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11月10日

Interview with UNICEF country representative, Dr Omar Abdi

Interview with UNICEF country
representative, Dr Omar Abdi



ISLAMABAD (IRIN) - At least half of
the 86,000 people known to have died in October's
devastating quake in northern Pakistan were
children. In an interview with IRIN, country
representative for the United Nations Children's Fund
(UNICEF) in Pakistan, Dr Omar Abdi, highlighted the
impact the disaster has had on children and some
of the many challenges the agency now faces in
addressing them.

According to the UN children's agency, as many as
4 million people have been affected by the 8
October earthquake and UNICEF working hard to ensure
that people in tented encampments and villages
have access to clean water and proper sanitation.
In these conditions the threat of disease is never
far away and UNICEF is watching for it.

QUESTION: How would you describe the plight of
children living in Pakistan's quake-affected
region?

ANSWER: The children have been affected
tremendously. A number of children, first of all, died. We
estimate that half of the death casualties were
children, but many more were injured. They have
also been affected emotionally. Those that were
going to school now find that there are no schools.
They are at risk of diseases. As for the impact
on children, it's significant.

Q: Do you have any facts and figures on the
number of children affected and where?

A: Well the data hasn't been registered yet. But
half of the population of Pakistan is under 18 so
we would estimate out of those people who have
died, half of them are children. There are some
figures from local government that the number of
students who have died in schools is estimated to be
around 17,000 in both regions [North West
Frontier Province (NWFP) and Pakistan-administered
Kashmir]. This is a number we got from local
governments.

Q: Many of the quake's casualties were actually
women and children. Why is that?

A: Firstly, schools were open at the time so kids
were in the school. Secondly, women were at home.
As you know, women in these places do not work
outside the home so that could be one reason.

Q: With regard to the quake-affected area, what
are UNICEF's primary concerns at the moment and
why?

A: We're concerned about four areas. Firstly are
the areas of health and nutrition for children
because of the breakdown of the health
infrastructure and health system. Now that children are in
shelters and camps, they are susceptible to
diseases such as diarrhoea because there is no good
water or sanitation. They're susceptible to measles
and other diseases because of the crowdedness and
low level of routine immunisation in that area
before the earthquake. That's a major concern.

Another concern that we have is the protection of
children. In a situation like this, children are
at risk if they are not accompanied or their
parents have died. They are susceptible to being
kidnapped or abused or exploited. So the protection
of children is another concern that we have.

And finally, education is a concern because most
of the schools have collapsed. Children and some
of the teachers have died, while others have
left, so there's no schooling.

Q: Education took a devastating blow in this
quake. Can you update us on the latest facts and
figures?

A: The database is still incomplete. As you know,
some of the areas have not yet been reached by
vehicles. They're getting things dropped by air. So
the total figure is not yet clear. We're still
collecting data. But the National Human Development
Commission, for example, that is doing a survey
in Mansehra, reports that 700 out of 7,000
teachers have died in Mansehra district alone.

We get information that nearly 80 percent of the
schools and health centres have collapsed. It was
mostly public buildings that were impacted as was
the case in Muzaffarabad; health centres and
schools have suffered a lot in this catastrophe.

Q: Regarding UNICEF's activities, how will you be
addressing some of this?

A: In terms of health, we will be looking at
three major things. One, to immunise all children in
the affected area between the ages of six months
and 15 years against measles and give them
vitamin A - about 4 million of them in North West
Frontier Province and Pakistan-administered Kashmir.

Vitamin A capsules help protect them from
disease. That is one. The second thing that we want to
do is revitalise the primary healthcare system.
Until now, the emphasis has been on field hospitals
because that is where the injured people were
being brought. Now is the time to revitalise the
primary health centres, to reach 1 million people
with primary healthcare. The third area is to
establish therapeutic feeding and supplementary
feeding for malnourished children.

In the area of water, we want to provide water
for 1.7 million people both in camps and in urban
centres that have been affected. In the area of
protection, we want to register all children and to
make sure that they are protected from abuse and
exploitation. That we know every child who is not
accompanied, we trace their families, we make
sure that they are reunited with their families and
if they don't have any family or extended family,
we make sure that the state looks after them
until a solution is found.

In the case of education, we want to start some
form of schooling. We've seen tent schools in some
of the camps, that's what we want to do in all of
the areas. It will take at least two or three
years before permanent structures are built, but we
don't want children to be out of school for that
period of time. So getting tent schools, getting
school in a box - that is a box containing all
the supplies for a classroom or one teacher needs.
Getting teachers back to work. And finally,
because of the trauma and emotional stress that both
children and teachers have gone through, we [will]
start a programme of psycho-social support
counselling that would help them address their
emotional stress.

Q: Given what you just said about psycho-social
counselling, can you elaborate a bit more on what
impact this quake will have on children?

A: Well certainly it will have an impact. Some of
them will be impacted severely because some have
lost either siblings or parents. Some have been
injured themselves and been pulled out from the
rubble. Those will of course have long memories and
it will take time for them to recover. But most
of the other children recover quickly and you have
seen already that they have started smiling,
starting to get back to normalcy. But what would help
them would be to bring them into classrooms with
other children and places where they can talk and
draw on their own experiences. That would help
them recover quickly.

Q: You mentioned the word normalcy. Given the
sheer scale of this disaster, have you got any idea
how long it's going to take before we see
anything resembling normalcy here?

A: If you are thinking about structures being
rebuilt, that will take a long time. But for them to
come back together with other children and to
play, to have classrooms for education again, that
is what we want to start quickly. The longer it
takes for them, the bigger the impact of the trauma
will be.

The sooner we start some form of normalcy the
better. It won't be as normal as it was - but at
least it will get them back together with children,
to have their friends again, as well as ensure
that they have the basic things that they need,
including proper clothing, that they have water and
sanitation, health, food - things that will help
them get back to normalcy.

Q: With many mothers killed in the quake,
undoubtedly we will see more single parent-headed
households. What specific challenges does this bring?

A: One is when the breadwinner in the family has
been lost, which puts the whole family in
jeopardy. The government will have to find a way to
support those families that have lost the income
earner in the family. In the case where mothers have
been lost, you will now have fathers that will
have to cater to young children and that will still
require them to stay around and perhaps not work.

The advantage in places like Pakistan, given the
culture and traditions, extended families look
after children, which will help. If there wasn't a
mother around, there might be an aunt or
grandmother. If a father is not there, there might be a
brother to take care of the child. So we're hoping
that the impact would not be as severe as where
such traditions and extended family system did not
exist.

Q: With winter fast approaching, how confident
are you that children in need will have their needs
met?

A: This is a major concern, especially for those
children who are up in the mountains. We're
hoping that many people will come down to the valleys
where they can get help in the camp. For those
children that we can reach, we plan on providing a
warm clothing kit, containing sweaters, jackets
and boots, which we will be distributing before
the end of November. But for those people who can
only be reached by air, [provisions] will be
dropped in communities by helicopters and there is no
guarantee that every child will get [what they
need].

That is a concern. We hope that they will cope.
We've heard reports that families have started to
rebuild at least one room in their house so that
they can protect themselves from the cold. But
that's a major concern that we have - those
children who are up in the mountains. 

Q: Donors have yet to respond to the United
Nations Flash Appeal for survivors of this quake. Why
do you think that is so and what do you think
donors should know - specifically about the status
of children in the area?

A: My sense is perhaps donors do not see the
urgency of this emergency. I'm confident that, at
least for UNICEF, we will get what we requested. We
now have up to 50 percent of what we requested in
the revised appeal, or over US $40 million. And
many of the national committees for UNICEF in
industrialised countries, which raise money for
UNICEF, particularly in emergencies, have already
started campaigns to mobilise funding for the
emergency. With Christmas and the giving season, we are
hopeful and optimistic that a significant amount
more will be raised. I'm confident that the $90
million we requested will be received.
N A D E E M   M A L I K
PAKISTAN
ISLAMABAD
0333-5117511
Nadeem.Malik@hotmail.com

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