Weak governance and political instability continues to hinder progress in Haiti, but it is important to highlight what is working. For example, Haiti has cut malaria cases in half from 2010 by working with a range of international and national partners including the Global Fund to Fight AIDS, TB, and Malaria, the World Health Organisation, the Clinton Health Access Initiative, the U.S Centers for Disease Control and Prevention (CDC), the CDC Foundation, and the Carter Center. This is welcome news, especially for pregnant women and children under five who are most vulnerable. An update from the Haitian Minister of Health Marie Greta Roy Clement in the Miami Herald follows.
After several days, the destructive aftermath of Hurricane Matthew is clearer. Haitians say the heart can't feel what the eyes don't see - so look at these photos from Al Jazeera and the Miami Herald as well as aerial footage by the United Nations. There is concern that the flooding could cause an upsurge in cholera cases. Given the scale of destruction, Haiti's elections have been postponed and a new date has not been determined. The humanitarian needs are real - but so too is the need to better plan for and respond to future hurricanes. Elections are rescheduled for November 20th.
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.
The World Health Organization (WHO) and the Haitian and Canadian governments launched a maternal and child health initiative today, a continuation and expansion of two existing programs. Even prior to the earthquake, Haiti was a difficult place to be a mother or a young child. Through this initiative, mothers and children under five receive basic care without cost. The intent is to progressively scale up this initiative to 90 health care facilities throughout the country. The full press release follows.
As we get closer to May, the rains will become more frequent and intense. Even brief rainfall to date gives an indication of how vulnerable the displaced in Port au Prince are to flooding and mud-slides. Some, such as the displaced at the Petionville Golf Club are being relocated to the hastily prepared Corail-Cesselesse site 15 km north of Port au Prince. Six other sites require urgent evacuation before the rainy season. Other sites can be made safer with engineering interventions. Disturbingly, hundreds sheltering at the National Stadium were reported to have been forcibly removed. Close coordination and rapid action are urgently needed to protect the displaced from the upcoming rains.
After four months of debate, the Haitian Senate finally ratified a Prime Minister. Michèle Pierre-Louis becomes only the second female in Haitian history to hold the post. This delay has had a high cost in the form of delayed infrastructure projects, delayed trade deals, and underminded confidence as to whether the country is ready to open a new chapter on governance. The Miami Herald notes under Haiti's constitution, Pierre-Louis must next present a governance plan and cabinet selections to parliament. We hope food security features prominently in the proposed plan - her tenure will largely be evaluated on whether she can accomplish the delicate balancing act of putting in place short term measures while working on long term solutions.
The World Health Organization (WHO) recently released an interesting and easy to understand guide on the relationship between investments in water/sanitation/hygiene (WASH) and public health. The international community, and Haiti Innovation included, have been paying a lot of attention to food security. However, children with diarrhoea from poor water are not able to absorb nutrients, are more likely to become malnourished, and subsequently come down with a life threatening disease. Worldwide 1.4 million children a year die (6,000 a day) die from diarrhoea. In Haiti, 10% of all deaths are estimated to be water-related. Access to water, sanitation and hygiene, together are key to promoting public health in Haiti and elsewhere.