INTERNATIONAL ORGANISATION FOR
MIGRATION
Healthcare Services Needs Assessment Survey report
(Southern Sindh conducted on 16th of August 2011)
Fig:DHQ hospital Tandu Muhammad Khan crammed with rainy water inside & outside the building.
Due to exceptional pre-monsoon heavy rains during the second week of August 2011 in Southern
Sindh,a large area has been filled under water including health facilities,schools, streets,houses,crops
and majority of the buildings in the cities and villeges thus encroaching at least five districts where
emergency has already been declared by the government of Pakistan. These districts include Tandu
Muhammad Khan, Badeen, Thathha,Therparker and Umer koat. An estimated 2.5 million people in
southern Sindh have been affected by the pitiless heavy rains which further compromised their lives,
health and shelter with loss of livestocks and crops, the only source of income for majority of the
innates. Apart from second displacement in the adjacent year, majority of the flood affected have high
risks of house hold accidents due to poorly constructed and stagnant water affected slummy houses
and huts in the villeges and towns. These rains are causing significant health impact among affected
communities with high risks of outbreaks of water/vector born diseases, other communcable diseases,
nutritional disorders , poor MnCH services as well as sexual and reproductive health problems.
The existing health infrastructure is unable to cope with the existing demands with expectations of
further rise.in the need for urgent medical or surgical treatment .In coordination with UNOCHA
coordinator IOM health team conducted survey in district Tandu Muhammad Khan in accompanying
district health team thus showing the snap shots of destructions within and surrounding of Tandu
Muhammad Khan city;
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Fig:Water collection giving the look of a lake in Tandu Muhammad Khan city
Fig:Water pond after heavy rains in the surroundings of Tandu Muammad Khan city
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Fig: IDPs huts at safer place after destruction of their houses
Fig.Water tarn in the surrounding of houses in the villeges
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Fig:Inside view of DHQ hospital TMK after after torrential rains
:Another inside view of DHQ hospital TMK after after torrential rains
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:Outside view of DHQ hospital TMK new building (incomplete)
Following are the recommendations;
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To reduce loss of life, suffering, epidemics and outbreaks amongst disaster affectees through
provision of life saving primary and secondary healthcare assistance in support of the Sindh
health care system thereby reducing avoidable mortality and morbidity by addressing the most
urgent, health care needs
To provide life saving and essential drugs and healthcare professionals including gynaecologist,
medical specialist and surgical specialist for DHQ Tandu Muhammad Khan and RHC/THQ
hospital Taluka Ghulam Haider district Tandu Muhammad Khan.with ambulance service for
assisted referrals.
WASH awareness activities including distribution of hygiene kits, IEC campaigns for awareness
about warter/vector born diseases, communicable diseases, nutritional disorders and other
MnCH and reproductive health related issues and challenges in the catchment areas of both the
hospitals mentioned
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