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Pakistan Flood Relief Letter from Dr Khan


FPHC Begins Reconstruction in Flood Areas (http://hmef NULL.blogspot NULL.com/2010/10/fphc-begins-reconstruction-in-flood NULL.html)

(http://3 NULL.bp NULL.blogspot NULL.com/_GnCUkU-mWpM/TLD1f5pFDII/AAAAAAAAAyM/9tUb4VFj1h0/s1600/DSC00300 NULL.JPG)Sorry for the delay in communicating with you. We have been really overburdened and it continues. even now. The staff is working longer hours than routine, even the office staff..

Because our geographical area is prone to emergencies and we have needed to respond quickly in the past to earthquakes, floods and massive IDP migration, this past January, we opened a special bank account to create emergency response fund. This also has helped us to track the emergency funds received better. We had a small amount in this account when the floods hit that allow ed us to jump right into relief services at the end of July, 2010.

The need for medicine and supplies, even at the beginning, however was very big as whole families and communities had run from their flooded homes with only the clothes on their back. So we were very glad that you were able to raise and send funds to us so quickly.

Our early and effective emergency response was acknowledged by the government authorities, who put us on their official list. This helped as we then received some local donations from philontherapists and organizations. International groups such as UNICEF, WHO and UNHCR also came forward to assist us with supplies. In addition, we had realized some unspent funding in ongoing projects in the tribal areas and got approval from UNICEF for utilization of those savings in flood affected areas.

Along with the donations sent by Society of Rural Physicians, Hillman Medical Education Fund and Rose Charities we have been able to continue our work since the floods began.

Recently we have been chosen by UNHCR for an emergency grant to set up two static health care centres in government health facilities in Nowshera and Charsadda districts for the flood-affected people. Each of the static centers supports by six mobile teams. The static centre consists of 2 Medical Doctors, 1 Medical Technician, 1 Laboratory Technician, 2 LHVs, 2 MCH Assistants, 2 EPI Technicians and support staff. Each of the six mobile teams supporting the static centre consists of 1 LHV, 1 MCH Assistant and 1 Male Social Mobiliser. So this totals more than 50 additional staff members as well as necessary medical and non-medical equipment, rented vehicles and medicine. As part of this UNHCR project we are also rehabilitating 12 health facilities, including several FPHC centers, that have been affected by the heavy rains and floods.

We expect to hear shortly from UNICEF regarding a possible six month Nutrition Project for flood affected people that is planned to start middle of October. Under this project FPHC will be providing Nutrition Services (specifically provision of ready to use micronutrients and nutrition of information) to women and children in at least 10 Union Councils . A Union Council is an administrative unit like a big village.

In recognition of our activities, FPHC is now an established part of the the Nutrition Cluster at Country level and coordinate regularly with UN Office for the Coordination of Humanitarian Affairs (UNOCHA) and National Disaster Management Authorities.

Thank you to all our generous donors for helping not only flood-affected people but also for assisting all the staff of Frontier Primary Health Care to build capacity in responding to these humanitarian emergencies.

Dr. Emel Khan and FPHC



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      • FPHC Begins Reconstruction in Flood Areas (http://hmef NULL.blogspot NULL.com/2010/10/fphc-begins-reconstruction-in-flood NULL.html)
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      • TBAs Trained in Nowsherra Refugee Camps (http://hmef NULL.blogspot NULL.com/2010/03/meros-sister-in-law-was-due-to-deliver NULL.html)
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Pakistan Update

Dr. Emel Khan would like to thank al (http://rosecharities NULL.us/2010/10/pakistan-update/floodp14/)l those who have so generously donated to the  Pakistan Flood Relief.   More than $11,000 has been received through Rose Charities.  Dr. Emel Khan and FPHC have won praise  from the government and the UN agencies for their quick response to the floods.  Your donations have not only provided much needed assistance to Pakistani flood victims but have helped build local capacity in emergency response preparedness.


During the reconstruction phase FPHC will be rehabilitating 12 of the damaged health centers on contract with UNHCR.  As part of this project they will also be running two static health centers in Nowsherra and Chadsadda districts .  Each static centers supports a 6 mobile teams each consisting of 2 medical doctors, 1 medical technician, 1 laboratory technician, 2 Lady Health Volunters, 2 MCH Assistants, 2 EPI technicians as well as support staff while each of the static centers employs 1 LHV, 1 MCH Assistant and 1 male Social Mobiliser.  This makes for more than 50 additional FPHC employees for the reconstruction phase.


UNICEF is considering FPHC for implementation of a six month Nutrition Project for flood-affected people which is planned to begin in October.  Under this project FPHC will provide Nutrition services to women and children in at least 10 union councils.


Donations are still needed for the reconstruction as many people remain homeless.  Donations to FPHC can be made through the Rose Charities Canada Helps site

Pakistan Flood Relief

Rose Charities has sent $8000 to Frontier Primary Health Care to help their support of flood victims. FPHC is a small, effective Pakistani NGO operating for more than 20 years in the Khyber Pukhtoonkhwa (KPK) region, formerly called Northwest Frontier Province. They provide primary health care to more than 250,000 Afghan refugees and local Pakistanis in 4 rural districts and one of the federally administered tribal areas near the Afghanistan border.

They provide the complete range of PHC at a cost of less than $2 USD per person annually. While minimal in terms of cost, this PHC has increased the health status of the populations they serve enormously, with many of the parameters in their communities much higher than elsewhere in the region. They have accomplished this remarkable achievement by using an army of both male and female local volunteers and a committed group of staff paid local wages.

Over the past five years they have also responded to four humanitarian crises in their region. The earthquakes on the Kashmiri border; the deluge of Internally Displaced People (IDPs) as a result of violence in Northern Pakistan and floods in Mardan in 2009 and now a Pakistan-wide flood of 2010. Their expertise and efforts have been recognized by UNICEF and they have in the past been contracted to provide medical care and nutrition feeding centers.

Distributing Medical Aid (http://www NULL.rosecanada NULL.info/wp-content/uploads/2010/09/floodp14 NULL.jpg)In the current crisis more than 20 million people, almost 1/5 of the population of Pakistan, have been displaced and in the area where Frontier Primary Health Care operates, flood waters more than 20 feet deep flow over the roads, destroy homes and inundate the fields.

Nowsherra and Charsadda districts have been among those worst hit. FPHC is providing assistance to the flood-affected at their health units in those districts. Additionally Frontier has been deploying two mobile medical teams consisting of medical doctors, medical technicians, Lady Health Visitors, social mobilisers, EPI technicians and support staff equipped with ambulance, medicine and equipment daily. The mobile teams focus mainly on emergency services and MCH services. The major diseases reported are water related such as skin infections, diarrhoea and also respiratory infections.

Emergency Clinic (http://www NULL.rosecanada NULL.info/wp-content/uploads/2010/09/floodp13 NULL.jpg)The mobile teams are also distributing food and clothing donated locally; micronutrients and vaccines supplied by UNICEF and occasionally cooked food and utensils. Each morning the mobile teams report to the District Health Officer to be sent to the hardest hit areas. As the need is so great and the resources few, the teams rarely return to the same area. The threat of cholera and dysentery, because of the difficulty in obtaining drinkable water, increases daily with nutrition of the many displaced children and pregnant women an ongoing need.

Flood Damage (http://www NULL.rosecanada NULL.info/wp-content/uploads/2010/09/floodp3 NULL.jpg)FPHC has been in contact with UNICEF and UNHCR but so far international organizations have been experiencing difficulty in moving supplies and people in place in the rural areas. I notice that several of the humanitarian sites such as Hesperian and Grassroots International are suggesting donations be sent to appropriate, reliable local Pakistani NGOs to circumnavigate the difficulties the larger international NGOs are experiencing, in the same way SRPC is doing.

Rose Charities and The Society of Rural Physicians of Canada has partnered with Frontier Primary Health Care for more than four years. During that time we have worked with FPHC to improve the management of sexually transmitted diseases, trained traditional birth attendants and are currently developing participatory research, conflict resolution and training projects. Money sent to FPHC will be appropriately and well spent. We proudly supports their work and have found secure reliable ways to send funds. Your generous donations have allowed us to send $8000 this year for flood relief. Rose Charities is a volunteer-based organization so all the funds we receive are sent directly to FPHC without any deductions.

Getting the Container to Haiti

You cant believe how complicated it is to send a container of medical supplies to Haiti. Especially if you have never done it before! There are  obstacles but luckily there are also wonderful people who have come to the rescue.

We are trying to supply equipment to the school of nursing and the pediatric ward at the General Hospital. Both ward and school now function in tents- and have almost no equipment.

First we went to the UBC School of Nursing and visited their teaching lab. They gave us a list of items that they thought would be essential for a small Haitian teaching lab. We then took that list to Haiti and showed it to Mme Nazaire, the Head of the School. She made some modifications.  We then approached Medwish International- a wonderful charity that fills containers with surplus medical supplies. They were able to provide much of what was needed.  University of Miami and Laerdal have offered to donate teaching the expensive manniquins, and a group of physicians in Boston have collected supplies too.  And  Arnold Kerzner collected 100 thermometers and 50 stethoscopes. His son, Jeff, who works in Haiti is helping us with customs clearing advise.

One of the complications is communication with Haiti which has to be either in french or creole. Luckily, we have Canadian nurses Bernie and Teri who have  translated all the documents into french. And Teri speaks creole.  And Jacqui Labrom, a friend  in Haiti has delivering all the paperwork to the right people at the Ministry of Health.

So many people doing their bit to help!!

The container departs for Haiti on thursday  and will be in Haiti in 4 weeks time.  We will keep you posted on the progress.



Books Arrive in Haiti for the School of Nursing

The first shipment of french language nursing textbooks donated by Rose Charities has arrived at the School of Nursing in Haiti! It took us quite a while to source these! We wanted to ensure that they were the right books for Haiti and trying to research what we were looking for on the internet in french was a challenge. Finally one of our volunteers, Jan Johnston, got on her bike in Montreal and pedaled down to the Montreal School of Nursing and spoke to the Dean who was incredibly helpful. She put us in touch with the publishers and advised us on what to purchase. The publisher gave us a good discount and donated 30 books.

And after many emails going backwards and forwards to Haiti to get through customs etc- we hear that they arrived safely. The school is up and running again in 3 large tents. They dug some of their old books out of the rubble but these are in pretty bad shape.

Now the next task is to get the equipment for the teaching lab!


Rose Charities Supports Pakistan Flood Relief


(http://rosecharities NULL.us/2010/08/rose-charities-help-pakistan-floods/fphc-flood/)

Frontier Primary Healthcare helping Pakistan Flood Victims


Rose Charities is a long time supporter of Dr Emel Khan who runs an amazing program on the Pakistan Afganistan border called Frontier Primary Healthcare FPHC. If you want to donate to help FPHC please donate through Rose Charities.

Dr Khan writes:

Really the situation here is at its worst and irreversible damages have been caused by the heavy rains and floods in Pakistan. The floods have played havoc throughout Pakistan especially Khyber Pukhtoonkhwa, Balochistan, Sindh and Punjab provinces. However, the Khyber Pukhtoonakhwa province has been worst affected. The beautiful valley of Swat, Shangla district, Lower Dir, Upper Dir and Malakand agency, districts of Tank, Dera Ismail Khan, Nowshera and Charsadda are amongst the worst hit areas of Khyber Pukhtoonkhwa. Mardan and Swabi districts have also been affected but the damage is not that heavy. The floods have entered Punjab province and now entering Sindh. It is still raining here and even today one of our teams could not reach the medical camp because again there were new floods and the team had to change the area they are working in. There are terrifying scenes in the flood affected areas and 20 feet of flood water was flowing over roads. Currently two of our mobile teams consisting of Medical Doctors, Medical Technicians, Lady Health Visitors, Social Mobilisers and support staff equipped with Ambulances, medicine and equipment are providing emergency medical services including Mother and Child Health Care services to flood affected people. So far, the major diseases reported are skin infections, diarreah and respiratory infections. Until yesterday the two teams have treated 3,240 patients and provided antenatal care to more than 55 pregnant women. In addition to the mobile teams, our fixed health centers in Charsadda, Nowshera, Mardan and Swabi districts are also providing health care services to flood affected people even if they are out of the catchment areas of our health facilities. We are also providing other support like occasional cooked food, clothes and utensils etc. But the demand is very high and even the national, international organizations and Government of Pakistan cannot meet the requirement. Our health facilities are collecting donations in kind and cash from those people who have not been affected by the flood but these donations are very limited.

Nursing School in Haiti

The State University School of Nursing in Haiti was completely destroyed during the earthquake. The building collapsed while classes were in session, burying and killing 74 students and staff. The surviving students are grieving and traumatized and unable to get back to school. We have been asked by the Head of the School to help them get started again.They need textbooks and nursing supplies. We have also organized counseling for the survivors.

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