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.”
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]]>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.
]]>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.”
]]>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.
]]>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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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.
]]>With the crack of a sledgehammer on concrete, Oxfam's water and sanitation program in Delmas, Haiti, got underway.
The earth was still shuddering with aftershocks when survivors began to dig, carving out latrine trenches 10 feet long, 10 feet deep, and three feet wide through every kind of soil and pavement. Others did their part by quickly shaping platforms out of rocks and earth to support their new source of drinking water: Oxfam water bladders.
It was a race against time, and against deadly water-related bacteria like typhoid, hepatitis, and cholera that can thrive in crowded, unsanitary conditions. And it is a race that—so far, at least—we are winning. After the quake, hundreds of thousands of people had no access to toilets, and the water available wasn't fit to drink; yet, thanks to an all-out effort on the part of the displaced communities and aid agencies like Oxfam, there have been no outbreaks of waterborne disease.
But there is more to water and sanitation programs than health.
"We build latrines not only because they help prevent the spread of disease, but because they should help protect the dignity and safety of disaster survivors living in camps," says Oxfam engineer Kenny Rae, who led the first phase of Oxfam's water and sanitation effort in Delmas.
There is a special focus on the safety of women and girls, because in the chaotic aftermath of disasters, they are particularly vulnerable to harassment and assault. The structure of a latrine—like the firmness of its latches and whether its doors open toward or away from the general population of a camp—has implications for safety, so Rae and his team listened closely to the concerns of women residents.
Shower construction was another important issue. Haiti's weather is so warm that shower stalls can be open to the sky, but where they were installed within view of multi-story buildings, women in Delmas had understandable concerns about privacy—which Rae and his team quickly addressed by adding roofs.
"When it came to sanitation facilities," says Rae, "women in the camps had the first and last word."
Helping survivors recover after disasters is not as simple as doling out goods and services: it requires attention to the many facets of community well-being.
For example, working for pay can help disaster survivors meet a range of needs, both financial and psychological. Oxfam offered wages to residents to dig latrine trenches, cover them with slabs of molded concrete or plastic, and build structures of wood and plastic sheeting around them for shelter and safety.
"We ended up employing more than 300 people to build latrines in Delmas," says Rae. "Their communities benefited from the project, and their families benefited from the income."
But in some cases, the need for community-building trumped the need for money. When it came to constructing platforms for water bladders, everyone worked for free, says Rae. "They treated the work as a contribution to their communities."
Caring for Haiti's fragile environment was another key consideration for the water and sanitation team, which needed wood for construction.
"From the outset," says Rae, "we determined that we weren’t going to use local timber poles because of the impact on deforestation."
The team found a source of timber imported from the US. It was more expensive than local wood, and at first it was hard to find enough of it. But, says Rae, in a country as deforested and as vulnerable to landslides as Haiti, the environmental cost of harvesting timber is tremendous.
When Rae and his team assessed the local water and sanitation situation, they found settlements where thousands of displaced residents had gathered. But Delmas is also dotted with tiny camps and informal schools, and it took time to understand the full extent of the needs. Oxfam staff kept their eyes—and their office—open, continually updating their plans and assessments.
"We had an open-door policy," says Rae. "Pastors, school directors, and other community leaders would bring their requests and concerns to the Oxfam office on a near-daily basis, and we were almost always able to respond."
After helping create water and sanitation facilities in 21 sites, serving 40,000 people, Rae has returned home for a rest. Sort of.
"Of course, I was pleased to get back to the people I love," says Rae, "but I was torn because the needs on the ground in Haiti are so enormous."
When he goes back to Haiti, it will be to work on another key issue in the recovery: shelter. His focus will be not only the homeless in Port-au-Prince, but also the tens of thousands of rural families that are hosting relatives who fled the capital and are now living in very crowded conditions. Rae will be looking for efficient ways to build temporary housing and house extensions to reduce the stress on families.
"Shelter is—and will remain for a while—a huge, huge need," he says.
As for the water and sanitation program in Delmas, says Rae, "I'm confident that the Haitian engineers I helped to train will be able to carry it forward."
]]>All actors should ensure that the people of Haiti have a central role in the process of reconstruction and that reconstruction is equitable.
The UN and the US government are trying to ensure that there is adequate fuel to support the relief effort. Fuel supply will remain a concern for humanitarian agencies in the near term. In consultation with NGOs, the UN should establish a system to determine who receives fuel, for what purposes and in what priority.
The Haitian government, UN and international military actors must work together to improve the security situation, preempting a potential deterioration of the situation, with increased patrols, transparency in operations and clear conjoined rules of engagement and chain of command.
Protection, particularly for women and children, should be mainstreamed into the design of all programs, including any camps for affected people or expansion of patrols, in consultation with affected people and local civil society.
The government, UN, donors and other actors must ensure that efforts to restore and improve public services, infrastructure and economic activity prioritize poorer communities. In a socially divided society such as Haiti, there is a real danger that the better off and politically influential will secure their needs first.
It is not too early to lay a new foundation for Haiti's reconstruction and development with complete debt forgiveness, aid in the form of grants not loans and a "pro-poor" approach that prioritizes livelihoods and sustainable development led by Haitians from the start.
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