The United Nations children’s agency has warned that a year on from Pakistan’s devastating floods, an estimated four million children continue to need humanitarian assistance and access to essential services amid a shortage of funds.

The warning from Unicef comes as authorities in Pakistan’s eastern Punjab province are racing against time to evacuate people from areas affected by the overflowing River Sutlej.

Since August 1, rescuers have evacuated more than 100,000 people from marooned areas in the districts of Kasur and Bahawalpur.

More than six months ago, dozens of countries and international institutions at a UN-backed conference in Geneva pledged more than nine billion dollars (£7.1 billion) to help Pakistan recover and rebuild from last summer’s floods.

But most of the pledges were in the form of loans for projects, which are still in the planning stages.

“This season’s monsoon rains are worsening the already challenging conditions for flood-affected communities, tragically claiming the lives of 87 children across the country,” Unicef said.

It said an estimated eight million people, around half of whom are children, continue to live without access to safe water in flood-affected areas.

It said more than 1.5 million children still require lifesaving nutrition interventions in flood-affected districts, while Unicef’s current appeal of 173.5 million dollars (£137 million) remains only 57% funded.

“Vulnerable children living in flood-affected areas have endured a horrific year,” said Abdullah Fadil, Unicef representative in Pakistan.

“They lost their loved ones, their homes and schools,” he said, while the return of monsoon rains has raised fears of another climate disaster.

Last year’s floods caused more than 30 billion dollars (£23.6 billion) in damages as large swathes of the country remained underwater for months, affecting 33 million people and killing 1,739. The deluges destroyed or damaged 30,000 schools, 2,000 health facilities and 4,300 water systems.

Submerged houses
Houses are still submerged in floodwater in Pakpattan district of Pakistan’s Punjab province (AP)

Unicef said one third of children were already out of school before the floods, while malnutrition was reaching emergency levels and access to safe drinking water and sanitation was worryingly low.

Southern Sindh province was one of the worst hit last year.

However, Ajay Kumar, a spokesman for the local disaster management agency, told The Associated Press that authorities have not received any complaints or demands from districts affected by the floods.

People who were living in relief camps or on the roadside have returned home because they received compensation for the damage and loss suffered, he said.

Local organisations are carrying out reconstruction and rehabilitation work on houses, schools and health care facilities.

“I can say that the situation here is normal,” Mr Kumar added.

Pakistan Floods Evacuations
Rescuers help villagers evacuate from a flooded area of Bahawalnagar district in Pakistan’s Punjab province (Rescue 1122 Emergency Department vis AP)

In its statement, the children’s agency said because of support from the international community, aid reached 3.6 million people with primary health care services.

Access to safe water was enabled for 1.7 million people in areas where water networks were damaged or destroyed, reaching more than 545,000 children.

Mental health and psychosocial support was also provided to 258,000 children, it said.

Unicef called on Pakistan and aid agencies to increase and sustain investment in basic social services for children and families.

“The flood waters have gone, but their troubles remain, in this climate-volatile region,” said Mr Fadil.