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Overcoming barriers of cultural conservatism in Pakistan
3 October 2006
by Mubashir Fida, Information Officer for the International Federation in Islamabad
The Red Cross Red Crescent is achieving exciting breakthroughs in dealing with the challenges presented by religious and cultural conservatism in earthquake-affected areas of Pakistan’s North West Frontier Province (NWFP).

Clerics in remote areas are being regarded as vital entry points to communities when it comes to the activities carried out by the Pakistan Red Crescent Society (PRCS) and the International Federation of Red Cross and Red Crescent Societies.

Rural communities, initially very welcoming of international humanitarian organizations following last year’s devastating 8 October earthquake, have since grown wary of their presence, as the operation has shifted from relief to recovery.

This has led to an upsurge in negative comments from religious leaders about the operations of non-governmental organizations and aid agencies, with accusations of activities being “contrary to culture and morality”.

But while some organizations are struggling to cope with this renewed conservatism, the International Federation and the PRCS are managing to keep doors open.

Sajjad Awanwar, a PRCS mobile medical team doctor who operates in the remote Allai Valley region, says this has been achieved by treading carefully when dealing with local culture and religion.

“Whenever we intend to carry out an activity, we consult the clerics and village elders since they are influential people in the area and they help us in reaching out to the vulnerable” says Dr Sajjad.

Over time, the PRCS and the International Federation realized that getting the support of the clerics in this deeply conservative area was essential in order to help promote community-based first aid in Allai Valley.

Clerics and village elders recently attended a training session on community based first aid at the International Federation’s base camp in Banna and emerged enthusiastic about spreading the word in their communities.

Abdul Waseer Shah, the cleric of Batila village, embraced the message of the importance of being prepared and serving humanity, which is promoted by the Red Cross and Red Crescent.

“I think community-based first aid is as Islamic as anything else and I would be happy to tell people from my area to register for its training,” he said.

This positive reinforcement of the work of the world’s largest humanitarian organization is especially heartening in the light of recent headlines in local newspapers such as “NGOs under threat”, “Protests against NGOs involved in vulgarity”, and “Jiihad organized against NGOs”.

Key to maintaining access to communities and keeping the trust of religious and community leaders is respecting local customs and traditions, even if they appear to be contrary to more “Western” norms.

The mobile health teams, for instance, provide separate treatment areas for men and women, even to the point of being out of sight of each other if that is what the local community requires.

Cleric Abdul Waseer Shah says male and female health staff are required to travel in separate vehicles, which the PRCS and the International Federation adhere to.

This level of caution and respect does bring dividends.

The clerics and elders in the Allai Valley, whilst still displaying conservative attitudes about women, show they are prepared to work with them.

The clerics who recently met at Banna base camp said they supported PRCS female health workers conducting door-to-door activities to promote community-based first aid to women.

This is in stark contrast to reports of some clerics, elsewhere in the North West Frontier Province, objecting to NGOs even hiring female staff.

While the town of Balakot, about four hours drive south of Banna, is slightly more liberal, local communities there are also heavily influenced by clerics.

Balakot, which lost a quarter of its population in the October 2005 quake, has been hammered again recently by heavy flooding. A year on from the disaster, the people of Balakot remain vulnerable.

The PRCS and International Federation are providing a range of services to local communities, including primary health care, psychosocial support, and water and sanitation. The culturally-sensitive approach taken in Banna is being replicated in Balakot, according to PRCS hygiene organizer, Nadia Saeed.

“We form committees consisting of people from the village and in some cases headed by the cleric of the area,” she says. “They advise us how to work in a culturally and religiously acceptable manner.”

Saeed believes that over the past year, a real sense of trust and respect between communities and the Red Cross and Red Crescent has been achieved.

She says locals perceive the PRCS and International Federation teams as observing local cultural and religious norms and that clerics realise the volunteers and staff are there to serve humanity.

It’s a fine balance effectively implementing relief and recovery programmes while not contravening local customs and religious norms. However, as Abdul Rasheed, a cleric from Kappi Gali in the Balakot region outlines, issues such as hygiene promotion and Islam are complementary.

“Hygiene is very important for the community since keeping yourself and your house clean, keeps away the diseases and our religion also tells us to observe cleanliness…. Islam says that cleanliness is half the faith,” he says.

Harnessing that kind of attitude will go a long way towards enabling the Red Cross and Red Crescent to make a lasting, positive impact on the quake affected people of Pakistan.
The Pakistan Red Crescent and the International Federation have developed excellent relationships with clerics and elders in communities they work in. Here a Pakistan Red Crescent mobile health team worker greets Abdul Waseer Shah, a senior cleric in the Allai Valley region. (p14729) (John Tulloch)
The Pakistan Red Crescent and the International Federation have developed excellent relationships with clerics and elders in communities they work in. Here a Pakistan Red Crescent mobile health team worker greets Abdul Waseer Shah, a senior cleric in the Allai Valley region. (p14729) (John Tulloch)
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Religious and cultural conservatism is strong in Pakistan's North West Frontier Province and the Pakistan Red Crescent and the International Federation are utilising clerics as entry points to communities. Here Pakistan Red Crescent volunteer Qasim Shah chats to senior cleric Abdul Waseer Shah during a first aid training session in Banna, Allai Valley. (p14731) (John Tulloch)
Religious and cultural conservatism is strong in Pakistan's North West Frontier Province and the Pakistan Red Crescent and the International Federation are utilising clerics as entry points to communities. Here Pakistan Red Crescent volunteer Qasim Shah chats to senior cleric Abdul Waseer Shah during a first aid training session in Banna, Allai Valley. (p14731) (John Tulloch)
Pakistan Red Crescent doctor Sajjad Awanwar says clerics and village elders are always consulted before activities are conducted in villages. Respect for local culture and customs has enabled the Red Cross Red Crescent to get excellent access to remote communities such as this mobile health clinic in Rashang village, Allai Valley. (p14730)
Pakistan Red Crescent doctor Sajjad Awanwar says clerics and village elders are always consulted before activities are conducted in villages. Respect for local culture and customs has enabled the Red Cross Red Crescent to get excellent access to remote communities such as this mobile health clinic in Rashang village, Allai Valley. (p14730)
Female Pakistan Red Crescent workers conduct a hygiene promotion session for an all-woman audience in a village near Balakot. Segregation of the sexes for treatment, training etc is a requirement of local communities and one which the Red Cross Red Crescent adheres to, enabling continued access. (p14732) (John Tulloch)
Female Pakistan Red Crescent workers conduct a hygiene promotion session for an all-woman audience in a village near Balakot. Segregation of the sexes for treatment, training etc is a requirement of local communities and one which the Red Cross Red Crescent adheres to, enabling continued access. (p14732) (John Tulloch)