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Two years onHaiti Earthquake Response



© World Vision International 2011

Authors and contributors: Ben Irwin and Meg Sattler.Photographs by Meg Sattler, Jon Warren and Mary Kate MacIsaac.

All rights reserved. No portion of this publication may be reproduced in any form,except for brief excerpts in reviews, without prior permission of the publisher.

Published by Haiti Emergency Response Ofce on behalf of World Vision International.

For further information about this publication or World Vision International publications,or for additional copies of this publication, please contact [email protected].

Managed on behalf of HERO by: Mary Kate MacIsaac. Senior Editor: Heather Elliott.Production Management: Katie Klopman, Ann Abraham. Copyediting: Audrey Dorsch.Proofreading: Jo Marie Dooley. Creative Direction: Rebekah Roose.Cover Design and Interior Layout: Rosey Ioannou. Translations: World Vision Canada.

Cover photo © World Vision: Mary Kate MacIsaac.

Children play outside a World Vision child-friendly space in a Port-au-Prince campfor families displaced by the January 2010 earthquake.



iWorld Vision Haiti Update Two Years On: Haiti Earthquake Response

foreword

The response to the 2010 earthquake in Haiti has been one of the largest and most complicated humanitarian

projects the world has undertaken, in the poorest country in the Western hemisphere.

The day after Port-au-Prince was devastated by the quake, while our staff were responding to the needs of others even as they tried to make enquiries about the safety of their own loved ones, we knew it was going to

take a long time to bring the city back into order. The ultimate goal, even then, was to make things better for

the population than they had been before.

The world was united in shock at the sight of so many ruined lives, and we made our promises to help

knowing it would be tough. We weren’t wrong, and we have no excuse to give up now. While some of the

early international enthusiasm for this endeavour has faded, hundreds of our staff and tens of thousands

of volunteers in the communities – with thousands more from other civil and international organisations –

continue to work toward that goal.

Rehousing those who lost their homes has taken a terribly long time. Complications of land ownership and

local politics delayed an already difficult task . It is unacceptable that so many people still live in camps, yet there

has been progress and the pace of improvement is picking up all the time. We are proud that nearly 14,000

people live in safer transitional shelters thanks to World Vision projects, even as we are determined to do more.

When I f irst visited our project in Haiti I met children – surprisingly happy children – in safe spaces established to

protect them while staff sought to locate missing families, attend to psychological trauma and ensure that those

children had the emotional resources to continue their education and contribute to the new Haitian society. These

child-friendly spaces continued until September 2011, and more than 7,500 children have benefited from them.

As the response progresses, the needs change. The children and adults with whom we work are encouraged

to articulate the realities themselves. In my most recent visit I met Steevenson, a 10-year-old boy who has

been kept safe and healthy. He told me he wants to go to school, to live the life of a normal child. This is agovernment responsibility but one for which World Vision and its partners advocate strongly as Haiti moves

from a relief response to a longer-term rehabilitation phase.

Romita, a widowed mother of seven, told me she was grateful for World Vision’s contribution to her life since

the earthquake, but she does not want to remain dependant on humanitarian workers. She wants to be a

worker and lead her children into a better life. The dignity of people like Romita is vital to the country’s future –

it’s no good rebuilding a city if the majority of the people in it live desperately from day to day, unsure how

secure their families are or whether their children will enjoy a better life than their own.

There is hope in Haiti – I feel it in the enthusiasm for a better future that shines out of Romita and Steevenson

and so many others. I feel it also in the determination and humble sacrifice of World Vision’s staff, as they continue to labour to make life in this country better than it was before for the defenceless, the homeless, the

bereaved and the poor.

As we reflect on the successes, the challenges and the work still to be done, let’s all keep these individual

stories in mind. In the end, it’s not about statistics measured in millions, but about hope and opportunity

measured out life by life.

Sincerely,

Kevin J. Jenkins

President and Chief Executive Ofcer

World Vision International



contents

Two years on: World Vision’s response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Children in emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Serving families living in camps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Shelter and infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Food security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Economic recovery and livelihoods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Health, nutrition and well-being . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Cholera response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Water, sanitation and hygiene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Disaster risk reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Advocacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Innovation and partnering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Aid agency coordination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

The responsibility of accountability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Financial accountability – year two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Looking forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45



1World Vision Haiti Update Two Years On: Haiti Earthquake Response

two years on: World Vision’s response

When a 7.0 magnitude earthquake rattled Port-au-Prince just before 5 p.m. on 12 January 2010, the city

was reduced to a crumbled, fully edged disaster zone in a matter of minutes. As hours, days and weeks

followed, the statistics began to emerge – one in three people in Haiti affected; more than one million

homeless; 222,570 people killed – and well before the dust had settled, World Vision had begun work on

the biggest single-country humanitarian response ever undertaken in the organisation’s history.

No nation is completely equipped to withstand an

earthquake of this scale, so in Haiti, often labelled

the poorest nation in the Western hemisphere,

the overpopulated city of Port-au-Prince didn’t

stand a chance. The same factors that caused the

earthquake to be so damaging also created immense

challenges for the response effort. Governance was

weak. Health infrastructure was poor. Eighty-one

per cent of the population lacked access to adequate

sanitation, and 42 per cent to safe water. Forty per cent of children weren’t in school. Most people

were unemployed, with only one in fif ty Haitians

employed in a steady job. Many thousands lacked

adequate shelter, and thousands more were

barely scraping together the rent for humble

accommodation. Apart from the grand homes of

a small wealthy population, most housing was built

without reference to standards, without knowledge of

land title and without much regard to human safety.

Furthermore, far more people were living in the

capital than it was ever designed to accommodate.

When Port-au-Prince fell in on itself that night,

chaos ensued. World Vision had been working in

Haiti for 30 years, and local staff acted immediately,

delivering basic supplies to those made homeless. The

organisation declared its highest level of humanitarian

response, and Global Rapid Response staff flew in

with essential medical materials and began treating

the injured. Staff worked around the clock delivering

emergency shelter, food and medical treatment.

This continued through the first month, when

World Vision’s food distributions reached more than

471,000 people, child-friendly spaces (CFSs) were

set up to provide safe areas for children in sporadic

camps, and clean water and latrines were delivered

throughout Port-au-Prince to try to restore the health,

hygiene and dignity of hundreds of thousands of

displaced people.

The first six months saw thousands of children incamps benefit from early childhood education,

mothers and babies receive nutritional support,

people suffering depression receive psychosocial

assistance, and 15 camps receive vital, free health

care provided by 10 clinics. Targeted food, water

and non-food-item distr ibutions continued.

One year on, as emergency supplies were still

being distributed, World Vision had launched major

transitional shelter projects for thousands of families.

Staff were responding around the country to acholera outbreak and had assisted internally

displaced persons prepare for hurricane season.

Our emergency response has continued, tirelessly,

for two years. It’s been a response characterised by

immense challenges, from land tenure issues and

political instability to extreme weather, to name a

few. Camps for the displaced sprang up everywhere

at the time of the disaster, with no consideration for

safety or sanitation, and as a result, at least 550,000




key achievements• Some 7,731 children have beneted from World Vision’s child-friendly spaces

in internally displaced person (IDP) camps.

• The family tracing and reunication programme has monitored the well-being of

more than 2,000 children and reunited 1,042 with their families.

• Early childhood development learning spaces have served nearly 1,200 children

in 17 camps.

• A camp management role has seen World Vision coordinate services and remain

accountable in a total of 27 camps.

• More than 2,700 transitional shelters have provided more secure housing for

almost 14,000 people.

• Mobile clinics, baby-friendly areas, nutrition activities, psychosocial support,

disability support and hygiene promotion have reached hundreds of thousands

of people.

• Some 2.57 million people were assisted with food security from January 2010 –

July 2011, including school feeding and food for vulnerable families.

• More than 610 million litres of clean water have been provided to hundreds of

thousands of people.

• Some 720 latrines (xed and mobile) and 600 showers have been installed.

• Hundreds of young people have been given vocational training or empowerment

training or have participated in train-the-trainer cholera-prevention and

health activities.

• A camp transitions programme is helping hundreds of families transition into

safer, more durable housing and providing nancial support for shelter, education

and livelihoods.

people still endure cramped, unsafe and unhygienic

conditions in camps in the capital. A nationwide

shelter plan is still urgently needed if this is to change.

The cholera epidemic in October 2010 was a further

blow for Haitians already enduring inadequate living

conditions, and for responding agencies with limited

resources, who by necessity launched a large-scaleresponse to try to quell the spread of the disease.

Significant challenges remain but undeniable progress

has been made. In two years our work has seen

hundreds of thousands of people reached with

shelter, food, water, sanitation and protection. The

following pages highlight, sector by sector, work done,

families reached and lives changed.




• By December 2011, US$8 million had been injected into the local economy

through cash-based programming (cash-for-work, cash transfers), beneting

approximately 99,900 people.

• Approximately 3,500 people were trained on vegetable gardens at 10

demonstration sites.

• More than 12,000 people were trained in agricultural technology and animal

husbandry.

• An integrated cholera response has included hygiene promotion, prevention

activities, oral rehydration posts (ORPs), cholera treatment units (CTUs) and

a cholera treatment centre (CTC).

• Advocacy efforts have ensured that Haitian voices are heard at the local, national

and international levels.

• Camp residents have been prepared for hurricane seasons through community

messaging and assistance, and goods have been pre-positioned around the country.

• A dedicated Innovations and Partnering Unit seeks opportunities and

partnerships to leverage and strengthen our work.

in two years World Vision has distributed:• 7,886 tents

• 122,979 tarpaulins

• 55,824 blankets

• 84,080 sleeping mats

• 40,403 kitchen sets

• 85,141 hygiene kits

• 81,839 bed sheets

• 78,374 mosquito nets

• 36,174 buckets

• 9,825 wheelbarrows

• 17,015 shovels

• 10,284 tools such as hammers,sledgehammers

• 25,370 solar lights

• 3,398 charcoal stoves

• 33,136 jerry cans

• 1,822,340 water puricationtablets

• 3,507 toilet kits

• 2,548 ropes for securing tentsand property



children inemergencies


1 ‘At a Glance: Haiti: Background’, UNICEF, http://www.unicef.org/infobycountry/haiti_2014.html. See also http://www.unicef.org/

infobycountry/haiti_statistics.html. In 2009, Haiti’s under-5 mortalit y rate was 87 per 1,000 live births (approximately 1 death for

every 12 live births).

2 ‘At a Glance: Haiti: Statistics’, UNICEF, 2009, http://www.unicef.org/infobycountry/haiti_statistics.html. Primary school net enrolment/

attendance was 50 per cent from 2005–2009. From 2003–2009, 22 per cent of under-5 were underweight.3 ‘At a Glance: Haiti: A Haiti Fit for Children’, UNICEF, 31 March 2010, http://www.unicef.org/infobycountry/haiti_53223.html.

For World Vision, child well-being is a priority at every stage of our disaster response –

from emergency relief to recovery. Since the Haiti earthquake, World Vision has helped

reunite hundreds of children with their families. We have established safe spaces for

children to play and learn, and have begun a long-term effort to rebuild educational

infrastructure.

Growing up in Haiti has never been easy. Before the earthquake, Haiti had the highest child

mortality rate in the Western hemisphere; one in 12 children died before his or her fifth

birthday.1

In 2009, only half of all primary-school-aged children attended school, and one in fivechildren was malnourished.2

The earthquake affected 1.5 million children and youth, leaving them more vulnerable to

violence, disease and exploitation. Many lost homes, were separated from their families or both.

Simply returning Haiti to the way things were before the earthquake is not good enough.

Out of this tragedy, World Vision is working with communities to build a brighter, more

hopeful future for children, who make up nearly half of Haiti’s population.

http://www.unicef.org/infobycountry/haiti_statistics.html




http://www.unicef.org/infobycountry/haiti_53223.html











establishing safe spaces for children World Vision established 30 child-friendly spaces

(CFSs) to provide the earthquake’s young survivors

with a safe place to play, learn and receivepsychosocial support. CFSs can also play a crucial role

in helping identify cases of abuse so that exploited

children can receive the appropriate follow-up care.

In total, 7,731 children – 3,756 girls and 3,975 boys –

have beneted from World Vision’s child-friendly

spaces.

In September 2011, World Vision began transitioning

CFSs to community ownership. Already 11

spaces have been handed over to community-runorganisations, where children can continue to receive

care and support throughout the week.

reuniting children with familiesMany children were separated from their families

during the earthquake and its immediate aftermath.

These children are especially vulnerable to traff icking

and other forms of exploitation.

For two years World Vision’s Family Tracing and

Reunification (FTR) programme has helped to find

interim care for separated children while seeking

to reunite them with family. At least 2,068 children

have been registered by World Vision, exceeding

our target by 50 per cent.

Tracing families is an extraordinarily difficult task, in

part due to the often-complicated nature of family

structures in Haiti. Even before the quake, a large

number of children were separated from their families for a variety of reasons. Many other children

lost parents in the quake, and some are too young

to remember important details that could help

locate relatives. Despite these challenges,

World Vision has successfully reunited 1,042

registered children with family members.

When reunification is impossible, World Vision

seeks foster families to care for separated children.Host families are carefully selected to ensure child

protection and are provided with vital supplies

including, in some cases, cash assistance to help

meet the child’s basic needs.

Since February 2011, World Vision has operated

an interim care centre near the border with the

Dominican Republic. The centre provides essential

support, education, love and care to vulnerable

children who have been separated from their

families. These children, many of whom have beenliving in extremely diff icult circumstances, can stay at

the centre for up to three months while longer-term

solutions are found for them.




rehabilitating educational infrastructureMore than 1,300 educational institutions were

damaged or destroyed by the earthquake.4 World

Vision has been working to rehabilitate and equip

schools so they can accommodate currently out-of-school youth.

Two years after the earthquake, World Vision

continues work on actively rehabilitating two

schools and furnishing more than 30 schools in

Croix-des-Bouquets and Tabarre, and is rebuilding

the Montfort Institute for hearing-impaired children,

contributing to the provision of education for childrenwith disabilities. Forty schools are to receive gardens

that will provide a nutritious food supply for students,

and 75 schools have been identified to receive

disaster risk reduction (DRR) training.

4 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of Haiti, Government of the Republic of Haiti, 2010.

providing educational opportunitiesEducation is too vital to be an afterthought in disaster

response. That’s why World Vision pioneered the

use of 17 early childhood development learning

spaces (ECDLSs), serving nearly 1,200 children.

Without the spaces, these children would havereceived few, if any, educational opportunities

following the earthquake.

ECDLSs prepare children to enter the formal

education system. In 2011, World Vision trained

90 specialised ECDLS childcare workers, known as

‘animators’, along with 100 teachers and 658 parents

and caregivers.

ECDLSs were enormously successful, with

86 per cent of parents rating the activities as‘excellent’. Parents also reported that their children

were happier and more confident after spending time

at one of World Vision’s ECDLSs.

In line with the new government’s education strategy,

World Vision has been working to transition ECDLS

into existing schools, bolstering early childhood

education in communities where access may have

been limited before, and ensuring a sustainablecontribution for children in Port-au-Prince.

In the transitional settlement site Corail Cesselesse,

World Vision built a 15-classroom primary school

to serve the needs of the many children who have

moved to the area with their families since the site

was obtained by the government in April 2010. The

school opened in October 2011 and is being jointly

facilitated by World Vision and the local government

during the initial phase of operation.



7

On the evening of 12 January 2010, 17-year-old Richard was preparing a snack in his kitchen when his house

crumbled around him.

‘I was inside the house when the earthquake happened. I thought everybody was going to die. My reaction

when the quake happened was only to bend my knees, to kneel on the ground. The refrigerator and the other

belongings in the house kept the roof of the house from falling onto my head. That’s how I stayed alive.’

Richard tells his story as though there’s nothing remarkable about it. He is sitting on the f loor of a WorldVision child-friendly space at a displaced persons camp in Port-au-Prince. ‘I’ve been attending the CFS since

right after the quake’, he says. ‘Those first months were about taking away our stressful situations. For example,

I had a cousin who died in the earthquake. We could talk about that. Now, it’s a learning space. Being here is

more enjoyable than being home. I am living with my family in the camp. So I’d prefer to be here, instead of

being home.’

Every day after school, Richard accompanies his 11-year-old sister to the CFS. ‘It’s a very enjoyable space for the

young children’, he says. ‘While they’re here they enjoy themselves, and they learn a lot, so I think it’s a good project.’

Child protection has been a core part of World Vision’s work since the earthquake. In the 20 months following

January 12, child-friendly spaces in camps across Port-au-Prince saw thousands of children sing, dance, play and

learn, as well as process their experiences, in safe and welcoming environments.

Lesly, from World Vision Haiti’s Children in Emergencies team, explains why the CFS has been important for

so many months. ‘After the quake, many children have been facing dangerous situations. For example, in the

mornings, parents need to go out to look for work, and they don’t have enough time to keep an eye on their

children. While children are here, they are away from dangerous situations. It’s better for them to be here.’

First housed in tents, the child-friendly spaces were eventually replaced by wooden transitional shelters, making

them more secure, more comfortable and more weather-proof, particularly during Haiti’s rainy season.

One fan of the CFS is 11-year-old Rebecca. ‘I like coming here’, she says. ‘We learn a lot here. We are taught

about drawing and singing; and some kids who don’t go to school, they’re taught how to write their names,

stuff like that’, she says, beaming. ‘We learn a lot. That’s why we like it.’The desire to learn is not always easily satisfied in Haiti, where quality education is expensive and out of the

reach of many families. While CFS shelters may be simple structures, it’s their ability to give young people like

Rebecca and Richard the opportunity to learn – and to dream – that is so important. ‘When I grow up I’d like

to be a doctor’, shares Rebecca. ‘I dream of a lot. I want for every single child to go to school. I want to go to

university. I want to become a doctor because being a doctor you’re able to help a lot of people.’

‘One of my biggest dreams, when I get older, is to build an orphanage for children living in the streets, so I can

contribute to transforming their lives’, Richard says. Meanwhile, he is pleased that the CFS is potentially helping,

in some small way, to do the same. Asked what he thought of the donors who had funded the project, Richard

had this to say: ‘I want to thank them for their generosity – and for having the children of Haiti in their hearts.’

World Vision Haiti Update Two Years On: Haiti Earthquake Response

field viewchild-friendly spaces – a place to dream




‘I love reading – that’s what I like to do, but I’m not too good at it’, says 12-year-old Thony,* sitting at the big

dining table at World Vision’s Interim Care Centre for separated children. ‘I read in English, French, Creole,

whatever. Spanish, too.’

Thony is bright. His aptitude for languages is astounding. But his multilingualism has arisen out of heartbreaking

circumstances.

‘At the border I learnt Spanish, some English. I had to, to get by.’ Like many other children, Thony had spentmore than a year working at the huge market at Malpasse, on the Haiti/Dominican Republic border, after

fleeing an abusive childhood in Haiti. ‘My mother went to Santo Domingo, she said to take care of some

business over there, but she never came back’, he explains. ‘I was 10 years old.’

Thony was sent away to live with another family, where he was trapped in domestic labour. ‘They put me with

a family who was treating me badly. The lady was making me carry buckets of water every day. It was a long

distance from the house to the place where I collected the water. Her children were beating me all of the time.

‘I don’t remember exactly when I ran away from the bad family. Went I went to Malpasse I was working at the

market with some guys. I was helping them load the trucks. When they gave me money I saved it so I could

pay for my own school. I went to school in Jimani and then in Malpasse, as well. ‘Sometimes I was sleeping ata friend’s house so I didn’t have to sleep on the street. My friend looked after me. There were lots of children

working at the market.’ At 10 years old, alone and miles from home, Thony sacrificed food and clothing in

order to pay for his beloved education, while living in extremely unsafe conditions. Many predators lurk in

Jimani, ready to exploit children like him.

Thony remembers well the day he was approached by a staff member from World Vision’s Family Tracing and

Reunification (FTR) programme. ‘I met one of the World Vision case workers. His name was Fleurimond. He

told me he had a place to bring me, and I came here. ‘It is better here. They are treating us very well. We play

sport every morning. I like playing soccer. I don’t have to work anymore, and I still go to classes.’

As Thony stays in the safety of the centre, receiving nutritious meals, health care and psychosocial support

and participating in educational activities, World Vision’s FTR staff are working to reunite him with his family.If they can’t, or if this is not deemed a viable option for child protection reasons, they will find him long-term

accommodation with an approved foster family.

‘I’d like to finish with my school and to learn something that will help me in my life’, says Thony. ‘I don’t want

to go to the streets and work in the market anymore. I’d like to be going to school every day. That’s all I want.

Nothing else.’

* Name has been changed

field viewworking to reuniteseparated children




servingfamilies living

in camps

World Vision continues to manage 13 displacement camps in and around Port-au-Prince,

assisting nearly 16,000 people. In recent months, we have continued to deliver services tocamp residents, while also working with families to identify safer, more sustainable options –

all with the aim of drawing camp operations to a close by late 2012.

The earthquake left one in ten people homeless in Haiti. 5 Approximately 105,000 homes

were destroyed and another 208,000 were damaged.

Suddenly, almost 1.2 million people were left with no shelter, moving into scattered tent

camps that arose on patches of land all over the city, wherever there was space. Resettling

such a massive number of people is no easy task. Land is scarce in Haiti; in fact, the country

has the second highest population density in the Western hemisphere. Two out of every five

children live in overcrowded conditions.

Simply finding space to rebuild is a daunting task, further complicated by land tenure and

inadequate property records. For the at least 550,000 people who two years later still endure

harsh conditions in temporary camps, the situation is even more precarious.6 As time wears

on, these families face the growing threat of eviction by landowners – a troubling scenario that

has already affected tens of thousands of people.

World Vision’s camp management efforts are helping to meet the short-term needs of displaced families by coordinating services and maintaining open channels of communication

with beneficiaries, while helping them prepare for a new life outside of the camps.

5 ‘At a Glance: Haiti: Social Mobilizers throughout Haiti spread the word about vaccines’, UNICEF, 12 May 2010, http://www.unicef.org/infobycountry/haiti_53628.html. According to UNICEF, more than one million people were made homeless by the earthquake.

6 Displacement Tracking Matrix, International Organization for Migration (IOM), 30 September 2011, http://www.cccmhaiti.info/pdf/DTM_V2_Report_September_English.pdf.


http://www.cccmhaiti.info/pdf/DTM_V2_Report_September_English.pdf










meeting the immediate needsof displaced familiesSince the earthquake, World Vision has been

providing essential services ranging from the

distribution of critical supplies in the early days to

providing shelter, clean water, latrines, health care

and child protection. In addition, World Vision

coordinated the work in a total of 27 camps, bringing

together the services of responding agencies,

working with camp committees on peacebuilding

and communication, and providing opportunities for

beneficiaries to give feedback.

Without access to basic services, particularly health

care, clean water and sanitation, children and families

in camps are even more vulnerable. Thus the

provision of these services has had to continue long

into the quake’s aftermath. For example, at the height

of World Vision’s response, 1.1 million litres of clean

drinking water were being trucked daily into

36 camps.

World Vision has also coordinated disaster risk

reduction awareness activities and provided basic

first-aid training in its managed camps. Youth clubs,

nutrition programmes, livelihood projects and

cholera-prevention programmes have helped make

life less difficult for camp residents.

building bridges with displaced familiesWorld Vision has employed camp liaison ofcers (CLOs)

in all of the camps we have managed. CLOs visit the

camps every day, monitoring and coordinating activities

with internal and external stakeholders and seeking to

build relationships with camp residents.

Camp liaison officers are tasked with following up and

resolving any complaints within the community, with the

aim of reducing tension and conflict. They ensure that

community members are informed of decisions affecting

them and are consulted on services provided in the

camps, as well as on any longer-term resettlement plans.

helping families transition World Vision is working in a very complicated

context to help displaced families to find more

suitable settlement options as camps close. Camp

evictions are becoming increasingly common, and

without intervention, many families would be left with

nowhere else to go. Those remaining in camps two

years after the quake are amongst Port-au-Prince’s

most vulnerable people.

Recognising the importance of helping families

through the transition process, World Vision

conducted an ‘Obstacles and Options’ survey in

15 camps during May and June, asking residents to

identify the greatest barriers to resettlement. Lack of

finances and employment opportunities were the two

most commonly reported challenges.

World Vision subsequently designed a package of

housing, livelihood and educational support to benefit

households transitioning from displacement camps.

Beneficiaries receive US$500 toward rental support

or house improvements along with $400 of livelihood

and/or educational support, which is complemented

by life-skills or business training. This package will

increase the ability of displaced families to support

themselves outside of the displacement camps.

As of December 2011, World Vision had assisted 80

families from two camps through their transition to

community living. Throughout the process, World

Vision has been working with the International

Organization for Migration (IOM) and other

stakeholders on negotiations in a coordinated effort

to prevent forced evictions.




shelter andinfrastructure

As the focus shifts from relief to recovery, World Vision is helping families rebuild their

lives. We’ve provided transitional shelters, giving families safer, more stable housing until

permanent solutions can be found. We’re also helping to rehabilitate vital infrastructure

such as health centres and educational facilities.

Shelter in Haiti is complicated. Relatively few people have any kind of documentation to verify

land ownership, thus complicating the process of finding places where they can settle without

facing the threat of eviction. Before the disaster, many Haitian families were living in rented

accommodation. When their homes collapsed, not only did they lose large sums of money they had prepaid, they didn’t have anything left with which to repair their homes. As a result,

thousands of struggling families were left with nowhere to go.

In the immediate aftermath of the earthquake, World Vision provided short-term shelter,

distributing more than 113,000 tarpaulins and 7,500 tents.

World Vision has completed major transitional shelter projects and, recognising the need for

longer-term solutions, is also helping families transition from camps to more durable housing in

communities. As of September 2011, roughly half of the 1.2 million people made homeless by

the earthquake were still living in camps.7

7 Displacement Track ing Matrix, IOM, 30 September 2011.



Corail

In April 2010, as part of its ‘Safer Shelter Strategy’ for families living in camps in high-risk, ood-prone areas of the

city, the government began relocating families to an area outside of Port-au-Prince known as Corail Cesselesse.

Several agencies, including World Vision, publicly expressed concern that the land was not adequately prepared for

habitation. However, when families moved there, World Vision saw the humanitarian imperative and responded with

tents and food rations while other agencies assisted with water, sanitation, health care and child protection.

Approximately 7,000 people moved to Corail. Tens of thousands more families are now living in surrounding areas,

including Jerusalem, Canaan and Onaville. With the presence of numerous service providers, the site has been vastly

transformed, but many challenges remain. There has been a long period of uncertainty regarding the long-term plan

for Corail. The local government has established a task force to take on management of the site and address the many

issues faced there.

World Vision has built 1,187 transitional shelters at Corail, ensuring that families are living in safer, dryer and more

durable accommodation. We have provided school and supplementary feeding to hundreds of children, run cash-for-

work programmes, and provided seeds and tools for small gardens. Trees have been planted to provide shade and

improve the quality of the land, and community areas are being developed. A livelihoods programme has reached 700

people with training and small grants. To help address the educational needs at Corail, World Vision has built a schoolfor 600 children, which was inaugurated by the mayor of Croix-des-Bouquets in October 2011.


helping families repair existing homesMore than 200,000 homes were damaged in the

earthquake.8 With one in two Haitians living on less

than US$1.25 a day,9 many families lack the means to

provide basic necessities for themselves, much less

rebuild their homes.

World Vision has distributed 590 home

improvement kits. These kits contain wheelbarrows,

shovels and other essentials, enabling families to begin

making repairs so they can return to their homes.

8 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of

Haiti, Government of the Republic of Haiti, 2010.

9 ‘At a Glance: Haiti: Statistics’, UNICEF, http://www.unicef.org/ infobycountry/haiti_statistics .html. From 1994–2008, approximately 55 per cent of the population lived below the international poverty line of US$1.25 per day.

providing safer shelter For families living in camps, the aim is to find durable

housing options that enable them to return to their

communities. However, many displaced families lack

the means to rebuild homes or relocate. Transitional

shelters can provide safer, more comfortableaccommodation until permanent solutions can be

found.

World Vision’s transitional shelters, or T-shelters,

have provided more than 2,700 families with

medium-term housing that is safe and durable.

As of December 2011, World Vision has built 1,187

T-shelters at the Corail transitional settlement site,

1,410 on the island of La Gonâve and 185 in the

Calebasse region outside of Port-au-Prince, benefiting

nearly 14,000 people.

Each T-shelter can last for several years and is

designed to withstand hurricane-force winds

exceeding 160 kilometres per hour (100 mph).

Beneficiaries have reported high levels of satisfaction;

98 per cent indicated they felt safe in their T-shelters.









A great deal of community infrastructure was

destroyed in the ear thquake: educational institutions,

health clinics and public spaces, for example. In

addition to providing durable housing for families,

World Vision has built 12 T-shelters to serveas child-friendly spaces and early childhood

development learning centres. World Vision

also built a transitional school for 600 preschool

and primary-school-aged children at Corail and is

constructing a school for hearing-impaired children

in Port-au-Prince. Four existing health centres were

rehabilitated, benefiting 40,000 people (including4,000 children) with improved access to health-

care services.

The issue of land tenure in Haiti

In Haiti, it’s common for a lack of adequate

documentation to make it difficult to identify

the rightful property owner. Without proper

verification, displaced families could simply go

from one untenable situation to another. World

Vision is committed to ensuring that families can

resettle with security and confidence.

On La Gonâve, World Vision staff conducted

an extensive land-verification effort, working

closely with local government officials to ensure

that T-shelter beneficiaries would be able to

remain on their resettlement sites. In Calebasse,

many shelter beneficiaries were landowners

who lacked the means to rebuild their homes.

World Vision obtained approval from local

officials before building T-shelters, ensuring that

families would not face the threat of eviction in

the months and years to come.

World Vision is advocating on behalf of those

still living in camps by calling on the nationalgovernment in Haiti to allocate more land for

long-term shelter.

building for communities



It’s the perfect family portrait. In the afternoon sun, a woman lovingly nurses a baby boy on her porch. The

boy’s father, young and fit, stands behind the pair, his arms resting gently on his partner’s shoulders. A dog

sleeps in the corner next to a bowl of food.

The couple are Roseline and Elius. Their baby is 4-month-old Davinski, and their home is a transitional shelter,

one of 2,500 built by World Vision. Looking around at the plants adorning the veranda and the shoes at the

gate, it’s difficult to believe that just a few months ago, this home didn’t exist. Or that one year ago, there was

nothing on this barren land but tents.

‘I’ve lived in this shelter since March, after almost one year living in a tent’, says Roseline. ‘Even now, people are

still living in tents.’

Three months after moving into the basic structure, Roseline and Elius have transformed it . There is a new

set of cement steps, a handcrafted gate, a spouting system to collect water from the roof, and an impressive

garden, complete with landscaped paths and a table setting.

‘I dreamed of how I could make mine different’, Elius explains. Having previously worked in construction, he

had a rough idea of what he wanted it to look like, and set to work.

Roseline and Elius lost their home in the 12 January earthquake. Yet even before that, making ends meet wasa challenge. ‘Every time we had to pay the rent it was very hard; we couldn’t afford it’, explains Roseline. She

says her transitional shelter is ‘a gift from heaven’.

‘My situation has improved’, she continues. ‘Everybody should feel lucky just to be alive. While you live, others

passed away. Others are suffering from disease or from challenges in life.’

The young mother spends her days taking care of Davinski and running a small soap business while Elius divides

his time between improving the shelter, helping neighbours and looking for work. ‘Everything starts with jobs.

If there’s a job available, I think my life will be changed.’

The afternoon sun burns down on Corail. Elius gazes at Davinski as he wriggles in the heat. ‘I would love him

to finish school, to attend university’, says Elius. ‘That’s my wish, but only he can decide what he wants for his

life.’

As for his hopes for his own future, Elius has faith that things will improve. ‘We feel lucky. We feel privileged.

I think God will open a door for me, some day in the future.’

field viewa ‘T-shelter’becomes a home





World Vision is working to ensure that Haiti’s vulnerable children can access the nutrition

they need to thrive. In partnership with the World Food Programme (WFP), we have

distributed much-needed food aid to more than two million earthquake survivors. As Haiti

transitions from relief to recovery, we’re helping to ensure that families have improved food

security so that children can return to the classroom and parents can return to work.

Food insecurity was a fact of life for many in Haiti well before the earthquake – especially for

the one in two living on less than $1.25 per day.10 Impoverished families are often one crisis

away from hunger, and the 2010 earthquake pushed many vulnerable Haitians over the edge.

The earthquake exacerbated an already tenuous food situation in several ways. Thousands of

families lost any means of generating income to buy food, while many of those who maintained

income sources had to divert resources to rebuild homes, meaning less food for hungry

children. The devastation worsened already volatile food prices. Agricultural production

declined, and barriers to land ownership have long made it difficult or impossible for families

to become agriculturally self-sustaining.

World Vision’s interventions have sought to address both immediate and long-term food

security issues, providing food aid for disaster survivors while empowering communities to

ensure their own food security in the years to come.

food security

10 ‘At a Glance: Haiti: Statistics’, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html.






nourishing body and mind throughschool feeding programmesMalnutrition starves the brain of energy, often

preventing a hungry child from going to school. Those

who manage to attend may lag behind because of a

hunger-induced inability to concentrate. Thus food

insecurity and a lack of education combine to form a

vicious cycle that traps children in poverty.

World Vision is seeking to break the cycle in Haiti

by operating school feeding programmes. Efforts

like these can help boost classroom attendance and

performance.

In partnership with the World Food Programme,World Vision provided daily hot meals for school

children. At the height of the programme, more

than 247,000 children in 848 schools were being

reached. In addition, nearly 2.9 tonnes of food was

distributed for children to take home to their families.

In further support of these efforts, World Vision

mobilised more than 3,800 volunteer cooks, most of

them mothers of children in the schools, providing

them with nearly 1.9 tonnes of food as an incentive.

Going forward, some school feeding programmes

will be transitioned so that community members

play more of a management role, with support

from World Vision. Educational leaders, teachers

and parents are being empowered through a series

of consultative meetings to begin managing and

monitoring these programmes. As part of this effort ,

World Vision has been working to re-establish

parent/teacher committees in at least 200 schools.

food for the vulnerable World Vision operated more than 180 feeding

centres as part of our earthquake response,

benefiting more than 49,000 out-of-school children.In excess of 7,240 people benefited from food-for-

work programmes and 4,500 vulnerable families were

reached through an e-voucher programme.

To provide a safety net for quake-affected

households, World Vision partnered with Samaritan’s

Purse to implement a USAID-funded Single-Year

Assistance Programme. The programme, which

closed in May 2011, had three primary phases:

distributing food, meeting social safety net needs, and

promoting livelihood and asset recovery. More than

83,500 people received safety net rations, while over 7,300 individuals received agricultural assistance –

namely, seeds and tools.

World Vision also established a nine-month Food Aid

Management School (FAMS) in Haiti to maintain and

improve standards in food aid distribution.

distributing food aidIn partnership with the World Food Programme,

World Vision distributed 12.2 thousand tonnes of

food to more than 1.8 million beneciaries in the

rst four months after the earthquake.

In the immediate aftermath, food from a World

Vision/USAID’s Multi-Year Assistance Programme

was quickly made available for distribution.

Especially vulnerable populations were prioritised

during food distributions. For example, a maternal

and child health programme provided 7.9 tonnes

of food to nearly 1,000 pregnant women, nursing

mothers and children under 5 at Corail. Thesedistributions combined traditional food staples with

ready-to-use therapeutic foods such as Plumpy’nut®

to help combat malnutrition.



child well-being family tracing and reunification

education

field view‘Grandmother, where is my food?’ – Voucher programmeassists vulnerable families

17World Vision Haiti Update Two Years On: Haiti Earthquake Response 17World Vision Haiti Update Two Years On: Haiti Earthquake Response

In a tiny community off a dirt road, Julienne sits on an old plastic chair under a tarp. She is surrounded by

children – some her grandchildren, others belonging to neighbours. One has helped her into the chair, as she

can no longer walk.

‘I am 86 years old’, she says. ‘I have lived in this area for 21 years. This land does not belong to me. A neighbour

lent it to me, and said I can live here until I die.’

From where she sits , she can almost see what remains of her earthquake-destroyed house – now no more than a flattened rectangle in the dirt.

‘I am the one taking care of all of the grandchildren. Some were given to me, others are not here all the time.

Others come, too, from the neighbours. They all say, “Grandmother, where is my food?”

‘Sometimes people bring me food. We eat rice, beans, corn and wheat. It is hard for me to get my own food. I

can’t work in the garden anymore. I can’t do anything.’

Julienne has recently participated in a World Vision/World Food Programme safety net food voucher project.

It involved making three payments, using mobile telephone technology, to particularly vulnerable families. In a

country plagued by crime and insecurity, mobile payments eliminate physical cash distributions and avoid having

vulnerable people carry large sums of cash with them, both of which are often unsafe.

Julienne’s great-granddaughter Odeline, 18, has been collecting the money on her behalf, alerted via mobile

messaging when a payment is ready to be collected. ‘When I receive the message, I go to the agent to receive

money’, she says. ‘I buy food and I give the food to grandmother. I keep some to buy soap and things for the

house.’

The voucher programme has meant that Julienne, for a short while, has not needed to count on others to take

care of her family. ‘When I look at all my children, I see they are healthy, and I am happy. That is all I need. I

know God will protect us.’

Julienne’s situation will not change drastically. She is one of many Haitians feeling the combined effects of

privatised services and the inability to generate an income. Haiti needs widespread, institutional change if life

is to really improve for Julienne and the thousands like her. What she’s been given, though, is a little relief, and

this has made a difference.

‘God bless you’, she says of World Vision, ‘and thank you. I am happy about this programme. I am happy to

receive the money because I didn’t have it before.’



A relatively new component of World Vision

programming, cash transfers are used to meet the

basic needs of impoverished communities. In addition

to helping establish food security, these transfers

encourage livelihoods by revitalising local markets.

By late 2011, nearly 105,000 people had benefited

from World Vision cash transfers.

Cash-for-work (CFW) is the primary means of

transfer used by World Vision. Participants receive

short-term employment opportunities working on

projects that benefit the entire community, such as

• roadrepairs

• canalrehabilitation

• debrisremoval

• reforestation.

Participants typically work 20 days per month.

The income generated can be used to purchase

household necessities and pay school fees, amongst

other things . By the end of 2011, US$8.6 million had

been transferred to ear thquake-affected families

through CFW.

Cash-for-training (CFT) equips participants with the skills needed to operate a small business. They

learn skills such as accounting, marketing, inventory

management and customer service. World Vision has

provided CFT to nearly 2,700 beneficiaries, each of

whom also received one or more cash grants upon

completion of the training to help launch or further

a business enterprise.

In addition to CFW and CFT, World Vision provided

small-scale cash transfers to 200 people with disabilities,

helping them start or maintain small businesses. Acash voucher safety net programme, implemented

in partnership with the World Food Programme,

benefited more than 2,500 extremely vulnerable

families, who received payments for much-needed

food and living costs over a three-month period.


investing in agricultureAt least 10,000 families beneted from agricultural

training, seeds and tools provided by World Vision.

Agricultural assistance, if approached holistically, can

help families restore livelihoods. For example, World

Vision provided small-scale agricultural training to 300

beneficiaries in Corail – each of whom also received

seeds and tools to establish gardens. These gardens

can provide both a source of income and food security

for families. To further support agricultural efforts in

Corail, World Vision installed four new cisterns.

In Port-au-Prince, Hinche and Mirebalais, small

producers were trained in modern crop techniquessuch as soil rehabilitation and the preparation of

natural, non-toxic pesticides and organic fertilisers.

Short-term employment opportunities were created at

a World Vision-operated demonstration garden, and

community members were employed in reforestation

efforts designed to reverse environmental degradation.

In the community of Pernier, 300 families received

chickens along with training on how to look after them

and market their eggs.

revitalising communities through cash

saving for the future World Vision implemented ‘savings groups’ as a

means to provide cash access outside of mainstream

financial systems to small rural producers. Twenty-five

self-financed groups were organised with almost 600

participants, 87 per cent of whom were women.

The total savings amount of US$10,000 can now

be lent to the groups’ members on a rotating basis,

helping them to invest in livelihood opportunities that

were previously unavailable to them.



Whether because of the brightly coloured signage, the kompa music filling the air or the frequent visitors lingering

outside, the Miracle of Faith restaurant at the entrance to the Corail transitional settlement site is hard to miss.

‘I have so many customers, I can’t count them’, exclaims Abner, the restaurant’s owner. ‘Even the World Vision

staff eat here. We have plantains, rice, beans, chicken, fish and corn. I buy them from the markets, and I have

staff who do the cooking.’

In the absence of local employment options, many people at Corail have star ted small businesses. Most recognise that profitability won’t be high, but they’re doing what they can. World Vision has been working to support such

endeavours, providing business training and small grants. Abner was one of the first to benefit.

‘After I opened the business, World Vision started running a programme to help people with small businesses.

I was registered and I attended seminars’, he says. ‘I was given a small amount of money, and I bought all of the

missing things for the restaurant. I also added this’, he says, pointing to the restaurant’s makeshift verandah.

‘It is called Miracle of Faith because it was unexpected. It was out of nowhere that I ended up living here and

having this.’

Abner arrived at Corail after relocating from a camp in Port-au-Prince. He had lost his house and his business –

also a restaurant – during the earthquake. ‘The building collapsed with all of my belongings. I only have my life.I had time to run away when the house was collapsing.

‘Some of my customers here are my same customers from before. Most of my friends are in the camp, so

sometimes I give them a meal for free. I have family in Corail too. Some of them are “living on my shoulders”.’

The training offered by World Vision – in basic skills including elementary accounting, marketing, stock control

and customer service – has so far been given to 800 people at Corail. Upon completion, all participants

received small grants. They were then encouraged to develop business plans, and those with the strongest

plans were further encouraged with extra training and a second grant.

‘In my soul I am a businessman’, says Abner with a grin. ‘But World Vision’s seminars taught me things. That’s

how I keep the business going on.’

Abner is always thinking of ways to improve his business. He has a special reason to ensure he keeps bringing

in money. ‘My wife is pregnant now’, he says. ‘We’re going to have a baby.’

‘I like my work’, concludes Abner, before returning to his duties inside. ‘It helps me to rely only on myself and it

helps me to help other people, too.’

field viewa ‘miracle of faith’, smallbusinesses receive boostfrom World Vision





Access to quality health care and nutrition remain major challenges two years after the

earthquake. World Vision has continued to serve the needs of displaced families while

working to prevent disease and rehabilitate some important health infrastructure.

Providing basic health services in a country without adequate, equitable health infrastructure

is a challenge, at best. In Haiti, specific hurdles include a shortage of experienced staff, a lack of

suitable sites for clinics, and a shortage of medical supplies and equipment. A heavily privatised

and unregulated system also means many families cannot afford basic health care, even where

it exists.The 2010 earthquake further complicated the situation. More than 50 hospitals or health

centres were destroyed or rendered unusable.13

World Vision’s first-year response prioritised the immediate needs of displaced children and

families. Drugs and medical supplies were rushed to 14 hospitals. Static and mobile clinics were

used to provide urgent care – including safe-delivery kits for pregnant women and nutritional

checks and immunisations for children under 5. More than 54,000 visits were recorded at

World Vision-operated clinics.

Today, World Vision continues to provide basic health-care services while working to rebuild

and expand health infrastructure in local communities.

health,nutrition and

well-being

13 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of Haiti, Government of the Republic of Haiti, 2010.




preventing disease, promoting well-beingPrevention and education are amongst the best

(and most efficient) forms of health care. In the two

years since the earthquake, World Vision has given

thousands of survivors the tools they need to

protect themselves from killer diseases that stalk

vulnerable populations.

World Vision has reached more than 9,000 youngpeople through health training programmes. Over

33,000 displaced women have participated in

Mothers’ Clubs, where they received nutritional

counselling as well as supplemental feeding resources

to benefit them and their children.

Without a suitable health infrastructure, pregnant

women and new mothers are at particularly high risk.

The first thousand days are crucial to a child’s long-

term development. To give new mothers and their

children the best possible chance of thriving, World

Vision trained 55 traditional birth attendants and

equipped them with Caregiver Kits. More than 9,400

women received training and education on maternal

and child care.

Disease can spread all too easily within the

heavily populated camps, so offering educationalopportunities for internally displaced persons is

especially important. World Vision’s educational

programming within camps included advice on

handwashing and the prevention and treatment of

diarrhoea, HIV, malaria and more. Theatre groups

used creative methods to raise awareness about the

importance of good hygiene, rubbish disposal, mental

health and other health-related concerns.

supporting local health systemsMany hospitals were damaged or destroyed by the

earthquake. Those that remained operational faced

an overwhelming burden that quickly exhausted their

resources. World Vision has responded by equipping

11 hospitals with vital medical supplies. In addition,

the Ganthier Health Centre was rehabilitated, along

with four damaged clinics on La Gonâve.

As mobile health clinics were phased out of camps,

World Vision supported local health-care providers

with essential medicines and supplies, better

equipping them to accommodate camp residents

in need of ongoing health assistance. We have also

conducted capacity-building training with a number of

staff from government health centres.

delivering basic health-care servicesTwo years on from the disaster, World Vision is

operating two xed clinics and ve mobile health

clinics in Port-au-Prince and three more near the

border with the Dominican Republic.

World Vision established 20 baby-friendly areas in

displacement camps, where parents were able to

receive counselling and nutritional support for the

newest members of their families.




helping to heal emotional woundsMany of the deepest wounds inflicted by the

earthquake are invisible. World Vision established a

small but vital mental health programme to assist

those suffering emotionally.

In a relatively new initiative for World Vision in

humanitarian emergencies, mental health assessments

were conducted and interpersonal therapy groups

reached more than 260 people in 12 camps during

the first year of the response. Referral services were

offered to those affected by mental health issues

and workshops were conducted in seven camps

to combat the stigma often associated with mental

health issues.

Seventeen volunteer community workers, 120

teachers and 225 World Vision staff were trained in

psychological first aid, with special priority given to

staff working with children.

serving people living with disabilitiesSince the earthquake, World Vision has provided

special support for 624 people living with disabilities,offering assistance through livelihood support ,

counselling, income-generating activities or a

combination of these. Seventy-seven focus group

discussions were conducted, especially for mothers

of disabled children. A number of children withdisabilities were referred to other non-government

organisations (NGOs) for prosthetics and orthotics.



24

Under a big tree in a Port-au-Prince camp, seven women sit close to one another, chatting. They appear an

unlikely friendship group, with ages ranging from mid-twenties to the elderly. What they have in common is

homelessness (all lost their houses in the earthquake) as well as joblessness, but also a third condition rarely

discussed in Haitian culture: all these women have shown symptoms of clinically diagnosable depression.

They have been gathering here for 11 weeks to attend an Interpersonal Therapy Group facilitated by World

Vision. Aude Piquion Angelique, who facilitates the sessions, recalls the first time she met them.

‘In that first session, the women were so depressed. They were living in despair. They didn’t talk when you

spoke to them.’ Witnessing the group in its 11th week, this is difficult to imagine. When Aude arrives at the

camp, the women leap to greet her like an old friend.

Aude announces that today’s conversation topic will be ‘How can we manage negative thoughts?’

The women discuss this amongst themselves. Marie,* one of the younger women, offers, ‘We should breathe

in and breathe out before acting on negative thoughts.’ The women on either side of her nod thoughtfully.

‘Before the programme commenced, we did a study to determine how the symptoms of depression were

expressed in local language and culture’, explains Alice Male, World Vision’s psychosocial programme manager.

A series of camp surveys were then conducted, and vulnerable people were invited to participate in groups

like this one to share experiences and seek support.

Sabine, in her late forties, says she felt at a loss after the earthquake. ‘I felt so angry. I had a child who almost

died. I felt like my life wasn’t worth living. I wanted to die. I didn’t eat. I didn’t want to spend time with my

children. Things were wrong.

‘Now, after the sessions, I feel calm. After the ear thquake it was like I was upside down. But talking to the

women was like a big broom that swept the bad things away.’

Aude has seen transformation in all of the women. ‘It’s totally different now. They’re looking for jobs; they’re

trying to have good lives with their families. Their faces are joyful. They can laugh; they can play’, she says.

At the end of the session, Sabine has an announcement to make. ‘I’ve decided to go back to school’, shesays. ‘I’m ready to learn to write and read. It’s never too late to learn; you must know that. First you learn to

breathe, then you can start to learn. Then you can do anything.’

field viewlearning to breathe – women’s therapy group


* All names have been changed for confidentiality




The cholera outbreak that began in October 2010 has claimed thousands of lives. World

Vision responded immediately, deploying medical teams and equipment to affected areas

and working to prevent further spread of the disease.

In October 2010, a cholera epidemic emerged in the Artibonite region north of Port-au-

Prince. The outbreak spread quickly from Artibonite to four other administrative regions in

Haiti. By December 2011, nearly 500,000 people had been infected and some 6,700 had died.

The earthquake had damaged Haiti’s already limited water and sanitation infrastructure.

People were living in close, unhygienic quarters. As a result, cholera – which is transmitted by

contaminated water – spread all too easily.

World Vision’s response has involved treating those infected and launching prevention efforts

to protect vulnerable populations from further spread of the disease. More than 250,000

people in Port-au-Prince and several rural communities benefited from these interventions.

choleraresponse




preventing further outbreaksTo combat the spread of cholera, World Vision

provided access to clean water and sanitation, while

also raising awareness about the importance of good

hygiene.

In a six-month period, World Vision trucked

188 million litres of clean water into displacement

camps and mounted 94 water storage tanks. Other

water-related distributions included

• 228waterfilters

• nearly41,900waterstoragecontainers

• 8.9millionAquatabs® (water purification tablets).

To provide access to sanitation and hygiene, World

Vision constructed more than 700 latrines and 600

showers. Brooms, brushes, face masks, gloves and

cleaning solution were also provided to help keep

latrines clean and safe.

World Vision installed 8,230 handwashing stations

in schools, child-friendly spaces and early childhood

development learning centres. Approximately 6,000

households received more than 575,000 bars of soap,

and more than 4,500 dwellings were disinfected inresponse to confirmed or suspected cases.

World Vision also partnered with communities to

counter poor hygiene with education and awareness-

raising activities. Approximately 30,000 households,

along with 1,681 community health volunteers,

received training in how to recognise, prevent and

treat cholera. In partnership with UNICEF, World

Vision donated cholera kits and educational resources

to 495 schools, benefiting more than 148,000 children

and nearly 2,800 teachers.

remaining vigilant against thecholera threatA variety of treatment and prevention activities

are being planned as part of the ongoing cholera

response. In coming months, World Vision will

continue to support and equip four CTUs, one

CTC, and 44 ORPs. By training 400 health agents,

World Vision will ensure that some 200,000 people

in Port-au-Prince and the Central Plateau region will

receive cholera education, and 30 community-based

water and sanitation committees will be trained and

equipped.

In addition, World Vision will distribute water

treatment products to 14,000 families and train

beneficiaries in how to use them to protect

themselves from waterborne illness. At least seven

boreholes in Port-au-Prince will be rehabilitated to

provide further access to clean water.

providing life-saving treatmentIn response to the outbreak, World Vision quickly

established several lines of treatment. Mild cases of

cholera were treated at 44 community-based oral

rehydration posts (ORPs). Moderate to severe cases

were referred to cholera treatment units (CTUs) andcholera treatment centres (CTCs), some operated by

World Vision.

As of June 2011, World Vision had responded to

more than 7,000 suspected cases of cholera, over

6,300 of which were confirmed. Approximately

98 per cent of conrmed cases were successfully

treated.



27

When World Vision staff first met 12-year-old Gonzales, he was lying on a bed in a CTU, an IV drip in his arm,

looking miserable. ‘I feel sick’, he said. ‘I got a headache first , then a bellyache, then diarrhoea. I came here this

morning. My mum made me come because she was worried about me. I wish I was playing soccer.’

Gonzales is one of nearly 500,000 people to have contracted cholera since the outbreak struck Haiti in

October 2010. He is also one of thousands of people to have been treated by World Vision. Since the beginning

of the epidemic, staff have been working rigorously to treat cholera patients and prevent new cases from

occurring. As part of its cholera response, the organisation facilitated ORPs and CTUs in both Port-au-Princeand rural areas, and also operated a CTC, offering the highest level of non-hospital care for cholera patients.

The CTU where Gonzales was treated was set up in a tent between two camps to serve the many

earthquake-affected people living in the area. In the sanitised facility, patients receive oral or intravenous

rehydration or antibiotics under the watch of trained medical staff.

‘When CTUs were first beginning, we’d have 10, 12 patients. Not many. People didn’t know, or they didn’t

want to come’, says Manol, a World Vision doctor working with cholera patients. ‘There was a certain stigma

attached to cholera. Even when they did come, they wouldn’t say: “I think I have cholera.” Now people are

more educated, and more people come.’

Gonzales is certainly knowledgeable on the subject. ‘I have cholera’, he told us. ‘I know how to prevent it. I

know that we have to wash our hands, make sure our meal is well cooked. We need to drink potable water,

and whenever you feel bad the first thing is to drink oral rehydration serum. I know this because of awareness

campaigns, and at school I learn about it. But I was unlucky today.’

Gonzales needed to stay in the CTU for a few more hours, until he was properly rehydrated, but the nurses

assured him he wouldn’t need to go to hospital overnight.

A few weeks later, staff paid a visit to Gonzales at home, in the small structure made of corrugated iron,

plywood and tarps he shares with his mother, brother and sister. It was the second visit he’d had from World

Vision since he was in the CTU. As in all cholera cases treated at World Vision facilities, workers had been

there to disinfect his home shortly after he was released, and to make sure he was doing okay.

Gonzales was a picture of health as he ran inside to greet his visitors. ‘I’ve been playing soccer’, he said, panting

and wiping sweat from his brow. ‘I haven’t been sick again. I’ve been feeling good since I went to the CTU.’

‘I am really grateful to the staff at the CTU’, his mother, Nevanie, said. ‘We can’t afford to go to the doctor. It

was good that I knew the CTU was there. I’m so happy he is okay’, she said, putting her arm around Gonzales.

‘The people at the CTU do a good job, I think’, said Gonzales. ‘Life is hard for all of us here in the camp; we’re

very vulnerable. So I’m happy that they’re able to look after us.’

field view treating cholera amongst the most vulnerable





World Vision continues to ensure access to clean water, sanitation and hygiene (WASH) for

those affected by the earthquake. From January to June 2011, we provided ongoing supportto more than 220,000 individuals. As attention shifts from relief to recovery, World Vision

is focused on delivering sustainable, community-led solutions to ensure long-term access to

water, sanitation and hygiene.

Clean water and sanitation were scarce in Haiti before the earthquake. About four out of five

people lacked access to adequate sanitation, while two in five had no access to safe water.14 The

earthquake further reduced the availability of drinking water and contaminated existing water

supplies as infrastructure was either damaged or not available in key intervention areas such as

the camps.

Two years on, access to water and sanitation remains a serious challenge, especially in the

displacement camps in and around Port-au-Prince. The costs associated with many critical

interventions can be prohibitive in some cases, and implementing permanent solutions is

especially challenging within the capital city.

For more than 18 months following the earthquake, World Vision provided free, clean water to

hundreds of thousands of people in camps. We installed latrines and handwashing stations. In

recent months, World Vision has been working with communities to establish more sustainable

sources of clean water, and empowering local communities to manage them. In addition, families

are being given the tools and information they need to ensure good sanitation and hygiene.

water,sanitation

and hygiene

14 ‘At a Glance: Haiti: Statis tics’, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html. Only 17 per cent of thepopulation uses improved sanitation facilities, while 63 per cent use improved drinking water.








delivering a sustainable water supply At the beginning of the earthquake response, getting

clean water to survivors was essential. For families

living in camps, the provision of clean water remains

essential to safeguarding the health of children and

preventing disease outbreaks. World Vision has trucked over 612 million litres of water to those in

need. In mid-2011, in line with a strategy embraced

by the humanitarian community in Haiti, World Vision

began phasing out free water trucking, working with

camp communities to identify more sustainable

options instead. Outside of the camps, a concerted

effort has been made to expand access to local,

sustainable sources of water.

From January to June 2011, World Vision constructed

14 new spring catchments and rehabilitated

13 existing ones. Water from these catchments

was collected in a central reservoir and treated

with chlorine donated by DINEPA, the Haitian

government’s water and sanitation authority. From

there, water was distributed via 53 newly constructedstand-posts, each of which can reach up to 450

households. As a result, 23,850 families gained access

to clean water. World Vision also partnered with

DINEPA to connect several communities to the

Port-au-Prince water network.

Eleven new boreholes were sunk and equipped,

enabling beneficiaries to tap into groundwater

supplies. Two of these boreholes were sunk at

schools in Port-au-Prince, providing water for more

than 2,000 students.

empowering communitiesCommunity-based management, which empowers

local communities to take ownership of new and

rehabilitated water supplies, is a key component of

World Vision’s water-related programming. More

than 400 community members participated in

68 water point user committees (WPUCs)

supported by World Vision. Village pump minders

(VPMs) were appointed to maintain local water

points. These efforts will help ensure that new water

supplies remain operational long after relief and

rebuilding efforts have come to a close.

ensuring access to sanitationSanitation interventions, such as the disposal of

human waste and the provision of showers and

latrines, are crucial to the prevention of waterborne

illness. World Vision constructed 530 ventilated

improved pit (VIP) latrines in displacement camps and

communities between January 2010 and July 2011.

Another 143 existing latrines were desludged and

converted to VIP latrines.

In addition, camp communities received hundreds of

new showers, beneting over 132,000 individuals.

(For more information on sanitation efforts, see

‘Cholera’ on pages 25–27.) World Vision also

implemented drainage, mosquito control and

waste collection projects to prevent the spread of

waterborne illness.

In response to a chronic need shortly after the

earthquake, World Vision launched a project to

improve Port-au-Prince’s only waste-management

site. The Truitier site was being used as a dumping

ground for solid, liquid and medical/biological waste,

posing multiple hazards to the many people who

inhabit the area, as well as those visiting the site to

deposit waste. As an emergency intervention, WorldVision built two settlement ponds for liquid waste

management and facilitated the separation of solid,

liquid and medical waste. Roads were constructed

to ensure safe access to the site. At the end of

September 2011, World Vision began coordination

with relevant government authorities, UNICEF and

the WASH cluster (see explanation of ‘cluster’ system

on page 41) to close out the emergency ponds as a

new municipal site was developed for Port-au-Prince.




cultivating good hygiene World Vision’s hygiene interventions combine

awareness-raising efforts with the provision of critical

supplies. For example, handwashing stations were

set up near latrines in Port-au-Prince, and hygiene

kits were distr ibuted to many camp residents. WorldVision established health and hygiene committees

in displacement camps, while 200 students were

recruited for an intensive Trainer of Trainers

workshop. Upon completion, each participant was

tasked with training at least 10 other students at their

schools, ultimately reaching 5,000 students withhygiene education.

transitioning to long-term solutions World Vision has begun scaling down water trucking

operations in camps where more sustainable options

can be deployed, such as repairing nearby water

sources and testing water to ensure that it is potable.

In several camps that are accessible by truck, DINEPA

has taken over maintaining the latrines. World Vision

will continue to maintain latrines in less accessible

camps until this service can be withdrawn without

compromising the safety of camp residents.

Emergency water interventions

Until June 2011, World Vision was delivering

1.1 million litres of clean drinking water every

day in 36 camps. World Vision has also installed

96 water tanks.




Even as we continue our response to the 2010 earthquake, World Vision is working to

prepare communities for future emergencies. Disaster risk reduction is being incorporated

into all ongoing development plans as Haiti continues to transition from relief to recovery.

Natural and human-made factors combine to make Haiti particularly vulnerable to disaster.

The island of Hispaniola lies on an active fault zone, and its location in the heart of the

Caribbean Sea puts Haiti in the path of numerous tropical storms and hurricanes.

In 2008 alone, Haiti was hit by four major storms, damaging agriculture and infrastructure.

The country had not yet fully recovered from this sequence of disasters when the earthquake

struck in 2010.

Nine months after the earthquake, Hurricane Tomas struck Haiti, displacing families,destroying livelihoods and flooding several areas. Thankfully, the damage was less than had

been feared, partly due to advance preparation by the government and humanitarian groups.

In 2011, Haiti experienced two severe weather events: Tropical Storm Emily and Hurricane

Irene. Both storms caused isolated flooding and mudslides.

Haiti’s vulnerability is not purely the result of natural phenomena. Environmental degradation

has taken a high toll; 97 per cent of all land in Haiti is deforested, increasing the risk of flooding,

erosion and landslides, especially during severe weather events.15

More than 550,000 Haitians still live in displacement camps.16 World Vision is committed to

helping these displaced families withstand the next disaster by preparing communities for what

might come and embedding risk management into our programming country-wide.

disaster risk reduction

15 Fast Facts: Haiti: The Situation, UNICEF, www.unicef.org/media/files/FastFacts_Haiti_Final.doc.16 Displacement Tracking Matrix, IOM, 30 September 2011.

http://www.unicef.org/media/files/FastFacts_Haiti_Final.doc



http://www.unicef.org/media/files/FastFacts_Haiti_Final.doc




providing education and raising awareness World Vision works with camp residents to anticipate

a potential disaster, ensuring they know how to

prepare. At the onset of Haiti’s annual rainy and

hurricane seasons, and as threats of isolated events

came to light, displaced families were instructed inpotentially life-saving activities such as securing tents,

following government warnings and instructions,

identifying safe havens, protecting vital documents,

and ensuring access to clean water.

In addition, approximately 2,000 families at Corail

received DRR training in 2011, in partnership withthe Department of Civil Protection.

pre-positioning emergency relief supplies World Vision has supplies pre-positioned throughout

Haiti – both in Port-au-Prince and in rural areas.

These include items that families need most in the

hours and days immediately following a disaster:

tents, tarpaulins, mats, sheets, blankets, kitchen sets,

mosquito nets, hygiene kits, water containers, water

purification tablets, f lashlights and more.

Reforestation projects are helping to restore

the local environment and reduce the risk of

flooding, erosion and mudslides. For more,

see ‘Economic recovery and livelihoods’ on

pages 18–19.




World Vision is committed to safeguarding human rights for Haiti’s earthquake survivors.

In everything we do, we seek to ensure the safety, dignity and participation of the most

vulnerable populations.

Two years after the earthquake, many survivors – especially the nearly 550,00017 still living in

displacement camps – face serious protection issues. Informal settlements are often plagued

by insecurity and governed by powerful individuals with various interests which do not always

prioritise the safety and protection of the vulnerable.

Women in particular remain vulnerable to sexual and gender-based violence (SGBV). For

example, an August 2011 report by the Human Rights Watch found that a number of

displaced women rely on transactional sex simply to survive.18

Humanitarian protection is a cross-cutting sector in World Vision’s earthquake response.

Interventions aim to ensure that disaster survivors are

• safefromviolenceorthethreatofviolence

• safefromcoercionorexploitation

• safefromdeliberatedeprivation,neglectordiscriminationthatwouldpreventthemfrom accessing the means for survival with dignity.

protection

17 Displacement Tracking Matrix, IOM, 30 September 2011.

18 ‘Nobody Remembers Us’: Failure to Protect Women’s and Girls’ Right to Health and Security in Post-Earthquake Haiti,Human Rights Watch, 2011, ht tp://www.hrw.org/sites/default/files/reports/haiti0811webwcover.pdf.

http://www.hrw.org/sites/default/files/reports/haiti0811webwcover.pdf







protecting community members World Vision works to ensure that community

members understand their rights and know what

resources are available to them. Toward this end,

8,300 beneciaries were sensitised in human rights,

gender-based violence, and the prevention of sexual

exploitation and abuse. In many cases, World Vision

was able to distribute resource cards identifying local

organisations that assist SGBV victims.

World Vision’s protection team responded

to concerns and human rights abuses within

displacement camps, making 776 visits to follow up

on various protection issues.

training staff and community leadersStarting in August 2011, 237 community leaders and

another 140 community members participated in

training on humanitarian protection, including how to

prevent SGBV.

More than 600 local staff and contractors received

training on the minimum standards of protection.

Another 173 staff were sensitised on preventing

sexual exploitation and abuse, and 35 field staff were

trained in psychosocial first aid.

partnering for the futureIn the months ahead, World Vision will partner

with local organisations that specialise in protecting

vulnerable populations. By engaging in capacity-

building activities and offering technical advice and

support, a durable, local solution can be designed for

the protection of entire communities. As part of this

effort, World Vision has begun exploring partnership

opportunities with 10 local women’s organisations.

identifying and mitigating risk Protection risk assessments were completed in

all World Vision-managed camps in consultation

with more than 620 beneciaries. Preliminary

results showed that the primary threats were

domestic violence, sexual exploitation and the abuse

of power by camp committees. World Vision is

tailoring protection activities to address the concerns

identified by beneficiaries.




Advocacy has been an integral component of World Vision’s earthquake response

from the beginning. Over the past two years, we have been speaking out on behalf of

and with children and affected communities, ensuring that their voices are heard in the

reconstruction process. World Vision has defended the rights of displaced families facing

eviction from camps and sought to protect the most vulnerable, especially children, and

ensure aid effectiveness.

As time goes on, nearly 550,000 people continue to live in camps, facing the growing threat of

forced eviction in the absence of durable solutions to displacement.19Children remain vulnerable

to violence, neglect, abuse and exploitation.

World Vision seeks to change policies, systems, structures and behaviours in ways that reflect the needs expressed by the most vulnerable. We do this by advocating for the rights of children

and making sure their best interests are taken into consideration during decision-making at the

local, national and international levels. We have been advocating with national stakeholders for

the protection and participation of children, the rights of the internally displaced and the fair

allocation of aid to children and youth.

Internationally, World Vision has been working with partner NGOs and networks to influence

the political agenda of donors, the European Union and the United Nations in order to ensure

greater focus on Haitian children and youth. We have leveraged our global presence to advocate

for priority issues in the Latin America and Caribbean region, as well as in Geneva, New York,

Washington, Brussels and Ottawa. World Vision works at every level of society, engaging

with the government of Haiti, the United Nations and its agencies, Haitian civil society and

communities themselves.

advocacy

19 Displacement Tracking Matrix, IOM, 30 September 2011.




protecting children and making their voices heardAlong with UNICEF and Plan Haiti, World Vision is a

leading member of the Global Movement for Children

(GMC) in Haiti. GMC has facilitated youth and child

consultations at the national level, publicly through

media as well as in high-level meetings amongst

children, youth and key stakeholders such as the

UN General Assembly, the UN Economic and Social

Council (ECOSOC) and Haiti’s first lady.

In the past year, World Vision has also taken the

cause of child protection to the General Assembly of

the UN Human Rights Council, the Haiti government,

the UN independent expert on human rights, USAID

and several other key stakeholders.

These activities have allowed for the views of children

and youth to be included in reconstruction policies

and strategies, and have increased political and

public awareness regarding the rights of children to

protection.

ensuring aid effectivenessTogether with the GMC, World Vision published a

report on the effectiveness of policies and strategies

to protect children and youth. The report was

presented at the UN headquarters in New York by

two young people from Haiti.

World Vision also disseminated a policy paper, calling

for the continued commitment of the international

community to Haiti, particularly as it transitions from

relief to development, and emphasised the need to

support fractured communities in building a stronger

civil society and strengthening the government’s

structural and institutional capacity. This paper was

shared with key donors, the government of Haiti and

the UN.

standing up for displaced families World Vision worked with other international

agencies to develop procedures that better protect

families who are facing eviction from camps. By

helping camp committees negotiate closure dates, we

can delay camp evictions, allowing families valuable

time to seek alternative living accommodations.

Using field-based research on camp transition and

forced evictions, World Vision lobbied local and

international bodies to ensure that durable solutions

to displacement are found, respecting the dignity and

rights of internally displaced populations.




empowering communitiesFor change to be sustainable, the people of Haiti

must be able to know and effectively claim their

rights, monitor public policies and hold duty bearers

accountable.

To facilitate this, World Vision trained several

hundred camp residents and civil society organisations

to advocate for improvements to local services and

public policies.

Throughout the coming year, World Vision will

continue to stand alongside the Haitian community

in advocating for the rights and protection of its

children.

Going forward, World Vision will seek to influence

policies that will help

• ensurethatchildrenareprotectedandableto

participate in all decision-making processesaffecting them, including reconstruction and

community development

• ensurethattherightofdisplacedfamiliesto

durable solutions is protected

• continuetoensureaideffectiveness

• empowerandmobilisecommunitiestoincrease

access to livelihood, water, sanitation, hygiene

and educational opportunities.



38

Camille isn’t one to shy away from voicing her opinions. The 19-year-old is outgoing, articulate and passionate.

But even the most accomplished speaker could be excused for feeling a little anxious when addressing the

United Nations General Assembly, which was what Camille found herself doing last July.

‘When I spoke to the delegates at the United Nations I was very nervous’, she says, ‘but it felt so good. I was

very proud.’

Camille travelled to New York with eight other young Haitians to attend the United Nations High-LevelMeeting on Youth, held on 25–26 July at the UN headquarters .

‘I spoke in front of many people, important people. I was the only youth to speak in the name of Haiti. The

other delegates were adults who spoke for youth.’

The nine young participants have all been part of the Global Movement for Children (GMC) in Haiti, a

collaborative amongst World Vision, Plan and UNICEF. Involving youth with living situations ranging from

urban camps for the displaced to remote communities, GMC activities are aiming to empower Haiti’s youth,

who make up nearly half of the population, by encouraging them to play an active role in the rebuilding of

their country.

‘The best thing about coming to the United Nations was the time when we spoke about our lives in Haiti, atour own side event’, said 14-year-old Fabienne. ‘We spoke about the problems and proposed alternatives. It

was a great opportunity to have our voices heard.

‘There are so many problems for youth in Haiti, particularly relating to education and unemployment’,

explained Fabienne. ‘For me, there are three major problems. Firstly, there is no security. Second is education

and, third, there are no jobs for our relatives. Children and youth face many challenges, but their relatives don’t

have jobs, and so they can’t satisfy their needs. So, things don’t improve.

‘As youth, we can advocate, but the youth can’t resolve these problems unless the government does its

part.… I ’d like them to integrate the youth into all of their activities. They have to create more schools, better

education. I’d like to ask the authorities to subsidise education, so kids can go to school.’

Haiti has long had a privatised education system, meaning a good education is a privilege, despite it being

a basic right. Fabienne, though, remains hopeful that things can change. ‘I think this is possible … if the

government wants it to be possible.’

If Haiti’s reconstruction truly depends on its youth, the nine bright and optimistic Haitians who made sure their

voices were heard on the world stage certainly show potential – and they all have ambition to match.

field viewHaitian youth attend UNHigh-Level Meeting onYouth, New York





World Vision is working with other NGOs and the private sector to nd innovative

solutions to emergency relief and long-term development. This emerging sector is helping

to fuel job creation and will remain a key theme in our work in Haiti for years to come.

Innovation and partnering (I&P) is a relatively new component of World Vision’s emergency

response programming. In partnership with other NGOs and the private sector, World Vision isexploring nontraditional methods of economic recovery in the aftermath of disaster while also

seeking to make effective use of technology.

In Haiti, World Vision is able to leverage the proximity of industrialised nations like Canada and

the United States to forge creative new ventures. I&P efforts are focused on generating local

employment opportunities, which are essential to Haiti’s long-term recovery.

innovation andpartnering




harnessing technology to ensure safe,fair aid distributions World Vision teamed up with the Canadian IT

firm FieldWorker Mobile Technology Solutions to

implement Last Mile Mobile Solutions (LMMS), a tool

for making aid distributions and projects like cash-for-

work more effective, eff icient and accountable. More

than 100,000 benef iciaries have been registered using

the handheld computer units.

With the swipe of a photo ID, families receive the

assigned goods or vouchers at the distribution point.

LMMS eliminates reliance on paper-based systems

and can reduce wait time for beneficiaries. The

technology was also used to automatically calculate

accurate rations and minimise the risk of fraud or

error. In some projects, LMMS was used alongside

mobile payments. World Vision continues to expand

LMMS use across projects, and is sharing the

technology with other agencies.

other partnerships World Vision engaged in a pilot project with

Caribbean Crafts to employ artisans living in a

displacement camp so they can make and sell

bracelets. Outside of Port-au-Prince, a digital

employment centre was operated in partnership with

Samasource, providing long-term employment for 17

people, while a partnership with Miami Dade College

sought to improve professional education in Haiti.

partnering for the futureI&P will remain part of World Vision’s long-term

development efforts. Future projects include apartnership with the Haitian government and

local bottling companies to employ up to 4,000

people in a recycling project.

World Vision is also working to link artisans with

international designers and partnering with localagricultural companies to help improve the value

chain for farmers, ensuring they have greater

opportunity for a more sustained income.

making mobile paymentsIn partnership with Digicel and Scotiabank, and Voila

and Unibank, World Vision was able to complete

more than 5,000 mobile payments and more than

15,000 unique transactions, supporting cash-for-work

and cash voucher programmes to ensure timely,

reliable and safe payments to beneficiaries. This

initiative, which helped introduce mobile banking

to Haiti, supported local businesses by helping to

disseminate a new technology platform for the

country. Using mobile payments, World Vision could

manage its resources more productively, freeing up

payment processing costs for other programming

work. World Vision hopes to expand this across

programmes, with increased options for purchases in

local stores.




Collaborating with other agencies is essential to improving the quality, effectiveness

and efciency of our programming. At World Vision, we are able to leverage more than

three decades of on-the-ground experience in Haiti to help maintain the highest levels of

coordination with NGOs, communities, governments and donors.

Coordinating with other organisations is vital to ensuring that beneficiaries are properly

identified, assessed, assisted and monitored. World Vision has a long history of working

with other aid agencies in Haiti, as well as with the national and local government. Such

coordination is helpful in determining which agency is best placed to deliver specific services

in the most efficient and effective manner and to ensure that all earthquake victims’ needs are

being met in some way.

aid agency coordination

key partners World Vision is an active member of the interagency

‘clusters’ system, a grouping of UN agencies, NGOs

and other aid organisations that collaborate on

information management, response standards and

practices. In total, there are 11 clusters: Protection;

Camp Coordination and Management; Water,

Sanitation and Hygiene; Health; Emergency Shelter;

Nutrition; Emergency Telecommunications; Logistics;

Education; Agriculture; and Early Recovery.

As a participant in the Humanitarian Country team,

and as a member of the Coordinating Committee

of NGOs, World Vision works to ensure that

aid agencies coordinate to deliver assistance in a

principled, timely, effective and eff icient manner that

contributes to long-term recovery.

World Vision also belongs to the International Council

for Voluntary Agencies, InterAction and the Comité

Permanent Inter-organisations, which coordinate

efforts on humanitarian standards, accountability and

response activities.

Partnerships with local and international organisations

have ensured that contextually appropriate services

are provided to target communities. Partners include

a number of local organisations in Haiti, as well as

the UN and international humanitarian agenciessuch as Oxfam, Save the Children, Mercy Corps, the

American Red Cross, Handicap International, Plan

International, Concern, Goal, the Refugee Education

Trust and Samaritan’s Purse.

As in every disaster situation, World Vision adheres

to the standards set by the UN Off ice for the

Coordination of Humanitarian Affairs and the UN

Inter-Agency Standing Committee.



42

The Sphere Project

World Vision hosted the Sphere Project in Haiti, supporting the implementation of the humanitarian charter

and minimum standards for disaster response. In this role, World Vision was able to offer capacity-building

services to other international aid agencies, Haitian civil society organisations and the government of Haiti,

with the goal of improving the quality and accountability of future humanitarian responses. For example,

434 representatives from different agencies participated in a two-day training session designed to promote

awareness and practice in relation to the Sphere Standards. An external evaluation found that the Sphere

Project helped to increase participants’ capacity to use the Sphere Standards to promote best practices in

humanitarian work.


From the very beginning of our emergency response in Haiti, World Vision has integrated

accountability measures into our work. Accountability is crucial not only for our donors but

also to ensure the highest possible standards of excellence and community participation in

all our programming.

Accountability is essential to effective disaster relief and development. For this reason, World

Vision is a signatory to the following:

• PeopleinAidCodeofBestPracticeintheManagementandSupportofAidPersonnel

• CodeofConductforTheInternationalRedCrossandRedCrescentMovementandNGOs

in Disaster Relief.

In addition, World Vision is committed to implementing the Humanitarian Accountability

Partnership (HAP) Standard in Humanitarian Accountability and the Sphere Standards.

This commitment to accountability is captured in World Vision’s Programme Accountability

Framework, which outlines how field programmes can ensure transparency, consultation and

participation.

theresponsibility

of accountability



43

Women and youth tell their own stories

For 10 weeks, starting in July 2011, 10 women and 10 youth living in IDP camps participated in a World Vision

Accountability-Communications pilot project where they learned video, reporting, interviewing, storytelling and

photography skills. Personal stories and some of Haiti’s issues were made into short-form documentaries, portraits

and stories. Participants visited Haitian media outlets, assessed ways to participate with protection and water/

sanitation teams on community awareness, and used their new skills to hold a press conference with World Vision

Haiti leadership.


consulting with communities World Vision’s Humanitarian Accountability Team

(HAT) seeks to ensure accountability in our

activities by building relationships with the childrenand families living in displacement camps as we

work to meet their needs.

To date World Vision has coordinated with more

than 63,600 beneficiaries in camps around Port-

au-Prince, sharing information about who we are,

how we work and what we are doing in their

communities. HAT also works to raise awareness

about key protection issues in various communities.

In June 2011, World Vision conducted an Obstacles

and Options survey, communicating with 4,650

households to better understand their preferencesfor long-term settlement. The findings from this

study are helping shape ongoing efforts to provide

lasting solutions for displaced families in Haiti.

World Vision has also implemented an anonymous

complaints and response process, benefiting more

than 12,700 households to date and providing

community members with a means of sharing

confidential feedback through the use of suggestion

boxes, community feedback groups and the piloting

of a toll-free hotline in some camps.

building staff capacity World Vision is committed to promoting the

importance of accountability amongst staff. In recent

months, 112 field and management staff in Haiti

received training in humanitarian accountability

principles and practices, including the Sphere

Standards, HAP accountability implementation tools,

and the Red Cross and Red Crescent Movement’s

Code of Conduct for disaster relief.

ensuring programme effectiveness World Vision’s design, monitoring and evaluation

(DME) activities seek to measure the effectiveness of

humanitarian programming. Listening to community

members is essential to successful DME.

Over the past year, World Vision has initiated

a number of field studies utilising focus group

discussions, key informant interviews, contextual

analysis and technical assessments to evaluate the

impact of projects and identify improvements to

future programming.

Feedback from beneficiaries is also communicated

in weekly and monthly reports, providingconsistent information on the impact of projects

from the community’s perspective. This is useful

in informing decision-making in the project and

future project design.



44

Funds raised†

US$220.9 million

Overhead††

US$11.6 million

Funding for response programmeUS$209.3 million

Funds spent†††

US$185.7 million

Advocacy $784,000Disaster mitigation $2.8 millionEconomic development $3.5 million

Education $2.5 millionFood security $58.2 million

Non-food relief items $16.5 millionHealth $5.8 millionInfrastructure $6.7 million

Leadership development $521,000Protection programming $4.6 millionShelter $31.5 million

Water and sanitation $14.3 millionMonitor ing & evaluat ion $1.5 millionProgramme management $19.4 million

Resources distributed throughpartner organisations†††† $17.1 million

† Funds raised: actual funds raised through

30 September 2011

(all numbers are unaudited)

†† Overhead: actual overhead through

30 September 2011


††† Expenditures: actual expenditures through

30 September 2011


†††† Resources distributed through partner

organisations: this total reflect s cash raised

through multi-organisation fundraisers and

disbursed to participating charities as well

as product donations provided to partner

organisations for distribution in Haiti.

Funds raised

Overhead 5%

US$11.6 million

Funding for response 95%US$209.3 million

Funds spent

Education 1.3%

Monitoring & evaluation 0.8%

Advocacy 0.4%

Water andsanitation 7.7%

Programmemanagement

10.4%

Food security 31.3%

Shelter 16.9%Resources distributed through

partner organizations

9.2%

Disaster mitigation 1.5%

Non-food relief items 8.9%

Infrastructure 3.6%

Health 3.1%

Protection programming 2.5%

Leadership development 0.3%

Economic development 1.9%

Donations by country

Australia 4.2%

Germany 5.5%

United Kingdom 3.8%

Korea 3.6%

Taiwan 2.3%

Austria, Finland, France,Ireland, Italy, Malaysia,New Zealand, Singapore, Spain1.7%

Netherlands 1%

Switzerland 1.3%

Japan 1.4%

Hong Kong 2.6%

Canada 23.1%

United States 49.5%


financialaccountability –

year two




Every day, there is hope in Haiti. As vendors sit before their tent homes singing and children

spending one more year out of school laugh loudly, playing ‘knuckles’ in the street, the

international community continues to work with Haitians, making steps toward recovery.

Their hope makes it imperative for us to do our best, no matter how complex and daunting

the challenge.Haiti’s reconstruction will take years. Leaving Haiti better than before the earthquake will

take decades. The government of Haiti is tasked with the huge responsibility of rebuilding

a country, reviving an economy and ensuring that the children of this tiny island nation are

equipped and motivated to carry this task into the future. Humanitarian organisations exist to

support and complement these efforts, serving the most vulnerable while bigger institutional

change takes root, and always ensuring that our work is sustainable.

In two years, World Vision has helped to ease the burden for hundreds of thousands of

people. The organisation has provided for basic human needs, protected and encouraged

children, supported parents and sought ways for displaced communities to make their voices

heard. With available resources now vastly reduced, World Vision will focus its post-response

work on sustainable livelihoods and food security, education for life, good health, advocacy

and child protection, working primarily with grant-based funding. World Vision recognises

the great need for parents’ incomes to improve in post-quake Haiti if children are to thrive.

Without this, the task is impossible. In the country’s unique context at this significant time in

history, advocacy will be essential if the voices of the vulnerable are to be heard in the ongoing

reconstruction process. Education, health and child protection have been key focus areas of

our work in Haiti. World Vision is committed to maintaining its child focus as we narrow our

response work into activities with the most potential to see long-term improvements for children.

At the same time, World Vision’s work with developing communities in rural areas all across

Haiti will continue, as it has done for more than 30 years.

The response to the 12 January 2010 earthquake has not been an easy endeavour for World

Vision but it has been a critical one. We thank all of our donors, from all corners of the world,

for their faith, generosity and commitment not only to serving basic needs at a critical time

but also to recognising the hope and potential in Haiti’s children and helping us work to create

conditions under which they can flourish.

lookingforward



www.wvi.orgFor more information, visit

World Vision is a Christian relief, development and advocacyorganisation dedicated to working with children, families and

communities to overcome poverty and injustice. Inspiredby our Christian values, we are dedicated to working with

the world’s most vulnerable people. We serve all peopleregardless of religion, race, ethnicity or gender.

WVI Ofces

Executive Ofce6-9 The SquareStockley Park Uxbridge, MiddlesexUB11 1FWUnited Kingdom

World Vision International800 West Chestnut AvenueMonrovia, CA 91016-3198USA

International Liaison OfceChemin de Balexert 7-9Case Postale 545CH-1219 ChâtelaineSwitzerland

European Union Liaison Ofce

33 Rue Livingstone1000 BrusselsBelgium

United Nations Liaison Ofce

919 2nd Avenue, 2nd Floor

New York, NY 10017USA

2 year haiti world vision

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