UNFPA

Refugees International (RI) researchers Melanie Teff and Emilie Parry traveled to Haiti in September to assess the needs of Haitians displaced by the earthquake.  Attached and below are their findings.  For the displaced, this is still clearly an emergency.  Less than 30% of camps have managers, a serious problem given insecurity and the fact that the majority of the displaced are not going anywhere until the Haitian government develops a systematic approach for determining land ownership and resolving property disputes.  Most agree that the response of UN agencies could have been improved with better surge capacity, clarity over who is responsible for protection and a concerted effort to include Haitians in coordination efforts instead of shutting them out. 

The credibility of any government is determined in large part by its capacity and willingness to provide basic services.  Health care can bring people together when there is equal access, or divide people when there is not.  Before and after the earthquake, quality health care in Haiti was/is primarily provided by non-governmental and international organizations (NGOs/IOs). The NGOs and IOs have been instrumental in keeping disease outbreaks at bay and access to health care for many residents in Port au Prince, at least for now, is better than it was before the earthquake.  While significant accomplishments, much more remains to be done before we can say that the health care system is truly being reconstructed.