Community Midwifery Training School

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Community Midwifery Training School is an institute to train community midwives for providing antenatal, natal and postnatal services in the community. The school provides 18 months residential training to willing and committed local community females who have passed matric examination to provide services to their respective communities after successful completion of this course. The duration of midwifery training course is 18 months which includes initial 3 months of Priliminary Training Session (PTS) followed by community obstetrics. During the course, the CMW is also assigned in her respective community to provide services for 3 months. The Midwifery school is registered with the Pakistan Nursing Council under PNC Act 1973 (Item 15) and only this body is authorised to conduct examination and issue certificates to the successful midwives. PNC has declared certain criteria for the registration of school to be followed by school authorities. The basic prerequisite for the training is a 50 bedded hospital with full fledge labor room and teaching faculty

Objectives:
The objectives of this model are to:
 Train local matric pass females as midwife to provide antenatal, natal and postnatal services.
 Reduce maternal and neonatal mortality rates through trained healthcare providers.
 Provide trained healthcare providers for reproductive health services.

Methodology:

  • Identification of 50 bedded healthcare facility with functional labour room and provision of residential facility for a batch of at least 25 – 30 female students.
  • Hiring of faculty for the school as per PNC criteria.
  • Fulfilling rest of the criteria of PNC for the school and applying for the registration.
  • Facilitation to PNC staff for inspection.
  • Advertisement and interview for selection/enrollment of females for the 18 month course.
  • Development of course/session plans for the initiation of training with PTS, followed by community obstetric topics,clinical training at facility and community placement for 3 months.
  • Conduction of regular weekly, monthly and quarterly class tests and exams.
  • Conduction of final exam and issuance of certificate to successful candidates.
  • Conduction of supplementary exam for the failures.

Course Contents:

  • Preliminary Training Session (PTS):
  • Anatomy and Physiology
  • Fundamentals of Nursing
  • Pharmacology
  • Microbiology
  • First Aid

Introduction to Midwifery:

  • Anatomy & Physiology of Reproductive System
  • Antenatal
  • Natal
  • Labour room session
  • Conduction of Delivery
  • Postnatal
  • Community Midwifery and Health Education

Achievement:

HANDS established 02 Community Midwifery schools including 01 in Karachi Rural (Jamkanda Hospital) and 01 in Matiari district (THQ Hala). Both schools were registered with PNC and hold a good reputation among the Midwifery schools in the province and country. About 403 CMWs were enrolled, out of which 340 successfully completed their training. Moreover, 63 (15.6%) candidates were either dropped out or could not succeed in the examination.

Unit cost:

  •  Per Month Cost of one student: Rs: 15,000
  • Total cost of one student: Rs: Rs: 270,000DSC_0305

Community Health Worker – MARVI

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MARVI with her family planning client

HANDS introduced Community Health Worker model for the areas where there is no Lady Health Worker (LHW). This model works on the same pattern as LHW model where the Lady Health Worker has a static centre at her residence and makes home visits as well for service delivery. She is supported by a health committee and women group that are voluntary assisting boards formulated by her for providing health services in the target area. Each health worker is assigned an approximate population of 1000 and is named as “MARVI” worker in our model.
Objective:

The objectives of this model are to:

  • Improve reproductive health and family planning status in marginalized communities of the country.
  • Provide basic health services in non-LHW areas.
Methodology:
  •  Identification of MARVI by Community Based Organization (CBO)
  • Signing of Memorandum of Understanding (MoU) with CBO and MARVI
  • Training of MARVI
  • Establishment of MARVI Markaz (Health House)
  • Supplies to MARVI equipment and essential medicines and social marketing products
  • Initiation of health services including home visits and health awareness sessions
  • Monitoring and supervision
  • Monthly meeting with HANDS and CBO for progress sharing
  • Development of Monthly Progress Report (MPR)

 Services Provided by MARVI:

  • Mobilization of pregnant women for antenatal services
  • Mobilization of pregnant women for postnatal services
  • Demand creation and sale of social marketing products (Family Planning methods, safe delivery kit, iodised salt, oral rehydration salt, essential medicine)
  • Treatment of common ailment
    • Acute Respiratory Infection (ARI)
    • Diarrhea
    • Malaria
    • Common skin diseases
  • Growth monitoring of Under 3 years children
  • Referral of normal delivery to trained Traditional Birth Attended (TBA) or Community Mid Wife (CMW)
  •  Referrals of complicated cases to nearby health facility
  • Facilitation for Expanded Program on Immunization (EPI)
  • Health awareness sessions and heath education on community home visits
  • Other RH & FP services in remote areas where there is no LHW.

Achievement:

Overall 1000 workers have been trained so far in 09 districts.

Unit cost:

  • Fixed cost (MARVI kit, MIS register, Sign board and Health posters) : Rs. 12,000/=
  • Running cost: Stipend 3000 per month
  • Monitoring Cost:   3500/= per month
  • SMK subsidiary : Rs. 5000/=
  • Total Annual Cost of one MARVI : Rs: 150,000

HANDS 35 Years of Service

35 Years of service

HANDS was founded by Prof. A.G.Billoo (Sitara-e-Imtiaz) in 1979. HANDS has evolved in 35 years as one of the largest Non-Profit Organization of the country with integrated development model comprise of key programs of Social Mobilization, Gender & Development, Human & Institutional Development, Monitoring Evaluation & Research, Information Communication Resource and Advocacy, Health Promotion, Education & Literacy, Livelihood Enhancement, Infrastructure Development Energy Water & Shelter, and Disaster Management. HANDS has a network of 32 offices across the country and has access to 22.37 million population nearly 22,013 villages/ settlement in 47 districts of Pakistan. HANDS strength is 12 volunteers Board Members, more than 1900 full time staff and thousands of community based volunteers of >5691 partner organizations.

HANDS Pakistan is registered under Societies Act, is certified by Pakistan Center for Philanthropy (PCP) and Tax exempted by Income Tax Department Government of Pakistan. HANDS has qualified the Institutional Management Certification Program (IMCP) of USAID of management standards. HANDS is accredited with European Union. HANDS also possess membership with Humanitarian Accountability Partnership (HAP) and the member of IUCN (International Union for Conservation of Nature). HANDS International recently established its office in London, United Kingdom. HANDS international -UK is registered as Non-Profit Organization in Companies Act 2006 of England and Wales.

Policy Guideline:
HANDS has developed 23 policy manuals which include Operation, Finance, Human & Institutional Development, Human Resource Management, Social Mobilization, Social Marketing, Disaster Management, Health Promotion, Social Protection, Monitoring Evaluation & Research, Resource Mobilization, Education & Literacy, Information Technology, Information Communication Resource and Advocacy, Knowledge Management, Infrastructure Development Energy, And water & Shelter, Gender And Development, Livelihood Enhancement, Endowment fund, Investment, Provident Fund, Procurement and Suggestion and Complaints (Whistle Blowing).

HANDS Integrated Development
Best Practice Models

In the preceding years HANDS has successfully completed numerous projects and the experience from each project has enabled as to develop several best practices model of services and trainings. Each program component of HANDS has specific set of best practices services models and best practices training models.

These models have been successfully applied and can be modified or adjusted to meet the requirement of any new project. Besides, few new and innovative models have also been introduced in preceding as the scope and span of work has extended. The achievements of each best practice service and training model of each program include:

Social Mobilization
Social Mobilization is vital part of HANDS program and approaches with primary focus on working with the poor and disadvantaged. It is a participatory process to raise awareness, mobilize and involve local institution, local leadership/communities to organize for collective action towards a common vision.

PRAThe best practice service models:
Participatory Rapid Appraisal (PRA), Community Based Organization (CBO) and Interactive Theatre (IT)

The best practice training models:
Capacity Building Package for Community Group, Community Capacity Building Program (Rehnuma), Participatory Rapid Appraisal (PRA) Training

Gender And Development program
Gender And Development (GAD) is cross cutting theme of every program/project and it ensures gender equity and equality in organizational policies and procedures.

IMG-20150226-00368The best practice service models:
Gender Policy/Code of Conduct, Sexual Harassment Policy, Gender Advocacy Campaign, Development of Behavior Change & Communication (BCC) strategy on Gender, Facilitating Economic Rehabilitation of Gender Based Violence Survivors. Collaboration with partners as Working Group for Women – AKU, Gender Task Force – UN Women and GBV Sub Cluster – UNFPA, Gender Coalition – Aurat Foundation, and USAID at national level.

The best practice training models:
Gender Sensitization Training for professionals, Gender Sensitization Short Session, Women Mobilization and Leadership Training.

Human & Institutional Development
HANDS is committed to provide quality services in Human and Institutional Development (HID) sector. The aim is to create a culture of learning throughout where individuals and institutes take responsibility in partnership with HANDS for their development.

IMG_9603.JPGThe best practice service models:
HANDS Web Based Training Management Software, HANDS Institute of Community Development Program and Distance Learning.

The best practice training models:
Leadership for young generation, Professional leadership development, Proposal Writing / Resource Mobilization, Organization Development Certification Course, Training on Facilitation Skills, Legal Aspect of Human Resource Management, Project Management, Training of Trainers on Community Capacity Building Package, Training for Interactive Theater (Professionals).

Monitoring Evaluation and Research Program
Monitoring Evaluation and Research (MER) program is responsible for monitoring the projects/program activities/interventions as well as conduction of internal and external researches.

20150502_154457.jpgThe best practice service models:
Web Based MIS Software, Management Information System (MIS), Logical Framework Matrix (LFM), Distribution Management System, Researches, Periodical Reviews / Monitoring visits and Suggestion And Complaint (SAC) System.

The best practice training models:
Web based MIS software, Management Information System (MIS), Logical Framework Matrix, Distribution Management System and Research Methodology

Information Communication Resource and Advocacy (ICR&A) Program
The Information Communication Resource & Advocacy (ICR&A) program is cross cutting and support all programs through development of advocacy campaign, Behavior Change & Communication (BCC) strategy, video/audio documentary, printing & publishing and knowledge management.

press

The best practice service models:
Advocacy Campaign, Philanthropist Resource Mobilization (PRM), Development of Behavior Change Communication (BCC) strategy, Video / Audio Production Unit, Designing, Composing and Publication and Knowledge Management Unit.

The best practice training models:
Behavior Change & Communication (BCC), Total Library Solution (TLS) Software. Total 12,646 reading material (books, reports, journals etc.) was made available on the network.

Health Promotion Program
HANDS Health Promotion program include integration of health interventions with other social development initiatives. The services are provided in coordination with local Community Based Organizations (CBOs).

fb collageThe best practice service models:
Community Health Workers (MARVI), Rehabilitation of Disables, Output Based Aid (OBA) voucher scheme (NARI), Adopt A Hospital, Community based Management of Acute Malnutrition (CMAM) and Establishment of Birthing Station.

The best practice training models:
Community Midwifery Training school, Training of Traditional Births Attendants (TBAs), Psycho Social Wellbeing Training, IUCD Training, Community Health Workers (MARVI) Training, Sexual Reproductive Health (SRH) Trainings, Client Centered Approach Training for Health Care Providers

DSC_0305.JPGSocial Marketing
Social marketing was introduced as a program couple of years back and ever since it has become an integral part of HANDS programs. The primary aim of social marketing is “social good” and it focuses on achieving specific behavioral goals related to health, sustainability, recycling etc. among specific audience. The social marketing focuses on the consumer, on learning what people want and need rather than to persuade them to buy as product consumer.

The best practice service models:
HANDS Community Health Worker (CHW/MARVI) and Traditional (trained) Birth Attendant (TBA). The tangible social marketing products of best practice MARVI model and their achievements include: Iodised Salt, MARVI Safe Delivery Kit, Oral Rehydration Solution (ORS),
Sanitary Pads, Pregnancy Test Strips, Contraceptives, Medicines etc.

Education and Literacy Program
The ultimate goal of Education and Literacy Program is to promote education for human and institutional development. The primary focus of the program is provision of primary education, capacity building of teachers and strengthening of School Management Committee (SMC).

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The best practice service models:
Early Childhood Development (ECD) model, Parwarish Markaz, Adult Literacy Centre (ALC) model, Health Action School (HAS), School Nutrition Program, School Health Screening and Adopt a School model.

7.jpgThe best practice training models:
Life Skill Based Education (LSBE), Family Reading program, Adult literacy Training, Multi-grade Teaching model, Art and Craft Training, Early Childhood Education & Development Training and Health Action School Training.

Livelihood Enhancement Program
Livelihood Enhancement program focuses on development of communities through income generation opportunities, skill enhancement and overall improvement in livelihood of the underprivileged. The program has two components i.e. On- Farm and Off- Farm.

20141111_135051Livelihood Enhancement On-Farm:
Livelihood Enhancement on farm promotes natural resource management, work for food security and income generation of the underprivileged communities.

P1030372.JPGThe best practice service models:
Small Agri Farm Model, Agri Input (for farmers), Agri-Kits (for farmers), Provision of Livestock (goats), Provision of Poultry Package, Kitchen Gardening, Small Poultry Hatchery, Cash for Work and Food for Work, Community Nurseries and Micro Finance model. Capacity Building Trainings.

Livelihood Enhancement Off-Farm:
This component of Livelihood Enhancement program promotes economic empowerment with special focus on women. The program focuses on provision of skill training and establishment of community based enterprises.

The best practice service models:
Enterprise Development / Entrepreneurship, “Sughar” (local skilled women) program, Hunarmand Markaz (Display Centre), Knit Garment Unit and Village Based Entrepreneurs Centre.

The best practice training models:
Hunarmand Training Centre (HTC) and Enterprise Development Training (EDT)

Infrastructure Development Energy WASH and Shelter (IDEAS)
IDEAS is committed to provide good quality infrastructure to the target population. IDEAS program is a series of projects, based on the foundation of field tested best practices and proven capabilities. The innovative models by HANDS IDEAS are low cost, durable, socially acceptable and environment friendly.

DSC_0226.JPGThe best practice service models:
Drinking Water facilities, Street Pavement Facilities, Sanitation, Hand wash Facility, Provision of Low Cost Shelter, Irrigation Schemes, Household Technologies, Disaster Risk Reduction Schemes, Communication Schemes, Social Sector schemes, Alternate Energy Schemes, Portable Ceramic Water Filter and Annaj Ghar

The best practice training models:
Training on Water Sanitation & Hygiene and Training of Masons and Community Members on use of Lime and Shelter Construction

Disaster Management program
Disaster management aims to reduce, or avoid the potential losses from hazards, assure prompt and appropriate assistance to victims of disaster, and achieve rapid and effective recovery.

10The best practice service models:
Establishment of relief/ emergency camp, Food Distribution, Medical Camps, Education in Emergency (EiE), Disaster Risk Management Center and Network for Disaster Risk Reduction (DRR).

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Distribution of relief item for earthquake survivors of Nepal

The best practice training models of Disaster management includes:
Training on camp Management, Drought Mitigation training, Community Based Disaster Risk Management (CBDRM) Training and Community Based Disaster Risk Reduction (CBDRR) training.

HANDS Response during emergencies

HANDS Disaster Management Program responded to major disasters in Pakistan and has vast experience to deal with emergency responses during the recent disaster in Pakistan and out of the country.

  1. Heat Stroke Affected Emergency Response at Karachi: 2015

Immediately Emergency Response was initiated by establishing Heat Stroke Relief camps at Jinnah Hospital Karachi and at HANDS Hospital Jamkanda Bin Qasim town of District Malir more than 10000 people have been received HANDS relief including referral and medical services in Karachi

  1. Emergency Response at Nepal Earthquake: 2015

Immediately Emergency Response was initiated to evacuate the Earthquake affected people of Nepal and total 1000 families received the immediate support from HANDS.

  1. Flood Emergency in Southern and Northern Punjab: 2014

Immediately Emergency Response was initiated to evacuate the effected population by providing transport, Medical services and Dewatering Machines and Food support to more than 7000 families in 6 districts Muzafargarh, Rajanpur, Sialkot, Chiniot, Mandi Bahaudin and Jhang.

  1. IDPs of North Waziristan Agency 2014: HANDS Pakistan got the NOC from SAFRON and PDMA KPK and  Emergency Response was initiated within 36 hours to provide assistance to IDPs  at Bannu more than 5000 patients/ clients  were treated through HANDS medical services and hundreds of families received food support.
  2. Drought in Tharparkar in March 2014: Emergency Response was initiated within 5 hours in two districts of Southern Sindh Tharparkar and Umerkot and Relief package was provided to 6,000 families .
  3. Earthquake in Awaran Balochistan in October 2013: Emergency response was initiated within 8 hours & comprehensive relief package was provided in hard conditions and conflicted areas within two months to 10,000 families in three districts Awaran, Panjgur and
  4. Rain Emergency 2012 in Northern Sindh, South Punjab & Balochistan: Emergency response was initiated within 6 hours in 06 districts of Sindh, Punjab and Balochistan which includes Jacobabad, Kashmore, Ghotki, Shikarpur, Rajanpur and Jaferabad) Emergency relief package was provided to 27000 families  .
  5. Rain Emergency 2011 in Southern Districts of Sindh: Emergency response was initiated within 8 hours in 8 districts of Southern Sindh, Umerkot, Badin, Sanghar, Matiari, Shaheed Benazirabad, Mirpurkhas, Thatta & Jamshoro . 29000 families were reached within 2 months
  6. Flood Emergency 2010: Emergency response was initiated within 4 hours in 7 worst affected districts of northern and southern Sindh & 36,000 families were reached within 1 month.

http://www.hands.org.pk/2012/Disaster%20Model

Where there is No LHWs

Did you know? Pakistan happens to be the 6th most populated country in the world. However due to lag of reproductive health indicators Pakistan’s mortality rate has reached to around 276 per 100,000 live births and its infant mortality rate is 78 per 1000 live birth. Only 20% of the women in Pakistan have the privilege of availing proper public sector health facilities during pregnancy.  Whereas 41% of the women die during pregnancy or while giving birth. One of the major reasons for these fatalities happens to be the lack of awareness of a healthy regime that should be followed in order to deliver a healthy baby by a healthy mother.

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Another determinant of these deaths is the lack of facilities that are provided by the public health sector, especially in rural areas. Rural areas that are secluded or lie in a desert like area are often denied of proper health facilities A lot of initiatives have been made but they have been on a small scale.

However one initiative that stood out and has been able to address this disparity on a huge scale, a national NGO, Health and Nutrition Society also known as HANDS with funding from David and Lucile Packard Foundation tested an innovative model to provide health and development services. They took their expertise to an underprivileged and a secluded district of Umerkot and provided them with their services. This served to be a challenge as these services required the local women to have the basic education, in order to serve as local health outreach workers and the literacy rate in the district was extremely low. Also demographically Umerkot is quite distinctive as compared to the rest of Pakistan. This is due to the fact that although Pakistan is an Islamic state, the majority of Umerkot’s population is Hindu. There are around 15 castes in the Umerkot district and all of these castes live along the lines of their caste system. It was believed that the diversity of beliefs and, poverty among the people may make the provision of healthcare difficult. But as the saying goes “There’s always a new challenge to keep you motivated!”  . And the team at HANDS organization was nothing but motivated.

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HANDS presumed that by training uneducated women in basic healthcare, entrepreneurship, and outreach skills, along with complementary social mobilization of their communities, the overall development and health communities in Umerkot will improve. Not only services were provided, awareness about family planning and consultation especially to newly wedded couples was also given.  This was the aim and objective set by HANDS. Considering this as the aim HANDS devised a strategic plan and the project MARVI – The Marginalized Areas Reproductive Health and Family Planning Viable Initiatives started by the year 2008.

MARVI with her family planning client

MARVI with her family planning client

The name MARVI was given to the local female outreach workers. The name has a certain significance as it shows respect and represents these women’s bravery and dignified stature for making an effort and becoming helpers. The name has been adopted from the local folklore.

MARVI happens to be one of the many philanthropic projects initiated by the HANDS organization who strive to help the underprivileged. Because a wise man once said

“What we have done for ourselves alone dies with us; what we have done for others and the world remains and is immortal.”-Albert Pike (Author, Poet)

Written By:

Marium Nadeem

Internee – HANDS Pakistan

HANDS NEWS BULLETIN April-June, 2015

HANDS BULLETIN

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Benazir Housing Cell  Home for the Homeless:
HANDS in collaboration with BHC (Benazir Housing cell) Government of Sindh has been involved in the noble cause of providing “Home for the Homeless” .The project aims to benefit 505 families in two districts, 300 houses in Mirpurkhasand 205 Houses in Umerkot; each unit comprises of two rooms, veranda and a toilet. The selection of beneficiaries was made by the BHC. 319 shelters were completed so far and handed over to the beneficiaries during the reporting period, 249 houses were completed in Mirpurkhasand 70 houses in Umerkot.

DFID Punjab
HANDS with the support of DFID UK take initiative and start Flood Emergency Response Project in 04 highly affected districts of Punjab…

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Inauguration of Rais Noor Mohammad Village Karachi

HANDS successfully organized an event of inauguration at Rais Noor Mohammad Village Karachi today on 29th Sept 2015,In this event Ms. Jennette Seppen (Dutch Ambassador), Mr. Abdul Hakeem Baloch (Federal Minister), Mr. Qazi Azmat (COE PPAF), Mr. Haroon Rasheed (GM SHELL), Mr. Naeem Siddique (GM PPAF) HANDS Board Members, Dr. Sheikh Tanveer Ahmed (Chief Executive HANDS), Senior Management of HANDS and Civil Society Organization representatives were participated.

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HANDS NEWS BULLETIN January-March,2015

HANDS BULLETIN

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National Community Convention is a venture for the marginalized that will be

followed-up every year in light of ‘Vision 2025 Watch Reports’.
Says Dr. Shaikh Tanveer Ahmed Chief Executive HANDS

HANDS organized National Community Convention on March 26 at the Sports Complex, Kashmir Road, wherein,5000 CBOs from all across the country, more than 50 distinguished parliamentarians, media personalities, leading philanthropists, development partners, professional and community-based professionals and staff from 31 branches of HANDS Pakistan took part. While addressing convention Dr. Shaikh Tanveer Ahmed said this event is  the only venture with this aim and vowed that follow-up meetings would be held every year in the form of community conventions and ‘Vision 2025 Watch Reports’. The first watch report will be published after the conclusion of the first year process in September 2016. In the end following resolution was passed by Dr. Shaikh Tanveer Ahmed with concurrence of participants

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Karachi Declaration…

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HANDS National Leadership Award 2015- at Expo Center Lahore

پینتیس سالوں سے سماجی اور فلاحی خدمات سرانجام دینے والے پاکستان کے عالمی ادارے ہینڈز نے جشن آزادی کے سلسلے میں لاہور میں ایک پروقار تریب کا اہتمام کیا، جس میں ملک کے کونے کونے سے سماجی خدمات انجام دینے والے مرد و حضرات نے بڑی تعداد میں شرکت کی۔

ایکسپو سینٹر میں ہوئی تقریب میں ھینڈز پاکستان و انٹرنیشنل کے بانی اور چیئرمیں پروفیسر ڈاکٹر عبدالغفار بلو، وزیر سماجی بہبود پنجاب ذکعیہ شاہنواز، انصاف یوتھ ونگ کے چیئرمن زبیر احمد خان اور دیگر نے شرکت کی۔ جبکہ ہینڈز کے چیف ایگزیکٹو آفیسر ڈاکٹر تنویر نے ایک کمرے سے شروع ہونے والے ادارے کے پییتیس سالہ سفر پر تفصیلی بریفنگ دی۔

تقربب سے خطاب کرتے ہوئے ھینڈز پاکستان و انٹرنیشنل کے بانی اور چیئرمیں پروفیسر ڈاکٹر عبدالغفار بلو نے کہا کہ ھینڈز ایک غیر منافع بخش اور غیر سرکاری رجسٹرڈ تنظیم ہے ، جو ۱۹۷۹سے صحتمند،تعلیم یافتہ، برابری،خوشحال  پاکستان کے واضح تصور کے ساتھ دیھی آبادی کے حالات زندگی کو بہتر بنانے اور آمدنی کے ذرائع پیدا کرنے کے ٹھوس پروگرام کے ذریعےمقامی آبادی کو بااختیار بنانے کے لئے کوشاں  ھےھینڈزصحت،تعلیم،غربت مٹاوّ اور سماجی تحرک کے شعبوں میں مقامی تنظیموں،سرکاری اور  غیر سرکاری اداروں کے اشتراک  سے ملک میں ۳۵اضلاع کے ،۲۰۲۷۴دیہاتوں کی ۱۶۰۲ملین سے زائد آبادی  کو فائدہ پہنچا رہی ہے ھینڈز نے اپنے پروگراموں کو موّثر اور زیادہ فعال بنانے کے لئے جینڈر اور ڈولپمینٹ کو پائیداریت کے پروگراموں سے مربوط کیا ہے۔

معاشرے کی سیاسی، سماجی ، لسانی، مذہبی، معاشی اور نسلی بنیادوں پر تقسیم سماجی ڈھانچے کی شکست و ریخت کی ذمہ دار ہےترقی اور خوشحالی کی بنیاد کسی ملک کے لوگوں کی بہتر حالت زار ہے۔ ترقی یافتہ اور خوشحال ملک وہ ہے جہاں لوگوں کی صحت کا معیار بلند ہے جہاں عوام کو تعلیم اور بہتر خوراک مہیا ہے، جہاں مزدوروں کو ان کی محنت کا حق ملتاہے جہاں معذوروں اور کمزوروں کی دیکھ بھال ہوتی ہے اور جہاں خواتین بااختیار ہوتی ہیں۔

انہوں نے مزید کہا کہ قدرتی آفات ہوں یا پہر خود انسان کی پیدا کردہ تباہکاریاں، بہت زیادہ سنگین مسائل ہیں اور معاشرے کے لئے ایک بہت بڑا چیلینج بہی۔ کہا جاتا ہے کہ قدرتی آفات کے بعد جتنے وسائل اور خاص طور پر جو رقم مختص کی جاتی ہے ، وہ کہیں زیادہ ہے ان وسائل اور رقم کے جو اس سے نمٹنے کے لئے درکار  ہوتی ہے ، یعنی اگر پہلے سے ان قدرتی آفات اور تباہ کاریوں سے نمٹنے کے لئے مناسب منصوبہ بندی اور اقدامات کرلئے جائیں تو نسبتاّ چوتہائی سے بہی کم وسائل اور رقم درکار ہو گی

ترقی یافتہ ممالک نے اس بات کی اہمیت کو سمجہتے ہوئے اپنی حکمت عملی برائے ڈزاسٹر مینیجمینٹ کو اس ہی اصول پر وضع کر رکہی ہے یہی وجہ ہے کہ ان ممالک کے لئے کسی بہی قسم کی آنے والے قدرتی آفات سے نمٹنا فوری طور پر کہیں زیادہ آسان ہو جاتا ہے

بانسبت ترقی پذیر ممالک کے اور انسانی جانوں کا زیادہ نقصان بہی نہیں ہوتا۔ اب ترقی پذیر ممالک میں بہی ان باتوں کو سمجہا جا رہا ہے اور کئی ملکوں نے تو اس پر کام بہی شروع کردیا ہے۔ ضرورت اس بات کی ہے کہ پاکستان بہی ڈزاسٹر مینیجمینٹ کی اہمیت کو سمجہے کیونکہ ماہرین کے رائے کے مطابق پاکستان کو آئندہ کئی سالوں تک قدرتی آفات کا سامنا کرنا پڑیگا ،چنانچہ حکومت اور پالیسی بنانے والوں کو نئے آنے والے  سال کے ترقیاتی فنڈز میں چاروں صوبوں بشمول گلگت بلتستان کے مناسب فنڈ مختص کرنےچاہئے اور اس کے لئے تیکنیکی رہنمائی بہی لینی چاہئےاور اس کو حکومت کی ترجیحات میں شامل کرنا چاھیے۔

تقریب سے خطاب کرتے ہوئے وزیر سماجی بہبود پنجاب زکعیہ شاہنواز نے کہا کہ فلاحی کاموں اور انسانیت کی خدمت کیلئے مالی وسائل سے زیادہ جذبے کی ضرورت ہوتی ہے۔ خدمت کا جذبہ دل میں ہو تو وسائل خود بخود میسر ہو جاتے ہیں۔ انہوں نے ہینڈز کی کارکردگی کو سراہا اور کہا کہ حکومت تنہا کچھ نہیں کر سکتی، لوگوں کے مسائل سے نکلنے کیلئے ہینڈز کی طرح دیگر اداروں کو بھی آگے آنا چاہئے۔

یوم آزادي کے مناسبت سے منعقدہ تقریب سے خطاب کرتے ہوئے ھینڈز کے چیف ایگزیکیوٹوڈاکٹر شیخ تنویر احمد نے کہاکہپاکستان میں تعلیم امیر آدمی کا سٹیٹس بنتا جا رہا ہے،انصاف کی طرح تعلیم پربھی ہر کسی کا حق ہونا چاہیے،ملک میں جس طرح دفاع کے نام پر کوئی کمپرومائز نہیں کیا جاتا اسی طرح تعلیم کے شعبے میں ترقی کیلئے بھی کوئی کمپرومائز نہیں ہوناچاہیے۔تعلیم برائے نوکری کا تصور ختم ہونا چاہیے۔میٹرک کے سالانہ نتائج 2015ء کا جائزہ لیں توپتا چلتا ہے کہ 50فیصد آبادی ابھی بھی میٹرک تک تعلیم حاصل نہیں کر پائی

پرائیویٹ یونیورسٹیوں کی تعدادسرکاری یونیورسٹیوں سے زیادہ ہوچکی ہے یا مستقبل قریب میں ہو جائیگی جو معیار تعلیم کی بہتری کیلئے کوئی اچھی علامت نہیں ہے۔فیسوں کا موازنہ کریں توسرکاری یونیورسٹی کی ایک سال کی فیس پرائیویٹ یونیورسٹی کے ایک سمسٹر کی فیس سے بھی کم ہے۔

کچھ شعبے ایسے ہوتے ہیں جس میں لاگت یا پیسے کا عنصر شامل نہیں ہونا چاہیے ،اس میں دو شعبے تعلیم اور صحت نمایا ں ہیں۔بدقسمتی سے دونوں شعبوں کے اندرلاگت یا پیسے عنصرکے ساتھ پرائیویٹ سیکٹر نے شامل ہوکر دونوں شعبوں کا بیڑہ غرق کر دیا ہے۔جس سے اب معیاری تعلیم کی جگہ پیسے نے لے لی ہے۔

انہوں نے مزید کہا کہ

خوشحال ملکوں میں رات کے وقت بھی تعلیمی اداے کھلے11838925_853187618111595_8436828731282479357_o رہتے ہیں جبکہ ہمیں رات کے وقت اپنے تعلیمی اداروں کی عمارتوں کو پرانا کرنے کے سوا کچھ حاصل نہیں ہوتالہذا تعلیم کے میدان میں ترقی کرنے کیلئے ہمیں رات کے وقت بھی سب کیمپسسز کھولنے چاہئیں۔

انہوں نے مزید کہا کہ موجودہ صورتحال میں پاکستان کا قدرتی آفات اور دیگر ماحولیاتی خطرات میں گھرے ہونے کے پیش نظر ھینڈز نے اپنے کمیونٹی ڈیولپمینٹ کے کاموں کے ساتھ ساتھ ڈزاسٹر مینیجمینٹ کی خصوصی حکمت عملی بہی واضع کر رکہی ہے اور اس حکمت عملی کے تحت ھینڈز نے کمیونٹی بیسڈ ڈساسٹر مینیجمینٹ سینٹرز تعمیر کیے ہیں، یہ سینٹرز تباہ حال  اور متاثرہ گاوّں اور دیہاتوں کے لوگوں کو انکے گھروں کی تعمیر میں مدد کیلئے تربیت فراہم کر رہے ہیں۔

تقریب میں بہتر کارکردگی کی بنیاد پر ہینڈز کے کارکنوں میں ایوارڈز تقسیم کئے گئے۔ تقریب میں نعت خوانی اور گانوں کے مقابلے بھی ہوئے۔ تقریب میں ملک بھر سے آئے کارکن ملی نغموں پر قومی پرچم اٹھائے جھومتے رہے۔۔

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