This is an English translation of the chapters that provide an overview of the context, needs and humanitarian strategy for 2012. The Cluster response plan and other sections of the CAP are available in French and are accessible at the following address: http://haiti.humanitarianresponse.info

HAITI 2012

2 | P a g e

HAITI 2012

SAMPLE OF ORGANIZATIONS PARTICIPATING IN CONSOLIDATED APPEALS

AARREC ACF

ACTED ADRA

Africare AMI-France

ARC ASB ASI

AVSI CARE

CARITAS CEMIR International

CESVI CFA CHF CHFI CISV CMA

CONCERN COOPI

CORDAID COSV

CRS CWS

DanChurchAid DDG

DiakonieEmerg. Aid DRC

EM-DH FAO FAR FHI

FinnChurchAid FSD GAA

GOAL GTZ GVC

Handicap International

HealthNet TPO HELP

HelpAge International

HKI Horn Relief

HT

Humedica IA

ILO IMC

INTERMON Internews

INTERSOS IOM IPHD

IR IRC IRD IRIN IRW

Islamic Relief JOIN JRS LWF

Malaria Consortium Malteser

Mercy Corps MDA MDM

MEDAIR

MENTOR MERLIN

Muslim Aid NCA NPA NRC

OCHA OHCHR OXFAM

PA PACT PAI Plan

PMU-I Première Urgence

RC/Germany RCO

Samaritan's Purse Save the Children

SECADEV Solidarités

SUDO TEARFUND

TGH UMCOR UNAIDS UNDP

UNDSS UNEP

UNESCO UNFPA

UN-HABITAT UNHCR UNICEF UNIFEM UNJLC UNMAS UNOPS UNRWA

VIS WFP WHO

World Concern World Relief

WV ZOA

HAITI 2012

4 | P a g e

Table of Contents ................................................................................................................................................................. 5 

1.  EXECUTIVE SUMMARY ............................................................................................................ 6 

Table I: Total Funding Needs per sector ........................................................................................... 10 Table II: Total funding needs per level of priority ............................................................................ 10 Table III: Total Funding Needs per Agency ...................................................................................... 11 

2.  2011 OVERVIEW ........................................................................................................................ 13 

2.1 Change of context ....................................................................................................................... 13 2.2 Implementation of CAP 2011 strategic objectives and lessons learned ...................................... 14 2.3 Humanitarian funding review ...................................................................................................... 24 2.4 Humanitarian coordination evaluation ......................................................................................... 25 

3.  NEEDS ANALYSIS ..................................................................................................................... 26 

4.  HUMANITARIAN ACTION PLAN .......................................................................................... 31 

4.1 Scenarios ...................................................................................................................................... 31 4.2 The humanitarian strategy ........................................................................................................... 32 4.3 Strategic objectives and indictors for humanitarian action in 2012 ............................................. 32 4.4 Selection criteria and prioritization of projects ............................................................................ 35 

5 | P a g e

HAITI 2012

6 | P a g e

1. Executive Summary The context of Haiti has changed after the earthquake of January 2010. Although significant challenges still remain -displaced persons still living in camps, the continuation of the cholera epidemic and the growing food insecurity- significant progress has been made in different sectors of humanitarian response and response to the cholera epidemic.

At the same time, significant efforts have been made to put Haiti on the path of recovery even though the interventions of development and reconstruction actors are still too slow compared to the scale of need. Haiti is a country that requires deep structural decentralized reforms, which can guarantee the respect for human rights and the access to basic services by the most vulnerable segments of the population. In this context, it is clear that actions targeting the long term must come to support humanitarian actions and vice versa.

In terms of the humanitarian response strategy for 2012, humanitarian actors agreed to give priority to streamlining coordination mechanisms to ensure capacity building of government and its leadership.

However it is important to note that the Global Appeal process for Haiti 2012 falls sharply in this context of transition, but that it not a transition appeal. Instead, the Consolidated Appeal Process 2012 focuses only on critical humanitarian needs as outlined in the depth needs analysis conducted by the various sectors.

Despite an improvement in the humanitarian situation of a good part of the population, significant challenges remain, notably due to the exacerbation of the vulnerabilities of the population and problems of protection and the reduction of humanitarian coverage for more than 500,000 Haitians who still live in camps, the lack of support activities that facilitate the implementation of durable solutions, the response to continuous outbreaks of cholera epidemic, the increasing food insecurity and weather related emergencies. The year 2011 also saw a decrease in the number of humanitarian actors due to a lack of funding, and the lack of alternative solutions and the fact that their activities have not been passed to the government in a durable manner.

The CAP 2012 is part of the complex context of humanitarian, development and reconstruction issues. Humanitarian actors have chosen to focus their actions on two strategic objectives rather than the three outlined in the 2011 Consolidated Appeal Process, including:

Address uncovered, life saving, critical humanitarian needs and ensure the protection of the most vulnerable groups;

Support targeted actions focused on emergency preparedness and responses.

As a result, the Consolidated Appeal Process 2012 targets residual critical humanitarian actions for which there is no other source of funding. The humanitarian community has identified critical humanitarian needs and gaps and foresees that US $ 230, 544, 824.00 will be needed for humanitarian response in Haiti in 2012.1 This will give priority to the implementation of synergies with ongoing development and reconstruction efforts.

1 1 All dollar signs in this document refer to dollars of the United States of America. All funding for this appeal should be reported to the Financial Tracking Service (Financial Tracking Service / FTS, fts@un.org). FTS provides the latest updates on projects, financial needs and humanitarian contributions

Consolidated Appeal for Haiti 2012: Key Parameters

Duration January –December 2012

Critical events in 2012

Rain season: March-April Hurricane season: June-November

Target Beneficiaries 1.1 million Fundingrequest

Total $230,544,824.00 Beneficiaries $204

Humanitarian Dashboard – Haiti (As of 10 November 2011) SITUATION OVERVIEW Significant progress has been made in the earthquake response. However, major challenges related to persistent uncovered critical needs (cholera epidemic, services in camps, increasing food insecurity) remain:

A reduction of humanitarian assistance in the camps,

In the case of WASH cluster : one out of 5 displaced has no access to latrines in camps,

Country vulnerable to climate-related natural disasters,

Significant but slow progress in development and reconstruction efforts.

POPULATION IN NEED

KEY FIGURES

IDPs: 550,560 in September 2011 (64% decrease in 1,500,000 displaced in July 2010)

4.5 million Haitians are estimated to be under food insecurity status

473,649 cholera cases (20,461 cases in September)

Reduction in the cumulative case fatality rate from 2.4 % in November 2010 to 1.4 % in September 2011

Approximately 5 million m3 debris removed 348 camps under eviction threat (July 2011)

(CAP 2012, OCHA 28-29/09/2011)

Total Population9,923,243 million

4.6 million are in need ofhumanitarian assistance

1.5 million targeted by the cluster system

GAP ANALYSIS / PRIORITY AREASCCCM/SHELTER: targeting the critical needs of camp residents; response to cholera outbreaks; support to return and relocation of the displaced; safe shelters.

WASH AND SANITATION: responding to urgent needs for water, sanitation and hygiene (in the camps and cholera reservoirs in difficult disengagement and temporary shelters without water and sanitation); response to new crises HEALTH: cholera response (in the camps, cholera reservoirs and remote areas where access to basic health is limited); reinforcement of emergency preparedness and response, environmental programs to prevent the dissemination of infectious diseases.

FOOD SECURITY: fill critical needs not covered in the field of food security (access, availability, use), increase the resilience of households vulnerable to shocks and continue with the immediate food response for the most vulnerable households, emergency preparedness and response.

NUTRITION: contribute to reducing mortality and morbidity related to malnutrition, increased coverage and minimal response capacity support the Ministry of Public Health and Population (MSPP) in emergency response.

PROTECTION: protection integration in different sectors targeted actions for the rights of specific most vulnerable groups dissemination of protection during preparedness and emergency response) local capacity building, prevention / response to violence / abuse / exploitation and continue the family tracing and reunification activities, security patrols, support the return and resettlement; sunlamps. EARLY RECOVERY: support the livelihoods and socio-economic integration (displaced and vulnerable groups), preparedness and response to emergencies (storage, micro-mitigation).

EDUCATION: increase enrollment of children by 80% (ages 4-14) in the camps and resettlement areas, preparedness and response to emergencies.

LOGISTICS: support the activities of humanitarian actors, especially in areas with difficult access (storage, transport). ETC: continue to support humanitarian actors with the provision of data and telecommunications services, emergency preparedness and response.

(CAP 2012, OCHA 28-29/09/2011)

0 500 1 000 1 500 2 000 2 500 3 000 3 500 4 000 4 500 5 000

CCCM/Shelter

Food Assistance

Agriculture 

Education

Nutrition

Protection(Child and Gender Based Violence)

Early Recovery

Health

Number of persons in need, targeted and covered

Number of persons in need Number of persons targeted

million

Jé

GRANDE-A

HAITI: Cluster P

Economic Indicators

Health

Nutrition

Food security

WASH

Cayes

érémie

SUD

NIPP

ANSE

Priority Areas - CAP 2012

Priority levelLow

Medium

High

Priority areas CAP 2012- Camp Management / Shelter- WASH- Health- Protection

Indicators Gross domestic product pPercentage of population Female/male earnings ratAdult mortality (2007) Maternal mortality rate Mortality rate under five yLife expectancy at birth Number of nurses, midwifinhabitants Immunization coverage ag<1 Prevalence of undernourisCholera incidence amongPrevalence of stunting Prevalence of low underweight in children unPrevalence of low weight

Food security indicators

% of population with accesource in urban areas % of population with acceurban areas Measure to strengthen rol

Gona

Miragoane

Port-de-Paix

SUD-

PES

NORD-OUES T

per inhabitant living on less than $1.25 per dtio

ears old

fe, Physicians for 10 000

gainst measles among children

shment in total population. g children under five years old

nder five among children under five

ess to improved drinking water

ess to improved sanitation facil

le of women by UNDP

Jacmel

Hinche

aives

Cap-Haitien

Port-au-PrinceOUEST

CENTRE

ARTIBONITE

NORD

-ES T

NORD-

Reference Indicato$660 (Source: World B

day 54.9% 2000 to 2007 (U0.37 (Source: UNDP - 323/1000: males; 233/1670 / 100,000 live birth79 /1000: males; 73/1 053:males / 55:female (W

4/10,000 in 2000 (Stati

n 58% in 2007 (Statistiqu

58% (FAO 2004-2006)35,000 (MSPP 10 OctoDepartmental average:

National Prevalence: 2

18.9% (IFPRI 2001-2005.4 million of people un1.8 in food insecurity (F

70% in urban area; - 51(UNICEF / OMS 2008)

ity in Urban area - 29%, rura(UNICEF /WHO 2006)149th of182 countries

HAITI

Fort-Liberté

DO

MI N

I CA N

REP

UBL

IC

-ES T

ors Bank 2008) UNDP- RDH 2009) RDH 2009) 1000: females (WHO 2009)

hs (UNICEF) 000: females (WHO 2009) WHO 2009)

stiques sanitaires mondiales 2

ues sanitaires mondiales 2009)

ober 2010 to 31 May 2011) : 18,1% to 31,7% (MSPP 2009

2% (DHS 2005)

06) ndernourished (FAO 2009) FEWS NET 2009) 1% in rural area. In general 58

al area - 12%, in general - 19%)

2012

2009)

)

9)

8%

%

TREND A 64% de

Choler

2011. Import

Septem

Cumul

HUMANIT

CAP 2011

$157

$225

FUNDED

UNMET

TOTAL REQFOR HAITI

$382

ANALYSIS ecrease in the number

ra: reduction in the cumIn 2012, it is estimatedtant reduction in the number 2011).

lative number of camp

TARIAN COORD

1 - FUNDINGS

million

million

- Contribut amount to

- Overall fu amounts

QUIREMENT

million

of displaced from1,50

mulative case fatality d that 200,000 peopleumber of humanitarian

Presence parUN AgenciesInternational NGONational NGOsGovernment International Orga

ps under eviction threa

INATION MECHA

tions to projects not listed in the Co $280 million.

unding to Haiti (inside and outsideto $505 million.

8

00,000 in July 2010 to

rate from 2.4 % in Nove will be affected by nen actors (477 partners

rtners: total per type

Os 1 2 anizations

at has risen from 87 in

ANISM

CAP

e the appeal)

8 | P a g e

550,560 in Septembe

vember 2010 to 1.4 %ew cholera outbreaks. s in February 2011 aga

9 189 202 11 16

n July 2010 to 348 in J

(CAP 2012, OCHA

0

100

200

300

400

Commas of

Appel15 No

Total(in m

0

100

200

300

400

er 2011.

% in September

ainst 427 in

uly 2011.

A 28-29/09/2011)

mitted/Contributed25 Oct. 2011

launched onov. 2010

l requirementmillion)

9 | P a g e

Additional basic humanitarian and development indicators for Haïti Indicator Data ReferenceDemographic Population 9 923 243

Economic Status

Produit national brut par habitant Percentage of the population that lives with less than $1.25 per day

$660 (Source: World Bank 2008) 54,9% for years 2000 to 2007 UNDP RDH 2009)

Ratio of earned income women/men 0.37 (Source: UNDP RDH 2009)

Health

Adult mortality (2007) 323/1000: men; 233/1000: women (WHO 2009)

Maternal mortality 670 / 100 000 live births (UNICEF)

Child Mortality under five years 79 /1000: men; 73/1 000: women (WHO 2009)

Life expectancy at birth 53:boys / 55: girls (OMS 2009)

No. nurses, midwives, doctors per 10 000 inhabitants

4/10 000 en 2000 (World Health Statistics 2009)

Immunization coverage against measles among children under one year

58% en 2007 (World Health Statistics 2009)

Nutrition

Prevalence of undernourishment in total population 58% (FAO 2004-2006)

Incidence of cholera in children under five years Cholera incidence in children five years

35 000 (MSPP Oct. 10, 2010 to May 31, 2011)

Prevalence of stunting Departmental average: 18.1% à 31.7% (MSPP 2009)

Prevalence of low underweight in children under five Country prevalence: 22% (DHS 2005)

Prevalence of low weight among children under five 18.9% (IFPRI 2001-2006)

Food Security Food security Indicator

4.6 millions people living under food insecurity.850,000 persons in a situation of high food insecurity. (CNSA 2011)

WASH

% Of population with better access to improved drinking water

Urban areas - 70%, rural areas - 51%,overall- 58% (UNICEF / WHO 2008)

% Population with access to improved sanitation coverage

29% in urban areas; 12% in rural areas - altogether - 19% (UNICEF / OMS 2006)

General Measure on women´s role strengthening 149 of 182 countries (UNDP)

HAITI 2012

10 | P a g e

Table I: Total Funding Needs per sector 

Compiled by BCAH based on the information furnished by the agencies.

Sector Funds require ($)EMERGENCY SHELTERS, NON FOOD GOODS AND CAMPS COORDINATION AND MANAGEMENT 53,945.246

AGRICULTURE 15,948.310

FOOD AIDE 19,427.327

COORDINATION AND SUPPORT SERVICES 5,503.353

WATER, YGIENE AND SANITATION (EHA/WASH) 35,047.302

EDUCATION 7,300.002

LOGISTICS 10,600.000

NUTRITION 12,925.609

PROTECTION 26,583.403

IMMEDIATE RECOVERY 8,969.025

HEALTH 33,471.702

TELECOMMUNICATIONS 823.545

GRAND TOTAL 230,544.824

Table II: Total funding needs per level of priority 

Compiled by BCAH based on the information furnished by the agencies.

Level of Priority Funds require ($)

HIGH 211,753.259

MEDIUM 18,791.565

GRAND TOTAL 230,544.824

Global Appeal for Haïti 2012 November 15, 20112 http://fts.unocha.org

11 | P a g e

Table III: Total Funding Needs per Agency  

Compiled by BCAH based on the information furnished by the agencies.

Agency Funds require($)ACF 6,685.900

ACTED 7,338.830 AHPH 400.000

ALIMA 827.000

AMECON 2000 417.000 APS 75.000

ARC 2,850.785

ARI 207.695 ASA 477.550

ASB 1,774.410

AVSI 1,127.500

BRAC 210.540

CARE USA 4,146.439

CESVI 315.668

COOPI 912.155

CPD 225.000

CW 5,289.139

Deep Springs International 2,030.000

DEH 1,073.290

DWHH 1,240.310

EGO 2,024.750

ERF (OCHA) -

FAO 10,000.000

FHED-INC 560.000

Finnchurchaid 409.000

FPN 251.000

France RC 820.000

GCFV 210.000

GOAL 960.662

GRUEEDH 551.512

H2H 42.913

HelpAge International 2,843.720

HI 2,494.000

Hopital Sainte Croix 149.950

IEDA Relief 1,291.872

ILF 205.000

IOM 31,711.560

HAITI 2012

12 | P a g e

Agency Funds require($)IRC 3,501.383

J/P HRO 1,594.192

Kindernothilfe e.V. 233.450 LHC 55.500

LWF 311.959

Malteser International 830.604 MDM Argentina 575.000

MDM Canada 1,267.000

MDM France 2,177.214 MEDAIR 4,679.093

Mercy Corps 305.000

MERLIN 696.205

MHDR 719.800

NADIEH 93.939

OCHA 5,503.353

OHCHR 686.136

OPREM-F 1,786.950

PAH 893.033

PESADEV 710.266

PIN 436.920

PU 510.000

RET 112.225

SC 4,040.586

SIF-France 575.000

SOJHAS 125.000

Solidarités 3,580.800

TEARFUND 600.000

Un Techo Para Mi País 346.675

UNASCAD 390.050

UNDP 350.960

UNFPA 2,180.000

UNHCR 6,673.655

UNICEF 24,104.360

UNOPS 18,597.932

URAMEL 593.995

WFP 32,402.321

WHO 5,396.400

WSM 1,297.847

WVI 9,459.871

Grand Total 230,544.824

13 | P a g e

2. 2011 Overview 2.1  Change of context 

The humanitarian situation in Haiti has improved thanks to the efforts made by the national authorities and the humanitarian community throughout the year 2011 in order to respond to the critical humanitarian needs of the population. In general, the majority of clusters are now chaired or co-managed by the respective national authorities in the sector.

The number of people living in camps has decreased by approximately 63%, from 1.5 million in July 2010 to 550,560 in September 2011. Despite these efforts, humanitarian needs still remain, notably in terms of coverage of basic needs that are still very important, such as shelters, access to drinkable water and sanitation. The implementation of long-lasting solutions for return and relocation of displaced persons remains difficult, in spite of the ongoing initiatives such as project 16/6.

In addition, protection issues associated with the risk of forced expulsions of displaced persons and violence in the camps have increased in a considerable way. Thus, the total number of camps under threat of eviction went from 87 in July 2010 to 348 in July 2011, an increase of 400%. While efforts to raise awareness and support provided by humanitarian organizations continue, gender-based violence remains a significant challenge.

Following the cholera epidemic that started in Haiti in October 2010, joint efforts have been made in several fields, particularly health, water, hygiene and sanitation. Activities to raise awareness and promote health have also been introduced to reduce the number of cases and to limit the impact of the disease. These combined actions resulted in a reduction in the mortality rates from 2.4% in November 2010 to 1.4% in September 2011.

Cholera prevention and treatment continues since the cholera epidemic will continue throughout 2012 and the risk of new outbreaks remains. The removal of non-governmental organizations (NGOs), lack of funding, the limited capacity of the Ministry of Public Health and Population (MSPP) to manage emergency structures (cholera treatment units and centers) and low infrastructure for water supply and sanitation throughout the country require sustained efforts of humanitarian actors.

Contrary to expectations, the 2011 hurricane season (June-November) was relatively quiet until the end of October 2011. The damage reported after Tropical Storm Emily and Hurricane Irene has been minimal in terms of casualties and shelter, as well as agricultural losses (57 ha). Coordinated preparedness and response activities under the auspices of the Directorate of Civil Protection (DPC), have strengthened coordination structures and the readiness of stakeholders. This capacity-building process continues, even if gaps in preparedness remain- for example, the lack of a sufficient number of community shelters, pre-positioning stocks of food, non-food items and logistics capacity, and mitigation work is still needed for many camps, canals and areas at risk of flooding.

In addition, throughout 2011, food security in Haiti has deteriorated significantly: 45% of the Haitian population, nearly 4.5 million people, is living in a situation of food insecurity. According to the preliminary results of the latest National Survey of Food Security carried out in August 2011 by the National Coordination for Food Security (CNSA), 850,000 people, or 8.2% of the population, would be in a situation of high food insecurity.

The political situation remained precarious in 2011 since December 2010 in response to social protests related to the presidential elections and delay in the appointment of a Prime Minister after the election of the President of the Republic on May 14, 2011. The political

HAITI 2012

14 | P a g e

impasse has led to a slowdown in important decisions by the government in various humanitarian and development sectors. It was not until October that the Prime Minister and the new cabinet took office.

Despite a positive evolution in the context, which is increasingly aiming at interventions for government capacity building, development and reconstruction, it is essential that humanitarian actors provide a coordinated multi-sectoral response, targeting the critical humanitarian needs of the population which have not been met and still exist in the camps and in relation to the continuation of the cholera epidemic, the growing food insecurity and malnutrition levels.

2.2 Implementation of CAP 2011 strategic objectives and lessons learned 

Strategic objective 1: To fill critical gaps and provide targeted and synergic actions that contribute to the integration and rehabilitation of the affected population while showing how to find long-lasting solutions.

Progress: In early 2011, approximately 800,000 people were living in the camps. Regarding the actions of the Cluster Coordination and Camp/Emergency Shelter Management (CCCM), 5,200 families were relocated to sites and 20,610 displaced people received assistance to return. The number of transitional shelters to be built over a period of 24 months amounted to 116,000. In total, more than 94,800 transitory shelters (84% of the total) were installed as of the closing date of the mid-term review of CAP 2011.

Significant progress has been made also in the area of food aid which provided family rations to 1.1 million students and 8,500 vulnerable families throughout the year.

With regard to nutrition, it is traditionally included in the health sector table managed by the MSPP, but this mechanism has not responded adequately to the humanitarian needs of nutrition. To better support sector coordination, the Nutrition Cluster supported in 2011 the directorate of Nutrition of the MSPP in the recovery of the National Technical Committee of Nutrition and the recovery of the Departmental Technical Committee of Nutrition in each department. The terms of reference of these committees cover the chronic problems and the components of preparedness and response to emergencies.

In 2011, the humanitarian response in Nutrition has also increased the coverage requirements by converting all the temporary malnutrition management services in the camps into more permanent structures that meet the needs of local people and those of the camps. Since January 2011, 393,000 children were screened in 46 municipalities of 8 departments by 16 NGOs, 4,241 indicating severely malnourished children (1.1%) and 28,260 moderately malnourished children (7.4%) in eight departments. The municipalities with the highest values (more than 3%) of severe malnutrition are Gonaïves and Gros Morne in the Artibonite, Moron à la Grand Anse, and Grand Goave in the west. As for moderate malnutrition, the highest values (over 15%) were observed at Thiotte and Marigot in the South East, Petite Rivière and Fond des Nègres in Nippes and Moron à la Grand Anse. These results show very severe localized pockets of malnutrition that result from multiple problems. A National Nutrition Survey is scheduled for January 2012 to better define the nutritional status.

Significant progress has been made in the area of drinking water: although 44% of the initial target has been accomplished, that is, the construction of 157 water points of 357.

Faced with the cholera epidemic, hygiene promotion activities have experienced very

HAITI 2012

15 | P a g e

positive results. Access to education for children in the camps is becoming more formalized, with the exception of vulnerable areas and specific groups of children such as children with disabilities.

With regard to protection activities, faced with the growing threats of forced evictions and violence, the continued presence of the United Nations Police (UNPOL) and the National Police of Haiti (PNH) in seven camps was particularly beneficial in terms of prevention and response to gender-based violence, thanks to the implementation of a system of referral of cases to the relevant services. In addition, 8,780 separated children were registered and 2,583 children received follow-up. Prevention initiatives and campaigns to raise awareness reached nearly 1,150,000 people across the country and more than 53,000 separated children and orphans living in 700 residential care facilities.

Of the 10 million cubic meters of debris generated by the destruction of 76,521 buildings, an estimated 5 million have been removed.

It is estimated that the target for the proportion of births assisted by skilled personnel has been achieved (30%). As for the proportion of women with access to Mother to Child Transmission Prevention (PMTCT), we observe that all institutions (71 hospitals) participating in the «maman ak timoun» program (free obstetric care) offer these services; all women attending these institutions have access to PMTCT.

Environmental Health: This indicator contains two measures, namely environmental health and health promotion programs. With regard to general environmental health programs, we observe that the coverage across the country is 50%. Coverage was achieved in large hospitals and health centers in all the departments. In the department of the west, there are 25 public facilities of which 88% of the most important structures are located in the metropolitan area. 27% of these structures are major institutions that serve the general population. All structures in Port-au-Prince metropolitan area have an environmental health program. 72% of these structures have water quality monitoring programs.

Concerning health promotion activities, 75% coverage has been reached which includes all major health institutions in the departments that reach the majority of the population. These activities have been strengthened through cholera response programs that systematically cover all the departments, including rural areas.

Challenges:

550,560 people remain in camps in conditions that worsen as humanitarian response resources decrease. The lack of sanitation facilities in temporary shelters is a major concern in relation to cholera and other communicable diseases. Although advocacy efforts have been made because of lack of funding and programmatic obstacles, only 60% of the existing temporary shelters are equipped with sanitation facilities.

There are 5 million cubic meters of debris waiting to be cleared / removed.

Food stocks currently available will be over in the first quarter of 2012. Despite the considerable increase of the nutrition services coverage in 2011, their distribution throughout the territory is still heterogeneous. The people living in certain areas still do not have access.

The implementation of child protection projects has been hindered by lack of funds obtained in an amount that did not reach 41.5% of the required funds as of the mid-term review.

HAITI 2012

16 | P a g e

The problems of non-enrollment and low quality of education are related to structural challenges that the education system has faced for decades. Only 20% of schools are funded by the public sector.

Ensuring the implementation of environmental health programs in small rural and remote sites is becoming increasingly difficult.

As for vaccination, it should be noted that the vaccination campaign which was scheduled for November 2011 will take place in March 2012. Therefore, it is currently impossible to measure the results of 2011. Strategic Objective 1: To fill critical gaps and provide targeted and synergic actions that contribute to the integration and rehabilitation of the affected population while showing how to find long-lasting solutions. Clusters Indicators Target October 2011 results

Emergency shelters

% of HH (HH) in urban & rural areas benefited from shelter solutions

At least 80% of the 28,000 HH

Not reported

% of HH in urban & rural areas benefited from t-shelter improvement

At least 80% of the 28,000 HH Not reported

% of HH reached through training & awareness in safer t-shelters and sites

At least 80% of the 28,000 HH Not reported

Agriculture

# of beneficiaries participating in cash for work programs (CFW) & income-generation activities

210,000 individuals >210,000 individuals

# of women associated with and participating in agricultural production 10,000 women > 20,000 women

Food security

# of vulnerable HH with access to Food Rations/Cash for Work. 123,500 HH 50,000 HH # of malnourished children between 6-59 months of age and pregnant / breastfeeding women as well as people affected by HIV-TB with access to complementary nutrition programs.

250,000 beneficiaries Total: 207,496

# of girls and boys receiving one back-to-school family ration. 1,100,000 students Total: 1,100,000 # of vulnerable HH receiving food coupons. 10,000 HH 0 (project in the

start-up phase)

Camp coordination and management

# of sites targeted for return when the second phase of registration is implemented

17 70%

% of camps targeted for return where the communication activities are implemented amps within the relocation areas relocalisation

100% 70%

# of HH identified as in need to receive a return package 5,400 7,4% # of camps that have been closed and returned to their former owners 17 64%

Water, hygiene and sanitation

# of water points (source, wells, springs, etc.) built or rehabilitated

357 water points built

157 water points built; 412 temporary chlorination points

% of shelters and transitory shelters with access to basic sanitation 100% 60% # of persons receiving training in hygiene promotion techniques 250,000 604,382

Education

% of educated children (boys and girls) in the relocation sites and camps 70% 75%2 % of students (boys and girls, 4-14 years of age) in the camps and sites, which have received school supplies

90% Not reported

HAITI 2012

17 | P a g e

% of schools in need of debris removal 5% 7%

# of schools rebuilt by the cluster partners in the zones affected by the earthquake

600 629

Logistics Does not apply

Nutrition

% of minimum coverage for services of nutritional stabilization services (USNs), ambulatory therapeutic points (PTAs) & complementary nutrition points (PNSs)

70% USN 78.5%, PTA 40%, PNS 55%

% of nutrition services provided through permanent structures. 75% USN 100%, PTA

75%, PNS 95%# of children screened 300,000 393,000

Protection

# of evaluations of intent carried out 50 30 # of orientation notes shared with national institutions and other clusters 30 22 # of protection issues observed in the activities and projects of other clusters 20 10

Child protection

# of return / relocation sites with safe areas where children socialize, play, learn & receive psycho-social support

100 28

# of return /relocation areas with protected community structures 100 27 # of return / relocation areas with mechanisms in place to report children’s rights violations

100 13

Gender-based violence

# of patrolled camps 7 camps – 24hrs & 7days presence.

7 camps 24hrs & 7days presence.

85 camps - once a week (at least)

85 camps once a week (at least)

# of installed solar lamps 300 solar lamps to be installed

250 solar lamps installed

Early Recovery

Volume of debris removed from the affected areas

At least 5million m3 (2010 / 2011) 1,5million m3

# of yellow houses properly repaired and secured 8,366 houses 5,315 # of displaced persons and community members & host communities outside earthquake affected areas receiving assistance to improve living conditions

70,000 people 50 000

Health

Proportion of deliveries assisted by qualified personnel. 30% 30%

Proportion of women with access to PTME Prevention services. 100%

100% women visiting institutions with SOG have PTME access (71 hospitals)

% of health establishments offering PTME services 100%

100% of health institutions with free obstetric care

% of women with access to PTME services 100% Not reported

Vaccination coverage of the target population

In the camps : Measles > 95% of children less than 5 years; DTC3> 95% of children less than 1 year; Also for children less than 8 years: 90% for measles and polio

The vaccination campaign planned for Nov. 2011 will be carried out in March 2012: impossible to measure the results for 2011.

HAITI 2012

18 | P a g e

Coverage of the environmental health programs including water quality, health promotion and waste management

70% (health establishments)

50% general coverage of the environmental health programs

Proportion of planned activities carried out to strengthen community-based health and to improve water and sanitation is the health care establishments.

75% of the planned health promotion activities

Telecomm -unication Does not apply

Strategic objective 2: To support humanitarian actions which provide protection and save lives among the most vulnerable groups due to multiple risks: displacement due to earthquake, cholera epidemic, threats posed by hurricane season, or severe food insecurity. Progress

It was possible to delay or stop a significant number of evictions from the camps thanks to the mediation and negotiation activities. Through the work group Housing, Land and Property (HLP), a protection cluster subgroup, standard operating procedures are prepared to allow humanitarian actors to coordinate the response to forced evictions.

The first excreta treatment site was opened in Morne-à-Cabrit, following the closure of the temporary site of Truitier, although many additional sites are needed across the country.

The alert and response system to new cases of cholera set up by the MSPP - the Pan-American Health Organization (PAHO) / World Health Organization (WHO) has received a total of 841 alerts since the system implementation. All alerts reported during the collection of information have been verified, and if necessary, a proper response was provided or coordinated.

The nutrition program results follow the SPHERE standards regarding moderate malnutrition management (complementary nutrition points - PNS). Active screening at the community level has already exceeded the target that the cluster had set for 2011.

More than 1.4 million students have benefitted from the cholera prevention measures. However the lack of water in schools poses a major challenge if we are to change children's behavior and develop appropriate practices.

The range of services offered by the NGO International Rescue Committee (IRC) in response to gender-based violence has allowed obtaining a map of post-earthquake services. The national directory of institutions has been implemented in order to include the partners which did not work in the field of gender-based violence (GBV) before the earthquake.

Thanks to the implementation of cholera management and prevention activities by the MSPP and a significant number of partners and health actors, the mortality rate has decreased from 2.4% in November 2010 to 1.4% in September 2011.

Challenge

The cessation of activities of some organizations, particularly in the Water, Sanitation and Hygiene (WASH) and health sector has been a major issue added to the difficult withdrawal of some major camps, mainly due to weak community structures.

Sanitation remains the main problem in the camps and sites for displaced persons. The

HAITI 2012

19 | P a g e

number of people per latrine is still too high, due to lack of space to build latrines and funds. The cholera epidemic continues and water supply and sanitation in the camps are increasingly at risk, at the same time, in most of the country, water sources are unprotected and limited hygiene conditions expose the population to high risk of transmission of cholera and other waterborne diseases.

More and more health partners also withdraw due to underfunding and now the MSPP is unable to take proper care of cholera treatment centers.

Regarding the area of nutrition, the dropout rate in cases of severe malnutrition remains a challenge (20% vs 15% reported by SPHERE). Dropout is mainly due to the termination of the rehabilitation process before recovery due to the need to travel long distances to access nutrition services in remote areas, confirming the existence of deficient coverage.

In relation to protection, detailed data collected on specific categories of people are still insufficient or nonexistent. This lack of data poses a challenge for the implementation of humanitarian interventions to protect and save lives. Gender-based violence remains at very high levels. There are significant threats of forced evictions for a growing number of Haitians in the camps, and there is a lack of structure - at the national and municipal level- to address these issues.

Regarding cholera care and prevention activities, since the second half of the year, the cessation of activities of some organizations (mostly due to lack of funds), has constituted a major challenge for the adequate response. Indeed, towards the end of the year, there has been a significant decrease of active NGOs in cholera response and prevention. PAHO / WHO field teams continue to check for alerts and coordinate responses to these alerts. Currently, all departments are covered by these teams.

Strategic Objective 2: To support humanitarian actions which provide protection and save livesamong the most vulnerable groups due to multiple risks: displacement due to earthquake, cholera epidemic, threats posed by hurricane season, or severe food insecurity.Clusters Indicators Target October 2011 results

Emergency shelters

# of HH, with no alternative solution, benefitting from emergency shelter and/or replacement

At least 80% of the 20,000 target HH Not reported

# of HH that received training & awareness activities for safer emergency shelter solutions

At least 80% of the 20,000 target HH Not reported

Agriculture

# of HH capable of cultivating at least 0.5 ha 160,000 HH > 200,000 HH

# of HH generating income from vegetable production

55,000 HH generate income from vegetable production

Between 40,000 and 45,000 HH

Food security

# of vulnerable people with access to temporary food aid to face the effects of the earthquake and highly increased food prices

400 000 0

Camp coordination and management

# of cases of gender-based violence

550 73% % of camps where the threats of eviction delayed or stopped through mediation & negotiation

262 97%

% of improvements & repairs achieved 400 100% # of trained DPC personnel working as camp manager 52 100

HAITI 2012

20 | P a g e

Water, hygiene and sanitation

# of people per functional latrine 50 : 1 85 : 1 # of towns covered by WASH NGOs capable of responding to localized cholera outbreaks

131 104

Education # of students (boys & girls) who have benefitted from hygiene promotion

2 million 1.4 million

Logistics % of executed transportation & storage requests versus requests received

100% 100%.

Nutrition

% of minimum coverage for USN, PTA & PNS services 70% USN 78.5%, PTA

40%, PNS 55%% of CTC/UTC with nutrition components 100% 50% # of children of 6-59 months screened in the areas at risk 100,000 222,631

% of recovery, % of deaths, % of dropouts PTA and PNS

PTA: >75%, <3%; <15 PNS: >70%; <3%, 15%

PTA: 68,2%, 0,7%, 18%; PNS: no data

Protection

# of orientation notes/ doc. relating to vulnerabilities shared with the other clusters

8 5

# of evaluation of vulnerabilities carried out

1 comprehensive study of all the camps

Vulnerability studies in 76 camps

# of awareness activities as to people with specific needs 20 15

Child protection

% of camps with safe places for children to socialize, play, learn and receive psycho-social support

75% 56%

% of camps for displaced persons with community child protection structures

75% 36%

% of separated children identified and reunited 50% 29.9%

Gender-based protection

Directories of GBV services after the earthquake

GBV directories listing psycho-social, legal & medical services

Directory of GBV services available for all the partners

# of cards distributed 50,000 distributed cards

50,000 distributed cards

% of Sub-Cluster members informed about the national protocols and tools

100 organizations members of the Sub-Cluster informed.

100 organizations informed.

Early Recovery N / A N / A Health Proportion of epidemic alerts

surveyed within 72 hours 100% 100%

Telecomm

# of humanitarian organizations which received emergency telecommunication and data connectivity services

50 80

Number of services provided to the humanitarian actors 5 3 # of UN and NGO operation areas covered 24/7 by secured telecommunication and data connectivity services

15 areas 13 areas

# of persons, UN and NGO staff trained in the use of ETC services

500 1 500

HAITI 2012

21 | P a g e

Strategic objective 3: To support target risk reduction and disaster actions focused on preparing for hurricane season 2011 and mitigation of the impact of risks associated with them. Progress:

The support and collaboration with the DPC continues to grow. The growing leading role of the CPD is evident at the national and department level. The international staff works within the national coordination center and also within the coordination mechanisms at sub-national level.

Activities for replacement of emergency shelters and mitigation works in the camps (100% of the objectives accomplished) have been carried out. The CCCM cluster provides support to the government for training and awareness. An effective coordination mechanism with the United Nations Stabilization Mission in Haiti (MINUSTAH) has been established in order to ensure that the MINUSTAH resources are available for the mitigation works.

All clusters have been working with the national counterparts in the pre-positioning of emergency stocks in the departments. The number of water treatment products pre-located in the departments exceeded the target of the water, sanitation and hygiene cluster.

All the requests received by the logistic Cluster have been fulfilled and almost all emergency logistic kits have been pre-located.

The protection Cluster has developed 15 Protection and Disaster in Haiti technical data sheets based on the operational guidelines of the Inter-Agency Standing Committee (IASC) 2011. The technical data sheets were distributed among humanitarian and development actors. These tools were also shared with the DPC at the national and community level. Some 4,000 Alert, Watch, Be Informed, Keep (AVEC for its acronym in French) kits have been prepared and distributed to vulnerable and isolated people.

More than 22 organizations reported the inclusion of emergency preparedness and civil protection in their activities through community awareness and training that have benefited 246,000 people.

Additionally, the clusters supported the review of the quick evaluation tool to be used after a catastrophe and OCHA and DPC have organized a series of training activities at the national and departmental level.

As part of the activities of the GBV sub-cluster, update tools (directory of services, training manuals, victim management protocols) were presented and distributed among partners at meetings and by email.

With regard to health, the emergency plan for the hurricane season is updated for the month of July in coordination with the CPD and OCHA. The preparation of a white plan, which prepares health facilities for the arrival of flood victims (affected by all possible disasters) and the expanded white plan (coordinated response to the inflow of a large number of victims in the same department), are in progress. The red plan (preparation of the health departments in disasters) is also in progress in joint collaboration with the DPC and the departmental and university hospitals.

Drug supplies and inputs for cholera are strategically pre-located in all departments. Some of these supplies are at the level of Health Directorates; while another part is placed in warehouses run by the WHO or other partners.

HAITI 2012

22 | P a g e

Challenges:

Challenges remain, particularly in the departments where the capacities of the local actors are limited in terms of pre-located hygiene kits. Without adequate training and understanding of the underlying reasons for pre-located stocks, there is a risk that some stocks are used for regular activities and must be replenished.

There is a lack of community emergency shelters; the existing shelters need improvement, particularly in order to ensure adequate access to water and sanitation, and additional shelters must be built.

The dissemination and inclusion of principles and standards for protection of people within the national and local mechanisms for emergency preparedness and response and in the activities of the international organizations, NGOs, is still limited.

A significant number of schools do not have a contingency plan (only 194 of the 500 targets). Other challenges relate to immediate recovery, especially for the development of preparedness for natural hazards in the camps.

Strategic Objective 3: To support target risk reduction and disaster actions focused on preparing forhurricane season 2011 and mitigation of the impact of risks associated with them. Clusters Indicators Target October 2011 results

Emergency shelters n/a n/a n/a

Agriculture # of HH in condition to receive assistance

Contingency plan & stock for 110,000 HH

Contingency & mitigation plan, & stock for 35,000 HH

Hectares of land developed and protected. 1,000 ha > 1,000 ha

Food security

# of children 6-59 months & pregnant / breastfeeding women with access to complementary nutrition programs.

Complementary distribution to 172,000 people

n/a (to be activated in case of an emergency).

# of persons who benefitted from pre-located stocks. 517,000 517,000 Quantity of pre-located stocks. 6,852 m 6,852 m

Camp coordination and management

# of camps covered by the information campaigns on disaster risk reduction. 1001 100%

# of camps where the mitigation works were carried out 99 100% # of HH assisted with non-food goods 185,000 100%

Water, hygiene and sanitation

# of hygiene kits pre-located at the department level 200,000 46,000 # of water treatment products at the family level pre-located at the departmental level

2,000,000 2,050,000

# of plastic rolls pre-located at the departmental level 1,000 Not reported

Education # of schools which have contingency plans 500 194

Logistics

% of requests for pre-location in the departments versus the requests received from the community

100% 100%

# of storage locations available for the purposes of pre-location.

10 (one per each department) 7

# of pre-located logistic emergency kits and available for the humanitarian community

9 8

# of simulation de exercises in which 3 2

HAITI 2012

23 | P a g e

Strategic Objective 3: To support target risk reduction and disaster actions focused on preparing forhurricane season 2011 and mitigation of the impact of risks associated with them. Clusters Indicators Target October 2011 results

the cluster has participated and co-facilitated

Nutrition Pre-location of contingency stocks according to the needs indicated in the national plan

100% 100%

Protection

Development of tools to disseminate protection principles applicable in emergency preparedness and response situations

1 protection -emergency toolbox developed

Accomplished

Dissemination of protection tools related to natural disasters with the international and Haitian community

20 international actors (NGOs / IOs); 11 Gov. actors & 20 actors of the civil society

Accomplished for the international NGOs, 2 gov. actors and 10 actors of the civil society

# of cases where the request was made 20 11

Child protection

% of Child Protection actors which included risk reduction / emergency preparedness and contingency plans in their regular activities

100% 39%

# of beneficiaries from the emergency prevention and preparedness activities of the Protection partners

500,000 246,000

% of action areas which have lists of the most vulnerable children (disabled, heads of family, HIV & «restaveks» (child slaves).

72% 40%

Toolkit for the evaluation of developing emergencies Yes Yes # of MAST / IBESR personnel trained in coordination of child protection in emergency situations

7 2

Gender-based Violence

% of Sub-Cluster members informed about the national protocols and tools

100 organizations informed.

100 organizations informed.

Early Recovery

Natural hazard preparedness measures implemented in % of the camps with the active participation of the population.

100% 20%

Contingency plans prepared, disseminated and tested in % of the camps and relocation areas.

100% 40%

# of participatory risk and vulnerability cartography exercises carried out. 15 1

Health

Timeliness and completeness of epidemiological reports. 80% (target) Not reported

The health component of the national emergency plan has been updated In progress

Emergency health plan for hurricane season updated; multi-risk in progress.

Drug supplies are pre-located in the 10 departments

Stock pre-located 10 departments

Stock pre-located in the 10 departments

Deployment of «emergency kits» in disaster-prone areas 6 6

Telecomm

Implementation of the «disaster management plan» In progress Under discussion Implementation of the «disaster site» with the collaboration of MINUSTAH

Acceptance of the «concept paper » Under discussion

DPC disaster management office connected to telecomm infrastructure 10,0% In progress

HAITI 2012

24 | P a g e

 

2.3 Humanitarian funding review 

As of October 31, 2011, the CAP 2011 had received 58.9% of its funding or $225 million. The funding level per cluster for the CAP 2011 varies considerably, from 123% for food assistance to 6% for agriculture (see table).

In 2011, the United Nations Central Emergency Response Fund (CERF) for humanitarian emergencies agreed to grant $10.4 million for eight projects as part of the response to cholera. The Emergency situation response fund of Haiti (Emergency Relief Response Fund / ERRF) has funded 19 projects, for a total amount of $7 million, for the humanitarian partners (international organizations and national and international non-governmental organizations) in response to cholera.

As part of the contributions of the donors aimed to humanitarian projects not included in the CAP, this funding amounts to $284 million—much higher than the total for the projects which are included in the CAP. Part of this phenomenon is due to a decrease in the CAP at the time of its mid-term 2011 review: during this review, several projects that were in the CAP have been removed, even if they already had funding. Aside from that, the amount of the contributions to projects not included in the CAP shows the difficulties in the wider planning system managed and monitored in clusters in all the organizations in Haiti.

In parallel, important developments have taken place in terms of development and reconstruction activities funding.

During the international Conference (« Towards a New Future for Haiti » held on March 31, 2010, New York), the donors promised $4.6 billion for assistance programs in Haiti in 2010 and 2011, which add to the relief debt ($1 billion). For 2010-2011, the donors have disbursed 43% of the promised funds or

$1.97 billion, and have promised an additional 35%.

A total of 57%, or $2.61 million, should be disbursed in 2011. From this total, $2.08 billion are allocated to specific projects. In spite of the considerable acceleration of this funding after August 2010, the availability of resources for development remains a challenge. In addition to the funds pledged at the International Conference of New York, donors have already allocated $ 448.8 million for reconstruction efforts through other funding sources.

TOTAL REQUIREMENTFOR HAITI

$382 million

$225 millionFUNDED

- Contributions to projects not listed in the CAP amount to $283 million.

- Overall funding to Haiti (inside and outside the appeal) amounts to $508 million.

$157 millionUNMET

0

100

200

300

400

Committed/Contributedas of 25 oct. 2011

Appel launched on15 Nov. 2010

Total requirement (in million)

0

100

200

300

400

HAITI 2012

25 | P a g e

Distribution of recovery funds: To date, the Interim Haiti Recovery Commission (IHRC) for the reconstruction of Haiti has already approved 89 priority projects for a total of $ 3.2 billion, including $ 750 million which remain unfunded.

Results of the analysis of the PAO report : Current status of the IHRC

2.4 Humanitarian coordination evaluation 

Humanitarian coordination in Haiti focuses on the Humanitarian Country Team (HCT), the inter-cluster coordination (ICC), and coordination of clusters / sectors in close collaboration with various government counterparts. The majority of clusters are chaired or co-managed by the respective government entity. The HCT, chaired by the humanitarian action Coordinator was created in February 2010 after the earthquake and constitutes the forum for making strategic decisions for humanitarian response coordination. A series of measures have been taken in 2011 in order to strengthen the strategic vision and coordination role of the HCT. The HCT gathers many UN agencies, the representatives of the international NGOs coordination through the NGO Coordination Committee (CCO) (created in September 2010), the representatives of the humanitarian funds donors, and acting as observers, the International Red Cross Movement and the International Federation of Red Cross and Red Crescent (IFRC). The ICC continues to play a critical role in identifying humanitarian needs by capitalizing on the achievements of the 11 clusters and 2 sub-clusters. The latter establishes a close partnership with the governmental authorities in order to ensure a strategic and well

Some projects are still being developed…

31 projects with budgets totaling $1.34 billion (43%) have not reached activities related to contracting or implementation.

P O R t f o l i o

o f I H R C

p R O J E C T s

Implementation $1,229 million 32 Projects

Inactive $124 million 3 Projects

Funding & Design $1,218 million 28 Projects

Contracting $491 million 7 Projects

Completed$84 million 5 Projects

Projects have made progress…

44 projects with budgets totaling $1.8 billion (57%) have moved beyond “funding and design”.

HAITI 2012

26 | P a g e

prioritized response, and the identification of critical humanitarian needs and those which are not covered. Two challenges remain, especially the capacity to coordinate an extremely large number of actors and the difficulties in relation to the improvement of donor management and consolidation. In the context of emergency response under the auspices of the National Risk and Disaster Management System (SNGRD), humanitarian actors have set up emergency units to support the emergency response, especially the E-JOINT (emergency unit of the humanitarian community) and the support unit at the Center for national emergency operation (COUN).

In the same direction, coordination with MINUSTAH, notably through the establishment of EJOC (Expanded Joint Operational Centre) and the R-JOC (Joint Regional Operational Centre) is a key element to ensure mutual support in the emergency response, while respecting the specific mandates of different actors (humanitarian and military).

While significant progress has been made in 2011 (drawing up terms of reference, approval of HCT and ICC work plans, production of several strategic guidelines on many sectoral and inter-sectoral issues, coordinated response to emergencies, such as for example in the case of cholera and alerts for the hurricane season 2011), there are still significant challenges. A major revision of the humanitarian and development coordination mechanisms was started at the end of 2011 to ensure greater synergy between these two systems and support the leadership and coordination of the government. This will also involve an adjustment of the humanitarian coordination throughout 2012.

In the coming months, Haiti will face a situation in which the achievement of durable long-term solutions will be simultaneously accompanied by the need to prepare for and respond to unexpected disasters.

3. Needs Analysis The analysis of humanitarian needs in this chapter was conducted based on various studies, analysis, assessments and reports formulated in 2011 by the various clusters and compiled by OCHA in the "Survey of Surveys" (September 2011).

Twenty months after the earthquake that struck Haiti on January 12, 2010, humanitarian needs continue to be present. Much has been accomplished by the Haitian authorities and the humanitarian community in support for durable solutions for IDPs and to respond to cholera- a disease that was previously unknown in Haiti.

Considerable efforts have been made by the humanitarian community to respond to the humanitarian needs caused by the earthquake. Chronic vulnerability related to the succession of disasters that struck the country (earthquake, hurricane, cholera) and delays in the implementation of reconstruction and development projects make it necessary to continue with the humanitarian effort throughout the year 2012.

The response so far to the cholera epidemic has saved a significant number of lives, thanks to the considerable decrease in the mortality rate. At the same time, this response has created a space for governmental health actors to set up a system of support which still remains in its infancy. However, the number of cholera cases in 2011 exceeded the estimates and the epidemic will continue throughout 2012, with thousands more Haitians infected.

Nov. 2010 Oct. 2011

Number of CTUs

40

87

161

30 Number of CTCs

Monthly variation of CTC and CTU from November 2010to October 2011

Source: Snapshot Cholera - OCHA : Sept. 2011

HAITI 2012

27 | P a g e

Hurricane Season. The 2011 hurricane season began June 1, 2011 and will run until November 30, 2011. Until late October, there were no catastrophic consequences reported . Two important alerts mobilized humanitarian actors in August (Tropical Storm Emily and Hurricane Irene) but only caused minor damages in the departments of the West, North and Artibonite. Preparedness and response activities to emergencies remain a priority throughout 2012.

The humanitarian response is increasingly seen as a transition towards development and reconstruction, and is increasingly targeted on the capacity building and coordination responsibilities of the government counterparts. Rationalization of humanitarian coordination mechanisms and the development of a dialogue platform with development and reconstruction stakeholders in 2012 remains a priority for humanitarian actors.

According to the latest figures in the displaced persons monitoring matrix of the camp coordination and management Cluster (CCCM) of September 2011, there has been a significant drop in the number of persons living in the camps of about 63% from July 2010 to September 2011, from 1.5 million

In 1,555 camps to 550,560 people living in 802 camps. Sustainable solutions were provided for the displaced persons, such as the provision of permanent houses and / or cash grant or in kind activities and the number could drop to about 400,000 by the end of 2012.

Despite this decline, concerns remain regarding the sustainability of solutions for people who have already left the camps, and for those who remain in the camps under deplorable conditions. The lack of durable solutions to displacement and to basic services such as health and sanitation, in addition to medical assistance, will contribute to obliterate the future of many Haitians.

The cholera epidemic declared in Haiti in October 2010 had caused the death of 6,634 people mainly in the departments of Artibonite and in the West by the end of October, 2010, especially in the city of Port-au -Prince. A total of 457,582 cases have been reported since the beginning of the crisis, with an estimated 500 000 cases referred by the end of 2011. The latest epidemiological analysis of MSPP, supported by PAHO-WHO, showed that the mortality rate decreased from 2.4% in November, 2010 to 1.4% in September 2011. This was possible thanks to the rapid response of humanitarian actors dealing with new outbreaks. The launching of a national massive awareness campaign allowed the transmission of important messages on sanitation, hygiene and health. Distribution of water purification and cleaning

Feb. 11 Sept. 11

46 44 partners

Feb. 11 Sept. 11

53

15

Health partners WASH partners

The increasing number of outbreaks of cholera posessignificant challenges at a time when many Health and WASHpartners are withdrawing or downscaling due to funding gapor end of mandate.

Partners engaged in the cholera response

Source: Cholera snapshot - OCHA : Sept. 2011

85 persons per functionallatrine

Source: WASH Cluster - July 2011

SPHERE NORMS

WC WC WC WC

WC WC WC WC

WC WC WC WC

8,358Out of12,000 required latrines

have been set up in camps.

2,681 are not functional

Emergency situation Stable situation

50 persons per latrine 20 persons per latrine

1,5 million

1,555

Number of individuals in camps

802

550,560

Number of sites

SepJulMaiMarJan11NovSepJul10

y

Source: DTM CCCM Cluster – OIM: Sept 2011

IDP population in camps decreases by 63% in one year

HAITI 2012

28 | P a g e

inputs, as well as of drinking water and rehydration salts has significantly reduced the impact of the epidemic upon the Haitian population.

PAHO-WHO-Haiti estimates that about 75,000 new cases may occur from October to the end of 2011. It is expected that the epidemic will continue to plague the country with new outbreaks that might cause approximately 200 000 cases in 2011. The management of these new cases will be more difficult because of the departure of a large number of NGOs, the lack of funding, since the MSPP does not have the capacity

in all departments to manage the resurgence of cases. For the remaining population residing in the camps, poor sanitation, the low structural coverage of safe water and sanitation throughout the country, all in a context of a rainy and hurricane season, are among the causes that may increase the number of cholera cases in 2012.

Important protection issues continue in Haiti, such as access to shelter and adequate housing, violence in all its forms and especially gender-based violence, access to documentation, the increased risk of vulnerable groups (persons with disabilities, the elderly, children, single parents, etc.) and forced evictions from camps and informal sites.

GBV in Haiti was already endemic before the earthquake of January 12 and still remains a major challenge. The problem became more visible after the quake and some indicators show an increase specifically in precarious areas such as camps. Data from health and protection services give only a partial view of the GBV problem. However, these data may be useful to demonstrate certain characteristics and trends including a significant number of cases of domestic violence and an increase in cases of child abuse.

To date, there have been 348 cases of threats of forced eviction from the camps located in 10 municipalities of Port-au-Prince. Since the earthquake, 67,162 people were affected by this process. The cumulative number of camps under threat of eviction ranged from 87 in July 2010 to 348 in July 2011, an increase of 400%, according to the latest CCCM report of July 2011 on the situation of evictions in the camps. Some 175 camps, equal to 19.5% of the total number of camps in Haiti,are still under threat of forced eviction. During 2012, these cases of expulsion could increase if sustainable housing solutions are not found. An encouraging development is the commitment by the new government to create a national housing agency. This decision will constitute the first governmental forum to address the issue of forced evictions at the strategic and operational level.

Access to health, psychosocial and legal services remains a major problem, with an insufficient number of quality services and difficulties in guiding abused women to available services (lack of knowledge of services, geographic distance, transportation problems).

The earthquake and resulting internal displacement aggravated a vulnerability situation characterized by high rates of domestic and sexual violence, a strong inequality between women and men, and the lack of prevention and support services to victims at the local level,

Sept. 2011Nov. 2010

1%

2.2%Mortality rate

(monthly)

19 340(April)

New cholera casesregistered(monthly)

84,391

20,461

54,339

Source: Cholera Cases product - OCHA: Sept 2011

Since October 2010 to 2 October 2011:

465,293 cumulative cholera cases

6,559 deaths

HAITI 2012

29 | P a g e

particularly with regard to medical care, psychological support, and access to free legal assistance.

More than 300,000 extremely vulnerable children remain in IDP camps and more than 400,000 people who returned to their communities of origin were reallocated in areas receiving very little coverage of basic social services.

Hundreds of children, especially girls, continue being victims of sexual violence and sexual exploitation in the camps in both urban and rural communities. Despite more frequent patrols by the HNP, the reports of violence in all its forms, rape and other sexual violence committed against children by members of armed gangs continue, especially in camps for displaced people who have limited or intermittent law enforcement capacity.

Impoverished mothers, like girls, have no other means of survival than to resort to the sex trade to feed their children.

It appears that most victims of sexual violence and rape in the camps are girls under 18 years. It is therefore important to understand and ensure that the protection of children against gender-based violence, and especially sexual violence against girls, be an issue of child protection and not a question based exclusively on the rights of women. The priority of the sector and its sub-sectors continues to focus on the implementation of integrated initiatives with the CCCM clusters / emergency shelters, WASH and health. This integration enables the prevention and the establishment of mechanisms and effective monitoring systems, information collection, data analysis, case and referral services, support, monitoring of the most serious violations of children´s rights (including violence and sexual exploitation, children affected by armed gang violence, trafficking in persons, kidnapping, etc.). and ensuring the multidisciplinary management of reported cases.

Following the earthquake, the livelihoods of some parts of the population were severely affected with the consequent reduction of employment or income. As part of the immediate rehabilitation it is therefore necessary to ensure a dignified, safe and organized return of the displaced persons and their incorporation in their neighborhoods of origin and destination through the support for livelihoods.

Food insecurity among Haitians remains high in all the departments of the country, with particularly alarming levels in the departments of Artibonite, North West, South East and South. Preliminary results of the last national survey on food security by the National Coordination for Food Security (CNSA) in August 2011, shows that 45% of the Haitian population, that is, about 4.6 million people live under food insecurity situations. It must be recalled that after the earthquake of January 12, 2010, 52% of households in the earthquake struck areas suffered from food insecurity.

Although since then, the support of donors and humanitarian interventions have improved the food security of affected populations, the country has not yet returned to the situation before the earthquake where the level of food insecurity was 25%.

Approximately 850 000 people, or 8.2% of the population live under a high food insecurity situation and are unable to meet their daily food needs. These groups of people, including heads of households are predominantly women with infant children, with a very low level of resilience to face shocks such as rising prices, the increasing level of debt of households, regional droughts and crises related to natural disasters and epidemics such as cholera. These

0%

10%

20%

30%

40%

Food insecurity -Moderate Transitory Food

Insecurity - High Chronic Food Insecurity - High

37%

6.10%2.10%

Food Insecurity in %Haiti -2011

HAITI 2012

30 | P a g e

vulnerable households are predominantly located in the Artibonite, North West, South East and South areas and will not be able to absorb further shocks.

The high level of food insecurity in addition to the damage caused by hurricanes, cholera and the earthquake, critically increase the risk of malnutrition especially among vulnerable groups such as children under 5 years and pregnant and lactating women. Cholera struck more than 54,000 children under five years in the last 12 months, who now require nutritional monitoring in addition to medical treatment. The risk of severely under nurtured children contracting cholera is very high. An increase of acute malnutrition cases has been reported in several communities but the coverage of care, despite a significant increase in 2011, is still inadequate: only 15% of communities have a minimum health care coverage for severe acute malnutrition and 25% for moderate acute malnutrition.

For the logistics sector, the main shortcomings reside in the commercial transportation to areas with difficult access and storage spaces at the departmental level. Areas identified with the strongest needs are the department of Grand Anse, South East and Northwest. In addition to the fragility of the road network, inadequate logistics infrastructure (ports, airports and commercial areas), and the low transport and storage capacity, slow administrative procedures and the lack of adequate legislation for imports during emergency periods slow the delivery of urgently needed items to humanitarian activities.

The vulnerable situation of Haiti demands support in emergency telecommunications, especially in disaster cases. The generally weak telecommunications system faces greater difficulties in the wake of the storms when the telephone service provided by global suppliers of local mobile communications (GSM) is interrupted. The situation worsens due to the lack of local qualified and experienced personnel available in emergency telecommunications to support and maintain data systems and communications efforts. At the same time in 2012, the MINUSTAH will start reducing its communication network resources as provided in its asset reduction plan.

HAITI 2012

31 | P a g e

4. Humanitarian action plan  

4.1 Scenarios 

Mos

t lik

ely

scen

ario

1. Slight decrease in the number of displaced people in camps. 2. Progress has speeded up but is still too slow in regards to reconstruction/development,

including decision-making. 3. More social protests, especially around the municipal election period, pose security risks for

humanitarian actors. 4. Constant threat of storms / cyclones. 5. Faster but still limited sustainable housing solutions and possible knock-on effect of the 16/6

program. 6. Rationalization of humanitarian coordination mechanisms. 7. Groups that are already vulnerable become vulnerable in new ways. 8. Persistence of the cholera epidemic and new outbreaks; the MSPP’s capacity to efficiently

manage different cholera structures is still weak; slow improvements in the mass population awareness campaign and in individual cholera prevention methods.

9. Persistent protection problems (increased forced eviction threats, VBG, child protection). 10. Food insecurity will continue to be a constant problem, with new price increases resulting from

crop losses due to natural disasters (floods and drought), decreased purchasing power to access basic services such as health and education, with the consequence of increased malnutrition.

11. Risk of development of shanty towns or of informal urban settlements becoming permanent. 12. Creation of a housing agency and identification of a roadmap for a planned and coordinated

closure of camps. 13. Reinforcement of the national and local authorities’ capacities and of the government’s

leadership role. 14. Decreased humanitarian financing, number of actors and media coverage. 15. Undefined participation of the private sector.

B

est C

ase

scen

ario

• Political stability. • Close and efficient collaboration between humanitarian actors and government counterparts. • Strong government leadership and capacity building. • Integration of local authorities in the transition phase. • Increased collaboration and coordination between the humanitarian and reconstruction sectors. • Implementation of a global plan for the progressive decrease of displaced people. • Implementation of alternative housing. • Prompt identification of and medical care for cases of cholera by the MSSP. • More revenue-generating activities. • Refocusing humanitarian actions on the most vulnerable groups.

W

orst

Cas

e Sc

enar

io

• Increased dissatisfaction towards humanitarian actors and MINUSTAH and withdrawal of actors.

• Increased crime-related insecurity. • Withdrawal of humanitarian actors linked to the lack of financing and of access to basic

services for the most vulnerable. • Hurricanes or a new earthquake would knock the system to its knees. • New cholera peaks could occur in the new parts of the country where the medical care system

is not yet prepared to respond to them and/or logistics problems would generate access problems for those sick with cholera.

• Multiplication of shanty towns and forced evictions as a result of a lack of sustainable solutions. • Food insecurity would increase due to greater inflation and the price of foodstuffs and fuel. • Ongoing political instability.

HAITI 2012

32 | P a g e

4.2 The humanitarian strategy 

In 2012, the CAP will respond to critical, unaddressed humanitarian needs, to the extent that priority transition and quick recovery matters will be treated with funds channeled through financing methods dedicated to development activities.

The humanitarian context in Haiti has evolved since the earthquake. Significant advances have been achieved in the different humanitarian response sectors. At the same time, development and reconstruction actors have made important progress, although their interventions are still too slow in relation to the extent of needs.

Haiti is a country that needs profound de-centralized structural reforms that guarantee the respect of human rights and access to basic services for the very vulnerable segments of the population. In this context, it is obvious that the actions that target the long term must reinforce humanitarian actions and vice versa.

One of the strategic priorities for the humanitarian community in 2012 will be to rationalize the humanitarian response coordination structures, to support the reinforcement of the government’s leadership role in terms of humanitarian response coordination and management.

It is necessary to promote synergies and dialogue between the development and reconstruction actors, especially CIRH and FRH (Haiti Reconstruction Fund), and humanitarian actors.

It is important to reiterate that the CAP 2012 fits into the transition context, but does not represent a call to transition. Indeed, despite an improvement of the humanitarian situation, important challenges persist, especially increased vulnerability of the population, protection problems, decreased humanitarian coverage for the population that still lives in camps, support for activities that facilitate the implementation of sustainable solutions, the response to new cholera outbreaks and emergencies in general.

Because of this, humanitarian actors have decided to concentrate their interventions for 2012 solely on critical humanitarian needs, as mentioned previously in the detailed needs analysis carried out within clusters.

Consequently, the CAP 2012 fits into a complex context of humanitarian, development and reconstruction challenges. The humanitarian community will continue to support the efforts deployed by the government to take on and reinforce its leadership role in these domains, while it fulfills its obligations with regard to the most vulnerable populations in Haiti.

4.3 Strategic objectives and indictors for humanitarian action in 2012 

The strategic priorities were developed for the humanitarian community in close collaboration with government authorities and humanitarian funding agencies during the CAP 2012 workshop which was held on September 28-29, 2011 in Port au Prince. Two strategic objectives were identified, specifically: Objective 1: Meet critical, unaddressed humanitarian needs in order to save lives and guarantee the protection of the most vulnerable groups.

Objective 2: Support focused actions centered on the preparation and response to emergencies.

HAITI 2012

33 | P a g e

Obj. Indicator(s) Target Cluster

Responsible Follow-up

SO.1 Meet critical, unaddressed humanitarian needs that save lives and guarantee the protection of the most vulnerable groups. SO.1 Meet critical, unaddressed humanitarian needs that save lives and guarantee the protection of the most vulnerable groups.

% of shelters completed in relation to the # of shelters financed. 70%

Emergency shelters and CCCM

Follow-up tool- CAP 2012-HCT quarterly. Follow-up tool- CAP 2012-HCT quarterly.

% of HH that have received return or relocation assistance in relation to the HH that were identified as in need of a « return package ».

70%

# of vulnerable people/households with access to agricultural supplies

107,800 - Most vulnerable people from camps & poor urban areas.

Agriculture

# of beneficiaries participating in HIMO programs and revenue-generating activities.

246, 000 people affected by recent events and vulnerable people in rural areas.

% of people who have improved the diversity of food consumption.

# of vulnerable people who have access to agricultural and horticultural supplies.

5, 000 displaced people settled in rural areas and started agricultural activities

% of HH with more than two additional sources of revenue.

% of female beneficiaries. 61% # of vulnerable HH who receive money for work 190,587

Food aid # of beneficiaries of food and agricultural supply activities 237,000

# of female beneficiaries of food coupon activities to support micro-business people.

300 beneficiaries

% of boys and girls (aged 4-14) in camps & relocation sites in school 100%

Education % of schools to tear down 5% # of schools built in the areas affected by the earthquake 800 built by cluster partners

% of transport and storage requests met in relation to requests received. 100% Logistics

Coverage rates for patient care services available 70%

Nutrition % Performance for the program Cured>75%, Death<10%,

abandonment<15% % of rights-based approach programs implemented on return, local integration and relocation.

50% of the key documents developed by national authorities w/their partners

Protection

# of vulnerable people victims of rights violations who received security, medical, psycho-social, legal, material or rehabilitation response

5, 000 people reported a violent incident or violation of their rights to a protection cluster member or partner)

# of vulnerable people who have had access to, recovered and kept keep important documents

20, 000 people have recovered/received their birth certificates

# of separated & unaccompanied children identified in 2011/12 by the Family Tracing & Reunification program

Extremely vulnerable boys and girls identified & cared for by child-protection community structures at a departmental, community and community section level.

Child protection

# of return/relocation areas with child-protection community structures # of solar lamps installed by VBG services in the 10 departments listed

190 solar lamps in the camps and relocation areas VBG

Protection # of VBG service reference letters

distributed 10,000 VBG service reference letters distributed

# of jobs created 100, 000

Early Recovery

# of small & micro businesses supported 750

# of revenue-generating activities promoted by most vulnerable women 750

HAITI 2012

34 | P a g e

and HH supported % of the population in the Ouest department with access to basic healthcare services

50%

Health

% of communities with active, trained community agents who provide health services and refer people to them

80%

% of municipalities with a public waste management program. 25%

% of municipalities with a water quality control program

25%

# of operation areas with communication and data connectivity services 24/7

12-15 Emergency telecommunications

Obj. Indicator(s) Target Cluster

Responsible Follow-up

SO. 2 Support targeted actions centered on emergency preparation and response. SO. 2 Support targeted actions centered on emergency preparation and response.

% of beneficiaries who have received NFIs during an emergency/sudden disaster based on needs highlighted by the multi-sector on-site evaluations.

70% Emergency shelters/ CCCM

Follow-up tool- CAP 2012-HCT quarterly. Follow-up tool- CAP 2012-HCT- quarterly.

% of Implementation of Agricultural Contingency Plan 2012 (MARNDR, its decentralized services +IO+ NGOs)

100%

Agriculture % of beneficiaries who have learned about community preparation for disasters

Cross-cutting activity with SO 1 activities.

# of people affected by natural disasters who benefited from food distribution.

517, 000 (Prepositioned stock.)

Food Aid # of Cholera victims who benefited from food distribution 159, 000

# of HH who benefited from food coupon activities (ACF) 27, 000

# of prepositioned hygiene kits 200, 000 Water, hygiene and sanitation

# of prepositioned home water treatment products

2, 000, 000

# of prepositioned plastic tarpaulins 1,000 % of Education Departments with contingency plans 100%

Education # of schools with contingency plans supported by education partners 500

# of educational actors and teachers trained on minimum educational standards in emergencies.

50

% of prepositioning requests in regions met in relation to requests received. 100%

Logistics

# of storage areas made available for the prepositioning needs. 10 (one per department)

# of prepositioned emergency logistics kits made available to support the humanitarian community

10 (trucks, mobile storage, telecom equipment & pre-fabricated offices).

# of joint simulation exercises 3 % of permanent structures equipped with PEC material 100% Nutrition

% of protection principles and standards documents relative to preparation and response to emergencies drafted and reviewed

70% of key documents produced by the DPC, UNDP and/or IOM

Protection # of staff, national & international, who participated in protection awareness session and/or capacity-building activity.

100 key staff from DPC and 100 members of staff from national and international NGOs

Beneficiaries of prevention and preparation of emergencies activities from Protection partners;

Separated and unaccompanied children

Child protection

HAITI 2012

35 | P a g e

SO. 2 Support targeted actions centered on emergency preparation and response.

% of Sub Cluster members informed about national protocols and tools 100% VBG

Protection Follow-up tool- CAP 2012-HCT quarterly.

% of measures for natural hazards in place, including storage and other preparation measures

100%

Early Recovery

% of participatory emergency preparation & response plans (including contingency plans) prepared, made known, tested in risk areas & related actions implemented.

100%

# of micro-mitigation projects in camps and return areas 900

% of alerts checked and responses given or coordinated 100%

Health

% of public health structures managed by the MSPP that take care of cholera 20%

# of National response cell created 1 cell created Emergency response teams created and deployed in the areas affected; & based on the national emergency plan

Teams have been created

% of emergency medical stock prepositioned per department to cover one week/for a population determined in accordance with the DPC plan.

100%

# of departments providing epidemiological surveillance reports completed on time

60%

ETC contingency plan developed & under the responsibility of ETC members

100% Emergency telecommunications # of prepositioned “fly-away”

emergency response telecomm kits. 5-7

4.4 Selection criteria and prioritization of projects 

The selection and prioritization of projects included in the CAP will be based on the criteria developed and approved by each cluster. A series of basic principles will be used for all of the projects, in particular:

The project must:

Be consistent with the cluster strategy for 2012. Focus on the priority geographical areas. Be based on critical and previously assessed humanitarian needs. Be feasible and respect the established technical standards. Be the result of a participatory consultation process between the different actors. Integrate key protection principles and guarantee that they will be followed. Take into account specific gender, age and diversity needs. Include follow-up and evaluation mechanisms.

Also, The organization must have the necessary capacity for the full implementation of the

project. The implementation of the project, or of part of the project, must be possible within

a maximum period of 12 months. The organization must be an active cluster member.

The validation of projects for priority communities from the different sectors has been promoted, and cross-sector validation procedures have been developed (e.g. WASH, health,

HAITI 2012

36 | P a g e

education/WASH, WASH/shelters/ protection with all the sectors, food aid/agriculture/nutrition).

Each CAP project is equally identified as having a high (HIGH) or medium (MEDIUM) priority level. The high level corresponds to projects which meet critical and unaddressed humanitarian needs.

Why is the CAP 2012 targeted?

Humanitarian actors have chosen to prioritize and only select sector projects that meet critical humanitarian needs and whose activities cannot be financed through other mechanisms, for example, those of development and reconstruction funding agencies. Figure: Budget and number of approved projects from the CIRH portfolio (July 2011).

 

This is an English translation of the chapters that provide an overview of the context, needs and humanitarian strategy for 2012. The Cluster response plan and other sections of the CAP are available in French and are accessible at the following address: http://haiti.humanitarianresponse.info