1. UN Cluster Approach in the Aftermath of Pakistan Earthquake 2005
Dr Nasreen Khan
WHO- Pakistan

2. Presentation Outline It includes: Back ground UN cluster response
Challenges
Future direction

3. Damaged Health facilities, BHU and DHQ Bagh

4. UN Cluster approach response
Based on UN Humanitarian Response Review (HRR) paper, nine clusters were established within 24 hrs:
Food and Nutrition,
Water and Sanitation,
Health including Reproductive Health,
Emergency Shelter,
Early Recovery and Reconstruction,
Logistics,
IT Telecommunications,
Camp Management and
Protection

5. 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

6. 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.

7. Prefabricated health facilities

8. 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

9. 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