I have just returned from Pakistan


by Jonathan Mitchell, CARE International's emergency response director

August 28, 2010

This blog entry is part of an e-mail that Jonathan sent to co-workers at CARE:

Dear Colleagues,

I have just returned from Pakistan, where I saw the flood situation and CARE's response first-hand, and worked with the country office and CARE USA's Asia regional director, Nick Osborne, to support scaling-up CARE's response.

As you will know, the devastation caused by the floods in Pakistan is unprecedented with an estimated 17 million people affected - stretching from the Himalayas in the North to the Arabian Sea in the South of the country. An estimated 1.2 million people have lost their homes and 3.4 million are displaced.

Together with CARE's country director Waleed Rauf, regional director Nick Osborne, other colleagues from CARE Pakistan and one of our local partners, we visited affected areas in Swat and Nowshera districts in Northwest Pakistan – one of the first areas hit by the floods four weeks ago.

In the Swat valley, the swollen river had cut huge swathes out of the river banks, destroying many homes, businesses, roads, bridges and other infrastructure, as well as agricultural land. Displaced people are mainly staying in school buildings or with host families. One of the main problems for aid delivery in areas like this is lack of access due to roads being cut. To get up the Swat valley, we had to leave vehicles behind at several points where there were no roads and hike by foot across steep hillsides to the next intact section of road.

In Swat, CARE has supported our local partner to quickly set up mobile health units providing badly-needed primary health services to the communities. Each unit moves around to different sites and includes both a female and a male doctor. The urgent priority now is to find alternative ways to overcome the access difficulties so that CARE and our partners can deliver other relief supplies such as tents, household kits, and materials for water and sanitation.

The situation in Nowshera district, which we also visited, is quite different. It is located south of Swat where the land opens into the plains. Here, the river flooded entire villages, washing away houses and livestock, and inundating agricultural land. Many displaced people are living in makeshift camps on higher ground close to their flooded or destroyed houses. CARE and our partners have set-up mobile health units here as well. In addition, CARE Pakistan quickly provided, through our partners, all of the tents and household kits that CARE Pakistan had stockpiled to people in Nowshera and another neighboring district. But this only met the immediate shelter needs of a small proportion of those needing help in these districts; CARE is working hard to procure the much larger quantities of supplies still needed. Three hundred additional tents were received from vendors last week, but with so much demand, all humanitarian agencies are experiencing serious delays getting enough supplies from vendors in Pakistan. Where appropriate, we are, therefore, looking at sourcing relief supplies from outside the country.

There are many other critical needs in the displaced people's camps as well. A camp that we visited had no water supply, toilets or other sanitation facilities. The situation for women, who have no access to private sanitation facilities, is particularly bad. CARE and our partners are focusing with urgency on the need to address the awful sanitation and water situation. Construction of toilets is starting, a shipment of water purification supplies has arrived, and two water purification plants are being set-up in Nowshera and the neighboring district.

The sanitation issues also illustrate why focusing on gender must be an important aspect of our response, and one that we need to address with sensitivity in the conservative social environment of many of the communities we are working in. The country office is hiring a full-time gender advisor to support our work in this area.

In addition to these districts in the northwest of Pakistan, CARE is also responding in South Punjab and Sindh Provinces further south.

During the visit, we worked with the country office to revise its emergency response strategy. The revised strategy plans for a scaled-up emergency response to reach 300,000 people in the three operational areas over an 18 month period. The response will be in two phases: the first relief phase will last up to nine months and will include interventions in health, shelter, non-food items and water/sanitation; the second recovery phase will overlap with the relief phase and will continue until around December 2011 and will include interventions in livelihood recovery, transitional shelter, etc.

I would like to sincerely appreciate the hard work of colleagues in CARE and our partners in Pakistan, under the strong leadership of country director, Waleed Rauf, who are doing so much to respond to this humanitarian crisis. The great support of many CARE International members is also most valued, and we look forward to continuing to work together with all involved to ensure that CARE's response to this crisis provides significant assistance to the people of Pakistan affected by these devastating floods.

Best regards,


Read more about the floods and CARE's relief efforts in Pakistan >

I have just returned from Pakistan image 1

2010 Waleed Rauf/CARE