On Going Efforts/Projects
PROVISION OF EMERGENCY NUTRITION SERVICES TO THE RETURNEES/STAYEE’S IN SARWAKAI SUB DIVISION OF SOUTH WAZIRISTAN AGENCY”
South Waziristan Agency (SWA) is part of Federally Administered Tribal Area (FATA) of Pakistan, adjoining Afghanistan. Its population is 596,886 (estimated in 2014) with annual growth rate of 1.95%. It has 8 subdivisions. The people of SWA are mainly orthodox Sunni Muslims. The literacy rate in SWA is 20.3%, having male to female ratio of 5.8. Like other FATA agencies, SWA suffers the same economic and governance problems such as lack of clean drinking water, illiteracy, poor infrastructure & communication, poverty, malnutrition etc. September 11, 2001, US onslaught on Al-Qaida in Afghanistan, pushed the militants in SWA, who got a stronghold in area and has created geopolitical problem in/for Pakistan. Pakistan had to launch a cleanup operation against them. An operation was launched in 2004, mainly in Wana, with the support of tribal. These operations, led to the mass movement of population as TDPs, in other parts of the country, where they lived in poor conditions. The return of TDPS has recently started. These processes led to dearth of antenatal care (51%), births attended by a TBA (38%) and reduction in Immunization (47%); which have badly affected their health and nutrition. They have poor indicators, as reflected by significantly low IMR, (63/1000) & MMR (275/100,000). According to SSP nutrition project in Tank area of SWA, GAM rate was 16.74% (SAM 3.32% & MAM 13.4%) in U5 children, even the PLWs were badly affected with MAM rate of 10.66%. This warrants a fresh intervention in the area to look after their nutrition, which may be badly affected in the process of settlement of returnees.
Due to of lack resources, the returnees need an immediate assistance in terms of nutrition supplies. For this humanitarian actors have put their efforts to safe guard the nutritional Interests of returnees. ERF has launched its call for proposals to support the returnees. This intended project will be implemented in proposed impact area i.e., Serwekai and Tiarza Tehsils. Its main objective is, to provide emergency nutrition services for the U5 children & PLWs of returnees & stayees of this area for 6 months. This project will cater approximately138, 456 persons of the area. The direct beneficiaries of the project will be 15,701 (6,646 PLWs & 9,055 U5 children (4,618 boys and 4,437 girls). Their relations will be the indirect beneficiaries.
HUMANITARIAN CONTEXT ANALYSIS
South Waziristan Agency (SWA) is part of Federally Administered Tribal Area (FATA) of Pakistan. It is the southern part of Waziristan, a mountainous region of northwest Pakistan; bordering Afghanistan and covers some 6,620 km. Waziristan comprises the area west and southwest of Peshawar between the Tochi River to the north and the Gomal River to the south, forming part of FATA. The Khyber-Pakhtunkhwa lies immediately to the east. It is the largest agency of FATA with two headquarters: Tank in winter and Wana in summer. It is bound to the north by the NWA, to the north-east by Bannu and Lakki Marwat districts, to the east by Tribal Area Adjoining Tank and D I Khan districts, to the south by Zhob district of Baluchistan Province and Tribal Area Adjoining D I Khan district, and to the west by Afghanistan.
Like other FATA agencies, SWA suffers the same economic and governance problems such as lack of clean drinking water, illiteracy (especially for women), poor infrastructure & communication, poverty, malnutrition etc. SWA total population as per 1998 census was 429841 and projected population as of 2015 is 625593 (Bauru of statistics FATA secretariat Peshawar). It has 8 subdivisions. The proposed impact area is Serwekai and Tiarza Tehsils (population 138,456). Overall food security situation in FATA as well as in South Waziristan is deteriorating. Integrated Food Security Phase Classification analysis carried out in 2014 and 2015; depict a trend analysis of food insecurity/food security where South Waziristan Agency was classified in Phase 4. The current IPC analysis based on available data and other correlating factors classified North Waziristan and South Waziristan agencies under Phase 4, with probability of improvement in food security situation over the next 6 months to Phase 3 subject to promising returns, eased security situation and response by the humanitarian community and the Government. The ongoing massive military operation in North Waziristan has resulted into displacement of over 100,000 families from the agency resulting in schools, hospitals and water supply system completely damaged that would be requiring rehabilitation once returns would be taking place. The situation in SWA is getting better, however, the security situation, remoteness and limited humanitarian response are key hindrances bringing the area n track towards development.
The area suffers many problems of governance and most parts of it lack even basic necessities of life, such as clean water 54% population has access to clean drinking water, 22% has access to sanitation facilities (FATA MICS + Drinking water policy for FATA 2014 FATA secretariat). In the aftermath of the migration of the local population as a result of Wana operation and now their return from Khyber Pakhtunkhwa and FATA, has badly affected their health and nutrition status. FATA MICS 2009-10 shows that infant mortality rate in SWA is 86 death per 1000 live births showing the alarming/emergency situation where immediate humanitarian action is required by all humanitarian actors.
Social services program (SSP) is currently implementing “CMAM and IYCF” project in SARWAKAI sub division of South Waziristan Agency (SWA) with the financial support of Pakistan Humanitarian Pooled Fund (PHPF), UNICEF and WFP. Under the same project 5 CMAM static centers will be established at 5 different health facilities from where emergency nutrition services will be provided to intended beneficiaries. Through community outreach component, SAM, MAM and SC cases will be identified, enrolled/registered and treated as per CMAM and IYCF protocol. Expected outcomes by the end of the project are given below. This project was expected to start from 1st March, 2016 however due to delays in obtaining NOC was started from May 1st 2016 and PHPF granted two months NCE till October 30th 2016.
There are two major groups of potential or direct beneficiaries i.e. children of 6-59 months and PLWs, whose detailed breakdown is given in the below,
Target Population of the proposed 3 tehsils 15,701 and 100% of it will be covered under the proposed project interventions
- Expected outcomes of the proposed project are
- Screening: # of children 6-59 months of age (12.1% of total population) 9,055 (females 4,434 and male 4,618) 10.9% of the target population.
- SFP: # of Moderate Acute Malnourished Children (10% of 6-59 months children) 1,245 (610 females+635 males)
- OTP: # of Severe Acute Malnourished Children (5% of 6-59 months children) 498 (244 female+254 male)
- SC: # of SAM Children with Medical Complications (5% of 6-59 months children )-20% of SAM 125 (61 female+60 male)
- De-worming: # of Children (24-60 months) (12 % of total population)-70% coverage 3882(1878 females+1954 males)
- MM Supplementation: # of Children (6-59 months) (12.1% of total population)- 70% coverage,5,317PLWs. Pregnant/Lactating Women:
- Screening: # of Pregnant and lactating women-PLW (8% of target population) 6,646
- MMS: # of PLW provided multi-micronutrient supplements [80% of PLW] to 5,317 PLW’s
- SFP: # of PLW at risk of malnutrition MUAC < 21 cm [15% of total PLW] 1,371 (PLWs (SFP)
- Sessions # of Sessions conducted for IYCF and Maternal Nutrition Promotion 1,344.
- Nutrition Promotion: # of Mothers/Caretakers educated on IYCF and Maternal Nutrition Key Messages 13440.
- Base line for sessions: # of worker x # of SFP/OTP centers x 4 sessions per month x months (28*4*4*5)
- Duration of the Project: 1st MAY 2016 – 31st OCTOBER 2016
- STAUS of the Project: ONGOING
SUMMARY OF ACHIEVEMENTS VS PROJECT TARGETS
|S.NO||Description||Project Target||Achieved In Reporting Period||%age|
|1||Screening of Children U5||9055||12708||140 %|
|2||Screening of PLWs||6646||9095||137%|
|3||OTP admission of SAM children||498||403||81%|
|4||SC referral of SAM children with complications||125||5||4%|
|5||SFP admission of MAM children||1245||1330||107%|
|6||SFP identified of MAM PLWs||1371||1349||98%|
|7||Deworming of children||4071||594||15 %|
|8||IYCF and other Mobilization/HNE session conducted||1344||932||69%|