Health

The UN has released its 2014 Humanitarian Action Plan for Haiti. While 89% of camp residents have moved out and significant progress has been made against cholera, significant challenges remain such as halting environmental degradation and reducing vulnerability to disasters.  The plan focuses on meeting the basic needs of those remaining in the camps, addressing the cholera epidemic, increasing food security, and strengthening the leadership and capacity of national authorities.  A summary of the plan follows.

According to Trenton Daniel and Martha Mendoza, a ten year $2.2 billion dollar plan to eliminate cholera in Haiti and the Dominican Republic will be released shortly.  The plan will be government-led with support from the U.S. Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund (UNICEF) and the WHO/Pan American Health Organization (PAHO).  It is yet to be determined who will fund the plan and to what extent although the World Bank has indicated it will contribute.  Although it will take years, eliminating cholera is neccesary both for protecting public health and promoting investment. 

Below is a National Public Radio piece by Jason Beaubien on the status of the  Mirebalais National Teaching Hospital, which will be Haiti’s largest health care facility.  The hospital is a priority for the Ministry of Health, which will be running the facility jointly with Partners in Health.  Eventually, the Ministry of Health will manage the facility itself.  When operational, the hospital will be mainly powered by solar energy.  Internet connectivity opens the door to new training opportunities.  In a recovery where much has gone wrong, the hospital is a symbol of what has gone right, and could be a model for replication in Haiti and elsewhere.   

Below is a guest blog from Nina Persi, an art student who visited Haiti to document the lives of orphans living in Saint Joseph facilities in/around Port au Prince and Jacmel.  Having returned to Pennsylvania, she is using her photos to raise awareness about vulnerable children in Haiti (of which there are many) and to raise funds for the Saint Joseph Family, an organization doing exceptional work caring for them.  More information on her trip, the Saint Joseph Family, and how you can get involved follows.  

Plumpynut revolutionized the treatment of acutely malnourished children.  In Haiti, Partners in Health (PIH) has produced a local variant, Nourimamba, since 2007.  The Abbot pharmaceutical company is working closely with PIH to further improve Nourimamba and to expand production.  The opening of a factory is scheduled for end 2012.  This is good news for malnourished children, the health care providers who treat them, and the farmers who produce the ingredients for Nourimamba.  An article by New York Times writer Duff Wilson on the PIH/Abbot partnership follows.  

Of all countries in the western hemisphere, Haiti lags furthest behind in vaccination coverage.  However, there are reasons for hope. The Haitian Ministry of Health (MSPP), the World Health Organization (WHO), The United Nations Children's Fund (UNICEF), the GAVI Alliance, American Red Cross (ARC), and key countries such as the United States, Brazil, Cuba, and Canada have pledged to coordinate in expanding coverage, including the introduction of new and much-needed vaccines.  The full press release follows. 

Water, Sanitation, and Hygiene (WASH) conditions in Port-au-Prince were not good even before the devastating January 2010 earthquake.  Perversely, the poor often paid the most for drinking water.  Against this backdrop, a number of international organizations and non-governmental organizations are working with the Haitian government to help establish a more effective and equitable water system.  One of these non governmental organizations, International Action, has been involved with water related issues in Haiti since 2006.  Below is an update as to their latest activities.

Each year, the U.S. State Department Bureau of Democracy, Human Rights, and Labor  is mandated to release country specific human rights reports that address individual, civil, political, and worker rights, as set forth in the Universal Declaration of Human Rights. The 2010 Human Rights Report for Haiti, attached and copied below, indicates much remains to be done.  Protecting human rights is a critical element of governance and one which the new administration must take on as institutions and infrastructure are reformed and reconstructed.   Protecting human rights will help Haiti become a country that is more fair and just for the whole population, not just the rich and powerful.

Below is a stock-taking document by Groupe URD which highlights common themes from the many evaluations that have been carried out concerning the humanitarian response to the earthquake.  Chief among them are the importance of urban planning in cities, agricultural revitalization in the countryside, disaster preparedness throughout the country, and the need to focus on communities and institutions rather than individuals.  You can also learn more about URD's activities in Haiti here. 

Today marks one year since the earthquake.  There has been a great deal of commentary, dialogue, and debate over what is going well, what is not, what should be improved and how.  Much of Port au Prince is still in ruins, a cholera epidemic has yet to peak, and the most recent elections were a debacle.  The anniversary provides an opportunity for us to consider what will get Haiti out of survival mode and on the path to development.  Doing so will depend in large part upon the Haitian government, its willingness to change, and ability to lead.