The impact of a magnitude 7.0 earthquake on January 12, 2010 affected Haiti's capital and nearby towns and killed up to 230,000 people. Damages and losses were evaluated at around US$8 billion or 120 percent of GDP.
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ChallengeAccess to basic social services is very limited in Haiti. Families living in remote rural areas lack such essential services as water and sanitation, health services, quality education for th... Show More +eir children, and income-generating opportunities. Many Haitians also suffer from poor hygiene practices, malnutrition, and food insecurity. The lack of financial resources and absence of coordination by Government has left non-governmental organization (NGOs) and faith-based organizations as the sole providers of essential social services in most of the country. Existing programs have low coverage and are often of ad hoc or limited nature (covering a small geographical area or narrowly defined set of beneficiaries). As a result, social interventions are fragmented, underfunded, and uncoordinated, limiting any real impact on the poor. SolutionThe World Bank-funded Haiti Nutritional Security and Safety Nets project (NLTA) supported training, information sharing, and policy dialogue on a national framework for service delivery using community workers. The project also used the Bank’s convening power and technical expertise to promote a dialogue on cash transfers and income support programs, identification systems, targeting, disability services, and hygiene education to combat cholera. This, in turn, enabled the Government to leverage financing from the Rapid Social Response (RSR) Trust Fund to implement the new service delivery model.ResultsThe project’s assessments resulted in policy discussions and actions to improve the following areas:Nutritional security (conditions, programs, and policies). Social safety nets (coverage, type, and funding). The effectiveness of community workers (roles and possible improvements).Cash and food transfer programs. These assessments led to the development of a national nutrition policy and the conceptualization of a national framework to address malnutrition and food insecurity. They also contributed to (i) the development of a national targeting tool, which will allow the Government to identify the poorest and most vulnerable Haitians, and (ii) the design and implementation of the Kore Fanmi service delivery model. Kore Fanmi has, so far, reached 65,000 citizens (13,000 families) in three rural communes in the Center department and has provided vaccinations, nutrition services, oral rehydration salts, long-lasting insecticide-treated malaria bed nets, and life-saving commodities (such as soap, water treatment tablets, micronutrients, and food supplements) to poor and vulnerable families. Bank Group ContributionThe Bank supported the project with a US$456,570 grant, which funded staff costs, consultant’s contracts, trips, dissemination events, and publications. The Trust Fund for Environmentally and Socially Sustainable Development (TFESSD), funded by Finland and Norway, also supported the project.PartnersThe project included partnerships with various non-governmental organizations (NGOs), the Government of Haiti, United Nations Children and Emergency Relief Fund (UNICEF), the World Food Programme, and the United States Agency for International Development (USAID). The project also played a key role in leveraging funds from the Rapid Social Response (RSR) Trust Fund to implement the Kore Fanmi service delivery model and to support development of a social protection system.Moving Forward The Bank-supported project, Improving Maternal and Child Health through Integrated Social Services, will expand the new Kore Fanmi service delivery model. Bank support for social protection will continue through a new project, Moving Toward a Social Protection System in Haiti, supported by the RSR Trust Fund. This grant will build on completed activities and support the Government in moving toward a social protection system through the construction of the basic building blocks (a common targeting tool, unified social registry, and a social protection strategy, among others).Beneficiaries The Déismé family of 13, like the majority of families in rural Haiti, used to practice open defecation. Through a communication campaign provided by the Kore Fanmi agent, James Noel, and other agents like him to nearly 3,000 families, the Déismé family realized the importance of using a latrine. They were one of nearly 400 families that decided to use their own resources and labor to build a latrine. The family now uses the toilet and keeps clean. Madame Déismé said, “I give more importance because my bathroom is my own and I realized it.” The Kore Fanmi agent said that the Déismé family sensitized other families in the neighborhood, which then also dug holes to eradicate the root causes of diarrheal illness in the community. Show Less -
Thank you for joining me today, as we work together to provide clean water, improved sanitation, and better health for the people of Haiti. Prime Minister Lamothe, Secretary General Ban Ki-moon,... Show More + and I are deeply committed to these objectives. With the support from development partners, the Haitian government responded swiftly and efficiently to the terrible cholera epidemic that struck the country in 2010. New cases decreased from 29,000 a month in 2011 to about 1,200 in 2013. Deaths have decreased from about 4,000 during the first year of the epidemic to 34 so far in 2014. This is an achievement of which Haiti and its development partners can be proud. Yet, even as we bring the threat of cholera under control, Haiti continues to face the challenge of eradicating other water- and excreta-related diseases. These diseases cause more deaths in children under five years of age than HIV/AIDS, malaria, and measles combined. They’re also associated with an estimated 50 percent of the country’s childhood malnutrition. By extending our fight against cholera to all water borne diseases, we will improve access to healthcare and strengthen Haiti’s water and sanitation systems. As a development community, we must support universal access to clean water, sanitation, and other basic health services. The government has laid out a ten-year plan to achieve this goal in Haiti. And I call on all of you in this room to make that plan a success.At the Bank Group, we will continue to support and strengthen Haiti’s health sector, including in its response to epidemics like cholera. Last year, we approved $90 million to health sector projects in Haiti, and we will contribute a further $50 million under IDA 17 to provide water and sanitation in the rural areas and small towns of priority communes. IFC, our private sector arm, will continue supporting the expansion of private water kiosks in urban areas, and our Water and Sanitation Program will place leading international water and sanitation experts in the country to help drive progress.Achieving universal access won’t be cheap. It’s going to cost about $310 million over the next three years to provide water, sanitation, and health services to two million Haitians who currently lack it – and that’s only a fifth of the country’s population. But the people of Haiti deserve it; indeed, they deserve much more. That’s why I’m pleased to be here today to have such committed leaders in the struggle to provide health and sanitation in Haiti. In particular, I’d like to thank the Prime Minister for his leadership and also United Nations Secretary General, Ban Ki-moon, for the UN’s tireless efforts to support these objectives through UNICEF and PAHO. The IADB who, together with the Government of Spain, is helping DINEPA provide water to millions of people in Haiti’s capital of Port au Prince. I also want to salute the ongoing efforts in health and in water of USAID, The government of Canada, and the French Development Agency. And also, I would like to thank the government of the Dominican Republic for their strong support. Finally, I want to recognize the substantial contribution of the NGO community to both delivering services and understanding how to do it effectively.On a very personal note, I’ve had a love affair with Haiti for most of my adult life. We should have done this long ago. I am very encouraged that it looks like finally we will be able to provide clean water for all in Haiti. Thank you. Show Less -
Washington, October 9, 2014 – World Bank Group President Jim Yong Kim today pledged US$50 million ahead of the “Haiti: Clean water, Improved sanitation, Better health” conference and called on d... Show More +onors and other partners to join forces and help improve access to safe water and sanitation for all Haitians to prevent waterborne diseases.“We have made significant progress in controlling the cholera epidemic in Haiti, but too many people are still getting sick, mainly because they don’t have access to clean water and lack sanitation systems. Cholera remains endemic and water borne diseases are one of the leading causes of infant mortality in Haiti,” said Kim. “Expanding coverage of safe water and sanitation is possible. We cannot ignore this opportunity to prevent thousands more Haitian children from dying from waterborne diseases,” he added.The announcement spearheads a high-level conference to be chaired by Kim and United Nations Secretary General Ban Ki-moon, inviting leading partners to join in an effort to substantially improve water and sanitation coverage in Haiti, and strengthen health services. Diarrhea causes more deaths in children under five than HIV/AIDS, malaria and measles combined, according to UN figures. New costing analysis conducted by the World Bank and Haiti’s Department of Health and National Department for Water and Sanitation (DINEPA) estimates that US$310 million investment in water, sanitation and health is needed to save lives and prevent cholera in high prevalence zones over the next three years.The new US$ 50 million Bank pledge will contribute to the implementation of a project that will reach about two million people in cholera hot spots of rural Haiti. All schools and clinics in the communes covered by this initiative would receive priority water and sanitation services. Haiti’s Ministry of Health already implements US$ 90 million initiative financed by the World Bank which will provide access to adequate health services for 1.8 million mothers and children over the next 5 years.“This meeting is an opportunity for dedicated partners to address the plan to eliminate Cholera in Haiti and to improve access to clean water and sanitation initiatives. Further we need to assure that the commitments are met and Haiti remains on track to eliminate cholera within its borders," said Haiti’s Prime Minister, Laurent Lamothe.The conference follows a technical meeting during the last World Bank Group and IMF Spring Meetings where leading cholera experts discussed the need for a comprehensive diagnostic and a results-oriented investment roadmap to support Haiti's 10-year plan to eliminate cholera. In response, the government launched with UNICEF and development partners a National Sanitation Campaign, which will be partly financed through commitments made today. “I had an emotional visit to Haiti in July, when I heard first-hand how cholera has affected families," said United Nations Secretary-General Ban Ki-moon. "I also saw what communities can do, with a little bit of help, to address the underlying risks and be free of disease. Together with Prime Minister Laurent Lamothe, we launched the total sanitation campaign to raise sanitation standards and improve health conditions. Today's conference is an important step to remind the international community of the long-term work needed in Haiti to build systems that will prevent other outbreaks of waterborne diseases, including cholera,” he added. About 38 percent of Haitians lack access to safe drinking water, and only 24 percent of Haitian families have access to improved sanitation. Evidence shows that for every dollar invested in water and sanitation, seven dollars are gained in healthcare savings and productivity in Latin America and the Caribbean. This new initiative calls for concerted push for water and sanitation will help save lives and improve people’s health.Contacts:In Washington: Christelle Chapoy, (202) 361 4255, email@example.comIn Washington: Christopher Walsh, (202) 473-4594, firstname.lastname@example.orgIn Port-au-Prince: Berdine Edmond (509) 31 064 831, email@example.comBackground on choleraSince the 2010 outbreak, there have been a total of 706,862 cases and 8,584 deaths. The average number of cases has come down from a monthly average of more than 35,000 cases in the first year of the epidemic, to about 1,000 per month in 2014. The fatality rate has dropped to 0.4% in 2014, or one in 250 people. However, cholera resurgence remains a threat and water borne diseases are one of the leading causes of infant mortality in the country.World Bank response to choleraThe World Bank’s International Development Association (IDA) has been financing cholera response activities since the outbreak in the end of 2010. It disbursed US$ 15 million as part of a cholera emergency response project which closed at the end of March 2014. More than three million people benefited from prevention education campaigns, training, and direct treatment through the project. Specifically, more than 5,400 community health workers and medical personnel were trained.US$20 million for cholera prevention and treatment have been made available to the Ministry of Health under a new health project (total US$ 90 million) for epidemiological surveillance, treatment, including rapid response mobile teams, hygiene and health promotion, and water and sanitation activities. IFC, the largest global development institution focused exclusively on the private sector, is also providing affordable water for sale to underserved neighborhoods in Port au Prince. Together with the Haitian Authorities, the Bank just announced a new water and sanitation project (US$ 50 million) targeting high incidence zones for cholera, which will submitted to the board in a couple of months.For more information: http://www.worldbank.org/en/events/2014/09/30/haiti-clean-water-improved-sanitation-better-healthVisit us on Facebook: http://www.facebook.com/worldbankBe updated via:Twitter: @WBCaribbeanYouTube: http://www.youtube.com/worldbank Show Less -