Three months on, more than one million people are still living in camps because of high water in southern Sindh province and the situation is repeated in other affected areas, the International Federation of Red Cross and Red Crescent Societies said in a statement.

"Even when people can return home, they will need humanitarian assistance for the next two years. This is not just in Sindh but across the country," Red Cross flood operations coordinator Nelson Castano said.

In hard-hit Sindh, one million people are living in tents and lack access to food and clean water, the statement said.

In Punjab and Khyber Pakhtunkhwa, most displaced families have returned home but many basic services have been destroyed and there are few sources of income.

"Winter is fast approaching and we are doing what we can to ensure people have a warm place to sleep during the cold months ahead," Castano said.

The floods ravaged an area roughly the size of England and affected 21 million people, with the death toll estimated at more than 1,700.

International aid agency Oxfam warned last month that relief funds were starting to run out, threatening aid and reconstruction efforts.

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