Rahnuma-Family Planning Association of Pakistan)

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)


• 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


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.









JAM M U A N D

KA SH M IRKOHAT

GILG IT

MUZAFFARABAD

ISLAMABADPESHAWAR

CHAKWAL

FAISALABAD

QU ETTA

MAND

BADIN

HARIPUR

Okara

Jhang

Sahiwal

Sheikhupura

Khanewal

M ultan

Bahaw alpur

KhanpurRahim Yar Khan

GujratS ialkot

Jhelum

AttockRawalpindi

Mianw ali

KhushabSargodha

Rajanpur

NAs

Skardu

SrinagarAbbotabad

Mirpur

ChitralKalam

Dasu

MansehraM ardan

KarakBannu

Cham an

Nushki

Dera Bugti

LarkanaPanjgur

Khuzdar Shikarpur

Dadu

Turbat

Bela

Nok KundiDalbandin

Kharan

Nagar Parkar

Mirpur KhasKotriHyderabad

NawabshahSanghar

Khipro

SukkurRohri

Khairpur

Jacobabad

M ustung

Phulkara

Tajpura SyedKhadamAli Shah

RawalakotKotli

Narow al

Chilas

HunzaGizer

Khaplu

PishinRegional Offices

Family Health ClinicsGirl Child ProjectArmy 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


Project Goal

Addressing vulnerability of young girls and women to GBVthrough 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.


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.


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


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.


Sessions with LHWs


Awareness session in Nursing school


Rural Community support


Psychosocial support


Medical Camp in rural setting


Services at Static Clinic


Support from local TBAs


Support from Community leaders


'

Sessions with Stakeholders


Rescue 1122 Training




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


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


14th Annual IAWG MeetingFriday 31May-Saturday, 01June 2013KLCC

MISP ACHEIVEMENTS IN PAKISTANSarfraz Hussain Kazmi (Regional Director)Rahnuma-Family Planning Association of Pakistan


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


04-PDMAs included MIPS in their Protocols

Letters of PDMs



Thanks


THANK YOU

Documents

Rahnuma-Family Planning Association of Pakistan)