2 Year Haiti World Vision

Two years on
Haiti Earthquake Response
World Vision International 2011 Authors and contributors: Ben Irwin and Meg Sattler. Photographs by Meg Sattler, Jon Warren and Mary Kate MacIsaac. All rights reserved. No portion of this publication may be reproduced in any form, except for brief excerpts in reviews, without prior permission of the publisher. Published by Haiti Emergency Response Office on behalf of World Vision International. For further information about this publication or World Vision International publications, or for additional copies of this publication, please contact wvi_publishing@wvi.org. Managed on behalf of HERO by: Mary Kate MacIsaac. Senior Editor: Heather Elliott. Production Management: Katie Klopman, Ann Abraham. Copyediting: Audrey Dorsch. Proofreading: Jo Marie Dooley. Creative Direction: Rebekah Roose. Cover Design and Interior Layout: Rosey Ioannou. Translations: World Vision Canada. Cover photo World Vision: Mary Kate MacIsaac. Children play outside a World Vision child-friendly space in a Port-au-Prince camp for families displaced by the January 2010 earthquake.
foreword
The response to the 2010 earthquake in Haiti has been one of the largest and most complicated humanitarian projects the world has undertaken, in the poorest country in the Western hemisphere. The day after Port-au-Prince was devastated by the quake, while our staff were responding to the needs of others even as they tried to make enquiries about the safety of their own loved ones, we knew it was going to take a long time to bring the city back into order. The ultimate goal, even then, was to make things better for the population than they had been before. The world was united in shock at the sight of so many ruined lives, and we made our promises to help knowing it would be tough. We werent wrong, and we have no excuse to give up now. While some of the early international enthusiasm for this endeavour has faded, hundreds of our staff and tens of thousands of volunteers in the communities with thousands more from other civil and international organisations continue to work toward that goal. Rehousing those who lost their homes has taken a terribly long time. Complications of land ownership and local politics delayed an already difficult task. It is unacceptable that so many people still live in camps, yet there has been progress and the pace of improvement is picking up all the time. We are proud that nearly 14,000 people live in safer transitional shelters thanks to World Vision projects, even as we are determined to do more. When I first visited our project in Haiti I met children surprisingly happy children in safe spaces established to protect them while staff sought to locate missing families, attend to psychological trauma and ensure that those children had the emotional resources to continue their education and contribute to the new Haitian society. These child-friendly spaces continued until September 2011, and more than 7,500 children have benefited from them. As the response progresses, the needs change. The children and adults with whom we work are encouraged to articulate the realities themselves. In my most recent visit I met Steevenson, a 10-year-old boy who has been kept safe and healthy. He told me he wants to go to school, to live the life of a normal child. This is a government responsibility but one for which World Vision and its partners advocate strongly as Haiti moves from a relief response to a longer-term rehabilitation phase. Romita, a widowed mother of seven, told me she was grateful for World Visions contribution to her life since the earthquake, but she does not want to remain dependant on humanitarian workers. She wants to be a worker and lead her children into a better life. The dignity of people like Romita is vital to the countrys future its no good rebuilding a city if the majority of the people in it live desperately from day to day, unsure how secure their families are or whether their children will enjoy a better life than their own. There is hope in Haiti I feel it in the enthusiasm for a better future that shines out of Romita and Steevenson and so many others. I feel it also in the determination and humble sacrifice of World Visions staff, as they continue to labour to make life in this country better than it was before for the defenceless, the homeless, the bereaved and the poor. As we reflect on the successes, the challenges and the work still to be done, lets all keep these individual stories in mind. In the end, its not about statistics measured in millions, but about hope and opportunity measured out life by life. Sincerely, Kevin J. Jenkins President and Chief Executive Officer World Vision International
World Vision Haiti Update Two Years On: Haiti Earthquake Response
contents
Two years on: World Visions response. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Children in emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Serving families living in camps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Shelter and infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Food security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Economic recovery and livelihoods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Health, nutrition and well-being. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Cholera response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Water, sanitation and hygiene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Disaster risk reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Advocacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Innovation and partnering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Aid agency coordination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 The responsibility of accountability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Financial accountability year two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Looking forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
two years on:

World Visions response
When a 7.0 magnitude earthquake rattled Port-au-Prince just before 5 p.m. on 12 January 2010, the city was reduced to a crumbled, fully fledged disaster zone in a matter of minutes. As hours, days and weeks followed, the statistics began to emerge one in three people in Haiti affected; more than one million homeless; 222,570 people killed and well before the dust had settled, World Vision had begun work on the biggest single-country humanitarian response ever undertaken in the organisations history. No nation is completely equipped to withstand an earthquake of this scale, so in Haiti, often labelled the poorest nation in the Western hemisphere, the overpopulated city of Port-au-Prince didnt stand a chance. The same factors that caused the earthquake to be so damaging also created immense challenges for the response effort. Governance was weak. Health infrastructure was poor. Eighty-one per cent of the population lacked access to adequate sanitation, and 42 per cent to safe water. Forty per cent of children werent in school. Most people were unemployed, with only one in fifty Haitians employed in a steady job. Many thousands lacked adequate shelter, and thousands more were barely scraping together the rent for humble accommodation. Apart from the grand homes of a small wealthy population, most housing was built without reference to standards, without knowledge of land title and without much regard to human safety. Furthermore, far more people were living in the capital than it was ever designed to accommodate. When Port-au-Prince fell in on itself that night, chaos ensued. World Vision had been working in Haiti for 30 years, and local staff acted immediately, delivering basic supplies to those made homeless. The organisation declared its highest level of humanitarian response, and Global Rapid Response staff flew in with essential medical materials and began treating the injured. Staff worked around the clock delivering emergency shelter, food and medical treatment.
World Vision Haiti Update
This continued through the first month, when World Visions food distributions reached more than 471,000 people, child-friendly spaces (CFSs) were set up to provide safe areas for children in sporadic camps, and clean water and latrines were delivered throughout Port-au-Prince to try to restore the health, hygiene and dignity of hundreds of thousands of displaced people. The first six months saw thousands of children in camps benefit from early childhood education, mothers and babies receive nutritional support, people suffering depression receive psychosocial assistance, and 15 camps receive vital, free health care provided by 10 clinics. Targeted food, water and non-food-item distributions continued. One year on, as emergency supplies were still being distributed, World Vision had launched major transitional shelter projects for thousands of families. Staff were responding around the country to a cholera outbreak and had assisted internally displaced persons prepare for hurricane season. Our emergency response has continued, tirelessly, for two years. Its been a response characterised by immense challenges, from land tenure issues and political instability to extreme weather, to name a few. Camps for the displaced sprang up everywhere at the time of the disaster, with no consideration for safety or sanitation, and as a result, at least 550,000
Two Years On: Haiti Earthquake Response
people still endure cramped, unsafe and unhygienic conditions in camps in the capital. A nationwide shelter plan is still urgently needed if this is to change. The cholera epidemic in October 2010 was a further blow for Haitians already enduring inadequate living conditions, and for responding agencies with limited resources, who by necessity launched a large-scale response to try to quell the spread of the disease.
Significant challenges remain but undeniable progress has been made. In two years our work has seen hundreds of thousands of people reached with shelter, food, water, sanitation and protection. The following pages highlight, sector by sector, work done, families reached and lives changed.
key achievements
Some 7,731 children have benefited from World Visions child-friendly spaces in internally displaced person (IDP) camps. The family tracing and reunification programme has monitored the well-being of more than 2,000 children and reunited 1,042 with their families. Early childhood development learning spaces have served nearly 1,200 children in 17 camps. A camp management role has seen World Vision coordinate services and remain accountable in a total of 27 camps. More than 2,700 transitional shelters have provided more secure housing for almost 14,000 people. Mobile clinics, baby-friendly areas, nutrition activities, psychosocial support, disability support and hygiene promotion have reached hundreds of thousands of people. Some 2.57 million people were assisted with food security from January 2010 July 2011, including school feeding and food for vulnerable families. More than 610 million litres of clean water have been provided to hundreds of thousands of people. Some 720 latrines (fixed and mobile) and 600 showers have been installed. Hundreds of young people have been given vocational training or empowerment training or have participated in train-the-trainer cholera-prevention and health activities. A camp transitions programme is helping hundreds of families transition into safer, more durable housing and providing financial support for shelter, education and livelihoods.
By December 2011, US$8 million had been injected into the local economy through cash-based programming (cash-for-work, cash transfers), benefiting approximately 99,900 people. Approximately 3,500 people were trained on vegetable gardens at 10 demonstration sites. More than 12,000 people were trained in agricultural technology and animal husbandry. An integrated cholera response has included hygiene promotion, prevention activities, oral rehydration posts (ORPs), cholera treatment units (CTUs) and a cholera treatment centre (CTC). Advocacy efforts have ensured that Haitian voices are heard at the local, national and international levels. Camp residents have been prepared for hurricane seasons through community messaging and assistance, and goods have been pre-positioned around the country. A dedicated Innovations and Partnering Unit seeks opportunities and partnerships to leverage and strengthen our work.
in two years World Vision has distributed:

7,886 tents 122,979 tarpaulins 55,824 blankets 84,080 sleeping mats 40,403 kitchen sets 85,141 hygiene kits 81,839 bed sheets 78,374 mosquito nets 36,174 buckets 9,825 wheelbarrows 17,015 shovels 10,284 tools such as hammers, sledgehammers 25,370 solar lights 3,398 charcoal stoves 33,136 jerry cans 1,822,340 water purification tablets 3,507 toilet kits 2,548 ropes for securing tents and property
children in emergencies
For World Vision, child well-being is a priority at every stage of our disaster response from emergency relief to recovery. Since the Haiti earthquake, World Vision has helped reunite hundreds of children with their families. We have established safe spaces for children to play and learn, and have begun a long-term effort to rebuild educational infrastructure. Growing up in Haiti has never been easy. Before the earthquake, Haiti had the highest child mortality rate in the Western hemisphere; one in 12 children died before his or her fifth birthday.1 In 2009, only half of all primary-school-aged children attended school, and one in five children was malnourished.2 The earthquake affected 1.5 million children and youth, leaving them more vulnerable to violence, disease and exploitation. Many lost homes, were separated from their families or both. Simply returning Haiti to the way things were before the earthquake is not good enough. Out of this tragedy, World Vision is working with communities to build a brighter, more hopeful future for children, who make up nearly half of Haitis population.
1 At a Glance: Haiti: Background, UNICEF, http://www.unicef.org/infobycountry/haiti_2014.html. See also http://www.unicef.org/ infobycountry/haiti_statistics.html. In 2009, Haitis under-5 mortality rate was 87 per 1,000 live births (approximately 1 death for every 12 live births). 2 At a Glance: Haiti: Statistics, UNICEF, 2009, http://www.unicef.org/infobycountry/haiti_statistics.html. Primary school net enrolment/ attendance was 50 per cent from 20052009. From 20032009, 22 per cent of under-5 were underweight. 3 At a Glance: Haiti: A Haiti Fit for Children, UNICEF, 31 March 2010, http://www.unicef.org/infobycountry/haiti_53223.html.
reuniting children with families

Many children were separated from their families during the earthquake and its immediate aftermath. These children are especially vulnerable to trafficking and other forms of exploitation. For two years World Visions Family Tracing and Reunification (FTR) programme has helped to find interim care for separated children while seeking to reunite them with family. At least 2,068 children have been registered by World Vision, exceeding our target by 50 per cent. Tracing families is an extraordinarily difficult task, in part due to the often-complicated nature of family structures in Haiti. Even before the quake, a large number of children were separated from their families for a variety of reasons. Many other children lost parents in the quake, and some are too young to remember important details that could help locate relatives. Despite these challenges, World Vision has successfully reunited 1,042 registered children with family members. When reunification is impossible, World Vision seeks foster families to care for separated children. Host families are carefully selected to ensure child protection and are provided with vital supplies including, in some cases, cash assistance to help meet the childs basic needs. Since February 2011, World Vision has operated an interim care centre near the border with the Dominican Republic. The centre provides essential support, education, love and care to vulnerable children who have been separated from their families. These children, many of whom have been living in extremely difficult circumstances, can stay at the centre for up to three months while longer-term solutions are found for them.
establishing safe spaces for children

World Vision established 30 child-friendly spaces (CFSs) to provide the earthquakes young survivors with a safe place to play, learn and receive psychosocial support. CFSs can also play a crucial role in helping identify cases of abuse so that exploited children can receive the appropriate follow-up care. In total, 7,731 children 3,756 girls and 3,975 boys have benefited from World Visions child-friendly spaces. In September 2011, World Vision began transitioning CFSs to community ownership. Already 11 spaces have been handed over to community-run organisations, where children can continue to receive care and support throughout the week.
providing educational opportunities

Education is too vital to be an afterthought in disaster response. Thats why World Vision pioneered the use of 17 early childhood development learning spaces (ECDLSs), serving nearly 1,200 children. Without the spaces, these children would have received few, if any, educational opportunities following the earthquake. ECDLSs prepare children to enter the formal education system. In 2011, World Vision trained 90 specialised ECDLS childcare workers, known as animators, along with 100 teachers and 658 parents and caregivers. ECDLSs were enormously successful, with 86 per cent of parents rating the activities as excellent. Parents also reported that their children were happier and more confident after spending time at one of World Visions ECDLSs. In line with the new governments education strategy, World Vision has been working to transition ECDLS into existing schools, bolstering early childhood education in communities where access may have been limited before, and ensuring a sustainable contribution for children in Port-au-Prince. In the transitional settlement site Corail Cesselesse, World Vision built a 15-classroom primary school to serve the needs of the many children who have moved to the area with their families since the site was obtained by the government in April 2010. The school opened in October 2011 and is being jointly facilitated by World Vision and the local government during the initial phase of operation.
rehabilitating educational infrastructure

More than 1,300 educational institutions were damaged or destroyed by the earthquake.4 World Vision has been working to rehabilitate and equip schools so they can accommodate currently out-ofschool youth. Two years after the earthquake, World Vision continues work on actively rehabilitating two schools and furnishing more than 30 schools in Croix-des-Bouquets and Tabarre, and is rebuilding the Montfort Institute for hearing-impaired children, contributing to the provision of education for children with disabilities. Forty schools are to receive gardens that will provide a nutritious food supply for students, and 75 schools have been identified to receive disaster risk reduction (DRR) training.
4 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of Haiti, Government of the Republic of Haiti, 2010.
field view
child-friendly spaces a place to dream
On the evening of 12 January 2010, 17-year-old Richard was preparing a snack in his kitchen when his house crumbled around him. I was inside the house when the earthquake happened. I thought everybody was going to die. My reaction when the quake happened was only to bend my knees, to kneel on the ground. The refrigerator and the other belongings in the house kept the roof of the house from falling onto my head. Thats how I stayed alive. Richard tells his story as though theres nothing remarkable about it. He is sitting on the floor of a World Vision child-friendly space at a displaced persons camp in Port-au-Prince. Ive been attending the CFS since right after the quake, he says. Those first months were about taking away our stressful situations. For example, I had a cousin who died in the earthquake. We could talk about that. Now, its a learning space. Being here is more enjoyable than being home. I am living with my family in the camp. So Id prefer to be here, instead of being home. Every day after school, Richard accompanies his 11-year-old sister to the CFS. Its a very enjoyable space for the young children, he says. While theyre here they enjoy themselves, and they learn a lot, so I think its a good project. Child protection has been a core part of World Visions work since the earthquake. In the 20 months following January 12, child-friendly spaces in camps across Port-au-Prince saw thousands of children sing, dance, play and learn, as well as process their experiences, in safe and welcoming environments. Lesly, from World Vision Haitis Children in Emergencies team, explains why the CFS has been important for so many months. After the quake, many children have been facing dangerous situations. For example, in the mornings, parents need to go out to look for work, and they dont have enough time to keep an eye on their children. While children are here, they are away from dangerous situations. Its better for them to be here. First housed in tents, the child-friendly spaces were eventually replaced by wooden transitional shelters, making them more secure, more comfortable and more weather-proof, particularly during Haitis rainy season. One fan of the CFS is 11-year-old Rebecca. I like coming here, she says. We learn a lot here. We are taught about drawing and singing; and some kids who dont go to school, theyre taught how to write their names, stuff like that, she says, beaming. We learn a lot. Thats why we like it. The desire to learn is not always easily satisfied in Haiti, where quality education is expensive and out of the reach of many families. While CFS shelters may be simple structures, its their ability to give young people like Rebecca and Richard the opportunity to learn and to dream that is so important. When I grow up Id like to be a doctor, shares Rebecca. I dream of a lot. I want for every single child to go to school. I want to go to university. I want to become a doctor because being a doctor youre able to help a lot of people. One of my biggest dreams, when I get older, is to build an orphanage for children living in the streets, so I can contribute to transforming their lives, Richard says. Meanwhile, he is pleased that the CFS is potentially helping, in some small way, to do the same. Asked what he thought of the donors who had funded the project, Richard had this to say: I want to thank them for their generosity and for having the children of Haiti in their hearts.
field view
working to reunite separated children
I love reading thats what I like to do, but Im not too good at it, says 12-year-old Thony,* sitting at the big dining table at World Visions Interim Care Centre for separated children. I read in English, French, Creole, whatever. Spanish, too. Thony is bright. His aptitude for languages is astounding. But his multilingualism has arisen out of heartbreaking circumstances. At the border I learnt Spanish, some English. I had to, to get by. Like many other children, Thony had spent more than a year working at the huge market at Malpasse, on the Haiti/Dominican Republic border, after fleeing an abusive childhood in Haiti. My mother went to Santo Domingo, she said to take care of some business over there, but she never came back, he explains. I was 10 years old. Thony was sent away to live with another family, where he was trapped in domestic labour. They put me with a family who was treating me badly. The lady was making me carry buckets of water every day. It was a long distance from the house to the place where I collected the water. Her children were beating me all of the time. I dont remember exactly when I ran away from the bad family. Went I went to Malpasse I was working at the market with some guys. I was helping them load the trucks. When they gave me money I saved it so I could pay for my own school. I went to school in Jimani and then in Malpasse, as well. Sometimes I was sleeping at a friends house so I didnt have to sleep on the street. My friend looked after me. There were lots of children working at the market. At 10 years old, alone and miles from home, Thony sacrificed food and clothing in order to pay for his beloved education, while living in extremely unsafe conditions. Many predators lurk in Jimani, ready to exploit children like him. Thony remembers well the day he was approached by a staff member from World Visions Family Tracing and Reunification (FTR) programme. I met one of the World Vision case workers. His name was Fleurimond. He told me he had a place to bring me, and I came here. It is better here. They are treating us very well. We play sport every morning. I like playing soccer. I dont have to work anymore, and I still go to classes. As Thony stays in the safety of the centre, receiving nutritious meals, health care and psychosocial support and participating in educational activities, World Visions FTR staff are working to reunite him with his family. If they cant, or if this is not deemed a viable option for child protection reasons, they will find him long-term accommodation with an approved foster family. Id like to finish with my school and to learn something that will help me in my life, says Thony. I dont want to go to the streets and work in the market anymore. Id like to be going to school every day. Thats all I want. Nothing else.
* Name has been changed

serving families living in camps

World Vision continues to manage 13 displacement camps in and around Port-au-Prince, assisting nearly 16,000 people. In recent months, we have continued to deliver services to camp residents, while also working with families to identify safer, more sustainable options all with the aim of drawing camp operations to a close by late 2012. The earthquake left one in ten people homeless in Haiti. 5 Approximately 105,000 homes were destroyed and another 208,000 were damaged. Suddenly, almost 1.2 million people were left with no shelter, moving into scattered tent camps that arose on patches of land all over the city, wherever there was space. Resettling such a massive number of people is no easy task. Land is scarce in Haiti; in fact, the country has the second highest population density in the Western hemisphere. Two out of every five children live in overcrowded conditions. Simply finding space to rebuild is a daunting task, further complicated by land tenure and inadequate property records. For the at least 550,000 people who two years later still endure harsh conditions in temporary camps, the situation is even more precarious.6 As time wears on, these families face the growing threat of eviction by landowners a troubling scenario that has already affected tens of thousands of people. World Visions camp management efforts are helping to meet the short-term needs of displaced families by coordinating services and maintaining open channels of communication with beneficiaries, while helping them prepare for a new life outside of the camps.
5 At a Glance: Haiti: Social Mobilizers throughout Haiti spread the word about vaccines, UNICEF, 12 May 2010, http://www.unicef.org/ infobycountry/haiti_53628.html. According to UNICEF, more than one million people were made homeless by the earthquake. 6 Displacement Tracking Matrix, International Organization for Migration (IOM), 30 September 2011, http://www.cccmhaiti.info/ pdf/DTM_V2_Report_September_English.pdf.
meeting the immediate needs of displaced families

Since the earthquake, World Vision has been providing essential services ranging from the distribution of critical supplies in the early days to providing shelter, clean water, latrines, health care and child protection. In addition, World Vision coordinated the work in a total of 27 camps, bringing together the services of responding agencies, working with camp committees on peacebuilding and communication, and providing opportunities for beneficiaries to give feedback. Without access to basic services, particularly health care, clean water and sanitation, children and families in camps are even more vulnerable. Thus the provision of these services has had to continue long into the quakes aftermath. For example, at the height of World Visions response, 1.1 million litres of clean drinking water were being trucked daily into 36 camps. World Vision has also coordinated disaster risk reduction awareness activities and provided basic first-aid training in its managed camps. Youth clubs, nutrition programmes, livelihood projects and cholera-prevention programmes have helped make life less difficult for camp residents.
building bridges with displaced families

World Vision has employed camp liaison officers (CLOs) in all of the camps we have managed. CLOs visit the camps every day, monitoring and coordinating activities with internal and external stakeholders and seeking to build relationships with camp residents. Camp liaison officers are tasked with following up and resolving any complaints within the community, with the aim of reducing tension and conflict. They ensure that community members are informed of decisions affecting them and are consulted on services provided in the camps, as well as on any longer-term resettlement plans.
helping families transition

World Vision is working in a very complicated context to help displaced families to find more suitable settlement options as camps close. Camp evictions are becoming increasingly common, and without intervention, many families would be left with nowhere else to go. Those remaining in camps two years after the quake are amongst Port-au-Princes most vulnerable people. Recognising the importance of helping families through the transition process, World Vision conducted an Obstacles and Options survey in 15 camps during May and June, asking residents to identify the greatest barriers to resettlement. Lack of finances and employment opportunities were the two most commonly reported challenges. World Vision subsequently designed a package of housing, livelihood and educational support to benefit households transitioning from displacement camps. Beneficiaries receive US$500 toward rental support or house improvements along with $400 of livelihood and/or educational support, which is complemented by life-skills or business training. This package will increase the ability of displaced families to support themselves outside of the displacement camps. As of December 2011, World Vision had assisted 80 families from two camps through their transition to community living. Throughout the process, World Vision has been working with the International Organization for Migration (IOM) and other stakeholders on negotiations in a coordinated effort to prevent forced evictions.
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shelter and infrastructure
As the focus shifts from relief to recovery, World Vision is helping families rebuild their lives. Weve provided transitional shelters, giving families safer, more stable housing until permanent solutions can be found. Were also helping to rehabilitate vital infrastructure such as health centres and educational facilities. Shelter in Haiti is complicated. Relatively few people have any kind of documentation to verify land ownership, thus complicating the process of finding places where they can settle without facing the threat of eviction. Before the disaster, many Haitian families were living in rented accommodation. When their homes collapsed, not only did they lose large sums of money they had prepaid, they didnt have anything left with which to repair their homes. As a result, thousands of struggling families were left with nowhere to go. In the immediate aftermath of the earthquake, World Vision provided short-term shelter, distributing more than 113,000 tarpaulins and 7,500 tents. World Vision has completed major transitional shelter projects and, recognising the need for longer-term solutions, is also helping families transition from camps to more durable housing in communities. As of September 2011, roughly half of the 1.2 million people made homeless by the earthquake were still living in camps.7
7 Displacement Tracking Matrix, IOM, 30 September 2011.

11
Corail
In April 2010, as part of its Safer Shelter Strategy for families living in camps in high-risk, flood-prone areas of the city, the government began relocating families to an area outside of Port-au-Prince known as Corail Cesselesse. Several agencies, including World Vision, publicly expressed concern that the land was not adequately prepared for habitation. However, when families moved there, World Vision saw the humanitarian imperative and responded with tents and food rations while other agencies assisted with water, sanitation, health care and child protection. Approximately 7,000 people moved to Corail. Tens of thousands more families are now living in surrounding areas, including Jerusalem, Canaan and Onaville. With the presence of numerous service providers, the site has been vastly transformed, but many challenges remain. There has been a long period of uncertainty regarding the long-term plan for Corail. The local government has established a task force to take on management of the site and address the many issues faced there. World Vision has built 1,187 transitional shelters at Corail, ensuring that families are living in safer, dryer and more durable accommodation. We have provided school and supplementary feeding to hundreds of children, run cash-forwork programmes, and provided seeds and tools for small gardens. Trees have been planted to provide shade and improve the quality of the land, and community areas are being developed. A livelihoods programme has reached 700 people with training and small grants. To help address the educational needs at Corail, World Vision has built a school for 600 children, which was inaugurated by the mayor of Croix-des-Bouquets in October 2011.
providing safer shelter

For families living in camps, the aim is to find durable housing options that enable them to return to their communities. However, many displaced families lack the means to rebuild homes or relocate. Transitional shelters can provide safer, more comfortable accommodation until permanent solutions can be found. World Visions transitional shelters, or T-shelters, have provided more than 2,700 families with medium-term housing that is safe and durable. As of December 2011, World Vision has built 1,187 T-shelters at the Corail transitional settlement site, 1,410 on the island of La Gonve and 185 in the Calebasse region outside of Port-au-Prince, benefiting nearly 14,000 people. Each T-shelter can last for several years and is designed to withstand hurricane-force winds exceeding 160 kilometres per hour (100 mph). Beneficiaries have reported high levels of satisfaction; 98 per cent indicated they felt safe in their T-shelters.
helping families repair existing homes

More than 200,000 homes were damaged in the earthquake.8 With one in two Haitians living on less than US$1.25 a day,9 many families lack the means to provide basic necessities for themselves, much less rebuild their homes. World Vision has distributed 590 home improvement kits. These kits contain wheelbarrows, shovels and other essentials, enabling families to begin making repairs so they can return to their homes.
8 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of Haiti, Government of the Republic of Haiti, 2010. 9 At a Glance: Haiti: Statistics, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html. From 19942008, approximately 55 per cent of the population lived below the international poverty line of US$1.25 per day.
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building for communities

A great deal of community infrastructure was destroyed in the earthquake: educational institutions, health clinics and public spaces, for example. In addition to providing durable housing for families, World Vision has built 12 T-shelters to serve as child-friendly spaces and early childhood development learning centres. World Vision also built a transitional school for 600 preschool and primary-school-aged children at Corail and is constructing a school for hearing-impaired children in Port-au-Prince. Four existing health centres were rehabilitated, benefiting 40,000 people (including 4,000 children) with improved access to healthcare services.
The issue of land tenure in Haiti In Haiti, its common for a lack of adequate documentation to make it difficult to identify the rightful property owner. Without proper verification, displaced families could simply go from one untenable situation to another. World Vision is committed to ensuring that families can resettle with security and confidence. On La Gonve, World Vision staff conducted an extensive land-verification effort, working closely with local government officials to ensure that T-shelter beneficiaries would be able to remain on their resettlement sites. In Calebasse, many shelter beneficiaries were landowners who lacked the means to rebuild their homes. World Vision obtained approval from local officials before building T-shelters, ensuring that families would not face the threat of eviction in the months and years to come. World Vision is advocating on behalf of those still living in camps by calling on the national government in Haiti to allocate more land for long-term shelter.
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field view
a T-shelter becomes a home
Its the perfect family portrait. In the afternoon sun, a woman lovingly nurses a baby boy on her porch. The boys father, young and fit, stands behind the pair, his arms resting gently on his partners shoulders. A dog sleeps in the corner next to a bowl of food. The couple are Roseline and Elius. Their baby is 4-month-old Davinski, and their home is a transitional shelter, one of 2,500 built by World Vision. Looking around at the plants adorning the veranda and the shoes at the gate, its difficult to believe that just a few months ago, this home didnt exist. Or that one year ago, there was nothing on this barren land but tents. Ive lived in this shelter since March, after almost one year living in a tent, says Roseline. Even now, people are still living in tents. Three months after moving into the basic structure, Roseline and Elius have transformed it. There is a new set of cement steps, a handcrafted gate, a spouting system to collect water from the roof, and an impressive garden, complete with landscaped paths and a table setting. I dreamed of how I could make mine different, Elius explains. Having previously worked in construction, he had a rough idea of what he wanted it to look like, and set to work. Roseline and Elius lost their home in the 12 January earthquake. Yet even before that, making ends meet was a challenge. Every time we had to pay the rent it was very hard; we couldnt afford it, explains Roseline. She says her transitional shelter is a gift from heaven. My situation has improved, she continues. Everybody should feel lucky just to be alive. While you live, others passed away. Others are suffering from disease or from challenges in life. The young mother spends her days taking care of Davinski and running a small soap business while Elius divides his time between improving the shelter, helping neighbours and looking for work. Everything starts with jobs. If theres a job available, I think my life will be changed. The afternoon sun burns down on Corail. Elius gazes at Davinski as he wriggles in the heat. I would love him to finish school, to attend university, says Elius. Thats my wish, but only he can decide what he wants for his life. As for his hopes for his own future, Elius has faith that things will improve. We feel lucky. We feel privileged. I think God will open a door for me, some day in the future.
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food security
World Vision is working to ensure that Haitis vulnerable children can access the nutrition they need to thrive. In partnership with the World Food Programme (WFP), we have distributed much-needed food aid to more than two million earthquake survivors. As Haiti transitions from relief to recovery, were helping to ensure that families have improved food security so that children can return to the classroom and parents can return to work. Food insecurity was a fact of life for many in Haiti well before the earthquake especially for the one in two living on less than $1.25 per day.10 Impoverished families are often one crisis away from hunger, and the 2010 earthquake pushed many vulnerable Haitians over the edge. The earthquake exacerbated an already tenuous food situation in several ways. Thousands of families lost any means of generating income to buy food, while many of those who maintained income sources had to divert resources to rebuild homes, meaning less food for hungry children. The devastation worsened already volatile food prices. Agricultural production declined, and barriers to land ownership have long made it difficult or impossible for families to become agriculturally self-sustaining. World Visions interventions have sought to address both immediate and long-term food security issues, providing food aid for disaster survivors while empowering communities to ensure their own food security in the years to come.
10 At a Glance: Haiti: Statistics, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html.

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distributing food aid

In partnership with the World Food Programme, World Vision distributed 12.2 thousand tonnes of food to more than 1.8 million beneficiaries in the first four months after the earthquake. In the immediate aftermath, food from a World Vision/USAIDs Multi-Year Assistance Programme was quickly made available for distribution. Especially vulnerable populations were prioritised during food distributions. For example, a maternal and child health programme provided 7.9 tonnes of food to nearly 1,000 pregnant women, nursing mothers and children under 5 at Corail. These distributions combined traditional food staples with ready-to-use therapeutic foods such as Plumpynut to help combat malnutrition.
nourishing body and mind through school feeding programmes

Malnutrition starves the brain of energy, often preventing a hungry child from going to school. Those who manage to attend may lag behind because of a hunger-induced inability to concentrate. Thus food insecurity and a lack of education combine to form a vicious cycle that traps children in poverty. World Vision is seeking to break the cycle in Haiti by operating school feeding programmes. Efforts like these can help boost classroom attendance and performance. In partnership with the World Food Programme, World Vision provided daily hot meals for school children. At the height of the programme, more than 247,000 children in 848 schools were being reached. In addition, nearly 2.9 tonnes of food was distributed for children to take home to their families. In further support of these efforts, World Vision mobilised more than 3,800 volunteer cooks, most of them mothers of children in the schools, providing them with nearly 1.9 tonnes of food as an incentive. Going forward, some school feeding programmes will be transitioned so that community members play more of a management role, with support from World Vision. Educational leaders, teachers and parents are being empowered through a series of consultative meetings to begin managing and monitoring these programmes. As part of this effort, World Vision has been working to re-establish parent/teacher committees in at least 200 schools.
food for the vulnerable

World Vision operated more than 180 feeding centres as part of our earthquake response, benefiting more than 49,000 out-of-school children. In excess of 7,240 people benefited from food-forwork programmes and 4,500 vulnerable families were reached through an e-voucher programme. To provide a safety net for quake-affected households, World Vision partnered with Samaritans Purse to implement a USAID-funded Single-Year Assistance Programme. The programme, which closed in May 2011, had three primary phases: distributing food, meeting social safety net needs, and promoting livelihood and asset recovery. More than 83,500 people received safety net rations, while over 7,300 individuals received agricultural assistance namely, seeds and tools. World Vision also established a nine-month Food Aid Management School (FAMS) in Haiti to maintain and improve standards in food aid distribution.
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field view child well-being
family Grandmother, where is my tracing and reunification food? Voucher programme education vulnerable families assists
In a tiny community off a dirt road, Julienne sits on an old plastic chair under a tarp. She is surrounded by children some her grandchildren, others belonging to neighbours. One has helped her into the chair, as she can no longer walk. I am 86 years old, she says. I have lived in this area for 21 years. This land does not belong to me. A neighbour lent it to me, and said I can live here until I die. From where she sits, she can almost see what remains of her earthquake-destroyed house now no more than a flattened rectangle in the dirt. I am the one taking care of all of the grandchildren. Some were given to me, others are not here all the time. Others come, too, from the neighbours. They all say, Grandmother, where is my food? Sometimes people bring me food. We eat rice, beans, corn and wheat. It is hard for me to get my own food. I cant work in the garden anymore. I cant do anything. Julienne has recently participated in a World Vision/World Food Programme safety net food voucher project. It involved making three payments, using mobile telephone technology, to particularly vulnerable families. In a country plagued by crime and insecurity, mobile payments eliminate physical cash distributions and avoid having vulnerable people carry large sums of cash with them, both of which are often unsafe. Juliennes great-granddaughter Odeline, 18, has been collecting the money on her behalf, alerted via mobile messaging when a payment is ready to be collected. When I receive the message, I go to the agent to receive money, she says. I buy food and I give the food to grandmother. I keep some to buy soap and things for the house. The voucher programme has meant that Julienne, for a short while, has not needed to count on others to take care of her family. When I look at all my children, I see they are healthy, and I am happy. That is all I need. I know God will protect us. Juliennes situation will not change drastically. She is one of many Haitians feeling the combined effects of privatised services and the inability to generate an income. Haiti needs widespread, institutional change if life is to really improve for Julienne and the thousands like her. What shes been given, though, is a little relief, and this has made a difference. God bless you, she says of World Vision, and thank you. I am happy about this programme. I am happy to receive the money because I didnt have it before.
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economic recovery and livelihoods

Access to a livelihood is one of the biggest challenges for Haitians. World Vision has been working since the earthquake to restore livelihoods. Over the past two years, we have generated opportunities for thousands of survivors through cash-for-work (CFW), training, agricultural development and other initiatives. The earthquake destroyed many livelihoods, depriving families of much-needed income and hampering agricultural capability. It is not enough to return Haiti to the way it was before the earthquake. Even before the disaster, only one in 50 Haitians enjoyed a steady, wage-earning job.11 In some rural areas, four out of five people lived on less than $1.25 per day.12 Rebuilding livelihoods in Haiti demands a long-term commitment and a combination of innovative approaches and a focus on sustainable job creation.
World Vision has provided short-term employment opportunities to more than 19,000 people through CFW programmes that benefit entire communities. For example, 2,100 individuals helped plant 97,000 trees, thereby combatting extensive deforestation in Haiti.
11 Fast Facts: Haiti, UNICEF, www.unicef.org/media/files/FastFacts_Haiti_Final.doc. 12 United Nations Development Programme (UNDP).
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revitalising communities through cash

A relatively new component of World Vision programming, cash transfers are used to meet the basic needs of impoverished communities. In addition to helping establish food security, these transfers encourage livelihoods by revitalising local markets. By late 2011, nearly 105,000 people had benefited from World Vision cash transfers. Cash-for-work (CFW) is the primary means of transfer used by World Vision. Participants receive short-term employment opportunities working on projects that benefit the entire community, such as road repairs canal rehabilitation debris removal reforestation. other things. By the end of 2011, US$8.6 million had been transferred to earthquake-affected families through CFW. Cash-for-training (CFT) equips participants with the skills needed to operate a small business. They learn skills such as accounting, marketing, inventory management and customer service. World Vision has provided CFT to nearly 2,700 beneficiaries, each of whom also received one or more cash grants upon completion of the training to help launch or further a business enterprise. In addition to CFW and CFT, World Vision provided small-scale cash transfers to 200 people with disabilities, helping them start or maintain small businesses. A cash voucher safety net programme, implemented in partnership with the World Food Programme, benefited more than 2,500 extremely vulnerable families, who received payments for much-needed food and living costs over a three-month period.
Participants typically work 20 days per month. The income generated can be used to purchase household necessities and pay school fees, amongst
investing in agriculture
At least 10,000 families benefited from agricultural training, seeds and tools provided by World Vision. Agricultural assistance, if approached holistically, can help families restore livelihoods. For example, World Vision provided small-scale agricultural training to 300 beneficiaries in Corail each of whom also received seeds and tools to establish gardens. These gardens can provide both a source of income and food security for families. To further support agricultural efforts in Corail, World Vision installed four new cisterns. In Port-au-Prince, Hinche and Mirebalais, small producers were trained in modern crop techniques such as soil rehabilitation and the preparation of natural, non-toxic pesticides and organic fertilisers. Short-term employment opportunities were created at a World Vision-operated demonstration garden, and community members were employed in reforestation efforts designed to reverse environmental degradation. In the community of Pernier, 300 families received chickens along with training on how to look after them and market their eggs.
saving for the future

World Vision implemented savings groups as a means to provide cash access outside of mainstream financial systems to small rural producers. Twenty-five self-financed groups were organised with almost 600 participants, 87 per cent of whom were women. The total savings amount of US$10,000 can now be lent to the groups members on a rotating basis, helping them to invest in livelihood opportunities that were previously unavailable to them.
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field view
a miracle of faith, small businesses receive boost from World Vision
Whether because of the brightly coloured signage, the kompa music filling the air or the frequent visitors lingering outside, the Miracle of Faith restaurant at the entrance to the Corail transitional settlement site is hard to miss. I have so many customers, I cant count them, exclaims Abner, the restaurants owner. Even the World Vision staff eat here. We have plantains, rice, beans, chicken, fish and corn. I buy them from the markets, and I have staff who do the cooking. In the absence of local employment options, many people at Corail have started small businesses. Most recognise that profitability wont be high, but theyre doing what they can. World Vision has been working to support such endeavours, providing business training and small grants. Abner was one of the first to benefit. After I opened the business, World Vision started running a programme to help people with small businesses. I was registered and I attended seminars, he says. I was given a small amount of money, and I bought all of the missing things for the restaurant. I also added this, he says, pointing to the restaurants makeshift verandah. It is called Miracle of Faith because it was unexpected. It was out of nowhere that I ended up living here and having this. Abner arrived at Corail after relocating from a camp in Port-au-Prince. He had lost his house and his business also a restaurant during the earthquake. The building collapsed with all of my belongings. I only have my life. I had time to run away when the house was collapsing. Some of my customers here are my same customers from before. Most of my friends are in the camp, so sometimes I give them a meal for free. I have family in Corail too. Some of them are living on my shoulders. The training offered by World Vision in basic skills including elementary accounting, marketing, stock control and customer service has so far been given to 800 people at Corail. Upon completion, all participants received small grants. They were then encouraged to develop business plans, and those with the strongest plans were further encouraged with extra training and a second grant. In my soul I am a businessman, says Abner with a grin. But World Visions seminars taught me things. Thats how I keep the business going on. Abner is always thinking of ways to improve his business. He has a special reason to ensure he keeps bringing in money. My wife is pregnant now, he says. Were going to have a baby. I like my work, concludes Abner, before returning to his duties inside. It helps me to rely only on myself and it helps me to help other people, too.
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health, nutrition and well-being

Access to quality health care and nutrition remain major challenges two years after the earthquake. World Vision has continued to serve the needs of displaced families while working to prevent disease and rehabilitate some important health infrastructure. Providing basic health services in a country without adequate, equitable health infrastructure is a challenge, at best. In Haiti, specific hurdles include a shortage of experienced staff, a lack of suitable sites for clinics, and a shortage of medical supplies and equipment. A heavily privatised and unregulated system also means many families cannot afford basic health care, even where it exists. The 2010 earthquake further complicated the situation. More than 50 hospitals or health centres were destroyed or rendered unusable.13 World Visions first-year response prioritised the immediate needs of displaced children and families. Drugs and medical supplies were rushed to 14 hospitals. Static and mobile clinics were used to provide urgent care including safe-delivery kits for pregnant women and nutritional checks and immunisations for children under 5. More than 54,000 visits were recorded at World Vision-operated clinics. Today, World Vision continues to provide basic health-care services while working to rebuild and expand health infrastructure in local communities.
13 Haiti Earthquake Post-Disaster Needs Assessment: Annex to the Action Plan for National Recovery and Development of Haiti, Government of the Republic of Haiti, 2010.
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delivering basic health-care services

Two years on from the disaster, World Vision is operating two fixed clinics and five mobile health clinics in Port-au-Prince and three more near the border with the Dominican Republic. World Vision established 20 baby-friendly areas in displacement camps, where parents were able to receive counselling and nutritional support for the newest members of their families.
preventing disease, promoting well-being

Prevention and education are amongst the best (and most efficient) forms of health care. In the two years since the earthquake, World Vision has given thousands of survivors the tools they need to protect themselves from killer diseases that stalk vulnerable populations. World Vision has reached more than 9,000 young people through health training programmes. Over 33,000 displaced women have participated in Mothers Clubs, where they received nutritional counselling as well as supplemental feeding resources to benefit them and their children. Without a suitable health infrastructure, pregnant women and new mothers are at particularly high risk. The first thousand days are crucial to a childs longterm development. To give new mothers and their children the best possible chance of thriving, World Vision trained 55 traditional birth attendants and equipped them with Caregiver Kits. More than 9,400 women received training and education on maternal and child care. Disease can spread all too easily within the heavily populated camps, so offering educational opportunities for internally displaced persons is especially important. World Visions educational programming within camps included advice on handwashing and the prevention and treatment of diarrhoea, HIV, malaria and more. Theatre groups used creative methods to raise awareness about the importance of good hygiene, rubbish disposal, mental health and other health-related concerns.
supporting local health systems

Many hospitals were damaged or destroyed by the earthquake. Those that remained operational faced an overwhelming burden that quickly exhausted their resources. World Vision has responded by equipping 11 hospitals with vital medical supplies. In addition, the Ganthier Health Centre was rehabilitated, along with four damaged clinics on La Gonve. As mobile health clinics were phased out of camps, World Vision supported local health-care providers with essential medicines and supplies, better equipping them to accommodate camp residents in need of ongoing health assistance. We have also conducted capacity-building training with a number of staff from government health centres.
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helping to heal emotional wounds

Many of the deepest wounds inflicted by the earthquake are invisible. World Vision established a small but vital mental health programme to assist those suffering emotionally. In a relatively new initiative for World Vision in humanitarian emergencies, mental health assessments were conducted and interpersonal therapy groups reached more than 260 people in 12 camps during the first year of the response. Referral services were offered to those affected by mental health issues and workshops were conducted in seven camps to combat the stigma often associated with mental health issues. Seventeen volunteer community workers, 120 teachers and 225 World Vision staff were trained in psychological first aid, with special priority given to staff working with children.
serving people living with disabilities

Since the earthquake, World Vision has provided special support for 624 people living with disabilities, offering assistance through livelihood support, counselling, income-generating activities or a combination of these. Seventy-seven focus group discussions were conducted, especially for mothers of disabled children. A number of children with disabilities were referred to other non-government organisations (NGOs) for prosthetics and orthotics.
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field view
learning to breathe womens therapy group
Under a big tree in a Port-au-Prince camp, seven women sit close to one another, chatting. They appear an unlikely friendship group, with ages ranging from mid-twenties to the elderly. What they have in common is homelessness (all lost their houses in the earthquake) as well as joblessness, but also a third condition rarely discussed in Haitian culture: all these women have shown symptoms of clinically diagnosable depression. They have been gathering here for 11 weeks to attend an Interpersonal Therapy Group facilitated by World Vision. Aude Piquion Angelique, who facilitates the sessions, recalls the first time she met them. In that first session, the women were so depressed. They were living in despair. They didnt talk when you spoke to them. Witnessing the group in its 11th week, this is difficult to imagine. When Aude arrives at the camp, the women leap to greet her like an old friend. Aude announces that todays conversation topic will be How can we manage negative thoughts? The women discuss this amongst themselves. Marie,* one of the younger women, offers, We should breathe in and breathe out before acting on negative thoughts. The women on either side of her nod thoughtfully. Before the programme commenced, we did a study to determine how the symptoms of depression were expressed in local language and culture, explains Alice Male, World Visions psychosocial programme manager. A series of camp surveys were then conducted, and vulnerable people were invited to participate in groups like this one to share experiences and seek support. Sabine, in her late forties, says she felt at a loss after the earthquake. I felt so angry. I had a child who almost died. I felt like my life wasnt worth living. I wanted to die. I didnt eat. I didnt want to spend time with my children. Things were wrong. Now, after the sessions, I feel calm. After the earthquake it was like I was upside down. But talking to the women was like a big broom that swept the bad things away. Aude has seen transformation in all of the women. Its totally different now. Theyre looking for jobs; theyre trying to have good lives with their families. Their faces are joyful. They can laugh; they can play, she says. At the end of the session, Sabine has an announcement to make. Ive decided to go back to school, she says. Im ready to learn to write and read. Its never too late to learn; you must know that. First you learn to breathe, then you can start to learn. Then you can do anything.
* All names have been changed for confidentiality

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cholera response
The cholera outbreak that began in October 2010 has claimed thousands of lives. World Vision responded immediately, deploying medical teams and equipment to affected areas and working to prevent further spread of the disease. In October 2010, a cholera epidemic emerged in the Artibonite region north of Port-auPrince. The outbreak spread quickly from Artibonite to four other administrative regions in Haiti. By December 2011, nearly 500,000 people had been infected and some 6,700 had died. The earthquake had damaged Haitis already limited water and sanitation infrastructure. People were living in close, unhygienic quarters. As a result, cholera which is transmitted by contaminated water spread all too easily. World Visions response has involved treating those infected and launching prevention efforts to protect vulnerable populations from further spread of the disease. More than 250,000 people in Port-au-Prince and several rural communities benefited from these interventions.
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providing life-saving treatment

In response to the outbreak, World Vision quickly established several lines of treatment. Mild cases of cholera were treated at 44 community-based oral rehydration posts (ORPs). Moderate to severe cases were referred to cholera treatment units (CTUs) and cholera treatment centres (CTCs), some operated by World Vision. As of June 2011, World Vision had responded to more than 7,000 suspected cases of cholera, over 6,300 of which were confirmed. Approximately 98 per cent of confirmed cases were successfully treated.
preventing further outbreaks

To combat the spread of cholera, World Vision provided access to clean water and sanitation, while also raising awareness about the importance of good hygiene. In a six-month period, World Vision trucked 188 million litres of clean water into displacement camps and mounted 94 water storage tanks. Other water-related distributions included 228 water filters nearly 41,900 water storage containers 8.9 million Aquatabs (water purification tablets). To provide access to sanitation and hygiene, World Vision constructed more than 700 latrines and 600 showers. Brooms, brushes, face masks, gloves and cleaning solution were also provided to help keep latrines clean and safe. World Vision installed 8,230 handwashing stations in schools, child-friendly spaces and early childhood development learning centres. Approximately 6,000 households received more than 575,000 bars of soap, and more than 4,500 dwellings were disinfected in response to confirmed or suspected cases. World Vision also partnered with communities to counter poor hygiene with education and awarenessraising activities. Approximately 30,000 households, along with 1,681 community health volunteers, received training in how to recognise, prevent and treat cholera. In partnership with UNICEF, World Vision donated cholera kits and educational resources to 495 schools, benefiting more than 148,000 children and nearly 2,800 teachers.
remaining vigilant against the cholera threat

A variety of treatment and prevention activities are being planned as part of the ongoing cholera response. In coming months, World Vision will continue to support and equip four CTUs, one CTC, and 44 ORPs. By training 400 health agents, World Vision will ensure that some 200,000 people in Port-au-Prince and the Central Plateau region will receive cholera education, and 30 community-based water and sanitation committees will be trained and equipped. In addition, World Vision will distribute water treatment products to 14,000 families and train beneficiaries in how to use them to protect themselves from waterborne illness. At least seven boreholes in Port-au-Prince will be rehabilitated to provide further access to clean water.
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field view
treating cholera amongst the most vulnerable
When World Vision staff first met 12-year-old Gonzales, he was lying on a bed in a CTU, an IV drip in his arm, looking miserable. I feel sick, he said. I got a headache first, then a bellyache, then diarrhoea. I came here this morning. My mum made me come because she was worried about me. I wish I was playing soccer. Gonzales is one of nearly 500,000 people to have contracted cholera since the outbreak struck Haiti in October 2010. He is also one of thousands of people to have been treated by World Vision. Since the beginning of the epidemic, staff have been working rigorously to treat cholera patients and prevent new cases from occurring. As part of its cholera response, the organisation facilitated ORPs and CTUs in both Port-au-Prince and rural areas, and also operated a CTC, offering the highest level of non-hospital care for cholera patients. The CTU where Gonzales was treated was set up in a tent between two camps to serve the many earthquake-affected people living in the area. In the sanitised facility, patients receive oral or intravenous rehydration or antibiotics under the watch of trained medical staff. When CTUs were first beginning, wed have 10, 12 patients. Not many. People didnt know, or they didnt want to come, says Manol, a World Vision doctor working with cholera patients. There was a certain stigma attached to cholera. Even when they did come, they wouldnt say: I think I have cholera. Now people are more educated, and more people come. Gonzales is certainly knowledgeable on the subject. I have cholera, he told us. I know how to prevent it. I know that we have to wash our hands, make sure our meal is well cooked. We need to drink potable water, and whenever you feel bad the first thing is to drink oral rehydration serum. I know this because of awareness campaigns, and at school I learn about it. But I was unlucky today. Gonzales needed to stay in the CTU for a few more hours, until he was properly rehydrated, but the nurses assured him he wouldnt need to go to hospital overnight. A few weeks later, staff paid a visit to Gonzales at home, in the small structure made of corrugated iron, plywood and tarps he shares with his mother, brother and sister. It was the second visit hed had from World Vision since he was in the CTU. As in all cholera cases treated at World Vision facilities, workers had been there to disinfect his home shortly after he was released, and to make sure he was doing okay. Gonzales was a picture of health as he ran inside to greet his visitors. Ive been playing soccer, he said, panting and wiping sweat from his brow. I havent been sick again. Ive been feeling good since I went to the CTU. I am really grateful to the staff at the CTU, his mother, Nevanie, said. We cant afford to go to the doctor. It was good that I knew the CTU was there. Im so happy he is okay, she said, putting her arm around Gonzales. The people at the CTU do a good job, I think, said Gonzales. Life is hard for all of us here in the camp; were very vulnerable. So Im happy that theyre able to look after us.
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water, sanitation and hygiene

World Vision continues to ensure access to clean water, sanitation and hygiene (WASH) for those affected by the earthquake. From January to June 2011, we provided ongoing support to more than 220,000 individuals. As attention shifts from relief to recovery, World Vision is focused on delivering sustainable, community-led solutions to ensure long-term access to water, sanitation and hygiene. Clean water and sanitation were scarce in Haiti before the earthquake. About four out of five people lacked access to adequate sanitation, while two in five had no access to safe water.14 The earthquake further reduced the availability of drinking water and contaminated existing water supplies as infrastructure was either damaged or not available in key intervention areas such as the camps. Two years on, access to water and sanitation remains a serious challenge, especially in the displacement camps in and around Port-au-Prince. The costs associated with many critical interventions can be prohibitive in some cases, and implementing permanent solutions is especially challenging within the capital city. For more than 18 months following the earthquake, World Vision provided free, clean water to hundreds of thousands of people in camps. We installed latrines and handwashing stations. In recent months, World Vision has been working with communities to establish more sustainable sources of clean water, and empowering local communities to manage them. In addition, families are being given the tools and information they need to ensure good sanitation and hygiene.
14 At a Glance: Haiti: Statistics, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html. Only 17 per cent of the population uses improved sanitation facilities, while 63 per cent use improved drinking water.
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delivering a sustainable water supply

At the beginning of the earthquake response, getting clean water to survivors was essential. For families living in camps, the provision of clean water remains essential to safeguarding the health of children and preventing disease outbreaks. World Vision has trucked over 612 million litres of water to those in need. In mid-2011, in line with a strategy embraced by the humanitarian community in Haiti, World Vision began phasing out free water trucking, working with camp communities to identify more sustainable options instead. Outside of the camps, a concerted effort has been made to expand access to local, sustainable sources of water. From January to June 2011, World Vision constructed 14 new spring catchments and rehabilitated 13 existing ones. Water from these catchments was collected in a central reservoir and treated with chlorine donated by DINEPA, the Haitian governments water and sanitation authority. From there, water was distributed via 53 newly constructed stand-posts, each of which can reach up to 450 households. As a result, 23,850 families gained access to clean water. World Vision also partnered with DINEPA to connect several communities to the Port-au-Prince water network. Eleven new boreholes were sunk and equipped, enabling beneficiaries to tap into groundwater supplies. Two of these boreholes were sunk at schools in Port-au-Prince, providing water for more than 2,000 students.
empowering communities
Community-based management, which empowers local communities to take ownership of new and rehabilitated water supplies, is a key component of World Visions water-related programming. More than 400 community members participated in 68 water point user committees (WPUCs) supported by World Vision. Village pump minders (VPMs) were appointed to maintain local water points. These efforts will help ensure that new water supplies remain operational long after relief and rebuilding efforts have come to a close.
ensuring access to sanitation

Sanitation interventions, such as the disposal of human waste and the provision of showers and latrines, are crucial to the prevention of waterborne illness. World Vision constructed 530 ventilated improved pit (VIP) latrines in displacement camps and communities between January 2010 and July 2011. Another 143 existing latrines were desludged and converted to VIP latrines. In addition, camp communities received hundreds of new showers, benefiting over 132,000 individuals. (For more information on sanitation efforts, see Cholera on pages 2527.) World Vision also implemented drainage, mosquito control and waste collection projects to prevent the spread of waterborne illness. In response to a chronic need shortly after the earthquake, World Vision launched a project to improve Port-au-Princes only waste-management site. The Truitier site was being used as a dumping ground for solid, liquid and medical/biological waste, posing multiple hazards to the many people who inhabit the area, as well as those visiting the site to deposit waste. As an emergency intervention, World Vision built two settlement ponds for liquid waste management and facilitated the separation of solid, liquid and medical waste. Roads were constructed to ensure safe access to the site. At the end of September 2011, World Vision began coordination with relevant government authorities, UNICEF and the WASH cluster (see explanation of cluster system on page 41) to close out the emergency ponds as a new municipal site was developed for Port-au-Prince.
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cultivating good hygiene

World Visions hygiene interventions combine awareness-raising efforts with the provision of critical supplies. For example, handwashing stations were set up near latrines in Port-au-Prince, and hygiene kits were distributed to many camp residents. World Vision established health and hygiene committees in displacement camps, while 200 students were recruited for an intensive Trainer of Trainers workshop. Upon completion, each participant was tasked with training at least 10 other students at their schools, ultimately reaching 5,000 students with hygiene education.
transitioning to long-term solutions

World Vision has begun scaling down water trucking operations in camps where more sustainable options can be deployed, such as repairing nearby water sources and testing water to ensure that it is potable. In several camps that are accessible by truck, DINEPA has taken over maintaining the latrines. World Vision will continue to maintain latrines in less accessible camps until this service can be withdrawn without compromising the safety of camp residents.
Emergency water interventions Until June 2011, World Vision was delivering 1.1 million litres of clean drinking water every day in 36 camps. World Vision has also installed 96 water tanks.
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disaster risk reduction

Even as we continue our response to the 2010 earthquake, World Vision is working to prepare communities for future emergencies. Disaster risk reduction is being incorporated into all ongoing development plans as Haiti continues to transition from relief to recovery. Natural and human-made factors combine to make Haiti particularly vulnerable to disaster. The island of Hispaniola lies on an active fault zone, and its location in the heart of the Caribbean Sea puts Haiti in the path of numerous tropical storms and hurricanes. In 2008 alone, Haiti was hit by four major storms, damaging agriculture and infrastructure. The country had not yet fully recovered from this sequence of disasters when the earthquake struck in 2010. Nine months after the earthquake, Hurricane Tomas struck Haiti, displacing families, destroying livelihoods and flooding several areas. Thankfully, the damage was less than had been feared, partly due to advance preparation by the government and humanitarian groups. In 2011, Haiti experienced two severe weather events: Tropical Storm Emily and Hurricane Irene. Both storms caused isolated flooding and mudslides. Haitis vulnerability is not purely the result of natural phenomena. Environmental degradation has taken a high toll; 97 per cent of all land in Haiti is deforested, increasing the risk of flooding, erosion and landslides, especially during severe weather events.15 More than 550,000 Haitians still live in displacement camps.16 World Vision is committed to helping these displaced families withstand the next disaster by preparing communities for what might come and embedding risk management into our programming country-wide.
15 Fast Facts: Haiti: The Situation, UNICEF, www.unicef.org/media/files/FastFacts_Haiti_Final.doc. 16 Displacement Tracking Matrix, IOM, 30 September 2011.
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providing education and raising awareness

World Vision works with camp residents to anticipate a potential disaster, ensuring they know how to prepare. At the onset of Haitis annual rainy and hurricane seasons, and as threats of isolated events came to light, displaced families were instructed in potentially life-saving activities such as securing tents, following government warnings and instructions, identifying safe havens, protecting vital documents, and ensuring access to clean water. In addition, approximately 2,000 families at Corail received DRR training in 2011, in partnership with the Department of Civil Protection.
pre-positioning emergency relief supplies

World Vision has supplies pre-positioned throughout Haiti both in Port-au-Prince and in rural areas. These include items that families need most in the hours and days immediately following a disaster: tents, tarpaulins, mats, sheets, blankets, kitchen sets, mosquito nets, hygiene kits, water containers, water purification tablets, flashlights and more.
Reforestation projects are helping to restore the local environment and reduce the risk of flooding, erosion and mudslides. For more, see Economic recovery and livelihoods on pages 1819.
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protection
World Vision is committed to safeguarding human rights for Haitis earthquake survivors. In everything we do, we seek to ensure the safety, dignity and participation of the most vulnerable populations. Two years after the earthquake, many survivors especially the nearly 550,00017 still living in displacement camps face serious protection issues. Informal settlements are often plagued by insecurity and governed by powerful individuals with various interests which do not always prioritise the safety and protection of the vulnerable. Women in particular remain vulnerable to sexual and gender-based violence (SGBV). For example, an August 2011 report by the Human Rights Watch found that a number of displaced women rely on transactional sex simply to survive.18 Humanitarian protection is a cross-cutting sector in World Visions earthquake response. Interventions aim to ensure that disaster survivors are safe from violence or the threat of violence safe from coercion or exploitation safe from deliberate deprivation, neglect or discrimination that would prevent them from accessing the means for survival with dignity.
17 Displacement Tracking Matrix, IOM, 30 September 2011. 18 Nobody Remembers Us: Failure to Protect Womens and Girls Right to Health and Security in Post-Earthquake Haiti, Human Rights Watch, 2011, http://www.hrw.org/sites/default/files/reports/haiti0811webwcover.pdf.
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identifying and mitigating risk

Protection risk assessments were completed in all World Vision-managed camps in consultation with more than 620 beneficiaries. Preliminary results showed that the primary threats were domestic violence, sexual exploitation and the abuse of power by camp committees. World Vision is tailoring protection activities to address the concerns identified by beneficiaries.
training staff and community leaders

Starting in August 2011, 237 community leaders and another 140 community members participated in training on humanitarian protection, including how to prevent SGBV. More than 600 local staff and contractors received training on the minimum standards of protection. Another 173 staff were sensitised on preventing sexual exploitation and abuse, and 35 field staff were trained in psychosocial first aid.
protecting community members

World Vision works to ensure that community members understand their rights and know what resources are available to them. Toward this end, 8,300 beneficiaries were sensitised in human rights, gender-based violence, and the prevention of sexual exploitation and abuse. In many cases, World Vision was able to distribute resource cards identifying local organisations that assist SGBV victims. World Visions protection team responded to concerns and human rights abuses within displacement camps, making 776 visits to follow up on various protection issues.
partnering for the future

In the months ahead, World Vision will partner with local organisations that specialise in protecting vulnerable populations. By engaging in capacitybuilding activities and offering technical advice and support, a durable, local solution can be designed for the protection of entire communities. As part of this effort, World Vision has begun exploring partnership opportunities with 10 local womens organisations.
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advocacy
Advocacy has been an integral component of World Visions earthquake response from the beginning. Over the past two years, we have been speaking out on behalf of and with children and affected communities, ensuring that their voices are heard in the reconstruction process. World Vision has defended the rights of displaced families facing eviction from camps and sought to protect the most vulnerable, especially children, and ensure aid effectiveness. As time goes on, nearly 550,000 people continue to live in camps, facing the growing threat of forced eviction in the absence of durable solutions to displacement.19 Children remain vulnerable to violence, neglect, abuse and exploitation. World Vision seeks to change policies, systems, structures and behaviours in ways that reflect the needs expressed by the most vulnerable. We do this by advocating for the rights of children and making sure their best interests are taken into consideration during decision-making at the local, national and international levels. We have been advocating with national stakeholders for the protection and participation of children, the rights of the internally displaced and the fair allocation of aid to children and youth. Internationally, World Vision has been working with partner NGOs and networks to influence the political agenda of donors, the European Union and the United Nations in order to ensure greater focus on Haitian children and youth. We have leveraged our global presence to advocate for priority issues in the Latin America and Caribbean region, as well as in Geneva, New York, Washington, Brussels and Ottawa. World Vision works at every level of society, engaging with the government of Haiti, the United Nations and its agencies, Haitian civil society and communities themselves.
19 Displacement Tracking Matrix, IOM, 30 September 2011.

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protecting children and making their voices heard

Along with UNICEF and Plan Haiti, World Vision is a leading member of the Global Movement for Children (GMC) in Haiti. GMC has facilitated youth and child consultations at the national level, publicly through media as well as in high-level meetings amongst children, youth and key stakeholders such as the UN General Assembly, the UN Economic and Social Council (ECOSOC) and Haitis first lady. In the past year, World Vision has also taken the cause of child protection to the General Assembly of the UN Human Rights Council, the Haiti government, the UN independent expert on human rights, USAID and several other key stakeholders. These activities have allowed for the views of children and youth to be included in reconstruction policies and strategies, and have increased political and public awareness regarding the rights of children to protection.
ensuring aid effectiveness

Together with the GMC, World Vision published a report on the effectiveness of policies and strategies to protect children and youth. The report was presented at the UN headquarters in New York by two young people from Haiti. World Vision also disseminated a policy paper, calling for the continued commitment of the international community to Haiti, particularly as it transitions from relief to development, and emphasised the need to support fractured communities in building a stronger civil society and strengthening the governments structural and institutional capacity. This paper was shared with key donors, the government of Haiti and the UN.
standing up for displaced families

World Vision worked with other international agencies to develop procedures that better protect families who are facing eviction from camps. By helping camp committees negotiate closure dates, we can delay camp evictions, allowing families valuable time to seek alternative living accommodations. Using field-based research on camp transition and forced evictions, World Vision lobbied local and international bodies to ensure that durable solutions to displacement are found, respecting the dignity and rights of internally displaced populations.
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empowering communities
For change to be sustainable, the people of Haiti must be able to know and effectively claim their rights, monitor public policies and hold duty bearers accountable. To facilitate this, World Vision trained several hundred camp residents and civil society organisations to advocate for improvements to local services and public policies. Throughout the coming year, World Vision will continue to stand alongside the Haitian community in advocating for the rights and protection of its children. Going forward, World Vision will seek to influence policies that will help ensure that children are protected and able to participate in all decision-making processes affecting them, including reconstruction and community development ensure that the right of displaced families to durable solutions is protected continue to ensure aid effectiveness empower and mobilise communities to increase access to livelihood, water, sanitation, hygiene and educational opportunities.
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field view
Haitian youth attend UN High-Level Meeting on Youth, New York
Camille isnt one to shy away from voicing her opinions. The 19-year-old is outgoing, articulate and passionate. But even the most accomplished speaker could be excused for feeling a little anxious when addressing the United Nations General Assembly, which was what Camille found herself doing last July. When I spoke to the delegates at the United Nations I was very nervous, she says, but it felt so good. I was very proud. Camille travelled to New York with eight other young Haitians to attend the United Nations High-Level Meeting on Youth, held on 2526 July at the UN headquarters. I spoke in front of many people, important people. I was the only youth to speak in the name of Haiti. The other delegates were adults who spoke for youth. The nine young participants have all been part of the Global Movement for Children (GMC) in Haiti, a collaborative amongst World Vision, Plan and UNICEF. Involving youth with living situations ranging from urban camps for the displaced to remote communities, GMC activities are aiming to empower Haitis youth, who make up nearly half of the population, by encouraging them to play an active role in the rebuilding of their country. The best thing about coming to the United Nations was the time when we spoke about our lives in Haiti, at our own side event, said 14-year-old Fabienne. We spoke about the problems and proposed alternatives. It was a great opportunity to have our voices heard. There are so many problems for youth in Haiti, particularly relating to education and unemployment, explained Fabienne. For me, there are three major problems. Firstly, there is no security. Second is education and, third, there are no jobs for our relatives. Children and youth face many challenges, but their relatives dont have jobs, and so they cant satisfy their needs. So, things dont improve. As youth, we can advocate, but the youth cant resolve these problems unless the government does its part. Id like them to integrate the youth into all of their activities. They have to create more schools, better education. Id like to ask the authorities to subsidise education, so kids can go to school. Haiti has long had a privatised education system, meaning a good education is a privilege, despite it being a basic right. Fabienne, though, remains hopeful that things can change. I think this is possible if the government wants it to be possible. If Haitis reconstruction truly depends on its youth, the nine bright and optimistic Haitians who made sure their voices were heard on the world stage certainly show potential and they all have ambition to match.
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innovation and partnering
World Vision is working with other NGOs and the private sector to find innovative solutions to emergency relief and long-term development. This emerging sector is helping to fuel job creation and will remain a key theme in our work in Haiti for years to come. Innovation and partnering (I&P) is a relatively new component of World Visions emergency response programming. In partnership with other NGOs and the private sector, World Vision is exploring nontraditional methods of economic recovery in the aftermath of disaster while also seeking to make effective use of technology. In Haiti, World Vision is able to leverage the proximity of industrialised nations like Canada and the United States to forge creative new ventures. I&P efforts are focused on generating local employment opportunities, which are essential to Haitis long-term recovery.
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making mobile payments

In partnership with Digicel and Scotiabank, and Voila and Unibank, World Vision was able to complete more than 5,000 mobile payments and more than 15,000 unique transactions, supporting cash-for-work and cash voucher programmes to ensure timely, reliable and safe payments to beneficiaries. This initiative, which helped introduce mobile banking to Haiti, supported local businesses by helping to disseminate a new technology platform for the country. Using mobile payments, World Vision could manage its resources more productively, freeing up payment processing costs for other programming work. World Vision hopes to expand this across programmes, with increased options for purchases in local stores.
harnessing technology to ensure safe, fair aid distributions

World Vision teamed up with the Canadian IT firm FieldWorker Mobile Technology Solutions to implement Last Mile Mobile Solutions (LMMS), a tool for making aid distributions and projects like cash-forwork more effective, efficient and accountable. More than 100,000 beneficiaries have been registered using the handheld computer units. With the swipe of a photo ID, families receive the assigned goods or vouchers at the distribution point. LMMS eliminates reliance on paper-based systems and can reduce wait time for beneficiaries. The technology was also used to automatically calculate accurate rations and minimise the risk of fraud or error. In some projects, LMMS was used alongside mobile payments. World Vision continues to expand LMMS use across projects, and is sharing the technology with other agencies.
other partnerships
World Vision engaged in a pilot project with Caribbean Crafts to employ artisans living in a displacement camp so they can make and sell bracelets. Outside of Port-au-Prince, a digital employment centre was operated in partnership with Samasource, providing long-term employment for 17 people, while a partnership with Miami Dade College sought to improve professional education in Haiti.
partnering for the future

I&P will remain part of World Visions long-term development efforts. Future projects include a partnership with the Haitian government and local bottling companies to employ up to 4,000 people in a recycling project. World Vision is also working to link artisans with international designers and partnering with local agricultural companies to help improve the value chain for farmers, ensuring they have greater opportunity for a more sustained income.
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aid agency coordination

Collaborating with other agencies is essential to improving the quality, effectiveness and efficiency of our programming. At World Vision, we are able to leverage more than three decades of on-the-ground experience in Haiti to help maintain the highest levels of coordination with NGOs, communities, governments and donors. Coordinating with other organisations is vital to ensuring that beneficiaries are properly identified, assessed, assisted and monitored. World Vision has a long history of working with other aid agencies in Haiti, as well as with the national and local government. Such coordination is helpful in determining which agency is best placed to deliver specific services in the most efficient and effective manner and to ensure that all earthquake victims needs are being met in some way.
key partners
World Vision is an active member of the interagency clusters system, a grouping of UN agencies, NGOs and other aid organisations that collaborate on information management, response standards and practices. In total, there are 11 clusters: Protection; Camp Coordination and Management; Water, Sanitation and Hygiene; Health; Emergency Shelter; Nutrition; Emergency Telecommunications; Logistics; Education; Agriculture; and Early Recovery. As a participant in the Humanitarian Country team, and as a member of the Coordinating Committee of NGOs, World Vision works to ensure that aid agencies coordinate to deliver assistance in a principled, timely, effective and efficient manner that contributes to long-term recovery. World Vision also belongs to the International Council for Voluntary Agencies, InterAction and the Comit Permanent Inter-organisations, which coordinate efforts on humanitarian standards, accountability and response activities. Partnerships with local and international organisations have ensured that contextually appropriate services are provided to target communities. Partners include a number of local organisations in Haiti, as well as the UN and international humanitarian agencies such as Oxfam, Save the Children, Mercy Corps, the American Red Cross, Handicap International, Plan International, Concern, Goal, the Refugee Education Trust and Samaritans Purse. As in every disaster situation, World Vision adheres to the standards set by the UN Office for the Coordination of Humanitarian Affairs and the UN Inter-Agency Standing Committee.
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the responsibility of accountability

From the very beginning of our emergency response in Haiti, World Vision has integrated accountability measures into our work. Accountability is crucial not only for our donors but also to ensure the highest possible standards of excellence and community participation in all our programming. Accountability is essential to effective disaster relief and development. For this reason, World Vision is a signatory to the following: People in Aid Code of Best Practice in the Management and Support of Aid Personnel Code of Conduct for The International Red Cross and Red Crescent Movement and NGOs in Disaster Relief. In addition, World Vision is committed to implementing the Humanitarian Accountability Partnership (HAP) Standard in Humanitarian Accountability and the Sphere Standards. This commitment to accountability is captured in World Visions Programme Accountability Framework, which outlines how field programmes can ensure transparency, consultation and participation.
The Sphere Project

World Vision hosted the Sphere Project in Haiti, supporting the implementation of the humanitarian charter and minimum standards for disaster response. In this role, World Vision was able to offer capacity-building services to other international aid agencies, Haitian civil society organisations and the government of Haiti, with the goal of improving the quality and accountability of future humanitarian responses. For example, 434 representatives from different agencies participated in a two-day training session designed to promote awareness and practice in relation to the Sphere Standards. An external evaluation found that the Sphere Project helped to increase participants capacity to use the Sphere Standards to promote best practices in humanitarian work.
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ensuring programme effectiveness

World Visions design, monitoring and evaluation (DME) activities seek to measure the effectiveness of humanitarian programming. Listening to community members is essential to successful DME. Over the past year, World Vision has initiated a number of field studies utilising focus group discussions, key informant interviews, contextual analysis and technical assessments to evaluate the impact of projects and identify improvements to future programming. Feedback from beneficiaries is also communicated in weekly and monthly reports, providing consistent information on the impact of projects from the communitys perspective. This is useful in informing decision-making in the project and future project design.
consulting with communities

World Visions Humanitarian Accountability Team (HAT) seeks to ensure accountability in our activities by building relationships with the children and families living in displacement camps as we work to meet their needs. To date World Vision has coordinated with more than 63,600 beneficiaries in camps around Portau-Prince, sharing information about who we are, how we work and what we are doing in their communities. HAT also works to raise awareness about key protection issues in various communities. In June 2011, World Vision conducted an Obstacles and Options survey, communicating with 4,650 households to better understand their preferences for long-term settlement. The findings from this study are helping shape ongoing efforts to provide lasting solutions for displaced families in Haiti. World Vision has also implemented an anonymous complaints and response process, benefiting more than 12,700 households to date and providing community members with a means of sharing confidential feedback through the use of suggestion boxes, community feedback groups and the piloting of a toll-free hotline in some camps.
building staff capacity

World Vision is committed to promoting the importance of accountability amongst staff. In recent months, 112 field and management staff in Haiti received training in humanitarian accountability principles and practices, including the Sphere Standards, HAP accountability implementation tools, and the Red Cross and Red Crescent Movements Code of Conduct for disaster relief.
Women and youth tell their own stories

For 10 weeks, starting in July 2011, 10 women and 10 youth living in IDP camps participated in a World Vision Accountability-Communications pilot project where they learned video, reporting, interviewing, storytelling and photography skills. Personal stories and some of Haitis issues were made into short-form documentaries, portraits and stories. Participants visited Haitian media outlets, assessed ways to participate with protection and water/ sanitation teams on community awareness, and used their new skills to hold a press conference with World Vision Haiti leadership.
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financial accountability year two

Funds raised US$220.9 million Overhead US$11.6 million Funding for response programme US$209.3 million
Funds raised
Funding for response 95% US$209.3 million
Overhead 5% US$11.6 million
Funds spent US$185.7 million

Advocacy Disaster mitigation Economic development Education Food security Non-food relief items Health Infrastructure Leadership development Protection programming Shelter Water and sanitation Monitoring & evaluation Programme management Resources distributed through partner organisations $784,000 $2.8 million $3.5 million $2.5 million $58.2 million $16.5 million $5.8 million $6.7 million $521,000 $4.6 million $31.5 million $14.3 million $1.5 million $19.4 million $17.1 million
Funds spent
Economic development 1.9% Protection programming 2.5% Health 3.1% Infrastructure 3.6% Water and sanitation 7.7% Non-food relief items 8.9% Disaster mitigation 1.5% Education 1.3% Monitoring & evaluation 0.8% Advocacy 0.4% Leadership development 0.3%
Food security 31.3%
Resources distributed through partner organizations 9.2%
Shelter 16.9%
Programme management 10.4%
Donations by country
Funds raised: actual funds raised through 30 September 2011 (all numbers are unaudited) Overhead: actual overhead through 30 September 2011 (all numbers are unaudited) Expenditures: actual expenditures through 30 September 2011 (all numbers are unaudited)
Netherlands 1% Switzerland 1.3% Japan 1.4% Taiwan 2.3% Hong Kong 2.6% Korea 3.6% United Kingdom 3.8% Australia 4.2% Germany 5.5% Austria, Finland, France, Ireland, Italy, Malaysia, New Zealand, Singapore, Spain 1.7%
Resources distributed through partner organisations: this total reflects cash raised through multi-organisation fundraisers and disbursed to participating charities as well as product donations provided to partner organisations for distribution in Haiti.
United States 49.5%
Canada 23.1%
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looking forward
Every day, there is hope in Haiti. As vendors sit before their tent homes singing and children spending one more year out of school laugh loudly, playing knuckles in the street, the international community continues to work with Haitians, making steps toward recovery. Their hope makes it imperative for us to do our best, no matter how complex and daunting the challenge. Haitis reconstruction will take years. Leaving Haiti better than before the earthquake will take decades. The government of Haiti is tasked with the huge responsibility of rebuilding a country, reviving an economy and ensuring that the children of this tiny island nation are equipped and motivated to carry this task into the future. Humanitarian organisations exist to support and complement these efforts, serving the most vulnerable while bigger institutional change takes root, and always ensuring that our work is sustainable. In two years, World Vision has helped to ease the burden for hundreds of thousands of people. The organisation has provided for basic human needs, protected and encouraged children, supported parents and sought ways for displaced communities to make their voices heard. With available resources now vastly reduced, World Vision will focus its post-response work on sustainable livelihoods and food security, education for life, good health, advocacy and child protection, working primarily with grant-based funding. World Vision recognises the great need for parents incomes to improve in post-quake Haiti if children are to thrive. Without this, the task is impossible. In the countrys unique context at this significant time in history, advocacy will be essential if the voices of the vulnerable are to be heard in the ongoing reconstruction process. Education, health and child protection have been key focus areas of our work in Haiti. World Vision is committed to maintaining its child focus as we narrow our response work into activities with the most potential to see long-term improvements for children. At the same time, World Visions work with developing communities in rural areas all across Haiti will continue, as it has done for more than 30 years. The response to the 12 January 2010 earthquake has not been an easy endeavour for World Vision but it has been a critical one. We thank all of our donors, from all corners of the world, for their faith, generosity and commitment not only to serving basic needs at a critical time but also to recognising the hope and potential in Haitis children and helping us work to create conditions under which they can flourish.
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For more information, visit

WVI Offices Executive Office 6-9 The Square Stockley Park Uxbridge, Middlesex UB11 1FW United Kingdom World Vision International 800 West Chestnut Avenue Monrovia, CA 91016-3198 USA International Liaison Office Chemin de Balexert 7-9 Case Postale 545 CH-1219 Chtelaine Switzerland European Union Liaison Office 33 Rue Livingstone 1000 Brussels Belgium United Nations Liaison Office 919 2nd Avenue, 2nd Floor New York, NY 10017 USA
www.wvi.org
World Vision is a Christian relief, development and advocacy organisation dedicated to working with children, families and communities to overcome poverty and injustice. Inspired by our Christian values, we are dedicated to working with the worlds most vulnerable people. We serve all people regardless of religion, race, ethnicity or gender.

2 Year Haiti World Vision

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2 Year Haiti World Vision

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Two years on

Haiti Earthquake Response

two years on:

World Vision Haiti Update

in two years World Vision has distributed:

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

reuniting children with families

establishing safe spaces for children

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

providing educational opportunities

rehabilitating educational infrastructure

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

* Name has been changed

serving families living in camps

meeting the immediate needs of displaced families

building bridges with displaced families

helping families transition

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

shelter and infrastructure

7 Displacement Tracking Matrix, IOM, 30 September 2011.

providing safer shelter

helping families repair existing homes

building for communities

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

10 At a Glance: Haiti: Statistics, UNICEF, http://www.unicef.org/infobycountry/haiti_statistics.html.

distributing food aid

nourishing body and mind through school feeding programmes

food for the vulnerable

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

field view child well-being

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

economic recovery and livelihoods

revitalising communities through cash

saving for the future

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

health, nutrition and well-being

delivering basic health-care services

preventing disease, promoting well-being

supporting local health systems

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

helping to heal emotional wounds

serving people living with disabilities

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

* All names have been changed for confidentiality

World Vision Haiti Update

Two Years On: Haiti Earthquake Response

providing life-saving treatment

preventing further outbreaks

remaining vigilant against the cholera threat