The forecast predicts this short wet season will bring an average amount of rainfall to Kenya, Ethiopia, and Somalia. Coupled with humanitarian assistance and anticipated decreases in locally produced cereal prices, the rain means that the food security situation in Kenya and Ethiopia is likely to improve over the next few months. But in southern Somalia, the situation remains dire, with an estimated four million people in crisis and 750,000 men and women experiencing famine.
In many areas of the region emergency conditions are expected to persist well into 2012. Households remain extremely vulnerable to additional shocks as the severe drought has depleted herders’ assets and reduced crop production. Several good seasons are required to rebuild herd sizes, improve harvests, and reduce debt levels.
In some areas flooding and mudslides are common during the rainy season. For example, in Ethiopia’s Somalia region localized flash floods have already been reported in areas along the Wabishabelle river, affecting an estimated 18,000 people with damage to crops and livestock.
The rain and a drop in temperature are also likely to kill cattle that have already been weakened by a lack of food and water—further undermining the ability of herding families to earn a living and recover from the drought.
In addition, the rains and the risk of contamination of water sources can lead to an increase in water-borne diseases such as typhoid fever, acute watery diarrhoea (AWD), cholera, and hepatitis A. Outbreaks of vector-borne diseases, particularly those spread by mosquitos, such as malaria, dengue and Rift Valley Fever are likely during the rainy season, and increases in cases of pneumonia and respiratory tract infections are common. More than 1,200 cases of dengue have been confirmed in Kenya’s Mandera District since Sept. 23. Flooding in Turkana and Pokot, areas in northwest Kenya, has caused a spread of malaria in the Upper Rift Valley, with outbreaks in Turkana, Kakuma, and surrounding districts.
Displaced people within Somalia and those who have crossed into Kenya and Ethiopia are particularly vulnerable as many of them are living in overcrowded conditions, with limited access to water and sanitation facilities and inadequate shelter. Outbreaks of measles, acute watery diarrhoea (AWD), cholera, malaria, and pneumonia have already been reported in camps in Mogadishu. In Dadaab refugee camp in Kenya five measles-related deaths and 113 cases were reported during the last week of September.
But as people’s needs increase, the rain makes it harder to reach them: Rivers flood their banks, bridges break or get washed away, and roads become impassable. In Ethiopia, access to refugee camps in Dollo Ado is already challenging as the rains make airstrips and roads impassable.
In Kenya, Oxfam is mapping the accessibility of certain areas and working with partners to devise contingency plans to meet the needs of people there. Public health promotion teams are doing environmental clean-up and awareness-raising campaigns. Boreholes are being rehabilitated and chlorine kits and water purification tabs have been distributed. In the areas where Oxfam has been distributing cash to vulnerable households which will be cut off during the rains, a double payment was made to cover the period between October and November so people do not go without.
In Ethiopia Oxfam has expanded its public health promotion and acute watery diarrhea preparedness activities, with a particular focus on women who manage water and sanitation at the household level. Oxfam teams are working with aid groups and other local partners to ensure a strong response to any outbreaks of acute watery diarrhea. As the rains commence, water trucking is being reduced and teams are supporting regional and zonal authorities to ensure emergency stocks and water treatment kits can be mobilized. Cash for work activities and market-support activities are ongoing and animal health interventions, such as vouchers for veterinary visits and vaccinations, have started up.
In Somalia Oxfam partners have been preparing for outbreaks of acute watery diarrhea by setting up distribution posts in camps for displaced people. The posts contain oral rehydration sachets, sugar, salt, soap for washing hands, and chlorine bleach. Partners have also increased the frequency and methods for public health messaging and are working with committees to oversee the water and sanitation services.
In Kenya, Ethiopia and Somalia, the UN, government, and non-governmental groups have prepared contingency plans to respond to any increase in needs: Strong coordination and monitoring is essential.
The delivery of food aid remains a key concern. In Kenya the World Food Programme (WFP) has reported delays in food aid distribution in Wajir, Garissa and Mandera as roads are impassable. Roads in Garissa and Hola, key entry points into the Dadaab refugee camps, are completely cut off.
Ongoing conflict, insecurity, and restrictions on the delivery of humanitarian assistance in Somalia are the key factors which will hinder a more effective response to the increased needs caused by the rains. For example, armed groups in many parts of South Central Somalia are not allowing mass public immunization campaigns despite outbreaks of deadly diseases like measles.
The recent military incursion by Kenyan forces into Somalia, as well as insecurity in refugee camps on the Kenyan side of the border, is also impacting on the humanitarian situation in certain areas of Kenya and Somalia. Fighting in Somalia is likely to cause further civilian displacement and casualties at a time when thousands of people risk imminent death due to famine.
]]>The mega floods of last year would have challenged any government, but the emergency response led by Pakistani authorities saved thousands of lives. However, Oxfam has expressed concern about the pace of recovery and reconstruction, which has left millions of people unnecessarily exposed to another disaster.
Husna La Shari is one survivor who is struggling to rebuild her life in Khawand La Shari in Shikapur, Sindh. Her family and community were hit hard by the flooding last July. Husna has 7 children and an elderly husband. She is responsible for providing for her entire family as her husband is too old to work. Before the floods last July, she worked on fields farming and harvesting. But after the floods, the fields are no longer fertile and Husna is struggling to feed her family. Oxfam is working in Husna’s village providing latrines and rehabilitating water pumps. Husna took part in Oxfam’s Cash for Work program in her village, clearing rubble and cleaning irrigation channels in the fields.
“It was difficult for me before the flood and it is now more difficult for me as there is no farming or harvesting. We cannot cultivate the land here this year… PDI (Oxfam’s partner) came and gave us money for doing labor. We collected whatever remained of our houses and we put it all in one place and together we cleaned the village. My husband was not capable, so I did it, I earned the money. PDI gave us kitchen pots, blankets, quilts and buckets and we are thankful as they helped us a lot. I am still in trouble to get food. How will I feed my family?”
Around 37,000 people affected by the 2010 floods are still living in camps in Sindh alone; and across the country, many of those who have returned to their villages have inadequate housing, with some still living in tents. More than 800,000 families are still without proper homes and many flood defenses, such as river embankments, destroyed in last year’s floods, have not yet been properly repaired. This increases the likelihood of breaches in future floods. For example, embankments in Sindh province have reportedly been increased by only two or three feet rather than the recommended six feet.
Neva Khan, Head of Oxfam in Pakistan, said:
“Pakistan needs to act now. Investing in measures today that reduce the impact of disasters is essential to save lives and safeguard development gains in the future. It will ensure schools built with aid funds are not washed away and that farmers can keep the crops they have toiled over. A year after Pakistan’s mega floods it’s time we learned this lesson.”
For children in the Shikapur district of Sindh, playing an interactive game is one way to avoid the risk of illness which often comes in the wake of a natural disaster. Julia Moore, a hygiene promotor for Oxfam, teaches children basic hygiene activities such as washing their hands and faces and showing them how to use a latrine.
“Pakistan is a disaster-prone country and has been flooded 67 times since 1947. Climate change will only increase the threat of floods. But while floods and earthquakes are inevitable, widespread devastation is not. For years, not enough has been done to protect ordinary Pakistani men, women, and children from disasters before they strike.” Says Kahn.
Lives and scarce resources could be saved in the future if the Pakistan government, with support from international donors, invests more in measures to reduce the impact of disasters. This could include flood resistant housing, and effective early warning systems – especially at the village level. In order to implement these programs, more funding is needed for local authorities and organizations that play a frontline role in preparing for and responding to emergencies.
]]>As Pakistan faces another monsoon season and the likelihood of more disasters, the country is not prepared. Many factors which have hampered the relief and reconstruction effort are still present, such as an inadequate disaster management system and a lack of emergency relief co-ordination and leadership. These institutional challenges must be resolved as soon as possible. The government and donors need to invest heavily in measures to reduce disaster risks such as better early warning systems, flood control, and more resilient housing. They should also tackle the underlying social inequalities which leave people vulnerable to disasters through a pro-poor national development plan. Spending on risk reduction and preparedness not only saves lives and livelihoods but hugely reduces the economic impact of disasters.
]]>Unfortunately, that’s just what happened in September and October 2010. Abdoulaye N’Dao, a gregarious retired electrician with grey dread locks says the flooding in 2010 “was the most difficult compared to earlier ones… there was a lot more water.” He says his house had water up to his ankles in some of the rooms; he and his extended family of 25 people were bailing water out of the house and its courtyard for days. “Maybe crocodiles and frogs can live like that,” he says months later sitting in his now drier courtyard, “but not people.”
The heavy rains of 2010 triggered the fifth year in a row of serious flooding in Pikine, and capped off one of the rainiest years for Senegal since 1971. Dakar got a total of 20 inches, more than twice the normal amount of annual rainfall. Oxfam already was working with an organization in Pikine called Eau-Vie-Environnement (Water-Life-Environment, or EVE for short), and deployed $295,000 from Oxfam’s “Saving Lives 24/7 Fund” to help EVE respond.
The needs were urgent in Pikine: Oxfam and EVE estimated that 150,000 people in 3,600 families were badly affected, either completely displaced or living in flooded homes. With help from Oxfam, EVE planned an aggressive response, which included:
A fast survey of the worst-affected areas of Pikine, to identify families in the most need: EVE and Oxfam decided to focus its assistance on 2,812 families (roughly 30,000 people) primarily in seven of Pikine’s 16 districts.
Supporting 116 pumps, to remove water from 643 homes, 7 schools, and 18 mosques: EVE supplied fuel for pumps that moved more than a million cubic meters of water, which is something like 264 million gallons, enough to fill more than 400 Olympic swimming pools. This took 15,000 liters (about 4,000 gallons) of fuel. EVE worked with local authorities to help remove water from 228 roads in Pikine.
Removing waste: household garbage and other waste pose a severe health threat, so EVE supported the removal of 3,000 cubic meters (roughly 105,000 cubic feet) of garbage.
Delivering sand: to build up low-lying areas and shore up buildings at risk of being submerged, EVE delivered 10 truckloads of sand to each of seven districts in the city.
Promoting good hygiene: EVE distributed 2,806 hygiene kits with soap, bleach, clean buckets for storing water, mosquito nets, and water purification tablets. In follow-up visits, EVE estimated that 93.8 percent of the households it visited were using adequate methods to treat water, and that these and other measures likely helped reduce diarrhea cases from 3.12 percent of the households to 1.48 percent.
Direct financial support: With funds from Oxfam, EVE allocated 40, 000 CFA francs (about US$80) to more than 1,500 of the most severely affected households, so they could buy food, medicine, and clothing.
Abdou Diouf, the executive secretary of EVE, says Oxfam did not just provide some assistance during the crisis and then withdraw along with the flood water. “This is the first time since Pikine has experienced these floods, that an [international] organization has intervened during the flooding and has decided to continue intervening after the flooding,” he says during an interview in his office in Pikine in April. Diouf says EVE was able to use a small amount of money left over from a grant from Oxfam to deal with floods in 2009 to prepare for the 2010 rainy season. When the heavy rains hit in 2010, volunteer assessment teams were already in place and trained to take action.
Oxfam also is supporting EVE’s work in 2010 to help local governments to lobby for funding they can use to improve drainage systems, and keep the pumps running in chronically flooded areas of the city.
Diouf also says the cash transfers represented “… a revolution in our intervention this year. People really appreciated this; I had people coming to the office here to specifically thank EVE and Oxfam for the money.”
Each recipient got about 40,000 CFA francs, which is about US$85. It’s unusual for an aid organization to provide money instead of food, clothing, water, and other assistance. But it allows those affected by the flood to spend the money on what they need the most, rather than what an aid organization decides is best for them.
When Assiatou Niang got her cash, she immediately thought about food. “We had no food, so I bought a bag of rice,” she says. With 30 people living in the household, including most of her nine children as well as those of her injured sister, food was a priority. “I also needed cement to repair the house, and I needed money for daily expenses around the household.” Niang is 58, and recently widowed. The cash helped her feed her family and cover other expenses for about a month over the winter.
Distributing cash is also economically efficient, according to Isaac Massaga, Oxfam’s program officer based in Dakar. “If you distribute rice in a community, you are preventing the local dealers from selling their own stock,” he says. “By helping people access food in the local market, we also help suppliers, and at the same time it helps maintain the market.”
EVE and Oxfam found a credit union that supervised the distribution of the funds to only those with vouchers provided by EVE according to the results of its household surveys. EVE transferred more than US$130,000 to families in Pikine.
]]>The work of Oxfam’s partners in Japan now includes:
Oxfam America is accepting funds to support these and other efforts.
]]>We are providing funds to organizations in Japan that can assist people who might otherwise have difficulty accessing government aid. Migrant workers and immigrants, for example, who don’t speak Japanese. We’re also funding a partner focused on assisting nursing mothers and their babies. As the disaster response evolves, we'll continue to identify Japanese partners who can address unmet needs on the ground.
The Japanese government is a world leader in humanitarian preparedness and response, and it is carrying out a huge aid effort involving its armed forces, police, firefighters, and local authorities. We’d like to complement that work in whatever ways we can. But our particular expertise involves delivering clean water and sanitation facilities, and in Japan—where there are good water and sewage systems and enough water engineers to repair those that are damaged—it is unlikely that our help will be needed. There are clearly serious obstacles to getting supplies to people in need, but the government is in a better position to handle those difficulties than most outside agencies would be.
Oxfam doesn’t have a role in a nuclear catastrophe. The corporate and government authorities who are responsible for the power plants need to take full responsibility for preventing and responding to radiation releases.
When the earthquake struck, there were systems in place to warn people and protect them from what was coming, but the power of the events that followed went beyond everyone’s imagination.
What really amazes me is that a 9.0-magnitude earthquake has struck a densely populated island country, and people are not even talking about it. Clearly it triggered a tsunami and a nuclear crisis that have had far-reaching effects, but there’s very little mention of direct damage from the earthquake itself. I think that when all is said and done, Japan’s earthquake preparedness—such as its strict building codes—will turn out to have had a very positive effect.
There is no time when poverty, vulnerability, and exclusion become so apparent as at the moment of an emergency. So often, the people who suffer the deepest losses in an event like an earthquake or cyclone are the ones who couldn’t afford to live in a safe house in a safe location. When Oxfam sets out to help a community recover from a disaster, we look for opportunities to help its most vulnerable members make long-term improvements in their social and economic conditions.
When the world is hurting, you want to do something. In this case, Oxfam won’t mount a major humanitarian response, but I’m glad we’re able to offer our solidarity and support to the people of Japan.
]]>All over the world, Oxfam is responding to disasters, rushing clean water and other resources to survivors. But we are carrying out no such effort in Japan. Why?
Unlike many countries around the world, Japan has had both the means and the will to invest seriously in disaster preparedness and response. The government can deliver large amounts of aid as quickly as the conditions on the ground permit, calling for specific outside resources (such as more search-and-rescue teams) as needed. So far, Oxfam’s particular expertise in emergencies—including delivering water and sanitation facilities—has not been required.
But in every humanitarian emergency, there are those who struggle to get access to the help they need. Oxfam Japan is channeling funds to local organizations that aim to fill some of the gaps in aid—providing a hotline for non-Japanese speakers like migrant workers, for example, and assisting nursing mothers. Oxfam America is accepting funds to support their efforts.
“Oxfam is an agency focused on poverty and rights, and we prioritize the needs of women in emergencies,” says Michael Delaney, Oxfam America’s director of humanitarian response. “Thanks to the strong foundations laid by the Japanese people, our role in this emergency will be small, but our hearts go out to everyone affected by the disaster.”
]]>Oxfam staff in Tokyo say that, though they have experienced many earthquakes, they have never seen buildings shake the way they did on Friday. Aftershocks and rolling blackouts are keeping the population weary, while the threat of a nuclear meltdown is looming.
Oxfam has been ready to assist but is not launching a major humanitarian response at this time. We usually focus our resources on communities where governments have been unable—or, in some cases, unwilling—to provide for their people. But the Japanese government has a tremendous capacity for responding in crises, and a clear commitment to using its resources to the fullest.
And—particularly in the midst of a nuclear crisis—we do not want the demands of coordinating the work of outside aid providers to draw on the resources of the government.
Nevertheless, in emergencies there are always communities that fall below the radar and cannot easily access humanitarian relief. Barriers of language or residency status, for example, can have tragic consequences at times like these.
“The Japanese state has the means to reach 99% of the population,” says Oxfam Japan Executive Director Akiko Mera, “but there will always be some who need more specific assistance.”
During the coming weeks, Oxfam Japan will channel resources to local organizations that can connect vulnerable groups with the assistance they need. Oxfam America is accepting funds for those and other efforts.
]]>The Haitian authorities need to show greater strategic leadership and take decisions that reflect the priority needs of the Haitian population. They need to initiate public infrastructure projects that put people to work and build skills; support people to return home or allocate land for new houses; and invest in agriculture. The international community should do much more to support these efforts by increasing the capacity and accountability of Haitian institutions.
]]>Dénéus works for Oxfam in the commune of Petit Rivière in the department of Artibonite in Haiti -- an area recently plagued by cholera. She sets out in the morning in a four-by-four truck, seeking out farmers in the fields who may not have heard the radio programs Oxfam has recently broadcast about proper hygiene and sanitation measures to stop the cholera, avoid infection, or the basic steps to help stricken people survive.
Spotting a crew of five men preparing a field to plant potatoes, she asks the driver to stop the truck, and she bounds out the back, moving across the road, down a well-worn path, jumping across an irrigation ditch, to the edge of the field.
It’s best for those accompanying Dénéus to stand behind her when she gets into action: she routinely uses a battery-powered megaphone to greet the farmers, and her words are loud and carry a long way. She asks them if they have already been trained on how to avoid and treat cholera and proper hygiene and sanitation practices. If they seem unsure or say no, she launches into the routine: she explains that cholera is a bacterial disease, can be passed by drinking contaminated water, and can be controlled by washing your hands before putting anything in your mouth. She encourages them to chlorinate water before drinking it, and to take early action to treat people showing symptoms of diarrhea and vomiting with an oral rehydration solution.
Some of the farmers stop, lean on their hoes, and listen, while others keep piling the moist earth into long mounds, in preparation for planting. But even the ones who keep working shout questions as they go: Where can we get soap? What about helping people who are sick? Where do we get the chemicals to treat our drinking water? Dénéus responds to all the questions: She refers people to centers where oral rehydration solution is available in their village, so they can ensure sick relatives can survive. And where to get one of the 35,000 cholera kits Oxfam is distributing, which have all the things they need to keep clean and treat their drinking water.
One topic dominates discussion in each of the 10 or so fields she sees this morning: she urges the farmers, “avoid going to the toilet right on the ground!” This is a major, longstanding problem in rural Haiti since well before the January 12th earthquake hit Port-au-Prince nearly a year ago: with no sewage system, running water, or proper latrines, many rural households must answer nature’s call in the open. Not all households have a latrine, so the farmers ask for advice: it’s simple, Dénéus says, dig a hole and bury the excrement. But Oxfam is also deploying a team of engineers to help farmers with simple materials to build their own latrines as an important step to reducing vulnerabilities to water-borne diseases like cholera. They plan to help install 700 latrines in Petite Rivière.
Dénéus is relentless, she repeats her messages with the same enthusiasm for each group she encounters toiling in the hot December sun, sweat running down the side of her face. “If you don’t think cholera can kill you, go to the hospital, go to the morgue, and see for yourself,” she tells any skeptical farmers.
Passing by a group she spoke with earlier in the morning now taking a lunch break, she stops and poses a question: “Did you wash your hands before eating?” Of course the answer is yes, but when she asks if they used soap, a few look down, but most of them make no excuses: soap is expensive and they are not accustomed to bringing it to the fields with them. Another form of behavior for Dénéus to change: With Oxfam distributing free soap, expense is not an issue in the short term, and eventually she hopes that farmers will improve their hygiene practices in the fields as well as at home.
After a productive morning tour of the fields, Dénéus stops by a few oral rehydration centers in the community of Marqès. These are simple tables stocked with clean water, mixing bowls and cups, and small packets of oral rehydration salts. These tables are staffed by trained volunteers who can teach people how to mix the life-saving solution, and ensure that anyone with a sick family member has access to this essential therapy. Cholera can kill in just a few hours by completely dehydrating a victim, so oral rehydration is essential. Dénéus checks the supplies, and coaches the volunteers on preparing solutions, how to answer frequently asked questions, and asks if there has been any activity at the centers as part of the monitoring Oxfam is doing in the community.
Dénéus has a law degree and is working for Oxfam because she says the right to life is one of the most basic. “I came here to save lives; that’s what Oxfam is doing here,” she says as she leaves the fields after a busy morning.”I’ve only been working here a month, but I’ve seen Oxfam doing good work, and it is saving lives. The rate of mortality is reduced, and the rate of people getting sick is also lower thanks to Oxfam.”
The work of Dénéus and other public health promoters is reaching out to 125,000 people in the region, using the radio and in-person visits to push key messages about good hygiene and sanitation habits. Mario Guerrerro, Oxfam’s program manager in Petite Rivière, says this effort is proving essential. “The training for people to change their habits is making the difference,” he says in his office, looking over the declining mortality figures in a report from the health ministry. “Once people understand, they do their best to treat their water.”
Toward the end of Dénéus’s rounds this one morning, she encounters nearly 40 farmers in a relatively small area she can hit in one stop. She moves through her presentation, answers a few questions, and concludes her visit with a phrase, a promise, and a wish: “Zero cholera!” she shouts, her final words to the farmers.
]]>Diop is a grandmother who lives with 15 members of her family in the city of Pikine, Senegal. When late summer rains pounded the region, this low-lying city fared badly. Its poor neighborhoods lack proper drainage, and the city has become an urban lake. In Diop’s house, every room but one is submerged in the still waters of a flood that acts like it’s here to stay.
“Since 2005, we have been suffering from the floods, but we have never seen anything like what is happening this year,” says Diop.
The nearby marketplace is under water, too, so for people who make their living by trade, incomes have vanished. And for the many who, like Diop and her family, buy their provisions day to day as they can, there are practically no stores of food in their homes to fall back on.
Health is a worry, as well: the latrines that are now deep in floodwater are slowly releasing their contents into the streets and schools and homes of Pikine, setting the stage for outbreaks of diarrheal and skin disease. And the standing water is a breeding ground for mosquitoes which, in malarial regions like this, pose serious threats to health.
Oxfam has joined forces with Eau Vie et Environment, a Senegalese partner organization, to assist 28,000 people affected by the floods in Pikine. We are removing water from homes, pumping waste from latrines before it flows into the streets, and distributing soap and other hygiene materials to help residents protect their health under these difficult conditions. For those in greatest need, we are also distributing small sums of cash to enable them to buy essentials for their families.
“Our goal is to provide immediate relief to those who need it most but also to address the longer-term problem of drainage with the local and national authorities whose job it is to prevent disasters like this,” says Oxfam’s Dawit Beyene. “No one should have to live in standing water.”
]]>For the past ten days, Oxfam has been responding to the flooding in the Mexican states of Oaxaca, Veracruz, Tabasco, and Chiapas.
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