Glorious History
HANDS journey of evolution started in 1979 when Prof. A.G. Billoo Founder
Chairman
of
HANDS
and
his
colleagues
went
beyond
the
boundaries of the public sector hospital to witness the problems of
people
of
the
remote
rural
areas..
They
realized
the
pathetic
condition of the community, especially women and children, deprived of
all
the
basic
facilities
-
health,
education
and
basic
civic
facilities. They formed a voluntary group and started working in a
village 45 km away from their hospital (Civil
Hospital Karachi) with a clear vision of improving living conditions
of the inhabitants of rural areas especially health (as per WHO's
criteria,
mentioned
in
Alma
Ata
Declaration).
This
initiation
of
activities was from the platform of "Health and Nutrition Project".
Thereafter a unique primary health care system was developed with
community participation in rural Karachi. A few comparatively educated
and committed boys and girls from the village were provided training
to form a volunteer group called Community Based Organization (CBO).
People started observing a
change within few years and the results of
the program were enough to open the eyes of nearby villagers.
The
development of the organization is divided in following five phases:
1.
Philanthropist phase-1979 to 1993
HANDS
initially
worked
without formal donors and the
main
funding
source
philanthropists.
was
The
the
first
PHC center was established at
Memon Goth in 1980 and then
this volunteer group moved to
other
two
villages
more
PHC
established
Village
and
in
1982,
centers
were
at
and
Dur
Saleh
Muhammad
Muhammad
Village
and
by
the
end
of
1992
HANDS
started taking shape of a formal organization.
2. Formal Organization Phase - 1993 to 1995
This was the period when HANDS got itself formally registered and
received
its
Karachi.
defined
The
as
Pakistan”
basic
first
vision
“Healthy
and
the
health,
generation
formal
of
mission
primary
to
empower
and
organization
Educated
opportunities
institutions
project
&
was
established
was
Prosperous
“to
promote
education,
income
and
development
of
the
underprivileged
communities”.
The
first
formal
”Development
of
donor
Health
funded
project
Structure
was
(DEH)”
funded by the Trust for Voluntary Organization
- TVO. The target population of the project
was 24
villages of Karachi rural and its
its
office
in
initial duration was 3 years and with this project HANDS annual budget
reached to Rs. 03 million and program interventions extended from 03
to 24 villages.
3. HANDS Expanded Program Phase - 1995 to 1997
HANDS first time entered in the education sector through Participatory
Development
Government
Program
of
(PDP)
Pakistan,
under
funded
Social
for
Action
the
Program
promotion
of
(SAP)
health
of
and
education. First regional office was established at Hala to implement
this project. In 1996 organization had attained 02 regular offices and
05 projects with an annual budget of 07 million rupees.
4. Integrated rural development Phase
1998 - 2006
Several
donors
approached
organization
and
gradually
funded
HANDS
gained
in
this
momentum
phase
as
through
the
its
activities/interventions. At this stage the organization went in to an
agreement with City District Government to adopt the secondary health
care facility at village Jamkanda District Malir (Now Bin Qasim Town).
A
second
office
in
Karachi
rural
was
established
and
overall
03
offices became functional. HANDS expanded its programs from Health and
Education
sector
Development,
to
and
Water
secondary
&
Sanitation,
care
Micro
facilities.
The
Credit,
Gender
services
of
&
the
organization scaled upto upper Sindh and lower Punjab after agreeing
to do a project of capacity building on Family planning in partnership
with Key Social Marketing. The areas
included Sukkur, Ghotki, Dadu,
Umerkot, Mithi, Sadiqabad, Raheem yar khan, Khanpur etc. With this
extension
05
more
regular
offices
were
established
and
altogether
there were 08 offices. HANDS reached to total 15 projects with annual
budget of Rs. 40 million by June 2006.
5. Horizontal Growth Phase 2007 - 2011
This was the rapid organization development phase. HANDS after signing
FALAH
a
05
years
duration
reproductive
health
project
funded
by
Population Council and USAID, added to the organizational
net work of
offices. The organization extended its offices from Sindh province, to
Punjab province, Federal Capital Islamabad and Balochistan province.
There were overall nine district offices in Sindh and 03 towns of
Karachi which included, Shikarpur, Jaccobabad, Ghotki, Larkana, and
Jafferabd
initial
and
03
Umerkot.
Quetta
years
(Balochistan).
project
MARVI
Packard
which
was
Foundation
implemented
funded
in
an
district
HANDS after 33 years has developed into one of the largest
Non Profit Organization of the country and depicts an excellent model
of
community
programs
development.
This
integrated
of
Health
Promotion,
Enhancement,
Social
Mobilization,
Development,
Infrastructure
Human
Education
Resource
Development
model
&
Disaster
&
Energy
comprise
Literacy,
Water
&
key
Livelihood
Management,
Institutional
of
Gender
&
Development,
Shelter,
Information
Communication Resource and Advocacy, Monitoring Evaluation & Research
and Social Marketing.
HANDS
played
a
major
role
for
relief,
early
recovery
and
rehabilitation through TAMEER strategy in post flood 2010 period. The
flood experience further strengthened
the organization. Disaster Management program emerged as one of the
lead program of the organization. HANDS later developed the Community
Based Disaster Risk Reduction (CBDRR) strategy. Medico International
(German organization), all the UN agencies and DFID (UKAID) were the
key partners in flood related projects. Under the CBDRR strategy 02
District Disaster Risk Reduction centers were constructed at Thatta
for southern Sindh and at Sukkur for Northern Sindh. In addition to
these 08 more District Disaster Risk Reduction Centers are in process
of
construction.
HANDS
contribution
to
the
disaster
affected
population was more than Rs. 05 billions in cash & kind in 2010 2012.
HANDS Alhumdulillah has now a network of 29 offices across the country
and has access to more than 25 million population of nearly 42000
villages in 29 districts. These offices are supported by 3531 medium
and small size organizations network in 03 provinces that is Punjab,
Sindh,
and
Balochistan.
The
organization has gone upto
number
of
projects
managed
by
the
94 projects, with the annual turnover of
4696 million in cash & kin. It has directly benefited more than 4.2
million population in 2011-12.
6. Institutionalization Phase 2012 onward and vision 2020
HANDS has developed its long term strategy 2020, through a detail
consultation
involved
process
which
community
volunteers,
all
professional
based
levels
staff
and
of
the
volunteers of governing board.
HANDS
2020
strategy
the
planning
and
reflects
future
commitment of the organization.
The organization has planned to
scale
it's
horizontally
villages,
million
intervention
to
75
138,000
districts,
population
69
and
vertically to a university of Community Development supported by 40
Institutes of Community Development. This process brought not only
strategic changes in the organization
but has also broadened the vision and mission.
HANDS Strategy 2020
Preamble:
The Millennium Development Goals (MDGs) are the hub of development
efforts for
indicators
the Government of Pakistan. The 18 global targets and 48
adopted
in
2000
have
been
translated
into
16
national
targets
and
37
indicators
keeping
in
view
Pakistan's
specific
conditions, priorities, data availability and institutional capacity.
Specifically, the MDGs have been incorporated into the Government's
two
important
frameworks
macroeconomic
including
the
New
Growth Framework which focuses
on
inclusive
increasing
growth
total
and
factor
productivity. The other is the
Poverty
Paper
Reduction
(PRSP)
framework
Term
on
is
social
policies.
government's
document
which
for
economic
Strategy
key
and
Earlier,
planning
development,
Development
a
Mid
Framework
(MTDF) 2005-2010 also endorsed the MDGs. To date, however, sufficient
progress has only been made on about half of the targeted indicators
while others lag behind (www.undp.org.pk/mdgs-in-pakistan).
According to Human Development Index (HDI) which measures national
achievement in health, education and income, Pakistan ranks 145 out of
187 countries and territories. In comparison, India is at 134 and
Bangladesh at 146 in the HDI.
Additionally, the Multidimensional
Poverty Index (MPI) measures that Pakistans' 49.4% of the population
suffer multiple deprivations while an additional 11.0% are vulnerable
to multiple deprivation. Pakistan has a Gender Inequality Index (GII)
value of 0.573, ranking 115 out of 146 countries in the 2011 index.
Keeping in view this
scenario, HANDS started working in 1979.
HANDS has now developed as one of the largest Non Profit Organization
of the country and exhibits an excellent integrated development model
comprising
of
key
programs
of
Social
Mobilization,
Gender
&
Development, Human & Institutional Development, Monitoring Evaluation
& Research, Information Communication Resource and Advocacy, Health
Promotion,
Education
&
Literacy,
Livelihood
Enhancement,
Infrastructure Development Energy Water & Shelter, Disaster Management
and Social Marketing.
HANDS has access to more than 25 million population of more than 42000
villages
in
29
districts
from
29
organization
offices
in
the
03
Provinces that is Punjab, Sindh, and Balochistan.
During the development process of strategy 2020 all the stake holders
were consulted to incorporate the learning for improved practices and
future
actions.
This
unique
learning
process
culminated
with
the
question: 'where do we see Pakistan in 2020 ? The hopes were very
clear.
All wished to see HANDS with a new Vision i.e. "Healthy,
Educated, Prosperous and Equitable Society" and Mission for “improving
health, promoting education, alleviating poverty and developing social
institution for community empowerment”.
HANDS values consider partnership and relation with “sovereignty of
and equity”. The values of HANDS are based on mutual trust, honesty,
professionalism and transparency.
HANDS development process “value” is based on an understanding of
roles
and
responsibilities,
which
include
accountability,
ethnic
impartiality and effective participation. We at HANDS strive for value
of
creativity
efforts.
We
at
and
innovation,
HANDS
believe
everyone should have access to
which
that
is
as
the
a
hallmark
citizen
of
of
this
all
our
country
basic rights and
discharge their obligation with same fervour.
Objectives:
HANDS strategy 2020 highlight following major approaches/objectives.
Strengthening of organizations/institutions:
HANDS has evolved several best practices and scientifically proven
models in last 33 years. These models can easily be replicated in the
country as per requirement. HANDS has strategy to foster partnerships
with the like-minded public & Private organizations/ institutions and
networks for mutual benefits and cause.
Capacity building for quality human resource:
Capacity
building
organization
is
of
human
one
of
resource
the
major
in
and
out
strategy.
side
HANDS
of
the
Human
and
Institutional Development (HID) program will play key role along with
other programs.
Development of publication and it accessibility:
Knowledge management is going to be the major strategy to achieve
vision 2020. HANDS will conduct the researches, collect the evidences
,
document
and
publish
these
informative
documents
to
make
it
available for all stake holders.
Strive for right based approach:
Advocacy is one of the strategic approaches selected to achieve the
vision and mission of HANDS. The ICPD Program of Action (1994), and
other
International
Human
Rights
Instruments
are
the
guiding
principles in this respect. The main aim of the advocacy strategy is
to
create a supportive environment for development.
Ensuring quality of services:
HANDS
has
integrated
extensive
experience
development.
We
have
of
working
expertise
with
of
the
more
approach
than
120
of
best
practice models to provide quality services.
Following are the HANDS short term outcomes to be achieved by 2015 in
target population. The benchmark are set by HANDS through several
service in different districts:
1. Improve
Human Development
Index from 0.4 to 0.5
2. IMR reduced from 65/1000 to 55/1000 live births
3. Under 5 year mortality reduced from 77/1000 to
67/1000 live births
4. MMR reduced by from 276 to 250/100,000 live births (MDG-5)
5. Increase Contraceptive Prevalence Rate (CPR) from 29.6% to 40%
6. Incidence
of
Tuberculosis
reduced
from
130
to
75
per
100,000
population (MDG-6)
7. Completion/survival rate to grade 5 (Proportion of school going
children
to
complete
their
study
from
grade
1
to
grade
5)
increased from 80% to 85%. (MDG-2)
8. Gender
parity
index
(GPI)
from
primary,
secondary
&
tertiary
education (proportion of girls enrolment at primary, secondary &
tertiary level as compared to boys) increased from 0.74 in primary
to 0.80 & 0.60 in secondary to 0.70 (MDG-3)
9. 70% elimination of
gender disparity in primary education.
10. Literacy rate (proportion of people aged > 10 years who can read &
write with understanding) increased from 70 % to 75%. (MDG-2)
11.
Youth literacy GPI increased from 0.70 to 0.80
(MDG-3)
12.
Net
primary
enrolment
attending primary school
ratio
(#
of
children
aged
5-9
years
divided by total number of children 5-9
years multiplied by hundred) increased from 77% to 85%.
13.
Reduce the percentage of
the people living on less than a
dollar a day from 26% to 20%
14.
Share of women in wage employment in the non agriculture sector
increased from 12 to 13%
(MDG-3)
15.
Proportion of the population having sustainable access to safe
drinking water increased from 26% to 40%
16.
Proportion of population with sanitation facilities increased
from 30 to 45% (MDG-7)
Following are HANDS long term outcome to be achieved by 2020 in target
population from 2015 benchmark:
1. Improve Human Development Index to 0.6
2. IMR reduced from 55/1000 to 45/1000 live births
3. Under 5 year mortality reduced from 67/1000 to
57/1000 live births
4. MMR reduced from 250 to 200/100,000
live births
5. Increase Contraceptive Prevalence Rate (CPR) from 40% to 50%
6. Incidence of Tuberculosis per 100,000
population reduced from 75
to 60
7. Completion/survival rate to grade 5 (Proportion of school going
childrento complete their study
from grade 1 to grade 5) increased
from 85% to 90 %.
8. Gender
parity
index
(GPI)
from
primary,
secondary
&
tertiary
education (proportion of girls enrolment at primary, secondary &
tertiary level as compare to boys) increased from 0.80 in primary
to 0.84 & 0.70 in secondary to 0.75
9. 75% elimination of gender disparity in primary education
10.
Literacy rate (proportion of people aged > 10 years who can read
& write with understanding) increased from 75% to 80%.
11.
Youth literacy GPI increased from 0.80 to 0.85
12.
Net primary enrolment ratio (# of children aged
5-9 attending primary school
divided by total number of children
5-9 multiplied by hundred) increased from 85% to 90%.
13.
Reduce the percentage of
the people living on less than a
dollar a day from 20% to 17%
14.
Share of women in wage employment in the non agriculture sector
increased from 13% to 15%
15.
Proportion of the population having sustainable access to safe
drinking water increased from 40 to 55%
16.
Proportion of population with sanitation facilities increased
from 45 to 65%