HANDS Report on Nepal Earthquake Relief May 07, 2015

Background Situation:

The Nepal is administratively comprised of 5 Development Regions including Eastern region, Central region, Western region, mid-western region and Far eastern region. The Kathmandu is located in Central region. The regions are further divided administratively in 14 zones, which are comprised of 75 districts. Each district is further divided into small administrative units called as Village Development Committees (VDC).

A powerful 7.8 magnitude earthquake struck Nepal on 25 April, with the epicenter in Lamjung District (north-west) of Kathmandu. Government reports confirm that 30 out of 75 districts in the country have been affected in the Western and Central Regions, including Kathmandu Valley districts. This includes mountain and hilly areas, in areas where rural populations are dispersed, as well as some very densely populated districts and Nepal’s two largest cities – greater Kathmandu and Pokhara.

The worst affected districts include Sindulpalchowk, Kavre, Nuwakot, Rasuwa, Dolakha, Kathmandu, Lalitpur, Bhaktapur, Dhading, Kaski, Gorkha, Lamjung, Ramechhap, Sindhuli, Makawanpur, Manang, Chitawan and Nawalparsi. Most of these districts are located in Central region and Western region.

Highlights Updated May 7, 2015:

As of May 06, the Government of Nepal reported

  • Population affected is > 8.1 million, among these approximately 126,000 pregnant women, 21,000 of whom will need obstetric care in the coming three months
  • Deaths increased to 7675and 16,392 injured people

Total 518557 houses reported destroyed or damaged. Destroyed houses reported increased to 284455 houses and damaged houses to 234102damaged. Most of these were constructed by stone and mud houses in mountainous areas or old constructions in cities or slums.

Situation Overview May 7, 2015

  • Highest rate of destruction reported in districts Sindupalchowk and Gorkha. Across large parts of Dhading, Nuwakot and Ramecchap districts, more than 80 per cent of houses have been flattened.
  • In affected areas almost all of the population staying outside homes or in make-shift shelters, which are mostly arranged by them.

    • The Government and humanitarian partners have by now reached all the affected districts and are refining information on needs of affected people, particularly in remote and hard-to-reach areas.
      • More than 70% affected population have no access to safe drinking water
      • About 90% affected population are forced for OFD
      • The most of the temples, religious and heritage sites are damaged, but the more modern structures have withstood the severity of the quakes
      • National telecommunications systems and services and power supplies have been severely damaged throughout the affected area but now gradually improving

      In many of the areas people have lost the seeds for sowing or planting for next season

    • Earthquake Response by Governments and UN partners in NepalThe United Nations and its partners are scaling up operations as the information from all affected areas is refining to address the most urgent needs.The Government continues to coordinate relief support from over 16 countries. Over 10,600 metric tons (MT) of rice, sugar, salt, beans and lentils were distributed to support communities in the affected districts. Another 7,500 MTs of food were distributed through local government bodies.  The Ministry of Health and Population (MOHP) mobilized 274 national medical teams (NMT). The Central Natural Disaster Relief Committee (CNDRC) released 1.79 billion Nepalese Rupees (equivalent to approximately US$ 17.3 million) to support relief activities at the district level.
    • Humanitarian needs– including food, shelter and improve sanitation – remain cause for concern. A scale-up of operations is required to ensure immediate and principled assistance reaches people in desperate need within the next six weeks, in advance of the monsoon season. Shelter remains the most critical need in the affected areas
      • Orthopedic equipment and supplies are urgently needed in the Kathmandu Valley.  There is a need to support assisted discharge for earthquake injured patients who need post-operation follow-up and rehabilitation. Only 254 surgical operations are performed in five districts.

        • Measles (children 6 – 59 months) and Rubella crash vaccination initiated in Kathmandu valley districts.
        • An estimated 15,000 children (6 to 59 months old) with severe acute malnutrition (SAM) require therapeutic feeding and 70,000 children (6 to 59 months) with moderate acute malnutrition (MAM) need supplementary food.
        • Blanket supplementary feeding is needed for some 200,000 children and pregnant and lactating women. Some 126,000 children (0 to 23 months) need nutritious food to avoid malnourishment
        • Vitamin A, micronutrient supplements and deworming pills are needed for some 362,000 children (6 to 59 months) and 185,000 pregnant and breastfeeding mothers.
        • There is insufficient therapeutic food for an estimated 10,000 children with SAM and supplementary food for 70,000 children with MAM
        • Regarding shelter, self-recovery becoming more and more prominent but some logistic and technical assistance is required. The issue of Tarp sheet or CGI is still confusing for the local partners.
        • Sanitation response seems to be very sluggish. An already poor status of improve sanitation (37%), and a community priority, mobilization is urgently required with shelter support.

        For early recovery, the local government system the Village Development Committees should be mobilized and rehabilitated, as more than 150 VDCs offices are also damaged

      • HANDS Introduction:
      • HANDS was founded by Prof. A. G. Billoo (Sitara-e-Imtiaz) in 1979. HANDS has evolved in 34 years as one of the largest Non-Profit Organization of the country with integrated development model and disaster management expertise. HANDS has a network of 31 offices across the country and has access to more than 16.2 million population nearly 20,274 villages/ settlement in 44 districts of Pakistan. HANDS strength is 18 volunteer Board Members, more than 1700 full time staff and thousands of community based volunteers of more than 5200 community based partner organizations.
      • HANDS has a vast experience to deal with Emergencies during the recent disasaters in the cuntry.
          1. Punjab Flood Emergency Response September 2014Emergency response was initiated within 24 hours in District MuzzafarGarh, Multan, MandiBahauddin, Jhang, Chiniot,  Hafizabad, Sialkot &Rajanpur more than 12000 beneficiaries  received relief package from HANDS and are still continue.
          2. Drought in Tharparkar in March 2014:Drought in Tharparkar March 2014 Relief Packages provided to 6000 Families in 2 Months and relief services
          3. Nutrition support (April to June 2014): (6 to 59 months) children total cured (MAM & SAM) 1480
          4. Nutrition support (July to Sep 2014): (6 to 59 months)children total cured (MAM & SAM) 5502.
            IDPs of North Waziristan Agency 2014:
          5. Emergency Response was initiated within 36 hours to provide assistance to IDPs at Bannu, KP.
          6. Drought in Tharparkar in March 2014: 
          7. Emergency Response was initiated within 5 hours and Relief package was provided to 6,000 families in 2 months.

            1. Earthquake in AwaranBalochistan 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.
            2. Rain Emergency 2012 in Northern Sindh, South Punjab &Balochistan: Emergency response was initiated within 6 hours. Distribution of emergency relief package was provided to 27000 families within 2 months
            3. Rain Emergency 2011 in Southern Districts of Sindh:

            Emergency response was initiated within 8 hours in 8 districts. 29000 families were reached within 2 moths

            1. Flood Emergency 2010:

            Emergency response was initiated within 4 hours in northern Sindh & 36,000 families were reached within 1 month.

            1. Kashmir Earthquake 2005

            Emergency response was initiated within 24  hours at Batgram more than 1000 patients / clients were treated.

            1. Badin Cyclone 2002

            HANDS emergency response was initiated within 6 hours at Badin and more than 700 patients / clients were treated.

             ECCA Introduction:

            ECCA (environmental Camps for Conservation Awareness) was established in July 1987 as a nonprofit, non-political, non-government organization. ECCA is registered in Government of Nepal, District Administration Office, Jwagol, Kupondol-10, Lalitpur Kathmandu and affiliated with Social Welfare Council, Kathmandu.

            ECCA has been a leading organization in the sector of social mobilization and community development. It implements various programs so as to raise the quality of life through wise-use of available local resources and application of alternate and renewable technologies.

            HANDS Relief Intervention in Nepal:

            The process of situation analysis is continued with the relief activities. HANDS team with support and facilitation of local partner organization ECCA conducted a quick situation analysis. The process includes the information sharing by the ECCA team, field visits observation, information from the local government authorities and the local resident communities.

          8.  In phase-1, the areas covered were Khokana and Bangumati, which are peri-urban slums of Patan city in Lalitpur district, and the village development committee (VDC) Dalchoki,  rural area in district Lalitpur.
          9. Situation Analysis by HANDS
          10.  In phase-2,the situation analysis was conducted along with mobile medical camps in Chautara Municipality and Guarati ward-2 of Chautara, both are located in Sindhupalchowk district, and in VDC Malta located in district Lalitpur.


            A.1 Situation in Khokana and Bangumati, district Lalitpur:

            • 80% of the buildings and houses are demolished or badly damaged and fragile. In these areas, many families live in fragile and vulnerable homes with outer walls and/or foundations constructed from poor quality materials. Most of them now sitting in open places. Shelters are not provided to these affected families.
            • The water supply lines are totally damaged. Now the district municipal government and other iNGOs have installed large water storage tanks. The water is supplied by the water tankers. Few of the NGOs are supplying chlorine solution to make the water safe for drinking purpose. The volunteers of the NGOs are providing information and conducting awareness sessions on hygiene and  use of chlorine solution for purification of water making it safe for drinking
            • Most of the latrines are also damaged. But the people are sharing the latrine in safe buildings in the neighboring area.
            • Medical services are provided by the Government health facilities, Thai army teams and NGOs. There was no critical health need identified.
            • Majority of the families have enough food stock, which they are retrieving the rubble. For immediate need the NGOs and citizens of Kathmandu are supplying cooked food. Nepal Army troops are supporting the families to recover the livlihood material from the damaged or demolished buildings and houses.
            • The religious sites such as temples and historical sites in these areas are also badly damaged or totally demolished.

            A.2 Situation in Dalchoki, district Lalitpur

            The Dalchoki is a VCD (village Development Committee), located towards the south of Patan city (district Headquarter of Lalitpur) in Kathmandu valley. It is spread over the mountainous area, nearly 34 Km from the Kathmandu city. It comprised of 9 wards, which are the smallest administrative unit. Each VCD is administered by the local people committee having representation from each ward. Here the population is widely dispersed in the mountains. There most of the houses are located in isolation, and at few places in small cluster of 4-6 houses. Most of the houses are made of mud and stones.  The information is based on observation, individuals community members and families including women and elders, and the representatives of the VDC. The data and few of the relevant information is also verified by the VDC records and Government local Health post record.

            • There were 299 houses in the VDC. The population is 1896.
            • Nearly 99% houses are fully damaged or need to be demolished for re-construction.
            • One death reported from the area
            • The people are living in open air or made temporary makeshift arrangement from the demolished tin sheets or mats etc.

            The water supply is intact. It is government arrangement. Many houses previously have tap water supply within their homes, that have been damaged. But the community taps are functional. They used the same water for drinking purpose as well. Considering it safe for drinking they usually did not take any measures for its purification. Now the ECCA is supplying chlorine solution and providing awareness regarding the methodology and significance of purification of water for drinking purpose.

            • It is ODF free community. Although Latrines have been damaged in many of the houses, but almost all sharing the functional latrines within their neighborhood. No one is going for ODF.
            • Almost all families have food stocks, which they have recovered from the rubble.
            • Many animals are perished including goats, cows, and buffaloes
            • One Government Sub-Health Post is functional in ward 3, although it is partially damaged. Health assistant and Nurse assistant are residing there, providing the mobile services in different wards since the earthquake. One birthing station is also located in ward 3. One skilled birth attendant is residing in adjacent rooms with family. The building remained unaffected. The center is functional, usually 3-4 normal deliveries are conducted by the SBA.

            Table: Ward-wise Population Distribution and Status of damages

            S. No. Ward Number Total Population Total Households Post-Earthquake status Other Losses or damages
            Fully Damaged Partially Damaged
            1. 1 216 36 33 3
            2 2 216 36 34 2
            3 3 252 42 42 0 Sub-Health post building is partially damaged
            4 4 192 32 32 0
            5 5 168 28 26 2
            6 6 144 24 23 1 School building collapsed
            7 7 204 34 31 3
            8 8 210 35 32 3
            9 9 192 32 31 1
            TOTAL 1794 299 284 15



            1. 3 Situation in Malta, district Lalitpur

            The VDC Malti is located 75 km in the south of Patan city, in district Lalitpur. Total 386 households comprised population of 2045, divided in 9 wards.

            • Almost all housed are affected as 290 (75 %) demolished and 96 (25%) are severely damaged
            • There were only few latrines, which all are damaged. All people are practicing ODF
            • Water supply was disturbed but since one day it is rehabilitated.
            • Large of livestock perished including the 45 Buffaloes, 90 goats and more than 500 poultry. As many small and one large poultry farm collapsed. Most if their livelihood depends on livestock and poultry business
            • Only one death is reported and only minor injuries to few people
            • Many school buildings are damaged.
            • There was no health facility

              Table: Ward-wise Population Distribution and Status of damages

              S. No. Ward Number Total Population Total Households Post-Earthquake status Other Losses or damages
              Fully Damaged Partially Damaged
              1. 1 166 20 15 5 Buffaloes = 45
              2 2 288 60 40 20 Goats = 90
              3 3 200 45 30 15 Poultry >500
              4 4 548 100 80 20 Many school buildings are damaged
              5 5 138 25 15 5
              6 6 163 28 19 9
              7 7 165 29 20 9
              8 8 189 39 36 3
              9 9 188 40 30 10
              TOTAL 2045 386 290 96


              1. 5 Situation in Chautara Municipality, district Sindhupalchowk

              The district is located in Central region, north-east of district Kathmandu. It is the most affected district. The population is 3146 comprised of 484 households.

              Population Number
              Children < 5 years 409
              Male > 5 years 1341
              Female > 5years 1396

              It is also hilly and mountainous areas and most of the houses are made of red-bricks, or mud and stones. The VDC is functional and try to facilitate the community and the aid-workers.

              • More than 90% houses are destroyed or severely damaged.
              • Still no temporary shelter is provided
              • Water supply remained disconnected for 8 days and is restored just one day back
              • Most of the population utilizes the existing latrines as most of the structure is not much damaged
              • Most of the families facing shortage of food
              • School buildings are mostly safe
              • One Health post is safe and functional. Medical staff and medicines are available
              • Other supplies or any sort of help is not arrived or provided by anyone
              • HANDS-ECCA team provided mobile medical services
              • HANDS-ECCA plan to provide food ration on request on VDC to all 484 families

            1. 6 Situation in Chautara Ward-2 (Guarati), district Sindhupalchowk

            It is located 15 km east of city Chautara. The population is 1180 comprised of more than 200 households. The catchment areas includes the Bagh Bazar, ChaguliTole and Baspati.

            • There is no health post of the government and no medical relief is provided since the earthquake.
            • School buildings are damaged,
            • Most of the families are staying in open space or in self-made makeshift shelters
            • Few of them have started slowly the recovery of the material for construction of temporary shelter
            • Many of them have lost the food stocks and seeds for next season plantation/cultivation
            • Majority of the families have enough stock for next 2 weeks and they are sharing food with the other families
            • Livestock loss remained minimal
            • Water supply is intact
            • Sanitation facilities or latrines are usable and functional. Majority population is shairng and using the latrine and avoided the ODF
            • HANDS-ECCA team provided the mobile medical services as per their need
            1. HANDS Relief Interventions:


            After the need assessment of the area, the beneficiaries assessment was conducted in VDC – Dalchoki.

            It has been selected for temporary shelter distribution.

            • On day one, 17 shelters tents were distributed in Ward 6 of VDC Dalchoki.
            • The solar lights were also distributed among the lactating women, to the Health post staff and birthing station staff as the power supply is remained disconnected since earthquake.
            • Chlorine solution is distributed among the 66 families in ward 6 and 3, to purify water for drinking purposes.


            Mobile Medical Services:

            HANDS initiated health services through conduction of Mobile Medical Camps with financial support of Medico International and local collaborative partner ECCA. According to the need identification, the mobile medical camps were organized at two different sites. The first camp was organized at Chautara Municipality. Total 43 patients have attended the camp. Almost all of them were adults. Majority of them were suffering from Acute Respiratory Infections (ARI). Two team of volunteer doctors and paramedic staff and field assistances were involved in the services.

            The second medical camp was organized at Chautara ward-2 (Guarati). The catchment areas include Bagh Bazar, ChagulaTole and Baspati. Total community members attended the medical services were 139 including 48 children. Most of them were suffering from acute respiratory infections (32%), followed by the injuries (12%). Most of the injuries clients were male.

          11. Overall report of 2Medical Camps:
            Diseases % Total Patients < 5 Years > 5 Years
            Male Female Male Female
            Diarrhea 0.5 1       1
            Dysentery 0          
            ARI 31.9 58 5 6 12 35
            Suspected Malaria 0          
            Suspected Measles 0          
            Skin Disease 7.7 14 2 1 1 10
            Eye Infections 2.2 4 1   1 2
            Fractures 0          
            Injuries 12.1 22     18 4
            Others 45.6 83 3 1 24 55
            Total 182 11 8 56 107

             Among injured patients all were either children of more than 5 years or mostly adult males. The acute respiratory infections are mostly manifested in adult women. This might be due the lack of proper shelter availability. Many of the adult men and women are under stress and depression. They need psychosocial support.

            Total 182 patients were treated by HANDS-ECCA medical team in 2 days  and most of them were female 59%, male 31% and children under 5 years of age 10%.

                             Distribution of Patients on Gender and Age basis:

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            Age wise proportion of Patients:

          13. Only one case of diarrhea was reported. Highest number of cases reported was 58 of acute respiratory infections. Among these were 11 children below five years of age, 12 male and 35 female. Total 22 patients treated of injuries, mostly of minor wounds, bruises and blunt injuries. All of these were above than 5 years of age and mostly male (18).

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            1. HANDS Consultative Meetings:

            HANDS team with facilitation of ECCA team conducted many meetings with other NGOs and Government authorities and departments. The purpose of these meetings was to gather the information about the earthquake affected areas and the population, priority needs of the survivors and to share the HANDS plan for the relief activities.

            Meeting with Senior Management and Board Members of ECCA:

            HANDS team held several meetings with the ECCA management. During the meetings both organizations presented the introduction for greater mutual understanding. The Relief plan was discussed, information regarding the need and situation was shared, situation analysis process was finalized. After several discussion, MoU, Budget and detail work plan is finalized. The project team is on board.

            Orientation of ECCA-HANDS Relief project Staff:

            Detail orientation of the project staff was conducted by HANDS team. The training on data recording and reporting formats, area and population assessment formats, beneficiary assessment formats, MIS and HANDS web-based Disaster Management System was given to the team. The formats were modified with mutual understanding according to the working modalities. The field working methodology, and approaches were discussed and explained.  The detail work plan is finalized.

            Meeting of District Development Committee Lalitpur:

            The district government of Lalitpurconducted meeting on May 03, 2015 at the administrative office, with all NGOs who are involved in relief work in the district. The purpose of the meeting was to share

            the progress and future plan by each partner, to enhance the coordination, avoid duplication and identification of priority needs and gaps in the services. HANDS team shared the plan, progress and request coordination and support from the government. They district administration admire the HANDS initiatives and committed to provide the support.

            Coordination Meetings with Different cluster Partners

            Several meetings were held with different cluster partners individually and jointly. The HANDS plan and other partners progress and plans, the challenges and issues were highlighted and discussed.

            Coordination meeting with UNHABITAT Team

            HANDS-ECCA activities and relief plan was shared. Future possibilities for early recovery phase related to shelter provision and appropriate models were discussed.


            • Current available humanitarian non-food items and shelter stocks in country are very limited, while the need to assist IDPs staying in self-settled and formal sites is increasing.
            • Quality of locally available materials is also a concern and procurement time will need to be factored in.
            • Main roads are open in most of the districts. However, landslides have challenged transportation of relief items to some areas. Airlifts are required to access and deliver aid to rural areas. Many affected villages are still without road access at all.
            • Fuel is urgently needed to pump ground water and to maintain services at hospitals and other critical facilities where power outages are frequent.
            • There are different needs of different populations and at different geographical locations. Thereby in relief phase the integrated approach is not feasible.
            • Coordination among the local NGOs need to be improved to extend the relief work span

            So far, no psychosocial rehabilitation activities are initiated, thereby the people self-recollection and recovery of livelihood items and shelter reconstruction is extremely slow.


            Future Plan:

            PHASE-1:                “Relief Activities for Nepal Earthquake Survivors” (270 families)
            S No. Item No. of units per family Unit cost (in NRs) Frequency (No. of families) USD
            1 Emergency Shelter 992680 10000
            1.1 Tarpaulin Sheets (15’x18′) 1 299
            1.2 Ropes (kg) 1 299
            1.3 Nails 8 299
            1.4 Bamboos (12′ length) 4 299
            2 Dry Food (7 persons in a family for 7 days) 819720 8300
            2.1 Rice  (kg) 20 414
            2.2 Pulse (kg) 2 414
            2.3 Cooking oil (litre) 2 414
            2.4 Salt (kg) 1 414
            2.5 Sugar (kg) 2 414
            3 Medical Camps No. of camps 10 200000 2000
            4 Management cost 200000 2000

            PHOTO GALLERY

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            HANDS signed MoU with ECCA (Local NGO) of Nepal for Relief Project implementation

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            Destroyed Houses in District Sindhupalchowk


            Destroyed Houses in District Sindhupalchowk

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            Contact Information In Nepal

            ECCA-HANDS Office:

            Contact Person:

            1. Yogendra Chitrakar, Executive Director, ECCA
            2. Angel Chitrakar, Senior Program officer, ECCA

            Address: Wise-use House, Jwagol, Kopundol, Lalitpur

            1. O. Box 9210 Kathmandu, Nepal

            Phone: +977 1 5550452, 5553870 Fax: 5011006


            Website: www.ecca.org.np

            In Pakistan

            HANDS Head Office

            Contact Person:

            1. Shaikh Tanveer Ahmed, Chief Executive, HANDS

            Cell: +92-300-8200507

            Email: tanveer.ahmed@hands.org.pk

            1. Ghulam Mustafa Zaor, General Manager, IDEAS program HANDS

            Cell: +92-346-8209538

            Email: ghulam.mustafa@hands.org.pk

            1. Muhammad RaheemMarri, General Manager Disaster Management Program HANDS

            Cell: +92-346-8209561

            Email: raheem.marri@hands.org.pk


H.No. 140-C, Block-2, PECHS, Karachi, Pakistan

Karachi Declaration for 2025 Pakistan From Civil Society Organizations of Pakistan on 26th March 2015

We felicitate the Government of Pakistan for presenting “Pakistan vision 2025” and admire this initiative. Citizens of Pakistan are such a social group which is affected by every public and social decision. Yet mostly and in the process of development of vision 2025, their views remain unheeded.

HANDS Pakistan started obtaining public opinion and feedback on the “Pakistan vision 2025” from five thousand rural and urban organizations three months ago. On 26th March 2015 representatives from these organizations participated in “National Community Convention” in Karachi and through debates, theater, speeches, analyzed vision 2025 and presented their opinion.

The Karachi resolution is a reaction and analytical recommendation on “Pakistan vision 2025” in context of sustainable development. This resolution brings to light the rights of the public and ways to protect these rights. The Karachi resolution demands the following rights to be made essential part of the “Pakistan vision 2025”.

The Karachi resolution is 2015 demand from Federal and Provincial Governments to incorporate following rights into vision 20205 documents and during its process of implementation.

The right to basic needs – Access to essential goods and services: adequate food, clothing, shelter, health care, education, water and sanitation.

  1. The right to Security – Protection of life, property, dignity, and also protection of disabled, vulnerable and marginalized people or groups.
  2. The right of access to information – Right to have access to information to make informed decisions and safeguard against dishonest or misleading advertising and labeling.
  3. The right to elect the representatives of local democratic institutions – freedom to engage in electoral democratic process and involve in decision making of development projects
  4. The right to be heard – To have Citizen Interests represented in the making and execution of government policy, and in the development of products and services.
  5. The right to justice – the right to easy access of justice and to receive fair settlement of just claims including compensation for losses.
  6. The right to a healthy environment -To live and work in an environment that is non-threatening to the well-being of present and future generations.

Karachi Resolution and responsibilities of people of Pakistan:

  1. Critical awareness – Citizens must be aware and more to be more inquisitive about the provision of the quality of goods and services.
  2. Involvement or action – Citizens must assert themselves and act to ensure that they get a fair deal.
  3. Social responsibility – Citizens must act with social responsibility, with concern and sensitivity to the impact of their actions on other citizens, in particular, in relation to disadvantaged groups.
  4. Ecological responsibility – there must be a heightened sensitivity to the impact of Citizen decisions on the physical environment, which must be developed to a harmonious way, promoting conservation as the most critical factor in improving the real quality of life for the present and the future.
  5. Solidarity – the best and most effective action is through cooperative efforts through the formation of Citizen/citizen groups who together can have the strength and influence to ensure that adequate attention is given to the Citizen interest.

The declaration calls for action at various levels such as the Government, UN agencies, International Agencies, International Financial Institutions, NGOs and the Citizens of Pakistan, to ensure the implementation of Vision 2025 in its true spirit. This is responsibility of Federal and Provincial Governments to ensure above mentioned rights in the document of vision 2025 and during its implementation. This resolution demands from all democratic institutions to keep part and parcel poor, weak, and vulnerable segment of population in mainstream development.

Civil Society Organizations of Pakistan will continue the follow up of implementation of vision 2025 by federal and provincial governments and will organize national community  convention and will publish watch 2025 report every year.

Civil society organization of Pakistan

Sports complex Kashmir Road Karachi

26th March 2015

Chief Executive HANDS presenting Karachi Declaration on the occasion of National Community Convention Organized by HANDS on 26th March 2015 at Sport Complex Kashmir Road Karachi. ..more than 6000 participants attended the session representatives of more than 100 Civil Society Organizations of Pakistan, leading Philanthropists, development partners enthusiastically participated in the convention. In this event HANDS professional staff of 31 district offices across Pakistan and community based volunteers were also participated

Chief Executive HANDS presenting Karachi Declaration on the occasion of National Community Convention Organized by HANDS on 26th March 2015 at Sport Complex Kashmir Road Karachi. ..more than 6000 participants attended the session representatives of more than 100 Civil Society Organizations of Pakistan, leading Philanthropists, development partners enthusiastically participated in the convention. In this event HANDS professional staff of 31 district offices across Pakistan and community based volunteers were also participated

National Community Convention (NCC) for 2025 Pakistan (Qoumi Awami Ijtama) “Let’s Build Pakistan – Aao Banain Pakistan” on Thursday, 26th March, 2015, at Sports Complex Kashmir Road Karachi 03:00 PM to 07:00 PM.


The theme for the event is “Let’s Build Pakistan – Aao Banain Pakistan”. It focuses on engendering dialogue, optimism and hope, by creating a space that will enable a greater mobilization of resources for an alternative future within 2025 Pakistan.

The aim of this NCC is to dialogue around 2025 Pakistan strategy. The event will showcase the richly textured vision produced by the wide spectrum of social and political movements, with special emphasis on the role of children, youth and women in taking forward the aspirations. Alternative visions and actions as a response to development issues of Pakistan will by an integral part of all the events. More than 5000 community members from remotest across Pakistan are expected to participate, representing diverse movements and organization.

The thematic areas are democracy at grass root level, multiculturalism and dignity of ordinary citizen of Pakistan, development issues of health, education and poverty , exclusion and discrimination, theories and practices of sustainable developments, media and culture, social sector, young Pakistan women’s movements and developing alternatives

HANDS is inviting all Partners / Parliamentarians / Media Persons / Civil Society Organization Representative / Community Based Organization / Local Support Organization to participate to join their voices with the Community Members on their issues and proposed solutions.

Struggle for Change

The Success Story

BurfatMuhalla is one of the settlement located in Yousuf Goth of UC-7, Gadap Town in Karachi City. It’s population is estimated to 4,500 people. The living style of residents of the settlement was same like other urban slums around the Karachi City. HANDS started working in Yousuf Goth for provision of safe drinking water through sustainable resources with support of WaterAid. Not only for achievement of the object but also to ensure sustainable development, the Water supply schemes are provided with community participation. HANDS was forming Muhalla WASH Committees in each settlement of Yousuf Goth for this purpose. Same was formed in BurfatMuhalla.

BurfatMuhalla Committee Chosen Muhammad Ali Burfat as their chairman to lead the committee. During the norming phase although community faced some major challenges like;

  • Bring all community at one platform and build level of understanding on basis issues of community.
  • Encourage individuals as well as the community to embark on a process of change.
  • Mobilize for the Contribution of community in Water Schemes.
  • Complete water schemes work with the help of community and ensure billing.

With some efforts the community resolved the issues and water supply scheme was provided by HANDS and each household of the area got the tape water in their home.

Apart from project targeted activities community made extra efforts to make some more betterment for their vicinity. They brought the whole community at one platform and mobilized them to identify their own needs and to respond to address these needs through physical or financial inputs.

Following are some the achievement of their struggles;

  • Solution of sewerage issues.
  • Cleaning of Streets.
  • Plantation in streets.
  • White wash on the external wall in whole area.
  • Garbage collection from each HH on daily basis against minimal charges.
  • Continuousefforts the keep safety from garbage and sewerage.
  • Community resolves their electricity problems almost 60% and for remaining 40% community tries to rent out PMT on monthly basis.
  • Promotion of Health and Education.

Now they are doing efforts to make their streets concrete. Their struggle for Change makes their settlement different from others and sat example for others to follow. Other committees, who visited them, are seeking their advices now for change.

case study 1 case study 2 case study 3 case study 4

Guidelines on preparation and Safety procedures during Cyclones

Before the cyclone season

  • Check that the walls, roof and eaves of your home are secure.
  • Trim treetops and branches well clear of your home.
  • Preferably fit shutters, or at least metal screens, to all glass areas.
  • Clear your property of loose material that could blow about and possibly cause injury or damage during extreme winds.
  • In case of a storm surge/tide warning, or other flooding, know your nearest safe high ground and the safest access route to it.
  • Prepare an emergency kit containing:
    • a portable battery radio, torch and spare batteries;
    • water containers, dried or canned food and a can opener;
    • matches, fuel lamp, portable stove, cooking gear, eating utensils; and
    • a first aid kit and manual, masking tape for windows and waterproof bags.
  • Keep a list of emergency phone numbers on display.

When a cyclone watch is issued

  • Re-check your property for any loose material and tie down (or fill with water) all large, relatively light items such as boats and rubbish bins.
  • Fill vehicles’ fuel tanks. Check your emergency kit and fill water containers.
  • Ensure household members know which is the strongest part of the house and what to do in the event of a cyclone warning or an evacuation.
  • Tune to your local radio/TV for further information and warnings.

When a cyclone warning is issued
Depending on official advice provided by your local authorities as the event evolves; the following actions may be warranted.

  • Park vehicles under solid shelter (hand brake on and in gear).
  • Close shutters or board-up or heavily tape all windows. Draw curtains and lock doors.
  • Pack an evacuation kit of warm clothes, essential medications, baby formula, nappies,
    valuables, important papers, photos and mementos in waterproof bags to be taken with
    your emergency kit. Large/heavy valuables could be protected in a strong cupboard.
  • Remain indoors. Stay tuned to your local radio/ Mobile Phone and TV for further information.

On warning of local evacuation
Based on predicted wind speeds and storm surge heights, evacuation may be necessary.
Official advice will be given on local radio/TV regarding safe routes and when to move

  • Wear strong shoes (not thongs) and tough clothing for protection.
  • Lock doors; turn off power, gas, and water; take your evacuation and emergency kits.
  • If evacuating inland (out of town), take pets and leave early to avoid heavy traffic, flooding and wind hazards.
  • If evacuating to a public shelter or higher location, follow LEAs/PDMA directions.
  • If going to a public shelter, take bedding needs, water & food

When the cyclone strikes

  • Disconnect all electrical appliances. Listen to your battery radio for updates.
  • Stay inside and shelter {well clear of windows) in the strongest part of the building,
    i.e. cellar, internal hallway or bathroom. Keep evacuation and emergency kits with you.
  • If the building starts to break up, protect yourself with mattresses, rugs or blankets under a
    strong table or bench or hold onto a solid fixture, e.g. a water pipe.
  • Beware the calm ‘eye’. If the wind drops, don’t assume the cyclone is over; violent winds
    will soon resume from another direction. Wait for the official ‘all clear’.
  • If driving, stop (handbrake on and in gear) – but well away from the sea and clear of trees,
    power lines and streams. Stay in the vehicle.

After the cyclone

  • Don’t go outside until officially advised it is safe.
  • Check for gas leaks. Don’t use electric appliances if wet.
  • Listen to local radio for official warnings and advice.
  • If you have to evacuate, or did so earlier, don’t return until advised. Use a recommended route and don’t rush.
  • Beware of damaged power lines, bridges, buildings, trees, and don’t enter floodwaters.
  • Heed all warnings and don’t go sightseeing.
  • Don’t make unnecessary telephone calls.

Dissemination Impact assessment of Health worker Model “MARVI” report “Understanding MARVI “

Only 20 percent Pakistanis takes benefits from public sector facilities even after the 67 years of independence while Pakistan lags behind in many reproductive health indicators as compare to its regional neighbors, the Contraceptive Prevalence Rate is 35% and only around half of all births are in a health facility or attended by a skilled attendant, this was highlighted in one of the research report launched in Seminar on 16th October 2014 organized by HANDS.

Urdu Pic and Caption

On the occasion of Understanding MARVI seminar Prof. A.G Billoo, Dr. Yasmeen Qazi, Dr. Adnan A. Khan, Dr. Shaikh Tanveer Ahmed, Shanaz Wazir Ali, Dr. Bashir Juma (Sec. Health Govt. of Sindh), Iqbal Hussain Durrani and Bashir Ahmed Mangi (Director General Population welfare department) addressing to the audience

Dr.Ghaffar Billo Chairman HANDS during the Seminar shared with the audience that the Government of Pakistan has attempted to implement a number of initiatives – among which the Lady Health Worker Intervention has stood out as one of the most successful but still the LHWs program could reach to hardly 40 to 60 percent population vary from province to province. Hence there found a huge gap, 60 – 40 percent highly marginalized population vulnerable for ill health which resulted deaths. He further added that in order to address this deficiency, HANDS conceived and implemented, a model of working with no or low literate  rural women to serve their communities with family planning (FP) and reproductive health (RH) services.

While spoke to the audience Dr.Shaikh Tanveer Ahmed CE HANDS informed that the first phase of MARVI intervention initiated from 1st November 2007 with baseline survey. District Umerkot is the poorest district of the country located in Southern region of Sindh Province of Pakistan. Most of the population are living under the poverty line with literacy rate of only 6 percent. Whereas nearly 50 percent of the total population is deprived of Lady Health Worker Services in District Umerkot. Hence this was the reason behind to initiate this project to provide basic health and safe-motherhood services in the area. One MARVI worker and a Dai were selected as per criteria with the recommendation of community groups for 700 to 1000 populations and hence 350 villages or cluster of villages were identified.  The total population benefitted from the project is 400,000 directly and whole district population of 858,000 indirectly. The project mobilized with the assistance the David and Lucile Packard Foundation and in partnership of Local Organization Thardeep Rural Development Program – TRDP and in close collaboration with “District Health and Population Welfare Department” .

Impact of the intervention of the health project at Umer Kot was assessed by an external evaluator Dr.Adnan A.khan, the impact assessment report of the project was presented in the local Hotel today,  The report presented the impact of the 350 Marvi workers (health workers performance) in the district which create a prominent change in the health status of Umer kot district which is the remotest district of Sindh. The report was presented in front of many legislators of Parliament while Health and Population Department representatives were also participated in the event Senator Dr.Karim Khwaja, Secretary Health, DG Health  also participated in the Seminar.  In the technical session of Seminar which was Chaired by Professor Rasheed Juma (EX DG health co- chaired by Dr.Durre Shawar from health department was highlighted that there is significant increase in many of the critical health indicators in Umerkot by creating a new cadre of health workers from uneducated rural area by HANDS.

Report pointed out that the intervention has had a dramatic effect on Marvis at several levels. Their personal monthly incomes nearly quadrupled from around PKR 892 to 4724, while their household incomes have tripled from PKR 4829 to PKR 12362. Interestingly, Marvi work only contributes around PKR 1905 to this income while non-Marvi work – mainly the shop that they have established and promote during their Marvi work – contributes around PKR 2819, suggesting that the entrepreneurial skills and empowerment that they learnt from the intervention have led to wider benefits to Marvis.


These ladies were called the “Marvi” workers, the Marginalized Areas Reproductive Health and Family Planning Viable Initiatives – MARVI approach is centered around empowering local women that is Marvi workers and communities that is women and their families through capacity building to improve RH and FP outcomes with minimal dependence on external aid. Word MARVI considered as dignity and women empowerment, is adopted from the name of a women in folk stories.

The impact assessment of the project proved that the intervention has had a dramatic effect on Marvis at several levels especially in terms of women empowerment and women health status. It is reported that CPR in Umerkot rose from 9% at the baseline to 27% at the end line, or a 3-fold increase and was higher in Marvi served areas. Changes were seen in all areas covered by Marvis where the CPR was over 30%; whereas it remained largely unchanged in LHW areas (10%). Community women ascribed both the higher demand and their own increased use of FP to the work of Marvis. Marvis acted as agents of change by “demonstration by doing” (CPR was 37% among the Marvis themselves), by convincing both men and women to use FP and by making FP supplies available at the doorstep.

Through this intervention not only impact on women health but MARVI as women recognized not only as Community Health Worker but most of them have transformed as a women leader for their communities.  MARVI project has proved that when there is no lady health worker, a low or no literate girl if trained as community health worker with the support of a Lady Health Visitor can mobilize clients of Reproductive Health &FP Services, with the support of community based groups.

The success of MARVI intervention already took her out of the boundary of District Umerkot, to 5 more districts and their number has grown from 350 to 1000. Millions of Pakistani women and children are waiting for her. It is stressed in the Seminar that this model can be replicated in all over Pakistan by department of Health across the country. It was urged to department of health to help HANDS to scale MARVI intervention in the areas, where there is no Lady Health Workers.




Relief and Recovery Project for Earthquake Affected Areas of Balochistan (November 2013 – November 2014)

A powerful earthquake struck Balochistan on 24th September 2013, the quake’s  epicenter was in the Awaran District, but other districts of Balochistan – Kech (Turbat) and Panjgur were also affected. According to reports, the tremors registered were of 7.8 on the Richter scale. After the initial incident, another earthquake of 7.2 magnitude hit the same area of Balochistan on September 28, 2013.

The initial results of rapid assessment done by HANDS & data presented by Provincial Disaster Management Authority (PDMA) Government of Balochistan showed that 42000 families and nearly 300,000 peoples were affected. Around 90% of the building collapsed including shops and houses in 8 Union Councils of District Awaran. The 05 Union Councils of Panjgur & 02 Union Councils of District Kech were also affected from the disaster. According to PDMA Balochistan 399 people were killed and 599 were injured. Dozens of Health & Education facilities, water wells, Karezs were also damaged.

Realizing the pathetic state, HANDS was among the first few not for profit organizations to reach Awaran with philanthropy funding and later 2.5 million Pounds (PKR. 412 million) from DFID / UKAID partnership. We had the honour to meet the Chief Minister of Balochistan and brief him on the “Relief and Recovery Project” and he graciously consented to launch the project. HANDS planned and worked in close coordination with District Administration and Lines Department under the leadership of Deputy Commissioner Awaran and PDMA Balochistan.

Relief Distribution

Relief Distribution

HANDS was founded by Prof. A. G.  Billoo (Sitara-e-Imtiaz) in 1979.HANDS has evolved in 34 years as one of the largest Non-Profit Disaster Management Organization of the country with integrated development model. HANDS has a network of 32 offices across the country and has access to more than 16.2 million population of nearly 20,274 villages/ settlement in 35 districts of Pakistan. HANDS strength is 18 volunteers Board Members, more than 1700 full time staff and thousands of community based volunteers of 5205 medium and small size organizations.

After the conduction of “rapid assessment” of the affected, a plan was developed to reach 10,000 households and 56,000 individuals through the project in earthquake-affected districts of Balochistan. The project reached to communities of 08 worst affected union councils including Awaran, Gajar, Nokjo, Teertej, Parwar, Gishkore, Chitkan (Panjgur), Dandar (Kech).

HANDS believe in community participation and worked with group methodology and thus 400 Community Support Groups (CSGs) were formed. Each group comprised of nearly 25 beneficiaries.

Realizing the immediate needs of targeted communities in the relief and early recovery phase of the earth quake, HANDS distributed 10,000 emergency shelter roofing kits (bamboos, plastic sheet and ropes), 20,000 blankets, 10,000 ceramic filters & 10,000 solar lights to the affected as per their need assessment.

Providing health services in the effected areas

Providing health services in the effected areas

In the health sector the contribution of HANDS included 07 mobile medical mobile teams sent from Karachi to provide health services to 27,000 sick and injured people. Emergency Health Care services package included maternal & Child Care, physiotherapy of injured patients, rehabilitation of disabled through developing a cadre of Community Health Worker. We also distributed 50 wheel Chairs to the disables. HANDS also in process 02 Hilux ambulances to the District Health Administration and solar energy source to maintain the cold chain of vaccines for 05 health facilities including District Head Quarter (DHQ) Hospital Awaran.

Child friendly centers to revive educational activities

Child friendly centers to revive educational activities

In the education sector, considering the urgent needs of District, 25 Child Friendly Spaces (CSF) were established. Learning material and sports material was provided which played a vital role to increase the interest of children. The change environment probably attributed to the increase in enrolment up to 1,469 children. One teacher from each school was trained and equipped with psycho social well-being skills. Water, Sanitation and Hygiene (WASH) services were provided at 25 targeted locations of Govt. schools along with provision of furniture and learning material.

Low cost one room shelter built in the area

Low cost one room shelter built in the area

HANDS in recent year has developed and excelled in providing low cost shelters in disaster affected areas. Through its Infrastructure Development Energy WASH and Shelter (IDEAS) program arranged to deliver the knowledge and skills at local level for construction of disaster resilient shelters through conduction of orientation session to community groups. The project provided the opportunity of “Cash grant” through bank transaction of PKR 49500 per family to 4500 families to build shelters. Cash grant of PKR 223 million is in transfer process.

HANDS also intervened on the livelihood aspect and “Cash Grants” for 1200 livelihood schemes to benefit 10,000 community members is in process as livelihood enhancement support. Out of 1200 schemes 32% are water related, 28% – Cleaning & Hygiene, 1.4% – Community Physical Infrastructure (CPI), 11% Handicraft and 10% Shelter. HANDS also enhanced the livelihood of Community groups through supplying 800 tool kits each of which comprised of 6 tools to be used in agriculture and non-agriculture labour. The intervention is still in the process and 63 million cash grant will be disbursed till the end of project period.


HANDS ensured the transparency by signing an agreement with United Bank Limited for on line cash transfer direct to the beneficiary on presentation of National Identity Cards (NIC). HANDS has also established and on line complaint mechanism name “Suggestion And Complaint (SAC)” system to give a direct access for all complaints to Chief Executive Secretariat for sharing of any concerns and grievances through telephone, letter, messaging or emails.

HANDS Monitoring & Evaluation Program also hired “Balochistan Engineering and Technology University Khuzdar” as 3rd party monitors, after signing a Memorandum of Understanding (MOU). The Monitoring & Evaluation Program also made it mandatory to different cadres of staff to make monitoring field visits to ensure timely sharing of challenges, smooth implementation and sharing of monthly progress.

HANDS requires your generous support to continue these efforts, to make our dream come true through Rebuilding Balochistan affected areas and achieve vision of “Healthy, Educated, Prosperous and Equitable Society”. Millions of Balochi women, Children and survivors are looking forward to us. Let’s work together to give them a ray of hope.


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