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Committed to Changing LIVES
Best practices in reducing vulnerability of survivors of Gender Based Violence in flood affected districts of Pakistan.
Dr Anjum RizviDirector Program
Rahnuma-Family Planning Association of Pakistan)
Committed to Changing LIVES
• According to the Global Gender Gap Index Report 2011, Pakistan is ranked at number133 out of total 135 countries.
• Woman Rights are exploited using religious and cultural norms.
• Every hour two women are beaten in Pakistan. Beatings/abuse from a male family member is by and large acceptable - a private matter.
• On average 1000 women are murdered in a year, in the name of honor Human Rights Commission of Pakistan
• Early/Child marriages, Acid burning and Sexual assaults are quite common
• MMR 276/100,000 live births, unmet need 34%, TFR 4.1, 34 % literacy
• 61% of the deliveries are conducted by unskilled birth attendants. Source :PDHS 2011-12
Background
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Contd..• Independence, Empowerment and divorce for a woman are taboos.
• The GBV survivors are trapped in socio-cultural norms and practices
• As a survivor she is abused twice – once by the spouse and other to whom she turns for help – including persons from law enforcement agencies, judiciary, community etc.
• Lack of integration of GBV services in healthcare programs, Weak legal support system and unreliable shelters are some of the serious challenges faced by survivors as well as by the service providers in their efforts to assist these survivors.
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
Committed to Changing LIVES
JAM M U
AN D
KASH M IR
KOHAT
GILGIT
MUZAFFARABAD
ISLAMABADPESHAWAR
CHAKWAL
FAISALABAD
QUETTA
MAND
BADIN
HARIPUR
Okara
Jhang
Sahiwal
Sheikhupura
Khanewal
Multan
Bahawalpur
Khanpur
Rahim Yar Khan
GujratSialkot
Jhelum
AttockRawalpindi
M ianw ali
KhushabSargodha
Rajanpur
NAs
Skardu
SrinagarAbbotabad
Mirpur
ChitralKalam
Dasu
Mansehra
Mardan
KarakBannu
Cham an
Nushki
Dera Bugti
LarkanaPanjgur
KhuzdarShikarpur
Dadu
Turbat
Bela
Nok KundiDalbandin
Kharan
Nagar Parkar
Mirpur KhasKotri
Hyderabad
NawabshahSanghar
Khipro
Sukkur
RohriKhairpur
Jacobabad
Mustung
Phulkara
Tajpura SyedKhadamAli Shah
RawalakotKotli
Narow al
Chilas
HunzaGizer
Khaplu
PishinRegional Offices
Family Health ClinicsGirl Child Project
Army Welfare Project
Islam & FP ProjectMale YouthWomen EmpowermentCBRHEP
Prog. Management Offices
Str. Electoral ProcessStrengthening FHC
Head Office Lahore
RAHNUMA
Quality RH&FP Services
Combat Domestic Violence
Committed to Changing LIVES
Project Goal
Addressing vulnerability of young girls and women to GBV
through strengthened services and improved capacity of
health care providers and stakeholders in flood affected areas
of Pakistan.
Geographical Spread 10 Flood affected districts across Pakistan.• Punjab: Muzaffaragarh, DG Khan, Laiyah, Rajanpur• Sindh: Badin , Dadu, and Thatta.• AJK: Neelam, Bagh & Muzaffarabad.
Committed to Changing LIVES
Expected Results
• Increased access to GBV related services in the flood affected areas.
• Increased awareness on GBV related issues among men, women, young people, service providers and communities at large.
• Improved capacity of local, public and private, health care service providers to respond to GBV survivors
• Improved understanding of the on ground situation regarding GBV service provision and impact of the intervention in the flood affected areas.
Committed to Changing LIVES
Findings of Best Practices
• Effective and confidential GBV counseling, consultation and screening incorporated in home visits thru involvement of local volunteers
• Provision of specialized SRH services through female doctors and psychologists
• Development of strong referral mechanism for legal support and shelter protection with other partners
• follow ups.• Coordination and Collaboration with public sector, with
involvement of LHWs
Committed to Changing LIVES
Contd..
• Incident Reporting Format translated in local language and used for reporting with full confidentiality .
• Effective community mobilization through involvement of village health committee members/elders
• Extensive capacity building on SGBV of staff and public and private partners and service providers
• Effective communication though customized radio programs aired from local FM stations.
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Sessions with LHWs
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Awareness session in Nursing school
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Rural Community support
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Psychosocial support
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Medical Camp in rural setting
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Services at Static Clinic
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Support from local TBAs
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Support from Community leaders
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'
Sessions with Stakeholders
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Rescue 1122 Training
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Committed to Changing LIVES
Committed to Changing LIVES
Lessons learnt
Sexual violence is a complex and culturally sensitive issue and needs country specific multi-sectoral response
Trained female service providers (public & private) are critical for the effective services to GBV survivors
Involvement of local volunteers as well as networking with partners makes intervention smooth
Referral & Follow up mechanism needs focused attention from Public Health Sector
Committed to Changing LIVES
Way Forward Enormous joint Advocacy and appropriate service
delivery efforts by different state and non-state actors are required to manage the complexity of addressing the issues of GBV especially in disaster situation.
Inclusion of MISP in the SOPs of PDMAs plan.
Training/Refreshers on MISP for the staff, volunteers and public sector
Feeding field realities into policy bodies, working groups and other forums / conferences
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14th Annual IAWG MeetingFriday 31May-Saturday, 01June 2013KLCC
MISP ACHEIVEMENTS IN PAKISTANSarfraz Hussain Kazmi (Regional Director)Rahnuma-Family Planning Association of Pakistan
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MISP Achievements in Pakistan
• Conducted consultative meetings with Govt Officials, press, media, PDMs and stakeholders,
• Highlighted MISP implementation in disaster management.
• Conducted MISP trainings for Govt health Officials, health Managers, stakeholders, INGOs, PDMA.
• Advocacy meetings with PDMA/NDMA
Committed to Changing LIVES
04-PDMAs included MIPS in their Protocols
Letters of PDMs
Committed to Changing LIVES
Committed to Changing LIVES
Thanks
Committed to Changing LIVES
THANK YOU
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