PAKISTAN’S CHILDREN © UNICEF/HQ10-1628/Ramoneda One year after the floods One year on from the worst floods in Pakistan’s history, UNICEF has ensured the survival of millions of children with the help of supporters. However, much still needs to be done, and the impact of the floods will continue to be felt for years to come, especially by children who lost parents, homes and schools in the disaster. Children and their families continue to struggle to rebuild their shattered lives against a backdrop of dwindling humanitarian funding and fear of new monsoon floods. The 2010 floods In July 2010, the start of the monsoon season led to one of the world’s largest ever humanitarian crises, with flooding affecting more than 18 million people in Pakistan – almost half of them children. The floods claimed more than 1,700 lives and damaged or destroyed at least 1.8 million homes. Floodwaters covered an area the size of the United Kingdom, and devastated whole towns, washing away roads and bridges and causing major damage to hospitals, schools and water supplies. This summarises UNICEF’s work in Pakistan over the past year. For more information and multimedia content, please visit: unicef.org.uk/pakistan UNICEF’s response was one of the largest emergency actions in our history and was carried out in close coordination with the Government of Pakistan, other UN agencies and civil society partners. One year on, UNICEF has reached millions of children with critical nutrition supplies, vaccinations, clean water, education and child protection services. Famished land The widespread destruction of crops and livestock combined with steepling food prices to create an alarming rise in child malnutrition. Six months after the floods, a UNICEF-supported survey revealed that up to one in four children were acutely malnourished in the worst-affected areas. In order to prevent malnutrition, UNICEF worked with the World Food Programme (WFP) to provide lifesaving food and micronutrient supplements for more than 290,000 children under the age of two, as well as pregnant women and mothers. We screened around 2 million children and 600,000 pregnant women and mothers for malnutrition. We also advised more than 900,000 mothers on major child health issues such as diarrhoea, pneumonia, malaria and malnutrition. Vaccines To prevent epidemics of life-threatening diseases, UNICEF helped to immunise 10.5 million children © UNICEF/HQ11-0083/Noorani © UNICEF/HQ11-0079/Noorani under five with measles vaccinations and 11.7 million with polio drops. We also provided nearly 12 million children under five with vitamin A supplementation during November National Immunisation Days. Looking ahead The damage to Pakistan’s health care infrastructure and the displacement and shortage of (especially women) health workers continues to present a massive challenge. We will combine our flood-response activities into our regular programmme work to improve children’s health in Pakistan. This will involve campaigning for routine immunisation, preventing and treating malnutrition, strengthening community-based health care and helping the government prepare for and respond to future emergencies. Education Before the floods, almost 7 milllion children (50 per cent) were out of school in Pakistan. The floods damaged more than 8,600 schools and 5,600 became emergency shelters for displaced people, further threatening the education of Pakistan’s children. In all emergencies, UNICEF regards children’s education as a priority. In Pakistan, we rapidly established temporary learning centres for almost 300,000 children. We also provided more than 760,000 children with school supplies, such as School in a Box kits, Early Childhood Development kits, tables and chairs and stationery, so that children could continue their education and quickly regain a normal routine after the disaster. The success of our work for children – including the hardest to reach – depends on the generosity of our donors. UNICEF receives no funding from the UN budget. UNICEF is now building 500 transitional schools, designed to act as a bridge between the temporary learning centres and permanent schools. These transitional schools provide safe, flood and earthquakeresistant classrooms, and are designed to last for up to 10 years. By May 2011, we had finished six transitional schools, benefiting more than 1,150 children. UNICEF has so far trained 5,750 teachers, including 2,100 women, in psychological and social support for children, use of emergency supplies, school management, disaster-risk reduction and emergency preparedness. We are also training Parent Teacher Committees and School Management Committees to develop schools and facilitate enrolment. Looking ahead UNICEF will focus resources on building transitional schools and providing them with teachers, community training and equipment. Our aim is to get children back into education quickly and encourage enrolment among children who were previously out of school. Water, sanitation and hygiene After the floods, a staggering 14 million people urgently required safe drinking water and basic sanitation facilities. Much of the water supply infrastructure was destroyed, as well as many water, sanitation and hygiene facilities throughout the country. Children and their families found themselves in an increasingly dangerous situation as the deterioration in water quality made them susceptible to sanitation and hygiene-related diseases. Unsurprisingly, one of UNICEF’s immediate priorities was to ensure clean drinking water to prevent the spread of cholera, diarrhoea and dysentery. In the first six months after the floods, UNICEF provided clean water to an unprecedented 3.5 million people daily. UNICEF has also invested in long-term solutions, such as the repair and restoration of water supplies FAST FACTS © UNICEF/HQ11-0099/Noorani THE FLOODS IN 2010 AFFECTED NEArLy 9 MILLION CHILDrEN 1 IN 4 CHILDrEN ACUTELy MALNOUrISHED IN THE WOrST AFFECTED ArEAS and the promotion of household water treatment. Now, 5 million people have safe water in floodaffected areas – that’s the equivalent of the total population of New Zealand. We have also carried out the mass chlorination of water sources to pre-empt disease outbreak as the weather gets warmer. This will assist around 4 million people. Nearly 3 million people now benefit from improved sanitation thanks to UNICEF, as we initiated the construction of toilets, trenches and the provision of bathing facilities. Promoting positive hygiene in the community, such as handwashing with soap, has also resulted in reduced rates of diarrhoeal diseases. Looking ahead UNICEF will continue to support children by restoring the water supply and improving access to water. We will also ensure sustainable technologies and build community capacity for the operation and maintenance of water systems. Child protection Before the emergency, many children in Pakistan faced violence, abuse and exploitation through practices such as child labour and child marriage. The floods separated many thousands of children from their loved ones and created further food and income insecurity in the home. In many cases, families and individuals were unable to cope and communities were stretched to breaking point. Trafficking became more prevalent. The disruption to communities also increased children’s psychological and social distress, as well as their risk of physical and sexual abuse. Furthermore, children and parents were injured by artillery and landmines exposed by the floodwaters. To help protect children, UNICEF created childfriendly spaces for nearly 400,000 children, providing education and play activities as well as psychological support for victims of trauma. We also created safe spaces for 11,000 women and worked with partners UNICEF HELPED IMMUNISE 11.7 MILLION CHILDrEN AgAINST POLIO WE gAVE SCHOOL SUPPLIES TO HELP MOrE THAN 760,000 CHILDrEN bACk TO SCHOOL UNICEF DAILy PrOVIDED CLEAN WATEr FOr 3.5 MILLION PEOPLE WE CrEATED CHILD FrIENDLy SPACES FOr MOrE THAN 400,000 CHILDrEN UNICEF rEQUIrES MOrE THAN £30 MILLION FOr OUr PrOgrAMMES FOr PAkISTAN’S CHILDrEN IN 2011. © UNICEF/HQ10-2976/Noorani m Continue investing in health, nutrition, water, sanitation and hygiene for children m Eliminate polio through vaccination, a huge step towards global polio reduction m Strengthen systems to prevent school drop-out, child labour and child marriage m Enhance community and local government capacities for disaster-risk reduction, emergency preparedness and response for future monsoon seasons. A lack of funding means that the needs of Pakistan continue to be unfulfilled. UNICEF needs more than £30 million to continue our essential flood response programmes for children and a further £3.8 million for critical humanitarian needs. to distribute over 530,000 non-food items, such as blankets, shoes and utensils to vulnerable children and families. We have trained staff in hospitals to identify and manage child sexual and physical abuse cases, which has already resulted in children being protected and referred to appropriate care. We have also promoted the prevention of gender-based violence through training, and strengthened systems for supporting children who have been separated from their families. So far, we also have raised the awareness of mine risk amongst 238,000 people, including 184,000 children in the province of Khyber-Pakhtunkhwa. With continued support, UNICEF can continue to provide humanitarian assistance and build back better for Pakistan’s children. Thank you for supporting children in Pakistan. To transform more children’s lives, we must maintain our efforts throughout 2011 and beyond. For more information and to donate, please visit: unicef.org.uk/pakistan © UNICEF/HQ10-2976/Noorani Looking ahead UNICEF will continue to strengthen the capacity of local government and partners to set up communitybased social services, provide referral services, and strengthen case management for gender-based violence and child protection. UNICEF will also continue to strengthen government information management systems and child rights monitoring and reporting mechanisms. What now for Pakistan’s children? Pakistan’s children will feel the impact of the floods for years to come. We have to do much more to help children rebuild their lives and to address the underlying conditions that leave them so vulnerable. The floods exposed the full extent of inequity in many areas, but have presented new opportunities to improve the lives of children. For example, many children have got the chance to go to school for the first time and vaccination and nutrition services now reach more children than ever. Looking forward, there are clear priorities that must be addressed to help the most vulnerable and disadvantaged children. UNICEF prints on 100 per cent recycled paper. Please recycle after use. inside story: Rayan Rayan, age 7, lost his home in the floods. He spent three months moving from shelter to shelter. Now Rayan lives with his family in a tent. His father Nisar said, “We lost all our cattle, our house collapsed. We lost everything.” Every day for the first six months after the emergency, UNICEF provided clean drinking water to 3.5 million people. This information sheet has been produced in-house to minimise our costs.