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HAITI
EMERGENCY REVISION OF THE 2012
CONSOLIDATED APPEAL
Needs arising from the impact of Hurricane
Sandy




                             Hurricane Sandy passed to the west of Haiti October 25,
                             2012 causing heavy rains and winds, flooding homes
                             and overflowing rivers.- Photo Logan Abassi
                             UN/MINUSTAH
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



TABLE OF CONTENTS
1.      EXECUTIVE SUMMARY ............................................................................................................ 1
     HUMANITARIAN DASHBOARD..................................................................................................... 2
     Table I: Requirements and funding to date per sector and projects in the Emergency Revision ......... 3
     Table II: Requirements and funding to date per organization in the Emergency Revision .................. 4
2.      CONTEXT AND HUMANITARIAN CONSEQUENCES ......................................................... 5
     2.1 Context ........................................................................................................................................... 5
     2.2 Response to date ............................................................................................................................. 6
     2.3 Funding to date ............................................................................................................................... 7
3.      HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS .......................................... 8
4.      CLUSTER RESPONSE PLANS ................................................................................................... 9
     4.1 Food security and Nutrition............................................................................................................ 9
     4.2 CCCM and Shelter ....................................................................................................................... 13
     4.3 Health and WASH ........................................................................................................................ 16
       Health system .................................................................................................................................. 16
       WASH            .................................................................................................................................. 17
     4.4 Education ...................................................................................................................................... 19
5.      CONTACTS .................................................................................................................................. 21
ANNEX I: LIST OF PROJECTS ....................................................................................................... 22
ANNEX II: ACRONYMS AND ABBREVIATIONS ...................................................................... 26




                                                                              ii
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




                 iii
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



1. EXECUTIVE SUMMARY
Hurricane Sandy hit Haiti on 23 October. Three consecutive days of heavy rain caused severe
flooding in the country, causing serious loss of life and damaging and destroying homes and public
infrastructure. The Government of Haiti declared a state of emergency on 30 October.

The impact of the hurricane has generated a number of                  2012 Haiti Consolidated Appeal
                                                                  Emergency Revision for Hurricane Sandy
critical humanitarian needs and exacerbated existing
                                                                 Duration            October 2012 –
ones. Of utmost concern are the 1.5 million people                                   December 2012
living in severe food insecurity in rural areas most             Affected            An estimated 2 million
affected by the hurricane. This is due to the loss of            Population          people
agricultural land, livelihoods and harvests, and the             Areas targeted by      92 out of 140
damage to the few agricultural areas spared by this              Emergency              communes in the
year’s drought and Tropical Storm Isaac in August. Up            Revision               South, South-East,
to 450,000 people, including at least 4,000 children                                    West, Artibonite (mainly
under the age of five are at risk of severe acute                                       north), Northeast,
                                                                                        Centre and Grand’Anse
malnutrition as a result. With harvests destroyed in                                    Departments
most of the country, the entire country’s food security          Key sectors for        Food Security &
situation is threatened.                                         response               Nutrition
                                                                                        CCCM &Shelter
The hurricane also destroyed at least 6,274 houses and                                  Health & WASH
damaged a further 21,427 according to the Haitian                                       Education
Directorate for Civil Protection (DPC). Out of the               Key target                  426,000 for food,
estimated 31,370 people who lost their houses, the               beneficiaries                agriculture, and
                                                                 (approximate                 nutrition
majority are now living with host families or in                 figures)
improvised accommodation, while 2,949 are still living                                       10,000 for health
                                                                                             22,674 for shelter
in 18 hurricane shelters where they took refuge during or
                                                                                             750,000 for WASH
after the storm. Hundreds of public buildings and
                                                                                             50,000 for education
facilities, including cholera treatment facilities, hospitals
and schools, were destroyed, and infrastructure, notably           Total additional
                                                                 funding requested
potable water networks, suffered significant damage.                                        Beneficiaries of this
                                                                       for this
New cholera outbreaks in the coming weeks and months                                        Emergency Revision
                                                                     Emergency
are feared as a result. In addition, roads and bridges                Revision
were destroyed or badly damaged; river banks collapsed,              23.2 million           1,26 million people
washing away arable lands.

Assessments indicate that the new needs arising from Sandy will require US$ 1 39.9 million in
additional funding over 2012 and 2013. Of this, $23.2 million will be required to finance the first
phase of the response until the end of the year, which is outlined in this Emergency Revision of the
2012 CAP. This first phase will immediately address the critical needs of 1.26 million people in food
security and nutrition, shelter, health, WASH, and education. This brings the 2012 CAP's overall
revised requirements to $151,080,810, and leaving unmet requirements of $95,344,094.




1
 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to
the Financial Tracking Service (FTS, fts@un.org), which will display its requirements and funding on the current

                                                       1
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



HUMANITARIAN DASHBOARD



                                                                8.9m   22%




                                          2
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




Table I: Requirements and funding to date per sector and
projects in the Emergency Revision

                       Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy
                                                 as of 10 November 2012
                                                    http://fts.unocha.org


                    Compiled by OCHA on the basis of information provided by donors and appealing organizations.



Sector                             Original            Revised           Funding            Unmet            %          Uncommitted
                                requirements        requirements                         requirements      Covered        pledges


                                       ($)                ($)                ($)             ($)                               ($)
                                        A                  B                  C             D=B-C           E=C/B               F

AGRICULTURE                        10,000,000            5,610,354        1,893,191         5,207,163        33%                      -

CAMP COORDINATION
AND CAMP
                                     2,520,574           8,560,946                   -      8,560,946         0%                      -
MANAGEMENT (CCCM)
AND SHELTER

EDUCATION                            1,300,000           1,767,425          654,320         1,113,105        37%                      -

FOOD AID                                       -         5,565,000                   -      5,565,000         0%                      -

HEALTH                               3,543,286           2,383,323          566,945         1,816,378        24%                      -

NUTRITION                            5,679,249           6,256,469                          4,170,220        33%                      -

WATER, SANITATION
                                     7,273,860           9,852,448        3,780,397         6,072,051        38%                      -
AND HYGIENE

Total Emergency
                                   30,316,969           39,995,965        8,981,102        32,504,863        22%                      -
Revision projects



Haiti CAP –
                                   200,227,853         111,084,845       46,755,614         62,839,231       42%               612,745
non revised projects




Grand Total 2012 CAP               230,544,822         151,080,810       55,736,716         95,344,094       37%               612,745



NOTE:           "Funding" means Contributions + Commitments + Carry-over

Contribution:   the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.
Commitment:     creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be
                contributed.
Pledge:         a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these
                tables indicates the balance of original pledges not yet committed.)




The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For
continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service
(fts.unocha.org).




                                                                    3
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


Table II: Requirements and funding to date per
organization in the Emergency Revision

                      Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy
                                                as of 10 November 2012
                                                   http://fts.unocha.org


                   Compiled by OCHA on the basis of information provided by donors and appealing organizations.



Appealing                         Original          Revised           Funding          Unmet            %          Uncommitted
organization                   requirements      requirements                       requirements      Covered        pledges
                                      ($)               ($)               ($)            ($)                              ($)
                                       A                 B                 C            D=B-C           E=C/B              F

ACF                                         -           700,000                 -        700,000          0%                    -

ACTED                                       -           845,000                 -        845,000          0%                    -

ActionAid                                   -           200,000                 -        200,000          0%                    -

AMECON 2000                                 -           500,000                 -        500,000          0%                    -

CARE USA                                    -           603,004                 -        603,004          0%                    -

CRS                                         -         1,000,000                 -      1,000,000          0%                    -

FADA                                        -           601,975                 -        601,975          0%                    -

FAO                              10,000,000           4,500,000       1,893,191        4,096,809         42%                    -

FHED-INC                                    -           191,555                 -        191,555          0%                    -

HI                                          -           353,813                 -        353,813          0%                    -

IOM                                         -         3,220,385                 -      3,220,385          0%                    -

Malteser International               430,404            215,202         215,202                  -      100%                    -

OPREM-F                                     -           400,000                 -        400,000          0%                    -

Solidarités                                 -           100,000                 -        100,000          0%                    -

UN-HABITAT                                  -           236,000                 -        236,000          0%                    -

UNICEF                           14,253,109         14,030,036        6,520,966        7,509,070         46%                    -

UNOPS                              4,433,456          5,124,174         199,855        4,924,319          4%                    -

WFP                                         -         5,883,000                 -      5,883,000          0%                    -

WHO                                1,200,000            941,821         151,888          789,933         16%                    -

WVI                                         -           350,000                 -        350,000          0%                    -

Total Emergency
                                 30,316,969         39,995,965        8,981,102       31,014,863         22%                    -
Revision



NOTE:           "Funding" means Contributions + Commitments + Carry-over
Contribution:   the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.
Commitment:     creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be
                contributed.
Pledge:         a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these
                tables indicates the balance of original pledges not yet committed.)



                                                                  4
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



2. CONTEXT AND HUMANITARIAN
   CONSEQUENCES

2.1 Context
Although Haiti was not directly in Hurricane Sandy’s path, the storm triggered heavy rains and severe
flooding in the West, South, Grand’Anse, Nippes and South-East Departments. Of the country’s 140
communes, 70 were affected by the storm. Water levels are receding, but several areas remain
inaccessible due to damaged bridges and highways.

Haitian authorities and humanitarian actors were quick to respond to the needs identified. To date,
assessments have been carried out in all affected communes and departments. Distributions of
mattresses, sleeping bags, hygiene kits and food rations have been carried out (see Response to date,
below).

Hurricane Sandy’s Impact (as of 23- 27 October 2012)
     TS Sandy’s impact

                                                                       Port-de-Paix



                                                     NORD-OUEST                                          Cap-Haitien

                                                                                                                            Fort-Liberté

                                                                                                NORD

            Blocked road reported                                                                                  NORD-EST
                                                                                Gonaives
             Landslide areas
             Areas affected by TS Sandy
                                                                                       ARTIBONITE
             Road                                                                                                  Hinche



                                                                                                            CENTRE




               Jérémie

                                                                                                  Port-au-Prince


    GRANDE -ANSE                                          Miragoane                                    OUEST
                                            NIPPES

                                      SUD
                                                                      SUD-EST          Jacmel
                              Cayes




Although main ports, airports, fuel storage facilities and electricity plants were spared major damage,
there are serious concerns regarding key parts of the road network. Humanitarian organizations have
sufficient transport and storage capacity, but road access to certain affected areas of the southern
peninsula (Grand’Anse and South Departments), near the Dominican border (Fond Verrets in West
Department) and in Baie D’Orange and Mapou in the South-East Department remains limited. In
particular, it is paramount that a quick and stable solution is found for the repair of the Port–au-Prince
to Malpasse road, one of the main arteries of the country.2



2
  Infrastructure repair falls outside the scope of this appeal but international partners are encouraged to continue supporting the
Ministry of Public Works (MoPW) to continue their quick road repair. Road repairs will also contribute in resuming the normal
flow of economic exchanges and in facilitating market access for farmers.


                                                                  5
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




          Bridge destroyed in Arcahaie (West)                   Road destroyed by the rising of sea water in the
                                                                             South department



2.2 Response to date
The Haitian Government released an emergency budget allocation of HTG 350 million ($8.4 million)
for immediate life-saving response while humanitarian partners also provided assistance (see further
details below). However, in-country resources are increasingly strained. For humanitarian partners,
severe underfunding of the 2012 Consolidated Appeal has reduced emergency response capacity in
the country. Many of the critical needs resulting from the devastating passage of Sandy cannot
currently be met. The table below reflects a number of interventions by the international community
in support of Government response efforts:

 Cluster/Sector                                              Activities
 CCCM/            Preparedness activities
 Emergency         224 camps, comprising 64,812 families (69% of the camp population), were sensitized on
 shelter            preparedness specifically for Hurricane Sandy. All camps sensitized on hurricane
                    preparedness in general since the beginning of the hurricane season.
                   18 partners supported emergency activities in camps before and after the storm (type of
                    activities: sensitization, evaluations, non-food item (NFI) support, response intervention).
                  Coordination of assessments
                   300 camps, hosting 73% of the camp population, were contacted by telephone for initial
                    assessments.
                   Field evaluations conducted of 184 camps in order to verify the initial telephone
                    assessments.
                   Findings of field evaluations (as of 4 November 2012)
                     -    115 camps (21% of the existing camps), housing 39,811 families, affected by the
                          rains reporting mostly flooding, health-related issues, damages to water, sanitation
                          and hygiene (WASH) and shelter facilities.
                     -    76 of the camps affected by Sandy were also affected by Isaac.
                     -    At least 5,200 emergency shelters, housing 21,840 people, in 88 camps, were
                          destroyed or seriously damaged by the storm.
                     -    676 additional families identified as in need of NFI and cholera-related items.
                  Emergency response in camps
                     8,134 tarpaulins distributed as of 4 November, representing 65% coverage of urgent
                      needs; remaining shelter needs will be covered in the following weeks.
                     Distribution of cholera-related items in 51 camps.
 Food Security       Distribution of emergency food kits and High Energy Biscuits (HEBs) in temporary
 and Nutrition        shelters reached more than 15,000 people (South, Nippes, South-East, West, Artibonite,
                      Nippes and North-West Departments).
                     5.6 metric tons (MTs) of HEBs and 0.74 MTs of mixed commodities distributed via World
                      Food Programme (WFP) and partners such as International Organization for Migration
                      (IOM), Catholic Relief Services (CRS), CARITAS, Directorate for Civil Protection (DPC),
                      Haitian Red Cross.
                     Food kits have been provided by CRS, World Vision International (WVI), DPC, Ministry of


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HAÏTI CAP FLASH APPEAL NOVEMBER 2012


                    Social Affairs.
                   Technical and logistical support provided to the Government to enhance monitoring of the
                    nutritional status of children under five.
                   Eight tents provided to replace severe acute malnutrition (SAM) treatment centres.
                   Vitamin A capsules and de-worming tablets as well as technical and financial support
                    provided to the Government for children under five.
 Health            Evacuation of patients from the Immaculate Conception Hospital in Camp Perrin in the
                    South Department.
                   Handicap International (HI) donated two tents to replace a cholera treatment centre in the
                    Nippes department.
                   World Health Organization (WHO) field teams deployed in 10 departments to evaluate
                    the number of cases appearing after the storm.
 WASH              Evaluation of WASH needs in 71 affected communes out of 72.
                   Distribution of more than 11,000 hygiene kits for all highly vulnerable families (those who
                    have lost all their items).
                   Provision of water and sanitation in 30 emergency shelters out of 136.
                   Hygiene promotion campaigns targeting all highly vulnerable families and
                    neighbourhoods.
                   United Nations Office for Project Services (UNOPS) cholera response teams have
                    reached through mass sensitization of 3,031people and 1,222 door-to-door sensitizations
                    since Sandy.
 Education       100 school tents for 8,000 students to be distributed to enable damaged schools to
                  continue functioning (ongoing).
                 40,000 affected students’ lost materials will be replaced by United Nations Children's
                  Fund (UNICEF) ongoing school kit distribution.
 Logistics       International Federation of Red Cross and Red Crescent Societies (IFRC) carried out
                  three reconnaissance flights in the affected areas.
                 United Nations Stabilization Mission in Haiti (MINUSTAH) assistance to assessment
                  teams through special helicopter flights.
 Mitigation      UNOPS support to the Ministry of Public Works to mitigate additional flooding risk in the
                  areas of 4th Avenue, Carrefour (Zone de Mariani) and Cité Soleil. Actions taken: canal
                  cleaning; water passages to stop houses from flooding, and debris removal.
                 A needs evaluation in the metropolitan area of Port-au-Prince and in the South
                  Department was carried out; various areas at risk of flooding and major infrastructure
                  damage in roads and bridges were identified.
 Government        HTG 350 million ($8.4 million) allocated for assistance to the affected population.
 of Haiti          Distribution of 36,800 food parcels and 20,000 food kits by the Prime Minister’s office.
                   Cholera treatment supplies were provided by the Ministry of Health in Artibonite.
                   Delivery of 25,000 hot meals and 40,000 bottles of water.
                   61,000 emergency vouchers will be distributed.




2.3 Funding to date
As of 10 November, humanitarian funding received against the 2012 CAP stood at $55.7 million
representing only 37% of the critical humanitarian requirements identified.         Shortfalls in
humanitarian funding throughout 2011 and 2012 have reduced response capacities to the extent that
there is insufficient capacity under current conditions to meet the additional humanitarian needs
resulting from Hurricane Sandy. This Emergency Revision seeks to mobilize additional funding
needed to meet these requirements.

The Emergency Relief and Response Fund (ERRF) for Haiti remains
                                                                                      ERRF contact
open and may serve as a channel to allocate contributions against this                Salvator Bijojote
appeal. Appeal projects for cholera response will be targeted for ERRF                Email: salvator@un.org
                                                                                      Tel: +509 3702-576
allocations.



                                                     7
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




3. HUMANITARIAN CONSEQUENCES AND NEEDS
   ANALYSIS
The hurricane has generated a number of critical humanitarian needs. The impact on the agricultural
sector is a priority. In August, Tropical Storm Isaac destroyed some 40% of the harvest,
compounding the effect of drought earlier in the year. Sandy then devastated agricultural lands in the
south that Isaac had not affected, with over 90,000 hectares of agricultural land and crops in at least
60 of the country’s 140 communes destroyed.3 The combined impact is alarming, with 1.5 million
severely food insecure, and up to 450,000 people, including at least 4,000 children estimated to be at
risk of severe acute malnutrition (SAM).

                       Destroyed        Damaged       A second area of concern is shelter. According to data
    Department          houses           houses       collected by the DPC, 27,701 homes were either damaged
    Grande-                                           or destroyed (see table). Out of the estimated 31,370
                              2,386           3,492
    Anse
                                                      people who lost their houses, the majority are now living
    Sud-Est                   1,299           4,522   with host families or in improvised accommodations,
    Sud                       1,062           8,995   while 2,949 are still living in 18 hurricane shelters.
    Nippes                    1,037           2,242   Another 5,298 earthquake-displaced people in camps were
    Ouest                       443           1,788   also left homeless by Sandy and are in the process of
    Artibonite                   33             144   being assisted with emergency shelter distributions.
    Nord-Ouest                   12              50
    Centre                        2         A number of critical public buildings and infrastructure
                                                194
    Nord                          0         were severely damaged by the storm. As of 31 October,
                                                  0
 Nord-Est                  0            0   150 schools were destroyed or damaged, resulting in 100
 TOTAL                 6,274       21,427   schools being closed and which will require assistance to
                                            reopen. This affects an estimated 20,000 children. Health
structures were also affected: 22 cholera treatment facilities were destroyed by Sandy, in addition to
the 39 facilities damaged by Tropical Storm Isaac, which have not yet been repaired. 30 potable
water supply systems were also damaged, affecting 830,000 people. An increase in cholera cases is
being reported in the South and South-East Departments and there are fears of further outbreaks.
Mitigation and clean up works will be required in camps, hurricane shelters and affected areas to re-
establish decent living conditions




3
    Government of Haiti, Situation report No 8.



                                                            8
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



4. CLUSTER RESPONSE PLANS



4.1 Food security and Nutrition
Losses caused by Tropical Storm Sandy in the agricultural sector are estimated at $104 million.
According to the National Committee for Food Security (CNSA), 1.5 million people in facing severe food
insecurity, due to the loss of crops and livelihoods; at least 4,000 children under five are at risk of severe
acute malnutrition.

Immediate interventions required include prompt food rations to most affected populations; cash/food
for work for households at highest risk of food insecurity; voucher distributions for the most vulnerable
(disabled, elderly, etc.); key nutrition interventions for victims of severe acute malnutrition as well as for
children at risk of malnutrition; and provision of agricultural inputs to allow immediate re-planting.



Background and needs analysis
The combined impact of the drought earlier in 2012, Tropical Storm Isaac, and now Hurricane Sandy
on the food security situation in Haiti has been devastating, with 1.5 million people, in 92 out of the
country’s 140 communes, facing a situation of severe food insecurity. 4 5 This situation led the
Government to decree a state of emergency on 30 October.
.




          Maize farm completely flooded in Les Cayes (Sud) - Banana farm flooded in Jeremie (Grande-Anse)

Evaluations carried out after the drought and Tropical Storm Isaac revealed that almost 50% of
communes, or 2.5 million people, were affected by food insecurity. Of these, an estimated 900,000
people are severely food insecure. With the impact of Sandy, this number has increased to 1.5 million.
There have been significant reductions in the availability of local food products, with consequent
significant price increases (200% price increase in some communes were registered at the end of
September 2012 compared to the prices in September 2011). By end of October 2012, corn
production had declined by 42%; sorghum and rice by 33%; bananas by 37%; potatoes by 22% and
vegetables by 6%. Commercial production of coffee, bananas, avocadoes, mangoes and oranges has
also been severely affected. This has resulted in a greater dependence on imported food products and
increasing vulnerability to international price fluctuations.

4
    National Committee for Food Security (CNSA)
5
    A rapid food security assessment is on-going in the districts affected by Hurricane Sandy under the leadership of the CNSA.


                                                                 9
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



Worsening an already serious situation, Sandy hit the few remaining productive areas in the country.
The total losses are estimated at $104 million, mostly in the agricultural, fishing and pastoral sectors.
The departments of Grand’Anse, Nippes, the South, the South-East, the West and the North-East are
identified as being the most affected areas, however the food crisis will affect the entire population.
As a direct impact of the combined effects of the drought, Isaac and Sandy, the population in affected
areas is facing a triple threat of decreased job opportunities, reduced access to food and less
agricultural land to cultivate for the coming harvest season. Most vulnerable households have
depleted food stocks, at a time when the next harvest season is still months away (June 2013).




                              Dry season and TS Isaac priority areas, prior to Sandy

The household survey carried out in September 2012 by the CNSA found that up to 57% of rural
households were severely food-insecure.6 There is a high probability that households in areas affected
by the drought and by Isaac and Sandy are not meeting their basic calorific requirements. A worrying
deterioration of the nutritional status for the most vulnerable (children under five, lactating/pregnant
women, the elderly and disabled, people living with AIDS) is likely. Preventive measures are
therefore increasingly urgent.

Households interviewed prior to Sandy, in September-October 2012, were already relying on negative
coping mechanisms such as the sale of productive assets, increased wood cutting to produce charcoal
(especially fruit trees), increased dependency on credit for food purchase, decreased number and
quality of meals, reduction in school enrolment, and increased migration to urban areas. Non-
agricultural employment opportunities are even more limited than before, in particular in rural areas.
In addition, the fishing community has also been badly affected by Sandy.




6
    National Study on Food Security

                                                       10
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


Food Security response plan
        Objectives                    Results expected                    Key activities          Beneficiaries
Ready to eat food to         Improved food consumption over          Distribution of HEBs         15,000 people
support households in        assistance period for targeted          and food kits.                (3,000
temporary shelters.          emergency-affected households in                                     families)
                             temporary shelters.
Emergency food aid to        Improved food consumption over          Provision of in-kind         100,000
support worst affected       assistance period for targeted          food assistance in the       people
families who lost their      emergency-affected households.          form of dry rations -        (20,000
homes (totally/partially                                             each covering 21 days        families)
destroyed/badly affected).                                           for a family of five
                                                                     people.
Immediate cash / income      Strengthened food purchasing            Cash/FfW activities in       90,000 people
safety net provided to       power over assistance period for        the form of high             (18,000
worst affected rural         targeted emergency-affected             Intensity labour             families)
households.                  households at risk of falling into      programmes. Assets to
                             acute hunger due to loss of income.     be rehabilitated
                             Support to rehabilitation of key        identified and prioritized
                             infrastructure for the poor rural       with local communities.
                             farmers.

Immediate unconditional      Adequate food consumption over          Provision of                 N/A
assistance to most           assistance period for targeted          unconditional
vulnerable populations       emergency-affected households at        vouchers/cash for worst
(status based:               risk of falling into acute hunger.      affected people who
handicapped, disabled,                                               are already extremely
elderly, etc.).                                                      vulnerable
                                                                     (handicapped, elderly,
                                                                     etc.).
Improve the food security    20,000 emergency-affected               Provision of agricultural    100,000
situation of affected        households at risk of falling into      materials (seeds and         people
families through             food insecurity have access to          tools and small scale        (20,000
agricultural production.     agricultural inputs and produce their   livestock) through           families)
                             own food.                               vouchers.




                                                     11
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


Nutrition response plan
 Objectives                          Results expected                     Key activities         Beneficiaries
 Prevent child malnutrition and      Children under five suffering from   Conduct early          1,000 children
 treat severe acute cases            SAM have access to timely and        identification and     under five for
 effectively                         effective care.                      referral of children   SAM
                                                                          with SAM.
                                     Pregnant and lactating women         Ensure availability    12,000
                                     have access to 16 counselling on     of essential           children under
                                     optimal infant feeding practices.    commodities and        five for
                                                                          equipment,             diarrhoea
                                                                          including
                                     Children under five and women        information
                                     have access to essential             education and          8,300 children
                                     micronutrients.                      communication          and 25,000
                                                                          (IEC) tools.           women for
                                                                                                 micronutrients
                                     Children suffering from diarrhoea    Organize training
                                     receive adequate treatment.          sessions for health
                                                                          and community
                                     Health and community workers’        workers.
                                     capacity is strengthened to ensure   Organize 16
                                     effective delivery of services.      counselling
                                                                          sessions for
                                                                          lactating women.
                                                                          Distribute
                                                                          micronutrients to
                                                                          children and
                                                                          women.
 Prevention of a nutrition crisis    Improved nutritional status of       Nutritional            100,000
 through targeted supplementary      targeted children 6–59 months        preventive support     people
 feeding and preventive              and of pregnant and lactating        and targeted           (including
 nutritional support.                women, through targeted              supplementary          children under
                                     supplementary feeding/preventive     feeding to treat       five and
                                     support.                             moderate acute         pregnant and
                                                                          malnutrition among     lactating
                                                                          children aged 6–59     women)
                                                                          months and
                                                                          pregnant and
                                                                          lactating women as
                                                                          well as tuberculosis
                                                                          (TB) and anti-
                                                                          retroviral therapy
                                                                          (ART) patients.




                                                       12
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




4.2 CCCM and Shelter
Hurricane Sandy destroyed 6,274 houses and damaged a further 21,427 according to the DPC. Out of the
estimated 31,370 people who lost their houses, the majority are now living with host families or in
improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Of these, at least 2,300
are unable to return to their place of origin because their houses and/or lands have been destroyed by
the storm.

Immediate Shelter and CCCM interventions will include: the distribution of repair and reconstruction kits,
technical support and training, restocking of non-food items (NFIs), the provision of basic essential
services for the 2,949 people still living in evacuation shelters, and mitigation and disaster risk reduction
(DRR) works in affected areas.



Background and needs analysis
    1. Housing sector

A thorough field assessment conducted by E-Shelter and CCCM Cluster partners will be required to
verify the damages estimated by the DPC at the time of the initial rapid assessment and to determine
whether reconstruction and repairs can take place, whether mitigation and DRR works are needed
and/or whether relocation options are available.

Once the assessments are completed, E-Shelter and CCCM Cluster partners will proceed with the
distribution of repair and reconstruction kits, accompanied by technical support, training and
communications tools to promote a safer and sturdier reconstruction and repair process. In some
cases, particularly in rural areas, it transitional shelters may be necessary, and in urban areas rental
subsidies may be required. The Shelter support strategy will need to maintain a certain level of
flexibility to adapt to the evolving needs on the ground. Partners will seek to integrate Shelter
assistance with livelihood, agriculture and WASH activities.




                             Damaged house in Marfranc /Jeremie (Grand Anse)




                                                     13
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


   2. At risk camps

Heavy rains generated important flooding in camps causing the destruction of thousands of dwellings
and tents. Overall, 5,200 emergency shelters were destroyed in 88 camps. 78 out of the 115 camps
affected by Sandy were also affected by Isaac.


                                                                           Camps affected
                                                                           by ISAAC (218)




                                                                            Camps affected
                                                                            by both storms (78)




                                                                        Camps affected
                                                                        By SANDY (115)



                                            Source: IOM

To minimize the number of vulnerable IDPs exposed to floods and landslides the 115 camps
identified by Government as being most at risk will be prioritized for return projects, particularly
using the rental subsidy approach.

Immediate needs in camps include: (1) re-stocking contingency NFIs to replace those distributed
after the two storm crises in 2012 (Isaac and Sandy) and (2) mitigation and DRR works in and around
the most affected camps and areas of return, to ensure safe living conditions.


   3. Evacuation shelters

                            Number of    A preventative evacuation of 19,000 at-risk people was
                People in
                            hurricane    organized by national authorities as Hurricane Sandy
   Department   hurricane
                            shelters     approached (this number included 1,250 extremely
                shelters
                            operational  vulnerable IDPs evacuated from at-risk camps in Port-au-
   West              2,682           10 Prince). As of 31 October 2012, 2,949 individuals remain
   South-East           267           8 in 18 evacuation shelters scattered across the West and
   Total             2,949           18 South-East departments, according to information provided
                                         by the DPC. Of these, 2,298 people (78%) are believed to
be without return solutions, as their houses and/or land were washed away by the floods. These
people are in need of immediate basic assistance including NFIs, clean water, basic sanitation and
hygiene items. They will also need shelter assistance to return to their communities of origin or
relocate to a new area.




                                                14
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


Shelter and CCCM response plan
Objectives                         Results expected                    Key activities           Beneficiaries
Immediate humanitarian             11,274 families who had their       Provision of host        11,274
assistance to 11,274 families      homes destroyed or damaged          family support, cash     families
who had their houses lost or       receive host family support, cash   grants for               (approximately
destroyed                          grants for reconstruction and/or    reconstruction and/or    56,370
                                   rent, construction of shelters      rent, construction of    people)
                                                                       shelters
Basic services for families in     2,949 people in evacuation          Provision of essential   2,949 people
evacuation shelters (duration:     shelters receive basic services     NFIs, shelter            (approximately
two months)                        (duration: two months)              maintenance,             580 families)
                                                                       security, WASH and
                                                                       health-related
                                                                       services
Small mitigation works             Essential small mitigation and      Cash for work,           N/A
                                   clean up works in camps and         provision of basic
                                   areas and neighbourhoods badly      tools, equipment and
                                   affected by the storm are carried   machinery to support
                                   out                                 the beneficiaries if
                                                                       required
Replenishment of contingency       Contingency stocks for 9,000        Hygiene and kitchen      9,000 families
stocks                             families are replenished            kits, tarps, mosquito    (approximately
                                                                       nets etc. are            45,000
                                                                       provided for stocks      people)
                                                                          Total beneficiaries 20,854 families




                                                       15
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




4.3 Health and WASH
Increased numbers of cholera cases are being reported in various areas in the aftermath of Sandy while
response capacities are limited. 22 cholera treatment facilities were destroyed by the storm. Damage to
30 potable water supply systems is a further concern. Immediate interventions required include the
rehabilitation of the 22 damaged cholera facilities, the pre-positioning of medical stocks to treat 10,000
potential victims and the rehabilitation of the 30 water supply systems.


Background and needs analysis


      Health system

Despite a significant decline in the incidence of cholera infections and fatalities in 2012 the cholera
epidemic continues and the risk of outbreaks remains acute. With the passage of Tropical Storm Isaac
and now Hurricane Sandy, several new outbreaks have been recorded by the national alert system,
creating a spike in new cholera cases and fatalities. Between 28 October and 8 November 3,593 new
cases of cholera were recorded. This is against a backdrop of previously increased infection rates:
8,228 cases of cholera were recorded in October, in comparison to 7,500 in September.

Some isolated areas in the country have been difficult to reach due to flooding following Hurricane
Sandy. Aerial transportation has been needed to respond to localized cholera outbreaks. The increase
of patients in treatment centres has required a draw-down of pre-positioned medical supplies in
government warehouses at departmental level. New materials are urgently needed to replenish stocks
to respond to continuing anticipated caseload and outbreaks. Hurricane Sandy destroyed 22 cholera
treatment facilities in the South, South East, Grand’Anse and West Departments. This compounds the
difficulties caused by the prior destruction of 39 facilities by Isaac, which had not yet been repaired.

                                                                       Exacerbating response challenges,
                                                                       over recent months there has been
                                                                       a sharp decrease in the number of
                                                                       international actors involved in
                                                                       the cholera response, while
                                                                       Government capacity to respond
                                                                       to cholera outbreaks faces
                                                                       important limitations.      Thus,
                                                                       immediate financing is required
                                                                       for humanitarian partners to fill
                                                                       critical gaps in response.




Les Cayes Hospital inaccessible as a result of flooding




                                                          16
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



      WASH

The 2,298 people still living in emergency shelters are in need of clean water, basic sanitation and
access to basic hygiene items. the National Directorate for Potable Water and Sanitation (DINEPA)
and WASH partners distributed approximately 4,000 hygiene kits to these people and are providing
WASH services in 30 out of the 136 emergency shelters. Damage to WASH infrastructure has been
identified across the country, with 30 water supply systems were damaged throughout the South,
Grande Anse, Nippes and West Departments. In a country lacking basic sanitation of sewage
infrastructure, these systems are in need of immediate rehabilitation. Works will be implemented by
DINEPA, with support from the UNICEF and other WASH partners.

The drastic reduction in safe water coverage after Sandy as a result of the destruction of these water
supply systems sharply increases the risk of exposure to water-borne diseases. The localized
outbreaks of cholera cases reported so far attest to heightened risks. Immediate measures are needed
to protect and restore drinking water sources and to improve sanitation, as well as to restore
damaged and destroyed cholera treatment facilities. In addition, both for short-term shelter solutions
and in housing reconstruction, ensuring access to latrines and other basic sanitation facilities is
essential.

Additional contingency stocks are urgently required to deal with cholera outbreaks and emergencies
for the remaining weeks of the hurricane season and to replenish severely depleted stocks. Finally,
immediate support to the WASH Sector information management and coordination capacities of
DINEPA has to be maintained.




                         Source: Ministry of Public Health and Population (MSPP)




                                                   17
HAÏTI CAP FLASH APPEAL NOVEMBER 2012


Health response plan
Objectives             Results expected         Key activities                                   Beneficiaries

Increase capacities    -   61 damaged           -   Support to the reconstruction of 61          10,000 people
to respond to new          cholera treatment        damaged cholera treatment facilities.
cholera cases.             facilities are       -   Support Ministry of Health in
                           rehabilitated,           integrating cholera centres into the
                           including 22             public health system.
                           affected by Sandy
                                                -   Support affectedcholera treatment
                           and 39 affected by
                                                    facilities through distributions of key
                           Isaac.
                                                    materials, mainly in areas with no or
                       -   17,000 new               difficult access.
                           potential cholera
                                                -   Provision of medical materials for
                           cases can receive
                                                    about 10,000 potential cholera cases,
                           treatment.
                                                    and pre-positioning of stock in risk
                                                    areas.
                                                -   Support the Pan-American Health
                                                    Organization (PAHO) alert mechanism
                                                    to coordinate the response at
                                                    department level and the
                                                    epidemiological monitoring of the
                                                    health situation through its field teams.
                                                -   Improving the water and sanitation
                                                    situation in cholera treatment facilities.
                                                -   Health promotion campaigns in
                                                    affected communities.



WASH response plan
Objectives            Results expected          Key activities                                   Beneficiaries

Mitigate cholera      Access to safe WASH is    -   Detailed assessment of cost of repair
and other water-      improved for all              of WASH infrastructures damaged by
borne diseases        populations affected by       Hurricane Sandy.
amongst               Hurricane Sandy.
populations                                     -   Rehabilitation of 30 water supply
affected by                                         systems.
Hurricane Sandy.                                                                                 750,000
                                                -   Decontamination/ repair of water
                                                                                                 people
                                                    sources and wells.

                                                -   Desludging, maintenance and
                                                    rehabilitation of latrines in flooded
                                                    public buildings and emergency
                                                    shelters. Technical support to affected
                                                    families to access sanitation.

                                                -   Provision of emergency response
                                                    supplies (hygiene kits, jerry cans, etc.).

                                                -   Hygiene and sanitation campaigns and
                                                    distribution of hygiene promotion
                                                    material.

Reinforcement of      Reinforcement of          -   Reinforcement of the capacities of the       Nationwide
emergency             coordination and              National Observatory and Emergency
capacities to         information management        Response Department of DINEPA
coordinate and        in the WASH Sector.           through coaching.
respond to
Hurricane Sandy.                                -   Support to coordination.

                                                -   Reinforcement of SISKLOR SMS
                                                    water quality monitoring system.




                                                    18
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




        4.4 Education
Hurricane Sandy had a severe impact on basic public infrastructure: aside from health and water
facilities, 150 schools and several key roads and bridges were damaged or destroyed. An infrastructure
recovery response plan is being developed by the Government and will be released shortly.


Background and needs analysis
                                            The storm caused significant damage to public and private
 Number of schools destroyed or
 damaged                                    schools in southern Haiti, many of which were constructed
 Department Destroyed Damaged               in a makeshift manner using basic materials including
 Grand’Anse              23           12    tarpaulins and banana leaves. The initial Government
 South-East              10           30    assessment report suggests that more than 100 permanent or
 South                    9           20    semi-permanent schools were damaged and more than 50
 Nippes                   7           18    light–structured schools were destroyed (see table). Where
 West                     0           20    school infrastructures were not damaged, flooding damaged
 Total                   49          100    the teaching and learning materials of more than 500
schools throughout the country. The majority of affected rural schools do not have water and
sanitation facilities exposing students and teachers to cholera risks.




                            A flooded school in Les Cayes (South Department)

The Ministry of Education and its partners have proposed a two-fold response strategy:
    ■   Immediate: repair damaged schools and set up temporary learning spaces with temporary
        measures, using tarpaulins, tents and tin sheets, targeting the schools which have not been
        able to re-open or properly function.
    ■   Medium-term: rehabilitate the destroyed schools with light-structured temporary learning
        schools in order to better resist cyclones.




                                                  19
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




                              Destroyed temporary school structures in South-east

Education response plan
Objectives             Results expected                 Key activities                            Beneficiaries
To support the         -   100 schools                  -    Repair and rehabilitate 100          20,000
continuation of            rehabilitated or repaired.        damaged or destroyed schools         students and
schooling in a safer   -   50,000 students and               with tin sheets, tarpaulins and      500 teachers
environment for            1,250 teachers who lost           tents.                               50,000
approximately              their teaching and           -    Rehabilitate 40 schools with light   students
50,000 students            learning materials                semi-structured temporary            1,250 teachers
whose schooling            receive textbooks, other          learning spaces.
has been                   materials, aquatabs and      -    Distribute teaching and learning     30,000
interrupted because        soap.                             materials to replace those           students
of damages caused      -   Students in 150 schools           destroyed.                           30,000
by Hurricane               in cholera-affected          -    Distribute aquatabs and soap for     students
Sandy.                     zones practice hand               schools to prevent the spread of
                           washing with soap.                cholera.
                                                        -    Set up hand washing stations in
                                                             schools which have no water in
                                                             the affected zones.




                                                        20
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




5. Contacts
  Haiti Government

  Ministry of the Interior and Local Government
  H.E. Minister Leon Ronsard
  leonronsard@yahoo.com

  Directorate of Civil Protection
  Director Jean-Baptiste Alta
  altajeanbaptiste@yahoo.com

  International Humanitarian Community
  Nigel Fisher                       Johan Peleman
  Humanitarian Coordinator           Head of OCHA – Haiti
  fishern@un.org                     peleman@un.org
  +509 3702 9079                     +509 3702 8746




                                              21
HAÏTI CAP FLASH APPEAL NOVEMBER 2012




ANNEX I: LIST OF PROJECTS

                                                              Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy
                                                                                        as of 10 November 2012
                                                                                           http://fts.unocha.org

                                                           Compiled by OCHA on the basis of information provided by donors and appealing organizations.



Project code                         Title                                                                             Appealing          Original     Revised        Funding          Unmet       %
(click on hyperlinked project code                                                                                      agency         requirements requirements                    requirements Covered
to open full project details)                                                                                                               ($)          ($)            ($)              ($)

AGRICULTURE

                                     Intervention d’urgence dans le secteur de l’élevage et l’agriculture dans
HTI-12/A/45480/R/123
                                     les départements de la Grande Anse, de l'Ouest, des Nippes et du Sud,           FAO                   8,000,000      4,500,000   1,106,821        3,393,179   25%
                                     affectés par les inondations
HTI-12/A/51444/R/14558               Projet de soutien rapide aux éleveurs victimes du cyclone ISAAC et
                                                                                                                     OPREM-F                         -     400,000              -       400,000    0%
                                     Sandy dans la commune de Léogane
HTI-12/A/56883/R/13790               Support Agriculture to foster AKA Culture Farmers Association in 11
                                                                                                                     FHED-INC                        -      95,049              -        95,049    0%
                                     Communal Section of Gros Morne, Léogane
                                     Projet d’appui à la conservation du sol de terres cultivable inondée
HTI-12/A/56885/R/14556
                                     autour de la rivière de BAINET (8eme section oranger, 5eme bras                 FADA                            -     115,305              -       115,305    0%
                                     grandou et 7eme bras gauche)
HTI-12/A/56896/R/13244               Assistance Agricole aux familles des sections communales de 1ère et             AMECON
                                                                                                                                                     -     500,000              -       500,000    0%
                                     2ème Balan sévèrement touchées par le Cyclone Sandy                             2000

Total for AGRICULTURE                                                                                                                    10,000,000       5,610,354   1,893,191        5,207,163    33%

CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER

HTI-12/CSS/45500/R/5767              Emergency preparedness and mitigation response for targeted and
                                                                                                                     UNOPS                 2,520,574      3,034,174             -      3,034,174   0%
                                     vulnerable communities of Haiti




                                                                                                       22
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



Project code                         Title                                                                             Appealing      Original     Revised     Funding          Unmet       %
(click on hyperlinked project code                                                                                      agency     requirements requirements                 requirements Covered
to open full project details)                                                                                                           ($)          ($)         ($)              ($)
                                     Projet de réparations de 200 maisons endommagées dans cinq (5)
HTI-12/S-NF/56865/R/14556
                                     communes (Mapou, Bainet, Thiotte, Les Anglais, Harniquet) et d'une           FADA                        -     268,570              -       268,570    0%
                                     assistance technique pour la reconstruction de 300 maisons détruites
HTI-12/S-NF/56878/R/5349             Amélioration des conditions de vie de 300 familles vulnérables affectées
                                                                                                                  HI                          -     353,813              -       353,813    0%
                                     par le passage de la tempête Sandy
HTI-12/S-NF/56880/R/298
                                     Humanitarian and shelter response to Hurricane Sandy                         IOM                         -    3,220,385             -      3,220,385   0%

HTI-12/S-NF/56886/R/6458             Emergency shelter assistance to vulnerable population affected by
                                                                                                                  ACTED                       -     845,000              -       845,000    0%
                                     hurricane Sandy
                                     Appui technique et communication sur la réparation et réhabilitation des
HTI-12/S-NF/56888/R/7039
                                     logements post-cyclone pour l’amélioration des practices de construction     UN-HABITAT                  -     236,000              -       236,000    0%
                                     paracyclonique
HTI-12/S-NF/56894/R/5585
                                     Emergency response and NFI response to Sandy                                 CARE USA                    -     603,004              -       603,004    0%

Total for CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER                                                                    2,520,574    8,560,946             -      8,560,946   0%

EDUCATION

HTI-12/E/45181/R/124                 Quality basic education for vulnerable children in disaster affected areas
                                                                                                                  UNICEF              1,300,000    1,289,119    654,320          634,799    51%
                                     and host communities in Haiti
HTI-12/E/51211/R/14556               Construction de 26 structures de lavages des mains dans 26 écoles du
                                                                                                                  FADA                        -     181,800              -       181,800    0%
                                     SUD et SUD 'EST frappées par l'ouragan SANDY
HTI-12/E/56838/R/5511
                                     Safe Learning environment for children post-Hurricane Sandy                  ActionAid                   -     200,000              -       200,000    0%

                                     Fostering Wash promotion in 118 Destroyed and Damaged Schools by
HTI-12/E/56871/R/13790
                                     Sandy Hurricane in The West, South East, Nippes, South and                   FHED-INC                    -      96,506              -        96,506    0%
                                     Grand'Anse of Haiti

Total for EDUCATION                                                                                                                   1,300,000    1,767,425    654,320         1,113,105   37%

FOOD AID

HTI-12/ER/56902/R/8502               Cash-for-work to support urban livelihoods in Ouest department following
                                                                                                                  WVI                         -     350,000              -       350,000    0%
                                     Sandy




                                                                                                     23
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



Project code                         Title                                                                         Appealing        Original     Revised     Funding          Unmet       %
(click on hyperlinked project code                                                                                  agency       requirements requirements                 requirements Covered
to open full project details)                                                                                                         ($)          ($)         ($)              ($)
                                     Immediate food assistance and cash safety net for most vulnerable rural
HTI-12/F/56899/R/561
                                     households affected by the combined effects of the drought and              WFP                        -    3,715,000             -      3,715,000   0%
                                     Isaac/Sandy Hurricane
HTI-12/F/56900/R/5186                Integrated response for vulnerable population affected by food insecurity
                                                                                                                 ACF                        -     500,000              -       500,000    0%
                                     due to the combined effects of the drought and Isaac/Sandy Hurricane
HTI-12/F/56901/R/5146
                                     Recovery from Hurricane Sandy in Southern Haiti                             CRS                        -    1,000,000             -      1,000,000   0%

Total for FOOD AID                                                                                                                          -    5,565,000             -      5,565,000   0%

HEALTH

                                     Assuring current and future care to cholera patients and preventing the
HTI-12/H/45193/R/7560                                                                                            Malteser
                                     disease on community level by provision of a sustainable treatment                              430,404      215,202     215,202                 -   100%
                                                                                                                 International
                                     structure
HTI-12/H/45446/R/122
                                     Implementation of Multi-hazard Alert and Response System                    WHO                1,200,000     941,821     151,888          789,933    16%

HTI-12/H/45498/R/5767
                                     Immediate basic WASH response to cholera outbreaks in Haiti                 UNOPS              1,912,882    1,190,000    199,855          990,145    17%

HTI-12/H/51270/R/14556               Implantation d'un centre de traitement de cholera dans le centre de sante
                                                                                                                 FADA                       -      36,300              -        36,300    0%
                                     de marcher CANA a Mirbalais

Total for HEALTH                                                                                                                    3,543,286    2,383,323    566,945         1,816,378   24%

NUTRITION
HTI-12/H/45168/R/124
                                     Emergency Nutrition Services (preparedness and response)                    UNICEF             5,679,249    4,088,469   2,086,249        2,002,220   51%

                                     Nutritional Supplementary/Preventive Response targeting affected
HTI-12/H/56898/R/561
                                     women/children low 5 years due to the combined effects of the drought       WFP                        -    2,168,000             -      2,168,000   0%
                                     and Isaac and Sandy Hurricane.

Total for NUTRITION                                                                                                                 5,679,249    6,256,469   2,086,249        4,170,220   33%

WATER, SANITATION AND HYGIENE
HTI-12/WS/45152/R/124
                                     UNICEF WASH Emergency and Recovery in Haiti                                 UNICEF             7,273,860    8,652,448   3,780,397        4,872,051   44%




                                                                                                    24
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



Project code                         Title                                                                                   Appealing          Original     Revised             Funding           Unmet       %
(click on hyperlinked project code                                                                                            agency         requirements requirements                          requirements Covered
to open full project details)                                                                                                                     ($)          ($)                   ($)             ($)
HTI-12/WS/51312/R/5767               Decentralisation DINEPA trucks in the Regions and Immediate basic
                                                                                                                          UNOPS                             -        900,000                -        900,000       0%
                                     WASH response to cholera outbreaks in Haiti
                                     Rapid response to initial WASH needs of residents of a dozen
HTI-12/WS/56879/R/5186
                                     displacement camps affected by hurricane SANDY in the communes of                    ACF                               -        200,000                -        200,000       0%
                                     Port-au-Prince, Delmas and Cité Soleil.
                                     Réponse rapide aux flambées de choléra suite au passage de l’ouragan
HTI-12/WS/56882/R/5633
                                     SANDY dans 32 sites de déplacés de Pétion Ville, Delmas et Port au                   Solidarités                       -        100,000                -        100,000       0%
                                     Prince

Total for WATER, SANITATION AND HYGIENE                                                                                                          7,273,860         9,852,448      3,780,397        6,072,051       38%


Total for Emergency Revision                                                                                                                    30,316,969       39,995,965       8,981,102      32,504,863           22%




NOTE:           "Funding" means Contributions + Commitments + Carry-over

Contribution:   the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.
Commitment:     creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed.
Pledge:         a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.)




The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For continuously updated information on projects, funding requirements, and contributions to
date, visit the Financial Tracking Service (fts.unocha.org).




                                                                                                            25
HAÏTI CAP FLASH APPEAL NOVEMBER 2012



ANNEX II: ACRONYMS AND ABBREVIATIONS

ART      anti-retroviral therapy

CCCM     camp coordination and camp management
CfW      cash for work
CNSA     Comité National de Sécurité Alimentaire (National Committee for Food Security)
CRS      Catholic Relief Services

DCP      Direction de la Protection Civile (Civil Protection Department)
DINEPA   Direction Nationale de l'Eau potable et de l'Assainissement (National Directorate for Potable
         Water and Sanitation)
DRR      disaster risk reduction

ERRF     Emergency Relief and Response Fund

FfW      food for work

HEB      high energy biscuit
HI       Handicap International
HTG      Haiti Gourde (Haitian currency)

IOM      International Organization for Migration

MoPW     Ministry of Public Works
MoSA     Ministry of Social Affairs
MSPP     Ministry of Public Health and Population
MTs      metric tons

NFI      non-food item
NGO      non-governmental organization

PAHO     Pan-American Health Organization

SAM      severe acute malnutrition

TB       tuberculosis

UCLBP    L'Unité de Construction de Logements et de Bâtiments Publics
UNICEF   United Nations Children’s Fund
UNOPS    United Nations Office for Project Services

WASH     water, sanitation and hygiene
WFP      World Food Programme
WHO      World Health Organization
WVI      World Vision International




                                            26
OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS
                      (OCHA)

             United Nations Palais des Nations
       New York, N.Y. 10017 1211 Geneva 10
                       USA Switzerland

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Haiti: Emergency Revision of the 2012 Consolidated Appeal - Needs arising from the impact of Hurricane Sandy

  • 1. HAITI EMERGENCY REVISION OF THE 2012 CONSOLIDATED APPEAL Needs arising from the impact of Hurricane Sandy Hurricane Sandy passed to the west of Haiti October 25, 2012 causing heavy rains and winds, flooding homes and overflowing rivers.- Photo Logan Abassi UN/MINUSTAH
  • 2. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY ............................................................................................................ 1 HUMANITARIAN DASHBOARD..................................................................................................... 2 Table I: Requirements and funding to date per sector and projects in the Emergency Revision ......... 3 Table II: Requirements and funding to date per organization in the Emergency Revision .................. 4 2. CONTEXT AND HUMANITARIAN CONSEQUENCES ......................................................... 5 2.1 Context ........................................................................................................................................... 5 2.2 Response to date ............................................................................................................................. 6 2.3 Funding to date ............................................................................................................................... 7 3. HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS .......................................... 8 4. CLUSTER RESPONSE PLANS ................................................................................................... 9 4.1 Food security and Nutrition............................................................................................................ 9 4.2 CCCM and Shelter ....................................................................................................................... 13 4.3 Health and WASH ........................................................................................................................ 16 Health system .................................................................................................................................. 16 WASH .................................................................................................................................. 17 4.4 Education ...................................................................................................................................... 19 5. CONTACTS .................................................................................................................................. 21 ANNEX I: LIST OF PROJECTS ....................................................................................................... 22 ANNEX II: ACRONYMS AND ABBREVIATIONS ...................................................................... 26 ii
  • 3. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 iii
  • 4. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 1. EXECUTIVE SUMMARY Hurricane Sandy hit Haiti on 23 October. Three consecutive days of heavy rain caused severe flooding in the country, causing serious loss of life and damaging and destroying homes and public infrastructure. The Government of Haiti declared a state of emergency on 30 October. The impact of the hurricane has generated a number of 2012 Haiti Consolidated Appeal Emergency Revision for Hurricane Sandy critical humanitarian needs and exacerbated existing Duration October 2012 – ones. Of utmost concern are the 1.5 million people December 2012 living in severe food insecurity in rural areas most Affected An estimated 2 million affected by the hurricane. This is due to the loss of Population people agricultural land, livelihoods and harvests, and the Areas targeted by 92 out of 140 damage to the few agricultural areas spared by this Emergency communes in the year’s drought and Tropical Storm Isaac in August. Up Revision South, South-East, to 450,000 people, including at least 4,000 children West, Artibonite (mainly under the age of five are at risk of severe acute north), Northeast, Centre and Grand’Anse malnutrition as a result. With harvests destroyed in Departments most of the country, the entire country’s food security Key sectors for Food Security & situation is threatened. response Nutrition CCCM &Shelter The hurricane also destroyed at least 6,274 houses and Health & WASH damaged a further 21,427 according to the Haitian Education Directorate for Civil Protection (DPC). Out of the Key target  426,000 for food, estimated 31,370 people who lost their houses, the beneficiaries agriculture, and (approximate nutrition majority are now living with host families or in figures) improvised accommodation, while 2,949 are still living  10,000 for health  22,674 for shelter in 18 hurricane shelters where they took refuge during or  750,000 for WASH after the storm. Hundreds of public buildings and  50,000 for education facilities, including cholera treatment facilities, hospitals and schools, were destroyed, and infrastructure, notably Total additional funding requested potable water networks, suffered significant damage. Beneficiaries of this for this New cholera outbreaks in the coming weeks and months Emergency Revision Emergency are feared as a result. In addition, roads and bridges Revision were destroyed or badly damaged; river banks collapsed, 23.2 million 1,26 million people washing away arable lands. Assessments indicate that the new needs arising from Sandy will require US$ 1 39.9 million in additional funding over 2012 and 2013. Of this, $23.2 million will be required to finance the first phase of the response until the end of the year, which is outlined in this Emergency Revision of the 2012 CAP. This first phase will immediately address the critical needs of 1.26 million people in food security and nutrition, shelter, health, WASH, and education. This brings the 2012 CAP's overall revised requirements to $151,080,810, and leaving unmet requirements of $95,344,094. 1 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking Service (FTS, fts@un.org), which will display its requirements and funding on the current 1
  • 5. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 HUMANITARIAN DASHBOARD 8.9m 22% 2
  • 6. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Table I: Requirements and funding to date per sector and projects in the Emergency Revision Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy as of 10 November 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Sector Original Revised Funding Unmet % Uncommitted requirements requirements requirements Covered pledges ($) ($) ($) ($) ($) A B C D=B-C E=C/B F AGRICULTURE 10,000,000 5,610,354 1,893,191 5,207,163 33% - CAMP COORDINATION AND CAMP 2,520,574 8,560,946 - 8,560,946 0% - MANAGEMENT (CCCM) AND SHELTER EDUCATION 1,300,000 1,767,425 654,320 1,113,105 37% - FOOD AID - 5,565,000 - 5,565,000 0% - HEALTH 3,543,286 2,383,323 566,945 1,816,378 24% - NUTRITION 5,679,249 6,256,469 4,170,220 33% - WATER, SANITATION 7,273,860 9,852,448 3,780,397 6,072,051 38% - AND HYGIENE Total Emergency 30,316,969 39,995,965 8,981,102 32,504,863 22% - Revision projects Haiti CAP – 200,227,853 111,084,845 46,755,614 62,839,231 42% 612,745 non revised projects Grand Total 2012 CAP 230,544,822 151,080,810 55,736,716 95,344,094 37% 612,745 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 3
  • 7. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Table II: Requirements and funding to date per organization in the Emergency Revision Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy as of 10 November 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Appealing Original Revised Funding Unmet % Uncommitted organization requirements requirements requirements Covered pledges ($) ($) ($) ($) ($) A B C D=B-C E=C/B F ACF - 700,000 - 700,000 0% - ACTED - 845,000 - 845,000 0% - ActionAid - 200,000 - 200,000 0% - AMECON 2000 - 500,000 - 500,000 0% - CARE USA - 603,004 - 603,004 0% - CRS - 1,000,000 - 1,000,000 0% - FADA - 601,975 - 601,975 0% - FAO 10,000,000 4,500,000 1,893,191 4,096,809 42% - FHED-INC - 191,555 - 191,555 0% - HI - 353,813 - 353,813 0% - IOM - 3,220,385 - 3,220,385 0% - Malteser International 430,404 215,202 215,202 - 100% - OPREM-F - 400,000 - 400,000 0% - Solidarités - 100,000 - 100,000 0% - UN-HABITAT - 236,000 - 236,000 0% - UNICEF 14,253,109 14,030,036 6,520,966 7,509,070 46% - UNOPS 4,433,456 5,124,174 199,855 4,924,319 4% - WFP - 5,883,000 - 5,883,000 0% - WHO 1,200,000 941,821 151,888 789,933 16% - WVI - 350,000 - 350,000 0% - Total Emergency 30,316,969 39,995,965 8,981,102 31,014,863 22% - Revision NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) 4
  • 8. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 2. CONTEXT AND HUMANITARIAN CONSEQUENCES 2.1 Context Although Haiti was not directly in Hurricane Sandy’s path, the storm triggered heavy rains and severe flooding in the West, South, Grand’Anse, Nippes and South-East Departments. Of the country’s 140 communes, 70 were affected by the storm. Water levels are receding, but several areas remain inaccessible due to damaged bridges and highways. Haitian authorities and humanitarian actors were quick to respond to the needs identified. To date, assessments have been carried out in all affected communes and departments. Distributions of mattresses, sleeping bags, hygiene kits and food rations have been carried out (see Response to date, below). Hurricane Sandy’s Impact (as of 23- 27 October 2012) TS Sandy’s impact Port-de-Paix NORD-OUEST Cap-Haitien Fort-Liberté NORD Blocked road reported NORD-EST Gonaives Landslide areas Areas affected by TS Sandy ARTIBONITE Road Hinche CENTRE Jérémie Port-au-Prince GRANDE -ANSE Miragoane OUEST NIPPES SUD SUD-EST Jacmel Cayes Although main ports, airports, fuel storage facilities and electricity plants were spared major damage, there are serious concerns regarding key parts of the road network. Humanitarian organizations have sufficient transport and storage capacity, but road access to certain affected areas of the southern peninsula (Grand’Anse and South Departments), near the Dominican border (Fond Verrets in West Department) and in Baie D’Orange and Mapou in the South-East Department remains limited. In particular, it is paramount that a quick and stable solution is found for the repair of the Port–au-Prince to Malpasse road, one of the main arteries of the country.2 2 Infrastructure repair falls outside the scope of this appeal but international partners are encouraged to continue supporting the Ministry of Public Works (MoPW) to continue their quick road repair. Road repairs will also contribute in resuming the normal flow of economic exchanges and in facilitating market access for farmers. 5
  • 9. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Bridge destroyed in Arcahaie (West) Road destroyed by the rising of sea water in the South department 2.2 Response to date The Haitian Government released an emergency budget allocation of HTG 350 million ($8.4 million) for immediate life-saving response while humanitarian partners also provided assistance (see further details below). However, in-country resources are increasingly strained. For humanitarian partners, severe underfunding of the 2012 Consolidated Appeal has reduced emergency response capacity in the country. Many of the critical needs resulting from the devastating passage of Sandy cannot currently be met. The table below reflects a number of interventions by the international community in support of Government response efforts: Cluster/Sector Activities CCCM/ Preparedness activities Emergency  224 camps, comprising 64,812 families (69% of the camp population), were sensitized on shelter preparedness specifically for Hurricane Sandy. All camps sensitized on hurricane preparedness in general since the beginning of the hurricane season.  18 partners supported emergency activities in camps before and after the storm (type of activities: sensitization, evaluations, non-food item (NFI) support, response intervention). Coordination of assessments  300 camps, hosting 73% of the camp population, were contacted by telephone for initial assessments.  Field evaluations conducted of 184 camps in order to verify the initial telephone assessments.  Findings of field evaluations (as of 4 November 2012) - 115 camps (21% of the existing camps), housing 39,811 families, affected by the rains reporting mostly flooding, health-related issues, damages to water, sanitation and hygiene (WASH) and shelter facilities. - 76 of the camps affected by Sandy were also affected by Isaac. - At least 5,200 emergency shelters, housing 21,840 people, in 88 camps, were destroyed or seriously damaged by the storm. - 676 additional families identified as in need of NFI and cholera-related items. Emergency response in camps  8,134 tarpaulins distributed as of 4 November, representing 65% coverage of urgent needs; remaining shelter needs will be covered in the following weeks.  Distribution of cholera-related items in 51 camps. Food Security  Distribution of emergency food kits and High Energy Biscuits (HEBs) in temporary and Nutrition shelters reached more than 15,000 people (South, Nippes, South-East, West, Artibonite, Nippes and North-West Departments).  5.6 metric tons (MTs) of HEBs and 0.74 MTs of mixed commodities distributed via World Food Programme (WFP) and partners such as International Organization for Migration (IOM), Catholic Relief Services (CRS), CARITAS, Directorate for Civil Protection (DPC), Haitian Red Cross.  Food kits have been provided by CRS, World Vision International (WVI), DPC, Ministry of 6
  • 10. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Social Affairs.  Technical and logistical support provided to the Government to enhance monitoring of the nutritional status of children under five.  Eight tents provided to replace severe acute malnutrition (SAM) treatment centres.  Vitamin A capsules and de-worming tablets as well as technical and financial support provided to the Government for children under five. Health  Evacuation of patients from the Immaculate Conception Hospital in Camp Perrin in the South Department.  Handicap International (HI) donated two tents to replace a cholera treatment centre in the Nippes department.  World Health Organization (WHO) field teams deployed in 10 departments to evaluate the number of cases appearing after the storm. WASH  Evaluation of WASH needs in 71 affected communes out of 72.  Distribution of more than 11,000 hygiene kits for all highly vulnerable families (those who have lost all their items).  Provision of water and sanitation in 30 emergency shelters out of 136.  Hygiene promotion campaigns targeting all highly vulnerable families and neighbourhoods.  United Nations Office for Project Services (UNOPS) cholera response teams have reached through mass sensitization of 3,031people and 1,222 door-to-door sensitizations since Sandy. Education  100 school tents for 8,000 students to be distributed to enable damaged schools to continue functioning (ongoing).  40,000 affected students’ lost materials will be replaced by United Nations Children's Fund (UNICEF) ongoing school kit distribution. Logistics  International Federation of Red Cross and Red Crescent Societies (IFRC) carried out three reconnaissance flights in the affected areas.  United Nations Stabilization Mission in Haiti (MINUSTAH) assistance to assessment teams through special helicopter flights. Mitigation  UNOPS support to the Ministry of Public Works to mitigate additional flooding risk in the areas of 4th Avenue, Carrefour (Zone de Mariani) and Cité Soleil. Actions taken: canal cleaning; water passages to stop houses from flooding, and debris removal.  A needs evaluation in the metropolitan area of Port-au-Prince and in the South Department was carried out; various areas at risk of flooding and major infrastructure damage in roads and bridges were identified. Government  HTG 350 million ($8.4 million) allocated for assistance to the affected population. of Haiti  Distribution of 36,800 food parcels and 20,000 food kits by the Prime Minister’s office.  Cholera treatment supplies were provided by the Ministry of Health in Artibonite.  Delivery of 25,000 hot meals and 40,000 bottles of water.  61,000 emergency vouchers will be distributed. 2.3 Funding to date As of 10 November, humanitarian funding received against the 2012 CAP stood at $55.7 million representing only 37% of the critical humanitarian requirements identified. Shortfalls in humanitarian funding throughout 2011 and 2012 have reduced response capacities to the extent that there is insufficient capacity under current conditions to meet the additional humanitarian needs resulting from Hurricane Sandy. This Emergency Revision seeks to mobilize additional funding needed to meet these requirements. The Emergency Relief and Response Fund (ERRF) for Haiti remains ERRF contact open and may serve as a channel to allocate contributions against this Salvator Bijojote appeal. Appeal projects for cholera response will be targeted for ERRF Email: salvator@un.org Tel: +509 3702-576 allocations. 7
  • 11. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 3. HUMANITARIAN CONSEQUENCES AND NEEDS ANALYSIS The hurricane has generated a number of critical humanitarian needs. The impact on the agricultural sector is a priority. In August, Tropical Storm Isaac destroyed some 40% of the harvest, compounding the effect of drought earlier in the year. Sandy then devastated agricultural lands in the south that Isaac had not affected, with over 90,000 hectares of agricultural land and crops in at least 60 of the country’s 140 communes destroyed.3 The combined impact is alarming, with 1.5 million severely food insecure, and up to 450,000 people, including at least 4,000 children estimated to be at risk of severe acute malnutrition (SAM). Destroyed Damaged A second area of concern is shelter. According to data Department houses houses collected by the DPC, 27,701 homes were either damaged Grande- or destroyed (see table). Out of the estimated 31,370 2,386 3,492 Anse people who lost their houses, the majority are now living Sud-Est 1,299 4,522 with host families or in improvised accommodations, Sud 1,062 8,995 while 2,949 are still living in 18 hurricane shelters. Nippes 1,037 2,242 Another 5,298 earthquake-displaced people in camps were Ouest 443 1,788 also left homeless by Sandy and are in the process of Artibonite 33 144 being assisted with emergency shelter distributions. Nord-Ouest 12 50 Centre 2 A number of critical public buildings and infrastructure 194 Nord 0 were severely damaged by the storm. As of 31 October, 0 Nord-Est 0 0 150 schools were destroyed or damaged, resulting in 100 TOTAL 6,274 21,427 schools being closed and which will require assistance to reopen. This affects an estimated 20,000 children. Health structures were also affected: 22 cholera treatment facilities were destroyed by Sandy, in addition to the 39 facilities damaged by Tropical Storm Isaac, which have not yet been repaired. 30 potable water supply systems were also damaged, affecting 830,000 people. An increase in cholera cases is being reported in the South and South-East Departments and there are fears of further outbreaks. Mitigation and clean up works will be required in camps, hurricane shelters and affected areas to re- establish decent living conditions 3 Government of Haiti, Situation report No 8. 8
  • 12. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 4. CLUSTER RESPONSE PLANS 4.1 Food security and Nutrition Losses caused by Tropical Storm Sandy in the agricultural sector are estimated at $104 million. According to the National Committee for Food Security (CNSA), 1.5 million people in facing severe food insecurity, due to the loss of crops and livelihoods; at least 4,000 children under five are at risk of severe acute malnutrition. Immediate interventions required include prompt food rations to most affected populations; cash/food for work for households at highest risk of food insecurity; voucher distributions for the most vulnerable (disabled, elderly, etc.); key nutrition interventions for victims of severe acute malnutrition as well as for children at risk of malnutrition; and provision of agricultural inputs to allow immediate re-planting. Background and needs analysis The combined impact of the drought earlier in 2012, Tropical Storm Isaac, and now Hurricane Sandy on the food security situation in Haiti has been devastating, with 1.5 million people, in 92 out of the country’s 140 communes, facing a situation of severe food insecurity. 4 5 This situation led the Government to decree a state of emergency on 30 October. . Maize farm completely flooded in Les Cayes (Sud) - Banana farm flooded in Jeremie (Grande-Anse) Evaluations carried out after the drought and Tropical Storm Isaac revealed that almost 50% of communes, or 2.5 million people, were affected by food insecurity. Of these, an estimated 900,000 people are severely food insecure. With the impact of Sandy, this number has increased to 1.5 million. There have been significant reductions in the availability of local food products, with consequent significant price increases (200% price increase in some communes were registered at the end of September 2012 compared to the prices in September 2011). By end of October 2012, corn production had declined by 42%; sorghum and rice by 33%; bananas by 37%; potatoes by 22% and vegetables by 6%. Commercial production of coffee, bananas, avocadoes, mangoes and oranges has also been severely affected. This has resulted in a greater dependence on imported food products and increasing vulnerability to international price fluctuations. 4 National Committee for Food Security (CNSA) 5 A rapid food security assessment is on-going in the districts affected by Hurricane Sandy under the leadership of the CNSA. 9
  • 13. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Worsening an already serious situation, Sandy hit the few remaining productive areas in the country. The total losses are estimated at $104 million, mostly in the agricultural, fishing and pastoral sectors. The departments of Grand’Anse, Nippes, the South, the South-East, the West and the North-East are identified as being the most affected areas, however the food crisis will affect the entire population. As a direct impact of the combined effects of the drought, Isaac and Sandy, the population in affected areas is facing a triple threat of decreased job opportunities, reduced access to food and less agricultural land to cultivate for the coming harvest season. Most vulnerable households have depleted food stocks, at a time when the next harvest season is still months away (June 2013). Dry season and TS Isaac priority areas, prior to Sandy The household survey carried out in September 2012 by the CNSA found that up to 57% of rural households were severely food-insecure.6 There is a high probability that households in areas affected by the drought and by Isaac and Sandy are not meeting their basic calorific requirements. A worrying deterioration of the nutritional status for the most vulnerable (children under five, lactating/pregnant women, the elderly and disabled, people living with AIDS) is likely. Preventive measures are therefore increasingly urgent. Households interviewed prior to Sandy, in September-October 2012, were already relying on negative coping mechanisms such as the sale of productive assets, increased wood cutting to produce charcoal (especially fruit trees), increased dependency on credit for food purchase, decreased number and quality of meals, reduction in school enrolment, and increased migration to urban areas. Non- agricultural employment opportunities are even more limited than before, in particular in rural areas. In addition, the fishing community has also been badly affected by Sandy. 6 National Study on Food Security 10
  • 14. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Food Security response plan Objectives Results expected Key activities Beneficiaries Ready to eat food to Improved food consumption over Distribution of HEBs 15,000 people support households in assistance period for targeted and food kits. (3,000 temporary shelters. emergency-affected households in families) temporary shelters. Emergency food aid to Improved food consumption over Provision of in-kind 100,000 support worst affected assistance period for targeted food assistance in the people families who lost their emergency-affected households. form of dry rations - (20,000 homes (totally/partially each covering 21 days families) destroyed/badly affected). for a family of five people. Immediate cash / income Strengthened food purchasing Cash/FfW activities in 90,000 people safety net provided to power over assistance period for the form of high (18,000 worst affected rural targeted emergency-affected Intensity labour families) households. households at risk of falling into programmes. Assets to acute hunger due to loss of income. be rehabilitated Support to rehabilitation of key identified and prioritized infrastructure for the poor rural with local communities. farmers. Immediate unconditional Adequate food consumption over Provision of N/A assistance to most assistance period for targeted unconditional vulnerable populations emergency-affected households at vouchers/cash for worst (status based: risk of falling into acute hunger. affected people who handicapped, disabled, are already extremely elderly, etc.). vulnerable (handicapped, elderly, etc.). Improve the food security 20,000 emergency-affected Provision of agricultural 100,000 situation of affected households at risk of falling into materials (seeds and people families through food insecurity have access to tools and small scale (20,000 agricultural production. agricultural inputs and produce their livestock) through families) own food. vouchers. 11
  • 15. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Nutrition response plan Objectives Results expected Key activities Beneficiaries Prevent child malnutrition and Children under five suffering from Conduct early 1,000 children treat severe acute cases SAM have access to timely and identification and under five for effectively effective care. referral of children SAM with SAM. Pregnant and lactating women Ensure availability 12,000 have access to 16 counselling on of essential children under optimal infant feeding practices. commodities and five for equipment, diarrhoea including Children under five and women information have access to essential education and 8,300 children micronutrients. communication and 25,000 (IEC) tools. women for micronutrients Children suffering from diarrhoea Organize training receive adequate treatment. sessions for health and community Health and community workers’ workers. capacity is strengthened to ensure Organize 16 effective delivery of services. counselling sessions for lactating women. Distribute micronutrients to children and women. Prevention of a nutrition crisis Improved nutritional status of Nutritional 100,000 through targeted supplementary targeted children 6–59 months preventive support people feeding and preventive and of pregnant and lactating and targeted (including nutritional support. women, through targeted supplementary children under supplementary feeding/preventive feeding to treat five and support. moderate acute pregnant and malnutrition among lactating children aged 6–59 women) months and pregnant and lactating women as well as tuberculosis (TB) and anti- retroviral therapy (ART) patients. 12
  • 16. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 4.2 CCCM and Shelter Hurricane Sandy destroyed 6,274 houses and damaged a further 21,427 according to the DPC. Out of the estimated 31,370 people who lost their houses, the majority are now living with host families or in improvised accommodations, while 2,949 are still living in 18 hurricane shelters. Of these, at least 2,300 are unable to return to their place of origin because their houses and/or lands have been destroyed by the storm. Immediate Shelter and CCCM interventions will include: the distribution of repair and reconstruction kits, technical support and training, restocking of non-food items (NFIs), the provision of basic essential services for the 2,949 people still living in evacuation shelters, and mitigation and disaster risk reduction (DRR) works in affected areas. Background and needs analysis 1. Housing sector A thorough field assessment conducted by E-Shelter and CCCM Cluster partners will be required to verify the damages estimated by the DPC at the time of the initial rapid assessment and to determine whether reconstruction and repairs can take place, whether mitigation and DRR works are needed and/or whether relocation options are available. Once the assessments are completed, E-Shelter and CCCM Cluster partners will proceed with the distribution of repair and reconstruction kits, accompanied by technical support, training and communications tools to promote a safer and sturdier reconstruction and repair process. In some cases, particularly in rural areas, it transitional shelters may be necessary, and in urban areas rental subsidies may be required. The Shelter support strategy will need to maintain a certain level of flexibility to adapt to the evolving needs on the ground. Partners will seek to integrate Shelter assistance with livelihood, agriculture and WASH activities. Damaged house in Marfranc /Jeremie (Grand Anse) 13
  • 17. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 2. At risk camps Heavy rains generated important flooding in camps causing the destruction of thousands of dwellings and tents. Overall, 5,200 emergency shelters were destroyed in 88 camps. 78 out of the 115 camps affected by Sandy were also affected by Isaac. Camps affected by ISAAC (218) Camps affected by both storms (78) Camps affected By SANDY (115) Source: IOM To minimize the number of vulnerable IDPs exposed to floods and landslides the 115 camps identified by Government as being most at risk will be prioritized for return projects, particularly using the rental subsidy approach. Immediate needs in camps include: (1) re-stocking contingency NFIs to replace those distributed after the two storm crises in 2012 (Isaac and Sandy) and (2) mitigation and DRR works in and around the most affected camps and areas of return, to ensure safe living conditions. 3. Evacuation shelters Number of A preventative evacuation of 19,000 at-risk people was People in hurricane organized by national authorities as Hurricane Sandy Department hurricane shelters approached (this number included 1,250 extremely shelters operational vulnerable IDPs evacuated from at-risk camps in Port-au- West 2,682 10 Prince). As of 31 October 2012, 2,949 individuals remain South-East 267 8 in 18 evacuation shelters scattered across the West and Total 2,949 18 South-East departments, according to information provided by the DPC. Of these, 2,298 people (78%) are believed to be without return solutions, as their houses and/or land were washed away by the floods. These people are in need of immediate basic assistance including NFIs, clean water, basic sanitation and hygiene items. They will also need shelter assistance to return to their communities of origin or relocate to a new area. 14
  • 18. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Shelter and CCCM response plan Objectives Results expected Key activities Beneficiaries Immediate humanitarian 11,274 families who had their Provision of host 11,274 assistance to 11,274 families homes destroyed or damaged family support, cash families who had their houses lost or receive host family support, cash grants for (approximately destroyed grants for reconstruction and/or reconstruction and/or 56,370 rent, construction of shelters rent, construction of people) shelters Basic services for families in 2,949 people in evacuation Provision of essential 2,949 people evacuation shelters (duration: shelters receive basic services NFIs, shelter (approximately two months) (duration: two months) maintenance, 580 families) security, WASH and health-related services Small mitigation works Essential small mitigation and Cash for work, N/A clean up works in camps and provision of basic areas and neighbourhoods badly tools, equipment and affected by the storm are carried machinery to support out the beneficiaries if required Replenishment of contingency Contingency stocks for 9,000 Hygiene and kitchen 9,000 families stocks families are replenished kits, tarps, mosquito (approximately nets etc. are 45,000 provided for stocks people) Total beneficiaries 20,854 families 15
  • 19. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 4.3 Health and WASH Increased numbers of cholera cases are being reported in various areas in the aftermath of Sandy while response capacities are limited. 22 cholera treatment facilities were destroyed by the storm. Damage to 30 potable water supply systems is a further concern. Immediate interventions required include the rehabilitation of the 22 damaged cholera facilities, the pre-positioning of medical stocks to treat 10,000 potential victims and the rehabilitation of the 30 water supply systems. Background and needs analysis Health system Despite a significant decline in the incidence of cholera infections and fatalities in 2012 the cholera epidemic continues and the risk of outbreaks remains acute. With the passage of Tropical Storm Isaac and now Hurricane Sandy, several new outbreaks have been recorded by the national alert system, creating a spike in new cholera cases and fatalities. Between 28 October and 8 November 3,593 new cases of cholera were recorded. This is against a backdrop of previously increased infection rates: 8,228 cases of cholera were recorded in October, in comparison to 7,500 in September. Some isolated areas in the country have been difficult to reach due to flooding following Hurricane Sandy. Aerial transportation has been needed to respond to localized cholera outbreaks. The increase of patients in treatment centres has required a draw-down of pre-positioned medical supplies in government warehouses at departmental level. New materials are urgently needed to replenish stocks to respond to continuing anticipated caseload and outbreaks. Hurricane Sandy destroyed 22 cholera treatment facilities in the South, South East, Grand’Anse and West Departments. This compounds the difficulties caused by the prior destruction of 39 facilities by Isaac, which had not yet been repaired. Exacerbating response challenges, over recent months there has been a sharp decrease in the number of international actors involved in the cholera response, while Government capacity to respond to cholera outbreaks faces important limitations. Thus, immediate financing is required for humanitarian partners to fill critical gaps in response. Les Cayes Hospital inaccessible as a result of flooding 16
  • 20. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 WASH The 2,298 people still living in emergency shelters are in need of clean water, basic sanitation and access to basic hygiene items. the National Directorate for Potable Water and Sanitation (DINEPA) and WASH partners distributed approximately 4,000 hygiene kits to these people and are providing WASH services in 30 out of the 136 emergency shelters. Damage to WASH infrastructure has been identified across the country, with 30 water supply systems were damaged throughout the South, Grande Anse, Nippes and West Departments. In a country lacking basic sanitation of sewage infrastructure, these systems are in need of immediate rehabilitation. Works will be implemented by DINEPA, with support from the UNICEF and other WASH partners. The drastic reduction in safe water coverage after Sandy as a result of the destruction of these water supply systems sharply increases the risk of exposure to water-borne diseases. The localized outbreaks of cholera cases reported so far attest to heightened risks. Immediate measures are needed to protect and restore drinking water sources and to improve sanitation, as well as to restore damaged and destroyed cholera treatment facilities. In addition, both for short-term shelter solutions and in housing reconstruction, ensuring access to latrines and other basic sanitation facilities is essential. Additional contingency stocks are urgently required to deal with cholera outbreaks and emergencies for the remaining weeks of the hurricane season and to replenish severely depleted stocks. Finally, immediate support to the WASH Sector information management and coordination capacities of DINEPA has to be maintained. Source: Ministry of Public Health and Population (MSPP) 17
  • 21. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Health response plan Objectives Results expected Key activities Beneficiaries Increase capacities - 61 damaged - Support to the reconstruction of 61 10,000 people to respond to new cholera treatment damaged cholera treatment facilities. cholera cases. facilities are - Support Ministry of Health in rehabilitated, integrating cholera centres into the including 22 public health system. affected by Sandy - Support affectedcholera treatment and 39 affected by facilities through distributions of key Isaac. materials, mainly in areas with no or - 17,000 new difficult access. potential cholera - Provision of medical materials for cases can receive about 10,000 potential cholera cases, treatment. and pre-positioning of stock in risk areas. - Support the Pan-American Health Organization (PAHO) alert mechanism to coordinate the response at department level and the epidemiological monitoring of the health situation through its field teams. - Improving the water and sanitation situation in cholera treatment facilities. - Health promotion campaigns in affected communities. WASH response plan Objectives Results expected Key activities Beneficiaries Mitigate cholera Access to safe WASH is - Detailed assessment of cost of repair and other water- improved for all of WASH infrastructures damaged by borne diseases populations affected by Hurricane Sandy. amongst Hurricane Sandy. populations - Rehabilitation of 30 water supply affected by systems. Hurricane Sandy. 750,000 - Decontamination/ repair of water people sources and wells. - Desludging, maintenance and rehabilitation of latrines in flooded public buildings and emergency shelters. Technical support to affected families to access sanitation. - Provision of emergency response supplies (hygiene kits, jerry cans, etc.). - Hygiene and sanitation campaigns and distribution of hygiene promotion material. Reinforcement of Reinforcement of - Reinforcement of the capacities of the Nationwide emergency coordination and National Observatory and Emergency capacities to information management Response Department of DINEPA coordinate and in the WASH Sector. through coaching. respond to Hurricane Sandy. - Support to coordination. - Reinforcement of SISKLOR SMS water quality monitoring system. 18
  • 22. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 4.4 Education Hurricane Sandy had a severe impact on basic public infrastructure: aside from health and water facilities, 150 schools and several key roads and bridges were damaged or destroyed. An infrastructure recovery response plan is being developed by the Government and will be released shortly. Background and needs analysis The storm caused significant damage to public and private Number of schools destroyed or damaged schools in southern Haiti, many of which were constructed Department Destroyed Damaged in a makeshift manner using basic materials including Grand’Anse 23 12 tarpaulins and banana leaves. The initial Government South-East 10 30 assessment report suggests that more than 100 permanent or South 9 20 semi-permanent schools were damaged and more than 50 Nippes 7 18 light–structured schools were destroyed (see table). Where West 0 20 school infrastructures were not damaged, flooding damaged Total 49 100 the teaching and learning materials of more than 500 schools throughout the country. The majority of affected rural schools do not have water and sanitation facilities exposing students and teachers to cholera risks. A flooded school in Les Cayes (South Department) The Ministry of Education and its partners have proposed a two-fold response strategy: ■ Immediate: repair damaged schools and set up temporary learning spaces with temporary measures, using tarpaulins, tents and tin sheets, targeting the schools which have not been able to re-open or properly function. ■ Medium-term: rehabilitate the destroyed schools with light-structured temporary learning schools in order to better resist cyclones. 19
  • 23. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Destroyed temporary school structures in South-east Education response plan Objectives Results expected Key activities Beneficiaries To support the - 100 schools - Repair and rehabilitate 100 20,000 continuation of rehabilitated or repaired. damaged or destroyed schools students and schooling in a safer - 50,000 students and with tin sheets, tarpaulins and 500 teachers environment for 1,250 teachers who lost tents. 50,000 approximately their teaching and - Rehabilitate 40 schools with light students 50,000 students learning materials semi-structured temporary 1,250 teachers whose schooling receive textbooks, other learning spaces. has been materials, aquatabs and - Distribute teaching and learning 30,000 interrupted because soap. materials to replace those students of damages caused - Students in 150 schools destroyed. 30,000 by Hurricane in cholera-affected - Distribute aquatabs and soap for students Sandy. zones practice hand schools to prevent the spread of washing with soap. cholera. - Set up hand washing stations in schools which have no water in the affected zones. 20
  • 24. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 5. Contacts Haiti Government Ministry of the Interior and Local Government H.E. Minister Leon Ronsard leonronsard@yahoo.com Directorate of Civil Protection Director Jean-Baptiste Alta altajeanbaptiste@yahoo.com International Humanitarian Community Nigel Fisher Johan Peleman Humanitarian Coordinator Head of OCHA – Haiti fishern@un.org peleman@un.org +509 3702 9079 +509 3702 8746 21
  • 25. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 ANNEX I: LIST OF PROJECTS Consolidated Appeal for Haiti 2012 – Emergency Revision for Hurricane Sandy as of 10 November 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Project code Title Appealing Original Revised Funding Unmet % (click on hyperlinked project code agency requirements requirements requirements Covered to open full project details) ($) ($) ($) ($) AGRICULTURE Intervention d’urgence dans le secteur de l’élevage et l’agriculture dans HTI-12/A/45480/R/123 les départements de la Grande Anse, de l'Ouest, des Nippes et du Sud, FAO 8,000,000 4,500,000 1,106,821 3,393,179 25% affectés par les inondations HTI-12/A/51444/R/14558 Projet de soutien rapide aux éleveurs victimes du cyclone ISAAC et OPREM-F - 400,000 - 400,000 0% Sandy dans la commune de Léogane HTI-12/A/56883/R/13790 Support Agriculture to foster AKA Culture Farmers Association in 11 FHED-INC - 95,049 - 95,049 0% Communal Section of Gros Morne, Léogane Projet d’appui à la conservation du sol de terres cultivable inondée HTI-12/A/56885/R/14556 autour de la rivière de BAINET (8eme section oranger, 5eme bras FADA - 115,305 - 115,305 0% grandou et 7eme bras gauche) HTI-12/A/56896/R/13244 Assistance Agricole aux familles des sections communales de 1ère et AMECON - 500,000 - 500,000 0% 2ème Balan sévèrement touchées par le Cyclone Sandy 2000 Total for AGRICULTURE 10,000,000 5,610,354 1,893,191 5,207,163 33% CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER HTI-12/CSS/45500/R/5767 Emergency preparedness and mitigation response for targeted and UNOPS 2,520,574 3,034,174 - 3,034,174 0% vulnerable communities of Haiti 22
  • 26. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Project code Title Appealing Original Revised Funding Unmet % (click on hyperlinked project code agency requirements requirements requirements Covered to open full project details) ($) ($) ($) ($) Projet de réparations de 200 maisons endommagées dans cinq (5) HTI-12/S-NF/56865/R/14556 communes (Mapou, Bainet, Thiotte, Les Anglais, Harniquet) et d'une FADA - 268,570 - 268,570 0% assistance technique pour la reconstruction de 300 maisons détruites HTI-12/S-NF/56878/R/5349 Amélioration des conditions de vie de 300 familles vulnérables affectées HI - 353,813 - 353,813 0% par le passage de la tempête Sandy HTI-12/S-NF/56880/R/298 Humanitarian and shelter response to Hurricane Sandy IOM - 3,220,385 - 3,220,385 0% HTI-12/S-NF/56886/R/6458 Emergency shelter assistance to vulnerable population affected by ACTED - 845,000 - 845,000 0% hurricane Sandy Appui technique et communication sur la réparation et réhabilitation des HTI-12/S-NF/56888/R/7039 logements post-cyclone pour l’amélioration des practices de construction UN-HABITAT - 236,000 - 236,000 0% paracyclonique HTI-12/S-NF/56894/R/5585 Emergency response and NFI response to Sandy CARE USA - 603,004 - 603,004 0% Total for CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) AND SHELTER 2,520,574 8,560,946 - 8,560,946 0% EDUCATION HTI-12/E/45181/R/124 Quality basic education for vulnerable children in disaster affected areas UNICEF 1,300,000 1,289,119 654,320 634,799 51% and host communities in Haiti HTI-12/E/51211/R/14556 Construction de 26 structures de lavages des mains dans 26 écoles du FADA - 181,800 - 181,800 0% SUD et SUD 'EST frappées par l'ouragan SANDY HTI-12/E/56838/R/5511 Safe Learning environment for children post-Hurricane Sandy ActionAid - 200,000 - 200,000 0% Fostering Wash promotion in 118 Destroyed and Damaged Schools by HTI-12/E/56871/R/13790 Sandy Hurricane in The West, South East, Nippes, South and FHED-INC - 96,506 - 96,506 0% Grand'Anse of Haiti Total for EDUCATION 1,300,000 1,767,425 654,320 1,113,105 37% FOOD AID HTI-12/ER/56902/R/8502 Cash-for-work to support urban livelihoods in Ouest department following WVI - 350,000 - 350,000 0% Sandy 23
  • 27. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Project code Title Appealing Original Revised Funding Unmet % (click on hyperlinked project code agency requirements requirements requirements Covered to open full project details) ($) ($) ($) ($) Immediate food assistance and cash safety net for most vulnerable rural HTI-12/F/56899/R/561 households affected by the combined effects of the drought and WFP - 3,715,000 - 3,715,000 0% Isaac/Sandy Hurricane HTI-12/F/56900/R/5186 Integrated response for vulnerable population affected by food insecurity ACF - 500,000 - 500,000 0% due to the combined effects of the drought and Isaac/Sandy Hurricane HTI-12/F/56901/R/5146 Recovery from Hurricane Sandy in Southern Haiti CRS - 1,000,000 - 1,000,000 0% Total for FOOD AID - 5,565,000 - 5,565,000 0% HEALTH Assuring current and future care to cholera patients and preventing the HTI-12/H/45193/R/7560 Malteser disease on community level by provision of a sustainable treatment 430,404 215,202 215,202 - 100% International structure HTI-12/H/45446/R/122 Implementation of Multi-hazard Alert and Response System WHO 1,200,000 941,821 151,888 789,933 16% HTI-12/H/45498/R/5767 Immediate basic WASH response to cholera outbreaks in Haiti UNOPS 1,912,882 1,190,000 199,855 990,145 17% HTI-12/H/51270/R/14556 Implantation d'un centre de traitement de cholera dans le centre de sante FADA - 36,300 - 36,300 0% de marcher CANA a Mirbalais Total for HEALTH 3,543,286 2,383,323 566,945 1,816,378 24% NUTRITION HTI-12/H/45168/R/124 Emergency Nutrition Services (preparedness and response) UNICEF 5,679,249 4,088,469 2,086,249 2,002,220 51% Nutritional Supplementary/Preventive Response targeting affected HTI-12/H/56898/R/561 women/children low 5 years due to the combined effects of the drought WFP - 2,168,000 - 2,168,000 0% and Isaac and Sandy Hurricane. Total for NUTRITION 5,679,249 6,256,469 2,086,249 4,170,220 33% WATER, SANITATION AND HYGIENE HTI-12/WS/45152/R/124 UNICEF WASH Emergency and Recovery in Haiti UNICEF 7,273,860 8,652,448 3,780,397 4,872,051 44% 24
  • 28. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 Project code Title Appealing Original Revised Funding Unmet % (click on hyperlinked project code agency requirements requirements requirements Covered to open full project details) ($) ($) ($) ($) HTI-12/WS/51312/R/5767 Decentralisation DINEPA trucks in the Regions and Immediate basic UNOPS - 900,000 - 900,000 0% WASH response to cholera outbreaks in Haiti Rapid response to initial WASH needs of residents of a dozen HTI-12/WS/56879/R/5186 displacement camps affected by hurricane SANDY in the communes of ACF - 200,000 - 200,000 0% Port-au-Prince, Delmas and Cité Soleil. Réponse rapide aux flambées de choléra suite au passage de l’ouragan HTI-12/WS/56882/R/5633 SANDY dans 32 sites de déplacés de Pétion Ville, Delmas et Port au Solidarités - 100,000 - 100,000 0% Prince Total for WATER, SANITATION AND HYGIENE 7,273,860 9,852,448 3,780,397 6,072,051 38% Total for Emergency Revision 30,316,969 39,995,965 8,981,102 32,504,863 22% NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) The list of projects and the figures for their funding requirements in this document are a snapshot as of 10 November 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 25
  • 29. HAÏTI CAP FLASH APPEAL NOVEMBER 2012 ANNEX II: ACRONYMS AND ABBREVIATIONS ART anti-retroviral therapy CCCM camp coordination and camp management CfW cash for work CNSA Comité National de Sécurité Alimentaire (National Committee for Food Security) CRS Catholic Relief Services DCP Direction de la Protection Civile (Civil Protection Department) DINEPA Direction Nationale de l'Eau potable et de l'Assainissement (National Directorate for Potable Water and Sanitation) DRR disaster risk reduction ERRF Emergency Relief and Response Fund FfW food for work HEB high energy biscuit HI Handicap International HTG Haiti Gourde (Haitian currency) IOM International Organization for Migration MoPW Ministry of Public Works MoSA Ministry of Social Affairs MSPP Ministry of Public Health and Population MTs metric tons NFI non-food item NGO non-governmental organization PAHO Pan-American Health Organization SAM severe acute malnutrition TB tuberculosis UCLBP L'Unité de Construction de Logements et de Bâtiments Publics UNICEF United Nations Children’s Fund UNOPS United Nations Office for Project Services WASH water, sanitation and hygiene WFP World Food Programme WHO World Health Organization WVI World Vision International 26
  • 30. OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS (OCHA) United Nations Palais des Nations New York, N.Y. 10017 1211 Geneva 10 USA Switzerland