Unicef Report

SAMPLE OF ORGANISATIONS PARTICIPATING IN CONSOLIDATED APPEALS
AARREC COSV HT MDM TGH

ACF CRS Humedica MEDAIR UMCOR
ACTED CWS IA MENTOR UNAIDS
ADRA Danchurchaid ILO MERLIN UNDP
Africare DDG IMC NCA UNDSS
AMI-France Diakonie Emergency Aid INTERMON NPA UNEP
ARC DRC Internews NRC UNESCO
ASB EM-DH INTERSOS OCHA UNFPA
ASI FAO IOM OHCHR UN-HABITAT
AVSI FAR IPHD OXFAM UNHCR
CARE FHI IR PA (formerly ITDG) UNICEF
CARITAS Finnchurchaid IRC PACT UNIFEM
CEMIR INTERNATIONAL FSD IRD PAI UNJLC
CESVI GAA IRIN Plan UNMAS
CFA GOAL IRW PMU-I UNOPS
CHF GTZ Islamic RW PU UNRWA
CHFI GVC JOIN RC/Germany VIS
CISV Handicap International JRS RCO WFP
CMA HealthNet TPO LWF Samaritan's Purse WHO
CONCERN HELP Malaria Consortium SECADEV World Concern
Concern Universal HelpAge International Malteser Solidarités World Relief
COOPI HKI Mercy Corps SUDO WV
CORDAID Horn Relief MDA TEARFUND ZOA
TABLE OF CONTENTS
1. EXECUTIVE SUMMARY .................................................................................................................................... 1
Table I. Summary of Requirements, Commitments/Contributions and Pledges (grouped by cluster).................. 2

Table II. Summary of Requirements, Commitments/Contributions and Pledges (grouped by appealing
organization) .............................................................................................................................................. 3
2. CONTEXT AND NEEDS ANALYSIS ................................................................................................................. 4

2.1 CONTEXT ...................................................................................................................................................... 4
2.2 HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS ................................................................................... 5
3. RESPONSE PLANS......................................................................................................................................... 11
3.1 CAMP MANAGEMENT, SHELTER AND PROTECTION ......................................................................................... 11
3.2 HEALTH....................................................................................................................................................... 20
3.3 WATER, SANITATION AND HYGIENE ............................................................................................................... 33
3.4 FOOD SECURITY .......................................................................................................................................... 39
3.5 EDUCATION ................................................................................................................................................. 42
3.6 NUTRITION .................................................................................................................................................. 50
3.7 LOGISTICS ................................................................................................................................................... 53
3.8 AGRICULTURE ............................................................................................................................................. 55
3.9 EARLY RECOVERY ....................................................................................................................................... 58
3.10 COORDINATION ............................................................................................................................................ 61
4. ROLES AND RESPONSIBILITIES .................................................................................................................. 64
ANNEX I. LISTS OF 2009 PROJECTS ............................................................................................................ 65

PROJECTS GROUPED BY CLUSTER, WITH FUNDING STATUS OF EACH ............................................................................. 65
PROJECTS GROUPED BY APPEALING ORGANISATION, WITH FUNDING STATUS OF EACH ................................................... 71
SUMMARY OF REQUIREMENTS/CONTRIBUTIONS AND PLEDGES GROUPED BY IASC STANDARD SECTOR ........................... 79
ANNEX II. ACRONYMS AND ABBREVIATIONS......................................................................................... 80
Please note that appeals are revised regularly. The latest version of this document is available
on http://www.humanitarianappeal.net.
Continuously-updated project details and budgets can be seen on www.reliefweb.int/fts.
iii
iv
P A K I S T A N
1. EXECUTIVE SUMMARY
In August 2008 Pakistan suffered a series of overlapping crises that led to substantial internal
displacement and left hundreds of thousands in need of humanitarian assistance. These events have
come at a time when Pakistan is reeling from the effects of the global food crisis, exacerbating an
already precarious situation.
Unusually heavy monsoon rains and flash floods in early August 2008 affected over 300,000 people.
Peshawar District in the North West Frontier Province (NWFP) and Rajanpur District in Punjab
Province were particularly badly affected. Most of the immediate humanitarian needs of the flood-
affected population have now been met. Families that remained close to their homes after the
disaster have started to reconstruct their houses and rebuild their lives. As recovery and
reconstruction is underway, attention is now given to livelihood support for the most vulnerable among
those families, with a focus on agricultural activities. Overall, this caseload is estimated at less than
100,000 people.
Fighting between the Government and militant groups in the Federally Administered Tribal Areas
(FATA) and in Swat District in NWFP, which prompted the displacement of many families in the
summer of 2008, continues to cause significant internal displacement. In Swat district, fighting is on
the rise with an estimated 50% of the total 1.8 million inhabitants severely affected by the conflict and
a large number of individuals displaced within the district. Similarly, a staggering 20% of the total
population (est. 850,000) of Bajaur agency in FATA has been displaced to NWFP, while an unknown
number of people are likely to be affected within the agency itself.
Until now, 232,720 people displaced by the ongoing fighting have been registered in nine districts of
NWFP. This includes 178,056 individuals living outside the camps with host families or rented
accommodation and 54,664 people living in 12 camps, which have been established in safer districts
of NWFP. However, the total number of people in need of humanitarian assistance is higher, as
registration outside the camps has only taken place so far in 70% of the affected northern districts. In
addition, the local IASC Country Team (IASC CT) foresees that the conflict in FATA and in Swat
District in NWFP will continue to escalate throughout the year 2009, causing new displacements.
Overall, the total IDP caseload could reach up to 625,000 people, which this plan takes as the
planning figure.
Initially, the Government, UN agencies, the International Red Cross and Red Crescent Movement, and
NGOs responded to the immediate needs using contingency stocks and stocks diverted from other
programmes. As humanitarian needs increased, the IASC CT, under the leadership of the
Humanitarian Coordinator, launched the coordinated Humanitarian Response Plan in September
2008, seeking a total of US$1 55 million for an initial planning horizon of six months.
Considering the increased number of individuals in need of humanitarian assistance, as well as the
possibility of a further deterioration of the situation, the IASC CT decided to revise the original
response plan and extend its planning horizon through December 2009. This Humanitarian Response
Plan (HRP) is the result of broad and inclusive consultations between UN organisations, government
counterparts at the federal and provincial level, local and international NGOs and the International Red
Cross and Red Crescent Movement. The HRP seeks a new total of $129.8 million to fund the 21
NGOs and 11 UN organisations which have included projects. Partners have indicated that $30
million of funding has been made available for their proposed projects since the HRP’s original launch,
leaving an outstanding requirements for the rest of 2009 of $100 million.
The Plan prioritises immediate life-saving and/or time-critical activities in food aid, nutrition, health,
water, sanitation and hygiene, camp management, shelter and protection, the rapid restoration of
agriculture-based livelihoods, and early recovery. Programming has also taken into account the
volatility of the situation in FATA and in Swat District and the need to reach out to affected populations
outside the camps. The assistance of the donor community is urgently needed to continue the current
response throughout 2009; to ensure that the humanitarian community can rapidly react to the
changing situation in the coming months; and to provide humanitarian services and assistance to the
most vulnerable among the conflict-affected communities.
1 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking
Service (FTS, fts@reliefweb.int), which will display its requirements and funding on the CAP 2009 page.
1
P A K I S T A N
Table I. Summary of Requirements, Commitments/Contributions and Pledges (grouped by cluster)
Table I: Pakistan Humanitarian Response Plan (Revised) 2008

Requirements, Commitments/Contributions and Pledges (grouped by cluster)
as of 11 February 2009
http://www.reliefweb.int/fts
Compiled by OCHA on the basis of information provided by donors and appealing organisations
Cluster Original Revised Funding % Unmet Uncommitted

Requirements Requirements Covered Requirements Pledges
Value in US$ A B C C/B B-C D
AGRICULTURE 6,500,000 7,790,000 1,247,789 16% 6,542,211 -
CAMP MANAGEMENT, SHELTER, PROTECTION 19,103,062 34,294,706 14,063,565 41% 20,231,141 2,206,442
CLUSTER NOT YET SPECIFIED - - 701,782 0% (701,782) 942,754
COORDINATION 460,600 1,680,000 221,581 13% 1,458,419 -
EARLY RECOVERY 1,060,000 7,596,194 60,000 1% 7,536,194 -
EDUCATION 3,311,200 6,652,288 1,452,608 22% 5,199,680 -
FOOD SECURITY 7,790,000 26,700,000 4,635,480 17% 22,064,520 -
HEALTH 9,265,255 16,628,380 1,587,656 10% 15,040,724 -
LOGISTICS - 10,077,526 - 0% 10,077,526 -
NUTRITION 2,112,386 2,923,520 1,750,000 60% 1,173,520 -
WATER, SANITATION AND HYGIENE 5,500,000 15,500,000 3,855,540 25% 11,644,460 -
Grand Total 55,102,503 129,842,614 29,576,001 23% 100,266,613 3,149,196
NOTE: "Funding" means Contributions + Commitments + Carry-over
Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not
yet committed).
Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.
Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.
The list of projects and the figures for their funding requirements in this document are a snapshot as of 11 February 2009. For continuously updated information on projects, funding
requirements, and contributions to date, visit the Financial Tracking Service (www.reliefweb.int/fts).
Original appeal, revision, and funding to date
Original appeal September 2009 $55 Million

Revised appeal January 2009 $130 Million
Funding Received $30 Million
2
P A K I S T A N
Table II. Summary of Requirements, Commitments/Contributions and Pledges (grouped by appealing

organization)
Table II: Pakistan Humanitarian Response Plan (Revised) 2008

Requirements, Commitments/Contributions and Pledges (grouped by appealing organisation)
Appealing Organisation Original Revised Funding % Unmet Requirements Uncommitted

Requirements Requirements Covered Pledges
Values in US$ A B C C/B B-C D
ABKT 70,000 199,221 - 0% 199,221 -
ACF 40,000 40,000 - 0% 40,000 -
ACTED 300,000 1,676,146 - 0% 1,676,146 -
CARE International - 100,000 - 0% 100,000 -
CORDAID - 450,000 - 0% 450,000 -
CWS 425,000 602,491 160,000 27% 442,491 -
FAO 6,000,000 7,290,000 702,109 10% 6,587,891 -
HealthNet TPO - 515,000 - 0% 515,000 -
HH - 1,151,530 - 0% 1,151,530 -
ILO 500,000 500,000 - 0% 500,000 -
IMC 835,000 735,000 500,000 68% 235,000 -
IR 645,717 987,322 240,000 24% 747,322 -
IRC 400,000 857,157 279,740 33% 577,417 -
Johanniter Unfallhilfe e.V. 200,000 400,598 - 0% 400,598 -
MERLIN 343,000 782,580 - 0% 782,580 -
Muslim Aid 325,000 500,000 170,000 34% 330,000 -
NIDA 100,000 100,000 - 0% 100,000 -
NRSP 110,000 160,000 - 0% 160,000 -
OCHA 170,000 1,300,000 185,529 14% 1,114,471 -
RI 575,000 811,597 545,680 67% 265,917 -
SC Alliance - 200,000 - 0% 200,000 -
SRSP 35,000 35,000 - 0% 35,000 -
UNDP 560,000 5,060,200 60,000 1% 5,000,200 -
UNESCO 940,000 2,370,053 70,053 3% 2,300,000 -
UNFPA 1,061,538 1,111,538 - 0% 1,111,538 -
UN-HABITAT 287,925 522,215 250,000 48% 272,215 -
UNHCR 17,225,562 30,300,000 13,581,696 45% 16,718,304 2,206,442
UNICEF 10,663,761 22,442,598 6,318,078 28% 16,124,520 -
Various - - - 0% - 942,754
WFP 7,790,000 36,777,526 4,635,480 13% 32,142,046 -
WHO 5,500,000 11,414,842 1,877,636 17% 9,537,206 -
WWF - 200,000 - 0% 200,000 -
YRC - 250,000 - 0% 250,000 -
GRAND TOTAL 55,102,503 129,842,614 29,576,001 23% 100,266,613 3,149,196
yet committed).
3
P A K I S T A N
2. CONTEXT AND NEEDS ANALYSIS
2.1 CONTEXT
In addition to the effects of the global food crisis, Pakistan suffered in mid-2008 a series of overlapping
emergencies that led to substantial internal displacement and left hundreds of thousands in urgent
need of humanitarian assistance. The 2008 Pakistan Humanitarian Response Plan was launched on
7 September 2008 to cover the humanitarian needs of over 300,000 people affected by heavy
monsoon rains and flash floods in the NWFP and Punjab Province, as well as an estimated 26,000
people displaced by fighting and inter-tribal violence in FATA and Swat District in NWFP. The appeal,
which sought $55 million, was funded at 53% of requirements at the time of revision.
Since the launch of the 2008 HRP, the situation has deteriorated and the overall humanitarian needs
have increased significantly. In light of the evolving situation and in response to the Government’s
request to continue humanitarian operations in NWFP, the IASC country team took the decision in
January 2009 to review the strategic priorities of the ongoing humanitarian response and adjust its
plan, taking into consideration the achievements so far and the changes in affected populations. In
addition, it decided to extend the implementation period of the plan until December 2009.
With the implementation of the 2008 HRP, most of the humanitarian needs of the 300,000 flood-
affected people in NWFP and Punjab have now been covered. The main focus is currently on
recovery and reconstruction activities under the leadership of the Government.
Meanwhile, clashes between Government forces and militants across FATA and in Swat District in
NWFP have been triggering significant displacement since August 2008. Initially, the caseload of
internally displaced people (IDPs) was estimated at 260,000 individuals who settled temporarily in
safer areas. However, the number of people now in need of humanitarian assistance has dramatically
increased. This is related to both the increase in the total number of people displaced by the ongoing
conflict, especially from Bajaur, Mohmand and Khyber areas, and the exhaustion of the communities’
coping mechanisms.
Analysis of the situation indicates that there is a significant likelihood of large-scale clashes and
continued and intensified military offensives throughout 2009, and possibly into 2010. Subsequent
displacement will exacerbate an already complex humanitarian situation. Humanitarian agencies
expect the IDP situation to remain fluid due to the conflict developing on various fronts, and are
preparing for a significant level of displacement.
Sustained Counter-Insurgency (CI) Sporadic CI operations Sectarian Conflict

operations
1. Swat (ongoing) 4. North Wazirstan Agency (CI ops 9. Kurram (sustained)
2. Bajaur (ongoing) likely) 10. Khyber (intermittent)
3. Mohmand (CI ops was launched 5. South Wazirstan Agency (CI ops
recently and indication of likely)
another operation starting soon) 6. FR Kohat
7. Hangu
8. Orakzai
The traditional hospitality of friends, families and tribal networks helped to absorb most of the
displaced since the initial worsening of the conflict in 2007. However, with the absorption capacity
now exhausted, and host families themselves badly affected by the overall economic crisis, both IDPs
and host families are becoming increasingly vulnerable while competing for limited and expensive
living places, especially in urban areas.
The security situation creates constraints for the adequate delivery of assistance to the entire affected
population. The situation in Swat district (NWFP) and FATA remains particularly challenging and off-
limits for most humanitarian agencies, as military operations continue with parts of the area under de
facto control of non-state actors. In Swat, militants have destroyed 183 schools and placed a ban on
education. Overall, it is estimated that half of Swat’s 1.8 million inhabitants have been displaced or
otherwise affected by the conflict. Overall concerns remain for those displaced within the conflict
areas who remain at risk in these highly volatile regions. A total population of 26 million people
resides in 10 highly volatile districts and tribal agencies, and as many as 625,000 could be ultimately
displaced and in need of humanitarian assistance. The CT is taking this as its planning figure.
4
P A K I S T A N
2.2 HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS
Caseloads
Substantial humanitarian assistance and government compensation have been provided to 200,000
flood-affected people from NWFP and 100,000 flood-affected people from Punjab – primarily Rajanpur
District. Recovery and reconstruction initiatives are on-going and this appeal will only focus on the
100,000 most vulnerable people who are still in need of livelihood support.
Since the launch of the HRP, identification and registration of IDPs have been carried out within and
outside the camps. In the twelve established camps the registered population has reached 54,6642.
The Government appointed its Commissionerate for Afghan Refugees (CAR) as focal agency
(presumably because of its experience in managing displaced populations), and assistance is being
provided with the support of the Camp Coordination and Camp Management (CCCM) Clusters. The
total number of families living in the camps is rapidly rising, on average by 100 families per day, as
more people are being displaced from conflict areas and IDPs previously living in host families join the
camps to seek assistance. Capacities of basic services, such as schools and health facilities are
strained, and finding secure areas for new camp sites remains a major challenge for responding
agencies.
Outside the camps, identification and registration of the IDPs in 70% of the area covered by the nine
host districts3 has been completed by the Provincial Department of Social Welfare and Women’s
Development with the support from the CCCM Cluster (led by the United Nations High Commissioner
for Refugees [UNHCR]). Available data suggest that of 178,056 IDPs registered outside camps, 77%
are living in rented accommodation and 23% are living with host families. 98% of the surveyed
population does not believe they will be able to return to their areas of origin any time soon: 68%
believe they will go to an IDP camp, 19% expect to move to a new destination and 17% expect to find
refuge with family and friends.
The exact number of people affected by the conflict is harder to gauge. Population movements have
been fluid and more constant compared to August 2008; the conflict remains unpredictable and
continues with no sign of abating. The situation in Swat district is particularly alarming with areas
under militant control receiving very little or no assistance. Large portions of Swat district remain
under curfew or inaccessible with limited opportunities for the humanitarian community to provide
assistance.
4
The tables below reflect the most recent information on the registered IDPs.
Table 1: Total registered IDP population

% of
registered
Families Individuals
IDP
caseload
Total IDP population in 12 camps 9,329 54,664 23%
Total IDP population outside camps in nine districts
with significant IDP populations (Registration process
29,676 178,056 77%
ongoing and 70% complete in nine northern districts,
registration in southern districts has been initiated)
Total 39,005 232,720 100%
2 As of 15 January 2009.
3 70% of the registration has been completed in nine districts. Registration in other, southern, districts of NWFP is being initiated.
5
P A K I S T A N
Table 2: Breakdown of registered IDP population
23%
IDP's in Camps
IDP's in areas of asylum

outside camps
77%
Table 3: Registered IDP population in camps

% of total
S.No Camp Families Individuals
caseload
1 Kacha Garhi 1, Peshawar 1,684 9,901 18%
2 Kacha Garhi 2, Peshawar 707 4,320 8%
3 Palosa, Charsadda 449 2,744 5%
4 Benazir Camp (Risalpur, Nowshera) 400 2,455 4%
5 Khungi, Lower Dir, Timergara 1,018 6,767 12%
6 Samarbagh Dir 548 4,188 8%
7 Sadbar Kalay Dir 563 3,247 6%
8 Degree College Timergara, Dir 394 3,075 6%
9 Munda Camp, Dir 445 2,916 5%
10 Jalozai Camp, Nowshera 2,527 14,850 27%
11 Odegram, Swat 44 201 0%
12 Skhakot, Malakand 550 0
Total 9,329 54,664 100%
Table 4: Registered IDP population not residing in camps

Districts with No. of Families Population % of total caseload
significant IDP
populations
Charsada 5,144 30,864 17%
Peshawar 6,435 38,610 22%
Lower Dir 1,790 10,740 6%
Kohat 1,171 7,026 4%
Mardan 7,348 44,088 25%
Swabi 3,897 23,382 13%
Upper Dir 132 792 0%
Nowshera 2,214 13,284 7%
Swat 1,545 9,270 5%
Total 29,676 178,056 100%
Based on the overall population figures for the region, the IASC CT worst-case scenario foresees that
a total of up to 625,000 people could need humanitarian assistance because of the conflict. As
registration in the southern districts will be completed at the end of the first quarter and conflict and
violence are expected to reach their climax after the winter, the humanitarian country team is
anticipating a caseload of around 600,000 IDPs by May 2009, including 100,000 people
accommodated in camps. These are estimates based on current trends, especially considering highly
volatile areas such as Swat, Bajaur and Mohmand agency (see Table 7: Anticipated IDP registration
and de-registration based on response and current trends at the time of HRP revision). It is expected
that once the majority of the displaced population outside the camps have received humanitarian
assistance, they will start to return to their areas of origin.
6
P A K I S T A N
Table 5: Potential total number of people displaced by the conflict based on worst-case
projections (IASC Contingency Planning exercise, October 2008)
Annual
growth Estimated
Projected IDP population
Population rate population
Agency/Districts affected by according to the IASC CT
census according according to
conflict assessment*
1998 to the growth rate -
1998 2009
census
FATA
Bajaur 595,227 4.33 852,960 250,000
Khyber 546,730 3.92 761,048
Kurram 448,310 2.5 560,388 30,000
Mohmand 334,453 4.28 477,599 30,000
North Waziristan 361,246 2.46 450,113 30,000
Orakzai 225,441 -2.69 450,882
South Waziristan 429,841 1.95 513,660 150,000
FR Kohat 88,456 2.59 111,366 20,000
0
FATA Total 3,029,704 2.19 4,178,016 510,000
NWFP
Swat 128,000 3.37 18,108,520 90,000
Hangu 315,000 3.25 447,148 25,000
NWFP Total 443,000 18,555,668 115,000
Total Camps/Outside Camps
5
Total 3,472,704 22,733,684 625,000
* These figures have been generated after visits to the conflict areas and broader consultation, and are reflected
in the contingency plan
Needs and Response

During the floods in the summer of 2008, many farmers lost their livelihoods as a result of widespread
damage to crops and arable land. Although the most critical humanitarian assistance has already
been delivered to the affected families, the most vulnerable among them are still in need of assistance
to restore their livelihoods. This will be the focus of the revised Humanitarian Response Plan,
especially through the delivery of agricultural inputs.
The humanitarian community established 12 IDP camps across NWFP for the conflict-affected
population. Culturally sensitive tented shelter has been provided in the camp sites with continuing
food distributions, water, sanitation and hygiene services, child- and women-friendly spaces,
education facilities and distribution of sufficient non-food items (NFI) to make it through the winter.
Almost 90% of the IDPs living in camps have been provided with safe drinking water, access to
latrines and bathing facilities as per the Humanitarian Charter and Minimum Standards in Disaster
Response (SPHERE) Standards.
Although an outbreak of acute watery diarrhoea (AWD) was reported in Swat and Palosa Camp in
October and November 2008, provision of health services and referral of 1,500 cases to Swat’s
hospital in Mingora averted a spread of the outbreak. In addition, as part of the winter contingency
planning, 80% of camps were winterised and winterisation packages distributed, preventing major
health problems and life threats. However, some gaps remain, especially as the number of families
arriving in the camps is increasing. In Jalozai Camp for instance, 200 families are being registered on
a daily basis. Additional land is being sought by the government to accommodate new arrivals and
establish new camps under the CCCM Cluster. The creation of new camp sites remains difficult in
terms of land availability and security.
5 In the rest of the document reference will be made to around 600,000 IDPs.
7
P A K I S T A N
Table 6: Registered displaced population6 and anticipated caseload (by area of origin)
Area of origin as
IDPs registered
% of outside camp Estimated
outside camps
Estimated IDP registration registration
Estimated (Registration
population (Registration figures of IDPs
Population Annual population process
Agency/Districts affected by according to Registered process % Camp in nine districts
census growth according to completed in 70%
conflict IASC IDP's in camps completed in 70% registration with significant
1998 rate growth rate - of nine districts
Contingency of nine districts IDP
2009 with significant
Plan with significant populations in
IDP populations in
IDP populations in NWFP
NWFP)
NWFP)
FATA
Bajaur 595,227 4.33 852,960 250,000 46,664 121,078 68% 85% 157,402
Khyber 546,730 3.92 761,048 110 0% 143
Kurram 448,310 2.5 560,388 30,000
Mohmand 334,453 4.28 477,599 30,000 8,000 19,586 11% 15% 25,462
North Waziristan 361,246 2.46 450,113 30,000 9,389 5% 12,206
Orakzai 225,441 -2.69 450,882 1,781 1% 2,315
South Waziristan 429,841 1.95 513,660 150,000 15,081 8% 19,606
FR Kohat 88,456 2.59 111,366 20,000 1,781 1% 2,315
FATA Total 3,029,704 2.19 4,178,016 510,000 54,664 168,806 219,449
NWFP
Swat 128,000 3.37 18,108,520 90,000 9,250 5% 18,038
Hangu 315,000 3.25 447,148 25,000
NWFP Total 443,000 18,555,668 115,000 9,250 18,038
Total Camps/Outside camps 54,664 178,056 237,487
Total 7 77% 23% 237,487
3,472,704 22,733,.684 625,000 232,720
Table 7: Anticipated IDP registration and de-registration based on response and current trends at the time of HRP revision
1st Qtr 2009 Projection 2nd Quarter 2009 Projection 3rd Qtr 2009 Projection 4th Qtr 2009 Projection
Outside camp Outside camp Camp Outside camp
Outside camp population Camp population Camp population Camp population
population population population population
170,000-230,000 - 70%, 9 50,000 - 65,000 230,000-500,000 - 65,000-100,000 520,000-400,000 – Re- 90,000-100,000 400,000 - 250,000 – 100,000-70,000
Northern Districts in NWFP According to current Southern District of verification and de- Re-verification and
completes including Swat. camp registration trend NWFP Registration registration Northern IDP de-registration of
Southern districts of NWFP finishes districts (2nd Round) Southern Districts
registration starts (2nd Round)
230,000 65,000 500,000 100,000 400,000 100,000 250,000 70,000
295,000 600,000 500,000 320,000
7 In the rest of the document reference will be made to around 600,000 IDPs.
8
P A K I S T A N
Detailed registration data of IDPs both inside and outside camps suggest that the large majority of
IDPs (77%) remains outside camps. The Social Welfare Department (SWD) has been appointed by
the Government to attend to the needs of this specific caseload with the support of the Protection
cluster. Yet, available figures show that a major part of this population has not yet been assisted.
According to the latest figures8 on the IDP population living in host families and private
accommodation, only 6% of these IDPs are receiving food aid, 2% are consuming their own production
and stocks and 5% are relying on support from their friends and host families. Although food prices
have increased by 22%, 84% of the IDPs have to buy their own food (22% relying on credit and 62%
using their savings).
The vast majority of those surveyed (95%) indicated that they do not have any immediate food stock.
Pilot distributions of NFIs and food to registered IDP families living outside camps in Charsada,
Mardan, Nowshera, Swabi, Malakand and Swat districts are ongoing but require additional resources
to ensure coverage of the entire registered caseload. In addition, essential services such as health,
education and water, sanitation and hygiene will need to be provided. Basic services in highly
populated districts with significant IDP populations, such as Peshawar, Mardan and Charsada, are
stretched to their limits, increasing the potential for tensions between IDPs and host communities. As
some of the host families are also facing extreme hardship due to poor economic conditions in the
country, the response plan also takes them into consideration.
While preparing the strategy to respond to the needs of IDPs living outside the camps in 13 districts of
the NWFP, extended delivery points and additional logistics centres appeared as a critical need. In
addition, and in order to assist the population that is not easily accessible, the humanitarian community
stressed the need for deploying helicopters to access conflict-affected regions. In this context, the
IASC operations group decided, under the leadership of the Humanitarian Coordinator, to set up a
Logistics Cluster.
While a substantial number of national NGOs (members of the Joint Action Committee for Emergency
Response or JAC-ER) have been participating in this coordinated Response Plan from the beginning,
some INGO members of the Pakistan Humanitarian Forum (PHF) who were initially reluctant to join
the plan due to security concerns have now also decided to participate in the common strategy. This
has increased the overall funding requirements of the response plan but ensures a more coordinated
and coherent approach towards the needs of the affected population.
Strategic priorities for humanitarian response

So far, the response plan has mainly been focusing on the needs of IDPs in camps. However, in light
of the changing context, the humanitarian community has developed a three-pronged strategy to reach
out to an increased number of conflict-affected and displaced populations:
• Continuation of the provision of humanitarian assistance to IDPs living in the camps in safe and
accessible areas;
• Completion of the identification and registration of IDPs living outside the camps and provision
of humanitarian assistance to the most vulnerable (including some support to host families);
• Negotiation of humanitarian access into areas like Swat, Bajaur and Mohamand to assist
conflict-affected populations currently out of reach of the humanitarian community.
Although the projected total of 600,000 IDPs is in some respects a worst-case scenario, the CT
considers it sufficiently likely to use it as the planning figure for this strategy.
The humanitarian response will continue to address the following:
1. Registration (de-registration), identification and documentation of residual IDPs in and outside

camps;
2. Development of beneficiary and assistance criteria for various categories of affected populations
on a needs basis;
3. Establishment and strengthening of governmental and inter-agency monitoring and coordination
systems with the objective of achieving complimentarity and rapid response capacity;
4. Provision of assistance and access to services to the IDPs in host families and camps with
shelter, NFI, medicines, food, water and sanitation, social and community services, and
protection;
8
15 January 2009.
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P A K I S T A N
5. Identification and planning of new camp sites for potential influx (some affected people appear to
be waiting for new camps) and development of easily deployable camp management modules;
6. Availability of stocks of key shelter and non-food relief items, water & sanitation equipment,
medicines and food for at least 300,000 IDPs as well as readily deployable assistance teams in
a modular approach;
7. Development and provision of adequate return and reintegration packages and assistance;
restoration of key services in secure areas;
8. Winterisation assistance for IDPs living in camps (tented shelter);
9. Assistance with the rapid restoration of agriculture-based livelihoods initially with focus on flood-
affected populations.
Priority needs and clusters have been identified through consultations between the cluster leads and
members, including government, after reviewing available registration data, needs assessment of IDP
populations inside and outside camps, and response capacities. Wherever possible, these projects
aim to complement the activities and available resources of the government, and activities by the
International Red Cross and Red Crescent Movement and NGOs.
Projects selected for this appeal meet the following criteria:

1. The project directly preserves life, health or safety; or,
2. The project reduces aid dependence with a time-critical factor (i.e. within the 11-month
extension of this appeal); or,
3. Undertakes specific preparedness and planning measures to assist conflict-affected persons
who risk being displaced towards and during winter; or,
4. The project provides essential common services that enable such actions.
In addition, it has been agreed by IASC partners that projects should be included only if they are
feasible to implement both in terms of access and capacity.
Funding
The Central Emergency Response Fund (CERF) has approved a total of $7,449,446 for six UN
agencies to address time-critical, life-saving actions in the following sectors: camp management and
shelter; food security; health; water, sanitation and hygiene (WASH); agriculture/livelihoods
assistance; nutrition; child protection; education and logistics. Altogether the appeal has generated
$29,576,001 to meet critical emergency needs.
Original appeal Funding Received % funding

Cluster
$ $ coverage
Coordination 460,600 221,581 48%
Health 9,265,255 1,587,656 17%
WASH 5,500,000 3,855,540 70%
Education 3,311,200 1,452,608 44%
CCCM/Protection/Shelter 19,103,062 14,063,565 74%
Nutrition 2,112,386 1,750,000 83%
Logistics Not part of original appeal Added in the revision
Food 7,790,000 4,635,480 60%
Early Recovery 1,060,000 60,000 6%
Agriculture 6,500,000 1,247,789 19%
Flexible funding (cluster
0 701,782 n/a
not yet specified)
Total 55,102,503 29,576,001 54%
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P A K I S T A N
3. RESPONSE PLANS
3.1 CAMP MANAGEMENT, SHELTER AND PROTECTION

Lead Agency: UNHCR
Needs analysis
In the initial displacement from Bajaur Agency some 250-270,000 persons or 50,000 families initially
moved to safer areas in Dir, Lower Dir and Peshawar. Over 100,000 persons, mainly from camps, are
believed to have returned at the beginning of September due to Government’s announcement of a
cease-fire at the onset of Ramadan. Most remaining displaced are residing with host and extended
families and are not expected to return before the winter. Some 55,000 IDPs live in 11 camps in
Lower Dir, Nowshera, Mardan, Charsaddda and Peshawar. A new camp has been established for
initially 3000 families in Jalozai and will be gradually extended. In view of continued confrontations in
Bajaur and Swat and ongoing military operations in other areas (Mohmand, Khyber, S/N Waziristan)
new displacement is taking place. Outflows of IDPs from other areas – Swat, Kurram, Khyber, South
and North Waziristan – have occurred over the last 12 months but numbers and locations in settled
and safer areas are only now being confirmed through the registration carried out by the Social
Welfare Department.
The capacity of host families has been stretched to its limits; partly due to the food and economic
crises which have particularly affected NWFP, as well as the winter conditions. Absorption capacity is
now widely exhausted and many of the IDPs are pressured to leave their host families and find their
own accommodation, either in camps or by returning home. Others with rented accommodation can
no longer afford payments. Large-scale destruction of homes in many areas has been reported and
affects the ability to return and reconstruct before the winter. At this stage the overall number of IDPs
and homeless flood-affected people in NWFP is estimated at 4-500,000. An additional 150,000 people
may be forced to leave their homes in the coming months, bringing the total of IDPs to approximately
600,000.
Most are found to be in need of direct material assistance to be covered either by actions in this
appeal, or by the International Red Cross and Red Crescent Movement and other actors. Following
the establishment of registration systems in camps, there is a need to complete the ongoing
registration, identification and documentation of IDPs in host families to obtain better information and
statistics and ensure equitable access to NFI distributions, which have started in December. Some
40,000 families or 260,000 persons have been registered, profiled and documented to date.
Humanitarian actors are now required by the Government of Pakistan (GoP) to use the registration
data as their basis for assistance.
Besides the evident needs in shelter, household support, health, food, water and sanitation for the
current 55,000 IDPs housed in camps, IDPs living outside of camps and their host families require
similar immediate support through access to health and education facilities in the area, direct support
with household items, food and possibly shelter materials to increase space. Cash assistance to cover
rental payments is being discussed and appears necessary to reduce the need for more IDPs to join
the camps. The Government in consultation with UNHCR decided to have all IDP families access the
“Benazir Support Programme” Cash Grant scheme with a payment of 1,000 Pakistan rupees (Rs) per
family per month and has begun to facilitate through the National Database Registration Authority
(NADRA) the issuance of computerised National Identity Cards to women, as this is a pre-condition for
accessing the scheme.
The ongoing registration and documentation exercise for IDPs in NWFP by the CAR in camps and of
those in host families by the NWFP Social Welfare Department will further help to shape the
assistance programme on the basis of needs. Additional main camp sites in addition to Kachagari and
Jalozai camps need to be identified and developed to absorb IDPs without other options and most
urgently to decongest the camps in Lower Dir and Nowshera (Benazir) and close unsuitable camps
such as the Palosi (Charsadda) and other spontaneous camps. Sheikh Yasin (Mardan) camp was
closed in December and its population was transferred to Jalozai. “Smart” IDP registration cards will
be issued by NADRA with support from UNHCR to allow for a more efficient management of
assistance to the registered families. The new cards, planned for March 2009 will allow to “load” cash
assistance, vouchers for NFI and food and access to services.
Further training on camp management and SPHERE standards are required for the local authorities
tasked to oversee camp operations, particularly the CAR, as well as for potential NGO partners and
11
P A K I S T A N
will be carried out by Church World Service (CWS). Needs of women, children, elderly and vulnerable
IDPs and flood-affected, particularly in camp settings are to be addressed, ranging from enhanced
privacy and dedicated spaces to tracing and reunification of unaccompanied minors. Some 80 staff
members of these organisations have been trained thus far. The CAR has successfully assumed
management in all eight camps.
Security and general protection concerns have been raised by camp inhabitants and monitoring and
reporting mechanisms need to be strengthened. Community outreach workers will provide the link
between displaced populations, the local government and humanitarian actors.
Winterisation of tents has been initiated for all camps in close coordination with ICRC/Pakistan Red
Crescent Society (PRCS) and other partners, and the new camp in Jalozai will be equipped with all-
weather tents. Materials for return and rehabilitation will need to be planned for but the areas of origin
remain largely inaccessible.
The estimate of IDPs in need of direct assistance covered through the activities of the cluster is
approximately 600,000 out of which up to 100,000 will be accommodated in three main camps -
Jalozai, Kachagari and one site yet to be identified. This figure takes into consideration the provision
of assistance by the GoP and other humanitarian actors (ICRC, NGOs) which is estimated to cover
25% of currently assessed needs (100,000 persons).
The data from the initial Multi-Cluster Rapid Assessment (MCRAM) survey in the 26 camps
established during the first displacement in August indicated that persons forced from their homes due
to the floods and conflict are experiencing protection risks, particularly the vulnerable groups such as
girls and boys, unaccompanied women, disabled persons and the elderly. One main risk reported in
the MCRAM is family separation as some family members (mostly women and children) fled their
areas of origin while others (mostly men and teenage boys) stayed behind to safeguard their homes
and cattle. The MCRAM came across a high number of unaccompanied women, disabled persons
and separated and unaccompanied children. It seems that the children are being cared for by
extended family members and by host families or are supervised but staying alone in the camps.
Furthermore, MCRAM highlights that: (1) girls, boys, women and the disabled have unequal access to
the humanitarian relief goods and services being provided; (2) children are showing signs of stress
and distress; (3) there is a lack of privacy for women and children; (4) the makeshift camps are poorly
lit; and, (5) there are reports of threats to personal security including harassment, theft and abduction.
The issues identified in the survey are gradually being addressed by the various humanitarian actors.
Child and women-friendly spaces have been established in the accessible camps. Child protection
activities have been strengthened and fencing and lighting of Kachagari and Jalozai camps is
underway. Distribution mechanisms have been established by the camp management teams.
To ensure access to services, assistance and ensure protection a Joint Protection Monitoring System,
has been agreed to, bringing all humanitarian partners together in an agreed and consolidated
reporting and intervention mechanism, shaped on past experience in the earthquake-affected areas in
Pakistan.
Objectives
• In coordination with provincial authorities and cluster partners, ensure the establishment of a
life-saving and protective environment for some 4-500,000 flood-affected population and IDPs
with a particular focus on the special needs of women, children, the disabled and the elderly,
from areas affected by floods and armed conflict in FATA and the NWFP province.
• Ensure timely delivery of NFIs and shelter materials, assist families in host families, establish
camps, provide assistance in camp management where necessary, and ensure support to the
most vulnerable population through prevention, protective services, monitoring, technical
assistance, advocacy and reintegration.
Strategies
• Coordinate effective delivery of protection and assistance to the flood-affected population and
IDPs through the cluster approach ensuring to reduce the overlapping of resources and
assistance.
• Ensure the establishment of registration and documentation systems for displaced populations
both in IDP camps and with host families and in flood-affected communities in collaboration with
provincial authorities and NGOs.
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P A K I S T A N
• Ensure timely provision and availability of NFIs, food and shelter materials for the cluster
partners to be able to respond to the needs of vulnerable displaced and flood-affected
populations of over 600,000 persons, including 100,000 IDPs in camps.
• Targeted distribution of NFIs for children and women (children’s clothing, hygiene kits, etc.).
• Assist the GoP in camp management to ensure that SPHERE standards are met in the official
camps and displaced population have access to essential services and social assistance.
• Establishing regular monitoring and reporting mechanism on the assistance delivery and
potential protection issues.
• Mechanisms for identification, family tracing and family reunification of displaced population for
particularly women and children are in place.
• Mechanisms to ensure that gender issues are considered at planning and implementation of the
aid delivery.
• Advocacy on protection issues facing vulnerable groups, including IDPs and flood-affected
populations.
• Provision of psycho-social support and recreational activities to displaced women, children and
elderly.
• Establishment of women- and child-friendly spaces in the official camps and communities
hosting many IDPs.
• Establishment of community-based mechanisms to monitor and report on the situation and
prevention of human rights violations including of the non-displaced population (i.e. forced
displacement/return/relocation, distribution of relief items, referral to social assistance,
separation of vulnerable individuals from their families and early warning on gender-based
violence [GBV]).
• Trainings on Protection, Guiding Principles on Internal Displacement/Operational Guidelines
and Field Manual on Human Rights Protection in Situations of Natural Disasters and needs of
vulnerable individuals and how to address these in emergencies (other clusters, government,
law enforcement agencies involved in relief operations, NGOs, INGOs, community-based
organisations [CBOs]).
Humanitarian Action
In support to the local authorities and in cooperation with selected local partners UNHCR will continue
to focus on registration, documentation and transparent distribution systems. Support to camp site
development and management will be provided including training of camp administrators, support staff
and community outreach workers. Basic NFIs (kitchen sets, blankets, sleeping mats, jerry cans,
buckets, soap) and shelter materials (tents, plastic sheeting) will be made available to distributing
organisations in an “open warehouse” approach, including for distribution for IDPs in host families. A
winterisation programme for IDPs currently sheltered in eight camps will be continued and extended to
new arrivals and additional sites on a needs basis with either all-weather tents or enhanced NFI
distributions, including plastic sheeting for protection of non-winterised tents.
The overall assistance is aimed at 600,000 IDPs staying with host families and flood-affected,
including 100,000 IDPs migrating in and out of IDP camps as the conflict evolves. Emphasis will be
given to assistance to IDPs in host families or rented accommodation to avoid pressure to leave for the
camps.
A Joint Protection Monitoring System aiming at a structured, coordinated monitoring and reporting
approach will assist to address primarily social protection issues and security related problems in a
most timely and non-confrontational manner. The model is based on past experience with a similar
system established in the earthquake-affected areas in Pakistan in 2006.
The United Nations Children’s Fund (UNICEF) and its cluster partners will address and prevent
separation of children from families ensure and family-based care. Furthermore, it will support the
Government and local NGO partners to monitor, report and respond to child rights violations and
strengthen key aspects of the protective environment for women and children, including access and
referral to social assistance, the provision of NFIs to children (i.e., separate clothing for girls and boys
of various ages, blankets, tents and tarpaulin for safe spaces for women and children, recreational kits
and torches) and secure spaces. These secure spaces for women will be co-established as much as
possible in coordination with the United Nations Population Fund (UNFPA). UNICEF will also provide
technical assistance to the local government and communities to develop a local plan of action to
prevent the recruitment of children.
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P A K I S T A N
Expected Outputs and Impacts
Camp Management
• Development of identified camp sites, site planning according to Sphere standards.
• Development of camp site development modules for camps yet to be identified.
• Training and establishment of camp management teams through the CAR, local government
and NGOs.
• Camp management support and monitoring.
• Provision of camp management supplies.
Shelter
• Supply of 5,000 tents and 224,000 plastic tarpaulins on the basis of needs.
• Winterisation of 5,000 tents with plastic sheeting and additional NFI.
• Provision of 23,000 all-weather tents.
• Supply of NFIs: 600,000 sleeping mats; 600,000 blankets; 200,000 jerry-cans; 200,000 buckets;
60,000 mosquito nets; 3,000,000 bars of soap; and 100,000 kitchen sets to over 600,000 IDPs
and flood-affected persons in need, including NFIs specifically for children and women.
• Documentation of housing typologies and damage in the areas of origin to determine relevant
approaches for IDP returns and UNHCR return packages.
• Basic housing construction skills training to 1,000 people in the camps to improve building and
income-generating skills. This is essential as most of the displaced communities will use local
labour or rebuild themselves.
• Technical assistance to the Provincial Government on affordable, sustainable and hazard-
resistant reconstruction options for the affected areas.
Protection
• Up to 600,000 IDPs and flood-affected persons registered, documented and included in
distribution mechanisms (on needs basis), with an emphasis on the most vulnerable.
• Community outreach systems developed to reach and monitor IDP and flood-affected in host
families or in their own communities.
• Children and women at risk of separation, separated and/or unaccompanied are identified and
all are reunited with their families or placed in family based care (i.e. relatives or host families).
• Establishment of an Inter-Agency Joint Protection Monitoring System.
• Child rights violations prevented through the establishment of effective monitoring, reporting and
response systems on child protection risks of violence, abuse, exploitation and neglect.
• An inter-agency prevention and response plan is in place for preventing and responding to each
of the major child protection risks which builds on existing protective factors and child protection
systems.
• Some 15,000 most vulnerable girls, boys and women at immediate danger are provided safe
and play spaces and receive psycho-social support and women-sensitive health care services.
• Provision of hygiene supplies to ensure menstrual hygiene for women and girls and restore their
dignity.
• Local government and community plans developed for the prevention and response to
recruitment of children.
Partners
Partners in camp management and shelter include the provincial Relief Commissioner, the CAR
tasked by the authorities to manage camps; and a number of NGOs who are assisted or are prepared
to contribute to camp development and management and assistance to IDPs in host families, such as
National Rural Support Programme (NRSP), Committee on the Elimination of Racial Discrimination
(CERD), Islamic Relief (IR), Relief International (RI), Muslim Hand, Agency for Technical Cooperation
and Development (ACTED), International Rescue Committee (IRC), Médecins sans Frontières (MSF)
and others.
United Nations Human Settlements Programme (UN-HABITAT) has provided initial supplementary
technical support to UNHCR and will focus on construction training for up to 1,000 IDPs in preparation
of return. Shelter and NFI materials will be made available in an “open warehouse” approach to all
organisations and local government with cluster-approved and coordinated distribution plans. UNFPA
has also been providing reproductive health supplies, including hygiene supplies to the affected
populations and has been providing regular psychosocial support mechanisms for women and
adolescents.
14
P A K I S T A N
For registration and documentation cooperation between local authorities in charge of the process and
a wide range of humanitarian actors who will primarily assist in validation of the beneficiaries is
proceeding with technical support and funding through UNHCR. The CAR is in charge of registration
in camps while the NWFP Social Welfare Department is carrying out registration of IDPs in host
families.
The Joint Protection Monitoring System will involve all humanitarian actors and local government.
Community services in camps will be carried out by local organisations.
As for child protection and assistance to the most vulnerable cooperation between the following
organisations is planned: Provincial Ministry of Social Welfare, National Disaster Management
Authority (NDMA), Relief Cell, Provincial and District Governments, UNHCR, AWAZ, NWFP Child
Protection Network (a network of almost 30 local NGOs working in the field of child protection in the
NWFP province).
(Following are summaries of the extended projects in this cluster. See Annex 1 for a list of all projects
including their funding status to date. The same list, continually updated, can be found on line on FTS:
http://ocha.unog.ch/fts/reports/daily/ocha_R32_A829___0901291913.pdf.)
CAMP MANAGEMENT, SHELTER and PROTECTION Requested Funds

Lead agency UNHCR ($)
Project Title: Camp Management, Shelter and Protection
Objectives: • Coordinate effective delivery of protection
and assistance to the flood-affected
population and IDPs through the cluster
approach to reduce overlapping of
resources and assistance;
• Ensure the establishment of registration
and documentation systems for displaced
populations both in IDP camps and with
host families and in flood-affected
communities in collaboration with
provincial authorities and NGOs;
• Ensure timely provision and availability of
NFIs, food and shelter materials for the
cluster partners to be able to respond to
the needs of displaced and flood-affected
populations of over 600,000 persons,
including 100,000 IDPs in camps;
UNHCR
• Targeted distribution of NFIs for children
and women (children’s clothing, hygiene
PAK-08/MS01
kits, etc); 30,300,0009
(Revised)
• Assist the GoP in camp management to
ensure that SPHERE standards are met in
Floods, Conflict
the official camps; and displaced
populations have access to essential
services and social assistance;
• Establish regular monitoring and reporting
mechanism on the delivery of assistance
and potential protection issues;
• To provide winterisation of 5,000 tents in
camps with additional plastic sheeting,
blankets and mats;
• To provide 13,000 winterised tents.
Beneficiaries: 100,000 families/600,000 persons displaced
by the conflict including 5000 vulnerable
families having lost their homes during the
floods
Partners: PDMA, Relief Cell, CAR, IR, CERD, ACTED,
RI, BEST, IRC, NRSP/ Sarhad Rural Support
Programme (SRSP), Directorate of Social
Welfare and SRSP
9 Consists of 2009 supplementary budget requirements of $19,300,000 as approved by the UNHCR budget committee, in addition to the
estimated projected expenditures for 2008 of 11,000,000.
15
P A K I S T A N

Project Title: Support of by conflict-affected IDPs living in
host communities
Objectives: Distributing NFI-kits to by conflict-affected
IDPs living in host communities
Areas: Peshawar Urban District, Malakand and
Mardan
Activities: • Assessment to identify 2,000 most
vulnerable IDPs living with host families;
ACTED
• Coordinate effective distribution of 2000
NFI-kits to the identified IDPs living with 400,000
PAK-09/S/NF01
(New) host families;
• Social Mobilisation to ensure: (1)
participation of the host community; (2)
sensitisation of the IDPs and their host
communities.
Beneficiaries: 2,000 families (14,000 children, women, and
men including direct and indirect
beneficiaries)
Time period: six months
Project Title: Capacity-building of humanitarian workers in
SPHERE
Objectives: • To equip 100 humanitarian workers in
basic knowledge of SPHERE;
• Five one-day introductory sessions (20
participants each);
• To produce 20 new trainers on SPHERE;
• One five-day training of trainers (20
participants);
• To enhance skills of 90 humanitarian
Church World workers already possessing basic
Service Pakistan/ knowledge on SPHERE;
Afghanistan • One five-day inter-agency SPHERE
(CWS-P/A) reviews with field visits/analysis (15 42,491
participants);
PAK-09/CSS04 • Three five-to-seven-day thematic
(New) SPHERE trainings: on assessment (five
days), on monitoring and evaluation
(seven days with field visits/analysis), and
on coordination (five days) (20 participants
each).
Beneficiaries: Direct – 195 humanitarian workers, Indirect –
200 humanitarian workers (considering new
trainers will train at least ten humanitarian
workers on average)
Method and Direct Implementation by CWS-P/A
Period of four months
Implementation:
16
P A K I S T A N

Project Title: Technical Assistance for shelter, camp
management, returns and housing
Objectives: To provide technical assistance for shelter
provision, camp management, returns and
housing to those displaced by the conflict in
NWFP Province
Activities: • Provide staff to UNHCR for developing the
appropriate approach and standard for
IDP camps, shelter options particularly for
winterised shelter, including shelter
support options for families hosing IDPs;
• Documenting housing typologies and
damage in the areas of origin to determine
relevant approaches for IDPs returns and
UNHCR return packages;
• Provide expertise on land issues where
UNHABITAT
necessary;
PAK-08/MS04 • Provide basic housing construction skills 402,215
(Revised) training to 1,000 people in the camps to
improve building and income generating
skills. This is essential as most of the
displaced communities will use local labor
or rebuild themselves;
• Provide technical assistance to the
Provincial Government on affordable,
sustainable and hazard resistant
reconstruction options for the affected
areas;
• UN-HABITAT is providing UNHCR with
technical assistance and support in shelter
and camp management in response to the
displacement of families due to the conflict
in the FATA and Swat.
Beneficiaries: 100,000 IDPs
Partners: UNHCR
17
P A K I S T A N

Project Title: Addressing IDP Women’s and Adolescents’
Protection and Psycho-social needs
Objectives: • To ensure that women’s and adolescents’
existing and emerging protection needs
including psycho-social needs, prevention
from violence, abuse, exploitation and
self-harm are addressed;
• To integrate gender dimensions in the
implementations of other Protection and
MNCH interventions for provision of
reproductive health care services in
NWFP IDP camps.
Activities: • Assessment to scope, identify existing
gender vulnerabilities faced by women
and Adolescents;
• Setting up of multi-agency coordination
network for highlighting and undertaking
advocacy for addressing specific gender
needs;
• Regular psychosocial support mechanism
for women and adolescents;
• To coordinate and collaborate with health
cluster, camp management cluster, food
and nutrition cluster and other partners
UNFPA including RH/ maternal and neonatal
health care services for scoping of and
PAK- provision of psycho-social support; 50,000
09/P/HR/RL01 • To connect counsellors, social workers
(New) and protection focal points with services
provided through mobile service units
(MSUs);
• To distribute hygiene kits to ensure holistic
psychosocial support leading to a sense of
over all well being of IDP women at
reproductive age group;
• To conduct trainings for trainers to ensure
that relief workers across the board are
able to identify and address specific
gender needs in their interventions to
ensure gender- sensitive, gender-informed
and gender-responsive interventions;
• Regular focus group discussions/
community meetings;
• Conduct RH, human rights, and
emergency/IDP protection trainings for
targeted populations particularly focusing
on developing rights violation prevention
strategies;
• Monitor gender issues in the camp and
refer identified concerns to appropriate
actors for immediate response.
Beneficiaries: 50,000 IDP women in camps
Partners: Civil Society Organisations (CSOs)
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P A K I S T A N

Project Title: Enhancing the protective environment for girls
and boys affected by armed conflict in NWFP
and FATA, including displaced children and
children in host communities
Objectives: 1. Strengthen child protection systems
(social welfare, police judiciary) to
provide child-friendly procedures and
ensure inter-departmental and
community-based prevention and
response to children at risk (e.g. family
separation, exploitation, abuse and child
recruitment), building upon existing
government and civil society child
protection structures and mechanisms;
2. Support Government in coordinating the
child protection response among
government actors, UN agencies, and
NGOs, including a mapping of
programmes and a geographical and
programmatic division of labour between
organisations. Coordination with the
International Red Cross and Red
Crescent Movement will also take place;
3. Prevent and address the separation of
children from families and ensure
immediate and long –term family-based
care;
4. Identify the most vulnerable children and
UNICEF their families and facilitate the provision
and access to social assistance and relief
3,000,000
PAK-08/MS03 items: assessment, social assistance and
(Revised) response, community mobilisation,
information sharing, transportation for
children and their families, capacity
building of humanitarian actor and NFIs
for all (0-18) children (including
winterisation, clothing of different sizes
for girls and boys, blankets, lanterns,
etc);
5. Ensure safe and secure environments
are established for the most vulnerable
girls, boys and women at risk of violence,
abuse, neglect and exploitation;
6. Support the monitoring and reporting of
child rights violations of children,
including among displaced, returnee and
host community children. Put in place
referral pathways to respond to such
violations.
Beneficiaries: Approximately 150,000 IDP children (boys
and girls) and some 450,000 children in host
communities to benefit from strengthened
child protection systems and specific child
protection support
Partners: Provincial Ministry of Social Welfare, NDMA,
Relief Cell, Provincial and District
Governments, UNHCR, AWAZ, NWFP Child
Protection Network (a network of almost 30
local NGOs working in the field of child
protection in the NWFP province)
Total 34,194,706
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P A K I S T A N
3.2 HEALTH
Lead Agency: WHO
Needs analysis
During the revision process, the health cluster partners decided to maintain the targets of the appeal
for both the flood-affected and conflict-affected populations bearing in mind that the flood-related
interventions will be limited to meeting the remaining priority humanitarian needs.
Flood-affected population
The floods have caused no major destruction to health facilities and there has been a limited increase
in consultations and diarrhoeal cases. The situation has now stabilised with health authorities in the
affected areas ensuring the provision of emergency medical and reproductive health services to the
affected population through fixed facilities and with continuous support from the partners in the cluster:
World Health Organization (WHO), UNFPA, UNICEF, PRCS, ICRC and several NGOs, in particular
Save the Children (SC-US). Medicines and supplies have been provided; the surveillance network
needs to be sustained and will require training. With dengue fever now raging in Punjab, there is a
need to ensure that the most affected populations are appropriately protected and that public health
measures are taken at district level. There is a need to provide reproductive health (RH) care services
with special focus on basic emergency obstetric care services among women of reproductive age in
IDP camps and health facilities. The authorities are keen to use the lessons learned from the floods
response and have requested support for the development of preparedness plans for next year. In
fact, similar requests have come also from flood-affected areas in NWFP as well Sindh and
Balochistan (affected by floods in 2007).
Conflict-affected IDPs from Bajaur

More than four months ago around 300,000 people left their homes in Bajaur and Swat district to seek
refuge with host communities mostly in Mardan, Charsadda, Swat, Lower Dir, Malakand, Nowshera,
and Peshawar as well as in IDPs camps set up by the authorities of NWFP. The health conditions of
the population in camps were initially threatened by several outbreaks of AWD due to the poor
environmental conditions in the early phases of the camps. However, with sustained efforts from the
relevant authorities, and health, WASH and shelter cluster partners, the outbreaks were controlled.
Conflict areas where military operations are being carried out (Swat and Bajaur) remain inaccessible to
the UN and even to ICRC in some instances. Therefore cluster partners estimate that populations
stuck in those areas will continue to be supported, and health providers will require support from
partners, especially with respect to the management of trauma cases and the supply of medicines and
relief items.
Health situation and threats:

Despite the improvements in water and sanitation conditions, AWD remained the most common cause
for consultations for several weeks. However, since November 2008, acute respiratory infections (ARI)
represent around 55-65% of the total consultations due to cold winter conditions. Upper-ARI like flu,
cough, pharyngitis rates have reached between 70%-80% of consultations while Lower-ARI rate is
below 5% in most of the IDP camps.
The following Graphs reflect the situation with respect to ARIs and diarrhoea trends in the IDP camps:
Figure 1: Shows the daily comparison of ARI with AWD and BD in Katcha Garhi IDP Camp, Peshawar between
th th
26 November to 26 November 2008
IDP Kacha Garhi, Peshaw ar daily percentage report by AD, BD, LRTI & URTI distribution
60
AD BD LRTI URTI
50
40
Percentage
30
20
10
0
-10 26- 28- 30- 2- 4- 6- 8- 10- 12- 14- 16- 18- 20- 22- 24- 26-
Nov Nov Nov Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec
Date
20
P A K I S T A N
Figure 2: Indicates daily comparison of AWD, ARI (Upper/Lower), in Sheikh Yaseen Camp, District Mardan from
rd nd
3 November to 2 December, 2008
IDP S.Yaseen cam p, Mardan data graph by AD,BD ,URTI & LRTI distribution
60
AD% BD% LRTI% URTI%
50
Percentage 40
30
20
10
0
-10 3- 4- 5- 6- 7- 8- 10- 11- 12- 13- 14- 15- 17- 18- 19- 20- 21- 22- 24- 25- 26- 27- 28- 29- 1- 2-
Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Dec Dec
Figure 3: Indicates daily comparison of AWD and ARI (Upper/Lower) in Benazir IDP Camp, District Nowshera
from 24th November to 26th December, 2008
IDP Benazir Com plex, Risalpur AD, BD, Upper & Low er respiratory infection
60 AD% BD% LRTI% URTI%

50
Percentage
40
30
20
10
0
-10 24- 26- 28- 30- 2- 4- 6- 8- 10- 12- 14- 16- 18- 20- 22- 24- 26-
Nov Nov Nov Nov Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec
Figure 4: Jalozai IDP Camp, Nowshera from 28th November to 26th December, 2008
IDP Jalozai Pabbi, Now shera percentage report by AD,BD,LRTI & URTI distribution
50
AD% BD% LRTI% URTI%
40
Percentage
30
20
10 s
0
-10 28- 30- 2- 4- 6- 8- 10- 12- 14- 16- 18- 20- 22- 24- 26-
Nov Nov Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec
Date
rd th
Figure 5: IDP Camp Palosa, Charsadda from 23 November to 26 December, 2008
IDP Palosa, Charsada daily percentage report by AD,BD, URTI & LRTI distribution
60
AD% BD% URTI% LRTI%
50
Percentage
40
30
20
10
0
-10 23- 25- 27- 29- 1- 3- 5- 7- 9- 12- 14- 16- 18- 20- 22- 24- 26-
Nov Nov Nov Nov Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec
The heath cluster partners have decided to work in IDP camps thus ensuring the provision of the
health services both with fixed and mobile units but also to support the health facilities in the host
districts which are catering for both the IDP communities as well as the host population. In a strategic
decision following the outbreaks of AWD and a request for assistance from the district hospitals, ,
health clusters partners initiated support to the district headquarters hospitals to ensure that IDPs
received appropriate hospital care and attention. This was well appreciated by the local health
authorities (Executive District Officers [EDOs] Health and their staff) as well as the health care
providers. The health cluster partners have also initiated a series of coaching sessions on hospital
21
P A K I S T A N
infection control as well as management of diarrhoea, dehydration and pneumonia. A Disease Early
Warning System (DEWS) has been implemented and health care providers in the IDP camps and in
accessible health facilities have received hands-on DEWS training and have initiated reporting to
DEWS.
In NWFP, a decision to handover the Basic Health Units (BHUs) to the People Primary Health Care
Initiative (PPHI) to improve utilisation had been taken before the onset of the crisis. However, PPHI
had not been reporting to the DEWS before and was not oriented on its role and importance, which
resulted in a sudden drop in the reporting units several weeks ago. WHO reached an agreement with
PPHI and the provincial health authorities on reporting and data management. PPHI also requested
training and showed readiness and commitment to implement the DEWS.
Each IDP camp is served with 24-hours services providing essential health interventions. Each camp
is provided with an ambulance, either from the Executive District Officer Health (EDO-H) with logistic
support from WHO or from one of the partners. There are identified referral sites for hospital care and
for emergency obstaetric care. There are already many deliveries that took place in the camps.
UNFPA also has mobiles services units providing comprehensive maternal services. A good number
of pregnant women receive follow-up and registration in various camps from the health cluster partners
In district Swat, there are total 41 BHUs out of which nine are partially damaged and one BHU is fully
damaged. Two Civil Hospitals (CH) out of six and one Civil Dispensary (CD) out of 17 have been
damaged.
In Bajaur agency, six BHUs, one RHC and one CH have been damaged. One CH and one CD
damaged in Khyber agency; one BHUand one CH damaged in Aurakzai agency; four BHUs, one CH,
two Tehsil headquarter (THQ) hospitals, eight civil dispensaries and one MNCH centre damaged in
Kurram Agency; one BHU, one CH, two CDs and one MNCH centre damaged in North Waziristan; one
BHU, two CHs and three CDs damaged in South Waziristan; one CH damaged in F.R.
Peshawar/Kohat while one RHC and one CD damaged in F.R. DI Khan/Tank.
The EDOs Health are also interested in having district-based cluster meetings and thus were
supported by WHO for the tracking, monitoring and reporting of medicines distributed; for DEWS
training and installation as well as for the follow-up and monitoring of services being provided to the
IDPs.
Map below indicates the AWD outbreaks in IDPs Host Districts in NWFP
22
P A K I S T A N
Management of the acute watery diarrhoea outbreaks:

Following the reports of DEWS with the increased diarrhoea cases as well as two deaths in one of the
earlier IDP camps Pirpai, Health and WASH partners responded to the outbreaks in Swat, Mardan,
Charsadda, Nowshera and Kacha Gari by providing technical and logistical support to the authorities:
• Epidemiological field investigations; line listing of patients; preventive activities;

• Intensive health education campaigns on AWD prevention in the camps through NGOs as well
as health education teams focusing on safe drinking water through chlorination (chlorine tablets)
and hygiene promotion;
• 24-hour services in the camps, Diarrhoea Treatment Centres (DTC) set-up in the camps for the
early management of the mild cases;
• Organisation of the referral and admission to hospitals with appropriate case management and
infection control, provision of all relevant supplies and medicines;
• Supply of chlorine tablets, Aqua Pure sachets, hygiene kits and jerry cans for further distribution
among the IDPs;
• Water chlorination and basic infection control measures at BHUs;
• Collection of water and stool samples collected for laboratory test;
• Daily patient reporting at the medical camps. DEWS has been introduced and reporting through
the DEWS form has started;
• Coordinated activities were initiated between Department of Health (DoH), PPHI, UNICEF,
PRCS, Medical Emergency Relief International (MERLIN), IMC, MSF, International Red Cross
and Red Crescent Movement and other stakeholders to combat the AWD outbreak in the area.
WHO guidelines on the management of AWD have been provided at the medical camps, and patient
management has been discussed with BHU staff. DEWS forms have been supplied to the BHUs and
daily reporting has started. UNICEF supported epidemic control activities by supplying hygiene kits,
jerry cans, aqua tabs through Society for Sustainable Development (SSD) NGO and other partners
and supported the national Primary Health Care (PHC) & Family Planning (FP) programme by
developing banners for the mass awareness campaign on diarrhoea. PPHI supplied health staff with
drug supplies and patient coaches/beds. PRCS supplied male and female doctors with supportive
staff and water & sanitation supply. FATA Health Secretariat supplied health staff; male and female
doctors, lady health workers (LHWs), paramedics as well as a mobile OT and laboratory services.
MSF-Belgium was instrumental in its support to quell the AWD outbreak in Swat by providing clinical
support for the DTC and, along with International Red Cross and Red Crescent Movement, generators
for water supply and medicines.
st th
Figure 6: Acute Diarrhoea cases in Saidu Teaching Hospital, Swat from 1 to 28 October, 2008
Acute Diarrhea OPD in Saidu teaching Hospital
800 715
700
568
600 455
Consultation
500
400 314
300 210
139 160131
200 106 83 50
100 17 36 38 27 44 35 35 29 32 26 26 18 15 17 13 12 4
0
1-Oct
2-Oct
3-Oct
4-Oct
5-Oct
6-Oct
7-Oct
8-Oct
9-Oct
10-Oct
11-Oct
12-Oct
13-Oct
14-Oct
15-Oct
16-Oct
17-Oct
18-Oct
19-Oct
20-Oct
21-Oct
22-Oct
23-Oct
24-Oct
25-Oct
26-Oct
27-Oct
28-Oct
Date
The ICRC/PRCS teams have also supported the health delivery services in Lower Dir and responded
to outbreaks there. In district Mardan, MERLIN supported the District Headquarter (DHQ) diarrhoea
treatment centre and MSF supported the camp based facility. In Kacha Gari IDP Camp, IMC provided
services from day one and response to the outbreaks along with FATA directorates. In Benazir camp,
PRCS also responded effectively to the outbreak. In Charsadda, RI supported the health authorities in
responding to the outbreak.
In view of the death of a child due to malnutrition, a review of the situation and the available data in
Kacha Gari and Palosa was initiated. The findings uncovered a serious situation, since the health care
providers there were seeing 8-10 cases of malnutrition and 3-5 undernourished pregnant and lactating
women per day. The implementation of a health and nutrition monitoring system has been initiated
23
P A K I S T A N
and further follow-up is needed to ensure Community-based Management of Acute Malnutrition

(CMAM) and appropriate health care are given and strengthened.
The registration of IDPs residing with host communities is ongoing and their situation is complicated by
the overstretched and resources-starved health facilities and services. The assessments conducted
by WHO and partners reveal that all IDP host districts require extra strengthening both in terms of
human resources as well as in supplies and medicines in order to manage the extra load.
Health Coverage in IDP Camp Update

In response to the IDP situation in NWFP (besides the support in Islamabad, Peshawar and at district
levels for cluster coordination) WHO and the implementing Health Cluster partners are carrying out the
following major activities in the IDP camps and IDP host districts:
• Provision of medicines to the EDO Health and referral hospitals for the IDPs;
• Provision of comprehensive PHC services in the IDP camps through implementing partners;
• Monitoring the disease situation through Disease Early Warning System (DEWS) and
responding the alerts/outbreaks;
• Health and hygiene promotion campaigns in the IDP camps;
• Assisting district government in drugs management through implementing Logistics Support
System (LSS);
• Regular testing and monitoring of the drinking water;
• Regular provision of health-related information, needs and gaps, as well as compilation and
dissemination of information on health interventions implemented by the authorities and the
health cluster partners.
Partners coverage at camp level
Sheikh Yaseen IDP Camp, Mardan (Closed)
Healthcare Providers: PRCS/International Red Cross and Red Crescent Movement,

MERLIN and DoH
• Pakistan Red Crescent Society FATA Branch in collaboration with International Red Cross and
Red Crescent Movement provided PHC services in the camp with two medical teams during the
morning shift.
• The DoH was providing 24/seven health services in a nearby BHU Sheikh Yousaf by deploying
extra staff for the evening and night shifts.
• On the request of EDO Health, MERLIN has setup their medical unit with three doctors in the IDP
camp and provided PHC and maternal and child health (MCH) services round the clock since
November 3, 2008. During the morning shift, MERLIN’s team only provided MCH services,
because PRCS team was already providing PHC services in the camp.
• However, in the evening and night, MERLIN has provided comprehensive PHC services in the
camp.
• The camp was closed on 3 December 2008 and mostly people were shifted to newly opened IDP
camp at Jalozai, Nowshera.
Ambulance in the camp: PRCS, DoH and Edhi

Health Education Teams: WHO, SSD, National LHW Programme
DHQ Hospital Mardan: MERLIN with the financial assistance of WHO-CERF is running a 20
bedded diarrhoea treatment centre at DHQ Hospital Mardan. Their
teams are also supporting the DHQ Hospital in treating the ARI
patients. For this activity Merlin had funds until 31 Dec.ember 2008.
Benazir IDP Camp Risalpur, Nowshera
Healthcare Providers: PRCS and DoH

• PRCS is providing PHC services in the Benazir IDP Camp from 0800 hrs to 1700 hrs. DoH has
deployed one dispenser for night shift.
• Supplementary Feeding Centre under Supplementary Feeding Programme (SFP), and Oral
Therapeutic & Treatment Centres under Outpatient Therapeutic Programme (OTP) with the
support of UNICEF
24
P A K I S T A N
Ambulance in the camp: PRCS

Health Education Teams: WHO, PRCS, National LHW Programme
For the support in medicines and activities of LHW and health
education, WHO has funds till end of February 2009.
Jalozai IDP Camp, Nowshera (New)
Healthcare Providers: IR and DoH

• This is a new camp opened on 26th November 2008.
• IR is providing 24/7 comprehensive PHC services in the Jalozai IDP.
support of UNICEF
Ambulance in the camp: Islamic Relief

Health Education Teams: WHO, IR, National LHW Programme
Palosa IDP Camp, Charsadda
Healthcare Providers: Relief International, IMC and DoH

• DoH has deployed health care providers during the morning and evening shifts in the IDP camp.
• International Medical Corps (IMC) with the financial assistance of WHO-CERF funding is providing
comprehensive PHC services during the evening and night shifts. For this activity IMC has funds
till end of February 2009.
• RI is providing PHC services and psychosocial support to the IDPs during the morning shift.
support of UNICEF.
Ambulance in the camp: DoH, IMC, RI

Health Education Teams: WHO, Human Resource Development Society (HRDS), MSF France
and National LHW Programme
For the provision of services and referral, WHO and partners have
funds until the end of February 2009.
Katcha Gari IDP Camp, Peshawar
Healthcare Providers: Merlin, IMC and FATA Directorate

• IMC with the financial support of WHO-CERF has provided 24/7 comprehensive PHC services in
the Katcha Gari IDP Camp until 31 December 2008.
• MERLIN has started provision of comprehensive PHC services in the Katch Gari I & II as of the 1st
of January 2009.
• UNICEF through its implementing partners Health Society and CERD is providing MCH services in
Katcha Gari I since 24 December 2008 and in Katcha Gari II since 5 January 2009.
support of UNICEF
Ambulance in the camp: MERLIN, Health Society, CERD and Edhi Foundation
Health Education Teams: WHO, MERLIN, SSD and HRDS supported by UNICEF and National
LHW Programme
Samar Bagh IDP Camp, Lower Dir
Healthcare Providers: MSF-B, DoH

Ambulance in the Camp: DoH
Health Education Teams: National LHW Programme
25
P A K I S T A N
Kungi IDP Camp, Lower Dir
Healthcare Providers: Relief International (UNICEF implementing partner)

(PRCS/ICRC supported the camp until 22 December 2008)
Ambulance in the Camp: Nil
Health Education Teams: RI, National LHW Programme
Sadbar Kallay IDP Camp, Lower Dir
Healthcare Providers: UNFPA, DoH

Health Education Teams: Nil
Degree College Timergara IDP Camp, Lower Dir
Healthcare Providers: PRCS, DoH

Ambulance in the Camp: PRCS
Health Education Teams: PRCS
Munda IDP Camp, Lower Dir
Healthcare Providers: UNFPA (MSF-B is supporting nearby RHC Munda)

Health Education Teams: National LHW Programme
Health concerns
The McRAM assessment of the camps has revealed that the food stocks of IDPs are limited. This is
because IDPs are coming from highly food-insecure areas and are being hosted by relatives and
communities that are also severely affected by the increases in food prices. A high level of acute
malnutrition (14%) pre-conflict and pre-flood has been recorded for the affected population. The rapid
assessment conducted for the food crisis has revealed that the poorest and most vulnerable segment
of the population is already reducing expenditures on health and will access services only for severe
cases.10 The immunity levels of malnourished children and women will predispose them to frequent
and more severe infections, especially in districts/camps with compromised water and sanitation
systems. The survey conducted during the assessment of the impact of the food crisis revealed that
one third of the health staff do not know how to treat and manage acutely malnourished and sick
children.
According to HMIS report 2007, the health indicators of the IDP districts of origin as well as those
hosting them show significant needs in terms of child and maternal health care. The infant mortality
rates in those areas range from 25 to 51/1,000 live births e.g. in Lower Dir which is hosting most of the
IDPs and where available health services are already under-resourced. A high Maternal Mortality
Rate (MMR) of 337/100,000 live birth in Upper Dir indicates the importance of ensuring that
emergency obstaetric care is accessible to the estimated 20,000 pregnant women among the IDP
population. During July-August 2008, ten polio cases were reported from NWFP. The low Expanded
Programme on Immunisation (EPI) coverage of the areas carries the risk of outbreaks of measles;
initiation of timely mass vaccination campaigns will prevent morbidity and mortality among children.
Polio surveillance officers have established transit sites on roads whereby vaccination of children
under five has been carried out while the population is moving to safer places, and by 30 August, 2008
around 9,250 children under five were vaccinated against polio.
The National AIDS Programme reports that in NWFP, most People Living with AIDS (PLAs) come from
FATA. A limited number of facilities can test blood for HIV or Hepatitis and very few facilities in camps
have sterilisation equipment. In fact the DEWS has alerted that two people in one of the camps have
been diagnosed as HIV positive and many others with hepatitis B and C.
There are concerns reported by women and some health care providers of harassment and violence
raising concerns about an increase in sexual and gender-based violence (SGBV).
10 Inter-agency assessment mission on food prices report- June –July 2008 http://www.reliefweb.int/rw/rwb.nsf/db900SID/MUMA-
7HT54G?OpenDocument.
26
P A K I S T A N
The health authority resources at district level are insufficient to ensure appropriate stocks of
medicines and to fund referral and emergency operational costs such as outbreak investigation and
response. Strengthening the resource-deficient health facilities will play a vital role in reducing
morbidity and mortality.
Coordination and needs

Building on the coordination mechanism established at provincial level, health cluster partners meet
regularly at Peshawar and Islamabad. The provincial clusters are responsible for the coordination,
relief services and the monitoring of the situation, with back-up by the Islamabad cluster. The Nutrition
Cluster is also coordinated at provincial level by the DoH and is included as a distinct working group
within the Peshawar-based Health cluster. The health cluster partners reiterated the need to provide
immediate support to the flood-affected, accessible Bajaur IDPs in camps, host families and those
returning to their areas of origin. There is also a request from the provincial authorities and an urgent
need for strategic planning and better preparedness in view of the expected wave of IDPs in the
coming months.
For new camps to be set up, contingency funds and medicines available with WHO can be used to
initiate the response until the end of June 2009 but this will not be sufficient to cover the provision of
services in the camps.
For Swat, Dir and other areas which are difficult to access for the UN, there are discussions and plans
with several health cluster NGO partners both national and international to provide services and
support DEWS information collection as well as support the existing health facilities and district
system. Funding for these interventions is not available.
For any new influx of IDPs, that exceeds 10,000 persons and requires new camps or expansion of
existing ones, there are no funds available.
The most important funding gaps exist for the contingency aspects of the HRP as well as for the
continuation of current activities especially health service delivery to IDPs in camps and in host
communities as well as support for the drained and financially starved district health systems beyond
February 2009.
Objective:
Reduce avoidable morbidity and mortality among conflict and flood-affected population (IDPs
and host population).
Target
Interventions target the expected caseload of around 600,000 conflict-affected IDPs (500,000 with host
families and 100,000 in camps) and the remaining needs of flood-affected populations in NWFP and
Punjab, as well as affected populations still in conflict areas.. Aiming at reducing avoidable mortality
and morbidity, the Health Cluster partners have agreed to adopt a three-pronged approach to reach
the affected population in camps, in areas of conflict/floods as well as in host communities and to
explore different delivery mechanisms ensuring that relief reaches all affected even in most insecure
areas.
Specific objectives
1. Ensure Health services with medicines and supplies to IDPs in camps, and to those residing in
host communities.
2. Target the remaining humanitarian needs and recovery health activities in flood-affected areas.
3. Support existing facilities in conflict areas with medicines and medical resources to improve
access including surgeries of trauma cases and their referrals.
4. Support the overburdened and under-resourced health care services serving both IDPs and host
communities in the seven IDP host districts.
Activities of the Health Cluster partners

• Support and facilitate coordination among partners and other clusters, and with district,
provincial and federal authorities, and monitor gaps and needs.
• Support the health services by ensuring delivery of a standardised package of essential
emergency health actions including treatment of common illnesses, emergency obstaetric
services, ante-natal care and post-natal care, psychosocial support and EPI to IDPs through
27
P A K I S T A N
health facilities outlets in camps, to returnees from affected population in areas of origin and to
the host community.
• Facilitate mobilisation through implementing partners of female doctors, midwives and
specialists especially for maternal and child care services.
• Organise the referral system for patients in all camps and support as needed.
• Ensure provision of essential medicines and supplies, appropriate storage facilities for
continuous delivery of emergency health package.
• Undertake health education and mobilisation of IDP camps.
• Liaise with nutrition.
• Maintain and strengthen the health sector response through emergency disease and nutrition
surveillance and early warning systems, disease alert/outbreak investigation and
response to communicable diseases such as cholera, malaria and meningitis.
• Build provincial health emergency preparedness and response capacity in view of the
imminent risks of a new IDP return and prevailing circumstances.
• Facilitate emergency mass vaccination campaigns against measles and polio.
• Support the PHC services in conflict-affected areas in Bajaur and Swat by providing
infrastructure rehabilitation and health system support wherever possible as per assessments;
strengthen the HMIS and implement DEWS and LSS.
• Support trauma care: Mass casualty management, evacuation of trauma patients for
treatment from the conflict areas.
HEALTH Requested Funds

Lead agency WHO ($)
Project Title: Coordination of health actions
Objectives: Provide support and facilitation to Ministry of
Health (MoH) coordination in the framework of
the health cluster at the provincial, district and
WHO federal health authorities ensuring appropriate
assessments on the health needs are
PAK-08/H01 conducted and developing information flow
(Revised) and mechanisms for health matters 706,200
Beneficiaries: 900,000 (100,000 IDPs in camps, 500,000
Floods IDPs with host families, 200,000 flood-affected
Conflict people in NWFP and 100,000 flood-affected
people in Punjab)
Partners: UNICEF, UNFPA, MoH, MSF, PRCS, PPHI,
IR, SCF, NRSP, Anjuman Behbood-e-
Khawateen (ABKT), Rozan
Project Title: Provision of a package of essential health
services to IDPs, returnees from Bajaur and
flood-affected people of NWPF and Punjab
Objectives: Develop a standard package of essential PHC
services including the management of injuries
from the conflict, treatment of common
WHO
illnesses, EPI, emergency obstaetric services,
ante-natal care and post-natal care, provision
PAK-08/H02
of essential medicines and storage,
(Revised) 3,531,000
psychosocial support and EPI, to IDPs,
returnees from affected population and host
Floods
community
Conflict
Beneficiaries: 900,000 (100,000 IDPs in camps, 500,000
IDPs with host families, 200,000 flood-affected
people in NWFP and 100,000 flood-affected
people in Punjab)
Partners: MoH, UNICEF, UNFPA, MSF, PRCS, PPHI,
NRSP, ABKT, Rozan, IR, SCF
28
P A K I S T A N

Lead agency WHO ($)
Project Title: Disease and nutrition surveillance, early
warning system and outbreak response
WHO Objectives: Establish/strengthen the DEWS in target
districts for timely alert/outbreak investigation
PAK-08/H03 and response
(Revised) Beneficiaries: 900,000 (150,000 IDPs in camps, 450,000 1,647,800
IDPs with host families, 200,000 flood-affected
Floods people in NWFP and 100,000 flood-affected
Conflict people in Punjab)
Partners: MoH, UNICEF, UNFPA, MSF, PRCS, PPHI,
Islamic Relief, SCF, NRSP, ABKT, Rozan
Project Title: Revitalisation of primary health care services
in flood and conflict-affected areas of district
Swat, Bajaur, Khyber, Orakzai, Kurram, North
& South Wazirsatan, F.R Peshawar/Kohat and
WHO
F.R DI Khan/Tank
Objectives: To ensure that first level health care services
PAK-08/H04
such as RHCs and BHUs are assessed, 4,879,842
(Revised)
damages and gaps in equipment are identified,
equipment replaced and appropriate
Conflict
infrastructure repair is undertaken.
Beneficiaries: Approx. 1,000,000 catchment population of the
affected health facilities
Partners: MoH, UNICEF, UNFPA
Project Title: Provision of essential PHC and referral
services to the IDPs accommodated in camps
(already existing or newly opened) and host
communities in NWFP, with the focus on
diseases surveillance and outbreak prevention
and response
Objectives: Ensure access of IDPs accommodated in
Merlin camps and with host families in NWFP to
comprehensive PHC services (including
PAK-08/H05 trauma management and referral services)
585,080
(Revised) with a focus on epidemic surveillance,
prevention and response
Conflict Strategies: Approach adapted to the context, through
static clinics, mobile medical teams and
support of the governmental health facilities
located in the vicinity of IDP camps and
communities to deal with increased caseload.
Beneficiaries: 150,000 IDPs in camps and living with host
families
Partners: DoH, WHO, UNICEF, UNFPA
29
P A K I S T A N

Lead agency WHO ($)
Project Title: Provision of maternal, neonatal and child
health care for IDPs and host families in
NWFP
Objectives: To provide reproductive health care (RHC)
services with special focus on basic
emergency obstaetric care services among
women at reproductive age group in IDP
camps and health facilities
UNFPA Strategies: • Provision of RH 24/7 RH services;
• Provision of RH kits which contain various
PAK-08/H06 medical instruments, supplies and 961,538
medicines to serve basic and
Conflict comprehensive emergency obstetric care
services;
• Provision of 25,000 hygiene kits to improve
menstrual hygiene of the affected women
in these IDP camps.
Beneficiaries: Target population of 100,000 people with
special focus on estimated 25,000 women at
reproductive age group
Partners: DoH/MoH/NGO
Project Title: Static PHC Health Units in IDP camp in Jalozai
IDP Camp Nowshera, NWFP
Objectives: • Provide a full range of PHC services for
internally displaced communities living in
Jalozai camp and to host families in Akbar
Pura RHC and Rashakai BHU areas of
Islamic Relief District Nowshera;
Pakistan
• Provide health education and awareness to
improve the health care of women and
PAK-08/H07 409,822
children in New Jalozai IDP Camp;
(Revised)
• Provide MCH care to female patients 24/7
in health clinics established at Jalozai IDP
Conflict
camp;
• Coordinate with UN agencies through
DEWS/reporting and referrals to next
appropriate health facility.
Beneficiaries: 5,000 (5,000 families)
Partners: DoH, WHO
Project Title: Emergency health care services for IDPs in
NWFP
Objectives: Provide PHC services to conflict-affected IDPs
living in camps and with host families,
International
including preventive and curative services,
Medical Corps
MCH services and health education. IMC will
(IMC)
directly implement the proposed activities
Coordination: All activities will be implemented in close 300,000
PAK-08/H08
coordination with the MoH, GoP, DoH, NWFP,
(Revised)
WHO and EDO(Health) of the concerned
Districts and Health Cluster
Conflict
Beneficiaries: Approx. 20,000 IDPs in camps
Project Nine months
Duration:
Partners: WHO, MoH
30
P A K I S T A N

Lead agency WHO ($)
Project Title: Provision of complete health services package
to the IDPs and host families through two
BHUs and one mobile medical unit
Objective: Strengthening the capacities of BHU for the
provision of complete health services package
within BHUs premises by appointing staff for
24/7
Sub- • Provision of complete health package to
Johanniter Objectives: IDPs and host families;
• Services delivery through mobile medical
PAK-08/H09 unit;
(Revised) 242,098
• Provision of Reproductive Health (RH)
services to the women between the age of
Floods
15-49 years;
Conflict
• Family Planning services (on demand);
• Health Education and outreach services for
awareness-raising;
• Referral services;
• Follow-ups.
Beneficiaries: 95% of total population of catchments area of
BHUs and Mobile Medical Unit targeted areas
Partners: DoH and PPHI
Project Title: Maternal & child health care
Objectives: To provide immunisation services and vitamin
A supplementation (and oral polio vaccine
[OPV]) to the displaced population in camps
and with host families, Development and
dissemination of health hygiene messages
UNICEF
through LHWs and community health workers
(in non-LHW areas), capacity building of
PAK-08/H10
traditional birth attendants (TBAs) and
(Revised) 2,400,000
distribution of clean delivery kits to TBAs and
trained traditional birth attendants
Floods
(TTBAs)/mid-wifes, provision of emergency
Conflict
health kits to affected populations through DoH
and NGOs network.
Beneficiaries: Population of 400,000 IDPs in camps and with
host families, 128,000 women and 200,000
children
Partners: DoH
Project Title: Reactivation and strengthening of NWFP
health network
Objectives: • (Overall): Activate and support an efficient
CORDAID health network in the affected areas of
NWFP, improving the general health
PAK-09/H21 status of the population;
(New) • (Specific): Improve and increase the 450,000
access to adequate PHC Services for
Floods NWFP vulnerable population (mainly
Conflict IDPs).
Beneficiaries: 100,000 people mainly IDPs as well as general
vulnerable population
Partners: DoH, WHO, UNICEF
31
P A K I S T A N

Lead agency WHO ($)
Project Title: Psychosocial response to conflict-affected of
NWFP
Objectives: The project will offer appropriate psychosocial
and health care to children and their families
affected by the armed conflict in Tribal areas of
HealthNet TPO Pakistan and subjected to reside in different
IDP camps in NWFP. It aims to establish
PAK-09/H22 sustainable local systems to deal with
215,000
(New) psychosocial effects of the conflict; improve
access to quality PHC; establish intervention
Conflict and training skills in education and healthcare
services providers, and empowers
communities to recover and rebuild their lives
Beneficiaries: 100,000 (adults and children) residing in IDPs
camps
Partners: DoH and Social Welfare Department (SWD)
Project Title: Malaria control in IDPs camps and host
communities of NWFP
Objectives: The project will offer appropriate measures to
control possible spread of Malaria in IDP
HealthNet TPO camps and host communities through
awareness-raising, health hygiene sessions,
PAK-09/H23 disease surveillance, bed net distribution,
300,000
(New) setting up diagnostic laboratories in three
camps and training of healthcare providers on
Conflict malaria treatment
Beneficiaries: 450,000 (direct & indirect) IDPs in camps and
living with host families
Partners: DoH and Provincial Malaria Control
Programme (PMCP)
TOTAL 16,628,380
32
P A K I S T A N
3.3 WATER, SANITATION AND HYGIENE (WASH)

Lead Agency: UNICEF
Needs analysis
WASH services have been provided to over 50,000 people residing in IDP camps and the installation
of WASH facilities for improved coverage and in planned camps is ongoing as a priority. Thus far,
54,664 IDPs residing in camps are being provided with safe drinking water, basic sanitation facilities
and are being reached with ongoing hygiene promotion activities. The WASH Cluster has also actively
responded, in coordination with Government counterparts and other Clusters, to control water,
sanitation and hygiene related disease outbreaks both in and outside of the camps.
In addition, UNICEF is supporting coordination of the WASH Cluster, acting as the WASH Cluster
Chair at the federal level and co-chairing with the Local Government at the Provincial level. This
support also includes providing increased support for monitoring and evaluation of WASH
interventions and basic capacity development for improved WASH emergency response. Currently
the Cluster comprises a number of different agencies, including representatives from the Government,
national and international NGOs, UN agencies, and observers such as the International Red Cross
and Red Crescent Movement and MSF.
Significant challenges remain and are increasing every day. The rising influx of IDPs in existing and
newly established IDP camps, in particular Jalozai, continues, at rates of approximately 180 families
per day. The WASH Cluster is maximising efforts to provide WASH facilities to meet the existing
demand in line with SPHERE standards, but if influx levels are maintained the capacity to respond will
need to be increased significantly. Additionally, WASH interventions to address the needs of
approximately 200,000 IDPs residing with host families have thus far been minimal and interventions
must be expanded to reach this increasingly vulnerable population. Other challenges include the over-
congestion of some existing camps resulting in less than optimal WASH facility coverage due to lack of
space for installation; provision of services in spontaneous camps, in particular in areas at increased
security risk (FATA agencies and Swat); and overall heightened security risks that magnify all other
challenges in these areas and increase associated operational costs. Additionally, though the Cluster
is actively working to address the specific WASH needs across gender lines, more effort is required to
address the specific needs of women, in particular related to hygiene and sanitation facilities. The
McRAM report clearly highlights the need to promote hand washing with soap as part of hygiene
promotion initiatives.
Response Plan
The immediate needs for the affected population residing in IDP camps continue to include the
provision of safe drinking water and adequate sanitation and hand washing and bathing facilities. In
IDP camps, interventions must also ensure solid waste management and adequate drainage facilities.
Similarly, hygiene conditions amongst the affected population are poor and intensive hygiene
promotion activities must be maintained. As the situation continues to become more complex and
extended, the operation and maintenance of these facilities also becomes an issue of critical
importance, and more long-term, sustainable solutions must be implemented.
Immediate WASH needs for IDPs residing with host families are similar to those required for IDPs
residing in camps, but interventions may vary based on geographical location and facilities available.
The ongoing registration of these families will help the WASH Cluster further define these interventions
which may also include installation of water supply and sanitation facilities, an intensive social
mobilisation/hygiene promotion for improved hygiene and sanitation coverage, distribution of WASH
related NFIs for safe household water storage and treatment, among other things.
Further assessments continue to reinforce initial findings regarding the actions required. WASH
activities play a critical role in limiting the vulnerability of the affected populations to water, sanitation
and hygiene related disease. These actions are being planned and prioritised, in coordination with
government counterparts, to reach those most affected. Interventions are also being coordinated with
all Clusters, including Camp Coordination, Health and Education for an effective and efficient
response.
The overall objectives are firstly to ensure the availability of safe drinking water followed by the
provision of adequate sanitation facilities and hygiene promotion amongst the affected population.
The interventions have been designed to address the needs of an estimated 100,000 people residing
33
P A K I S T A N
in IDP camps and an additional 500,000 IDPs residing with host families. The WASH Cluster is
committed to early recovery where possible. All activities will be designed and carried out with due
regard to gender, children, the vulnerable, cultural sensitivities and practices and environmental
considerations, and with the aim to meet and maintain SPHERE Standards throughout the response.
Objectives
The specific objectives of the response plan are as follows:

• Ensure effective coordination of the humanitarian response programme in the WASH sector in
close collaboration with other clusters and Government;
• Provide safe drinking water to the affected population through water tankering, repair/restoration
of damaged drinking water systems if required, provision of household water treatment and
storage options; water quality monitoring of water supplies will also be ensured;
• Provide adequate sanitation facilities to the affected population including construction of latrines
and hand washing and bathing places. Proper drainage and solid waste management is of
particular importance in IDP camps;
• Hygiene promotion, including hygiene education sessions and the distribution of necessary
supplies such as education materials, family hygiene kits and soap;
• Provision of WASH facilities to schools, health facilities and child-friendly spaces in IDP camps
and affected areas in coordination with Health, Education and Protection Clusters.
The WASH Cluster is working proactively to ensure that cross-cutting issues are addressed in the
immediate response and in ongoing prioritisation of projects. Though this is not limited to issues
related to gender, it should be noted that the prevailing displacement situation in NWFP is marked by a
cultural context in which women and children are secluded on grounds of safety, security and privacy.
NWFP is a province where traditionally the overall majority of the population of women and girls are
secluded within the compounds of their households and need to be accompanied by men of the
household for outdoors activities and public appearances. Within this context, WASH partners will
continue to ensure that services are effectively delivered to affected women and girls amongst the
affected population.
WATER, SANITATION, HYGIENE (WASH) Requested Funds

Lead agency: UNICEF ($)
Project Title: Coordination of the WASH Cluster, including
assessments of the WASH situation on-
ground, ensuring an effective and coherent
response involving all relevant partners,
identification of gaps
Objectives: • Support to Local Government Department,
NWFP, for WASH Cluster Coordination,
including support for dedicated staff,
UNICEF secretariat support;
• Support for dedicated provincial WASH
180,000
PAK-08/WS01 Cluster Coordinator;
(Revised) • Support to local government (LG) for
monitoring, evaluation of Cluster work,
including adherence to guidelines and
standards as put forth through Cluster and
capacity development of the Cluster
Beneficiaries: 600,000 affected people
Partners: NDMA, Relief Commissioner, Provincial and
district Governments LG, WASH Cluster
members
34
P A K I S T A N

Project Title: WASH Interventions for displaced populations
in IDP camps in NWFP, in-line with SPHERE
Standards
Objectives: • Ensure provision of safe drinking water,
with particular focus on access for women
and girls;
• Ensure provision of adequate sanitation
facilities, ensuring separate gender-
appropriate facilities for women and girls;
• Promotion of safe hygiene practices;
UNICEF • Early recovery/rehabilitation work to
restore water and sanitation facilities in
7,500,000
PAK-08/WS02 host communities, schools and health
(Revised) facilities as prioritised and required;
• Support for solid waste management in
established IDP camps as required.
• Project includes support for operations,
including logistics, security and field
monitoring
Beneficiaries: 100,000 affected people (including
approximately 70,000 women and girls and
18,000 children under five)
Partners: NDMA, PDMA, Provincial and district
Governments, LG, INGOs
Project Title: Provision of safe drinking water and sanitation
facilities to IDPs, NWFP
Objectives: Ensure IDPs have access to clean drinking
Islamic Relief water, proper sanitation facilities and improved
knowledge and practice of standard hygiene
450,000
PAK-08/WS03 practices.
(Revised) Beneficiaries: 20,000 people
Partners: NDMA, UN Resident Coordinator’s Office
(RCO), Provincial and District Government and
local communities
Project Title: Project: Improvement of water quality and
water quality monitoring and provision of water
supply and sanitation to health facilities in IDP
affected areas of NWFP
Objectives: • Provision of chlorine disinfection for
chlorination of water at source or
household level; regularly monitoring free
residual chlorine levels of disinfected
drinking water, promotion of household
level water treatment;
• Provision of water testing kits; sensitisation
of affected communities on water hygiene;
conduction of sanitary surveys to identify
WHO pollution sources; training of health
workers on water quality monitoring
650,000
PAK-08/WS04 including using of H2S kits and water
(Revised) hygiene; supply of household water filters
for waterborne diseases outbreak high risk
communities;
• Provision of safe water and proper
sanitation to health facilities as one of the
principal infection control methods, ensure
collection and safe disposal of infectious
healthcare waste; training of health-
workers on healthcare hygiene and
infection control.
Beneficiaries: 100,000 persons
Partners: UNICEF, MoH, Public Health Engineering
Department (PHED), Tehsil Municipal
Administrations (TMAs)
35
P A K I S T A N

Project Title: Wash promotion for IDPs living in host
communities through social mobilisation,
Agence d’aide a Peshawar District, Malakand and Mardan
la Cooperation
Technique et au Objectives: Improve the situation of IDPs in host
Developpement communities to prevent diarrhoea, cholera and
800,000
(ACTED) scabies through interventions to provide
improved access to water and sanitation
PAK-08/WS05 facilities and hygiene promotion through
(Revised) intensive social mobilisation
Beneficiaries: 4,000 Families (30,000 children, women, men
including direct and indirect beneficiaries)
Project Title: Water and hygiene support project to flood-
affected families of Rajanpur District (Punjab),
in 14 union councils of Tehsils Rojhan,
Rajanpur and Jampur
Objectives: • Provide safe drinking water to flood-

affected community by installing 300 hand
pumps;
CWS-P/A
• Ensure community safe from water borne
diseases and contamination by providing 160,000
PAK-08/WS06
3,600 jerry cans for water storage;
(Revised)
• Promote health hygiene by providing 1,800
hygiene kits;
• Conduct 40 regular hygiene awareness
sessions to ensure hygiene practices are
improved.
Beneficiaries: approximately 60,000
Partners: Strengthening Participatory Organisation
(SPO)
Project Title: Water, Sanitation and Hygiene Support Project
for IDPs residing with host families in
Peshawar Town I, II, III, IV, Mardan,
Charsadda and Dir
Objectives: • Provide safe drinking water to IDPs by water
trucking and installation of deep bore hand
pumps, or other as required;
• Provide increased access to sanitation
CWS-P/A facilities, through construction of latrines and
social mobilisation as required;
400,000
PAK-09/WS10 • Ensure access to items for safe household
(New) water storage.;
• Promote improved hygiene by providing
hygiene kits and conducting regular hygiene
awareness sessions to ensure;
• Improved hygiene practices.
Beneficiaries: 40,000 approximately, including direct and
indirect beneficiaries
Partners: Support Agency for Rural & Human
Association's Development (SARHAD)
36
P A K I S T A N

Project Title: Safe Drinking Water, Sanitation and Hygiene
Promotion to IDPs living with host families
Objectives: • To provide clean drinking water through

taps or installation of hand pumps for
Cluster of houses, including distribution of
Muslim Aid family water kits;
• Distribution of Aqua Tabs and sachet for
500,000
PAK-08/WS08 chlorination of water;
(Revised) • To improve access to sanitation facilities
• Promotion of hygiene practice through
health & hygiene sessions/education,
including distribution of family hygiene kits.
Beneficiaries: 25,000 IDPs residing with host families
Partners: Ranra Welfare Swat, Tehsil Municipal
Administration
International Project Title: WASH promotion support to approximately
560,000
Rescue 21,000 IDPs in camps.
Committee (IRC) Objectives: • To improve and maintain the health of IRC
beneficiary populations by focusing its efforts
PAK-09/WS11 on the reduction of morbidity resulting from
(New) inadequate water supply and quality, poor
sanitation conditions, vector-borne diseases
and unsafe hygienic practices;
• The project seeks to ensure that this
WASH emergency response is based on
an initial assessment with continued
monitoring and evaluation through
implementation;
• Conduct rapid assessment to identify
drinking water supply, sanitation and
hygiene promotion needs of target
population initially for a period for six
months and arrange resources to meet the
identified need as per SPHERE standards;
• Arrange for resources to provide adequate
quantities of drinking water to target
population. Water tanks will be installed
according to need (population density) at
selected locations. Each water tank will be
of 500 gallons (4.5X500=2250 litres)
capacity providing 15 litres/person/day to
150 persons at a time. The tank will be
filled twice a day to cover water needs of
300 persons per day as per SPHERE;
• Taps will be installed (six on each side) to
facilitate easy collection of water with less
effort and time;
• A Water Management Committee will be
established for each water tank installed to
supervise appropriate distribution of water
and maintenance of water tanks;
• The existing tube wells at camp location
will be rehabilitated to provide water to
installed water tanks. The distribution
pipeline network will also be expanded and
rehabilitated;
• Water tanks will be regularly chlorinated to
provide clean drinking water to target
population. Samples of water will be
analysed regularly to monitor quality of
water;
• Communal pit latrines will be constructed
separately for males and females at proper
locations. A tap will be provided for hand
washing needs.
37
P A K I S T A N

• Hygiene promotion sessions will be
conducted regularly for target population.
The sessions will be supported with
hygiene promotion messages and pictures
through charts distribution and hygiene
kits. Special attention will be focused on
schools in target area.
Beneficiaries: 20,000 IDPs in IDP camps, N.W.F.P
Partners: CAR, UNICEF
Project Title: WASH Interventions for displaced populations
in the North Western Frontier Province
(NWFP) and FATA living with host families,
including Swat District
Objectives: • Support efforts to ensure access to safe
drinking water, sanitation and hygiene
promotion activities, with particular focus
on access for women and girls, including
UNICEF
needs associated with communities,
schools and health facilities as prioritised 3,800,000
PAK-09/WS12
and required;
(New)
• Project includes support for operations,
including logistics, security and field
monitoring.
Beneficiaries: 150,000 affected people (including
approximately 84,000 women and girls and
66,000 children(boys and girls) under eleven)
Partners: NDMA, Relief Commissioner, Provincial and
district Governments, LG, (I)NGOs
TOTAL 15,000,000
38
P A K I S T A N
3.4 FOOD SECURITY

Needs Analysis
Since the August 2008 influx of displaced persons from Bajaur Agency, WFP has been providing food
assistance to IDPs in camps as well as to the vast majority of IDPs who preferred to stay with host
families. As of December 2008, over 120,000 off-camp IDPs were assisted including 30,000 family
members of host families with meagre resources who supported them. The food distribution to IDP
camps was fully met (32,000 persons).
While food distribution in the camps were regular and reached all targeted IDPs, problems of
irregularity were faced in providing assistance to IDPs staying with host communities in over 400
locations in six districts. This was partly because no documentation or registration was available with
the government and WFP used local implementing partners to identify the concentration areas, and
document their basic information which was used for food delivery. As per WFP’s own assessment,
IDPs were scattered throughout the districts and food delivery to all locations was a big logistic
challenge. However, this approach was highly appreciated by the Provincial Relief Commissioner
(PRC) and government authorities to address the immediate food requirements of displaced people.
Information gathered through the Multi Cluster Rapid Assessment Mechanism (MCRAM) rated food
needs as the number one priority expressed by the affected population surveyed. A rapid assessment
undertaken by WFP over the same period similarly indicated that food was a high priority, while the
federal and provincial governments identified food, shelter and health as the top three humanitarian
needs.
The province of NWFP is traditionally food-deficit while large-scale border food smuggling to
Afghanistan is directly affecting the food security situation. As the province is mainly dependent on
food imports from Punjab, food prices are the highest in the country. NWFP has felt the worst effects
of price hikes in Pakistan and this has added to the challenges faced by the displaced as well as their
host populations. The bulk of IDPs residing with host families depend on the generosity of host
families who often are poor themselves and can no longer sustain the additional burden due to food
crisis in the affected areas.
Intensified military operations against the militants in Bajaur, Mohamand, Dara Adam Khel, North and
South Waziristan Agencies in the tribal belt and Swat district combined with ongoing sectarian violence
in Kurram and Hungu areas for the last several months has resulted in massive displacement.
Latest registration surveys conducted by SWD and Afghan Refugee Organisation in nine districts of
NWFP account for total of about 200,000 persons outside camps and 54,000 persons in twelve
camps. Registration in nine districts i.e. Peshawar, Mardan, Charsadda, Swabi, Dir Lower and Upper,
Swat, Nowshehra and Kohat is progressing and is expected to be completed by end of February 2009.
Registration in Southern districts of Dera Ismaial Khan, Bannu, Karak, Hungu and others is planned to
be completed by end of March. In Swat, the majority of the displaced population is residing within the
safer pockets of the district but are not accessible due to security reasons.
WFP’s ongoing food support to the IDPs, under the Food and Agriculture Cluster, is provided inside as
well as outside the camps in seven districts namely Lower Dir, Malakand, Mardan, Nowshera,
Peshawar, Sawabi and Charsadda since September 2008. Out of the total IDPs, around 30% are
residing in the camps, while majority of them preferred to stay with their relatives and host families in
these districts. WFP takes into account food aid provided by International Red Cross and Red
Crescent Movement, INGOs, NGOs and the government. Coordination through the Food and
Agriculture Cluster enables food providing organisations to avoid overlapping of food assistance and to
identify the gaps.
Response Plan
This response plan aims to provide adequate food rations to address the additional food needs of up
to 330,000 IDPs, as soon as the registration process is completed by the SWD and the Afghan
Refugee Organization in coordination with UNHCR. ICRC is expected to continue to provide
assistance in the districts of Swat and Lower Dir at the current level of 30-40,000 beneficiaries or
higher. WFP will target IDPs both inside and outside the camps in the areas that are not covered by
other relief organisations participating in the Food and Agriculture Cluster.
WFP’s monthly response plan for a total of up to 330,000 IDPs is shown in the following table:
39
P A K I S T A N
FATA IDP FOOD REQUIREMENTS FEBRUARY-NOVEMBER 2009

Supple-
General Food Ration mentary
Food
300
80 Kg/ 8 Kg/ 4.6 Kg/ 1 Kg/ 5 Kg/ 4 Kg/ 5 Kg/
gm/
Standard Ration Scale family/ family/ family/ family/ family/ family/
family/
10.25%
month month month month month month population
month
wheat FBF (27% Total
Months Families Persons flour
Pulses V. Oil Salt HEB Sugar Tea
of pop) Mt
Feb 35,714 250,000 2,857 286 164 36 179 143 11 128 3,803
Mar 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
April 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
May 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Jun 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Jul 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Aug 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Sep 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Oct 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Nov 47,143 330,000 3,771 377 217 47 236 189 14 169 5,020
Total 47,143 330,000 36,800 3,680 2,116 460 2,300 1,840 138 1,650 48,984
DAILY MONTHLY
RATION CONTENTS RATION RATION* ENERGY Kcal
grams Kgs
Wheat flour, fortified (WFP specs) 450 80 1,575
Lentils 44 8 149
Oil, vegetable (WFP specs.) 26 4.6 230
High energy biscuits (WFP specs.) 27 4 122
Sugar 22 4 88
Salt, iodised (wfp specs.) 6 1 0
Tea 2 0.3 1
Ration total 577 102 2,164
*Monthly general food ration calculated for average family of six members
Key features of this response plan are as follows:
• Monthly general food ration for average family of six members comprising: 80 kg wheat flour; 8
kg pulses: 4.6 kg edible oil; 4 kg biscuits; 1 kg salt; 4 kg sugar; 0.3 kg tea.
• Tea and sugar has been included in the general ration based on a strong recommendation by
the Provincial Government and to accommodate basic dietary habits of IDPs.
• Provision of high energy biscuits for children to address the micronutrient needs.
• Supplementary food for moderately malnourished children, pregnant and lactating women in
coordination with UNICEF. This intervention is important to prevent further deterioration in the
nutritional status of the displaced children and women.
The additional requirement for food assistance under this revised appeal amounts to 41,548 tons, i.e.
48,984 tons minus 7,804 tons procured from funds received under the original HRP. The funding
requirement below therefore represents the net additional need for food assistance for up to 330,000
IDPs in host communities and camps.
Objectives
• To save lives and avert starvation of conflict-affected IDPs in and outside the camps.
• To prevent malnutrition among children and lactating mothers affected by armed conflict.
Strategy
Through the Food and Agriculture Cluster and under the overall supervision of the NWFP provincial
government, WFP will continue to work closely with various stakeholders including the PRC, Social
Welfare Department (SWD), District Governments, International Red Cross and Red Crescent
Movement , NGOs and the line departments. National Disaster Management Authority (NDMA),
Provincial Disaster Management Authority (PDMA), PRC and SWD will be the partners for policy
decisions at the federal and provincial levels while RCO and Social Welfare Officers will be the
partners for the implantation at field level.
40
P A K I S T A N
Food for camp IDPs will continue to be provided through the CAR and WFP’s cooperating partners.
While in case of off-camp IDPs, during ongoing relief operation since September 2008, WFP has faced
issues during implementation. In few cases disturbance occurred as a result of overcrowding at the
distribution points where many IDPs showed up to receive food without having Registration Cards.
Insufficient security arrangements and lack of neutral locations for food distribution also contributed to
the problem.
In order to address implementation issues, WFP together with UNHCR and the government, revised
the strategy and limited distribution for off camp IDPs through one central location. Food distribution
under revised HRP entails the following:
• Food distribution to IDPs with valid registration documentation those are registered and verified
by SWD.
• Establish convenient extended delivery/distribution points in each district and camps.
• Delivery of food by WFP according to the distribution plan.
• Food delivery through implementing partners
• Coordinate with the Relief Commissioner and report to the PRC forum
FAO and UNICEF will be the active UN agencies sharing common coordination and response
mechanism at field level. Close linkages will be worked out with ICRC and INGOs to ensure that food
aid is provided in line with agreed needs of the affected population while also addressing government
priorities. WFP staff will monitor physical distribution as well as conduct post distribution monitoring.
The existing Cluster coordination structures will be further strengthened, to ensure better coordination
and organise effective and timely joint response by avoiding duplications and shortfalls. Wheat will be
locally milled and fortified with essential minerals, edible oil will be imported while pulses, fortified
biscuits and fortified blended food will be procured locally.
Outputs
• Up to 330,000 IDPs who fled armed conflict in FATA/NWFP provided with adequate monthly
rations of relief food.
• 48, 984 tons of food delivered at central distribution points in IDP hosting districts (approx ¾)
and in camps (approx ¼).
• 1,650 Mt blended food provided to up to 16,500 pregnant and lactating mothers and 17,325
children under 6-24 months.
FOOD SECURITY Requested Funds

Lead agency WFP ($)
Project Title: Emergency food aid assistance to population
affected by armed conflict in NWFP
Objectives: • To save lives and avert starvation of
conflict-affected IDPs and host families;
WFP • To prevent malnutrition among children
and lactating mothers affected by armed
PAK-08/F01 conflict and their host families.
26,700,000
(Revised) Beneficiaries: 330,000 IDPs in and outside camps in Dir
(Lower/ Upper), Malakand, Mardan,
Conflict Charsadda, Peshawar, Swat Swabi, Kohat,
Hungu, Karak, Bannu, and Dera Ismail Khan
Partners: BEST, Help In Need, PEACE, RI, Community
Research & Development Organisation and
SWD
TOTAL 26,700,000
41
P A K I S T A N
3.5 EDUCATION
Lead Agency: UNICEF
Needs Analysis
IDP Situation in NWFP

The conflict in Bajaur, Mohmand and Khyber agencies has taken its toll on children’s education - both
in conflict areas and in neighbouring districts. Schools are destroyed; teachers and families have fled
to safer places and IDPs stay temporarily in school buildings. The following needs have clearly
emerged as a result of the IDP influx from Bajaur, Mohmand and Khyber into adjoining districts:
• Continued education of children in the host communities whose schools have been converted
into temporary shelters due to IDP influx;
• Continued education of IDP children in formal camps as well as those residing in host
communities;
• Continued education of returnee children during the rehabilitation phase. Since schools in
Bajaur, Mohmand and Khyber may have suffered damage due to heavy shelling, these also
may require rehabilitation once hostilities cease. There is presently no information on the
condition of schools in Bajaur, Mohmand and Khyber.
• Continued education of children in the host communities whose schools have been converted
into temporary shelters due to IDP influx;
• Continued education of IDP children in formal camps as well as those residing in host
communities;
• Continued education of returnee children during the rehabilitation phase. Since schools in
Bajaur, Mohmand and Khyber may have suffered damage due to heavy shelling, these also
may require rehabilitation once hostilities cease. There is presently no information on the
condition of schools in Bajaur, Mohmand and Khyber.
Meanwhile, in the adjoining district of Swat, attacks on girls' schools have been reported that were
believed to have been carried out by pro-Taliban fighters. Pakistani military launched a massive
operation against the pro-Taliban militants in the Swat district late last year to flush out militants. In
response, militants burned or destroyed nearly 172 schools; about 70% are girls’ schools. The attacks
come at a time when the annual examinations in the whole of Pakistan's North-West Frontier Province
(NWFP) are in progress and hundreds of girl students would not be able to sit for them. Citizens from
different backgrounds belonging to Swat and Dir districts expressed their deep concern over the
government’s lack of concern over attacking and bombing of girls’ schools by militants in the two
districts of the province. According to latest reports, 50% of female students were not attending school
due to militants’ threats in the district and Malakand division, and it is estimated that the militants’
attacks on schools deprived more than 14,000 girls of education. Most recently, the Taliban had given
a deadline of 15 January instructing parents to not send girls beyond grade four to schools.
The Education cluster has prioritised its response to focus on the following target beneficiaries in
NWFP:
• 43,400 children (age group 5-11 yrs.) in Lower Dir whose schools (128 Boys’ Primary Schools
and 97 Girls Primary Schools) had been converted into IDP shelters;
• 12,300 children (age group 12-18 yrs.) of 53 middle, secondary and higher secondary schools
which had been converted into IDP shelters;
• 22,000 (including 14,000 girls) displaced school children from Swat valley and the rehabilitation
of 172 destroyed schools in Swat (source: EDO Education Swat);
• 180,000 children (age group 3-18 yrs.) whose families are living with host communities in
Peshawar, Mardan Charsadda, Nowshera and Lower Dir Districts.;
• 60,000 children (age group 3-18 yrs.) in IDP camps in Peshawar, Mardan Charsadda,
Nowshera and Lower Dir Districts.
The targeted IDP population is based on the assessment and projection of NWFP Department of
Social Welfare of the situation of IDPs, according to which there is an expected total of 100,000 people
from nine districts of NWFP residing or will be residing in approximately ten IDP camp settlements.
Registration is ongoing of those IDPs in other districts living outside the camp settlement with host
families and rented accommodation with the expected figure of 500,000.
42
P A K I S T A N
Response Plan
The response plan involves the following activities for IDP response:
• Support to the EDO Offices in the affected districts to carry out detailed damage assessments
and monitoring of relief and rehabilitation activities;
• Minor repairs and rehabilitation of schools where IDPs have taken shelter, mainly focusing on
the district of Lower Dir where 278 schools (including primary, middle, high, higher secondary
and technical vocational institutions) had been destroyed as they were converted into shelters
for IDPs;
• Reconstruction/rehabilitation and furnishing of 172 schools and educational institutions in Swat
District;
• Provision of tents/transitional shelters for schools, in case IDPs do not vacate them to allow the
academic session to start;
• Procurement and distribution of emergency education supplies in IDP camps, including schools-
in-a-box, chalk, workbooks, pencils, knapsacks as well as school furniture (blackboard, tables,
chairs, benches, etc…) and provision of orientation training for teachers on the use of
emergency education supplies and on how to teach in a challenging environment;
• Salaries/incentives for teachers in temporary camp schools;
• Provision of ‘school-in-a-bag’ for returnee children to allow continuation of educational activities
during the rehabilitation phase;
• Provision of school furniture and equipment for students and teachers;
• Support for awareness and media campaign to counter the fear/negative propaganda and
ensure maximum 'back to school' trend as the schools re-open;
• Provision of text books and stationery for three six-month period;
• Impart training to teachers on Minimum Standards for Education in Emergencies (MSEE) and
how to manage schools in disaster situation;
• Establish community and school-based facilities for Early Childhood Education (ECE);
• Support the utilisation youths such as boy scouts for data collection in camps.
EDUCATION Requested Funds

Project Title: Support to Education Cluster for an effective
response
UNICEF Objectives: To ensure an effective mechanism for
coordination among all education cluster
PAK-08/E01 members to facilitate clear and timely
40,000
(Revised) identification of needs and priorities for
response, and to avoid duplication of activities
Conflict Beneficiaries: All children (age group 3-18 yrs.) affected by
this conflict
Partners: All Education Cluster members
Project Title: Support on-going and additional education
services for primary school children in IDP
camps
Objectives: To establish temporary learning spaces in the
existing IDP camps to ensure schooling to
children and provide additional services to
newly established IDP camps
UNICEF Activities: • Continue and expand on-going primary
level schooling to children in existing and
PAK-09/E08
new IDP camps; 100,000
(New)
• Provide winterised tents and teaching and
learning materials;
Conflict
• Provide monitoring support to Department
of Education (DoE);
• Provide logistics, reporting, documentation
and service delivery of education activities.
Beneficiaries: 40,000 children (age group 5-11 yrs.) affected
by this conflict
Partners: All Education Cluster members
43
P A K I S T A N

Project Title: Restore primary education for host community
children affected by conflict in Bajaur,
Mohmand and Khyber agencies of FATA
Objectives: To ensure that all children, especially girls, in
the IDP camps have access to education, and
to ensure continuity of educational activities of
children in the host communities of Dir Lower,
Mardan, Peshawar, Nowshera and Charsadda
Activities: • Establish community schools in different
clusters in districts to ensure access to
education for children in host communities;
• Provide teaching and learning materials
and emergency education supplies to
temporary learning spaces;
• Rehabilitate schools, especially in lower
Dir, that have been damaged due to
conversion into IDP shelters;
• Advocate with the MoE to enroll IDP
children living in host communities in
nearby government schools;
UNICEF
• Provide shelter facilities, e.g. tents and
transitional shelters in case government
PAK-08/E02
schools in host communities are over- 1,800,000
(Revised)
crowded, to accommodate IDP children;
Conflict • Appoint and support para-teachers to
facilitate education for IDP children in
government schools;
• Conduct enrolment and advocacy
campaigns to get girls in IDP camps and in
host communities to enrol in schools and
complete the academic year.
Beneficiaries: • 180,000 children (age group 3-18 yrs.)
whose families are living with host
communities in Peshawar, Mardan
Charsadda, Nowshera, Swabi and Lower
Dir Districts;
• 43,400 children (age group 5-11 yrs.) in
Lower Dir whose schools (128 Boys’
Primary Schools and 97 Girls’ Primary
Schools) had been converted into IDP
shelters.
Partners: MoE, Directorate of Elementary and
Secondary Education Peshawar, Education
Cluster members and NGO partners, EDO
Office Lower Dir, Mardan Charsadda, DECU
Project Title: Ensure continuation of education of children,
especially girls, in conflict-affected districts,
especially Swat District
Objectives: To ensure that children, especially girls,
affected by the conflict in Swat District
continue to have access to education.
UNICEF Activities: • Rehabilitate 172 schools and continuation
of schooling in affected girls’ schools
PAK-08/E03
through short-term rent support;
(Revised) 1,035,078
• Provide furniture/supplies in damaged
schools;
(Early Recovery
project) • Support awareness and media campaign
to counter the fear/negative propaganda
and ensure maximum 'back to school'
trend as the schools re-open.
Beneficiaries: 22,000 children, including about 14,000 girls
Partners: MoE, Directorate of Education at Peshawar,
EDO Office Swat
44
P A K I S T A N

Project Title: Support for planning of early recovery and
reconstruction of educational services in the
initial post emergency period in flood and
conflict-affected areas of NWFP and FATA
Objectives: To help NWFP Government and FATA
Directorate to develop comprehensive
recovery and reconstruction policy, plan and
budget for delivery of educational services in
the emergency and post emergency period in
flood and conflict-affected areas
Activities: • Support policy formulation for the
development of response plan, including
financing and inclusion of displaced
UNESCO
children (all age group in existing
educational institutions or alternative
PAK-08/E04
arrangements);
(Revised)
• Provide training to government and NGO
150,000
officials in educational planning,
implementation and monitoring;
Early • Assist the government in planning and
Recovery Cluster budgeting for early recovery and
reconstruction of education system
damaged/being damaged by flood and
conflict.
Beneficiaries: At least 50 education officers, 8 camp schools,
15 camp Managers/Administrators and staff,
10,000 flood-affected children in NWFP,
children of 142 schools in SWAT and 20
schools in Bajaur and over 4,000 children in
eight temporary and permanent IDP camps
Partners: NWFP Provincial Education Department,
EDO-Education, FATA Directorate, Agency
Relevant Administrations, NGOs, and
Provincial Disaster Management Authority
Project Title: Project: Support for continued access to
middle, secondary and non-formal education
for flood and conflict-affected children of
NWFP and FATA
Objectives: To ensure continued educational opportunities
for flood and conflict-affected school children,
with special focus on middle and high school
education of girls
Activities: • Review and implement district and
provincial level Plan of Action for the
implementation of Minimum Standards for
Education in Emergencies, chronic crises
and early Recovery developed in
UNESCO
emergency phase (from CERF);
• Provide psycho-social support to children
PAK-08/E05
in middle and higher classes in camps not 1,470,053
(Revised)
supported by other agencies and schools;
• Support basic repair/reactivation or
Conflict
alternative arrangements such as tents or
transitional buildings (depending upon the
state of conflict) for middle, secondary and
non formal basic education schools
affected by the flood and conflict;
• Supply essential teaching and learning
materials, including texts books and school
uniform;
• Provide teacher training/mentoring to
address key classroom as well as teaching
and learning issues;
• Advocate for declaration of school as zone
of peace.
45
P A K I S T A N

Beneficiaries: • 12,000 students;
• 500 teachers;
• 100 education officers;
• 100 middle, high and higher secondary
schools of NWFP and FATA;
• Internally displaced school-age-children in
10 IDP Camps, Kacha Garhi I & II
(Peshawar) (97+90), Benazir Complex
(Nowshera) (34), Khungi Timergarh (Lower
Dir) (58), Samarbagh (Upper Dir) (45),
Govt. Degree College Timargara (Dir)
(106), Sadbarkaly (Lower Dir) (35), and
Jalozai I & II (Peshawar) (97+ Est 80)
• In March 2009 the numbers will increase
three-fold because of graduation of grade
five children to grade six.
Partners: NWFP Education Department, Executive
District Offices-Education, PDMA, Provincial
Relief Commission, NGOs, and Board of
Intermediate and Secondary Education
Peshawar, Mardan and Swat
Project Title: Development of vocational skills amongst IDPs
Objectives: To provide livelihood opportunities to displaced
people
Activities: • Review of existing needs assessments and
necessary follow-up on assessment;
• Skills development training for IDPs in
camps and with host families;
UNESCO • Link the trained IDPs and micro-finance
institutions for start of businesses by IDPs;
PAK-09/E09 • Arrange micro-enterprise extension 750,000
(New) support services with the help of NGOs
and private sector.
Conflict Beneficiaries: Estimated 500 IDP families, especially women
headed households, staying in camp and with
host families from three districts of NWFP
(Upper Dir, Lower Dir, Charsadda, Nowshera
and Peshawar)
Partners: DSW and Women Development, Department
of Technical Education and Manpower
Training and NGOs
Project Title: Supporting Play and Education for IDP
Save the Children Children in NWFP
(Alliance) Objectives: 5,000 children (age group 4 -15 yrs.) in the
IDP camps (Palosa Camp, Charsadda and 200,000
PAK-09/E10 Kach Garhi, Peshawar) are provided with
(New) continued access to play and quality education
in child-friendly spaces and schools
46
P A K I S T A N

Activities: • In coordination with Education Cluster
members, identify gaps education and play
provision in camps;
• Identify and train teachers, para-teachers,
or other community members to facilitate
child friendly spaces (CFS);
• Establish CFS in temporary shelters to
provide psycho-social support to children
• Provide equipment for CFS (play-in-a-box,
mats, etc.);
• Identify nearby government schools where
IDP camp children can continue their
education;
• Work with the EDOs and schools to enroll
IDP children in school;
• Provide materials and equipment to local
schools hosting IDP children;
• Implement a health and hygiene
awareness programme in CFS.
Beneficiaries: 5,000 children (age group 4-15 yrs)
Partners: FATA Education Department, EDOs in
Peshawar, Mardan, Nowshera, Charsadda
and Lower Dir and De laas gul districts, People
Empowering and consulting enterprise (local
organisations to be decided)
Project Title: Psycho-social and education support to
children, women and youths
Objectives: To ensure that children, women and youths
CARE affected by the emergency have access to
International basic social and education services for quick
recovery and rehabilitation 100,000
PAK-09/E11 Beneficiaries: Approximately 1,500 internally displaced
(New) children, women and youths in Kachha Ghari
Camp, Peshawar
Partners: EDO Education, local NGO partner, and other
stakeholders
International Project Title: Emergency education for IDP Children in
Rescue accordance with the INEE Minimum Standards
Committee (IRC) for Education in Emergencies, chronic crisis 297,157
and early reconstruction in the newly
PAK-08/E107 established Jalozai IDP camp in NWFP
(Revised) Objectives: To ensure access to quality formal and non-
formal education activities based on the INEE
Minimum Standards; and to advocate for the
Provincial Education Department to facilitate
reintegration of IDP students into the formal
education system upon return
Activities: The project seeks to ensure that emergency
education responses are based on an initial
assessment that is followed by an appropriate
response and continued monitoring and
evaluation:
• Conduct rapid assessment to identify
educational needs and resources,
including suitable teachers, available
infrastructure/potential sites for schools,
support from the community and number of
children;
• Consult with community and parents to
form education committees in order to
establish ownership and support towards
education interventions;
• Conduct rapid orientation training of
selected teachers who will learn how to
teach in a challenging environment and
47
P A K I S T A N

improve pedagogical and psycho-social
skills with the use of the emergency
supplies;
• Provide formal and non-formal education
activities for all primary and secondary-
aged boys and girls in the camps. This
includes recreation activities, psycho-social
support activities such as sports, art,
literacy and numeracy;
• Conduct rapid procurement and distribution
of educational materials and emergency
supplies; schools-in-a-box, workbooks,
pencils, knapsacks, and textbooks and
supplies for sport and art;
• Advocate for the Provincial Education
Department to recognise the learning of
IDP students so that they can easily
reintegrate into the formal education
system upon their return home.
Beneficiaries: 8,000 children (age group 4-15 yrs.) in Jalozai
IDP Camp in Nowshera district, NWFP
(contingent on security)
Partners: MoE in NWFP, Provincial and District
Governments, Camp Coordination Cluster and
NGOs/CBOs
Project Title: Continuation of primary education services to
IDP children living in Katcha Garhi Camp 1,2,
Benazir complex camp and providing primary
education facilities to those children living with
host communities
Objectives: • To ensure that 3,000 children living in
Youth Resource
Katcha Garhi Camp No.1, 2 and Benazir
Centre (YRC)
Complex are provided with continued
250,000
support for primary schooling;
PAK-09/E12
• To provide access to quality formal primary
(New)
education according to the INEE Minimum
Standards; to provide quality formal
education;
• To provide primary education facilities to
1,000 IDP children living with the host
communities in Peshawar and Nowshera.
48
P A K I S T A N

Activities: The project seeks to ensure that emergency
education responses are based on an initial
assessment that is followed by an appropriate
response and continued monitoring and
evaluation:
• Conduct a survey to identify the number of
IDP children living with the host families;
• Register identified students living with host
families in different grades for primary,
middle and high schools nearby or in
community schools wherever feasible;
• Recruit temporary teachers to resolve the
burden in government schools due to IDP
children;
• Continue support to schools established in
IDP camps in Katcha Garhi 1,2, Peshawar;
• Improve the capacity of teachers to deliver
quality education;
• Mobilise parents’ involvement in the
education of IDP children through
establishing and strengthening of Parent
Teacher’s Council (PTC) in schools;
• Provide PTC trainings for the parents of
IDP children;
• Provide education supplies to schools
(including text books, tents, stationary,
school bags, tents, etc).
Beneficiaries: • 3,000 Children living in Katcha Garhi Camp
1, 2 and Benazir Complex Camp;
• 1,000 children living with the host families
in Peshawar and Nowshera District.
Partners: MoE in NWFP, Provincial and District
Governments, Camp Coordination Cluster and
NGOs/CBOs
TOTAL 6,192,288
49
P A K I S T A N
3.6 NUTRITION
Lead Agency: UNICEF
Needs Analysis
The IDP crisis emerged in NWFP due to a military operation against militants in Swat, Bajaur,
Waziristan & Khyber Agencies. The ongoing violence in conflict areas caused the displacement of
approximately 300,000 people to various districts of NWFP. The number of IDPs is likely to increase
even further during 2009. This is the biggest internal displacement in Pakistan’s history due to a
military operation.
Pakistan already has a high rate of acute malnutrition (13%), and a very high rate of under nutrition
(38%). Thus, the key nutrition interventions (treatment and care) for moderately malnourished
children, pregnant and lactating women are important to prevent further deterioration in the nutritional
status of children and women. In addition, promotion and protection of breastfeeding practices are
critical in such situations for survival, growth and development of infants and young children.
Recent McRAM data collected in the IDP camps in NWFP highlighted a reduction in breastfeeding and
infant feeding practices. The data from the community-based management of acute malnutrition
(CMAM) projects implemented in IDP camps in NWFP reflected 21% as Global Acute Malnutrition rate
among under five children. Due to drastic changes in feeding practice, lack of safe drinking water &
sanitation, and adequate health facilities with more influx of IDPs, acute malnutrition rate is expected
to increase in these areas.
Immediately after the onset of the floods, distribution of high energy biscuits to families and
health/nutrition education activities in the affected areas were supported. Early October/November
2008, the community-based management of acute malnutrition interventions were started by NGOs
partners in the IDP camps for the treatment and care of the acutely malnourished children and women.
In these camps proper screening mechanisms have been established. Recently, the implementing
partners have extended their operations in the communities where IDPs are staying with host families.
Response Plan
This appeal covers the IDPs living in camps, those staying with host families, malnourished women
and children of the host families in Peshawar, Mardan, Charsadda, Nowshera, and Lower Dir, and
malnourished children and women in the flood-affected areas of Rajanpur and DG Khan in Punjab. In
addition, it also covers women and children staying in Swat and FATA areas.
The overall goal of the response plan is to reduce child mortality attributed to malnutrition and to
maintain the acute malnutrition under 10% by providing effective nutritional care and ensure
continuation of appropriate key caring practices. The objectives of the response plan are as following:
• To provide care and treatment for children suffering from severe acute malnutrition through
community-based and facility-based management approach;
• To provide supplementary food for the moderate malnourished children, pregnant and lactating
women (in coordination with WFP);
• To prevent malnutrition in early childhood through the promotion of the improved child feeding,
care giving, and care seeking practices at the facility, family and community levels;
• To provide multi-micronutrients for children and women;
• To assess and monitor the nutrition situation; and,
• Coordinate nutrition interventions to ensure an effective and timely implementation.
Total beneficiaries: The estimated affected population is 600,000 families. For nutrition interventions,
about 16,200 malnourished children and 12,000 malnourished pregnant and lactating women are
estimated.
This planning is based on the following assumptions:

• The proportion of IDPs at the camps are expected to increase during 2009;
• IDPs staying with the host families will continue to stay with the host families or move to the
camps. Nutrition interventions are required for the malnourished children and women of IDPs
staying with host families and also for the children and women of the host families as the
existing resources of the host families have already stretched out;
50
P A K I S T A N
• Children and women currently staying in Swat and some regions of FATA are equally
vulnerable, thus requires nutrition interventions to protect them from further deterioration.
The Response Plan will cover a period of 12 months, end of December 2009.
NUTRITION Requested Funds

Project Title: Community-based and facility-based
management of acute malnutrition in IDP
camps in NWFP
Objectives: • Provide technical support to implementing
partners (government and NGOs) on the
management of acute malnutrition through
community-based and facility-based
management;
• Protect, promote and support early
initiation of breastfeeding, exclusive
breastfeeding practices up to six months
and timely introduction of complementary 1,867,520
food at the age of 6-9 months;
• Procurement /distribution of therapeutic (1,500,000 for
UNICEF foods, medicines and other supplies (F75, supplies and
F100, and ready-to-use therapeutic food equipment, and
PAK-08/H11 [RUTF]), OXFAM Kits, mid-upper arm 367,520 for technical
(Revised) circumference (MUAC) tapes and drugs support, Cluster
(iron folate, deworming, anti-malarial, coordination,
antibiotic, rhizomol and vitamin A, Oxfam monitoring,
kits. communication etc)
Beneficiaries: 28,200 (16,200 moderately acute
malnourished children and 12,000 pregnant
and lactating women)
Partners: DoH, MERLIN, RI, IR, Johanniter International,
CERD, NRDF
Note: All supplies required for nutrition

interventions will be procured by UNICEF and
deliver to implementing partners (procurement
of the blended fortified food will be coordinated
with WFP)
management of acute malnutrition in Rajanpur
and DG Khan, Punjab (flood-affected)
Objectives: • To provide care and treatment for the
severely acute malnourished children, and
malnourished pregnant and lactating
National Rural women in targeted areas through
support community-based and facility-based
Programme management of acute malnutrition
(NRSP) (CMAM); 100,000
• To support mothers’ early initiation of
PAK-08/H12 breastfeeding, exclusive breastfeeding
(Revised) practices up to six months and timely
introduction of complementary food at the
age of 6-9 months;
• To control micronutrient deficiencies
through Vitamin A supplementation, multi-
micronutrient supplementation and
deworming.
51
P A K I S T A N
NUTRITION Requested Funds

management of acute malnutrition for IDPs
living in camps & with host families in NWFP
(Peshawar, Mardan, Charsadda, Nowshera &
Merlin Lower Dir), FATA and Swat district
PAK-08/H13 Objectives: • To provide treatment and care for severely 616,000
(Revised) acute malnourished children through
community and facility based (416,000 to continue
Islamic Relief management; the ongoing
PAK-08/H14 • To protect, promote and support early interventions till end
(Revised) initiation of breastfeeding, exclusive of November +
breastfeeding practices up to six months 200,00 for FATA and
Relief and timely introduction of complementary Swat)
International food at the age of 6-9 months;
PAK-08/H15 • To provide key messages on nutrition and Merlin-197,500
(Revised) hygiene/sanitation to the affected Islamic Relief -
communities with help of printed and 127,500
electronic material. Johanitter-158,500
Johanniter Beneficiaries: 28,200 (16,200 moderately acute Relief International-
PAK-08/H18 malnourished children and 12,000 pregnant 132,500
(Revised) and lactating women)
Partners: DoH, MERLIN, RI, IR, Johanniter International,
CERD, NRDF
Note: Implementation cost, excluding supplies

Project Title: Nutrition assessment in the IDPs communities
in NWFP & Punjab
Objectives: • Conduct an assessment on nutrition,
UNICEF mortality and food security situation in
the IDP camps and host families in the
100,000
PAK-08/H20B affected districts
(Revised) Target Approximately 300,000 IDPs living in camps
population: and host families in NWFP & flood-affected
(two) districts of Punjab
Partners: DoH/ Research institutions/ UNICEF
TOTAL 2,683,520
52
P A K I S T A N
3.7 LOGISTICS
Lead Agency: WFP
Needs analysis
Access to some of the conflict areas is limited and there is need from the humanitarian community to
have two helicopters for a period of two months for the transport of life-saving, urgent NFIs, food and
aid workers to the affected areas.
The RC/HC office has requested the activation of a Logistics Cluster to effectively coordinate logistics
activities of all stake holders. While preparing the budget, the worst-case scenario was used in which
the logistics cluster will provide support to complement the humanitarian community’s own logistics
supply chain. After meeting with the Logistics Cluster members and identifying their gaps, the
proposal and its related budget will be adjusted.
Objectives
The key objectives are:

1) To provide effective coordination of logistics activities to humanitarian community in response
to emergency relief operations in NWFP;
2) To provide augmented logistics capacity through the provision of warehousing and transport
services in support of emergency relief operations to ensure timely delivery of relief aid to the
affected population;
3) Provision of two helicopters for a period of two months on need basis;
4) To provide the WFP/UNHAS with the resources to react quickly to urgent request for logistical
support from the humanitarian community.
Strategies
For the effective coordination of logistics activities, the Logistics Cluster will deploy an experienced
Logistics Officer (P-4) in Peshawar and a P-3 Logistics Officer in Islamabad. The main role will be to
ensure proper coordination among all stake holders and ensure timely response.
If required by the cluster members, the logistics cluster will provide through the existing WFP logistics
capacity, the storage and transport of relief items from Peshawar to extended delivery points (EDP) in
NWFP.
The Logistics Cluster will continue to work closely with various logistics cluster members including
UNHCR, UNICEF, WHO, UN-HABITAT, other UN agencies, Provincial Relief Commissioner, SWD,
District Governments, INGOs, NDMA/PDMA and the line departments (DCOs, health, food) and
provide coordination services to the stakeholders.
The Logistics Cluster coordination structures will be strengthened, to ensure better coordination and
organise an effective and timely joint response by averting overlap of resources and filling gaps. There
will be a strategic airlift to provide the urgently needed support equipment (mobile warehousing and
support equipment). Common transport and supply tracking will be an intricate part of the operation.
WFP/United Nations Humanitarian Air Service (UNHAS) will provide air transport facility for the uplift
and delivery of most essential, life saving NFIs and humanitarian community passengers to ten EDPs
established by WFP where the commodities will be transported and stored in WFP storage tents which
will facilitate smooth delivery up to the distribution sites.
Humanitarian Action (Feb 09 – Dec 09)

The logistics network will be set-up by identifying the most suitable locations for the hubs as well as
the most efficient routing. As such, WFP intends to establish ten forward logistics bases in Peshawar,
Nowshera, Charsadda, Mardan, Swabi, D.I.Khan, Tank, Hangu, Kohat and Bannu for the food
distribution. If required, the Logistics Cluster will facilitate the use of forward logistics bases for the
storage of NFIs on behalf of other cluster members.
The plan is to have the 25 Wiikhalls and other warehousing equipment which is readily available at
UNHRD Brindisi and Dubai, within one week from approval of the budget. Given the immediate
requirement, necessary support equipment for various humanitarian actors will be airlifted into the
region. Cargo movement will be tracked through the common supply tracking system. Coordination
meetings will be held on a regular basis.
53
P A K I S T A N
In order to provide air transport facility for the uplift and delivery of most essential, life saving, NFIs and
passengers to humanitarian community, WFP will provide two helicopters for a period of two months.
The food/NFIs will be transported from Peshawar to ten forward logistics bases in the area. Priority
relief items will be delivered on time in the right locations to those in most urgent need, through the
prompt establishment of a basic logistics network. All cargo moving through the common transport
system will be tracked and the information disseminated.
In coordination with the Logistics Cluster, WFP will assist agencies and NGOs to receive and airlift
relief materials from the WFP warehouse Peshawar to ten EDPs. Coordination meetings will be held
on a regular basis.
LOGISTICS Requested Funds

Lead agency WFP ($)
Project Title: Logistics Cluster support to humanitarian
community Response to IDPs
Objectives: 1. To provide effective coordination of
logistics activities to humanitarian
community in response to emergency relief
operations in NWFP;
2. To provide augmented logistics capacity
WFP
through the provision of warehousing and
transport services in support of emergency 6,023,596
PAK-09/CSS05
relief operations to ensure timely delivery
(New)
of relief aid to the affected population.
Beneficiaries: 600,000 IDPs in and outside camps in
Peshawar, Nowshera, Mardan, Charsadda,
Swabi, Kohat, Hungo, Karak, Bannu, and D.I.
Khan
Partners: UNHCR, UNICEF, WHO, FAO, UN-HABITAT,
Other UN agencies and INGOs
Project Title: Air operation
Objectives: 1. Provision of two helicopters for a period of
two months on need basis;
WFP
2. To provide WFP/UNHAS with the
resources to react quickly to urgent request
PAK-09/CSS06
for logistical support from the humanitarian
(New) 4,053,930
community.
Beneficiaries: Humanitarian community including UNHCR,
Floods
UNICEF, WHO, FAO, UN-HABITAT, other UN
Conflict
agencies and INGOs
Partners: UNHCR, UNICEF, WHO, FAO, UN HABITAT,
Other UN agencies and INGOs
TOTAL 10,077,526
54
P A K I S T A N
3.8 AGRICULTURE
Lead Agency: FAO
Needs Analysis
Floods
Unusually heavy monsoon rains and flash floods in early August affected over 300,000 people.
Peshawar District in the NWFP and Rajanpur District in Punjab Province were particularly badly
affected. Houses constructed of mud were washed away in the floods, fields were flooded and local
irrigation systems were destroyed, large numbers of livestock and poultry were killed and infrastructure
(roads, irrigation systems, bridges, schools, clinics, etc.) damaged beyond repair.
The FAO-led initial assessment mission and secondary early recovery need assessment to the flood
worst-affected areas in Peshawar district found widespread damages to crop and livestock systems.
The assessments indicated that 74% of the cropped area had been affected damaging 40-50%
standing sugarcane, maize, sorghum, vegetables, orchards and rice. In addition to the loss of
standing crops, mission reports indicate that more than 15,000 livestock were killed or missing and
major poultry losses are recorded.
Conflict IDPs
The ongoing armed conflict in areas of NWFP (Swat) and FATA is resulting in large numbers of
households abandoning their homes and fields to reach safer areas, mostly in NWFP. Displacement
of farmers is causing significant damage to agriculture and livestock sectors. Last kharif (summer)
crop couldn’t be harvested as people flee their homes abandoning agricultural lands in FATA and
NWFP and land could not be cultivated in 2008 winter season. In addition, these food deficient
provinces were worst hit by supply shortfalls, frequent in far-flung areas, and rising prices of essential
food items, particularly wheat. This was further compounded by the influx of conflict IDPs in food
stressed areas.
The situation calls for immediate humanitarian action to save the lives and livelihoods of several
hundred thousand people affected by floods and the military operations underway. Both host families
and IDPs require agriculture related support to overcome otherwise impending food shortages. The
fast approaching kharif (summer) cropping season is critical for the lives, livelihoods and food security
of rural dwellers in NWFP and FATA.
Response plan
FAO strategy is based on a twofold assistance to:

• IDPs living in camps and to the host families; and,
• Flood-affected communities.
The project directly restores agricultural livelihoods with the provision of time-critical inputs besides
reducing aid dependence. The implementation strategy will be reviewed and adapted based on
security situation, in consultation with the Government and other UN agencies.
With reference to IDPs, assistance will be extended to host families target besides reaching IDPs living
in families or camps. If a cease-fire is upheld, agriculture assistance will be required to sustain
communities who return to their native villages, acting as a “pull factor” for those IDPs who are either
unable or reluctant to return to their areas of origin until their agriculture based livelihoods are restored.
In the event hostilities escalate, there will be increasing pressure on IDP camps and host families to
absorb even greater influx of displaced population. In which case, FAO will particularly target host
families as well as IDPs with access to land tenure arrangements and capacity building in hosting
areas.
Objectives
Conflict-affected IDPs and host families

To contribute to increased food security and enhanced resilience of food-insecure and vulnerable
households, namely IDPs (living in camps or with relatives) and hosting communities, totalling an
estimated 50,500 households in two seasons by:
• distributing critical agriculture inputs, tools, livestock and poultry support and restocking;
55
P A K I S T A N
• protecting and restoring productivity of livestock by providing vaccination and medicines for de-
worming of small and large ruminants;
• building capacities of women IDPs in camps in kitchen gardening, post harvest technologies,
improved irrigation techniques and livestock raising;
• assisting camp hosting communities in restoring forestry depleted by the IDPs.
Flood-affected households
To assist 13,000 of the worst flood-affected vulnerable households to rapidly resume their agriculture
production and livestock systems and restore their livelihoods by:
• distributing critical agriculture inputs (seed, tools, fertilizer), livestock and poultry support and
poultry restocking;
• supporting surviving livestock with the provision of vaccination and medicines for de-worming of
small and large ruminants;
• restoring farm forestry and irrigation system for sustained livelihood and recovery of livelihood
activities;
• assisting the vulnerable households in rehabilitation of fruit orchards destroyed in the flash
floods.
AGRICULTURE Requested Funds

Lead agency FAO ($)
Project Title: Emergency assistance to restore agriculture
livelihoods and enhance food security of poor
and vulnerable IDPs households and host
families affected by the armed conflict in
NWFP and FATA
Objectives: Conflict-affected IDPs
To contribute to increased food security and
enhanced resilience of food-insecure and
vulnerable households, namely IDPs (living in
camps or with relatives) and hosting
communities, totalling an estimated 50,500
FAO households by:
• distributing critical agriculture inputs (seed,
PAK-08/A01 tools, fertilizer) livestock and poultry
(Revised) support and poultry restocking; 5,750,000
• protecting and restoring productivity of
Conflict IDPs and
livestock by providing vaccination and
host families
medicines for de-worming of small and
large ruminants;
• building capacities of women IDPs in
camps in kitchen gardening, post harvest
technologies, improved irrigation
techniques and livestock raising;
• assisting camp hosting communities in
restoring forestry depleted by the IDPs.
Beneficiaries: • 50,500 households (in camps and hosting
families) in the two cropping seasons 200
Partners: RI, BEST, SPO, SRSP, ABKT, CARAVAN
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P A K I S T A N
AGRICULTURE Requested Funds

Lead agency FAO ($)
Project Title: Emergency assistance to restore the
agriculture livelihoods and enhance food
security of vulnerable households in flood-
Objectives: To assist 13,000 food insecure and vulnerable
flood-affected households by:
• providing critical agricultural packages
FAO (seeds, tools and fertilizer), livestock and
poultry support, and providing poultry
PAK-09/A03 restocking;
(New) • restoring farm forestry and irrigation
1,540,000
system for sustained livelihood and
Flood-affected recovery of livelihood activities;
communities • assisting the vulnerable households in
(Peshawar) rehabilitation of fruit orchards destroyed in
the flash floods;
• supporting surviving livestock even by
providing vaccination and de-worming of
small and large ruminants.
Beneficiaries: 13,000 vulnerable households affected by
floods in NWPF
Partners: RI, BEST, SPO, SRSP, ABKT, CARAVAN
TOTAL 7,290,000
57
P A K I S T A N
3.9 EARLY RECOVERY

Lead Agency: UNDP
“Early Recovery” is defined as recovery that begins early in the humanitarian setting. As such, it is not
intended as a separate phase within the relief-reconstruction continuum in Pakistan, but rather as an
effort to strengthen the effectiveness of the linkage.
Early recovery aims to:

• establish the foundations for longer-term recovery;
• augment emergency assistance operations in the areas affected by the floods and conflict,
through quick-impact measures that both foster the self-reliance of affected populations and
meet critical needs to save their livelihoods;
• ensure that the spontaneous recovery initiatives of affected populations are sustainable and
reduce future risk.
During the coming months, the Early Recovery Network will aim at achieving the following:
• Identify early recovery needs for the people affected by both the floods and conflict;
• Contribute to the designing of an Early Recovery strategy in collaboration with the UN agencies,
civil society organisations and Government agencies;
• Strengthen the role of national and local institutions;
• Restore production capacity and family revenue of the affected communities
Early Recovery projects must display most of the following criteria:

• Phasing out relief or addressing the next step after saving lives;
• Immediate or basic capacities of communities to cope with crises are strengthened;
• Potential or existing capacities of national or local governments to plan, manage, and coordinate
crises as well as for subsequent recovery phase are strengthened;
• Action undertaken with sustainability in mind; particularly inclusive of communities in shaping
and implementing the action and thus building capacity;
• Mainstreaming of cross-cutting issues such as gender, HIV/AIDS and environment;
• Not longer-term recovery/reconstruction/development in nature;
• Not emergency/relief in nature.
A multi-sectoral Early Recovery Assessment carried out under the ER Network during November and
December 2008 estimated the cost of Early Recovery, based on the damage estimated in both flood
and conflict-affected areas, at approximately $60 million. The HRP contains early recovery projects
under various clusters’ submission.
This part of the Response Plan does not provide an exhaustive list of the Early Recovery projects,
because the exact nature of recovery needs is changing rapidly with fluctuation in the intensity of
conflict. The projects presented here do not differentiate between the IDP and host populations as
potential beneficiaries of these initiatives. Most of the submissions by the other humanitarian clusters
contain sector specific projects for Early Recovery and the following list is meant to complement their
proposals.
The Early Recovery projects proposed here, though recovery-oriented in substance, are essentially
life-saving in nature as the adequate government capacity, restored government facilities and
paraphernalia and communication and productive infrastructure are essential pre-requisites for
sustaining the anticipated extended relief efforts as well as laying the foundation for recovery. At the
level of the affected population, the skill development and cash for work components are aimed at
normalising the market mechanisms to the extent possible and to decrease the reliance of people on
relief handouts. The environmental projects are meant to provide some most essential services to the
IDP hosting areas and also avoid the looming secondary catastrophe of environmental meltdown.
58
P A K I S T A N
EARLY RECOVERY Requested Funds

Lead agency: UNDP ($)
Project Title: Recovery coordination support to government
agencies
Activities: • Provision of technical experts in
specialised fields of recovery coordination,
planning, implementation, monitoring and
evaluation and sector-specific activities to
UNDP Governments of NWFP and FATA;
• Supplying and sustaining the requisite
1,200,000
PAK-09/ER/I04 infrastructure, office equipment and
(New) ancillary items for Recovery Coordination
support ;
• Capacity building of government officials in
recovery coordination functions.
Beneficiaries: Government of NWFP and FATA secretariat
Partners: PDMA, District Disaster Management
Authorities (DDMAs), FATA Secretariat
Project Title: Livelihood restoration in flood-affected Areas
of NWFP
Activities: • Mobilisation of local community for the
Helping Hands identification of project beneficiaries;
• To built the capacity of females, males and
1,151,530
PAK-09/ER/I05 disables to support their livelihoods;
(New) • Establishment and support to micro-
enterprises and small business.
Beneficiaries: 1,200 HHs in Kaniza UC, Peshawar
Partners: Local CBOs
Project Title: Provision of heating and cooking energy to
IDPs hosting areas
Activities: • Provide alternate fuels (e.g. LPG,
Kerosene), cylinders and efficient cooking
UNDP
stoves (for use of existing or alternate
fuels); 3,200,200
PAK-09/ER/I06
• Establish distribution partners / new
(New)
entrepreneurs and outlets for supply of
alternate fuels.
Beneficiaries: IDPs and hosting communities
Partners: Local NGOs and community members
Project Title: Skill development and energy for early
recovery
Activities: • To develop skills of IDPs and host
communities to enhance and diversify
Relief
livelihoods;
International
• To reduce the environmental impact and
179,097
conflict associated with fuel-wood
PAK-09/ER/I07
collection by providing energy-efficient
(New)
stoves to IDPs and host communities.
Beneficiaries: IDPs and Hosting Communities in Charsadda
and Dir
Partners: Local NGOs and community members
Project Title: Skills development of male & female IDPs of
Bajaur in four camps of Dir lower
Activities: • To provide trainings on masonry and
construction management to 600 male
IDPs in four camps of Dir lower;
• To provide training on agriculture and
ABKT
livestock management to 600 male IDPs in
four camps of Dir lower; 129,221
PAK-09/ER/I08
(New) • To provide training on Kitchen gardening
and food processing to 300 women in four
IDPS camps of Dir lower;
• To provide training on dairy production and
livestock management to 300 women in
four IDPs camps of Dir lower.
Beneficiaries: IDPs and Hosting Communities in Lower Dir
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P A K I S T A N
EARLY RECOVERY Requested Funds

Lead agency: UNDP ($)
Project Title: Early environmental recovery of the IDP
affected areas of Lower Dir, Mardan,
Charsadda, Nowshera and Peshawar
Activities: • Educate the IDPs about the concept,
importance and issues of environment and
natural resources conservation;
• Mobilise key stakeholders for proper
implementation and monitoring of the
planned interventions;
• Develop and implement mechanism for
WWF safe disposal of non-degradable solid
waste;
200,000
PAK-09/ER/I09 • Introduce alternate energy options and fuel
(New) efficient technologies to reduce fuel wood
consumption;
• Restore the degraded natural resources
(trees and grasses) in the surrounding of
the IDP camps;
• Develop strategy and build capacity of the
IDPs and other relevant stakeholders in
environmental recovery of their places of
origin.
Beneficiaries: IDPs and hosting communities
Partners: Local forest department, local NGOs
Project Title: Support to livelihoods of most vulnerable IDPs
and host families through skill development
and community based cash for work activities
Activities: • Community mobilisation;
ACTED
• Establishing production centres to produce
NFIs through cash for work (CfW); 476,146
PAK-09/ER/I10
(New) • Rehabilitation, (re)construction and long
term solutions through cash-for-work;
• Capacity building of IDPs for recovery in
agriculture and livestock sectors.
Beneficiaries: 3,000 households in Peshawar and Dir
TOTAL 6,536,194
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P A K I S T A N
3.10 COORDINATION
Lead Organisation: Office of the United Nations Resident Coordinator (UNORC)
Needs Analysis
Following the flash floods that hit Peshawar and Khyber Agencies in NWFP in August 2008, and the
increased number of conflict-related displacements, the Inter-Agency Country Team (IASC-CT) in
Pakistan, on Government’s request, started a humanitarian assistance programme to address the
needs of the affected populations. In order to ensure a coherent, predictable and quick response, the
humanitarian country team decided to use the cluster approach as the primary coordination
mechanism. The NWFP Provincial authorities designated a Government counterpart for each Cluster
ensuring a linkage to the PRC/PDMA. As displacements continue and humanitarian needs remain
high for an estimated 600,000 IDP population, existing coordination mechanisms at Islamabad and
field level have to be further strengthened while information management tools have to be improved
and extended.
Objectives
Over the next eleven months, international and national agencies will continue their efforts to reach out
to affected populations in NWFP and FATA to provide humanitarian relief and support early recovery
initiatives. The following coordination objectives will support the delivery of assistance and enhance
the overall coherence and efficiency of the humanitarian efforts:
• Support the Resident Coordinator/Humanitarian Coordinator’s Office to facilitate the overall
coordination of the humanitarian response, through substantive assistance on strengthening the
existing coordination mechanisms, in cooperation with Pakistani authorities both at Provincial
and Federal levels;
• Provide information services to the overall humanitarian community;
• Support the establishment of appropriate frameworks to monitor the links between emergency
operations and recovery/rehabilitation programmes;
• Facilitate the development of a comprehensive resource mobilisation and advocacy strategy to
mobilise support for priority needs.
Strategy
With the current increase in conflict-related displacements, continued humanitarian response will be
necessary at least until the end of 2009. In addition, considering the range of humanitarian needs and
the increasing IDPs caseload, it is critical to adjust existing humanitarian coordination structures, as
well as planning and resource mobilisation mechanisms. Those key areas that will require continued
support include coordination at Islamabad and field level, emergency information management and
common planning and resource mobilisation.
In this context, and in support of the Humanitarian Coordinator, the Office for the Coordination of
Humanitarian Affairs (OCHA) will further strengthen its presence in Islamabad and in Peshawar. In
Peshawar, response coordination centre at the Provincial level, the OCHA team will strengthen the
inter-cluster coordination and ensure the proper engagement of humanitarian partners. Coordination
linkages will continue with the NWFP Government. Similarly, the OCHA office will be strengthened at
Islamabad level to ensure appropriate reporting and information flow between clusters in Islamabad
and clusters in Peshawar, as well as adequate common planning, resource mobilisation strategy and
advocacy.
In terms of information management, the RC/HC Office started to establish a website offering to the
broader humanitarian community, access to common information products and services, including
assessments, situation reports, minutes, meeting schedule and a contact directory. The strengthened
OCHA office will continue these efforts, ensuring that information collected and analysed by clusters is
shared with all actors. In addition, and in cooperation with UN-HABITAT, available information will
then be converted into maps.
The Cluster-based assessment mechanism (MCRAM) aims at helping clusters to assess humanitarian
needs and identify adequate response strategies in the context of an evolving situation. The MCRAM
utilises available Personal Digital Assistant (PDA) technology for rapid data collection and processing.
This has been developed in Pakistan as a collaborative and participatory process with clusters
including representatives of UN agencies, international and national NGOs and the Red Cross/Red
Crescent Movement.
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P A K I S T A N
The assessment format was jointly developed with UNHCR, WHO, WFP, United Nations Educational,
Scientific, and Children’s Organization (UNESCO), United Nations Development Programme (UNDP),
International Organization for Migration (IOM), International Labour Organization (ILO), FAO, UN-
HABITAT, UNICEF, the RCO and the Pakistan Humanitarian Forum (PHF). The MCRAM Steering
Committee under the IASC operations group is responsible for overseeing the finalisation of the
assessment formats and agreeing on assessment procedures. It is chaired by the RC/HC office and
includes all cluster heads, the PHF and a representative of the NDMA.
The MCRAM team focusing on monitoring and evaluation will ensure that agreed response strategies
are implemented according to plans.
Expected output and impact

• Effective and efficient coordination services and mechanisms, including the participation of the
Pakistani authorities, are in place to minimise gaps and duplication in response to humanitarian
needs.
• Timely information products that contribute to effective humanitarian response are delivered.
• Common humanitarian approach and strategies are concluded and shared with relevant
humanitarian partners.
• Transition towards recovery activities is planned for in humanitarian strategies.
• Strategic financing is improved and funding gaps are reduced.
COORDINATION Requested Funds

Lead agency: United Nations RC Office ($)
Project Title: Coordination of humanitarian action
Objectives: • Support the RC/HC Office to facilitate the
overall coordination of the humanitarian
response, through substantive assistance
on strengthening the existing coordination
mechanisms, in cooperation with Pakistani
authorities both at Provincial and Federal
levels;
OCHA
• Provide information services to the overall
humanitarian community;
PAK-08/CSS01
• Support the establishment of appropriate
(Revised) 1,300,000
frameworks to monitor the links between
emergency operations and
Floods
recovery/rehabilitation programmes;
Conflict
• Facilitate the development of a
comprehensive resource mobilisation and
advocacy strategy to mobilise support for
priority needs.
Beneficiaries: Humanitarian community and ultimately the
population affected by the emergency
Partners: UN agencies, humanitarian partners, provincial
and federal authorities
Project Title: Multi-cluster Rapid Assessment Mechanism
(MCRAM)
Objectives: • Provision of situation assessments as
requested by the McRAM Steering
UNICEF
Committee (cluster leads, NDMA, RCO,
PHF);
PAK-08/CSS02
• Monitoring of humanitarian actions as
(Revised)
requested by the MCRAM Steering 160,000
Committee;
Floods • Provision of specific analysis/reports upon
Conflict request.
Beneficiaries: Government, aid agencies, and ultimately
those affected by these emergencies
Partners: Institute of Social Policy (ISP), UN-HABITAT,
WHO, WFP, IOM
UNHABITAT Project Title: Information management for humanitarian
response.
PAK-08/CSS03 UN-HABITAT has been involved in the overall
120,000
(Revised) information management in the post
earthquake and flood relief activities since
2006 and chairs the Information Management
62
P A K I S T A N
COORDINATION Requested Funds

Lead agency: United Nations RC Office ($)
Working Group for post-disaster activities in
the IASC. The proposed project will reactivate
the information systems and web portal
previously used to provide information
management (IM) and geographic information
system (GIS) services to all cluster and
humanitarian response initiatives by the UN
agencies, NGOs, the Government and other
stakeholders. Project provide support to HC
office in Peshawar by collating cluster based
information
Objectives: To enhance and improve decision-making and
coordination for the response to flood-affected
populations and conflict-affected IDPs by
providing mapping, information management
services and information dissemination to
stakeholders for a period of three months
Proposed • Support SWD with IDPs outside camps
Activities: data;
Floods • Collate cluster based information;
Conflict • Collect and process information and
prepare maps;
• Provide GIS services for needs and
damage assessments;
• Information dissemination to stakeholders.
Expected • Database system that will collect, process
Outcomes: and disseminate information to all the
parties involved in post disaster and post
conflict relief and rehabilitation;
• A website;
• Maps on who is doing what and where;
• Central database on relief and assistance
activities;
• GIS database and planning maps.
Beneficiaries: Humanitarian partners, local authorities, and
ultimately those affected by these
emergencies
Partners: Government, UN RCO/HC office, OCHA and
aid partners, clusters
Project Title: Support to the provincial government for
coordination of humanitarian action (IDPs’
response)
Objectives: Support the provincial government and district
UNDP
government by providing essential human
resources and equipment to the provincial and
PAK-09/CSS07
district government, in particular to mobilise 100,000
(New)
and coordinate assessment, planning,
implementation, monitoring and reporting
Conflict
Beneficiaries: Government, aid agencies, and ultimately
those affected by these emergencies
Partners: Government, UN RCO/HC Office and aid
agencies, clusters
TOTAL 1,680,000
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P A K I S T A N
4. ROLES AND RESPONSIBILITIES

The IASC country team, under the leadership of the Humanitarian Coordinator, is defining the overall
humanitarian response strategy. Coordination with the Pakistani authorities is ensured through regular
contacts with the PRC, the Provincial Disaster Management Authority and the National Authorities. In
order to improve the predictability, efficiency and reliability of the response, five clusters have been
formed to ensure an adequate level of coordination:
1. Camp Coordination and Camp Management, Shelter and Protection (lead: UNHCR);
2. Food and Agriculture (lead: WFP and FAO);
3. Health and Nutrition (lead: WHO and UNICEF);
4. Water, Sanitation and Hygiene – WASH (lead: UNICEF);
5. Education (lead: UNICEF);
6. Logistics (lead: WFP).
These clusters are joined by the Early Recovery Network in line with the UNDP proposal of
November 2006 (lead: UNDP).
Cluster meetings are taking place weekly with an increasing number of partners at the provincial level
and the Government has identified focal points to co-chair these meetings. Provincial-level cluster
meetings will continue to focus on operational issues while clusters at the federal level will provide
policy and strategic guidance. In addition, the inter-cluster coordination forum in Islamabad has
evolved from an information-sharing forum to a strategic planning body. Further inter-cluster
coordination structures are being developed in Peshawar.
64
P A K I S T A N
ANNEX I. LISTS OF 2009 PROJECTS
PROJECTS GROUPED BY CLUSTER, WITH FUNDING STATUS OF EACH
Table III: Pakistan Humanitarian Response Plan (Revised) 2008

List of Projects (grouped by cluster), with funding status of each
Compiled by OCHA on the basis of information provided by donors and appealing organisations Page 1 of 6
Project Code Appealing Organisation Original Revised Funding % Unmet Uncommitted

Project Title Requirements Requirements Covered Requirements Pledges
AGRICULTURE
PAK-08/A01 FAO 6,000,000 5,750,000 302,115 5% 5,447,885 -

Emergency assistance to restore agriculture
livelihoods and enhance food security of
poor and vulnerable IDPs households
and host families affected by the armed
conflict in NWFP and FATA
PAK-08/A02 RI 500,000 500,000 545,680 109% (45,680) -

Livelihood restoration for the internally
displaced population and poor families
affected by floods (districts Lower Dir,
Peshawar, Mardan, Charsadda)
PAK-09/A03 FAO - 1,540,000 399,994 26% 1,140,006 -

Emergency assistance to restore the
agriculture livelihoods and enhance food
security of vulnerable households in flood
Subtotal for AGRICULTURE 6,500,000 7,790,000 1,247,789 16 % 6,542,211 -
CAMP MANAGEMENT, SHELTER, PROTECTION
PAK-08/MS01 UNHCR 14,425,562 30,300,000 13,581,696 45% 16,718,304 2,206,442

Camp Management, Shelter and Protection
PAK-08/MS02 UNHCR 2,800,000 - - 0% - -

Winterization of camps
PAK-08/MS03 UNICEF 1,521,750 3,000,000 231,869 8% 2,768,131 -

Protection for girls and boys and their
families affected by armed conflict in NWFP
and FATA living in camps and host families
PAK-08/MS04 UN-HABITAT 255,750 402,215 250,000 62% 152,215 -

Technical Assistance for Shelter, Camp
Management, Returns and Housing
PAK-08/MS05 UNFPA 100,000 100,000 - 0% 100,000 -

PAK-09/CSS04 CWS - 42,491 - 0% 42,491 -

Capacity Building of Humanitarian Workers
in Sphere: Humanitarian Charter and
Minimum Standards in Disaster Response
PAK-09/P/HR/RL01 UNFPA - 50,000 - 0% 50,000 -

Addressing IDP Women’s and Adolescents’
PAK-09/S/NF01 ACTED - 400,000 - 0% 400,000 -

Support to conflict-affected IDPs living in
Host communities
Subtotal for CAMP MANAGEMENT, SHELTER, PROTECTION 19,103,062 34,294,706 14,063,565 41 % 20,231,141 2,206,442
CLUSTER NOT YET SPECIFIED
PAK-08/UNICEF UNICEF - - 701,782 0% (701,782) -

Awaiting allocation to specific project/sector
PAK-08/Various Various - - - 0% - 942,754

Funds committed flexibly by donor, to be
allocated to organisations and projects
Subtotal for CLUSTER NOT YET SPECIFIED - - 701,782 0% (701,782) 942,754
65
P A K I S T A N


COORDINATION
PAK-08/CSS01 OCHA 170,000 1,300,000 185,529 14% 1,114,471 -

Coordination of humanitarian action
PAK-08/CSS02 UNICEF 258,425 160,000 36,052 23% 123,948 -

Multi-cluster Rapid Assessment Mechanism
(McRAM)
PAK-08/CSS03 UN-HABITAT 32,175 120,000 - 0% 120,000 -

Information Management for Humanitarian
Response
PAK-09/CSS07 UNDP - 100,000 - 0% 100,000 -

Support to the Provincial Government for
Coordination of humanitarian action (IDP’s
response)
Subtotal for COORDINATION 460,600 1,680,000 221,581 13 % 1,458,419 -
EARLY RECOVERY
PAK-08/ER/I01 UNDP 60,000 60,000 60,000 100% - -

Coordination of Early Recovery planning
and implementation at Federal, Provincial
and local levels
PAK-08/ER/I02 UNDP 500,000 500,000 - 0% 500,000 -

Restoration of the capacity of government
offices damaged or destroyed due to floods
and conflict
PAK-08/ER/I03 ILO 500,000 500,000 - 0% 500,000 -

Initiating “Cash for Work” and “Cash for
Skills Training” programme for IDPs and
host communities
PAK-09/ER/I04 UNDP - 1,200,000 - 0% 1,200,000 -

Recovery Coordination Support to
Government Agencies
PAK-09/ER/I05 HH - 1,151,530 - 0% 1,151,530 -

Livelihood Restoration in Flood Affected
Areas of NWFP
PAK-09/ER/I06 UNDP - 3,200,200 - 0% 3,200,200 -

Provision of Heating and Cooking Energy to
IDPs Hosting Areas
PAK-09/ER/I07 RI - 179,097 - 0% 179,097 -

Skill Development and Energy for Early
Recovery
PAK-09/ER/I08 ABKT - 129,221 - 0% 129,221 -

Skills Development of Male & female IDPs
of Bajaur in 4 camps of Dir lower
PAK-09/ER/I09 WWF - 200,000 - 0% 200,000 -

Early Environmental Recovery of the IDP
Affected Areas of Lower Dir, Mardan,
PAK-09/ER/I10 ACTED - 476,146 - 0% 476,146 -

Support to Livelihoods of most vulnerable
IDPs and Host Families through skill
development and community based cash for
work activities
Subtotal for EARLY RECOVERY 1,060,000 7,596,194 60,000 1% 7,536,194 -
EDUCATION
PAK-08/E01 UNICEF 11,200 40,000 - 0% 40,000 -

Support to Education Cluster for an
Effective Response
66
P A K I S T A N


EDUCATION (Continued)
PAK-08/E02 UNICEF 700,000 1,800,000 157,046 9% 1,642,954 -

Restore Primary Education for Host
Community Children Affected by Conflict in
Bajaur, Mohmand and Khyber agencies of
FATA
PAK-08/E03 UNICEF 800,000 1,035,078 1,107,509 107% (72,431) -

Ensure Continuation of Education of
Children, especially Girls, in
Conflict-affected Districts, especially Swat
District
PAK-08/E04 UNESCO 540,000 150,000 - 0% 150,000 -

Support for planning of early recovery and
conflict affected areas of NWFP and FATA.
PAK-08/E05 UNESCO 400,000 1,470,053 70,053 5% 1,400,000 -

Support for continued access to middle,
secondary and non-formal education for
flood and conflict affected children of NWFP
and FATA.
PAK-08/E06 UNICEF 460,000 460,000 - 0% 460,000 -

Rehabilitation of flood-affected schools in
District Rajanpur, Punjab
PAK-08/E07 IRC 400,000 297,157 118,000 40% 179,157 -

Emergency Education for IDP Children in
accordance with the INEE Minimum
Standards for Education in Emergencies,
Chronic Crisis and Early Reconstruction in
the newly established Jalozai IDP camp in
NWFP
PAK-09/E08 UNICEF - 100,000 - 0% 100,000 -

Support On-going and Additional education
Services for Primary School Children in IDP
Camps
PAK-09/E09 UNESCO - 750,000 - 0% 750,000 -

Development of vocational skills amongst
IDPs
PAK-09/E10 SC Alliance - 200,000 - 0% 200,000 -

Supporting Play and Education for IDP
Children in NWFP
PAK-09/E11 CARE International - 100,000 - 0% 100,000 -

Psycho-social and Education Support to
Children, Women and Youths
PAK-09/E12 YRC - 250,000 - 0% 250,000 -

Continuation of Primary Education Services
to IDP Children Living in Katcha Garhi
Camp 1,2, Benazir Complex Camp and
Providing Primary Education Facilities to
those Children Living with Host
Communities
Subtotal for EDUCATION 3,311,200 6,652,288 1,452,608 22 % 5,199,680 -
FOOD SECURITY
PAK-08/F01 WFP 7,790,000 26,700,000 4,635,480 17% 22,064,520 -

Emergency food aid assistance to
population affected by armed conflict in
NWFP
Subtotal for FOOD SECURITY 7,790,000 26,700,000 4,635,480 17 % 22,064,520 -
67
P A K I S T A N


HEALTH
PAK-08/H01 WHO 500,000 706,200 54,000 8% 652,200 -

Coordination of health actions
PAK-08/H02 WHO 2,500,000 3,531,000 980,000 28% 2,551,000 -

Provision of a package of essential health
flood affected people of NWPF and Punjab
PAK-08/H03 WHO 1,000,000 1,647,800 196,000 12% 1,647,800 -

Disease and nutrition surveillance, early
PAK-08/H04 WHO 1,000,000 4,879,842 259,043 5% 4,620,799 -

Revitalisation of primary health care
services in flood and conflict-affected areas
of district Swat, Bajaur, Khyber, Orakzai,
Kurram, North & South Wazirsatan, F.R
Peshawar/Kohat and F.R DI Khan/Tank
PAK-08/H05 MERLIN 298,000 585,080 - 0% 585,080 -

Provision of essential PHC and referral
services to the IDPs and host communities
in Peshawar district with the focus on
diseases surveillance and outbreak
prevention and response
PAK-08/H06 UNFPA 961,538 961,538 - 0% 961,538 -

Provision of Maternal, Neonatal and Child
Health care at Internally Displaced
Population (IDP) camps in NWFP, Pakistan
PAK-08/H07 IR 125,717 409,822 - 0% 409,822 -

Static PHC Health Units in IDP camp in
Jalozai IDP Camp Nowshera, NWFP
PAK-08/H08 IMC 400,000 300,000 - 0% 300,000 -

Emergency Healthcare services for IDPs in
NWFP
PAK-08/H09 Johanniter Unfallhilfe e.V. 180,000 242,098 - 0% 242,098 -

Provision of complete Health Services
package to the IDPs and host families
through two BHUs and one mobile medical
unit.
PAK-08/H10 UNICEF 2,300,000 2,400,000 98,613 4% 2,301,387 -

Maternal & Child Health care
PAK-09/H21 CORDAID - 450,000 - 0% 450,000 -

Reactivation and strengthening of NWFP
health network
PAK-09/H22 HealthNet TPO - 215,000 - 0% 215,000 -

Psychosocial Response to Conflict
affectees of NWFP
PAK-09/H23 HealthNet TPO - 300,000 - 0% 300,000 -

Malaria Control in IDPs Camps and Host
communities of NWFP
Subtotal for HEALTH 9,265,255 16,628,380 1,587,656 10 % 15,040,724 -
LOGISTICS
PAK-09/CSS05 WFP - 6,023,596 - 0% 6,023,596 -

Logistics Cluster support to humanitarian
community Response to IDPs.
PAK-09/CSS06 WFP - 4,053,930 - 0% 4,053,930 -

Air Operation
Subtotal for LOGISTICS - 10,077,526 - 0% 10,077,526 -
68
P A K I S T A N


NUTRITION
PAK-08/H11 UNICEF 1,622,386 1,867,520 1,750,000 94% 117,520 -

Community-based and facility-based
management of acute malnutrition in IDP
camps in NWFP
PAK-08/H12 NRSP 50,000 100,000 - 0% 100,000 -

management of acute malnutrition in
Rajanpur and DG Khan, Punjab (flood
affected)
PAK-08/H13 MERLIN 45,000 197,500 - 0% 197,500 -

Community and facility based nutrition
intervention for the care and treatment of
acute malnourished children and
women in Peshawar, NWFP (flood affected)
PAK-08/H14 IR 20,000 127,500 - 0% 127,500 -

women in Nowshera district, NWFP
PAK-08/H15 RI 75,000 132,500 - 0% 132,500 -

women in Lower Dir and Upper Dir, NWFP
PAK-08/H16 NRSP 60,000 60,000 - 0% 60,000 -

women in Mardan, Charsadda and
Malakand (IDPs in camps and host families)
PAK-08/H17 ABKT 70,000 70,000 - 0% 70,000 -

women in Bajur, NWFP
PAK-08/H18 Johanniter Unfallhilfe e.V. 20,000 158,500 - 0% 158,500 -

women in Swabi (IDPs) and Khyabar
Agency (flood affected)
PAK-08/H19A IMC 35,000 35,000 - 0% 35,000 -

women in Kurram Agency, FATA
PAK-08/H19B SRSP 35,000 35,000 - 0% 35,000 -

women in Kurram Agency, FATA
PAK-08/H20A ACF 40,000 40,000 - 0% 40,000 -

Nutrition assessment in the IDPs and flood
affected communities in NWFP and Punjab
PAK-08/H20B UNICEF 40,000 100,000 - 0% 100,000 -

Subtotal for NUTRITION 2,112,386 2,923,520 1,750,000 60 % 1,173,520 -
69
P A K I S T A N


WATER, SANITATION AND HYGIENE
PAK-08/WS01 UNICEF 150,000 180,000 - 0% 180,000 -

Coordination of the WASH Cluster,
including assessments of the WASH
situation on-ground, ensuring an effective
and coherent response involving all relevant
partners, identification of gaps
PAK-08/WS02 UNICEF 2,800,000 7,500,000 2,235,207 30% 5,264,793 -

WASH Interventions for displaced
populations in IDP camps in NWFP, in-line
with Sphere Standards
PAK-08/WS03 IR 500,000 450,000 240,000 53% 210,000 -

Provision of safe drinking water and
sanitation facilities to Internally Displaced
Peoples (IDPs), NWFP
PAK-08/WS04 WHO 500,000 650,000 388,593 60% 261,407 -

Improvement of Water Quality and Water
Quality Monitoring and Provision of Water
Supply and Sanitation to Health Facilities in
IDP and Flood Affected Areas of NWFP
PAK-08/WS05 ACTED 300,000 800,000 318,419 40% 481,581 -

Wash promotion for IDPs living in host
communities through social mobilization,
Peshawar District, Malakand and Mardan
PAK-08/WS06 CWS 425,000 160,000 160,000 100% - -

Water and Hygiene Support Project to Flood
affected Families of District Rajanpur
(Punjab), in 14 UCs of Tehsil Rojhan,
Rajanpur and Jampur of District Rajanpur
(Punjab)
PAK-08/WS07 IMC 400,000 400,000 500,000 125% (100,000) -

Emergency Water, Sanitation and Hygiene
Assistance for the IDPs, in camps and host
communities, and for Flood Affected
Populations in NWFP
PAK-08/WS08 Muslim Aid 325,000 500,000 170,000 34% 330,000 -

Safe Drinking Water, Sanitation and
Hygiene Promotion to IDPs living with host
families
PAK-08/WS09 NIDA 100,000 100,000 - 0% 100,000 -

Programme for IDP populations in
Camps/host communities and support upon
return, in NWFP
PAK-09/WS10 CWS - 400,000 - 0% 400,000 -

Water, Sanitation and Hygiene Support
Project for IDPs residing with host families
in Peshawar Town I, II, III, IV, Mardan,
Charsadda and Dir
PAK-09/WS11 IRC - 560,000 161,740 29% 398,260 -

Water, Sanitation and Hygiene promotion
support to approximately 21,000 IDPs in
camps.
PAK-09/WS12 UNICEF - 3,800,000 - 0% 3,800,000 -

WASH Interventions for displaced
populations in the North Western Frontier
Province (NWFP) and FATA living with host
families, including Swat District
Subtotal for WATER, SANITATION AND HYGIENE 5,500,000 15,500,000 3,855,540 25 % 11,644,460 -
Grand Total 55,102,503 129,842,614 29,576,001 23 % 100,266,613 3,149,196

yet committed).
70
P A K I S T A N
PROJECTS GROUPED BY APPEALING ORGANISATION, WITH FUNDING STATUS OF EACH
Table IV: Pakistan Humanitarian Response Plan (Revised) 2008

List of Projects (grouped by appealing organisation), with funding status of each
Project Code Cluster Original Revised Funding % Unmet Uncommitted

ABKT
PAK-08/H17 NUTRITION 70,000 70,000 - 0% 70,000 -

intervention for the care and treatment of acute
malnourished children and malnourished
pregnant and lactating women in Bajur, NWFP
PAK-09/ER/I08 EARLY RECOVERY - 129,221 - 0% 129,221 -

Skills Development of Male & female IDPs of
Bajaur in 4 camps of Dir lower
Subtotal for ABKT 70,000 199,221 - 0% 199,221 -
ACF
PAK-08/H20A NUTRITION 40,000 40,000 - 0% 40,000 -

Subtotal for ACF 40,000 40,000 - 0% 40,000 -
ACTED
PAK-08/WS05 WATER, SANITATION AND HYGIENE 300,000 800,000 - 0% 800,000 -

Wash promotion for IDPs living in host
communities through social mobilization,
Peshawar District, Malakand and Mardan

Support to Livelihoods of most vulnerable IDPs
and Host Families through skill development
and community based cash for work activities
PAK-09/S/NF01 CAMP MANAGEMENT, SHELTER, - 400,000 - 0% 400,000 -

PROTECTION
Support to conflict-affected IDPs living in Host
communities
Subtotal for ACTED 300,000 1,676,146 - 0% 1,676,146 -
CARE International
PAK-09/E11 EDUCATION - 100,000 - 0% 100,000 -

Psycho-social and Education Support to
Children, Women and Youths
Subtotal for CARE International - 100,000 - 0% 100,000 -
CORDAID
PAK-09/H21 HEALTH - 450,000 - 0% 450,000 -

Reactivation and strengthening of NWFP health
network
Subtotal for CORDAID - 450,000 - 0% 450,000 -
71
P A K I S T A N


CWS
PAK-08/WS06 WATER, SANITATION AND HYGIENE 425,000 160,000 160,000 100% - -

Water and Hygiene Support Project to Flood
affected Families of District Rajanpur (Punjab),
in 14 UCs of Tehsil Rojhan, Rajanpur and
Jampur of District Rajanpur (Punjab)
PAK-09/CSS04 CAMP MANAGEMENT, SHELTER, - 42,491 - 0% 42,491 -

PROTECTION
Capacity Building of Humanitarian Workers in
Sphere: Humanitarian Charter and Minimum
Standards in Disaster Response
PAK-09/WS10 WATER, SANITATION AND HYGIENE - 400,000 - 0% 400,000 -

Water, Sanitation and Hygiene Support Project
for IDPs residing with host families in Peshawar
Town I, II, III, IV, Mardan, Charsadda and Dir
Subtotal for CWS 425,000 602,491 160,000 27 % 442,491 -
FAO
PAK-08/A01 AGRICULTURE 6,000,000 5,750,000 302,115 5% 5,447,885 -

Emergency assistance to restore agriculture
livelihoods and enhance food security of poor
and vulnerable IDPs households and host
families affected by the armed conflict in NWFP
and FATA
PAK-09/A03 AGRICULTURE - 1,540,000 399,994 26% 1,140,006 -

Emergency assistance to restore the agriculture
livelihoods and enhance food security of
vulnerable households in flood affected areas of
NWFP
Subtotal for FAO 6,000,000 7,290,000 702,109 10 % 6,587,891 -
HealthNet TPO
PAK-09/H22 HEALTH - 215,000 - 0% 215,000 -

Psychosocial Response to Conflict affectees of
NWFP
PAK-09/H23 HEALTH - 300,000 - 0% 300,000 -

Malaria Control in IDPs Camps and Host
communities of NWFP
Subtotal for HealthNet TPO - 515,000 - 0% 515,000 -
HH
PAK-09/ER/I05 EARLY RECOVERY - 1,151,530 - 0% 1,151,530 -

Livelihood Restoration in Flood Affected Areas
of NWFP
Subtotal for HH - 1,151,530 - 0% 1,151,530 -
ILO
PAK-08/ER/I03 EARLY RECOVERY 500,000 500,000 - 0% 500,000 -

Initiating “Cash for Work” and “Cash for Skills
Training” programme for IDPs and host
communities
Subtotal for ILO 500,000 500,000 - 0% 500,000 -
72
P A K I S T A N


IMC
PAK-08/H08 HEALTH 400,000 300,000 - 0% 300,000 -

Emergency Healthcare services for IDPs in
NWFP
PAK-08/H19A NUTRITION 35,000 35,000 - 0% 35,000 -

pregnant and lactating women in Kurram
Agency, FATA
PAK-08/WS07 WATER, SANITATION AND HYGIENE 400,000 400,000 500,000 125% (100,000) -
Emergency Water, Sanitation and Hygiene
Assistance for the IDPs, in camps and host
communities, and for Flood Affected
Populations in NWFP
Subtotal for IMC 835,000 735,000 500,000 68 % 235,000 -
IR
PAK-08/H07 HEALTH 125,717 409,822 - 0% 409,822 -

Static PHC Health Units in IDP camp in Jalozai
IDP Camp Nowshera, NWFP
PAK-08/H14 NUTRITION 20,000 127,500 - 0% 127,500 -

pregnant and lactating women in Nowshera
district, NWFP
PAK-08/WS03 WATER, SANITATION AND HYGIENE 500,000 450,000 240,000 53% 210,000 -
Provision of safe drinking water and sanitation
facilities to Internally Displaced Peoples (IDPs),
NWFP
Subtotal for IR 645,717 987,322 240,000 24 % 747,322 -
IRC
PAK-08/E07 EDUCATION 400,000 297,157 118,000 40% 179,157 -

Emergency Education for IDP Children in
accordance with the INEE Minimum Standards
for Education in Emergencies, Chronic Crisis
and Early Reconstruction in the newly
established Jalozai IDP camp in NWFP
PAK-09/WS11 WATER, SANITATION AND HYGIENE - 560,000 161,740 29% 398,260 -

Water, Sanitation and Hygiene promotion
support to approximately 21,000 IDPs in camps.
Subtotal for IRC 400,000 857,157 279,740 33 % 577,417 -
Johanniter Unfallhilfe e.V.
PAK-08/H09 HEALTH 180,000 242,098 - 0% 242,098 -

Provision of complete Health Services package
to the IDPs and host families through two BHUs
and one mobile medical unit.
PAK-08/H18 NUTRITION 20,000 158,500 - 0% 158,500 -

pregnant and lactating women in Swabi (IDPs)
and Khyabar Agency (flood affected)
Subtotal for Johanniter Unfallhilfe e.V. 200,000 400,598 - 0% 400,598 -
73
P A K I S T A N


MERLIN
PAK-08/H05 HEALTH 298,000 585,080 - 0% 585,080 -

Provision of essential PHC and referral services
to the IDPs and host communities in Peshawar
district with the focus on diseases surveillance
and outbreak prevention and response
PAK-08/H13 NUTRITION 45,000 197,500 - 0% 197,500 -

pregnant and lactating women in Peshawar,
NWFP (flood affected)
Subtotal for MERLIN 343,000 782,580 - 0% 782,580 -
Muslim Aid
Safe Drinking Water, Sanitation and Hygiene
Promotion to IDPs living with host families
Subtotal for Muslim Aid 325,000 500,000 170,000 34 % 330,000 -
NIDA

Programme for IDP populations in Camps/host
communities and support upon return, in NWFP
Subtotal for NIDA 100,000 100,000 - 0% 100,000 -
NRSP
PAK-08/H12 NUTRITION 50,000 100,000 - 0% 100,000 -

management of acute malnutrition in Rajanpur
and DG Khan, Punjab (flood affected)
PAK-08/H16 NUTRITION 60,000 60,000 - 0% 60,000 -

pregnant and lactating women in Mardan,
Charsadda and Malakand (IDPs in camps and
host families)
Subtotal for NRSP 110,000 160,000 - 0% 160,000 -
OCHA
PAK-08/CSS01 COORDINATION 170,000 1,300,000 185,529 14% 1,114,471 -

Coordination of humanitarian action
Subtotal for OCHA 170,000 1,300,000 185,529 14 % 1,114,471 -
74
P A K I S T A N


RI
PAK-08/A02 AGRICULTURE 500,000 500,000 545,680 109% (45,680) -

Livelihood restoration for the internally displaced
population and poor families affected by floods
(districts Lower Dir, Peshawar, Mardan,
Charsadda)
PAK-08/H15 NUTRITION 75,000 132,500 - 0% 132,500 -

pregnant and lactating women in Lower Dir and
Upper Dir, NWFP

Skill Development and Energy for Early
Recovery
Subtotal for RI 575,000 811,597 545,680 67 % 265,917 -
SC Alliance
PAK-09/E10 EDUCATION - 200,000 - 0% 200,000 -

Supporting Play and Education for IDP Children
in NWFP
Subtotal for SC Alliance - 200,000 - 0% 200,000 -
SRSP
PAK-08/H19B NUTRITION 35,000 35,000 - 0% 35,000 -

pregnant and lactating women in Kurram
Agency, FATA
Subtotal for SRSP 35,000 35,000 - 0% 35,000 -
UNDP
PAK-08/ER/I01 EARLY RECOVERY 60,000 60,000 60,000 100% - -

Coordination of Early Recovery planning and
implementation at Federal, Provincial and local
levels
PAK-08/ER/I02 EARLY RECOVERY 500,000 500,000 - 0% 500,000 -

Restoration of the capacity of government
offices damaged or destroyed due to floods and
conflict
PAK-09/CSS07 COORDINATION - 100,000 - 0% 100,000 -

Support to the Provincial Government for
Coordination of humanitarian action (IDP’s
response)

Recovery Coordination Support to Government
Agencies

Provision of Heating and Cooking Energy to
IDPs Hosting Areas
Subtotal for UNDP 560,000 5,060,200 60,000 1% 5,000,200 -
75
P A K I S T A N


UNESCO
PAK-08/E04 EDUCATION 540,000 150,000 - 0% 150,000 -

Support for planning of early recovery and
conflict affected areas of NWFP and FATA.
PAK-08/E05 EDUCATION 400,000 1,470,053 70,053 5% 1,400,000 -

Support for continued access to middle,
secondary and non-formal education for flood
and conflict affected children of NWFP and
FATA.
PAK-09/E09 EDUCATION - 750,000 - 0% 750,000 -

Development of vocational skills amongst IDPs
Subtotal for UNESCO 940,000 2,370,053 70,053 3% 2,300,000 -
UNFPA
PAK-08/H06 HEALTH 961,538 961,538 - 0% 961,538 -

Provision of Maternal, Neonatal and Child
Health care at Internally Displaced Population
(IDP) camps in NWFP, Pakistan
PAK-08/MS05 CAMP MANAGEMENT, SHELTER, 100,000 100,000 - 0% 100,000 -

PROTECTION
PAK-09/P/HR/RL0 CAMP MANAGEMENT, SHELTER, - 50,000 - 0% 50,000 -

1 PROTECTION
Addressing IDP Women’s and Adolescents’
Subtotal for UNFPA 1,061,538 1,111,538 - 0% 1,111,538 -
UN-HABITAT
PAK-08/CSS03 COORDINATION 32,175 120,000 - 0% 120,000 -

Information Management for Humanitarian
Response
PAK-08/MS04 CAMP MANAGEMENT, SHELTER, 255,750 402,215 250,000 62% 152,215 -

PROTECTION
Subtotal for UN-HABITAT 287,925 522,215 250,000 48 % 272,215 -
UNHCR
PAK-08/MS01 CAMP MANAGEMENT, SHELTER, 14,425,562 30,300,000 13,581,696 45% 16,718,304 2,206,442
PROTECTION
Camp Management, Shelter and Protection
PAK-08/MS02 CAMP MANAGEMENT, SHELTER, 2,800,000 - - 0% -

PROTECTION
Winterization of camps
Subtotal for UNHCR 17,225,562 30,300,000 13,581,696 45 % 16,718,304 2,206,442
76
P A K I S T A N


UNICEF
PAK-08/CSS02 COORDINATION 258,425 160,000 36,052 23% 123,948 -

Multi-cluster Rapid Assessment Mechanism
(McRAM)
PAK-08/E01 EDUCATION 11,200 40,000 - 0% 40,000 -

Support to Education Cluster for an Effective
Response
PAK-08/E02 EDUCATION 700,000 1,800,000 157,046 9% 1,642,954 -

Restore Primary Education for Host Community
Children Affected by Conflict in Bajaur,
Mohmand and Khyber agencies of FATA
PAK-08/E03 EDUCATION 800,000 1,035,078 1,107,509 107% (72,431) -

Ensure Continuation of Education of Children,
especially Girls, in Conflict-affected Districts,
especially Swat District
PAK-08/E06 EDUCATION 460,000 460,000 - 0% 460,000 -

Rehabilitation of flood-affected schools in
District Rajanpur, Punjab
PAK-08/H10 HEALTH 2,300,000 2,400,000 98,613 4% 2,301,387 -

Maternal & Child Health care
PAK-08/H11 NUTRITION 1,622,386 1,867,520 1,750,000 94% 117,520 -

management of acute malnutrition in IDP camps
in NWFP
PAK-08/H20B NUTRITION 40,000 100,000 - 0% 100,000 -

PAK-08/MS03 CAMP MANAGEMENT, SHELTER, 1,521,750 3,000,000 231,869 8% 2,768,131 -

PROTECTION
Protection for girls and boys and their families
affected by armed conflict in NWFP and FATA
living in camps and host families
PAK-08/UNICEF CLUSTER NOT YET SPECIFIED - - 701,782 0% (701,782) -

Awaiting allocation to specific project/sector

Coordination of the WASH Cluster, including
assessments of the WASH situation on-ground,
ensuring an effective and coherent response
involving all relevant partners, identification of
gaps
PAK-08/WS02 WATER, SANITATION AND HYGIENE 2,800,000 7,500,000 2,235,207 30% 5,264,793 -
WASH Interventions for displaced populations in
IDP camps in NWFP, in-line with Sphere
Standards
PAK-09/E08 EDUCATION - 100,000 - 0% 100,000 -

Support On-going and Additional education
Services for Primary School Children in IDP
Camps
PAK-09/WS12 WATER, SANITATION AND HYGIENE - 3,800,000 - 0% 3,800,000 -

WASH Interventions for displaced populations in
the North Western Frontier Province (NWFP)
and FATA living with host families, including
Swat District
Subtotal for UNICEF 10,663,761 22,442,598 6,318,078 28 % 16,124,520 -
Various
PAK-08/Various CLUSTER NOT YET SPECIFIED - - - 0% - 942,754

Funds committed flexibly by donor, to be
allocated to organisations and projects
Subtotal for Various - - - 0% - 942,754
77
P A K I S T A N


WFP
PAK-08/F01 FOOD SECURITY 7,790,000 26,700,000 4,635,480 17% 22,064,520 -

Emergency food aid assistance to population
affected by armed conflict in NWFP
PAK-09/CSS05 LOGISTICS - 6,023,596 - 0% 6,023,596 -

Logistics Cluster support to humanitarian
community Response to IDPs.
PAK-09/CSS06 LOGISTICS - 4,053,930 - 0% 4,053,930 -

Air Operation
Subtotal for WFP 7,790,000 36,777,526 4,635,480 13 % 32,142,046 -
WHO
PAK-08/H01 HEALTH 500,000 706,200 54,000 8% 652,200 -

Coordination of health actions
PAK-08/H02 HEALTH 2,500,000 3,531,000 980,000 28% 2,551,000 -

Provision of a package of essential health
flood affected people of NWPF and Punjab
PAK-08/H03 HEALTH 1,000,000 1,647,800 196,000 12% 1,451,800 -

Disease and nutrition surveillance, early
PAK-08/H04 HEALTH 1,000,000 4,879,842 259,043 5% 4,620,799 -

Revitalisation of primary health care services in
flood and conflict-affected areas of district Swat,
Bajaur, Khyber, Orakzai, Kurram, North & South
Wazirsatan, F.R Peshawar/Kohat and F.R DI
Khan/Tank
Improvement of Water Quality and Water
Quality Monitoring and Provision of Water
Supply and Sanitation to Health Facilities in IDP
and Flood Affected Areas of NWFP
Subtotal for WHO 5,500,000 11,414,842 1,877,636 16 % 9,537,206 -
WWF

Early Environmental Recovery of the IDP
Affected Areas of Lower Dir, Mardan,
Subtotal for WWF - 200,000 - 0% 200,000 -
YRC
PAK-09/E12 EDUCATION - 250,000 - 0% 250,000 -

Continuation of Primary Education Services to
IDP Children Living in Katcha Garhi Camp 1,2,
Benazir Complex Camp and Providing Primary
Education Facilities to those Children Living with
Host Communities
Subtotal for YRC - 250,000 - 0% 250,000 -
Grand Total 55,102,503 129,842,614 29,576,001 23 % 100,266,613 3,149,196
yet committed).
78
P A K I S T A N
SUMMARY OF REQUIREMENTS/CONTRIBUTIONS AND

PLEDGES GROUPED BY IASC STANDARD SECTOR
Table V: Pakistan Humanitarian Response Plan (Revised) 2008

Requirements, Commitments/Contributions and Pledges (grouped by IASC standard sector)
Sector Original Revised Funding % Unmet Uncommitted

Requirements Requirements Covered Requirements Pledges
AGRICULTURE 6,500,000 7,790,000 1,247,789 16% 6,542,211 -
COORDINATION AND SUPPORT SERVICES 460,600 11,800,017 221,581 2% 11,578,436 -
ECONOMIC RECOVERY AND INFRASTRUCTURE 1,060,000 7,596,194 60,000 1% 7,536,194 -
EDUCATION 3,311,200 6,652,288 1,452,608 22% 5,199,680 -
FOOD 7,790,000 26,700,000 4,635,480 17% 22,064,520 -
HEALTH 11,377,641 19,551,900 3,337,656 17% 16,214,244 -
MULTI-SECTOR 19,103,062 33,802,215 14,063,565 42% 19,738,650 2,206,442
PROTECTION/HUMAN RIGHTS/RULE OF LAW - 50,000 - 0% 50,000 -
SECTOR NOT YET SPECIFIED - - 701,782 0% (701,782) 942,754
SHELTER AND NON-FOOD ITEMS - 400,000 - 0% 400,000 -
WATER AND SANITATION 5,500,000 15,500,000 3,855,540 25% 11,644,460 -
GRAND TOTAL 55,102,503 129,842,614 29,576,001 23% 100,266,613 3,149,196
yet committed).
79
P A K I S T A N
ANNEX II. ACRONYMS AND ABBREVIATIONS

ABKT Anjuman Behbood-e-Khawateen
ACF Action Against Hunger (Action Contre la Faim)
ACTED Agency for Technical Cooperation and Development
ARI acute respiratory infection
AWAZ (not an acronym)
AWD acute watery diarrhoea
BHU basic health unit
CAR Commissionerate for Afghan Refugees

CBO community-based organisation
CCCM Camp Coordination and Camp Management
CD Civil Dispensary
CERD Committee on the Elimination of Racial Discrimination
CERF Central Emergency Response Fund
CFS child-friendly spaces
CFW cash-for-work
CH civil hospital
CI counter-insurgency
CMAM community-based management of acute malnutrition
CNIC Computerised National Identity Card
CSO civil society organisation
CWS Church World Service
DDMA District Disaster Management Authority

DEO District Education Officer
DEWS Disease Early Warning System
DHQ District Headquarters
DMT Disaster Management Team
DoE Department of Education
DoH Department of Health
DTC diarrhoea treatment centre
ECE early childhood education

EDO Executive District Officer
EDO-H Executive District Officer Health
EDOE Executive District Officer Education
EDP extended delivery point
EPI Extended Programme on Immunisation
FAO Food and Agriculture Organization

FATA Federally Administered Tribal Areas
FP family planning
GBV gender-based violence

GIS geographic information system
GoP Government of Pakistan
HC Humanitarian Coordinator
HIV human immuno-deficiency virus
HMIS Health Management Information System
HRDS Human Resource Development Society
HRP Humanitarian Response Plan
IASC Inter-Agency Standing Committee

IASC CT Inter-Agency Standing Committee Country Team
IASCI International Agency for Source Country Information
ICRC International Committee of the Red Cross
IDP internally displaced person
IDO Indus Development Organization
ILO International Labour Organization
IM information management
IMC International Medical Corps
INEE Minimum Standards for Education in Emergencies
INGO international non-governmental organisation
IOM International Organization for Migration
IR Islamic Relief
80
P A K I S T A N
IRC International Rescue Committee

ISP Institute of Social Policy
JAC-ER Joint Action Committee for Emergency Response
LG local government
LHW lady health worker
LPG liquified petroleum gas or liquid propane gas
LSS Logistics Support System
MCH maternal and child health

McRAM Multi-Cluster Rapid Assessment
MERLIN Medical Emergency Relief International
MHC mobile health clinic
MoE Ministry of Education
MoH Ministry of Health
MMR maternal mortality rate
MMU mobile medical units
MNCH maternal, neonatal, child health
MSF Médecins Sans Frontières
MSF-B Médecins Sans Frontières - Belgium
MSEE Minimum Standards for Education in Emergencies
MSU mobile service units
MT metric tonne
MUAC mid-upper arm circumference
NADRA National Database Registration Authority

NDMA National Disaster Management Authority
NFI non-food items
NIDA National Integrated and Development Association
NGO non-governmental organization
NRSP National Rural Support Programme
NWFP North West Frontier Province
OCHA Office for the Coordination of Humanitarian Affairs

OFDA Office of (U.S.) Foreign Disaster Assistance
OPV oral polio vaccine
ORS oral rehydration salts
P/A Pakistan/Afghanistan
PDA personal digital assistant
PDMA Provincial Disaster Management Authority
PHC primary health care
PHED Public Health Engineering Department
PHF Pakistan Humanitarian Forum
PLA people living with AIDS
PPHI President’s Primary Healthcare Initiatives
PRC Provincial Relief Commissioner
PRCS Pakistan Red Crescent Society
PKR Pakistan Rupee (also Rs)
PTC Parent-Teacher’s Council
RC Resident Coordinator
RCO Resident Coordinator’s Office
RH reproductive health
RHC reproductive health care
RI Relief International
Rs Pakistan Rupee (also PKR)
RUTF ready-to-use therapeutic foods
SARHAD Support Agency for Rural & Human Association's Development

SFC supplementary feeding centre
SCF Save the Children Federation
SGBV sexual and gender-based violence
SPHERE (not an acronym)
SPO strengthening participatory organisation
SRSP Sarhad Rural Support Programme
SSD Society for Sustainable Development
SWD Social Welfare Department
81
P A K I S T A N
TBA traditional birth attendant

THQ Tehsil Headquarter
TMA Tehsil Municipal Administration
TRDP Thardeep Rural Development Program
TTBA trained traditional birth attendant
UC Union Council
UNCT United Nations Country Team
UNDP United Nations Development Programme
UNDSS United Nations Department for Security and Safety
UNESCO United Nations Educational, Scientific, and Cultural Organization
UNFPA United Nations Population Fund
UN-HABITAT United Nations Human Settlements Programme
UNHAS United Nations Humanitarian Air Service
UNHCR United Nations High Commissioner for Refugees
UNICEF United Nations Children’s Fund
UNRCO United Nations Resident Coordinator’s Office
WASH water, sanitation and hygiene

WFP World Food Programme
WHO World Health Organization
82
Consolidated Appeal Process (CAP)
The CAP is a tool for aid organisations to jointly plan, coordinate, implement and monitor their
response to disasters and emergencies, and to appeal for funds together instead of competitively.
It is the forum for developing a strategic approach to humanitarian action, focusing on close
cooperation between host governments, donors, non-governmental organisations (NGOs), the
International Red Cross and Red Crescent Movement, International Organization for Migration (IOM),
and United Nations agencies. As such, it presents a snapshot of the situation and response plans, and
is an inclusive and coordinated programme cycle of:
• Strategic planning leading to a Common Humanitarian Action Plan (CHAP);

• Resource mobilisation leading to a Consolidated Appeal or a Flash Appeal;
• Coordinated programme implementation;
• Joint monitoring and evaluation;
• Revision, if necessary;
• Reporting on results.
The CHAP is the core of the CAP – a strategic plan for humanitarian response in a given country or
region, including the following elements:
• A common analysis of the context in which humanitarian action takes place;

• An assessment of needs;
• Best, worst, and most likely scenarios;
• A clear statement of longer-term objectives and goals;
• Prioritised response plans, including a detailed mapping of projects to cover all needs;
• A framework for monitoring the strategy and revising it if necessary.
The CHAP is the core of a Consolidated Appeal or, when crises break out or natural disasters strike, a
Flash Appeal. Under the leadership of the Humanitarian Coordinator, and in consultation with host
Governments and donors, the CHAP is developed at the field level by the Humanitarian Country
Team. This team includes IASC members and standing invitees (UN agencies, the International
Organization for Migration, the International Red Cross and Red Crescent Movement, and NGOs that
belong to ICVA, Interaction, or SCHR), but non-IASC members, such as national NGOs, can also be
included.
The Humanitarian Coordinator is responsible for the annual preparation of the consolidated appeal
document. The document is launched globally near the end of each year to enhance advocacy and
resource mobilisation. An update, known as the Mid-Year Review, is presented to donors the following
July.
Donors generally fund appealing agencies directly in response to project proposals listed in appeals.
The Financial Tracking Service (FTS), managed by the United Nations Office for the Coordination of
Humanitarian Affairs (OCHA), is a database of appeal funding needs and worldwide donor
contributions, and can be found on www.reliefweb.int/fts.
In sum, the CAP is how aid agencies join forces to provide people in need the best available
protection and assistance, on time.
OFFI CE F OR T HE C O O RD I N A T I ON OF HU M A NI T AR IA N AF F AI R S
(OCHA)
UNITED NATIONS PALAIS DES NATIONS

NEW YORK, NY 10017 1211 GENEVA 10
USA SWITZERLAND

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SAMPLE OF ORGANISATIONS PARTICIPATING IN CONSOLIDATED APPEALS

AARREC COSV HT MDM TGH

Table I. Summary of Requirements, Commitments/Contributions and Pledges (grouped by cluster).................. 2

2. CONTEXT AND NEEDS ANALYSIS ................................................................................................................. 4

4. ROLES AND RESPONSIBILITIES .................................................................................................................. 64

ANNEX I. LISTS OF 2009 PROJECTS ............................................................................................................ 65

ANNEX II. ACRONYMS AND ABBREVIATIONS......................................................................................... 80

Continuously-updated project details and budgets can be seen on www.reliefweb.int/fts.

Table I. Summary of Requirements, Commitments/Contributions and Pledges (grouped by cluster)

Table I: Pakistan Humanitarian Response Plan (Revised) 2008

Cluster Original Revised Funding % Unmet Uncommitted

Value in US$ A B C C/B B-C D

AGRICULTURE 6,500,000 7,790,000 1,247,789 16% 6,542,211 -

CLUSTER NOT YET SPECIFIED - - 701,782 0% (701,782) 942,754

COORDINATION 460,600 1,680,000 221,581 13% 1,458,419 -

EARLY RECOVERY 1,060,000 7,596,194 60,000 1% 7,536,194 -

EDUCATION 3,311,200 6,652,288 1,452,608 22% 5,199,680 -

FOOD SECURITY 7,790,000 26,700,000 4,635,480 17% 22,064,520 -

HEALTH 9,265,255 16,628,380 1,587,656 10% 15,040,724 -

LOGISTICS - 10,077,526 - 0% 10,077,526 -

NUTRITION 2,112,386 2,923,520 1,750,000 60% 1,173,520 -

WATER, SANITATION AND HYGIENE 5,500,000 15,500,000 3,855,540 25% 11,644,460 -

Grand Total 55,102,503 129,842,614 29,576,001 23% 100,266,613 3,149,196

NOTE: "Funding" means Contributions + Commitments + Carry-over

Original appeal, revision, and funding to date

Original appeal September 2009 $55 Million

Table II. Summary of Requirements, Commitments/Contributions and Pledges (grouped by appealing

Table II: Pakistan Humanitarian Response Plan (Revised) 2008

Appealing Organisation Original Revised Funding % Unmet Requirements Uncommitted

Values in US$ A B C C/B B-C D

ABKT 70,000 199,221 - 0% 199,221 -

ACF 40,000 40,000 - 0% 40,000 -

ACTED 300,000 1,676,146 - 0% 1,676,146 -

CARE International - 100,000 - 0% 100,000 -

CORDAID - 450,000 - 0% 450,000 -

CWS 425,000 602,491 160,000 27% 442,491 -

FAO 6,000,000 7,290,000 702,109 10% 6,587,891 -

HealthNet TPO - 515,000 - 0% 515,000 -

ILO 500,000 500,000 - 0% 500,000 -

IMC 835,000 735,000 500,000 68% 235,000 -

IR 645,717 987,322 240,000 24% 747,322 -

IRC 400,000 857,157 279,740 33% 577,417 -

Johanniter Unfallhilfe e.V. 200,000 400,598 - 0% 400,598 -

MERLIN 343,000 782,580 - 0% 782,580 -

Muslim Aid 325,000 500,000 170,000 34% 330,000 -

NIDA 100,000 100,000 - 0% 100,000 -

NRSP 110,000 160,000 - 0% 160,000 -

OCHA 170,000 1,300,000 185,529 14% 1,114,471 -

RI 575,000 811,597 545,680 67% 265,917 -

SC Alliance - 200,000 - 0% 200,000 -

SRSP 35,000 35,000 - 0% 35,000 -

UNDP 560,000 5,060,200 60,000 1% 5,000,200 -

UNESCO 940,000 2,370,053 70,053 3% 2,300,000 -

UNFPA 1,061,538 1,111,538 - 0% 1,111,538 -

UN-HABITAT 287,925 522,215 250,000 48% 272,215 -

UNHCR 17,225,562 30,300,000 13,581,696 45% 16,718,304 2,206,442

UNICEF 10,663,761 22,442,598 6,318,078 28% 16,124,520 -

WFP 7,790,000 36,777,526 4,635,480 13% 32,142,046 -

WHO 5,500,000 11,414,842 1,877,636 17% 9,537,206 -

WWF - 200,000 - 0% 200,000 -

YRC - 250,000 - 0% 250,000 -

GRAND TOTAL 55,102,503 129,842,614 29,576,001 23% 100,266,613 3,149,196

NOTE: "Funding" means Contributions + Commitments + Carry-over

2. CONTEXT AND NEEDS ANALYSIS