In 2013, UNICEF and partners plan for:
children under 5 suffering from severe acute malnutrition receive therapeutic feeding
people living in camps access safe sanitation services
children access child-friendly spaces for socialization, play and referral
2013 requirements (US$)
Almost three years after the devastating 2010 earthquake in Haiti, an estimated 357,785 people (138,000 children) are still living in crowded temporary settlements, dependent on aid and at higher risk of exposure to abuse and exploitation.1 In 2013, these children will continue to need access to humanitarian and social services, while their families and caregivers are helped to make a sustainable move to communities of return. Although incidence and mortality rates have declined dramatically since 2010, the cholera epidemic sickened more than 87,735 people and caused the deaths of more than 700 between January and October 20122. Also, the passage of Hurricane Sandy in October 2012 damaged or destroyed more than 6,000 homes, 30 water networks and 150 schools, leaving some 54,000 people in need of shelter, 830,000 suffering from an interruption in access to water and some 50,000 children (25,000 girls3) in need of education support.4 Damage to health facilities and key transportation routes temporarily constrained access to lifesaving health services, while flooding destroyed crops on 90,000 hectares of agricultural land, rendering some 1.5 million people, already vulnerable from drought and the impact of Hurricane Isaac in late August, food insecure.5
Planned results for 2013
2013 Programme Targets
- 30,000 children under 5 suffering from severe acute malnutrition receive therapeutic feeding.
- 1.2 million children aged 6 to 59 months provided with vitamin A supplements, and 100,000 children aged 6 to 24 months provided with micronutrient powders.
- 250,000 children affected by cholera access lifesaving curative interventions, and up to 200,000 vulnerable people receive a cholera vaccination against the event of a severe, localized outbreak.
- 100,000 disaster-affected people benefit from preventive and curative health interventions, including prevention of mother-to-child transmission of HIV for seropositive pregnant women and HIV-prevention services for adolescents and youth.
- 200,000 people living in camps access safe sanitation services.
- 50,000 disaster-affected people benefit from lifesaving hygiene materials and sanitation services.
- 120,000 children access child-friendly spaces for socialization, play and referral.
- At least 15,000 separated children are registered to improve case management and facilitate family tracing and reunification.
- Up to 100,000 school-aged children continue their education after an emergency.
In 2013, UNICEF will support the Government of Haiti’s efforts to respond to challenges posed by prolonged displacement, the cholera epidemic and Hurricane Sandy, as well as efforts to better prepare for, manage and mitigate the impact of other potential disasters on vulnerable children, including those with disabilities or in residential care. In camps, UNICEF will support hygiene promotion and latrine maintenance, while scaling up WASH services in areas of return. UNICEF will also sustain support for primary health-care services, including prevention of mother-to-child transmission of HIV; therapeutic feeding programmes for severely acutely malnourished children; baby-friendly corners that provide nutrition counselling to breastfeeding mothers; and child-friendly spaces and their referral networks in camps and in adjacent communities. Addressing residual humanitarian needs after Hurricane Sandy, an integrated package of nutrition services will be scaled up in areas most affected by food insecurity, and the rehabilitation and re-opening of damaged schools will be supported. UNICEF will reinforce the capacity of local authorities to rehabilitate rural community water systems and ensure water quality. Focusing on the most vulnerable, UNICEF will continue the registration of separated children to improve case management and facilitate family tracing, while strengthening community-based child protection systems that can address multiple protection risks. Moving towards future cholera elimination, UNICEF will focus on hygiene promotion, community-led total sanitation, and improved household water treatment and storage, while assisting the Ministry of Health and community workers in integrating cholera treatment into routine service packages. UNICEF will also continue to reinforce the capacity of Government to manage information, coordinate actors and leverage resources for humanitarian action in education, nutrition, child protection and WASH, while working with local authorities and communities to enhance national capacity for disaster preparedness, risk reduction and emergency response.
Results from 2012
UNICEF originally appealed for US$24,105,000 and later – due to the reduced number of people living in camps and the limited time remaining to implement all planned activities – revised the requirements down to US$17,116,515 as part of the Consolidated Appeals Process (CAP) mid-year review. However, following the passage of Hurricane Sandy in October, UNICEF’s requirements were raised to US$21,300,000 to cover increased WASH and nutrition needs necessary to contain and address the spread of cholera and other waterborne diseases. As of 31 October, US$10,750,853, or 50 per cent of the revised requirement, had been received as contributions. With this, UNICEF and partners were able to reach more than 3 million children with immunizations, extending coverage to 70 hard-to-reach communities. More than 300,000 people in camps benefited from efforts to maintain safe sanitation through latrine maintenance, and more than 121,000 people in disadvantaged urban communities received improved water services. UNICEF also reinforced the capacity of local authorities to manage the cholera outbreak, supporting the scale-up of more than 149 cholera treatment units, two cholera treatment centres and 1,270 oral rehydration points, enabling more than 139,000 suspected cases of cholera to be treated since the outbreak in 2010. Some 4,358 community health and sanitation agents and 1,453 health providers also received training on cholera and appropriate messaging, allowing their knowledge ultimately to reach more than 2 million people. UNICEF also supported the rehabilitation of 48 permanent health structures in the north in order to retain technical resources and integrate cholera treatment in the routine health systems package. In education, 196 semi-permanent schools, including classrooms and sex-segregated, age-appropriate WASH facilities, have been constructed since the earthquake, bringing a safer, healthier learning environment to more than 100,000 children. Some 750,000 children received learning materials to reduce financial barriers to education in 2012, and some 100,000 children received micronutrient supplements and 8,000 severely malnourished children received treatment. The first ever directory of residential care centres was published and 446 out of 776 centres were evaluated according to minimum national standards. Some 16,000 children out of an estimated 30,000 living in residential care facilities were registered to improve case management and facilitate family reunification, despite significant challenges, including insufficient personnel to handle case management. Some 120,000 children accessed structured recreation and referral networks through 520 child-friendly spaces. The nutrition and education clusters and the child protection sub-cluster transferred their coordination capacities to national institutions in 2012, while the WASH cluster maintained its dedicated support to the WASH directorate. Constraints included the difficulty of reaching remote regions for cholera response, as well as the weak capacity of local partners, which often created delays in programme implementation.
UNICEF funding requirements for 2013
In line with the critical humanitarian needs plan of the United Nations and partners , UNICEF is requesting $11,650,000 to support Haiti’s national response to prolonged displacement, the persistent cholera epidemic and food insecurity augmented by Hurricane Sandy. Without rapid humanitarian action, the confluence of these crises is likely to further erode the coping mechanisms of vulnerable children, accelerate cholera transmission and degrade the health and nutritional status of children. While this publication focuses on the most urgent of needs, UNICEF’s country programme, in alignment with the UN Integrated Strategic Framework for Haiti, addresses recovery and development-oriented programming.
1 IASC E-Shelter and CCCM Cluster, ‘From Camps to Communities: Haiti Emergency Shelter and Camp Coordination Camp Management’, Displacement Tracking Matrix, <http://www.eshelter-cccmhaiti.info/jl/index.php?option=com_content&view=article&id=11&Url>, accessed 18 December 2012.
2 Ministry of Public Health and Population (Ministère de la Santé Publique et de la Population), 9 November 2012.
3 Most recent Demographic and Health Survey (EMMUS V 2011/12) indicates that the ratio of girls to boys attending primary school is 1.0.
4 UN Office for the Coordination of Humanitarian Affairs, Haiti Humanitarian Bulletin, no. 24, November 2012, available online at <http://haiti.humanitarianresponse.info/Default.aspx?tabid=164&language=en>, accessed 18 December 2012.