PAKISTAN A day in the CARE health camp

Doctors provide medical support, but more assistance is urgently needed

By Mujahid Hussain, Team Leader Lower Sindh, CARE International Pakistan

The monsoon floods of August 2011 have displaced millions of people from their modest huts in the areas of lower Sindh province. After almost three months stranded under open sky, many are still waiting for proper temporary shelter, water, sanitation and healthcare support. The most vulnerable are women and children, who are fighting unprotected from the health risks of exposure to hot sun during the day and mosquitoes at night.

CARE and its partners’ health teams are providing primary healthcare and hygiene awareness education to some of the most severely affected people in the remote areas of district Mirpur Khas. This week the team visited a health camp organized by our partner at village Mahar Mohammad Buttar, UC Burghari. We travelled about two hours from Mirpur Khas city by road to reach the village. The road condition was very poor and in some areas it is surrounded by water. The level of water is now receding and some people have started to return to what is left of their nearby homes.
On the way to the camp village we stopped to ask questions in a local community. “We are happy to be going back to the debris of our home instead of sitting in camps on the roads and waiting for relief.  We try to survive with our own saved resources,” said 55 year old Mero of village Goth Mitha Baluch.

We reached a village where a health camp had been set up by CARE local partner Takhleeq Foundation. The camp was well organized, with separate facilities for men and women, and with the active involvement of local elders.  Over 350 local people were gathered, including men, women and children, waiting for medical officers’ consultation and medications. Four medical officers (two male and two female) were fully engaged in consultations.  In the waiting room staff were leading hygiene awareness sessions, focusing on how to ensure clean water and do hand washing.
One of the female medical officers is 23-year-old Dr. Tabinda, who has been providing healthcare services in flood-affected areas for the last 15 days. Asked about her motivation, she said: “I am very happy to provide health services to these people. They are deprived, they are poor, and the way they are being neglected is inhuman. This village has a population of 20,000, and they have no health unit available for healthcare.” She said she and her colleagues were travelling three to four hours on daily basis to access these remote areas. Yesterday the team had to go on foot for half an hour to conduct camp at another village. “Our motivation is high to serve these needy people, and I am sure to get their prayers.” She pointed out one lactating woman sitting with her for treatment and said, “This woman is seven months pregnant.  She is weak, malnourished and shelters-less. She has had severe pain for last seven days, but her family could not afford to bring her to a checkup at Mirpur Khas city.”

Shewa, a 70-year old man, was suffering from fever and being treated by a male medical officer. “We are 16 in my family,” he explained: “Five daughters, three sons, six grandsons, my wife and myself, all living in a hut with a cover made of plastic and our clothes. We lost all our standing crops -- cotton, vegetables, rice in the field and now we are looking for food and water to survive.  All our family members are ill, and have come to this camp for treatment. This medical support is blessing on us. My young grandson Rehman is studying in class 3 and he is suffering from malaria fever and not attending school.  If I could get some cash support in future, I will buy some livestock, foods, and construct a new hut for living.”

I have experience working in some major disasters in Pakistan such as the disastrous earthquake in Pakistan in 2005 and the floods last year and I know that every disaster victim has different suffering and feelings of hope. But responding to the floods this year in lower Sindh, I witness that people are hopeless and frustrated after waiting for three months to get support. Many of these people will die from malnutrition and water borne diseases if a response cannot be expedited. CARE and other organizations urgently need more funding to support people in need.