Haiti: Relief and Reconstruction Watch is a blog that tracks multinational aid efforts in Haiti with an eye towards ensuring they are oriented towards the needs of the Haitian people, and that aid is not used to undermine Haitians' right to self-determination.
- Written by CEPR
A press statement [PDF] released today, co-signed by CEPR and a number of other organizations, states:
On the second anniversary of the outbreak of the cholera epidemic in Haiti, human rights groups, faith-based organizations, policy institutes, and humanitarian organizations renew their call for the United Nations and U.S. government to help Haiti install the clean water and sanitation infrastructure necessary to control the ongoing epidemic.
The cholera epidemic in Haiti has received less U.S. attention during the presidential campaign season, but it remains a critical problem for this Caribbean neighbor that is not being adequately addressed and is undermining broader aid efforts. Last month, 260 new cholera cases were reported daily, and 2-3 children died a day. Since the epidemic broke out in October 2010, 7,564 Haitians have reportedly died from cholera and some 600,000 persons (6% of the Haitian population) have been infected. The number is undoubtedly much higher, as cases in more remote areas are often unreported. As the World Health Organization has stated, those without access to safe drinking water, proper sanitation, and hygiene constitute the majority of cholera cases.
Two years after the epidemic started, not enough action has been taken to assist the Government of Haiti in acquiring essential water and sanitation infrastructure. A regional coalition that includes the U.S. Centers for Disease Control and Prevention, and the World Health Organization is developing a plan with the Government of Haiti to build water and sanitation systems that will cost $2.2 billion. Despite this encouraging progress, the plan still needs to be finalized and funded before implementation can begin.
The U.N. especially has a legal and moral responsibility to play a leadership role in helping end the epidemic. Independent scientific studies have established that cholera was brought to Haiti by troops from the U.N. Stabilization Mission in Haiti (MINUSTAH) and that the waste disposal practices at the U.N. base allowed the bacteria to contaminate Haiti’s largest river system. The undersigned groups call on the U.N. to commit long-term resources to work with the Government of Haiti to build water and sanitation systems that are critical to halting the continued spread of the disease.
- Written by CEPR
It has now been over two years since the first cholera death in Haiti after more than a century. Over 7,500 people in Haiti have died from the disease so far, and over 600,000 have been sickened. While there has been a drop in cholera cases in 2012 over 2011, Oliver Schulz, Doctors Without Borders’ Head of Mission in Haiti says, “We continue to see an average of 250 new cases each week in our facilities, but this is still a high number.”
Doctors Without Borders notes that
Reduced international funding is limiting the response of the humanitarian agencies working in the areas of medical care and providing access to clean water and sanitation.
“This year, MSF had to keep most of our CTCs open throughout the year because cholera is far from being controlled. The measures to prevent and treat cholera are still not enough,” lamented Schulz.
In fact, the response capability of the Ministry of Health remains extremely low two years after the onset of the epidemic. As a result, during the most recent peak last May, MSF treated more than 70 percent of the total number of patients registered in Port-au-Prince.
Despite the overwhelming evidence pointing to UN (MINUSTAH) troops as the cause of the disease outbreak, the UN has refused to accept responsibility. Notably, its own report on the origins of the epidemic attempted to place blame on Haiti’s poor sanitation and water infrastructure, rather than UN negligence. But BBC now reports that one of the authors of that report, Daniele Lantagne, is much more convinced that UN behavior is responsible:
The 2011 UN report - co-signed by [Lantagne] - acknowledged that inadequate toilets in the Nepalese UN camp in the mountain town of Mirabalais [sic] could have leaked the cholera bacterium into the nearby Meye River which flows into the country's main waterways.
But the report stressed that the outbreak "was not the fault" of any "group or individual".
The Panel of Experts added that the subsequent spread of the disease across Haiti was due to many factors - including the country's deeply inadequate water supply and almost non-existent sewage disposal systems.
Now, Dr Lantagne says the new genome data (in addition to other evidence) has changed her view since she had co-authored the UN report which effectively said no-one was to blame.
- Written by CEPR
Hillary and Bill Clinton arrived in Haiti today with a delegation of foreign investors and celebrities to showcase the Caracol industrial park, “the centerpiece of the U.S. effort to help the country recover from the 2010 earthquake,” reports Trenton Daniel for the AP. Government officials and international partners have touted the park’s potential to create thousands of jobs, but there have been a host of criticisms on social, environmental and labor issues. Speaking with the AP, sociologist Alex Dupuy notes:
"This is not a strategy that is meant to provide Haiti with any measure of sustainable development ... The only reason those industries come to Haiti is because the country has the lowest wages in the region," Dupuy said.
Sae-A will pay employees Haiti's minimum wage, which is $5 a day. Workers will be eligible for bonuses based on performance.
Reports from the ground indicate that the factory is not complying with the minimum wage law, however. Etant Dupain, writing on the Let Haiti Live website, notes:
Before the official inauguration, several thousand employees have been working in the Caracol park for the last three months at a wage of 150 gourdes ($3.75 US) a day. Since October 1st, the new minimum wage law has gone into effect, with the government setting the minimum at 300 gourdes a day. Despite this, the managers of the factory operating at Caracol aren't respecting the new official minimum wage.
The new minimum wage would be 200 gourdes, with piece rate employees earning 300. Caracol would be far from the only factory in Haiti not adequately compensating their employees. The most recent Better Work Haiti report, released last week, found that 21 of 22 factories covered in their analysis (Caracol is not covered yet) were non-compliant with minimum wage laws. This refers to the old minimum wage. Better Work is a joint program of the International Labor Organization, International Finance Corporation and the U.S. Department of Labor. Of course, whether employees are earning $3 or $5 a day, it is still far below what the AFL-CIO’s Solidarity Center determined to be a “living wage” for workers in the garment industry.
- Written by Jake Johnston
CEPR Research Associate Jake Johnston writes for AlterNet this week:
Over the past few decades, the U.S. Agency for International Development (USAID) has seen its staff level drop significantly at the same time as the amount of money under its discretion has rapidly increased. Over this time, USAID has stepped up its reliance on for-profit contractors to fill the void. The result, as Hillary Clinton stated in her confirmation hearing (USAID is part of the State Department), is that USAID has “turned into more of a contracting agency than an operational agency with the ability to deliver.”
To be sure, there are efforts are underway to slowly fix this. In the meantime, the status quo reigns, with perhaps nowhere serving as a better example of the pitfalls than Haiti. Since the devastating earthquake in January 2010, USAID has awarded some $450 million in contracts – with 70 percent of them going to DC-area contractors, the so-called “beltway bandits”. The largest USAID contractor in Haiti (and the world, for that matter), Chemonics has received some $177 million of this total. With such a large amount of resources going to one company, you might expect there to be vigilant oversight and strict guidelines. Unfortunately, you would be mistaken.
The USAID Inspector General released a report last week that shines some much-needed light onto the operations of USAID’s largest contractor. The report looks at the $53 million dollar Haiti Recovery Initiative run by Chemonics, the follow-up program to a $39 million program that began right after the quake. Among the findings in the audit: projects were “not on track”, the monitoring and evaluation system was weak and arbitrary, there was a lack of community involvement in project planning and they failed to get the appropriate environmental approvals before undertaking potentially damaging projects. This isn’t the first time Chemonics has been criticized for their work in Haiti . The same Inspector General found a host of similar problems with the original $39 million contract the year before, yet USAID turned around and gave Chemonics another $50 million anyway.
The same process had already played out before in Afghanistan. After USAID awarded a $100 million contract to Chemonics for work in the agricultural sector of Afghanistan, a 2005 Government Accountability Office report found significant problems with the program. Yet despite the documented problems, just like in Haiti, the next year USAID turned around and gave the same contractor another $100 million. The Inspector General also found numerous problems with that program.
To read the rest, click here.
- Written by CEPR
Haiti’s leading human rights attorney Mario Joseph has been the subject of death threats and police surveillance and harassment in the past several months, along with other lawyers. As the Institute for Justice and Democracy in Haiti (IJDH) reports, Joseph, IJDH Managing Attorney and the director of its Haitian affiliate Bureau des Avocats Internationaux (BAI) has received as many as 3-4 death threats a day, while police in vehicles with tinted windows have monitored the BAI office in Port-au-Prince and harassed and searched people leaving. Threats against BAI and Mario have also been spray painted on walls nearby. While IJDH notes that Joseph has been the targets of threats in the past, it says “the current intimidation appears more organized, more persistent and more closely linked to the Haitian government than previous incidents.”
U.S. Congressman John Conyers (D – MI), the Ranking Member on the House Judiciary Committee, condemned the threats this week, saying:
“As a long-time supporter of Haiti in the United States Congress, I am concerned by recent reports that suggest that Haitian attorneys and human rights advocates, including prominent attorney Mario Joesph of the Bureau des Avocats Internationaux (BAI), are being targeted with political intimidation and threats of physical harm as a result of their legal representation of politically vulnerable individuals and groups," said Conyers.
"The ability of an attorney to provide legal assistance free of harassment to any client is a critically important component of a well-functioning justice system. All necessary steps should be taken to protect these attorneys and advocates, who help ensure that all Haitians have equitable access to justice and due process. My office has contacted the State Department to express my concern about these recent reports."
As the Miami Herald reported earlier this month, Joseph and other lawyers may be the targets of political persecution by the Martelly government. Chief Prosecutor of Port-au-Prince Jean Renel Sénatus claims Haiti's Justice Minister Jean Renel Sanon fired him after he refused to issue an arrest warrant for Joseph and 35 other “political opponents.” The Herald also reported that
- Written by CEPR
Nearly three years after the earthquake of January 2010, durable housing solutions remain nonexistent while tens of thousands remain at risk of forced evictions. According to the International Organization for Migration, there are currently 369,000 individuals residing in 541 official IDP camps throughout Haiti. Yet over 20 percent of the remaining individuals are in constant risk of eviction. Fortunately, camp residents are organizing to fight back. Public Radio International’s The World reports:
Enter Patrice Florvilus. After the earthquake, the attorney formed an organization that represents residents of tent camps who’ve been threatened with eviction.
“Our strategy is to stop evictions by making landlords follow the law, which can mean a lengthy legal process. And that’s what the landlord wants to avoid,” Florvilus said.
It doesn’t always work, but a legal defeat can sometimes turn into a de facto victory. In one case, the mayor of Delmas ordered families off government land. A court upheld the eviction order. But then the mayor backed off — locals say because of organized opposition.
But activists have faced many difficulties, including intimidation and jail time. Meena Jagannath reported last month on the case of David Oxygène, an activist who was imprisoned for over two months. He was arrested during one of his group’s weekly protests against the Martelly government calling for improved social policies, including adequate housing.
More recently, a protest organized by camp residents to protest the lack of adequate housing was cancelled following threatening phone calls and other forms of intimidation. GlobalPost reports:
She [Alexis Erkart of Other Worlds] says fear and fatigue run high in the camps, and residents are consistently faced with the prospect of forced evictions, but have nowhere else to go.
Erkert told GlobalPost yesterday via email that yesterday’s protest was being organized by a number of camps, but that “a number of camp residents reported receiving threatening phone calls and thugs coming to the camps telling people not to participate in the protest. There was enough fear that they decided to hold off.”
“More and more camps are evicted with no housing plan in place, without viable options for the future,” said Erkert. “They have no access to the government, and limited access to the media. It makes me deeply sad that today they were stripped of one of the only means available to them to make their voices heard.”
- Written by CEPR
The USAID Inspector General (OIG) released an audit this weekend of Chemonics’ Haiti Recovery Initiative II program (HRI-II), funded by USAID. HRI-II, the successor to the HRI program which began right after the earthquake, aims to “help Haiti strengthen its economy and public institutions in the three strategic development corridors of Port-au-Prince, Saint-Marc, and Cap-Haitien,” according to the OIG. But, as the Associated Press reports today:
A newly released audit says the largest U.S. contractor working to stabilize Haiti after the 2010 earthquake is “not on track” to compete its assignments on schedule, has a weak monitoring system and is not adequately involving community members.
The audit is the second since the earthquake to find significant problems with Chemonics’ work in Haiti. The AP reported in December 2010:
And an audit this fall by USAID's Inspector General found that more than 70 percent of the funds given to the two largest U.S. contractors for a cash for work project in Haiti was spent on equipment and materials. As a result, just 8,000 Haitians a day were being hired by June, instead of the planned 25,000 a day, according to the IG.
Nevertheless, Chemonics has been the largest single recipient of post-earthquake funding from USAID. For the two HRI programs, Chemonics has received $103.8 million. This same process played out in Afghanistan, where despite consistently failing to produce results, Chemonics continued to receive hundreds of millions of dollars in contracts.
Weak Monitoring and Evaluation
One consistent pattern that has clearly emerged in the aftermath of the earthquake is the lack of oversight of contractors by USAID. As we have described before, after years of hollowing out USAID, it has “turned into more of a contracting agency than an operational agency with the ability to deliver,” in the words of Hillary Clinton. In turn, much of the monitoring and evaluation is actually the responsibility of the contractor itself. USAID’s contract with Chemonics contains numerous reporting requirements, yet allows the contractor to fulfill most of them without any oversight. Chemonics is required to keep an “activity database,” but the contract notes that Chemonics is responsible “for ensuring that the database contains accurate, complete, and up-to-date information.” Additionally, the contract states that USAID and Chemonics “are expected to jointly develop a system of processes and tools for the monitoring and evaluation of the country program.”
As the newly released audit finds however, both the database and the evaluation tools were poorly implemented and “made it difficult to measure the program’s impact,” as well as contributed to delays which have made the program “not on track to complete all activities.”
- Written by CEPR
In an interview following his meeting with UN Secretary General Ban Ki-moon, Haitian Prime Minister Laurent Lamothe told Reuters that cholera is “really under control.” Well, that certainly depends on your definition of under control. Since tropical storm Isaac swept across Haiti last month, some 83 Haitians have reportedly died from cholera and this is almost certainly an understatement, as the surveillance system has become increasingly unreliable. Over the same time, more than 8,200 Haitians have been sickened. Since April of this year, when the rainy season began, 514 have died and over 63,000 have been sickened by cholera.
As for the government’s response, according to the United Nations, “national capacity to respond to potential outbreaks, especially during the rainy season, remains very weak.” From May to June this year, just as the rainy season was beginning, three cholera treatment centers and 13 cholera treatment units were closed down, leaving just 17 and 61 left open, respectively. This is down from 38 and 205 last August. Additionally, as CCO Haiti pointed out last month, “many public health workers in the Cholera Treatment Center (CTCs) have not received salaries for several months and there are reports of strikes by front line medical staff to redress this situation. This is a serious issue negatively affecting the effectiveness of the cholera response and it needs to be urgently addressed.”
Of course, this is not entirely the government’s fault. Most of the cholera response bypassed the government entirely and now, as NGOs pull out of the field, the government has been left to pick up the slack without adequate resources. Nevertheless, to the hundreds of Haitians falling ill every day with cholera, Prime Minister Lamothe’s assertion must ring especially hollow.
Update 9/27: The post has been updated to reflect newly posted data on cholera deaths and cases.
- Written by CEPR
This past weekend, USAID Administrator Rajiv Shah said that by 2015 the goal is to have 30 percent of aid funds going to local groups. This is in line with the goals put forth in the USAID Forward reform agenda, which aims to reach this target agency-wide by 2015. Shah also made a surprising announcement regarding local procurement in Haiti, as reported in the Miami Herald:
Before the January 2010 earthquake, Shah said less than 9 percent of USAID money was going to Haitian organizations. “We’re over the pre-earthquake level now,’’ said Shah during an interview with The Miami Herald. He wasn’t more specific.
As we have noted numerous times before, according to the available data, it appears that far less than 10 percent of USAID funds have gone directly to local organizations. A review of data on USAID contracts for work in Haiti from the Federal Procurement Database System reveals that just 1.3 percent of USAID funds have gone directly to Haitian companies, as can be seen in Table I.
Table I: USAID Contracts by Recipient Location
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In his mandated report on MINUSTAH, the United Nations Secretary General for the first time outlines the creation of a timetable for withdrawal of MINUSTAH personnel from Haiti. UNSG Ban Ki-moon writes:
The plan foresees a narrowing of the Mission’s activities to a core set of mandated tasks that are achievable within a reasonable time frame (envisioned to be a period of between four and five years for planning purposes) aimed at consolidating stabilization gains to a point beyond which the presence of a large peacekeeping operation will no longer be required. The Mission will work with the Government, civil society, the United Nations country team and international partners to agree on a transition compact that will set out a limited number of stabilization benchmarks that will serve as key indicators of progress in the stabilization process.
Calling for a concrete timetable for progressive withdrawal of the foreign contingents is a small, but important first step. Last year’s authorization of MINUSTAH [PDF] lacked any details on withdrawal and instead mandated that, “future adjustments to its force configuration should be based on the overall security situation on the ground.” Ban Ki-moon is now recommending creating a “transition compact” with the Haitian government that would have specific benchmarks on the road to withdrawal. The main benchmark for reducing the number of MINUSTAH personnel would be sufficient strengthening of the Haitian National Police, while other “benchmarks will evaluate the maturity of key rule of law oversight and accountability mechanisms.”
These benchmarks have yet to be drawn up, however, and so the plan could be overly optimistic in terms of its drawdown timetable. Growth and reform of the police has been a key benchmark for MINUSTAH’s mission completion all along, yet eight years after MINUSTAH began, “the country’s still limited police force cannot guarantee the security needed to protect citizens, enforce the law and underpin political stability,” according to the International Crisis Group. (It is notable that the UNSG’s four-five year timeline is compatible with the five-year extension called for by the International Crisis Group, which it recommends in order to, as it puts it, ensure “a third peaceful handover of democratic power …at the end of the Martelly presidency,” and “the completion of the second five-year police development plan.”)
- Written by CEPR
Last week, four Uruguayan peacekeepers who were repatriated from Haiti nearly one year ago after video evidence emerged showing the assault of an 18-year old Haitian man, apparently inside the Uruguayan’s Port Salut base, were finally charged. The prosecutor, however, is charging the four soldiers with “coercion” as opposed to sexual abuse.
As AFP reported last week:
"The evidence on record does not support findings of sexual assault. The indictment concerns only the crime of coercion," said the prosecutor in the case, Enrique Rodriguez.
The Latin American nation's penal code states that coercion -- a crime punishable by three months to three years in prison -- involves the use of physical or psychological restraint to force someone to take or abstain from an action against their will.
"In this case, force was used to oblige another person to tolerate an action against their will," Rodriguez said, noting that the judge has not yet ruled in the case.
The Uruguayan press, reporting on the charges notes that the judge, even if he finds the accused soldiers guilty, could still forgo giving prison sentences.
The case stands as just the latest example of the problems of holding the UN Peacekeeping mission in Haiti accountable for abuses, from the introduction of cholera to the sexual abuse of Haitians. Under the UN’s Status of Forces Agreement, those accused of abuse are repatriated quickly, where they face judges of their home country as opposed to local Haitian courts where they could face significantly longer and tougher sentences. In March, three Pakistani police were found guilty of rape, yet were sentenced to just one year in prison by a Pakistani military tribunal. Despite evidence implicating MINUSTAH personnel in a cover-up of the abuse, the case in local courts has stalled. In another example of injustice, over 100 Sri Lankan troops were returned to Sri Lanka in 2007 after evidence emerged of their involvement in sexual exploitation and prostitution with Haitian children and women. There is no sign that the troops have faced any form of punishment since.
- Written by CEPR
The latest news from the Associated Press suggests Tropical Storm Isaac may not reach hurricane strength before hitting Haiti:
Tropical Storm Isaac strengthened slightly as it spun toward the Dominican Republic and vulnerable Haiti on Friday, threatening to bring punishing rains but unlikely to gain enough steam to strike as a hurricane.
Forecasters now expect the storm to stay below hurricane force until it's in the Gulf of Mexico, staying to the west of Tampa, Florida, where the Republican National Convention starts on Monday, though there is still an outside chance it could hit there.
In Haiti, the government and international aid groups announced plans to evacuate several thousand people from one of the settlement camps that sprang up in the aftermath of the 2010 earthquake.
Isaac was expected to dump eight to 12 inches (20 to 30 centimeters) of rain on the island of Hispaniola that is shared by Haiti and the Dominican Republic.
"That kind of rain is going to cause some life-threatening flash floods and mudslides," said Dennis Feltgen, a spokesman for the Hurricane Center in Miami.
AP’s Trenton Daniel goes on to describe the Haitian government’s emergency measures and the reactions that some Haitians had to them:
In flood-prone Haiti, where the storm's eye is likely to blow ashore late Friday, Prime Minister Laurent Lamothe urged people to avoid crossing rivers, to tape their windows, and to stay calm, saying "panic creates more problems."
Lamothe and other Haitian officials said the government had set aside about $50,000 in emergency funds and had buses and 32 boats on standby for evacuations.
But among many Haitians, the notion of disaster preparedness in a country where most people get by on about $2 a day was met with a shrug.
"We don't have houses that can bear a hurricane," said Jeanette Lauredan, who lives in a tent camp in the crowded Delmas district of Port-au-Prince.
About 400,000 people remain in settlement camps comprised of shacks and tarps in the wake of Haiti's devastating 2010 earthquake.
- Written by CEPR
There has been much discussion in the media over the past day regarding whether Tropical Storm Isaac might rain on the Republican National Convention in Tampa, Florida, and possibly cause delays or a cancellation. Receiving less attention is that 400,000 some people in Haiti are still living in tents, under tarps and various forms of makeshift housing – people who became internally displaced persons (IDP’s) after the 2010 earthquake, and they are also in the storm’s projected path.
Aside from the more obvious threats that flooding and strong winds could mean for IDP camps and other vulnerable communities, Isaac could also bring a spike in cholera infections. As we have pointed out before, along with countless news articles, medical reports, and NGO press releases, Haiti’s cholera infections surge with rainy weather, and tropical storms and hurricanes pose an especially ominous threat. The lack of adequate sanitation and safe drinking water in IDP camps means that drinking water sources are likely to be contaminated by waste water when flooding occurs – along with the tents, tarps, and much bedding and other possessions. And it is not just the IDPs who face increased dangers with heavy rain. As the cholera response has been scaled back, access to cholera treatment centers in rural Haiti has decreased. While flooding and mudslides pose extreme danger on their own, they can also prevent those in need from traveling to secure the care that is needed.
We wrote two weeks ago that the Haitian health ministry reported a slower rate of infection this summer, which it attributed to unusually dry weather, but that they predicted an increase in the coming months as the hurricane season begins. The Pan American Health Organization estimates that Haiti could see up to 170,000 new cases this year, which would mean an average of about 20,000 cases per month over the next five months – 5,000 more cases per month than in the previous three months. We further noted that the UN Office for the Coordination of Humanitarian Affairs was reporting a “very weak” “capacity to respond to potential outbreaks,” such as could occur with a drenching tropical storm.
The United Nations, meanwhile, whose troops caused the epidemic in October 2010, has yet to take responsibility by taking steps to contain and control cholera.
- Written by CEPR
Last week Deborah Sontag of the New York Times reported in depth on the lack of sustainable housing solutions in Haiti since the earthquake:
Two and a half years after the earthquake, despite billions of dollars in reconstruction aid, the most obvious, pressing need — safe, stable housing for all displaced people — remains unmet.
In what international officials term a protracted humanitarian crisis, hundreds of thousands remain in increasingly wretched tent camps. Tens of thousands inhabit dangerously damaged buildings. And countless others, evicted from camps and yards, have simply disappeared with their raggedy tarps and rusty sheet metal into the hills.”
Sontag notes that $500 million was spent on transitional shelters that were “not built to last”, meaning “All the money spent on T-shelters will be melted away,” as H. Kit Miyamoto, an engineer working in Haiti, told Sontag. Meanwhile, although some 200,000 houses were damaged or destroyed:
international aid has led to an estimated 15,000 repairs and 5,700 new, permanent homes so far. Most of the new houses are outside greater Port-au-Prince, where it was easier to obtain land, and some have yet to be occupied.
Though many are quick to tout the decrease in camp population as a sign the housing and displacement crisis is being met, it is clear the number of new housing solutions can only explain a fraction of the camp population reduction. The lack of adequate housing has led 33 international organizations to sponsor the Under Tents campaign. Working with Haitian grassroots groups, the campaign seeks to win housing rights for the hundreds of thousands of Haitians who remain displaced or living in unsustainable housing.
- Written by CEPR
The latest data from the MSPP (Ministry of Health) shows that the number of cholera cases and resulting deaths continues to rise. As of August 2, there have been a total of 583,871 cases and 7,497 deaths reported since October 2010 and this almost certainly is an underestimate. While the number of cases this summer has not spiked as high as it did last year, there have still been 377 deaths and nearly 45,000 cases reported in just the last three months.
The MSPP attributes the slower rate of infection this summer to unusually dry weather; however they predict an increase in the coming months as the hurricane season begins. The Pan American Health Organization estimates that Haiti could see up to 170,000 new cases this year, which would mean an average of about 20,000 cases per month over the next five months. Over the previous three months, the average number of cases has been over 15,000. Despite this, funding for the cholera response, as well as for the infrastructure needed to stem the spread of the disease, has been inadequate. At the end of July, the Comite de Coordination des ONGs Internationales en Haiti (CCO Haiti), which is made up of many international NGOs operating in Haiti, released a statement on the situation:
The cholera outbreak that has already claimed thousands of lives all over the country remains a major threat to public health. Cholera prevention and response should be a key priority for the Haitian Government.In their latest humanitarian bulletin, the UN Office for the Coordination of Humanitarian Affairs (OCHA) noted that, “national capacity to respond to potential outbreaks, especially during the rainy season, remains very weak. The country has only 468 beds for cholera admissions, with 233 of these already occupied. At the height of the epidemic in June 2011, 2500 beds were available.” Despite this, OCHA notes that “significant progress has been made especially in the surveillance and reporting of the epidemic as well as in the integration of cholera care in the national healthcare system.”
Furthermore, many public health workers in the Cholera Treatment Center (CTCs) have not received salaries for several months and there are reports of strikes by front line medical staff to redress this situation. This is a serious issue negatively affecting the effectiveness of the cholera response and it needs to be urgently addressed. In addition, there is evidence that the MSPP struggles to carry out its work efficiently due to poor logistics and inefficient fleet maintenance. This seriously hinders the material distribution within the CTCs, Cholera Treatment Units (CTUs) and Acute Diarrhea Treatment Centers (ADTCs), and affects the appropriate collection of cadavers. Necessary arrangement should be made to correct the situation. Overall, the MSPP must once again reinforce its leadership and coordination roles at both central and departmental levels.
Donors must provide sustained and adequate funding to support a comprehensive and integrated approach to cholera prevention and care.
Although less severe than the cholera outbreak last year, the current situation on the ground is much worse than statistics portray. And yet, a shortage of funding has translated into fewer health partners and created serious gaps in coverage. From August, 2011 to May, 2012, the number of Cholera Treatment Centers (CTCs) has declined from 38 to 20, and the number of Cholera Treatment Units from 205 to 74.
Despite OCHA’s positive assessment of strengthening the national health care system, as CCO Haiti pointed out, MSPP is still facing serious issues in their response to cholera. One reason why the Haitian government has had a hard time leading the response is that the international community largely bypassed the government in their provision of funding for cholera. The government of Haiti received only $4.9 million in funds for the cholera response, while the Red Cross alone received $6.1 million. While CCO Haiti calls for increased funding from donors, it is imperative that this money not simply be channeled to international NGOs, but through the MSPP. As the UN Special Envoy has noted, “aid is most effective at strengthening public institutions when it is channelled through them.”
- Written by CEPR
The killing of four adults, and – according to some reports – disappearance of four children in a violent forced eviction on July 23rd has gone all but unnoticed by the major English language media, but some details have emerged through Haitian and some independent English language press. Haïti Liberté has a detailed report in English of the incident at Parc La Visite in Seguin, Marigot, on the southern coast. Haïti Liberté and other outlets’ reports are based in large part on the work of Haitian journalist Claudy Belizaire of the Reference Institute for Journalism and Communication (RIJC), who also took graphic photos of the killing’s aftermath.
Haïti Liberté reported that the four were killed when 36 “Haitian police [officers] …destroyed seven homes in an attempt to clear peasants from a remote mountain-top park where they have lived and farmed for the past 70 years,” noting that “The bloody confrontation …occurred exactly 25 years to the day after an infamous 1987 peasant massacre near the northwestern town of Jean-Rabel…”
The RIJC reported the four confirmed dead to be “Desire Enoz - 32 years; Nicolas David - 28 years, Robinson Volcin - 22 years and Desire Aleis - 18 years.”
Belizaire, as translated by Haïti Liberté, wrote that three days later, “since this serious incident, no state official has come to Seguin, where barricades have been erected by the people, in protest. The only item known about this negotiation was an envelope of 50,000 gourdes [about $ 1,250] promised to each family (50% before departure, 50% after).”
The $600 before, $600 after moving payments are reminiscent of Martelly's much-criticized cash incentive plan to get people to relocate. Bureau des Avocats Internationaux (BAI) attorney Mario Joseph describes the government’s strategy in a new letter [PDF] of complaint to the Inter-American Commission on Human Rights (IACHR):
- Written by CEPR
A review of publicly available reports and recently released documents obtained via an Associated Press (AP) Freedom of Information Act request reveal that the U.S. Agency for International Development (USAID) has spent over $200 million on Title II food aid in Haiti since the earthquake. Title II food aid, administered by USAID and implemented by NGOs and intergovernmental organizations (primarily the World Food Program - WFP), is “the main avenue for U.S. food assistance.” As can be seen in Figure 1, in fiscal years 2010 and 2011, USAID obligated over $200 million and distributed over 174,000 metric tons of food aid in Haiti. Although most of this came in the form of emergency food aid following the earthquake, food distributions have continued in 2011 as well.
Source: USAID, Author’s Calculations
According to a report prepared for USAID’s Office of Food for Peace, in fiscal year 2010, USAID Title II food aid totaled 153,000 metric tons (MT), of which over 115,000 came in the form of emergency food aid. In 2011, these totals decreased drastically to 21,430 MT, of which 5,950 MT was emergency aid. According to the report, emergency food aid was distributed through two avenues: Single-Year Assistance Programs and the World Food Program. Based on documents obtained by the AP, USAID obligated over $21 million to World Vision, Catholic Relief Services (CRS) and Agricultural Cooperative Development International and Volunteers in Overseas Cooperative Assistance (ACDI/VOCA) for program costs associated with these emergency distributions. Additionally, USAID, which covers the cost of commodities and shipping, valued these services at over $100 million.
Non-emergency food aid takes the form of food distribution, but also often incorporates agricultural productivity, natural resource management as well as other issues related to food security. The majority of non-emergency food aid, which totaled over 50,000 MT in FY 2010 and 2011, came through Multi-Year Assistance Programs implemented by the same partners as the above-mentioned emergency, single-year programs: ACDI/VOCA, World Vision and CRS. These three programs all began prior to the earthquake and are ongoing until at least September 2012. A recent audit conducted by the USAID Inspector General (IG) reveals that, since the programs began in 2008, these partners have spent $46 million dollars in program costs. According to the AP documents most of this came after the earthquake. Together, the three organizations distributed nearly $70 million in commodities.
The Inspector General, in its audit of these multi-year programs, noted that “assistance generally has improved conditions for targeted beneficiaries…However, we could not determine whether the effects will last well into the future.” Nevertheless, the IG found a number of problems in the management of these programs, including overlapping with other USAID projects; lack of data management; the use of duplicative, excessive and uncoordinated indicators; uneven and poorly tracked integration of key activities; and other problems.
Overall, the documents obtained by the Associated Press show that World Vision, ACDI/VOCA and CRS have received $57 million since the earthquake from USAID for program costs related to Title II food aid, as can be seen in Figure 2. As will be discussed in more detail later, while this data shows program costs, the provision of the actual commodities for distribution and the shipping of those commodities are paid for directly by USAID, and so do not show up in Figure 2.
Source: USAID, Associated Press
- Written by CEPR
Martha Mendoza and Trenton Daniel of the Associated Press reported over the weekend on the state of U.S. reconstruction efforts in Haiti. The report is based largely on documents obtained through Freedom of Information Act requests. Mendoza and Daniel write:
Until now, comprehensive details about who is receiving U.S. funds and how they are spending them have not been released. Contracts, budgets and a 300-item spreadsheet obtained by The Associated Press under a Freedom of Information Act request show:
- Of the $988 million spent so far, a quarter went toward debt relief to unburden the hemisphere's poorest nation of repayments. But after Haiti's loans were paid off, the government began borrowing again: $657 million so far, largely for oil imports rather than development projects.
- Less than 12 percent of the reconstruction money sent to Haiti after the earthquake has gone toward energy, shelter, ports or other infrastructure. At least a third, $329 million, went to projects that were awarded before the 2010 catastrophe and had little to do with the recovery - such as HIV/AIDS programs.
- Half of the $1.8 billion the U.S. promised for rebuilding is still in the Treasury, its disbursement stymied by an understaffed U.S. Embassy in Port-au-Prince in the months after the quake and by a Haitian government that was barely functional for more than a year.
- Despite State Department promises to keep spending public, some members of Congress and watchdogs say they aren't getting detailed information about how the millions are being spent, as dozens of contractors working for the U.S. government in Haiti leave a complex money trail.
Searching for evidence of success after more than two years and two billion dollars, the AP found lasting results hard to come by as “projects fundamental to Haiti's transformation out of poverty, such as permanent housing and electric plants in the heavily hit capital of Port-au-Prince have not taken off.” Attempting to preempt the AP article, Mark Feierstein, Assistant Administrator for Latin America and Thomas C. Adams, Haiti Special Coordinator at the U.S. Department of State wrote an article, “Progress in Haiti” to combat what they believe to be an unfair portrayal of U.S. reconstruction efforts.
Mendoza and Daniel note that the reconstruction plan laid out a number of benchmarks, 40 of which were due to be reached this month. But while some benchmarks have been achieved, many have not. One area of particular concern is the provision of shelter. While Adams and Feierstein point to the decrease in the camp population as the first sign of success, AP reports:
Meanwhile, 390,000 people are still homeless. The U.S. promised to rebuild or replace thousands of destroyed homes, but so far has not built even one new permanent house. Auditors say land disputes, lack of USAID oversight and no clear plan have hampered the housing effort. USAID contested that critique.As we have previously pointed out, the provision of new shelter options cannot explain the majority of the decrease in the camp population, and many of those that have left the camps have found themselves in even more precarious living conditions, this time out of sight of the humanitarian community.
The State Department says 29,100 transitional shelters have been built, to which residents are adding floors, walls or roofs to make permanent homes, although homes once again vulnerable to natural disasters. U.S. funds also supported 27,000 households as they moved in with friends or families, and repaired 5,800 of the 35,000 damaged homes they had planned to complete with partners by July 2012. Also by this month the U.S. had planned to help resolve 40,000 to 80,000 land disputes, but at latest count had helped 10,400.
- Written by CEPR
Haiti’s cholera infection and death rates show an alarming recent increase, with official statistics reporting 290 deaths and nearly 40,000 cases in May and June alone, as the rainy season returned. Pressure continues to build for the United Nations to take responsibility for causing the cholera outbreak, which has now killed over 7,418 people and infected over 579,014. Last week, Hollywood took notice of the issue, with some 90 celebrities attending a screening of the Olivia Wilde-produced documentary film, “Baseball in the Time of Cholera” directed by David Darg and Bryn Mooser, and many urged action on the issue via Twitter, leading to the hashtag #undeny becoming a top trend for much of the day last Thursday.
Today, the Institute for Justice and Democracy in Haiti, which features prominently in the film, took “Baseball” to Congress with a screening. The move is well-timed, as 104 members of Congress just released a letter addressed to U.S. Ambassador to the UN Susan Rice calling on her to “to strongly encourage the United Nations to take a leadership role in addressing this catastrophic public health crisis,” specifically by urging “UN authorities to support efficient treatment and prevention of the epidemic and to help Haiti acquire adequate water and sanitation infrastructure.”
The letter, which was circulated by Rep. John Conyers (D – MI) states:
As cholera was brought to Haiti due to the actions of the UN, we believe that it is imperative for the UN to now act decisively to control the cholera epidemic. UN authorities should work with Haiti’s government and the international community to confront and, ultimately, eliminate this deadly disease from Haiti and the rest of the island of Hispaniola. A failure to act will not only lead to countless more deaths: it will undermine the crucial effort to reconstruct Haiti and will pose a permanent public health threat to the populations of neighboring nations.
- Written by CEPR
In March, three Pakistani MINUSTAH troops were found guilty, sentenced to one year in prison and repatriated for the rape of a 14-year old Haitian boy. Although the trial was held on Haitian soil, it was a “military justice procedure…undertaken in accordance with the national laws of Pakistan,” according to the UN. Additionally, Reuters reported at the time that “Haitian government authorities were given no advance notice of the military tribunal.” Had the troops faced a Haitian court, their sentences would likely have been much longer. Had the troops had to face Haitian justice they may also have had to respond to further allegations that the Pakistani UN Mission tried to cover-up the crime, going so far as to kidnap the victim.
While some Haitian media and blogs picked up the story at the time, little has been written about the attempted cover-up. Independent journalist Kathie Klarreich, who recently traveled to Gonaïves where the crime took place, mentioned the cover-up in a larger piece about MINUSTAH scandals for the Christian Science Monitor. Klarreich has now provided new details to HRRW on what happened, raising even more questions about the level of impunity for UN troops in Haiti and just how widespread these abuses are. While the Haitian police have witnesses and evidence tying MINUSTAH to the cover-up of rape, the UN has apparently not been cooperative and has failed to adequately investigate and hold accountable those responsible.
The UN first disclosed the case in January, announcing that an investigative team would be heading to Haiti. In February, as the circumstances around the case became clearer, Senator Youri Latortue took to the airwaves to call for the lifting of immunity for MINUSTAH and to denounce the apparent cover-up that was executed by the Pakistani contingent. After witnesses of the abuse went to local police, the 14-year-old boy was kidnapped and taken to a MINUSTAH base in Cap- Haïtien with the “objective to prevent the continuation of the investigation” according to Latortue. On January 26, 2012, police arrested Vladimir Alexandre, a local Haitian, for being an accomplice to the kidnapping. Another alleged accomplice is still at large. While the “military tribunal” was conducted behind closed doors and the guilty members of MINUSTAH whisked out of the country, the local case in the city of Gonaïves has gone nowhere.
Alexandre, speaking with Klarreich, defended himself, telling her, “All I did was show them where he [the victim] lived. I don’t know anything about taking him anywhere,” adding that he didn’t receive anything from the soldiers in return. But Klarreich said that what he told her directly contradicts what he had told police when they arrested him. According to a copy of his testimony which Klarreich read, Alexandre admitted that he knew the boy, that he’d been in contact with the Pakistani MINUSTAH troops, and that he and the other accomplice had agreed to remove the boy from the area. He also admits that the Pakistanis came to his home bearing gifts for his mother – $100 Haitian Gourdes ($12 US) and a sack of rice.
Alexandre remains in the police station jail, held in a room with 111 other prisoners. The Gonaïves police chief told Klarreich that according to Haitian law, Alexandre could be held for up to two months but if no charges were brought then legally he should be allowed to go free. “I am not here to judge,” the police chief said, “but rather to make sure that the justice system works. Let’s remove the obstacles and finish this case.” The local officials in charge of the case continue to seek answers, while the lawyers for the victim continue to seek compensation from the United Nations.
- Written by CEPR
Vijaya Ramachandran and Julie Walz of the Center for Global Development recently reported on their trip to Haiti, where they further examined aid accountability and the ongoing reconstruction effort, the themes of their recent policy paper which we have previously described.
Among the problems that Ramachandran and Walz noted were:
International NGOs have frequent staff turnover and very high costs. In the aftermath of the quake, we learned that senior staff came and went, some staying as little as a few weeks. A new arrival meant starting all over again, often with an individual who had little knowledge of Haiti and no knowledge of Creole (or even French). The cost of maintaining expatriate staff in Haiti is very high. According to the Miami Herald, it can cost upwards of $200,000 annually in housing and other benefits to keep a senior-level manager in Haiti. Some of our interviewees explained how NGOs and foreign workers are exempt from Haitian taxes and often do not follow Haitian registration requirements. Donors have spent billions of dollars trying to repair Haiti’s broken infrastructure, largely with their own goods and labor. In the meantime, most Haitians in Port-au-Prince spend their day trying to sell a few vegetables or fruit or other goods on the sidewalk, which in most cases, does not generate enough money to feed themselves or their families.
We repeatedly heard stories about the unintended economic and social consequences of the influx of foreign workers. Housing costs in certain areas have skyrocketed – rentals easily go for over $30,000 per year, with some houses being rented for a lot more. Restaurants and supermarkets in certain areas of Petion-ville cater exclusively to foreign tastes, and prices of basic goods have been driven up to a level that even middle-class Haitians cannot afford.