Severe drought that occurred in the Thar Desert of Sindh Arid Zone due to failure of monsoon resulted in severe shortage of food, fodder and water. A large number of people including children died in Mithi hospital. Mostly of them were from Diplo, Mithi, Nagarparkar and Chahro tehsils of Tharparkar district. In three-month time the death rate among children went up to 151 and the district was put on high alert for famine. Rahnuma-FPAP reached the disaster hit Tharparkar with medical and nutritional assistance with a project that aimed at improving the nutrition of the community especially mothers and children; immunizing them against disease; promote breast feeding; monitor growth of children; provide preventive medication to women especially in the antenatal period and provide family planning services. The other objective was to control communicable diseases common in drought hit areas such as malaria, diarrhea, acute respiratory infections, typhoid, viral hepatitis, cholera and other similar ailments.