HANDS started its formal journey of intervention from a public sector hospital in Karachi as Health And Nutrition Project in 1979 lead by the then head of the department of paediatrics, Prof. A. G. Billoo (Sitara-e-Imtiaz). He was seriously concerned about the poor patients coming from Karachi rural in miserable conditions.The project started and first Primary Health Care center was established in a village 40 kilometers away from city center. The interns of professor followed his vision to develop “Healthy Educated Prosperous Pakistan”. The vision started taking shape by 1993 and gradually the project transformed into the organization called Health And Nutrition Development Society -“HANDS”.
After 33 years HANDS has evolved as one of the largest Non Profit Organization of the country and depicts an excellent model of community development. This integrated 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, Disaster Management and Social Marketing.HANDS has a network of 29 offices across the country and has access to more than 25 million population of nearly 42000 villages / settlement in 29 districts. These offices are supported by 3531 medium and small size organizations’ network in Pakistan.
Management Structure:
HANDS is governed by 15 members elected “Governing Board” who are volunteers and are lead by Chairman of the organization. Chief Executive is defecto member of the governing board as well. Board provides policy guideline and follow the management to pursue management policies in the spirit of organization’s vision.
The board is comprised of professionals of different sectors, philanthropist and ex-employees of HANDS. There are four tiers in management structure, first tier is the Senior Executive Committee which is top management and comprise of 4 executives and a Chief Executive. The second tier is “Steering Committee” which comprise of 13 General Managers (GMs) and the 04 senior executives are also member of the steering committee. The GMs are responsible for operation of different project activities of their program under the leadership of Chief Executive and senior Executives.
All the districts heads that is Districts Executive Managers (DEMs) and members of Steering Committee form a 3rd tier called Management Committee. The fourth tier exists at district level called the District Management Committee which comprise of district project staff, DEM and is chaired by District Patron and representative of head office staff. HANDS at present have more than 1400 full time staff and more than a million Community Based Volunteers (CBVs) who participate at “Monthly Community level forums” lead by Chairperson of Community Based Organization (CBO) and respective district staff participate as defecto member in these forums.
Management Certification:
HANDS is certified by Pakistan Center for Philanthropy (PCP) and is tax exempted by Income tax department of government of Pakistan. HANDS has also successfully completed the Institutional Management Certification Program (IMCP) of USAID for management standards. We are accredited with European Union and have central contractor registration with US Government (DUNS No.). HANDS also possess membership with Humanitarian Accountability Partnership (HAP).
Policy Guideline:
HANDS has developed 19 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, and Suggestion and Complaints (Whistle Blowing).
Experience in project administration and financial management:
HANDS has successfully managed 352 projects during last 17 years and 94 projects in the year 2011-2012.
Finance Department is equipped with qualified personnel working in a computerized accounting software (online in all districts) through Sidat Hyder Financials. HANDS is currently managing a budget of approximately Rs. 1780 million for 2011-2012.
Major funding partners in 2011-2012:
The list of major funding partners include USAID, The David & Lucile Packard Foundation, Save the Children US & UK, The Aga Khan Foundation, Aman Foundation, Basic Needs / Basic Rights, UNICEF, Care International, GAVI Alliance, UKAID/ Department For International Development (DFID), Shell Pakistan, Bearing Point, Mustashaar, Plan International, Koninkrijk der Nederlanden, RSPN, Sindh Education Foundation, World Health Organization, Food and Agriculture Organization of the United Nations, American Red Cross, GDS International, Engro Foundation, GOAL International, International Organization of Migration(IOM), Naya Jeevan, Novo Nordisk, Pakistan Cultural Group (PCG), SINA, Japan Official Development Assistance, UNFPA, UNHCR, UNOPS, World Food Program, STEUN Pakistan, Khushhali Bank, Asian Development Bank, Pakistan Poverty Alleviation Fund, World Bank, The Asia Foundation, Aurat Foundation, WPF Rutgers, Ministry of Women Development Pakistan, Medico International, UNDP, Population Council, and Government of Sindh and Federal Government.
HANDS Public Private, Private Partnership:
HANDS has extremely good working relations with District Government Health, Community Development and Education Departments. MoUs are signed with District and Provincial Governments in various districts for collaboration in different projects and programs.
The successful models of HANDS Public Private Partnership are 1077 Govt Schools, 02 Community Midwifery Schools, 43 Reproductive Health Centers of Department of Population Welfare, 7326 Health Houses of Lady Health Workers. HANDS has provided support to 08 Basic Health Units, 03 Taluka Headquarter Hospitals, 01 Sindh Government Dispensary and 01 Laboratory of Secondary Care Health Facility. The major achievement of this model is HANDS hospital at Jamkanda Bin Qasim Town. HANDS is also leading a consortium established by Relief Department of Government of Sindh.
HANDS Strategy for Vision 2020
Considering HANDS 33 years of life, it was felt that a long term strategy should be developed. Therefore a series of consultation meetings were conducted with all the stakeholders of organization from community to the Governing Board. After six months of meetings and follow up we came up with the following vision and mission in the context of targets for year 2020.
HANDS new Vision is “Healthy, Educated, Prosperous and Equitable Society” and Mission is “improving health, promoting education, alleviating poverty and developing social institution for community empowerment”.
HANDS principles and values include partnership and relations with communities in sovereignty of and equity with our partners. One of the values of HANDS is based on mutual trust, honesty, professionalism and transparency among Governing Board, employees and supporters.
HANDS development process value is based on an understanding of roles and responsibilities, which include accountability, ethnic impartiality and effective participation. We strive for value of creativity and innovation, which is the hallmark of all our efforts. Our belief is that every citizen of this country should have access to their basic rights and should discharge their obligation with same fervor.
Major Mile Stones of 2015:
- Improve Human Development Index (HDI) from 0.4 to 0.6
- Reduce IMR from 65/1000 to 40/1000 live births
- Reduce under 5 year mortality from 77/1000 to 52/1000 live births
- Reduce MMR from 276 to 140/100,000 live births (MDG-5)
- Improve Gender parity index -GPI (proportion of girls enrolment at primary, secondary & tertiary level as compare to boys) in primary classes from 0.94 to 1.00 and in secondary from 0.90 to 0.94 (MDG-3)
Major Mile Stones of 2020:
- Improve Human Development Index (HDI) from 0.6 to 0.700
- Reduce IMR from 40/1000 to 20/1000 live births
- Reduce under 5 year mortality from 52/1000 to 32/1000 live births
- Reduce MMR from 140 to 120/100,000 live births
- Improve Gender Parity Index (GPI) in primary from 0.94 to 1.00 and in secondary from 0.90 to 0.98
HANDS Integrated Development Best Practice Models
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.
CBO’s meeting with Social Mobilization team at Mazoor village Thatta
The best practice service models:
Participatory Rapid Appraisal (PRA), Community Based Organization (CBO) and Interactive Theater (IT)
The best practice training models:
Capacity Building Package for Community Group, Community Capacity Building Program (Rehnuma), Participatory Rapid Appraisal (PRA) Training and Interactive Theater Training
Achievements:
During the year 2011-2012 the achievements of Social Mobilization program include formation/strengthening of 3531 small or medium sized CBOs with 1877 men and 1654 women CBOs in 17 districts of Sindh and around 1,042,853 members. There are 8193 other community groups which include SMCs, VHCs, HMCs and social mobilization for micro-finance groups. 3531 PRAs were conducted in 17 districts of Sindh. 389 Interactive Theaters were conducted for awareness raising including 357 on birth spacing issue and 32 on gender and social protection issues. 45 Interactive Theatre groups were trained for theatre performances in different districts. The training of 2362 SMC members, 143 VHC/HMC members, 369262 borrowers of social mobilization for micro finance and 620 other miscellaneous group members were conducted. 107 training were conducted for CBOs with participation of 4046 members. 11 PRA training were conducted with 1366 participants.
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.
A press conference on Gender Based Violence
The best practice service models:
Gender Policy/Code of Conduct, Sexual Harassment Policy, Gender Advocacy Campaign, Behavior Change & Communication (BCC) strategy, Economic Rehabilitation of Gender Based Violence Survivors
The best practice training models:
Gender Sensitization sessions for communities, Gender sensitization Training of Trainers (ToT)/professionals and Women Mobilization & Leadership Training
Achievements:
During 2011-2012 Gender policy /code of conduct for the organization was successfully designed and implemented in 94 projects. Sexual harassment policy was designed and implemented in 24 district offices of the organization with more than 1600 professional staff and more than 3500 members of small and medium sized organizations. Last year 42 events were organized as part of advocacy campaign, these events were attended by 5175 participants. During last year 17222 awareness raising sessions on gender sensitization were conducted with participation of more than 0.4 million.
The printed material included 84935 units of BCC material which were developed and disseminated among the masses. 10 FM radio campaigns, 15 Focus Group Discussions (FGDs) and 32 Interactive Theaters were also conducted in this context. With reference to rehabilitation of survivors of gender based violence, rehabilitation of 400 women was initiated and is in process. GAD conducted 132 gender awareness raising sessions for communities with participation of 3952. 110 training on women mobilization and leadership were conducted with 3308 participants.
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.
A view of professional leadership development training
The best practice service models:
HANDS Institute of Community Development Program, Online training management software and Training Venue
The best practice training models:
Leadership for Future Generation, Professional leadership development, Proposal Writing/Resource Mobilization, Organization Development Certification Course, Financial Management Training, Training on sales Tax, Training on Stress Management, Training on Facilitation Skills, Legal Aspect of Human Resource Management, Withholding of Tax – Under The Income Tax Ordinance 2001, Project Management, Training of Trainers on Community Capacity Building Package, Training for Interactive Theater (Professionals).
Achievements:
During the year 2011-2012, 70 young participants were trained in 3 training Overall 5 training were conducted with 110 participants. 10 master trainers were also trained during last year. 30 participants were trained in 3 training on Professional Leadership Development and overall 06 training were conducted and 240 participants were trained. 30 participants were trained in 1 training for proposal writing/resource mobilization last year and overall 70 participants were trained in 03 training 13 workshops were conducted for 13 organizations for organizational certification course. 7878 participants were trained in 270 training under National Financial Literacy Program in 06 districts of Sindh. 01 training was conducted on sales tax in last year. 02 training were conducted on stress management and 40 participants were trained. 40 master trainers were trained in 2 Traing of Traines on facilitation skills. One training was conducted on legal aspect of human resource management. 12 participants were trained in 1 training on withholding tax under income tax ordinance 2001.
One training was conducted last year on project management and 15 participants were trained. 02 training were conducted and 24 master trainers were trained for community capacity building package training 02 training were conducted and 24 participants were trained for Interactive Theater conduction and overall 45 groups were trained for Interactive Theater in previous years.
All districts IT associates, District Executive Managers and Monitoring Managers were trained and provided orientation of online training management system. The system was fully implemented in all district offices/ community development centers for training of database management. This system can provide addresses of all district offices and community development centers, Details of 55 HANDS master trainers in various sectors, 5600 training participants in various training programs and 530 training conducted, were maintained and made available on this system.
HANDS Institute of Community Development did the capacity building of nearly 44925 persons in four areas including Community Training Professional Development, Institution Development and consultancy services in last 2 years. HANDS provided these services through 28 Institutes of Community Development including 01 national, 03 provincial and 24 at district level.
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.
Data collection during research
The best practice service models:
HANDS Web Based MIS Software, Logical Framework Matrix (LFM), Distribution Management System, Periodical Reviews & Monitoring visits and Researches.
The best practice training models:
Training on Web based MIS software, Management Information System, Logical Framework Matrix, Distribution Management System and Research Methodology
Achievements:
3015 reports were generated during 2011-2012 using the web based MIS software, including district project reports, district reports, program managers’ reports and organization report. Under the training model of the same 50 staff members of 24 districts were trained to use the software for all reports generation and presentation. MIS of 94 projects were developed and successfully monitored last year and MER had so far developed MIS of 352 projects in previous years. The achievements of training model for the same include training of 1000 staff members of 94 projects to use MIS for implementation, monitoring and reporting. During 2011-2012 MER developed 67 LFA documents of different projects. 01 external consultancy was also done for an NGO in Balochistan district. HANDS conducted 67 training of project/program staff and approximately 670 staff members were trained on LFA.
During 2011-2012 HANDS implemented DMS in 20 districts and detailed data of 54690 beneficiaries was uploaded and token generated for distribution through this system. The achievements of training model of DMS include conduction of 20 training at district level and participation of 240 staff members to use DMS. MER conducted 1328 program reviews during last year and 151808 monitoring visits were conducted for quality assurance of project/program performance. 180 monitoring checklists were also developed for this purpose.
Researches:
During last year 14 researches were conducted and 41025 units (Samples) were surveyed and during the past few years overall 50 researches were conducted by HANDS MER program and 102037 units were surveyed.
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.
Delivery of Behavior Change Communication messages in the community at Kashmore
The best practice service models:
Advocacy Campaign, Development of Behavior Change & Communication (BCC) strategy, Video / Audio Production, Designing, Composing and Publication and Knowledge Management System
The best practice training models:
Training on Behavior Change & Communication (BCC) Strategy
Achievements:
During 2011-2012, ICR & A designed and implemented advocacy campaigns on 06 issues and conducted 34 seminars, 08 rallies and 12 press conferences on different subjects of national interest. More than 25000 people were reached through these campaigns. The program designed 15 BCC strategies of different projects during 2011-2012. 10 video documentaries were developed for different programs during last year. The printing accomplishments included 7833 banners, 138000 leaflets, 51366 posters, 32900 pamphlets and 78981 brochures. 645 project reports, summary reports of projects, 65, news bulletin and newsletters were also designed, composed and printed. Other print material included printing of flip charts, invitation cards and panaflex mounts. ICR & A maintained a network of 14 libraries including one at head office and one each in 13 district offices of the organization. A total 12360 reading material (including Books, Report, Journal etc) were made available on the network. 03 BCC training were conducted last year and overall 31 training were conducted in previous years.
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).
A community health worker (MARVI) examining a patient
The 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 Well-being Training, IUCD Training, Community Health Workers (MARVI) Training, Sexual Reproductive Health (SRH) Training, Client Centered Approach Training for Health Care Providers
Achievements:
During the year 2011-2012, 447 MARVIs were trained in 06 districts of Sindh. Under the model of rehabilitation of disables, 4147 assisting devices were provided to the Person With Disabilities (PWDs) in 03 Union Councils i.e. Ibrahim Hyderi, Rehri and Landhi of Karachi Rural. 77 awareness raising sessions were conducted and 64354 PWDs and their family members attended theses sessions. Under NARI voucher scheme 740 complicated deliveries including caesarian sections were conducted. 168 neonates of complicated pregnancies were managed during last year and total 1003 neonates were managed. Reimbursement of Rs. 14,780,000 was made against the management of total 1830 women and 168 neonates. 3244 NARI Referral Forms (Output Based Aid voucher) and thousands of posters and brochures were printed and distributed. 894 counseling sessions were conducted on safe motherhood, 1333 antenatal checkups and 488 post natal checkups were conducted under this intervention package.
The hospital based services were provided to 103977 patients during last year. These included 55,716 females, 31,669 males and 16,592 children. Other achievements included management of 15024 indoor patients, 76195 antenatal checkups, 7833 post natal checkups, 120003 laboratory tests, 26823 ultrasounds, 34050 children immunizations, 28706 family planning clients and 2516 women for T T Shots.
The updated achievements of CMAM model included 116790 children (24-60 months) for de-worming, improvement in nutritional status of 5726 children, and 137910 children were provided micro-nutrient supplement. 31802 Moderately Acute Malnutrition (MAM) children and 125311 Pregnant and Lactating Women (PLW) were provided micro-nutrient supplement. Nutritional status of 5249 PLWs was improved and overall 179868 PLWs and 213719 children were screened for CMAM.
302 CMWs successfully completed their training. Only 61(16%) candidates either dropped out or did not succeed in examination. HANDS established 62 Birthing Stations for the CMWs. 12775 TBAs were trained in previous years while in 2011-12, 10 TBA training were conducted with 161 participants. 28 SRH training were conducted and 559 participants were trained. 29 training were conducted for community health workers (MARVIs) and 732 MARVIs were trained. 175 participants were trained on IUCD insertion in 06 training 30 professionals from 26 NGOs were trained in psycho-social well being training by HANDS and 78 NGOs and 201 professionals were trained in step down training for the same. Last year 33 Client Centered Approach (CCA) training were conducted with 442 participants and overall 141 training were conducted with 2421 participants.
Education and Literacy Program
The Education and Literacy program of HANDS aims to increase the literacy rate of its target population and contribute to raise national literacy rate.
Children drawing at Parwarish Markaz Soomro Mohalla Hala
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.
The 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.
Achievements:
During the year 2011-2012, HANDS Education and Literacy program established 504 Early Childhood Education (ECE) classes in 168 Govt. schools of Sindh, and trained 654 Government teachers on Early Childhood Development (ECD). The training of 168 SMCs members was also conducted on school development and improvement plans. Play areas were also developed in 168 schools. 51 Parwarish Markaz were established and 1367 children of 2-4 years were enrolled including 904 boys and 463 girls. 515 Adult Learning Centers were established and 17999 learners were enrolled. The Health Action school model was implemented in 144 schools and 11639 students were enrolled including 6273 girls and 5366 boys. 337 female teachers and 205 male teachers were trained in Child to Child (CtC) approach in this model.
The School Health Screening model was implemented in 568 schools in district Thatta and Umerkot and about 42000 children were enrolled. Under this model 568 teachers, 57 health care providers and 30 government officials were trained for project interventions. School Nutrition program was implemented in 346 schools, 10 master trainers and 508 teachers were trained and 50,000 students were provided food under this model. Weight and height of 50,000 students was also monitored as part of intervention in this model. With philanthropy support 03 schools were adopted by families under Adopt a School model where 185 learners were enrolled.
The major findings of school health screening evaluation
- Wasting/malnutrition decreased by 45%.
- Underweight girls declined by almost 22%.
- Stunting which is a measure of long standing malnutrition, decreased by 6%.
HANDS trained 208 teachers in Life Skill Based Education model for training in 77 Public Sector Schools and 17736 students benefited from this model. 77 School Management Committee (SMC) members and 20 CBO members were also trained for this model. The achievements of Family Reading program model included conduction of 01 training for 03 teachers and enrollment of 90 learners. 17 training were conducted on Adult Literacy and 515 participants were trained during the year 2011-2012. In the Multi Grade teaching model 05 training were conducted for the public sector school teachers and 106 teachers were trained. In last year 11 Arts and Crafts training were conducted and 265 participants were trained. 45 training were conducted for 733 community teachers in Early Childhood Education and Development. 268 training on ECE &D were conducted for government teachers and 984 teachers were trained. 18 training were conducted for 542 government teachers including 337 female teachers and 205 male teachers.
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.
Livelihood Enhancement On-Farm:
Livelihood Enhancement on farm promotes natural resource management, work for food security and income generation of the underprivileged communities.
Livestock beneficiary
The 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, Community Nurseries and Micro Finance model.
The best practice training model:
Capacity Building Training
Achievements:
During 2011-2012, 80 small Agri farms were developed by the support of the program. 17150 farmers benefited through the Agri input model for small land owners/farmers during 2011-2012 and 19400 had benefited so far. The number of farmers supported through Agri kit model last year was 475, and overall 895 farmers were supported in previous years. Through provision of livestock model, 300 individuals were provided livestock in last year and till now 1650 had benefited through this model. The beneficiaries of poultry package were 1770 during 2011-2012 whereas overall 4928 were benefited in previous years. Through the poultry provision package 24640 birds were distributed along with 177 metric tons of poultry feed for them. Establishment of about 100 small poultry hatchery units is in process in 02 districts of Sindh and 20 women were benefited through this model last year.
During the year 2011-2012, 630 beneficiaries received support through kitchen gardening model and so far 630 had benefited. 08 Community nurseries were established during last year. 55464 beneficiaries received support through Cash and Food for Work model during last year and overall 82294 were benefited in previous years. 2782 community members were provided financial support through Provision of Micro finance and till now 40015 had benefited from this model. Under the Capacity Building package model of Livelihood Enhancement program 1340 training were conducted last year with participation of 29732 members which included 17230 participants of Agriculture Development training 1770 of Poultry Management, 300 of Livestock Management, 2782 of CMST and 7650 of Nationwide Financial Literacy Program (NFLP). Overall 67638 community members were trained in different training of the program in previous years.
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.
Young women working at Hunarmand Training Center Memon Goth Karachi.
The best practice service models:
Enterprise Development/Entrepreneurship, “Sughar” (local skilled women) program, Hunarmand Markaz (Display Center , Knit Garment Unit and Village Based Entrepreneurs Center.
The best practice training models:
Hunarmand Training Center (HTC) and Enterprise Development Training (EDT)
Achievements
During the year 2011-2012, 1645 men and women benefited through Enterprise Development model and till now total 4950 people had benefited from this model. 1620 community women benefited through Sughar program model in the last year whereas till now 3120 “Sughars” had benefited through different training During the year 2011-2012, 04 Hunarmand Markaz were established and now overall 8 Hunarmand Markaz of HANDS are operational throughout Pakistan.
During the year 2011-2012, 01 knit garment unit was established and 4236 garment pieces were produced and overall 60000 garments were produced during previous year. 02 village based entrepreneur centers were established last year and total 12 such centers were established in previous years.
232 candidates received different Hunarmand training during 2011-2012 from the Hunarmand training center and until now 7000 men and women had received training at the center and awarded diplomas in different courses. 46 enterprise development training were conducted for 1400 community members in last year and total 5000 men and women had received this training for enterprise development.
Infrastructure Development Energy WASH and Shelter (IDEAS)
The program for Infrastructure Development Energy Wash and Shelter (IDEAS) focuses on providing quality infrastructure to target population. The models innovated by HANDS IDEAS are low cost, durable, socially acceptable and environment friendly.
Low cost shelter at Jacobabad
The 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
The best practice training models:
Training on Water Sanitation and Hygiene
Achievements:
During the last couple of years 50 under water storage tanks were built. 50 ground surface drinking water storage tanks were also constructed. The other drinking water facility included installment of 174 hand pumps in 2011-2012 and overall 2364 hand pumps were installed in previous years. 90 street pavements were laid down in last couple of years. 11 sanitation schemes, 782 emergency/transitional latrines and 9438 permanent latrines were constructed. The number of hand wash facilities constructed were 1009.
During the last 02 years 47,347 shelters were successfully constructed and delivered to the communities by HANDS – IDEAS program. 1879 irrigation schemes including tube wells and water courses/ channels were completed last year. 217 Naadi (bio sand filter) were developed and delivered to the target communities and 217 smokeless stoves were also made in communities. 01 protection wall was constructed for flood protection. 01 Jetty, 1103 link roads and 149 culverts/ bridges were also constructed in target areas. 1077 schools and 150 transient shelter schools were built under social sector scheme model of IDEAS. 10500 alternate energy schemes were installed including solar panels and solar lights. Portable Ceramic water filters for safe drinking water were provided to 1260 families.
02 training were conducted for 32 participants on Water Sanitation and Hygiene by IDEAS last year. 120 community members of 27 flood affected villages were trained for masonry and shelter development during last year.
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.
A view of temporary shelters installed for IDP’s at Rajanpur Punjab
The best practice service model:
Establishment of relief/ emergency camp, Food Distribution, Medical Camps, Education in Emergency (EiE), Disaster Risk Management Center and Network for Disaster Risk Reduction (DRR).
The best practice training model of Disaster management includes:
Training on camp Management, Drought Mitigation training Community Based Disaster ning.Risk Management (CBDRM) Training and Community Based Disaster Risk Reduction (CBDRR) training.
Achievements:
HANDS provided 46204 tents for camps in rescue and relief operation, 45265 people were evacuated during last year and overall 62265 people were evacuated in previous years. 19 camps were established and provided shelter to 10229 people. Overall 125 camps were established which provided shelter to 93947 people in 2010 and 2011 disasters. During the last couple of years 190265 families were provided food rations. HANDS established 02 Disaster Risk Management centers in last year and 08 centers are in process of establishment in different districts of Sindh. HANDS established 02 networks in northern & southern districts of Sindh which represent more than 600 CBOs and also lead a consortium of NGOs established by Government of Sindh. During the year 2011-2012 total 2737 medical camps were held. The number of patients/clients attended during these camps was 292061, including 68587 men, 92890 women and 130589 children.
Through Education in Emergency (EiE) model HANDS provided 29 Children Friendly Spaces, constructed / renovated 1035 schools with more than 2000 washrooms. 969 hand pumps were installed, 31 water motors and sports material was provided to 1000 flood effected schools in Sindh.
30 training were conducted for camp management in last 02 years. 02 drought mitigation training were held and 50 participants were trained. 20 training were conducted for Community Based Disaster Risk Reduction (CBDRR) and 574 participants were trained. 246 training on community based disaster management were conducted in last couple of years and 8791 participants were trained along with training of 30 master trainers on the same subject.
Social Marketing
Social marketing is introduced as one of HANDS program in last couple of years and it focuses on achieving specific behavioral goals with specific audience in relation to different topics relevant to social goods.
MARVI worker marketing the products at Umerkot
The best practice service models:
HANDS Community Health Worker (CHW/MARVI) and Traditional (trained) Birth Attendant (TBA)
Achievements:
HANDS trained 447 MARVIs in 06 districts of Sindh which included 350 in Umerkot, 25 in Thatta, 25 in Badin, 25 in Karachi Rural, 11 in Jamshoro, 10 in Jacobabad and 1 in Sanghar. These MARVIs were made available in areas where there was no LHW and they successfully marketed health products (safe delivery kits, family planning products, ORS and essential medicines) in their target areas.
The TBA model of social marketing worked parallel to MARVI model and 447 TBAs were trained in 06 districts of Sindh which included 350 in Umerkot, 25 in Thatta, 25 in Badin, 25 in Karachi Rural, 11 in Jamshoro, 10 in Jacobabad and 1 in Sanghar. These TBAs provided social marketing services in areas where there were LHWs present. Total number of social marketing products sold during the year 2011 – 2012 was 210,500 and the amount recovered from their sale was Rs. 2.2 million. During the previous years the amount recovered was Rs.1.3 million. Thus the total recovery in last two years amounted to Rs. 3.5 million.
HANDS 
HANDS Zindabad / Hath may Hath do HANDS ka sath do ,