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HAITIEmergency Revision of the 2012 Consolidated Appeal for Haiti - Needs arising from the impact of Hurricane Sandy (Word)

Hurricane Sandy passed to the west of Haiti October 25, 2012 causing heavy rains and winds, flooding homes and overflowing rivers.- Photo Logan Abassi UN/MINUSTAH

HAÏTI CAP EMERGENCY REVISION (HURRICANE SANDY)—NOVEMBER 2012

TABLE OF CONTENTS

1. EXECUTIVE SUMMARY.............................................................................................................1

HUMANITARIAN DASHBOARD.....................................................................................................2Table I: Requirements and funding to date per sector and projects in the Emergency Revision.........3Table II: Requirements and funding to date per organization in the Emergency Revision..................4

2. CONTEXT AND HUMANITARIAN CONSEQUENCES..........................................................5

2.1 Context............................................................................................................................................52.2 Response to date..............................................................................................................................62.3 Funding to date................................................................................................................................7

3. HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS...........................................8

4. CLUSTER RESPONSE PLANS....................................................................................................9

4.1 Food security and Nutrition............................................................................................................94.2 CCCM and Shelter........................................................................................................................134.3 Health and WASH........................................................................................................................16

Health system..................................................................................................................................16WASH ...................................................................................................................................17

4.4 Education......................................................................................................................................19

5. CONTACTS...................................................................................................................................21

ANNEX I: LIST OF PROJECTS........................................................................................................22

ANNEX II: ACRONYMS AND ABBREVIATIONS.......................................................................26

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1. EXECUTIVE SUMMARY

Hurricane Sandy hit Haiti on 23 October. Three consecutive days of heavy rain caused severe flooding in the country, causing serious loss of life and damaging and destroying homes and public infrastructure. The Government of Haiti declared a state of emergency on 30 October.

The impact of the hurricane has generated a number of critical humanitarian needs and exacerbated existing ones. Of utmost concern are the 1.5 million people living in severe food insecurity in rural areas most affected by the hurricane. This is due to the loss of agricultural land, livelihoods and harvests, and the damage to the few agricultural areas spared by this year’s drought and Tropical Storm Isaac in August. Up to 450,000 people, including at least 4,000 children under the age of five are at risk of severe acute malnutrition as a result. With harvests destroyed in most of the country, the entire country’s food security situation is threatened.

The hurricane also destroyed at least 6,274 houses and damaged a further 21,427 according to the Haitian Directorate for Civil Protection (DPC). Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodation, while 2,949 are still living in 18 hurricane shelters where they took refuge during or after the storm. Hundreds of public buildings and facilities including cholera treatment facilities, hospitals and schools were destroyed, and infrastructure, notably potable water networks, suffered significant damage. New cholera outbreaks in the coming weeks and months are feared as a result. In addition, roads and bridges were destroyed or badly damaged; river banks collapsed, washing away arable lands.

Assessments indicate that the new needs arising from Sandy will require US$139.9 million in additional funding over 2012 and 2013. Of this, $23.2 million will be required to finance the first phase of the response until the end of the year, which is outlined in this Emergency Revision of the 2012 CAP. This first phase will immediately address the critical needs of 1.26 million people in food security and nutrition, shelter, health, WASH, and education. This brings the 2012 CAP's overall revised requirements to $151,080,810, and leaving unmet requirements of $95,344,094.

1 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking Service (FTS, [email protected]), which will display its requirements and funding on the current appeals page.

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2012 Haiti Consolidated AppealEmergency Revision for Hurricane Sandy

Duration October 2012 –December 2012

Affected population

An estimated 2 million people

Areas targeted by Emergency Revision

92 out of 140 communes in the South, South-East, West, Artibonite (mainly north), Northeast, Centre and Grand’Anse Departments

Key sectors for response

Food Security & NutritionCCCM &ShelterHealth & WASHEducation

Key target beneficiaries(approximate figures)

426,000 for food, agriculture, and nutrition

10,000 for health 22,674 for shelter 750,000 for WASH 50,000 for education

Total additional funding requested

for this Emergency

Revision

Beneficiaries of this Emergency Revision

$23.2 million 1.26 million people


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HUMANITARIAN DASHBOARD

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Table I: Requirements and funding to date per sector and projects in the Emergency Revision

Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandyas of 10 November 2012

http://fts.unocha.org

Compiled by OCHA on the basis of information provided by donors and appealing organizations.

Sector Original requirements

Revised requirements

Funding Unmet requirements

% Covered

Uncommittedpledges

($)A

($)B

($)C

($)D=B-C E=C/B

($)F

AGRICULTURE 8,000,000 5,610,354 1,106,821 4,503,533 20% -

CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER

2,520,574 8,560,946 - 8,560,946 0% -

EDUCATION 1,300,000 1,767,425 654,320 1,113,105 37% -

FOOD AID - 5,565,000 - 5,565,000 0% -

HEALTH 3,543,286 2,383,323 566,945 1,816,378 24% -

NUTRITION 5,679,249 6,256,469 2,086,249 4,170,220 33% -

WATER, SANITATION AND HYGIENE

7,273,860 9,852,448 3,780,397 6,072,051 38% -

Total Emergency Revision projects 28,316,969 39,995,965 8,194,732 31,801,233 20% -

Haiti CAP – non-revised projects 202,227,853 111,084,845 47,541,984 63,542,861 43% 612,745

Grand Total 2012 CAP 230,544,822 151,080,810 55,736,716 95,344,094 37% 612,745

NOTE: "Funding" means Contributions + Commitments + Carry-over

Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be

contributed.Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these

tables indicates the balance of original pledges not yet committed.)

The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org).

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http://fts.unocha.org/



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Table II: Requirements and funding to date per organization in the Emergency Revision




Appealingorganization

Original requirements


Funding Unmet requirements

% Covered

Uncommittedpledges

($)A

($)B

($)C

($)D=B-C

E=C/B

($)F

ACF - 700,000 - 700,000 0% -

ACTED - 845,000 - 845,000 0% -

ActionAid - 200,000 - 200,000 0% -

AMECON 2000 - 500,000 - 500,000 0% -

CARE USA - 603,004 - 603,004 0% -

CRS - 1,000,000 - 1,000,000 0% -

FADA - 601,975 - 601,975 0% -

FAO 8,000,000 4,500,000 1,106,821 3,393,179 25% -

FHED-INC - 191,555 - 191,555 0% -

HI - 353,813 - 353,813 0% -

IOM - 3,220,385 - 3,220,385 0% -

Malteser International 430,404 215,202 215,202 - 100% -

OPREM-F - 400,000 - 400,000 0% -

Solidarités - 100,000 - 100,000 0% -

UN-HABITAT - 236,000 - 236,000 0% -

UNICEF 14,253,109 14,030,036 6,520,966 7,509,070 46% -

UNOPS 4,433,456 5,124,174 199,855 4,924,319 4% -

WFP - 5,883,000 - 5,883,000 0% -

WHO 1,200,000 941,821 151,888 789,933 16% -

WVI - 350,000 - 350,000 0% -

Total Emergency Revision 28,316,969 39,995,965 8,194,732 31,801,233 20% -

NOTE: "Funding" means Contributions + Commitments + Carry-overContribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.

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Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.

Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.)

2.CONTEXT AND HUMANITARIAN CONSEQUENCES

2.1 ContextAlthough Haiti was not directly in Hurricane Sandy’s path, the storm triggered heavy rains and severe flooding in the West, South, Grand’Anse, Nippes and South-East Departments. Of the country’s 140 communes, 70 were affected by the storm. Water levels are receding, but several areas remain inaccessible due to damaged bridges and highways.

Haitian authorities and humanitarian actors were quick to respond to the needs identified. To date, assessments have been carried out in all affected communes and departments. Distributions of mattresses, sleeping bags, hygiene kits and food rations have been carried out (see Response to date, below).

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TS Sandy’s Impact (as of 23- 27 October 2012)

Although main ports, airports, fuel storage facilities and electricity plants were spared major damage, there are serious concerns regarding key parts of the road network. Humanitarian organizations have sufficient transport and storage capacity, but road access to certain affected areas of the southern peninsula (Grand’Anse and South Departments), near the Dominican border (Fond Verrets in West Department) and in Baie D’Orange and Mapou in the South-East Department remains limited. In particular, it is paramount that a quick and stable solution is found for the repair of the Port–au-Prince to Malpasse road, one of the main arteries of the country.2

2 Infrastructure repair falls outside the scope of this appeal but international partners are encouraged to continue supporting the Ministry of Public Works (MoPW) to continue their quick road repair. Road repairs will also

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Areas affected by TS SandyLandslide areas

Blocked road reported

Road

Hurricane Sandy’s impact


Bridge destroyed in Arcahaie (West) Road destroyed by the rising of sea water in theSouth department

2.2 Response to dateThe Haitian Government released an emergency budget allocation of HTG 350 million ($8.4 million) for immediate life-saving response while humanitarian partners also provided assistance (see further details below). However, in-country resources are increasingly strained. For humanitarian partners, severe underfunding of the 2012 Consolidated Appeal has reduced emergency response capacity in the country. Many of the critical needs resulting from the devastating passage of Sandy cannot currently be met. The table below reflects a number of interventions by the international community in support of Government response efforts:

Cluster/Sector

Activities

CCCM/Emergency shelter

Preparedness activities 224 camps, comprising 64,812 families (69% of the camp population), were sensitized on

preparedness specifically for Hurricane Sandy. All camps sensitized on hurricane preparedness in general since the beginning of the hurricane season.

18 partners supported emergency activities in camps before and after the storm (type of activities: sensitization, evaluations, non-food item (NFI) support, response intervention).

Coordination of assessments 300 camps, hosting 73% of the camp population, were contacted by telephone for initial

assessments. Field evaluations conducted of 184 camps in order to verify the initial telephone

assessments. Findings of field evaluations (as of 4 November 2012)

- 115 camps (21% of the existing camps), housing 39,811 families, affected by the rains reporting mostly flooding, health-related issues, damages to water, sanitation and hygiene (WASH) and shelter facilities.

- 76 of the camps affected by Sandy were also affected by Isaac.- At least 5,200 emergency shelters, housing 21,840 people, in 88 camps, were

destroyed or seriously damaged by the storm.- 676 additional families identified as in need of NFI and cholera-related items.

Emergency response in camps 8,134 tarpaulins distributed as of 4 November, representing 65% coverage of urgent

needs; remaining shelter needs will be covered in the following weeks. Distribution of cholera-related items in 51 camps.

Food Security and Nutrition

Distribution of emergency food kits and High Energy Biscuits (HEBs) in temporary shelters reached more than 15,000 people (South, Nippes, South-East, West, Artibonite, Nippes and North-West Departments).

5.6 metric tons (MTs) of HEBs and 0.74 MTs of mixed commodities distributed via World Food Programme (WFP) and partners such as International Organization for Migration

contribute in resuming the normal flow of economic exchanges and in facilitating market access for farmers.

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(IOM), Catholic Relief Services (CRS), CARITAS, Directorate for Civil Protection (DPC), Haitian Red Cross.

Food kits have been provided by CRS, World Vision International (WVI), DPC, Ministry of Social Affairs.

Technical and logistical support provided to the Government to enhance monitoring of the nutritional status of children under five.

Eight tents provided to replace severe acute malnutrition (SAM) treatment centres. Vitamin A capsules and de-worming tablets as well as technical and financial support

provided to the Government for children under five.Health Evacuation of patients from the Immaculate Conception Hospital in Camp Perrin in the

South Department. Handicap International (HI) donated two tents to replace a cholera treatment centre in the

Nippes department. World Health Organization (WHO) field teams deployed in 10 departments to evaluate

the number of cases appearing after the storm.WASH Evaluation of WASH needs in 71 affected communes out of 72.

Distribution of more than 11,000 hygiene kits for all highly vulnerable families (those who have lost all their items).

Provision of water and sanitation in 30 emergency shelters out of 136. Hygiene promotion campaigns targeting all highly vulnerable families and

neighbourhoods. United Nations Office for Project Services (UNOPS) cholera response teams have

reached through mass sensitization of 3,031people and 1,222 door-to-door sensitizations since Sandy.

Education 100 school tents for 8,000 students to be distributed to enable damaged schools to continue functioning (ongoing).

40,000 affected students’ lost materials will be replaced by United Nations Children's Fund (UNICEF) ongoing school kit distribution.

Logistics International Federation of Red Cross and Red Crescent Societies (IFRC) carried out three reconnaissance flights in the affected areas.

United Nations Stabilization Mission in Haiti (MINUSTAH) assistance to assessment teams through special helicopter flights.

Mitigation UNOPS support to the Ministry of Public Works to mitigate additional flooding risk in the areas of 4th Avenue, Carrefour (Zone de Mariani) and Cité Soleil. Actions taken: canal cleaning; water passages to stop houses from flooding, and debris removal.

A needs evaluation in the metropolitan area of Port-au-Prince and in the South Department was carried out; various areas at risk of flooding and major infrastructure damage in roads and bridges were identified.

Government of Haiti

HTG 350 million ($8.4 million) allocated for assistance to the affected population. Distribution of 36,800 food parcels and 20,000 food kits by the Prime Minister’s office. Cholera treatment supplies were provided by the Ministry of Health in Artibonite. Delivery of 25,000 hot meals and 40,000 bottles of water. 61,000 emergency vouchers will be distributed.

2.3 Funding to dateAs of 10 November, humanitarian funding received against the 2012 CAP stood at $55.7 million representing only 37% of the critical humanitarian requirements identified. Shortfalls in humanitarian funding throughout 2011 and 2012 have reduced response capacities to the extent that there is insufficient capacity under current conditions to meet the additional humanitarian needs resulting from Hurricane Sandy. This Emergency Revision seeks to mobilize additional funding needed to meet these requirements.

The Emergency Relief and Response Fund (ERRF) for Haiti remains open and may serve as a channel to allocate contributions against this appeal. Appeal projects for cholera response will be targeted for ERRF allocations.

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ERRF contactSalvator BijojoteEmail: [email protected] Tel: +509 3702-576

mailto:[email protected]%20T


3.HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS

The hurricane has generated a number of critical humanitarian needs. The impact on the agricultural sector is a priority. In August, Tropical Storm Isaac destroyed some 40% of the harvest, compounding the effect of drought earlier in the year. Sandy then devastated agricultural lands in the south that Isaac had not affected, with over 90,000 hectares of agricultural land and crops in at least 60 of the country’s 140 communes destroyed.3 The combined impact is alarming, with 1.5 million severely food insecure, and up to 450,000 people, including at least 4,000 children estimated to be at risk of severe acute malnutrition (SAM).

DepartmentDestroyed

housesDamaged houses

Grande-Anse 2,386 3,492

Sud-Est 1,299 4,522Sud 1,062 8,995Nippes 1,037 2,242Ouest 443 1,788Artibonite 33 144Nord-Ouest 12 50Centre 2 194Nord 0 0Nord-Est 0 0TOTAL 6,274 21,427A second area of concern is shelter. According to data collected by the DPC, 27,701 homes were either damaged or destroyed (see table). Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Another 5,298 earthquake-displaced people in camps were also left homeless by Sandy and are in the process of being assisted with emergency shelter distributions.

A number of critical public buildings and infrastructure were severely damaged by the storm. As of 31 October, 150 schools were destroyed or damaged, resulting in 100 schools being closed and which will require assistance to reopen. This affects an estimated 20,000 children. Health structures were also affected: 22 cholera treatment facilities were destroyed by Sandy, in addition to the 39 facilities damaged by Tropical Storm Isaac, which have not yet been repaired. 30 potable water supply systems were also damaged, affecting 830,000 people. An increase in cholera cases is being reported in the South and South-East Departments and there are fears of further outbreaks. Mitigation and clean up works will be required in camps, hurricane shelters and affected areas to re-establish decent living conditions

3 Government of Haiti, Situation report No 8.

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Maize farm completely flooded in Les Cayes (Sud) - Banana farm flooded in Jeremie (Grande-Anse)


4.CLUSTER RESPONSE PLANS

4.1 Food security and NutritionLosses caused by Tropical Storm Sandy in the agricultural sector are estimated at $104 million. According to the National Committee for Food Security (CNSA), 1.5 million people in facing severe food insecurity, due to the loss of crops and livelihoods; at least 4,000 children under five are at risk of severe acute malnutrition.

Immediate interventions required include prompt food rations to most affected populations; cash/food for work for households at highest risk of food insecurity; voucher distributions for the most vulnerable (disabled, elderly, etc.); key nutrition interventions for victims of severe acute malnutrition as well as for children at risk of malnutrition; and provision of agricultural inputs to allow immediate re-planting.

Background and needs analysis

The combined impact of the drought earlier in 2012, Tropical Storm Isaac, and now Hurricane Sandy on the food security situation in Haiti has been devastating, with 1.5 million people, in 92 out of the country’s 140 communes, facing a situation of severe food insecurity.4 5 This situation led the Government to decree a state of emergency on 30 October. .

Evaluations carried out after the drought and Tropical Storm Isaac revealed that almost 50% of communes, or 2.5 million people, were affected by food insecurity. Of these, an estimated 900,000 people are severely food insecure. With the impact of Sandy, this number has increased to 1.5 million. There have been significant reductions in the availability of local food products, with consequent significant price increases (200% price increase in some communes were registered at the end of September 2012 compared to the prices in September 2011). By end of October 2012, corn production had declined by 42%; sorghum and rice by 33%; bananas by 37%; potatoes by 22% and vegetables by 6%. Commercial production of coffee, bananas, avocadoes, mangoes and oranges has also been severely affected. This has resulted in a greater dependence on imported food products and increasing vulnerability to international price fluctuations.

4 National Committee for Food Security (CNSA)5 A rapid food security assessment is on-going in the districts affected by Hurricane Sandy under the leadership of the CNSA.

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Worsening an already serious situation, Sandy hit the few remaining productive areas in the country. The total losses are estimated at $104 million, mostly in the agricultural, fishing and pastoral sectors. The departments of Grand’Anse, Nippes, the South, the South-East, the West and the North-East are identified as being the most affected areas, however the food crisis will affect the entire population. As a direct impact of the combined effects of the drought, Isaac and Sandy, the population in affected areas is facing a triple threat of decreased job opportunities, reduced access to food and less agricultural land to cultivate for the coming harvest season. Most vulnerable households have depleted food stocks, at a time when the next harvest season is still months away (June 2013).

Dry season and TS Isaac priority areas, prior to Sandy

The household survey carried out in September 2012 by the CNSA found that up to 57% of rural households were severely food-insecure.6 There is a high probability that households in areas affected by the drought and by Isaac and Sandy are not meeting their basic calorific requirements. A worrying deterioration of the nutritional status for the most vulnerable (children under five, lactating/pregnant women, the elderly and disabled, people living with AIDS) is likely. Preventive measures are therefore increasingly urgent.

Households interviewed prior to Sandy, in September-October 2012, were already relying on negative coping mechanisms such as the sale of productive assets, increased wood cutting to produce charcoal (especially fruit trees), increased dependency on credit for food purchase, decreased number and quality of meals, reduction in school enrolment, and increased migration to urban areas. Non-agricultural employment opportunities are even more limited than before, in particular in rural areas. In addition, the fishing community has also been badly affected by Sandy.

6 National Study on Food Security

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Food Security response planObjectives Results expected Key activities Beneficiaries

Ready to eat food to support households in temporary shelters.

Improved food consumption over assistance period for targeted emergency-affected households in temporary shelters.

Distribution of HEBs and food kits.

15,000 people (3,000 families)

Emergency food aid to support worst affected families who lost their homes (totally/partially destroyed/badly affected).

Improved food consumption over assistance period for targeted emergency-affected households.

Provision of in-kind food assistance in the form of dry rations - each covering 21 days for a family of five people.


Immediate cash / income safety net provided to worst affected rural households.

Strengthened food purchasing power over assistance period for targeted emergency-affected households at risk of falling into acute hunger due to loss of income.Support to rehabilitation of key infrastructure for the poor rural farmers.

Cash/FfW activities in the form of high Intensity labour programmes. Assets to be rehabilitated identified and prioritized with local communities.

90,000 people(18,000 families)

Immediate unconditional assistance to most vulnerable populations (status based: handicapped, disabled, elderly, etc.).

Adequate food consumption over assistance period for targeted emergency-affected households at risk of falling into acute hunger.

Provision of unconditional vouchers/cash for worst affected people who are already extremely vulnerable (handicapped, elderly, etc.).

N/A

Improve the food security situation of affected families through agricultural production.

20,000 emergency-affected households at risk of falling into food insecurity have access to agricultural inputs and produce their own food.

Provision of agricultural materials (seeds and tools and small scale livestock) through vouchers.


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Nutrition response planObjectives Results expected Key activities BeneficiariesPrevent child malnutrition and treat severe acute cases effectively

Children under five suffering from SAM have access to timely and effective care.

Pregnant and lactating women have access to 16 counselling on optimal infant feeding practices.

Children under five and women have access to essential micronutrients.

Children suffering from diarrhoea receive adequate treatment.

Health and community workers’ capacity is strengthened to ensure effective delivery of services.

Conduct early identification and referral of children with SAM.Ensure availability of essential commodities and equipment, including information education and communication (IEC) tools.Organize training sessions for health and community workers.Organize 16 counselling sessions for lactating women.Distribute micronutrients to children and women.

1,000 children under five for SAM

12,000 children under five for diarrhoea

8,300 children and 25,000 women for micronutrients

Prevention of a nutrition crisis through targeted supplementary feeding and preventive nutritional support.

Improved nutritional status of targeted children 6–59 months and of pregnant and lactating women, through targeted supplementary feeding/preventive support.

Nutritional preventive support and targeted supplementary feeding to treat moderate acute malnutrition among children aged 6–59 months and pregnant and lactating women as well as tuberculosis (TB) and anti-retroviral therapy (ART) patients.

100,000 people (including children under five and pregnant and lactating women)

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4.2 CCCM and ShelterHurricane Sandy destroyed 6,274 houses and damaged a further 21,427 according to the DPC. Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Of these, at least 2,300 are unable to return to their place of origin because their houses and/or lands have been destroyed by the storm.

Immediate Shelter and CCCM interventions will include: the distribution of repair and reconstruction kits, technical support and training, restocking of non-food items (NFIs), the provision of basic essential services for the 2,949 people still living in evacuation shelters, and mitigation and disaster risk reduction (DRR) works in affected areas.

Background and needs analysis1. Housing sector

A thorough field assessment conducted by E-Shelter and CCCM Cluster partners will be required to verify the damages estimated by the DPC at the time of the initial rapid assessment and to determine whether reconstruction and repairs can take place, whether mitigation and DRR works are needed and/or whether relocation options are available.

Once the assessments are completed, E-Shelter and CCCM Cluster partners will proceed with the distribution of repair and reconstruction kits, accompanied by technical support, training and communications tools to promote a safer and sturdier reconstruction and repair process. In some cases, particularly in rural areas, it transitional shelters may be necessary, and in urban areas rental subsidies may be required. The Shelter support strategy will need to maintain a certain level of flexibility to adapt to the evolving needs on the ground. Partners will seek to integrate Shelter assistance with livelihood, agriculture and WASH activities.

Damaged house in Marfranc /Jeremie (Grand Anse)

15


2. At risk camps

Heavy rains generated important flooding in camps causing the destruction of thousands of dwellings and tents. Overall, 5,200 emergency shelters were destroyed in 88 camps. 78 out of the 115 camps affected by Sandy were also affected by Isaac.

Source: IOM

To minimize the number of vulnerable IDPs exposed to floods and landslides the 115 camps identified by Government as being most at risk will be prioritized for return projects, particularly using the rental subsidy approach.

Immediate needs in camps include: (1) re-stocking contingency NFIs to replace those distributed after the two storm crises in 2012 (Isaac and Sandy) and (2) mitigation and DRR works in and around the most affected camps and areas of return, to ensure safe living conditions.

3. Evacuation shelters

A preventative evacuation of 19,000 at-risk people was organized by national authorities as Hurricane Sandy approached (this number included 1,250 extremely vulnerable IDPs evacuated from at-risk camps in Port-au-Prince). As of 31 October 2012, 2,949 individuals remain in 18 evacuation shelters scattered across the West and South-East departments, according to information provided by the DPC. Of these, 2,298 people (78%) are believed to

be without return solutions, as their houses and/or land were washed away by the floods. These people are in need of immediate basic assistance including NFIs, clean water, basic sanitation and hygiene items. They will also need shelter assistance to return to their communities of origin or relocate to a new area.

16

Camps affected by ISAAC (218)

Camps affected by both storms (78)

Camps affected By SANDY (115)

DepartmentPeople in hurricane shelters

Number of hurricane shelters operational

West 2,682 10South-East 267 8Total 2,949 18


Shelter and CCCM response planObjectives Results expected Key activities BeneficiariesImmediate humanitarian assistance to 11,274 families who had their houses lost or destroyed

11,274 families who had their homes destroyed or damaged receive host family support, cash grants for reconstruction and/or rent, construction of shelters

Provision of host family support, cash grants for reconstruction and/or rent, construction of shelters

11,274 families (approximately 56,370 people)

Basic services for families in evacuation shelters (duration: two months)

2,949 people in evacuation shelters receive basic services (duration: two months)

Provision of essential NFIs, shelter maintenance, security, WASH and health-related services

2,949 people (approximately 580 families)

Small mitigation works Essential small mitigation and clean up works in camps and areas and neighbourhoods badly affected by the storm are carried out

Cash for work, provision of basic tools, equipment and machinery to support the beneficiaries if required

N/A

Replenishment of contingency stocks

Contingency stocks for 9,000 families are replenished

Hygiene and kitchen kits, tarps, mosquito nets etc. are provided for stocks

9,000 families (approximately 45,000 people)

Total beneficiaries 20,854 families

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4.3 Health and WASHIncreased numbers of cholera cases are being reported in various areas in the aftermath of Sandy while response capacities are limited. 22 cholera treatment facilities were destroyed by the storm. Damage to 30 potable water supply systems is a further concern. Immediate interventions required include the rehabilitation of the 22 damaged cholera facilities, the pre-positioning of medical stocks to treat 10,000 potential victims and the rehabilitation of the 30 water supply systems.

Background and needs analysis

Health system

Despite a significant decline in the incidence of cholera infections and fatalities in 2012 the cholera epidemic continues and the risk of outbreaks remains acute. With the passage of Tropical Storm Isaac and now Hurricane Sandy, several new outbreaks have been recorded by the national alert system, creating a spike in new cholera cases and fatalities. Between 28 October and 8 November 3,593 new cases of cholera were recorded. This is against a backdrop of previously increased infection rates: 8,228 cases of cholera were recorded in October, in comparison to 7,500 in September.

Some isolated areas in the country have been difficult to reach due to flooding following Hurricane Sandy. Aerial transportation has been needed to respond to localized cholera outbreaks. The increase of patients in treatment centres has required a draw-down of pre-positioned medical supplies in government warehouses at departmental level. New materials are urgently needed to replenish stocks to respond to continuing anticipated caseload and outbreaks. Hurricane Sandy destroyed 22 cholera treatment facilities in the South, South East, Grand’Anse and West Departments. This compounds the difficulties caused by the prior destruction of 39 facilities by Isaac, which had not yet been repaired.

Exacerbating response challenges, over recent months there has been a sharp decrease in the number of international actors involved in the cholera response, while Government capacity to respond to cholera outbreaks faces important limitations. Thus, immediate financing is required for humanitarian partners to fill critical gaps in response.

Les Cayes Hospital inaccessible as a result of flooding

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WASH

The 2,298 people still living in emergency shelters are in need of clean water, basic sanitation and access to basic hygiene items. the National Directorate for Potable Water and Sanitation (DINEPA) and WASH partners distributed approximately 4,000 hygiene kits to these people and are providing WASH services in 30 out of the 136 emergency shelters. Damage to WASH infrastructure has been identified across the country, with 30 water supply systems were damaged throughout the South, Grande Anse, Nippes and West Departments. In a country lacking basic sanitation of sewage infrastructure, these systems are in need of immediate rehabilitation. Works will be implemented by DINEPA, with support from the UNICEF and other WASH partners.

The drastic reduction in safe water coverage after Sandy as a result of the destruction of these water supply systems sharply increases the risk of exposure to water-borne diseases. The localized outbreaks of cholera cases reported so far attest to heightened risks. Immediate measures are needed to protect and restore drinking water sources and to improve sanitation, as well as to restore damaged and destroyed cholera treatment facilities. In addition, both for short-term shelter solutions and in housing reconstruction, ensuring access to latrines and other basic sanitation facilities is essential.

Additional contingency stocks are urgently required to deal with cholera outbreaks and emergencies for the remaining weeks of the hurricane season and to replenish severely depleted stocks. Finally, immediate support to the WASH Sector information management and coordination capacities of DINEPA has to be maintained.

Monthly variation in cholera casesfrom 2010 to 2012606,951

Cumulative cholera casessince Oct. 2010

7,615Fatality cases sinceOct. 2010

Monthly variation in cholera casesfrom January to September 2012

New cholera casesregistered per month

Fatality rates(per month)

2.23%

19,340(April2011)

84,391

8,729

31October2012

Nov.2010

Apr.2011

May2011

54,339

0.65%

New cholera casesregistered per month

Fatality rates(per month)

31Oct.May June JulyJan. Feb. Mar. Apr.

(April)

4,046

0.20%

12,583

25,723

8,729

19Oct.

0.52%

5,823

Anniversaryof choleraepidemic

6,410

0.65%

Source: Ministry of Public Health and Population (MSPP)

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Health response planObjectives Results expected Key activities Beneficiaries

Increase capacities to respond to new cholera cases.

- 61 damaged cholera treatment facilities are rehabilitated, including 22 affected by Sandy and 39 affected by Isaac.

- 17,000 new potential cholera cases can receive treatment.

- Support to the reconstruction of 61 damaged cholera treatment facilities.

- Support Ministry of Health in integrating cholera centres into the public health system.

- Support affectedcholera treatment facilities through distributions of key materials, mainly in areas with no or difficult access.

- Provision of medical materials for about 10,000 potential cholera cases, and pre-positioning of stock in risk areas.

- Support the Pan-American Health Organization (PAHO) alert mechanism to coordinate the response at department level and the epidemiological monitoring of the health situation through its field teams.

- Improving the water and sanitation situation in cholera treatment facilities.

- Health promotion campaigns in affected communities.

10,000 people

WASH response planObjectives Results expected Key activities Beneficiaries

Mitigate cholera and other water- borne diseases amongst populations affected by Hurricane Sandy.

Access to safe WASH is improved for all populations affected by Hurricane Sandy.

- Detailed assessment of cost of repair of WASH infrastructures damaged by Hurricane Sandy.

- Rehabilitation of 30 water supply systems.

- Decontamination/ repair of water sources and wells.

- Desludging, maintenance and rehabilitation of latrines in flooded public buildings and emergency shelters. Technical support to affected families to access sanitation.

- Provision of emergency response supplies (hygiene kits, jerry cans, etc.).

- Hygiene and sanitation campaigns and distribution of hygiene promotion material.

750,000 people

Reinforcement of emergency capacities to coordinate and respond to Hurricane Sandy.

Reinforcement of coordination and information management in the WASH Sector.

- Reinforcement of the capacities of the National Observatory and Emergency Response Department of DINEPA through coaching.

- Support to coordination.

- Reinforcement of SISKLOR SMS water quality monitoring system.

Nationwide

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4.4 EducationHurricane Sandy had a severe impact on basic public infrastructure: aside from health and water facilities, 150 schools and several key roads and bridges were damaged or destroyed. An infrastructure recovery response plan is being developed by the Government and will be released shortly.

Background and needs analysisThe storm caused significant damage to public and private schools in southern Haiti, many of which were constructed in a makeshift manner using basic materials including tarpaulins and banana leaves. The initial Government assessment report suggests that more than 100 permanent or semi-permanent schools were damaged and more than 50 light–structured schools were destroyed (see table). Where school infrastructures were not damaged, flooding damaged the teaching and learning materials of more than 500

schools throughout the country. The majority of affected rural schools do not have water and sanitation facilities exposing students and teachers to cholera risks.

A flooded school in Les Cayes (South Department)

The Ministry of Education and its partners have proposed a two-fold response strategy:

■ Immediate: repair damaged schools and set up temporary learning spaces with temporary measures, using tarpaulins, tents and tin sheets, targeting the schools which have not been able to re-open or properly function.

■ Medium-term: rehabilitate the destroyed schools with light-structured temporary learning schools in order to better resist cyclones.

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Number of schools destroyed or damagedDepartment Destroyed DamagedGrand’Anse 23 12South-East 10 30South 9 20Nippes 7 18West 0 20Total 49 100


Destroyed temporary school structures in South-east

Education response planObjectives Results expected Key activities BeneficiariesTo support the continuation of schooling in a safer environment for approximately 50,000 students whose schooling has been interrupted because of damages caused by Hurricane Sandy.

- 100 schools rehabilitated or repaired.

- 50,000 students and 1,250 teachers who lost their teaching and learning materials receive textbooks, other materials, aquatabs and soap.

- Students in 150 schools in cholera-affected zones practice hand washing with soap.

- Repair and rehabilitate 100 damaged or destroyed schools with tin sheets, tarpaulins and tents.

- Rehabilitate 40 schools with light semi-structured temporary learning spaces.

- Distribute teaching and learning materials to replace those destroyed.

- Distribute aquatabs and soap for schools to prevent the spread of cholera.

- Set up hand washing stations in schools which have no water in the affected zones.

20,000 students and 500 teachers50,000 students1,250 teachers

30,000 students30,000 students

22


5.ContactsHaiti Government

Ministry of the Interior and Local GovernmentH.E. Minister Leon [email protected]

Directorate of Civil ProtectionDirector Jean-Baptiste Alta [email protected]

International Humanitarian Community

Nigel Fisher Johan Peleman Humanitarian Coordinator Head of OCHA – Haiti [email protected] [email protected]+509 3702 9079 +509 3702 8746

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mailto:[email protected]




ANNEX I: LIST OF PROJECTS




Project code(click on hyperlinked project code to open full project details)

Title Appealing agency


($)


($)

Funding

($)

Unmet requirements

($)

%Covered

AGRICULTURE

HTI-12/A/45480/R/123Intervention d’urgence dans le secteur de l’élevage et l’agriculture dans les départements de la Grande Anse, de l'Ouest, des Nippes et du Sud, affectés par les inondations

FAO 8,000,000 4,500,000 1,106,821 3,393,179 25%

HTI-12/A/51444/R/14558 Projet de soutien rapide aux éleveurs victimes du cyclone ISAAC et Sandy dans la commune de Léogane

OPREM-F - 400,000 - 400,000 0%

HTI-12/A/56883/R/13790 Support Agriculture to foster AKA Culture Farmers Association in 11 Communal Section of Gros Morne, Léogane

FHED-INC - 95,049 - 95,049 0%

HTI-12/A/56885/R/14556Projet d’appui à la conservation du sol de terres cultivable inondée autour de la rivière de BAINET (8eme section oranger, 5eme bras grandou et 7eme bras gauche)

FADA - 115,305 - 115,305 0%

HTI-12/A/56896/R/13244 Assistance Agricole aux familles des sections communales de 1ère et 2ème Balan sévèrement touchées par le Cyclone Sandy

AMECON 2000

- 500,000 - 500,000 0%

Total for AGRICULTURE 8,000,000 5,610,354 1,106,821 4,503,533 20%

CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER

HTI-12/CSS/45500/R/5767 Emergency preparedness and mitigation response for targeted and vulnerable communities of Haiti

UNOPS 2,520,574 3,034,174 - 3,034,174 0%

24

http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/CSS/45500/R/5767

http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/A/56896/R/13244










($)


($)

Funding

($)

Unmet requirements

($)

%Covered

HTI-12/S-NF/56865/R/14556Projet de réparations de 200 maisons endommagées dans cinq (5) communes (Mapou, Bainet, Thiotte, Les Anglais, Harniquet) et d'une assistance technique pour la reconstruction de 300 maisons détruites

FADA - 268,570 - 268,570 0%

HTI-12/S-NF/56878/R/5349 Amélioration des conditions de vie de 300 familles vulnérables affectées par le passage de la tempête Sandy

HI - 353,813 - 353,813 0%

HTI-12/S-NF/56880/R/298 Humanitarian and shelter response to Hurricane Sandy IOM - 3,220,385 - 3,220,385 0%

HTI-12/S-NF/56886/R/6458 Emergency shelter assistance to vulnerable population affected by hurricane Sandy

ACTED - 845,000 - 845,000 0%

HTI-12/S-NF/56888/R/7039Appui technique et communication sur la réparation et réhabilitation des logements post-cyclone pour l’amélioration des practices de construction paracyclonique

UN-HABITAT - 236,000 - 236,000 0%

HTI-12/S-NF/56894/R/5585 Emergency response and NFI response to Sandy CARE USA - 603,004 - 603,004 0%

Total for CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER 2,520,574 8,560,946 - 8,560,946 0%

EDUCATION

HTI-12/E/45181/R/124 Quality basic education for vulnerable children in disaster affected areas and host communities in Haiti

UNICEF 1,300,000 1,289,119 654,320 634,799 51%

HTI-12/E/51211/R/14556 Construction de 26 structures de lavages des mains dans 26 écoles du SUD et SUD 'EST frappées par l'ouragan SANDY

FADA - 181,800 - 181,800 0%

HTI-12/E/56838/R/5511 Safe Learning environment for children post-Hurricane Sandy ActionAid - 200,000 - 200,000 0%

HTI-12/E/56871/R/13790Fostering Wash promotion in 118 Destroyed and Damaged Schools by Sandy Hurricane in The West, South East, Nippes, South and Grand'Anse of Haiti

FHED-INC - 96,506 - 96,506 0%

Total for EDUCATION 1,300,000 1,767,425 654,320 1,113,105 37%

FOOD AID

HTI-12/ER/56902/R/8502 Cash-for-work to support urban livelihoods in Ouest department following Sandy

WVI - 350,000 - 350,000 0%

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http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/ER/56902/R/8502

http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/E/56871/R/13790




http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/S-NF/56894/R/5585










($)


($)

Funding

($)

Unmet requirements

($)

%Covered

HTI-12/F/56899/R/561Immediate food assistance and cash safety net for most vulnerable rural households affected by the combined effects of the drought and Isaac/Sandy Hurricane

WFP - 3,715,000 - 3,715,000 0%

HTI-12/F/56900/R/5186 Integrated response for vulnerable population affected by food insecurity due to the combined effects of the drought and Isaac/Sandy Hurricane

ACF - 500,000 - 500,000 0%

HTI-12/F/56901/R/5146 Recovery from Hurricane Sandy in Southern Haiti CRS - 1,000,000 - 1,000,000 0%

Total for FOOD AID - 5,565,000 - 5,565,000 0%

HEALTH

HTI-12/H/45193/R/7560Assuring current and future care to cholera patients and preventing the disease on community level by provision of a sustainable treatment structure

Malteser International

430,404 215,202 215,202 - 100%

HTI-12/H/45446/R/122 Implementation of Multi-hazard Alert and Response System WHO 1,200,000 941,821 151,888 789,933 16%

HTI-12/H/45498/R/5767 Immediate basic WASH response to cholera outbreaks in Haiti UNOPS 1,912,882 1,190,000 199,855 990,145 17%

HTI-12/H/51270/R/14556 Implantation d'un centre de traitement de cholera dans le centre de sante de marcher CANA a Mirbalais

FADA - 36,300 - 36,300 0%

Total for HEALTH 3,543,286 2,383,323 566,945 1,816,378 24%

NUTRITION

HTI-12/H/45168/R/124 Emergency Nutrition Services (preparedness and response) UNICEF 5,679,249 4,088,469 2,086,249 2,002,220 51%

HTI-12/H/56898/R/561Nutritional Supplementary/Preventive Response targeting affected women/children low 5 years due to the combined effects of the drought and Isaac and Sandy Hurricane.

WFP - 2,168,000 - 2,168,000 0%

Total for NUTRITION 5,679,249 6,256,469 2,086,249 4,170,220 33%

WATER, SANITATION AND HYGIENE

HTI-12/WS/45152/R/124 UNICEF WASH Emergency and Recovery in Haiti UNICEF 7,273,860 8,652,448 3,780,397 4,872,051 44%

26

http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/WS/45152/R/124

http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/H/56898/R/561






http://ops.unocha.org/reports/publicreports.aspx?appealid=958&rtype=APS&Projectcode=HTI-12/F/56901/R/5146







($)


($)

Funding

($)

Unmet requirements

($)

%Covered

HTI-12/WS/51312/R/5767 Decentralisation DINEPA trucks in the Regions and Immediate basic WASH response to cholera outbreaks in Haiti

UNOPS - 900,000 - 900,000 0%

HTI-12/WS/56879/R/5186Rapid response to initial WASH needs of residents of a dozen displacement camps affected by hurricane SANDY in the communes of Port-au-Prince, Delmas and Cité Soleil.

ACF - 200,000 - 200,000 0%

HTI-12/WS/56882/R/5633Réponse rapide aux flambées de choléra suite au passage de l’ouragan SANDY dans 32 sites de déplacés de Pétion Ville, Delmas et Port au Prince

Solidarités - 100,000 - 100,000 0%

Total for WATER, SANITATION AND HYGIENE 7,273,860 9,852,448 3,780,397 6,072,051 38%

Total for Emergency Revision 28,316,969 39,995,965 8,194,732 31,801,233 20%

NOTE: "Funding" means Contributions + Commitments + Carry-over

Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.)

The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org).

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ANNEX II: ACRONYMS AND ABBREVIATIONS

ART anti-retroviral therapy

CCCM camp coordination and camp managementCfW cash for workCNSA Comité National de Sécurité Alimentaire (National Committee for Food Security)CRS Catholic Relief Services

DCP Direction de la Protection Civile (Civil Protection Department)DINEPA Direction Nationale de l'Eau potable et de l'Assainissement (National Directorate for Potable

Water and Sanitation)DRR disaster risk reduction

ERRF Emergency Relief and Response Fund

FfW food for work

HEB high-energy biscuitHI Handicap InternationalHTG Haiti gourde (Haitian currency)

IOM International Organization for Migration

MoPW Ministry of Public WorksMoSA Ministry of Social AffairsMSPP Ministry of Public Health and PopulationMTs metric tons

NFI non-food itemNGO non-governmental organization

PAHO Pan-American Health Organization

SAM severe acute malnutrition

TB tuberculosis

UCLBP L'Unité de Construction de Logements et de Bâtiments PublicsUNICEF United Nations Children’s FundUNOPS United Nations Office for Project Services

WASH water, sanitation and hygieneWFP World Food ProgrammeWHO World Health Organization WVI World Vision International

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OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS(OCHA)

United Nations Palais des NationsNew York, N.Y. 10017 1211 Geneva 10

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