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Safety&DignityforWomen,

AdolescentGirls&YoungPeople

HAITIHUMANITARIANACTIONFACTSHEETMay2018

Haiti’spopulationofnearly11Millionpeoplecontinuetobeaffectedbyaconvergenceofhumanitariancrisesthatwerefurtheraggravatedbythedevastatingcategory4HurricaneMatthew that struck the country on 4 October 2016. Hurricane Matthew severelyexacerbatedthepre-existinghumanitariansituationparticularlyintheGrandAnse,South,andNippesDepartments.Further,whileHaitiwaslargelysparedbythehyperactive2017AtlanticHurricaneseason,thepassageofcategory5hurricanesIrma(7September)andMaria (21 September) causedwidespread flooding with 10,876 flooded households inNorth,NorthEast,NorthWest,Artibonite,WestandCentredepartments.Haitiremainsvulnerable to natural hazards and disasters, such as floods, landslides, droughts,earthquakesandhurricanesandisranked14thgloballyforriskofhumanitariancrisesanddisasters(Informrisk6.3).Thisrankingtakesintoaccountahighriskofbothnaturalandhuman hazards, social-economic and environmental vulnerability and a lack of copingcapacity.Morethan98%ofHaitiansareexposedtotwoormoretypesofdisastersandwithmorethanhalfofHaitian’sconsideredtobelivinginextremepoverty.Thepriorityforhumanitarianactorsin2018istocontinuetoaddressacuteandchronichumanitarianneeds and to strengthen the humanitarian-development nexus and support localemergencypreparednessandresponsecapacity(HumanitarianresponsePlan2017-2018).

The2018Haitihumanitarianresponseplanestimates2.8millionpeoplewillbeinneedofhumanitarianassistancein2018,withUS$252.2millionrequiredtotarget2.2millionpeopleincludingi)providingimmediateassistanceto1.3millionpeoplelivinginseverefoodinsecurity,ii)reducemortalityandmorbidityfromepidemic,particularlycholeraand other water-borne diseases iii) Reinforce protection for returnees from Dominican Republic and people stilldisplacedandiv)respondtounmetneedsfor1millionpeoplestillinneedfromrecenthurricanes(Matthew,IrmaandMaria)andsupportthereinforcementofnationaldisasterpreparednessandresponsefor2018..

In2018,UNFPA’sgoalistoensurethatHaitian’shaveincreasedaccesstosexualreproductivehealth(SRH),includinggender-basedviolence(GBV),servicesinhumanitariansettingsthrough;1. Strengtheningnationalpreparednessandresponsecapacity.toeffectivelyaddressSRHandGBVinhumanitariansettings2. RespondtotheHaitiHumanitarianResponsePlanstrategicobjectivesandtargetsfor2018.Peopletargetedin2018 TotalPeopleinacuteneedin2018 157,379Womenofreproductiveage(15-49years)thatwilldirectlybenefitfromproposedUNFPAinterventions 30,000Youngwomen15-24years(21%)thatwilldirectlybenefitfromproposedUNFPAinterventions 6,300EstimatednumberofHaitianwomenofreproductiveage(15-49years)livingintargetedDepartmentsthatwillbenefitfromimprovedaccesstoSRHandGBVservices

Over2.1M

EstimatedboysandmenwhoaredisplacedorreturnedfromDominicanRepublicthatmayalsobenefitfrominterventionsandgenderequalityprogramming

Over80K

NursesfromUNFPAspartnerCDSprovideamobilemedicalclinicinMalfeti(NorthEast)followingfloodingcausedbyHurricaneIrmainSeptember©UNFPA

2.2MILLIONPeopletargetedin2018

1million

Haitian’shaveunmetneedspostHurricaneMatthew

30K

vulnerableHaitianwomenofreproductiveage(15‑49years)directlytargeted

US$2.7MillionRequiredin2018

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The new UNFPA strategic plan 2018-2021 brings UNFPAs agenda in line with the 2030 Agenda for SustainableDevelopmentandaimstoachieveuniversalaccesstosexualandreproductivehealth,realizedreproductiverightsandreducedmaternalmortality,toaccelerateprogressontheagendaoftheInternationalConferenceonPopulationandDevelopmentandtoimprovethelivesofwomen,adolescentsandyouth.ItrequiresthatHumanitarianinterventionstrategies shift from reacting to disasters and conflicts to applying a resilience approach by linking prevention,preparednessandresponsewithnationalcapacity-buildingandaligningwiththeSendaiFrameworkforDisasterRiskReduction2015-2030and theoutcomesof the2016WorldHumanitarianSummit, including theGrandBargain toimprovehumanitarianfinancingandpreparingfor,managinganddeliveringhumanitarianresponsethroughouttheHumanitarianProgrammeCycle.

Inensuringthatsystems,communitiesandsocietiesarebetterequippedtorespondtoandrecoverfromemergencieswemust also ensure that theUNFPACOhas the capacity and expertise to provide technical support to nationalpartnersthroughtheimplementationofminimumpreparednessactionsinlinewiththeIASCEmergencyResponsePreparedness(ERP)ApproachthatincludeRiskAnalysisandRiskMonitoringandContingencyPlanningforRisks.

UNFPAhastwoprojectsvalidatedintheOCHAonlineprojectsystemunderthe2018HaitiResponsePlan;Sexualandreproductive health (SRH) under health sector and a gender based violence (GBV) under the Protectionhttps://ops.unocha.org.

1. US$1.42milliontomeetthesexualandreproductivehealthneedsofwomenandgirls inemergenciesthroughthe

minimuminitialservicespackage(HTI‑18/H/124193)UNFPA’s 2015 survey of health facilities found that nearly two thirds ofprimary healthcare service delivery points lacked the seven essentiallifesavingmaternalhealthdrugs.Withonly36percentofHaitianwomengivingbirth inahealthfacilitythere isahighnationalmaternalmortalityrateof359deathsper100,000livebirths.Duringtheacutephaseofanemergencymaternalmortalityrisksbecomingmuchhigher.Humanitarianactorsmustthereforeaimtonotonlyprovidelifesavingreproductivehealthemergencyinterventionsin currently affected areas but to also continue to strengthen emergency preparedness and response capacity forcomprehensivesexualandreproductivehealththroughtheimplementationoftheMinimumInitialServicePackage(MISP)forreproductivehealth.

In2018,UNFPArequestsUS$1,422,050towardsstrengtheningemergencypreparednessandresponsecapacitytoeffectivelyaddressSRHinhumanitariansettingsinlinewithMISPinpreparationforthenextemergencyisvitaltoreducingmaternalandneonataldeaths.Thisincludes;reinforcingcapacityforSRHcoordinationatthenationallevel,identifiyngtheneedsandgaps through aMISP process evaluation, reinforing capacity for comprehensive SRH services such as reinforcing existing

SONU, strengthening SRH referralsystems and capacity for the clinicalmanagement of rape, ensuring theavailability of the seven essentiallifesaving maternal health drugs andincreasing serivce demand throughcommunitybasedSRHcommunicationandsocialmobilisationplans.

UNFPAhas receivedUS$497,717 fromCERF underfunded emrergencies toimprove access to quality life savingcomprehensive sexual andreproductivehealthservicesfor10,000Haitian women of reproductive age(15-49 years) affected by HurricaneMatthew and/or displaced in GrandAnse,SouthandWestDepartments.

EndpreventablematernaldeathsEndtheunmetneedforfamilyplanning

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2. US$997K to prevent and address gender-based violenc in emergencies and ensuring life-saving services topreventandrespondtogender-basedviolence(HTI‑18/P‑HR‑RL/125003).

TheUNsecretaryGeneralhaspledgedtoleavenoonebehindaspartofthe2030Agenda for SustainableDevelopment, this includseeradicating sexualand gender based violence (GBV). Violence can negatively affect women’sphysical, mental, sexual and reproductive health, and may increasevulnerabilitytoHIV.The2015IASCGBVguidelinesdefinesGBVasanumbrellaterm for any harmful act that is perpetrated against a person’s will and that is based on socially ascribed (i.e. gender)differencesbetweenmalesandfemales.Itincludesactsthatinflictphysical,sexualormentalharmorsuffering,threatsofsuchacts,coercion,andotherdeprivationsofliberty.TheseactscanoccurinpublicorinprivateandincludeSexualExploitationandAbuse(SEA).GBVispervasiveandoftenexacerbatedinhumanitarianemergenciesandisconsideredalifethreatening,globalhealthandhumanrightsissue.Integratedstrategiesthatpromotegenderequalityandincludeessentialactionsforreducingrisk,promotingresilienceandaidingrecoveryforwomen,girlsandotheratriskgroupsinordertominimizetheirvulnerabilitytoGBVthroughoutthehumanitarianprogrammecycleareessential.ThisincludespreventionbasedprogrammingtostopGBVfromfirstoccurring,mitigationactivitiestoreducetheriskofexposuretoGBVforvulnerablepopulationsandresponsetoGBVtoensuresurvivorcareandassistance.

Existing patterns of GBV are important when designing specializedpreventionandresponseservicesthroughouteachphaseofanemergency,frompreparednessandcrisisonsetthroughtransitiontodevelopment.InHaiti,theEMMUSVfoundthatonethird(33percent)ofwomen1549yearssurveyedhadexperiencedsomeformofviolenceintheir lifetime;28percent had experienced physical violence from the age of 15 (20 per centphysical only, 8 per cent physical and sexual, 5 per cent sexual violenceonly),6percentexperiencedviolencewhentheywerepregnantand10.4percentreportedexperiencingphysicalviolenceintheprevious12months.Sexual violence is also high with 13 per cent of the women reportingexperiencingitatsometimeintheirlife(16percentforwomanaged25-29years).Intimatepartnerviolencewasreportedby30percentofwomen(15percentphysical,11percentsexualand/or22percentemotional)with22percentreportedintimatepartnerviolenceintheprevious12months;17percentemotionalviolence,10physicalviolenceand9percentsexualviolence(15percentphysicaland/orsexualviolence).

In 2018, UNFPA is requesting US$997,240 to Strengthen nationalcoordination, monitoring and reporting mechanisms to effectivelyprevent,mitigateandrespondtogender‑basedviolenceinemergenciesthroughoutthehumanitarianprogrammecycle inHaitiandensurethatspecialized GBV prevention, mitigation and response services areavailablefor30,000Haitianwomenofreproductiveage(15‑49years)thatareinternallydisplacedorreturnedfromDominicanRepublic

Endgender-basedviolenceandallharmfulpractices,includingchild

marriage

Ermita, a 16-year-old survivor of Hurricane Matthew

“During that moment we lost a lot of animals likes cows, goats, chickens and sheep…. The

money we got from selling the animals was for our tuition, school uniform, books, shoes,

notebooks and food...We lost our house and Matthew took everything we had. We stayed for three months in shelter where we were sleeping

on the floor and stayed starving. All of that experience I went through left me with a

stomach pain. I went to a doctor but my family doesn’t have money to buy the medicine. I thank God for protecting all my family from Matthew.

Reporting:Nadia Todres - UNFPA/HAITI

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SUPPORTREQUESTEDFOR2018Goal:Haitians’haveincreasedaccesstosexualreproductivehealth,includinggender-basedviolence,servicesinhumanitariansettings US$

Outcome1[PREPAREDNESS]HaitihasenhancednationalcapacityandpreparednesstoeffectivelyaddressSRHandGBVinhumanitariansettings $300,000Activity1.1Contingencyplanningworkshopfor2018AtlanticHurricaneSeasonforSRH/GBV $15,000Activity1.2.Preparednesscapacityassessmentsandrapidassessmentsoftheaffectedpopulations,includingpregnantwomenpostemergency $10,000

Activity1.3.HumanitariancoordinationmechanismsinplaceforSRH/GBV $20,000Activity1.4.Procurementofcriticalreliefsuppliesforrapiddeploymenttoaffectedpopulation $45,000Activity1.5.CapacitybuildingworkshopforUNFPAstaffandpartnersonhumanitarianstandardsandemergencypreparednessincludingsexualreproductivehealthandgender-basedviolenceinemergencies $25,000

Activity1.6.Trainingformidwivesandgynaecologistsonhumanitarianemergenciesandmanagementofpregnantwomenincrisissituations,includingtheconductofmobileclinics–readyteam $20,000

Activity1.7.Mediaandcommunicationactivitiesduringpreparednessandemergencyresponse(includingcommunicatingwithcommunities) $15,000

Activity1.8.Humanresourcesabletoperformcriticalfunctionsinemergency[HumanitarianCoordinator,GBVcoordinator,SRHconsultant] $150,000

Outcome2[RESPONSE]TheSRHandGBVtargetsintheHaitiHumanitarianResponsePlanfor2018aremetandthestrategicobjectivesachieved $2,418,468

HTI-18/P-HR-RL/125003Scaleupaccesstoqualitylifesavingcomprehensivesexualandreproductivehealthservicesfor30,000vulnerableHaitianwomenofreproductiveage(15-49years)thatareinternallydisplacedorreturnedfromDominicanRepublicinCentre,GrandAnse,NorthEast,WestandSouthandSouthEastDepartmentsandstrengthenemergencypreparednessandresponsecapacitytoeffectivelyaddresssexualandreproductivehealthinhumanitariansettings

$1,421,228

Activity2.1Scaleupaccesstoqualitylifesavingcomprehensivesexualandreproductivehealthservicesfor30,000Haitianwomenofreproductiveage(15-49years)thatareinternallydisplacedorreturnedfromDominicanRepublicincludingaccesstofamilyplanning,clinicalmanagementofGBV/sexualviolence,maternalandnewborncare(includingEmONC),preventionandtreatmentofSTIsincludingHIV.

$595,000

Activity2.2Haiti’semergencypreparednessandresponsecapacitytoeffectivelyaddresssexualandreproductivehealthinhumanitariansettingsisstrengthenedthroughtheimplementationoftheMinimumInitialServicePackage(MISP)forreproductivehealth(RH)inthepriorityhigh-riskareasinNorth,North-East,North-West,Grand-Anse,SouthandSouth-East[Nationalcoordinationmechanism,MISPprocessevaluation,reinforceSONUandcommunitybasedSRHcommunicationandsocialmobilisationplans]

$585,000

Activity2.3ProvidetechnicalassistancetosupporttheimplementationoftheMinimumInitialServicePackage(MISP)forreproductivehealth $241,228

HTI18/H/124193Strengthennationalcoordination,monitoringandreportingmechanismstoeffectivelyprevent,mitigateandrespondtogender-basedviolenceinemergenciesthroughoutthehumanitarianprogrammecycleinHaitiandensurethatspecializedGBVprevention,mitigationandresponseservicesareavailablefor30,000Haitianwomenofreproductiveage(15-49years)thatareinternallydisplacedorreturnedfromDominicanRepublic

$997,240

Activity2.4.Strengthennationalcoordination,monitoringandreportingmechanismstoeffectivelyprevent,mitigateandrespondtogender-basedviolenceinemergencies[NationalGBVcoordinationmechanism,departmentalSGBV/GBVpreventionandresponse,communityorganizationsactivelyparticipate]

$220,000

Activity2.5.30,000Haitianwomenofreproductiveage(15-49years)thatareinternallydisplacedorreturnedfromDominicanRepublichaveaccesstoprevention,mitigationandresponseinterventionsforGBV(includingmulti-sectoralservicesforhealth,psychosocial,legal,security,economic/livelihoodsupport)

$255,000

Activity2.6.Emergencypreparednessandresponsecapacitytoprevent,mitigateandrespondtogender-basedviolenceforthemostvulnerablegroupsaffectedby,orathigh-riskof,humanitarianemergenciesinCentre,GrandAnse,NorthEast,WestandSouthandSouthEastDepartments[GBVcoordinators,trainingoflocalactors,GBVinformationmanagementsystemandreferralmechanismsforGBVcasemanagement,emergencyreliefsupplies]

$422,000

Activity2.7.TechnicalassistancetosupporttheimplementationIASCGBVguidelinesandUFNPAminimumstandardsforthepreventionofandresponsetogender-basedviolenceinemergencies $100,240

Totalestimatedbudgetfor2018 $2,718,468