Supporting older people in Pakistan after the floods - in pictures

A camp for internally displaced people (IDP) on the outskirts of Sukkar, Sindh province. An older man and his granddaughter – like most of the people living in this camp – come from the farming villages around Jacobabad, a day's journey away by donkey and cart. Though some of the thousands of families originally from here have gone back to their villages, many have stayed. “What is the point,” they say. “No cultivation is possible, and at least here we get food distribution and might pick up manual labour in Sukkar” Photograph: HelpAge International

A trader selling food at an IDP camp on the outskirts of Sukkar. Prices fluctuate. Before the floods potatoes were 30 rupees per kilo, now they are 50 rupees per kilo Photograph: HelpAge International

The only small mercy of the after-effects of the floods is that fish are in plentiful supply, particularly in the remaining flood water. For most of the people in this IDP camp of 4,000, it's the only protein they can afford Photograph: HelpAge International

Surrounded by 800 tents in an IDP camp outside Sukkar, a woman cooks spinach on her makeshift cooker Photograph: HelpAge International

A village elder stands on land outside Jacobabad, Sindh province, where eight houses stood before the floods Photograph: HelpAge International

Children play cricket in the village on land cleared by flood water Photograph: HelpAge International

Houses are made with local mud. One resident explains: “How can I afford to rebuild? Concrete would be better for the future but it's expensive. Mud is free. Mud is good against the extreme heat and when winters are cold. But it just crumbled away in the floods” Photograph: HelpAge International

A village widow describes the daily challenges families face: "Before the floods, we ate twice a day, and had better food because we had poultry, cows and goats. The floods killed all the livestock. Now we, including the children, eat once a day. We haven’t eaten meat for four months, and even the children don’t get milk” Photograph: HelpAge International

A 70-year-old woman puts last year's floods in context: “These are the worst floods in my lifetime, even in my father’s lifetime, and the rumours are they’ll happen more often.” HelpAge International provided her with the money to buy a goat Photograph: HelpAge International

Thousands of donkeys drowned in the floods in July and August 2010, taking away poor people’s livelihoods and transport. When HelpAge International began distributing cash to help rebuild livelihoods, the most common request was for donkeys and carts. Abdullah explains, “While we wait for our fields to repair, we need other jobs. My sons will use this donkey and cart as a taxi or to charge people for transportation. It’s the only income we’ll have for a long time to come” Photograph: HelpAge International