sept, 2014

which swamped all the four tehsils of district including

tehsil Jhang, tehsil 18-Hazari, Shorkot and A.P Sial. The

district administration warranted the contingency

arrangements for saving Trimmu Headworks (which is in

fact the conjunction of river Jehlum and river Chanab),

Jhang City, 18-Hazari city and Ahmedpur Sial. The

discharging capacity of Trimmu Headworks is 6,45000

cusecs at maximum while upcoming flood was more than

8,50000 cusecs which was almost impossible for the

district administration to control or manage, therefore the

the Atharan Hazari (18) protective dyke was breached at

three different cites which increased manifold the existing

massive catastrophe of tehsil 18 Hazari because the

flowing pressure of breached water was tremendous

causing numerous houses into mud debris. Army troops

were purposely deployed for mitigating any unforeseen

situation, patrolling flood affected areas, shifting affectees

to safer places through water boats and helicopters. Police,

Rescue 1122 officials, Al-Khidmat foundation and Falah e insanyat

played significant role in evacuating affectees i.e. rescue operation.

District Jhang comprises of 4 Tehsils (Jhang, Atharan Hazari,

Shorkot and A.P.Sial) comprising 85 Union Councils. Out of 85

UCs, the initial data collected of 41 affected UCs, consisting of total

population of 1113062 as reported in [1]. The pie chart provides

that 74% (827437) people are intensely flood affected whereas the

rest of 26% (285625) is either safe or not directly affected. It entails

that the overwhelming population with houses demolished; farms and commodities are

spoiled. The magnitude of this flood disaster is ever greater in the history of Jhang. As

per the recorded natural calamities in district Jhang, the floods of 1973 and that of 1992

is known to be most destructive; however this flood of Sep 2014 is found the worst of

all, with countless measure of calamities.

1 Data provided to Muslim Aid by District government and Health department of District Jhang

285625

(26%) 827437

(74%)

Rescue Operation

Pix of one breach at 18-Hazari

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

A.1

Map of flood in district Jhang

The dark blue line was the actual river.

The water in sky blue shows the inundated area due to flood

Jhang City

River Chanab

River Jehlum

Trimmu Barrage

at Athara Hazari

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

B. Methodology

Comprehensive and separate data collection tools were developed for Focus Group

Discussion (FGDs) with affected communities, Key Informant interviews (KII), meetings

with respective government departments and field based working NGOs were

conducted to gauge the exact data whatever possible. This was done to address

several discrepancies, technical mistakes and doubts pertaining to data collection and

analysis which are in particular to emergencies and crisis.

Secondary data collection from Health department as per data collection tool.

This was done through meetings with Medical superintendent of DHQ Jhang,

pediatrician and EDO health department of Jhang

8 Focus group discussion (FGDs) with IDPs communities in flood affected areas

of tehsil Jhang and tehsil 18-Hazari.

Secondary data collection from District Livestock department and meeting with

director and Assistant director of livestock District Jhang

5 Interviews of Key informants who had been volunteering services for IDPs

Meeting with the focal person for IDPs of Al-Khidmat Foundation and Falahe

insanyat foundation

Meeting with rescue 1122 and army personnel’s deployed for rescue operation

C. Study limitations

Stringent deadlines, time limitations and emergency situation

Primary data collection was not extensively made which could have the

representation of each and every region ie UC and village. For this purpose,

methodology of focus group discussion and key informants interviews was

thoroughly applied.

Limited houses being sunk in water or damaged were watched.

Some of the Secondary data received from different line departments though

being considerably authentic, however it was not perfect, exact and error free.

The death tolls of men and animals too were not exactly confirmed due to

emergency situation and mainly involvement in rescue operations of different

departments.

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

D. Flood devastations in Tehsil Jhang

According to data provided by district

government, tehsil Jhang has 17 severely

affected UCs (names given in table-1). The

aggregate (actual) population of these UCs is

448108 and the population directly affected or

displaced is 331119 which means that the

population directly submerged into water is

79% and rest of 21% is either safe or affected

indirectly.

Line chart 1- provides the distribution of

population in different UCs of tehsil Jhang. The

line split gives trend that overall UCs’

population lies in range of 25000 to

30,000. Only three UCs lies below

25000 populations.

Line Chart 2- shows the population

split of aggregate (actual) population

and directly affected population. It

gives that out of the 17 affected

population of Tehsil Jhang, the 7 UCs

are 100% affected or submerged in

water. These are highlighted by

Yellow circles glowing. The Black line

as in Line Chart 1- gives the total

population while the Red Line shows

the affected population.

Column Chart 3- gives the UC vise %

damages in Tehsil Jhang. The Red

Column in the chart offers the range

of damages 60%<X=<100% (more

than 60% or equal to 100%). 8 UCs

are with 100% devastation which

means totally submerged into water or

inundated. Whereas the Yellow

columns give damages occurred more

than 50% and the dark-blue shows

the UCs with devastations of <50%

(Less than 50%).

Sr# Tehsil Affected UCs 1. Jhang UC 46

2. Jhang UC 52

3. Jhang UC 54

4. Jhang UC 55

5. Jhang UC 58

6. Jhang UC 64

7. Jhang UC 74

8. Jhang UC 75

9. Jhang UC 76

10. Jhang UC 77

11. Jhang UC 78

12. Jhang UC 79

13. Jhang UC 80

14. Jhang UC 82

15. Jhang UC 83

16. Jhang UC 84

17. Jhang UC 85

0

10000

20000

30000

40000

UC46

UC52

UC54

UC55

UC58

UC64

UC74

UC75

UC76

UC77

UC78

UC79

UC80

UC82

UC83

UC84

UC85

2- Black line = Actual population, Red line= Affected

0

5000

10000

15000

20000

25000

30000

35000

UC46

UC52

UC54

UC55

UC58

UC64

UC74

UC75

UC76

UC77

UC78

UC79

UC80

UC82

UC83

UC84

UC85

1- Population distribution Tehsil Jhang

0

20

40

60

80

100

UC46

UC52

UC54

UC55

UC58

UC64

UC74

UC75

UC76

UC77

UC78

UC79

UC80

UC82

UC83

UC84

UC85

UC vise % damages Red(80-1oo%), Yellow>=50%, Blue<50%

79%

21%

Tehsil-Jhang 79% affected Population

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

E. Flood devastations in Tehsil 18-Hazari

According to data provided by district

government, tehsil 18-Hazari has 09 severely

affected UCs (names given in table-2). The

aggregate (actual) population of these affected

UCs is 257409 and the population directly

affected or displaced is 206178 which means

that the population directly submerged into

water or the area inundated is 80% and rest of

20% is either safe or not directly flood-hit.

Line Chart 4- shows the population split of

aggregate/actual population and directly

affected population. It gives that out of

the 09 severely affected UCs of Tehsil

18-Hazari, the 5 UCs are 100% affected

or completely inundated. These are

highlighted by Yellow circles glowing.

The Black line as in Line Chart 4- gives

the total population while the Red Line

shows the affected population.

Column Chart 5- gives the UC vise %

damages in Tehsil 18-Hazari. The Red

Column in the chart offers the range of

damages 50%<X<100% (more than 50%

less than or equal to 100%). 5 UCs are

with 100% devastations which means

totally submerged into water or

inundated whereas the dark-blue shows

the UCs with devastations of <50%

(Less than 50%).

F. Flood devastations in Tehsil Shorkot

Tehsil Shorkot has 7 severely affected UCs

(names given in table-3). The aggregate (actual)

population of these UCs is 179350 and the

population directly affected or displaced is

127597 which means that the population directly

submerged into water is 71% and rest of 29% is

either safe or not directly affected.

Sr# Tehsil Affected UCS

1. 18-Hazari UC 65

2. 18-Hazari UC 66

3. 18-Hazari UC 67

4. 18-Hazari UC 68

5. 18-Hazari UC 69

6. 18-Hazari UC 70

7. 18-Hazari UC 71

8. 18-Hazari UC 72

9. 18-Hazari UC 73

Sr# Tehsil

Affected UCS

1. Shorkot UC 100

2. Shorkot UC 101

3. Shorkot UC 103

4. Shorkot UC 104

5. Shorkot UC 109

6. Shorkot UC 113

7. Shorkot UC 114

0

10000

20000

30000

40000

UC 65 UC 66 UC 67 UC 68 UC 69 UC 70 UC 71 UC 72 UC 73

80%

20%

Tehsil-18 Hazari 80 % affected Population

0

50

100

UC65

UC66

UC67

UC68

UC69

UC70

UC71

UC72

UC73

UC vise % damages (Red=100/>50%), Blue<50%

4- Black line = Actual population, Red line= Affected population

Tehsil-Shorkot 71 % affected Population

71%

29%

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

Line Chart 6- shows the population split

of aggregate population and directly

affected population. It gives that out of

the 7 affected population of Tehsil

Shorkot, 3 UCs are 100% affected or

submerged in water. These are

highlighted by Yellow circles glowing.

The Black line as in Line Chart 6- gives

the total population while the Red Line

shows the affected population. The

Black line split gives trend that overall UCs’ population lies in range of 25000 to 30,000;

whereas only one UC 114 lies below 25000 populations and one other UC 104 is with

above 30,000 populations.

Column Chart 7- gives further UC vise

% damages in Tehsil Shorkot. The Red

Columns in the chart represents the

range of damages =100%. It means

that 3 UCs (UC-114, UC-113, UC-109)

of Tehsil Shorkot are completely

swamped in water and the dark-blue

column shows the UCs with

devastations of 60%<50% (Less than

60% and greater than 50%).

G. Flood devastations in Tehsil A.P. Sial

Tehsil A.P Sial has 8 severely affected UCs

(names given in table-4). The aggregate

(actual) population of these UCs is 228195 and

the population directly affected or displaced is

162543 which means that the population

directly flood hit is 64% and rest of 36% is either

safe or not affected directly.

Line Chart 8- shows the population

split of aggregate population and

directly affected population. It gives that

out of the 8 affected population UCs of

Tehsil A.P Sial, 2 UCs are 100%

Sr# Tehsil

Affected UCS

1. A.P Sial UC 115

2. A.P Sial UC 117

3. A.P Sial UC 119

4. A.P Sial UC 120

5. A.P Sial UC 122

6. A.P Sial UC 123

7. A.P Sial UC 127

8. A.P Sial UC 128

0 20 40 60 80 100

UC 100

UC 101

UC 103

UC 104

UC 109

UC 113

UC 114

UC vise % damages

0

5000

10000

15000

20000

25000

30000

35000

UC 100 UC 101 UC 103 UC 104 UC 109 UC 113 UC 114

100%

6- Black line = Actual population, Red line= Affected population

0

5000

10000

15000

20000

25000

30000

35000

UC 115 UC 117 UC 119 UC 120 UC 122 UC 123 UC 127 UC 128

36%

64%

Tehsil A.P Sial 64%

6- Black line = Actual population, Red line= Affected population

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

affected or submerged in water. These are highlighted by Yellow circles glowing. The

Black line as in Line Chart 8- gives the total population while the Red Line shows the

affected population. The Black line split gives trend that overall UCs’ population lies in

range of 25000 to 30,000.

Column Chart 9- gives further UC vise

% damages in Tehsil A.P.Sial. The Red

Columns in the chart represents the

range of Flood-hit population =100%. It

means that 3 UCs (UC-123, UC-122,

UC-115) of Tehsil A.P.Sial are

completely flooded in water and the

dark-blue shows the UCs with

devastations of 70%<X>50% (Less than

70% and greater than or equal to 50%).

H. Findings

H1. Shelter

It is a bit pre-mature to give the exact figure with 100%

certainty that which % of flood-hit houses has been fully

or partially affected. It is however very obvious from the

data that 74% population of 41 UCs of district Jhang is

directly flood-hit which is alarmingly substantial.

Hundreds or thousands families managed either to their

remote relatives or started staying under open sky at

relatively raised locations, not submerged into water. It

is worth mentioning that rural areas mostly comprising

of mud houses or houses without raised platforms and

without DRR considerations. It was observed that

many houses turned into mud wreckages or cracked

because water assessed, is likely sustained for several

weeks. The respective affected population in the

already discussed 41 UCs gives 79% flood hit

population in Tehsil Jhang, 80% in 18-Hazari, 71 % in

Shorkot and 64% in A.P Sial.

As per the data provided by district government, the

total affected population of 41 UCs of district Jhang is

827437. It is assumed as per the HH generalized

standard in Pakistan that one HH comprises of 7

members. This gives a total of 118205 houses which

are flood hit. It is again assumed that 55% houses of

0 20 40 60 80 100

UC 115

UC 117

UC 119

UC 120

UC 122

UC 123

UC 127

UC 128

Limited families in tents fetching water

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

the affected population are partially or fully damaged which gives 65012 which is very

optimum figure of analysis. The detail discussion with Key informants and affected

communities provided 55% (65012) houses either partially or fully damaged. The scale

of devastation is tremendous in the sense that once a house or a room is cracked, it is

the imminent sign of danger which is preferred to be restructured instead of

compromised living. It was reported by the local communities that after several days of

flood water; their houses, boundary walls and rooms started collapsed. Now, since the

flood water just crossed district Jhang till 13th of Sep 2014, the displaced families are

turning back to their homes. This tremendous devastation induces a call for the

immediate support in terms of either repair, re-construction of fully demolished houses

or at least facilitation in terms of arranging chopals, tents and temporary shelters so that

the sustained vulnerabilities of the overwhelming majority of affected population, who

are directly exposed to open sky, may be initially curtailed.

H. 2. Health and Nutrition

District Jhang being considerably backward, has already

been undergoing the enormous stresses owing the

increasing demands for health and medical facilitation. The

huge damages inflicted by roaring water is ever in the

history of district which is going to likely engage the

existing infrastructure in fullest, increasing the limitations

manifold. Being the initial phase of Flood-disaster, rescue

operation was found in progress in which thousands of

people were evacuated through water-boats or helicopters.

The significant pressure on Health facilities due to flood

borne diseases was not observed nor confirmed from the monthly data with health

departments. The reason is because of quite initial days. The data shared by Health

department provides the total affected females are 430267; out of which 33904 which

are almost 7% of the total affected females are pregnant women. The MCH centers in

the district are given below. It was not further confirmed the extent of damages to these

centres.

Name of MCH Centres Name of U.C & No. Tehsil Urban/ Rural

MCH Centre No. 1 Shorkot (Health Dept) UC 126 Shorkot Shorkot Urban

MCH Centre No. 2 Shorkot (Health Dept) UC 126 Shorkot Shorkot Urban

MCH Centre No. 2 Jhang UC 97 Jhang Urban

MCH Centre No. 3 Jhang UC 98 Setelite Town Jhang Urban

MCH Centre No. 4 Jhang UC 99 Bagh Jhang Urban

MCH Centre Dosa UC 71 Dosa Jhang Rural

T.B Clinic Jhang UC 97 Gojra Road Jhang Sadar Jhang Urban

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

LIST OF RURAL HEALTH CENTRE IN DISTRICT JHANG

Sr. # Name of RHCs Name of U.C & No. Tehsil Urban/ Rural

1 Rodu Sultan UC 68 Rodu Sultan Jhang Rural

2 Kot Shakir UC 72 Kot Shakir Jhang Rural

3 Haveli Sheikh Rajoo UC 77 Haveli Sheikh Rajoo Jhang Rural

4 Shah Jewana UC 79 Shah Jewana Jhang Rural

5 Bagh UC 99 Bagh Jhang Rural

6 Mochiwala UC 62 Mochiwala Jhang Rural

7 Mukhiana UC 56 Mukhiana Jhang Rural

8 Haveli Bahadar Shah UC 100 Haveli Bahadar Shah Shorkot Rural

9 Garh Mahraja UC 127 Garh Mahraja A.P Sial Rural

Moreover list of sub-health centers is given in Annexure.1 for ready reference. It is

notable that sub-health centers in affected UCs need to be properly highlighted. Though

there are several health units as given in tables, however communities’ preference to

DHQ is prevalent.

In detail discussion with MS-DHQ Jhang, pediatrician and

EDO health shared anticipated repercussions entailing the

outbreak of many diseases including diarrhea and gastro-

diseases, temperature, malaria, skin infections, eyes

infections, headache and other pains, scabies and

bronchitis diseases (cough etc). 25 snakes bite cases were

reported in which 8 were hospitalized for proper care and

medication. It was added that district government had

established 9 emergency points where health services

were being provided. EDO health shared that polio

department has not disturbed the frequent polio vaccination

and no compromise has been made on ongoing polio campaign.

H. 3. Water, Sanitation and hygiene (WASH)

As per the data provided by district government, the total affected population of 41 UCs

of district Jhang is 827437. It is assumed as per the HH generalized standard in

Pakistan that one HH comprises of 7 members. This gives a total of 118205 houses

which are flood hit. While focus group discussion with community it was inferred that

almost 75% HHs do have self-owned water resources in the form of water-pumps or

hand-pumps. This confirms the occurrence of 88653 water resources. Due to

tremendous flow of roaring flood with the range of height from 2feet to 10 feet, almost all

the water resources have been adversely affected. They are either filled with mud or

have been contaminated. The damages to water resources can cause serious gastro

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

and bronchial diseases. The outbreak of diarrhea is very imminent to occur therefore.

So effective measurements for safe drinking water is the emergency based issue,

needs to be dealt with.

Since the community is overwhelmingly rural in nature being already scare of sanitation

facilities because of the feeble socio-economic conditions; then the catastrophe and the

havocs of flood are also widespread, gives the complete ruining of sanitation system

where existed. Poor sanitation is mainly linked with multiple diseases and the stagnant

water situation for weeks and months on door step may prove more fatal.

It was assessed through Key informants interviews and Focus

group discussion with community that open defecation was the

most common practice. Several reasons can be affixed like

poverty, unawareness, perennial cultures and not-sound

considerations of community. It was found that almost 65%

(considered lowest figure) of affected community don’t avail any

house based latrines and 35% of affected communities do have

latrines in either forms like flush latrines and pet latrines. The

open defecation by 65% of community is a serious issue which

requires the attention of WASH sector. Community mobilization

on large scale and installation of latrines is the only recommended

remedy for the alarming situation.

Hygiene situation too, is nothing different rather highly un-

inviting. It is dared to mention that almost 90% of flood hit

men of communities were observed without shirts. Dirty

dresses, filthy faces and everything unclean is very common.

Perhaps due to flood the condition might show the poor

picture of society. However, while discussion with

communities at many different places, unhygienic practices

were found prevalent. Use of soap, cutting nails, combing

hair and brushing teeth is damn scarce. Like personal

hygiene, the unawareness of menstrual hygiene the

awareness is supposed to be nominal. Provision of hygiene kits is suggested to

maximum families in order to ensure adapting to improved practices of personal

hygiene. Women and mothers should be oriented in particular for women and child

hygiene which can strongly curtail many diseases associated with it. It is suggested that

without large scale sensitization and mobilization, only provision of hygiene kits will not

be sufficient to serve the purpose.

0

10

20

30

40

50

60

70

Latrine

s 35

%

With

ou

t latrin

es 6

5%

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

H. 4. Food Security

Existing stock of food

It was not possible to gauge the % of HHs having existing stock of food and those

relying on daily wages or monthly income. However it was clear that the existing stock

of grain is severely affected being sunk in water for days. It was too, not possible for

communities to bring everything out of home in such unforeseen emergency situations.

The overall community being vulnerable is either hardly able to expend savings on food

and grains or to sell assets for managing food. A complete package for compensation is

required by government or other private sector donor agencies to inhibit the widespread

miseries of the affected community.

Farming and agriculture

Jhang, being agri-land, where the main source of income of almost 90% population is

farming and agriculture. As per assessment 20% people are farmers and 80% are

tenants or working in Farmers fields. The current crops are chiefly the rice, maize and

sugar cane. The whole area being inundated has destroyed all types of crops. Rice and

maize are buried in mud and there is no chance of survival however sugar cane, where

height of flood water was less than height of sugarcane may have chances of survival. It

provides the obvious measure of devastations in terms of cash crops and the main

source on which 80% community is relying, is destroyed completely. One can just

imagine the misfortunes brought with the un-controlled waves of water.

Livestock:

Secondary data from district Livestock department gives that

almost 1481269 are large animals and 918747 are small size

animals in district Jhang. It further the %of Large animals is

almost 62% and those of Small animals is 38%. The data

describes the community trend towards large animals is

substantial. It gives an obvious inference that animals fodder is

0

200000

400000

600000

800000576060

775612

254133

664614

5470 9481 864 113782

Large Anim

als 62%

Small Anim

als 38%

% of Large and Small Animals

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

sufficient for sustaining the large animals including buffaloes, cows, camels, donkeys,

horses and mules. Apart from, the data in Column chart 11, the rearing of buffaloes is

highest, followed by goats and cows. The data also provides that almost every HH owns

the livestock which claims the maximum trend of livestock in rural areas of district

Jhang. The district officials claimed their vehement efforts devoted to the animals’

vaccination. Deep concerns were raised regarding animals whose vaccination was not

carried out which may create contiguous diseases especially those animals’ diseases

attached to flood.

Animals Fodder

Animals fodder was assessed as the major problem. Those animals which were not

brought alongside on the raised platforms and protected from being drowned by one or

the other way, were in highest demands for fodder. Crops being inundated and

destroyed on large scales were perished and animals’ fodder might rise with the

precarious demand with time. Support in providing fodder, Total mixed ration (TMR) and

Vanda for livestock is highly recommended.

H. 5. Non Food Items (NFIs):

Hygiene kits

Shelter kits

Aqua boxes

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

I. Findings

Preferred needs identified

Thematic Sector

Preferred Needs Identified

Shelter

Repair and construction of damaged houses and provision of shelter facility whatever possible

Provision of tents, shelter, temporary shades and chopals according to needs

Shades and Sayabaan for livestock to protect them exposed to harsh weathers and could be managed bitterly

Provision of shelter kits

Capacity building on DRR

Health and Nutrition

Mass awareness to deal with outbreak of diarrhea and other associated diseases relating to digestive disturbances with a focus on children who are likely the principal victims. Other common diseases like malaria, fever, cold and cough should be evenly dealt with.

Apart from the common diseases, eye infection, scabies must be given paramount attention because these diseases are in particular associated with displaced families.

Mothers and child health services are insufficient and a loud call to provide these services on easy access is being felt. So it is strongly recommended to establish a mechanism or a stand still facility where to provide Mother and child health services exclusively. This includes natal, ante natal, post natal and other related services.

Nutritional food for pregnant women and lactating mothers along with babies and neonates is hereby strongly suggested so that mal-nutritional issues might be addressed effectively.

Support for over-burdened health facilities is hereby recommended to adequately serve the tremendous influx of patients. This support can be provided in terms of provision of medicinal, diagnostics instruments /facilities or the provision of skilled staff to expedite the provision of services based on the need of health facility in coordination with Medical superintendent and district government.

Water, Sanitation and Hygiene

Installation of Community Hand Pumps for safe drinking water

Provision of hygiene kits and aqua-boxes and water treatment methods/ techniques

Construction of domestic pet-latrines or low cost latrines to curtail maximally the frequency of open defecation and environmental pollution

Adequate sensitization and extensive mobilization for adapting to

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

improved health and hygiene practices and to have mass awareness regarding personal, domestic, menstrual and environmental hygiene practices

Food Security (Food, Nutrition and Livestock)

Provision of sugar, tea packs and cooking oil to displaced families

Provision of nutritious food for pregnant and lactating mothers, neonates and babies which can compensate breastfeeding

Motivation for mothers on breastfeeding which is the most perfect and balanced diet for neonates

Support in providing animals fodder, Total mixed ration (TMR) and Vanda for livestock which is scarcely available

Facilitation in deworming, vaccination (Food and mouth disease vaccination in particular), acto-parasites injections, spray for ticks etc, treatment for extra heat victimization, entero-toximia and immunization for large and small animals

Support in providing seed grains and grain-stock

Non-Food Items

Hygiene kits

Aqua boxes

Shelter-kits

Cash-Grant

Provision of cash grants for meeting the day to day basic and fundamental needs which are highly substantial

Mulsim Aid: Multi-Sectoral Rapid Need Assessment of Flood Emergency District Jhang-2014

ANNEX.1 -- LIST OF SUB HEALTH CENTRES & LOCATION IN DISTRICT JHANG

Sr. #

Name of SHC Name of U.C & No. Tehsil Urban/ Rural

1 Bhareri, Mauza Bhareri UC 68 Rodu Sultan Jhang Rural

2 Chalian wala, Mauza Chalian wala - Jhang Rural

3 Chak Arayan, Muza Chak Arayan - Jhang Rural

4 Kot Murad, Mauza Kot Murad - Jhang Rural

5 Aura Sharif, Mauza Aura Sharif UC 72 Kot Shakir Jhang Rural

6 Mari Shah Saghira, Mauza Mari Shah Saghira - Jhang Rural

7 Subhiana Gharbi, Mauza Subhiana Gharbi - Jhang Rural

8 Najaf Abad, Mauza Najaf Abad - Jhang Rural

9 Abbas Pur, Muaza Abbas Pur UC 79 Shah Jewana Jhang Rural

10 Kot Zulfiqar, Basti Kot Zulfiqar - Jhang Rural

11 Dosera, Mauza Dosera - Jhang Rural

12 Hassan Shah, Chak Hassan Chah UC 99 Bagh Jhang Rural

13 Athu, Basti Athu - Jhang Rural

14 Noon, Chak Noon - Jhang Rural

15 Korian, Basti Korian - Jhang Rural

16 Chak No. 262 UC 62 Mochiwala Jhang Rural

17 Chak No. 175/JB - Jhang Rural

18 Chak Aura - Jhang Rural

19 Chak Salamat Pura UC 56 Mukhiana Jhang Rural

20 Chak No. 260 - Jhang Rural

21 Nika Doultana - Jhang Rural

22 Kharora Baqir - Jhang Rural

23 Chak Rustom Sargana UC 100 Haveli Bahadur Shah Shorkot Rural

24 Ludha Mahni - Shorkot Rural

25 Chak No. 485/JB - Shorkot Rural

26 Chak Nourang Shah UC Ahmad Pur Sial A.P Sial Rural

27 Kassowana - A.P Sial Rural

28 Diraj, Mauza Diraj - A.P Sial Rural

29 Inayat Shah UC 127 Garh Maharaja A.P Sial Rural

30 Kot Bahadar - A.P Sial Rural

31 Kot Mapal - A.P Sial Rural