table of contents report 2018-19.pdfhands as an institute of community development (icd) is...
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Table of Contents
01. Abbreviations .............................................................................................................. 3
02. Foreword ..................................................................................................................... 6
03. Acknowledgement ...................................................................................................... 7
04. HANDS Overview: ..................................................................................................... 8
04.1 Management Structure: ........................................................................................... 8
04.2 Management Certification: ...................................................................................... 9
04.3 Policy Guideline: ................................................................................................... 10
04.4 Experience in Project Administration and Financial Management:...................... 10
04.5 Major Funding Partner: ......................................................................................... 11
04.6 HANDS Offices: ................................................................................................... 11
04.7 Beneficiaries: ......................................................................................................... 12
04.8 HANDS - Community Based Organizations ........................................................ 13
05. Action Plan Targets 2018 - 2019 .............................................................................. 13
05.1 Human Resource of HANDS in 2018 - 2019:....................................................... 13
05.2 Area Profile in 2018 - 2019: .................................................................................. 14
05.3 List of HANDS Intervention Districts: ................................................................. 14
05.4 List of HANDS District Offices: ........................................................................... 15
05.5 Details of Projects in 2018 - 2019: ........................................................................ 15
05.6 HANDS intervention units in 2018-2019 ............................................................. 18
05.7 HANDS Beneficiaries in 2018-2019: ................................................................... 18
05.8 Special Events in 2018– 2019: .............................................................................. 19
05.9 Month wise detail of Mega Events by Head Office: ............................................... 19
06. HANDS Programs in Year 2018-2019 ..................................................................... 20
06.1 Human Resource & Institutional Development Program: .................................... 20
6.1.1 Staff Capacity Building & Mentoring: ........................................................... 21 6.1.2 Capacity Building & Mentoring of Community based partners:................... 21
06.2 Monitoring, Evaluation and Research Program: ................................................... 22
6.2.1 Supervisory Mechanism: ................................................................................ 22
6.2.2 HANDS Staff Meetings: ................................................................................. 22 6.2.3 External Meetings: ......................................................................................... 23 6.2.4 Projects Progress Reports: ............................................................................ 23 6.2.5 Research Activities: ....................................................................................... 24
06.3 Communication & Advocacy Program: ................................................................ 24
6.3.1 HANDS Library Network:.............................................................................. 25 6.3.2 HANDS Publication: ...................................................................................... 25 6.3.3 Advocacy: ....................................................................................................... 25
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6.4 Health Promotion Program: .................................................................................. 26
6.4.1 Intervention Units of Health Program:.......................................................... 26 6.4.2 Beneficiaries of Health Program: ....................................................................... 27 6.4.3 Nutrition:........................................................................................................ 28 6.4.4 Patients / Clients: ........................................................................................... 28
6.4.5 Medical Services: ........................................................................................... 28 6.4.6 Vaccination: ................................................................................................... 29 6.4.7 Social Marketing Program: ........................................................................... 29 6.4.8 MARVI Workers: ............................................................................................ 30 6.4.9 Targets of Sale of Social Marketing Products: .............................................. 31
06.5 Education & Literacy Promotion Program: .......................................................... 31
6.5.1 Intervention Units of Education & Literacy Promotion Program: ............... 31 6.5.2 Beneficiaries of Education Program: ............................................................ 31
6.5.3 Material Provision at Schools ....................................................................... 32 06.6 Livelihood Enhancement Program (LEP): ............................................................ 32
6.6.1 Livelihood Enhancement Program (Agriculture) .......................................... 33
6.6.2 Livelihood Enhancement Program (Non Agriculture) .................................. 33 6.6.3 Intervention units of Livelihood Enhancement Program: ............................. 33
6.6.4 Beneficiaries of Livelihood Enhancement program: ..................................... 33 6.6.5 Entrepreneur: ................................................................................................. 34 6.6.6 Microcredit: ................................................................................................... 34
6.6.7 Livelihood ...................................................................................................... 35 06.7 Resource Mobilization Program: .......................................................................... 35
6.7.1 Project Proposals/ Concept Papers/ EOIs: ................................................... 35 6.7.2 Fund Raising:................................................................................................. 36
06.8 WASH Program .................................................................................................... 36
6.8.1 Intervention Units of WASH Program: .......................................................... 37 6.8.2 Beneficiaries of WASH Program: .................................................................. 37
6.8.3 Targets of HANDS WASH Program: ............................................................. 38 06.9 Infrastructure Development Energy WASH and Shelter (IDEAS) ....................... 38
6.9.1 Intervention Units of Infrastructure Development Program: ........................ 38 6.9.2 Beneficiaries of Infrastructure Development Program: ................................ 39 6.9.3 Targets of HANDS Infrastructure Program: ................................................. 39
07. Social Mobilization: ................................................................................................. 40
7.1 Community Partner Organizations ................................................................ 41 7.2 Social Mobilization Activities in 2018 - 2019: ............................................... 42
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01. Abbreviations
AB Attendance Bonus
AFP Annual Financial Plan
AGE Adolescent Girl Education
AIP Annual Implementation Plan
AKU Aga Khan University
ALC Adult Literacy Centre
ANC Antenatal Checkup
BCC Behavior Change Communication
BHU Basic Health Unit
CBA Child Bearing Age
CBDRM Community Based Disaster Risk Management
CBDRR Community Based Disaster Risk Reduction
CBO Community Based Organization
CBP Capacity Building Package
CCA Community Change Agent
CCBP Community Capacity Building Package
CFW Cash for Work
CIG Common Interest Group
CMAM Community based Management of Acute Malnutrition
CMST Community Management Skills Training
CMW Community Midwife
CP Cerebral Palsy
CtC Child-to-Child
CWDs Children with Disabilities
DHQ District Head Quarter
DM Disaster Management
DMS Distribution Management Software
DRR Disaster Risk Reduction
DTC District Technical Committee
ECD Early Childhood Development
ECE Early Childhood Education
EiE Education in Emergency
EPI Expanded Program on Immunization
ESV Enrollment Subsidy Voucher
FALAH Family Advancement for Life and Health
FFW Food For Work
FGD Focus Group Discussion
GAD Gender and Development
GAVI Global Alliance for Vaccines & Immunization
GBV Gender Based Violence
GDP Gross Domestic Product
HANDS Health and Nutrition Development Society
HAS Health Action School
HCP Health Care Provider
HICD HANDS Institution of Community Development
HR & ID Human Resource Institutional Development
HIV Human Immunodeficiency Virus
HM Hunarmand Markaz
HMC Health Management Committee
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HR Human Resource
HTC Hunarmand Training Centre
C&A Communication & Advocacy
IDEAS Infrastructure Development Energy And Shelter
WASH Water And Sanitation Hygiene
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 and 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
SBA Skill Birth Attendant
SC Stabilizing Centre
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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 Nations
VHC Village Health Committee
WASH Water Sanitation Hygiene
WHO World Health Organization
WTU Water Treatment Unit
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02. Foreword
By ALLAH Blessings HANDS is now recognized as model Institution certified by leading
International Organizations. This recognition is well marked as HANDS played leading role in
capacity building of many organizations, and being successful in getting projects from new donors
during the year 2018-2019.
The core team of General Managers based at Head office under the leadership of Dr. Shaikh Tanveer
Ahmed, Chief Executive Officer with the support of their program staff, project staff & mid-level
managers at District 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 Pakistan (Sindh, Balochistan, KPK, Punjab and also in Gilgit Baltistan).
HANDS broad its mission by serving people internationally and developed offices in London (UK)
in 2014 and recently established its office in Nepal to run relief and rehabilitation projects for
earthquake 2015 survivors in Nepal HANDS therefore will be able to enhance its canvas globally.
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
Livelihood Enhancement sectors, community organizations and other institutions in development
sector including public sector departments and their officials, and elected representatives.
The HANDS Action/Implementation and Financial plan 2018-19 is clearly reflecting that all HANDS
Family members are dedicated & have commitment/courage to go forward towards our vision of
Healthy, Educated, Prosperous and Equitable Society. I wish all of you a great success.
Thank you & God Bless You
Prof. A. G. Billoo
Chairman
HANDS
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03. Acknowledgement
First of all I would like to thank Almighty Allah who enables us to achieve most of the set targets of
previous years and now planning for the New Year 2018–19 with extension and expansion of
program, projects and intervention areas too. Now HANDS serves in all provinces of Pakistan (Sindh,
Balochistan, KPK, Punjab and also in Gilgit Baltistan. HANDS broad its mission by serving people
internationally and developed offices in London (UK) in 2014 and recently established its office in
Nepal to run relief and rehabilitation project for earthquake 2015 survivors in Nepal.
Our gratitude to founder, Chairman and father of HANDS – Professor Abdul Ghaffar Billoo
(Sitara.e.Imtiaz), whose continues 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 Member specially Ms. Siraj un NisaIsani, Mr. Ghulam Hussain Baloch, Dr. Saeed
Ismail, Dr. Mustaghis ur Rehman, Dr. Ghulam Farooq, Mr. Aness Danish and District Patrons for
their enormous inputs throughout the lifecycle of HANDS.
We are thankful to Civil Society Organizations (CSOs), Donors and Philanthropists or 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 developing this document. We
are thankful to Dr. Shaikh Tanveer Ahmed (Chief Executive), Dr. Aslam Khan (Chief HR & ID
Executive), Ghulam Mustafa Zaor (Chief Services), Mr. Anwer Iqbal (Chief Finance Executive) &
Dr. Sarwat Mirza (Chief Research and Development Executive), and General Managers including
Rahila Raheem (GAD & LEP), Humera Naeem (Health), Huma Siddiqui (HR & ID), Dr. Irfan
Ahmed (RM), Naeem Memon (IDEAS), Maqbool Rahu (WASH), Zahir Khan (Finance), Qalander
Bux Behrani (Education), Muhammad Rahim Marri (SM & Disaster Management), Muhammad
Kashif (Operation), Amon John (Procurement & Logistic) , & Nadeem Waggan (C&A).
I am also very grateful to Dr. Aslam Khan (Chief HR & ID Executive), Mr. Anwer Iqbal (Chief
Finance Executive), Mr. Zahir and other Finance team for providing me financial details for this
document.
I am especially thankful to Mr. Noor Muhammad Senior Program Manager and Mr. Muhammad
Ashir Program Manager ME&R to help me out in development of this highly technical document.
This document is the result of many rounds of planning activities conducted at the field level, district
level and head office level. It narrates the planning of HANDS and details of the planned activities
under the projects and different programs to be conducted from July 2018 to June 2019.
The document provides information about the overall future activities, targets, and events both
program and project wise.
Ms. Rubina Jaffri,
Senior General Manager
ME&R, HANDS
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04. HANDS Overview:
HANDS was founded by, Prof. A. G. Billoo (Sitara-e-
Imtiaz) in 1979 and registered under Societies
registration act XXI of 1860. Today HANDS stands as
one of the leading civil society organization of the
country with a work span in all the 4 provinces of
Pakistan and also in Gilgit Baltistan. In 2014 HANDS
has established its office in London, United Kingdom
as HANDS International and is registered as
nongovernmental organization in companies’ act 2006 of England and Wales. In 2015 HANDS
international is also registered in Nepal under social welfare council act to run relief and rehabilitation
projects for earthquake survivors in Nepal.
HANDS started its formal journey of intervention from a public sector hospital in Karachi as Health
and Nutrition Project in 1979 lead by the head of the department of pediatrics, Prof. A. G. Billoo
(Sitara-e-Imtiaz). 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 40 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
Health and Nutrition Development Society -"HANDS" and emerged with new vision as “Healthy
Educated Prosperous and Equitable Society”.
After 39 years HANDS has evolved as one of the largest Non-Profit Organization of the country and
represent an excellent model of community development.
This integrated model comprises of key programs of Social Mobilization, Gender & Development,
Human Resource & Institutional Development, Health Promotion, Education & Literacy, Livelihood
Enhancement, Monitoring Evaluation & Research, Communication & Advocacy, Infrastructure
Development, Energy Water & Shelter (IDEAS) , Water Sanitation And Hygiene (WASH) Disaster
Management and Social Marketing.
HANDS have network of 36 offices across
Pakistan till 2018-19. And have access to
more than 28 million population of nearly
20,104 villages/ settlement in 46 districts of
Pakistan. As pie chart is showing that more
than 50% (n=28) districts are in Sindh, 07 in
Punjab, 06 in Balochistan, 04 in KP, 1 in
Federal Capital. These offices are supported
by 6,315 medium and small size
organizations' network in Pakistan.
04.1 Management Structure:
HANDS is governed by 12 elected members called "Governing Board" affiliated as volunteers and
led by the Chairman of the organization. The Chief Executive is defecto member of the Governing
Board as well. The Board provides policy guidelines and follows the management to pursue
management policies in the spirit of the organization's vision. The board is comprised of professionals
Geographical Outreach Number
District Offices 36
Intervention Districts 46
UCs 968
Villages / Settlements 20,104
Population 28.4 million
1 7
28
46
Federal Capital
Punjab
Sindh
KP
Balochistan
Intervention Districts = 46
9
of different sectors, philanthropist and ex-employees of HANDS. There are four tiers in management
structure, the first tier is the Senior Executive Committee which is top management and comprised
Of 04 executives and the Chief Executive. The second tier is “Steering Committee" that is comprised
of 14 General Managers (GMs) and 04 senior executives are also member of the steering committee.
The GMs are responsible for operation of different project activities of their concerned programs
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 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 has 6,605 full time
office based and community based staff
and more important is out of them 77%
(4,642) are female staff and 23% (1,413)
are male staff. HANDS also has 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.
04.2 Management Certification:
HANDS is certified by Pakistan Center for Philanthropy (PCP) and is tax exempted by Income tax
department of government of Pakistan. HANDS have also successfully completed the Institutional
Management Certification Program (IMCP) of USAID for management standards. We are accredited
with European Union and have central contractor registration with US Government (DUNS No.).
141323%
464277%
HANDS Staff2018-19 = 6,065
Male Staff
Female Staff
10
HANDS also possess membership with Humanitarian Accountability Partnership (HAP),
International Union for Conservation of Nature (IUCN) & SUN CSA (Civil Society Alliance for
Scaling up Nutrition). Dr. Shaikh Tanveer Ahmed (Chief Executive HANDS) is elected Chairperson
of SUN CSA (Pakistan Chapter).
04.3 Policy Guideline: HANDS has developed 23 policy manuals which include Operation (administration), 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, Infrastructure Development Energy, And water & Shelter,
Gender And Development, Livelihood Enhancement, Child Rights and Protection, Logistics
,Endowment fund, Investment fund, Provident fund Policy, Procurement and Suggestion and
Complaints (Whistle Blowing).
04.4 Experience in Project Administration and Financial
Management:
HANDS has successfully managed 702 projects during last 15 years. Year wise Project details is
shown in the bellow table. Finance Department is equipped with qualified personnel working in
computerized accounting software (online in all districts) through Sidat Hyder Financials.
17 15
32
23 23 24
59
7365
57 6065 62
58
69
0
10
20
30
40
50
60
70
80
No. of Project (Historical trend compared to 2018-19)
11
04.5 Major Funding Partner:
The list of major funding partners include UKAID/Department of International Development
(DFID), USAID, Jhpiego, The David & Lucile Packard Foundation, Medico International (MI),
World Food Program (WFP), Basic Needs / Basic Rights, UNICEF, UNOCHA, Marie Stopes Society
(MSS), Fountain House, Green Star Marketing, Water Aid, Abu Faisal Trust, Rahnuma Trust, Idara
I Taleem O Agahi (ITA), HUBCO, World Health Organization (WHO), Food and Agriculture
Organization of the United Nations (FAO), OXFAM Novib, Engro Foundation, Sindh Education
Foundation (SEF), Khushhali Bank Limited, Pakistan Poverty Alleviation Fund (PPAF), Aurat
Foundation, Rutgers WPF, Research and Advocacy Fund (RAF), Zakat Foundation, Futures group,
Health and Nutrition Innovation Fund (HANIF), UNDP, Population services International (PSI),
ACTED, Chemonics, Institute for Research and Development, International Relief and Development
(IRD), IDSP Pakistan, Rotary Humanitarian Trust (RHT), Aahung ,The I-Care Foundation, Save the
Children US & UK, Solidarities International, Business for Social Rehability (BSR), GAVI Alliance,
American Red Cross, GDS International, , Shell Pakistan, RSPN, Bearing Point, Mustashaar, Plan
International, , The Aga Khan Foundation, GOAL International, International Organization of
Migration(IOM), Pakistan Cultural Group (PCG), SINA, UNFPA, UNHCR, UNOPS, STEUN
Pakistan, , Asian Development Bank, Helpage International The World Bank Pakistan, Aman
Foundation ,The Asia Foundation, Naya Jeevan, Novo Nordisk, Ministry of Women Development
Pakistan, Population Council, Benazir Housing Cell (BHC), Government of Sindh, Government of
Punjab, Government of Balochistan, Government of Khyber Pakhtunkhwa and Federal Government.
04.6 HANDS Offices:
HANDS is working in very large area of the country. It has established 36 Offices including Head
Office in Karachi and 03 Provincial offices in Quetta, Lahore and Peshawar and 1 Liaison office in
Islamabad in year 2018-19. HANDS staffs continue to monitor and follow progress of its different
interventions and projects.
List of HANDS District Offices
S# District Province S# District Province
1 Islamabad Federal Capital 19 Tharparkar Sindh
2 Lahore Punjab 20 Thatta Sindh
3 Sheikhupura Punjab 21 Umerkot Sindh
4 Muzaffargarh Punjab 22 Badin Sindh
5 Multan Punjab 23 Dadu Sindh
6 Khanewal Punjab 24 Ghotki Sindh
7 Layyah Punjab 25 Hyderabad Sindh
8 Jacobabad Sindh 26 Nosheroferoz Sindh
9 Jamshoro Sindh 27 Qambar Shahdadkot Sindh
10 Karachi Rural Sindh 28 Peshawar KP
11 Karachi Urban Sindh 29 Mansehra KP
12 Kashmore Sindh 30 Shangla KP
13 Head Office Sindh 31 Chitral KP
12
14 Larkana Sindh 32 Quetta Balochistan
15 Matiari Sindh 33 Lasbela Balochistan
16 Mirpur Khas Sindh 34 Gwadar Balochistan
17 Sanghar Sindh 35 Zhob Balochistan
18 Sukkur Sindh 36 Kila Saifullah Balochistan
04.7 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 health
care providers, teachers, community based entrepreneurs and provision of WASH and low cost
shelter facility. Direct Beneficiaries of HANDS during the year 2018-19 are 3.60 million people.
Year wise up to date beneficiaries are depicted in the graph.
0.1 0.10.4
2.0
3.03.3 3.3
4.2
3.3
2.1 2.202.44
2.17
3.303.60
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
No. of direct beneficiaries = 35.05 Million(Historical trend compared to 2018-19)
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04.8 HANDS - Community Based 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 Livelihood Enhancement
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 been formed 6,315 Men and Women
Community Based Organization in 27 districts since 1999. Year wise graph shows the status of last
20 years.
05. Action Plan Targets 2018 - 2019
05.1 Human Resource of HANDS in 2018 - 2019:
The human resource
strength of HANDS in
year 2018-19 will be 12
governing board
members, 12 District
Patrons and 6,065 full
time professional staff.
141323%
464277%
HANDS Staff2018-19 = 6,065
Male StaffFemale Staff
167 212 246745
15751895
2252 2252 2442
35313905
53315691
5994 6120 6202 6315
0
1000
2000
3000
4000
5000
6000
7000
Year wise CBOs detail
14
05.2 Area Profile in 2018 - 2019:
HANDS will be working in 46 Districts through its 69 Projects and 36 offices in the year 2018-19.
Out of 46 intervention Districts 28 are in Sindh, 07 in Punjab 04 in Khyber Pakhtunkhwa, 06 in
Balochistan and one in Islamabad Capital.
05.3 List of HANDS Intervention Districts:
S# District Province S# District Province
1 Islamabad Federal Capital 24 Sukkur Sindh
2 Lahore Punjab 25 Tando Allah Yar Sindh
3 Rawalpindi Punjab 26 Tando Muhammad Khan Sindh
4 Sheikhupura Punjab 27 Tharparkar Sindh
5 Muzaffargarh Punjab 28 Thatta Sindh
6 Multan Punjab 29 Umerkot Sindh
7 Khanewal Punjab 30 Badin Sindh
8 Layyah Punjab 31 Dadu Sindh
9 Jacobabad Sindh 32 Ghotki Sindh
10 Jamshoro Sindh 33 Hyderabad Sindh
11 Karachi South Sindh 34 Khairpur Sindh
12 Karachi West Sindh 35 Nosheroferoz Sindh
13 Kashmore Sindh 36 Qamber Shahdadkot Sindh
14 Korangi (Karachi) Sindh 37 Peshawar KP
15 Larkana Sindh 38 Mansehra KP
16 Malir (Karachi) Sindh 39 Shangla KP
17 Karachi Central Sindh 40 Chitral KP
18 Karachi East Sindh 41 Quetta Balochistan
19 Matiari Sindh 42 Jaffarabad Balochistan
20 Mirpur Khas Sindh 43 Lasbella Balochistan
21 Sanghar Sindh 44 Gwadar Balochistan
22 Shaheed Benazir Abad Sindh 45 Zhob Balochistan
23 Sujawal Sindh 46 Killa Saifullah Balochistan
15
05.4 List of HANDS District Offices:
05.5 Details of Projects in 2018 - 2019:
HANDS will intervene through 69 Projects in year 2018-19, all of these are confirmed or in
hand projects. Detail of 69 projects can be seen in below table.
S# Project Name DISTRICT
1 IQRA School Karachi Rural
2 Asma School Matiari
3 HANDS Academy Karachi Urban
4 SCMP Larkana, Jacobabad, Kashmore, Sukkur,
Karachi Urban
5 SAS (RBCS) Karachi Rural, Karachi Urban
6 CDP(Education) Dadu, Matiari
7 HANDS EMO School Project GHS Bhellar Sukkur
8 HANDS EMO School Project GHS Pir Essa Khairpur
9 HANDS EMO School Project GHS Kamal
Khan Sukkur
10 Hands Hospital Jamkanda Karachi Rural
11 Marvi Nutrition Integrated Model (MNIM) Mansehra
12 CMW Karachi Rural
13 Dispensary Mirpur Khas
S# District Province S# District Province
1 Islamabad Federal Capital 19 Tharparkar Sindh
2 Lahore Punjab 20 Thatta Sindh
3 Sheikhupura Punjab 21 Umerkot Sindh
4 Muzaffargarh Punjab 22 Badin Sindh
5 Multan Punjab 23 Dadu Sindh
6 Khanewal Punjab 24 Ghotki Sindh
7 Layyah Punjab 25 Hyderabad Sindh
8 Jacobabad Sindh 26 Nosheroferoz Sindh
9 Jamshoro Sindh 27 Qambar Shahdadkot Sindh
10 Karachi Rural Sindh 28 Peshawar KP
11 Karachi Urban Sindh 29 Mansehra KP
12 Kashmore Sindh 30 Shangla KP
13 Head Office Sindh 31 Chitral KP
14 Larkana Sindh 32 Quetta Balochistan
15 Matiari Sindh 33 Lasbela Balochistan
16 Mirpur Khas Sindh 34 Gwadar Balochistan
17 Sanghar Sindh 35 Zhob Balochistan
18 Sukkur Sindh 36 Kila Saifullah Balochistan
16
14 Reproductive Health Services through social
Marketing Project (RHSP) Dadu, Sanghar, Ghotki, Umerkot
15 ENMCP (Thar) Tharparkar
16 ENMCP (Badin) Badin
17 PPP Sindh Karachi Malir (Bin Qasim, Gadap)
18 HANDS Independent Living Centre Karachi Urban
19 RHFP (PPIF) Muzaffargarh
20 MARVI Sehat Saan Khushhali (SSK) Thatta, Sujawal, Badin
21 PHC (Punjab) Sheikhupura
22 Sayaa ILC Islamabad
23 MYHP DRMC
Thatta, Sukkur, Hyderabad, Badin, Ghotki,
MPK, Sanghar, Matiari, Jacobabad,
Umerkot, Muzaffargarh
24 Lighting Lives Pakistan Thatta
25 MYHP (ER) Year III Shangla, Layyah, Thatta
26 Accommodation Block PDRMC Karachi
27 MYHP (ER) Year 4 Shangla, Layyah, Thatta
28 Chitral Shelter Program Chitral
29 ENI Sujawal
30 HTC Karachi Rural
31 PMIFL (Phase 1) Thatta
32 PMIFL (Phase 2) Thatta, Badin, Lasbella
33 Arif Habib Group of Company Karachi Urban
34 Arif Habib Group of Company Karachi Rural
35 SMF Hyderabad, Matiari, Umerkot, Khanewal,
Sheikhupura, Multan
36 DAI Tabeer
Hyderabad, Thatta, Sujawal, Tando Allahyar,
Tando Muhammad Khan, Jamshoro, Dadu,
Matiari, Badin, Sanghar, SBA, Nosheroferoz
37 Action Aid Child sponsor ship Program Karachi Urban
38 MISALI
Sanghar, Thatta, Matiari, Jacobabad,
Jamshoro, Karachi Urban, Karachi Rural,
Umerkot, Muzaffargarh, Tando Allahyar,
Jaffarabad, SBA, TMK
39 IRRC Hyderabad
40 BRSP Jamshoro
41 CBID Islamabad
42 District Complex
Thatta, Sukkur, Hyderabad, Badin, Ghotki,
MPK, Sanghar, Matiari, Jacobabad,
Umerkot, Muzaffargarh, Dadu
43 Head office & DO Islamabad, Lahore, Quetta, Peshawar,
Gwadar
17
44 HANDS Unicef Project for NFE & out of
School Children Hyderabad , Karachi Urban
45 HANDS Unicef NFE Project Khairpur, Ghotki, Karachi Urban
46 HANDS Govt. English Medium High School Larkana
47 HANDS Govt. English Medium High School Matiari
48 HANDS Govt. English Medium High School Sanghar
49 HANDS Govt. English Medium High School Sujawal
50 HANDS Govt. English Medium High School Thatta
51 HANDS Govt. English Medium High School Tando Allahyar
52 HANDS EMO Project Sukkur (Package 1) Sukkur
53 HANDS EMO Project Larkana (Package 2) Larkana
54 HANDS EMO Project Qamber Shahdadkot
(Package 3) Qamber Shahdadkot
55 HANDS EMO Project Dadu (Package 4) Dadu
56 Philanthropist Project (3 District) Badin, KR, Matiari
57 Philanthropist Project (1 District) Larkana
58 Philanthropist Project (1 District) Karachi Urban
59 Eye Camp Swat, Shangla, Mansehra, Gilgit, Skardu
60 Pharmacist Training Centre Punjab
61 ENMCP/BNPMC Kila Saifullah
62 ENMCP/BNPMC Zhob
63 Philanthropist Health Sindh, Punjab, Kp, Balochistan
64 Philanthropist IDEAS Sindh, Punjab
65 National Poverty Graduation (NPGP) Thatta, Badin
66 AAP for Social Mobilization to Achieve
ODF villages Sukkur
67 CMHH Phase II Jacobabad
68 Water for Life Thatta
69 Unicef WASH Khairpur, Ghotki, Nosheroferoz
18
05.6 HANDS intervention units in 2018-2019
The establishment of HANDS intervention units in the intervention areas is done through the process
of community participation. Each and every single unit before the establishment goes to the process
of Social mobilization, screening, baseline survey/ need assessment, profiling and then final
selection.
These
intervention
units are
usually based
at the various
locations where
the maximum
community
being able to
get benefits.
The total
number of
HANDS
intervention
unit in the year
2018-19 will be
15,332 Out of
them 3,961 Health Intervention Units, 686 Education Units, 2,070 Livelihood Enhancement Program
Units, 4,064 Infrastructure Development Units and 12 Disaster centers.
05.7 HANDS Beneficiaries in 2018-2019:
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 believes
in the community
participation and
targets the community as the first and most important priority. HANDS will directly and indirectly
benefit the rural communities through community based/ facility health care providers, teachers, and
community based entrepreneurs. Direct Beneficiaries of HANDS will be 3,595,532.
686
3961
2070
40644539
120
1000
2000
3000
4000
5000
Education Health LEP IDEAS WASH Disaster
Intervention Unit = 15,332
127394
3076687
126753 145515 119183
0
500000
1000000
1500000
2000000
2500000
3000000
3500000
Education Health LEP IDEAS WASH
Beneficiaries = 3,595,532
19
05.8 Special Events in 2018– 2019:
Other than HANDS regular activities there are many other activities/special events to support the
project/program. These activities are conducted at various levels including community level, District
office and by head office as well. Some of the events will be organized on joint basis with
collaboration and coordination with other NGOs as well.
HANDS has planned to organize
1,068 different level of events at
community , district and head
office based in next year and
70,646 participants will participate
in these events.
05.9 Month wise detail of Mega Events by Head Office:
S# Month Large Event Responsibility
1 July '2018 World Population Day C&A Program
2 August '2018 Breast Feeding week Health Program
3 August '2018 International Youth Day C&A Program
4 August '2018 World Humanitarian day
Disaster Management
Program
5 August '2018 Award Distribution Ceremony HR & ID Program
6 September '2018 International Literacy Day Education Program
7 October `2018 World Teachers Day Education Program
8 October `2018
International Day for the Eradication of
Poverty
Livelihood Enhancement
Program
9 October `2018 World Mental Health Day Health Program
10 October `2018 World Habitat Day
Infrastructure Development
Program
11 October `2018
International Day for Disaster
Reduction
Disaster Management
Program
12 October `2018 International Day of the Girl Child GAD Program
13 October `2018 International Day of Rural Women GAD Program
14 October `2018 World Food Day Health Program
15 November '2018 Universal Children’s day Education Program
16 November '2018 World Toilet Day IDEAS Program
17 November '2018
International Day for the Elimination
of Violence against Women GAD Program
18 December '2018 World HIV/ AIDS day Health Program
19 December '2018
International Day of Persons with
Disabilities Health Program
20 December '2018 World Migrant Day
21 December '2018 Human Rights Day C&A Program
Special Event Targets Participants
Community Based 1,017 64,476
District Office Based 20 1,520
Head Office Based 31 4,650
20
22 February '2019 National Women Day GAD Program
23 March '2019 International Women’s day GAD Program
24 March '2019 World Water Day
Infrastructure Development
Program
25 March '2019 World TB Day Health Program
26 April '2019 World Health day Health Program
27 April '2019 World Malaria Day Health Program
28 April '2019 World Immunization Day Health Program
29 May '2019 World No-Tobacco Day [WHO] Health Program
30 May '2019 Leadership Retreat HR & ID Program
31 June '2019 Environment Day
Disaster Management
Program
06. HANDS Programs in Year 2018-2019 HANDS in all its interventions adopted the integrated approach for broader development
perspectives. Although many of the projects have specific programs’ interventions but other
programs support the implementation through cross-cutting thematic interventions. This approach
ensures the community acceptability, enhances community participation, quality assurance,
effectiveness and sustainability of the interventions.
HANDS Programs:
1. Human Resource & Institutional Development Program
2. Monitoring, Evaluation & Research Program
3. Communication & Advocacy Program
4. Health Promotion Program
5. Education and Literacy Promotion Program
6. Livelihood Enhancement Program
7. Resource Mobilization Program
8. Infrastructure Development Energy And Shelter Program
9. WASH Program
10. Social Mobilization Program
11. Social Marketing Program
12. Gender And Development Program
13. Disaster Management Program
Health promotion program, Education and literacy promotion program, Infrastructure Development
Program and Livelihood Enhancement Programs have community based interventions and have
integrated in different projects. The other programs are cross cutting and facilitate the projects in their
implementation.
06.1 Human Resource & Institutional Development Program:
HANDS is committed to provide quality services in Human and Institutional Development (HR &
ID) 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 HR & ID are
21
offered in four main areas which include community trainings, professional development program,
and institutional development and consultancy services.
6.1.1 Staff Capacity Building & Mentoring:
HANDS has mandate of institutional development through human capital development. Thereby in
year 2018-19 has extensively planned staff capacity building through knowledge and skilled based
training opportunities.
Total 57 trainings are planned for 978 staff members including 24 internal trainings on different
relevant subjects have been planned for 480 staff members of different district offices & head office;
similarly 33 external trainings from
different resources have been planned
for 498 staff members, mostly will be
tried to be sponsored. For internal
training General Managers will play the
lead role as master trainers and then
subsequent mentors.
6.1.2 Capacity Building & Mentoring of Community based partners:
HANDS HR&ID is going to develop human resources and extend the skills of groups and individuals
at community level in different sectors. In this regard HR&ID will facilitate and organize 956
trainings and nearly 20846 participants will attend these training during 2018-2019.
The trainings will be conducted by HANDS head office staff and District office staff which has been
developed as master trainers over last many years. Each district office has also been developed as a
resource center thereby the trainings will be conducted at all districts offices. 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.
Capacity Building of
Staff
Number
of training
Training
Participants
External Training of Staff 33 498
Internal Training of staff 24 480
Total 57 978
Training For Trainings Participants
Paramedics 6 60
School WASH Committees 24 600
Internal Training of staff 24 480
Community Teachers 73 1,168
Marvi Workers 127 2,010
LHV 24 600
External Training of staff 33 498
CBOs /LSOs other Groups 62 1,488
School Management Committee (SMC Members) 53 649
Govt. Officials / Elected representatives / Lawyer 400 10,015
Local NGOs 3 50
Hunarmand Institute Trainees 4 140
Health Care Providers 53 1,325
CMWs 1 30
LHWs 10 200
Enterprise Development 15 375
Muhalla WASH Committees 12 240
Village WASH Committees 18 540
Govt. Teachers 14 378
Total 956 20,846
22
06.2 Monitoring, Evaluation and 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.
6.2.1 Supervisory Mechanism:
HANDS has well-established
supportive supervisory
mechanism. During the year
2018-2019, under different
projects and programs
supervisory visits have been
planned to facilitate the field
teams, community based
workers/ service providers and
community organizations’
members in their task, to do
their on-job training, to give
feedback on progress and
discuss the issues to improve
the implementation process.
Total 137,226 supervisory
visits will be conducted; these include 105,772 visits by field teams / Project Team of the projects,
15,934 by District Project Managers, 1,933 by Managers, 306 by Patron/Board Members, 1164 by
Program Associate, 8,443 by DEM, 932 by Donors/Other NGOs, 816 by General Managers, 669 by
Local Govt. / Line Dept. Official and 347 by Senior Executive Members CE CHIDE COE CR &D.
6.2.2 HANDS Staff Meetings:
Meetings of staff are integral part of monitoring system and mechanism. These meetings provide the
forum to share, review and discuss the project wise progress and issues, and to give feedback for the
improvement in interventions. In the year 2018-2019 HANDS staff is going to conduct 5,634 internal
meetings to review progress of different projects, as per following table.
Monitoring and Supervisory Visits Targets
Supervisory Visit by Patron/ Board Members 306
Supervisory visit by Project Team 105,772
Supervisory visits by DEM 8,443
Supervisory visits by Donors / Other NGOs / Others 932
Supervisory visits by DPM 15,934
Supervisory visits by GM 816
Supervisory visits by Local Govt./Line Dept.
Official 669
Supervisory visits by Managers 1,933
Supervisory visits by PPM / Project Coordinator 910
Supervisory visits by Program Associate 1164
visits by Senior Executive Member’s CHIDE COE
CR&D 347
Total 137,226
Internal Meetings Targets
District Internal Meetings 3,362
District Patron Meetings 171
Monthly Progress Review 1,243
Project Committee Meetings 858
Total 5,634
23
6.2.3 External Meetings:
HANDS staff is going to conduct 193,730 external meetings with different stakeholders of different
projects and programs in 2018-19. These meetings provide the opportunities to the HANDS staff to
facilitate the stakeholders in program delivery through hands-on training and feedback for effectively
accomplishment of the tasks.
6.2.4 Projects Progress Reports:
HANDS project teams and senior managers have extensive targets for reporting in 2018-2019.
HANDS staff is going to generate and submit 13,881 internal reports periodically such as weekly,
monthly, quarterly and annually, and 607 reports will be generated for NGOs & donors mostly
monthly basis. These reports include the project progress, District office reports, programs reports
and financial reports.
External Meetings Targets
Cluster Meetings 291
DTC Meeting 117
Large Community Meetings 7,163
Meeting for Enterprise Development 126
Meeting with CBO Members 4,138
Meeting with Community Health Workers (MW, LHW) 57,048
Meeting with Donors / Other NGOs 2,126
Meeting with DRR Committee Members 2,356
Meeting with HCPs 3915
Meeting with Local Govt./lines Department 1981
Meeting with Notable Persons 15,791
Meeting with other Community Members / Groups 44,525
Meeting with Partner NGO 149
Meeting with Banks Regarding Micro Finance 528
Meeting with SMC Members 5,981
Meeting with Teachers/AFC Facilitators 7,557
Project Consultative meeting with stakeholders 912
Women Group Meetings 39,026
Total 193,730
External Report Targets
Report to Others 250
Reports to Donors / Philanthropist 305
Submitted Abstracts/Poster 52
Total 607
24
6.2.5 Research Activities:
For the year 2018-2019 HANDS Monitoring Evaluation and Research Program will conduct pre and
post project evaluation through household survey and discussion, HANDS ME&R will conduct 27
internal and external researches in this year.
06.3 Communication & Advocacy Program:
HANDS Communication and Advocacy (C&A) program works as cross cutting theme and intervenes
with all other programs and projects. To achieve the Millennium Development Goals for improving
health, education and livelihood enhancement C&A support other programs through development of
advocacy campaign, behavior change and communication strategy, video/audio documentary,
13
6
1
7
0
2
4
6
8
10
12
14
Jul to Sep 2018 Oct to Dec 2018 Jan to Mar 2019 Apr to Jun 2019
Researches 2018-19 = 27
Internal Report Targets
APR 15
Beneficiary Proposal Management 10,528
Development of AFPs 285
Development of AIPs 285
Managers / Associates MPR Reports 2,263
Other Reports 250
Report for Profile 15
Steering Committee Report 240
Total 13,881
25
printing & publishing and knowledge management. Most of the best practice models of C&A
Program are service based models.
6.3.1 HANDS Library Network:
HANDS has a network of libraries in its all districts and one at head office Karachi. C&A program
is responsible to manage the libraries in all the districts through the MIS including registers and
library software. Every DO has a fix amount to purchase/subscribe books in each month. Total no of
253 new books will be purchased in next year so there will be 6,702 books in different HANDS
libraries at the end of year 2017-2018
6.3.2 HANDS Publication:
ICR program is planning to
publish and print many
publications for different
projects of HANDS. During
the year in addition to the
HANDS Annual Profile,
four editions Newsletter,
achievements, sharing of
information and learning
material on different
subjects/topics. In year
2018-19 total 12,856
publications and other
printed material is planned
to be published.
6.3.3 Advocacy:
There are many challenges
that people can face;
unemployment, looking for
housing, physical and
mental health issues, legal
concerns and financial
struggles. Individuals are
not always aware of what is
available to assist them in
their time of need. As well,
the crisis situation can be
too overwhelming for the
individual to think through
their options clearly. This
is why advocacy or having
an advocate is a vital part of social services. In this regard HANDS C&A Program has planned
different events for year 2018-19.There are 168 press releases, 24 press conference, and article on
different occasions planned to different daily newspapers will be sent on different occasions and
events. In addition to press releases and letters to editors will be issued by different district offices
during the year. 20 Video Documentaries of the running projects are also in planned by C&A
Program. 10 FM Radio Messages are also targets in year 2018-19.
Publication / Printed Material Targets
Banners 166
Brochures 6,352
Case Studies / Stories 1,715
Installment of Bill Boards / Sign Boards 1,119
News Letter 1,171
Other Material (Diaries / Calendar / Visiting Card 600
Posters 1,162
Profile 500
Manual 21
Pamphlets/leaflets 15
Training Material 35
Total 12,856
Advocacy Targets
Number of Coverage in Newspapers 2,158
Talk Shows / Electronic Media Coverage’s 15
Social Media Posting 184
Press Release/articles 168
Rally’s / Demonstration Processions 101
Number of Social Media Posting (Facebook, Website) 5,271
Video Documentary 20
Interactive Theatres 4
Seminars / Workshops / Conferences 12
Press Conferences / Media Exposure 24
FM Radio Messages 10
Total 7,967
26
6.4 Health Promotion Program: HANDS Health program has evolved over the last 38 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).
6.4.1 Intervention Units of Health Program:
HANDS Health promotion program will be providing health services to the community through
3,961 units. These intervention units include: 1 CMW School, 7 Maternal and Child Health Centers
(MCH), 11 Government Dispensaries, 13 Basic Health Units (BHU), 02 Rural Health Centers (RHC),
02 Taluka Health Quarter hospitals (THQ), 2 District Health Quarter hospitals / Civil hospitals, 4
Private Hospitals, 235 Private Clinics, 14 Mobile Medical Camps, 3,680 MARVI Houses, 62
Outpatient Therapeutic Programs (OTP), 8 Stabilization Centers (SC), 02 Birthing Stations, 1 Artistic
Milliners Denim Mill -2, 2 Primary Health Care Centers (PHC), 1 HANDS Dispensary, 1 HANDS
Hospital and 02 Independent Living Centre.
Intervention Units Numbers
CMW School 01
Maternal and Child Health Centre (MCH) 07
Government Dispensary 11
Basic Health Unit (BHU) 13
Rural Health Centre (RHC) 02
Taluka Health Quarter hospital (THQ) 02
HANDS Hospital 01
Private Hospital 04
Private Clinic 235
MARVI House 3680
HANDS Dispensary 01
Independent living Centre 02
Birthing Station 02
Health 3,961
27
6.4.2 Beneficiaries of Health Program:
HANDS Health Promotion Program will provide the health care services to male, female and children
clients/patients directly in the community through secondary heath care facility, MARVI Workers,
TBAs, LHWs, LHVs and CMWs in its various districts under different projects. In accordance of
beneficiaries 2.5 million beneficiaries will be benefited.
Beneficiaries Total
Community Midwife (CMW) 163
Lady Health Worker (LHW) 35
MARVI Worker / Health Worker 3,680
Traditional Birth attendant (TBA) 10
Lady Health Visitor (LHV) 122
Dispenser 66
Vaccinator 09
Male Doctor / MO Public 58
Female Doctor / FMO Public 78
Male Doctor / MO Private 22
Female Doctor / FMO Private 20
Nurse Male 11
Nurse Female 16
Technician (OT, Lab, Radiology) 63
Ward Boy 25
Female attendant (Aya) 36
House Keeping Person Male 15
House Keeping Person Female 20
Male Patients / Clients 579,057
Female Patients / Clients 789,194
Children Patients / Clients 804,735
Moderately Acute Malnourished children (MAM) 34,523
Severely Acute Malnourished children (SAM) 21,912
Married Women of Reproductive Age (MWRA) 287,659
Lactating Women 40,551
Child Bearing Age (CBA) 44,498
Pregnant Women 92,499
Neonates 12,007
Children <1y 7,014
Children <2y 127,120
Children <5y 123,818
Family Planning Clients 96,436
Govt. Stakeholders / Lines Department 105
Village Health Committee Members Men (VHC) 5,345
Village Health Committee Members Women (VHC) 5,590
Health Management Committee Members Men (HMC) 175
Beneficiaries 3,076,687
28
6.4.3 Nutrition:
Nutrition screening target for year 2018-19 is 555,014 out 368,132 children and 186,882 women will
be screened. 77,706 MAM & SAM & PLWs Will be cured which includes 47,970 children and
29,736 PLWs.
Nutrition
Children (6-59 months) Total
Screened 368,132
Moderately Acute Malnourished (Identified) 34,523
Severely Acute Malnourished (Identified) 21,912
Total Admission (SAM & MAM) 56,435
Total Cured (MAM & SAM) 47,970
Pregnant and Lactating Women (PLWs) Total
Screened 186,882
Malnourished Enrolled 37,170
Total PLWs Cured 29,736
6.4.4 Patients / Clients:
Total 2,172,986 patients will
be treated in different health
facilities under health
program including 804,735
children, 789,194 female and
579,057 male patients
throughout the year 2017-18.
6.4.5 Medical Services:
Different medical services will be given to community by Health Promotion Program in year 2018-
19, detail can be seen in below table:
Medical Services Numbers
General Cases Referred 9,801
Antenatal Clients 65,939
Ultrasound Service 29,990
Current (total) user of FP 1,056
New user of Injection 3 Months 34,190
Post Natal Clients 12,045
Current (total) user of Injection 3 Months 37,295
New user of Oral Pills 16,711
New user of IUCD 10 years 32,226
Patients for X-ray service 16,116
Patients utilized ambulance service 3,810
New user of IUCD 5 years 3,484
Total Patients at HANDS facilities/ Camps
Children Patients / Clients 804,735
Female Patients / Clients 789,194
Male Patients / Clients 579,057
Total 2,172,986
29
Normal deliveries 3,914
Current (total) user of Oral Pills 18,969
Condom Clients 3,005
Psychosocial Clients Male 22
No of women received transportation services 3,532
No of pregnant women managed at referral facilities 2,145
Growth Monitoring 20,196
Current (total) user of IUCD 10 years 5
Lab Tests conducted 157,750
Disabled Person Female 114
Disabled Person Male 114
Current (total) user of IUCD 5 years 6
C Section 958
No of referral forms distributed to pregnant women 51
Tubal Ligation (TL) Clients 19
New user of Implant 12
Minor Surgery 1,128
Major Surgery 1,128
FP Clients Referred 698
New user of condom clients 5,112
Current (total) user of condom clients 4,416
In-Patient (admitted in HF) 14,644
Eye Camp Clients Male 30
Eye Camp Clients Female 30
No of neonates managed at referral facilities 408
Total 501,069
6.4.6 Vaccination:
Vaccination is a significant
component of health promotion
program, keeping in consideration of
these significant component. In year
2018-19; 80,181 children will be
given EPI shots, and 31,648 women
will be given TT shots in various health facilities in different districts of health promotion program
throughout the year.
6.4.7 Social Marketing Program:
Social marketing has been introduced as one of HANDS program in last six years. The primary aim
of social marketing is “social good” and it focuses on achieving specific behavioral goals with
specific audience in relation to different topics relevant to social goods (e.g. health, sustainability,
recycling etc.).The social marketing focuses on the consumer - on learning what people want and
Vaccination Numbers
Total Children for EPI Shots 80,181
Total women for TT Shots 31,648
Total 111,829
30
need rather than to persuade them to buy what has been produced. An example of social marketing
is a campaign that promotes and reminds people to get regular checkups and all of their vaccination
on time, encourages a long term behavior change that benefits society. Social marketing seeks to
influence social behaviors, not to benefit the marketer, but to benefit the target audience and the
general society. HANDS have used this technique (social marketing) in health program especially
for promotion of contraceptives, Oral Rehydration Therapy (ORT), iodized salt and use of sanitary
pads.
6.4.8 MARVI Workers:
HANDS Community Health Worker (CHW/MARVI) is the best practice model of social marketing.
Although MARVI is part of health promotion program since she is trained and monitored by health
program yet she is also working as change agent and marketing products to bring the social
change/good. MARVI worker strategy has been designed not only to cater the health needs of the
community but also act as social marketer for health products and behavioral change. The MARVIs
are regularly monitored and supervised by HANDS staff 3,680 MARVI workers will be working in
19 districts.
Districts Arif
Habib
MISA
LI BMGF PHC
MNI
M
RHS
P
RHF
P
ENM
CP Total
Tharparkar 645 645
Umerkot 300 300
Mansehra 20 20
Karachi Urban 1 1
Sheikhupura 10 10
Dadu 500 500
Sanghar 600 600
Ghotki 500 500
Badin 41 309 350
Jaffarabad 4 4
Thatta 2 300 302
TMK 3 3
TAY 3 3
Karachi Rural 4 8 12
Muzaffargarh 3 160 163
Matiari 4 4
Jamshoro 3 3
Jacobabad 10 10
Sujawal 250 250
Total 4 41 591 10 20 1,900 160 954 3,680
31
6.4.9 Targets of Sale of Social Marketing Products:
During the year 2018-19, no of products (1,901,304) will be sold by social marketing program via
MARVI workers in different projects. Against the sale of these products the amount of Rs. 7,985,477
will be recovered.
The products of family planning methods,
maternal and child health care product,
micronutrients for mother and child and
other essential medicine will be by MARVI
Workers. These products will be packed in
form of box, jar, strips, bottle and tube.
06.5 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:
6.5.1 Intervention Units of Education & Literacy Promotion Program:
HANDS Education & Literacy promotion
program currently running projects in various
districts in which Early Childhood Education
and quality education is providing through
primary and secondary schools. In year 2018-
19 HANDS will be providing these services
through 329 Primary Schools 112 Secondary
Schools, and 15 Multi Grade Centers.
6.5.2 Beneficiaries of Education Program:
HANDS will be providing benefits to the community through community teachers for ECE, ALCs,
and govt. teachers of primary and secondary schools. Total 127,394 beneficiaries will be benefited
in year 2018-19.
Beneficiaries
(Education) Number
ECE Learners Boys 1,439
ECE Learners Girls 1,453
Primary Students Boys 30,723
Primary Students Girls 32,836
Secondary students Boys 26,654
Secondary Students Girls 15,123
Social Marketing Targets
Number of Product Sale 1,901,304
Recovery Of Amount (Rs.) 7,985,477
Intervention Units
(Education) Number
Primary Schools 329
Secondary Schools 112
Non Formal Education (NFE) 230
Multigrade classes 15
Total 686
32
NFE Students Boys 3,001
NFE Students Girls 3,899
NFE Community Members Men 1,500
NFE Community Members Women 1,500
Multigrade Students 450
Community Teachers Men 1,286
Community Teachers Women 952
Govt. Teachers Men 927
Govt. Teachers Women 794
Govt. Officials 55
Ayas and Peons 1,372
School Management Committee Members Men (SMC) 2,058
School Management Committee Members Women (SMC) 1,372
Total 127,394
6.5.3 Material Provision at Schools
Under education promotion program, different items will be supplied in community schools. In year
2018-2019 HANDS has planned to provide School Stationary / Learning material in 136 Schools and
Furniture & Fixtures in 90 Schools.
06.6 Livelihood Enhancement Program (LEP): Livelihood Enhancement Program was initiated in 1998 and focuses 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 in two components i.e.
ON farm and off farm.
Material Distribution at Schools Targets
School stationery 136
Furniture & Fixtures for Schools 90
Swings 60
Tablets/Mobile Phones 60
Playing game material 77
Computers 32
Education Material 72
Teaching Material 110
Total 637
33
6.6.1 Livelihood Enhancement Program (Agriculture)
Livelihood Enhancement Program's Agriculture component promotes natural resource management,
work for food security and income generation of the underprivileged communities. Agricultural
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.
6.6.2 Livelihood Enhancement Program (Non Agriculture)
Livelihood Enhancement Program (Non Agriculture) Promotes economic empowerment with special
focus on women. The objective 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.
6.6.3 Intervention units of Livelihood Enhancement Program:
HANDS Livelihood Enhancement program will run 20 Hunarmand Training Centers, 1,000
entrepreneur centers in different villages. Total intervention unit of LEP will be 2,070.
Intervention Units Numbers
HTC (Hunarmand training Centre) 20
Agri Input 250
Kitchen Gardening 650
Livestock 150
Shops 995
Loan Centre 05
LEP 2,070
6.6.4 Beneficiaries of Livelihood Enhancement program:
Under Livelihood Enhancement Program the total beneficiaries will be 126,753 including 600 HTC
trainees and 10,694 Microfinance Borrowers beneficiaries. Complete detail of Livelihood Program
Beneficiaries in year 2018-19 is given in below table:
34
6.6.5 Entrepreneur:
The overall aim of this
intervention is to improve socio-
economic condition of under
privilege communities specially
mothers /caretakers with the
provision of income generating
opportunities through skill
enhancement trainings and
establishment of enterprises.
HANDS encourage local indigenous home based skills of handicrafts promotion through selection
of potential for skill training. In year 2018-2019, LEP program plan to develop 50 types of products
through Hunarmand Centre, 25 stalls/ fairs/ exhibition of Hunarmand Products will be arranged by
550 trained artisans in different districts.
6.6.6 Microcredit:
HANDS Livelihood Enhancement Program in collaboration with Khushhali Bank Ltd is
implementing the Social Mobilization for Micro Finance (SMF) project in various districts of Sindh.
The approach of SMF is to mobilize the poor to form community groups, enhance capacity of the
credit group members for community mobilization, social awareness, selection and management of
income generating activities, develop skills and provide basic community skills to credit group
leaders. The approach is to facilitate the group to receive loan products like Agriculture Development,
Livestock Development and working capital. Throughout the year 2018-19, targets of microcredit
clients will be 13,054.
Beneficiaries Numbers
Hunarmand Trainees 600
Agri Input 250
Kitchen Gardening 650
Livestock 150
Shops 995
Micro Finance Borrowers 10,694
Community Based Organization Members Men (CBOs) 2,000
Community Based Organization Members Women (CBOs) 2,050
Union Council development Organization Members Men (UCDO / LSO) 12
Union Council development Organization Members Women (UCDO / LSO) 10
Community Loan group member Men (CLG) 74,858
Community Loan group member Women (CLG) 32,082
Gender Task Force Members (GTF) 650
Community Resource Persons Men (CRPs) 126
Community Resource Persons Women (CRPs) 126
Child Protection Committee Members 1,500
LEP 126,753
Entrepreneur(HTC/Display
Centre/Hunarmand/Textile Units Targets
Development of Hunarmand Products 50
Selection of Trainee/Artesian 550
Stalls /fairs/exhibitions of Hunarmand product 25
35
6.6.7 Livelihood
Under Livelihood Enhancement Program 18,868 community members will be provided Livestock,
Poultry, Donkey Carts, Flour Mills, Chingchi Riksha, Shops and other Livelihood assets.
06.7 Resource Mobilization Program: HANDS Resource Mobilization Program is responsible to raise financial resources for the
organization and to design sustainable strategy for the development of targeted communities.
6.7.1 Project Proposals/ Concept Papers/ EOIs:
HANDS will design and develop 60 project proposals, and 84 EOIs/LOIs. These will be submitted
to national and international donors and other resources to raise fund for the continuity of the
program, to expand and replicate the HANDS services according to its experiences, and to maintain
the sustainability of the organization.
Provision Of Livelihood assets Targets
Need base Enterprise 10,199
Tool Kit 40
Shops 3
Agricultural farm 400
Livestock 1,062
Kitchen gardening 700
Agri Inputs 1,914
Fodder Trees 1,975
Fruit Plants 1,675
Conditional Cash Grant (CCG) 900
Total 18,868
Proposals Targets
Submission of Proposals 60
EOIs/LOIs / Concept Papers 84
Total 144
36
6.7.2 Fund Raising:
HANDS Resource Mobilization Program will generate funds through different fund raising activities
including HTTC/Display center/ Hunarmand, User Money of HANDS Hospital and through HANDS
Disaster Risk Management Centers by Ambulance service, Truck service and Training Hall /Gust
House. Detail of fund raising through HANDS resources in year 2018-19 with Net Profit can be seen
in graph
06.8 WASH Program
Water, Sanitation and Hygiene (WASH) Program is committed to provide safe water and sanitation
services to the target population. WASH program is a series of projects, based on the foundation of
field tested best practices and proven capabilities. The innovative models by HANDS WASH are low
cost, durable, socially acceptable and environment friendly.
5028
3960
14076
7201320
3600
116.2
36123000
10790
3102
11102010
360 7201200
4.2500
1000 1245
0
2000
4000
6000
8000
10000
12000
14000
16000
HANDSTrainingCentre
AmbulanceServices
Hospital,HealthCentre
MasterTruck
WaterSupply
Services(WaterTanker)
HANDSAcademy
HunarmandTrainingCentre(HTC)
IntegratedResourceRecovery
center(IRRC)
Pharmacisttrainingcenter
SMF
HANDS District Complex Income of HANDS Enterprises = 46.2 Million
Net Profit of HANDS Enterprises = 11.2 Million
Income Net Profit
In Thousands ,000
37
6.8.1 Intervention Units of WASH Program:
WASH program of HANDS will have 4,539 Intervention Units including 4,267 Latrines, 38 Hand
Wash facilities and 99 Hand pumps will be installed in year 2018-19.
6.8.2 Beneficiaries of WASH Program:
HANDS WASH Program will provide the services directly in accordance of beneficiaries 119,183
beneficiaries will be benefited.
Beneficiaries Numbers
Latrines 46,937
Hand Wash Facilities 22,800
Hand Pump 29,700
Water Filter Plant 4,500
Water Storage 2,000
Water Pond 800
Septic Tank 1,056
Water Supply Lines 7,200
Water Tank 840
Community Resource Persons Men (CRPs) 650
Community Resource Persons Women (CRPs) 650
School WASH Committee Members Men (SWC) 400
School WASH Committee Members Women (SWC) 400
Muhalla WASH Committee Members Men (MWC) 350
Muhalla WASH Committee Members Women (MWC) 450
Hygiene Committee Members Men (HCM) 230
Hygiene Committee Members Women (HCM) 220
WASH 119,183
Intervention Units Numbers
Latrines 4,267
Hand Wash Facilities 38
Hand Pump 99
Water Filter Plant 18
Water Storage 08
Water Pond 01
Septic Tank 88
Water Supply Lines 08
Water Tank 12
WASH 4,539
38
6.8.3 Targets of HANDS WASH Program:
HANDS will start new schemes in different villages under the running projects. HANDS will have
4,539 including 4,267 Latrines, 99 Hand Pump, WASH schemes will also be targets which will be
38 Hand Wash Facilities, & 88 Septic Tank will also be installed in different villages and School
etc. will be constructed in year 2018-19.
06.9 Infrastructure Development Energy WASH and Shelter (IDEAS)
Infrastructure Development Energy WASH and Shelter (IDEAS) is 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.
6.9.1 Intervention Units of Infrastructure Development Program:
IDEAS program of HANDS will have 4,064 Intervention Units including 3,615 shelters which will
be constructed in this year; most of them will be constructed in Muzaffargarh and Jhang district of
Punjab with the support of community. 04 link road, 390 Energy Effective Stoves and 21 Drainage
Schemes also targeted in year 2018-19.
Intervention Units Numbers
Shelters 3,615
Link Roads 04
Street Pavements 10
Energy Effective Stoves 390
Culverts 08
Drainage Schemes 21
Park 04
Other CPI Schemes 12
IDEAS 4,064
WASH Schemes Targets
Latrines 4,267
Hand Wash Facilities 38
Hand Pump 99
Water Filter Plant 18
Water Storage 08
Water Pond 01
Septic Tank 88
Water Supply Lines 08
Water Tank 12
39
6.9.2 Beneficiaries of Infrastructure Development Program:
HANDS IDEAS Program will provide the services directly in the community through Shelters, CPI
Schemes and WASH Schemes. In accordance of beneficiaries 145,515 beneficiaries will be
benefited.
Beneficiaries Numbers
Shelters 25,305
Link Roads 6,000
Energy Effective Stoves 2,730
Street Pavements 15,000
Energy Effective Stoves 2,730
Culverts 12,000
Drainage Schemes 31,500
Park 24,000
Other CPI Schemes 24,000
Community Based Organization Members Men (CBOs) 800
Community Based Organization Members Women (CBOs) 800
Community Resource Persons Men (CRPs) 85
Community Resource Persons Women (CRPs) 85
Disaster Risk Reduction Committee Members Men (DRRC) 240
Disaster Risk Reduction Committee Members Women (DRRC) 240
IDEAS 145,515
6.9.3 Targets of HANDS Infrastructure Program:
HANDS will start new schemes in different villages under the running projects to implement its
Community Physical Infrastructures including 90 Renovation of Health Facility, 30 Construction /
Renovation of Schools, 21 Drainage Schemes and 10 Street Pavements in year 2018-19. 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. Besides CPI
HANDS IDEAS program will also some schemes of shelter. 3,615 shelters will be constructed in
year 2018-19.
40
CPI Schemes Targets
Construction / Renovation of Schools 30
Link Roads 04
Street Pavements 10
Drainage Schemes 21
Renovation of Health Facility 90
Renovation of Park 04
Play Areas 12
Shelter Targets
Shelter construction 3,615
07. Social Mobilization:
Social mobilization occupies a central place in HANDS approach with a 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.
167 212 246
745
15751895
2252 22522442
35313905
53315691
5994 6120 6202 6315
0
1000
2000
3000
4000
5000
6000
7000
Year wise CBOs detail
41
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 to some extent.
7.1 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, IDEAS and Livelihood
Enhancement 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 6,202 Men and Women Community
Based Organization in 27 districts.
Detail of CBOs
Districts Total Men CBOs Women CBOs
KASHMORE 477 248 229
JACOBABAD 618 309 309
SHIKARPUR 623 311 312
KAMBER 125 59 66
DADU 472 322 150
JAMSHORO 135 68 67
THATTA 527 265 262
BADIN 188 94 94
KARACHI RURAL 575 318 257
MATIARI 147 89 58
KARACHI URBAN 174 138 36
UMERKOT 186 93 93
SANGHAR 382 201 181
TAY 98 49 49
TMK 108 54 54
MPK 110 55 55
JAFFERABAD 246 123 123
RAJANPUR 230 115 115
SBA 106 53 53
GHOTKI 222 111 111
Lasbella 10 05 05
Tharparkar 35 18 17
Muzaffargarh 100 50 50
Jhang 100 50 50
Chitral 40 20 20
Shangla 104 52 52
Layyah 64 32 32
Total 6,202 3,302 2,900
42
7.2 Social Mobilization Activities in 2018 - 2019: Formation of community based organizations /women organizations few steps will be taken to
accomplish the required task including Bank account opening of CBO/WO, Amount transfer to
CBO/WO account after that CBO formation will be started. At the end of 2018-19 total 2,380 Men
and Women groups will be formed and 609 PRAs will be conducted.
Activities Targets
Formation of WASH Community Action Plan 73
Situation Analysis through PRA 609
Selection of villages 512
MIS Implementation at Village 330
Formation of School Development Plan 295
Formation of Village Development Plan 209
Community Groups Mixed 160
Community Groups Women 1,026
CBO Registration 68
Formation of UCDO 27
Formation of UC Development plan 15
Community Groups Men 1,354
Formation of CBO Female 05
Bank Account Opening of CBO / WO 7,036
Formation of CBO Male 05
43
08. Financial Plan
EXPENDITURES
1 Human Resources (Salaries) 455,516,460
2 Operational Cost 348,684,036
3 Program Cost 1,588,271,014
4 Fixed Assets 6,247,860
5 Construction Cost of HANDS IDS 21,392,711
6 Solar Unit HANDS IDS 9,000,000
7 Water Tank IDS 2,200,000
8 Street Lights 400,000
9 KE Grid Line 5,200,000
10 Water Boring 2,000,000
11 SBCA Registration Fee 1,000,000
12 DRMCs Solar & PMPs 11,000,000
13 Vehicle Lease down payment 3,500,000
14 Renovation of Mosque 1,000,000
15 HANDS IDS recurring Cost 10,000,000
16 Drip Irrigation 900,000
17 Accommodation Block 37,400,000
18 HANDS Promotion Campaign 25,000,000
Total Expenditure 2,528,712,081
Surplus (Deficit) Budget 13,662,204
Proposed Revenue and Expenditure
1st July 2018 to 30th June 2019
S# PARTICULARS TOTAL PROPOSED
BUDGET
REVENUE / RECEIPTS
1 Restricted Funds / Projects Receipts 1,930,726,974
2 Philanthropist funded projects -
3 Donation 70,651,849
4 Zakat 60,500,000
5 Bank Profit 2,875,000
6 Service Income 59,690,825
7 Grant from Govt. of Sindh 250,000,000
8 Meritorious school investment -
9 Project Management / NGO Cost 167,929,637
Total Revenue and Receipts 2,542,374,285
44
HANDS was founded by Prof. A. G. Billoo (Sitara-e-Imtiaz) in
1979. HANDS has evolved in 38 years as one of the largest Non-Profit
Organizations of the country with an integrated development model and
disaster management expertise. HANDS has a network of 33 branches across
the country and has access to more than 24.8 million population more than
17,000 villages/settlement in 45 districts of Pakistan. HANDS strength is 14
volunteers Board Members, > 7,000 full time staff and thousands of
community based volunteers of more than 6,200 partner organizations.
HANDS Pakistan is registered under Societies Act, is certified by Pakistan
Center of Philanthropy (PCP) and Tax exempted by the Income Tax
Department Government of Pakistan. HANDS has qualified the Institutional
Management Certification Program (IMCP) of USAID of management
standards. HANDS is accredited with European Union and also possess
membership of International Union for Conservation of Nature (IUCN).
HANDS International have established its offices in London, United
Kingdom and Kathmandu, Nepal. HANDS international -UK is registered
as Non-Profit Organization under Companies Act 2006 of England and
Wales.