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Haiti: Relief and Reconstruction

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Over One Million Living in "Extremely Dangerous" Houses According to USAID Report Print

A draft report produced for USAID has been circulating online and has generated controversy as a result of its estimates of the death toll numbers from last year's devastating earthquake in Haiti which don’t match up with previously published figures. While media outlets have latched onto this sensational story and tied it in to the discussion over continued assistance to Haiti, there are other aspects of the paper that appear much more relevant to the current situation of relief efforts in Haiti.

To begin with, the report – even if its results are only partially reliable – makes it clear that there are an extremely large number of people living in damaged and dangerous housing. According to the report, many people have returned to housing once slated for destruction, a phenomenon we have written about previously.

As Timothy Schwartz, the lead author of the study, writes:

It means that as many as 570,178 people (114,493 residential groups or families) are living in 84,951 homes that may collapse in foul weather or in the event of another tremor. That’s yellow buildings. For Red buildings it means that 465,996* people (100,430 residential groups) are living in 73,846 buildings that might collapse at any moment.  Discussing the growing problem of people returning to unsafe yellow and red buildings, Dr. Miyamoto emphasized the gravity of the situation,

"Occupied yellow and red houses are extremely dangerous since many are a collapse hazard.  People occupy these houses despite communications and warnings from MTPTC engineers since they have nowhere to go but the camps. People do not want to stay in these tents. Security is poor and they are exposed to diseases. I see little children sleeping next to the heavily cracked walls every day."

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GAO: U.S. Efforts in Haiti Have Begun Print

As we previously mentioned, last week the U.S. Government Accountability Office (GAO), the independent government agency tasked with evaluating the performance of the federal government in selected areas, released their assessment of U.S. efforts in Haiti.  The report – which bears the less-than-optimistic title “Haiti Reconstruction: U.S. Efforts Have Begun, Expanded Oversight Still to be Implemented” – offers more a description of the general framework of the relief effort than a critical examination of its results to date.  For those not aware of where and how hundreds of millions of dollars of federal funding are being channeled in Haiti, the report has a number of useful pie charts, flow charts and bar graphs that provide a clearer picture of where U.S. funds are being spent, and where they aren’t.  Although the report offers no examination of whether the programs implemented by the U.S. Agency for International Development (USAID) are actually effective, it does shine a light on some of the structural problems affecting the international relief mission.

The four broad sectors receiving U.S. funding are 1) Infrastructure and Energy (46% of total funds); 2) Governance and Rule of Law (16%); Health and other basic services (13%); and Food and Economic Security (7%).  The breakdown of spending within each sector provides evidence of misplaced priorities.  For instance, while significant funds are being channeled towards improving Haiti’s energy infrastructure, roads and permanent housing, only a comparatively small amount of allocations are going to rubble removal ($25 million), although the continued presence of rubble throughout Port-au-Prince remains the biggest obstacle to the reconstruction of Haiti’s devastated capital city.

Though the U.S. has allocated over $98 million to health care, only $10 million is being channeled to education (or approximately 1% of total U.S. spending on Haiti’s reconstruction).   Haiti’s education sector was in crisis well before the earthquake – with over 60% of students dropping out of school before the sixth grade and the literacy rate hovering around 50%.  There are now heaps of rubble where many schools stood and the vast majority of the hundreds of thousands of children in tent camps have no access to any form of education.  Given the crucial role that education must play in Haiti’s reconstruction, it’s difficult to understand why this “sub-sector” is receiving so little funding.

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As Hurricane Season Nears, Bottlenecks Increase Dangers to IDP’s Print

The U.S. Government Accountability Office released a report last week noting, among other things, that the Interim Haiti Reconstruction Commission (IHRC) is still not operational, although it still has several months to do so before its mandate ends:

although the commission's mandate ends in October 2011, IHRC is not fully operational due to delays in staffing the commission and defining the role of its Performance and Anticorruption Office--which IHRC officials cited as key to establishing the commission as a model of good governance.

The GAO goes on to note a significant disconnect between what the Haitian government has identified as priorities, and what IHRC has green-lighted:

although the Haitian government identified nearly equal 18-month funding requirements for debris removal and agriculture, IHRC has approved about 7 times more funding for agriculture projects.

This is perhaps not surprising considering the IHRC’s problems in ensuring involvement of Haitian partners in decision-making.

The debris removal, of course, is necessary in part to clear space for new shelters, and getting displaced persons out of IDP camps, where cholera – abetted by a severe lack of adequate sanitation – can be a serious danger. (Deutsche Presse-Agentur reported this weekend on a new milestone in post-quake tragedy: 5,200 cholera deaths and 300,000 infections over the past seven months.) Yet just 20 percent of the rubble has been removed, according to various officials. USAID has not made rubble removal much of a priority either, according to the USAID Office of the Inspector General.

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Members of Congress Want Answers on Lack of Results from U.S. Assistance Effort Print

An editorial in the New York Times today describes the findings of a UN report that shows the cholera outbreak “may have originated” at a MINUSTAH camp, and says “The fact that the disease is still spreading is a reminder of how much more help Haiti needs and the consequences of continued neglect.”

The editorial concludes:

Even as relief agencies are winding down their presence in Haiti, about 680,000 people are still living in camps and waiting for permanent shelter. Life in this setting is precarious, without adequate access to latrines and safe drinking water.

The United Nations’ overall appeal to respond to the epidemic, for $175 million, is 48 percent financed. Haiti’s continuing health emergency may have been overlooked in a crush of world events, but while the sick and dying are waiting for the world to respond, the disease is not.

The editorial was, unfortunately, all too well-timed, as the U.N. Office for the Coordination of Humanitarian Affairs (OCHA) and the Pan-American Health Organization issued a new warning today of expected "(fresh) outbreaks of cholera in the West, including Port-au-Prince, South and Southeast Departments" accompanying heavy rains and possible flooding.

As we have recently noted, the ongoing cholera epidemic – which now seems to be entering a deadly resurgence, and could kill as many as 11,000 people this year, is closely linked to inadequate sanitation in the IDP camps. This is a theme also addressed in OCHA's warning today: "More water means more cholera and the sanitation in the country is still very weak," Reuters reported OCHA spokesperson Emmanuelle Schneider as saying.

Poor sanitation, a lack of suitable transitional housing, and the poorly funded cholera appeal are all markers of the international community’s failings to come through for the people of Haiti. Now, members of the U.S. Congress are demanding answers. Yesterday, the House passed, by voice vote, bill HR 1016, which, the Miami Herald reports, requires the Obama administration to send to Congress

a report to assess the overall progress of relief, recovery, and reconstruction of Haiti and requires the president to assess within six months the effectiveness of U.S. assistance to Haiti.

…according to the Rep. Frederica Wilson (D – FL), who added an amendment to the bill regarding deportees.

Also covering the bill’s passage, AP's Jim Abrams reported that:

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Killed by Bureaucracy: A Story of Neglect in a USAID/OFDA Supported Camp Print

Earlier we reported on an Inspector General report that is extremely critical of USAID/OFDA and their grantees’ efforts in providing housing to displaced Haitians. The audit, however, also raised a separate issue, based on the fact that “USAID/OFDA’s mandate is to save lives, alleviate suffering, and reduce the economic impact of the recent earthquake in Haiti.”

The audit reported that:

As part of the audit, the audit team visited a camp where USAID/OFDA was funding the construction of 800 shelters. There we met a resident who was dying of breast cancer. The woman’s entire right breast was an open wound, and she was suffering great pain. Concerned for the welfare of this person, the audit team alerted grantee officials that the woman needed immediate medical help. The audit team members asked whether the grantee could use their knowledge of local community resources to seek help. However, the auditors were told that many people were sick in Haiti and that helping one person would lead to others asking for help.

The audit team informed USAID/OFDA of the situation, but was told by a USAID/OFDA official in Haiti that USAID could not do anything and that the issue should be taken up with the grantee.

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