Rehabilitation

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RECONSTRUCTION PLANNING

Introduction

Disasters can turn into opportunities for sustainable development. In this perspective,
recovery must go beyond replacing or repairing the affected infrastructure, and work on
the factors that contribute to unsustainability and risk. While responding to the most
urgent needs of the affected population, one must take advantage of all opportunities for
change to achieve the sustainability of the recovery efforts, and set the foundations for
new development.

Reconstruction

Reconstruction is the permanent construction or replacement of severely damaged


physical structures, the full restoration of all services and local infrastructure, and the
revitalization of the economy (including agriculture). Reconstruction must be fully
integrated into ongoing long-term development plans, taking account of future disaster
risks. It must also consider the possibilities of reducing those risks by the incorporation of
appropriate mitigation measures.

Post-disaster recovery is part of a continuum that begins with actions that happen before
the occurrence of an event (known as Early Recovery Planning), to immediate emergency
attention and recovery; from humanitarian aid for the victims in order to save lives, to the
restoration of a functioning society. In the initial moments, the response institutions focus
their efforts on counting the victims and costs of the disaster (assessing losses and
damages), the rescue efforts, caring for the wounded and satisfying basic needs like
water, shelter and health of affected persons. Progressively, the situation shifts toward
facilitating people’s access and mobility, ensuring the livability of those buildings that
are still standing,removing debris, restoring livelihoods and ensuring national governance
and sovereignty.
Post-disaster reconstruction (PDR) is a complex and highly demanding process that
involves a number of different and well coordinated courses of action. The objective of
this research is to study the impact of disaster and analyze the issues and challenges
related to past project management practice in PDR projects. The driving factors behind
such plans are public safety and economic recovery, the latter obviously being a specific
aspect of the public welfare

Rehabilitation

The most important aspect of any post-disaster effort is the rehabilitation of the affected
communities. This envisages resetting of the disturbed communities through rebuilding
of the affected communities in terms of social and economic aspects as well as rebuilding
of the damaged houses. The main objective of any rehabilitation package should be to
bring back the affected regions/communities to normalcy and to provide the opportunity
to the affected community to restart their socio-economic and cultural life as early as
possible. The rehabilitation package should not be an exercise merely of providing help
either financially or of rebuilding / repairing / retrofitting the damaged houses. Any
rehabilitation programme should be focused on the redevelopment of the affected
communities/regions rather than merely on the provision of facilities. The basic concept
behind it any rehabilitation package should be to bring back the affected
communities/areas to at least its original state that existed prior to the disaster. Efforts
should be made to incorporate developmental aspects in the rehabilitation process taking
care of the fact that this does not delay the process unduly. Besides, the package should
also aim at strengthening the existing infrastructural facilities to face possible future
disasters in a far better manner. The rehabilitation package offered after any disaster may
be classified into the following categories:

1. Housing and Infrastructure Redevelopment


2. Social Rehabilitation Programmes
3. Economic Rehabilitation Programmes
4. Other Related Programmes and Activities.

(1) Housing and Infrastructure Redevelopment

The housing and infrastructural part should cover the requirements and other necessary
details pertaining to housing, civic, amenities, roads, bridges, electric power supply
network, communication network, water supply schemes, irrigation and related
structures, public buildings etc. The social rehabilitation programmes should cover
health, education, and special programmes for children and women. The economic
rehabilitation package should cover the special programmes for rehabilitating agricultural
farmers, labourers, artisans, animal husbandry, special training programmes,-soda1
forestry and also programmes to provide immediate employment such as Food for Work
Programme, Jawahar Rozgar Yojana, and Pradhan Mantri Rozgar Yojana. The package
on other related programmes and activities should include all remaining portions of the
rehabilitation package like development of better environment in the area by creating
green belts and repairing public buildings and monuments.
(2) Social Rehabilitation Programmes

The social rehabilitation package may include the following components:

(a) Strengthening / restrengthening of existing health facilities and infrastructure

(b) Rehabilitation of educational activities within the disaster affected region

(c) Rehabilitation of women and children affected by the disaster.

(a) Healthcare.

Due to any disaster like earthquake, cyclone, floods or landslide etc., many people lose
their lives. A large number of people receive injuries of varying degrees, thus requiring
immediate medical attention. At the same time, large number of health institutions in the
affected areas become inoperational due to the damages that occur in the aftermath of the
disaster. So, the need for improved health facilities is felt within the emergency period
itself to provide requisite medical treatment within the shortest possible time.

For proper information exchange and coordination of medical support, control \ rooms
must be established at various important points. Information exchange must be done
among the various state level health departments, including the directorate of health
services, directorate of medical education, district hospitals and rural hospitals within the
affected areas. These control rooms may play a very vital role in the overall management
of emergency period and the rehabilitation of the healthcare infrastructure within the
affected area. They may also be utilised for collection and storage of immediate medical
supplies received from national and international agencies. The supplies may comprise
infusion fluids, antibiotics, surgical equipments, dressing materials, field dispensary
units, emergency medical kits along with chlorine tablets and insecticides, which are in
urgent demand and require immediate distribution among the affected communities.

After any disaster, the most important task for the authorities would be to check the
outbreak of any disease or the spread of any epidemic. For this purpose, anti-epidemic
measures, in the form of disinfection of water, insecticide spray and disease surveillance
must be started in the first instance. The following are some of the important points,
which could be the key for a successful healthcare operation after any disaster :

(i) A very prompt and quick coordinated response from all concerned including the
NGOs.
(ii) Quick evacuation of seriously injured cases just after the calamity, for minimising the
mortality among the disaster affected people.
(iii) Appropriate and efficient management of hospitalised cases.
(iv) Prompt and effective anticipatory, anti-epidemic measures to prevent the outbreak of
any epidemic in the aftermath of the disaster.
(v) Effective and safe logistic support for essential items including the medicines, e.g.,
maintaining the old chain wherever essential

Factors, which may hamper the smooth functioning of the health sector infrastructure
unless all efforts are well-coordinated:

(i) Lack of communication between various functionaries, hospitals and even among the
concerned officials.
(ii) Shortage of sufficient accommodation for indoor activities for different operations
related to efficient discharge of health facilities and even to store the medicines
properly.
(iii) An additional demand for different types of equipment and related materials from
within the disaster-affected area.
(iv) Improper and inefficient facilities for necessary electric power supply to carry out the
necessary tasks related to health facilities.
(v) Lack of trained staff to handle the mental health or trauma cases effectively.
(vi) Lack of trained manpower to help in the rehabilitation services in the form of
physiotherapy and occupational therapy.
(vii) Lack of efforts and coordination related to sustainable disaster management; and
(viii) Lack of overall training in handling disaster healthcare in a professional manner.

(b) Resurrection of Educational Activities.

Most of the disasters including earthquakes, cyclones, floods etc., leave behind in
their wake widespread destruction, which includes educational buildings and
equipment. The foremost aim of the authorities should be to restart the educational
activities at all levels. This ensures not only a continuity in the education process but
also help the community, especially the young among them, by diverting their
attention from the negative and depressing thoughts resulting from the disaster. For
this purpose, educational equipment, text-books, writing materials etc., must be
provided at the first instance. Any rehabilitation programme must include the
rebuilding of the fully damaged buildings and repair/retrofitting of the partially
damaged buildings. Classes may have to start in the open or in tents to begin with.
Teachers may have to shoulder more teaching load.

For proper restoration of education activities, the teachers and the children of the
disaster affected areas require counselling. .These people require someone to share
their sorrow and grief. They also require encouragement and motivation to start their
life once again. For this purpose, the help of local voluntary groups may be sought.
The responsibilities assigned to these local groups may include the following:

(i) Counselling and encouraging the children to attend the schools regularly
(ii) Assisting the administration in providing the writing materials, work books etc.
to the children
(iii) Helping the school administration for ensuring the participation and cooperation
of the children in all activities of the school
(iv) Developing an atmosphere for students to seek knowledge and information.
(v) Inculcating conducive attitudes among the students to play a positive role in self-
development
(vi) Establishing village level education committees for properly running the schools
within the villages, and
(vii) Arranging for volunteer teachers wherever the disaster has resulted in shortage of
teachers.

(c) Rehabilitation of Women and Children, The most vulnerable group due to
any .disaster in physical, emotional and / or economic terms is women and children. The
rehabilitation of this group must be a major component within any rehabilitation package.
The emphasis of any rehabilitation programme for women and children must include the
following :

(i) Women and Children should, as far as possible, be resettled / rehabilitated in


familiar environs.
(ii) An attempt must be made to rehabilitate the widows and orphans within their
extended family or in a foster family in case of orphans.
(iii) The mental health of such affected groups must be strengthened through
programmes of regular counselling.
(iv) The economic independence of widows must be ensured with the help of suitable
programmes.
(v) The Proper health, nutrition and hygiene aspects must be taken care of within the
long-term rehabilitation of the women and children groups.

Development of Physical Infrastructure for Women and Cliildren

(a) Anganwadis : The anganwadis must be activated / reactivated (as the case may be),
within the shortest possible time, after any disaster. The anganwadis may act as day
care centres for the children, besides providing nutritional diet to them and to
expecting and lactating mothers. The anganwadi 'workers are very effective in
providing counselling to the affected community. In fact, experience has shown that
the anganwadi workers are the opinion leaders among the village women folk.
(b) Community Centres : During rehabilitation process, at least one multipurpose
community centre per village must be set up. These centres would serve as the
meeting places for women, counselling centres and even training and recreational
points for the women folk within the village itself. Another function, these centres
can play is to act as creches for children of women who are working or engaged in
social activities like training etc.
(c) Female Children Home : The girl child is most vulnerable and suffers the most in
any type of calamity. To take care of the young and single girls, a provision for
residential female children homes can be made at least at block level as a long-term
measure. These homes call provide proper education / training etc., to make these
girls self-reliant and economically independent.

Development of Economic Activities for Women and Children. The entire


rehabilitation programme for women is based on intensive counselling, interaction as
well as training. For the effective implementation of socio-economic rehabilitation
programme for women. A large number of training programmes must be started for NGO
workers, anganwadi workers, and other village level government functionaries. Activities
that could be carried out are as follows:

(i) Vocational Training for improving the skills of the women and children groups
is a must. The vocational training must be provided through the existing network
of ITIs (Industrial Training Institutes). Besides providing the training to this group
in the traditional trades like tailoring, embroidery work etc., some non-traditional
trades like Radio, TV Repair, can also be identified for providing training to the
group members.
(ii) Self-Help Groups can be created. A rehabilitation package must emphasise the
need for organising the self-help groups of women. These groups must I provide
the counselling and .training to the women folk to effectively I create and handle
the economic assets. These groups may be very effective in making the disaster
affected women economically independent.

Social rehabilitation is an important part of disaster recovery, but this dimension is often
assumed to be a community function and neglected in most post-disaster programmes. As
we are all aware, disasters can render some groups such as the elderly, orphans, single
parents with young children, etc., much more vulnerable to disaster aftermath due to lack
of adequate support. In the post-disaster phase, family support systems can break down
due to physical and mental trauma resulting from losses of life and property, physical
dislocation, and migration of some members of disaster affected communities. These
vulnerable groups would need special social support to survive the impact of disaster.
Thus, construction of infrastructure such as community centres, day care centres,
anganwadis, balwadis, old age homes, etc., is a vital part of social rehabilitation. There
has to be an adequate provision for building this infrastructure wherever it is non-existent
or has been destroyed by the disaster. A realistic recovery plan has to take note of this
social dimension of the disaster-affected area
(3) Economic Aspects

For economic rehabilitation, apart from making the economic loss assessment, it becomes
necessary to mobilize funds. Most of the funding is provided by the government at the
state and central levels. As far as the central government is concerned, the scheme of
financing the relief expenditure arising out of natural calamities came into force w.e.f. 1 st
April, 1990, consequent upon the acceptance of the recommendation of the Ninth Finance
Commission. These Finance Commissions are appointed by the Government of India
every five years and make recommendations for a five year period.

The Eleventh Finance Commission has already recommended the financial arrangements
for 2000-2005. Apart from the Government sources, help in the form of both relief
measures and funds is 'sometimes received from international agencies and through
voluntary organisations. The monetary assistance from such organizations, especially the
international ones, is assigned to the Prime Minister's National Relief Fund.

Economic rehabilitation generally comprises the following sub-components:

i) Provision of safe drinking water to ensure healthcare

ii) Provisions of roads to facilitate transportation of persons and goods

iii) Clearing drainage congestion to avoid floods and water logging

iv) Creating local opportunities for income generation by value addition to local .
produce, and encouraging new products based on local raw material

v) Education and training to create awareness on disasters and steps to mitigate the
adverse impacts

vi) Replacement of agricultural implements, cattle, small shops etc., lost in disasters

vii) Creation of healthcare facilities especially for the elderly, handicapped and the sick.

The concept behind the economic rehabilitation of the disaster affected area is to re-attain
the same level of economic status of the entire region as in the pre-disaster stage. In the
situation arising due to a disaster, a large number of people lose their close relatives,
physical property, means of livelihood and remain under the traumatic conditions for
quite some time. The main purpose of the entire package of economic rehabilitation is to
'bring the affected community into the mainstream again.

The economic rehabilitation of any disaster affected area may include the following
components :

a) Agricultural rehabilitation of disaster affected area;


b) Rehabilitation of artisans and marginal businessmen affected due to the disaster,
and
c) Rehabilitation of animal husbandry in the area affected due to the disaster.

(a) Agricultural Rehabilitation. During any disaster, a large number of farmer families
suffer losses of lives and property. The losses to crops, livestock, poultry, seeds and other
agriculture inputs, farm implements and equipments are some of the hard hitting after
effects. Besides, a large number of families suffer from various types of injuries /
diseases and require treatment in the hospitals. Those families which survive the wrath of
nature during the calamity, remain mentally and psychologically depressed and are not in
a position to carry out normal operations.

Loss of farm implements and equipments required to carry out farming operations and
loss and / or damage to the seed and fertilizer stocks stored make it impossible for the
farmers to undertake various activities related to farming including primary tillage,
sowing/ harvesting of crops and related activities. In view of this, it becomes necessary to
take up the agricultural rehabilitation in the disaster affected region urgently. This entire
programme can be divided into Short & Long-term Measures for Agricultural
Rehabilitation.

(i) Short-term Measures for Agricultural Rehabilitation. The short-term measures for
agricultural rehabilitation may include:-

a. The sowing of the next crop after the disaster and harvesting of the remaining
portion of the crops affected by the disasters.
b. Labourers can be hired from the neighbouring areas, which are not affected by
the disaster
c. A cash grant or loan be given for payment of wages to these labourers.
d. To provide fertilizers to the affected farmer families.
e. To provide requisite quantity of seeds to carry out the necessary agricultural
activities.

(ii) Long-term Measures for Agricultural Rehabilitation. In the aftermath of


disasters, a large number of agricultural implements and equipment are either damaged or
lost along with the agricultural inputs. Hence, in addition to the provision of free
fertilizers and seeds, the necessary equipment /tools must also be provided to them,
besides providing these to the landless agricultural labourers on free / subsidised rates.
Some of these actions are :-

a. The farm implement kits to be distributed to the farmers must include the
tools necessary for sowing and harvesting depending on the season.
b. Provide bullocks / tractors to the affected families particularly marginal
farmers to restart all those activities and farm operations like ploughing, sowing
and harvesting of crops, etc once again.
c. After any type of natural disaster, a majority of irrigation wells and pump sets
as also irrigation distribution system get damaged. A proper and scientific
survey must be carried out to quickly assess the actual situation / condition of
these structures after which adequate urgent rehabilitation of these structures
and systems should be the first priority.

(b) Rehabilitation of Artisans and Small Businessmen. A large number of artisans


along with the small businessmen lose their livelihood in disasters. For a large number of
people under this category, the disaster results in loss of a market place for the final
products or raw materials. Actions that can be taken are :-

(i) Due to the decentralised nature of working of artisans / craftsmen, it becomes


necessary to provide them with small work sheds, necessary tool kits and soft
loans to enable them to secure raw materials and to market the final / finished
products.
(ii) Another way is to rehabilitate the affected people under this category by starting
the rural industrial units at the block level within disaster affected areas.
Within these units, various identified artisans like carpenters, black-smiths, gold-
smiths, tailors, potters, machines, cycle/rickshaw repairers, etc., may be
provided basic infrastructural facilities like working sheds, internal roads,
electricity and water supply.
(iii) A large number of small businessmen like small shopkeepers, tea stall owners,
flour mill owners, etc., might have suffered damage to their respective units. The
rehabilitation of all such affected people under this category should also have the
provision of monetary loans on easy terms apart from some cash as outright
grant.

(c) Rehabilitation of Animal Husbandry. Animal Husbandry is an important and


integral part of village life. It is a useful resource and serves as a means of livelihood for
farmers particularly in the agricultural system of the country. It therefore becomes
necessary to rehabilitate the farmers by replacing the lost livestock, by providing fodder
during emergency period and by constructing the damaged cattle sheds. After any
disaster, the trained animal husbandry people should take up the rescue and relief work
of trapped animals under debris, removal and disposal of dead bodies, treatment of
injured animals, vaccination against any epidemic, and establishment of cattle
camps. Proper care in terms of health, provision of fodder, water, housing and proper
sheds must be taken up. Any livestock rehabilitation package should include the
following:
(i) Replacement of the dead milch cattle to the affected farmers.
(ii) Free cattle feed for about 2 to 3 months.
(iii) Preventive medication for entire livestock to check the spread of any disease
among the surviving cattle.

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