A shorter commitment won't get the job done. It takes time to help people build skills and infrastructure, to get policies changed, and to ensure that governments spend their money more effectively.
Smart development demands monitoring and evaluation. Organizations should be accountable to report not only what they do, but also how they measure it. Don't believe stories that guarantee long-term impact after one or two years' investment; that's barely time to lay some groundwork.
We all crave the easy answer, the quick solution, but if eradicating poverty were simple, people living in poverty would have sorted it out long ago. They may lack resources like land, but they certainly don't lack intelligence or insight. Poverty is a global challenge—one that we can overcome together, but listening and learning from people living in poverty, and developing solutions with them, takes time and sustained effort.
This issue of OXFAMExchange includes inspiring stories, but they are just snapshots from a family album: moments in a long journey together. Each story is ultimately about perseverance and the need for long-term commitment.
Estimable lives in a very small earth-walled home near a drainage channel running along a dirt road. The land around her is almost all mud and the road is under a foot of water in places. Floods plague her village, called Lameau, in the community of Grande-Saline in Haiti’s Artibonite River valley.
This is one of Haiti’s most productive agricultural areas, and over the years, the government and international donors have built a network of canals and channels, to divert water to dry areas, and drain out the wet ones. Small villages line these channels. Just after the harvest, many are drying their rice crop on tarps on the side of the road, near their small homes, some of which are quaint wooden houses that resemble gingerbread cottages. Others are more modest earth-walled dwellings. Children play and swim in the channels, laughing and splashing in the sun.
It looks idyllic but the Artibonite River valley can be a tough place to live, Estimable says. “When there’s too much water in our houses, in our fields, we get upset stomachs. It’s very hard to live here with so much water.” The lack of clean water in 2010 after one particularly rainy period coincided with a cholera outbreak which killed 300 people in this area, according to local officials.
Grande-Saline’s mayor, Erole Romeus, drew up a plan to clear out the mud and vegetation choking six kilometers (3.75 miles) of the secondary channels like the one near Estimable’s house. He’s also hired heavy equipment to widen them to handle more water flow. The project is employing two 132-member work teams in a cash-for-work program that provides much needed wages of about five dollars a day for 12 days. The project prioritizes hiring people living near the channels. About 2,000 people in 400 households live in this area and will benefit from better flood control.
Sansion Morisette is one of the workers; she has just spent the morning raking weeds out of the narrow channel running along the road next to Estimable’s house. “It’s about time we started this work,” she says. “I’m out on the street now because water destroyed my house in Rossignol. Take a look around you, we’re lucky if we can get two bags of rice out of our harvest sometimes, the water just eats everything we grow.”
Mayor Romeus says the project in Grande-Saline should take the community a long way towards reducing flooding, especially during the annual hurricane season. “Every time it rains, we can have 200 to 300 small houses destroyed,” he says standing on a flooded road next to the drainage channel, where scores of workers in white t-shirts are clearing away plants and other debris.
“We started talking about rehabilitating these channels as a means to deliver a durable solution to the people here,” Romeus says. “We came to Oxfam America because it is an organization that is interested in helping vulnerable people reduce the risks of disasters.
“Since we cleared all this out, people will probably have an opportunity to harvest. But if we did not, in another week we would have been in danger: the people, crops, and animals.”
Oxfam is devoting $20,000 for this project, which is covering about half the costs and supports the cash-for-work component, wages for heavy equipment operators, and fuel. It’s part of a larger program to reduce vulnerability to disasters in the countryside, and make it easier for people to make a living in farming, an alternative to the overcrowded conditions in Port-au-Prince.
Sancion Morisette is optimistic that the newly rehabilitated channels will help them. “Now I know that when it rains, the water will flow in the channel and go directly to the sea.”
]]>Their mission? To build some of the 700 latrines Oxfam is helping to fund in the Petite Riviere area of the Artibonite province, where the deadly waterborne disease first broke out in October. It has now reached every province in the country, aided in its rapid spread by Haiti’s poor infrastructure: 50 percent of Haitians don’t have access to clean water, and more than 80 percent don’t have latrines.
For some of the families in this rice-growing region, that’s about to change. The latrines are part of a multi-pronged effort, including a public health education campaign, Oxfam has launched to help 125,000 people in this area stop a disease that hadn’t surfaced in Haiti since 1960. By the end of November, cholera had already sent more than 34,000 people to the hospital and killed more than 1,750 across the country.
Oxfam is also tackling the outbreak in Cap Haitien, Haiti’s second largest city, and in Port-au-Prince, the capital. There, intensive efforts to provide clean water, sanitation services, and public health education to people displaced by the January 12 earthquake has prevented any known cases of the disease from cropping up in the camps where Oxfam works.
Along with the household latrines in Petite Riviere and the construction of 50 school latrines, Oxfam is planning to drill 50 boreholes to be fitted with hand pumps and repair three water networks to provide people with greater access to clean water. But as important as those initiatives are, stopping cholera requires education—how to prevent it and how to treat it and to know to seek medical help when diarrhea and vomiting starts.
In coordination with the ministry of health, Oxfam has taken to the airwaves in Petite Riviere, broadcasting information on how to prevent cholera. It has trained government community health workers as well as peer educators on key messages and they are fanning out to spread the word. Equipped with battery-powered bullhorns, Oxfam health promoters are trekking through fields and across canals, sharing vital information with farmers as they work.
“Members of the community are very keen about what is being said,” said Mario Guerrero, the cholera program manager in Petite Riviere. “They have the feeling when they go into the trainings that there’s no way out if you get it.”
But after people have learned something about the disease and its transmission?
“They have the idea you can do something,” said Guerrero.
Doing something is what Erntz Jean and the team of volunteers were all about: With materials provided by Oxfam—wood for walls and a roof, and a slab to cover the pit—they were helping their neighbors build the first latrines many of them have ever had.
“That’s how we do things here,” said Jean, standing near the just-built wooden structure covering the latrine of Lozina Cena. “We help each other.”
The team picked up their tools and wove between the hedges and small houses to their next location: a narrow pit, six feet deep, just beyond the canopy of a giant mango. They got to work sawing two-by-fours, hammering, and preparing the frame for the housing of the latrine.
“Everybody here is very happy about this. Not only me—everyone in the area,” said Jean, who was among those who received materials to build a latrine. A carpenter by trade, he said he never had the money to build one before this.
“As a carpenter, if there was work, I’d be working and I’d have the money to do this. But there’s no activity here—no jobs,” said Jean.
Down the road, Eugene Joseph, a father of five children, had almost completed his new latrine. He spent a part of five days digging the hole—after starting in a different spot in his yard and hitting rock.
“Before, we didn’t use any latrines. We went in the bush or the street,” he said, noting the street—a rough dirt road—was about 40 meters from a canal leading to the Artibonite River from which his family pulls its drinking water.
“We were never sick,” said Joseph.
But the cholera outbreak scared him.
“We thought it would spread around our house,” said Joseph. And so with Oxfam’s help he decided to build the latrine.
“We’re proud of this,” he added.
A few houses away, Charite Estimable, echoed Joseph’s fear. But she wasn’t really worried about herself: She had been treating her water in a sand filter for most of the past year and had received some chlorine tablets from Oxfam to purify it further. It was her children—she has 11—whose health she was fretting over.
“I was afraid for my children in Port-au-Prince,” she said, noting that six of them were now living in the crowded capital.
Estimable’s neighbor, Altagrace Nicolas, also voiced confidence in her ability to keep cholera at bay.
“I’ve always been careful with myself and my children,” she said. “I’ve never been negligent. The reason it spread in some places is because people were not careful.”
To help everyone become more vigilant, Oxfam has been sending out teams for random monitoring of the water families collect and treat with the chlorine tablets the organization has been distributing.
Toting a bucket loaded with a couple of pitchers and a chlorine testing kit, George Van Vulpen and Elie Saint-Cyr, public heath engineers for Oxfam, hit the dirt roads of Akacite and Trankilite, two communities near the Artibonite River. Stopping at one house here, another there, they took a scoop of drinking water, tested it for residual levels of chlorine, and discussed the results with the householders—all with an eye toward encouraging proper use of the tablets. Had they been adding the tablets to the water? When? Were they dropping in the right number of them?
“For sure they’re using them,” said Van Vulpen, packing up the gear after the last sample of the day. “Most of them (the samples) have residual chlorine.”
That was a good sign—and so was the news he picked up along the way.
“In Akacite, they didn’t know of anyone who was sick anymore,” said Van Vulpen.
“We have a feeling that we are doing better than other parts of the country,” said Guerrero, the program manager for Petite Riviere. “Reported cases are going downward—slightly. But downward.”
]]>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.
]]>Oxfam intends to ensure that the people who were most severely affected by the earthquake have clean water and basic sanitation services. The agency will prioritize this support by serving cities and new camps to be set up outside Port-au-Prince, as well as medical facilities.
Working with community members and local authorities, Oxfam will provide support and equipment to help clean up solid waste and develop a long-term approach for solid waste management.
International standards for emergency shelter require 17.5 square meters of shelter space for a family of five; most families in Port-au-Prince are living in one-third that area. Oxfam will work with local partners to provide safe temporary shelter materials such as plastic sheeting, and help construct temporary housing. Initial plans are to distribute plastic sheeting to about 4,000 families (about 20,000 people) in February and March. In addition, Oxfam will distribute roughly 1,000 tents, and home repair kits to owners of damaged buildings that can be repaired.
Food is becoming increasingly available in affected areas. But survivors don’t always have any money to purchase the food. Oxfam is starting a cash-for-work program that will target particularly vulnerable survivors including women, support alternatives to food aid, and promote purchase of food produced in Haiti.
To promote availability of local food, Oxfam is working with farmers affected by the earthquake to stimulate local agricultural production.
To encourage involvement of civil society organizations in decisions about the initial relief and recovery process, Oxfam will help Haitian organizations recover from the earthquake and assert some control over how the government and international donors design and carry out the rebuilding of Haiti. This will help ensure that the billions that will be spent in Haiti will actually help the poorest communities recover from the earthquake. This will help build a Haiti that is stronger than it was before the quake.
Every project to rebuild homes, rehabilitate water systems, and help people get back to work will also include measures to reduce vulnerability to floods and earthquakes. This will help communities become more resilient in future calamities.
Ongoing assessments by staff working in earthquake-affected areas will help Oxfam refine this initial strategy for the reconstruction and long-term development phases of Oxfam’s post- earthquake assistance to Haiti.
]]>Water
During earthquakes, like the one that rocked the Haitian capital of Port-au-Prince, water systems, with their extensive network of pipes and pumps, often collapse. Repairs can take time—time that people who depend on that water to stay alive don’t have.
Without water, people can’t last much beyond three days. That’s why Oxfam focuses much of its emergency response on rushing to provide survivors with a safe supply.
With years of experience responding to emergencies around the world, Oxfam’s water engineers know how to build temporary systems with speed and efficiency so that people can get the water they need. Oxfam trucks water into remote regions, drills for it through desert floors regions, erects massive storage tanks, hauls in generators, repairs pumps, lays temporary water lines, and hands out plastic buckets so people can tote water back to their homes.
And there’s an internationally accepted standard of delivery Oxfam strives to maintain in every crisis. It calls for providing survivors with about four gallons of water per person per day—an amount intended to cover just essential needs.
Here are some of the critical components of an effective emergency water system:
Sanitation
Ensuring that disaster survivors living in camp conditions have safe ways to dispose of waste is crucial to helping them live in a healthy and dignified environment, so creating latrines is a key element of Oxfam’s humanitarian programming.
As quickly as possible after an emergency, we begin constructing simple latrines consisting of holes or trenches in the ground surrounded by light structures of poles and plastic sheeting to provide privacy. As soon as we have the time and resources to do it, we add concrete slabs to stand on to make the latrines cleaner and easier to use.
Oxfam also builds bathing facilities that are designed to be safe and private.
Oxfam makes sure that the displaced communities themselves are involved in the construction and maintenance of their sanitation structures, and in order to help ensure that women and girls feel safe using these communal facilities, we take care that women in particular are involved in decision-making about their location, design, and construction.
]]>From flooding in Haiti to drought in Ethiopia, water has long been central to Oxfam's work. Our emergency water systems are a hallmark of our agency. And our efforts to help communities access water for farming and fishing enable people to realize security.
But in recent decades, some extraordinary water pressures have emerged, as water resources are being swallowed up by dams, mining, and other commercial projects. The result is that, for the villages along the rivers, in the watersheds, and on the floodplains of East Asia being swamped or dried up by dams…for the indigenous people and farmers of South America whose rivers, lakes, and wells have been destroyed by mining…water is quickly becoming a major issue—and a major issue for Oxfam.
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