HANDS Quarterly Progress Report Oct-Dec

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2 Contents 1. Abbreviations: Foreword: Acknowledgement: : HANDS Overview: Management Structure: Management Certification: Policy Guideline: Experience in project administration and financial management: Major funding partner: HANDS Strategy for Vision : HANDS Offices: Detail of HANDS Projects: Beneficiaries: Human Institutional Development Program: Capacity Building & Mentoring of Community based partners: Social Mobilization Program: Community Partner Organizations Disaster management program Food Distribution during Emergency Medical Camp: Non Food Items (NFIs): Infrastructure Development Energy WASH and Shelter (IDEAS) Intervention Units of Infrastructure Development Program: Direct Beneficiaries of IDEAS Program: CPI Schemes: WASH Schemes: Alternate Energy Schemes: Livelihood Enhancement Program: On-Farm Livelihood Enhancement Program Off- Farm Livelihood Enhancement Program Intervention units of Livelihood Program: Beneficiaries of Livelihood Program: HANDS Textile Training Centre: Livelihood Enhancement Program: Health Promotion Program: Intervention units of Health Promotion Program: Beneficiaries of Health Promotion Program:: Patients / Clients: Other Medical Services: Education & Literacy Promotion Program Intervention units of Education & Literacy promotion program: Beneficiaries of Education & Literacy promotion program: Monitoring Evaluation & Research Program: Researches: Researches Detail of Last 2 Quarters: Resource Mobilization Program: Proposals and EOI s / Concept Notes:

3 1. Abbreviations: AB AFP AGE AIP AKU ALC ANC BCC BHU CBA CBDRM CBDRR CBO CBP CCA CCBP CFW CIG CMAM CMST CMW CP CtC CWDs DHQ DM DMS DRR DTC ECD ECE EiE EPI ESV FALAH FFW FGD GAD GAVI GBV GDP HANDS HAS HCP HICD HID Attendance Bonus Annual Financial Plan Adolescent Girl Education Annual Implementation Plan Aga Khan University Adult Literacy Centre Antenatal Checkup Behavior Change Communication Basic Health Unit Child Bearing Age Community Based Disaster Risk Management Community Based Disaster Risk Reduction Community Based Organization Capacity Building Package Community Change Agent Community Capacity Building Package Cash For Work Common Interest Group Community based Management of Acute Malnutrition Community Management Skills Training Community Midwife Cerebral Palsy Child-to-Child Children With Disabilities District Head Quarter Disaster Management Distribution Management Software Disaster Risk Reduction District Technical Committee Early Childhood Development Early Childhood Education Education in Emergency Expanded Program on Immunization Enrollment Subsidy Voucher Family Advancement for Life and Health Food For Work Focus Group Discussion Gender And Development Global Alliance for Vaccines & Immunization Gender Based Violence Gross Domestic Product Health And Nutrition Development Society Health Action School Health Care Provider HANDS Institution of Community Development Human Institutional Development 3

4 HIV Human Immunodeficiency Virus HM Hunarmand Markaz HMC Health Management Committee HR Human Resource HTC Hunarmand Training Centre ICR&A Information Communication Resource & Advocacy IDEAS Infrastructure Development Energy WASH and Shelter IDI In Depth Interview IEC Information Education and Communication ISAR Integrated School Action for Revival IT Interactive Theatre KAP Knowledge Attitude Practices LFA Logical Framework Analysis LFM Logical Framework Matrix LHW Lady Health Worker LIP Livelihood Investment Plan LSBE Life Skill Base Education MAM Moderate Acute Mal nutrition MARVI Marginalized Areas RH & FP Viable Initiatives MCH Mother & Child Health MDG Millennium Development Goal MER Monitoring Evaluation & Research MI Medico International MIS Management Information System MNA Member of National Assembly MoH Ministry of Health MoU Memorandum of Understanding MPA Member of Provincial Assembly MTR Mid Term Review MUAC Mid Upper Arm Circumference NARI New Approaches for Reproductive health Initiatives NFLP National Finance Literacy Program NGM Non Genetically Modified NGO Non Government Organization NIS Nutrition Information System NPO Non Profit Organization OBA Output Based Aid OTP Outpatient Therapeutic Program OVI Objectively Verifiable Indicators PAP Poverty Alleviation Program PEB Parents Education Board PLW Pregnant and Lactating Women PM Parwarish Markaz PNC Pakistan Nursing Council PRA Participatory Rapid Appraisal PTS Primary Training Session PW Parwarish Worker PWDs Person With Disabilities RCC Releasing Confidence Creativity RH Reproductive Health RHC Rural Health Centre SAM Severe Acute Mal nutrition 4

5 SBA Skill Birth Attendant SC Stabilizing Centre SFP Supplementary Feeding Program SGD Sindh Government Dispensary SHS School Health Screening SMART Specific, Measureable, Appropriate, Reliable and Time Bound SMC School Management Committee SNEB Sindh Nursing Examination Board SOP Standard Operating Procedure SRH Sexual Reproductive Health STC School Tawana Committee TAMEER The Appropriate Measures for Early recovery and Early Rehabilitation TBA Traditional Birth Attendant THQ Taluka Head Quarter TOT Training Of Trainers TPP Tawana Pakistan Project TT Tetanus Toxoid UC Union Council UN United Nation VHC Village Health Committee WASH Water Sanitation Hygeine WHO World Health Organization WTU Water Treatment Unit 5

6 2. Foreword: By ALLAH Blessings HANDS is now recognized as model Institution certified by leading International Organizations. This recognition is well marked as HANDS played lead role in capacity building of many organizations, and being successful in getting projects from new donors during the year The core team of Executives and General Managers based at Head office under the leadership of Dr. Sheikh Tanveer Ahmed, Chief Executive Officer with the support of mid level managers at District offices and Project offices have great contribution in all achievements. All HANDS teams as a family have commitment to their mission to serve the millions of underprivileged communities throughout Sindh province and outside as well. HANDS as an Institute of Community Development (ICD) is providing services through Human capacity development of thousands of the community service providers in health, education and poverty alleviation sectors, community organizations and other institutions in development sector including public sector departments and their officials, and elected representatives. The HANDS Quarterly Report of October to December 213 is clearly reflecting that all HANDS Family members are dedicated & have commitment to go forward towards our vision of Healthy, Educated and Prosperous Pakistan. I wish all of you a great success Thank you & God Bless You Prof. A. G. Billoo Chairman 6

7 3. Acknowledgement: First of all let us thanks to Almighty Allah (Subhan-e-Taalah) who has blessed us with an organization like HANDS, that has provided us a wonderful platform to serve humanity and enabled us to contribute good deeds, to bring relief in the lives of poorest of the poor. We also acknowledge all the founding members of HANDS for nurturing HANDS, when it was a delicate sapling. Our gratitude to founder, Chairman and father of HANDS - Professor Abdul Gaffar Billoo (Sitarae-Imtiaz), whose continuous inspirational leadership has inculcated the energy, motivation and commitment in the organization staff to scale up the services of HANDS. We appreciate all the governing board members specially Ms. Sirajunnisa Isani Mr. Ghulam Hussain Baloch - the living legend, Dr. Saeed Ismail, Dr. Mustaghis-ur-Rehman, Dr. Ghulam Farooq, Mr. Anis Danish and District Patrons for their enormous inputs throughout the lifecycle of HANDS. We appreciate all the formal donors for their trust, guidance and continuous investments in HANDS. This continuous investment process has kept the organization growing and expending throughout its life cycle, especially during the period of October to December 213. We greatly admire our philanthropist grant makers, without whom it was impossible to take HANDS services to the remotest areas of the country. We are greatly thankful to the HANDS partner communities and the volunteers of Community Based Organizations (CBOs) for the wholehearted generous support and tireless work for development process in settlements and villages. We are thankful to all the public sector officials of Federal, Provincial, and Districts Governments / Administration for their support in partnering HANDS to work in remotest areas of the country. We are thankful to the Civil Society Organizations (CSOs) for their contribution in community development work and strengthening HANDS efforts to resolve community issues. The report you are about to read is a result of a good team work. The tireless and dedicated efforts of staff and volunteers have played pivoting role in publishing this profile. We are thankful to the General Managers including Rahila Raheem, Khalid Pervez, Huma Siddiqui, Irfan Ahmed, Ghulam Mustafa Zaor, Anwer Iqbal,, Qalandar Bux Behrani, Murtaza Noonari, Muhammad Rahim Marri and Ghulam Farooq. We also whole heartedly appreciate all the Program Managers and Program Associates of Finance, Procurement, Logistic, IT and Support Staff. We like to salute untiring efforts of all Provincial Program Managers and District Executive Mangers, who played key role in preparing this document and also district field finance & operation staff. Our special thanks and acknowledgment to Noor Baloch (Senior Manager MER) to compile the data and develop a comprehensive report. Dr. Shaikh Tanveer Ahmed Chief Executive (HANDS) Rubina Jaffri General Manager ME&R 7

8 4: HANDS Overview: HANDS started its formal journey of intervention from a public sector hospital in Karachi as Health And Nutrition Project in 1979lead by the Intervention Areas in October to then head of the department of pediatrics, Prof.A. December G. Billoo (Sitara-e-Imtiaz). Geographical Outreach Number Prof. Billoo was seriously concerned about the poor patients coming from Karachi rural areas in miserable conditions. His strong urge and untiring efforts for providing basic health care facilities to the poor patients bore fruit. The first Primary Health Care Center was established in a village 4 kilometers away from city center. The interns of professor followed his vision to develop "Healthy Educated Prosperous Pakistan". Dr. Biloo s vision started taking shape by 1993 and gradually the Health And Nutrition Project was transformed into the present organization called HealthAnd Nutrition Development Society - "HANDS". After 34 years HANDS has evolved as one of the largest Non Profit Organization of the country and depicts an excellent model of community development. This integrated model comprise of key programs of Social Mobilization, Gender & Development, Human & Institutional Development, Monitoring Evaluation & Research, Information Communication Resource and Advocacy, Health Promotion, Education & Literacy, Livelihood Enhancement, Infrastructure Development, Energy Water & Shelter, Disaster Management and Social Marketing. HANDS has a network of 31 offices across the country and has access to more than 6 million population of nearly 6,761 villages/settlement in 35 districts. These offices are supported by 525 medium and small size organizations' network in Pakistan. 4.1 Management Structure: HANDS Offices 31 Intervention Districts 35 Union Councils 487 Villages / Settlements 6761 Population 6,84,85 HANDS is governed by 18 members elected "Governing Board" who are volunteers and are lead by Chairman of the organization. The Chief Executive is defecto member of the GoverningBoard as well. The Board provides policy guideline and follows the management to pursue management policies in the spirit of the organization's vision % Current Staff Total = % Male Staff Female Staff The board is comprised of professionals of different sectors, philanthropist and ex-employees of HANDS. There are four tiers in management structure, first tier is the Senior Executive Committee which is top management and comprise of 4 executives and a Chief Executive. The second tier is "Steering Committee" which comprise of 13 General Managers (GMs) and the 4 senior executives are also member of the steering committee. The GMs are responsible for operation of different project activities of their program under the leadership of Chief Executive and senior Executives. All the districts heads that is Districts Executive Managers (DEMs) and members of Steering Committee form a 3rd tier called 8

9 Management Committee. The fourth tier exists at district level called the District Management Committee which comprise of district project staff, DEM and is chaired by District Patron and representative of head office staff. HANDS at present have more than 15 full time staff and more than a million Community Based Volunteers (CBVs) who participate at "Monthly Community level forums" lead by Chairperson of Community Based Organization (CBO) and respective district staff participate as defecto member in these forums. A total of 465 Staffs were based in Head Offices& District offices and there is 139 staff are community based Quarterly status of HANDS Staff Office Based Male Female July - Sep Oct - Dec July to Sep Oct to Dec Quarterly status of HANDS Staff Community Based Male Female July - Sep Oct - Dec July to Sep Oct to Dec Management Certification: HANDS is certified by Pakistan Center for Philanthropy (PCP) and is tax exempted by Income tax department of government of Pakistan. HANDS has also successfully completed the Institutional 9

10 Management Certification Program (IMCP) of USAID for management standards. We are accredited with European Union and have central contractor registration with US Goverment (DUNS No.). HANDS also possess membership with Humanitarian Accounability Partnership (HAP). PakistanCenter for Philanthropy 4.3 Policy Guideline: HANDS has developed 19 policy mannuals which include Operation, Finance, Human & Institutional Development, Human Resource Management, Social Mobilization, Social Marketing, Disaster Management, Health Promotion, Social Protection, Monitoring Evaluation & Research, Resource Mobilization, Education & Literacy, Information Technology, Information Communication Resource and Advocacy, Knowledge Management, Infrastructure Development Energy, And water & Shelter, Gender And Development, Livelihood Enhancement, and Suggestion and Complaints (Whistle Blowing). 4.4 Experience in project administration and financial management: HANDS has successfully managed 396 projects during last 2 years including 65 projects in the year Currently 37 projects running in different districts of Pakistan. Finance Department is equipped with qualified personnel working in a computerized accounting software (online in all districts) through Sidat Hyder Financials. HANDS is currently managing a budget of approximately Rs. 159 million for Quarterly status of Projects Targets Achievements Jul - Sep Oct - Dec Jul - Sep Oct - Dec Major funding partner: The list of major funding partners include USAID, The David & Lucile Packard Foundation, Save the Children US & UK, The Aga Khan Foundation, Aman Foundation, Basic Needs / Basic Rights, UNICEF, Care International, GAVI Alliance, UKAID/ Department For International Development (DFID), Shell Pakistan, Bearing Point, Mustashaar, Plan International, Koninkrijk der 1

11 Nederlanden, RSPN, Sindh Education Foundation, World Health Organization, Food and Agriculture Organization of the United Nations, American Red Cross, GDS International, Engro Foundation, GOAL International, International Organization of Migration(IOM), Naya Jeevan, Novo Nordisk, Pakistan Cultural Group (PCG), SINA, Japan Official Development Assistance, UNFPA, UNHCR, UNOPS, World Food Program, STEUN Pakistan, Khushhali Bank, Asian Development Bank, Pakistan Poverty Alleviation Fund, World Bank, The Asia Foundation, Aurat Foundation, WPF Rutgers, Ministry of Women Development Pakistan, Medico International, UNDP, Population Council, andgovernment of Sindh and Federal Government. 4.6 HANDS Strategy for Vision : Considering HANDS 33 years of life, it was felt that a long term strategyshould be developed. Therefore a series of consultation meetings were conducted with all the stakeholders of organization from community to the Governing Board. After six months of meetings and follow up we came up with the following vision admission in the context of targets for year 22. HANDS new Vision is "Healthy, Educated, Prosperous and Equitable Society" and Mission is "improving health, promoting education, alleviating poverty and developing social institution for community empowerment". HANDS principles and values include partnership and relations with communities in sovereignty of and equity with our partners. One of the values of HANDS is based on mutual trust, honesty, professionalism and transparency among Governing Board, employees and supporters. HANDS development process value is based on an understanding of roles and responsibilities, which include accountability, ethnic impartiality and effective participation. We strive for value of creativity and innovation, which is the hallmark of all our efforts. Our belief is that every citizen of this country should have access to their basic rights and should discharge their obligation with same fervor. 4.7 HANDS Offices: HANDS is working in very large area of the country. It has established 31Offices including Head Office in Karachi and 3Provincial offices in Quetta, Lahoreand Peshawar. Through these offices HANDS staffs continue to monitor and follow progress of its different interventions and projects. S# Office S# Office 1 Awaran 17 Mir Pur Khas 2 Badin 18 Muzafar Garh 3 Dadu 19 Peshawar 4 Ghotki 2 Quetta 5 Head Office 21 Rajanpur 6 Hyderabad 22 Sanghar 7 Islamabad 23 Shaheed Benazir Abad 8 Jacobabad 24 Shikarpur 9 Jaffarabad 25 Sukkur 1 Jamshoro 26 Tando Allah Yar 11 Karachi Rural 27 Tando Muhammad Khan 12 Karachi Urban 28 Tharparkar 13 Kashmore 29 Thatta 14 Lahore 3 Umerkot 15 Larkana 31 Panjgore 16 Matiari 11

12 4.8 Detail of HANDS Projects: HANDS is running 37 projects in 35districts during this quarter. Project details and their location are as follows: S# Complete name of Project Districts Reduction in natural Anemia and low birth weight (An 1 operational Research Project) Umerkot & Tharparkar 2 Business Social Responsibility / Health Enable Return Karachi Urban 3 Hands Hospital Jamkanda Karachi Rural 4 Community Midwifery Training Schools Karachi Rural, Matiari 5 Reproductive Health Initiative With Adolescent Thatta, Muzafargarh 6 Marginalized Area Reproductive Health Viable Initiative Thatta, Umerkot The Provision of Reproductive Health Services through 7 social Marketing HANDS GSM Project Ghotki, Dadu, Sanghar 8 Social Sector Development Project Health Karachi Urban 9 Sindh Coastal Development (Forest Dept. GOS) Karachi Rural 1 HANDS Display Centers Jamshoro, Jacobabad, Hala, Badin, Karachi Rural, Thatta 11 HANDS Disaster Risk Management Centers Sukkur & Thatta 12 Gender Equity Project Karachi Urban 13 Human Institution Development Project Karachi Rural and Urban 14 HANDS Hunarmand Training Centers Karachi Rural, Matiari 15 PPAF Livelihood Project Karachi Rural and Urban 16 Development of Model Village at Noor Muhammad Village Karachi Urban 17 Releasing Confidence & Creativity Hyderabad, Matiari 18 Roraty Jo Goth Thatta 19 Sindh Coastal Area Development (SCAD) Project Karachi Rural 2 Social Mobilization for Micro-financing for Enterprise for Enterprise, livestock and Agriculture development. Hyderabad, Tando Muhammad Khan, Tando Allahyar, Sanghar 21 IQRA Project Karachi Rural and Urban 22 TAMEER MI III Matiari 23 Provision of Safe drinking water to urban slums Karachi Urban 24 ASMA School Matiari 25 School WASH Karachi Urban Jacobabad, Kashmore, Ghotki, Emergency shelter assistance to 212 flood affected families 26 Rajanpur, Shikarpur, Jaffarabad 27 New Approaches Reproductive Health Imitative Jaffarabad 28 Mental Health Development Project Karachi Rural and Urban 29 SHAMIL psycho Social Welbing Project Karachi Urban 3 Abu Faisal Trust Handpump Project Thatta 31 ASK Project Karachi Rural, Matiari 32 Food Distribution Kashmore, Ghotki 33 ORS Project Tando Allah Yar 34 Relief & Recovery Project for EQ Affected Areas of Balochistan Awaran, Kech, Panjgor 35 Sindh Community Mobilization Project (IRD / USAID) Sukkur, Larkana, Karachi Urban, Jacobabad, Kashmore 36 Livelihood Karachi Rural 37 SEHAT Project 3 Matiari 12

13 4.9 Beneficiaries: HANDS has been providing benefit and services to millions of population under its different interventions offered under the projects and programmatic sectors. All the sectors bring the beneficiaries towards the facilitation to solve their problems at community level. HANDS believe in the community participation and target the community as the first and most important priority. HANDS is directly and indirectly benefiting the rural communities through community based/ facility health care providers, teachers, and community based entrepreneurs.direct Beneficiaries of HANDS in the 2nd quarter of are.98 million people. Beneficiaries Targets Achievements Jul - Sep Oct - Dec Jul - Sep Oct - Dec

14 5. Human Institutional Development Program: HANDS is committed to provide quality services in Human and Institutional Development (HID) sector. The aim is to create a culture of learning where individuals and institutes take responsibility in partnership with HANDS for their development. The services of HID are offered in four main areas which include community trainings, professional development program, and institutional development and consultancy services 5.1 Capacity Building & Mentoring of Community based partners: HANDS HR&ID develops human resources and extend the skills of groups and individuals at community level in different sectors. In this regard HR&ID has organized 62 trainings and 199 participants attended these training during the period of October to December 214. The trainings were conducted by HANDS head office staff and District office staff which have been developed as master trainers over last many years. Each district office has also been developed as a resource center thereby the trainings conducted at all districts offices Quarterly status of No. of Trainings Target Achievement July - Sep 12- Oct - Dec 12- July to Sep 13- Oct to Dec Quarterly status of Training Participants Target Achievement 62 The categories of the trainees varies from managers of projects or NGOs or Community organizations, local elected & district government representatives, community based health care providers, teachers or educators, and individual entrepreneurs. Charts show the year wise detail of training and participants July - Sep Oct - Dec July to Sep Oct to Dec Social Mobilization Program: Social mobilization occupies a central place in HANDS approach, with primary focus on working with the poor and disadvantaged. Social mobilization is a participatory process to raise awareness, mobilize and involve local institutions, local leadership and local communities to organize for collective action towards a common vision. The basic working philosophy of HANDS Social Mobilization Program has been to develop Community Based Organization (CBO) as its partner in community development, therefore all programs and projects are implemented with collaboration of CBO, Local Support Organizations (LSOs), local NGOs networks which ensure the sustainability of the program. 14

15 6.1 Community Partner Organizations HANDS strongly believe in community participation and empowerment for sustainable development. Therefore it has adopted the strategy to establish the partnerships with local community for implementation of all interventions including health, education and poverty alleviation program. Through its social mobilization approach the local communities are organized as organizations or already existing organized groups are strengthened through trainings and then regular follow up visits, meetings and hands-on trainings by field teams. These organizations are empowered enough to monitor the whole interventions and take parts in decision making for the improvement of the development process. HANDS has formed 45 Men and Women Community Based Organization in Oct to Dec Quarter. Tables below depict the composition and status. Quarterly status of Formation of Community Based Organization CBO Formation Men Target CBO Formation Women Target CBO Formation Men Achievement CBO Formation Women Achievement July - Sep Oct - Dec July to Sep Oct to Dec Disaster management program Disaster management aims to reduce, or avoid the potential losses from hazards, assure prompt and appropriate assistance to victims of disaster, and achieve rapid and effective recovery. Appropriate actions at all points lead to greater preparedness, better warnings, reduced vulnerability or the prevention of disasters. The complete disaster management cycle includes the shaping of public policies and plans that either modify the causes of disasters or mitigate their effects on people, property and infrastructure. 7.1 Food Distribution during Emergency Food distribution model of Disaster Management program focuses on nutritional requirements of IDPs during disasters. The United Nations World Food Program has provided the guidelines for average requirement of food/calories per person (21 kcal per person per day). The average requirement of an adult person isabout 515 grams per person per day, for the food distribution in 15

16 emergencies. The figure for requirement could be adjusted to suit local conditions, taking into account the population's actual nutritional requirements and its ability to access food. Their requirement of micronutrients is also considered. As per HANDS assessment about 9% livelihood / earning resources have been destroyed in most areas of the Tehsil Awaran and Mashkay and HANDS initially distributed food among 21 affected families soon after the incident. 7.2 Medical Camp: Provision of health services through medical camps is an effective way specially in situations where these services could not be readily provided to the patients due to certain circumstances. This method is specially effective in case of disaster struck areas where there is an emergency situation and people cannot travel to health facilities for basic health services. The medical camps could be static or mobile and can be held at a health facility or a temporary place in a community like room or tent provided by local community Quarterly Status of Distribution of Ration Bags July - Sep Target Achievement Oct - Dec July to Sep Oct to Dec HANDS trained paramedic s team which have been sent to District Awaran for treatment of injured / vulnerable people. This team consist female paramedics especially for the purpose of provision of health services to vulnerable females and children. HANDS are providing medical services through mobile medical camps in villages of UC Awaran and UC Parwar of District Awaran with initial medicines provision for 558 families Patients has been treated by HANDS mobile teams. Quarterly status of Disaster Medical Camps Clients July - Sep Target Oct - Dec Achievement July to Sep Oct to Dec Non Food Items (NFIs): During Awaran Earthquake HANDS provided Non food Items to the affected people, we distributed 5,555 items in October to December quarter. Non food items include: Bamboos, Blankets, water filters, sleeping mats, solar lights hygiene kits, cloth, bucket, soap, tarpaulin, ORS, female hygiene cloths, chlorine tablets etc Quarterly status of Distribution of Non Food Items Target July - Sep 12- Oct - Dec Achievement July to Sep Oct to Dec

17 8. Infrastructure Development Energy WASH and Shelter (IDEAS) Infrastructure Development, Energy, WASH and Shelter (IDEAS) are committed to provide the good quality infrastructure to target population. IDEAS program is a series of projects based on the foundation of field tested, best practices, and proven capabilities. The models innovated by HANDS IDEAS are low cost, durable, socially acceptable and environment friendly. 8.1 Intervention Units of Infrastructure Development Program: IDEAS program of HANDS have 4,41 Intervention Units including 38,289 shelters which will be constructed in this year; most of them will be constructed in northern areas of Sindh, 45 shelters will be constructed in District Awaran Balochistan for earthquake survivals.other Intervention Units are 88 latrines 17 Kitchens. 317 Hand pumps 26 culverts, 23 Street Pavements,1 Foot tracks, 2 link roads, 3 water filter plants, 3 water supply lines. 3 water tanks, 1 jetty, 1 flood protection wall and 92 work yard are also targeted in this year. Mosque etc are also planned in year Intervention Unit Number Culverts 26 Flood Protection Wall 1 Foot Tracks 1 Handpumps 278 Jetty 1 Kitchens 17 Latrines 769 Link Roads 2 Shelters 38,289 Street Payments 23 Water Filter Plants 3 Water Pipelines 3 Water Tanks 15 Work Yard 82 Total 4, Direct Beneficiaries of IDEAS Program: HANDS IDEAS Program will provide the services directly in the community through Shelters, CPI Schemes and WASH Schemes. In accordance of beneficiaries 327,382 beneficiaries will be benefited in Beneficiaries Number Culverts Beneficiaries 4686 Flood Protective Walls 54 Foot Tracks Beneficiaries 894 Hand pump Beneficiaries 3423 Jetty 6 Link Roads Beneficiaries 315 Masson 6 Shelter Beneficiaries Street Payments Beneficiaries 2511 Water Filter Plant Beneficiaries 6 Water supply line beneficiaries 9 Water Tanks 4725 Workyard Beneficiaries 494 Total 327,382 17

18 8.3 Low Cost Shelters: Provision of low cost shelters to families, who have either lost shelter due to some disaster or cannot afford to build their houses, are addressed through this model. Through this model HANDS has constructed Shelters in last 3 years in different districts of Pakistan. HANDS has also provided 3671 roofing kits. At present 37,877 shelters are in process of construction. In last quarter 259 shelters have been constructed and 21 roofing kites were provided to Awaran Earthquake survivals. Quarterly status of targets v/s achievements of shelter construction can be seen in graph and table shows the overall status Shelter and Roofing kits. 8.4 District wise detail of Shelters S# District Complete Shelter Under Construction Total Shelters Roofing Kits Grand Total 1 Dadu Thatta Jacobabd Shikarpur Kashmore Jamshoro Jaffarabad Sanghar Khairpur Karachi Badin Umerkot Tando Allah Yar Tando Muhammad Khan SBA Mirpur Khas Ghotki Rajanpur Matiari Awaran Quarterly status of Shelter Construction Target Achievement July - Sep Oct - Dec Total July to Sep 13-Oct to Dec

19 8.5 CPI Schemes: HANDS IDEA program is working in new schemes in different villages under TAMEER and SCAD project. The objects is to implement its Community Physical Infrastructures including, renovation and construction of Link roads, culvert, developing of Play Area, streetpavement etc throughout the year The identified CPIs are demand driven, and are determined by the communities through an internal participatory process. For purposes of ownership it is mandatory for the communities to share and contribute in the costs of the project and also to maintain the infrastructure provided. 4 CPI schemes comprising street pavements, link roads, jettys, etc have been constructed in this quarter Quarterly status of CPI Schemes July - Sep Target Oct - Dec Achievement 37 July to Sep Oct to Dec WASH Schemes: WASH schemes has also been implemented. Under the scheme construction activities were initiated. Construction todate include Latrines, Hand Wash Facilities, Drainage Schemes and, Water Schemes. Hand Pumps were also installed in different villages and School etc. During the current quarter, 575WASH Schemes comprising Latrines, drainage schemes, hand pumps, water tanks etc are constructed Quarterly status of WASH Schemes July - Sep Target Oct - Dec Achievement July to Sep Oct to Dec Alternate Energy Schemes: The energy is required for several daily activities and it is either not available or there is great shortfall. To combat this situation HANDS - IDEAS has come up with best practice model of alternate energy generation schemes on small scale energy generation schemes are provided to the Awaran Earthquake survivals Energy Generation Schemes Target July - Sep 12- Oct - Dec Achievement July to Sep Oct to Dec

20 9. Livelihood Enhancement Program: Livelihood Enhancement Program was initiated in 1998 and focuses on the development of communities through income generation opportunities, skill enhancement and overall improvement in livelihood of underprivileged. This program has quite extensive activities and is divided into two components i. e. On- Farm and Off - Farm. 9.1 On-Farm Livelihood Enhancement Program Livelihood Enhancement Program's on farm component promotes natural resource management, work for food security and income generation of the underprivileged communities. On-Farm activities enhance the livelihood of people through agriculture interventions, provision of livestock, poultry and fish farming, transfer of assets, promotion of horticulture and social forestry. The program also provides capacity building trainings to the beneficiaries. 9.2 Off- Farm Livelihood Enhancement Program Off-Farm Livelihood Enhancement Program promotes economic empowerment with special focus on women. The objective of the program is to make economically self-reliant, skilled and socially secured society. The program focuses on provision of skill training and establishment of community based enterprises. Through these services the program facilitates the needy and poor communities for uplifting their socio economic status. 9.3 Intervention units of Livelihood Program: HANDS Livelihood Enhancement program is currently running 3 Hunarmand Training Centers, 1355 Entrepreneur Centers in different villages, 5 Plants Nurseries, 1 Model Agricultural Farms and 25 Food Storage Centers. Intervention Unit Number Display Centre (HANDS Hunarmand Markaz) 3 Entrepreneur Center / Enterprise 1355 Food storage centers 25 HTC (Hunarmand training centre) 3 Model Agricultural Forms 1 Other (Plz Specify) 5 Plants Nursery 5 Poultry farm/hatchery 5 Price information centre 1 Shelter Homes 2 TOTAL Beneficiariesof Livelihood Program: Under the Livelihood Enhancement Program, the total numbers of Beneficiaries are 14,15. This includes 1, beneficiaries of Cash for work which will be provided in District Awaran. 248 HTTC Trainees, 22 Microfinance Borrowers and more than 14 Livelihood Assets beneficiaries. The breakup of the Beneficiaries and Targets is given in the following table. As indicated, the single largest numbers of Beneficiaries are the Micro Finance Borrowers followed by On-Farm Training. 2

21 Beneficiaries Number Agri Farm beneficiaries 1 Agri input beneficiaries 22 Cash For Work Beneficiaries 1 Chingchi beneficiaries 16 Enterprise development beneficiaries 252 Hunarmand (Artisians) 5 Hunarmand Trainees 248 Information price center/fair beneficiaries 25 Livestock beneficiaries 214 Micro Finance Borrowers 22 Nursery beneficiaries 2 Off Farm Beneficiaries 3 Off farm training beneficiaries 176 On farm training beneficiaries 248 Poultry farm/hatchery beneficiaries 76 Trainees 5 TOTAL HANDS Textile Training Centre: HANDS Textile Training Centre was established in 21in Karachi Rural area. Now HANDS is running 3 Textile Training Centres in Karachi, Jamshoro and Matiari. Since21, 743 male and female Trainees have been trained. In the last quarter (October to December 214), 6 Trainees were trained. 9.6 Livelihood Enhancement Program: 1 5 Quarterly status of Hunarmand Trainees Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec In this quarter under Livelihood Enhancement Program, 394 community members have been provided On farm & Off farm assets comprising Agriculture Farms, Inputs, Kits, Livestock, Poultry, Chingchi Rikshas, Shops, Donkey carts etc and also Microcredit.. On Farm Beneficiaries Target Achievement Off Farm Beneficiaries Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec July - Sep Oct - Dec July to Oct to Dec Sep

22 1. Health Promotion Program: HANDS Health program has evolved over the last 33 years and now its services are recognized both nationally and internationally. HANDS Health program include integration of health interventions with the other social development initiatives. Health services are provided to the community under the supervision of Health Program in coordination with local Community Based Organization (CBO). 1.1 Intervention units of Health Promotion Program: HANDS Health Promotion Program isrunning in 28 districts and providing health services to the community through 2,878 units. These units include 2 CMW Schools, 3Secondary Health Care Facilities, 52 BHUs, 11 THQs, 1 DHQs, 2 Rural health centers, 21 Private Hospitals 55 private Clinics, 12 Adolescent Friendly Centers,, 6 Health Facilitiesand, most important, 1218 MARVI Houses facilitated this year. Intervention Units Numbers CMW Schools 2 Secondary Health Facility 3 BHUs 52 THQs 11 Govt Hospitals 2 Pvt Hospitals 21 MARVI House / Health Houses 1218 Health Facilities 6 AFCs 12 DHQs 1 Pvt Clinics 55 RHC 2 Fixed Medical Camps/Mobile medical camps 63 Others/Please specify 863 Total 2, Beneficiaries of Health Promotion Program:: HANDS Health Promotion Program is providing health care services to male, female and children clients/patients directly in the community through secondary heath care facility, MARVI Workers, TBAs, LHVs and CMWs in its various districts under different projects.accordingly, beneficiaries 312,757recipients will be benefited in this year as depicted in table. Detail of beneficiaries can be seen in below table 22

23 Beneficiaries Number Children Patients / Clients 4679 CMWs 52 Community Notables 71 Disable Persons Men 952 Disable Persons Women 1 Dispensers / Vaccinators 8 Doctors (Public & Private) 49 Factory Workers for PHE training 15 Family Planning Clients 328 Female Patients / Clients 693 HCPs 5 HMC Members Men 45 HMC Members Women 3 LHVs 25 LHWs 283 Male Patients / Clients 259 Married Men 1659 Married Women 1659 MARVI Workers 1282 MSU Clients 114 MWRAs 12 Neonatals 2 PLWs 24 Pregnant Women 6 Religious Leaders 78 Session Beneficiaries 1 Stuntends Children 2737 TBAs 47 Youth Group Members 2 Total Patients / Clients: HANDS have been benefiting the poor community through medical services since In this quarter, 5,772 clients have been treated through BHUs, CDG HANDS Hospital and other Units. Out of them 48.3% were female clients, 24% children and 28% male clients Quarterly status of the out patients / clients Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec

24 Gender wise Ratio of outpatients at Health Facilities Female Patients % Target Female Patients % Achievement Children Patients % Target Children Patients % Achievement Male Patients % Target Male Patients % Achievement July - Sep Oct - Dec July to Sep Oct to Dec Other Medical Services: Different services were given to Community by Health Promotion Program in October to December 213 quarter. Detail of 4 quarters of Antenatal Clients, Postnatal ClientsandFamily Planning current quarter s achievements can be seen in graphs.in this quarter 683 antenatal clients were checked, postnatal clients were 327 and current family planning clients visited in CDG Hospital, MARVI Houses and BHUs were deliveries done in this quarter and total 1283 cases were managed at HANDS Hospital. Quarterly status of Antenatal Clients Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec

25 Quarterly status of Postnatal Clients Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec Quarterly status of Family Planning Clients Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec Quarterly No. of admitted cases managed at hospital 881 / / / / July - Sep Oct - Dec July to Sep Oct to Dec Hospital services provided to women Target Hospital services provided to women Achievement Hospital services provided to neonates Target Hospital services provided to neonates Achievement 25

26 11. Education & Literacy Promotion Program The ultimate goal of Education and Literacy program is to promote education for human and institutional development.the activities of Education and Literacy program begins with the community assessment which gives complete information of the respective community including social values, norms, educational level, educational facilities etc. To ensure community participation in program activities local Community Based Organizations (CBO) / School Management Committees (SMC) are formed/ strengthened to meet HANDS ultimate goal of community development. Following are the Best Practice Models of HANDS Education and Literacy program: 11.1 Intervention units of Education & Literacy promotion program: HANDS Education & Literacy promotion programs are currently runningtheir intervention in 117 primary schools, 15 secondary schools 25 Children Friendly Spaces in District Awaran, 12 Adult Literacy Centers (ALCs) and 1 other facilities running in various districts. Intervention Units Targets Primary Schools 117 Secondary School 15 Children Friendly Spaces 25 ALCs 12 Others /Please Specify 1 Total Beneficiaries of Education & Literacy promotion program: HANDS is providing benefits to the community through community teachers for ECE, Parwarish centers, adult literacy centers and govt. teachers of primary and secondary schools. Total of 24,118beneficiaries. Beneficiaries Targets ECE Learners Boys 84 ECE Learners Girls 1,2 ALC Learners Men 922 ALC Learners Women 1,399 Primary Students Boys 8,375 Primary Students Girls 9,49 Secondary students Boys 87 Community Teachers Men 26 Community Teachers Women 73 Govt. Teachers Men 214 Govt. Teachers Women 26 Govt. Officials 4 Others 12 SMC Members Men 19 SMC Members Women 261 Total 24,118 26

27 12. Monitoring Evaluation & Research Program: Monitoring, Evaluation and Research (MER) program is responsible for monitoring the projects/ programs interventions/activities as well as conduction of internal and external researches. It is MER s responsibility to establish and maintain Management Information System (MIS) throughout organization from community to district office and head office level. All tools of MIS for projects/program are designed by MER Researches: Conduction of researches is one of the best practice models of best practice models of MER. The program team is capable of undertaking all sorts of researches required either for internal projects/program or external researches for other organizations. The researches include screening, baselines/need assessment, evaluations and action based researches etc. During this quarter 4 researches were conducted and 377 units (samples) were surveyed Quarterly status of No. of Researches Target Achievement 8 8 July - Sep Oct - Dec July to Sep 13- Oct to Dec Quarterly status of No. of Research Units Covered Target Achievement July - Sep Oct - Dec July to Sep Oct to Dec

28 12.2 Researches Detail of Last 2 Quarters: July to September S# Title of Researches Type District Units 1 MIRA (Multi sector initial assessment) Situation Analysis Penjgur 33 2 Health Facility Assessment Baseline Research Awaran 8 3 School Facility assessment Baseline Research Awaran 48 4 Water Poverty Index Baseline Research Karachi 288 October to December Total School Facility assessment Situation Analysis Awaran 4 6 DFID endline Evaluation End line Evaluation Umerkot, Mirpurkhas, Sanghar, Matiyari, Badin, S. 391 Banazeerabad, Tando Mohammad Khan, and Tando Allahyar 7 WASH Profile-DFID Situation Analysis 23 Districts of Sindh 69 8 Umerkot, Mirpurkhas, Sanghar, Matiyari, Pilot on Beneficiary's feedback collection- Badin, S. End line Evaluation 48 DFID ORS Project Banazeerabad, Tando Mohammad Khan, and Tando Allahyar Total

29 13. Resource Mobilization Program: Resource mobilization is vital for the survival of every individual and organization. Recognizing the fact, HANDS designed its Resource Mobilization Program in 22 to go faster its campaign to raise funds for pastoral community development. HANDS anticipated the needs of human and institutional development started process to establish its Institute of Community Development. HANDS Resource Mobilization Program worked out strategies to reach to the donors (national & international) and negotiate with them to raise funds for improving the livelihood of the pastoral community. Program mobilizes resources to support HANDS ongoing activities and also finds new opportunities to expand HANDS to new areas RM Program contributes to MDGs HANDS RM Program is committed to achieve the MDGs as the organization s agenda for development as well as reducing the burden of poverty and disease. HANDS RM Program is addressing the seven of eight goals through its various interventions in HANDS focus geographical areas of Sindh and all over Pakistan. Programs contribution to objectives RM Program is contributing organization s objectives the same way as it does for MDGs, since organization is already having the similar kind of agenda. Networking Funds generation Project Proposal writing Expression of Interest (EOI)/Concept papers Other fund raising activities Scope of work The work scope of the program is described below. RM Program is working in different dimension to carry out its activities and accomplishing innumerate assignments spreading from EOI/Concept note to Proposal writing, follow ups, meeting with different donors, material development to support resource mobilizing activities, holding fund raising programs and communication with donors. Need assessment/ research as per organization requirement Funds generation Project Proposal writing Expression of Interest (EOI)/Concept papers Other fund raising activities Follow ups Networking HANDS Diverse funds resources Maximizing resources is broadly defined as increasing or optimizing resources for an organization for effective and smooth running its programs or initiative.hands has anticipated the importance of diverse resources, hence it started developing a broad based approach of pooling resources, which can be monetary, human or other program enhancements. Maximizing resources brings increased funding as well as a broader base of partners to an organization s initiative and strengthens the capacity of smooth functioning the ultimate solution of sustainability. Strategic Areas HANDS RM Program is strategically focusing the following areas in its intervention. The focus is important in the sense that it directly contributes to organization s sustainability and continues delivering to achieve its cause i.e. prosperity. 29

30 Income generation Sustainability Continue expansion of the resources Human resource development 13.1 Proposals and EOI s / Concept Notes: HANDS Resource Mobilization program has submitted 48 Proposals and EOIs / Concept Notes in last quarter. Month wise graph shows the monthly number and detail can be seen in table Proposals and EOI s/ Concept Note is that were submitted in Oct-Dec 213= Oct-13 Nov-13 Dec