Pakistan

https://www.nutritioncluster.net/sites/nutritioncluster.com/files/2022-07/ns%20pak%20hno%202022%20v4.pdf

https://fts.unocha.org/appeals/1108/flows

1. Funding Constraint

Funding remains a major gap in provision and expansion of services in flood affected areas, not only with the needs indicated for floods but existing caseloads prior to emergency as well.

 The high levels of malnutrition amongst children and women have been made worse by the floods. over 7 million children and women needing immediate access to nutrition services. This includes over 520,000 children facing severe acute malnutrition (SAM) as prioritized in Flood response plan however total number of severely malnourished children in need of life saving assistance are around 1.6 million and close to 80,000 children who need urgent medical interventions due to SAM related medical complications. Bridging the nutrition budget gap for an aggressive sector-wide response is therefore very critical.

2. Accessibility

Recent floods worsen the access issues due to stagnant water in the planes of Balochistan, Sindh and Punjab provinces of the country for the provision of essential nutrition services. 90+ districts declared calamity hit by Government whereas, Nutrition services covered almost 30.5% of the health facilities in the country prior floods that led to intense coverage gap in services. 

3. Capacity issues

Enhancing the capacity of partners/stakeholders for the scaleup of simplified protocols to reach more children using community structures and improved partnerships with the food, health and WASH sectors to address malnutrition, especially as mostly people returned from the temporary tent villages back to their homes.