Stung by criticism in that OPP had ignored the improving of personal hygiene and health habits of Orangi residents, OPP volunteers worked to break social and cultural barriers that segregated women and perpetuated ignorance about preventable diseases such as diarrhoea, dysentery, polio and typhoid. When attempts to get Orangi women to go to clinics failed, OPP switched to taking health information and services to the lanes. Mobile training teams made home visits to proffer health information, including distributing contraceptives. The current low infant mortality in Orangi, compared to that in other colonies, is evidence of the programme's success.
The OPP also helped seamstresses of Orangi who were underpaid and often subject to physical harassment by middlemen. OPP set up Women's Work Centres (WWCs) in Orangi homes to help the seamstresses by offering them training and management of business aspects previously handled by contractors. The WWCs, entirely self-supporting now, have played a key role in raising their annual wages since and in the economy of Orangi.
Inspired by the success of the WWCs, OPP secured grants from commercial banks so it could extend credit to Orangi enterprises ranging from bakeries to video shops. Credit was granted without collateral, but a recovery rates of 92 per cent in the first year and 98 per cent in the second year justified OPP's selection criteria and careful monitoring.
Like housing and some other services, education in Orangi was provided mainly by the informal sector, as the government ran only 11 per cent of the 585 schools for low-income families. With support from the Aga Khan Foundation, OPP upgraded academic standards and facilities of the private schools. This has resulted in encouraging education in Orangi and the fact that 45 per cent of the pupils are girls reflects the high priority residents attach to female education.
OPP undertook a tree-planting and nursery programme in 1988 with initial technical support from IUCN (World Conservation Union) and is confident that Orangi will become a green suburb of Karachi by the end of the decade.
Students of architecture and planning, who had been involved in community work in Orangi, were instrumental in setting up the Urban Resource Centre (URC) to improve urban planning, to implement programmes and to inform communities of their rights to better services. Presently, URC has joined other human rights workers in investigating the increasing number of evictions from government land, even though the squatters often stay in officially "notified" areas. Recently, URC objections led to the postponement of the building of a US $200 million expressway through the centre of Karachi that threatens the homes of 100,000 people. This may be the first time a Pakistani NGO succeeded in getting state decisions changed.
After more than a decade, OPP no longer needs to play a role in mobilising the people of Orangi, because they have become self-reliant. And, its many successes has drawn the attention of the Pakistani government, says architect Perveen Rahman, who is a member of the URC governing body. Karachi's mayor has visited the OPP office and also appointed it the city's advisor on a major, nine-year project on road and sanitation, funded by the Asian Development Bank (ADB). OPP was able to persuade ADB to reframe the project to allow local residents to implement much of the small-scale work, such as constructing latrines and sewer lines. OPP accepts consultancy fees, but Rahman pointed out OPP consultancy is conditional on projects being implemented "on our terms."
Not everything is rosy in Orangi. The emergence of leaders among Orangi activists is seen by some municipal councillors and religious fundamentalists as a threat to their authority and influence. And, engineering firms, consultants and contractors who had profited through overcharging on government contracts, fear their days are numbered.
Khan says these vested interests are behind determined attempts by a group of religious leaders to discredit him by alleging he committed blasphemy in a children's story book that Khan published recently.
If OPP's story has not been successfully replicated elsewhere, it is not for lack of trying. An effort was made in Karachi's Masoom Shah Colony, a katchi abadi of 120 houses. OPP provided tools, technical assistance and training whereas the residents raised the financing for a project involving the laying of a 165-m main drain to which the households latrines were connected. Although the project was very small in comparison to OPP's work in Orangi, the Masoom Shah experience convinced OPP leaders of the danger of spreading themselves too thin. As a result, in other projects elsewhere, the OPP has acted more as a consultant and in helping to train activists and craftspeople from other katchi abadis. The result is that its work now is more extension than replication.
Khan does not entirely dismiss the concept that it is his singular personality, vision and energy that have made OPP what it is -- and these qualities are not replicable.