Crisis Severity The severity score from 1 to 5 is based on 31 indicators aggregated into 3 pillars (impact, conditions, and complexity)3.40 Very lowVery high 5
Impact This measures the impact of the crisis itself, in terms of the scope of its geographical, and human effects.3.70 Very lowVery high 5
Humanitarian Conditions This measures the conditions and status of the people affected, including info about the distribution of severity.3.10 Very lowVery high 5
Complexity This measures the complexity of the crisis, in terms of factors that affect its mitigation or resolution.3.60 Very lowVery high 5
Access Constraints This measures the level of humanitarian access constraints.3.0No constraintsExtreme constraints
Humanitarian Access Overview
The humanitarian situation in Pakistan is marked by ongoing conflict and natural hazards.
Since 2009, insecurity displaced over 5 million people in Khyber Pakhtunkhwa (KP) and the Former Federally Administrated Tribal Areas (FATA). Displacement within Pakistan is often temporary and recurring. A long-running insurgency in Balochistan often sees targeted attacks on both military and civilian targets. Shelling along the Line of Control in Pakistan administered Kashmir also poses both a protection and displacement risk.?
IDPs are primarily housed outside camps in urban areas, particularly Peshwar, Rawalpindi, or Karachi, though their destination depends largely on their province and village of origin. Most IDPS live in host communities and lack access to livelihoods, adequate shelter and WASH facilities. The humanitarian situation for IDPs is aggravated by the presence of almost 1.4 million Afghan refugees in the country, which add pressure to an already strained public infrastructure.?
Pakistan is also extremely prone to natural hazards, including seasonal flooding, avalanches, and earthquakes. Each year, at least 3 million people are affected by natural hazards across Pakistan. Poor infrastructure, ineffective warning systems, and remote terrain exacerbate the damage and limit humanitarian response. In 2018-2019, severe drought conditions decimated the agriculture sector, affecting 5 million people, especially in Sindh and Balochistan provinces.?
On 22 February, four development workers were killed in North Waziristan district. Sporadic attacks from militant groups and military operations in the area are affecting civilians and causing displacement.?
Access constraints remain high across Pakistan. Humanitarian activities continue to be hindered by government delays in NGO registration and strict project approval processes. Violence in Balochistan province and increased violence along the Line of Control in Azad Jammu and Kashmir restricted the movement of people, caused displacements, and disrupted access to basic services. Throughout August, flooding across the country was a major obstacle for humanitarian agencies and damage to roads and bridges restricted access. An economic slowdown over the past few years has caused substantial inflation, increasing humanitarian needs and the cost of assisting these, such as the price of fuel for transporting humanitarian goods and supplies. Exact data indicating the impact of IEDs on humanitarian access in Pakistan is unavailable, but there continue to be reports of casualties.?
Read more in the latest ACAPS Humanitarian Access Overview.
Health: Access to healthcare is limited, especially for refugees and IDPs. Weak health infrastructure and surveillance systems, poor hygiene practices in homes and hospitals, and community skepticism towards public health campaigns has contributed to disease outbreak, including Dengue Fever, HIV, and Polio.?
Food: A prolonged drought in 2018–2019 affected 5.5 million people. In July 2019, more than 3 million people were estimated to be in Emergency (IPC Phase 3) or Crisis (IPC Phase 4) levels of food insecurity in Sindh and Balochistan provinces. Between June–August 2020, over 1.2 million people were estimated to be in Emergency (IPC Phase 3) or above in Khyber Pakhtunkhwa province.?
Information on humanitarian needs in Pakistani-administered Kashmir is limited due to access constraints.