UN Cluster Approachin the Aftermath of Pakistan Earthquake 2005

Dr Nasreen KhanWHO- Pakistan

Presentation Outline

It includes:

Back groundUN cluster responseChallengesFuture direction

Damaged Health facilities, BHU and DHQ Bagh

UN Cluster approach response

Based on UN Humanitarian Response Review (HRR) paper, nine clusters were established within 24 hrs:

1. Food and Nutrition, 2. Water and Sanitation, 3. Health including Reproductive Health,4. Emergency Shelter, 5. Early Recovery and Reconstruction, 6. Logistics, 7. IT Telecommunications,8. Camp Management and 9. Protection

UN RH Response to Earthquake

The RH response was initiated along the MISP framework– Establishment of Inter Agency Standing

Committee (IASC) Earthquake Task Force– Appointment of RH focal person from

each agency – Development of RH/MNCH Plan of Action– Rapid assessment

RH/MNCH Plan of Action

RH/MNCH plan of action developed addressing following priority needs: – Revitalization of basic EmONC and RH services

at First Level Care Facilities (FLCF), – Provision of comprehensive EmONC and RH

services at referral level (THQ/ DHQ), – Provision of Essential equipment and drugs, – Capacity building and improving skills of health

care providers, – Coordination, monitoring and evaluation of

services.

Prefabricated health facilities

Major challenges

Cluster response was at infancy stage globally (ToRs developed later)

Inadequate coordination between the UN, sate structure, NGOs, local district and civic structures

Little back-up support for cluster leads Availability of trained staff and high

turnover Connectivity Monitoring of cluster performance Exit strategy

Future Recommendations

Roles and responsibility should be well defined

Debriefing of donors

Strengthening the capacity of national authorities and civil society

Involvement of local bodies and civil society