The Search for Aid Money in Haiti

Photo: RMF Haiti Project Coordinator, Dr. Patrick Dupont in Haiti

February 8, 2012

by RMF Haiti Project Coordinator, Dr. Patrick Dupont

I’d like to share an interesting article I cam across at proposing an explanation to what happened to the aid money to Haiti after the January 12, 2010 earthquake. I found it to be an interesting theory.

Maybe you’ll draw your own conclusions from it.


Haiti Health Cluster Bulletin Update

Haiti Health Cluster Bulletin:

Cholera and Post-Earthquake Response in Haiti: April 15th, 2011

The following report was compiled by the The Ministère de la Santé Publique et de la Population (MSPP) and PAHO, the Regional Office of the World Health Organization (WHO) for the Americas,coordinate the Health Cluster. MSPP Cluster Contacts: Dr. Claude Surena; Dr. Jean Hugues Henrys; PAHO/WHO Contacts: Dr. Juan Carlos Gustavo Alonso and Dr. Josep Vargas.


  • The number of cholera cases nationwide continues to decrease. The number of cases in Northeast, Centre, Port-au-Prince, North, Northwest, Artibonite, West (except Leogane-Gressier), South, Grande Anse and Southeast departments are stable or decreasing. However, cases in Nippes and West (Leogane-Gressier) are increasing (although only slightly in the West).
  • The continued decrease of cholera cases together with the phasing out of health actors from cholera treatment facilities has raised concerns about the capacity to cope with a potential increase in cases during the upcoming rainy season. The impact on the health sector is important given that the management of the cholera outbreak has been highly dependent on the support of foreign health organizations. A gap analysis is underway to identify potential risk areas and to sensitize donors to maintain their support to the cholera response.
  • An independent evaluation mission has arrived in Haiti to assess the efficiency and effectiveness of the coordinated national and international response to cholera, both in terms of immediate and medium term impact. The results will assist the MSPP and its international and national partners to draw lessons from successes and shortcomings, and improve the joint response in case of a possible recurrence of the epidemic especially due to the upcoming rainy season.

Situation Overview

  • 4 April 2011, the cumulative number of reported cholera cases was 274,418, including 4,787 deaths. The observed cumulative incidence of cholera cases since the beginning of the outbreak was of 26.2 per 1,000 inhabitants, ranging from 4.9 per 1,000 in the Department of South-East to 40.3 per 1,000 in the Department of Artibonite.
  • Overall, the number of medical staff from health partners has been reduced in most CTCs and CTUs. Medical staff has been trained and is currently employed in the CTUs established in health centers. NGOs are mostly phasing out due to the decrease in cholera cases or due to the lack of funding. However, health partners continue to provide support to maintain regular training and refreshment courses for local medical staff, and maintain a surveillance system to monitor the evolution and assessment of the potential need to reactivate their response.
  • Apart from the essential work of the NGOs, it is important to mention the role of the Cuban Medical Brigade (CMB) as well. The CMB treated a high percentage of cholera and diarrhea cases during the epidemics through a network of CTCs and CTUs. They built up belts of community workers around each CTC and CTU, thus ensuring prevention and health promotion activities that accompanied the efforts to save lives at the treatment centers. The CMB also deployed active research brigades, who go to the difficult to reach sub-communes to investigate and treat cholera cases, thereby diminishing the “silent zones”.
  • The criteria for closing down cholera facilities and for phasing out NGOs from cholera facilities are well established, and there is an effort to maintain sufficient supplies and medical materials at the cholera centers. Nevertheless, lack of sufficient supervision and irregular payment of salaries to local health staff represent major risks that can jeopardize the response capacity at local and departmental level in case of sudden increase in the number of cholera cases, or any other major outbreak.
  • The WASH sector remains of paramount importance. The chlorination of water systems and water trucks delivering water to the metropolitan areas has been a huge progress, despite the challenges that this method still faces. Attention needs to be paid to the private companies and the alternative treatment systems being used so as not to have resurgence within the urban areas. In rural areas, the treatment of water remains a difficult challenge

Wash (Environmental Health)

PAHO/WHO continues to support the MSPP in identifying needs and priorities for the improvement of sanitary conditions of the health centers in several departments through water sanitation networks and

waste management. Environmental health is an essential part of the long term fight against the spread of cholera and other diseases related to water and sanitation management. The financial resources of numerous NGOs that ensured drinking water distribution and removal of excrement from latrines and septic tanks in Port-au-Prince are running out or have been exhausted.  Transition strategies offer only a limited solution, and serious concerns exist with regard to access to drinking water and adequate public health conditions.

Mental Health

The working group that formulates the Mental Health Policy and the National Plan continues to be dynamic. This group consists of the MSPP, PAHO/WHO, national and international mental health actors and several experts from universities (Toronto, and Montreal). The drafting of the national policy document is currently being finalized.

The list of essential psychotropic drugs for the country is in its final stages of development and the proposal will be submitted to the MSPP by mid-April. The WHO-AIMS is in its final phase, consisting of the compilation of data and development of the evaluation report.

Health Promotion

The final version of The Ways of Working (WOW) document on hygiene promotion will be circulated starting 6 April. It systemizes the lessons learned formulated during the Hygiene and Sanitation Promotion Workshop (Haiti 2010) held at Moulin Sur Mer on 11-12 March.


To continue to reinforce MSPP capacity, PAHO/WHO has provided support for the development and reproduction of 500 copies of the Global Acute Malnutrition (GAM) management protocols that were provided to the MSPP in September 2010. With the cholera outbreak, PAHO/WHO has provided support to the MSPP to update the Protocol, taking into account the care of malnourished children suffering from


New growth standards: In May 2010, PAHO/WHO took the lead in MSPP adopting new growth standards, and later by professional associations and partners. Based on these new standards, PAHO/WHO has supported the MSPP in the review of the “chemen lasante” map, thereby creating the opportunity to dispose of a draft of a child nutrition and health booklet since February 2011.

Revision of the IMCI: In order to make the necessary adjustments based on new WHO

recommendations and on the new national protocol for GAM management, PAHO/WHO is offering support for the review of current IMCI standards. The review of the national nutrition policy is underway.

Fortification: In order to prevent micronutrient deficiencies, the technical nutrition committee that support to the MSPP is currently conducting discussions on fortification of wheat flour with micronutrients.

Post Earthquake Health Surveillance

World TB Day, which took place on March 24th 2011, is designed to build public awareness that tuberculosis remains an epidemic, causing several million deaths each year, mostly in developing countries.

This year, Haiti’s National TB Program of the Ministry of Health commemorated the World TB Day by organizing a Ceremony to launch the Reconstruction of the TB Hospital of Leogane, which was totally destroyed by the 2010 Earthquake. The Leogane center received the most significant number of TB cases in the country, and its loss resulted in an enormous challenge for TB services.

The meeting was aired on Haitian National Television and was attended by all national and international TB partners. The reconstruction will be done by Italian NGO INTERSOS, with technical support by PAHO/WHO and additional support by the Japanese Embassy.

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To contribute more information about our Haiti Earthquake Relief Efforts,

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Haiti one year on

Photo from

As we approach the one year anniversary of the Haiti earthquake of January 12, 2010, it is a sad reminder of how little has actually been done to rebuild Haiti.  Only the most basic of healthcare and tent accommodation is available for the 1 Million that are still homeless, and unbelievably only 5% of the rubble created by the earthquake has been cleared.

These are shocking statistics considering over $2 Billion was pledged to the relief efforts, with only 42% of funding has actually been spent and the coordination between the UN and all other aid agencies has been very poor to date.

We are continuing to present and push our hospital consortium proposal as a step towards Haitian healthcare capacity building and sustainability.  Our Project Coordinator in Haiti wrote recently about the challenges facing our efforts in Haiti here.

For a good summary of the situation on the ground, read this Guardian article here.

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Haiti Fundraiser NYC, December 16th: RMF selected as beneficiary by Urban Zen

Urban Zen Center

711 Greenwich Street

New York City

Real Medicine Foundation is proud to announce that we have been designated as a beneficiary for the Hope Help Relief for Haiti “The Truth” fundraising event.  Our relief and long term capacity building projects in Haiti will be the sole beneficiaries of any proceeds given to RMF.

Urban Zen Foundation’s Hope Help Relief Haiti for The Truth is a multimedia art exhibition which will provide Gifts of Love to the people of Haiti.

The Truth, a group art exhibit curated by renowned fashion photographer Marc Baptiste, strives to capture the whole story of Haiti and was born of Marc’s vision to share the message of this country’s rich culture and artisans.

The Haitian community is strong and its artistic roots run deep. This is a celebration of people helping people, hope, courage, commitment, dignity, and the truth of survival. The artwork to be included in the art exhibit and auction is a diverse collection of works by Haitians, Haitian American, and Haitian-inspired artists. A total of 22+ contributing artists present works that include photographic images from before and after the earthquake, fine art photography, paintings, masks, and a slideshow presentation, short films, interviews and footage of Haiti.

All proceeds raised from The Truth Cultural Exhibition will benefit Urban Zen’s Hope Help & Relief Haiti mission.

PDF document describing the event and exhibition Haiti Hope Help Urban Zen

For more information and to register for this event click here:

Read our last blog update from Haiti

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Haiti racing to stem Cholera epidemic

BBC news reporting that while Haiti missed the brunt of the Hurricane Tomas storm, the flooding that followed the heavy rains has greatly increased the risk of a large cholera outbreak in the capital, with more than 70 cases reported in Port-au-Prince, and more than 540 people killed in the areas outside of the capital that were first affected.

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Tomas Storm tracker images & update for Haiti

Storm track has been adjusted a little further west — and storm strength was lowered slightly prior to Tomas moving just west of Haiti early tomorrow morning.  However – its the right side or specifically the NE quadrant of hurricanes/tropical storms that are associated with the greatest lift/rain forcing and coastal storm surge as water will be moving onshore on the southern half of Haiti (maybe on the order of 2-5 feet near the beaches on the south coast). Flooding rain and winds gusting 50-65 mph will be the main impacts.

Haiti braces for heavy rains, refugees have nowhere to go

Haiti is bracing itself for Tropical Storm Tomas and the heavy rains that are due to follow.  Refugees are being advised to leave the tent camps but have nowhere to go.

From BBC news:

Haiti has been placed on high alert as a powerful storm sweeps in, threatening thousands of earthquake survivors still living in camps.

UN OHCA group’s report below:

Emergency supplies and equipment are urgently needed in preparation for Tropical Storm Tomas.
  • WASH, shelter, logistics and communication clusters have identified requirements in terms of equipment and supplies that are immediately needed to augment response capacity.
  • Advocacy efforts will continue tomorrow to increase awareness amongst international partners and the media on the necessity to address these needs.
  • Today Groupe d’appui de la Communauté Internationale (GACI) was convened by the Prime Minister at the UN logistics base to discuss coordination for preparedness for the storm. The meeting was attended by DPC, bilateral donors, UN agencies, international NGOs and MINUSTAH.
  • Hurricane preparedness activities are prioritized in anticipation of heavy rainfall and flooding to occur within the next 48 hours.
  • As of 3 November, the Ministry of health (MSPP) reports 442 deaths and 6,742 hospitalized cases from cholera.

Situation Overview

As of 3 November, the Ministry of health (MSPP) reports 442 deaths and 6,742 hospitalized cases from cholera. Five departments have been directly affected by the cholera: Artibonite, Centre, Nord, Northwest and West. Departments which have not been directly affected are: Grand-Anse, Nippes, Nord-Est, Sud, Sud-Est. Based on the latest trajectory of Tropical Storm Tomas, the DPC has encouraged populations living in camps and low-lying coastal areas to seek alternative shelter, if possible, with family or friends.

The humanitarian community is continuing preparations for the storm. Evacuations of the most vulnerable camp residents in Port-au-Prince are currently ongoing to safe locations. Water is being delivered to populations most at-risk of a storm in Port-au-Prince and tarps and tents are in stock to cover the needs of 300,000 individuals. Food stocks are already in place and coordination of logistical assets and personnel is ongoing. Community promoters have reached 12,589 households today and 120,000 text messages were sent to camp residents.

For the cholera response, food distributions reached 1,785 beneficiaries in the Artibonite Department and sensitization campaigns continued for populations in the most affected areas. Training of medical staff andcommunity agents is ongoing, especially in places which have not yet been affected by cholera.

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“UN condemned over ‘appalling’ Haiti earthquake camps” (BBC news)

Just in case people have forgotten that very little has actually been done to resolve enormous tent city/homeless situation in Port au Prince, or the fact that the  $1 Billion the US promised has yet to materialize due to political games being played in the US Senate….the BBC has checked back in on the situation in Haiti and reviewed a recent report published by Refugees International and is not impressed, here is their not so uplifting update:

In addition to RMF supporting a team of nurses in one of the few remaining small hospitals in Port au Prince, we are continuing to push for a much larger scale health care capacity building project, but as with most initiatives down there dealing with immense funding challenges with very little promised money actually being delivered.

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