Adoption can be controversial. In the case of Haiti, many orphanges are poorly managed and with little oversight. Major challenges are a lack of livelihoods and access to family planning information and commodities. Many children in orphanages are not really orphans as they have parents - albeit parents that could not afford them. Trention Daniel notes Haiti is in the process of updating its adoption laws for the first time in 40 years. This would being Haiti's adoption practices closer to international standards.
According to Trenton Daniel and Martha Mendoza, a ten year $2.2 billion dollar plan to eliminate cholera in Haiti and the Dominican Republic will be released shortly. The plan will be government-led with support from the U.S. Centers for Disease Control and Prevention (CDC), the United Nations Children’s Fund (UNICEF) and the WHO/Pan American Health Organization (PAHO). It is yet to be determined who will fund the plan and to what extent although the World Bank has indicated it will contribute. Although it will take years, eliminating cholera is neccesary both for protecting public health and promoting investment.
Of all countries in the western hemisphere, Haiti lags furthest behind in vaccination coverage. However, there are reasons for hope. The Haitian Ministry of Health (MSPP), the World Health Organization (WHO), The United Nations Children's Fund (UNICEF), the GAVI Alliance, American Red Cross (ARC), and key countries such as the United States, Brazil, Cuba, and Canada have pledged to coordinate in expanding coverage, including the introduction of new and much-needed vaccines. The full press release follows.
Haiti is in the midst of a cholera outbreak, the origin of which is and may remain unclear. We live in a mobile world and the source could be Africa, Asia, South America, or it may have already been in the environment. Where it came from is less important than the fact that Haiti, and especially the poorest of the poor, will always be vulnerable without clean water, adequate sanitation, and good hygiene. This is an update on the current cholera emergency and a reflection on actions that can prevent this from happening again.
The credibility of any government is determined in large part by its capacity and willingness to provide basic services. Health care can bring people together when there is equal access, or divide people when there is not. Before and after the earthquake, quality health care in Haiti was/is primarily provided by non-governmental and international organizations (NGOs/IOs). The NGOs and IOs have been instrumental in keeping disease outbreaks at bay and access to health care for many residents in Port au Prince, at least for now, is better than it was before the earthquake. While significant accomplishments, much more remains to be done before we can say that the health care system is truly being reconstructed.
In the weeks to come, I’ll provide updates on recovery efforts in Haiti sector by sector. Why start with education? After an emergency or a natural disaster, schools provide an opportunity to protect children physically and psychologically. It re-establishes a sense of routine, stability, and above all, hope for a better future. Technical and vocational education will be critical for developing a new generation of skilled workers and leaders. Without educational reform, Haiti’s recovery and long term development will be held back.
The United Nations has called this the most challenging disaster response in its history. More challenges lie ahead, one of which is the upcoming rainy season. While it will not begin for several weeks, heavy rains are already occurring sporadically. Recently, eight people were killed in flooding around Les Cayes. The rains also caused a landslide that destroyed a school in Cap Haitian two weeks ago. Those who have been displaced in Port au Prince require solutions, whether that be temporary shelter or staying with a host family. Their protection, health, and well being depends upon finding shelter before the rains become a daily event.
The suffering caused by the earthquake is difficult to fully comprehend. Haitian authorities report that at least 72,000 bodies have been recovered. Some predict the final death toll will be as high as 150,000 in Port au Prince alone. Up to 1.5 million people may be homeless. ICRC reports approximately 55,000 people in 40 informal temporary camps throughout the city. As you read this, many people are going back to the countryside. While most of the damage took place in the southern portion of Haiti, the whole country will be affected. The Government has declared a period of national mourning until February 17. We all grieve for what Haiti has lost.
Immediately after the earthquake, the main source of information was Twitter, which I have a new respect for. Journalists and aid workers are arriving in Haiti and we are gaining a better sense of just how extensive the damage to Port au Prince is. We also know that Jacmel was seriously affected as well. Aid from the United States, other governments, and humanitarian responders both big and small is picking up. This is a summary of the current situation, who is doing what where, and how you can help. Additional updates will be posted as comments.
The United Nations Children's Fund (UNICEF) is very active in Haiti, particularly in the sectors of water/sanitation and nutrition. UNICEF recently released their annual Humanitarian Action Report. It is intended for donors, but if you are interested in knowing what UNICEF did in Haiti during 2008 and seeks to accomplish in 2009, this is a good place to start. The Haiti section is copied below.