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CARE International in pakistan office was formally set up in June 2005. Based on the findings of an assessment conducted by CARE International in 2002, it was decided that CARE Pakistan should commence operations in Sindh, Balochistan and Punjab in the following key areas: 
 
Gender Concerns and improving the role of women
Strengthening institutional capacity of NGOs through partnerships 
Strengthening Local Governance in line with the ongoing devolution process at the grass root level 
Commitment to advocacy
 
Work began to pinpoint availability of local NGOs in the area and determine responsiveness of the local government. An initial project started in Balochistan in an area called Musakhel with funding received from CARE Canada to set up a water supply scheme. Work is still underway on this project.
 
The occurrence of the earthquake changed the dynamics of CARE's operations in Pakistan. CARE quickly mobilized to respond to the Earthquake. Although at the time it was a small office primarily working through local partners, it rapidly expanded its operation to respond to the crisis. In the aftermath of the earthquake, with the assistance of the global CARE International Family the operation quickly built its capacity through the hiring of new local staff, and securing emergency funding from CARE Programs around the world. Additionally, local staffs were supplemented with international emergency experts from Afghanistan, Bangladesh, Australia, Canada, UK and USA . 
 
Although, CARE did provide some relief assistance in Bagh in the initial days of the emergency, since then, CARE Pakistan has been predominantly working in 3 districts in NWFP namely Mansehra, Shangla and Battagram especially Allai  and Battagram tehsils.
 
Currently, CARE Pakistan has over 100 staff in three offices in Islamabad, Mansehra and Banna Allai and is in the process of establishing an office in Battagram town.
 
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