Les enfants d'Haïti: étapes franchies et perspectives à six mois

Embargoed Not for Circulation Until 12 July 2010 CHILDREN OF HAITI Milestones and looking forward at six months  Contents Foreword 2 Overview and Facts at a Glance 4 Sector Responses Water, Sanitation and Hygiene 7 Child Protection 10 Education 14 Nutrition 18 Primary Health Care 21 Joining our Efforts for 25 the Future of Haiti’s Children Funding Analysis 28 Operations 30 UNICEF Partners and 32 Counterparts Cover photo: ©UNICEF/Roger LeMoyne/2010. UNICEF Haiti - Milestones at Six Months 1 Foreword ©UNICEF/Roger LeMoyne/2010. Milestones Words fail to describe the scale of the devastation caused by the earthquake that struck Haiti six months ago. The earthquake provoked a unique emergency, striking its most densely populated centre, claiming more than and Looking 220,000 lives and forcing 1.6 million into displacement. It flattened the seats of power, and it also was the single deadliest disaster for the United Nations, Forward at who lost over 100 staff. More expressive than the facts and figures of damages and losses incurred Six Months however, is the potent imagery of children who still talk superstitiously of le grand serpent—the great snake—that slithered angrily underground, bumping up against their homes and schools, reducing them to dust and rubble. Even now streets remain littered with the debris of destroyed buildings, making it difficult for children to find a visual escape from their memories of disaster. UNICEF was blessed none of its staff were among the victims, but all were directly affected, as many lost close family members or someone they knew or loved. We owe them a tremendous debt of gratitude and I am humbled by their exemplary dedication to the cause of children in Haiti, as they spared no effort to get relief organised from the very first days—when often they were themselves sleeping in the streets, in tents, in cars and among the displaced. We are also in debt for the unparalleled show of support UNICEF received from its partners, donors and supporters. Millions of people responded and sent contributions to help us help the children and women of Haiti. This global wave of solidarity also testifies to the strong confidence UNICEF inspires through its mission for children and its readiness to deliver in the face of daunting challenges. It also underlines the obligation we have to direct these resources towards those children that need it the most. With this responsibility in mind, UNICEF’s response continues to be distinctly global and unified in nature. Headquarters, regional offices and country offices around the world have contributed staff, expertise and resources – and together, we are taking stock of our efforts to meet immediate needs of children, and ensure the seeds of recovery are planted in fertile soil. 2 UNICEF Haiti - Milestones at Six Months Some of the milestones at six months are truly remarkable. So far no increase in malnutrition has been recorded and we have also not seen any major disease outbreaks despite huge challenges in health and sanitation. A lot of these results were possible thanks to the strong sense of common purpose and partnership uniting the Government of Haiti, the United Nations, the international community and the people of Haiti themselves, as first responders. At the same time, the earthquake exposed the divides within society and the deep-seated vulnerabilities of those who for so long had been invisible and were on the brink of being forgotten. Indeed, le grand serpent not only cracked the window, it shattered the walls that separated society, bringing darker issues and vulnerabilities to light. Beyond the bond of shared experience therefore, the earthquake led Haitians to confront deeper issues and inspired a common aspiration for change. What has emerged is a strong sense of momentum that we need to carry forward. One example is the nationwide movement for learning, which is reflected in the Government’s plan for recovery. Also, while the earthquake certainly exacerbated challenges in child protection, it shed a new light on the plight of children, rallying people to renew efforts to remove them from harm’s way and give them a chance to grow up in dignity and with hope for the future. With this new momentum there is ground to be optimistic, but our optimism must be guarded, as for many the situation remains more than precarious. Children still need our undivided attention and efforts must continue with the same sense of urgency. Too many children and women are still living in unacceptable conditions, with too little water and no access to proper sanitation. Too many infants and children under-five remain exposed to vaccine-preventable diseases. Too many children are out of school and vulnerable to physical and sexual violence, exploitation and child trafficking. Too many youth and adolescents are seeing opportunities and livelihoods pass them by. One thing is certain however, not only are Haitians resilient, they are also proud and hopeful. Surrounded by rubble, people are standing up—women, mothers, fathers, children—and UNICEF’s role will be to help Haitians stand up together, to turn their hopes into reality, and to ensure that children grow up with access to the full range of services they need to survive and thrive, reaching their full potential to contribute meaningfully to the development of their nation. As we stood among the victims of the earthquake on 12 January, we stand alongside the Haitian people today, with renewed commitment to realising their dream of a Haiti fit for Children. Françoise Gruloos-Ackermans Representative UNICEF Haiti UNICEF Haiti - Milestones at Six Months 3  Overview Six months on, the dramatic destruction However, living conditions remain extremely caused by the 12 January 2010 earthquake in precarious and challenges remain daunting. Haiti is still synonymous with unbelievable Sanitation is a major concern, with only one stress for over three million people1, including latrine for 145 people in spontaneous sites 1.6 million living in 1,342 spontaneous and potentially dire consequences for the settlements, of which 800,000 are estimated spread of disease. Access to education is to be children. Over 220,000 people lost their another concern as schools in affected areas lives, 300,000 were injured and 4,000 lost a have registered sharp drops in enrolment. limb after being caught in the rubble of what Finally, the earthquake propelled a pre-existing had once been a home, a school, a place for and protracted protection crisis into a child work, or a spot for the community to gather protection emergency never before seen. together. The six-month mark also coincides with the Overall, the number of the displaced nearly start of the hurricane season. Preparedness matches the total population of Manhattan has been among the priorities and UNICEF has and people have been displaced in pre-positioned emergency supplies in high risk neighbourhoods that are as densely populated areas to prevent a second disaster. Part of the as Calcutta. In a country where nearly 46 per effort is also to help people exposed to floods cent of the population is under eighteen, the and landslides to move to safer ground—but earthquake also triggered an unprecedented it has proven extremely difficult to find land emergency for children. The number of and relocation will be a lengthy and complex children who died in the earthquake will process. A further cross-cutting priority is probably never be known and today some decentralising UNICEF’s presence. Today remain affected while many more are at risk. we are present in Léogane and Jacmel, and roving response teams are being deployed in Since day one, UNICEF mobilised its resources Gonaïve, Jérémie, Les Cayes and Hinche. to deliver on its Core Commitments for Children, speed up provision of life-saving While emergency operations will likely assistance and support the government in continue for the next eighteen months, coordinating the response and initiating early UNICEF is simultaneously supporting the recovery efforts. Today UNICEF is providing Government’s Action Plan for National safe water to 333,000 people, 62,800 children Recovery and Development for the next three are benefiting from recreational activities and years, after having played an active role in psychosocial support, and more than 185,000 the Post-Disaster Needs Assessment (PDNA). children have received educational materials. The Government’s capacity, which was weak before the quake, has been dealt a crippling While this report focuses on UNICEF’s efforts, blow—an estimated 18,000 civil servants were partnerships under the Cluster Approach among the victims—and capacity development have also been instrumental to further build efforts will ensure a smooth transition from on these results, and UNICEF has worked in early recovery to development. close collaboration with the Government of Haiti, with our sister UN agencies, and with As we cross the six-months mark, immediate numerous international and national NGOs support for earthquake affected people and civil society partners that have all worked remains the priority. Reaching the hardest to tirelessly to provide support in bringing reach, the poorest of the poor, and the most services to children— by helping set-up vulnerable both in earthquake affected areas schools, latrines, water-points and helping and in every district is the medium-term goal. protect children and keep them healthy. UNICEF plans to deliver on its commitments and ensure children everywhere in Haiti can Despite the persistence of large scale realise their rights to survival, education and internal displacement, there has not been a protection, remain shielded against economic, deterioration of the humanitarian situation, environmental and social shocks, and grow up with no epidemics or disease outbreaks and with dignity and hope in the future. no increase in malnutrition. There has also not Numbers based on revised estimates from the 1 been a high influx of population movements Government of Haiti and from the Displacement Tracking across the border to the Dominican Republic. Matrix, information as of 9 June. 4 UNICEF Haiti - Milestones at Six Months Facts at a Social, Political and Security Environment Glance ‹‹ The political situation remains fragile. Presidential elections have been scheduled for November but there is potential for delay, which may cause civil unrest. ‹‹ The security situation remains calm. There is however a reported increase in crime, including gender based violence in some camps. ‹‹ Although communities are resilient, increased levels of unemployment, loss of property and savings and rising costs of living have put the population and the economy under added stress. Humanitarian Situation ‹‹ Three million people affected. ‹‹ 1.6 million people living in 1,342 spontaneous sites, of which 800,000 are estimated to be children. ‹‹ 661,000 displaced outside of Port-au-Prince, of which 330,000 are estimated to be children. Huge Needs for Children ‹‹ 500,000 children have been deemed extremely vulnerable and require child protection assistance. ‹‹ 90 per cent of schools in earthquake-affected areas were affected, representing 23 per cent of all schools in the country, while over 1,500 education personnel died in the earthquake. ‹‹ Only one latrine for 145 people on average in spontaneous sites. UNICEF Milestones at Six Months ‹‹ 333,000 people reached daily with safe water. ‹‹ More than 275,000 children immunised against major vaccine- preventable diseases. ‹‹ 126 outpatient therapeutic feeding programmes and 28 stabilisation provide life-saving care to malnourished children. ‹‹ 185,000 children reached with basic education materials and 1,297 school tents for 155,000 learners. ‹‹ 62,800 children benefiting from 225 UNICEF-supported Child-Friendly Spaces. ‹‹ UNICEF continues to coordinate the Clusters in Nutrition, Education (co-lead with Save the Children Alliance), Water Sanitation and Hygiene, and the Child Protection Sub-Cluster, co-leading with the United Nations Population Fund (UNFPA) in the Gender-Based Violence Working Group and with the International Organization for Migration in the Mental Health and Psychosocial Support Group. Foreshadowing Risks to Come ©UNICEF/Marta Ramoneda/2010. ‹‹ Spontaneous settlements may become new urban slums if the situation is left to linger. ‹‹ The current hurricane season is predicted to be severe. In 2008 hurricanes and tropical storms affected more than 800,000 people. ‹‹ 101,000 persons in 84 assessed sites in Port-au-Prince are estimated to be vulnerable to rain related hazards such as floods and landslides. To date, only 7,000 have been moved to safer ground.1 1 OCHA Humanitarian Bulletin, Issue #5, 19 June 2010. UNICEF Haiti - Milestones at Six Months 5  Some key lessons at six months Partnerships UNICEF strives to continually innovate, integrate learning and Six months on UNICEF continues to adapt its response to changing contexts. By its very nature work on a daily basis to bring together the earthquake in Haiti has also presented us with a unique Ministries, UN agencies, national and emergency, with new and unique challenges as disaster struck at international NGOs and civil society to the centre of a country’s capital, collapsed an entire administrative ensure children’s and women’s needs system and hit all segments of the population as well as the entire can be met. country. This has required sensitivity to cultural practices and an In line with its Inter-Agency Standing adapted strategy for delivery in a dense urban setting, with at Committee Cluster coordination the same time careful attention on the push and pull factors of responsibilities, UNICEF in Haiti is displacement and movement of displaced persons between the coordinating partners in the Education city and the countryside. Cluster (co-lead with Save the Children Alliance), in the Nutrition Cluster, and On the ground, challenges in the provision of safe water in the Water, Sanitation and Hygiene underlined the importance of early attention to longer-term (WASH) Cluster. UNICEF is also leading recovery, especially around the resettlement strategy for the the Child Protection Sub-Cluster, displaced—finding sustainable alternatives to water trucking, co-leading the Gender-Based Violence such as drilling boreholes, indeed requires confirmation of the Working Group with the United location of new settlements. Drilling in current locations could Nations Population Fund (UNFPA), inadvertently stabilise communities in areas unsuitable for long- and co-chairing the Mental Health term habitation and presents a risk of locking in populations in a and Psychosocial Support Group with unsafe, unsanitary or simply unsustainable situation. the International Organization for Migration (IOM). UNICEF also supports Striking a balance between life-saving humanitarian assistance and activities in the Health Cluster, led the need for urgent and sometimes basic capacity development of by the World Health Organization, technical counterparts remains a challenge. Despite pre-existing and is supporting efforts in other key weak capacity, it was important to ensure the Government of Haiti Clusters including Early Recovery, led by the United Nations Development had the basic means to serve its people and lead coordination Programme. of the overall humanitarian response has therefore been priority. Securing the necessary technical, financial and supply inputs— UNICEF meanwhile works closely sometimes just providing prefab offices for Ministries, as UNICEF with the United Nations Stabilization did for its counterparts in Education— has been a priority to plug Mission in Haiti (MINUSTAH) and plays critical gaps and build the Government’s capacity for leadership an active role in the Humanitarian and coordination. Country Team. UNICEF is also working directly with over fifty-five international Working with the non-public sector has also been critical to and national NGO and civil society bringing interventions to scale. However, provision of free implementing partners. humanitarian services has, in some cases, disrupted delivery of routine services and endangered the solvency of pre-existing health facilities. To support local jobs and economic recovery UNICEF has maximised opportunities for local procurement. This emergency also highlighted the importance of maintaining readiness and ensuring that disaster protocols can be triggered immediately after a major disaster. Ensuring that emergency response teams maintain readiness for deployment within 24 hours and for a minimum of three months is essential to ensuring capacity and providing continuity. Stand-by partners have been critical in this regard, helping both in fulfilling our Core Commitments to Children and in the build-up of coordination capacity in UNICEF-coordinated Clusters. Staff welfare is also absolutely critical to an effective response. Taking immediate steps to ensure a functional office and adequate accommodation for staff should not be underestimated – nor ©UNICEF/Roger LeMoyne/2010. should the need for special kinds of support to individual staff members. In the case of Haiti, this challenge was considerable, since staff were directly and in some cases, severely affected, losing both loved ones and physical or financial assets. 6 UNICEF Haiti - Milestones at Six Months Water, Sanitation and Hygiene ©UNICEF/Marta Ramoneda/2010. When water is scarce and sanitation is disrupted, lacking or non-existent, children are at tremendous risk of life- threatening diseases, including diarrhoea, cholera, and respiratory infections. Sadly these risks were a day-to-day reality for 40 per cent of children in Haiti even before the quake. While no surge in disease has been reported so far, the threat remains acute due to overcrowded living conditions and hazards of the rainy season. Expanding access to safe water and sanitation is a matter of urgency for child survival and preservation of public health. Milestones at Six Months Pre-earthquake situation Post earthquake snapshot The Water, Sanitation and Hygiene ‹‹ More than four out of ten ‹‹ 437 spontaneous (WASH) Cluster supports the children—1.7 million—with no settlements lack adequate Government’s agency for water and access to proper sanitation. sanitation, exacerbating sanitation, the Direction Nationale de pre-existing risks to public ‹‹ One in five children—861,000— l’Eau Potable et de l’Assainissement health. with no access to safe water. (DINEPA) with implementation of the emergency response primarily ‹‹ Urban/rural divide: 71 per cent ‹‹ Displaced persons remain targeting 1.6 million displaced persons of urban residents and only 55 dependent on water trucking, in spontaneous settlements in affected per cent of rural residents had receiving only five litres of areas. As Cluster lead, UNICEF access to safe water. water per person per day. coordinates efforts and provides financial, technical and supply assistance to reduce public health risks and ensure child survival in the midst of the UNICEF and implementing partners have also accelerated latrine emergency. construction, installing over 9,000 latrines to date out of the total 11,000 installed by the WASH Cluster. These have helped Today, some 333,000 people are being improve sanitation for approximately 1.6 million people, meaning provided with at least five litres of one latrine for every 145 persons, with however stark variations safe water a day through UNICEF and between sites as some 61 per cent of camps—most of them partners’ water supply operation, which small—still lack adequate sanitation facilities. Overall, an additional represents 25 per cent of the overall 5,500 toilets are required to bring the ratio closer to 100:1, a delivery effort reaching 1.2 million Cluster-agreed standard given the dense urban environment. people. Ensuring a child gets at least UNICEF has pledged to directly support completion of 4,000 of this five litres per day means UNICEF and number over the next six months. partners are delivering an amount of water every day—1.66 million litres—that At the same time UNICEF has supported training on promotion would be the equivalent of running the of key hygiene practices, such as hand washing with soap, for faucet for twenty-two consecutive weeks. some 2,200 hygiene promoters and community mobilisers who UNICEF Haiti - Milestones at Six Months 7 will in turn disseminate these messages through EXPANdING THE RESPONSE neighbourhoods, sites and villages across affected areas. Some 213,240 persons have also benefited from 138,500 people Latrine coverage UNICEF’s distribution of personal hygiene kits—which One (based on ratio at time of provide for the basics including soap, sanitary towels, Month intervention) toothpaste and toothbrushes, detergent, and toilet 1,000 latrines Latrines installed (all partners) paper, among others. 500,000 people UNICEF and partners have also been equipping Three schools with handwashing points, latrines, water tanks Months and soaps—so children can put key messages on 5,350 latrines 1,600,000 people hygiene to practice. Some 20,500 children are currently SIX benefiting from UNICEF’s support in 18 schools, and Months plans are underway to reach 30 schools by August, 11,000 latrines and a total 600 others by the end of the year, with a Note: Numbers reflect results from all partners in the Cluster. simultaneous focus on child-friendly spaces. Latrine per person ratio evolved following expansion of interventions to more sites, and due to dynamic population Looking forward movements in the neighbourhood of sites. The goal through the remainder of the year is to increase the volume of water from five to at least 7.5 litres per day—and to ensure more equitable access Financial Summary between sites. Increasing options for safe sanitation is Available for programming also critical to restore dignity and prevent an upsurge $15.57 million in water-borne diseases. Reaching the cluster-wide target of 16,500 latrines will be important—but an Commitments even greater challenge is systematic “de-sludging” $10.20 million and maintenance of existing facilities. Leveraging private sector resources will be essential to reach scale and UNICEF will continue to support the operating costs for fifteen de-sludging trucks, while procuring two trucks for the Government’s own fleet. UNICEF’s commitment to increase access to proper Total sanitation and hygiene in schools throughout the $46.83 million country is another important step. Ensuring safe water, as well as gender-segregated and age-appropriate sanitation facilities in schools will also help support the nationwide movement for learning, along with partnerships with the World Food Programme (WFP) for school feeding. Given the multiplicity of actors, building capacity Expenditures of the Government to expand, coordinate and $21.06 million regulate the sector remains a cross-cutting priority at both central and decentralised levels. DINEPA is being supported with six embedded staff (two national, four international) Indicator UNICEF and partners Cluster working to coordinate the Earthquake affected people WASH Cluster and enhance with access to emergency information management. 333,000 1.2 million safe water supply (5 litres per This technical assistance, as person per day) well as financial and supply assistance, will continue to Latrines installed for people 9,000 11,000 expand for humanitarian living in spontaneous sites and recovery needs. Hygiene kits distributed 42,449 adult kits 87,300 adult kits Children with access to WASH 20,500 children (UNICEF programme) facilities in schools 8 UNICEF Haiti - Milestones at Six Months Challenges Safe Water, safe practices Meeting water and sanitation needs of this Learning life saving hygiene scale in overcrowded urban environments and skills affected rural areas is truly a unique challenge requiring a flexible approach. Low output Alcema Wilben, 14 years old lives in Pactes Camp, and coverage of existing urban water supply in Port au Prince. “We lost everything, that’s why networks means that repair and urban planning we are living in this crowded camp.” for extension will be a priority for years to come. Many sites are also just not suitable for Today Pactes Camp is home to 1,238 people. Since borehole drilling, making water trucking the the 12 January earthquake, the population has only viable option for now. Land tenure issues become more susceptible to illness from diseases also complicate the process of digging wells related to inadequate sanitation, limited water and pit latrines, as clearance must be secured supply and poor hygiene. Diarrhoeal disease and with owners. infections transmitted by the faeco-oral route are the most common illnesses. Land rights issues also underline the fact that sustainable options are almost entirely “Before living in the camp I did not know that it dependent on the implementation of a sound was important to wash my hands after using the resettlement strategy, currently being confirmed toilet. One day I saw a woman holding up posters by the Government and humanitarian partners. with pictures explaining that it was important to Without a durable solution for displaced be clean and wash your hands all the time. When communities, humanitarian actors risk the meeting was over, I went to ask the lady what facilitating the entrenchment of new urban the posters were about. She explained that it was slums. important to be clean otherwise I could get sick. Now I always wash my hands after using the toilet Reaching scale, sustaining progress—and and before eating. I wash my body twice, once in addressing pre-existing disparities in coverage the morning when I wake up and before bed. My for non-earthquake affected communities can mother couldn’t understand until I explained it to only be achieved with strong government her, and you know what, now she does the same capacity. Striking the right balance between thing as me.” urgent service delivery and the technical and financial assistance required to build the UNICEF has been improving the health of school- capacity of DINEPA (especially at decentralised aged children by highlighting hygiene promotion, levels) remains a challenge. life skills development, water, sanitation and handwashing facilities for the affected displaced population. Alcema and his peers attend a session on safe hygiene practices in Pactes Camp. “Washing your hands is a simple thing that can go a long way”, Alcema says. ©UNICEF/Marta Ramoneda/2010. UNICEF Haiti - Milestones at Six Months 9 Child Protection ©UNICEF/Marta Ramoneda/2010. On the eve of 12 January children in Haiti were already facing tremendous threats of violence, sexual abuse, trafficking, exploitation and abandonment. Now risks have increased manifold as the earthquake exacerbated a pre- existing crisis by collapsing an already inadequate and weak system that was failing to protect those most vulnerable. Children in Haiti are now caught in the midst of a child protection emergency of unprecedented magnitude. UNICEF and partners were active in Child Protection before the quake—and are now responding with urgency. Milestones at Six Months Pre-earthquake situation Post earthquake snapshot The needs of some 500,000 ‹‹ 1.2 million children vulnerable‹‹ 1.5 million children vulnerable earthquake-affected to violence and abuse. affected by the earthquake, children are being addressed, with including some 500,000 the immediate objective of restoring ‹‹ 225,000 “restaveks”1 and 2,000 extremely vulnerable a protective and safe environment for children trafficked externally children. children. To this end, partners in the through the Dominican UNICEF-coordinated Child Protection Republic every year2. ‹‹ Heightened risks of Sub-Cluster have worked closely with violence, sexual abuse, ‹‹ 50,000 children in some 600 government authorities to steadily exploitation and child residential care centres. expand the identification, registration trafficking. and family tracing process for separated children. UNICEF is also hosting and providing At the same time, special vigilance is required to ensure that technical support to a call centre children being moved across international borders are not being operated by Save the Children that trafficked or exposed to other risks. UNICEF thus encouraged continues to take calls from frontline and supported national authorities to increase vigilance along workers reporting cases of separated the borders and at the airport. To date more than 6,000 cases of children. Cluster partners have more children being moved have been assessed. When assessments than doubled the number of children confirmed illegal movement, children were reunited with their registered—from 767 in April to 2,047, families or supported through appropriate and safe alternative of which 337 have been reunited care solutions. with their families, while others have Essential to this effort were a series of trainings reaching over been supported to find appropriate 100 staff from the Brigade de Protection des Mineurs (BPM), the family-based care options, following a Institut du Bien Etre Social et de Recherches (IBESR), and the careful assessment. 1 “Restavek” in Creole means “staying with” and is a term used for children sent to live with other families. The move often lands children in a situation of unpaid domestic service where they are deprived of their most basic rights. 2 The number of children internally trafficked has not been well documented. 10 UNICEF Haiti - Milestones at Six Months Ministère des Affaires Sociales et du Travail (MAST) EXPANDING THE RESPONSE which focused on prevention of child trafficking and other forms of violence, including practical training 7,425 children on case management. The sessions also concentrated One on gender-based violence (GBV), which is a concern Month in camps—especially at night—and UNICEF worked 33 Spaces Children in CFS with partners to develop and disseminate practical 17,750 children information for frontline workers to ensure survivors Three Number of CFS can get the right services at the right time. Some sixty Months 78 Spaces local partners were trained on prevention of gender- 75,000 children based violence in Port-au-Prince, and efforts have SIX been extended in six of the country’s ten departments, Months including border areas where trafficking and sexual 325 Spaces exploitation are particularly problematic. There have Note: Numbers reflect results from all partners in the Cluster. also been large-scale efforts to raise awareness on the situation of children and women, with special radio messages highlighting risks and appropriate responses broadcast in Creole reaching some three million people. Another element of the effort is the expansion of the Financial Summary network of child-friendly spaces designed to offer children and adolescents a safe space to participate in recreational activities and where they can receive Expenditures more targeted psychosocial support. More than $7.98 million 62,800 children and youth, of which 37 per cent are Committed girls, are benefiting from 225 child-friendly spaces $5.69 million supported by UNICEF in and outside of Port-au-Prince. UNICEF is also empowering youths through life skills Available for programming activities and efforts to promote HIV/AIDS prevention. $14.01 million Looking forward Ensuring separated children are registered, linked with family tracing services, and reunited with their families when possible is a shared objective Total for UNICEF, the Government of Haiti and all $27.68 million stakeholders in Child Protection. The goal remains to strengthen government and community-level child protection mechanisms so that children are better protected against violence, abuse and exploitation, especially in displaced camps. Linking families who have taken in children from close relatives to livelihood opportunities is another priority as coping mechanisms are wearing thin. The rally of attention on children in Haiti is also a Indicator UNICEF and partners Cluster chance to address larger Separated and/or unaccompanied 2047 systemic issues affecting children registered (UNICEF and partners) children in Haiti, and an Children reunited with their 337 opportunity to develop and families (UNICEF and partners) articulate a comprehensive child protection strategy for Children benefiting from Child- 62,800 children 89,375 the longer term. Friendly Spaces in 220 spaces in 325 spaces Training on prevention of gender- Development and Over 100 police based violence and referral dissemination of training and IBESR staff mechanisms material on referrals trained 1 Based on an average 275 children per Child-Friendly Space UNICEF Haiti - Milestones at Six Months 11  Challenges Protective Environments Families are currently facing tremendous A place for children and families hardships and there is a risk of secondary separation from parents and caregivers, Child-friendly spaces offer safe and protective especially for children living in poor and environments for children in the aftermath of the 12 displaced households if the social and economic January earthquake. UNICEF and one of its partners, situation is left to linger. Separation can the Haiti Out-of-School Youth Livelihood Initiative heighten the risk of exposure to abuse and (IDEJEN), have created several havens for children in exploitation that can irrevocably impact their the Haitian capital. physical, social and cognitive development. The wellbeing of a generation of children, therefore, Yglesias, 5, and his mother Yolette moved to a camp is at stake. for displaced people in Place St. Pierre on the evening of 12 January, after they lost their home in the As humanitarian operations continue to earthquake. Yolette is a single mother who had small unfold, reaching scale is the main challenge business selling rice in her old neighbourhood, but and the absolute priority for the months to now she has no resources to raise her child. come. Increasing coverage where children are most vulnerable is an imperative, with more “I cannot afford to buy him a uniform or the school child-friendly spaces to ensure prevention and supplies that he needs to attend a regular school,” protection at the community level. Sustained she says. “It was by chance that I met one of the efforts are needed to expand registration and counselors from IDEJEN while he was encouraging care for separated children and children already parents in the camp to send their children to the child- without parental care prior to the earthquake. friendly space, about 200 meters away.” Another systems-level challenge is that only At the centre, Yglesias and the other children receive 30 per cent of children in Haiti are registered at safe drinking water and one meal a day. “My son birth. Lack of a birth certificate is almost always is provided with a decent meal. He is taken care of synonymous with barriers for children to have by trained counsellors who help him deal with his their basic rights recognised. Extending birth recurrent nightmares about the quake. I just like to registration for all children, including in hard see him happy and somewhat normal when he is to reach rural areas, is therefore a priority to around the other children.” overcome an age-old challenge that has affected generations of children in Haiti. “Yglesias is safe and I feel safe for him”, Yolette says as they both pause outside the Child-Friendly Space IDEJEN is running with UNICEF’s support. ©UNICEF/Marta Ramoneda/2010. 12 UNICEF Haiti - Milestones at Six Months  Before the Earthquake Focus On Pre-earthquake estimates indicate that 50,000 children were in residential care, Children some of them with a parent, some with both their parents, and some with no parents. Children were in fact being placed in these institutions for complex without socio-economic reasons. UNICEF was working with the Government of Haiti and other partners to improve standards in these centres and ensure that Parental Care alternative care options were carefully considered in the best interest of the child. The most desirable option is having children reunited with their parents, and we need to support families so they can keep and care for their children. When this is not possible, other family-based solutions within the child’s environment (such as staying with other family members or families known by the child) can be considered in the form of legal guardianship or national adoption. When alternative care is not possible, a safe inter-country adoption process may then be the option. Haiti however is not yet a party to The Hague Convention on the Protection of Children and Co-Operation in Respect of Inter-Country Adoption (Hague Adoption Convention), which seeks to protect children against the risks of illegal, irregular, premature or ill-prepared adoptions abroad. Proper safeguards are therefore not always in place. After the Earthquake The earthquake shed a new light on these challenges, and exacerbated them manifold. At the same time weak infrastructure was further weakened as witnessed by the suffering of children in residential care. Under-regulated options for alternate care and permanent care were severely challenged, while under-resourced child protection actors were confronted with tremendous needs. Seeing the scale of the disaster, people the world over expressed their desire to adopt a Haitian child. When screening for international adoption had been completed before the quake, the benefits to speeding up these children’s travel were clear and the process was fast-tracked. When there was doubt on due process, caution was an imperative and corrective actions were taken to return children to their families, to families known by the child or to residential care centres depending on each case. Still unknown numbers of children have lost one or both parents. Many of them have been taken in by extended family, or by families known by the child. Others are in regulated residential care while tracing and reunification continues. An inter-agency effort supporting the Government helped register and reunite children, while a national civil registration process is also being launched to provide documentation for all children with support from the Organization of American States (OAS). Registration will scale-up in spontaneous settlements to identify children taken in by other family members or families know by the child, in order to formalise their civil status and address risks of secondary separation. Registration will also include all children in residential care centres, with teams that will focus on minimum standards of care and follow up on particular individual cases. UNICEF is also reinforcing its partnership with the Ministry of Social Affairs and the Haitian National Police to build their child protection capacity, improve ©UNICEF/Roger LeMoyne/2010. standards and procedures, improve conditions in residential care centres and ensure that all alternative care options follow the best interest of the child. Recently, the Government of Haiti also started a first step in an effort to upgrade its child protection and inter-country adoption procedures in order to become party to the Hague Convention. UNICEF will help in every step of this process. At all times, the best interest of the child must be the priority. UNICEF Haiti - Milestones at Six Months 13  Education ©UNICEF/Marta Ramoneda/2010. There remains an immense thirst for learning in Haiti, with a strong priority placed on children’s education— which Haitians say, at the six month mark, is second only to the imperative for them to recovering their livelihoods. However only fifty-five per cent of children went to school before 12 January and even less have returned to the classroom after the earthquake. Milestones at Six Months Pre-earthquake situation Post earthquake snapshot Since January, UNICEF and Save ‹‹ 55 per cent of school-aged ‹‹ Over 2.5 million children the Children, as Education Cluster children out of school. experienced an interruption lead agencies, have worked with in their schooling. ‹‹ 20 per cent of children the Ministry of Education and a in public schools, which ‹‹ 4,992 schools affected, of range of partners to support an accounted for only 8 per cent which 3,978 were damaged or estimated 80 per cent of the 4,9921 of all schools. destroyed. schools affected by the earthquake, with a combination of site clearance ‹‹ 22,000 schools throughout the ‹‹ 55,793 education personnel activities, set-up of temporary country. affected. learning spaces, distribution of basic materials and support to teachers. Some 80 per cent of schools in To date, out of the 3,978 schools damaged or destroyed, some Port-au-Prince and all schools forty per cent have been cleared by communities, while at least in Petit and Grand Goave and 200 have been cleared by Education Cluster partners, including Jacmel have reopened, most of MINUSTAH forces, with the effort focused on large public schools. them in temporary structures. The Many schools have also registered an alarming drop in enrolment single greatest impediment to the in a context where only four in ten children went to school before reconstruction of schools is rubble the earthquake. In Léogane, one of the hardest hit areas, less clearance. The Shelter Cluster than 50 per cent of children have returned to school compared to estimates that total quantity of pre-quake levels. Teachers are also absent as many of them are rubble is 20 million cubic metres— among the displaced and lack the means to continue their work. the equivalent of eight Great Pyramids—which at the current Due to the breakdown of the Ministry’s information management rate of removal might take up to six systems, overall estimates of the number of children and teachers years to clear. back in school remains unavailable. A comprehensive assessment 1 An affected school is either damaged, destroyed or experienced a serious impediment to reopening (such as the death of key education personnel). 14 UNICEF Haiti - Milestones at Six Months in affected areas is underway with UNICEF supporting EXPANDING THE RESPONSE training of inspectors and coordination efforts. A more 1,644 accurate picture of enrollment should be confirmed within the next weeks. 1,400 Since schools across the country shut down after the quake and only started to reopen in April, UNICEF has also helped the Ministry of Education devise an adapted curriculum for a condensed second semester 150 so that children do not have to repeat their studies. One Three SIX UNICEF and partners are training teachers on this Months Month Months curriculum and have added a module to increase SCHOOL TENTS DISTRIBUTED teacher’s skills in psychosocial support for children. Some 2,300 teachers and 3,000 education personnel Note: Numbers reflect results from all partners in the Cluster. have been trained so far and 30,000 more are planned over the rest of the year. SITE Clearance in SCHOOLS Critical in the effort to re-open schools has been 3,978 schools damaged/destroyed UNICEF’s distribution of some 1,297 school tents for 225 temporary learning spaces. The number of tents Approximately 1,600 schools cleared by communities distributed has increased ten-fold since the one-month 200 schools cleared through interagency efforts mark—and an additional 2,000 are in the pipeline— focused primarily on large public schools. but these still remain interim measures and are not adequate replacements to a durable primary school. Financial Summary With the longer-term in mind, UNICEF is supporting a team of construction engineers to work with Expenditures government counterparts to accelerate semi-permanent $13.79 million and permanent school construction. Committed $7.00 million One important component is to make sure schools are Available for programming equipped with proper water, sanitation and hygiene $35.98 million facilities for children. UNICEF WASH teams have improved facilities in 18 schools to date –and have confirmed an additional 29 schools for completion by August, with the plan to leverage partnerships to reach 600 priority schools over the next school year, including working with the World Food Programme on expanding Total school feeding. $56.77 million To encourage enrolment and attendance, some 185,616 school-aged children have been provided with basic educational materials (out of 500,000 learners supported by the Education Cluster)—while 45,520 pre-schoolers received learning and recreational materials through the distribution of Early Childhood Development kits. Looking forward Indicator UNICEF and partners Cluster The National Reconstruction and Children provided with 185,616 500,997 Development plan for Haiti places learning materials a strong emphasis on education Temporary learning spaces 225 1,664 school tents as the key to empowerment, set up (1,297 tents distributed) distributed poverty eradication and overall Children benefiting transformation of the country. from early childhood 45,520 53,000 Understanding the power of development opportunities education, UNICEF is committed Education personnel 2,300 teachers and 3,000 education personnel to supporting the Government, trained (all UNICEF-supported and focused on psychosocial support, life skills, disaster risk reduction and the adapted curriculum) UNICEF Haiti - Milestones at Six Months 15 civil society groups and communities across the country to achieve the fullest, most inclusive Challenges and most far-reaching nationwide movement for learning to date. One of UNICEF’s greatest Accelerating site clearance, identifying strengths in this respect is its ability to mobilise solutions for relocation of displaced families stakeholders around a common purpose. UNICEF occupying school grounds, and speeding up will continue to act as a catalytic convener, school construction to ensure space is available bringing partners at all levels (community-level; before the next school year are both challenges national and international) together to plan and and priorities. realise system reconstruction and expansion for Information management is another challenge, Haiti. For example UNICEF is providing technical as the Government’s records were lost in the assistance for the development of the education earthquake and systems for data collection have sector’s operational plan, leading strongly in the collapsed. Coordination and prioritisation of area of Early Childhood Development (ECD). interventions has been a difficult as a result, and It is clear that the only effective way to reach the education system will require development scale and sustain progress is to develop the of better information systems, which is why capacity of the Ministry of Education at all UNICEF is supporting the handover of the levels to coordinate, regulate and leverage the Education Cluster database to the Ministry of resources of both public and non-public actors Education. for expansion. UNICEF, UNESCO, the World Bank, the Inter-American Development Bank, USAID, These efforts are all dependent on the the European Commission, Canada and other confirmation of a long-term resettlement development partners harmonise their long- strategy for displaced persons however— term support and capacity development efforts since rebuilding in the current locations of through the Education Sector Working Group. In spontaneous settlements could inadvertently coordination with stakeholders in this forum, entrench communities in areas unsuitable UNICEF is also providing technical assistance to for long-term habitation and many of the the Ministry and will be embedding staff within neighbourhoods containing old schools are government structures in addition to current being re-zoned with the intention of improving financial and supply assistance aimed to restore the urban planning. Issues of space in the functionality of district offices and the central level capital - and land tenure in all areas, influence Ministry (UNICEF provided eight pre-fabricated decision-making. offices and a variety of supplies and equipment following the destruction of the Ministry building). UNICEF will also follow and seek to support the work of the newly created Presidential Commission on Education. UNICEF’s support to the Government and communities will expand over the coming year and will also address the need to alleviate the burden of school fees in a context where ninety per cent of schools are fee-based and non-public. This will also require consolidation and harmonisation of standards and curriculums, as well as effort to improve salaries and incentives for teachers and education personnel. ©UNICEF/Roger LeMoyne/2010. A large crowd of children sing the national anthem before the start of classes, during morning assembly at a host school in the city of Jacmel. 16 UNICEF Haiti - Milestones at Six Months  Children’s Voices for the Reconstruction Every child has the right to participate meaningfully in matters that impact their lives and the development of their communities and nation. More than just a right however – participation makes good sense. When children are appreciated as sources of energy, imagination and vision, young people flourish and so their communities. Recognising the power of youth to inspire and catalyse change, UNICEF and partners organised a week-long process of gathering the views and aspirations of children for the reconstruction and transformation of Haiti. Over 7,000 children contributed to the process. On the eve of the celebrations, the First Lady of Haiti, Madame Elisabeth Préval, came to hear from a group of 100 children on how their concerns, hopes and dreams could be included in the planning process. Sixteen year old Christanaille from Port-au-Prince best summarised the far-reaching aspirations for today’s children in Haiti, saying “I think we need to listen to children because as we say in Creole, “Timoun jodi a granmoun demen” [the children of today are the adults of tomorrow]. My dream is the complete change of Haiti…”    Overall, children asserted their right to be heard and emphasised the importance of education, health care and other social services in ©UNICEF/Roger LeMoyne/2010. the new Haiti. More than a simple statements however, children also planned follow-up activities for their clubs, schools, churches, families and communities – thereby acting as true agents of change. Some proposals also illustrated simple methods for improving security in camps, such as putting lights outside latrines so girls can feel safer at night, and several also provided suggestions on how to encourage children to go to school. SCHOOL CONSTRUCTION Building back better schools for a better future As the earthquake destroyed or damaged an estimated 3,978 schools, one of UNICEF’s priorities is to support the reconstruction. There are three different phases: Temporary schools: So far UNICEF supported the establishment of 225 temporary learning spaces. On average these schools consists of two large (72m2) and three smaller (42m2) tents for approximately 280 students, which have been placed nearby water and sanitation facilities adapted to children’s need. When these were unavailable UNICEF outfitted schools with WASH facilities, and some 18 schools have been supported so far, with more underway. Semi-permanent: The temporary schools will be transformed into disaster proof semi-permanent structures. These are built on concrete foundations, with steel tubes to strengthen the tent walls and steel roof. Two sample schools will be built by mid July and more will come ahead of the next school year. Permanent: The child-friendly, permanent disaster proof school buildings will be built on the existing concrete foundation under a partnership bringing together the Ministry of Education, UNICEF and partners. A consultation was held with approximately 30 children to receive inputs on what the kind of school they would like to have, and what their ideal school would look like. The design will also be accordingly to Haitian culture and tradition, and will be collected through the participation of Haitian architects contributing through a competition. UNICEF Haiti - Milestones at Six Months 17 Nutrition ©UNICEF/Marta Ramoneda/2010. Despite the stress of displacement, the nutrition situation for children remains relatively stable, with levels of global acute malnutrition below emergency thresholds. However the earthquake compounded an already critical situation where one in three children under five was chronically malnourished. Preventing any deterioration remains the priority, alongside efforts to tackle root causes of malnutrition and enhance treatment at the community level. Milestones at Six Months Pre-earthquake situation Post earthquake snapshot Immediately following the ‹‹ Global Acute Malnutrition at ‹‹ No increase in acute earthquake, UNICEF and the World 4.5 per cent, Severe Acute malnutrition rates reported Food Programme (WFP) worked Malnutrition at 0.8 per cent. so far, 65,000 children with international and national NGO estimated to be in need of partners to avert a deterioration ‹‹ Total food insecure population: nutritional assistance. of the situation for children by over 1.8 million people. conducting blanket feeding in ‹‹ A total of 52 per cent of ‹‹ Exclusive breastfeeding for households were found earthquake-affected areas in and infants under six months at outside of Port-au-Prince. At the six to be food insecure in only 41 per cent. earthquake-affected areas. month mark, more than 550,000 children under five and pregnant and lactating women have benefited from ready-to-eat supplementary foods severely malnourished children under five in affected areas have while over 186,000 children aged received treatment. Severely malnourished children with medical 9 months to 7 years also received complications are taken care of in 28 in-patient “stabilisation vitamin A supplementation through centres”, where they receive special therapeutic food and medical ongoing immunisation campaigns. care. Children with no medical complications are referred to one These efforts have contributed to a of the 126 out-patient therapeutic feeding programmes. In both stabilisation of the situation—but cases UNICEF supports partners with a combination of nutrition UNICEF and partners estimate supplies, equipment, financial and technical assistance. that approximately 65,000 acutely Some 23,000 mothers and babies are also being helped through malnourished children still require a network of 107 “baby-friendly tents” that provide counselling targeted nutritional assistance, on proper infant and young child feeding (IYCF), such as exclusive of which 15,000 are severely maternal breastfeeding in the first six months. UNICEF and key malnourished. To date, some 2,000 partners have meanwhile worked closely to identify specific cases 18 UNICEF Haiti - Milestones at Six Months of infants with no possibility of being breastfed in order to provide targeted and skilled support EXPanding the Response for those children. Some 3,000 babies for whom 107 breastfeeding is not possible have been receiving ready-to-use infant formula (RUIF) through the Baby-Friendly Tents baby-friendly tents, with guidance on proper use Established and practices. 23 Overall UNICEF also continues to support the 19 Nutrition Unit of the Ministry of Health as Cluster- One Three SIX lead agency and the Nutrition Cluster is targeting Month Months Months a total 1,326,920 children and women directly affected by the earthquake. Three Months 1,700 Looking forward SIX MOnths 23,000 To raise government, NGO and community-level MOTHER-BABY PAIRS SUPPORTED capacities to prevent and treat malnutrition. Some Note: Numbers reflect results from all partners in 200 health professionals and 300 community the Cluster. Focus in the first three months was on workers are being targeted for training on treatment of acute malnutrition. Baby friendly tents community management of acute malnutrition were then scaled up for prevention of malnutrition and infant and young child feeding this year. At after the immediate ninety day response. least 150 baby-friendly tents should be established in total, targeting some 35,500 mothers and babies. UNICEF is also exploring opportunities to Financial Summary promote Haitian-specific complementary foods Expenditures for children up to 24 months and will link efforts $8.75 million to the livelihoods and household food security Committed initiatives led by partners. $6.31 million Available for programming UNICEF will ensure that infants without parental $22.88 million care continue receiving appropriate support including replacement feeding—and will work in tandem with the Ministry of Health and the Government’s Child Protection agency to develop a baby-friendly protection strategy that will take into account these children’s specific nutritional Total needs. $37.94 million As 61 per cent of children under five and 50 per cent of pregnant women suffered from anaemia before the earthquake, UNICEF will also address micronutrient deficiencies through blanket micronutrient distribution. By the end of the year, vitamin A supplementation is scheduled to reach at least 253,000 children aged 9 months to 7 years, and will be combined with micronutrient Indicator UNICEF and partners Cluster supplementation for up to 356,250 children aged 6 to 59 Baby-friendly tents 82 107 months and 192,000 pregnant Non-breastfed infants under and lactating women. 12 months receiving feeding 3,000 (UNICEF and cluster partners) support Children under five and pregnant and lactating 550,000 (UNICEF and cluster partners) women reached through blanket feeding Children with severe acute malnutrition receiving 2,000 (UNICEF and cluster partners) treatment in affected areas UNICEF Haiti - Milestones at Six Months 19  Five-month old Sabrina and her aunt Beatrice in one of the Baby Friendly tents UNICEF supports in Port-au-Prince. ©UNICEF/Marta Ramoneda/2010. Sabrina gets a healthy start Baby tents friendly tents for healthy Challenges mothers babies Lack of trained staff, lack of facilities and lack of In the heat of the morning, babies sleep on harmonised and well-appropriated treatment mattresses under an open tent. Nutrition workers protocols remain significant constraints, sing: “We are Haitian women, we bring up healthy underlining the importance of capacity babies. We breastfeed them till they are two years development and systems-strengthening in the old. We do not give them any other food till they are nutrition sector as a whole. six months old.” It is important to realise that once a young The baby tent, run by the NGO Concern with child becomes undernourished the damage UNICEF support, assists about 300 mothers and cannot be undone. Unless high prevalence of babies on a rotating basis; ten of the babies have malnutrition is addressed children will continue lost their mothers and come with female relatives. to die unnecessarily or suffer diminished capacity as they grow up. Tackling malnutrition Sabrina Michel, a lively five-month-old baby, was is therefore a matter of survival and born shortly after the earthquake. Her mother development for Haiti’s children, and remains passed away two days later. She is now being one of UNICEF’s main priorities. The challenge brought up by her maternal aunt, Beatrice Terane, a therefore, is ensuring life-saving support, while single mother with a five-year-old son. at the same time, ensuring ownership and sustainability of programmes through capacity Beatrice is thankful that the baby tent provides development. readily mixed baby formula for Sabrina. Mauviette Raphael, who is responsible for nutrition in the camp, remembers that when she first met Sabrina and her aunt, “she was giving the baby solid food”. Beatrice lost her home in the earthquake. She cannot work because she wants to look after Sabrina. “I cannot think now that I could separate myself from her”, she says. 20 UNICEF Haiti - Milestones at Six Months Health ©UNICEF/Marta Ramoneda/2010. To date epidemic outbreaks have been averted, which is no small victory considering the challenges of sanitation in overcrowded settlements and the damage caused to an already weak health system. Still, risks to children remain acute and expansion of immunisation and preventive health care remains a priority. Humanitarian work today must be coupled with efforts to put the health system back on track for tomorrow. Milestones at Six Months Pre-earthquake situation Post earthquake snapshot As a key partner in the WHO- ‹‹ Highest Under-five Mortality ‹‹ 900,000 children coordinated Health Cluster Rate in the region at 78 deaths face elevated risk of UNICEF worked to overcome for 1,000 live births. disease associated with serious logistical challenges to displacement. ‹‹ Highest Maternal Mortality provide vaccines and cold chain ‹‹ 22 per cent of health Rate in the region at 670 materials in support of emergency infrastructure damaged deaths per 100,000 live births. immunisations. Sprawling camps or destroyed, 30 out of 49 with shifting populations made for a ‹‹ Only 58 per cent of infants hospitals in the three worst- complex operation but efforts have immunised against measles. affected regions need to be now accelerated and over 228,000 rebuilt. children in 727 camps have been immunised and have also received vitamin A supplementation and help treat malaria in 1,000 children, and UNICEF has started de-worming. In May the Vaccination efforts for the distribution of 400,000 long-lasting insecticide Week for the Americas reached a treated mosquito nets (LLINs) to 200,000 households for malaria further 47,600 children under five prevention. in the border areas and another campaign is being launched in July Working with implementing partners, UNICEF also focused on to increase coverage nationwide. emergency health needs for pregnant women, and distributed 24 emergency obstetric kits that help provide life-saving care for Health needs for some 1,770,000 mothers who run into complications during labour. Each kit has people are also being covered the necessary drugs and supplies to ensure fifty safe deliveries. through the distribution of 177 Other kits have been distributed to cover the needs for some emergency kits that contain essential 11,050 mothers who deliver without complications. Meanwhile, drugs to combat major killers of services for Prevention of Mother-to-Child Transmission of HIV/ children such as diarrhoea and AIDS (PMTCT) were quickly restored after the earthquake for all pneumonia. One single kit can also women previously receiving treatment. UNICEF Haiti - Milestones at Six Months 21  UNICEF also supported the reconstruction of the Expanding the Response National Nursing School in Port au Prince, which had been flattened by the earthquake with 80 nursing 275,905 graduates losing their lives in the collapse of the building. With the installation of five temporary learning spaces and the distribution of furniture and basic equipment the school has now reopened to a 104,000 new generation of nursing students. Looking forward 19,200 One Three SIX The earthquake literally flattened the Ministry Month Months Months of Health, decimated an already weak health infrastructure, and heavily burdened health Children 7 months professionals in a country were there were only four - 9 Years Immunised doctors for 10,000 people. Efforts to reconstruct, expand and decentralise services will therefore be Note: Numbers reflect results from all partners needed for years to come. in the Cluster. Expanding the health sector will require building the capacity of the Ministry of Health to plan, coordinate and regulate both public and non-public actors Financial Summary and extend coverage in hard to reach areas. Some of the key targets include re-establishing routine immunisation activities in partnership with the World Health Organization, and securing a proper cold- Expenditures chain throughout the country. $2.86 million Committed Another priority is improving maternal health. Up $2.92 million to 80 per cent of women in Haiti deliver at home Available for programming and without proper care, risking life-threatening $10.81 million complications. Partnerships with the Ministry of Health and the United Nations Population Fund’s (UNFPA) will be critical in the effort to curb maternal mortality and a joint programme is underway to establish at least six clinics in earthquake-affected areas for emergency obstetric and neonatal care. Total Strengthening Prevention of Mother-to-Child $16.59 million Transmission of HIV/AIDS (PMTCT) is a further objective as only 59 per cent of pregnant women were tested for HIV prior to the earthquake, and less than one in five of all HIV positive women actually receive preventative drugs. Supporting the Ministry of Health to reinforce and revise the national protocol for PMTCT and expand access to testing, treatment and paediatric AIDS care will be among the many critical steps to keep women and children alive and healthy in Haiti. Indicator UNICEF and partners Vaccination for children under 7 41,615 children aged 6 weeks - 8 months (Measles, Rubella, DTP) and over 186,682 children aged 9 months - 7 years1 8 (DTP) Households with at least two 400,000 procured, insecticide treated bednets distribution plan underway Hospitals with functioning Six sites identified neonatal units 1 Through Health Cluster coordination by the World Health Organization and the Ministère de la Santé Publique et de la Population (MSPP). 22 UNICEF Haiti - Milestones at Six Months Challenges New life brings hope to Jeanne Protecting mothers and newborns Overcoming the devastation caused by the earthquake remains the main challenge. from HIV and AIDS Infrastructure still needs to be rehabilitated, and the Jeanne (not her real name) looks lovingly at her cold chain requires strengthening and expansion. newborn as she carefully covers her cot with a But the challenge is not just supplies, facilities or mosquito net. She is sitting in the living room of a equipment. Supporting health workers to go back to relative’s home in Port-au-Prince. work and providing the right incentives and training for them to care for affected mothers and children For Jeanne, the birth of Marie in May has been is also critical. Working at the community level is an extraordinary event. When the earthquake necessary to fill current gaps, remove bottlenecks struck, the 28- year old woman was pregnant and bring services closer to children and women and receiving antiretroviral (ARV) treatment at a who went without any care even before the quake. clinic supported by UNICEF. Jeanne had known Reinforcing the institutional, operational and for years that she was HIV positive. When she territorial capacity of the Ministry of Health at all spoke to UNICEF in March, she was living in a tent, levels is an imperative for today and for tomorrow. mourning the loss of her husband, with no job and no access to treatment. It is also too early to tell what the impact of the earthquake has been on HIV/AIDS, but life in “My main concern then was what would happen precarious camps and fluid population movements to my baby if I stopped taking the antiretroviral certainly have the potential to escalate risk for medication. I was anxious. I wanted everything women and children. Before the earthquake to be fine when my baby was born”, she explains. Haiti had the highest HIV/AIDS prevalence in the Shortly after the disaster, UNICEF restarted its Caribbean. Today there must be a new sense of support to services to prevent the transmission of urgency to unite for children and unite against AIDS HIV from mothers to babies and Jeanne continued in Haiti. receiving treatment. When she gave birth to Marie, a paediatrician immediately gave the newborn prophylaxis treatment to stop the transmission of HIV. Jeanne now wants to get a chance to rebuild her life to give her daughter a better future. HIV can be transmitted from a mother to her child during pregnancy, at childbirth, and through breastfeeding. But almost all infections in infants can be avoided by timely delivery of known, effective interventions. In Haiti, UNICEF is working to bring these services to mothers and infants so newborns like Marie can be free from HIV. ©UNICEF/Marta Ramoneda/2010. UNICEF Haiti - Milestones at Six Months 23 Life in Camps Daily challenges in the life of earthquake-affected children in Haiti Up at seven o’clock—but can I go to school? Sagine lives in the Parc Jean Marie Vincent settlement in Port-au- Prince. “I wake up at seven o’clock. I brush my teeth and wash the dishes. And then‚ I don’t do anything”, she says speaking about her daily life in the settlement. “What I most like to do is write. But at night there are no lights, so I can’t read or write” Many children are like Sagine and ©UNICEF/Shehzad Noorani/2010 lack opportunities to go to school during the day. Many schools have been damaged, many still need debris clearance, and many times school fees are an insurmountable barrier for households who have lost everything in the earthquake. Some have been able to return to school, but solutions are only temporary. In the early morning this boy in the Pinchinat camp in Jacmel finds a quiet space between two rows of tents to do his homework before ©UNICEF/Roger LeMoyne/2010 leaving for school, which usually starts at 7:30 and lasts until noon. Challenges to staying healthy Mitine, 5, smiles as his older brother, 19-year-old Jameson Julienne, braids his hair after giving him a bath, in Parc Jean Marie Vincent. Keeping clean to stay healthy is a daily challenge as water is scarce. Meanwhile, children gather outside a cooking stand in Pinchinat Camp. In the early days WFP and UNICEF provided a daily hot meal to the people living in the camp to prevent a serious increase in malnutrition. Today food is a little easier to come by, but children remain at risk of becoming malnourished. ©UNICEF/Shehzad Noorani/2010 ©UNICEF/Roger LeMoyne/2010 Play and sometimes a second chance for school in the afternoon In the afternoon children at the Parc Jean Marie Vincent settlement can take part in sports activities at a Child-Friendly Space supported by UNICEF. Some schools also organise a second shift with classes for more children in the afternoons. But this is only organised in public schools, which account for only 8 per cent of all schools in Haiti. ©UNICEF/Roger LeMoyne/2010 Camp safety at night Back in the Pinchinat camp in Jacmel, after sunset adults and children walk in near-darkness to fetch and bring back water for the household. The water is safe, but at night, safety in the camp can be a problem. A generator provides light, but many areas remain poorly lit—placing children and women at increased risk of gender-based violence. ©UNICEF/Roger LeMoyne/2010 24 UNICEF Haiti - Milestones at Six Months Joining our efforts for the future of Haiti’s children Wè jodi-a, men sonje denmen—live today, but think of tomorrow. This one Haitian proverb captures the essence of our challenge if we are to stand by our commitment to children in Haiti for today and for tomorrow. We face an immediate and compelling emergency, but we also need to budget time now to plan for the future, and plant the seeds which will lead to the growth of a “Haiti Fit for Children”. The Government of Haiti, UNICEF and the larger humanitarian community are planting some quick-germinating seeds for the immediate months ahead. One of these seeds is emergency preparedness. UNICEF has worked to mitigate the pressing risk of hurricanes and has supported the interagency efforts to relocate displaced persons from areas that face rain related hazards –but UNICEF has also taken measures to ensure readiness to respond to another potential disaster. UNICEF has pre-positioned critical life-saving supplies to cover the basic needs of approximately 83,000 affected persons for one month, and an emergency field-support team has been set-up and maintains readiness to deploy anywhere in the country within 72 hours. In the medium to longer term, these preparedness efforts will be coupled with support to foster safer, more resilient communities through disaster risk reduction, mitigation and adaptation measures. The seeds of reconstruction and recovery are also being sown– but some require firmer ground in which to be planted. In order for reconstruction efforts to begin in earnest for example, a strategy for the resettlement of displaced communities must be confirmed and implemented. This will enable urban planning, the construction of more durable infrastructure and the extension of schemes and services. Most importantly, it will contribute to the restoration of certainty and dignity to the lives of displaced persons, many of whom continue to live in areas unsuitable for long-term habitation. Men anpil, chay pa lou—many hands will make the load lighter. Building a Haiti fit for children will be no small undertaking, but many hands will make the load lighter. Close partnerships between the Government, the Haitian civil society, the United Nations and the wider international community need to underwrite every step of the reconstruction process, with the Government and the people of Haiti in the driver’s seat. The Government’s Action Plan for Recovery and Development serves as the over- arching plan, under which partners align and harmonise their support. The United Nations’ new Integrated Strategic Framework (ISF) will have pillars that mirror the priorities expressed in the Government’s plan (institutional, territorial, social and economic rebuilding). UNICEF, under this effort, will notably be focusing efforts to define and drive the development of a more solid social protection floor – to protect and empower both children and vulnerable communities through the whole of the country. Also aligning to the Action Plan, the World Bank established the Haiti Reconstruction Fund (HRF) in partnership with the United Nations Development Group (UNDG) and the Inter-American Development Bank (IDB). The work of the HRF will be guided by the priorities of the Interim Reconstruction Commission and both will provide a platform to coordinate, not complicate, and will act as engine for better coherence. The new Interim Haiti Reconstruction Commission, which is co-chaired by the Prime Minister and United Nations Special Envoy President Bill Clinton, has also started its work setting priorities for the longer-term, and will operate based on the paramount principle of national ownership and national leadership of the reconstruction effort. UNICEF Haiti - Milestones at Six Months 25 Capacity Development Making sure that all the seeds of change have the resources they need to grow will be crucial. The recent World Summit on Recognising the Government of Haiti as the Future of Haiti in Punta Cana reiterated the international the overarching “duty-bearer” for the community’s commitment to Haiti, first expressed at the March protection of children’s rights, UNICEF’s International Donor’s Conference (which closed with pledges of assistance is anchored firmly in national US$ 5.3 billion for the next eighteen months). systems and linked directly to national priorities. UNICEF has thus embedded Now it is important to maintain the momentum and ensure both national and international technical that commitment to Haiti is not just to address short-term experts inside relevant technical emergency needs- but meaningful recovery and development, ministries and directly supplements the as it was the pervasive and extreme poverty which explain cost of some national civil servants. why this quake had such a particularly disastrous impact on Salaries for key members of the Brigade communities. de Protection de Mineurs for example, are being covered– as well as at least 30 Tan ale, li pa tounen – Time goes but does not come back social workers who conduct individual The needs are known. The seeds now need to be sown, and case management for children. they need to be properly tended. UNICEF has also played a role in rapidly In the water and sanitation sector this means confirming a restoring the operational capacity of more sustainable strategy for raising access to safe water central level Ministries, including the –through the extension of water networks, borehole drilling Ministry of Education, the Ministry of and overall water resource management. In nutrition, it means Health, Social Affairs, the Institut du Bien not just focusing on treatment of severe acute malnutrition – Etre Social et de Recherches (IBESR), but developing the capacity of both government, non-public the Brigade de Protection des Mineurs actors and communities themselves to prevent malnutrition (BPM) and the Direction Nationale de through improved infant and young child feeding. The risk of l’Eau et de l’Assainissement (DINEPA). abuse and exploitation against children remains critical – but The next step will be extending and unless we address the need for legislative change in country, consolidating their reach within all of (including ratification of the Hague Convention on International Haiti’s departments. Adoption, for example), protective services will find they lack a foundation on which to stand. And if we do not work towards Monitoring and Evaluation raising the capacity of the Ministry of Education to coordinate, regulate and harness the power of the non-public sector, we UNICEF has also led assessments will lose the opportunity to rapidly scale-up and sustain access so that response capacity could be to learning opportunities for this generation. Most importantly, targeted where it was needed most, all our efforts must be linked to fostering more sustainable and notably conducted a multi-cluster livelihoods for both urban and rural communities, to ensure rapid assessment in host communities, caregivers have a broader range of choices than before—and supporting also a nationwide survey on can put their good knowledge into practice. food security in partnership with WFP that included indicators on WASH, child Recognising that the “planting season” is now –UNICEF, with protection and education. its special mandate, will work to ensure that children and youth are empowered to shape their future. Maximising its To develop better data, including gender- convening power to bring together national counterparts, disaggregated data which is often civil society partners, community groups, members of the lacking, and geographically specific international community - as well as children and youth data, UNICEF is also supporting the themselves, UNICEF will help this generation seize the Government to conduct a nationwide opportunities inherent in the recovery and reconstruction Multi-Indicator Cluster Survey (MICS), process. Empowering adolescents to participate in larger scheduled for the first half of 2011. This process will ensure that children are not only at the centre effort will be instrumental to better of the transformational agenda, but are the most powerful understand the challenges today, and agents of change within it, carrying forward the momentum as will be critical to plan for the years to tomorrow’s leaders. come. 26 UNICEF Haiti - Milestones at Six Months  Making a Difference with People Emergency operations are not only about supplies and distributions. Our main asset to reach and support children is the knowledge, skills and vision of our staff. Only with people and the proper expertise can we make sure life- saving assistance reaches those in need, and only with people can we hope to plant the seeds for the longer term to build a Haiti fit for children. Christina Torsein, Child Protection Specialist. “Much of our strength comes from our inter-agency partnerships for example with our programmes on family tracing and reunification. Our days vary between working on the ground making sure children are provided with the best possible options for care and assistance to also meeting with government counterparts and NGO partners to devise the best strategies to ensure children are protected. There is a heightened sense of urgency and commitment ©UNICEF/Marta Ramoneda/2010. amongst all partners, we need to maintain the current momentum for children’s rights in Haiti.” Tamara Bélizaire, Transport Unit Manager. “I started eight days before the quake and from eight drivers and a few cars, I’m now supervising 38 drivers. My team’s role is to get staff where they need to be to serve the children we all work for. We’ve all gone through tremendous suffering and grief—one of my drivers for instance lost three of his children—but we are working tirelessly as we feel like this is our way to help in the reconstruction ©UNICEF/Marta Ramoneda/2010. of our country.” John Wigo, Electrician, MSB - UNICEF Standby Partner “When I was asked if I wanted to go to Haiti as part of MSB’s partnership with UNICEF, I said “yes” immediately. Ten days later I arrived in Port-au-Prince. Basically, I help UNICEF stay functional. I do electrical installations, re-wiring of cables, grounding of systems and preventative maintenance. It makes me feel good to know I have contributed to making everyone’s work a bit easier—and I am optimistic that the children of Haiti will have a better future with the help of the hard-working people in this mission.” ©UNICEF/Marta Ramoneda/2010. UNICEF Haiti - Milestones at Six Months 27 Funding Analysis ©UNICEF/Roger LeMoyne/2010 Scenes of devastation from Port-au-Prince, Jacmel, Léogane, Global Carrefour and other affected areas led to a global wave of solidarity for the people Haiti. As the earthquake triggered Solidarity a unique emergency for children, UNICEF appealed in the early days for a total US$ 222,757,000 to meet immediate for Haiti’s and pressing needs in the first year. There are also additional requirements for early recovery, preparedness, and Children disaster risk reduction totalling US$ 127,243,000. Together, these requirements amount to US$ 350,000,000 for both humanitarian action and recovery over a two-year timeframe. UNICEF National Committees $173.1 million (71%) Thanks to the tremendous generosity of private donors, Governments governments, intergovernmental organisations and other $57.9 million (24%) supporters, UNICEF received a total US$ 243,351,321 from Other sources1 114 different donor sources, partners and supporters against $12.4 million (5%) these two appeals, including funds raised by fifty-two UNICEF Country Offices. UNICEF received more than two thirds of these funds from individuals, foundations and businesses through UNICEF’s National Committees. Top Ten Donors U.S. Fund for UNICEF $58.8 million Japan Committee for UNICEF $15.0 million Government of Canada $14.2 million Government of the United States $11.5 million UK Committee for UNICEF $10.7 million German Committee for UNICEF $10.5 million Spanish Committee for UNICEF $10.5 million Total: $243.35 million French Committee for UNICEF $9.8 million Figures reported are on an interim basis as of 25 June 2010. Belgian Committee for UNICEF $9.7 million Netherlands Committee for UNICEF $9.4 million 1 Other sources include intergovernmental donors, inter-organisational arrangements and UNICEF Country Offices. 28 UNICEF Haiti - Milestones at Six Months Allocations, commitments and expenditures by sector (in millions US$) Total Allocation Commitments Expenditures Total (Commitments and Expenditures) Water, Sanitation and Hygiene 46.83 10.20 21.06 31.26 Child Protection 27.68 5.69 7.98 13.67 Education 56.77 7.00 13.79 20.79 Nutrition 37.94 6.31 8.75 15.05 Health 16.59 2.92 2.86 5.78 Coordination 6.38 1.00 0.53 1.53 Cross-sectoral 38.46 12.91 15.52 28.44 Total 230.64 46.03 70.49 116.52 Amounts reported on are on an interim basis as of 25 June 2010. Certified statements will be issued for each contribution where required on an annual basis. Amounts reflect funds available for in-country programming including interventions on the border area with the Dominican Republic. The figures reported are at the programmable level and exclude recovery cost. Commitments represent planned expenditures charged against programme budget allotments before actual payment and for which an obligating document has been issued in accordance with UNICEF’s Financial Regulations and Rules. Coordination includes costs related to support provided by the Life Line Haiti operation, and support provided by UNICEF’s Regional Office and Headquarters. Cross-sectoral programme components include operations, logistics, administration, planning monitoring and evaluation and communications and external relations. Totals in the table may not be exact due to rounding. Thematic Funds: The vast majority of funds were 71.1 per cent contributed to UNICEF thematically, meaning UNICEF can target resources where they are most needed, allowing for quicker responses and flexibility to adapt to changing circumstances. Non-Thematic Funds: 28.9 per cent Costing our Response in Haiti UNICEF continuously strives to ensure women and children One child living in a spontaneous $26 are reached efficiently and that a single dollar goes the longest possible way. settlement back in school (cost of tents for temporary learning spaces including installation and Student, Teacher School and Recreational kits) Teams managing the programmes focus on making sure funds are targeted where they will have the Immunising one child against six greatest impact. Partners are also thoroughly investigated and funding is phased and major vaccine-preventable diseases (cost of vaccines, medical supplies and immunisation campaign costs) $17 dependent on monitoring and reporting of progress. While the six months mark may be too soon to capture the full picture, UNICEF has started an exercise to cost Cost of emergency sanitation for one child (cost of materials and installation of one latrine, based on WASH $2.50 results within the specific Cluster target of 100 persons per latrine ratio) Haitian context. This is in order to continuously improve efficiency as efforts are still Note: figures do not reflect technical assistance and cross-sectoral and operational costs. being brought to scale. UNICEF Haiti - Milestones at Six Months 29  Operations Supplies $3.9 million Reaching end users In stock Ordered $0.6 million $2.1million $3.7 million $0.6million $0.6 million $1.6 million $0.9 million $0.9 million $0.9 million $9.9 million $3 million $2.3 million $3.2 million $1.6 million $0.5 million Education Child Health Nutrition WATER, SANITATION Protection AND HYGIENE After one of the walls collapsed and destroyed UNICEF’s warehouse in Port-au-Prince, UNICEF’s Supply Division in Copenhagen was directly involved in restoring the office’s capacity. Surge support arrived on January 17 and new mobile storage units with a total warehouse capacity of 2,400 square metres were installed. Transport capacity was boosted in the early days for large scale distribution operations, and then scaled down as the nature of efforts changed. The total value of supplies is $35,560,170 as of 25 June and represents 140 shipments (air and sea) and 4,159.2 metric tons. Field Presence UNICEF continues to expand its presence and partnerships throughout the country. Bases are already established in the heavily affected urban areas of Léogane and Jacmel Gonaïves – while mobile, roving Country Office - Headquarters programmatic teams are Field Base extending UNICEF’s reach Hinche through rural departments, Mobile Field Antenna planning programmes for both earthquake affected communities and those Jérémie with severe pre-existing vulnerabilities. These “mobile Léogane Port-au-Prince antennas” are comprised of six programmatic specialists and seven operations staff and are managed by a Senior Les Cayes Jacmel Field Coordinator and three geographically focused The boundaries and names shown and the designations used on this map do not imply official endorsement by the Emergency Specialists. United Nations. Map produced by OPSCEN. Data Source: Centre de l’Information Géo-Spatiale, Haiti, UNICEF Haiti. 30 UNICEF Haiti - Milestones at Six Months Security Today the whole of Haiti is in UN Security Phase III, essential staff for emergency operations only. The UNICEF Office is operating out of the MINUSTAH LogBase at the Toussaint Louverture International Airport. Right now, Port-au-Prince is also divided into three zones. A “green zone” covers the east, including the airport and the neighbourhoods of Pétionville and Tabarre. All areas to the West are considered as a “yellow zone”, and movement is controlled, with mandatory contact with the UN Department of Safety and Security (UNDSS). There are finally “red zones” which correspond to the neighbourhoods of Belair and Boston. Both require an armed military escort for access. The most common security incident is occurrences of petty theft, although there have been recent incidents of armed robberies and kidnappings. UNICEF also works closely with UNDSS, MINUSTAH and other agencies, including WFP and UNDP, as security remains a paramount priority for the organisation. Operation Life Line Haiti and Global and Regional Support Responding to children’s needs in the aftermath of the earthquake was made an organisation-wide priority, and the team in Port-au-Prince received invaluable support from UNICEF New York, our Regional Office in Panama, and from emergency experts from UNICEF Country Offices around the world. Given the destruction of the UNICEF Office in Port-au-Prince, a liaison office for operations, administration, financial management and logistics associated with the relief effort, was immediately established in Santo Domingo, Dominican Republic. Named “Life-Line Haiti” (LLH), the office also coordinated cross-border activities and emergency clusters within the Dominican Republic in the first two months, thereby ensuring a coherent response for Haitians on both sides of the border. In mid-April these “shadow-clusters” were de-activated (due the less than expected numbers of refugees—ranging between 50,000-100,000 persons). LLH also scaled-down its operational support with the gradual scale-up of the capacity of the Haiti Country Office to conduct financial transactions in secure facilities from the MINUSTAH Logistics Base.   Working Conditions With the collapse of the UNICEF Office in Port-au-Prince, the tents set up at the MINUSTAH LogBase served both as work space and sleeping quarters in the first weeks, as the residences of many staff members were also affected, damaged or destroyed. Within six weeks, with support from UNICEF Supply Division, the first working containers started to arrive and helped improve working conditions. Today UNICEF is consolidating its temporary base at LogBase and looking at options for more durable office space in Port-au-Prince. ©UNICEF/Roger LeMoyne/2010 Human Resources Region Staff Deployed When the earthquake struck Haiti, UNICEF responded rapidly New York Headquarters 59 to deploy staff specialised in both operations and programme Latin America and the Caribbean 52 to support the emergency response for children. In total 326 people have deployed to the UNICEF Haiti Country Office and West and Central Africa 44 the operational support hub Life-Line Haiti in Santo Domingo, East and South Africa 26 Dominican Republic. Of this amount, 275 were UNICEF staff Middle East and North Africa 19 members, sent on mission from 76 different country offices. South Asia 19 There were also 36 deployments from standby-partners. Supply Division - Copenhagen 19 East Asia and Pacific 17 The diversity of nationalities working together is also high, with 75 different countries represented on the response team. Geneva Headquarters 12 Currently 229 people are on the ground, of which 50 per cent Eastern Europe and Central Asia 8 are Haitian, with gender parity ensured as fifty per cent of staff Total 275 are women. Staff figures only. Table does not include consultants, stand-by partners and short term missions. UNICEF Haiti - Milestones at Six Months 31  UNICEF PARTNERS AND COUNTERPARTS Government of Haiti NGOs and Civil Society Donors Ministère de la Santé Publique et de la Action Contre la Faim, Allied Recovery National Committees Population, Ministère des Affaires Sociales International, ACTED, American Refugee United States Fund for UNICEF, Japan et du Travail, Ministère de l’Education Committee, Artists for Peace, Association National Committee, UK National Nationale, Ministère de la Planification et de of Volunteers in International Service, Committee, German National Committee , la Coopération Externe, Children’s Nutrition Programme, Comitato Spain National Committee, France National Direction Nationale de l’Eau et de Internazionale per lo Sviluppo dei Committee, Belgium National Committee, l’Assainissement, Institut du Bien Etre Popoli, CFM, Comité Olympique Haïtien, Netherlands National Committee, Canada Social et de Recherches, Police Nationale Concern, Catholic Medical Mission Board, National Committee, Denmark National d’Haïti - Brigade de Protection des Croix Rouge Française, CRS, GJARE, Committee, Italy National Committee, Mineurs, Commission Intérimaire pour la Hôpital St. Damien, Fondation Saint Greece National Committee, Republic Reconstruction d’Haïti. Boniface, Fondasyon Limye Lavi, Fondefh of Korea National Committee, Norway FOSREF, Foyer Escale, Gheskio, Haven, National Committee, Sweden National Haiti Participative, Heartland Alliance, Committee, Australia National Committee, United Nations System International Medical Corps, International Ireland National Committee, Finland Food and Agriculture Organization (FAO), Rescue Committee, IDEJEN, Inité Jen National Committee, Portugal National International Organisation for Migration Katédral, InterAid, Institut Abellard, Love Committee, Poland National Committee (IOM), Office for the Coordination of A Child, Lumière pour Haïti, Médecins du Austria National Committee, Hong Kong Humanitarian Affairs (OCHA), Office of Monde-Canada, Médecins du Monde- National Committee, Slovenia National the High Commissioner for Human Rights Suisse, Médecins Sans Frontières- Committee, Switzerland National (OHCHR), Office of the High Commissioner Hollande, Médecins Sans Frontières-Suisse, Committee, Luxembourg National on Refugees (UNHCR), Office of the MIRIP, Mouvement ATD-Quart Monde, Committee, Hungary National Committee Special Envoy for Haiti (OSE), United OutReach International, Plan Haiti, Pesadev, New Zealand National Committee, Slovakia Nations Department of Safety and Security Pompiers Sans Frontières, Progressio, National Committee, Turkey National (UNDSS), United Nations Development Relief International, Save the Children, Committee, Andorra National Committee, Operations Coordination Office (UNDOCO), Scouts d’Haiti, Secours Islamique France, Iceland National Committee, Estonia United Nations Development Programme Solidarités, Tamise, Tipa Tipa, Tearfund, National Committee, Israel National (UNDP), United Nations Environment UNESCAD, Vision Nouvelle, World Vision, Committee. Programme (UNEP), United Nations War Child Canada, Zanmi Lasanté – Educational, Scientific and Cultural Partners in Health. Organization (UNESCO), United Nations Governments Joint Programme on HIV/AIDS (UNAIDS), Canada, United States, Japan, Denmark, United Nations Development Fund for Surge Capacity Norway, Sweden, France, Finland, Spain Women (UNIFEM), United Nations Office Standby Partners Russian Federation, Brazil, Belgium for Project Services (UNOPS), United CANADEM, Ericsson, Global WASH China, Austria, Republic of Korea Nations Population Fund (UNFPA), United Cluster Rapid Response Team - Action Luxembourg, Czech Republic Nations Stabilization Mission in Haiti Contre la Faim, CARE International, Oxfam Bulgaria, Kuwait, Liechtenstein (MINUSTAH), World Food Programme GB, Norwegian Refugee Council, RedR Benin, Bahamas (WFP), World Health Organization (WHO), Australia, Swedish Civil Contingencies World Meteorological Organization (WMO). Agency (MSB), Save the Children, Swiss Others Agency for Development Cooperation United Nations Central Emergency Response Fund (CERF), UNICEF Global International Financial (SDC), Télécoms Sans Frontières (TSF), United Kingdom Department for Thematic Humanitarian Funds (allocated Institutions International Development (DFID). by UNICEF HQ), Council of Europe World Bank, Inter-American Development Development Bank, AgFund Bank, International Monetary Fund. NYSE Foundation, UN Women’s Guild United Nations Assistance Mission to Afghanistan (UNAMA). UNICEF values of all of its partnerships and works with a wide range of community-based organisations, faith-based organisations, non-public actors and other groups and individuals, and recognizes that many of those could not be mentioned here. 32 UNICEF Haiti - Milestones at Six Months Acronyms ARV Anti-Retro Viral Drugs BPM Brigade de Protection des Mineurs CONANI National Child Welfare Authority, Dominican Republic CCCs Core Commitments for Children in Humanitarian Action CFS Child-Friendly Spaces DINEPA Direction Nationale de l’Eau Potable et de l’Assainissement ECD Early Childhood Development HNP Haitian National Police HRF Haiti Reconstruction Fund IBESR Institut du Bien Etre Social et de Recherches IDB Inter-American Development Bank ISF Integrated Strategy Framework IYCF Infant and Young Child Feeding LLH Life-Line Haiti (UNICEF Dominican Republic Operations Hub) LLINs Long-Lasting Insecticidal Nets M&E Monitoring and Evaluation MAST Ministère des Affaires Sociales et du Travail MICS Multi-Indicator Cluster Survey MINUSTAH United Nations Stabilization Mission in Haiti MSB Swedish Civil Contingencies Agency MSPP Ministère de la Santé Publique et de la Population NGO Non-Governmental Organization OAS Organization of American States PMTCT Prevention of Mother-To-Child Transmission of HIV/AIDS RUIF Ready-to-Use Infant Formula SAM Severe Acute Malnutrition UNDG United Nations Development Group UNDP United Nations Development Programme UNFPA United Nations Population Fund WASH Water, Sanitation and Hygiene WFP World Food Programme WHO World Health Organization Back cover photo: ©UNICEF/Marta Ramoneda/2010. UNICEF Haiti - Milestones at Six Months 33  Timoun jodi a grandmoun demen The children of today are the adults of tomorrow For more information on UNICEF programmes in Haiti: Stephanie Kleschnitzki, Reporting Manager, skleschnitzki@unicef.org Jeremy Shusterman, Emergency Reporting Specialist, jshusterman@unicef.org portauprincehaiti@unicef.org www.unicef.org www.unicef.org/haiti © The United Nations Children’s Fund (UNICEF) July 2010