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Building A More resilient
Haitian State
K eith C rane, J ames D obbins, L aureL e. m iLLer,
C harLes P. r ies, C hristoPher s. C hivvis,
m arLa C. h aims, m arCo o verhaus,
h eather L ee s Chwartz , e Lizabeth w iLKe
Sponsored by the Carnegie Corporation of New York
and the Smith Richardson Foundation
NATIONAL SECURITY
RESEARCH DIVISION
The research described in this report was sponsored by the Carnegie
Corporation of New York and the Smith Richardson Foundation and was
conducted within the International Security and Defense Policy Center of
the RAND National Security Research Division.
Library of Congress Cataloging-in-Publication Data
Building a more resilient Haitian state / Keith Crane ... [et al.].
p. cm.
Includes bibliographical references.
ISBN 978-0-8330-5043-4 (pbk. : alk. paper)
1. Political planning—Haiti. 2. Nation-building—Haiti. 3. Haiti—Politics and
government—1986- I. Crane, Keith, 1953- II. Rand Corporation.
JL1089.5.P64B85 2010
320.6097294--dc22
2010031440
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Preface
This report appraises past and current plans and policies to improve
the provision of public services in Haiti and, drawing on this appraisal,
provides recommendations on how those plans and policies might be
improved. The report focuses on setting priorities and suggesting how
programs and initiatives might be refocused so as to provide palpable improvements in the provision of public services in Haiti over the
course of the next few years. It is designed to be useful to the government of Haiti as it develops detailed plans for policy and institutional
reforms and to the international donor community as it determines
how to support the government’s efforts.
The research described in this report was sponsored by the
Carnegie Corporation of New York and the Smith Richardson Foundation and was conducted within the International Security and
Defense Policy Center of the RAND National Security Research Division (NSRD). NSRD conducts research and analysis for the Office of
the Secretary of Defense, the Joint Staff, the Unified Combatant Commands, the defense agencies, the Navy, the Marine Corps, the U.S.
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For more information on RAND’s International Security and
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Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiii
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxv
CHAPTER ONE
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CHAPTER TWO
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Haiti’s Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Economic Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
State Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Politics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Haiti and Donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
CHAPTER THREE
Governance and Public Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Long-Standing Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . . 34
Plans and Initiatives Before the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
v
vi
Building a More Resilient Haitian State
Revised Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Determine the Applicable Postearthquake Reform Plan . . . . . . . . . . . . . . . . . . . 39
Prioritize and Rationalize the Framework Program . . . . . . . . . . . . . . . . . . . . . . . . 39
Focus Attention and Resources on Civil Service Reform . . . . . . . . . . . . . . . . . 40
Initiate Practical Steps Toward Decentralization and
Deconcentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Offer Support to Parliament and Political Parties . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Keep Constitutional Reform Modest for Now . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Employ Donor Leverage to Secure Key Reforms . . . . . . . . . . . . . . . . . . . . . . . . . . 42
CHAPTER FOUR
Justice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Long-Standing Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . . 48
Plans and Initiatives Before the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Revised Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Devote Greater Attention to Justice Reform. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Create a Mechanism for Resolving Real and Other Property
Disputes Stemming from the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Establish a Special Ad Hoc Panel for Detainee Review . . . . . . . . . . . . . . . . . . . 54
Expand Prison Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Build an Information-Management System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
CHAPTER FIVE
Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Long-Standing Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . . . 59
Plans and Initiatives Before the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Revised Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Contents
vii
Build on the 2006 Reform Plan and Adapt It to the
Postearthquake Situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Support Building Basic Administrative Structures . . . . . . . . . . . . . . . . . . . . . . . . . 70
Create Institutionalized Links Between Police and Justice . . . . . . . . . . . . . . . . 70
Focus on a Police Force That the Haitians Need and Can Afford . . . . . . . . 71
CHAPTER SIX
Economic Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Impoverishment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Inflation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Poor Business Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Appraisal of Plans and Policies for Addressing the Challenges . . . . . . . . . . . . . . 75
Monetary Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Exchange-Rate Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Fiscal Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Financial-Sector Policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Policies to Improve the Business Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Assess Whether to Replace the Gourde with the U.S. Dollar . . . . . . . . . . . . 84
Streamline the Tax System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Improve the Environment for Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
CHAPTER SEVEN
Housing and Infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Roads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Seaports and Airports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Water and Sewage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . . 92
Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Roads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Seaports and Airports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
viii
Building a More Resilient Haitian State
Water and Sewage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Take Immediate Steps to Accelerate the Removal of Rubble . . . . . . . . . . . . . 98
Focus on Repairing and Maintaining Existing Roads . . . . . . . . . . . . . . . . . . . . 99
Remove Remaining Restrictions on the Operations of Private
Container Ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Immediately Move to Raise Electric-Power Tariffs to Full CostRecovery Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
CHAPTER EIGHT
Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Long-Standing Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . 107
Plans and Initiatives Before the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Revised Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Strengthen Government Oversight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Expand Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Improve Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
CHAPTER NINE
Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Long-Standing Challenges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Consequences of the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Appraisal of Plans and Initiatives for Addressing the Challenges . . . . . . . . . 127
Plans and Initiatives Before the Earthquake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Revised Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Focus on Strengthening Policymaking, Planning, Regulation, and
Oversight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Establish Performance-Based Contracting Mechanism for
Provision of Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Reorganize Decentralized Health-Care Operations . . . . . . . . . . . . . . . . . . . . . . 135
Contents
ix
Build Human-Resource Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Examine Health-Care Financing Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
CHAPTER TEN
Donor Cooperation and Building the Haitian State . . . . . . . . . . . . . . . . . . . . 139
The Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Appraisal of Donor Cooperation with Haitian State Institutions . . . . . . . . . 146
Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Make the Interim Haiti Recovery Commission an Effective
Decisionmaking Body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Strongly Support the Multidonor Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Encourage Nongovernmental Organizations to Support StateBuilding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Facilitate Community Involvement and Information Flow. . . . . . . . . . . . . . 152
Appoint a Senior Coordinator for U.S. Policy and Assistance
Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Exercise Donor Leverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
CHAPTER ELEVEN
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Strategic Framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Political Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Figures
2.1.
2.2.
2.3.
6.1.
10.1.
Irregular Growth in Haiti’s Gross Domestic Product . . . . . . . . . . . 13
Haiti’s Persistently Low Ranking on Governance . . . . . . . . . . . . . . . 16
Ups and Downs of Assistance to Haiti, All Donors . . . . . . . . . . . . . 21
Inflation in Haiti. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Official Development-Assistance Disbursements to
Haiti, 2008 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
xi
Summary
In addition to demonstrating the weaknesses of Haiti’s infrastructure,
the earthquake that struck Haiti on January 12, 2010, exposed the
weaknesses of Haiti’s state institutions. To avoid a repetition of the
disaster, the government of Haiti and the international donor community now need to turn to building the foundations for a more effective
state.
Daunting as the current challenges are—acute problems layered
on chronic ones—the need for reconstruction and the likely infusion
of funding from external sources open up the possibility of creating a
new basis for stability and economic growth. Following the change of
government in 2004 came five consecutive years of economic growth
and tentative progress toward better governance. This progress indicates that, with better policies, Haiti can recover from the effects of the
earthquake and embark on a period of improved public security, social
well-being, and sustained economic growth.
Prior to the earthquake, the government of Haiti broadly articulated its strategy for pursuing development and improving governance
in its Growth and Poverty Reduction Strategy Paper (GPRSP) of 2007.1
Building on that paper, a general strategy for reforming Haiti’s economy was approved at an April 2009 donors’ conference in Washington,
D.C.2 After the 2010 earthquake, the government prepared its Action
1
Republic of Haiti (2008).
2
This donors’ conference followed a series of damaging hurricanes and tropical storms that
struck Haiti in 2008.
xiii
xiv
Building a More Resilient Haitian State
Plan for National Recovery and Development of Haiti,3 which it presented at a donors’ conference held in New York in March 2010.
These documents provide a vision for Haiti’s reconstruction and
development and identify funding needs. However, they do not provide a comprehensive, critical examination of preexisting plans in all
sectors that takes into account the need to put state-building at the
forefront of efforts to ignite progress. They often fail to set realistic
goals and priorities; these failures risk squandering resources and, more
importantly, the opportunity to set right deeply embedded problems.
The purpose of this report is to fill this gap by appraising past
and current plans to improve public-service provision in Haiti and,
drawing on these appraisals, providing recommendations to improve
those plans. The report focuses on setting priorities for the next few
years and suggesting measures that might produce palpable improvements in the provision of public services during this time frame. The
report is designed to be useful to the government of Haiti as it develops
detailed plans for policy and institutional reforms and to the international donor community as it determines how to support the government’s efforts.
For each of the core state functions addressed in this report, we
describe the principal challenges; appraise the relevant plans, policies,
and initiatives; and offer recommendations, focusing on the highest
priorities. We have set common criteria for the recommendations: that
they be fiscally sustainable, commensurate with the administrative
capacity of Haiti’s government; realistic in their prospects for implementation; geared toward enhancing the effectiveness of the Haitian state; and mutually coherent. We have focused on recommending actions that could commence quickly and yield positive outcomes
within the next three to five years. This summary highlights our most
important recommendations.
3
Republic of Haiti (2010a).
Summary
xv
Governance and Public Administration
Together with limited financial resources, the lack of skilled, trained,
and properly organized government personnel and the lack of management systems within ministries and other government bodies are the
principal constraints on the state’s effectiveness. The implications of
the institutional deficiencies in planning, budgeting, executing policy
decisions, and managing people and resources cut across all the government activities covered in this report, including the government’s ability to interact with donors. Some of the most essential changes needed
to strengthen the Haitian state will require legislation, or even constitutional change.
Key Recommendations
• Provide sufficient donor funding to implement a reformulated
strategy for administrative reform based on Programme-Cadre de
Réforme de l’Etat: Modernisation Administrative et Décentralisation, 2007–2012, to which we refer in this report as the framework program.4
• Within this strategy, civil service reform deserves the highest priority. Key steps include creating job descriptions; establishing
standards and procedures for hiring and firing; creating a system
for merit-based promotions; setting competitive, fiscally responsible salary grades; and providing incentives tied to achieving concrete, independently monitored performance targets.
• Major donors need to employ their considerable influence in
concerted, carefully focused, discreet, and subtle ways to promote the political reforms essential to any broader program of
state-building.
4
Republic of Haiti (2007).
xvi
Building a More Resilient Haitian State
Justice
Haiti’s justice system is deeply flawed: The courts do not carry out their
constitutional responsibilities; laws are not applied and procedures are
not followed; the criminal code dates from the early 19th century;
prison conditions are horrific; an accused has almost no access to legal
advice if he or she cannot afford to pay for a lawyer; legal professionals are often poorly educated; corruption is widespread; and relations
are poor between the Haitian National Police (HNP) on the one hand
and prosecutors and judges on the other. The various plans and initiatives to address these problems that have been developed since the mid1990s have borne very little fruit.
Key Recommendations
• With assistance from donors, the Haitian government needs to
create and implement a comprehensive system for managing cases
that links the police, prosecutors, judges, and prisons.
• The Haitian government should create a special pretrial detainee
review mechanism to resolve the large number of cases of illegally
prolonged detention.
• The Haitian government, with donor support, should establish
a property-dispute resolution mechanism. Putting in place an
accelerated procedure for determining asset ownership is essential to reducing obstacles to reconstruction and economic activity. In conjunction with this, work that is under way to address
serious gaps in birth, death, and identity registration should be
completed expeditiously.
Security
Efforts to reform the security sector in Haiti have faced three main,
related challenges: the volatile security situation and the limited ability of the state to assert its authority, the lack of consistent government
Summary
xvii
commitment to police reform, and the low level of institutional development within the HNP.
In mid-2006, when police reform began in earnest, the HNP
consisted of just 7,000 badly equipped, poorly trained officers. The
HNP lacked the abilities to keep records on current and former police
officers, manage its finances, and set and enforce internal controls. Low
salaries and poor working conditions for the majority of police officers contributed to corruption and criminal activity within the force.
Though progress, especially in recruitment, training, and vetting, has
been made, the HNP still lacks the capacity to respond effectively to
Haiti’s internal security threats without external assistance.
Key Recommendations
• Providing public security must remain at the forefront of the Haitian government’s priorities. The Haitian government and the
international community should agree to keep United Nations
(UN) peacekeepers for at least the next five years and to then
reduce the international military and police presence only
gradually.
• The government of Haiti and donors should focus on building the
HNP’s administrative capacity.
Economic Policy
Haiti’s primary economic challenge is generating economic growth. It
is the poorest country in the Western Hemisphere, with a per capita
income of less than one-quarter of the average for Latin America and
the Caribbean. Haiti is poor in great part because of its difficult environment for business. The process of registering a business is one of
the most complex and lengthy in the world and is relatively costly.
Registering changes in title for property is even more onerous. The
difficulties Haitians face in engaging in economic activity have stifled
economic development.
xviii
Building a More Resilient Haitian State
Key Recommendations
• To accelerate economic growth, the Haitian government should
quickly eliminate unnecessary procedures involved in registering
businesses and property and reduce the cost and length of time
needed to complete the remaining steps.
Housing and Infrastructure
The earthquake had a devastating effect on housing in Haiti. Although
the tent cities have been an effective stopgap measure, providing permanent housing for the displaced is urgent because the hurricane season
has begun. In addition, infrastructure (roads, ports, airports, electricpower system, water, and sewage) will need to be improved and maintained if Haiti is to enjoy sustained economic growth and the health
and well-being of its citizens are to improve. Expanding infrastructure is not just a question of building new highways and power plants.
Systems are required for maintaining infrastructure once built and, as
importantly, for ensuring that utilities charge and collect enough revenues to cover the costs of services they provide. In many respects, the
current parlous state of Haiti’s infrastructure is due more to the failure
to ensure that infrastructure is well maintained and operated than to
lack of money for the construction of new projects.
Key Recommendations
• The Haitian government, together with the donor community,
should accelerate removal of rubble. This is the single most important step toward reconstruction of housing and infrastructure
that the Haitian government and donors can take.
• The Haitian government should eliminate restrictions on the
operations of private container ports.
• To ensure that electric power is available for businesses and households, the Haitian government should move to full cost-recovery
pricing and decentralize and enforce collection of bills owed.
Summary
xix
Education
Overall low quality, lack of access, and little oversight characterize the
country’s education sector. As a result, Haiti has no coherent system
of education. Enrollment rates and levels of educational attainment
are low; although many children experience some schooling in episodic
spells, an alarming number do not obtain a complete basic education.
The 2008 hurricanes and the 2010 earthquake greatly exacerbated the
weaknesses in education. In addition to the effects on students and
teachers, more than 80 percent of school buildings in Port-au-Prince
were destroyed.
Key Recommendations
• To help close the gap in quality between private and public
schools and to increase access to schools, the Ministry of Education and Training (Ministère de l’Education Nationale et de la
Formation Professionnelle, or MENFP) should subsidize privateschool teacher wages to be on par with those of public-school
teachers. These subsidies should be conditioned on teaching in an
accredited school that charges capped (minimal) fees to families.
Health
Approximately 40 percent of Haitians lack access (both physical and
financial) to health care, particularly in rural areas of the country. Many
health-care facilities are outdated, and much of the medical equipment is old or broken. The Ministry of Public Health and Population
(Ministère de la Santé Publique et de la Population, or MSPP) does not
have systems in place to track health status and monitor quality of care
and has little human capital or administrative capacity to carry out its
functions. A lack of not only doctors and nurses but also administrative professionals has been a major challenge. Prior to the earthquake,
the health sector was receiving the largest amount of foreign aid of all
service sectors in Haiti. Such extensive donor involvement has created
xx
Building a More Resilient Haitian State
a management challenge for the government that it has been unable to
overcome: the need to coordinate, regulate, and oversee the plans and
activities of donors and local nongovernmental organizations (NGOs)
engaged in health-care delivery in Haiti.
Key Recommendations
• In light of the MSPP’s lack of capacity and funding, it should
shift the operation of all health centers and hospitals to NGOs
and other private institutions. The MSPP should establish a
performance-based contracting mechanism for these operations
and the provision of health services throughout the country.
Donor Cooperation
As the poorest country in the hemisphere and the only one that has
experienced a decline in per capita gross domestic product (GDP) over
the past three decades, Haiti has been a focus of concern for donors of
humanitarian and development assistance for two generations. Despite
a major commitment of donor resources, Haiti’s economic, social, and
political situation has worsened. The January 2010 earthquake has
been followed by an extraordinary increase in promised resources for
and attention to the international effort to assist Haiti’s recovery and
long-term development. As the response to the disaster took shape,
donors and the Haitian government adopted the slogan “building back
better.” The government’s postearthquake action plan5 presents a newto-Haiti architecture for managing the large flows of assistance pledged
at the March 2010 donors’ conference. A key element is the creation of
a short-term joint Haitian government/donor commission, the Interim
Haiti Recovery Commission (IHRC).6
5
6
Republic of Haiti (2010a).
Earlier, the IHRC was referred to as the Interim Haiti Reconstruction Commission. For
current information regarding the IHRC, see IHRC (undated).
Summary
xxi
Key Recommendations
• Donors should focus on making the IHRC an effective body by
agreeing that all major donors, including the United States, will
submit all project and program concepts to the IHRC for coordination and will adapt them in accordance with Haiti’s and other
donors’ plans and preferences. If donors and the government
do not use the IHRC to make decisions, the commission may
become no more than an information exchange.
• The United States, as the largest bilateral contributor, should better
organize itself to engage politically with the Haitian government
through appointment of a full-time, high-ranking special coordinator or envoy. Similarly, a handful of major bilateral and multilateral donors should organize themselves for more-coordinated
political engagement with Haiti’s leaders through the creation of
a “friends” or “contact” group for Haiti.
Conclusion
Hope for a more prosperous and peaceful future for the Haitian people
lies in building a more effective, resilient state. The discussions of challenges throughout this report show that Haiti’s state institutions are
riddled with weaknesses in the areas of human resources, organization,
procedures, and policies. The appraisals of reform plans and initiatives in this report acknowledge that devising lists of measures needed
to repair the state’s weaknesses is relatively easy but that formulating
strategies to address those weaknesses is hard—and implementation is
even harder.
This report supports the development of a Haitian state-building
strategy by recommending how to build on existing plans for improving institutions and the delivery of public services and by proposing
state-building priorities. Plans that do not set priorities and detail
sequencing and responsibilities are unlikely to have much impact on
government policymaking and donor funding decisions. If priorities
are not set, the government’s ability to carry out any plans is compro-
xxii
Building a More Resilient Haitian State
mised. And broad plans with an abundance of objectives enable donors
to justify whatever projects they wish to fund, leading to incoherent
donor interventions.
The priorities proposed in this report are based on what is necessary, feasible, and sustainable by the Haitian government over the long
term. Among the many desirable reforms and initiatives, these changes
stand out as meriting the greatest degree of political and policy attention by the government of Haiti and donors, as well as full funding.
While this report focuses on practical steps that can be taken to
strengthen Haiti’s state institutions, it should not be read as implying that state-building is a purely technical process. State-building
is intimately connected with politics. Without executive decisiveness
and legislative action, state-building cannot proceed. Thus, a considerable burden rests on the shoulders of Haiti’s political leaders, who will
need to rise to the challenge of overcoming a history of fractiousness,
patronage, and indecision. Donors and international organizations can
help ease that burden—not only by providing financial resources but
also by promoting political consensus and encouraging adherence to
strategic plans.
Acknowledgments
We are grateful to Stephen Del Rosso of the Carnegie Corporation of
New York and Marin Strmecki of the Smith Richardson Foundation
for supporting this work. We benefited greatly from the insights and
observations of numerous Haitian government officials, representatives
of multilateral and bilateral donors, and nongovernmental experts on
Haiti, including participants in workshops we conducted in Haiti and
at RAND. We thank U.S. Ambassador to Haiti Kenneth Merten and
his staff at the U.S. Embassy in Port-au-Prince for their help, especially
in regard to our research visits to Haiti, and Alice Nkunzimana for her
excellent interpretation and other on-the-ground support. Our RAND
colleague Howard Shatz and Charles Call of American University provided valuable comments in their reviews of our draft report. Finally,
we thank Sean Halpin, Jennifer Miller, and Joy Merck for providing
important administrative support.
xxiii
Abbreviations
AECID
Agencia Española de Cooperación Internacional
para el Desarrollo
AFD
Agence Française de Développement
AIDS
acquired immunodeficiency syndrome
BHSP
Basic Health Services Package
BOT
build-operate-transfer
BRH
Bank of the Republic of Haiti
CAMEP
Centrale Autonome Métropolitaine d’Eau Potable
CARICOM
Caribbean Community
CIDA
Canadian International Development Agency
DAC
Development Assistance Committee (of the
Organisation for Economic Co-Operation and
Development)
DAP
Direction Administrative Pénitentiaire, or
Directorate of Penitentiary Administration
DEC
Disasters Emergency Committee
DPT
diphtheria-pertussis-tetanus
EdH
Électricité d’Haïti
xxv
xxvi
Building a More Resilient Haitian State
EFA
Education for All
EU
European Union
FER
Fonds d’Entretien Routier, or Road Maintenance
Fund
FMIS
financial management information system
FTI
Fast Track Initiative
GDP
gross domestic product
GPRSP
Growth and Poverty Reduction Strategy Paper
HDA
Haitian Development Authority
HIV
human immunodeficiency virus
HNP
Haitian National Police
HOPE Act II
Haitian Hemispheric Opportunity Through
Partnership Encouragement Act II
ICF
Interim Cooperation Framework
ICRC
International Committee of the Red Cross
IDA
International Development Agency
IDB
Inter-American Development Bank
IHRC
Interim Haiti Recovery Commission
IMF
International Monetary Fund
ISDR
United Nations International Strategy for Disaster
Reduction
M&E
monitoring and evaluation
MDG
Millennium Development Goal
MDTF
multidonor trust fund
Abbreviations
xxvii
MENFP
Ministère de l’Education Nationale et de la
Formation Professionnelle, or Ministry of
Education and Training
MINUSTAH
Mission des Nations Unies pour la Stabilisation en
Haïti, or United Nations Stabilization Mission in
Haiti
MJSP
Ministère de la Justice et de la Sécurité Publique,
or Ministry of Justice and Public Security
MSPP
Ministère de la Santé Publique et de la Population,
or Ministry of Public Health and Population
NGO
nongovernmental organization
OAS
Organization of American States
OCHA
Office for the Coordination of Humanitarian
Affairs (of the United Nations)
OECD
Organisation for Economic Co-Operation and
Development
OMRH
Office de Management et des Ressources
Humaines, or Office of Human Resources
Management
PAHO
Pan American Health Organization
PDNA
postdisaster needs assessment
POCHEP
Poste Communautaire d’Hygiène et d’Eau Potable
PRGF
Poverty Reduction and Growth Facility
SNEP
Service National d’Eau Potable
START
Stabilization and Reconstruction Task Force
TB
tuberculosis
xxviii
Building a More Resilient Haitian State
UCS
unité communale de santé, or community health
unit
UN
United Nations
UNCTAD
United Nations Conference on Trade and
Development
UNDP
United Nations Development Programme
UNESCO
United Nations Educational, Scientific and
Cultural Organization
UNICEF
United Nations Children’s Fund
USAID
U.S. Agency for International Development
VAT
value-added tax
WHO
World Health Organization
CHAPTER ONE
Introduction
On January 12, 2010, an earthquake devastated Port-au-Prince,
Léogâne, and other cities and settlements in the south of Haiti, leaving
300,000 people dead, another 300,000 injured, and 1.3 million homeless. The Haitian government and the international community moved
rapidly to address the immediate humanitarian crisis. The homeless
are now sheltered in tents and provided with food and water. The airport was quickly reopened, and the port of Port-au-Prince has been
returned to service. Much has stabilized in Haiti, although the threat
looms of a severe hurricane season that may devastate the tent cities in
which so many Haitians now live.
Although the earthquake was the cause of the disaster, Haiti’s
long history of poor government was largely responsible for the extent
of the devastation and the society’s almost complete dependence on
help from abroad to deal with the consequences. The earthquake thus
demonstrated not only the weaknesses of Haiti’s physical infrastructure but also the more fundamental weaknesses of its institutions. The
massive loss of life and infrastructure was, in great part, due to poorquality construction materials and methods, enabled by lack of oversight and accountability. The difficulties relief agencies faced in getting to damaged sites and rescuing victims was compounded by Haiti’s
poor roads, ports, and airports. Given its location, Haiti cannot avoid
frequent hurricanes and occasional earthquakes, but the scale of the
resultant devastation can be reduced and the robustness of the response
improved. To do so, the government of Haiti and the international
donor community now need to turn to laying the foundations of an
1
2
Building a More Resilient Haitian State
effective state—one that can build and maintain infrastructure and
deliver public services better than before January 12, as well as more
generally improve the lives of the Haitian people.
Daunting as the current challenges are—acute problems layered
on chronic ones—the need for reconstruction and the likelihood of an
infusion of international resources to fund it open up the possibility of
laying a new foundation for stability and economic growth. Though
the earthquake has once again laid bare the fragility of the Haitian
state, Haiti has many advantages compared to other fragile states:
• It is not part of a troubled region with unhelpful neighbors.
• It has no intractable ethnic or other structural divides.
• Many of its government officials have the will, if not the resources,
to improve their country’s circumstances.
• The Haitian diaspora nearby in North America is large, skilled,
and economically supportive.
Moreover, Haiti currently has preferential access to the U.S. market
for manufactured goods, especially apparel, Haiti’s most important
export, through the Haitian Hemispheric Opportunity Through Partnership Encouragement (HOPE) II Act.1
Haiti’s recent experience has shown that increased social and political stability can create space for economic gains and improvements in
the provision of services. Since 2004, the United Nations Stabilization
Mission in Haiti (Mission des Nations Unies pour la Stabilisation en
Haïti, or MINUSTAH), with 13,000 peacekeepers and police at peak
level,2 has contributed to maintaining security. Improvements in the
national police have resulted in better public safety, including declines
in gang-related violence and kidnappings. Following the change in
government in 2004 came five consecutive years of economic growth.
Although the progress achieved in this period was fragile, it indicates
that, with renewed effort, Haiti can recover from the effects of the
1
2
Part of Public Law 110-246 (2008).
Authorized strength of uniformed personnel in MINUSTAH has risen from 8,322 in
April 2004 to 13,331 as of June 2010. See MINUSTAH (undated).
Introduction
3
earthquake and embark on a new period of growth and improving
public services.
Now that the humanitarian-relief phase of the earthquake response
is coming to a close, the Haitian government and foreign donors are
considering reconstruction priorities and how to revise Haiti’s development plans in light of the earthquake. Haiti and the donor community now need to turn not only to rebuilding infrastructure but also to
creating a stronger institutional basis for Haiti’s government so that it
can improve the provision of justice, security, utilities, education, and
health care and gradually diminish its dependence on external support.
To accomplish this goal, the Haitian government and international
donors would benefit from a careful analysis of realistic options and of
how to weave state-building measures throughout reconstruction plans
and programs so that Haiti can fortify itself against future calamities.
Not long before the January earthquake, the United Nations
(UN) Secretary-General observed, apropos of Haiti, that the “prospects for substantial and lasting improvements in institutional capacity
would be greatly enhanced through adoption by the Government of an
overall blueprint for State reform, drawing as appropriate upon already
existing proposals.”3 In 2007, the government of Haiti had broadly
articulated its strategy for pursuing development and economic growth
and improving governance in its Growth and Poverty Reduction Strategy
Paper (GPRSP). A modified form of the GPRSP became the basis for
a general strategy for reforming Haiti’s economy approved at the April
2009 donors’ conference in Washington, D.C.4 After the earthquake,
the government prepared its overarching Action Plan for National
Recovery and Development of Haiti5 and a postdisaster needs assessment
(PDNA),6 which it presented at a donors’ conference in New York in
March 2010.
3
UN Security Council (2009b, pp. 14–15).
4
This donors’ conference responded to a series of damaging hurricanes and tropical storms
in late 2008 and spikes in food and fuel prices. The revised GPRSP is found in Republic of
Haiti (2008).
5
Republic of Haiti (2010a).
6
Republic of Haiti (2010b).
4
Building a More Resilient Haitian State
These documents provide a broad vision for Haiti’s reconstruction
and development and identify funding needs. They do not provide a
critical examination of preexisting plans in all sectors; nor do they put
state-building at the forefront of efforts to ignite progress. In many
instances, these plans do not explicitly address the weaknesses of the
Haitian state or how those weaknesses might be rectified. They also
fail to set realistic goals and priorities. This failure risks squandering
resources and, more importantly, the opportunity to set right deeply
embedded problems from the past. The Inter-American Development
Bank (IDB) notes, in an evaluation of its country program for Haiti,
that its own “strategies failed to present a proper diagnosis of the situation beyond a description of some of the many problems. This failure
resulted in the inability to effectively prioritize among the different
pressing needs that the country faces.”7 This criticism can be extended
to most of the existing plans for Haiti’s development.
This report is intended to fill this gap by appraising past and current plans to improve the provision of public services in Haiti and providing recommendations on how those plans might be improved. The
report focuses on setting priorities for the next few years and suggesting
measures that might produce palpable improvements in the provision
of public services in Haiti over that period. It is designed to be useful
to the government of Haiti as it develops detailed plans for policy and
institutional reforms and to the international donor community as it
determines how to support the government’s efforts.
We prepared this report by conducting our own analysis and
engaging collaboratively with representatives of key Haitian and international institutions. We examined all of the principal plan documents
relevant to the subject areas we address. We also discussed plans and
programs with representatives of the Haitian government, international and multilateral organizations, key bilateral donor agencies, the
Haitian private sector, foreign investors, and nonprofit organizations
engaged in Haiti. We drew on these discussions to identify pre- and
postearthquake state-building and reconstruction challenges, as well as
the institutional, economic, and physical obstacles to addressing those
7
IDB (2007, p. 15).
Introduction
5
challenges. To develop our recommendations, we critically appraised
both past proffered solutions and new ones, drawing on the experiences
of other societies emerging from conflict and crisis.
Following a brief description in Chapter Two of the overall challenges faced by Haiti, we begin in Chapter Three by focusing on governance and public administration. Throughout the Haitian government, ministries and agencies have long had difficulty implementing
policies and delivering public services. The government often struggles
to attract and manage the employees it needs. Processes and procedures are often inefficient or burdensome. Important regulations, such
as building codes, are frequently outdated or not enforced. If the Haitian government is to greatly improve the quality of services provided
in any area, public administration will need to be improved and elected
officials will need to perform their roles more effectively.
Subsequently, in Chapters Four and Five, we turn to justice and
security. No country can enjoy sustained economic growth or public
well-being if violence is endemic and crime goes unchecked. The police
force provides the first line of defense. Improvements in the Haitian
National Police (HNP) have been notable. Crime has fallen, and public
trust has risen. However, the police continue to face many challenges.
Assigning priorities and channeling resources to these priorities should
lead to continued improvements in this area.
In contrast to the police, little progress has been made in improving the performance of the Haitian judiciary and corrections system.
Without more progress in these areas, the newly enlarged and reformed
police force could soon deteriorate to its previous level of incompetence
and corruption. The Haitian government and the international donor
community need to address the problems of carrying out timely and
just criminal procedures and resolving disputes more effectively than
has been done in the past. They also need to ensure that incarceration
is fair and humane.
In Chapter Six, we turn to the challenges of creating an environment for economic growth. We first focus on economic policy, especially the fiscal challenges facing the Haitian government. We also critically comment on the regulatory obstacles the government imposes on
businesses. Subsequently, in Chapter Seven, we address the challenges
6
Building a More Resilient Haitian State
of providing better infrastructure. The Haitian government and the
international community have conducted a number of analyses of the
roads, ports, and electric-power plants needed to improve transportation and the provision of electricity in Haiti. Our focus is not on needs.
Rather, we evaluate the institutional and policy reforms proposed to
improve the construction, maintenance, and operation of infrastructure, focusing on measures needed to make the provision of public
utilities, such as electric power and water, sustainable.
We then turn to two key services: education (Chapter Eight) and
health care (Chapter Nine). Private, nonprofit, and religious institutions are the primary providers of education and health care in Haiti.
Despite their efforts, the quality of and access to these services is the
worst in the Western Hemisphere. We appraise the role of the Haitian government in providing and regulating these services and suggest
ways in which the state could more effectively ensure the delivery of
both education and health care.
Finally, in Chapter Ten, we examine current plans for improving
coordination of donor activities. We propose ways for donors to engage
constructively and collaboratively with the government of Haiti and
with each other, to ensure that the postearthquake infusion of donor
funds produces the desired effects.
We set common criteria for the recommendations in each of the
chapters. The recommendations need to meet the following criteria:
• confined to the most-important priorities
• fiscally sustainable, at least at some not-too-distant point
• commensurate with the administrative capacity of the Haitian
government
• realistic in their prospects for implementation within the time
frame we set
• geared to enhancing the effectiveness of the Haitian state rather
than perpetuating dependence on foreign donors, contractors,
and nongovernmental organizations (NGOs)
• coherent, in that the proposed reforms are compatible with each
other and directed toward a common goal—the creation of a
more capable and resilient Haitian state.
Introduction
7
We focus on recommending actions that could commence quickly
and that could yield positive outcomes within the next three to five
years. We aim for outcomes that will be tangible to Haiti’s citizens.
Unrealistic plans that do not produce promised results risk disenchantment among the Haitian population and donors, especially legislative
bodies responsible for setting donor funding levels. The focus should be
on incremental, steady progress.
We hope this report leads to a vigorous discussion and the development of more effective policies and programs for improving conditions in Haiti. Although the earthquake is a tragedy of extraordinary
proportions and, in many respects, set back the tentative progress of
recent years, it also provides an opportunity to rectify some of the longterm problems besetting the Haitian state and burdening the Haitian
people.
CHAPTER TWO
Background
The prototypical fragile state is inaccessible, often land-locked, surrounded by weak or predatory neighbors, and wracked by tribal,
ethnic, religious, or linguistic tensions.1 Haiti suffers from none of
these disabilities. It is surrounded by friendly, comparatively prosperous neighbors. It has many natural harbors only a few hours sailing
distance from the largest market in the world—the United States—to
which it has preferential access.2 Unlike some fragile states, Haiti has
no precious gems, minerals, or other such resources over which parties
might fight.
Haiti’s fragility cannot be blamed on its geography or its demography, but rather on its history. Treated as a virtual pariah for much
of the 19th century by reason of its national origins in a successful
slave rebellion, Haiti has, to this day, remained culturally distinct and
politically isolated from the Hispanic and Anglophone societies around
it. Forced in the 19th century to pay France a massive indemnity for
properties lost in that rebellion, Haiti became entrapped in a cycle of
poverty and misgovernment from which it has never emerged. In 1915,
President Woodrow Wilson authorized a U.S. military intervention
that lasted 19 years. The United States left behind a good deal of physical infrastructure, including the recently collapsed presidential palace,
but also left behind an abusive Haitian military. From 1957 to 1986,
1
On fragile states, see Zoellick (2008); Kaplan (2008a, 2008b); Ghani and Lockhart
(2008); Collier (2007); Eizenstat, Porter, and Weinstein (2005); Krasner and Pascual (2005);
and Rotberg (2003, 2004).
2
See Collier and Warnholz (2010).
9
10
Building a More Resilient Haitian State
the Duvalier family, first father (François, called Papa Doc) and then
son (Jean-Claude, called Baby Doc), ruled—or misruled—Haiti. After
a long history of brutal authoritarian rule, Haiti experienced its first
real shot at democracy with the election of Jean-Bertrand Aristide in
1990. Reform stalled, however, and support for the democratic movement waned, in part due to Aristide’s erratic and populist line. In
1991, a military junta seized power and reinstated governance through
repression.3
In 1994, after more than three years of internal violence, during
which thousands of “boat people” fled Haiti in makeshift boats for
the United States, the William J. Clinton administration ejected the
junta.4 President Aristide was returned to power, and relatively fair
elections were held in 1995.5 The United States, politically divided over
the intervention, withdrew, leaving behind a democracy with only the
shallowest roots.
In the second half of the 1990s, the major powers’ attention shifted
to the Balkans, while the political situation in Haiti grew increasingly
troubled. Aristide was barred from running for office in the 1995 presidential elections but remained a powerful political figure. In the aftermath of those elections, despite the victory of his close ally René Préval,
Aristide again took a populist and demagogic line. His broad political
movement, Fanmi Lavalas, soon began to fracture.6 Opposition leaders
and supporters of the old regime remained fearful about Haiti’s democratic turn. Political violence continued, this time by the democrats
against their old repressors, albeit on a smaller scale than in the past.7
This political turmoil undermined hope of passing legislation that
Haiti needed to stabilize its economy, reform its justice system, and
sustain foreign assistance.8 The situation worsened after the 2000 pres3
Fatton (1999; 2002, pp. 77–106).
4
Morley and McGillion (1997).
5
Dobbins, McGinn, et al. (2003, p. 79).
6
Fatton (2002, pp. 112–115).
7
Dobbins, McGinn, et al. (2003, p. 79).
8
Buss (2008, pp. 24–26).
Background
11
idential and parliamentary elections. Aristide and his followers won
the elections handily. Allegations of irregularities, however, led to an
opposition boycott of the presidential elections, precipitating a political crisis and undermining Aristide’s legitimacy and ability to govern.9
By 2001, the international community had all but withdrawn
from Haiti. Major donors were focused elsewhere, and the UN mission
had closed down. Only the Organization of American States (OAS)
and Caribbean Community (CARICOM) were still involved on the
ground. More than $500 million in international aid was withdrawn,
in hopes of bringing recalcitrant parties to the negotiating table. This
approach failed, and the only result was more Haitian suffering.10
Under these conditions, economic reforms failed to be implemented; economic output fell. The security situation deteriorated as
thugs loosely aligned with Haiti’s various political forces played a
growing role in politics. The renewal of violence was facilitated by Haiti’s emergence as a transshipment point for drugs headed from South
America to the United States, as well as the endemic weakness of Haiti’s state institutions. Poor and lacking military, effective police, or a
functioning criminal-justice system, the Haitian state was ill-prepared
to maintain law and order or even defend itself against mounting gang
violence. Political leaders continued to enrich themselves illegally, to
such an extent that, in 2002, the World Bank ranked Haiti the secondmost corrupt country in the world.11
By early 2004, the Haitian government had effectively lost control
of the country. Violence was mounting, and Aristide was under pressure from opposition groups to step down. This time, he received little
support from the international community. Faced with the options of
self-exile or violent overthrow, he reluctantly accepted U.S. advice to
choose the former. Ten years after ousting the military junta, the international community intervened again to stabilize Haiti.12
9
Erikson (2005).
10 Erikson (2005).
11 Kaufmann, Kraay, and Mastruzzi (2008).
12 Erikson (2005).
12
Building a More Resilient Haitian State
Following the brief deployment of a multilateral force comprised
primarily of U.S., Canadian, and French troops, the UN Security
Council authorized MINUSTAH at a strength of 6,700 troops. This
UN peacekeeping mission was sent in with a mandate to improve the
security situation, foster democracy, and support human rights. The
Security Council also authorized the deployment of 1,622 civilian
police—a significant number. This component signaled recognition
not only of Haiti’s problems with criminality but also of the fundamental weakness of the Haitian state.13
At the start, the going was rough.14 A transitional government
that was, in theory, technocratic in nature continued the divisive politics of the past, including the use of political violence and direct action
in the streets through proxies.15 The UN struggled to control the security situation. In the fall of 2004, gangs still controlled parts of the
country. Rioters beheaded three Haitian police officers.16
A year after Aristide’s departure, the security situation started to
improve, although, in July 2005, UN troops were needed to conduct
military operations against gang leaders in Port-au-Prince’s main slum,
Cité Soleil.17 (These operations continued for the next two years, with
positive results.18) Elections took place in 2006, and René Préval won
the presidency. Subsequently, the security situation remained fragile but
stable; key reform legislation was passed; and some efforts to improve
public administration, especially financial management, began to gain
traction. Economic growth resumed, albeit from an extremely low base,
and political stability was improving. Such was the situation when the
earthquake struck in January 2010.19
13 UN Security Council (2004a).
14 See, for example, Caroit (2004).
15 Mobekk (2008); Fatton (2006).
16 UN Security Council (2004b).
17 UN Security Council (2005).
18 Dziedzic and Perito (2008).
19 Buss (2008, pp. 40–44, 169–182).
Background
13
Haiti’s Challenges
Economic Development
Haiti’s per capita gross domestic product (GDP) declined by more than
one-third in the past 30 years.20 Haiti also scores low on nearly all other
basic development indicators. According to one source, the percentage
of the population with access to an improved drinking source in 1989
was 52 percent and had risen to only 58 percent by 2007.21 A household survey from 2001 found that less than 10 percent of the population had access to potable tap water and that less than one-third had
access to electricity, even intermittently.22 Differences between urban
and rural areas, which are, by far, the worst off, are significant. The fact
that Haiti’s GDP has fallen in several years (see Figure 2.1) is especially
Figure 2.1
Irregular Growth in Haiti’s Gross Domestic Product
10
Percent change
5
0
–5
–10
19
70
19
72
19
74
19
76
19
78
19
80
19
82
19
84
19
86
19
88
19
90
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
–15
Year
SOURCE: Calculated from IMF (undated).
RAND MG1039–2.1
20 Calculated from IMF (undated): constant per capita income, national currency.
21 UNSD (undated).
22 IHSI (2005).
14
Building a More Resilient Haitian State
notable given the general correlation between declines in GDP and
outbreaks of violence and civil war.23
More than half of Haiti’s population lives on less than $1 per day.
More than three-quarters live on less than $2 per day. Haiti’s exports
are small: only 10 percent of GDP. Remittances are important, constituting some 9 percent of GDP.24 Remittances are an indicator of
the strength of Haiti’s large expatriate community in Canada and the
United States—a community that, in theory at least, could also be a
source of expertise and human capital.25
Haiti’s poor economic performance is, in part, the result of the
decline of its agricultural sector. Environmental degradation is both
cause and consequence of this decline. According to Yale University,
Haiti ranks 155th out of 163 countries when it comes to general environmental degradation, while the neighboring Dominican Republic
ranks 36th.26 Less than 3 percent of Haiti is covered by forest, creating
a “moonscape” that disappears when one travels across the border into
the lush forests of the Dominican Republic.27
While Haiti’s economic problems obviously have economic
and natural causes—lack of investment capital, lack of skilled labor,
and the devastation caused by hurricanes and earthquakes, to name
a few—it would be too simplistic to confine explanations of Haiti’s
impoverishment to these factors. Social and political problems also
affect Haiti’s poor economic performance. So, too, does Haiti’s poor
economic performance contribute to its political and social problems.
Poverty, in particular, increases the volatility of Haitian politics, is a
root cause of Haiti’s social underdevelopment, and, through its fiscal
effects, weakens the institutional apparatus of the Haitian state. Economic weakness also contributes to corruption, enlarges the pool of
23 See Miguel, Satyanath, and Sergenti (2004).
24 IMF (2009a).
25 This point is often noted. See, for example, Wente (2010).
26 Rankings available from EPI (undated).
27 Dolisca et al. (2007); Kristof (2010).
Background
15
potential recruits for gang violence, and enhances the attractiveness of
the drug trade.
Society
The vast majority of the rural population is severely impoverished, and
hunger is widespread. Children in remote parts of Haiti sometimes die
from malnutrition.28 Although infant mortality dropped from 152 per
1,000 in 1989 to 76 per 1,000 in 2007, Haiti still ranks 46th from the
bottom in global rankings, in a range with Yemen, Pakistan, and India.
This is a slight improvement since 1989, when it ranked 30th worst.29
Although informal social networks can be strong and influential in Haiti, conventional civil society of the kind found in developed
democracies is weak there. The repressiveness of the Duvalier regime
and chaos of the past two decades has not been conducive to widespread participation in politics and civic groups.30
Fortunately, Haiti is not divided along ethnic or tribal lines.
However, Haitian society is highly stratified, with a small economic
elite and a large number of very poor.31 Despite the fall in per capita
GDP during the past several decades, a small number of Haitians
live relatively well; in 2001, almost half the country’s income went
to the wealthiest 10 percent of society.32 Income inequality is among
the widest in the world.33 The lack of a middle class is a problem not
only because it weakens the economy but also because the middle class
could provide a much-needed source of talent for government bureaucracies and businesses. Income inequality results in very different interests among the different classes. Because of these different interests,
these groups often have difficulty finding common ground.
28 Taft-Morales (2009).
29 UNSD (undated).
30 See Putnam (1993).
31 Mintz (1995); Malone (2004).
32 World Bank (undated [c], p. 66).
33 UNDP (2009).
16
Building a More Resilient Haitian State
State Administration
Historically, the Haitian state has served as an apparatus by which
elites extract rents from the impoverished population, not as a means
of serving Haiti’s citizens.34 Corruption is a serious problem; Haiti
ranked 168 of 180 in Transparency International’s Corruption Perceptions Index in 2008, in the same league as Iran and Turkmenistan.
Since 2002, when it was first included in the rankings, it has slipped
slightly, from the 87th percentile to the 93rd.35 Haiti also ranks very
low on broader governance indicators; Figure 2.2 shows the evolution
of Haiti’s governance rankings over the past 15 years.
A weak economy and low levels of social development impede
the development of effective state administration. A narrow tax base,
weak fiscal capacity, and corruption deprive the state of revenues.36
Figure 2.2
Haiti’s Persistently Low Ranking on Governance
100
90
80
Percentile
70
60
50
40
30
20
10
0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Year
SOURCE: World Bank (2009a).
NOTE: No data for 1997, 1999, or 2001 are included.
RAND MG1039-2.2
34 Fatton (2002).
35 Calculated from figures available from Transparency International (2009).
36 Allix (2010).
Background
17
Low levels of social development result in low levels of human capital
available for employment in the state administration.
A history of dictatorial rule has resulted in widespread suspicion
of state security forces. Aristide disbanded the military after his return
to power in 1994, and efforts to build an effective police force have,
until very recently, been largely unsuccessful. Without effective security forces and judicial and penal systems, the Haitian state has been
unable to establish public order and the rule of law, and the government’s legitimacy has suffered as a result.
For their part, international donors have often been unwilling to
invest in state institutions, perpetuating their weakness. Corruption,
political turmoil, and a general lack of capacity encourage international
donors to channel funds through NGOs instead. As a result, the Haitian state is significantly weaker than it could be, and dependence on
foreign donors is reinforced.
Politics
The Haitian government’s incapacity to deal with hurricanes, earthquakes, and domestic conflict is not just a function of the country’s
poverty and will not be corrected just with added resources, no matter
how lavishly and wisely applied. Indeed, Haiti’s poverty, like its governmental weakness, is a product of its political culture. Thus, any effort
to build a stronger, more-resilient Haiti, one that is less dependent on
external help, will depend on changing that culture.
Haiti’s failure to develop is often blamed on resistance from a
small, wealthy elite to changes that might threaten their position. This
is a considerable oversimplification. In fact, resistance to change is
manifest across the political spectrum from entrenched rent-seeking
interest groups fearful of losing their slices of a very small pie. Henry
Kissinger once jokingly attributed the severity of academic disputes to
the limited nature of the stakes. Haiti offers a more serious example of
this phenomenon. Modernizing the port of Port-au-Prince, for example, is resisted because it might reduce employment. Privatizing the
electric company is resisted because people, particularly poorer people,
might have to pay for what little electricity they get. It was the radical populist President Aristide who ultimately turned away from the
18
Building a More Resilient Haitian State
market-oriented economic reforms he had promised on his return to
power in 1994, and it has been forces associated with him, and thus
with Haiti’s poorest citizens, that have resisted many reforms since.
Haiti’s democratic transition has been contested, and its politics
remain fractious. Since 1980, Haiti has experienced a coup, two international military interventions, a democratic implosion, a period of
“technocratic” tutelage, and a return to democracy characterized by
ongoing political gridlock and instability. In all but the most recent
years, Haitian politics have been cacophonous and thuggish. This history adversely affects the expectations and outlook of Haiti’s political
elites and citizens alike.
Despite recent improvements, it is too soon to assume that democracy has fully taken root. The problem is, in part, constitutional—
there are serious questions about whether the French-modeled constitution introduced after the fall of the Duvalier regime is really the best
for Haiti—but the problem, in many ways, goes deeper. In order for
democracy to work, a process in which “democratic norms come to be
valued in themselves, even against adverse substantive outcomes” needs
to unfold.37
This kind of change is possible, but it almost never happens overnight. On the most basic level, for Haiti to develop a stable, representative government, the country’s political forces must fully accept the
legitimacy of the democratic process, even if it is not in their immediate interest. This is true both for the forces of the old regime and for the
forces that support democracy.
Often, this acceptance involves some agreement or “pact” among
elites on the fundamental limits and rules of government, as well as
some mechanism to ensure that these rules are enforced so that Haiti’s
political groups can have confidence that others will abide by them.38
In fragile states, this is often one of the most difficult challenges, given
the disincentives for elites to cooperate.39 Once achieved, however, the
37 Weingast (1997). See also Almond and Verba (1963) and Przeworski (1991).
38 Weingast (1997).
39 Kaplan (2008a).
Background
19
practice of democratic politics encourages democratic legitimization
and the deepening of democratic culture.
In Haiti, several factors have impeded this process, including the
following:
• The fractiousness of the political system hampers the development of elite consensus about the rules of the game. Ongoing
wrangling over reforms to and interpretation of the Haitian constitution is a case in point.40
• The wide disparity in income in the context of widespread poverty means that the old regime has much to lose from redistribution and, hence, little interest in compromise.
• The politically motivated violence of the recent past increases the
stakes and risks of compromise, thereby reducing overall trust.
• The weakness of Haiti’s political parties contributes to the general
fractiousness of the system.
• Venality in all branches of government undermines the rule of
law and perpetuates a culture of rent-seeking.
As a consequence of the fragility of Haitian democracy, policymaking is extremely difficult. Any strategy designed to improve the
effectiveness of the Haitian state must recognize that, despite positive
signs prior to the earthquake, Haiti has not yet consolidated its democracy. Were the Haitian government to collapse again, the international
investment could evaporate once more.
Consequences of the Earthquake
According to the Haitian government, 300,000 people died in the
earthquake.41 Estimates of the physical damage run from $7 billion to
$14 billion.42 The effects on economic growth and social progress are
40 On the adequacies of the 1987 constitution, see Gros (1997).
41 See Republic of Haiti (2010a, p. 7).
42 Cavallo, Powell, and Becerra (2010). See also Taft-Morales and Margesson (2010).
20
Building a More Resilient Haitian State
great. The physical destruction precipitated a humanitarian catastrophe and has resulted in a severe decline in economic activity and an
extraordinary disruption of society, politics, and the state administration. The destruction of infrastructure exacerbated existing economic
problems and reduced the quality of life of all Haitians. The collapse of
buildings and the partial destruction of the port of Port-au-Prince are
complicating efforts to revive foreign trade. The destruction of some
30,000 commercial buildings has increased the unemployment rate,
while the loss of 180 government buildings has hindered the operations of an already ineffective state; surviving ministers and civil servants have been forced to work from makeshift premises, sometimes
outdoors.43
After the earthquake, about 60 percent of the prison population, including several hundred hardened criminals, escaped. While
the security situation has been kept under control, in large part due to
the presence of international forces, escapees—particularly gang leaders and members arrested in the 2007 crackdown—pose a threat to
security.44
Haiti and Donors
For most of the 1990s, the Haitian government was at odds with foreign donors. In 2002, the World Bank’s Operations Evaluation Department noted that it was “all but impossible to carry on a coherent lending program.”45 Donors, including the U.S. Agency for International
Development (USAID), stopped and restarted development assistance
to Haiti several times, as political responses to coups and abuses of
power by Haitian authorities, as well as due to differences over economic policies (Figure 2.3).
In the 1996–2000 period, major donors sought to encourage
the development of civil society, privatize state-owned enterprises,
43 International Crisis Group (2010).
44 DPKO (undated); International Crisis Group (2010, p. 10).
45 World Bank (2002, p. 17).
Background
21
Figure 2.3
Ups and Downs of Assistance to Haiti, All Donors
1,000
Assistance ($ millions)
900
800
700
600
500
400
300
200
100
0
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
Year
SOURCE: OECD (undated [b]).
RAND MG1039-2.3
and decentralize the state, but the Haitian government considered all
three of these initiatives threats to its power and authority, despite its
recognition of the need for external funding. Donor initiatives were
stymied by passive resistance by ministries and opposition in Haiti’s
parliament. The World Bank, mandated to work through government
institutions, eventually closed its office in Haiti and halted new commitments. Bilateral donors responded by increasing the use of Haitian
and international NGOs to deliver services, including health care, sanitation and education, further aggravating the responsibility deficit, as
well as the Haitian government’s capacity shortfalls.
After the events of 2004, however, cooperation between the Haitian government, donors, and NGOs improved significantly. A first
post-Aristide meeting of donors, international agencies, and the government was held in Port-au-Prince in late April 2004. A donor team
representing the United Nations, the World Bank, the IDB, and the
European Commission followed up by hosting a two-day workshop
with transitional-government ministers and representatives of Haitian
civil society to craft a two-year plan to restart the economy and improve
22
Building a More Resilient Haitian State
social services. The workshop (and three meetings held in provincial
towns the following week) kicked off a one-and-a-half-month effort by
officials, experts, and donors (including representatives of 26 bilateral,
multilateral, and UN agencies working in ten “thematic groups”) to
define a development strategy. The workshop emphasized the importance of ownership by the government of Haiti and was the first joint
strategy development effort of its kind.
The result was the Cadre de Coopération Intérimaire or Interim
Cooperation Framework (ICF), which the Haitian government presented to a donors’ conference in Washington in July 2004. The ICF
was intended to identify “quick wins.” It established a two-year framework for assistance programs that sought to align goals and resources.
It specified needs of $1.37 billion over the period and catalogued
$127 million in available national budget resources and $315 million
in previous donor pledges. This meant a two-year financing gap of
$924 million, which was covered by pledges at the July donors’ conference. A new donors’ cooperation process also was created, led by the
World Bank. The ICF anticipated the subsequent preparation of a more
comprehensive framework document, the GPRSP.46
The World Bank adopted its own two-year transitional support
strategy based on the ICF, emphasizing “community-driven” development aimed at helping Haiti meet basic, urgent needs, deliver incomegenerating opportunities, and strengthen economic governance. Under
this strategy, the World Bank (as well as the IDB and other donors)
supported a program to improve the management of public finances.47
Meanwhile, a core donor group was created in Washington.
The effort at cooperation between the Haitian government and
donors was unprecedented, but implementation of the ambitious program was slow. By March 2005, only $220 million had been disbursed
46 Republic of Haiti (2004).
47 Discussion with Ministry of Economy and Finance official, Port-au-Prince, April 19,
2010. The program includes adoption of United Nations Conference on Trade and Development (UNCTAD) systems for managing trade data and customs receipts, and the SYSDEP
system management of government expenditures.
Background
23
of the $924 million in new funds pledged.48 With the exception of
support for elections, for which the United Nations Development Programme (UNDP) managed a mechanism for pooling contributions,
there was no trust fund–like mechanism. Most donors continued to
undertake projects directly by subcontracting to NGOs and implementing partners. With World Bank support, a coordination cell was
established in the prime minister’s office to track ICF implementation. Even so, a UNDP “lessons learned” paper concluded that the
Haitian government and the donor community had difficulties consistently tracking disbursements of pledges and that reports to subsequent donors’ conferences were “unverifiable and appeared to be based
on guesswork.”49
Following the election of President René Préval in 2006, the formulation of the GPRSP began. It was completed following a yearlong
process of domestic consultation and substantial donor involvement
and advice. The government of Haiti adopted the resulting document
in November 2007.50 It had been a condition of Haiti’s debt-reduction
agreement with the International Monetary Fund (IMF) that the
GPRSP be in place for one year before debt reduction was granted.51
The document laid out a strategy agreed among the Haitian government and the donor and NGO communities, although outside analysts criticized it as lacking clear priorities and operational details.52
For the first time, the GPRSP included a section on monitoring and
evaluation,53 tasking the Ministry of Planning and External Cooperation (Ministère de la Planification et de la Coopération Externe) with
this responsibility. A national office for implementation coordination,
with subordinate directorates for research, public investment, external
48 UNDG (2006, p. 11).
49 UNDG (2006, pp. 13–14).
50 The IMF has made an unofficial English translation of the French original available
(IMF, 2008).
51 Call (2009, fn. 31).
52 Call (2009, p. 10).
53 Republic of Haiti (2008, fn. 9, ¶¶251–261).
24
Building a More Resilient Haitian State
cooperation, and NGO-activity coordination, looked impressive in
design but, in fact, had limited capacity to track development activities
systematically.54 In response to the GPRSP, bilateral donors, such as
the United States, increased assistance to Haiti but, in most cases, used
the existing network of NGOs to deliver services.
In 2008, Haiti was battered by four hurricanes and tropical
storms. In part to help Haiti generate employment opportunities following these disasters, the U.S. Congress, with bipartisan support,
passed the HOPE II Act. This law allows apparel factories in Haiti
to utilize third country–sourced fabric to produce substantial quantities of apparel for duty-free access into the United States under the
Caribbean Basin Trade Partnership Act.55 In designing HOPE II, the
U.S. Congress sought to ensure that workers’ rights be protected. Consequently, the U.S. Congress mandated that Better Work, a program
managed by the International Labour Organization and the International Finance Corporation, set up a Haitian technical-assistance
program.56 Hanesbrands, Gildan Activewear, and other apparel firms
opened or expanded Haitian operations in response to the trade-preference opportunity; exports to the U.S. market rose quickly.57
In response to these natural disasters, donors also worked together
with the Haitian government to develop a shorter, more prioritized
development plan, which again accorded the Haitian government the
lead for direction and strategy. The plan, Haiti: A New Paradigm,58
sought to create 100,000–150,000 jobs in two years, in part by taking
advantage of new U.S. and other trade-preference opportunities and
54 Discussion with Ministry of Economy and Finance official, April 2010.
55 Public Law 106-200 (2000).
56 Nathan Associates (2009). As of May 2010, on the basis of a request from former Presi-
dents Bill Clinton and George W. Bush, congressional committees were considering tripling
quantitative limits and extending the program by two years, to 2020.
57 U.S. imports of knit and nonknit apparel increased 24.4 percent in 2009 over the previ-
ous year and by 19.2 percent over the average of the previous four years (RAND calculations
based on U.S. Department of Commerce data obtained from International Trade Administration, undated).
58 Haiti: A New Paradigm (2009).
Background
25
in part through the reconstruction of infrastructure following the
storms. The plan was presented at a donors’ conference in April 2009,
aimed in large part at securing pledges of budget support to cover an
estimated Haitian government budget gap of $175 million. Pledges of
$324 million in new funding were made, fully covering the request for
budget support. In the process, the United States pledged $20 million
for budget support—the first time it had done so for Haiti.59 To support the new plan, donors also established a joint committee with the
government of Haiti to monitor the implementation of measures to
enhance the transparency of the budget process, strengthen the government’s capacity to account to Parliament, and track the disbursements of pledged assistance.60
Following the conference, the U.S. government, the largest bilateral donor, began a comprehensive interagency review of its strategy for
Haiti with the objective of increasing aid effectiveness and focus. The
intention was for the United States to lead the way for similar strategy
reviews by other bilateral donors. The review found that overall U.S.
assistance was large but that programs were so varied and were individually so small as to limit their impact. The review proposed that
the United States focus on priority sectors in which assistance could
have the greatest impact and end support for programs in some other
areas. The new U.S. strategy was developed and briefed for approval at
a National Security Council Deputies Committee meeting on January 12, 2010, only hours before the earthquake hit.61
59 Varma (2009).
60 Haiti: A New Paradigm (2009, p. 6).
61 Discussion with U.S. State Department official, March 25, 2010.
CHAPTER THREE
Governance and Public Administration
Reforming public administration is at the heart of state-building in
Haiti. The paucity of skilled, trained, and properly organized government personnel and the lack of management systems within ministries
and other government bodies are principal constraints on the state’s
effectiveness. The implications of the institutional deficiencies in planning, budgeting, executing policy decisions, and managing people and
resources cut across all the areas of government activity covered in this
report, including the government’s ability to interact with donors.
Capacity-building is often invoked as the answer to the state’s
weakness; this chapter aims to give content to that generic and overused term. The Haitian state needs the capacity to plan and carry out
policies, ensure the delivery of services to the public (whether or not it
actually delivers the services itself), and set, monitor, and enforce standards. Building that capacity requires putting in place the right people,
structures, and procedures.
Building a capable public bureaucracy is part of Haiti’s broader
challenge of transitioning from being a place where leadership and governance are personal to one in which the law-bound structures and
procedures of the state have permanence and legitimacy. This transition
will not occur quickly, but much work can begin now to strengthen and
fill gaps in state institutions and to improve democratic governance.
With some exceptions, government plans to improve public
administration have not attracted significant donor support—even
while donors lament the government’s inability to work as an effective
partner. Donors will need to support these plans if the Haitian govern-
27
28
Building a More Resilient Haitian State
ment is to become more effective, a prerequisite for successful reconstruction and development in Haiti.
The Challenges
Long-Standing Challenges
Governance. The quality of democratic governance—that is,
the performance of the political system generally and elected officials
particularly—has a major impact on how well state institutions function and on the prospects for adopting state-building reforms. Haiti
has a long history of predatory government and a more recent history
of nearly absent government. Small elites of both left and right have
long dominated politics, and there is little in the way of an organized
political-party system. Hiring based on political patronage is endemic
and deeply affects competence and accountability in public administration. For the most part, these fundamental political issues cannot be
resolved through technical measures; rather, leadership on the part of
Haitian officials and a combination of pressure applied and incentives
offered by donors will be needed to overcome the political obstacles to
state-building.
Parliament’s institutional weakness—despite its political power—
has especially hampered state-building.1 Parliament is ill-equipped
to perform its legislative and oversight functions effectively, impeding adoption of many laws needed to improve the legal framework
for public administration and address other issues of public concern.
Many of the recommendations throughout this report will require legal
changes, but, until now, Parliament has been slow to pass important
legislation. This includes budget laws, which are regularly delayed; the
2008–2009 budget law, for example, was adopted eight months into
the fiscal year.2 About one-third to one-half of scheduled parliamentary
sessions fail to take place for lack of a quorum.3 Many parliamentar1
Call (2009, p. 7).
2
UN Security Council (2009b, p. 2).
3
Discussion with foreign diplomat, Port-au-Prince, April 19, 2010.
Governance and Public Administration
29
ians are inexperienced and poorly regarded; for a significant number,
being a member of Parliament is their first job.4 Turnover at elections
at 90–95 percent is exceedingly high.5 Parliament often operates as
a patronage machine, in which the members see their roles as being
“development agents” who secure funding for local projects.6
The Constitution. Haiti’s 1987 constitution is widely regarded
as an impediment to effective governance and public administration.
Many of its provisions react to the abuses of the Duvalier period—for
example, by giving the parliament significant power and the executive
few countervailing authorities.7 Ministry organizational reforms must
be effected through legislation. The constitution calls for an extraordinary amount of implementing legislation, much of which has not been
adopted.8 It requires frequent elections, which Haiti can ill afford and
which tend to produce periods of instability. And it contains provisions
that impede reform in specific areas, such as the justice system, which
is saddled, for example, with a constitutionally embedded investigating
magistrate structure that poorly serves the Haitian public.
The constitutional-amendment procedure is complex and requires
supermajorities at all stages. Parliament must first adopt—in the last
regular session of a legislative period—a declaration that the constitution should be amended. Then, in the first session of the next legislative
period, it must decide on the proposed amendments. After that, any
approved amendments may take effect only after the installation of the
next elected president.9 Shortly before going out of session in the spring
of 2010, the Haitian parliament adopted a declaration that the constitution should be amended, but the content of possible amendments has
not yet been agreed, and some that have been under discussion (such
4
Discussion with international organization representative, Washington, D.C., March 18,
2010.
5
Discussion with foreign diplomat, Port-au-Prince, April 19, 2010.
6
Discussion with representative of Haitian NGO, Port-au-Prince, April 23, 2010.
7
Gros (1997, pp. 99–100).
8
Implementing legislation is mentioned 107 times, according to one Haitian legal expert
whom we consulted.
9
Constitution of the Republic of Haiti, 1987, Title XIII.
30
Building a More Resilient Haitian State
as an extension of the presidential term limit and reconstitution of the
military) are controversial.
Decentralization and Deconcentration. Decentralizing government, and deconcentrating it—that is, moving some responsibility
for public administrative services out of Port-au-Prince—have been
on the reform agenda since the end of the Duvalier period. However,
the physical apparatus of government, decisionmaking, and resources
remain highly centralized and concentrated. In reaction to the Duvalier regime’s tight hold on and abuse of power, the 1987 constitution
prescribes a three-tiered structure of local and regional government,
although it does not clearly spell out which responsibilities are to be
assigned to the different levels.10 Each territorial level (communal section, commune, and department) is supposed to have an elected council and an assembly; the constitution calls for an interdepartmental
assembly as well. In the December 2006 local elections, 29,000 candidates vied for 1,429 offices.11
This complex system has never been fully implemented or funded.
Legislation is needed to spell out how authorities and resources are to
be distributed among the various levels.12 Administrative capacity at
the local level remains “extremely limited,”13 posing a major obstacle to
decentralization. Some observers consider the main obstacle to decentralization and deconcentration, however, to be politics: Neither Parliament nor government officials located in Port-au-Prince are interested
in devolving any of their power or resources.14
The government’s Programme-Cadre de Réforme de l’Etat, to
which we refer as the framework program,15 states that the precondi10 World Bank (2006, p. 42).
11 Perito and Jocic (2008, p. 2).
12 A law was drafted but not sent to Parliament for action in 2008. The draft law would have
transferred some tax revenue to the commune and communal-section levels.
13 UN Security Council (2009b, p. 5).
14 Email communication with international organization representative, May 19, 2010;
discussion with different international organization representative, Washington, D.C.,
March 18, 2010.
15 Republic of Haiti (2007).
Governance and Public Administration
31
tions for decentralization have not yet been fulfilled, although the process should be launched. It highlights, among a long list of objections,
the missing legal framework, limited resources for local authorities, low
administrative and technical capacity in local governments, and lack of
consensus on issues of decentralization.
Deconcentration of central government services is meant to
address the very uneven availability of administrative services around
the country. The concept has not yet been fully elaborated in a national
policy or in plans for implementation. In light of Haiti’s limited human
and financial resources, extending the presence of the government
throughout the country will be a challenge.
Human Resources. “Brain drain” is a major problem in Haiti.
Many skilled professionals have left the country. University graduates
look for work abroad. Low wages and poor working conditions have
made it difficult for the civil service to attract those qualified individuals who have remained in Haiti. The capabilities of personnel below the
most senior levels of the ministries are usually weak; in particular, there
are too few people qualified to work in middle-management positions,
while ministries have too many low-level staff.16 As a consequence, virtually all government decisions are made by a small number of people.
The civil service is disorganized. The government’s framework
program17 identifies the need to develop merit-based competition
for employment, job descriptions and classifications, a salary scale,
a performance-evaluation system, and a manpower plan based on
actual needs rather than the discretion of ministry officials. The law
on public administration permits public employees to be dismissed,
but no procedures are in place for actually doing so.18 Patronage and
lack of accountability are manifest in the large number of “phantom”
employees—by one report, about 30 percent of the payroll goes to nonexistent government employees.19 Absenteeism is common. According
16 Discussion with Haitian government official, Port-au-Prince, April 21, 2010.
17 Republic of Haiti (2007).
18 Discussion with Haitian government official, Port-au-Prince, April 21, 2010.
19 See Buss (2006, p. 12).
32
Building a More Resilient Haitian State
to one estimate, about two-thirds of civil servants also have jobs in
NGOs.20
Civil service reform has moved slowly. The Office of Human
Resources Management (Office de Management et des Ressources
Humaines, or OMRH), under the prime minister’s office, was set up in
2007 but is still in the early stages of institutionalizing its operations.
Some preparatory steps toward improved management, such as carrying out a census of civil servants, have reportedly been completed,21
though some experts indicate that a clear sense of who is in the civil
service and what they are supposed to be doing is still missing.
Public Financial Management and Procurement. Haiti has long
had dysfunctional budgetary, financial, and procurement systems.
From 1997 to 2001, there was no approved national budget. Auditing has been weak to nonexistent. Procurement has been in the hands
of individual ministries; financial controls on them have been weak.
Government contracting has been an avenue for corruption.22 A 2002
World Bank report found “[s]erious weaknesses in financial management practices,” including poor recordkeeping, misuse of funds, and
noncompetitive bidding procedures.23
Since 2004, international financial institutions have put significant effort into helping the central government improve public financial management and procurement, focusing on the Ministry of Economy and Finance (Ministère de l’Economie et des Finances). This effort
appears to be paying off: Public financial management is one area that
has begun to show improvement. For example, by 2006, ministries’
use of their own current accounts—which make it possible for them
to spend outside regular budget procedures—was reduced from more
than 63 percent of spending in 2004 to less than 10 percent.24
20 Discussion with academic expert, Washington, D.C., February 25, 2010.
21 IDB (2008, p. 8).
22 See Buss (2006, p. 11).
23 World Bank (2002, p. 4).
24 IDB (2008, p. 4; 2007, p. 33). The latter document notes, however, that “it is not clear
what the impacts of that reduction have been in terms of quality of public spending.”
Governance and Public Administration
33
In addition, important ground has been laid for better administration through adoption of an automated system for budget management (SYSDEP), improved public accounting and procurement
systems,25 and the establishment of an anticorruption unit.26 In June
2009, Parliament adopted a new law on public procurement—a condition for forgiveness of a significant part of Haiti’s external debt.27 An
asset-declaration law and a debt-management system have been put
in place as well. While progress in establishing a sound framework
for public-finance management has been made, actual implementation
and enforcement of the formal rules are still in the early stages.28
Consequences of the Earthquake
The earthquake’s effect on the logistical aspects of government operations was severe. Many civil servants died; survivors have been traumatized; some government officials were trapped and injured in their own
offices. The seats of all three branches of government were destroyed,
and many other facilities besides, including the prime minister’s office,
almost all ministry headquarters, and 180 other government buildings.29 Files, archives, office equipment, and computer data were also
lost. Government officials were dispersed to temporary locations
around the capital.
Following the earthquake, there is a high risk that physical reconstruction needs related to restoring government operations will draw
funds away from public-administration improvement projects. The
government has indicated that reconstruction of its buildings is at the
25 This includes the establishment, in 2004, of the Commission Nationale des Marchés Pub-
lics, which has assumed responsibility for procurement (over a specified threshold) previously
held by ministries individually.
26 L’Unité de Lutte Contre la Corruption.
27 UN Security Council (2009b, p. 2).
28 Discussion with international organization representative, Washington, D.C., April 5,
2010.
29 International Crisis Group (2010, p. 2). The report states that 13 of 15 ministries were
destroyed; in discussions with the research team, others cited slightly higher figures (for both
the number of ministries and the number destroyed).
34
Building a More Resilient Haitian State
top of its agenda, and, for example, has asked the IDB to shift funds
from support for the OMRH to rebuilding infrastructure.
Demand on the public administration’s limited capacity for planning and management may increase as a result of the earthquake in
light of the role it is expected to play in overseeing reconstruction. The
huge increase in multilateral and bilateral donor funding in response to
the earthquake will heighten demand for government interaction with
donors and participation in coordination mechanisms. Meetings with
visiting donor-agency officials alone will stretch the government’s thin
human resources.
Scheduled parliamentary and presidential elections were postponed in the aftermath of the earthquake. Reconstruction is thus being
launched in a period of uncertainty as to the shape of the next government and questions concerning the government’s scope of authority in the absence of an operating parliament. Moreover, the potential for political turmoil when elections are eventually held cannot be
discounted.
Appraisal of Plans and Initiatives for Addressing the
Challenges
Plans and Initiatives Before the Earthquake
GPRSP. The GPRSP briefly addresses “state capacity-building.”
It identifies three main themes for state reform: developing human
resources, implementing managerial reform, and modernizing administrative technology and the physical work environment. It lists six
“major reform programs” in relation to those themes: introduction of a
new civil service system; modernization of the central administration’s
management systems; deconcentration of public services; launching of
the decentralization process; modernization of the physical work environment for public services; and technological modernization of public
administration.
Each of the six program areas is elaborated by a list of “objectives,”
which are more in the nature of tasks. For example, under civil service
reform, one item is preparation of a recruitment policy, and, under
Governance and Public Administration
35
decentralization, one item is preparation of a comprehensive decentralization policy. The GPRSP does not order these tasks in terms of priority or the sequence in which they should be implemented, nor does
it provide timelines. It does not provide benchmarks or assign responsibilities for action. As a result, it serves as a statement of anticipated
reform actions, but not as a strategy.
Programme-Cadre de Réforme de l’Etat. The framework
program—drafted by a group of academics from the diaspora—builds
on the same six program areas as the GPRSP but is significantly longer
and more detailed. The framework program breaks down the six areas
into 32 components; the components are further divided into a total of
249 subcomponents, some of which individually are substantial tasks.
Subcomponents include such activities as drafting laws, preparing
analyses and conducting studies, and elaborating policy statements.
While some subcomponents are concrete (e.g., inventory and appraisal
of movable and immovable property of the state), others are vague (e.g.,
investigate practices and procedures existing in public administration).
An annex provides costs per year for each subcomponent, although
it does not explain the costing methodology. In terms of anticipated
actions, the framework program is very ambitious; the total cost that
the document projects for all those actions is under $40 million.
The document identifies periods of execution in one-year increments for the activities listed but, despite its length, does not set priorities or assign responsibilities for action. To a limited extent, it suggests
a sequence of actions by linking each subcomponent to a particular
year or years, but the logic of the sequencing is, at times, unclear. For
example, a study concerning establishment of a system of evaluation
for civil servants is scheduled for the same two years in which the government is to elaborate an order creating a system of evaluation. More
logically, a study should be completed before creating a system based
on its results. Similarly, a study on job descriptions and classifications
is scheduled for two years, and an order specifying job classifications
is to be elaborated during the second year of the study. It may be that
the timelines were loosely drafted or that contradictions in sequencing
resulted from squeezing too much work into a five-year time frame.
36
Building a More Resilient Haitian State
The framework program helpfully emphasizes the need to collect information and data on which to base policy decisions—in other
words, diagnostic work. It also identifies gaps in the legal framework.
Overall, it sets out a comprehensive picture of what needs to be done
to “modernize” public administration in the areas it covers (it does not
address public finance, procurement, or anticorruption) and to work
toward decentralization. However, it is overly ambitious for a five-year
period. The lack of discussion of who will carry out all the anticipated
activities is a major gap. It is more useful as a detailed expression of
policy options than a prescription for action.
As the Haitian government was not able to secure full donor
funding to implement the framework program, it adopted a gradual
approach to implementation as funds became available. For example,
Canada funded work on job classification, a salary scale, and recruitment procedures. The IDB worked on public procurement and asset
declaration. UNDP provided funds for a few small studies. The World
Bank supported the development of a pilot database system for managing human resources. None of these initiatives involved very large
sums: The World Bank contributed $150,000 for the database project, for example; projects costing $170,000 had been scheduled to be
launched at the time of the earthquake. The most significant funding
was $10 million from the IDB for a variety of projects, including an
inventory of five ministries’ assets.30 The scope and lack of prioritization in the plan allowed donors to pick and choose which activities
they wished to support, making the funded projects unlikely to result
in a coherent program.
Revised Plans
Following the earthquake, the Haitian government and donors stated
that they would focus on improving public administration in the
course of reconstruction. They acknowledged that the weaknesses of
the Haitian state—for example, lax or no regulation and enforcement
of construction standards, lack of urban planning, and the absence of
an emergency response system—contributed greatly to the scale of the
30 Discussion with Haitian government official, Port-au-Prince, April 21, 2010.
Governance and Public Administration
37
disaster. These gaps are intimately related to the state’s lack of capacity
to fulfill ordinary government functions. So far, however, the postearthquake exhortations to build the capacity of the state have not been
translated into a strategic plan.
Action Plan and PDNA. The government’s PDNA and its Action
Plan for National Recovery and Development 31—prepared under great
time pressure—both treat governance and public-administration issues
only briefly, though they differ in important respects in what they say
on these subjects. Either document would require considerable elaboration to serve as the basis for a strategic plan. They contain an assortment of reform ideas and tasks but do not assign responsibilities for
action. There is no readily discernible logic for their costing.
The PDNA calls for $75 million over three years for reconstruction in the area of “democratic process,” though it does not identify on
what this money would be spent. It also indicates a need for $387 million over three years for a minimally specified set of activities to bolster public administration, including restructuring ministries, reinforcing human capabilities, possible salary enhancements “to fight against
brain drain,” movement toward power-sharing with local authorities,
and wide-scale computerization. It calls for an additional $407 million
over three years for deconcentration and decentralization. The latter
two figures combined are about 20 times more (for three years) than
the identified cost of the much more extensive framework program (for
five years), even though construction of buildings to house government
offices is not mentioned in connection with the higher figures. The cost
estimates for one or the other (or both) of these plans must be inaccurate, but it is difficult to discern which, given the lack of explanation
for the figures. Preparation of a realistic, feasible reform plan will have
to be more rigorous in terms of costing.
The action plan sets out different tasks and costs from those in
the PDNA, under the rubric of “institutional restructuring.” It calls for
support for Parliament ($20 million) and for institutions, such as the
Electoral Council and Office of National Identification ($75 million),
as well as $60 million for elections. For the central public administra31 Republic of Haiti (2010a).
38
Building a More Resilient Haitian State
tion, it emphasizes constructing buildings, providing temporary premises, and supplying equipment, with priority for the president’s and
prime minister’s offices and eight ministries.
The action plan emphasizes decentralization and deconcentration. It says that a program will be set up to provide incentives for
government workers to accept postings outside of Port-au-Prince and
sets numerical targets for deconcentration: 80 percent of services (not
including police, teachers, and health service staff) deconcentrated
within five years and 50 percent of the population receiving basic services from their municipality within five years. No analysis is provided
to support these targets. The action plan also calls for a training plan
and a program for involving the diaspora in public service. In addition, the action plan states that implementing the framework program
should be continued, after making adjustments. Under the action plan,
costs for central public administration and measures related to deconcentration and decentralization total $372 million.
The action plan appears to supersede the PDNA, but that is not
entirely clear, as the PDNA is characterized as an annex to the action
plan. Regardless of their lack of harmonization, both would benefit
from drawing more clearly on the fairly comprehensive framework program rather than just referring to it in passing. Like the framework
program, both fail to address public-finance management and procurement, even though these have been important yet incomplete areas of
public-administration reform.
Private Sector Economic Forum Draft Vision and Road Map.
While not an official plan, the Private Sector Economic Forum’s draft
Vision and Roadmap for Haiti32 includes some constructive ideas for
increasing administrative capacity. In particular, it calls for support for
Parliament, including funding for technical support for issue research,
public hearings, and independent think tanks and institutions to provide reports and briefs to Parliament. It also suggests narrowing proposed constitutional reforms to two issues on which consensus is more
achievable than broad reforms: permitting dual citizenship and stretching the electoral cycle from two to five years.
32 This appraisal is based on the draft version of March 16, 2010.
Governance and Public Administration
39
Recommendations
Determine the Applicable Postearthquake Reform Plan
The framework program, the action plan, and the PDNA provide three
different versions of a basis for crafting an updated public-administration
reform and restructuring plan. A decision should be made quickly concerning which plan will be considered authoritative and thus should
be used as the basis for further elaboration (the action plan or PDNA)
or prioritization and updating (the framework program). As the framework program is the most comprehensive and thoughtfully prepared of the
three, it would serve best as a basis for further planning.
Prioritize and Rationalize the Framework Program
Given the vast scope of the framework program (249 subcomponents),
the Haitian government, in conjunction with donors, should set priorities, determine who is responsible for which actions, sequence measures for
implementation, and organize a reduced number of tasks into a more realistic time frame. As a matter of urgency, donors should fund technical
assistance for government planning (probably led by the prime minister’s office, given its role in central public administration) to update
and prioritize the subcomponents of the framework program. In addition, reform activities under way in public-finance management, procurement, and anticorruption should be folded into the scope of the
framework program, even though those activities are under the purview of the Ministry of Economy and Finance rather than the prime
minister’s office. Perhaps because overly ambitious plans lose their currency when not being actively implemented, there may be a tendency
to overlook useful plans that can be given new life.33 Clearly, a great
deal of effort was spent on developing the framework program; it need
not be set aside even with the changed circumstances.
33 In 2009, the UN Secretary-General’s report on the Haiti mission urged the government
to adopt a “blueprint for State reform”—without mentioning the government’s Framework Program for State Reform, drafted with UNDP help (UN Security Council, 2009b,
pp. 14–15).
40
Building a More Resilient Haitian State
Focus Attention and Resources on Civil Service Reform
Civil service reform is likely to face strong political challenge because
of the prospect of reducing patronage opportunities and will take considerable time to implement. Nevertheless, efforts in this area should
commence, beginning by clarifying who is in the civil service and what
they are doing and by creating a system for tracking civil servants.
Ultimately, building a competent and rationalized civil service is critical
to building a more effective state. Attracting new talent, improving the
quality of existing civil servants (through training and enforcement
of performance standards), and building human-resource management
tools and systems (including job classifications, standards and procedures for hiring and firing, a merit promotion system, salary grades,
and clarified career ladders) should be among the highest priorities for
public-administration reform. Emphasis also should be placed on creating a financial incentive system for good performance. With no job
descriptions, and no standards and procedures yet in place for performance evaluation, promotion, or dismissal from office, government
employees have few incentives to perform competently. Also, consideration should be given to creating a fast-track program with enhanced
salaries and prestige for highly qualified young people willing to enter and
commit to at least several years of public service.
Initiate Practical Steps Toward Decentralization and Deconcentration
Decentralization and deconcentration are perennially on the political
agenda, yet very little progress has been made in realizing these objectives. Despite the enhanced attention to these topics in the action plan,
it is not evident that political commitment to decentralization and
deconcentration is any greater now than before the earthquake. Efforts
toward addressing the technical aspects may not make great strides
until a genuine political consensus on decentralization and deconcentration is built; nevertheless, practical work can be done to prepare the
ground. If the Préval administration is indeed committed to these objectives, it should work expeditiously both to build a political consensus and,
using executive decrees if necessary, to push forward the practical aspects of
the processes.
Governance and Public Administration
41
The most important practical step needed is to more clearly define the
respective roles and authorities of the several levels of government. Ultimately, this will require legislation. To begin the process, however,
progress could be made without legislation in clarifying the roles of
officials performing deconcentrated functions and in giving those officials the resources and logistical means to carry out their responsibilities. Donors could be influential in promoting decentralization and
deconcentration by consulting and working directly with local officials and by distributing their resources in a way that bolsters local
government.
Offer Support to Parliament and Political Parties
Haiti’s parliament does not work well. As an independent branch of
government, solutions cannot be imposed on Parliament. But the executive branch and donors should offer technical and material assistance
to improve Parliament’s working conditions, staffing, and ability to prepare legislation. The recommendations of the Private Sector Economic
Forum are a useful contribution in this regard. In addition, donors
should offer technical assistance to political parties to improve their organizational structures and abilities to engage with constituents. Donors
should include political parties in reconstruction planning processes as
a means of building their capabilities.
Keep Constitutional Reform Modest for Now
Constitutional reform is a significant undertaking in any circumstances. Given the Haitian public’s suspicion of government and the
contentious nature of some of the issues that have been discussed as
possible topics of reform (such as re-creating the army and extending
the presidential term limit), Haiti would benefit from conducting constitutional reform in an open, transparent, and broadly inclusive way. A
process of this nature could not be conducted quickly and would consume considerable political capital. In the current context of a wide array
of political imperatives, initiatives to reform the constitution should be kept
modest. The Private Sector Economic Forum’s recommendation—focus
on permitting dual citizenship and lengthening the electoral cycle—
accords with the apparent consensus on the most urgent issues.
42
Building a More Resilient Haitian State
Employ Donor Leverage to Secure Key Reforms
State-building in Haiti will require a discreet but very hands-on approach
to political reform by the major donors. This does not mean explicitly
conditioning assistance on performance, a technique that has seldom
produced meaningful political improvement. Indeed, Haitian politicians have repeatedly shown themselves ready to reject even gigantic
aid packages if these came at the cost of some perceived domestic political advantage. Rather than conditions-based assistance, aid will need
to be used to more subtly grease the political wheels of reform, bolstering the position and influence of its champions and rewarding those
who effectively advance the agenda.
This means that projects need to be evaluated not just on their ability
to increase GDP or decrease poverty but also on their capacity to reconcile
competing interests, secure political goals of importance to the donor community, and thereby redirect the competition for wealth and power found
in any society into channels more likely to benefit this particular society.
Leverage of this sort is likely to produce results only if the donors are
united and if they prove capable of exercising their potentially massive
influence in quiet, discreet, and subtle ways in support of the relatively
few really essential reforms, particularly those requiring parliamentary
action, covered herein.
CHAPTER FOUR
Justice
The Challenges
Haiti’s justice system is extremely flawed: The courts do not carry out
their constitutional responsibilities; laws are not applied and procedures
are not followed; the criminal code dates from the early 19th century;
prison conditions are horrific; legal aid barely exists; legal professionals
are inadequately educated; corruption is widespread; and relations are
poor between the HNP on the one hand and prosecutors and judges
on the other. In short, Haiti has no cognizable “system” of justice. Various plans and initiatives to address these problems since the mid-1990s
have borne little fruit.
Justice-system formation and reform are typically slow and especially complex aspects of state-building,1 and Haiti has been no exception. The multiplicity of actors—the Ministry of Justice and Public
Security (Ministère de la Justice et de la Sécurité Publique, or MJSP),
nominally independent judges, prosecutors, the prison administration,
the private bar, and law schools—and the need for linkages between
the police and justice actors make coherence and coordination in
reform-strategy planning and implementation difficult to achieve. The
struggle over judicial independence between the executive branch and
the judiciary undermines collaboration. For judges, a fine balance has
to be struck between instituting accountability and ensuring independence. Moreover, unlike the police, the justice system does not have a
unified command structure through which reforms can be carried out.
1
See Jensen (2008, pp. 119–120, 124–125).
43
44
Building a More Resilient Haitian State
And unlike such areas as health and education, there are no gap-filling
private or nongovernmental alternatives to a state-run justice system.2
In addition, a functioning justice system requires skilled and educated
legal professionals, and these are in short supply in Haiti.
Long-Standing Challenges
One way to view the challenges of reforming the justice system in Haiti
is to identify the system’s institutional, procedural, infrastructure,
human-resource, and fiscal-resource weaknesses. Viewed this way, the
justice system is riddled with challenges. Many judges have no legal
education, and some are illiterate. There is no criminal-record system,
so it is impossible to know whether a suspect has a prior record or is
wanted in another jurisdiction. The courts operate in French, but only
about 20 percent of the population speaks French. Haiti has no functioning forensic laboratory. The laws do not permit plea-bargaining or
alternative sentencing for minor crimes. Judicial-appointment procedures are not followed. Many courthouses are in poor condition.3
Perhaps the most glaring manifestation of the justice system’s dysfunction is the situation in Haiti’s prisons. An estimated 75–85 percent of the prison population is being held in illegally prolonged pretrial detention; many of these prisoners have never seen a judge. At
least some have been detained longer than they ever could have been
sentenced.4 For cases that are brought to trial, the conviction rate is a
stunningly low 3 percent. As one longtime observer noted, some people
are arrested in Haiti for literally nothing,5 though the low conviction
rate also suggests poor case preparation.
2
Individuals and communities fill gaps in access to justice at the local level through informal means of dispute resolution.
3
Numerous reports describe the weaknesses of the justice system. See, e.g., International
Crisis Group (2008, pp. 17–19; 2007a); Fleury (2007, p. 83); ILAC (2005); and World Bank
(2006).
4
The United Nations reported that more than 76 percent of detainees nationwide and
more than 86 percent in the national penitentiary were being held in pretrial detention as
of September 2009 (UN Security Council, 2009b, p. 10). In discussions with the RAND
research team, experts cited slightly different figures.
5
Discussion with NGO representative, Port-au-Prince, April 21, 2010.
Justice
45
Conditions in Haiti’s prisons are horrendous as well: They are
severely overcrowded and understaffed. Health care and sanitation are
lacking. Security is insufficient, resulting in periodic riots and escapes. 6
The extreme disproportion of prisoners in pretrial detention and, thus,
to some extent, the problem of overcrowding are consequences of the
slow and inefficient court system. However, reforming the judiciary
alone would not solve the prison problem. Greater enforcement of Haiti’s laws and a more effective justice system—with better investigations
and more successful prosecutions—could well increase the number of
convicts. Although the prisons are bulging (occupancy is 335 percent
of official capacity), Haiti’s incarceration rate is the lowest in the Caribbean and the lowest but for three countries in all of the Americas.7
More and modernized prison space is urgently needed.8
Haiti’s judiciary lacks both mechanisms to ensure accountability
and genuine independence. The judiciary is subordinate to the MJSP,
though judges resist actual oversight. While corruption, absences, and
low skills are widespread problems among judges, even those who are
committed to their work struggle to function in the prevailing conditions.9 The courts lack management systems for moving cases through
the required procedural stages; collection of evidence by the police is
often inadequate; and judicial infrastructure is in a general state of
disrepair.
Looking at the challenges in terms of the abundant weaknesses
of the justice system, there is virtually no end to the projects that can
be imagined to repair the system’s deficiencies. Strategies aiming to
fix many of these problems simultaneously seem appealing, but such
approaches have generated few results. Efforts and resources become
too broadly dispersed across a wide range of projects.
6
Discussion with foreign donor representative, Port-au-Prince, April 23, 2010; International Crisis Group (2007b).
7
King’s College London (2010). See also MJSP (2007).
8
Canada is funding construction of a 750-person–capacity prison, expected to be completed by summer 2010.
9
Discussion with NGO representative, Port-au-Prince, April 21, 2010.
46
Building a More Resilient Haitian State
Another way to approach these challenges is to focus on the problems the various weaknesses have produced—in other words, the effects
of the system’s failures and the issues that the justice system should
address but does not. The problems are no less grave when approached
from this perspective, but their diagnosis can be more precise and the
priorities for action more easily identified.
Taking this approach, the most glaring long-standing challenge
is prolonged pretrial detention. Prolonged detention is, in large part,
due to slow-moving court procedures and inadequate recordkeeping,
although police bear part of the blame. Another key challenge is lack
of access to justice. Costs, the locations of courts, the language barrier
due to the use of French, and long judicial delays are among the factors that constrain access. A third major problem is the lack of basic
data about people who have been arrested, cases, and court dockets.
The lack of a system of information management, poor training, and
weak communication procedures among different actors in the system
have resulted in chaos. Many judges do not even know the number of
cases on their own dockets, and there is no respect for legally required
procedural timelines.
Justice reform in Haiti, as elsewhere, has a political dimension:
Since coming to office, President Préval has yet to appoint a president
of the supreme court (cour de cassation).10 Préval’s failure to make this
appointment has stymied the creation of the Superior Council of the
Judiciary (Conseil Supérieur du Pouvoir Judiciaire). Formally created
by law in November 2007, this body is supposed to play a central role
in setting rules for and exercising oversight over the judiciary. It is a key
means for improving the courts and enhancing judicial independence.
Because the president of the supreme court serves as chairperson of
the council, the council cannot yet operate. Due to political tensions
between the executive and the judiciary, the MJSP’s judicial inspection
service also does not function well.11
10 UN Security Council (2009b, pp. 8–9).
11 Discussions
April 22, 2010.
with Haitian government official and Haitian lawyer, Port-au-Prince,
Justice
47
Considerable international support has been provided for justice reform in Haiti in the past, to little effect. The lack of results has
been due both to the Haitian government’s unwillingness to carry out
reforms and to poor program implementation on the part of donors. A
U.S. government assessment of the impact of its nearly $27 million in
assistance to the Haitian judicial sector from 1993 to 2000 found little
to show for the investment, principally because of the Haitian government’s lack of commitment to and follow-through in implementing
reform.12 A UNDP evaluation found that international investments of
expertise and money in establishing justice in Haiti after 1994 failed
in large part because donors were overly optimistic and naïve about the
prospects of importing a modern justice system and ignored limitations in the capacity of Haitian institutions to absorb technical assistance and adopt changes.13
Consequences of the Earthquake
The earthquake did not fundamentally alter the long-standing challenges of justice reform, but it did add to the burden, principally in
terms of loss of personnel, damage to infrastructure, and loss of files
and equipment. The MJSP, supreme court, several other courthouses,
and offices of some other justice-related bodies were destroyed. This
damage reduced the already-limited institutional capacity of the justice
system.14
The earthquake created some new challenges in terms of the type
and volume of disputes requiring resolution. The government’s PDNA
notes that the earthquake “is going to lead to many civil law disputes,
which will be made more difficult by the absence of land registry
records and problems with birth, marriage and death registrations.”15
Only about 5 percent of land is registered in Haiti, and land registers
12 GAO (2000). By comparison, the United States spent $65 million on assistance to the
Haitian police from 1995 to 1999.
13 UNDP (2003).
14 See Republic of Haiti (2010a, p. 45).
15 Republic of Haiti (2010b, p. 39).
48
Building a More Resilient Haitian State
were not reliable before the earthquake.16 Moreover, many people did
not have birth, death, or other identifying records before the earthquake; fewer do now.17 Most of those killed in the earthquake were
buried without certification of death, and many survivors lost whatever
documents they had. The situation in Haiti is likely to be comparable
to that in areas affected by the December 2004 Indian Ocean tsunami,
in which thousands of property-distribution, inheritance, and guardianship cases emerged. Without proof of identity, people could not
access money in bank accounts and insurance policies. Physical reconstruction was hampered by uncertainties and disputes about property
rights and boundaries.18
Appraisal of Plans and Initiatives for Addressing the
Challenges
Plans and Initiatives Before the Earthquake
There has been no shortage of reform plans, commissions, and working
groups concerning Haiti’s justice system, although implementation has
been wanting.19 The principal plans and initiatives of the post-Aristide
period are appraised in this section.
MJSP Five-Year Plan. The MJSP’s current five-year plan identifies
many of the problems in the justice system and lays out principles, aspirations, and goals for improving the system.20 It identifies some specific needs, such as training, improvement in the living standards and
career guarantees for judicial personnel, and development of mecha16 Discussion
with representative of international organization, Washington, D.C.,
March 18, 2010.
17 The OAS has been working on development of a civil registry in Haiti since 2005 and
helped to create the Office of National Identification within the MJPS. Under this program,
4.3 million adults had been registered and issued identity cards prior to the earthquake, registration of children began a year ago, and death registration had been planned.
18 Stephens (2009, pp. 132–133).
19 See Fleury (2007, pp. 11–14).
20 MJSP (2006).
Justice
49
nisms for release pending trial to avoid prolonged pretrial detention.
The plan sets out a list of priorities, such as adopting a code of ethics for
judges, modernizing several legal codes, strengthening judicial security, transcribing customary law, and creating specialized courts. The
document provides a broad vision for the development of the justice
system but does not set timelines, sequencing, or benchmarks to guide
implementation.
Some objectives emphasized by the government and donors have
been achieved since 2006—in particular, the adoption in 2007 of
three laws aimed at enhancing judicial independence and accountability.21 These laws have not yet been implemented, however.22
GPRSP (2008–2010). Among governance issues, the GPRSP
“accords priority” to justice and security.23 It treats this area summarily, however. The justice portion of the GPRSP consists of a page-long
list of institutional and logistical problems and another brief list of
principles, goals, and priority areas of activity, such as “restructuring of
the MJSP” and “strengthening of the judiciary branch.” The paper does
not propose a strategy or specific priorities for justice-system reform.
Recommendations of the Advisory Commission on Prolonged
Pretrial Detention. This commission, established in June 2007 to
examine and contribute to resolving the problem of prolonged pretrial
detention, produced a final report in March 2008 that lays out a set of
recommendations concerning the roles of the MJSP, police, Directorate of Penitentiary Administration (Direction Administrative Pénitentiaire, or DAP), judges, and prosecutors.24 The recommendations are
better described as detailed descriptions of the failures that have led
to prolonged detention than as solutions to the problem. For example,
the recommendations identify laws, rules, and deadlines that are not
being respected and call for them to be followed. They pinpoint dysfunctional aspects of the justice system and urge that they be remedied.
21 These laws concern establishment of the Superior Council of the Judiciary, the status of
magistrates, and the magistrates’ school.
22 Discussion with Haitian government official, Port-au-Prince, April 22, 2010.
23 Republic of Haiti (2007, pp. 49–51).
24 CCDPP (2008, pp. 33–40).
50
Building a More Resilient Haitian State
While the recommendations may be helpful in diagnosing the problem
of prolonged detention and they suggest that the problem would be
solved if justice-system actors performed their roles as they should and
had proper training, they do not propose practical steps toward solving
the problem.
DAP Strategic Development Plan. This plan, developed with
advice from foreign experts, is comprehensive and detailed. It discusses the problems in the prison system—in particular, the need for
increased capacity—and provides a vision for the system in 2012.25
The plan sets a broad goal (modernization of the prison system), several more concrete objectives, and a six-point program with numerous
subsidiary tasks for pursuing those objectives. Four annexes addressing infrastructure improvements, equipment procurement, personnel
management and training, and treatment of detainees specify projects
and their expected results, general time frames, and costs. Among the
more-expensive projects are prison construction and rehabilitation,
recruitment and training of 800 new corrections officers, and improvement of prison admission procedures.
The plan is ambitious, though it claims not to be overly so. The
gap between the projects and tasks envisioned and the actual pace of
reform is large. As of September 2009, “limited progress was made in
the implementation” of the plan, and prison conditions continued to
deteriorate as overcrowding increased.26 The plan included training of
270 new corrections officers in 2009, for example, but the government
did not select the recruits.27 Some work is under way on prison infrastructure building and improvement, though the extent is limited in
relation to the overall need.
Working Group on Reform of the Criminal and Criminal Procedure Codes. Haiti’s criminal and criminal-procedure codes date
from 1835 and were among the Napoleonic Codes transplanted from
France. Though they have been supplemented by a variety of laws and
decrees over the years, they still reflect the conditions of 19th-century
25 MJSP (2007).
26 UN Security Council (2009b, pp. 9–10).
27 UN Security Council (2009b, p. 10).
Justice
51
France and are, to say the least, outdated. As part of a broader emphasis
on law reform, President René Préval established a working group on
reform of the criminal and criminal-procedure codes, under the leadership of former justice minister René Magloire; the working group has
developed draft codes.28 Because of the postponement of parliamentary elections due to the earthquake, adoption of these codes will not
be considered before 2011.
This is one of several specialized working groups or commissions that Préval has established, and one that appears to be producing
results. While the work being undertaken is useful, given the serious
deficiencies of the existing codes, the revised codes, if adopted, will
have an effect only if judges and lawyers are trained to understand
them and begin applying them.
Revised Plans
The government’s March 2010 Action Plan for National Recovery and
Development 29 and the annexed PDNA briefly and in general terms
lay out an approach to reconstructing the justice system that is “based
on getting services for the prevention of violence and attention to the
needs of the population back into working order, and beginning a thorough reform.”30 The PDNA observes that the justice system before the
earthquake “was not very effective” and that prior reforms had little
effect.
The documents call for reestablishing and reinforcing existing
operations, guaranteeing access to justice for affected communities, and
“starting a process of structural reform of the Haitian justice system.”
A draft work plan for the MJSP for March 2010 through September
2011 spells out some of the activities, costs, and other details related to
those three objectives. The PDNA also calls for developing a plan to
modernize the prison system, without acknowledging the existence of
such a plan. These documents should be regarded only as preliminary
28 Albrecht, Aucoin, and O’Connor (2009, pp. 2, 5).
29 Republic of Haiti (2010a).
30 Republic of Haiti (2010b, p. 40).
52
Building a More Resilient Haitian State
statements of the government’s intentions, given their limited provisions concerning the justice system.
Recommendations
The failures of the justice system and the steps that should be taken to
address them are well understood among senior advisers to the Haitian
government and within the donor community. Nevertheless, the government has found itself unable—or unwilling—to take those steps in
light of elite opposition. Political boldness and consistent donor pressure will be needed to make headway on reforms that have so far largely
languished.
To eventually create a functional justice system, thorough
reform—or, where capabilities do not exist, formation—will be needed
in every element of the system, including legal education, the courts,
MJSP administration, legal aid, law codes, and corrections. Access to
justice will have to be improved; procedural and substantive laws will
have to be applied as envisioned; and sustainable and reliable levels of
financing will have to be made available to attract well-qualified legal
professionals to public service and to maintain adequate infrastructure. Perhaps most challenging, building a system of justice that works
in the public’s interest will require more adherence to the rule of law
within government institutions and the broader environment. These
should remain the long-term goals, but, given current conditions in
Haiti and the challenges discussed in this chapter, none will be fully
realized within the next three to five years, even assuming political
commitment to reform.
Resources and political capital in the near to medium term
should be expended on a few critical areas in which practical progress could be made and that directly concern urgent needs of the Haitian population. Although a handful of successful reform initiatives
will not transform the entire justice system, moving from a situation
in which almost nothing works to one in which some things actually
work would be a major achievement. Concentrating on a few initiatives
would not require abandoning all other reform projects; those that are
Justice
53
well advanced, such as the government’s criminal law and criminalprocedure code reform process, should be completed. If and when the
political logjam is broken, the Superior Council of the Judiciary should
be brought into operation and supported. However, we recommend
that the government of Haiti and the international community adopt
the priorities outlined in the rest of this section.
Devote Greater Attention to Justice Reform
First and foremost, the Haitian government and donors should place much
higher priority on planning and carrying out justice reform, giving it priority even over strengthening the police force. Past governments failed to
capitalize on donors’ investments in justice programs; even now, there
are some worrying signs that the current government may not be sufficiently committed to reform, such as the very long delay in appointing
a supreme-court president. Donors have tended to give other sectors
higher priority, including, particularly, the police, despite the fact that
those latter reforms will ultimately founder in the absence of progress
in the justice sector. It must be acknowledged, however, that justice
reform progress is not merely a function of the amount of funding
provided—past experience indicates that more projects will not automatically produce more progress. Clarification of priorities, realistic
strategic planning, and a strong political commitment are essential first
steps toward more-effective reform.
Create a Mechanism for Resolving Real and Other Property Disputes
Stemming from the Earthquake
Property disputes (including disputes over land, bank accounts, and
other assets) are likely to mushroom in the aftermath of the earthquake. The Haitian public will need means of resolving such disputes
quickly. Given how slowly the court system operates and the constraints on
access to it, a property-dispute resolution mechanism should be established
outside of the court system, under the authority of the MJSP. It would
need to be staffed by specially trained personnel, but not all would
need to be lawyers. The mechanism could be based on an alternative
dispute resolution model, and disputants could be represented at no
or low cost by paralegals trained for this purpose. Operations should
54
Building a More Resilient Haitian State
be decentralized. In addition to bringing dispute resolution closer to
those who need it, decentralization could ensure sound decisionmaking; people in communities know each other, the lay of the land, and
the facts related to such disputes.
To manage this initiative, the MJSP would require sustained
technical assistance in structuring the mechanism (drawing on
examples from other postconflict and postdisaster situations), drafting procedures, hiring and preparing personnel, and publicizing the
new mechanism. Particular attention will need to be paid to devising accountability and oversight mechanisms to mitigate opportunities
for corruption. Implementation of the initiative could have long-term
institution-building benefits, such as strengthening the MJSP’s management capabilities. The training and use of paralegals as advocates
provided to all parties could provide a model on which to build later, as
Haiti is short of legal advocates for people who cannot afford lawyers.
This initiative should not be approached as a pilot project, with limited
potential impact and limited-duration commitment to funding, but as
a full-scale effort.
Establish a Special Ad Hoc Panel for Detainee Review
Haiti’s prisons need to be cleared of people who should not be there; the
courts have proven incapable of addressing this long-standing problem.
Ultimately, the most durable way to ensure that people in Haiti’s prisons are being held legally is for the courts to function as they are supposed to and for judges to apply the law. But addressing prolonged pretrial detention cannot wait for significant progress in judicial reform.
A special, ad hoc panel for detainee review should be established as an
administrative body under the MJSP with the power to review cases and,
if appropriate, order releases. Arguably, Parliament should authorize
this by law, but, as people are being held in pretrial detention because
current laws are not being obeyed, there is an attractive argument for
authorizing such a panel by decree, in the interest of fairness.
So that prisons do not continue to fill up with pretrial detainees,
establishing the panel should be combined with requiring that all arrest
warrants be given an expiration date in accordance with procedural time-
Justice
55
lines.31 More-rigorous review and authorization procedures within the
HNP before arrests are made are likely to be needed as well. Early
completion of the prisoner database currently being populated would
be a complementary measure; such a database is needed, among other
things, to keep track of release dates.
Two somewhat similar but limited-scale detainee review initiatives have been tried in the past in Haiti, but implementation was criticized in one instance32 and not sustained in the other.33
Expand Prison Capacity
The capacity and conditions of Haiti’s prisons are woefully inadequate
and undermine any prospect of building a reasonably effective and
rights-respecting justice system. Prison infrastructure rehabilitation and
new construction should be given much higher priority than such efforts
have received to date. The DAP’s strategic development plan for 2007–
2012, drafted with assistance from Canada, provides a starting point
for developing the details of a program to expand prison capacity, but
it is very ambitious and should be reformulated into a more realistic
plan. Prison construction is an expensive undertaking and will require
external funding.
Build an Information-Management System
A unified information-management system that police, prosecutors, courts,
and prisons can use should be established. The limited database being
put in place for the prison system (with UNDP support) may provide
a basis on which to build a system that includes a single case file for
each individual, from arrest through incarceration. Accompanying this
31 This idea is drawn from the recommendations of the Consultative Commission on Pro-
longed Pretrial Detention discussed earlier.
32 The Consultative Commission on Prolonged Pretrial Detention, which operated from
June 2007 to April 2008, reviewed cases in the Ouest department and in Gonaïves and
obtained the release of some detainees, but police and human-rights organizations criticized
its work (International Crisis Group, 2008, p. 19).
33 In the late 1990s, a courtroom was set up in the national penitentiary in order to facilitate
review of cases of prolonged pretrial detention, but the Haitian government did not sustain
the NGO-initiated program.
56
Building a More Resilient Haitian State
initiative, investigating judges should be required to provide written
justifications—noted in the case file—for holding suspects longer than
48 hours.
This technical initiative would be foundational for other, morefundamental changes in the justice system. For example, judges cannot
be held to account for delays and backlogs without access to information about cases on their docket (how many, how long pending, and
the procedural deadlines that apply). An effective case-management
system, which would identify relevant deadlines, could be used to
foster expectations that procedures will be followed within the legally
required timelines. In addition, a unified system could build communication links among police, prosecutors, and courts. The MJSP and
the Superior Council of the Judiciary (if and when it becomes operational) could use data extracted from such a system as a management
tool. And data about what is actually happening in the justice system
(and not happening), if made transparent as they should be, could help
create social demand for reforms.
CHAPTER FIVE
Security
The Challenges
Long-Standing Challenges
Efforts to reform the security sector in Haiti have faced three main,
related challenges. First, the security situation is volatile, and the state
has very limited ability to assert its authority vis-à-vis criminal networks, drug traffickers, armed gangs, and other spoilers.1 In 1994, after
a U.S.-led intervention to reinstall the elected president, Jean-Bertrand
Aristide, the Haitian military was abolished. Since then, the HNP
has been the only state institution in the country to provide internal
or external security. It has been responsible for performing a broad
array of functions beyond basic community policing: counternarcotics, border protection, maritime patrolling, quasi-military tasks, and
guarding the prisons. In these areas, the HNP has heavily depended
on the military and police forces of MINUSTAH, deployed in 2004.
Second, the government has not demonstrated a consistent commitment to police reform. Cooperation between MINUSTAH and the
interim government of Prime Minister Gérard Latortue proved difficult in 2004 and 2005, as the prime minister did not support police
reforms. The government was itself accused of being involved in violating the law and human rights.2 After the election of President René
1
See UN Security Council (2009b, p. 5); International Crisis Group (2008, p. 2).
2
See Lindsay (2006, p. 32) and Mobekk (2008, p. 116).
57
58
Building a More Resilient Haitian State
Préval in February 2006, the Haitian government was more supportive
of police reform.
Third, the institutions of the HNP are poorly developed. Since its
creation at the end of 1994, the HNP has been prone to political abuse
and corruption and has lacked the manpower, equipment, training,
and professional standards to provide security for the population.3 In
mid-2006, when police reform began in earnest, the HNP still consisted of only 7,000 police officers, virtually all of them badly equipped
and poorly trained.4 The HNP has also lacked basic institutional capabilities, such as keeping records on current and former police officers,
financial management, and internal control. Low salaries and poor
working conditions for the majority of police officers have contributed
to corruption and criminal activity within the force.5
In his last report on Haiti before the earthquake, UN SecretaryGeneral Ban Ki-moon stated that the Haitian police force “still lacks
the force levels, training, equipment and managerial capacity” to
respond effectively to Haiti’s internal security threats without external assistance.6 This has been especially true outside of Port-au-Prince.
Departmental capitals and rural areas, where police often have to cover
large swaths of territory with few roads and little staff, have long been
neglected in the police reform efforts.7
An additional major problem is the weak link between the police
and the judiciary. The lack of meaningful judicial reform and the very
poor coordination and collaboration among the police, prosecutors,
and courts have the potential to undermine progress on police reform.8
3
See Mendelson-Forman (2006, p. 22).
4
See “Haitian National Police Reform Plan” (2006, p. 3). This plan was adopted by the
government of Haiti on August 8, 2006.
5
See “UN Special Envoy Says Haiti in Urgent Need of Police” (2006).
6
UN Security Council (2009b, p. 5).
7
See International Crisis Group (2008, p. 8).
8
See Call (2009, p. 14) and Fortin and Pierre (2008, p. 20).
Security
59
Consequences of the Earthquake
The January 12 earthquake severely set back efforts to build the HNP.
The immediate effect was felt in the loss of personnel and the destruction of buildings and other infrastructure needed for police operations.
The HNP lost some 80 police officers, and 250 officers were
injured.9 The earthquake also further weakened the modest police
presence outside of Port-au-Prince because officers had to be redeployed from other provinces to the capital.10 The earthquake destroyed
an estimated 45 percent of the police stations in Port-au-Prince and its
surroundings, including the HNP headquarters.11
While fewer officers were available as a consequence of the earthquake, the demands on the police force were greater than usual, given
the need to protect Haitians and property against looters, ensure public
order in the tent camps, and protect the most vulnerable.12 In addition,
some 5,000 detainees, or 60 percent of Haiti’s prison population—
among them many gang leaders and members who had been arrested
since 2007—escaped in the chaos of the earthquake.13
Appraisal of Plans and Initiatives for Addressing the
Challenges
Plans and Initiatives Before the Earthquake
The international community has been involved in building and
reforming Haiti’s security sector since the beginning of the 1990s.
Both the United States in the 1990s and the United Nations then and
since have seen police reform as essential to the departure of their own
soldiers and police. In the aftermath of the U.S.-led Operation Restore
Democracy to reinstall President Aristide, an Interim Public Security
9
Discussion with HNP official, Port-au-Prince, April 23, 2010.
10 See International Crisis Group (2010, p. 11).
11 International Crisis Group (2010, p. i).
12 See Republic of Haiti (2010b, p. 39).
13 See International Crisis Group (2010, p. 10).
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Building a More Resilient Haitian State
Force for Haiti was created, which eventually evolved into the HNP.
The United States, the UN, and the Haitian government began a campaign to recruit and train new police forces, and a police school was
established. Despite early progress, the overall process of police reform
was not successful: No police force can remain honest and efficient
when embedded in a corrupt and incompetent judicial and political
system.
Police reform resumed in earnest only in 2006 after the election of President Préval. Since then, national and international efforts
have centered on the HNP reform plan that the Haitian government
adopted in August 2006. The international community’s contribution
to restoring and maintaining a stable security environment in Haiti
and to reforming Haiti’s security sector has pursued a double-track
approach. On one track, MINUSTAH’s military and civilian police
components conduct operations with the HNP against individuals
and groups that threaten internal security where the HNP is unable
to do so alone. MINUSTAH seeks to strengthen the HNP’s capacity
through joint patrolling and operations.
In the second track, the UN, other international organizations, and
bilateral donors have attempted to build the HNP and the administrative structures that govern it through monitoring, mentoring, advising,
training, equipping, and institutional capacity-building. The concept
underlying this double-track approach is that the UN peacekeepers and
police will scale down their role as the Haitian police become increasingly capable of exercising their law-enforcement responsibilities. To
pursue both tracks, the UN Security Council initially authorized the
deployment of 6,700 military troops and 1,622 civilian police and has,
several times, increased those numbers; as of June 2010, 8,940 military
and 4,391 police personnel were authorized.14
The United States and Canada are the most important bilateral
donors in the area of police and justice in Haiti. The U.S. State Department funds 50 U.S. police and corrections advisers and provides significant support for HNP training.15 The Canadian government supports
14 MINUSTAH (undated).
15 See U.S. Department of State (undated).
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61
police reform through the Stabilization and Reconstruction Task Force
(START), through which it deploys police officers to MINUSTAH
and has, for instance, provided the inspectorate general of the HNP
with offices.16
The ultimate aim of the 2006 reform plan was to create a police
force of 14,000 well-trained, well-equipped officers by 2011 that would
provide basic security for Haiti in line with international standards.
The major reform objectives were to enhance recruitment, training,
and vetting of police officers and to create administrative capacity. The
plan identified specific numeric targets and timelines. The vetting process was to involve a full review of all HNP members by mid-2007.
For 2007 and 2008, the plan also foresaw a review of the police force’s
employment conditions and salaries. In order to improve administrative capacity, the plan focused on the Office of the General Inspectorate, which is responsible for vetting and controlling the police force;
on the Central Division of Administration and General Services;17
and on the Central Directorates of the Judicial Police and the Police
Administration.
The police reform plan had merit. It was jointly elaborated by
the Haitian government and MINUSTAH and thus ensured a high
degree of local ownership. It not only provided a strategic vision of the
future police force but also contained agreed priorities, specific targets,
and related timelines. Finally, the plan identified the estimated costs
for wages related to the staffing targets, as well as for overall implementation of the reform (US$700 million). The plan was somewhat
less explicit, however, on where these funds should come from: It was
presumed that wages could be financed from the Haitian state budget,
whereas the capital investment requirements (infrastructure, transport,
communications, weapons, and training) would come from donor
contributions or budget support.
The plan’s objectives and priorities—to build a professional force
for “essential” policing duties and the state institutions needed to con16 See Foreign Affairs and International Trade Canada (2010).
17 The Central Division of Administration and General Services is responsible for human
resources, finances, and logistics of the HNP.
62
Building a More Resilient Haitian State
trol and manage it—were sound. The plan’s authors acknowledged
that a stronger police force—consisting of 18,000–20,000 police and
other security officers—would be required to provide the full spectrum of security services, including a coast guard, border control, fire
brigades, and personnel for the penal system.18 By endorsing a more
modest approach and a relatively limited mission for the country’s only
security service, the plan took into account the financial and other
resource constraints that Haiti faced.19 It is surely preferable in the
short and medium terms to build a smaller but more professional and
well-managed police force than to stretch resources thin.
While, on paper, the police reform plan was sound, the crucial
question is the extent to which it has actually been implemented since
2006. From the perspective of numbers alone, there was considerable
progress before the earthquake. In 2006, when the plan was made
public, the HNP consisted of about 7,000 officers, up from only 2,500
in 2004. By March 2008, the number of serving officers had risen to
8,444,20 to 9,247 by February 2009,21 and to 9,715 by August of that
same year.22 Despite this progress, recruitment remained below what
was needed to reach the goal of having 14,000 officers by 2011.23
Meeting the desired staffing levels for police officers depends on
the availability of sufficient training facilities. Before the earthquake,
the Haitian government and donors planned to expand the training
capacities of the National Police School (Ecole Nationale de Police).24 A
18 See “Haitian National Police Reform Plan” (2006, p. 4). See also UN Security Council
(2008, p. 6).
19 This does not mean that the plan excludes the development of these more-encompassing
capacities. Yet, the focus is clearly on the more modest goal of having a 14,000-strong police
force for “essential policing functions.” This number is also the basis of the cost calculations
included in the plan.
20 See UN Security Council (2008, p. 6).
21 See UN Security Council (2009a, p. 7).
22 See UN Security Council (2009b, p. 7).
23 See International Crisis Group (2008, p. 1).
24 See UN Security Council (2009a, p. 8; 2009b, p. 8).
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63
new police academy for mid- and senior-ranking officers was planned
as well but has not yet been set up.
Professionalization of the police force was the most important
goal of the reform plan. The Haitian government and MINUSTAH
agree that the HNP has made great strides in its professionalization
and effectiveness. The Organisation for Economic Co-Operation and
Development (OECD) cites opinion polls that indicated that 70 percent of the Haitian population considered the national police to be
the most reliable state institution.25 Foreign diplomats and other international observers were surprised by the fact that the HNP was able
to show a strong presence in Port-au-Prince right after the devastating earthquake in January 2010. Despite these indications of enhanced
professionalism, the HNP was still haunted by reports of excessive use
of force, unlawful arrests, and poor-quality investigations.26 Promotions based on contacts rather than merit had a demoralizing effect on
officers who were passed over.27
Vetting of HNP officers and upper-level staff is a crucial tool
to enhance the professionalism of the force. Ideally, vetting includes
a review of an officer’s education, criminal record, interaction with
citizens, personal conduct, and personal income and assets.28 By the
beginning of 2008, close to 3,600 files had been opened—covering
around 40 percent of the total number of HNP staff at the time—but
only 223 files, or less than 3 percent of the total, were completed.29 By
September 2009, the last reporting date before the earthquake, 67 percent of all HNP officers were under review and more than 20 percent
of the reviews had been completed.30
Despite these positive developments, the progress that has been
made so far in the vetting process should be viewed with caution.
25 See OECD (undated [a], p. 9).
26 See UN Security Council (2009a, p. 11); see also UN Security Council (2009b, p. 11).
27 See CANADEM (2009, p. 6).
28 See CANADEM (2009, p. 11).
29 See UN Security Council (2008, p. 7).
30 See UN Security Council (2009b, p. 8).
64
Building a More Resilient Haitian State
Records on personal data tend to be very poor in Haiti, making it difficult to track police officers’ past and present behavior (or misbehavior). Moreover, the final decision to remove disqualified officers from
their duties remained with the Haitian authorities. There are indications that the upper-management level of the HNP was often reluctant to fully collaborate with investigators.31 The weak link between
the police and the judiciary posed another major impediment for the
vetting process. The inspectorate general did not have the competencies and mechanisms in place to track the files on police officers that
were submitted for possible prosecution.32 While there have been some
improvements in communication between the police and judges, problems remain.33 These problems probably contributed to the fact that less
than 5 percent of the officers vetted were actually declared unsuitable
for the police service.34 Whether the vetting process has been effective
enough to actually purge the HNP of corrupt elements remains an
open question.35
Improvement in the administrative support structures—most
notably, the inspectorate general and the Central Directorate for Police
Administration—is a precondition for durable reform. There has been
progress in this area as well. According to a MINUSTAH official, the
administrative capacity of the HNP had been strengthened before the
earthquake. The payroll system worked reasonably well, and the police
budget was more transparent and competently administered than in
the past.36 Despite this progress, the HNP still lacks sufficient middleand senior-management capacity, as well as a personnel system ade31 See CANADEM (2009, p. 32).
32 See Fortin and Pierre (2008, p. 18).
33 Discussion with HNP official, Port-au-Prince, April 23, 2010.
34 Discussion with HNP official, Port-au-Prince, April 23, 2010. The UN Secretary-General,
in his March 2008 report on the implementation of MINUSTAH’s mandate, stated that, up
to that point, 61 police recruits had been dismissed based on background checks. See UN
Security Council (2008, p. 7). The reports of March and September 2009 do not provide
specific numbers on this (UN Security Council, 2009a, 2009b).
35 See International Crisis Group (2008, p. 9).
36 Telephone conversation with MINUSTAH official, May 27, 2010.
Security
65
quate to ensure that officers are rewarded or penalized based on their
performance.37
In sum, the efforts to build and reform the police force in Haiti
prior to the earthquake achieved tangible results, in particular in terms
of increasing the number of officers and improving professionalism.
Haitian and international actors agreed on a reform plan that was
“strategic” in the sense that it included clear priorities, benchmarks,
and timelines for implementation. Due to limited resources and the
reality of the situation in Haiti, the stated objectives and priorities were
less ambitious than they would have been under better circumstances.
However, the reforms that were adopted and implemented were sound
and corresponded to the most-important needs for improving the
police force in the country. Major problems were primarily related to
implementation, not the concepts on which the reforms were based. Six
years after the deployment of MINUSTAH, Haiti still remained heavily dependent on external military and police forces for the provision of
basic security. This dependency is reflected in the fact that the number
of international troops and police deployed as part of MINUSTAH
had increased rather than decreased even before the earthquake. The
goal of transferring security responsibility fully into Haitian hands was
still a distant prospect.
Implementation of the reform plan showed three major shortcomings. First, insufficient financial and human resources had been
committed to the process.38 This is especially true for institutional
capacity-building. Donor efforts were overly focused on the numerical
strength of the HNP without due regard for the administrative support
structure needed to make the reform process viable in the long run.
Even to achieve the numeric recruitment targets, more UN police with
specialized skills were needed—for instance, to run the vetting process.
Second, the reform process focused on Port-au-Prince and neglected
other regions.39 Police stations in departmental capitals and rural areas
37 See CANADEM (2009, p. 1); International Crisis Group (2008, p. 20).
38 For corresponding assessments, see UN Security Council (2009b, p. 8); Republic of Haiti
(2010b, p. 39); and CANADEM (2009, p. 32).
39 See OECD (undated [a], p. 9).
66
Building a More Resilient Haitian State
were often severely understaffed due to lack of resources or the absence
of staff.40 Centralizing recruitment and training was part of the problem. For instance, more than 80 percent of the recruits at the police
school came from Port-au-Prince.41 Third, police reform was not linked
to reform of the justice system; the latter lagged far behind. While considerable efforts had been invested in the police, reform of the justice
sector more broadly in the post-Aristide era had only recently begun.42
Revised Plans
Immediate concerns after the earthquake were to ensure public security and protect the most-vulnerable groups. To fill the enlarged gap
between available police and the need for additional security forces,
the international community reinforced its military and police presence after the earthquake. The United States temporarily deployed
7,500 military personnel,43 while the European Union (EU) dispatched
some 300 gendarmes.44 One week after the earthquake, the UN Security Council authorized the deployment of 2,000 additional troops and
1,500 additional civilian police.45
Looking beyond these short-term concerns, the Haitian government, in its action plan of March 201046 set out three major objectives
related jointly to police and justice reform. These are spelled out in
more detail in a draft working plan for the MJSP for March 2010 to
September 2011. The first objective relates to the immediate need to
procure basic equipment lost in the earthquake and create temporary
offices and support infrastructure for the MJSP, the HNP, and the
DAP and to resume police training. The second objective is to guarantee access to justice and security for communities affected by the
40 See International Crisis Group (2008, p. 8).
41 See International Crisis Group (2008, p. 8).
42 For more details on this, see Chapter Four.
43 See Dorell (2010).
44 See “Danish Minister Unhappy with EU’s Slow Dispatch of Police to Haiti” (2010).
45 See UN Security Council (2010).
46 Republic of Haiti (2010a).
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67
earthquake and for those communities hosting displaced people. The
third objective is to create favorable conditions for further reform and
improved administration in justice and security in the longer run.47
In the action plan, as well as in the PDNA annexed to it, the
Haitian government estimates the costs for recovery and reconstruction for the rule of law, justice, and security sectors at $255 million for
18 months plus another $200 million for three years.48 It is not entirely
clear how these numbers relate to the cost estimate ($700 million) provided in 2006 for implementation of the police reform plan.49
These measures and proposals to rebuild and reform the security sector after the earthquake raise several questions. The first is how
Haiti’s dependence on international military and police and on bilateral donor support for HNP operations can be gradually eliminated
over the next several years. MINUSTAH ought to work to reinforce
the role of the Haitian government in providing security so that the
mission’s role will decline over time. This is crucial for enhancing both
the capacity and legitimacy of the Haitian state in the eyes of the population. So far, no strategy has been put in place to ensure the handover of responsibility from MINUSTAH to the Haitian government.
Given Haiti’s economic situation and dependence on donors, the Haitian government is unlikely to be in a position to fully fund HNP
operations for a long time. The government’s—as well as the Haitian
parliament’s—commitment to fund the HNP even to the extent of its
ability has been unconvincing.50
The second question is how to translate the general goals laid out
in the action plan and the PDNA into specific priorities and timelines.
The action plan does not spell out how the 2006 reform plan should be
adapted to the postearthquake situation. The one exception, in which
47 Republic of Haiti (2010a, p. 45).
48 See Republic of Haiti (2010a, p. 46; 2010b, p. 41).
49 After the earthquake, MINUSTAH and the HNP conducted a needs assessment for the
police sector. The assessment estimated that $270 million was needed to resume policing
functions after the quake and to further implement the police reform plan of 2006 (telephone conversation with MINUSTAH official, May 27, 2010).
50 Discussion with donor representative, Port-au-Prince, April 23, 2010.
68
Building a More Resilient Haitian State
the action plan specifically alters the 2006 plan, concerns the numeric
targets for the HNP. Instead of the goal of 14,000 police officers by
2011, the action plan sets a target of 12,000 officers by 2010 and
16,000 officers by 2015. The Haitian government has thus stretched
the process of building the HNP by four more years while modestly
increasing the target for the end state.51
The third question is how police reform can be brought into line
with the overall reconstruction strategy of the Haitian government and
the international community. One of the major elements of this overall strategy is to decentralize government administration and services.
Putting more emphasis on providing security and justice in the cities
and rural areas outside of Port-au-Prince has implications for staffing
levels, equipment, offices, administration and for the funding needed
for these reforms. These expenditures ought to be reflected in new
plans.
The fourth question is how security and justice reforms can be
better synchronized. In the past, progress made in reforming the police
was countered by lack of progress in the judiciary and corrections. The
police can work effectively only if they are complemented by functioning prosecutors, courts, and corrections. Future efforts to rebuild
security and justice in Haiti need to better translate this insight into
practice.
Recommendations
Since 2004, efforts to build a professional, effective Haitian police force
have produced tangible results. In 2004, the force was widely seen as
weak, corrupt, and politicized. In the face of domestic turmoil, the
force melted down to 2,500 officers after the fall of the Aristide administration. Since then, the police force has evolved into a more effective
51 See Republic of Haiti (2010a, p. 45). The HNP leadership was not consulted in develop-
ing the numbers (discussion with HNP official, Port-au-Prince, April 23, 2010). This is an
indication of the lack of coordination and consultation within the Haitian government. It
also raises the question of the extent to which the new numbers are based on a thorough
assessment of the situation after the earthquake.
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69
and credible organization: Force levels rose to more than 9,700 officers
before the earthquake. Today, the HNP is much more trusted by the
population than it used to be.
A major risk following the earthquake is that the Haitian government and the international donor community will fail to follow
up on these past successes and lose focus on the police because of the
many other needs stemming from the disaster. The provision of security remains a precondition for recovery and the improvement in the
operations of the state. The most urgent need now is to replace personnel and reconstruct offices and other buildings that were destroyed
during the quake. The national police school needs to be reopened as
soon as possible. Beyond these immediate needs, the Haitian government and the international donor community ought to pursue the four
priorities outlined here for building and reforming the HNP over the
next five years.
Build on the 2006 Reform Plan and Adapt It to the Postearthquake
Situation
The highest priority in the security sector should be to build on, adapt,
and further implement the 2006 police reform plan. It offers a sound
basis for building the HNP. Its focus is on basic and community policing, thus avoiding overburdening the force. Aside from increasing the
numbers of officers, it identifies the most-important administrative
structures and proposes ways to reinforce them. The future strategy on
police reform should focus on better implementation of this plan, including
making sufficient financial resources available, while adapting it where
necessary. As a first step, the benchmarks and timelines need to be adjusted.
So far, the postearthquake proposals—most notably the action plan
of March 2010—have only spelled out adjustments to the numeric
strength of the police force.
Second, police reform needs to be brought in line with the aim of
decentralizing services and administration in Haiti. If the aim is to provide services to the population as a whole and create regional development
hubs, the police should be deployed accordingly. Reversing centralization
has implications for staffing levels, equipment, housing, and incentives
for relocation of police officers. These implications have to be taken
70
Building a More Resilient Haitian State
into account when adapting the police reform plan to the postearthquake situation.
Support Building Basic Administrative Structures
The police reform plan of 2006 emphasized the development of both
operational and institutional capabilities. Implementation, however,
has focused much more on enhancing the numeric strength of the
police—in other words, on “getting uniforms on the street”—than on
the institutional aspects of building a more resilient police organization. Future strategies will have to create a better balance between these
dimensions and investing more effort and resources in developing management systems and personnel to sustain the force.
Specifically, the Office of the Inspector General, the Central Division of Administrative and General Services, and the Central Directorate of Police Administration require more support. If the HNP does
not develop basic administrative capabilities, none of the reforms undertaken will be sustainable. Part of this agenda should be to improve the
middle- and senior-management levels of the police force. To this end,
the establishment of a police academy for middle- and senior-level officers, which has been planned for five years, should be a high priority.
Create Institutionalized Links Between Police and Justice
The link between the police and the judicial system has been a crucial weakness. Police and judicial reform have been disconnected; the
latter has lagged far behind the former. Achieving a unified approach
to policing and justice may seem unrealistic in the next five years, as
it depends on substantial progress in the reform of Haiti’s courts and
penal system. Pending a thorough judicial reform, the Haitian government and donors should support specific efforts on the police side of the
equation that may mitigate the lack of a police-justice link. For instance,
a strengthened inspectorate general should have competencies and
mechanisms to track files on police officers submitted to the judiciary
for review. The inspectorate should press the judiciary for action on
specific cases, rather than relying on the judiciary to track cases and
initiate proceedings. The absence of such mechanisms has been a serious impediment to the vetting process. The HNP needs to establish
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71
communication channels with the judiciary rather than relying on personal relationships. The judicial police (the investigative arm of the
HNP) needs to be strengthened and its training enhanced so that it
is in a better position to prepare and take initiative in following up on
criminal files presented to the courts.
Focus on a Police Force That the Haitians Need and Can Afford
Since its creation in 1994, Haiti’s police force was given a broad range
of responsibilities, including counternarcotics, border protection, maritime patrolling, some other quasi-military functions, and guarding the
prisons. It took on these tasks by default: The HNP became Haiti’s
only security force after the military was abolished. In light of Haiti’s
economic conditions and poorly functioning government, the HNP
could never realistically perform all these tasks. Against this background, the reform plan of 2006 rightly focused on improving basic
policing capabilities. Haiti and the international community should keep
the focus on basic policing and on building Haitian ownership where police
interact most directly with the population: on the streets and in the neighborhoods. This would be an important contribution to enhance both
the capacity and the legitimacy of the Haitian state.
Haiti will continue to be heavily dependent on the international community in security-related areas beyond basic policing,
such as counternarcotics, border protection, maritime patrolling and
responding to serious internal disturbances, as well as natural disasters.
The Haitian government, the members of the United Nations Security Council, and the wider international donor community should
acknowledge this reality and refrain from premature steps to reduce
the international security presence.
To the extent possible, the Haitian government, with the support of international donors, should prepare the ground for assuming responsibility for the full spectrum of security functions. First and
foremost, this would require a Haitian-led debate about the country’s
future security architecture. This could also include advanced planning and targeted security-assistance programs by bilateral donors in
such areas as border patrol and crowd and riot control. If state-building
72
Building a More Resilient Haitian State
advances and if the economic situation improves, ambitions for the Haitian
police or for creating additional security forces can be expanded accordingly.
CHAPTER SIX
Economic Policy
The Challenges
Impoverishment
Haiti’s primary economic challenge is generating economic growth.
Haiti is the poorest country in the Western Hemisphere and the
only country in the hemisphere formally designated a least-developed
country by the World Bank. Alone among the states of the Western
Hemisphere, per capita GDP in Haiti has fallen over the past 40 years
to roughly one-half to two-thirds the level that it was in 1965. Not
surprisingly, Haiti suffers from high rates of absolute poverty: Fiftyfour percent of the population is estimated to live on less than $1 per
day, and 72 percent on less than $2. Income distribution is the most
unequal in the hemisphere.1
Poverty in Haiti is partially alleviated by the influx of remittances
from Haitians who have emigrated, primarily to the United States and
Canada. Some 30 percent of all households and 44 percent of metropolitan households receive remittances from friends or family members working abroad. Remittances account for about 30 percent of
household income.2 Private-sector transfers, primarily remittances, ran
$1.25 billion in 2008, equivalent to 19 percent of GDP and 2.5 times
exports.3
1
IHSI (2005, p. 19).
2
World Bank (2006, p. ii).
3
IMF (2010, p. 17).
73
74
Building a More Resilient Haitian State
Inflation
For Haiti to generate sustained economic growth, inflation will have
to be contained. Haiti’s track record on controlling inflation has been
mixed. On the one hand, Haiti avoided the extraordinarily high inflation rates that a number of Latin American countries suffered during
the 1970s. On the other hand, as can be seen in Figure 6.1, inflation rates have been high, running 20 percent between 1990 and 2000
and 15 percent in the subsequent decade. These rates are substantially
higher than the hemispheric average for the past two decades and at a
level that makes operating a business difficult.
Poor Business Environment
Haiti is poor in great part because of its difficult environment for business. In 2009, Haiti ranked 151 out of 183 countries in the world in
terms of doing business (this ranking was published in 2010 prior to
the earthquake).4 The process of registering a business is one of the most
Average annual rate of inflation (%)
Figure 6.1
Inflation in Haiti
25
20
15
10
5
0
1960–
1970
1970–
1980
1980–
1990
1990–
2000
Period
SOURCE: IMF (undated).
RAND MG1039–6.1
4
World Bank (undated [b]).
2000–
2009
2008
2009
Economic Policy
75
difficult and lengthy in the world, taking an average of 195 days and
entailing 13 separate procedures, and is relatively costly. Registering
changes in title for property is even more onerous, running 405 days
on average. Businesses also find a poor climate for investor protection;
lengthy, burdensome procedures for obtaining construction permits;
hurdles in engaging in foreign trade; difficulties in obtaining credit;
and onerous procedures for closing a business.
The difficulties Haitians face in engaging in economic activity
have stifled economic development. Sanctions imposed following the
1992 coup and political instability have also not helped. As a consequence of these problems, industry accounts for a relatively small
16 percent of GDP;5 manufacturing runs 9 percentage points of this
total. Manufacturing is concentrated in clothing, Haiti’s most important export by far: Clothing accounts for 90 percent of Haiti’s exports. 6
Despite Haiti’s low-cost labor and proximity to and favorable customs
treatment by the United States, exports run only 10 percent of GDP,
although they have risen in most years since 2002.
Appraisal of Plans and Policies for Addressing the
Challenges
Monetary Policy
Before the earthquake, the Haitian government had articulated a
number of development goals and outlined a strategy for achieving
those goals in its GPRSP, including goals for macroeconomic policies.
Macroeconomic goals and policies are laid out in more detail in Haiti’s
three-year arrangement with the IMF under the Poverty Reduction
and Growth Facility (PRGF), a plan that was developed collaboratively
by the IMF and the Haitian government.
The Haitian government, with the support of the IMF, has
sought to increase the independence of the central bank, the Bank of
5
In a successful, small, open, developing-country economy, industry might account for
30 percent of GDP.
6
IMF (2010, p. 6).
76
Building a More Resilient Haitian State
the Republic of Haiti (BRH), so as to better control inflation, primarily by reducing and eventually ceasing to provide direct financing to
the government to cover budgetary shortfalls. The BRH has committed to attempt to slow rates of inflation by keeping increases in base
money below growth in nominal GDP, informing market participants
of changes in monetary aggregates by providing monetary data on a
monthly basis, and smoothing fluctuations in the exchange rate.
The BRH’s performance in terms of monetary policy has been
satisfactory. Inflation moderated following the signing of the PRGF
and fell sharply in 2009 from 2008 levels. The BRH has made interest
rates more market-based by permitting a broader set of private-sector
participants to bid on BRH bonds, including permitting individuals to
purchase bonds through registered brokers. The BRH has also done a
better job of publishing information on monetary developments.
In the aftermath of the earthquake, the government, in conjunction with the IMF, has revised monetary policy to take account of the
effects of the earthquake. Monetary policy has been relaxed slightly.
Although the government is seeking to keep inflation below 10 percent per year, it is cognizant that the influx of foreign assistance may
contribute to higher inflation rates than would otherwise be the case
as dollars are converted into gourdes for spending on the domestic
economy. Following the earthquake, the BRH and the IMF agreed
that monetary policy would be run so as to create conditions for credit
expansion. Under the PRGF, base money was to grow at a rate slower
than nominal GDP. In the revised plan, the real monetary base will
be permitted to grow at the same pace as real GDP. The BRH will try
to avoid funding the budget deficit, but, if commitments for foreign
assistance fail to materialize in a timely manner, the BRH may provide
bridge finance, as it did in 2009.7
Exchange-Rate Policy
Because Haiti is so poor, many Haitians spend more than half their
incomes on food. However, more than half of all food consumed in
Haiti is imported. When prices of food on world markets rise, as they
7
Republic of Haiti (2010a).
Economic Policy
77
did in 2008, these price increases feed directly into domestic inflation. In addition, Haiti relies on refined oil products for virtually all
of its energy needs aside from domestically produced charcoal, the fuel
with which most Haitian households cook. The large increases in world
market prices for oil were another factor causing the surge in inflation in 2008. In fact, the acceleration in inflation in Haiti in 2008
was solely due to higher prices for food and oil; domestic factors were
driving inflation down. Conversely, the sharp fall in inflation in Haiti
in 2009 was triggered by falling world market prices for oil and food.
Because imported goods figure so importantly in consumer expenditures, Haiti’s exchange rate is an important determinant of inflation.
When the gourde depreciates against the dollar, it has immediate inflationary consequences.
The exchange rate also plays a key role in domestic financial markets. The Haitian economy is heavily dollarized: Seventy-five percent
of bank assets and 55 percent of bank liabilities are denominated in
dollars. Shifts in the exchange rate have a substantial effect on financial
holdings: During periods of sharp declines in the value of the gourde,
financial assets and liabilities shift into dollars, exacerbating downward
pressures on the exchange rate.
Because of the key role the exchange rate vis-à-vis the dollar plays
in determining consumer price inflation and in financial markets, one
of the BRH’s primary responsibilities is exchange-rate policy. Currently, the BRH focuses on smoothing excessive volatility while allowing the exchange rate to adjust to help absorb shocks.
Despite the official policy of a flexible exchange rate, because the
economy is so heavily dollarized, the BRH faces financial pressures
to keep the exchange rate steady in nominal terms. This frequently
entails setting interest rates on gourde assets substantially higher than
on dollar assets. As a result, Haitian banks prefer to lend to the BRH
at these rates rather than lend to the private sector. The private sector
often turns to borrowing in dollars so as to benefit from lower dollar
interest rates. As a consequence, Haiti reaps the worst of both worlds:
high domestic interest rates on gourdes and substantial exchange-rate
risk for Haitian companies because of their debts in dollars.
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Building a More Resilient Haitian State
Fiscal Policy
Taxes. Even
compared to countries with similar per capita
incomes to Haiti’s, tax revenues take a modest share of GDP: Total tax
revenues ran 10.6 and 10.7 percent of Haiti’s GDP in 2007 and 2008,
respectively. Of these totals, revenues from customs were equivalent to
3.1 percentage points of GDP. However, a number of institutions—
for example, some NGOs—receive customs exemptions. Consequently, customs revenues are lower than the volume of imports entering Haiti would suggest. In addition to customs, important domestic
taxes include excise taxes on fuels and telecommunications. These taxes
tend to be regressive, as they are levied on items that almost all Haitian households, poor and rich alike, purchase directly or indirectly.
Haiti also levies a value-added tax (VAT) of 10 percent, collected from
importers and by the larger local companies. It is another important
source of revenue.
The Haitian government also levies a 30-percent corporate income
tax, a 6-percent social security tax, and a 3-percent health-insurance
tax on wages from larger businesses; a business-license tax based on
turnover; a payroll tax of 2 percent; property taxes; and capital-gains
taxes.8 Collecting these taxes is challenging and tax evasion common.
Consequently, many of these taxes do not generate much in the way of
revenues. Only 1.8 percent of government revenues derive from taxes
on income, profits, or capital. As these taxes would be paid by wealthier
Haitians, the failure to collect these taxes shifts the overall tax burden
toward the poor.
Because revenues are so heavily geared toward customs and excise
taxes, shifts in the value of trade or sales volumes have very substantial
effects on total tax revenues. Taxes fell sharply in real terms in 2009 as
international commodity prices dropped, reducing the nominal value
of imports and the tax take.
In the GPRSP, the Haitian government committed itself to raising tax revenues as a share of GDP. It proposes to do so by improving
the tax administration, most notably by reducing corruption, reducing or eliminating tax exemptions, and improving the coverage of eco8
World Bank (undated [d]).
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79
nomic activities in rural areas in the tax system. A key measure is to
strengthen customs control, especially along the land border with the
Dominican Republic and at the provincial ports. The government,
with the help of the donor community, has installed a computerized
data-collection system in five provincial ports and along the border
with the Dominican Republic. The government also has committed to
adjusting tax schedules so as to take account of the effects of inflation
on revenues in real terms, correcting the distortions induced by certain
taxes, and readjusting rates deemed too low (for example, turnover-tax
rates) or too high (those for registering property). To improve revenue
collection, information is now being collected on all taxpayers in a
computerized central taxpayer file. The government is also now adjusting prices for refined petroleum products in line with the cost of purchasing the products. This has been unpopular because motorists, an
influential political constituency, prefer controlled prices.
The earthquake completely disrupted tax collections. It destroyed
the Ministry of Economy and Finance, disrupted tax-collection systems, and halted imports into and garment exports from Port-auPrince. About 85 percent of all tax revenues are collected in or from
Port-au-Prince. According to the Haitian government and the IMF, tax
revenues for 2009–2010 are now projected to run less than half what
had been forecast in the budget. The government has not increased
projected current budgeted expenditures, but, without budget support
from donors, the projected decline in tax revenues would expand the
deficit by roughly 18 billion gourdes.
Expenditures. Total government expenditures in 2007 and 2008
ran 15.6 and 18.2 percent of GDP, respectively, of which 7 and 7.5 percentage points of GDP, respectively, were accounted for by capital
spending. In general, government revenues cover only current expenditures; donors fund almost all of the Haitian government’s capital
expenditures. Wages and subsidies account for a large share of current
expenditures. In 2008, the Haitian government’s wage bill ran 4.7 percent of GDP compared to total current government expenditures of
10.7 percentage points of GDP.9 Transfers and subsidies ran 2 percent9
IMF (2010, p. 17).
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Building a More Resilient Haitian State
age points of GDP in 2009, of which 1.6 percentage points of GDP
(13 percent of current government spending) went to Électricité d’Haïti
(EdH), the electricity parastatal,10 to make up for electricity tariffs set
below the cost of power and nonpayment. Subsidies for electricity have
become a major fiscal burden. Subsidies rose during a period when service deteriorated. The Haitian government also provides guarantees to
EdH to facilitate its purchases of fuel. Combined, government salaries
and subsidies for electricity accounted for more than half of current
government expenditures in 2009. Haiti’s government budget is heavily weighted toward administrative costs and subsidies.
Foreign donors, government and private, fund a large share of services, such as education and health care, which are usually provided by
governments, but that, in Haiti, are largely provided through foreign
and local NGOs. Private providers teach four-fifths or more of students
in primary and secondary schools and provide most health services. On
average, governments of developing countries spend about 10.4 percent of GDP on education (4.2 percent), health care (2.6 percent), and
general administration (3.6 percent).11 In contrast, in the period from
2005 to 2007, the Haitian government spent, on average, 2.4 percent
and 1.4 percent of GDP on education and health care, respectively,
roughly half the average for developing countries.12 In light of the low
level of public services provided by the government in Haiti, the figures
for ongoing government expenditures are not as small relative to other
developing countries as they may seem at first glance.
The Haitian government has received fewer funds from donors
for budget support than it would like, in part because of donors’ concerns about the extent and efficacy of Haitian government spending.
In addition to its modest role in providing education and health care,
the Haitian government has a difficult time accounting for the activi-
10 An entity that is quasi-governmental—that is, at least partly (if not entirely) owned by the
government.
11 Dobbins, Jones, et al. (2007, p. 157).
12 This was a substantial increase from levels in 2002–2004, when government spending on
education and health averaged 1.6 percent and 0.7 percent of GDP, respectively.
Economic Policy
81
ties of some government employees. It does not have a complete census
of these staff nor detailed job descriptions for them.
The GPRSP commits the Haitian government to shift expenditures from subsidies and transfers toward more public investment and
greater spending on education and primary health care. The Action
Plan for National Recovery and Development of Haiti reiterates the Haitian government’s commitment to shifting expenditures to those areas.
Both the international community and the Haitian government have
focused on improving tax collection and financial management. The
government has improved oversight by consolidating internal controls
through a financial management information system (FMIS). The
FMIS has helped improve budget preparation, provide better budgetary information, improve budget execution, and monitor and control
spending. It has also helped improve public procurement. The Haitian government has committed to and met the goals of approving
the budget before the start of the fiscal year; publishing information
on budget execution on a monthly basis; and limiting discretionary
spending through ministerial current accounts to less than 10 percent
of nonwage spending in the budget. It has also committed to verifying
civil service employment based on attendance lists so as to eliminate
ghost workers, although this has reportedly not yet been achieved.
Budget Balance. In the past, budget deficits were a major cause of
inflation in Haiti, as the central bank was pressed to finance them by
printing money. Under the new monetary policy framework, monetizing budget deficits has become less of a threat. Now the government
is constrained to finance its current expenditures. In some instances,
the government has resorted to wage arrears when revenues have been
insufficient to finance current expenditures. This has been a periodic
problem since the earthquake. As noted earlier, the BRH can also still
offer temporary bridge financing to the government.
On a consolidated basis, the Haitian government continues to
run deficits. Capital expenditures had often been financed by bilateral
donors or loans from the international development banks. Since the
earthquake, the international community has committed to financing
capital expenditures through grants.
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Building a More Resilient Haitian State
Government Debt. Haiti has been granted considerable debt
relief: Both the World Bank and the IDB have written off their loans
to Haiti. Despite the large debt write-offs, total public debt still ran
23.2 percent of GDP in 2009. Haiti added to its debt in 2009 by borrowing from Venezuela, albeit at concessional rates. This and some
other debt owed private creditors have not been forgiven. However, for
the immediate future, debt as a share of GDP does not appear problematic. The bigger challenge is generating sufficient export revenues
to finance this debt. Because exports constitute such a small share of
GDP and debt is primarily financed from external sources, the Haitian government may face difficulties in financing its debt if foreign
exchange earnings fall, even by small amounts.
Financial-Sector Policies
Haiti had a small but well-capitalized banking sector that served the
formal economy before the earthquake. As the economy grew from
2002 to 2009, the financial sector grew rapidly. However, in 2007,
lending to the private sector still ran less than 15 percent of GDP, of
which more than half was in dollars.
The earthquake had a devastating effect on the financial sector.
Citibank’s building was totally destroyed; five employees were killed.
Citibank is one of the major banks in the country. Banking operations
for the sector as a whole have recommenced, but a number of borrowers
have suffered devastating losses from the earthquake. Consequently, a
number of bank assets are heavily impaired. If borrowers were uninsured, which is probably the case in most instances, foreign donors may
have to step in and finance the recapitalization of the banking sector.
Foreign-owned banks should be able to rely on their parent companies
to recapitalize.
Money transfer operations are the most widespread, competitive
part of the financial sector. Demand is strong as the Haitian diaspora
transfers funds to family and friends throughout the country. Money
transfer operations quickly returned to service following the earthquake. The sector is a mixture of private and nonprofit. Western Union
is active. Fonkoze, a subsidiary of Bangladesh’s microfinance pioneer,
Grameen Bank, also handles money transfers.
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83
Microlending is the third component of the financial sector. It
serves 200,000 families and businesses and is well entrenched. For
example, Fonkoze has been in Haiti for 15 years. It has an extensive
branch network of 38 banks and a client base of 50,000 borrowers.
Fonkoze has been able to restore operations since the earthquake.
In contrast to a number of other areas, financial regulation
functions fairly well in Haiti. The BRH regulates the formal banking sector. Money transfer operations are generally unregulated, as are
microfinance operations. However, these institutions have performed
well. The major transfer operators have an excellent record of delivering money. The microlending operations have maintained solvency.
Although the BRH does not regulate their activities, both money
transfer points and microfinance institutions have to register with the
government.
Like the rest of the Haitian economy, the financial sector has
been stunted. Solvent demand for credit and other financial services
has been low because sectors that demand credit in more-successful
economies, such as construction, manufacturing, and wholesaling,
have been unable to thrive in Haiti due to political turmoil, lack of
security, and the poor business environment. Not surprisingly, the only
part of the financial sector that has done well in the past few decades
has been money transfer operations. They have served the needs of
Haiti’s largest export: people.
Policies to Improve the Business Environment
In its GPRSP, the Haitian government has committed itself to reducing the time it takes to register a business or property and to obtain
permits. Reducing the time spent to register a business or property will
entail eliminating some of the steps in the process and accelerating
other processes; in most instances, reducing transaction times should
also be accompanied by reducing charges. The proposed changes entail
changes in laws, which must be passed by Parliament. These changes
have been slow to take place.
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Building a More Resilient Haitian State
Recommendations
The Haitian economy needs to enjoy a period of sustained, steady
growth. Without such a period, Haitians will remain mired in poverty,
with all of its accompanying ills. To generate growth, Haiti will have
to sustain macroeconomic stability, improve the environment for business, and capitalize on favorable treatment it has been granted by the
international community. With the adoption of the HOPE II Act by
the U.S. government, Haiti enjoys highly favorable access to the U.S.
market for clothing. Some of Haiti’s best prospects for growth are to
attract foreign and domestic investment to the garment industry. Haiti
has too many people engaged in agriculture. The country is heavily
populated, and more land is cultivated than is ecologically sustainable.
In contrast, labor-intensive industries, such as garment manufacturing,
provide an attractive source of jobs and income, especially given Haiti’s
competitive, low-cost labor force. However, to take advantage of the
opportunities in labor-intensive exports, the Haitian government, in
conjunction with the international community, should implement the
recommendations set forth in this section.
Assess Whether to Replace the Gourde with the U.S. Dollar
The Haitian government, in conjunction with the BRH and the IMF,
should conduct a detailed review of the advantages and disadvantages
of replacing the gourde with the U.S. dollar. A number of small, open
economies that enjoy very large inflows of remittances and trade predominantly with one major trading partner have chosen to adopt the
currency of that partner. For example, El Salvador and Ecuador have
adopted the U.S. dollar, and Kosovo and Montenegro have adopted
the euro. Adopting a foreign currency eases the day-to-day strains on
the central bank by eliminating the need to manage the exchange
rate or monetary policy. It also helps control inflation. The advantage
of a domestic currency—namely, the ability to let the exchange rate
adjust in response to changes in economic conditions—is much less
valuable for small, open economies, such as Haiti’s, in which changes
in exchange rates feed directly into domestic inflation. Problems of
exchange-rate instability are exacerbated when residents calculate
Economic Policy
85
prices and keep most assets in foreign currency. Moreover, in countries
with a limited pool of highly trained economists on which to draw,
adopting a foreign currency frees up scarce talent to work in the Ministry of Economy and Finance or elsewhere in government or in the
financial sector. For these reasons, Haiti might benefit from following El Salvador in adopting the dollar. However, the Haitian government would be able to replace the gourde with the dollar only after an
extensive national discussion. During our consultations, reactions in
Haiti to this idea were negative, as respondents argued that it would be
unpopular politically. Elsewhere, use of a foreign currency as the local
currency has often been popular.
Streamline the Tax System
In light of the earthquake and a substantial influx of donor funds
planned for the next few years, the government of Haiti should delay
increasing the share of GDP taken in taxes until the domestic economy
is on a more solid footing. However, the Haitian government should use
this period to streamline the tax system by shifting toward electronic verification and eliminating provisions that encumber economic growth, such
as fees charged to street vendors and revenue taxes. First and foremost,
this should involve completely implementing the new customs-management system.
As part of streamlining the tax system, the Haitian government should
eliminate tax exemptions, including those currently provided NGOs. The
provision of exemptions, including to the international donor community, has detrimental consequences for tax collection and for ensuring
that all players in product markets enjoy a level playing field. Tariff
exemptions for imported vehicles have distorted the market for motor
vehicles. Exemptions to turnover taxes for NGOs deprive the government of revenues from the provision of services. These distortions
should be eliminated.
Haiti has one of the most inequitable distributions of income in
the world. Once the economy shows signs of recovery, the Haitian government should shift the burden of taxes to higher-income groups by levying
higher property taxes on real estate. It should also levy higher taxes on
purchases or imports of automobiles and light trucks.
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Building a More Resilient Haitian State
Improve the Environment for Business
The Haitian government should move quickly to eliminate unnecessary
procedures involved in registering businesses and property and reduce the
cost and length of time needed to complete the remaining steps. For example, the Haitian government should implement “one-stop” registration
of businesses. It should eliminate mandatory fees and open up competition for the provision of services by notary publics. It should also
eliminate charges associated with repossessing collateral.
CHAPTER SEVEN
Housing and Infrastructure
The Challenges
The earthquake has had a devastating effect on houses and apartment
buildings in Haiti. Although the tent cities have been an effective stopgap measure, the most important reconstruction challenge for Haiti
and the international community is to provide housing for the displaced that will shelter Haitians from tropical storms and hurricanes in
this and coming years.
In addition to housing, Haiti and the international community
will need to reconstruct and improve Haiti’s infrastructure (roads,
ports, airports, electric-power system, water, and sewage), if Haiti is to
enjoy sustained economic growth and the health and well-being of its
citizens are to improve. However, expanding infrastructure is not just a
question of building new highways and power plants. The Haitian government and donors must also set up systems for maintaining infrastructure once built and, as importantly, ensure that utilities charge
and collect enough revenues to fully cover the costs of services, such as
electricity, water, and sewage, that they provide. In many respects, the
current parlous state of Haiti’s infrastructure has more to do with the
failure to ensure that infrastructure is well maintained and operated
than to lack of money for the construction of new projects.
The GPRSP lays out a goal of slowing the influx of Haitians from
rural areas into Port-au-Prince and Haiti’s smaller cities. If this goal is
to be achieved, incomes in rural communities will need to rise and the
cost of living relative to Port-au-Prince and other coastal cities will have
to fall. In a small, open economy, such as Haiti’s, the cost of import-
87
88
Building a More Resilient Haitian State
ing and exporting goods is a major determinant of the cost of living
and export competitiveness. For rural areas to thrive, residents and
businesses need to be able to procure and ship products cheaply and
quickly. This will entail building and maintaining all-weather roads to
rural communities. Businesses will also need reliable access to electricity. Without reliable electricity, sectors in rural areas, such as food processing, assembly plants, and hotels, will not be able to flourish.
In this chapter, we focus on housing, roads, seaports and airports,
electric power, water, sewage, and housing. For reasons of space and the
absence of major policy issues, we do not discuss reconstructing public
buildings. We see this task as relatively straightforward compared to
building and operating other sorts of infrastructure. We also do not
believe that rebuilding ministerial buildings is as important as providing functional temporary facilities from which ministries can operate
while housing, ports, and roads are being reconstructed. In our view,
Haiti and the Haitian government would be better served by focusing
on improving the lot of the citizens than reconstructing permanent
public buildings.
We also do not include telecommunications in our discussion of
utilities. With the introduction of a competitive market for cellular
telephone services in Haiti, cell-phone access and coverage are expanding rapidly. As in other developing countries, the market appears to be
addressing demand for these services quickly and more efficiently than
the state-owned telecommunication utility. In recognition of the rapid
growth in this sector, the government is privatizing the state-owned
telecommunication company.
Housing
Most households in Haiti, including those in Port-au-Prince and the
coastal cities, construct their own homes. As shown by the destruction
caused by the earthquake, many of these homes were not built to withstand natural disasters. Reinforcement, especially the use of steel reinforcement bars in concrete buildings, was inadequate. Concrete blocks,
bricks, and cement were often of poor quality.
In light of these structural deficiencies, it is not surprising that, in
the aftermath of the earthquake, Haiti’s most pressing current problem
Housing and Infrastructure
89
is housing. According to the PDNA, about 105,000 homes were totally
destroyed and more than 208,000 were damaged by the earthquake;
1.3 million Haitians had to move into temporary shelters.1 Housing
suffered the most damage of any sector from the earthquake.
For housing to be reconstructed, sites have to be cleared. The rate
at which rubble is being removed has been very slow: Only a small
fraction of destroyed buildings have been torn down and sites cleared.
Donors and the Haitian government have been at fault. Haitians whom
donors have hired to clear rubble have not been equipped with gloves,
boots, or hard hats. Heavy equipment has been in short supply. Haitian government customs officials have reportedly blocked the import
of heavy equipment at the border with the Dominican Republic.2 The
government has also not yet designated sufficient space on which to
dump rubble. Unless rubble is cleared expeditiously, hundreds of thousands of Haitians will still be in tent camps during the 2011 hurricane
season.
Roads
The limited number of roads and their poor condition are major
impediments to economic growth, especially in rural areas. Despite its
long seacoast, 80 percent of Haiti’s people and goods move by road. Yet
Haiti has a very small road network: only 3,400 kilometers of roads, of
which less than 800 kilometers are paved (24 percent of the network).
Many rural communities lack access to improved roads; goods and
people move along dirt tracks. Because of Haiti’s mountainous terrain, heavy rainfall, and poor track record on maintenance, even those
roads that have been improved often become impassable as sections are
washed out during the rainy season. Due to lack of maintenance, the
size of the officially registered tertiary network has fallen by more than
half between 1991 and 2004.3 More than 70 percent of roads remain
in poor or very poor condition.
1
Republic of Haiti (2010a).
2
Johnson (2010).
3
World Bank (2008a).
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Building a More Resilient Haitian State
Seaports and Airports
All the major towns situated along Haiti’s coasts have seaports. However, most cargo is shipped through the ports of Port-au-Prince. Moreover, until recently, the state-owned port at Port-au-Prince had a
monopoly on container traffic. The port was heavily damaged during
the earthquake. The international community, especially the U.S. military, was able to rapidly repair and reopen the port.
The costs of shipping through Haiti’s ports have imposed a major
burden on Haitian consumers and businesses. Because imports play
such an important role in consumption, investment, and business
operations, the cost of imports is a key determinant of living standards
and economic growth. Importing a container of goods is 35 percent
more expensive in Haiti than the average for developed OECD countries and 4 percent more expensive than the average cost of importing
a container in Latin America. Importing a container into Haiti also
takes appreciably more time than the average for the OECD: 33 days
compared to 11 days. These differences in costs and time reduce the
standards of living of Haitians and make it more difficult for export
businesses to compete. On a more positive note, the costs of exporting
a container are lower in Haiti than the average for Latin America or
for the OECD, primarily because Haiti imports more goods than it
exports: Exporters are able to lease containers for much less money on
the return because there is a surfeit of empty containers.4
Haiti’s main airport at Port-au-Prince was also heavily damaged
by the earthquake. It was reopened with the assistance of the U.S. military. Passengers are now processed in a temporary facility. Although
the airport functions, the terminal building and other facilities will
need to be repaired if Haiti is to attract foreign business travelers and
tourists in the coming years.
Electricity
One of the greatest impediments to sustained economic growth in
Haiti is the lack of access to uninterrupted supplies of electricity at
competitive prices. Haiti has one of the lowest access rates to electricity
4
World Bank (undated [b]).
Housing and Infrastructure
91
in the world (12.5 percent of the population in 2005).5 According to
the household living-conditions survey report for 2003, only 11 percent of rural households have access to electricity, compared to 70 percent of the wealthiest quintile.6
With the assistance of donors, the Haitian government has been
investing in electric-power generating capacity. Between 2004 and
2009, three new thermal-power plants were constructed and brought
into service in Port-au-Prince, Cap Haïtien, and Gonaïves, each with a
capacity of 30 megawatts.
The primary challenge facing Haiti’s state-owned utility, EdH, is
covering costs. Electricity tariffs have been set below full cost-recovery
levels. As of mid-2009, the government charged only 6.5 gourdes
($0.163) per kilowatt-hour for power that cost 13 gourdes ($0.325) per
kilowatt-hour to generate. As a consequence, EdH loses substantial
amounts of money. Covering these losses has become a major item in
Haiti’s national budget. The high cost of power in Haiti stems from
the use of diesel fuel to power generating plants; every generating plant
except one runs solely on diesel fuel. In addition, the power company
gets paid for only about 50 percent of the electricity it delivers because
of theft and nonpayment by users. Consequently, revenue shortfalls are
even greater than suggested by the difference between costs and rates.
Financial problems in the electric-power sector are so severe that, in
2009, two of Haiti’s new generators stopped operating because funds
to purchase fuel ran out.
Water and Sewage
Haiti also lags in providing water and sewage services. Only 54 percent
of the population has access to sources of improved water, compared to
91 percent of citizens in the rest of Latin America and the Caribbean.
Only 30 percent of the population has access to improved sewage,
compared to 77 percent of the people in the region.7 In addition to
lack of coverage, especially for the rural population, existing water and
5
World Bank (2008a).
6
IHSI (2005).
7
World Bank (2009c).
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Building a More Resilient Haitian State
sewage systems did not function well before the earthquake. Staff did
not always fulfill their duties correctly, and maintenance was shortchanged. Fortunately, the earthquake does not appear to have inflicted
major damage on existing water and sewage systems.
Appraisal of Plans and Initiatives for Addressing the
Challenges
Housing
The Haitian government states that it wants to channel reconstruction so that it is consistent with land-use plans for Port-au-Prince and
other cities. It also wants to better use available land. It has charged
municipalities with ensuring that reconstruction is consistent with
their land-use plans. However, in recognition of the limitations on
qualified staff and capacity to implement policies, the government has
noted that it will need technical assistance and human and material
resources from donors to train staff and implement a system for monitoring construction.8
The Haitian government has promised to use its power of eminent domain to intervene in land use. The Haitian government issued
a decree on March 19, 2010, allowing municipalities to develop new
urban plans and to relocate families affected by the earthquake to
available land. The Haitian authorities have stated that they plan to
both sell state-owned land and, where necessary, purchase privately
held land to rationalize holdings and use of urban land. Sales and purchases are to be at market values. However, this change has not yet
been implemented. In light of the potential opposition, it is likely to
be delayed.
Two of the key problems that emerged in the aftermath of the
earthquake were lax enforcement and, in some instances, the absence
of building codes and standards. Reconstructing privately owned
buildings and residences will require a level of monitoring that goes
well beyond what was done in the past. Here, too, the Haitian govern8
Republic of Haiti (2010a, p. 12).
Housing and Infrastructure
93
ment is relying on the municipalities. However, donors will likely need
to play a major role in training and paying personnel and providing
equipment and supervision.
Before housing can begin to be reconstructed, rubble has to be
cleared and dumped at a site. The Haitian government hopes to find
areas where steel reinforcement bars can be removed and rubble can
be pounded into aggregate and reused in road construction or for fill.
Because of very high population densities in Port-au-Prince and surrounding areas, the government has had difficulty in finding sites, even
on the outskirts of the capital.
Roads
The Haitian government and the international donor community have
made road construction a development priority. Programs have focused
on connecting the major cities and towns with all-weather trunk roads
and providing road access to rural communities. The government has
plans to add an additional 600 kilometers of primary and secondary
roads to ensure that all parts of the country are linked by paved roads.9
The World Bank, the French government, and other donors have provided the initial funds for this program.
The Haitian government and a group of donors comprised of the
World Bank, the United Nations International Strategy for Disaster
Reduction (ISDR), Australia, Canada, Denmark, the EU, Finland,
France, Germany, Italy, Japan, Luxembourg, Norway, Spain, Sweden,
Switzerland, and the United Kingdom have drawn up a priority investment program aimed at rehabilitating 600 kilometers of roads (onequarter of the system) over the period 2006–2011. These donors and
the Haitian government have coordinated their efforts through a body
set up specifically for transportation projects, the Table Sectorielle
Transport. The Table Sectorielle Transport has worked effectively to
coordinate donor-funded projects and provide transportation policy
recommendations to the government of Haiti.10
9
Republic of Haiti (2010a, p. 14).
10 World Bank (2008b).
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Building a More Resilient Haitian State
The World Bank has been one of the leading donors in the transport sector through the International Development Agency (IDA), its
arm for providing grant aid and low-cost loans to the least developed
countries. The EU and the IDB have also been important donors. The
Haitian government has set priorities for investment by preparing a
strategy for the transport sector for 2006–2011 with support from the
World Bank. Haiti also has a national intermodal transport plan that
the EU has supported.
Since 2004, the Haitian government has adopted a number of
measures to strengthen the road maintenance system. With donor support, especially from the World Bank, the Haitian government has
set up the Road Maintenance Fund (Fonds d’Entretien Routier, or
FER). FER has developed capacity to implement maintenance projects, financing routine and emergency road repairs. Revenues come
from the proceeds of a gasoline tax that is collected and transferred to
FER by the Ministry of Economy and Finance.11 Despite these institutional improvements, FER has not ensured that roads are maintained.
The organization has had difficulty in laying out a program of scheduled maintenance, contracting with companies to repair roads, and
ensuring that contracted repairs have been completed in a satisfactory
manner.
Despite the importance ascribed to improving the road network,
the record concerning foreign assistance in this sector is mixed.12
Between 2004 and 2008, Haiti received roughly $2 billion in foreign
aid, of which about one-quarter went to the transport sector, primarily
roads and ports. Despite the creation of FER, the Haitian government
still does not have a strong maintenance plan, nor has it implemented
those maintenance plans upon which it has agreed. Several projects
have been built but then deteriorated because of lack of maintenance.
The four major storms that hit Haiti in 2008 washed out a number
of sections of major roads and bridges. Where roads and bridges had
been properly maintained, damage from hurricanes and tropical
storms was substantially less than on stretches of roads where mainte11 World Bank (2008b).
12 World Bank (2008a).
Housing and Infrastructure
95
nance had been less satisfactory. Roads are also prone to deterioration
because the government does not adequately enforce standards for road
construction.
In addition to problems with maintenance, the Haitian government has had difficulties in planning the road network, implementing
plans, contracting, and conducting physical audits to ensure that contracted work has been completed as promised.
Seaports and Airports
The Haitian government has made moves toward reducing the costs
and time involved in importing and exporting containers of goods.
International assistance has been used to buy out surplus workers at the
state-owned port in Port-au-Prince. Having fewer staff has resulted in
more-rapid movement of goods. The government has also made some
moves toward more competition by promising to permit private investors to operate container terminals. However, government officials have
argued that the state-owned port needs more time to modernize before
it is exposed to the full force of competition, so private container terminals have faced constraints on their operations.13
The earthquake closed the port of Port-au-Prince for a period.
During this time, the government of Haiti relaxed, but did not repeal,
restrictions on importing containers through other ports. The increased
competition has resulted in much more rapid movement of goods
during humanitarian relief at lower cost.
The Haitian government would like to expand and modernize
port capacity. In particular, it would like to reduce the role of the current port of Port-au-Prince by constructing new facilities, including
a terminal for large container ships, away from the current location
of the port. It also hopes to build two other deep-water ports, at Cap
Haïtien and Gonaïves.14
The Haitian government has made a commitment to make greater
use of public-private partnerships for investments in infrastructure.15 It
13 Discussions with Haitian government officials, Port-au-Prince, April 14, 2010.
14 Republic of Haiti (2010a, p. 15).
15 Republic of Haiti (2010a, p. 26).
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Building a More Resilient Haitian State
has stated that it will encourage build-operate-transfer (BOT) projects
for ports, electric power, and other areas of infrastructure. However, the
private sector’s willingness to invest in BOT port projects depends on
firms’ ability to levy charges that will provide a positive rate of return
and to operate ports in a competitive fashion. The government of Haiti
will need to ensure that investors can operate their ports efficiently and
profitably. For its part, the government of Haiti needs to protect itself
by ensuring that the private-sector operators, not it, bear the risk of
constructing and managing the facility in a profitable manner.
In its Action Plan for National Recovery and Development of Haiti,
the Haitian government calls for repairing and extending Haiti’s sole
international airport at Port-au-Prince and building two new international airports, one at Les Cayes and the other at Cap Haïtien. Repairs
and the new airports are to be conducted on a BOT basis.
Although the Port-au-Prince airport should be attractive to a
private-sector partner, the other proposed airports would probably have
to be developed sequentially and after the Port-au-Prince airport has
been reconstructed. They will probably also have to be built in tandem
with resorts or manufacturing plants to ensure that they will enjoy
enough traffic to make the investment worthwhile.
Electricity
The Action Plan for National Recovery and Development of Haiti focuses
on (1) expanding generating capacity, (2) improving the transmission
system in Port-au-Prince and along the Léogâne/Petit-Goâve axis, and
(3) only after these steps are taken, expanding the distribution network. The plan also mentions that significant efforts need to be made
to improve the management of the distribution system. However, there
is little mention of electricity-tariff reform and no plan for improving
payment discipline. There is also no mention of what the private sector
might do in this area.
Under the PRGF with the IMF, Haiti’s authorities committed to
increasing electricity tariffs to cost-recovery levels by the end of September 2009, while protecting poor households. The government met
the target of creating a tariff structure that would lead to full cost
recovery by September 2009 and began to raise tariffs. However,
Housing and Infrastructure
97
increases have not yet reached full cost-recovery levels. In light of the
earthquake, tariff increases have been pushed back again. If tariffs are
increased to full cost-recovery levels, the government’s large transfers to
EdH for operating expenditures would end. However, the government
has committed to still provide funds for investments to increase supply
and reliability of service.
In addition to setting electric-power tariffs at levels below the
cost of generating power, EdH has a poor record of collecting from
users. Management does not closely track payments and does not move
quickly to cut off deadbeats. Theft of power through illegal hookups is
common; EdH does little to combat theft by cutting wires or protecting lines.
As noted earlier, Haiti’s generators run on diesel fuel. Because of
the high costs of diesel fuel, in the Action Plan for National Reconstruction and Development of Haiti, the government states that it would like
to draw on hydroelectric, wind, and solar power and lower-cost sources
of fossil fuels. Hydropower is very capital-intensive. Wind power is also
capital-intensive and needs to have skilled technicians capable of keeping windmills operating. Solar power is more expensive than hydro
or wind power and substantially more expensive than many sources
of fossil fuels. Independent power producers would use residual fuel
oil (bunker fuel) for their plants. This source of energy is substantially
cheaper than diesel and could significantly reduce the cost of electricity. However, until consumers pay the full costs of power, goals for
moving to other sources of electricity will not be grounded in reality.
Water and Sewage
Before the earthquake, the Haitian government laid out a strategy for
expanding and improving access to water and sewage in the GPRSP.
Its strategy focused on strengthening the technical capabilities of the
water authorities and making them financially autonomous. The government planned to rehabilitate and expand coverage so that 60 percent of the population of Port-au-Prince and 73 percent of the population in other urban areas would have access to clean water. The entire
plan was estimated to cost $400 million, of which $200 million has
already been committed.
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Building a More Resilient Haitian State
The government is planning major institutional changes, including replacing the local authorities currently in charge of water and
sewage (Service National d’Eau Potable [SNEP], Centrale Autonome
Métropolitaine d’Eau Potable [CAMEP], and Poste Communautaire
d’Hygiène et d’Eau Potable [POCHEP]) with new regional water and
sanitation offices. The new regional offices would have an obligation to
provide service to current users and to expand the system to connect
new users, especially shantytowns and low-income rural populations.
They would also set up new water catchment areas and expand waterand waste-treatment facilities. The new entities may be managed by
private operators.
A drinking-water and sanitation directorate is to be set up within
the Ministry of Public Works, Transport and Communications and
is to focus on regulating the sector. It will define policy on tariffs for
water and sewage, set standards for water quality, and set conditions to
be met by operators who bid to manage the systems.16
The government is also planning to introduce a pricing system
for water and sewage that would generate sufficient revenue to cover
operating costs and at least some of the costs of the investments made
but that would also be structured so that lower-income users would pay
lower prices.
Recommendations
Take Immediate Steps to Accelerate the Removal of Rubble
Unless rubble is removed from building sites, reconstruction of housing and businesses cannot proceed. The Haitian government, in conjunction with the donor community, should accelerate the removal of
rubble. We believe that this is the single most important step toward
reconstruction that the Haitian government and the donor community
can take. Donors need to immediately make available adequate funds
to hire Haitian companies to quickly remove all rubble. Donors, working together with the government, should take bids and select prime
16 Republic of Haiti (2008, p. 47).
Housing and Infrastructure
99
contractors, be they NGOs or private companies, to subcontract rubble
removal by subcontractors or work crews, who should be responsible
for individual sites. Donors should also encourage companies owning
dump trucks to collaborate with rubble-removing crews to transport
the rubble to disposal sites. The Haitian government needs to locate
and ensure that there are sites prepared for disposing of rubble. It also
needs to conduct physical and financial audits to ensure that rubble is
properly removed.
Focus on Repairing and Maintaining Existing Roads
Developing capacity to maintain roads once built should be the top transport priority of the Haitian government and the international donor community. All new road construction in Haiti should be accompanied by
a fully funded maintenance plan, and all road rebuilding and maintenance in Haiti should be channeled through the FER.
Remove Remaining Restrictions on the Operations of Private
Container Ports
The Haitian government should aggressively seek to encourage private operators to develop ports, terminals, and airports in Haiti through BOT projects. However, the government should not guarantee revenues or rates
of return, nor should it provide monopolistic franchises to operators.
Immediately Move to Raise Electric-Power Tariffs to Full CostRecovery Levels
The Haitian government should also separate distribution from the
other operations of EdH. Retail distribution operations should either be
sold or contracted out to independent providers, be they cooperatives, municipal agencies, or private companies. EdH should operate as a wholesaler,
selling power to these groups. These groups should be responsible for
the local distribution network, including collecting revenues from end
users. Local distribution operators should be responsible for making
payments to EdH for power consumed within their area. If payments
are not made, power supplies should be cut to service areas. Because
they are closer to the local community, have an incentive to collect
payment, and have the flexibility to improve local distribution, local
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Building a More Resilient Haitian State
distribution companies are likely to greatly improve payment discipline
and quality of service as they have elsewhere in the developing world.
The Haitian government should eliminate barriers to entry of
independent power producers but should stipulate that producers’ sales
of power to EdH will be at the producers’ risk; the Haitian government
should not guarantee payments.
CHAPTER EIGHT
Education
The Challenges
Long-Standing Challenges
As the Haitian government reported in its PDNA, “(the) education
system already presented deficiencies before the earthquake that made
it unfit to contribute to socio-economic development.”1 Low quality,
lack of access, and little oversight characterized the country’s education
sector. The state played a very limited role in providing and regulating
schooling, a fact that contributed to an incoherent education system.
Enrollment rates and levels of educational attainment were very low.
About one-half of Haitian adults were illiterate;2 according to the
World Development Indicators database, the average adult has 2.8 years
of schooling. About half of school-aged children were not in any form
of school.3 Although many children experienced some schooling in episodic spells, a large number did not obtain a complete basic education.
According to the most-recent available longitudinal evidence, about
33 percent of children who attended school reached the fifth grade 4
and only 4 percent completed nine years of school and subsequently
entered secondary education.5 The problem was worse in rural areas,
1
Republic of Haiti (2010b).
2
Wolff (2008).
3
World Bank (undated [c]).
4
IDB (2010).
5
Salmi (1998).
101
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Building a More Resilient Haitian State
where approximately three-quarters of children did not attend school, 6
even though almost all children (98 percent) lived within 10 kilometers of a primary school.7 The condition of primary and secondary
education in Haiti was, and remains, the worst of any country in the
Americas.8
The most-pressing needs for the education system in Haiti are as
follows:
• substantially expanded access to education—a task that would
require the government to spend many times more than what it
currently does on education over and above the costs of rebuilding
the approximately 5,000 schools destroyed in the 2010 earthquake
• improved quality of education, which requires recruiting, educating, and training teachers in pedagogy; establishing a national
curriculum and providing textbooks that align with content standards; and reducing the numbers of overage students by grade
• development of a system of oversight to ensure increased access
and enforce improved measures of quality, including the establishment of a regulatory system to accredit and inspect both
schools and teacher-training programs.
For decades, donors and the Haitian government have been aware
of these needs and have attempted to address them. For example, Haiti’s 1997 national education plan9 set targets for improved quality
and access in support of Education for All (EFA) goals,10 which led to
6
IDB (2010).
7
IDB (2010).
8
Wolff (2008).
9
MENFP (1997).
10 EFA dates to the 1990 World Conference on Education for All, at which 155 countries
committed to provide education for all children. Specific EFA goals were then set out at the
Dakar World Education Forum in 2000. At a UN summit in 2000, the Millennium Development Goals (MDGs) stipulated that all boys and girls should complete a full cycle of primary education by 2015. The EFA goals encompass those MDGs that pertain to education,
and the Fast Track Initiative seeks to aid developing countries in achieving the Millennium
Education
103
increased public funding and a greater number of slots for students.11
But, more than a decade later, enrollment still remained low, and the
rates at which students repeat grades increased over time—partly a
result of unstable economic conditions, frequent dropping in and out,
failure to pass tests (resulting in retention within the grade level), and
low attendance.12 Meanwhile, the large majority of schools were not
accredited, and most teachers were poorly trained.
Given the extremely poor condition of the education system,
most donors focused on expanding and improving the formal basic
education system. Generally speaking, a formal basic education in Haiti
is organized into three periods over nine years—the first lasting about
four years, a second period for two years, and a third (corresponding to
U.S. grades 7–9) for three years. The third period is separated into two
branches: one for general education and a second for technical or professional preparation. Beyond formal basic education, there is a threeyear secondary-school system, in which students can choose between
traditional, technical, and vocational schools.
There were about 160 institutions of higher education in Haiti
prior to the earthquake, of which 14 were publicly run. Like primary
education, the higher-education system was in very poor shape; the
Ministry of Education and Training (Ministère de l’Education Nationale et de la Formation Professionnelle, or MENFP) itself concluded
in 1997 that many universities operated as such only in name with no
regard for providing a university-level education.13
Haiti is unusual in that private institutions dominate the education sector. Prior to the earthquake, 80 percent of Haitian students
were enrolled in nonpublic schools.14 According to the United Nations
Development/EFA goals. The Fast Track Initiative currently provides funds to 41 developing
countries, including Haiti.
11 Library of Congress (2006).
12 Grade-level repetition is (imprecisely) estimated at 9 percent in 1985, 20 percent in 1997,
and approximately 25 percent in 2008 (Hadjadj, 2000; Wolff, 2008).
13 For example, in postearthquake focus groups, students reported serious breaches of qual-
ity, such as professors assessing fees to write theses for their students (INURED, 2010).
14 World Bank (undated [c]).
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Building a More Resilient Haitian State
Educational, Scientific and Cultural Organization (UNESCO), only
four countries in the world exceed this rate of private-sector enrollment
in primary education: Macau, Zimbabwe, Belize, and Aruba. Haitian
private schools were largely unregulated: Only about 10 percent of primary schools and one-third of secondary schools were licensed.15 The
private sector greatly expanded in both higher and primary education
over the course of the 1990s, accounting for most of the growth in
the total number of school enrollments for that period of time.16 Private schools were financed by a combination of parent fees and subsidies from organizations, such as churches, charities, and foreigngovernment aid. More than half of private schools were religiously
affiliated (Protestant groups ran the largest share); church groups often
operated rural schools.17
While public spending on education was about 2 percent of GDP
prior to the earthquake, private spending comprised almost 7 percent
of GDP—among the highest rates in the world.18 Annual school fees
at private schools were approximately $70 to $80 per child, which is
equal to one-sixth of per capita GDP. This is especially striking when
one considers that more than three-quarters of Haitians live on less
than $2 per day.19
Food distribution was a crucial draw for student enrollment.
Based on the most-recent evidence available, approximately one-third
of private-school students depended on feeding programs.20 Despite
the pervasive problem of hunger in Haiti, less than one in five schools
had a school canteen as of 1997.21 Although the country had a national
15 Salmi (1998).
16 Hadjadj (2000); INURED (2010).
17 Hadjadj (2000); telephone conversation with Haitian academic, May 2010.
18 MENFP (2007, in Wolff, 2008).
19 IHSI (2005).
20 Salmi (1998).
21 Hadjadj (2000).
Education
105
school feeding program up until the earthquake, it was not sufficiently
funded to reach all the children attending private and public schools.22
Low quality characterizes all but a small set of elite schools; most
private schools were considered to be of lower quality than public
schools.23 One factor explaining this public-private gap is that publicschool teachers earned approximately two to three times more than
private-school teachers.24 Public schools, for their part, were also typically of low quality; public-school teachers often endured delayed or,
at times, no pay from the government—a phenomenon that gives the
Haitian diaspora pause when considering returning to work in education in Haiti following the earthquake.25
In a nation that lacks a middle class, which would normally supply
teachers, it is not surprising that teacher quality is extremely low. As of
1997, teacher training was provided by unsupervised, private training
institutions.26 Between 70 and 80 percent of teachers lacked accreditation from the MENFP, and one-quarter had an educational level less
than the ninth grade.27 Tests administered to a representative sample
of 1,200 private- and public-school teachers in 1996 showed that one
in three teachers did not know how to sequence words alphabetically;
eight in ten could not use the passive verb form in French; and fewer
than one in ten performed satisfactorily on fourth-grade mathematics
standards.28
Consequences of the Earthquake
The 2008 storms and the 2010 earthquake greatly exacerbated the
weaknesses already inherent in Haiti’s education system. Approxi22 For example, the World Bank had assembled a multidonor fund that had garnered a little
more than $1 million in donor funds as of 2004 for school funding (World Bank, 2004).
23 IDB (2010).
24 Wolff (2008).
25 Telephone conversation with Haitian academic, May 2010.
26 Wolff (2008).
27 IDB (2010).
28 Salmi (1998).
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Building a More Resilient Haitian State
mately 40,000 school children and more than 1,000 teachers died in
January 2010. An estimated 49,000 teachers out of an approximate
total of 60,000 worked in earthquake-affected areas.29 More than
80 percent of Port-au-Prince school buildings were destroyed.30 The
system of higher education was virtually obliterated. Since university
buildings were concentrated in areas most affected by the earthquake,
87 percent of the institutions of higher education were damaged or
destroyed.31 The building that housed the MENFP itself collapsed.
Formal schooling virtually ceased in the first months after the
earthquake. The UN World Food Programme began providing food
to children at school sites as of March 2010, with a plan to scale up to
serve approximately 150 schools and 800,000 children.32 Some schools
first began to reopen for pupil instruction in April 2010.
Haiti was scheduled to sign a grant agreement in the week of the
earthquake that would release $22 million into the Fast Track Initiative’s (FTI) Catalytic Fund, a trust fund supervised by the World
Bank.33 Due to the earthquake, the originally planned uses for the
funds have been shifted to a school resumption plan for the 2009–2010
year ($15 million), school feeding programs ($5 million), a UNESCO
postdisaster teacher-training program ($1 million), and the purchase
of emergency equipment.34 As of this writing, the Catalytic Fund and
an $80 million pledge from the IDB are the only two firm, educationspecific commitments to rebuilding the education sector, although a
number of countries have made pledges for Haitian reconstruction that
have not yet been allocated to specific sectors.
The postearthquake education “cluster” for coordination of
humanitarian aid (organized by the UN Office for the Coordination
of Humanitarian Affairs) has been working on a host of short-term
29 Global Education Cluster (2010).
30 MENFP (2010a).
31 INURED (2010).
32 World Food Programme (2010).
33 Telephone conversation with representative of a multilateral organization, May 2010.
34 Catalytic Fund (2010).
Education
107
issues to resume education. As a temporary means to restart schooling,
the MENFP proposed, in April 2010, a five-month support program
that will provide funds to nonpublic preschool through secondary
schools in earthquake-affected areas of the country.35 Ninety percent
of the funds given to a school are to be used as a one-time payment
to teachers (at no established salary schedule) for the duration of the
2009–2010 school year. Schools that receive the five-month grant may
still assess fees from families, but the fees are expected to be lower than
pre-earthquake rates, although there is no enforcement mechanism to
ensure this. To implement the school resumption policy, the MENFP
must first identify eligible schools for the funds: nonpublic schools that
are ready to reopen, that have bank accounts to receive wired grant
monies, and that can recruit a sufficient number of teachers.
The short-term payment to private schools, which indirectly pays
for or at least reduces school fees, is one element of the action plan
presented at the international donor conference held in New York on
March 31, 2010.36 With an 18-month horizon, the action plan focused
on activities to facilitate the near-term resumption of schooling. Other
activities in the action plan include the establishment of approximately
4,000 provisional school shelters and the supply of food to schools,
both of which are ongoing.
Appraisal of Plans and Initiatives for Addressing the
Challenges
Plans and Initiatives Before the Earthquake
In response to Haiti’s pressing educational needs, international donor
organizations have typically funded projects to fill gaps in service delivery, with the broad goal of meeting EFA universal basic-education targets. A UNESCO 2000 estimate placed collective donor giving to edu35 Funding for resumption of at least some private schooling comes from $15 million of the
$22 million in the Catalytic Fund and an additional $3 million from the IDB (MENFP,
2010a).
36 Republic of Haiti (2010b).
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Building a More Resilient Haitian State
cation at approximately $18 million per year (or $23 million in 2010
dollars) during the period of 1990–1999. At the time of the January
2010 earthquake, some donors were still working to provide emergency
school relief to repair damage from the 2008 storms in Haiti.37
The turnover in Haiti’s government leadership has made sustained education reform difficult and contributed to duplication in
donor efforts. Between 1980 and 2000, there were 23 education ministers serving in 13 Haitian governments.38 The succession of education ministers yielded plans and reforms that usually did not last from
one administration to the next. Compounding the problem is the fact
that Haiti lacks a precedent for an overarching education governance
system; at no point in its history as an independent country has Haiti
had a universal system of education for its children. Governmental
reforms in the 1980s and 1990s did establish a relatively uniform structure for education and a system of national tests administered at those
schools that are accredited, but schools are not obligated to operate by
these rules. Since the vast majority of schools, including those in higher
education, are unaccredited and private, the education “system” effectively consists of ad hoc decisions made by individual schools.
Despite these challenges, donors have attempted to coordinate
their education activities in Haiti. Starting in 2003, UNESCO led a
sectoral education group (groupe sectorielle de l’éducation) that met on
a monthly basis and consisted of the main education actors in Haiti:
a representative from the MENFP, representatives of assistance agencies from Canada (Canadian International Development Agency, or
CIDA), Spain (Agencia Española de Cooperación Internacional para el
Desarrollo, or AECID), France (Agence Française de Développement,
or AFD), the EU, the United Nations Children’s Fund (UNICEF),
the World Bank, and the United States (USAID).39 The donors in the
37 For example, the World Bank had begun a $5 million project in 2009 to restore access to
damaged public schools and to disseminate safe school construction standards (World Bank,
2009d).
38 Hadjadj (2000).
39 Telephone conversation with representative of donor organization 1, May 2010. The IDB
observed but was not a member of the EFA/FTI group (IDB, 2010).
Education
109
Haiti sectoral education group also belong to the set of 18 donors to
FTI, which began in 2002 and helps developing countries to achieve
the MDG that, by 2015, all children should complete a full course of
basic formal education. The sectoral education group helped the Haitian government join FTI, which became the dominant framework for
education reform after 2007 in Haiti.
Revised Plans
In consultation with the MENFP, donors are now debating two distinct
approaches to restructuring education. However, absent firm commitments from the donor community to fund comprehensive long-term
education building, it will be difficult for the MENFP to select a preferred means for redesigning the system. Nevertheless, the MENFP
and donors will need to reconcile the two approaches outlined in this
section to form a unified strategy that best leverages collective international donor support.
In broad strokes, the Haitian government and donors agree on
what needs to be done: recruit, educate, and train teachers; develop
quality standards; resolve the long-standing debate about the place
of French and Haitian Creole in the curriculum; create a system for
enforcing quality standards; and greatly expand the provision of education (especially in rural areas) to ultimately allow all children to obtain
a formal basic education. Disagreement arises over who should do these
things, when specific reforms should occur, in what order, and how
they should be implemented.40
The central debate among international donors turns on differences over the best means of achieving sustainable reform. One group
(particularly the IDB, supported by the Louisiana school superintendent Paul Vallas and Haitian first lady Elisabeth Préval) advocates
the creation of an administrative structure that would operate independently of the MENFP. After a period of five years, this education recovery authority would disband and the MENFP would then
assume responsibility for reforms that the donor-led recovery authority
had achieved. In this view, leaving responsibility for all reforms with
40 Telephone conversation with representative of donor organization 1, May 2010.
110
Building a More Resilient Haitian State
the current MENFP will produce few, if any results. However, if the
MENFP does not support the externally led reforms, then it may not
take the necessary steps to ensure their long-term success.
Other donors (particularly the World Bank) argue that, “without
capacity, there is no development.”41 In other words, to the greatest
degree possible, the MENFP should lead the effort to set out education
policies. The World Bank advocates implementing a sustainable set of
reforms that are more authentically Haitian-led. It relies on the Haitian government sustaining political will and direction—an assumption that Haiti’s decades of government churn belies.
Each of these approaches acknowledges that the Haitian government has to own education reforms and its authority to select which
elements are most in its interest. Donors are working with one another
to potentially merge the two approaches. However, the two views epitomize a long-standing debate: whether donors should direct reforms
themselves or whether they should work at the behest of the Haitian
government.
IDB: Develop an Externally Run School Recovery Authority. In
February 2010, the IDB circulated a draft proposal for the reconstruction and reorganization of Haiti’s school system.42 Costed out at
approximately $2 billion to operate the entire education system for five
years, the IDB plan proposes a short-term strategy for 2010–2011 to
return teachers and children to school and a 2010–2015 strategy—the
main element of which is a donor-led recovery authority with both policymaking and implementation functions.43 To date, the IDB has committed $250 million toward this $2 billion plan, of which $19 million
41 This phrase comes from the title of a UNESCO-sponsored report about improving the
capacity of organizations and not just individuals (De Grauwe, 2009).
42 IDB (2010).
43 Annualized over five years, $2 billion barely exceeds pre-earthquake spending on educa-
tion, including public and private, in Haiti. Wolff (2008) estimates (using MENFP, 2007,
sources) that the government spent $82.9 million on education in 2006 and annual spending
on private education was $276 million. Updated into 2010 dollars, this amounts to approximately $387 million per year.
Education
111
was committed prior to the earthquake.44 The balance of the $2 billion would be required from other donors and from the Haitian government. The IDB estimate of $2 billion is preliminary, and it likely
underestimates the true costs of the proposed reforms.
The core of the IDB proposal is the longer-term 2010–2015 strategy to create an independently run education recovery authority to
develop and operate the following: (1) a federated model of schooling
with public funding for private, public, and charter-like schools; (2) a
national curriculum that incorporates French, English, and Haitian
Creole; (3) a system for recruiting and training teachers and administrators modeled on U.S. programs, such as Teach for America or
New Leaders for New Schools; (4) school facilities that are designed
to withstand natural disasters; (5) a financial model and accounting
system for a tuition-free education; and (6) a system of social services
for delivery at schools.45 After five years, the recovery authority would
disband and the MENFP would assume all of these functions. The
division of authority between the MENFP and the recovery authority during 2010–2015 is not outlined; perhaps MSNFP officials would
staff part of the recovery authority. But it is clear from the IDB proposal that it would run parallel to the MENFP (with some phasing in
of MENFP oversight over time) and that a third party would administer the funds—presumably a set of international donors to an education trust fund.
In concert with the IDB, Paul Vallas, the current superintendent
of the Recovery School District in Louisiana and former superintendent of schools in Philadelphia and Chicago, put forward an April
2010 draft proposal for a recovery authority that resembles Louisiana’s
Recovery School District. Similar to the February IDB draft, the Vallas
proposal leaves unanswered the questions whether the MENFP would
establish the policy priorities of the authority and how the MENFP’s
ability to exercise its functions would be enhanced through working
with the recovery authority.
44 Telephone conversation with representative of a multilateral organization, May 2010.
45 Vallas (2010).
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Building a More Resilient Haitian State
World Bank: Ministry Establishes Policies and Donors Execute
Them. The World Bank’s top priority for education is to develop one
coordinated donor strategy and avoid duplicative or contradictory
donor engagement with the government of Haiti.46 To this end, the
World Bank has not proposed its own strategy. Instead, it advocates
a process of multilateral collaboration with the MENFP to craft a
rebuilding strategy; it has opposed the IDB’s proposed external education authority.47 The World Bank advocates that the primary MENFP
role should be to formulate education policy, which donors should then
implement.
In the World Bank’s view, Haiti’s 2010 PDNA establishes the
main elements of what should be done to resuscitate and improve
the educational system. To enact the PDNA elements, the MENFP
has approached donors with a list of 13 specialty areas in which it
has requested consultants to work as part of its staff, assuming a role
much like the head of a division within the MENFP. These specialty
areas are testing and assessment, early-childhood education, legal
counsel, budget planning, strategic planning, public-private partnerships, school facilities, accreditation/regulation, building operations
and maintenance, national curriculum, coordination of aid, education
policy, and teacher training.48
According to the World Bank, the hired specialists could aid the
MENFP in developing policies, and then the execution of those policies could be outsourced to a set of external donors. Specifically, each
donor from a collective task force could adopt one of the 13 policy
areas. For example, an attenuated version of a recovery authority that
the IDB proposes (see previous section) could oversee the construction
of schools. France could lead teacher training; the World Bank, publicprivate partnerships; and on down the list of the 13 policy areas. A
donor committee would control an education trust fund that would
finance the implementation of education policies. The first donor into
46 Telephone conversation with representative of donor organization 1, May 2010.
47 Telephone conversation with representative of donor organization 2, April 2010; tele-
phone conversation with representative of donor organization 1, May 2010.
48 MENFP (2010b).
Education
113
the fund could be the Catalytic Fund (with $22 million), following by
CIDA, the EU, Spain, the Caribbean Development Bank, and so on.49
Pros and Cons of the Two Proposals. The key distinction between
the World Bank model and the IDB’s proposed recovery authority is
that, in the World Bank’s version, the MENFP would retain all policymaking functions. In that sense, the World Bank’s advocated model is
more in line with the pre-earthquake model of donor activity, in which
donors often specialized in particular areas of service delivery on behalf
of, or in place of, the government. The IDB proposal is grander in scope
and proposes an organizational structure that does not entirely align
with the set of priority areas that the MENFP has thus far identified.
There are, of course, trade-offs between the World Bank and IDB
proposals. An externally led education recovery authority, such as the
IDB proposes, might instill greater donor confidence and thus attract
more funding. However, an approach that leaves decisionmaking with
the MENFP might better achieve buy-in from the Haitian government
and result in a plan that is more responsive to Haiti’s situation.
Recommendations
The ultimate and unfortunately very long-term goal of education reform
should be to provide a free, universal education of sufficient quality to
equip Haiti’s children with the skills and knowledge that translate into
improved material circumstances and overall well-being. In the short
run (one to two years), the Haitian government and donors’ first order
of business is the quickest possible resumption of schooling and the
provision of temporary school facilities. The recommendations we set
out in this section focus on medium-term means (three to five years) to
progress toward the goal of quality education. In the long run (five to
20 years), a stable educational system that is truly universal will require
a much larger government role in education, including the direct pro49 Prior to the earthquake, both Canada and Spain had signed letters of intent to contribute
to the Catalytic Fund, but neither country has yet committed funds specifically to education
out of their overall commitments made at the March 31, 2010, donor conference (telephone
conversation with representative of a multilateral organization, May 2010).
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Building a More Resilient Haitian State
vision of free public-sector schooling. The exact model for a federated
system of public and private schooling is impossible to determine at
this early stage, but the strengthening of the MENFP’s role in the
medium term would pave the way for expanded direct public provision
of education in the future.
Considering the dire condition of education in Haiti at all levels—
elementary, secondary, and postsecondary—the following recommendations focus on rebuilding the elementary level as the top priority.
This aligns with the country’s own EFA commitment to provide all
children with a basic formal education.
Although short-term measures are necessary to prevent multiyear
interruption of educational services to children in the aftermath of the
earthquake, they should be understood as suboptimal solutions in service of the longer-term systemic reconfiguration of education in Haiti.
Ultimately, a cadre of trained professionals is required to operate an
education system of sufficient quality to improve social and economic
conditions in Haiti.
Strengthen Government Oversight
Donors often invoke the need to “build capacity” in Haiti’s state institutions, but it is rarely achieved. Implementation of capacity-building activities is expensive, slow, and often prone to failure—whether
through unpredicted changes in leadership, attrition from the organization of those individuals who received training, or a failure by outside trainers to appreciate the context and incentive systems in which
local staff work.50 But it is a necessary, albeit high-risk, investment. No
matter what shape the education recovery plan takes, improved quality of and access to education will require a substantial increase in the
number and skill set of MENFP employees. A medium-term recovery
plan should not establish an externally led governance structure parallel to
the MENFP; instead, it should work with the MENFP to expand its size
and invest heavily in staff capacity and skills to regulate schools and set out
education reform policy.
50 De Grauwe (2009).
Education
115
Specifically, a redevelopment plan should be organized around
explicit steps to develop a cadre of mid- and lower-level managers within
the MENFP to set standards for schools and to regulate accredited schools.
Such steps might include payment for MENFP salaries to increase the
size of the MENFP and the placement of outside specialists in roles
within the MENFP that evolve from leads to coaches over a period of
five to ten years. The Haitian diaspora could provide a potential source
of skilled employees to staff the MENFP. The MENFP’s capacities to
regulate and steadily fund the provision of education are the two most
important aspects of sustainability of reform. To achieve improved
quality of schooling through increased investments in teachers and in
oversight of schools, the MENFP needs to have the capacity to accredit
schools in the first place, periodically inspect schools to assess their
continued compliance, and oversee the transfer of funds to eligible
schools for teacher wage subsidies (discussed under “Improve Quality”). It also requires that the MENFP have the capacity to enforce a
fair system of teacher training (whether it is privately or publicly run)
and testing of teachers.
To develop the MENFP’s ability to regulate and finance the
primary-education system over the next three to five years, an education recovery plan should include substantial funding for investment in
maintaining a staff and in developing the technical skills of those who
will remain in the MENFP after donors leave. Whether consultants to
the MENFP or externally led entities oversee the initial development of
educational delivery systems, the MENFP will ultimately need to oversee these functions. Without trained staff, even the best investments in
teacher training, school accreditation, school-choice systems, national
curriculum, and social services are at risk of failure over the long run.
Expand Access
Substantially improving the quality of education will require building
a qualified teacher corps, which will take many years. In the meantime,
stopgap interventions to increase the availability of educational opportunities should run concurrently to teacher training and phase out as
the supply of teachers grows.
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Building a More Resilient Haitian State
Interventions, such as contract teachers and the expansion of radio
programming, can help to fill immediate needs for delivery of education.
Unlike the longer-term development of a teacher corps described under
“Improve Quality,” schools could immediately hire teachers on annual
renewable contracts. Low-paid contract teachers have been shown to
positively affect student performance in Kenya, most so when local
school committees were permitted to monitor the teachers.51 Contract
teachers would be equivalent to entry-level private-sector teachers in
Haiti. As such, they do not necessarily hold promise to improve the
quality of education but would be a measure to open classrooms in
the near term. An approach much along these lines is already contemplated in the April 2010 MENFP proposal for resuming school activities, but it will need to expand into the next one to two years. Unlike
the teacher payment system described under “Improve Quality,” shortterm contract teachers would not have to meet standards of demonstrated proficiency on teacher tests and thus should not be eligible for
the same set of proposed wage subsidies.
Those who helped design the content and the delivery system
for the math and Creole radio programming in the 1990s—USAID
(which funded the programming), the Haitian Foundation for Private Education, and contractors, such as the Education Development
Center—could help craft the expansion of radio programming as a
temporary measure to provide children with a modicum of continued
content instruction. Radio programming has the advantage of being
low cost while widely disseminating content of known quality. It can
reach children in both rural and urban settings, and it can improve the
quality of instruction in situations in which teachers are simply absent
or lack mastery of the material.
To improve children’s well-being and to increase their attendance,
schools should also provide meals and basic health services to students.
Building on the World Food Programme’s ongoing school feeding program, donors should expand their assistance to the government of Haiti
to provide food and health services to children at all school sites. Both
51 Duflo, Kremer, and Dupas (2010). These researchers obtained similar results in India.
Education
117
services have been shown in randomized controlled trials to have statistically significant and large positive effects on student attendance.52
Improve Quality
Improving teacher quality in the private and public sectors should be the
top priority of a mid- and longer-term education improvement plan,
regardless of who designs or administers it. One of the principal barriers
to both expanding the provision of education (whether in the public or
private sector) and to increasing the quality of schooling is the lack of
sufficiently qualified people to meet the demand for teachers. Without
teachers who are fully literate and know the material they are teaching, redesigned curricula or textbooks would have minimal impact on
improving children’s educational outcomes. Improving teacher quality,
which will take many years, should phase in immediately, with content
training provided to a first teacher cohort starting in 2011–2012.
To help close the quality gap between private and public schools
and to increase access to schools, the MENFP should subsidize privatesector teacher wages to be on par with public-sector salaries. However,
teacher wage subsidies should be conditioned on compliance with a series
of incentives for schools to become accredited and for teachers to demonstrate academic proficiency. Better salaries are essential to sustaining
any improvements in teacher quality over time. To achieve this, the
wage increment should be available only to teachers working in accredited schools that charge capped (minimal) fees to families and enroll a
minimum number of students. The wage supplement creates an incentive for private schools to enter into and annually maintain quality
standards required for accreditation (such as the teaching of core subjects, building safety and quality-of-care minimums, and standardized
recordkeeping regarding teachers and students). Schools must then pay
out the publicly funded wage increase only to those teachers in accredited schools who received training, demonstrated proficiency on tests of
the content they are to teach, and meet minimum attendance require-
52 See research experiments in Kenya and India (J-PAL, undated).
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Building a More Resilient Haitian State
ments.53 The private/public teacher salary schedule could be phased in
with graduating cohorts of trained teachers.
Given the lack of an educated middle class in Haiti from which
to draw for teachers, several proposals have been made to attract nonresidents to form a teacher corps, such as a Teach for Haiti, modeled
on Teach for America. Such a program could be designed to appeal to
both young college graduates and the Haitian diaspora. A Teach for
Haiti–type program might attract a limited number of well-educated,
qualified teachers (Teach for America accepted a 2008 cohort of
approximately 3,600 new teachers for the entire United States). However, Haiti needs approximately 60,000 teachers to lead classrooms,
which means that the vast majority of teachers will have to come from
within the country. Investing in Haitian teachers will not only improve
schooling, but it will also establish a large source of employment in the
country. Considering the poor educational attainment of the teachers,
programs to prepare teachers should focus primarily on the content teachers are to convey to students and secondarily on pedagogical instruction.54
To provide a stable source of funds for teacher improvement, privatesector teachers’ wages should be included in donors’ midterm education aid
packages. An internationally funded commitment to pay a portion of
private- (and possibly public-) sector teachers’ wages over a number of
years would help to restore confidence in and increase the attractiveness
of the teaching profession. It could also provide donors influence in setting the conditions teachers must satisfy, as well as in establishing an
escalating schedule of wages for desired teacher and school characteristics and practices. Further, a wage schedule could structure rewards for
remaining in the profession and for the continued attainment of education and training. As discussed earlier, the MENFP should considerably increase its oversight to enforce these requirements as a condition
for cash transfers to schools for teacher wages.
53 As supported by experimentally designed research of Indian teachers in Duflo, Hanna,
and Ryan (2008).
54 Haiti’s existing national education plan and its system of student testing could serve as
the provisional standards for teacher training, with subsequent revision of a national curriculum led by the MENFP in future years.
Education
119
In international research, teacher quality is considered the most
important of the school characteristics influencing student achievement.55 As such, it is perhaps the single most important element of
schooling in which Haiti could invest.
55 For a discussion, see Eide, Goldhaber, and Brewer (2004).
CHAPTER NINE
Health
The Challenges
Long-Standing Challenges
Health services in Haiti were and continue to be delivered through
four channels: public institutions, including state-run health centers
and referral hospitals; private, nonprofit organizations; mixed public
and nonprofit institutions owned by the state but operated by NGOs,
whose staff work alongside public employees; and private, for-profit
medical offices in Port-au-Prince and other large cities. The Ministère
de la Santé Publique et de la Population (MSPP, or Ministry of Public
Health and Population) is responsible for the public health system,
including the delivery of health services, policymaking and implementation, and management of the government’s health budget.
Prior to the earthquake, the Haitian health sector was already in
poor condition. Although the Haitian constitution calls for universal access to health care, approximately 40 percent of the population
lacked access to care, particularly in rural areas of the country.1 Lack of
access has two dimensions: lack of physical access, as 13 percent of the
population lives more than 15 kilometers away from the nearest health
center, and lack of financial access, as cost-recovery policies in place
in most institutions require fees for services that are unaffordable to a
large proportion of the population.
In addition, hospital, clinic, laboratory, and medical teaching
facilities commonly experienced electric-power blackouts and short1
PAHO (2007, p. 1).
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Building a More Resilient Haitian State
ages of water.2 Many buildings were in poor condition; most facilities
were outdated; and much of the medical equipment was old or broken.
The MSPP does not have systems in place to track health status
and monitor quality of care. For example, only an estimated one in
20 deaths results in a death certificate that documents cause of death.
Biannual childhood immunization campaigns do not include documentation of vaccines given—either for the MSPP or for immunized
individuals.3 This lack of basic public health information leads to a
host of quality issues within the health system. For example, immunization coverage is suspected to be low, and duplicate immunizations
not uncommon. In addition, there is little reliable data from which to
determine priority health policies and programs.
The MSPP has little human capital or administrative capacity to
carry out its functions. A lack of not only doctors and nurses but also
administrative professionals has been a major challenge. While current
numbers for physician density in Haiti are not generally available, in
2001, Haiti had only three physicians for every 10,000 inhabitants;4
most were concentrated in the capital. This compares poorly with rates
in the Dominican Republic (19), for example, and is the lowest rate in
Latin America and the Caribbean.5 Many health professionals have
been lost to the diaspora over the years. For those who have stayed,
there are few incentives to work in rural or underserved areas of the
country or exclusively in public institutions. An agreement with Cuba
has allowed for the staffing of some rural clinics with Cuban healthcare professionals. However, like other aspects of the health system,
this program is not properly managed for quality. The MSPP also lacks
adequate technical and administrative staff for policy, planning, and
regulatory functions—particularly at the mid level, as well as outside
of the central offices in Port-au-Prince.
2
PAHO (2010a, p. 3).
3
PAHO (2010a, p. 2).
4
PAHO (2003, p. 6).
5
WHO (undated).
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123
Although the MSPP has formal responsibility for regulating and
monitoring Haiti’s health-care system, it has never truly performed this
role. There are no consistent accreditation procedures for health-care
facilities or training institutions, and no official certification exams
for medical professionals to practice in the country. When the MSPP
has set policies or regulations, it has had no means to enforce them.
The lack of reliable health outcome data in Haiti has made monitoring the quality of health services nearly impossible. Although there
have been calls to improve quality-control systems for pharmaceuticals
and ensure standardization of medicines, little to no progress had been
made on this front.
The MSPP has played only a minor role in financing health care.
Prior to the earthquake, the health sector was receiving the largest
amount of foreign aid of all service sectors in Haiti. Between 2003
and 2007, 18 to 30 percent of bilateral commitments for aid to Haiti
were designated for health and population programs.6 Of all spending on health services, at least 50 percent was provided by donors. The
government only covered 15 percent of health-care spending from its
budget; individuals covered 35 percent of costs out of their own pockets.7 About 90 percent of the government’s health budget was used to
cover salaries for MSPP employees, so almost all operating expenses,
capital outlays, and health plans and programs were funded by external, often uncoordinated, actors.
Such extensive donor involvement has created a logistical challenge for the government that it has been unable to overcome: the need
to coordinate, regulate, and oversee donor and implementer plans and
activities. Donors, in general, have been unwilling to provide budget
support to the MSPP and have often operated independently—leading
to both duplication and gaps in service delivery. In many senses,
health-care coverage and quality have been dictated by donors and
their implementers with little to no government oversight of their operations or influence on their programming and with little coordination
among donors.
6
OECD (2009, p. 148).
7
PAHO (2003, p. 11).
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Building a More Resilient Haitian State
The lack of a coherent, structured health system in Haiti has led
to poor health outcomes. Average life expectancy was estimated to be
60 years in 2007, one of eight out of 38 countries in Latin America and
the Caribbean with a life expectancy at birth of less than 70 years.8 The
most-prevalent and most-severe health problems affecting the Haitian
population include the following:
• Low immunization rates: The coverage rates for children under
one year of age for three common immunizations—measles,
diphtheria-pertussis-tetanus (DPT), and polio—are 54 percent,
68 percent, and 66 percent, respectively.9 This is well below typical
rates of more than 90 percent for other countries in the region.10
• Prevalence of vector-borne diseases: Malaria, dengue, and other
vectorborne diseases have very high prevalence rates relative to
other countries in the region.11
• Human immunodeficiency virus (HIV)/acquired immunodeficiency
syndrome (AIDS): The Haitian prevalence of HIV/AIDS is 2.2 percent in the adult population, higher than any country outside of
sub-Saharan Africa. The HIV/tuberculosis (TB) co-infection rate
was near 30 percent prior to the earthquake.12
• High infant mortality: The under-five mortality rate is 86 deaths
per 1,000 live births, up from 76 per 1,000 live births in 2007.
This is the highest in the region by a large margin.13 Acute respiratory infections and diarrheal diseases were among the leading
causes of death in children under five.14
8
WHO (undated).
9
PAHO (2010a, p. 3).
10 WHO (undated).
11 PAHO (2010a, p. 3).
12 PAHO (2010a, p. 3).
13 WHO (undated).
14 PAHO (2010a, p. 3).
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125
Consequences of the Earthquake
Health Needs. Most of the people displaced by the earthquake
now live in crowded tent camps that are prone to the spread of vectorborne and communicable diseases. The earthquake injured an estimated 300,000 people, in addition to traumatizing a large part of Haiti’s population.15 As a consequence, there is a great need to monitor
and prevent vectorborne and contagious diseases within the camps,
treat mental illnesses stemming from the earthquake, ensure that interrupted treatment regimes are resumed, provide prosthetics for people
who have lost limbs, and provide occupational and rehabilitative
medicine.
Infrastructure. The MSPP offices have been destroyed and nearby
medical and nursing schools severely damaged. The MSPP is currently
working out of tents and makeshift locations. It is unclear when a more
permanent structure will become available. Many hospitals and clinics have also been damaged or destroyed. Estimated losses, public and
private, total almost $3 billion; 73 out of 373 hospitals, health clinics,
training institutes, and other facilities have experienced severe damage
or complete destruction.16
Information Management and Records. Paper records, files, and
accounting and operations information that were stored in destroyed
MSPP buildings are now lost. This is also the case for the hospitals and
other facilities that were destroyed or damaged.17 Despite poor record
management prior to the earthquake, the destruction of what did exist
in terms of patient, administrative, and operational records severely
reduces the ability of MSPP to work toward quality and continuity of
care as well as to implement previous plans and objectives for healthsector operations and improvements.
Human Capital. Human-capital losses were significant; MSPP
alone lost 200 staff when its building in Port-au-Prince collapsed.18
15 Private Sector Economic Forum (2010, p. 21).
16 PAHO (undated).
17 Republic of Haiti (2010b, p. 61).
18 PAHO (2010b, p. 4).
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Building a More Resilient Haitian State
Many health workers were killed or seriously injured. The influx of
humanitarian assistance immediately following the earthquake has
ameliorated the lack of human resources for the short term, but this
supply will dissipate and Haiti’s shortage of health-care professionals will be more acute than ever. Compounding the problem is the
destruction of medical training centers.
Health-care providers in rural areas have been stretched even further by the influx of people who have left quake-affected cities. The
health-care system’s lack of capacity to respond adequately means that
many people may return to the cities to seek care.
The already limited management capacity within the MSPP has
been taxed by the influx of donors after the earthquake. The need for
additional coordination and monitoring of donor activities has overwhelmed the MSPP; many donors are acting independently. Donor
coordination has also “crowded out” other essential activities from the
MSPP’s agenda, including detailed planning for the medium to long
term.
Adverse Long-Term Effects of Humanitarian Aid. Policies for
and donor involvement in the disaster-relief phase are likely producing adverse, unintended consequences that will affect the ability of the
health sector to develop over the long run. First and foremost, there has
been a large influx in the number of well-trained, donor-funded health
professionals who are providing relatively high-quality health care for
free to displaced persons in the tent camps. In addition, the government
called for free care to be offered to those in need for three months after
the earthquake and has recently extended this policy for an additional
three months. Free health services have been necessary to respond to
the crisis, but the proliferation of free health care has resulted in several
hospitals that rely on fees to operate shutting down. Whether these
institutions will be able to reopen once the disaster-relief phase passes
remains a question. This policy also has shifted expectations among the
Haitian population toward access to free care. This has the potential to
undermine MSPP efforts in the medium and longer terms to build a
fiscally sustainable health system.
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127
Appraisal of Plans and Initiatives for Addressing the
Challenges
Plans and Initiatives Before the Earthquake
In an effort to improve health service delivery, the Haitian government
established a strategy in the late 1990s centered on a Basic Health Services Package (BHSP)—a bundle of essential services that was to be
made available to all Haitians. The BHSP was to be delivered through
the establishment of community health units (unités communales de
santé, or UCSs), established in an attempt to restructure the health
system in line with national plans for decentralization of government.
The UCSs were not organized along existing political or geographical boundaries, raising concerns about coordination of health services
with other social services organized at the department, commune, or
communal-section level.
All health-sector plans since the 1990s have focused on expanding
the BHSP through the decentralized UCS system, as well as strengthening regulation of the health sector. Successive plans have continued
to focus on these same objectives, since little progress in implementing
reforms has been achieved over the years.
Strategic Plan for Health Sector Reform. The primary plan in
place for health prior to the earthquake was the five-year Strategic Plan
for Health Sector Reform.19 This was the most recent of the MSPP’s
five-year plans but had changed very little from previous iterations.
The previous plan had been published in 2004 and covered the period
of 2003–2008. Both the 2003–2008 and the 2005–2010 plans were
comprehensive in covering needs for reform but set no priorities among
these needs, nor did they specify an implementation timeline, responsible parties, resources available, or how progress would be monitored.
In addition, proposed activities were not necessarily sufficient for
achieving overall objectives. For example, plans for developing human
resources to ensure that the entire population receives high-quality
health services focused entirely on the Haitian public health–sector
19 MSPP (2004).
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Building a More Resilient Haitian State
workforce. This focus is insufficient given Haiti’s current reliance on
NGOs and Cuban health professionals to deliver care.
Each of the plans laid out the same eight primary objectives and
virtually the same actions to be taken, as well as expected results,
by the end of the planning time horizon. These objectives included
(1) decentralizing the health system, (2) improving access to healthcare services, (3) improving the public hospital network, (4) enhancing
health-sector regulation, (5) modernizing health information systems,
(6) developing human resources for health, (7) guaranteeing access to
essential drugs, and (8) developing financial resources to support the
health sector. The MSPP published the plans, but UNICEF, the Pan
American Health Organization (PAHO)/World Health Organization
(WHO), and the United Nations Population Fund helped develop
them by providing technical assistance.
GPRSP. The Haitian government’s GPRSP also touches on the
health sector. Although the objectives and strategies put forth in this
paper were similar to, and certainly not in conflict with, the MSPP’s
plans, a stronger emphasis was placed on developing a national health
policy and its component parts, updating laws necessary for regulation based on policy, and establishing procedures for inspecting and
assessing health activities. The paper included eight somewhat different
objectives for the health sector, including (1) progress toward meeting
Haiti’s MDGs, (2) revitalizing and expanding the hospital network,
(3) strengthening UCSs, (4) improving support for priority illnesses,
(5) developing policy on access to essential drugs, (6) developing policies to strengthen health-sector governance, (7) developing policies
for human-resource development, and (8) establishing hospital wastemanagement policy. The paper included “strategic lines of action” for
each of these objectives, but, like the MSPP’s five-year plans, included
no discussion of implementation, such as setting priorities or a sequence
for actions, timelines, responsible parties, financial resources, or means
for monitoring progress.
ICF. Although not a reform plan, the ICF put in place after the
2004 crisis was used by the Haitian government as a mechanism for
donor coordination and planning. The framework called for the establishment of “sector tables” to address the fragmented, parallel, and
Health
129
often duplicative nature of donor involvement in Haiti. The healthsector table, comprised of MSPP officials and bilateral and multilateral
donors, developed a set of sector priorities: (1) restart the operation of
principal hospitals, (2) extend the reach of the BHSP, (3) strengthen
the management and coordination capacity of the MSPP, (4) improve
the population’s access to health care, and (5) restart priority programs
for the purchase and distribution of essential drugs.20 The healthsector table was helpful in prioritizing needs and setting the agenda for
donor involvement. However, the sector tables did not include private
organizations (important players in Haiti’s health sector); arrangements
were nonbinding; and there was no implementation plan or means for
monitoring progress.
All of the plans produced prior to the earthquake addressed
key needs of Haiti’s health sector; the MSPP’s plans in particular are
quite comprehensive. However, the plans did not set priorities, specify
activities for achieving objectives, or propose an appropriate sequencing of such activities. Given the state of Haiti’s health system, the list
of planned improvements is long—and, given the constrained human
and financial resources, the MSPP needs to focus on feasible first steps
based on priorities and plan for implementation over time.
Revised Plans
PDNA. The 2010 PDNA is not a plan but provides useful plan-
ning guidance in that it focuses not only on what is needed to rebuild
in the short term but also what the goals of reconstruction should be
over the next ten years. Unlike past plans, it sets priorities for health.
It calls for focusing on decentralization, strengthening the MSPP to
set policies for and regulate the health system, and enhancing humanresource capacity. It also suggests four strategic aims for the health
sector over the long term: (1) refining the service package at each level
of care and reorganizing the delivery system, including intersectoral
community strategies (e.g., nutrition, sanitation); (2) improving governance within the health sector and introducing a performance-based
funding system; (3) channeling significant investment into human
20 Republic of Haiti (2004).
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Building a More Resilient Haitian State
resources; and (4) improving the way in which material inputs and
essential drugs are managed and improving patient transport and communication resources. The PDNA does not outline ways to go about
defining achievable goals or set forth a plan or timeline for developing
a more concrete, actionable agenda.
Action Plan for the National Recovery and Development of Haiti.
The government’s postearthquake action plan focuses on an 18-month
time frame but is tied to the ten-year vision laid out in the PDNA.
The health component is focused on rebuilding infrastructure, investing in human resources, and strengthening the management of inputs
and essential medicines. Budgetary needs are put forward but with
little detail on how funds would be used. The document does, however,
explicitly address the need for donors to work under the direction of
the MSPP in order to bolster the MSPP’s legitimacy and authority for
the future.
Plan Intérimaire du Secteur Santé. The interim plan for the
health sector was developed by the MSPP, with donor-provided technical assistance, as an elaboration of the action plan’s provisions for
the health sector. The document outlines five major goals: (1) service delivery in quake-affected areas, (2) ensuring service provision in
camps, (3) ensuring continuity of service while adjusting to emerging
and longer-term needs, (4) maintaining and strengthening MSPP at
all levels, and (5) establishing the basis for long-term improvements
in health care. With a major focus on short- and medium-term priorities, the document advocates improving primary care, particularly
by expanding the basic package of services offered through mobile
clinics at the UCS level to include mental health, rehabilitation, and
nutrition—areas in which needs have increased because of the earthquake. Additionally, it establishes human resources as a high priority
and calls for a specific action plan to be developed to increase human
capacity within the MSPP. Like the five-year Strategic Plan for Health
Sector Reform, however, it focuses on training Haitians without consideration of other critical resources, such as NGO staff, Cuban health
professionals, and health professionals from the Haitian diaspora.
Although the plan is well thought out and comprehensive in
general areas of need, it has the same deficiencies as pre-earthquake
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131
plans: no prioritization or specificity. The document covers everything
from a revised basic package of health services to improving the state
of research and medical education, to improving the provision of and
access to drugs, to developing a unified information system for health
records. Each objective is accompanied by several action items, but
objectives are not prioritized, and most action items are not specific.
The MSPP, however, is currently working with major health donors on
a more detailed document that will specify who will take responsibility
for each component of the plan.21
Private Sector Economic Forum Vision and Roadmap for Haiti.
The Private Sector Economic Forum’s proposal for Haiti’s redevelopment in the short, medium, and long terms includes a short section
devoted to the health sector. The timeline for this document stretches
out five years but has ramifications for long-term development. This
document, unlike others discussed here, helpfully identifies clear indicators of progress toward the goals it has specified and timelines to
achieve these goals. For example, in the case of providing mentalhealth services to people affected by trauma, the road map defines an
indicator of success as the number of people who received psychosocial
counseling and support or the number of camps covered. In addition,
the group recognizes practical limitations, such as the lack of trained
professionals, and suggests possible alternatives.22
The road map is biased toward issues with which the private sector
can help (e.g., surveillance systems, supply-chain management, health
insurance and other financing schemes). It is a useful document with
some very good ideas. It addresses pragmatic, operational, and very real
issues with which the MSPP and donors will have to deal, as funds and
talent for instituting reforms are limited.
21 Telephone discussion with donor-agency representative, May 2010.
22 Private Sector Economic Forum (2010, p. 21).
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Building a More Resilient Haitian State
Recommendations
The MSPP’s progress in implementing its five-year plans, including
provision of the BHSP through the UCS structure, may well have been
undermined by the plans’ lack of prioritization and specificity. Of all
the plans on the table prior to the earthquake, none contained the
detail necessary for successful implementation. Plans proposed postearthquake—specifically the MSPP’s Plan Intérimaire du Secteur Santé
and the Private Sector Economic Forum’s Vision and Roadmap for
Haiti—are quite similar. Both include new ideas and additions to the
old plans, but neither offers sufficient prioritization or specific actions
toward implementation. A truly useful plan to improve Haiti’s health
sector must incorporate an honest assessment of what has to be done,
what can be done, and then how these objectives can be accomplished
in a way that builds the capacity of the MSPP.
In this section, we propose strategic priorities and key implementation measures for the next three to five years, aimed at moving toward a
health system in Haiti that is both feasible and sustainable. These proposals draw on components of existing plans but elaborate those components and narrow the focus. The recommendations include some
new approaches for achieving agreed-upon objectives and adhere to the
principles of being simple and practical; strengthening the capacity of
the MSPP and Haiti’s health sector in general; achieving visible results;
and ensuring that results are attributed to the Haitian government—
and the MSPP in particular.
Focus on Strengthening Policymaking, Planning, Regulation, and
Oversight
The MSPP has not worked to develop a true public health system in
Haiti. It has tended to accept, without challenge, well-intentioned, but
often duplicative, low-priority, or one-off donor initiatives rather than
to set a health policy agenda and then ask donors to conform to this
agenda. The MSPP should seek technical assistance from donors to develop
and implement an actionable national health strategy (i.e., with specified
priorities, actions, and timeline), along with related policies, programs,
and regulatory and oversight mechanisms. Examples include setting the
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requirements for any health service–delivery contracts (e.g., defining
the basic package of health services that must be provided, and setting
the cost and payment structure for services); establishing systems and
rules for the procurement and distribution of medical supplies, equipment, and pharmaceuticals; designing and implementing national
public health surveillance and information systems; and developing related monitoring and enforcement systems. The MSPP’s focus
on such activities to strengthen the health system, including building capacity to carry out these activities over time, would enhance the
donor community’s trust in the MSPP and thus increase donors’ willingness to directly support the MSPP.
Establish Performance-Based Contracting Mechanism for Provision
of Services
The MSPP’s planning documents for health-sector reform all call for
universal access to care and a distributed network of primary (health
centers), secondary (community referral hospitals), and tertiary (department referral hospitals) facilities operated by the MSPP. Many of these
institutions are currently run by NGOs, while others remain empty,
understaffed, or inconsistently staffed. In addition, donors and NGOs
are establishing new operations to fill gaps and are paying the bulk of
the operating costs and capital expenses for Haiti’s network of health
services.
The MSPP needs to gain control over the delivery of health services in Haiti to ensure achievement of its goal of universal access to
a consistent set of services. Given the lack of capacity and funding
within the MSPP today and in the foreseeable future, consideration
should be given to shifting the operation of all health centers and hospitals
to NGOs and other private institutions, allowing the MSPP to concentrate
on setting policy and planning for, overseeing, monitoring, and evaluating
the operation of Haiti’s public health service–delivery network.
The MSPP, with donor technical and funding assistance, could establish its own performance-based contracting mechanism for the provision of
health services throughout the country. All health services (first-tier health
centers, as well as referral hospitals) within each UCS, or some other
appropriate geographical division, could be contracted as a bundle to
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Building a More Resilient Haitian State
ensure continuity of care. To build capacity, department-, UCS-, or
other community-level MSPP employees could be fully involved in
contracting and oversight activities. The World Bank could be a partner for the MSPP to develop and implement such a program, given
its experience with these programs elsewhere; the minister has already
expressed interest in this idea.
Having the MSPP plan for and contract out the delivery of healthcare services by UCS (or some other geographic boundary) could ensure
equitable access to and provision of care, in line with the MSPP’s current goals; ensure improvements in priority health conditions by setting and holding contractors accountable to measurable goals; help
to standardize and stabilize salaries for public-sector health workers;
ensure continuity of care through referrals and counterreferrals within
the same service-delivery management structure; eliminate inefficient
duplication of health services; and allow the MSPP to concentrate on
developing the policies, planning, and oversight mechanisms essential for an effective health-care system. The MSPP could build specific
requirements into its service-delivery contracts (e.g., service branding
and signage rules) to ensure that health services maintain a government “face” and that the government receives credit for its provision of
health services. The MSPP could also consider contracting out shared
services (e.g., medical waste disposal, central and decentralized laboratories) for Haiti’s public health service–delivery network. Such efforts
could help control health-care costs, ensure quality of support services
and materials, and support local Haitian businesses.
Ultimately, this reform will require sufficient MSPP funds for letting service contracts and for supporting MSPP staff and operations
at the central (policy and planning) and decentralized (oversight and
implementation) levels. Although Haitian government expenditures on
the health sector ought to be significantly increased over time, substantial increases in funding from the Haitian government are unlikely
over the next three to five years. Thus, donors will need to continue
to pay for the bulk of Haiti’s health-care costs, including the technical and administrative infrastructure required to build a sustainable
health system. Under a performance contracting approach, however,
the MSPP, supported by donor technical assistance and a commitment
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to coordination, would take control over where and how health care
is provided in Haiti. This would be an improvement over the current
state of affairs, in which the MSPP is not fully aware or in control of
where and how health care is provided across the country.
Donors initially would need to directly fund services for their
“assigned” areas of the country, but, over time, as the MSPP’s capacity expands, donors should channel their funding through the MSPP.
Those donors engaged in building the technical capacity of MSPP
employees at the central, department, and commune levels initially
would need to work jointly with MSPP staff to develop and implement MSPP plans, policies, and programs. Such arrangements should
include cash transfers to the MSPP to allow for appropriate staff hires,
office space, and the purchase of required equipment.
Reorganize Decentralized Health-Care Operations
Decentralization has been a key component of health-sector planning
for many years. It is a primary strategy for ensuring universal access to
a basic package of health services. However, the plan to develop and
implement UCSs across the country as a means for decentralization
has never been fully realized. Lack of ministerial management capability and financing have been major contributors to the failure of UCS
implementation, but an added complication is that the UCSs do not
conform to the political and community lines around which other government services are organized in Haiti. As a first step in a renewed effort
toward decentralization in the health sector, the MSPP should reorganize
its decentralized operations based on department and commune lines. This
will permit improved integration with other government service delivery and a more natural “bundling” of health services (i.e., referral and
counterreferral systems among health centers, community hospitals,
and department hospitals) to contract out to service-delivery providers.
Such “bundled” performance-based contracts can be developed and
monitored by decentralized MSPP staff at the department or commune
level and would provide an opportunity for them to work closely with
providers in the area on developing and monitoring regional health
goals, among other initiatives.
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Building a More Resilient Haitian State
Build Human-Resource Capacity
The MSPP’s five-year strategic plans developed before the earthquake
and the more recent health-sector interim plan address the need for
developing human-resource capacity within Haiti’s health sector. They
focus on improving the quality of the current Haitian health-care professional workforce. They also stress bolstering the educational institutions that train Haiti’s future health-care professionals. In continued
planning efforts for developing Haiti’s health-care professional workforce, use of NGO staff, Cuban health-care professionals, and health
professionals in the Haitian diaspora should be considered, as well as
the development of paraprofessionals, such as midwives and other physician extenders.23
Also, immediate attention must be given to building a cadre of technical and administrative staff at the central and decentralized levels of the
MSPP, with skills in developing policies, planning, and providing oversight. Top management at the MSPP has shown leadership and administrative capability, particularly since the earthquake, but the layer of
top management is thin and centralized in Port-au-Prince. The MSPP
needs to build middle- and lower-level management capability. Much of
the training required to achieve this could be provided through donorfunded technical assistance.
Capacity-building at the central level should focus on policy development and national-level planning and oversight. Capacity-building
at the departmental level should focus on service contract oversight
and progress and quality monitoring within the department, as well as
budget management. Capacity-building at the commune level should
focus on fostering community involvement in service delivery, particularly with respect to promoting the effective use of community health
workers—individuals who are chosen by their communities to provide
basic health and medical services in the absence of or to supplement
professional health workers.
23 A trained health professional who provides quasi-autonomous health care under a par-
ticular physician’s license and supervision, including physician assistants, nurse-midwives,
nurse practitioners, and other allied health professionals.
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Although it is important to rebuild training institutions for healthcare professionals to develop a workforce that meets Haiti’s needs,
results take years, and the numbers trained will remain relatively small.
A more immediate and pervasive response to unmet demand for health
services would be to expand the use of Haiti’s community health workers.
The use of these workers for health promotion and disease prevention
has been an effective means for extending the reach of health systems
in fragile and conflict-affected states. Community health workers can
provide health education (e.g., family planning, nutrition), as well as
preventive and (limited) treatment services. They can also play a role in
improving the collection and reporting of health and population data
(e.g., tracking births and incidence of communicable disease). Their
use is particularly appealing in Haiti because of the lack of access to
care, the number of health and population problems stemming from a
lack of basic health education and preventive services, the excess mortality linked to communicable disease, and lack of civic involvement.
The community health–worker model has already been successfully utilized in several rural areas of Haiti (using community health
agents), but its use is neither widespread nor supported by the public
health system. Use of NGO-contracted or volunteer community health
workers could be made part of the contracting requirements for the delivery of health services in each area of Haiti, and the MSPP could develop
guidelines on what services community health workers can provide and on
their training.
Examine Health-Care Financing Options
Although Haiti has relied heavily on donor aid to finance the health
system, such an approach is not sustainable and does not provide predictability. Although donor funding will continue to be required over
the next three to five years, and probably much longer, steps should be
taken now to lay the foundation for a sustainable financing structure
for Haiti’s health sector.
The MSPP’s current interim plan recognizes the need to address
health-care financing and suggests creating a new funding model and
providing free care for certain segments of the population. The Vision
and Roadmap for Haiti recommends creating a health-insurance scheme
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Building a More Resilient Haitian State
for all Haitians. It suggests Rwanda’s mutuelles (community insurance)
system as a good model. Before decisions are made, the MSPP, with
donor support, should contract a study to examine in detail the various
options for financing the health-care system and model the implications of
those options for access to care, health outcomes, and the continued viability
of the system. The study should examine switching from a cost-recovery
model to a unitary cost model (one standard payment per visit), the
use of sliding scales for various socioeconomic groups, offering free
care nationwide for certain key programs determined critical to the
well-being and development of Haiti (e.g., well care or primary care for
children under five years of age), and the introduction of various types
of insurance under different scenarios.
Haiti’s health system may eventually be financed through a combination of government funds raised through tax revenues and individual payments, which could include insurance and direct payment of
fees for services. Significant increases in government tax revenue will
not be available in the time frame discussed here. However, studies on
the best way to finance the sector should begin now, so that decisions
can be made and related policies and programs put in place over the
coming five years.
CHAPTER TEN
Donor Cooperation and Building the Haitian
State
As the poorest country in the hemisphere, and the only country in
the past three decades to see a long-term decline in GDP per capita,
Haiti has been a focus of concern and interest for donors of humanitarian and development assistance for two generations. The United States
has been the largest bilateral donor of humanitarian and development
assistance every year since 1990, contributing between one-quarter and
half of all official flows to Haiti, followed by Canada and the European
Union. Multilateral donors provide much of the remainder, led by the
IDB and the World Bank. In the 19 years between 1990 and 2008,
official donors disbursed $6.9 billion to Haiti, of which $911 million
was disbursed in 2008 alone (Figure 10.1).1 Despite this major commitment of resources, Haiti’s economic, social, and political situations
have worsened.
One explanation for this failure is that, while large in the aggregate, on a year-to-year basis, donor engagement and assistance funding have varied widely in response to Haitian political developments.
When adverse political events took place, donors often sharply limited
the share of development assistance channeled through the Haitian
state, sometimes circumventing the state altogether, supporting NGOs
and using implementing partners instead. Donors reasoned that it was
counterproductive to strengthen state institutions when the state was
1
Disbursement data as reported to the OECD Development Assistance Committee (DAC)
(OECD, undated [b]). In addition, since 2004, UN member states have been funding
MINUSTAH, with assessed funding for the fiscal year July 2009–June 2010 set at $611 million, including $3 million of “quick impact” development projects.
139
140
Building a More Resilient Haitian State
Figure 10.1
Official Development-Assistance Disbursements to Haiti, 2008 (millions of
dollars)
300
Dollars (millions)
250
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Multilateral Donors
200
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SOURCE: OECD (undated [b]).
NOTE: DAC = Development Assistance Committee. EC = European Commission.
PRGF = Poverty Reduction and Growth Facility. AIDS = acquired immunodeficiency
syndrome. IDA = International Development Association. UNDP = United Nations
Development Programme. WFP = World Food Programme.
RAND MG1039–10.1
acting in nondemocratic and repressive ways. Yet, as a result, the weakened Haitian state was that much less capable of pursuing objectives
to foster economic growth and protect society from crime, disease, and
hunger.
Since 2004, in response to visible improvements in Haiti’s political stability, and consistent with agreed international models, such as
the Paris Declaration on Aid Effectiveness,2 donors progressively worked
in partnership with the Haitian state. Donors have sought to involve
state institutions and civil society in the formulation of strategies and
setting priorities.
2
High Level Forum on Aid Effectiveness (2005).
Donor Cooperation and Building the Haitian State
141
Bilateral and multilateral agencies have varied in the degree to
which they coordinate with each other. Several donors are involved in
each sector. Differences in perspectives, rivalries, and competition for
leadership exist at the donor level and among implementing NGOs
and other institutions. Some Haitian government officials welcome the
overlapping assistance efforts, which they feel result in more resources
for the country and offer more choice of approaches.
The January 12 earthquake has brought both a quantum increase
in resources and unprecedented attention to the international effort
to assist Haiti, while gravely aggravating Haiti’s immediate housing,
health, environmental, and other problems. Donors have effectively
coordinated postearthquake humanitarian assistance in accordance
with international best practices. In the first days after the earthquake,
the Haitian government ceased to function, but it has since become a
partner with growing influence in directing humanitarian relief.
This chapter describes the development of relations between
donors and the Haitian government since the January 12 earthquake
and appraises the new architecture for allocating assistance agreed at
the March 31, 2010, international donors’ conference. It concludes with
our recommendations for improving the effectiveness of donor engagement with the Haitian state and for better cooperation among donors.
The Challenges
The first priority for donors after the earthquake was humanitarian
relief. Assistance agencies and NGOs already present in country—
working with the government of Haiti, MINUSTAH, and international agencies—mobilized to rescue those trapped by collapsed buildings and to provide immediate medical care for the badly injured.
Within 24 hours, advance elements of U.S. Marines and Army rescue
teams were arriving in country to help MINUSTAH with security; the
U.S. Navy hospital ship USNS Comfort was under way to Haiti shortly
thereafter.
Many acute challenges affected short-term donor and NGO
cooperation with the government of Haiti. The National Palace had
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Building a More Resilient Haitian State
collapsed, as had most ministry buildings, including the Ministry of
Economy and Finance, MJSP, and the headquarters of the HNP. The
five-story UN country team headquarters building also was destroyed,
with the loss of more than 100 UN staffers, including Special Representative of the Secretary-General (SRSG) Hédi Annabi. Humanitarian agencies and NGOs lost key staffers. The Port-au-Prince airport
terminal building and tower were badly damaged and unusable, as
were piers at the state-owned container port.
U.S. military flight controllers, with Haitian government concurrence, took over flight operations at the airport to deconflict flight
clearances and maximize runway and ramp utilization. The Dominican Republic offered its airports and seaports for the rapid transshipment of supplies.
The official Haitian government estimate is that more than
300,000 Haitians are dead and total damages exceed $8 billion.3
Roughly 1.2 million Haitians, 12 percent of the population, are now
housed in temporary and emergency shelters.4 The value of destroyed
physical assets (e.g., housing, schools, hospitals, roads, bridges, ports,
airports) was estimated at $4.3 billion, and the effect on economic
flows (e.g., production losses, lost employment) at $3.6 billion.
With extensive international help, the Haitian state began to
function again after several days, with the HNP (fortunately) generally
considered to be the first Haitian government entity to reestablish an
effective presence in the badly damaged capital and major cities of the
south.5 The UN sent a new acting SRSG and moved quickly to bring
temporary officials from other UN offices around the world. UN agencies based their operations in tents and temporary structures on the
UN logistics base near the airport.
In accordance with established best practices from recent complex emergencies and natural disasters, the UN Office for the Coordination of Humanitarian Affairs (OCHA) established 12 “clusters”
to coordinate Haitian and international donor and NGO humanitar3
Republic of Haiti (2010a, p. 7).
4
Inter-Agency Standing Committee (2010).
5
Booth (2010).
Donor Cooperation and Building the Haitian State
143
ian responses. The World Bank, USAID, CIDA, and the European
Union have also been involved, as have many of the major NGOs
(e.g., CARE, Partners in Health, Médecins sans Frontières, Catholic
Relief Services, World Vision, the International Committee of the Red
Cross [ICRC]). In addition to coordinating and deconflicting operations in a very difficult environment, several of the clusters have done
outstanding jobs in collating and sharing information among donors,
humanitarian NGOs, and the Haitian government, primarily using
the Internet.6
As the emergency and humanitarian phase of the response took
shape, donors and the Haitian government began to look at the daunting task of reconstruction, adopting the slogan “building back better.”
The Canadian government hosted a ministerial meeting of donors and
international agencies on January 25, 2010, at which agreement was
reached to conduct a PDNA to inform the Haitian government’s Action
Plan for National Recovery and Development of Haiti. The UN agreed to
convene a postdisaster donors’ conference in New York on March 31,
2010, to review these documents, coordinate the international response,
and assemble new pledges for meeting the requirements.
With technical help from McKinsey and Company, the Haitian
government led the PDNA effort and the subsequent month-long process to update the national development plan to estimate the financial
requirements and determine the strategies needed to build back better.
Focus-group and outreach meetings were held with Haitian citizens,7
the Haitian private sector,8 the Haitian diaspora,9 MINUSTAH
6
For example, see Logistics Cluster (undated), Inter-Agency Standing Committee (2010),
or CCCM Cluster Haiti (undated).
7
Office of the UN Special Envoy for Haiti (undated).
8
Hosted on March 15 by the IDB in Port-au-Prince. The Haitian Private Sector Economic
Forum (2010) submitted a paper titled Vision and Roadmap for Haiti.
9
OAS (2010).
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Building a More Resilient Haitian State
stakeholders,10 local-government authorities in Haiti,11 and international NGOs and implementing partners.12
The resulting Action Plan for National Recovery and Development of Haiti set out a vision for reconstruction in four areas: territorial (planning new development areas and associated infrastructure), economic (developing agriculture and manufacturing sectors),
social (health and education), and institutional (making state institutions viable). The action plan envisaged three phases of operations:
the emergency period, the implementation period (18 months from
the earthquake), and the subsequent ten years. The total requested for
the implementation period is $5.8 billion, along with an additional
$3.8 billion during the rest of the ensuing decade. Of $5.8 billion in
short-term assistance, $350 million is sought for budgetary support for
the 18 months through the end of 2011. These were the numbers put
before the March 31, 2010, donors’ conference.
The action plan presented a new-to-Haiti architecture for managing such large flows of funds. A key element was agreement to establish a short-term joint Haitian government and donor commission to
oversee the effort, now called the Interim Haiti Recovery Commission
(IHRC). The action plan envisages an IHRC that “gives its approval to
project proposals assessed according to the extent to which they comply
with and are coordinated with” the Haiti development plan, “prepares
and seeks out projects compatible” with the priorities of the plan, and
“decides on the admissibility of external submissions.”13
The IHRC has a complicated decisionmaking structure. It is
cochaired by the prime minister of Haiti and an eminent foreign figure
10 Organized by the government of Brazil; the government of Haiti sponsored the outreach
meeting with MINUSTAH’s stakeholders held in New York on March 23.
11 Hosted by France on March 23 in Martinique.
12 Hosted in New York on March 25 by the Office of the Special Envoy. At the meeting,
InterAction, a grouping of U.S. NGOs and implementing partners, submitted a memorandum titled From the Ground Up: InterAction Member Recommendations on Recovery and Reconstruction in Haiti (InterAction, 2010), emphasizing, among other things, that reconstruction
should be mindful of social equity, women and children, and civil-society organizations.
13 Republic of Haiti (2010a, p. 54).
Donor Cooperation and Building the Haitian State
145
(former U.S. President Bill Clinton)14 and has government, parliamentary, and nongovernmental Haitian members, as well as representatives
from the major international donors. The Haitian side has one more
vote in the aggregate than foreigners; the president of Haiti must confirm all decisions in order for them to be executed.
After 18 months (the period for which it is anticipated major
international reconstruction funding will be committed), the IHRC
will convert into an ongoing Haitian Development Authority (HDA)
without a foreign decisionmaking role.
In addition, in the action plan, the government of Haiti requested
that a multidonor trust fund (MDTF) be established for donors to
pool their contributions, reduce overlap, and simplify management
and administration.15 After some debate, the Haitian government and
major donors decided that the World Bank’s IDA would be the trustee
for the fund.16
In the final communiqué of the donors’ conference, participants
agreed to support the Haitian government’s reconstruction plan and to
align their assistance with it and “welcomed” the establishment of the
IHRC and the HDA, which would “ensure leadership by the Haitian
government in establishing priorities for international assistance and
in coordinating, expediting and implementing that assistance.” A final
sentence commits the participants to simultaneously assist “in building
the administrative capacity of the Haitian government.”17 These communiqué sentences reflect the state-building dilemmas Haiti faces. On
the one hand, the IHRC will allow the Haitian government to engage
with the donors on priorities and, through the secretariat, will give it
the technical expertise to do so effectively. On the other hand, the creation of the IHRC and the HDA may well further erode the responsibilities and authorities of responsible Haitian ministries.
14 At the international donors’ conference, it was announced that former President Bill
Clinton would play this cochair role.
15 Republic of Haiti (2010a, p. 55).
16 Discussion with senior Ministry of Economy and Finance official, Port-au-Prince, April
2010.
17 International Donors’ Conference Towards a New Future for Haiti (2010, ¶7).
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Building a More Resilient Haitian State
Finally—and most importantly—the donor community pledged
funds in support of the Haitian government’s requests and in support of
the new assistance-management architecture. In all, 59 donors pledged
$9.9 billion at the conference, with $5.4 billion to be available for use
in the 18 months through 2011.18 Of the $9.9 billion total, donors
also announced their intention to channel $5.26 billion through the
MDTF. (In its supplemental request to Congress, the U.S. administration requested authority to contribute up to $120 million to the
MDTF.)
Appraisal of Donor Cooperation with Haitian State
Institutions
Much is going right in the international effort to support state-building
in Haiti. There is widespread agreement that the international community should apply lessons learned from the generally successful effort
to rebuild the Indonesian province of Aceh after the devastation of the
2004 tsunami (see “Lessons from Aceh”).
Donors with long experience in Haiti seem to appreciate the costs
of the “light-switch” assistance efforts of the 1990s, when assistance
efforts were abruptly stopped after political upheavals and coups, only
to be restarted slowly and with difficulty when a legitimate government was restored. Use of NGOs and implementing partners allowed
humanitarian efforts to continue in these periods but with little Haitian government input or oversight, undermining the Haitian government’s capacity to perform these basic governmental tasks.
It has helped greatly that, since 2004, Haiti’s security situation
stabilized through the commitment of MINUSTAH forces. Not coincidentally, the most successful state-building effort thus far has been
building the HNP, supported by MINUSTAH, the United States, and
other donors. The HNP was among the first Haitian institutions to
resume operations after the earthquake, although rigid distinctions
between security and development-assistance funding streams among
18 As reported in the pledge listing spreadsheet (Haiti Reconstruction Platform, undated).
Donor Cooperation and Building the Haitian State
147
Lessons from Aceh
In establishing an MDTF and a national development commission, donors and
the Haitian government sought to adapt mechanisms used in the Aceh tsunami
reconstruction effort. The December 26, 2004, earthquake and subsequent
tsunami caused widespread destruction throughout the population centers on
the west coast of the Indonesian province of Aceh on the island of Sumatra.
On January 19, 2005, the Indonesian government, with the help of the UN and
other donors, completed a preliminary damage and loss assessment report,
estimating damages and losses equal to $2.3 billion.a The president of Indonesia
appointed a personally trusted, experienced leader to coordinate reconstruction
and established a special agency to manage reconstruction in cooperation with
donors. A major effort was made to involve communities in rebuilding decisions.
International donors pooled $700 million into a World Bank–administered
MDTF.b
In a 2006 report that drew lessons from the reconstruction effort, former
president Clinton urged the following substantive priorities for organizers
of future such efforts:c (1) Families and communities should drive their own
recovery. (2) Recovery should promote fairness and equity. (3) Donors should
empower local governments to manage recovery and to strengthen government
institutions engaged in recovery. (4) Financial accountability is critical to
ensuring ongoing donor support. (5) Good recovery planning and coordination
depend on good information. (6) The UN and World Bank need to clarify their
respective roles early in the process. (7) The expanding role of NGOs carries
greater responsibilities for quality control in recovery efforts. (8) Governments
and aid agencies need to create the conditions for entrepreneurs to flourish.
(9) Agency partnerships ought to be the norm, rather than rivalry and unhealthy
competition. (10) Recovery should reduce risks and build resilience against future
disasters.
There have been other studies of the Aceh experience. A CIDA conference
drew attention to the debate in Aceh as to whether donors should build
transitional shelters or go directly to construction of permanent ones, and
recounted the tensions between local NGOs and international agencies when the
agencies sought to hire local NGO staffers.d A comprehensive study sponsored
by the UK Disasters Emergency Committee (DEC) also emphasized community
involvement and highlighted the difficulties involved in design choices for
replacement housing. It noted that some early structures had to be demolished
because they did not meet seismic standards. The DEC study also found that
large-scale shelter-construction efforts were difficult for many NGOs, which did
not have in-house expertise in design and construction oversight.e
A study of the tsunami assistance efforts of six major NGOs by Grantmakers
Without Borders identified some of the forces against effective cooperation:
competition among implementing NGOs for donor dollars and expert staff; the
tension between the perceived need for immediate action and the time it takes
for community involvement; conflicting philosophies between NGOs, the private
sector, and social-justice movements; and the pressure from media outlets that
alternatively extol and excoriate aid agencies and NGOs.f
a World Bank (undated [a]). b Von Amsberg (2010). Von Amsberg is the World
Bank’s country director for Indonesia. c Office of the UN Special Envoy for Haiti
(2006). See also Office of the UN Special Envoy for Haiti (undated). d CIDA (2007).
e Da Silva (2010, p. 77). f Roper (2006, p. 20).
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Building a More Resilient Haitian State
donors hobbled worthwhile initiatives, such as establishing HNP posts
in camps for victims of the earthquake.19
Donors have learned to work with the Haitian government in
fashioning overarching strategies to tackle Haiti’s daunting problems.
The experiences of working out the ICF in 2004, the national GPRSP
of 2007, and Haiti: A New Paradigm in 200920 were useful to the work
on the PDNA and the Action Plan for National Recovery and Development of Haiti, both completed under tight time pressure in March
2010. The World Bank–supported financial management information
system is starting to come online in the Ministry of Finance, although
it was hampered by the collapse of the Ministry of Finance’s buildings
and is available to buttress the Haitian government’s case for immediate budgetary support. Donors have also worked with the Haitian government to devise separate and transparent executing units to undertake projects outside of the normal ministry mechanisms.21
Yet, in some respects, donor cooperation is a tough sell. In
Port-au-Prince, we asked senior Haitian government officials who
dealt with many donors supporting overlapping projects (for publicadministration reform, police training, and financial management)
whether they would find it more efficient to work with only one lead
donor in a subject area. The Haitian reaction was consistently negative:
Even though multiple donor and NGO programs impose major burdens in terms of administrative compliance, our Haitian interlocutors
believed that they obtained more support and had more options with
many competing donors.
Even though the global economy is struggling, Haiti is benefiting
from special preferences in the U.S. market through the HOPE II program. Congressional committees have reportedly agreed to triple quota
19 We have been told that humanitarian-relief agencies did not respond fully to HNP
requests for tents and equipment to establish permanent posts in the tent camps. In the
case of USAID, statutory prohibitions on use of development assistance for security purposes would not allow for such contributions (discussion with HNP official, Port-au-Prince,
April 23, 2010).
20 Haiti: A New Paradigm (2009).
21 One senior Ministry of Economy and Finance official told us that there were 20 such
special executing units established in recent years for IDB projects alone.
Donor Cooperation and Building the Haitian State
149
volumes following the earthquake, as was requested by former presidents Bill Clinton and George W. Bush.22 Such an enlarged HOPE II
quota would help Haiti attract new investments in apparel factories,
especially if Haiti tackles constraints related to transportation, housing, and doing business.
Recommendations
Effective donor cooperation in support of state-building and recovery
in Haiti faces special challenges. Haiti’s troubled history, deep poverty,
environmental destruction, recent natural disasters, and unresolved
political tensions make state-building and economic development especially difficult. There is little scope—or time—for donor competition
or disagreement. Priorities must be set. Accordingly, our recommendations are aimed at making the IHRC and MDTF function effectively,
helping the United States play the leadership role it must, and harnessing the power of NGOs and Haitian communities.
Make the Interim Haiti Recovery Commission an Effective
Decisionmaking Body
The most urgent priority is to stand up the IHRC. At this writing, several months after the international donors’ conference, the Haitian government decree establishing the IHRC has not been promulgated, and
an executive director has not been chosen. Once these steps are taken,
there will inevitably be a delay until the commission is functional and
able to fulfill its coordination and approval responsibilities. It will also
be a challenge for the Haitian government to staff the IHRC secretariat
without drawing away scarce skilled staff from line ministries.
The purpose of the IHRC is to provide the expertise and capacity
to realize Haitian leadership of the recovery effort. It also is designed to
institute systems of accountability and transparency. In the short term,
donor support for the IHRC and the creation of a special status for
Haitian personnel on it can help the Haitian state attract the best and
22 “House, Senate Panel Leaders Unveil Haiti Preferences Deal” (2010).
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Building a More Resilient Haitian State
brightest Haitians back from the NGO and donor sectors and from
the diaspora. Many Haitians, however, are concerned lest the IHRC
drain talent and responsibility from the mainline ministries, which,
at the end of the day, have to deliver services and good governance
to Haiti. To balance these priorities, the IHRC must remain limited in
scale (a secretariat of 100 or fewer) and coordinate with and fully utilize
Haitian ministries’ capabilities. Moreover, donors should second top-flight
technical staff to the IHRC, and such officials should also have a training
mandate, given the short life span of the commission. The goal should be to
have a capable Haitian professional cadre ready to take over operations (as
the HDA) within 24 months.
An early test of the value and clout of the IHRC will be the willingness of major bilateral donors—especially USAID and CIDA—to
coordinate their programs through it and to adapt them in light of
IHRC input. Major donors, including the United States, should submit
all project and program concepts to the IHRC for coordination and be willing to adapt them in accordance with Haitian and other donors’ plans and
preferences.
Scarce Haitian and donor resources should not be wasted on
small-scale, duplicative, or overlapping pilot projects, even if the Haitians are reluctant to give them up and donors prefer them so as to
minimize the risk of failure. Better to do a small number of big things
comprehensively and well. Such an outcome requires donor specialization. The IHRC will have to lean against tendencies toward letting donors
do only what they wish and must be willing to say “no,” if only in order to
say “yes” to the assistance projects that matter.
Decisionmaking by the IHRC will be important. Donors and the
Haitian government should adopt a consensus decisionmaking model for
the IHRC to set priorities and coordinate efforts, backed up by rigorous
cost-benefit analysis. Programs should be considered sector by sector,
and sign-off on tasks and responsibilities should be by the Haitian government and all major donors.
Monitoring and evaluation (M&E) are even more important in
the recovery phase than they are for the humanitarian phase. Assistance partners and Haitian government agencies will be driven by what
can be tracked and measured. Design of M&E components of programs
Donor Cooperation and Building the Haitian State
151
must be a responsibility of the IHRC from the outset and should be harmonized with donor needs so that donors, the MDTF, and the IHRC all track
the same indicators and read the same evaluation reports.
Donors and the IHRC also need to be mindful of economic incentives in the design of recovery strategies. Consistent with the lessons from
tsunami recovery, Haitians will do much on their own to reconstruct
their homes and build their economy, if the incentives are right. Free
food and medical care in the camps, put in place for humanitarian
reasons in the earthquake aftermath, serve as incentives to increase the
populations of tent camps in unsustainable ways. It should be a donor
and NGO priority to find new means of offering social protection in ways
that support transition.
To the extent that the IHRC succeeds in setting priorities and
standards, donors may react adversely. In particular, legislatures (such
as the U.S. Congress) may respond by earmarking even more of the
assistance budget for sectors or delivery modes that the IHRC does not
consider priorities. NGOs denied a high-profile role in a sector that
eases fund-raising may curtail their activities or withdraw from Haiti.
Choices are not cost-free, but the major lesson of Aceh is the importance of meaningful host country–donor coordination.
Finally, donors should be alert to indications that the Haitian government seeks to use assistance funding to serve partisan political interests
or the dominance of elite groups, and should raise these issues in the IHRC
and otherwise as needed at an early stage.
Strongly Support the Multidonor Trust Fund
The World Bank–led MDTF must become operational quickly. Setting
up a trust fund took more than a year in the Aceh case. For the IHRC
to have credibility and impact, it will need access to the resources of the
MDTF, and it will need it quickly. It is striking that the United States,
which, for several years, contributed 40 percent of official flows to
Haiti, is requesting congressional authorization to contribute only up
to $120 million to the MDTF, just over 2 percent of the total resources
pledged to the MDTF. The United States will not have influence in the
MDTF commensurate with its contributions to Haiti in general unless it
substantially increases its commitment to the fund. More broadly, we rec-
152
Building a More Resilient Haitian State
ommend that every official donor in Haiti channel at least 10 percent of
official flows through the MDTF, since the fund can support state-building
activities most efficiently.
But, even with greater resources, the MDTF should be used principally to finance activities on a scale or in a sector that cannot otherwise attract donor or NGO support. Use of the MDTF for a program
that could otherwise receive multilateral or bilateral donor finance (or
NGO self-finance) would be a waste of resources.
Encourage Nongovernmental Organizations to Support StateBuilding
International NGOs, which remain significant sources of expertise for
Haiti, now have substantial funds from the outpouring of contributions from around the world. They should make contributions to building the Haitian state, toward the long-term goal of eliminating Haiti’s need for their support. Thus, self-funded NGOs should be expected
either to make grants equal to 10 percent of their program funds to the
Haitian state, including for budget support, as recommended by President
Clinton,23 or to pay customs duties on their imported vehicles and supplies.
NGOs also should be required to withhold regular Haitian payroll and
income taxes for their Haitian and expatriate staff.
Moreover, NGOs with a self-financed budget in Haiti of more than
$10 million should be required to present their plans and activities to
the IHRC for coordination with government- and donor-funded activities in the same sector. The self-funded NGOs should also benefit from
understanding and cooperation with other activities in their fields of
endeavor.
Facilitate Community Involvement and Information Flow
Study of other state-building efforts has shown the value of community
involvement to broaden the base of support and to ensure cultural and
political acceptability of reconstruction efforts. Donors now accept the
need to seek community buy-in for projects and assistance programs.
Sustainability will require that community involvement be more than epi23 Gross (2010), quoted in International Crisis Group (2010, fn. 120).
Donor Cooperation and Building the Haitian State
153
sodic consultations when major plans are devised. Community involvement
should be ongoing and supported by information flows in both directions.
Haitians need to know what is planned for their communities and have
an opportunity to contribute to project conceptualization and project
design. This is especially true for the homeless and displaced and will
improve the legitimacy of the Haitian government in domestic public
opinion.
With World Bank support, the Haitian government has established the Haiti Reconstruction Platform Internet site, but it is as yet at
a high level of generality. The website should be loaded with much more
in the way of investment project specifics. Signage should be developed and
consistently used to identify public works funded by the MDTF and other
donors. The Haitian government should also build public confidence by
offering full transparency of Haitian public-sector employee totals, audit
mechanisms, and results. For their part, donors need to offer the Haitian
government more transparency in their planning.
Appoint a Senior Coordinator for U.S. Policy and Assistance
Programs
In support of a strong, sustained international effort to help Haiti
overcome its history and the manifold constraints it faces to recovery and development, the United States and other donors will need
to make changes as well. A prerequisite for better cooperation among
donors will be better coordination within the U.S. government, which,
in turn, would allow the United States to more effectively influence
other donors. As in the Balkans during the 1990s and with respect to
Afghanistan/Pakistan policy now, the coherence of U.S. policy would be
enhanced by the appointment of a full-time, high-level coordinator (or
envoy) with the rank and access to consult with President Préval and
oversee the Haitian assistance budgets and policies of USAID, the
State Department, Treasury, Agriculture, Homeland Security, and
other U.S. government agencies with programs in Haiti.
In order to make donor coordination truly effective, and in support
of UN Special Envoy and IHRC cochair Clinton, such a senior U.S.
government coordinator should underpin the formal donor-coordination
process with an informal and behind-the-scenes “ friends of Haiti” small
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Building a More Resilient Haitian State
group of the largest bilateral and multilateral donors (e.g., U.S., Canada,
the EU, France, the IDB, and the World Bank).
Exercise Donor Leverage
There is no purely programmatic solution to many of the problems
identified in this report. No amount of training, advising, capacitybuilding, and facilitative assistance will secure enough support within
the Haitian political establishment to achieve the necessary changes.
Only politics, not programs, will lead to reform on the necessary scale.
Over the next 18 months, donors are projected to contribute
$5.4 billion to Haiti, equivalent to 57 percent of Haiti’s GDP for this
period, as projected by the IMF. Of the total amount pledged to Haiti,
the top five donors (Venezuela, the IDB, the United States, the European Union, and Spain) account for more than two-thirds of this total.
In principle, these donors should have a substantial amount of influence on
the political process. This leverage will produce results, however, only if it is
exercised in a calculated, if also very discreet, careful, and sensitive fashion.
Donors know how their own governments work. People elect representatives whose future depends on delivering patronage and projects to their constituents. Special-interest groups also feed at the public
trough and influence decisionmaking. Anyone seeking to effect meaningful reform has to work within this system of pork-barrel politics,
building constituencies one member, one contribution, and one vote
at a time. Why should donors expect any more-enlightened behavior
from Haiti’s politicians than they experience with their own?
Yet, aid bureaucracies are strongly averse to playing politics.
They vigorously resist interference from the policy wings of their own
foreign ministries. They are horrified at the thought of development
money being spent to grease the recipient countries’ political wheels, an
attitude in which they are reinforced by their own parliaments, whose
members are all too aware of how that game is played. Development
doctrine stresses the importance of indigenous “ownership” but fails
to put corresponding emphasis on the degree of salesmanship needed
to sell the prospective owner on the new purchase. These inhibitions
will need to be overcome if international assistance to Haiti is to have
Donor Cooperation and Building the Haitian State
155
any more-enduring impact for the good in the future than it has had
in the past.
CHAPTER ELEVEN
Conclusion
Hope for a more prosperous and peaceful future for the Haitian people
lies in building a more effective and resilient state. The discussions
herein of challenges have shown that Haitian state institutions are
riddled with weaknesses in the areas of human resources, organization, procedures, and policies. As a result of these weaknesses, the state,
on its own, has been incapable of providing security for the Haitian
people, ensuring justice, promoting economic growth, or delivering
public services. The appraisals of reform plans and initiatives in this
report suggest that devising lists of measures needed to repair the state’s
weaknesses is relatively easy but that formulating strategies to address
those weaknesses is hard—and implementation is even harder.
None of the principal pre- and postearthquake planning documents1 sets out a fully elaborated strategy for strengthening Haiti’s
state institutions, nor collectively do the sectoral documents discussed
in the preceding chapters. This report aims to support the development
of a Haitian state-building strategy by recommending how to build on
existing plans for improving institutions and the delivery of public services. It focuses on suggesting priorities for state-building, taking into
account the effects of the January 2010 earthquake.
1
For example, the GPRSP, the framework program (Republic of Haiti, 2007), and the
Action Plan for National Recovery and Development of Haiti (Republic of Haiti, 2010a).
157
158
Building a More Resilient Haitian State
Strategic Framework
Formulating a state-building strategy first requires identifying the
state’s core functions. The strategy should articulate the means for
developing the state’s capacity to perform those functions efficiently
and in ways that serve the public’s interests. The selection of functions
on which this report focuses is not meant to suggest that other functions are unimportant, but it represents an effort to address those that
are essential to moving Haiti toward greater stability, economic growth,
and improvements in social well-being in the next three to five years.
We have addressed public administration because effective
bureaucratic institutions with well-qualified personnel, sound procedures, and adequate infrastructure are the backbone of the state. Many
of those in Port-au-Prince with whom we consulted in preparing this
report commented on the lack of systems in Haiti (for example, while
there are education providers, there is no education system of which to
speak). Developing a sound public administration is crucial to instituting a more systematic approach to governance.
Justice and policing are core functions of the state because they
are essential to promoting stability—a prerequisite for improvements
in many other areas. Growth-oriented economic policies and infrastructure development and management are among the chief concerns
of the state because they are vital to lifting the Haitian people out
of poverty. Ensuring the provision of accessible and reasonably highquality education and health care are core functions as well because
these services are essential to the population’s well-being. In addition,
improved availability of these services would help keep more of the
middle class in Haiti, thus raising the skill level of the workforce.
Priorities
After winnowing the state’s functions to the most-essential ones, development of a state-building strategy requires establishing priorities. The
plans and proposals appraised in this report are, in general, too broad
in scope and too ambitious in their objectives and fail to set priori-
Conclusion
159
ties or lay out a sequence for introducing changes. Many do not set
timelines based on considered estimates of the time needed to introduce and implement the various steps in the proposed programs. In
most instances, benchmarks based on targeted outcomes are lacking.
At times, plans fail to identify who is responsible for implementing
actions. The more-elaborately detailed plans—such as the framework
program2 —provide a good foundation for further, more-strategic planning, however.
Plans that do not set priorities and detail sequencing and responsibilities are unlikely to have much effect on government policymaking
and donor funding decisions. If priorities are not set, the government’s
ability to carry out any plans is compromised. And broad plans with an
abundance of objectives enable donors to justify whatever projects they
wish to fund, leading to incoherent donor interventions.
In the aftermath of the January 12 earthquake, setting priorities
has become even more important. No government could successfully
manage simultaneously and within a few years to thoroughly remake
itself, pursue radical decentralization, prepare and adopt major legislation in many areas, spur economic growth, guarantee access to justice
where there has been none, amend a constitution, organize housing
solutions for hundreds of thousands of people, and refashion the provision of basic services—yet, all of these objectives and many others have
been embraced in the notion of “building back better.”
Determining state-building priorities calls for considering what
is necessary, feasible, and sustainable by the Haitian government over
the long term. The latter is important in light of the many examples
of projects that ended as soon as donor funding ended, or—like some
donor-funded infrastructure—deteriorated because no provision was
made for maintenance when the project was built.
In Chapter One, we argue that priorities must be fiscally sustainable; commensurate with the administrative capacity of the Haitian
government; realistic in their prospects for implementation; geared
toward enhancing the effectiveness of the Haitian state; and coherent.
Using these criteria and drawing on the analysis in the preceding chap2
Republic of Haiti (2007).
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Building a More Resilient Haitian State
ters, we have selected a set of changes that we believe are of the highest
priority and, collectively, are realistic and manageable. These changes
stand out as meriting the greatest degree of political and policy attention by the government of Haiti and donors, as well as full funding.
First, providing public security must remain at the forefront.
Civil unrest could quickly stall and even reverse state-building and
reconstruction activities. Given Haiti’s history of episodic violence and
extraconstitutional changes of government, there is no room for complacency on this front. Until Haiti’s own security forces are capable of
handling any likely outbreak of violence, UN peacekeepers will continue to be needed. The government of Haiti and the United Nations
should agree to keep an international military and police force in Haiti
for at least the next five years and to diminish it only gradually thereafter. Second, for police reform to fully take hold, the judiciary and corrections system will have to be substantially improved. In particular,
the procedural and communication links among police, prosecutors,
judges, and prisons urgently need strengthening. The Haitian government also should create a special pretrial detainee review mechanism
to resolve the huge number of cases of illegally prolonged detention.
Donors and the Haitian government should prioritize judicial reform
even over continued efforts to build up the police.
The Haitian government, with donor support, should also focus
on establishing a property-dispute resolution mechanism, which would
address an urgent set of issues and would directly benefit many Haitians. Putting in place an accelerated procedure for determining asset
ownership is essential to reducing obstacles to reconstruction and economic activity. In conjunction with this, work that is under way to
address serious gaps in birth, death, and identity registration should be
completed expeditiously.
Third, because improvements in public administration are vital to
fortifying the state against future crises, funding and technical assistance for reform measures in this area are of utmost importance even
amid a proliferation of other needs and priorities. Funding for publicadministration reform should not be diverted to the understandably
desirable and expensive construction of buildings to house the government. A particularly crucial priority is civil service reform, which
Conclusion
161
would include creating job descriptions, standards and procedures for
hiring and firing, a merit promotion system, salary grades, and performance incentives.
Fourth, the Haitian government, together with the donor community, should accelerate removal of rubble on a nondiscriminatory
basis. This is the single most important step toward reconstruction
that the Haitian government and donors can take. The vast quantities
of rubble in Port-au-Prince and other earthquake-affected areas forestall reconstruction and economic recovery. The continued presence of
rubble also undermines public confidence in the government, limiting
its scope for making difficult political choices.
Fifth, to accelerate economic growth, the Haitian government
should quickly eliminate unnecessary procedures involved in registering businesses and property and reduce the cost and length of time
needed to complete the remaining steps. To ensure that the electricpower and other utilities are available for businesses and households,
the Haitian government should move to full cost-recovery pricing for
electric power and decentralize and enforce collection of bills owed.
Sixth, the role of the state in delivery of education and health
services should be better focused—that is, both strengthened and
narrowed. The objective should be to create and implement a feasible
model of governance in these sectors. Specifically, the state should concentrate on establishing policies concerning where and how services are
provided, setting quality standards, creating rules that promote access,
and carrying out monitoring and enforcement actions. For the near
to medium term, government and donor efforts will be better spent
on developing these administrative and regulatory capabilities than on
expanding the currently very limited direct government provision of
services.
For the health sector, this means that consideration should be
given to shifting the operation of all health centers and hospitals to
NGOs and other private institutions. The government, with donor
technical and funding assistance, could establish a performance-based
contracting mechanism for the provision of health services throughout
the country. For education, priority should be given to developing the
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Building a More Resilient Haitian State
skills of MENFP staff to enable them to regulate accredited schools
and take action against those that do not meet reasonable standards.
Finally, throughout this report, we argue that donors need to
strive for much more coherence among their programs, coordination
of their interactions with the Haitian government, and collaboration
with the government. Toward those ends, the government and donors
should focus on making the IHRC an effective body. Major donors,
most notably the United States, should submit all project and program
concepts to the IHRC for coordination and be willing to adapt them in
accordance with Haitian government and other donors’ plans and preferences. If donors and the Haitian government do not use the IHRC to
make decisions, the commission may become no more than an information exchange, and, if the largest donor, the United States, does not
submit itself to this discipline, no one else will either.
Political Prerequisites
While this report has focused on practical steps that can be taken to
strengthen Haitian state institutions, it should not be read as implying that state-building is a purely technical process. State-building
is intimately connected with politics. Without executive decisiveness
and legislative action, state-building cannot proceed. Thus, a considerable burden rests on the shoulders of Haiti’s political leaders, who will
need to rise to the challenge of overcoming a history of fractiousness,
patronage, and indecision.
Donors have a role to play as well in promoting political consensus and encouraging adherence to strategic plans. In this regard, the
United States, as the largest bilateral contributor, should better organize itself to engage politically with the government of Haiti through
appointment of a full-time special coordinator or envoy with the
rank necessary to consult with President Préval, UN Special Envoy
and IHRC co-chair Clinton, and others on the international scene.
Similarly, a handful of major bilateral and multilateral donors should
organize themselves for more-coordinated political engagement with
Haitian leaders through the creation of a “friends” or “contact” group
Conclusion
163
for Haiti. Such a structure, working behind the scenes, could help to
ensure the success of the IHRC.
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