The transition from emergency into the recovery and reconstruction phase brought about a change in the context of the emergency and therefore altered the demand and needs of the affected population. The end of winter witnessed a gradual shift of communities back to their villages. With 90% of the Basic Health Units (BHUs) destroyed during the earthquake it meant that no health facilities existed at the village level. Bearing in mind the mountainous terrain and difficult road access conditions prevalent in the earthquake affected areas coupled with the real need of the people to have access to basic primary health care (although the emergency based health needs had declined, many patients still required regular medical supervision). More so, as people would still be living in tents, the risk of water borne disease and other related illnesses was still relatively high.

In an effort to deal with some of these health issues, CARE through its existing partners expanded its emergency health program into the recovery and reconstruction phase with establishment of tent clinics at the village level in Mansehra and Shangla districts

Since January, around 18,000 patients have received treatment in the community based clinics, 75% of whom were women and children. Almost 1,000 people have participated in the health awareness sessions and nearly 200 health workers who have been selected and are being trained in primary health care.