Oxfam is gearing up to respond to the flooding and potential for disease outbreaks.
“We are mobilizing all local organizations trained in cholera prevention to prepare a large campaign in the coming days,” said Oxfam’s Amelie Gauthier. “Oxfam is supporting local authorities—the Civil Protection Agency and the National Direction for Water and Sanitation in various localities in the Region des Palmes—providing them with transport, logistics and equipment for now. We are preparing hygiene kits, cholera prevention kits for distribution for some temporary shelters.”
Oxfam is launching an assessment in the department of Nippes—much of it affected by the heavy rain. At least two other departments have also been hit badly by the storm: Grande Anse and South. As of Friday, the country remained under a state of alert across all of its 10 departments.
“In one area in Croix-des-Bouquets (near the capital of Port-au-Prince), we spoke to several families who now live with 160 families—more than 500 people in a fire station,” said Gauthier. “There are pregnant women and young children as part of that one shelter.” She added that many homes have been flooded and families need basic relief items such as plastic sheeting and hygiene kits.
A lack of access to drinkable water and safe sanitation in some urban and rural areas is also cause for worry. Oxfam is monitoring some of those areas closely.
“We’re also concerned at initial reports of destruction of agricultural crops caused by Hurricane Sandy in the south,” Gauthier said. “The south of Haiti is already food insecure because of the drought and impacts of tropical storm Isaac. We’re following the situation closely as this will affect thousands of farmers for the planting season as well as school nutrition programs.”
Donate now to Oxfam's Haiti fund.
]]>That’s why an Oxfam America emergency response launched in La Pelota last October sought not only to meet people’s immediate needs, but to help them mitigate the risks of their community for the future.
When it rains hard, La Pelota is one of the first communities in the area to flood, in part because a vigorously growing plant called la ninfa clogs the local waterways. The plant is a sign of another problem people face: poor infrastructure for sanitation. Most families rely on pit latrines whose contaminants feed the growth of la ninfa.
In October, Tropical Depression 12-E hit. It rained for almost two weeks straight. On one side of La Pelota the lake overflowed, and on the other side its natural drain spilled its banks.
“It began to rain quite a lot. Little by little, the lake drained, but then the water level rose as it continued to rain,” said Juan Francisco Flores, a 32-year-old community member. “The lake doesn’t flow fast enough through the channel. The water backs up and that’s what floods the community… The stream was flooding on one side and the lake on the other. We were isolated.”
The response from the community to the flooding was well planned and evacuation was timely, due to preparedness work that had been done by Oxfam partner Fundación Maquilishuat (FUMA), in recent years. However, damage to crops was severe.
Together with FUMA and the World Food Programme, Oxfam America launched a food-for-work initiative that not only helped families in La Pelota survive in the first months after the emergency, but reduced the risk they would face in the future. FUMA and citizens of La Pelota decided to clean out the channel to allow the water to flow more easily and prevent flooding. Oxfam provided material to do the work, FUMA provided monitoring and technical assistance, and the families carried out the work.
The project provided people with 100 pounds of corn, 33 pounds of rice, 20 pounds of beans, and a gallon of cooking oil, in exchange for 80 hours of work a month.
“The food-for-work project has been well received. It was very effective to implement this project at this time of year, when people usually don’t have work,” says Sandra Quinteros of FUMA. “There’s been a selection process for the FFW program, with several criteria—that they lost at least 50 percent of their production; that they live on less than two dollars a day; that they have many children or older adults to care for; that they are day laborers; and that they are willing to work.”
The food-for-work project has been implemented in 99 poor communities like La Pelota, in 15 municipalities throughout El Salvador. A total of 3,800 families earned a three-month supply of corn, beans, rice, and oil for a family of five, enabling them to recover from their losses and now live in better prepared communities.
]]>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.
This report demonstrates what Oxfam has achieved during this past, challenging year. Although this is still in many respects a humanitarian situation we are also working on innovative longer-term programs – involving existing and new partnerships with local organizations – to help in the wider reconstruction effort.
]]>Thomazeau—home to about 52,000 inhabitants—is a rural community in western Haiti, surrounded by mountains and little-touched by the earthquake two years ago. In fact, it was an area that saw a large influx of arrivals from the capital immediately after the quake. But it is also economically deprived.
Most people here are “planteurs”—small-scale farmers living off their land and selling what crops they can. But poor roads are a major problem in getting goods to markets. And, as Dumel pointed out, there are few economic opportunities available in the community.
That’s also true across Haiti, where an estimated 75 percent of the population is not in salaried employment, and jobs are scarce.
Finding work is especially challenging in rural areas, where even the most casual of jobs are hard to come by. This was a major issue in Haiti, as much before the earthquake as now, and it is hampering people’s ability to rebuild their lives.
According to an Oxfam survey last year, finding work is the top priority for most Haitians. And that’s why a project which Oxfam supports in Thomazeau is raising the hopes of many women.
The women have their own section within ODECT known as RAFARE. That stands for Rassemblement des Femmes pour l’Accès aux Ressources Économiques, or Rallying Women to Access Economic Resources. Its goal is to try to improve the economic status of women. The group owned one milling machine and earned money processing grain brought to the center by farmers and merchants. Oxfam hired RAFARE after the earthquake to help provide milled cereals which formed part of food kits that were distributed in the outdoor camps where people had sought shelter.
Oxfam is now helping the women again—with funds and training, including enlisting the help of expatriate Haitian experts with specific skills. The group is modernizing its service center and expanding its operation.
The small building where they’re currently located will double in size, allowing the women to have storage facilities where they can stock processed and unprocessed grains and market milled cereals. Oxfam has helped them to purchase two new grinding machines and is providing training and other equipment. The goal is to enable the women to run their operation as a full-fledged business. They will buy and sell locally produced grain throughout the year, rather than just seasonally; and during lean times, in between the harvests, they can sell surplus stocks in the local market.
“It will bring more economic opportunities here. There will be more jobs and more money coming in,” said Marie-Claude Estenfile, general secretary of RAFARE. “There was always a shortage of grains being sold in the local markets from April to June, but we will be able to provide processed grains during that period.
It means people won’t have to travel an hour or more to some of the markets, like in Croix des Bouquets, 24 kilometers away, to buy what they need. It will be easier to purchase food locally and we will help to strengthen the supply chain. The markets will be busier; the money will benefit the local economy.”
Having proper storage facilities and being able market their own cereals will enable the women to work all year round, and not just stay open for business during the busy harvest period.
“It will guarantee people’s food security here,” said Dumel, adding that it will also create new jobs. “During the lean periods, people would have to buy imported rice and grain from other places. But we will have stocks to sell and supply to the local markets.”
RAFARE’s members are excited about the project.
“It gives me hope for the future,” said Hermircie Alfred, 40. “I hope we can buy and sell the grains locally all year round; and we can make more profits.”
“There are very few job opportunities here,” Alexina Augustin, 45, a mother of eight. “The only jobs we can really find are selling cereals and this project will help us. I lost my home and land a few months ago during flooding and now I can’t send my children to school. This will be a lifeline for me,” she said.
]]>Oxfam's work—whether helping Guatemalan women organize to fight gender violence, funding irrigation projects in Ethiopia, or standing with people in Darfur—is about building the resilience of local communities over the long haul. We cannot prevent shocks, but we can help our sisters and brothers access some of the same resources we have to cushion us when times are lean.
We cannot rush from crisis to crisis with short-term fixes. What more evidence do we need than what is happening in East Africa now? This is not the region's first famine, but imagine the headline: Africa's last famine.
“My friends,” comes the voice from the radio, “take your chairs to sit down and have some discussion about cholera now on your favorite show, ‘Some information about cholera.’”
If it is hard to imagine a show about a deadly disease as your favorite, that may be because you don’t live in rural Haiti. Here, among the beautiful mountains and broad rivers, people live with a frightening reality: it’s easy to catch cholera, and reaching the nearest clinic may take more time than you have.
Without treatment, cholera can be fatal within hours. But in rural Nippes province, what serves as a road may be the bed of a river that after heavy rains becomes a torrent. Or a footpath over steep mountains, where the rocks are sometimes covered in mud so slick that only the most sure-footed can navigate them. Where swift access to medical care is out of the question, cholera prevention takes on special urgency.
“There are some localities where we have to walk three to four hours to reach people. We use horses to go there,” says Jean Bassette, the Oxfam public health officer who hosts the show. “We can’t travel to remote areas every week, but with the radio program we can reach them easily.”
“Ti koze sou kolera,” as the show is called in Creole, invites listeners to call in. The discussions cover whatever cholera issues people want to talk about but usually focus on prevention and emergency treatment.
“If we don’t have oral rehydration salts—or sugar and salt to prepare them—what can we do?” asks one caller.
Stephanie Lormil, an Oxfam public health promoter who sometimes joins the show, explains that coconut water can be a stopgap solution, hydrating the person well enough to make the trip to the hospital.
Sensitive topics like social stigma enter in, as well.
“Treat people who have cholera with respect,” advises Bassette. “Do not humiliate them. People who have the disease need to be able to tell that to the community, and the community needs to support them by preparing oral rehydration salts and helping them get to the hospital. If people with cholera keep the information to themselves, there is risk to the whole community.”
Feedback on the show has been overwhelmingly positive. Local leaders in communities throughout the broadcast area often call in with thanks and congratulations, and people on the street have kind words for the show.
“When we first heard about cholera, we were scared,” says Jose Mira of Petite Rivière de Nippes, who cited the radio show as one of Oxfam’s successful public health efforts. “We didn’t want to live next to people who had cholera. But Oxfam helped us understand the phenomenon of cholera and gave us training. After that, it became easier. We are not scared of cholera anymore, because we know how to protect ourselves.”
Read more about Oxfam's cholera program in rural Nippes.
Donate now to Oxfam's fund for Haiti relief and recovery.
]]>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.
]]>Oxfam is deeply concerned that the disease, which has sickened more than 8,000 people and killed more than 540, has found its way into the city where countless families are still crowded into makeshift camps scattered across the hills since the January earthquake destroyed their homes. More than one million people remain homeless. The heavy rain and flooding caused by Hurricane Tomas over the weekend has likely allowed cholera to spread, especially given the poor sanitation conditions in the country.
But since the start of the epidemic in Artibonite—and even since the first days following the devastating quake--Oxfam has been preparing for the possibility of an outbreak in the capital. Providing people with clean water, sanitation and hygiene education is the only way to prevent the spread of diseases like cholera. Oxfam is reaching 315,000 people with these services in the Port-au-Prince area.
The organization is now reinforcing those programs in the camps in which it has been working since the quake. It’s chlorinating water and increasing the cleaning of sanitation facilities as well as organizing training sessions on the preparation of oral rehydration salts and homemade rehydration liquids—essential and effective treatment for patients. In addition, Oxfam has increased its training for staffers and community members on disease surveillance and it’s building latrines at the Petite Goave Hospital for a cholera treatment center.
In the Artibonite province, north of the capital, Oxfam has a team of about 25 staffers working on a water, sanitation, and hygiene program that is reaching about 100,000 people in an area called Petite Riviere. The program includes distribution of water purification tablets and powder, soap, buckets, and oral rehydration salts. Oxfam is also repairing and building wells and then purifying the water pulled from them.
But most importantly, the organization is carrying out a massive hygiene education campaign that includes broadcasting radio messages regularly as well as training community members to share information on how to stem the spread of the disease. Large-scale public education sessions in rural villages and towns are part of the program as well—and are helping to quell fears and provide better information.
“The only way to stop the spread of cholera is when each and every person is practicing good hygiene,” said Oxfam press officer Julie Schindall, who is based in Haiti. “That’s as simple as hand washing and drinking clean water.”
Those messages—along with the network of water and sanitation services aid groups have established in the camps around Port-au-Prince—have made a major difference for people: In the nearly 10 months since the quake there had not been a major outbreak of waterborne disease in the capital.
“We kept very vulnerable people safe for a long time,” said Schindall. “But now, clearly, we must throw even more resources into treating the sick and containing the spread of the disease.”
One of the central challenges in tackling problems like this—and one reason humanitarian relief operations are repeatedly launched--is the lack of basic infrastructure across the country and the government’s lack of capacity, Schindall added.
“Clearly in the long term we need to reinforce the government’s capacity to protect people,” said Schindall.
]]>The storm is expected to hit sometime early Friday morning. In the event of the damage it may cause, Oxfam will ensure that the nearly 500,000 people it is now helping will continue to have clean water and sanitation services. The organization is planning to repair latrines and other structures it has built.
But because of the recent cholera outbreak north of Haiti’s capital, humanitarian groups, including Oxfam, are finding their resources stretched and more supplies will be needed if Tomas turns destructive. Oxfam’s cholera response program is reaching about 100,000 people in the Artibonite province. According to the ministry of health, the outbreak has sent 6,742 people to hospitals and left 442 dead.
Throughout the hurricane season, which started June 1, Oxfam has been preparing for a major storm in Port-au-Prince, the camp-filled capital, and surrounding communities. More than one million people are still living under tarps and in tents since a January earthquake destroyed great swaths of the city. Oxfam has reinforced its water and sanitation facilities, by tying down water bladders, adding extra supports to shower stalls, and taking precautions to ensure that latrines don’t flood. In addition, Oxfam has been clearing canals and digging drains for months.
The organization has also continued its public health campaigns, educating people about good personal hygiene practices that will prevent the spread of waterborne disease, which is crucial if there is flooding. And Oxfam has been distributing extra hygiene supplies, like soap and jerry cans.
If the storm strikes, Oxfam will send out emergency response teams within 24 hours after to assess camps where it works and determine what repairs need to be made and ensure that people have adequate drinking water.
Despite these preparations, Oxfam remains very concerned about the impact heavy rains may have on the spread of cholera, and other diseases. If there is storm flooding and the water does not drain off, waterborne diseases can spread quickly.
In Artibonite, Oxfam’s team of 25 staffers is carrying out a massive hygiene education campaign, through radio messages, training community members to spread information about good hygiene, and large-scale public education sessions in villages and towns. The only way to stop the spread of cholera is when each and every person is practicing good hygiene. In addition to that initiative, Oxfam is also distributing water purification tablets and powder, soap, buckets, and oral rehydration salts in the area of Petite Riviere.
]]>For the past ten days, Oxfam has been responding to the flooding in the Mexican states of Oaxaca, Veracruz, Tabasco, and Chiapas.
]]>
As we approach Row 1A—one of the neat lines of white tents that make up the Corail resettlement camp, two figures wave at us energetically. Marceline Philidor and her daughter Sabine are as welcoming as when I saw them last, over a month ago. Their family was among the first group of people to be moved from the Petionville Golf Club—where they faced an imminent threat of flash floods—to this site about 15 km outside Port-au-Prince.
Marceline is busy cooking some rice on a small stove, but she pulls up some plastic chairs for us under the awning in front of her tent - one of the few small patches of shade in this vast, sun-baked camp. I ask her what life has been like these last two months.
“Well, life is the pretty much the same here now as when we moved in. Not much has changed. We have our tent. We have enough water from Oxfam to drink and cook and wash. We’ve received food, too, and rice, oil, beans and flour from World Vision. We still have the latrines from Oxfam, and there are enough for everyone, although it would be nice to have our own toilet, or a toilet to share with several families, and keep them clean between us.”
Oxfam has been concerned since the Corail site was selected in April that the area is isolated and doesn’t have markets close by. I ask Marceline what they have been living on and whether they’ve been looking for work outside of the camp.
“I’ve done some work - digging the trenches for drainage here in the camp, making them deeper—so we will have a little money soon. I’ve been the one working, because I had my identification with me when they offered the work, so I signed up. My husband goes out almost every day looking for work. Sometimes he takes the tap-tap (Haitian mini-bus) that goes from here to town, and costs 15 gourdes. But we don’t have much money, so often he has to walk.”
Marceline’s husband, David Deronoil, joins us and tells about his search for work.
“I go regularly into Delmas, to all the old places I used to work before the earthquake. I was a metal worker and then a driver. Often I have to walk, so I leave here at 4:30 in the morning, and I usually arrive around 11.” He pauses. “A man shouldn’t stay at home and not work. He should be able to go out and work to support his wife and child. But there are no jobs.”
Marceline once sold goods at a market stall, and she would like to re-open her business. “But I wouldn’t start it here,” she says. “I would go to one of the markets nearby, in Bon Repos. People say they might create a new market there so people here can work. I don’t know if it’s true. We’ve been asking to have a market and a hospital and a school for the people living here in the camp.”
School is an important topic for David.
“Aside from getting work, our main priority is Sabine’s education. Education is very important. I don’t want my daughter to grow up sitting around here, not learning anything. I want her to go to school and learn. To get an education. There’s a good school in Bon Repos; I would like to take her there, but we would need money. Like before the earthquake.”
I ask David and Marceline what their thoughts are about the future. David shrugs. “I wouldn’t mind having a house here. We like it here; we don’t hate it. And we don’t want to go back to Port-au-Prince. It’s too crowded and there are no homes there. I wouldn’t mind having a home here, or even building one myself.”
He smiles, looking around his tent. For now there isn’t much around their little home—just one or two plants sheltered by the side of the tent—but it’s clear he’s picturing what it could be like.
“We would like a little place to plant trees, so that they could give us shade and we could have mangoes to eat. And some space to keep chickens. Then we could have chicken to eat. We need a real home. We need some privacy. We also need to be able to have fun sometimes, have some kind of recreation.” He laughs. “Maybe watch the world cup on TV!”
He becomes serious again. “But we don’t know if there will be homes. There are rumors that they might be moving us again. So we don’t know.”
Although Corail is designated as a temporary relocation site, nobody knows how long people like David and Marceline will live here. These families need—and have the right—to start earning a living again, to send their children to school, and to have a clear idea when they will finally have a home again. The government of Haiti, with the support of international and national organizations, has the responsibility to develop and implement a housing, resettlement, and job-creation strategy that will get people back into homes and communities, and earning incomes. This is the crucial next step to help Haitians rebuild their lives for the long term.
]]>“Things were difficult right after the earthquake, but we’re Haitian, so we have to get up and move forward,” says Marie Carole Boursiquot. “There was the community canteen, and that work really helped me; I was able to set some money to start my business back up. Now I have my own stall again. Every week I had the canteen, I would put aside some of the profits—1,000 gourdes here, 1,000 gourdes there—and I would send the girls out to buy things for my shop. I also borrowed a little money so that I could buy the rest of the stock. Now I am selling all kinds of things: rice, sugar, beans, pasta, coal…”
I ask her to show us her stock and she is happy to oblige. She shows us the beans and grains first, lined up neatly to one side, in canvas sacks. She scoops up little handfuls of each for us to inspect; kidney beans, black beans, little green beans she calls French beans, Miami beans, wheat, corn meal, and corn kernels. (The corn is for chickens, she specifies, not people.) Then she delves into a box on the floor and pulls out blue sachets of coal, little bags of washing powder, and sugar that she has wrapped in little plastic packages—two sizes: one worth 5 gourdes and one worth 10. For such a small stall, there is an impressive variety of stock.
She puts the boxes back in place and sits down. “I went all the way down to Croix Bossales to buy the stock at the market there. My brother came with me and helped me. With the canteen and now this stall, at least we can all eat. There are ten of us still living together since the earthquake, in the same shelter with a metal roof. But now we have some plastic sheeting—some from Oxfam and some that we bought—so when it rains we don’t get wet like we did before.”
We are momentarily interrupted by the arrival of a customer, a little girl of five or six years, sent to Marie Carole to buy some snacks—chips or crackers of some kind. She is a little shy around us and rushes off without waiting for her change. Marie Carole laughs and lines up the coins on the counter—the little girl will be back.
"The problem now is that this shop is not mine. I have an arrangement with the owners; they have let me set up shop outside the bottom floor [of the building behind us] because they can’t use it anymore, since the top floor collapsed in the earthquake. But the ceiling is cracked and leaks so some of my stock got wet.”
"People from Oxfam [the market support team] came to inspect the site of my old shop. They saw that it was destroyed, and they are going to provide me with a shipping container that I can use as a shop and to store my stock securely. That will be much better for my business. I will be able to buy more, and I will be able to manage my stock better then.”
I ask her what her biggest needs are now, but she is reluctant to answer. She shrugs.
“Oxfam is the only organization helping this whole community. Many things would help me, but I don’t want to ask for too many things. You can’t constantly ask for others to give and give. I am satisfied with what God gives me. But with more money or the container from Oxfam, I would be able to get on even better than now, expand my shop, sell more, and make more money to improve our shelter and to improve our life.”
“There are always needs, but as long as we are healthy, and we have two hands and two feet, we can find things to do, and we will continue living. Things will get better.”
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