Support for women affected by violence
In Pakistan, women are often victims of violence with complete impunity. In 2009, 8,548 cases were officially recorded, including 1,988 murders and honour killings. These figures, which are significantly lower than the reality, reflect a lack of recognition and support for women affected by violence. Those who flee are stigmatised and have little recourse to justice. The Dar ul-Amans (peace houses) of the Punjabi Department of Social Affairs, are the only institutions offering protection and medical, legal and psycho-social services.
» Punjab province, 34 districts
MdM’s activities ultimately support the Department of Social Affairs’ programme, which aims to sustain the medical, psychological and legal services offered to residents. MdM is working towards improving the skills of the employees in the 34 Dar ul-Amans (DUA) and in the Department of Social affairs in terms of protection, setting up a network, management and monitoring, through training and development of action plans. Furthermore, MdM supports and leads Mumkin, a platform for local NGOs involved with the rights of women in Punjab, to improve co-ordination and work together towards an effective advocacy for the ratification of a law criminalising domestic violence.
In 2011, 10,682 women and 2,805 children stayed in the DUAs in Punjab for several days, weeks or months.
MdM’s withdrawal, planned for 2013, is gradually beginning so that the Department of Social affairs can, over time, take on the supervision of the DUAs. Capacity building continues until the end of the project. MdM also continues to be an active member of Mumkin.
Support for the organisation MCWAK to provide emergency obstetric care
The floods of 2010 affected over 18 million people. In many cases, the destruction of the infrastructure and road network prevents pregnant women from reaching obstetric care. In order to participate in post-crisis management, MdM signed a partnership agreement with Maternity and Child Association Khanpur (MCWAK), to provide healthcare to women in the rural areas along the Indus in southern Punjab.
» Punjab province, Rahim Yar-Khan district
MCWAK has equipped health centres in Abadpur and Chachran and employed qualified staff who are able to provide emergency obstetric care. The health centres have an outpatient department, equipped with an ultrasound machine, and an ambulance for referral of high risk pregnancies. The recruitment of female community health workers, allows women to be informed about basic healthcare, family planning as well as prevention, hygiene and health education.
4,900 mother and child consultations, 200 assisted deliveries in health centres.
To reinforce results and ensure the sustainability of the service, the partnership between MdM and MCWAK is extended for 2012. This agreement will also support the partner organisation in its active search for funding. MdM and MCWAK are working to strengthen their ties with the Ministry of Health.
Medical assistance for victims of crises
Populations living in the border regions of Afghanistan are badly affected by the military operations aimed at eradicating insurgents. Since 2009, these operations have caused population movements of several million people. In order to meet their needs and also those of the host populations, MdM is running a programme of access to primary healthcare.
» Khyber Pakhtunkhwa province (Kohat, Hangu and Dera Ismail Khan districts)
The displaced populations have access to medical treatment, thanks to the setting up of mobile clinics and MdM’s support for healthcare facilities. MdM’s activities comprise primary healthcare consultations, antenatal consultations, deliveries, family planning, referrals to hospital, health education and treatment of acute cases of severe malnutrition. The organisation also conducts epidemiological monitoring and establishes action plans to enable a rapid and efficient response in case of an epidemic. In this respect, a diarrhoea treatment centre permits the treatment of severe cases.
98,241 curative consultations, 3,045 antenatal consultations, 3,699 vaccinations.
The ongoing conflict, and its consequences for the population, justify the continuation of medical care activities, focusing on the areas close to military operations. Therefore, in 2012, the teams are repositioning, closer to the displaced populations.