In 2014, UNICEF and partners plan for:
children under 5 suffering from severe acute malnutrition receive treatment
vulnerable people receive cholera vaccination
internally displaced persons provided with sanitation services in camps
2014 Requirements: US$42,366,400
Total affected population: 3.2 million
Total affected children: 1.7 million
Total people to be reached in 2014: 2.5 million
Total children to be reached in 2014: 1.7 million
Despite a reduction in the reported number of cholera cases and fatalities in the first quarter of 2014,1 the cholera outbreak in Haiti remains a threat and there is an ongoing need to strengthen control efforts. As of June 2014, over 90 per cent of Haitians displaced after the 2010 earthquake had left the camps and returned to their communities or benefited from relocation programs. Out of 103,565 persons still living in the 172 camps in the Port au Prince area, about 26,266 of them do not have access to appropriate toilets and efforts are still needed to improve hygienic conditions within the camps. Since the beginning of May 2014, an outbreak of Chikungunya fever has spread throughout Haiti, affecting some 39,343 persons, including 5,000 children under 5 years.2 While food security has reportedly improved due to a good spring harvest, and mitigation measures such as Cash for Work and Food for Work programmes have been put in place, the number of food insecure people might rise with the onset of the hurricane season, the current drought affecting the North-West of the country and the potential effect of El Niño this year. Additional social drivers may also aggravate the situation, such as the depreciation of the national currency and the potential political instability surrounding the upcoming legislative elections scheduled for 26 October 2014. Although the prevalence rate of wasting and stunting due to malnutrition has dropped significantly, concerns remain. In the first semester of 2014, supplies of Plumpynut, critical for the treatment of severe acute malnutrition, ran out due to funding constraints. Moreover, the Government national budget line for nutrition was reduced by one third.
2014 Revised Programme Targets
- 20,000 children under 5 suffering from SAM receive treatment
- 1.5 million children under 5 provided with micronutrient supplementation
- 200,000 vulnerable people receive cholera vaccination
- 100,000 disaster-affected people benefit from preventive and curative health interventions
- 77,299 internally displaced persons provided with sanitation services in camps
- 450,000 people in rural and urban areas of cholera persistence benefit from sensitization, cholera supplies, rehabilitation of water points, protection of water sources and wells, hygiene promotion, sanitation and access to safe water
- 150,000 children benefit from psychosocial support
- 5,000 separated and unaccompanied children benefit from family tracing and reintegration follow-up
- Non-food items pre-positioned for 50,000 families affected by an emergency
- 40,000 primary school aged children are sensitized on DRR and are to resume learning following an emergency
As part of its 2014 humanitarian strategy, UNICEF is supporting the Government of Haiti’s 10 year plan for cholera elimination, focusing on reducing transmission, mortality and morbidity, and strengthening the Government’s capacity to lead on and implement the response. UNICEF is strengthening its WASH response to meet the requirements of the National Plan for the Elimination of Cholera in Haiti, targeting 450,000 people in the most affected areas. UNICEF is also working closely with the Pan American Health Organization (PAHO) to strengthen the capacity of the Ministry of Health to carry out epidemiological surveillance, case management, health promotion and vaccination targeting 200,000 people. Working with partners, UNICEF is supporting the Government to improve sanitation in camps, reaching approximately 77,299 internally displaced persons. Besides, UNICEF is strengthening national capacity to prevent and reduce malnutrition by supporting improved access to treatment for severe acute malnutrition (SAM), distribution of therapeutic food and promotion of breastfeeding. In child protection, UNICEF is strengthening the capacity of social service call centres for children, and supporting disaster simulation exercises to strengthen the ability of existing child protection mechanisms to respond during emergencies. UNICEF is also working with the Ministry of Education to strengthen disaster risk reduction (DRR). As WASH cluster lead, and as a key member of the health and protection clusters, UNICEF continues to coordinate with line Ministries and more than 50 non-governmental organizations.
Results 2014 (January to June)
During the first half of 2014, UNICEF supported the Ministry of Health in its response to the Chikungunya epidemic, including by distributing 10,800 doses of paracetamol for patients.
UNICEF facilitated sanitation services (desludging, hygiene promotion, maintenance and repairs of latrines, decommissioning of latrines) in 135 camps with latrines in the metropolitan area of Port-au-Prince, benefitting some 106,446 people. Through government partners, both international and local NGOs, UNICEF reached 222,582 people with water treatment products and sensitization. UNICEF also supported the nationwide distribution of 17,507 cholera kits at community level and to cholera treatment centres, rehabilitated ten water points and set up 17 temporary emergency water points in areas of cholera outbreak. In education, UNICEF supported training on disaster risk reduction (DRR) for teachers, inspectors and children, and helped to establish an emergency and DRR education unit within the Ministry of Education. UNICEF also supported the roll out of pilot projects testing 14 schools in Port-au-Prince as disaster risk reduction ‘hubs’.
UNICEF continues to work with the United Nations Stabilisation Mission in Haiti (MINUSTAH) and in coordination with line Ministries to support the Department of Civil Protection to pre-position multi-sector contingency stocks. UNICEF has also strengthened the WASH cluster by supporting the Government to assume a leadership role in that sector.
UNICEF is requesting US$42,366,400 to meet the humanitarian needs of children and women in Haiti in 2014. As of 30 June 2014, US$10,145,084, or 24 per cent of funding requirements, have been met (including cost recovery). The carry over for 2013 is US$8,128,564. Additional humanitarian funding is needed to enable UNICEF to support the national response against the cholera epidemic, including providing internally displaced persons facing the spread of cholera with critical WASH services. Basic supplies for pre-positioning are also required to enable UNICEF and its partners to rapidly respond to emergencies.
1 Since the beginning of the cholera outbreak in October 2010, there have been 703,867 suspected cholera cases, with 8,568 deaths reported on 28 June 2014. There has been a significant decrease in cholera cases during the first half of 2014, with 6406 suspected cases and 36 deaths, compared to 25,317 suspected cases and 227 deaths, during the same period in 2013.
2 Ministry of Health, June 2014