Floods in August hit Sindh province in the south of Pakistan, killing at least 430 people and disrupting the lives of nine million. Many people are still camping out in the open with little food, water or shelter ahead of winter. Aid groups warned on November 9 that vital relief efforts for some five million people could be cut back because of a shortfall in foreign donations. A series of photos from these relief camps:

Kunwar, 20, displaced for over three months by flooding, holds her two-year-old son Najo outside her tent in a Pakistan Army relief camp in Kunri, in Pakistan's Sindh province November 27, 2011. (Reuters/Akhtar Soomro)

Fatiman, a flood victim displaced for three months, holds her new born baby boy Zahid in a roadside tent in the Sanghar district of Pakistan's Sindh province November 27, 2011. (Reuters/Akhtar Soomro)

Pakistani flood effected girls attend a school in an army camp of flood effected people in Umar Kot on November 27, 2011. (AFP/Getty Images/Rizwan Tabbsum)

Pakistani flooded effected children look at the flooded area of Sanghar on November 27, 2011. (AFP/Getty Images/Rizwan Tabbsum)

An elderly Pakistani flooded effected woman looks on in a flooded area of Sanghar on November 27, 2011. (AFP/Getty Images/Rizwan Tabbsum)