Multi-Sector Needs Assessments
Transcription
Multi-Sector Needs Assessments
MULTI-SECTOR MULTINEEDS ASSESSMENTS 2011--PAKISTAN 2011 SUMMARY Methodology Floods Context Situation Overview Population Compositions and Vulnerabilities Dimension of the Emergency Relief and Recovery Needs CLUSTERS Food Security (Agriculture and Food) Shelter/Housing and Temporary settlements Camp Management and Camp Coordination (CCCM) Health WASH Protection Nutrition Education Community Restoration/Early Recovery Methodology • 3 different methods were used in the affected provinces of Balochistan and Sindh using a combination of structured and unstructured interview techniques and observation in Oct. 2011 • A. MSNA:– A Multi-sectoral assessment approach used on Non Camp sites (spontaneous settlements) – Survey structured into 4 strata in Sindh and 1 in Balochistan = 5 – 43 villages per strata X 5 = 215 villages – 10 households per village = 2,150 households and 215 Focus groups • B. TSU:– used structured questionnaires and observation – 2,400 Temporary settlements in 9 districts surveyed. • C. CNA:– covered 18 districts (13 Sindh, 5 Balochistan) – 170 Key Informant and 215 Focus Groups Interviewed conducted Strata Strata 1 Strata 2 Strata 3 Strata 4 Strata 5 FLOODS CONTEXT Districts MirpurKhas, Tharparkar, Umerkot, Sanghar Khairpur, Larkana Jamshoro, Matiari, S. Benazirabad Badin, TandoAllahyar, T.M. Khan, Thatta Jaffarabad, Kallat, Killa Abdullah, Nasirabad, Lasbela Was this community also affected by flooding last year (2010)? Yes 35% No 65% Sindh Strata 1 Strata 2 Strata 3 Strata 4 Strata 5 Balochistan District MirpurKhas Tharparkar Umerkot Sanghar Khairpur Larkana Jamshoro Matiari ShaheedBenazirabad Badin TandoAllahyar Tando Mohammad Khan Thatta Jaffarabad Kallat Killa Abdullah Nasirabad Lasbela Strata Strata 1 Strata 2 Strata 3 Strata 4 Strata 5 FLOODS CONTEXT Districts MirpurKhas, Tharparkar, Umerkot, Sanghar Khairpur, Larkana Jamshoro, Matiari, S. Benazirabad Badin, TandoAllahyar, T.M. Khan, Thatta Jaffarabad, Kallat, Killa Abdullah, Nasirabad, Lasbela Is the area still flooded? Yes 34% No 66% (these figures in Balochistan represent a snapshot of communities perception at the time of assessment thus the response plan should be mindful of the dynamics in the level of inundation which are reported to be on a sharp decline.) Situation Overview SUMMARY SUMMARY AFECTED POPULATION MULTI-CLUSTER ASSESSMENT Affected Population Sindh Balochistan (13 Affected (5 affected Districts) districts) 4.82 million 0.332 million 760,185 HH 52,316 HH Women Affected (exclude children) 1.20 million 81,800 Children Affected (0-17 years age) 2.40 million 165,000 Estimated Total number people displaced (current) 660,000 83,806*** Total number people displaced (initial) Total number estimated in Rapid Assessment (from 16 districts in Sindh and 11 districts in Balochistan) 1.8 million 5.44 million 74,900 387,000 *** These figures from Balochistan represent the people who were not living in their preflood abode. The distance from their present settlement varies considerably. Strata Strata 1 Strata 2 Strata 3 Strata 4 Strata 5 FLOODS CONTEXT Districts MirpurKhas, Tharparkar, Umerkot, Sanghar Khairpur, Larkana Jamshoro, Matiari, S. Benazirabad Badin, TandoAllahyar, T.M. Khan, Thatta Jaffarabad, Kallat, Killa Abdullah, Nasirabad, Lasbela Households with Vulnerable Members(disabled, elderly or chronically ill persons) 52% 47% 44% Yes 44% 38% 37% Sindh-Strata-1 Sindh-Strata-2 No 56% Sindh-Strata-3 Balochistan-Strata-5 Sindh-Strata-4 HOUSEHOLD COMPOSITIONS AND VULNERABILITIES • The average family size is 6.3 in Sindh and 7 in Balochistan (Source: PSLM 2008-09) •Male-headed HHs are larger than FHH. •Chronically ill and elderly are most prevalent in female headed Households •FHH have a higher dependency rate (0.7 workers per dependant compared to 0.9 workers per dependant for the MHH. GENDER IMBALANCE IN HOUSEHOLDS • 6% HH are headed by females, sex ratios vary greatly. For strata 1 & 4; communities, female-headed households are particularly vulnerable as there are few male members. 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 Sindh-Strata-1 Sindh-Strata-2 Male - headed households Sindh-Strata-3 Sindh-Strata-4 Female-headed households* Balochistan-Strata-5 Overall DIMENSION OF THE EMERGENCY No. of Houses damaged Flood affected areas still under water in villages (community perception) People returned to their own homes (mostly destroyed/damaged) Severely food insecure population Female headed households dependency rate is (adult females per dependant children - 0 to 17 years and elderly over 65 years) 796,861 (468,306 damaged & 328,555 destroyed) 33% area affecting 268,125 families 1.2 million 349,000 households (43% of affected population) 70% Staple food crops lost 70% of the estimated yield Livestock lost or sold By (57.4%) 466,774 families Families in the settlements without access to latrines Damages to health facilities across all stratas on average (community perception) 94,348 (74%) 46% Number of Children deprived of access to education 612,132 children (60%) Families without important civil documentation 641,876 families (79%) DIMENSION OF THE EMERGENCY Sindh Balochistan Access/Link Roads partially or totally damaged 34% 27% Irrigation Channels partially or totally damaged 29% 26% Culverts are partially or completely damaged 21% 24% Governance functions related to Education were affected by the floods 28% 33% Governance functions related to Health were affected by the floods 19% 9% Governance functions related to Revenue, Police and courts were affected by the floods 6-10% 2-7% Most urgent Relief Needs – Percentage of HH – Descending Order Overall Male Food 70% Cash 57% Shelter 42% Medical health support 39% Clothing/blankets/NFIs 36% Female Food 85% Cash 75% Shelter 53% Medical health support Clothing/blankets/NFIs 27% 22% Food 56% Medical health support 51% Clothing/blankets/NFIs 49% Cash 39% Shelter 30% Drinking water 17% Drinking water 14% Drinking water Animal support 13% Animal support 10% Animal support 16% Sanitation 10% Sanitation 6% Sanitation 15% 21% Other 7% Other 5% Other 9% Temporary learning facilities 5% Temporary learning facilities 2% Temporary learning facilities 7% None 3% None 1% None 4% Don't know 1% Don't know 1% Don't know 2% Most urgent Recovery Needs – Percentage of HH Overall Male Housing 73% Health facilities 38% Animal support 29% Female Housing 78% Agri. inputs (Seed, Fertilizer) 42% Housing Health facilities Animal support 29% School 27% Animal support Agri. inputs (Seed, Fertilizer) 27% Health facilities School 27% School 22% Credit Agri. equipment or repair 20% Other Credit 21% 69% 50% 32% 29% 23% 18% Road infrastructure 15% Road infrastructure 19% Agri. inputs (Seed, Fertilizer) 12% Agri. equipment or repair 14% Credit 18% Road infrastructure 12% Other 12% Irrigation repair 8% Animal restocking 12% Animal restocking 10% Animal restocking 8% Agri. equipment or repair 7% Irrigation repair 7% Other 7% None 7% Land reclamation 5% Fishing 6% Land reclamation 6% None 5% Land reclamation 5% Irrigation repair 5% Fishing 5% None 3% Don't know 5% Grain storage 3% Embankments 2% Grain storage 5% Don't know 3% Grain storage 2% Embankments 4% Embankments 3% Don't know 2% Fishing 4% Agricultural extension 1% Agricultural extension 1% Agricultural extension 1% Assistance with land use rights 1% Assistance with land use rights 1% Assistance with land use rights 1% SECTORS FOOD SECURITY AGRICULTURE AND FOOD FOOD SECURITY (AGRICULTURE AND FOOD) • 43% (more than 2.2 million people) of the affected population is considered to be severely food insecure for both the returnees and in temporary settlement and require assistance • 59% (29,000 HH) of the female Headed HH tend to be more food insecure • Most affected are in strata 1 and 4 • All livelihoods are equally vulnerable to food insecurity • most affected HH are those who were dependant on remittances, had no income sources and those relying on fishing; representing 3.2 % of the overall households interviewed. • 75% of people are purchasing food • Prices have increased by 25% for Rice; Wheat by 12%; Potato by 44% and Onion by 57% compared to July 2011 and will impact on food security of the vulnerable households. • Daily wage labor went up by 11%, not enough to offset the food price inflation. FOOD SECURITY STATUS Category The entire severely food-insecure population in flood-affected areas Severely and moderately food insecure population living in temporary settlements Members of severely and moderately food insecure female headed households Severely and moderately food insecure population depending on agriculture Female 1,061,000 Affected population Male Total 1,154,000 2,215,000 Total HH 349,324 316,250 343,750 660,000 104,087 131,170 142,670 273,840 43,187 1,448,500 1,575,500 3,024,000 476,910 Food Consumption based on 7 day recall was used to calculate the Food Consumption Score (FCS) Food access based on the Food Insecurity Access Score (FIAS) calculated from the 8 coping indicators The FCS and FIAS were combined to calculate the severity of food security CROPS AND ASSETS Land cultivation Balochistan strata 5 Sindh strata1 strata2 strata 3 Average cultivated land/HH (acres) 7.8 2.2 4.5 10.5 % of farming household unable to cultivate 20.7 16.6 21.1 20.4 • Depending on the crop, 63-100% of expected Kharif production was lost. strata 4 7.6 45.4 •Crop seeds, animal feed/fodder and fishing gear were significantly affected, followed by kitchen gardens and irrigation, and to a lesser extent agricultural tools/machinery. Crops planned for Rabiand zaid Rabi Wheat (main staple food crop) Barley Pulses Sunflower Sugar cane Vegetables Balochistan Sindh strata 5 strata1 strata2 strata 3 strata 4 70.3 2.1 2.1 57.8 6.4 65.3 2.1 2.1 64.2 1.3 0.3 46 0.3 1 0.7 7.5 2.8 5.9 1.1 5.3 2.1 0.3 12 1.3 4.8 1 1.4 • 218,000 HH across all strata plan to plant wheat in Rabi and pulses, vegetables and sunflower in zaid Rabi. • This will enable farmers to increase income, food security & capacity to pay-off debt. LIVESTOCK % of livestock lost / sold 100 90 80 70 60 50 40 30 20 10 0 Sindh-Strata- Sindh-Strata- Sindh-Strata- Sindh-Strata- Balochistan1 2 3 4 Strata-5 Cattle Sheep / goats Poultry Other animals • Nearly 60% households interviewed in temporary settlements identified animal support as a priority need • Livestock are savings accounts for rural communities; poultry can be converted to cash. Livestock losses dramatically reduce recovery capacity. • 94,591 animals are in temporary settlements; main constraints are lack of feed (80% HH) and veterinary support (9% HH) • Note: livestock loss figures are likely inflated due to the announcement of compensation packages and assistance. SHELTER, HOUSING & TEMPORARY SETTLEMENTS SHELTER / HOUSING • • • • Based on the assessments, 796,861 houses have been damaged or destroyed (468,306 damaged & 328,555 destroyed) 76% (489,433) of families have remained in or returned to places of origin, 16% (103,038 families) are living in TS 8% (51,519 families) are presumed to be with host families or rented accommodation The greatest need in villages was housing, with additional emergency relief required in specific areas 1.7% 9.2% Mud house 18.2% Bamboo straw Brick /Concrete 71.0% Other SHELTER / HOUSING • Remaining Needs of families in TS: o 80% (101,998 families) require plastic sheeting/shelter o 89% (113,473 families) require blankets Shelter / Housing Needs in Temporary Settlements 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 % of Total Number of Families % with Completely Destroyed Houses % Families Requiring Plastic Sheeting % Families Requiring Blankets TEMPORARY SETTLEMENT SUPPORT UNIT (TSSU) • Estimated 5,000 temporary settlements (127,498 families) in total • 59%(75,223 families) of TS are not in a planned location • 74% (94,349 families) of TS have no formal camp management structure. • 72%(91,798 families) of site residents indicated they will need to remain in TS for more than 1 month, 28% more than 3 months • The largest concentration of TS are in Badin, Sanghar, Mirpur Khas, Tharparkar, Umerkot and Shaheed Benazirabad • 95% (121,123) of families in TS indicated their homes were damaged or destroyed. This is significantly more than was identified in the community assessment (58%). % of Vulnerable Populations in Settlements 12 10 Female Headed Households 8 Persons with Disabilities 6 < 1 years >60 years 0 1. Security concerns in home village 5.2 6.4 2. Home village is not (yet) accessible 20.7 3. Livelihood / financial reasons 9.0 4 2 Reasons for staying in the Temporary Settlements 58.8 4. Waiting / arranging for relocation 5. Not allowed to return by landlord TEMPORARY SETTLEMENT SUPPORT UNIT (TSSU) Needs identified per cluster by TSSU assessment Protection: • 27% (180,728 people) of women and children feel unsafe in the TS • 21% (26,774) of families have no adult men at the site, due to economic reasons • 26% (33,149) of families have inadequate clothing • 160 TS reported friction within the site or with host communities WASH: • 74% (94,348 families) of TS have no latrines • 35% (44,624 families) of residents have to walk more than 30 minutes to get clean water Agriculture: • 80% (101,998 families) of sites do not have enough feed for animals Food & Nutrition: • 8% (10,199 families) of TS have access to supplementary feeding Health • 51% (44,000) families have reported instances of air or water borne diseases. HEALTH HEALTH Situation • Access to health services – 46% (197) of all HFs damaged to some extent (Community Response) = 429 Health facilities in the floods affected districts (IRA 2011) – Health facilities damaged or destroyed are 197 but totally non-functional HFs = 80 – The health facilities reporting to Disease Early Warning System (DEWS) are: Badin Nawabshah MPS Sangahar T. Allahyar TM Khan Tharparkar Umerkot : 58/70 : 33/40 : 77/80 : 57/67 : 43/43 : 30/30 : 40/55 : 11/44 – Returnees coverage – more than 1.2 million people are back to their homes, hence more access to mobile teams is necessary • Diseases with high incidence rates – Water borne diseases (Acute Diarrhea, Acute Watery Diarrhea, Bloody Diarrhea) Total consultations = 1.35 million (DEWS report) Environmental Health Teams tested more than 325 water sources - >86% contaminated and necessitating remedial actions, including protection of water sources and treatment of water supplies systems. Situation 2 • In week 44 , health centers, 750, from 22 districts reported to Disease Early Warning System (DEWS) with a total of 329,253 patient consultations. • In Sindh, AD cases reported were 27,855 (8%), proportional morbidity lower by 1% as compared with week 43. • # of Vaccine Preventable Diseases alerts (Measles and pertussis) is increasing in every week, as season changes and in view of low routine immunization in Sindh. • 60 alerts were reported from Sindh in this week: 30 were for AWD; 12 for Neonatal tetanus and tetanus; 5 for Measles, 4 each for DHF and Malaria, 2 for Pertussis, while 1 each for Meningitis, Scabies and Unexplained fever. • 5 alerts for AWD and 2 for Malaria and 2 for Pertussis were received and responded. • Sindh Malaria Control Program has collected a total of 275,300 slides plus RDTs out of which 2,808 were found positive for malaria. Plasmodium Vivax was on the top with 1,491 positive number of cases, followed by falciparum 787 cases and mixed 530 cases. Highest FR was found in Thatta 63%, followed by Badin 43% and Jacobabad 41%. (source – All from DEWS report) Situation 3 Vector Borne Diseases (DEWS EPI Report 2011) Between week 39-44 a total of 1,161 number of cumulative suspected dengue cases reported to Dengue Cell Sindh, Department of Health, out of which 836 (72%) were found laboratory positive. January to November 3rd (week 0-44) a total of 14 deaths were reported to the dengue cell in Sindh. MNCH services adversely affected (MSNA 2011) More than 55% of births at home (1 in every 2 births) 27% of births not attended by any medical professional (1 in every 4 births) 74 Community Midwives (CMW) rehabilitated & re-deployed in the 8 severely affected districts to establish immediate 24/7 delivery care services in community . Out of 36 facilities identified for 24/7, 12 health facilities are providing RH services. WATER AND SANITATION WATER SOURCES AND % CHANGE COMPARED TO PRE-FLOOD Water Sources and % change compared to pre-flood • Since the floods there is a 10% decrease in number of people getting water from protected sources in strata 4 and more than 5% decrease in piped water sources in strata 1and 4 • 312,368 people in more than 960 (40%) settlements have to walk more than 30 minutes to reach a water source. SANITATION FACILITY AND % CHANGE • • • • Roughly a 10% decrease of Open Pit Latrine Use (most common facility) Increase in the number of people using the open area in strata 1 (17%) and in strata 5 (11%) compared to before the floods Latrines were not present in over 74% of Temporary Settlements 660,436 people are without access to latrines PROTECTION PROTECTION 1. Loss of civil/land documents - 18% of households (who used to have documents) reported having completely lost their documents due to flood - 67% of households reported not having documents before the floods * Needs to support documentation (Documentation is required to access the Pakistani card, BISP, and other relief aid which has been reportedly targeting those on the voters registration list.) 2. Restrictions in accessing assistance and services - Households also reported that women are facing problems accessing water sources, due to too far distance (28%), privacy (10%), security (2%) and disability (1%) - Communities reported that most affected and in need of assistance are the following groups: 21% children, 17% women, 10% labourers, 9% marginal farmers, 3% persons with disabilities, 1% ethnic/religious minority * Needs to monitor distribution process to ensure the most vulnerable have equitable access to assistance/services. NUTRITION NUTRITIONAL STATUS 1. Food Insecurity: Overall 43 % (more than 2 million) of the population is severely food insecure* 2. Caring Practices: Breast feeding frequency reduced on average from 5 to 4 times in a day ( this would adversely impact on the nutritional status of youngest and most vulnerable children). On the average, young children were only fed 1 times/day, ( young children are supposed to be fed 3-5 times/day). * Food Insecurity Exists when people lack access to sufficient amounts of safe and nutritious food, and therefore are not consuming enough for an active and healthy life. This may be due to the unavailability of food, inadequate purchasing power, or inappropriate utilization at household level (FAO) . EDUCATION Education is in State of Emergency!!! • More than 1 million school going children have reduced access to education in the affected districts according to 63% of the respondents interviewed in the community survey. (source MSNA) • Approximately 9,781 schools are being reported damaged in Sindh (9,250) and Balochistan (571). (source Sindh/Balochistan Education Department) • 1,799 schools that were not damaged were converted were turned into life saving shelters in Sindh. (source Sindh Education Department) • In Badin and Mirpurkhas (Sindh) 70% and 75% schools are reported damaged (source Sindh Education Department) • In Jaffarabad (Balochistan) which is double hit by floods both in 2010 and 2011 44% schools are reported damaged.(source Sindh Education Department) Education is in State of Emergency!!! Out of School Children: According to the household survey (HH) 410,697 (60%) are out of school due to damaged schools or occupied schools or unavailability of teachers. (source MSNA) In temporary settlement more than 40,000 children have no access to education. (source IOM TSU assessment) Teaching Learning Material: In the same HH survey, 729,540(70%) children have indicated that they have no learning materials (either they lost it or didn’t have it at all). (source MSNA) This is an alarming situation as pre-flood enrolment ratio is already very low in some districts and this emergency has exacerbated already poor educational indicators. EARLY RECOVERY (ER)/ COMMUNITY RESTORATION (CR) Community Needs – Preliminary Key Findings for Sindh Q: What are the challenges faced by the male population after the floods? 180,000 160,000 140,000 120,000 100,000 80,000 60,000 40,000 20,000 - UmerKot TMK thatta Tharparkar T.A.Y Sanghar MPKhas Matiari Larkana Khairpur Jamshoro Badin S.B.A Community Needs – Preliminary Key Findings for Sindh Q: What are the challenges faced by the female population after the floods? 140000 120000 100000 80000 60000 40000 20000 0 Sanitation UmerKot TMK thatta Shelter Tharparkar Pyscho-Socio T.A.Y Sanghar S.B.A Safety MPKhas Matiari Food & Nutrition Larkana Khairpur Health Jamshoro Badin Community Infrastructure – Preliminary Key Findings for Sindh Q: How many of the following community facilities are partially or completely damaged? 120 34% 100 29% 80 Number of respondents 21% 60 13% 40 03% 20 0 Bridges Culverts Irrigation Channels Access Roads Washing Pad Badin Jamshoro Khairpur Larkana Matiari Mirpur Khas Sanghar Shaheed Benazirabad Tando Allah Yar Tando Muhammad Khan Tharparker Thatta Umerkot Governance – Preliminary Key Findings for Sindh Q: Which governance functions have been most affected by the floods? 60 28% 50 Number of respondents 19% 18% 40 30 10% 11% 09% 20 06% 10 0 Education Sanghar T.A.Y Health T.M.K S.B.A Revenue Tharparker Badin Agriculture Thatta Matiari Police Station Jamshoro Kahirpur Courts Larkana Others Umer Kot MPKhas No. of Government Buildings Partially Damaged - Sindh 30 25 20 15 28 20 10 21 20 15 15 5 8 3 0 Badin Tharparkar) MPK Sanghar TAY THATTA TMK Umerkot Governance – Preliminary Key Findings for Sindh Type of Documents Lost 400000 350000 Number of respondents 300000 250000 200000 150000 100000 50000 0 NIC Umerkot T.M.K Thatta Marriage Educational Documents Domicile Tharparkar Tando Allayar S.B.A Land and Vehicle and Arm Lisences House Records Driving Lisence Mirpurkhas Matiari Larkana Khairpur Passports Jamshoro Badin Disaster Risk Reduction – Preliminary Key Findings for Sindh Q: What are the potential hazards in your area? 120 29% 100 80 18% Number of respondents 60 15% 14% 13% 40 07% 20 04% 0 Flas Floods Badin Riverine Floods Jamshoro Khairpur Soil Erosion Larkana Matiari Earthquake MPKhas S.B.A Cyclone Sanghar T.A.Y Drought Tharparkar Thatta Others TMK UmerKot 100 Number of respondents 90 20% Q: What particular measures should be taken to reduce the risk of disaster? 22% 19% 80 15% 70 60 50 10% 08% 40 30 04% 03% 20 10 0 Flood Prtection Walls Badin Jamshoro Spurs Khairpur Dikes Larkana Disaster Resilient Retrofiting Matiari MPKhas S.B.A Dewatering Sanghar Drainage T.A.Y Cyclone Shelters Tharparkar Thatta TMK Others UmerKot Community Challenges– Key Findings for Balochistan Q: What are the challenges facing the district after these floods (for male and female) population? Male Population Female Population 45,000 20,000 40,000 18,000 35,000 16,000 14,000 30,000 12,000 25,000 10,000 20,000 8,000 15,000 6,000 10,000 4,000 5,000 2,000 - Livestock Kalat Jaffarabad Killa Abdullah Nasirabad Lasbella Kalat Shelter Jaffarabad Health Food Killa Abdullah Protection Nasirabad Community Infrastructure – Key Findings for Balochistan Q: How many of the following community facilities are partially or completely damaged? 30 26% 24% 25 Number of Respondents 27% 20 17% 15 10 05% 5 0 Bridges Culverts Jaffarabad Irrigation Channels Kalat Killa Abdullah Access Roads Nasirabad Washing Pad Disaster Risk Reduction – Key Findings for Balochistan Q: What are the potential natural hazards in your area? 40 46% 35 Percentage Responses 30 25 27% 20 16% 15 9% 10 3% 5 0 Flash Flood Floods Jafferabad Soil Erosion Kalat Killa Abdullah Earthquake Nasirabad Drought Indicative Community Early Restoration Activities No. Indicative ER Activity 1 Restoration/Rehabilitation of access/link roads and construction of related structures like culvers and small bridges 2 Dewatering, restoration and de-silting of drains 3 Construction of protection walls, spurs and dikes 4 Repair and restoration of off-farm irrigation channels 5 Income-generation through cash for work support 6 Job hunting support through imparting market oriented skills and training 7 Repair ofgovernment offices and support for restoration of their functions 8 Support to communities and government for reissuance of lost documents specially NICs