Anjum Rizvi, Family Planning Association of Pakistan

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Best practices in reducing vulnerability of survivors of Gender Based Violence in flood affected districts of Pakistan

.

Dr Anjum Rizvi

Director Program

Rahnuma-Family Planning Association of Pakistan)

Committed to Changing LIVES

Background

• According to the Global Gender Gap Index Report 2011, Pakistan is ranked at number133 out of total 135 countries.

• Woman Rights are exploited using religious and cultural norms.

• Every hour two women are beaten in Pakistan. Beatings/abuse from a male family member is by and large acceptable - a private matter.

• On average 1000 women are murdered in a year, in the name of honor

Human Rights Commission of Pakistan

• Early/Child marriages, Acid burning and Sexual assaults are quite common

• MMR 276/100,000 live births, unmet need 34%, TFR 4.1, 34 % literacy

• 61% of the deliveries are conducted by unskilled birth attendants.

Source :PDHS 2011-12

Committed to Changing LIVES

Contd

..

• Independence, Empowerment and divorce for a woman are taboos.

• The GBV survivors are trapped in socio-cultural norms and practices

• As a survivor she is abused twice – once by the spouse and other to whom she turns for help – including persons from law enforcement agencies, judiciary, community etc.

• Lack of integration of GBV services in healthcare programs, Weak legal support system and unreliable shelters are some of the serious challenges faced by survivors as well as by the service providers in their efforts to assist these survivors.

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

NAs

RAHNUMA

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Dasu

Mansehra

HARIPUR

MUZAFFARABAD

Abbotabad

Kotli

Rawalakot Srinagar

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Karak

Attock

ISLAMABAD

Rawalpindi

CHAKWAL

Jhelum

Mirpur

Bannu

Mianwali

Khushab

Sargodha jra nw

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Sheikhupura

Jhang FAISALABAD

Gujrat ala

Sialkot

Narowal

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Turbat

MAND

Pishin

QUETTA

Mustung

Nushki

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Panjgur

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Kharan

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Jacobabad

Khuzdar

Shikarpur

Larkana

Dadu

Dera Bugti

Sukkur

Rohri

Khairpur

Bela

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Khanewal

Muz affa

D.G.

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Sahiwal

Multan

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Rajanpur

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Bahawalpur

SIN

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Sanghar

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Khanpur

Rahim Yar Khan

ARA

BIAN

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Mirpur Khas

Syed

Khadam

BADIN

Nagar Parkar

Okara

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JAMMU

AND

KASHMIR

Head Office Lahore

Regional Offices

Prog. Management Offices

Islam & FP Project

Male Youth

Women Empowerment

CBRHEP

Family Health Clinics

Girl Child Project

Army Welfare Project

Combat Domestic Violence

Str. Electoral Process

Strengthening FHC

Quality RH&FP Services

Committed to Changing LIVES

Project Goal

Addressing vulnerability of young girls and women to GBV through strengthened services and improved capacity of health care providers and stakeholders in flood affected areas of Pakistan

.

Geographical Spread

10 Flood affected districts across Pakistan .

• Punjab : Muzaffaragarh, DG Khan, Laiyah, Rajanpur

• Sindh : Badin , Dadu, and Thatta.

• AJK : Neelam, Bagh & Muzaffarabad.

Committed to Changing LIVES

Expected Results

• Increased access to GBV related services in the flood affected areas.

• Increased awareness on GBV related issues among men, women, young people, service providers and communities at large.

• Improved capacity of local, public and private, health care service providers to respond to GBV survivors

• Improved understanding of the on ground situation regarding GBV service provision and impact of the intervention in the flood affected areas.

Committed to Changing LIVES

Findings of Best Practices

Effective and confidential GBV counseling, consultation and screening incorporated in home visits thru involvement of local volunteers

• Provision of specialized SRH services through female doctors and psychologists

• Development of strong referral mechanism for legal support and shelter protection with other partners

• follow ups.

• Coordination and Collaboration with public sector, with involvement of LHWs

Committed to Changing LIVES

Contd..

• Incident Reporting Format translated in local language and used for reporting with full confidentiality .

• Effective community mobilization through involvement of village health committee members/elders

• Extensive capacity building on SGBV of staff and public and private partners and service providers

• Effective communication though customized radio programs aired from local FM stations .

Committed to Changing LIVES

Sessions with LHWs

Committed to Changing LIVES

Awareness session in Nursing school

Committed to Changing LIVES

Rural Community support

Committed to Changing LIVES

Psychosocial support

Committed to Changing LIVES

Medical Camp in rural setting

Committed to Changing LIVES

Services at Static Clinic

Committed to Changing LIVES

Support from local TBAs

Committed to Changing LIVES

Support from Community leaders

Committed to Changing LIVES

Sessions with Stakeholders

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Committed to Changing LIVES

Rescue 1122 Training

Committed to Changing LIVES

Committed to Changing LIVES

Committed to Changing LIVES

Lessons learnt

 Sexual violence is a complex and culturally sensitive issue and needs country specific multi-sectoral response

 Trained female service providers (public & private) are critical for the effective services to GBV survivors

 Involvement of local volunteers as well as networking with partners makes intervention smooth

 Referral & Follow up mechanism needs focused attention from Public Health Sector

Committed to Changing LIVES

Way Forward

 Enormous joint Advocacy and appropriate service delivery efforts by different state and non-state actors are required to manage the complexity of addressing the issues of GBV especially in disaster situation.

 Inclusion of MISP in the SOPs of PDMAs plan.

 Training/Refreshers on MISP for the staff, volunteers and public sector

 Feeding field realities into policy bodies, working groups and other forums / conferences

Committed to Changing LIVES

14

th

Annual IAWG Meeting

Friday 31May-Saturday, 01June 2013

KLCC

MISP ACHEIVEMENTS IN PAKISTAN

Sarfraz Hussain Kazmi

( Regional Director )

Rahnuma-Family Planning Association of Pakistan

Committed to Changing LIVES

MISP

Achievements in Pakistan

• Conducted consultative meetings with Govt Officials, press, media, PDMs and stakeholders,

• Highlighted MISP implementation in disaster management.

• Conducted MISP trainings for

Govt health Officials, health

Managers, stakeholders,

INGOs, PDMA.

• Advocacy meetings with

PDMA/NDMA

Committed to Changing LIVES

04-PDMAs included MIPS in their Protocols

Letters of PDMs

Committed to Changing LIVES

Committed to Changing LIVES

T h a n k s

Committed to Changing LIVES

THANK YOU

Committed to Changing LIVES

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