Map of Haiti
UNICEF photo: a boy sits on jerry cans © Cornelia Walther

Haiti

In 2016, UNICEF and partners plan for:
750,000

people in cholera-affected areas benefitted from a complete WASH response package

750,000

people living in high-risk areas received cholera vaccination

5,800

unaccompanied and separated children benefitted from family tracing and reintegration follow up

2016 Requirements: US$36,567,532

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Snapshot

Total affected population: 10 million
Total affected children: 4.3 million

Total people to be reached in 2016: 1,270,0001
Total children to be reached in 2016: 575,4602

Prior to the severe impact of Hurricane Matthew, the country was already suffering from a three year drought, related food insecurity and malnutrition, child protection issues and infant morbidity and mortality. Additionally, the ongoing cholera crisis has seen a sharp increase in cases since September 2016. With the severe impacts of Hurricane Matthew, particularly in the south west of the country, the coping mechanism of the population and the capacities of the government have been stretched to the breaking point. According to the latest assessments a total of 2.1 million people are affected by the hurricane, of which an estimated 890,000 are children. More than 175,000 people are displaced. Disrupted access to safe drinking water and adequate hygiene and sanitation, which was insufficient even prior to the hurricane, is further increasing the risk of water borne diseases, including cholera. The crisis in Haiti is increasingly becoming a protection crisis for affected children, especially those residing in institutions. There is a reported increase in the number of children being placed into residential care facilities, as families no longer can afford to care for their children. Children are also further exposed to risk due to disruptions in their schooling—at least 300 schools have been either damaged or destroyed and 106,000 children are out of school.

Humanitarian strategy

2016 Programme Targets

Child protection

  • 5,800 unaccompanied and separated children benefitted from family tracing and reintegration follow up
  • 10,000 children and families affected by hurricane Matthew who receive recreational and/or psychosocial support

Nutrition

  • 20,000 children under 5 years suffering from malnutrition received treatment or a nutrition package at home
  • 120,000 pregnant or lactating women benefitted from a nutrition package
  • 45,000 Pregnant and lactating mothers and children under 5 affected by Hurricane Matthew receiving micronutrients.

WASH

  • 400,000 persons provided with safe water for drinking, cooking and personal hygiene use
  • 750,000 people in cholera-affected areas benefitted from a complete WASH response package
  • 360,000 internally displaced persons benefitted from alternative sustainable sanitation strategies

Health

  • 750,000 people living in high-risk areas received cholera vaccination
  • 127 Health centers affected by Hurricane Matthew have a functional cold chain

Education

  • 160 schools affected by Hurricane Matthew repaired and equipped
  • 65,000 children 5-14 receiving school and learning materials in areas affected by Hurricane Matthew

UNICEF will continue to support local public health actors through improved surveillance and rapid response to cholera alerts, focusing on access to sustainable water and sanitation in areas most at risk and strengthening community-based surveillance. Children suffering from or at risk of malnutrition will be detected in time through the reinvigoration of sentinel surveillance systems. Such children will be referred to treatment facilities where they will benefit from the preventive package offered through infant and young child feeding and therapeutic foods for the treatment of malnutrition. In response to the deportation of Haitians from the Dominican Republic, UNICEF will support the Child Protection Brigade and the Institute of Social Welfare and Research (IBESR) to better care for unaccompanied migrant children. Four national non-governmental organizations (NGOs) will be supported to ensure adequate care and protection services for an estimated 800 children. UNICEF will advocate for the birth registration and civil documentation of migrant children. Child protection systems will be reinforced by strengthening the capacity of local actors, including those from government institutions and NGOs. UNICEF will work with the Haitian Civil Protection Agency to include children and women’s vulnerabilities and specific needs in rapid emergency assessments. In the framework of the WASH cluster transition, UNICEF will continue to build the coordination and preparedness capacities of the Directorate of Water and Sanitation. UNICEF will also focus on disaster risk reduction, including child protection, as part of the sensitization given to teachers and education inspectors.

Results from 2016

As of 31 October 2016, UNICEF received 55 per cent (US$7.4 million) of its original appeal of US$13.4 million. This is in addition to $US4.9 million that was carried forward from 2015. During this period UNICEF contributed to cholera prevention through the distribution of 450,000 complete WASH packages, which includes cholera kits, and supported the vaccination campaign with a special emphasis on information and social mobilization while promoting good hygiene and sanitation practices. In response to the effects of the persistent drought 10,000 children received micronutrients to prevent malnutrition. With the Ministry of Public Health and Population, UNICEF developed a crisis communication plan and prepared a radio program on Zika prevention which was broadcast through 40 community radio stations. UNICEF also provided support to unaccompanied children with family tracing and prevention of exploitation and abuse. In line with the needs, UNICEF’s results will increase as it accelerates its response to Hurricane Matthew and continues to respond to cholera.

Funding requirements

In line with the Haiti HRP, the Hurricane Matthew Flash Appeal and the National Cholera Response Plan, UNICEF urgently needs an additional US$22.5 million to meet the humanitarian needs of children and women in Haiti until the end of the year. With this funding, UNICEF will be able to sustain the level of surveillance and rapid response required for each case of cholera and increase it in those areas affected by Hurricane Matthew, ensure nutritional surveillance and treatment of children suffering from SAM, assist vulnerable children and restore access to basic health and nutrition services in the areas affected by Hurricane Matthew.

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1 Calculated as aggregate of people to be reached with WASH services for Matthew and cholera-affected populations, plus pregnant/lactating women benefiting from a nutrition package.
2 Calculated based on demographic percentage of population that are children under 18 years of age (43 per cent) and applied to total people to be reached (1.270,000) plus all children targeted for education and child protection interventions.