HANDS Brief Profile

Transcription

1 ce rvi se of s ar 36 ye HANDS Brief Profie

2 The sma but determined efforts started by Prof. A.G. Bioo (Sitara-e-Imtiaz), for community deveopment in 1979 in the form of HANDS (Heath And Nutrition Deveopment Society), have now turned out into one of the argest not for profit organization at nationa and internationa eves. HANDS has traveed through a ong and striving journey of 36 years under the guidance of its chairman,efforts of its staff and support of community deveopment partners. Today HANDS stands as one of the eading civi society organization of the country with a work span in a the 4 provinces of Pakistan. HANDS registered itsef as charity organization in UK in 2014 as non profit organization in companies act 2006 of Engand and Waes. Later HANDS Internationa estabished its offices in London United Kingdom (UK) and Kathmandu Nepa. HANDS started its forma journey of intervention from a pubic sector hospita in Karachi as Heath And Nutrition Project in 1979 ead by the then head of the department of paediatrics Civi Hospita Karachi, Prof. A. G. Bioo (Sitara-e-Imtiaz). He was seriousy concerned about the poor patients coming from Karachi rura in miserabe conditions.the first step towards community deveopment was initiation of a project in which a Primary Heath Care center was estabished in a remote viage, more than 40 kiometers away from city center. The interns of the professor foowed his vision to deveop "Heathy Educated Prosperous Pakistan" (HANDS vision in initia days), graduay the project transformed into the organization caed Heath And Nutrition Deveopment Society (HANDS) and HANDS Internationa. In 36 years HANDS has evoved as a mode of community deveopment. This integrated mode comprise of key programs of Socia Mobiization, Gender & Deveopment, Human & Institutiona Deveopment, Monitoring Evauation & Research, Information Communication Resource and Advocacy, Heath Promotion, Education & Literacy, Liveihood Enhancement, Infrastructure Deveopment Energy Water & Sheter, Disaster Management and Socia Marketing. Geographica Outreach Numbers District Offices 31 Intervention Districts 48 Union Councis 945 Viages / Settements 21,609 5,994 medium and sma size organizations' network in Pakistan. Management Structure: HANDS is governed by 12 members eected "Governing Board" who are vounteers and are ed by Chairman of the organization. Chief Executive is defecto member of the governing board as we. Board provides poicy guideine and foow the management to pursue management poicies in the spirit of organization's vision. The board is comprised of professionas from different sectors, phianthropist, community representatives and ex-empoyees of HANDS. There are four tiers in management structure, first tier is the Higher Management Committee which is top management and comprise of 4 executives and a Chief Executive. The second tier is "Steering Committee" which comprise of 12 Genera Managers (GMs) and the 04 senior executives are aso memeber of the steering committee. The GMs are responsibe for operation of different project activities of their program under the eadership of Chief Executive and senior Executives. A the districts heads that is Districts Executive Managers (DEMs) and members of Steering Committee form a 3rd tier caed Management Committee. The fourth tier exists at district eve caed 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 1900 fu time staff and more than a miion Community Based Vounteers (CBVs) who participate at "Monthy Community eve forums" ed by Chairperson of Community Based Organization (CBO) and respective district staff participate as defecto member in these forums. Management Certification: HANDS is certified by Pakistan Center for Phianthropy (PCP) and is tax exempted by Income tax department of government of Pakistan. HANDS has aso successfuy competed the Institutiona Management Certification Program (IMCP) of USAID for management standards. We are accredited with European Union and have centra contractor registration with US Government (DUNS No.). HANDS aso possess membership with IUCN (Internationa Union of Conservation of Nature). Popuation miion * This figure does not incude HANDS Internationa offices London UK and Kathmandu Nepa. HANDS has a network of 31 offices across the country ti June 2016 and has access to more than 23 miion popuation of more than 21,000 viages/ settement in 48 districts of Pakistan. These offices are supported by Poicy Guideine: HANDS has deveoped 24 poicy manuas which incude Human Resource Management, Information HANDS Brief Profie

3 Technoogy, Socia Mobiization, Education, Administration, Monitoring Evauation & Research, Heath Promotion, Resource Mobiization, Liveihood Enhancement, Communication & Advocacy, Finance & Accounting, Disaster Management, Gender And Deveopment, Chid Right & Protection, Suggestion And Compaint, Human and Institutiona Deveopment, Infrastructure Deveopment, Energy, WASH And Sheter, Socia Marketing, Endowment Fund, Investment, Provident Fund, Procurement and Logistic, Cyber Security (Whiste Bowing). Experience in project administration and financia management: Tota Project = HANDS has successfuy managed 578 projects during the ast 23 years. Finance Department is equipped with quaified personne working in a computerized accounting software (onine in a districts) through Sidat Hyder Financias. HANDS is currenty managing a budget of approximatey Rs. 2,138 miion. Major funding partners ( ): The major funding partners incude Aurat Foundation, USAID, Basic Needs, Business Socia Responsibiity (BSR), Chemonics Internationa, DAI Awaaz, DFID, ENGRO, Word Bank, HUBCO, Institute of Deveopment Studies Pakistan (IDSP), IOM, Internationa Reief and Deveopment (IRD), Idara Taeem o Aagahi (ITA), Khushai Bank, Marie Stopes Society, Masood Textie Mi (MTM), Medico Internationa, OXFAM, PALLADIUM, UKaid, Popuation Services Internationa (PSI), Pakistan Poverty Aeviation Fund, Rutgers Word Popuation Foundation, Sindh Education Foundation, Stitching Stune, UN Habitat, UNICEF, WFP, Water Aid, Zakat Foundation, Phianthropists, Artistic Towe Mis, abaraka Bank (Pakistan) Limited, Karachi Grains Pvt Ltd, MCEC, PharmEvo (Private) Limited, A.R.B. Industries, Abdu Razzak Associates (Pvt.) Ltd., Adamjee Enterprises, AMANCO, Amin Bawany Group, Anum cassic, Arbi Industries, Arif Habib Foundation, Bashir Kasmani Security Pvt Ltd, Beacon House Nationa University, Bioo Trave Service (Pvt) Ltd, Bonanza Garment, Burj Bank Limited, Din Leather (PVT) Ltd., Efroz Chemica Industries (Pvt.) Ltd, Gatron (Industries) Ltd, Goden Harvest, Haji Esmai & company, Hamsons Industires, Hiton Pharma Pvt Ltd, Hurbano Haji Ibrahim Trust, Iqba Sik Mi PVT Limited, Janmohammad Dawood Trust, Karachi Grammar Schoo, KCCI, Meezan Bank, Mehran Estate Deveopers, Mehran Garments, Nextar Pharma, Nouman Enterprise Private Limited, Novatex/Gatron & Gani & Tayub (Pvt) Ltd., Novo Nordisk Pharma (Pvt.) Ltd., Pak Suzuki Motor Co Ltd., Pakoa, Pear Associates, Pfizer Pakistan Limited, Pioneer Distributior, Pioneer indutries, Popuar Internationa (Pvt) LTD., Premier Cabes, Premier Home, R.A Management, Rehnuma Trust, Sindh Medica Stores, Sohni Textie Ind, Stiching Steun Pakistan, Suzuki South, Tabba Heart Hospita, Tepa Tea Company, U.K Chhotani Jewers, Wecome Company, Government of Sindh, Government of Punjab, Government of Baochistan, Government of Khyber Pakhtunkhwa and Federa Government to 2016 Tota Grant PKR 15 biion Grant in Cash 9,266 (PKR in miion) Grant in Kind 6,344 (PKR in miion) HANDS Pubic Private Partnership: Considering Pubic Sector is argey responsibe for socia sector services in Pakistan. Federa, Provincia and District eves have huge network of human, financia and infrastructure resources. However the services output is questionabe. HANDS therefore strive its best to improve the services through partnership with District, Provincia and Federa Government. Severa Memorandum of Understandings are signed in this regard. HANDS Pubic Private Partnership are in 13 District Disaster Risk Management Centres and 01 Provincia Disaster Risk Management Centre with Provincia and District Disaster Management Authorities. The partnership with education department are in 997 Govt HANDS Brief Profie

4 History of Direct Beneficiaries S c h o o s. The partnership with Heath Beneficiaries Department are in 38 Year Hospitas it incudes 02 in miion Tauka Headquarter Hospitas, 02 Rura Heath Centres, Basic Heath Units, Materna and Chid Heath Centres, Dispensaries Schoos Cumuative Tota: 29.3 miion HANDS Strategy for Vision 2020: Considering HANDS 36 years of ife, it was fet that a ong term strategy shoud be deveoped. Therefore a series of consutation meetings were conducted with a the stakehoders of organization from community to the Governing Board. After six months of meetings and foow up we came up with the foowing vision and mission in the context of targets for year Vision Heathy, Educated, Prosperous and Equitabe Society. Mission HANDS mission is for improving heath, promoting education, aeviating poverty and deveoping socia institutions for community empowerment. Networking with Civi Society Organizations: HANDS has chair of "108 Nationa Organizations" network under the umbrea of "Scaing Up Nutrition (SUN) Civi Society Organization Aiance (CSA)". HANDS is aso hoding the chair of "South Asia Coordinator for Peope Heath Movement (PHM). HANDS is aso a member of Nationa Humanitarian Network (NHN) and Pakistan Humanitarian Forum (PHF). HANDS is aso a member of Nationa Disaster Risk Reduction Forum (DRR) and Human Resource Deveopment Network (HRDN). HANDS principes and vaues incude partnership and reations with communities in sovereignty of and equity with our partners. One of the vaues of HANDS is based on mutua trust, honesty, professionaism and transparency among Governing Board, empoyees and supporters. HANDS deveopment process vaue is based on an understanding of roes and responsibiities, which incude accountabiity, ethnic impartiaity and effective participation. We strive for vaue of creativity and innovation, which is the hamark of a our efforts. Our beief is that every citizen of this country shoud have access to their basic rights and shoud discharge their obigation with same fervour. Chitra Kaam Kohstan Sawat Dr Naran n Saidu a tagra Sharif Shang Bat Bajaur Agency and Buner Mansehra Mohmand Maak Agency Mardan Abbotabad Charsada Swabi Haripur No Peshaw ws ar he ra ency er Ag yb Kh Agency ISLAMABAD ATTOCK Federa Capita Kurram rakzai Dera Agency C RAWALPINDI Hangu Ada Kohat Thai Jammu & Kashmir Khyber Pakhtunkhwa Karak North Waziristan CHAKWAL UM MIANWALI EL JH B HA US BHAKKAR IZA SHEKHUPURA BA EL LAHORE FAISALABAD KASUR JHANG TOBO TEX SINGH SAHIWAL KHANEWAL OKARA AR PAK PATAN AL N AG VIHARI LODHRAN W HAZI AG DER MUZ AFFA RGAR H MU LT AN KO T AD DU MUS N KHA AI PU R HARN Punjab FFA BAHAWALPUR RA J AN AD AB SIR NA D BA RA Jacobabad JA KHARAN AL OW NAR CHINIOT DERA BUGTI KALAT JHAL MAGSI N HA RK I BA SIB KOHLU BOLAN CHAGAI S HA F LAYYAH A KH AH ULL MASTUNG SIALKOT GUJRANWALA DH O D BD AA QIL Baochistan GU JR AT G AR ZHOB QILA SAIFULLAH PISHIN ZIARAT A LORALAI TT QUE DI AN A M AH IN B DD U A KH nk D Is era Kh mai an Ta BA HA South Waziristan Wana u Bann Lakki Marwat Jandoa Kandkot Shikarpur RAHIMYAR KHAN Ghotki Shahdad kot KHUZDAR Larkana Sukkur Khairpur N.Feroz PANJGUR Dadu Shaheed Benazeerabad Sanghar AWARAN KECH GWADAR Jamshoro LASBEL A Matiari T.A Hyder ahyar abad Karachi Mir Tharparkar Badin Sajawa Thatta HANDS Brief Profie has purk Umerkot T.M. Khan 3 Sindh HANDS offices & intervention areas

5 HANDS Integrated Deveopment Best Practice Modes In the preceding years HANDS has successfuy competed numerous projects and the experience from each project has enabed as to deveop severa best practices mode of services and trainings. Each program component of HANDS has specific set of best practices services modes and best practices training modes. These modes have been successfuy appied and can be modified or adjusted to meat the requirement of any new project. Besides, few new and innovative modes have aso been introduced in precedings as the scope and span of work has extended. The achievements of each best practice service and training modes of each program incude: Infrastructure Deveopment Energy WASH and Sheter (IDEAS) IDEAS is committed to provide good quaity infrastructure to the target popuation. IDEAS program is a series of projects, based on the foundation of fied tested best practices and proven capabiities. The innovative modes by HANDS IDEAS are ow cost, durabe, sociay acceptabe and environment friendy. A view of sheter provided top the community The best practice service modes: Drinking Water faciities, Street Pavement Faciities, Sanitation, Hand wash Faciity, Low Cost Sheter, Irrigation Schemes, Househod Technoogies, Disaster Risk Reduction Schemes, Communication Schemes, Socia Sector Schemes, Aternate Energy Schemes, Annaj Ghar. The best practice training modes: Training on Water Sanitation & Hygiene and Training of Masons and Community Members on Construction of Sheters with Lime Stabiized Soi. Overa 600 drinking water faciities were constructed incuding under water storages and ground surface drinking water storages. Besides 46 water suppy ines and 02 fiter pants were aso constructed hand pumps have aso been instaed. Overa 166 street pavements have been aid down. Overa 240 sanitation schemes have been competed so far under this mode. Tota 4082 emergency atrines have been constructed as part of sanitation mode. So far 16,141 permanent atrines have been constructed in different target areas to improve the sanitary conditions. Overa 1478 hand washing faciities have been constructed so far in schoos for the chidren. Overa 78,880 sheters have been successfuy constructed in preceding years and deivered to the communities in different districts of Sindh, Baochistan and Southern Punjab. Currenty 3,379 sheters are under construction and wi be competed in June ,408 famiies have aso been provided roofing kits for their houses. Thus, overa 111,667 famiies were benefited by HANDS in providing sheter under this mode. HANDS under this intervention has invested neary 2.7 biion in arge since ,202 irrigation schemes have been competed in preceding years incuding tube wes and water courses/channes. IDEAS program has so far successfuy made and provided 217 Naadi (biosand fiter) to the famiies in target communities. Overa 27,548 Portabe Ceramic Water Fiters have been provided to the famiies in target viages. Overa 7,908 Energy Efficient Stoves have been made in target communities. 07 protection was have been constructed for protection in coasta area. 03 jetty has been successfuy constructed and handed over to the community. Tota 1,259 ink roads have been competed in various districts. Overa achievement is construction of 398 bridges/cuverts in target areas. 1,309 schoos were renovated during the ast 04 years of intervention. 150 Transit Sheter Schoos (TSS) and 25 Chid Friendy Spaces (CFS) have been constructed. So far 71,978 soar ight have been provided to the communities incuding 11 soar pane systems at HANDS Brief Profie

6 HANDS District Compexes 500 Annaj Ghar (seed bins) have been constructed for the communities to preserve food grains in the target areas. 101 trainings have been conducted on WASH with a participation of 1,829 peope. Tota 378 masons have been trained on use of ime in construction of food resiient sheters. Education and Literacy Program The utimate goa of Education and Literacy Program is to promote education for human and institutiona deveopment. The primary focus of the program is provision of primary education, capacity buiding of teachers and strengthening of Schoo Management Committee (SMC). HANDS primary schoo buit for the community chidren The best practice service modes: Parwarish Markaz, Eary Chidhood Deveopment, Adut Literacy Centre (ALC), Heath Action Schoo (HAS), Schoo Heath Screening, Schoo Nutrition Program, HANDS Adopt a Schoo, HANDS Academy The best practice training modes: Life Ski Based Education Training (LSBE), Famiy Reading Program, Adut Literacy Training (ALT), Mutigrade Teaching, Art and Craft Training, Eary Chidhood Education and Deveopment (ECD) Training, Heath Action Schoo Training HANDS has estabished Parwarish Markaz in district Hyderabad, Matiari, Karachi (Rura) and Badin. Ti date 51 Parwarish Markaz have been estabished and 51 Parwarish Workers have been trained with tota enroment of 1367 chidren, incuding 904 girs and 463 boys. Estabished 5442 ECD casses in 1814 Government schoos of Sindh. Trained 5442 Government teachers on ECD Trained 1814 SMCs on schoo management and prepared schoo deveopment and improvement pans Estabished pay area in 1814 schoos Provided Suppementary Teaching and Learning Materia (STLM) for cass one and two to 1814 government primary schoos through SBEP-SRP program. Trained 5,442 government primary schoo teachers of cass one and two on "Reading Ski Deveopment". Coected data of teachers and students from 1,814 government primary schoos through SBEP-SRP program. Provided support to Mir Masoom Shah Library at Sukkur, to deveop reading habits in parents and students (with focus of eary grades students) Overa 605 ALCs have been estabished and 605 ALC teachers trained. Tota 26,910 earners have been enroed in the ALCs. The Heath Action Schoo service mode has been appied in 220 schoos. A tota of 28,775 students have been benefited through these schoos in previous years. 861 mae and femae teachers have aso been trained in this mode. During the preceding years, 568 mode schoos have been deveoped in the Schoo Heath Screening mode. The number of students enroed in these schoos were The personne trained for this mode incuded 568 teachers, 57 heath care providers and 30 Government officias (In charges). Schoo Nutrition mode has been appied in 346 schoos in target areas. The other accompishment of this mode incude opening of bank accounts of 346 schoos, training of 508 teachers and 10 master trainers. Monitoring of height and weight of 50,000 students was done and same number were aso provided food. Overa 2,647 schoos have been adopted under this mode, more than 0.31 miion students and neary 8,499 teachers have been benefited through this mode. The materia suppied to the schoo incuded stationary, teaching materia and bag incuding schoo renovation. Tota 78 HANDS Academies have been estabished and 2340 students have been benefited through Famiy Reading Program. 78 teachers are trained on ECE and different subjects (e.g: Math, Engish and Science). Tota 78 CBOs/SMCs are trained on schoo management, record keeping, monitoring and socia mobiization etc. Life Ski Based Education training mode has been appied in tota 153 schoos and 9486 gir students, boys students and 153 teachers have aso been trained. HANDS Brief Profie

7 01 training was conducted with 03 participants. A tota of 90 earners have been benefited through the mode of Famiy Reading Program in previous years. Overa 31 trainings have been conducted and 605 participants were trained in Adut Literacy Training mode. So far 05 trainings have been conducted and 106 participants were trained in Muti Grade Teaching mode. Under Arts and Craft, 15 trainings were conducted and 385 participants were trained during preceding years. Overa 81 trainings have been conducted Eary Chid Deveopment mode and 987 community teachers have been trained in these trainings. A tota of 309 trainings have been conducted for Government teachers and tota of 1904 Government teachers have been trained. 51 trainings have been conducted for government schoo teachers and 1252 teachers were trained under Heath Action Schoo mode. Heath Program HANDS Heath Promotion program incude integration of heath interventions with other socia deveopment initiatives. The services are provided in coordination with oca Community Based Organizations (CBOs). HANDS Hospita Jamkanda Viage Karachi The best practice service modes: Misai / Marvi Workers (Community Heath Workers), Rehabiitation of Disabed, Output Based Aid (OBA) Voucher Scheme (NARI), Adopt a Hospita, Community Based Management of Acute Manutrition (CMAM), Birthing Station Mode, Teeheath (Teemedicine) Service Deivery Mode, Traditiona (trained) Birth Attendant (TBA), The best practice training modes: Community Midwifery (CMW) Training Schoo, Training of Traditiona Birth Attendants (TBAs), Psychosocia Webeing Training, IUCD Training, Community Heath Workers (MARVI Workers) Cient Centred Training, SRH (Sexua Reproductive Heath) Trainings, Cient Centered Approach (CCA) Training for Heath Care Providers, More than 2700 trained Marvi workers in 11 districts throughout Pakistan. 4,207 assistive devices were provided to the PWDs in 05 Union Councis i.e. Ibrahim Hyderi, Rehri, Landhi Mashke and Awaran. Orthotic devices and prosthesis were provided to 395 PWDs, incuding hearing aids to 876, vision gasses to 1,103, whee chairs to 159, crutches (Besakhee) to 55, wakers to 36, white canes to 19, toiet seats to 167, Cerebra Pasy (CP) Chairs for 26 Chidren and tricyces to 25 PWDs. Overa 2891 PWDs were provided with support through this service mode. 119 famiy members of the bedridden Person with Disabiities (PWD's) were trained as attendants. 150 teachers of Bin Qasim town were trained on incusive education. 83 PWDs were trained and supported to estabish their enterprise. 77 Awareness raising sessions were attended by PWDs and their famiy members on geneticay transmitted diseases, famiy marriages, heath and hygiene, reproductive heath, care during pregnancy, vaccination, famiy panning and breastfeeding etc. 16 private secondary heathcare faciities have so far been identified and strengthened for EmONC services. Overa more than 5,343 high risk cases reated to materna, ANC, PNC and neo-nata heath have been identified and managed through this project. Conduction of 2,236 deiveries have been done incuding caesarian sections. Overa 1932 neonates have been managed so far. Overa 10,561 NARI referra forms were distributed in the target communities. FM Radio message was deveoped and reayed to introduce NARI referra voucher (number of times as per agreement with oca FM radio) in the target area. HANDS ti date has provided support to 5,562 heath / popuation / faciities / workers under Pubic Private Partnership, which incuded: 08 District Headquarter Hospitas, 27 Tauka Headquarter Hospitas, 34 Rura Heath Centres, 326 Basic Heath Units, 21 Materna and Chid Heath Centres, 108 Dispensaries, 12 Mobie Services Unit, 4,875 Lady Heath Workers and 135 Femae Wefare Workers HANDS Brief Profie

8 HANDS Hospita, Bin Qasim Town, Karachi has been the major heath faicity of this mode and foowing services were provided at the hospita: Round the cock Out Patient Department (OPD) and emergency services Labor Room Operation Theatre Emergency Obstetric Care Indoor Patient Services (IPS) Famiy Panning services Laboratory X-ray faciity Bood bank faciity Ambuance services Medica Services Chidren Patients / Cients Femae Patients / Cients Mae Patients / Cients Tota Patients / Cients Antenata Cients Post Nata Cients Lab Tests Tota Women for TT shots EPI Utiization Patient for X-ray services Ambuance Service for the Patient Famiy Panning Cients Norma Deiveries C Section Screened Moderatey Acute Manourished (Identified) Severey Acute Manourished (Identified) Tota Admission (SAM & MAM) Tota Cured (MAM & SAM) Screened Manourished Enroed Tota PLWs Cured # 137, , , , ,826 38,898 53,556 53, ,958 1,752 6, ,677 14,908 1,649 Liveihood Enhancement Program Liveihood Enhancement program focuses on deveopment of communities through income generation opportunities, ski enhancement and overa improvement in iveihood of the underprivieged. The program has two components i.e. On- Farm and Off- Farm. Foowing tabe shows the achievement of Community Based Management of Acute Manutrition: Activity Tota 963,821 49,225 15,358 60,456 35, ,252 39,465 19,384 HANDS has so far estabished 82 Birthing Stations for provision of RH services to the communities. The Tee Heath Service mode is in piot phase and is being tested for deivering heath services in district Awaran in Baochistan. Certain sessions HANDS Brief Profie have been successfuy conducted with cients/patients and HANDS hospita Jamkanda. Now HANDS is making its efforts to ink it further with the Dow University of Heath Sciences Karachi to ensure the quaity heath services. Tota number of socia marketing product units sod were 8,604,242 and during previous year, the amount recovered from the sae was Rs miion. HANDS estabished 02 Community Midwifery schoos incuding 01 in Karachi Rura Jamkanda Hospita) and 01 in Matiari district (THQ Haa). Both schoos were registered with PNC and hod a good reputation among the Midwifery schoos in the country. About 461 CMWs were enroed, out of which 375 successfuy competed their training. Moreover, 86 (18.65%) candidates were either dropped out or coud not succeed in the examination. Overa TBAs have been trained. 30 professionas from 26 NGOs have been trained by HANDS and another 201 professionas of 78 NGOs were trained through step down training. 185 participants have been trained on IUCD insertion in 07 trainings. 132 trainings incuding refresher trainings have been conducted for MARVI workers and 1,527 MARVIs have been trained so far. HANDS aso conducted 35 trainings of 882 participants in Reproductive Heath. 161 trainings have been conducted for HCPs attended by 2,646 participants. HANDS Technica Training Centre at Memon Goth Karachi Liveihood Enhancement On-Farm: Liveihood Enhancement on farm promotes natura 7

9 resource management, work for food security and income generation of the underprivieged communities. The best practice service modes: Sma Agri-farms, Agri-Input, Agri-Kit for farmers, Provision of Livestock (Goats), Provision of Poutry Package, Sma Poutry Hatchery, Community Nurseries, Cash for Work and Food for Work, Provision of Micro Finance, Prime Minister Interest Free Loan Scheme (PMIFL), Integrated Society for Action & Learning Initiative (MISALI) The best practice training mode: Capacity Buiding Trainings Through this mode support has been provided for deveopment of 460 sma agri-farms in the preceding years. So far 20,148 sma andowners have been benefited through this mode. HANDS has so far provided Agri Kits to 935 farmers in its intervention areas through this mode. Ti now 3,084 men & women have been benefited through provision of Livestock for income generation. There have been 5,439 beneficiaries of poutry package where they were provided with birds & feed for income generation. In the preceding years 3,999 community members benefited through the kitchen gardening mode. About 45 sma poutry hatcheries are in the process of estabishment under this mode. 12 community nurseries have been estabished under Community Nurseries mode. There have been 109,573 beneficiaries of this mode who were benefited through the mode of Cash for Work and Food for Work. Ti now 52,453 community members have been benefited through the microfinance mode. Foowing is the achievement of Interest Free Loan Scheme: Description Mae Femae Tota No of Branches / oan centres estabished in 3 districts No of Appication received 2,490 2,076 4,566 No of oans disbursed 2,064 1,875 3,939 Amount disbursed in Rs. (miion) 69,663 trainings have been conducted so far on different topics by Liveihood Enhancement (onfarm) program and 39,821 community members have been trained in different trainings. Liveihood Enhancement Off-Farm: This component of Liveihood Enhancement program promotes economic empowerment with specia focus on women. The program focuses on provision of ski training and estabishment of community based enterprises. The best practice service modes: Enterprise Deveopment / Entrepreneurship, "Sughar" (oca skied women) program, Hunarmand Markaz (Dispay Centre), Knit Garment Unit and Viage Based Entrepreneurs Centre. The best practice training modes: Hunarmand Training Centre (HTC) and Enterprise Deveopment Training (EDT) Achievements Unti now 6,376 men & women have been benefited from this mode. So far 3,134 Sughars have been trained through this program in different traits for income generation. 08 Hunarmand Markaz(s) have been estabished and are operationa throughout Pakistan. These incude one each at Head Office, Karachi Rura, Badin, Matiari (Haa), Sukkur, Thatta, Jamshoro (Sehwan) and Jacobabad. A knit garment unit was estabished at Memon Goth for knit garment production by oca community members. Unti now 68,249 garments have been produced through this centre. Currenty 22 viage based centers are operationa in different viages of Sindh. Overa 03 HTCs have been estabished in Matiari, Memon Goth and Ibrahim Hyderi and unti now 7,802 men and women have received trainings and dipomas in various courses. So far 8,017 community members have been trained through 266 trainings. Impact of Liveihood Intervention Comparative Anaysis of Poverty Score Card (PSC) Points Tota No. of Househod Surveyed = Baseine 12.0 Endine Utra Poor (0 to 11) Vunerabe (12 to 18) Poor (19 to 23) Rich (24 to 100) Poverty Score Card (PSC) Points Gender And Deveopment program Gender And Deveopment (GAD) is cross cutting theme of every program/project and it ensures gender equity HANDS Brief Profie

10 Session on Gender Base Vioence with mae & femae community organization and equaity in organizationa poicies and procedures. The best practice service modes: Gender Poicy/Code of Conduct, HANDS Sexua Harassment Poicy, Gender Advocacy Campaign, Deveopment of Behavior Change Communication (BCC) strategy on Gender, Faciitating Economic Rehabiitation of Gender Based Vioence (GBV) Survivors The number of messages reayed through FM radio was Focus Group Discussions reated to BCC were conducted. 34,538 awareness raising sessions were conducted with around 701,690 participants. About 501 Interactive Theatres have so far been conducted for BCC on socia / gender issues. For financia and economica empowerment / stabiity of women, 436 destitute women residents of 2 sheter homes in Karachi were provided ski trainings as per their need/requirement. Under this training mode 51 trainings have been conducted and 1,695 professionas have been trained from pubic, private and non-profit sector. Overa 1,747 short training sessions on gender sensitization have been conducted with 43,579 participants. The number of trainings conducted on Women Mobiization and Leadership was 148 with 3428 participants. Disaster Management program Disaster management aims to reduce, or avoid the potentia osses from hazards, assure prompt and appropriate assistance to victims of disaster, and achieve rapid and effective recovery. The best practice training modes: Gender Sensitization Training for professionas, Gender Sensitization Short Session, Women Mobiization and Leadership Training. Impementation of gender poicy is a continuous process as it is an integra part of every project. The poicy has been impemented in a projects incuding 196 projects in the recent preceding years. Sexua harassment poicy was impemented and practiced in 31 district offices of the organization with 3,551 professiona staff. This poicy was aso impemented in 6,114 Community Based Organiztions (CBOs). In preceding years, HANDS GAD program organized 44 events as part of advocacy campaign which were attended by 6,025 participants from different waks of ife. GAD program has gained membership of many women networks such as Joint Action Committee, Pakistan Reproductive Heath Network, UN Women Society Advisory Group, Working Group for Women - AKU, Gender Task Force - UN Women and GBV Sub Custer UNFPA, Gender Coaition - Aurat Foundation, and USAID at nationa eve. The program team has designed, printed and disseminated 91,105 units of BCC materia incuding posters, pamphets, eafets and banners. HANDS Brief Profie A view of tent city provided to the food affected survivors in Sindh The best practice service modes: Estabishment of Reief / Emergency Camp, Food Distribution During Emergency, Disaster Risk Management Center (DRMC), Network for Disaster Risk Reduction (DRR), Heath Services in Emergencies (HSIE), Education in Emergency (EiE) and Ambuance Network. The best practice training modes of Disaster management incudes: Training on camp Management, Drought Mitigation 9

11 trainings, Community Based Disaster Risk Reduction (CBDRR) Training and Community Based Disaster Risk Management (CBDRM) training. Overa 213 camps have been estabished ti date which provided sheter to 131,463 disaster victims since So far 229,758 famiies have received food rations during the disasters in preceding years. Besides distribution food ration, 232,021 WaWa MuM sachet (Nutrition suppement) were aso distributed ACHA MuM among the manourished in Tharparker district during the drought. HANDS has estabished 13 Disaster Risk Management Centres in Sukkur, Thatta, Hyderabad, Jamshoro, Matiari, Umerkot, Mirpur Khas, Sanghar, Badin, Jacobabad, Karachi, Ghotki and Muzafar Garh. HANDS has estabished 02 networks in Northern and Southern districts of Sindh which represent about 3,000 CBOs. HANDS has aso ed a consortium of NGOs estabished by Reief and Rehabiitation Department, Government of Sindh. Overa 3,718 medica camps have been hed and 377,988 patients / cients have been managed in medica camps for different heath issues. Overa 59 Chid Friendy Spaces (CFS) and 150 Transit Sheter Schoo (TSS) have been estabished so far aong with rehabiitation of 1065 schoos with wash room and hand washing faciities in disaster affected areas. These schoos were aso provided bags, copies, sports item & stationary. Tota 3,606 patients have been received /avaied the ambuance service HANDS is providing services through Ambuance Network in 12 different districts of Sindh 31 trainings have been conducted on camp management and more than 422 organization professionas have been trained in preceding years. 02 trainings have been conducted in ast coupe of years and 50 participants have been trained for Drought Mitigation which incudes risk assessment & management. 42 trainings have been conducted ti date attended by 1014 participants. 264 step down trainings have aso been conducted by CBOs on the subject to Community Based Disaster Risk Reduction. HANDS Disaster Management program team has so far trained 30 master trainers on the subject of Community Based Disaster Risk Management. Overa 417 training have been conducted and 11,437 participants have been trained on the subject. Major Contributions of HANDS Disaster Management Program HANDS Disaster Management Program responded to major disasters in Pakistan and in Nepa and has vast experience to dea with emergency responses during the recent disaster in Pakistan and out of the country. Foowing is the history of HANDS disaster response: Karachi Heat Stroke Emergency Response: Immediatey Emergency Response was initiated by estabishing Heat Stroke Reief camps at Jinnah Hospita Karachi and at HANDS Hospita Jamkanda Bin Qasim town of District Mair more than 10,000 peope have been received HANDS reief incuded referra and medica services in Karachi at the cost of Rs. 05 miion) Nepa Earthquake Emergency Response: Immediatey Emergency Response was done for survivors. The response ater transform in to eary recovery. More than 5,000 survivors were benefited from HANDS services through heath, sheter, temporary earning centre (schoos) and food distribution services. HANDS has contributed upto 50 miion Nepai Rupees in this intervention Food Emergency in Southern and Northern Punjab: Immediatey Emergency Response was initiated to the effected popuation by providing transport, heath and temporary sheter services. The eary recovery intervention initiated with rehabiitation of water, food, sanitation, education, street pavement and sma bridge faciities. More than 7000 famiies in 6 districts incuding Muzafargarh, Rajanpur, Siakot, Chiniot, Mandi Bahaudin and Jhang were benefited. More than Rupees 15 miion of has been contributed in this response North Waziristan Emergency Response (IDPs): Emergency Response was initiated within 36 hours to provide assistance to Internay Dispace PeopIes (IDPs) at Bannu. HANDS intervention comprised of heath services to more than 10,000 beneficiaries with the cost of Rs. 2.3 miion Tharparkar Drought Response: Emergency Response was initiated in March, 2014 at 02 districts of Southern Sindh that is Tharparkar and Umerkot. Reief packages was provided to 6,000 famiies. Later 0.8 miion popuation were benefited with Community Based Management of Acute Manutrition (CMAM). HANDS has contributed more than Rs. 195 miion in this intervention. HANDS Brief Profie

12 Awaran Baochistan Earthquake Response: Emergency response was initiated within 8 hours & comprehensive reief package was provided in hard conditions and conficted areas to more than 10,000 famiies in three districts Awaran, Panjgur and Kech. The intervention was comprised of heath, education, sheter, iveihood and water sanitation services. HANDS contributed more than Rs. 250 miion in these areas Northern Sindh, South Punjab and Baochistan Rain Emergency Response: Emergency response was initiated in 06 districts of Sindh, Punjab and Baochistan which incudes Jacobabad, Kashmore, Ghotki, Shikarpur, Rajanpur and Jaferabad. Emergency reief package was provided to famiies at the cost of Rs. 46 miion Southern Sindh Rain Emergency Response: Emergency response was initiated in 8 districts of Southern Sindh, incuding Umerkot, Badin, Sanghar, Matiari, Shaheed Benazirabad, Mirpurkhas, Thatta & Jamshoro famiies were reached. Tota cost of the projects was Rs. 220 miion Northern and Southern Sindh Food Emergency Response: Emergency response was initiated in 07 worst affected districts of northern and southern Sindh. 36,000 famiies were reached. Later the eary recovery and rehabiitation intervention done. Tota cost of the projects were Rs. 415 miion. The best practice service modes: Participatory Rapid Appraisa (PRA), Community Based Organization (CBO) and Interactive Theatre (IT) The best practice training modes: Capacity Buiding Package for Community Group, CBOs Capacity Buiding Training (Rehnuma) and Participatory Rapid Appraisa (PRA) Training HANDS fied teams have so far conducted 5,942 PRA activities with men and women Community Based Organizations (CBOs) in different districts of Pakistan. HANDS has formed / strengthened 6,114 medium/sma CBOs incuding 3,257 men CBOs and women CBOs in Sindh with amost 1.6 miion CBO members. Number of other community groups estabished incude 37,696 SMCs/HMCs, VHCs and micro finance borrowers, WASH committee, DRR committee hygiene committee, mohaa committee and other community groups % 2857 (47%) Socia Mobiization Socia Mobiization is vita part of HANDS program and approaches with primary focus on working with the poor and disadvantaged. It is a participatory process to raise awareness, mobiize and invove oca institution, oca eadership/communities to organize for coective action towards a common vision. Men CBOs A view of Participatory Rura Appraisa activity in a viage HANDS Brief Profie Women CBOs In the preceding years 564 Interactive Theaters (IT) have been performed incuding theatres on eary marriages and chid rights. HANDS has so far trained 56 IT groups. HANDS has so far trained 5,566 members, 1406 vounteers of menta heath, 184 VHC/HMC members. 47,900 borrowers, 129 Union Counci Deveopment Organization (UCDO) members, 361 Government officias and 643 members of other misceaneous groups. HANDS has conducted 278 trainings for both men and women CBOs with 7,290 participants. More than 15,000 CBO members have aso been trained on different subjects. HANDS program team has conducted 31 PRA trainings with 1940 participants.

13 Faciitation Skis, Lega Aspect of Human Resource Management, Project Management, Training of Trainers (ToTs) on Community Capacity Buiding Package and Training for Interactive Theater (Professionas). Principe of HANDS Community Deveopment Strategy Go to the peope Live with them Learn from them Start with what they have Buit with what they have But with the best eaders When the work is done The task accompished The peope wi say We have done this ourseves A district IT Associates, District Executive Managers and Monitoring Managers were trained and provided orientation of web based training management system. After training, the system was fuy impemented in a HANDS' district offices/community deveopment centers. Foowing information was made avaiabe on TMS: Addresses of a HANDS district offices and community deveopment centers Monthy training panners for every month of the year were deveoped and shared. Detais of 91 HANDS master trainers in various sectors Record of participants in various training programs Record of 2237 trainings conducted under HANDS' HID program HANDS ICD did the capacity buiding of neary 210,633 persons in four areas incuding community training, professiona deveopment, institutiona deveopment and consutancy services. HID provided these services through 32 Institutes of Community Deveopment incuding 01 nationa, 04 provincia and 27 at district eve. (Lentsu - China 700 BC) Human & Institutiona Deveopment HANDS is committed to provide quaity services in Human and Institutiona Deveopment (HID) sector. The aim is to create a cuture of earning throughout where individuas and institutes take responsibiity in partnership with HANDS for their deveopment. From the estabishment to up ti now foowing activities have been carried out under this service mode S/# 01 District Progress Review Meeting 02 Monthy Progress Review 03 Orientation workshops for new empoyees 04 HANDS Head Office and District Office Meeting 05 Webinar on sharing the rapid assessment 06 Lectures 07 Appraisa Conductions 08 Business Engish Casses Tota Webinar on Sustainabe Deveopment Goas The best practice service modes: HANDS Web Based Training Management Software, HANDS Institute of Community Deveopment Program and Distance Learning. The best practice training modes: Leadership for Future Generation, Professiona Leadership Deveopment, Proposa Writing / Resource Mobiization, Organization Deveopment Certification Course, Financia Management Training, Training on HANDS Brief Profie Activity 12 Number Number of of viewers/ events participants ,906

14 These days HANDS has started a Business Engish program for the empoyees of the organization and other participants. Overa 20 trainings have been conducted with 526 participants under eadership for future generation. Overa 18 trainings have been conducted so far with 516 participants under professiona eadership deveopment. In the previous years 09 trainings have been conducted with 226 men and women participants under the mode of proposa writing/resource mobiization under organization deveopment certification course. 20 workshops have been conducted so far, for 20 organizations. 273 trainings have been conducted so far, which were attended by 7,933 participants. 243 master trainers have been trained in 09 Training of Trainers (ToTs) on faciitation skis. 01 training has been conducted on ega aspects of human resource management. 21 trainings has been conducted on community capacity buiding package for 355 participants. Overa 54 groups have been trained in Interactive Theatre skis. The best practice training modes: Web Based MIS Software Training, Management Information System (MIS) Training, Logica Framework Matrix Training, Beneficiaries Management Information System (BMIS) Training and Research Methodoogy Training. Monitoring Evauation and Research Program Monitoring Evauation and Research (MER) program is responsibe for monitoring the projects/program activities/interventions as we as conduction of interna and externa researches. Using this web based MIS software, 4648 reports have been generated in preceding years incuding district project reports, district reports, program managers' reports and organization reports. HANDS has overa managed and monitored 579 projects so far using the MIS under a its programs LFAs of a different projects under a the programs have been deveoped during ast year. DMS was impemented in 48 districts and data of 497,531 beneficiaries was upoaded and tokens were generated for distribution through this system. This incuded 279,989 (56.2%) beneficiaries for Infrastructure and Deveopment Program. Simiary other beneficiaries of DMS incuded 98,883 (19.87%) beneficiaries of Liveihood program, 95,004 (19.1%) heath beneficiaries, 23,226 (4.6%) beneficiaries of HANDS Disaster Program and 429 (0.1%) education beneficiaries. During the preceding years, overa 167 researches have been conducted and 466,672 sampe units were surveyed. Reports were aso deveoped and disseminated through seminars, website and press conferences. Researches = Before 2009 A view of Rapid Assessment in viage of Punjab The best practice service modes: Web Based MIS Software, Management Information System (MIS), Logica Framework Matrix (LFM), Beneficiary Management Information System (BMIS), Researches, Periodica Reviews / Monitoring Visits and Suggestion And Compaint (SAC) System. HANDS Brief Profie ,009 Program Reviews have been conducted in previous years. A tota of 116,020 monitoring visits were conducted by a eves of managers for quaity assurance of projects/program performance. 579 supervisory checkists of new projects were aso deveoped for the purpose of monitoring

15 This training was conducted in 48 districts attended by more than 900 staff members. MER deveoped the compete MIS of 12 projects of HANDS. Overa MIS of 579 projects has been deveoped. and more than 2400 staff member were trained. MER has so far deveoped 579 LFA/LFMs for different projects and approximatey 2400 staff members were trained. 01 externa consutancy for LFA deveopment was done for the staff of Aman Community Heath Initiative Project, Aman Foundation. BMIS was impemented in 31 districts and trainings for each district's staff were conducted with an average participation of 10. Thus around 310 HANDS staff has been provided training for BMIS. 35 staff members were trained in 04 phases of training on Research Protocos and Research Methodoogy. More than 100 trainings of more than 500 Surveyors have been conducted on research toos. Information Communication Resource and Advocacy (ICR&A) Program Communication Strategy. The Information Communication Resource & Advocacy (ICR&A) program is cross cutting and support a programs through deveopment of advocacy campaign, Behavior Change & Communication (BCC) strategy, video/audio documentary, printing & pubishing and knowedge management. HANDS Communication program sta on the occasion of Sindh Literature Festiva at Karachi The best practice service modes: Advocacy Campaign, Deveopment of Behavior Change Communication (BCC) Strategy, Video / Audio Production Unit, Designing, Composing and Pubication, Deveopment of Website and Socia Media and Resource Centre. The best practice training modes: Behavior Change & Communication (BCC), Tota Library Soution (TLS) Software and Training on HANDS Brief Profie ICR&A has successfuy designed and impemented advocacy campaigns on different issues incuding Water Sanitation and heath in urban sums of Karachi. The program ran a vigorous campaign on eary chid marriages and infuence for egisation to increase the age of girs' marriage to 18 years. It faciitated ceebration of nationa days on different subjects incuding hepatitis, iteracy, breast feeding, corpora punishment, word habitat, AIDS, access to medicine and eary chidhood deveopment. ICR program has faciitated districts to conduct 53 seminars and 94 other events in preceding year which were attended by more than 35,000 participants. ICR&A has so far designed 39 BCC strategies for different projects incuding Famiy panning, MARVI project, Water rights - WASH project, AGE project, MARVI (revised strategy). Overa 43 video documentaries have been deveoped so far. Prepared more than 2,109 project reports incuding summary reports. Designed and pubished more than 81 news buetins and newsetters in Urdu and Engish anguages. Designed, composed and printed 117,839 brochures, 234,026 eafets, 62,263 posters, 1,000 copies of program summaries of each program and 11,011 banners. Printed 2,000 copies of Profie and 3000 copies of Brief Profie of HANDS. Printed thousands of other misceaneous printing materia incuding receipts, certificates, foders, sign boards, tits, stickers, bookets, name pates, MIS toos for heath faciities, enveopes, name tags, CD cover, empoyee fies, visiting card, fip charts, invitation cards, panafex mounts and portfoios. In addition, writing pads, heath cards, support cards for reief goods' distribution, charts, fash card and monthy / annua panners etc. HANDS has tested this mode and deveoped website and socia media pages for the organization ICR & A has successfuy maintained a network of fourteen ibraries; one at head office and one each at district offices i.e. Karachi Rura, Thatta, Badin, Hyderabad, Umerkot, Dadu, Matiari, Sukkur, Sanghar, Mirpur Khas, Jacobabad, Ghotki and Community Midwifery Schoos at Karachi. Overa 38 BCC trainings have been conducted for capacity buiding of projects' personne to understand the basic concepts of communication. 5 training for Districts Libraries Foca persons has been conducted for tota ibrary soution software. HANDS has tested this mode and deveoped interna communication strategy for the organization