APPROACH AND METHODOLOGY
With extensive knowledge of the country, the culture, government structures, and the international and national community operating in Pakistan, Save the Children is well-positioned to address the immediate and longer-term needs of children affected by this catastrophe. They have initiated a six-month emergency program that will respond to the immediate needs and alleviate the suffering of a target group of 2 million children and adults in many of the worst-affected communities - while also recognizing that a longer-term response will also be required in 2011 and beyond to ensure children's greater recovery from the conditions they face today. In all districts selected for intervention, Save the Children will plan longer-term interventions and will seek to bring affected families to a higher standard of living than they had before the floods. Four sectoral areas will be the focus of Save the Children's three-year recovery and rehabilitation strategy: health and nutrition; education; child protection; livelihoods and food security.
IMPLEMENTATION, TIMELINE, AND DELIVERABLES
Save the Children will focus its initial response in the provinces of Khyber Pakhtunkhwa, Punjab, and Sindh. Their beneficiaries will be vulnerable, flood-affected families with a strong emphasis on children, women, and orphans.
Save the Children will focus, over the next six months, on these specific deliverables below. Following that period, they will move to a longer-term recovery phase with deliverables and beneficiaries to be identified in early 2011.
Shelter and Non-food Items - 251,000 will people receive shelter materials, water storage containers, and essential hygiene and infant care items.
Food Aid - 480,000 people will receive monthly food rations.
Child Protection - 720,000 children will benefit from psychosocial support and community child protection networks that protect children from potential exploitation and abuse.
Education - 97,500 children will have access to primary education and receive school kits and food supplements; 2,000 teachers and 5,200 members of local school committees are trained to provide psychosocial support to children and in disaster risk reduction.
Health and Nutrition - 400,000 people will have access to health care through mobile teams and stationary health facilities, teams and facilities provide feeding and nutritional services, initiation of health and hygiene promotion, and support for district health departments.
Food Security/Livelihoods - 1 million people will benefit from livelihoods recovery and income-generating activities, rebuilding of agrarian infrastructures and livestock replacement, and food and nutritional activities.
Save the Children will also seek to integrate activities that address critical water and sanitation needs into the above sector responses. All work will be informed by rapid needs assessments that Save the Children has already completed, other assessments will continue to guide program design and delivery.
According to the United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA), the 16.8 million Pakistanis affected by the floods are more than those affected by the 2004 Indian Ocean tsunami, Haiti's 2010 earthquake and Pakistan's own epic earthquake in 2005 combined. As of early September, the World Food Program estimated that 800,000 people remained stranded in villages cut off by floodwaters or by the loss of bridges and roads. The Government of Pakistan's National Disaster Management Authority reports that 1.25 million houses have been damaged or destroyed, forcing the displacement of millions of children and adults who are living in the open, in oppressive heat, and surrounded by unsanitary conditions. The impact of the catastrophe on children cannot be overstated. As of late August, UNICEF had estimated that 7.4 million children had been affected. Lack of access to health services and medical care for children, as well as pregnant and lactating mothers, is of critical concern. According to the UN's health cluster, basic health services are unavailable in some areas, and health centers and hospitals that have not been affected are overwhelmed. Large numbers of children and pregnant and lactating women are without access to food, and the many reported cases of diarrhea point to a clear risk of malnutrition among children. Children's access to education has also suffered a severe blow. The UN's education cluster reports that more than 10,000 schools are out of use. A total of 5,457 schools are reported damaged and 4,911 are unusable after being converted into makeshift settlements for those displaced. Save the Children's own assessments reveal that over 90 percent of the children affected do not have access to safe play areas.
Save the Children is one of the largest responding agencies in Pakistan. With programs there for the past 30 years and the capacity to mount large-scale relief, the agency's flood relief had benefited 491,500 children and adults as of September 6. They are providing emergency health care through mobile and stationary teams and through support to government health facilities; distributing food in cooperation with the World Food Program; providing homeless and displaced families with tents, blankets and shelter materials; distributing family health and hygiene supplies; and addressing children's psychosocial needs through Child Friendly Spaces that provide structured and supervised activities in safe places.