CDC Intervention in Haiti
Haiti is the poorest country in the western hemisphere with a UNDP national poverty index ranking of 68th. The country is also home to one of the world’s most populated cities without a centralized sewage system –  Port-Au-Prince. Although the developing country is vibrant, Haiti is still struggling. Since the initial destruction that the 7.0 magnitude earthquake in 2010 brought, cholera and HIV have ravaged the nation. However, as a direct result of the CDC intervention in Haiti, the nation has not fallen. The CDC has provided financial and technical assistance to the Government of Haiti (GOH) since 2002. In the 2010 earthquake’s aftermath, the CDC refocused on both immediate health necessities and public health systems within days of the U.N.’s arrival. CDC intervention in Haiti assisted the GOH in developing disease surveillance systems and establishing a competent public health force aimed to aid Haiti in developing a proper disease outbreak response.

This past decade, Haiti has not seen much progress due to reform efforts growing stagnant. Subsequently, the changes the country has seen thus far have turned out to be unsustainable and/or have been ill-fitted solutions to Haiti’s unique predicament. Fortunately, CDC intervention in Haiti has been critical to the continued survival of many, and the number of people saved will hopefully continue to grow.

Haiti’s Cholera Epidemic and the CDC

The GOH and the CDC have also been collaborating to devise a longterm plan to eliminate cholera. CDC intervention in Haiti has increased patient case surveillance, laboratory capacity, oral cholera vaccine (OCV) administration and clean water and sanitation access in efforts to curb cholera’s spread

One of these efforts includes the Haitian Ministry of Health (MOH) building the National Cholera Surveillance System (NCSS) in conjunction with the CDC support. The platform is a rapid identifier of concentrated outbreaks, providing critical guidance to further prevent future outbreaks. Thanks to these efforts, along with others, incidence rates dropped from 112 cases per every 100,000 in 2017 to 25.5 cases for every 100,000 in 2018.

The CDC’s “Foot-Soldiers” in the Battle Against Cholera

Through the design of training programs, protocols and supplemental assistance, the CDC has created an entirely new workforce titled TEPACs or officially the Techniciens en Eau Potable et Assainissement pour les Communes. Having been key in Haiti’s disease prevention, these “foot-soldiers” ensure the safety of water sources, improve sanitation standards and routinely assess communal water systems and sources for free chlorine. They also performed Haiti’s first inventory of those sources; inventory of resources provide valuable information to donation/volunteering groups. Alongside the efforts of the CDC, TEPACs has launched the WASH initiative – coordinated work in the area of water, sanitation and hygiene – in a supplemental effort to eradicate cholera from Haiti.

CDC Impact On the AIDS Crisis

It is estimated that 150,000 people living in Haiti have HIV/AIDS. CDC intervention in Haiti is achieving more control over the AIDS epidemic. Outlining the concern of the epidemic and the impact of CDC support, 98 percent of all pregnant women and 100 percent of TB patients that CDC clinics saw received tests for HIV. Further, all TB patients that tested positive for HIV also received antiretroviral therapy (ART) in 2018. 

The CDC and the President’s Emergency Plan For AIDS Relief (PEPFAR) have sought to better medical treatment, fortify health care systems, improve laboratory information networks and cover medical fees. The development of information-sharing systems to track data of HIV patients has saved countless lives.

CDC Provides Household Water Treatment and Storage

The CDC also implemented household water treatment and storage (HWTS) to support adequate sanitary conditions for Haitians. HWTS has the potential to provide safe drinking water in primarily rural households. CDC intervention in Haiti has offered HWTS product certification developmental protocols and a national strategy for HWTS programs and product evaluation. The Direction Nationale de l’Eau Potable et de l’Assainissement (DINEPA) intends these programs to support disease prevention and treatment in Haiti.

A Solution to the Underlying Sanitation Problem

While recovery has been slow, CDC intervention in Haiti has been an immensely influential factor in public health. One aspect of public sanitation the CDC does not have a direct influence on is the waste that litters Haiti.

Today, the capital, Port-Au-Prince, is still without central sewage. With every rainfall, a potentially lethal flood of human fecal matter, urine and other harmful substances accompany the water. 

The country is in dire need of infrastructure reforms specifically for the needs of Haiti and its people. The CDC has dedicated itself to controlling and minimizing epidemics, but it has yet to address flooding latrines and a lack of proper sewage disposal systems despite their inflammatory influence on disease.

Flaure Dubois has a potential solution to Haiti’s flood problem. Dubois proposes the Haitian government hire those working to clean latrines, called Bayakous, to create jobs for Haitian citizens. Officializing the Bayakou occupation would bring a wage increase and higher public esteem. If the GOH and the CDC work in conjunction with Bayakous to educate citizens about the dangers of raw sewage, people might be more willing to pay for Bayakou services. Further, it would encourage the sewage shipment to treatment plants, rather than it going into canals. A larger influx of latrine waste enables Haiti’s one functional plant to operate at peak performance and support economic growth in the sanitation sector.

Government-funded Bayakous provide a basis to expand Haiti’s waste-management industry, eventually increasing aptitudes for efficient waste treatment/disposal methods. Expansion of this industry could result in a higher degree of sanitation and a lower rate of disease transmission.

The GOH or the CDC’s involvement in waste management would lead to superior safety and higher circulation of information for Haitian citizens and workers in the sanitation industry. Employing Bayakous has the potential to sponsor the country’s most important pillar in ensuring safe water sources and sanitation. By offering better equipment, methods and working conditions CDC intervention in Haiti can support sustaining health improvements. Haiti needs a sustainable solution to the root of its sanitation problem before it can begin to have lasting-recovery.

– Hana Burson
Photo: Pixabay

10 Facts about Gender Inequality in HaitiHaiti is one part of the isle of Hispaniola and located in the Caribbean Sea. It was born out of imperialism and enslavement by European powers. Haiti won its independence from foreign powers in 1804 although it wouldn’t be officially recognized until several years later. Today, the women of Haiti make up the pillars of the Haitian economy, yet still, there is an undoubted disparity between men and women. Women in Haiti face gender-based discrimination and violence. Here are 10 facts about gender inequality in Haiti.

10 Facts about Gender Inequality in Haiti

  1. While women and girls stand at the heart of the Haitian economy and society, they still face much gender-based violence. Organizations like the U.S. Agency for International Development (USAID) are committed to creating gender equality in developing nations such as Haiti. One in three Haitian women ages between the ages of 15 to 49 has experienced some form of gender-based violence.
  2. For many Haitian girls ages 13 to 17, school was the second most common location where they reported some kind of sexual abuse.
  3. Due to a feeble judicial system in Haiti, there were no laws in place declaring rape and domestic violence a punishable offense until 2005. Furthermore, women and girls in Haiti are given far less legal protection than men. This results in no penalties for criminals who commit these atrocious acts.
  4. USAID supports the introduction of a gender-specific legal strategy that would grant women better access to quality legal protection. USAID’s Projustice Program has provided legal services and justice to at least 50,000 people between 2009 and 2016. Projects like the Projustice Project are crucial to the improvement of the lives of many Haitian women.
  5. Beyond Borders is an NGO with the goal of preventing violence against women in Haiti. It launched a project in June of 2010 called “Rethinking Power.” Rethinking Power is a project that works closely with five Haitian communities to reeducate the participants about violence against women. Rethinking Power uses mediums like theater and comic strips to convey the message that a man should not commit violence against women. As a result of this project, 94 percent of participants agreed that a man has no right to strike a woman when he is angry. Additionally, one in three community members has reported someone from his or her community who discusses Rethinking Power regularly.
  6. Women have a 20 percent higher chance to be unemployed than men, according to a 2015 World Bank report. Unfortunately, many employers in Haiti discriminate when it comes to sex. It favors men over women for employment, furthering gender inequality in Haiti.
  7. Women in Haiti often live in poor, low-quality housing. Many single mothers and women live on low wages with little means of social and economic advancement. Some women are forced to live with their parents to make ends meet.
  8. Only 22 percent of women are married in Haiti. In Haiti, a woman’s social standing is higher if there is a man in her life, especially for low-income women. Single women and single mothers are often frowned upon in society.
  9. Non-governmental organizations like the Pan American Development Foundation have helped fund 11 women-owned businesses through its LEAD program. This created 9,000 jobs. This is a crucial step in the rebuilding of Haiti, allowing women to attain better jobs in a male-dominated workforce.
  10. Most women in Haiti work in the informal sector. The informal sector often includes makeshift marketplaces and low-income jobs. An article in the 2010 MIT journal about the rebuilding of Haiti after the earthquake suggests that Haiti should be rebuilt with women at the forefront of the rebuilding process. Focusing and raising the power of the informal sector and the work the women of Haiti do should be an integral part of the rebuilding of the Haitian economy.

Despite the fact that the country that has been ravaged by gender inequality, it is arguably on a road to a better future for Haitian women. Many advocacy groups work to lessen the burden women face in Haiti. Groups like Rethinking Power and USAID have helped to change the violent, victim-blaming attitude men harbor toward women in Haiti. Organizations like these are working to change these 10 facts about gender inequality in Haiti.

William Mendez
Photo: Flickr

Haiti's Earthquake 10 Years Later
January 12, 2020, marked the 10th anniversary of the 7.0 magnitude earthquake that devastated Port-au-Prince, the capital of the small Caribbean nation of Haiti. People have taken time to remember what happened a decade ago, with one Haitian-American residing in Boston commenting, “I’m in pain. I’m in pain inside of me. Even my bones hurt me because of what’s happening in my country. We are human beings like everybody else, we have to live a life like everybody else.” Haiti has undeniably suffered greatly, but there is hope after Haiti’s earthquake 10 years later.

The Devastating Aftermath of the Disaster

The quake also impacted Haiti’s neighboring country, the Dominican Republic. Two aftershocks followed with a magnitude of 5.9 and 5.5., making it the worst natural disaster the country has seen in modern times. Haiti is located above two of the earth’s tectonic plates, the North American and the Caribbean plates, making it prone to large earthquakes. At the beginning of 2010, many news outlets covered the aftermath of the disaster, leaving much of the world shocked.

Between 220,000 to 300,000 people lost their lives in the 2010 quake, 122 of them American citizens, leaving 300,000 more injured and 1.5 million displaced from their homes. Nearly 4,000 schools suffered damage or complete eradication. This resulted in an estimated $7.8 to $8.5 billion in damage.

The disaster left many people with families living in Haiti anxious, wondering if their loved ones had survived the catastrophe. Others fled the country in search of a better life elsewhere. Jean-Max Bellerive, the Prime Minister of Haiti at the time of the earthquake called it “the worst catastrophe that has occurred in Haiti in two centuries.”

Foreign Aid Comes to the Rescue

In the midst of what seemed like the absence of hope, many Haitians prayed for help. Within a few days, foreign powers from all over the world responded, willing to aid the survivors with their needs. Within a day, President Obama stated that the United States would provide their “unwavering support” for the people of Haiti pledging $100 million in financial support.

Members of the Marine Corps and the U.S. Navy arrived in the country to assist the survivors of the earthquake with their medical needs. Outside of the United States, the European Commission promised $4.37 million in aid. In Asia, the South Korean and Indian governments provided $1 million in aid, and the Japanese government granted $5 million. Japan also donated a total of $330,000 value in tents and blankets for those without shelter.

Doctors and aircrafts supplied with food and water swarmed in quickly from countries such as Sweden, Brazil, Israel and Venezuela. It seemed as if the entire world had its eyes on Haiti. People all across the globe prayed for the relief Haitians needed to rebuild their lives and recover from such a traumatic event.

Haiti 10 Years Later

Despite the overwhelming efforts from foreign powers across the world in the aftermath of the earthquake, the earthquake has impacted Haiti even 10 years later. While the world has still not forgotten the 2010 earthquake, relief efforts often diminish because there are more recent natural disasters that require attention. When remembering the anniversary of such events, especially ones that occurred in impoverished nations, it is important to remember that relief efforts should not cease once mass media outlets elect to move on to new events.

Even before the earthquake, Haiti was the poorest country in the Western Hemisphere, with about eight out of every 10 citizens living in poverty. Six years after the earthquake, Hurricane Matthew affected Haiti in early October 2016, the most powerful storm to affect the country in decades and resulting in almost $2 billion in damage.

In the 2000s, hurricanes like but not exclusive to Hurricanes Ike and Hanna, also affected Haiti resulting in flooding and hundreds of lives lost. Haiti’s economy is highly susceptible as a result of its location and the possibility of earthquakes and hurricanes. Because each disaster results in such high costs in damage when a majority of its people already live on only $2 a day, this poses a significant problem in providing a long-term solution for Haitians in need.

As of January 2020, many Haitian children face malnutrition due to high levels of food insecurity and infections, resulting in the deaths of infants, ages 2 and under. Many mothers also still face complications in childbirth resulting in death.

Much of these statistics do not appear to be promising on the surface, appearing as it virtually nothing has changed in a decade despite support from foreign powers during the country’s time of need. However, Haitians still refuse to discard their efforts for a better and more prosperous Haiti. In 2019, many Haitians protested the government and President Jovenel Moise. Haitians say that while citizens are “used to political and economic crises,” the cost of necessities such as food, gas and education has gone up significantly. These protests have continued into January 2020.

Reach Our World and the World Bank

Others around the world have also not given up on their efforts to create a stronger Haiti, even after Haiti’s earthquake 10 years later. Reach Our World is one of the missionary groups that visited Port Au Prince shortly after the 10th anniversary of the quake from January 17 to 22, 2020. As of January 8, 2020, ongoing contributions from the World Bank, consisting of 20 projects, have grossed $866.46 million.

Therefore, while the mass media outlets do not commonly cover the continuing political and economic tensions existing after Haiti’s earthquake 10 years later, many advocacy groups and world powers have not forgotten about the work that the world still needs to accomplish to help further the nation and its people. In order to become more successful in such efforts, it is imperative to be consistent and not wait until another natural disaster strikes to contribute to relief efforts so that the people of Haiti can achieve a stronger and brighter future.

A. O’Shea
Photo: Flickr

health initiatives in Haiti

Haiti’s health care infrastructure has suffered drastically since the last massive earthquake in 2010. The earthquake further destroyed access to the delivery of health care and destroyed the country’s health care system as a whole. As a result, Haiti’s medical facilities now lack basic but critical services such as water and sanitation systems, state-of-the-art hospitals and clinics, modern medical resources and a sufficient number of trained medical professionals. There have since been health initiatives to aid Haiti in rectifying its health care and health care system.

Health Initiatives in Haiti

  1. Community Health Initiative: Emergency medical physicians Chris Buresh and Joshua White, who combined have more than 14 years of experience in Haiti, founded the Community Health Initiative (CHI) in Haiti in January 2012. CHI was founded to address the health needs of the Haitian community that would otherwise lack access to care by providing continuous primary health care. The program works with long-standing partnerships and local talent in the central region of Haiti to combat malnutrition, provide clean water and deliver health care to Haitians by returning to the same villages every three months. Because Haitians lack affordable primary health care in the area, most patients walk eight hours or more to arrive at CHI’s clinics for treatment. The Community Health Initiative provides clinics in the rural areas of Haiti. Since its founding in 2012, CHI has delivered 1,100 water treatment systems in which have reduced the diarrhea rate among users to 1.8 percent. Community Health Workers have trained 81 women in their Helping Babies Breathe program which has allowed a 71 percent reduction in neonatal mortality.
  2. Partners In Health: Partners in Health (PIH) is Haiti’s largest health care provider. PIH has been providing medical services to Haitians for more than 20 years. PIH helps deliver high-quality health care to some of Haiti’s poorest regions, serving an estimated 4.5 million people with the help of the national Ministry of Health. PIH’s community health workers have helped 15,000 HIV-positive patients begin and remain on treatment and have allowed 1,500 TB patients to start treatment on the path to a cure each year since initiation. Since PIH’s founding, the mortality rate for children under the age of 5 has been reduced to 71 per 1,000 where Haiti had the highest rates of infant and child mortality; the rate of incidents surrounding TB has also been reduced to 181 per 100,000, and the adult prevalence of HIV is now 1.9 percent.
  3. Hope For Haiti: Haiti reports some of the world’s worst health indicators that continue to inhibit Haiti’s development. Hope for Haiti is a health initiative that operates an infirmary in southern Haiti and partners with 24 rural communities to improve the health care system and its individual health indicators. Hope for Haiti provides primary care services, public health education and nutrition education, and it organizes mobile clinics. Since Hope for Haiti was founded, 6,727 lab tests were performed for a record of 3,090 patients. Around 2,700 Sawyer Water Filtration Systems were distributed in Haiti, impacting over 13,500 people, 2,800 students were provided with public health education and 100 diabetes club meetings were held for the Haitian community.

Haiti is in need of a permanent and modern health care infrastructure so that it can respond promptly and effectively to the medical needs of its community. With health initiatives such as Partners in Health, Hope for Haiti and the Community Health Initiative, Haiti will be well on its way to better health care and an improved health care system.

Na’Keevia Brown
Photo: Flickr

Access To Clean Water In Haiti
People know Haiti for its unfair labor practices, poor road conditions and deforestation. It is the third-largest country in the Caribbean, just east of Cuba and west of the Dominican Republic. The country has a rich history but has seemingly been unable to regain its footing. Access to clean water in Haiti has been an ongoing and seemingly never-ending issue.

Poverty in Haiti

Haiti’s economic growth has met some serious deterrents due to poverty, corruption and vulnerability to natural disasters including hurricanes, floods and earthquakes. The country currently remains the poorest in the Western Hemisphere and one of the poorest in the world. Poverty in Haiti is at a high. More than six million Haitians are living under the national poverty line of $2.41 per day with more than 2.5 million living under the national extreme poverty line of $1.23 per day. Most of Haiti’s population either do not have employment or are underemployed and the economic activity continues to slow down due to the negative impact of both Hurricane Harvey and Irma.

According to the World Bank, Haiti was in such high debt that it required debt forgiveness. Despite receiving more than $8.4 billion in aid since 1980, Haiti remains poorer today than it was 30 years ago. Aid has helped keep Haiti poor and it has sustained poor government policies that have led to debt, not development.

Access to Clean Water in Haiti

Though more Haitians have gained access to improved drinking water over the last decade, water still presents difficulties for the population in Haiti. Currently, only the houses of the wealthy in Port-au-Prince, the country’s capital and the major regional towns have running water. The mass majority of Haiti’s population does not have access to potable water and the death and disease related to water is critical. In fact, 80 percent of all diseases in Haiti are waterborne.

Roughly three-fourths of Haitian households lack running water and unsafe water, along with inadequate housing and unsanitary living conditions. Pollution from human waste and other waste is prevalent in most of the Haitian rivers. Haitian people residing in the countryside receive water through piped water systems with standpipes or water points with hand pumps. However, many of the water systems there are not operational due to the lack of funds for operation and maintenance. Today, 42.3 percent of Haiti’s total population struggles with access to clean drinking water, while at least 72.4 percent of its population struggles with access to improved sanitation facilities such as toilets, indoor plumbing and sewage systems.

The World Bank

The World Bank is putting forth efforts to aid in the country’s access to clean water and poverty. The main goal is to support the country’s efforts to provide economic opportunities for all of its people and to combat poverty. With the World Bank’s support, Haiti has been able to obtain significantly unmeasurable results. The World Bank has assisted in Haiti’s increased access to drinking water for more than 314,000 people through the construction, rehabilitation and extension of drinking water supply systems. It has made it possible for emergency response in six municipalities to prevent the resurgence of waterborne diseases.

The World Bank has also launched a new program that will allow more than 300,000 Haitians to gain access to improved water sources through household connections and water kiosks. Additionally, it will give 50,000 improved sanitation and 100,000 small repairs and expansions of existing water systems.

MDGs Help Haiti Move Forward

The political instability, natural disasters and social unrest have prevented Haiti from reaching its potential and it also keeps the country in standing as one of the poorest and least equal countries in the world. However, Haiti has made significant progress in stabilizing and eventually lowering the poverty rates. According to the Millennium Development Goals Report, the national poverty rate is 58.6 percent and the extreme poverty rate is 24.7 percent. The implementation of MDGs should cut the poverty rate in Haiti in half.

According to Sophie de Caen, the UNDP Haiti Senior Country Director, “Poverty reduction is the number one priority to the Haitian Government and its people, and the MDGs call for a concrete and coordinated action by the United Nations system and bilateral and multilateral donors to build the State’s capacity to achieve these development goals.” With the help of the World Bank Group, the Haitian government and community involvement, Haiti should be well on its way to regaining its rich history and improving its access to clean water in Haiti while reducing poverty.

– Na’Keevia Brown
Photo: Flickr

Kore Lavi Ends, Yet Haitians Look to Future with Optimism

In Aug. 2019, a USAID food insecurity program in Haiti, known as Kore Lavi, ended after five years of providing nutritious meals to malnourished Haitians. This comes at a time when an estimated 2.6 million Haitians — about a quarter of the population — still face food insecurity. Yet, Haitians are optimistic about the future. The Haitian government looks to build on Kore Lavi’s successful model through MAST, the SIMAST vulnerability mapping system and CARE’s micro-loan system.

Background

Today, Haiti is the most poverty-stricken nation in the Western Hemisphere; almost 60 percent of the population lives below the national poverty line. Corruption, natural disasters and high inflation are seen are the most prevalent impediments to Haiti’s economic growth. After the devastating earthquake in Jan. 2010 that decimated much of Port-au-Prince, the country was in dire need of a food insecurity program.

Kore Lavi, meaning “supporting life” in Creole, began in Sept. 2013 and has benefited 18,000 households from 21 food-insecure communes in the Northeast, Southeast, Central Plateau and Artibonite regions of Haiti, as well as the Isle of La Gonave. The program was originally scheduled to end in 2017, but after Hurricane Matthew destroyed many of the nation’s homes and crops, USAID extended Kore Lavi for two more years. The consortium was administered by MAST, Haiti’s Ministry of Public Works and Social Affairs, along with the help of four NGOs: Action Against Hunger, World Vision, the World Food Programme and CARE International.

Kore Lavi’s Success

The initiative’s strategy for combating food insecurity involved promoting the consumption of fresh, locally-produced food such as meat, fish and vegetables, which could be purchased at vendors approved by the program. Laurore Antoine, the coordinator of the program, believes this was an innovative method at the time. “We wanted to divorce ourselves from the traditional approach. We wanted to kill two birds with one stone, so we boosted local production, as well,” Antoine told VOA.

Kore Lavi provided participants with monthly vouchers and the opportunity to participate in a formal market. This, according to CARE, provided Haitians with an increased sense of dignity by making their own food choices and gave local farmers the opportunity to participate in a stronger economy. In its first year alone, Kore Lavi provided 109,790 people access to locally produced foods. In its first four years, the program provided malnutrition treatment to 83,000 children under the age of 5.

Building on Progress

From the outset, Kore Lavi’s plan was to cultivate local ownership through collaboration with local officials at every level of program implementation. The vision was always for Kore Lavi to phase out and have the Haitian government take the reins, according to CARE. The program was designed to implement a sustainable social safety net and, in the future, to be “country-led and county-run.”

One objective of Kore Lavi was to implement an equitable and effective means of reaching the most at-risk households. To that end, MAST developed the SIMAST vulnerability mapping system, which allows the government to more effectively identify and target households most vulnerable to food insecurity. Alexis Barnes, acting senior development, outreach and communications officer for USAID in Port-au-Prince, explained to VOA that this mapping system is now “supported by other donors such as the European Union, and international NGOs working on activities serving the most vulnerable.”

CARE also implemented a micro-loan system to support the food program. Antoine believes this system will “motivate former participants to unite and borrow money to launch small businesses that can pick up where Kore Lavi left off.” Youri Latortue, a Haitian lawmaker and poultry farmer, believes it is time for the Haitian government “to step in to do its part.” By boosting national food production, Latortue is hopeful that Haiti can end the food insecurity crisis. “That’s the only way out of this crisis,” he said in an interview. Although, Antoine acknowledges that MAST must secure financial resources to continue funding the program.

Looking Towards the Future

Barnes is optimistic Haiti will continue the progress: “The program succeeded in demonstrating that the government of Haiti can manage a predictable social transfer activity to the most vulnerable in this country in a well-targeted and transparent manner.” Though Kori Lavi has officially ended, its food voucher-based safety net system remains in place. This system has changed the lives of many beneficiaries over the past five years, many of them among the most vulnerable. Kore Lavi has lifted many of those facing extreme hunger and malnutrition out of desperation and provided hope for the future.

Adam Bentz
Photo: USAID

malaria in haiti
According to UNICEF, some of the main causes of death in Haiti are diarrhea, respiratory infections, tuberculosis, HIV/AIDS and malaria. Among the Caribbean Islands and Central American countries, Haiti has the highest number of malaria cases. Malaria is a major public health concern, but there are efforts and progress to reduce cases of malaria in Haiti.

Malaria in Haiti

Malaria is a life-threatening disease that spreads by a female mosquito carrying a fatal parasite. In 2014, The Service de Suivi et d’Evaluation of the Programme National de Controle de la Malaria (PNCM) reported 17,094 cases of malaria. Five percent of children under the age of 5 who contract the disease receive treatment. The 2010 earthquake, the most destructive earthquake in Haitian history, destroyed health care and laboratory facilities. Therefore, the earthquake raised complications to eliminate malaria. According to the Malaria Journal, infections are the cause and result of poverty in Haiti.

Malaria Zero

In the past 10 years, Hispaniola has made efforts to eradicate malaria. In the Dominican Republic, reports state that cases of malaria reached a 15 year low. Nonetheless, one-third of the cases of malaria came straight from Haiti. Therefore, controlling malaria in Haiti will prevent it from spreading to other areas.

Malaria Zero is a group of organizations working together to eliminate malaria by 2020. In this organization, partners work on running operational research and locating areas of high transmission and risk. The organization has refined malaria surveillance systems to track every malaria case, make sure all malaria cases receive a diagnosis, limit the ability of mosquitoes to transfer the disease and educate and mobilize people to get tests and treatment.

So far, the organization has managed to attain two global fund grants of $38 million for Haiti, finalize the monitoring plan on tracing National Malaria Control Program’s progress for elimination, update malaria risk maps with new data and cross border surveillance across Hispaniola. It has also completed four operational research studies and developed new laboratory methods to identify hotspots within serology and novel ultra-sensitive tests to find malaria infections.

In addition, over 130 community members walked several miles across rocky land to offer anti-malaria medication to more than 36,000 people.

Nothing but Nets

Nothing but Nets is a worldwide campaign that raises awareness and funds to fight malaria. This organization raises funds to distribute insecticidal bed nets that protect families from malaria-carrying mosquitos as they sleep. In addition, the organization also offers household spraying, malaria treatment and training of health care workers.

Overall, eliminating malaria will help improve Haiti’s health system, stimulate financial growth and increase economic levels for people living on the island. Organizations and political leaders must focus on tackling the issue to completely get rid of the disease. Many Haitians still battle the illness, but the progress in reducing malaria in Haiti means hope for the future.

– Merna Ibrahim
Photo: Flickr

Fighting Poverty in Haiti
Haiti is a country among the most struggle-filled in terms of development in its personal history. With a long history of changing its rule, sociopolitical instability and copious natural disasters, Haiti faces one of the tallest uphill battles of any country. The country is one of the United States’ top trading partners and there has been a solid, though rocky, history between the two nations. The following will describe some of the struggles the country faces in developing its infrastructure, as well as a quick look at how the United States and other nonprofit groups are fighting poverty in Hati.

The Challenges of Infrastructure

Developing infrastructure and fighting poverty in Haiti is no small task, but Haiti has a history and a geographical position that makes it even more challenging than many other developing nations. Economically, Haiti has faced a depreciation of value in its currency and a heavy reliance on foreign aid that composes 20 percent of its overall annual budget. It also has faced a long history of dictatorships or otherwise corrupt government officials, which creates difficulty in achieving political stability even today. The most damaging factors to Haiti’s infrastructure, however, come from the natural world.

Haiti faces more natural disasters than any other Caribbean nation. Positioned on a fault line and directly in the path of most hurricane formations through the Gulf of Mexico, the nation suffers earthquakes, extreme flooding and wind damage. Though these are difficult enough to face on their own, a lack of city planning or rapid response to infrastructure damage leaves Haiti recovering for a lengthy time period after such disasters. In 2010, there was a 7.0 magnitude earthquake that displaced many Haitians from their homes; from 2015-2017, there was a massive drought leading to losses of 70 percent of crops; and in 2016, Hurricane Matthew caused significant damage to infrastructure and housing. Haiti faces a number of rapid-fire disasters and it does not have the economic resources nor the political responsibility required to recover.

There are other infrastructural systems that face significant issues in Haiti. Aside from damages to roads and buildings, there are many cities in Haiti without a central sewage system. Port-au-Prince is among the largest cities in the world without such a system, causing over 3 million people to use outhouses. The lack of improved sanitation systems leads to water contamination and outbreaks of diseases such as dengue, malaria and cholera. Internet access and electricity is also improving, but at a very slow rate – only about 12 percent of Haitians have access to the internet and roughly 44 percent have access to electricity.

Solutions

In order to assist with developing infrastructure and fighting poverty in Haiti, organizations like the World Bank and USAID, and nonprofits such as HERO and Hope for Haiti, are coming together to provide assistance to Haitians both directly and through funding. The World Bank’s International Development Association (IDA) rehabilitated over 100 kilometers of roadway, set up a debris processing facility and provided recovery kits to 50,000 people following the 2010 earthquake – all the while employing Haitians for such recovery projects and providing them a source of income.

The nonprofits HERO and Hope for Haiti are also helping with developing infrastructure and fighting poverty in Haiti. HERO provides 24/7 medical emergency response, as well as other important health services, in Haiti. This means that when such disasters occur, there will still be emergency relief aid. Hope for Haiti is also assisting with education and water-based infrastructure – providing education for over 7,000 students, and 1.7 million gallons of clean water annually to families in need. The assistance of these organizations is integral, and with their help alongside national organizations and a potential increase in aid from the United States, Haiti can overcome its struggles for infrastructure.

– Jade Follette
Photo: Defense.gov

Poverty in Haiti
On the Caribbean island of Hispaniola lies two countries: Haiti and the Dominican Republic (DR). Despite being on the same island, poverty in Haiti far exceeds that of its neighbor.

The Statistics

The United Nations evaluated Haiti and the DR for human development considering three factors: “a long and healthy life, access to knowledge and a decent standard of living.” The DR ranked 94th out of 182 countries, indicative of its high human development. Haiti ranks much lower at 168th. The average life expectancy in the DR is 74 years, in contrast to Haiti’s average of 63. The DR’s expected years of schooling are approximately 14 years, while Haiti’s is about nine years.

The difference in development is evident in each countries’ economies as well. In the DR, rates of poverty decreased from 21.7 percent to 19.9 percent from 2015 to 2016. Within five years, the DR’s average rate of GDP growth was 5.8 percent per year. This economic boost has translated into a decrease in poverty and income inequality. In contrast to the DR’s economic success, the Haitian economy is suffering, leading to the majority of its population (58.5 percent) being in poverty in Haiti. In Haiti, GDP has decayed at a rate of 0.2 percent. Rapid inflation also plagues Haiti, indicating its struggling economy.

Differing Geography

There are several reasons behind these stark contrasts in development. The geography of the island is one explanation. The mountains dividing the island are able to prevent rainfall from coming to Haiti. Northeast trade winds blow towards the DR, promoting rainfall on its side. Additionally, deforestation is a serious issue on the Haitian side of the island, creating environmental and agricultural roadblocks.

These geographical features make it troublesome for Haitians to grow crops, which takes a toll on their primarily agricultural economy. This lack of cultivation decreases opportunities for farms in Haiti. The deforestation also diminishes the scenic beauty in the country, while the DR uses its natural scenes to promote tourism additionally bolstering its economy.

Looking to History

Deforestation in Haiti began with its colonization by the Spanish. When the Spanish colony gave a part of Hispaniola to France in 1697, the French began to import an excessive amount of slaves into the land. Although the Spanish also used slaves, France used nearly 10 times as much. The French over-cultivated the same cash crops, coffee and sugar in the same soil, which led to the environmental devastation of the country today. Haiti was the first independent black state, which came at a large cost as well. Its extreme amount of debt to the French government deteriorated its economy, as well as disputes about how to construct its new autonomous government. Although U.S. occupation and political instability riddled both the DR and Haiti, Haiti has received continuous exploitation and its leaders have had little regard for economic development.

Although there have been many countries that have provided international aid and relief, notably the U.S., the country has not been able to solve much. This is mostly due to the country not having the necessary investment in its aid. In fact, Haiti has even pursued policies that actively diminish its economy.

Organizations in Haiti

Although many countries have not aided Haiti with its recovery from exploitation, several non-governmental organizations have pursued several projects to tackle poverty in Haiti. After Haiti’s disastrous 2010 earthquake, Global Communities implemented several initiatives to remove rubble. The organization has now removed over one million cubic meters of rubble, providing 20,000 locals with short-term jobs. Global Communities also created the Lavi Miyo Nan Katye pa’m Nan (LAMIKA) program, which translates to “a better life in the neighborhood.” It focuses on Carrefour-Feuilles, a poverty-ridden neighborhood greatly affected by the earthquake in Port-au-Prince. It is reconstructing 1,500 meters of roads, almost 2,000 meters of pedestrian footpaths and nine schools. It has also worked to improve the water and sanitation systems of the country.

The Pan American Development Foundation (PADF) has also conducted several projects to alleviate poverty in Haiti. To improve the economy, PADF implemented the LEAD program, funded by the United States Agency for International Development (USAID). LEAD connects investors from the U.S. and Canada to Haitian businesses, helping them develop into larger enterprises. Collaborating with American Red Cross and USAID, PADF encourages “resilient urban development” in the area of Canaan under the program name, Ann Boust Canaan. The program has introduced vocational schools to better train residents for jobs. Additionally, it has created 1,500 new jobs and linked citizens to businesses to better access their finances.

To expand the limited medical treatment in Haiti, Doctors Without Borders manages three hospitals in Port-Au-Prince. There is a prevalence of burn victims that require medical care in this region, so, in 2017, the organization administered 1,300 emergency room visits and aided approximately 700 patients. Victims of sexual and gender-based abuse obtained care, with 769 patients receiving treatment in 2017. Doctors Without Borders educates hospital staff and has begun building a new hospital in Haiti as well.

What Individuals Can Do

For those who would like to be more involved in the process of reducing poverty in Haiti, they can make donations to programs through the organization Hope for Haiti. The program allows donors to choose where they would like their donation to go, such as health care, education and environmental development. Another more active approach is volunteering for Haitian organizations. The organization MedShare sends medical supplies to Haitian hospitals and clinics and requires volunteers to package the items in the U.S. before shipping.

Haiti has undergone exploitation throughout its history. The DR has experienced exploitation, but to a lesser extent, which its better economic and environmental conditions today show. Since countries have not aided Haiti sufficiently, there are several non-governmental organizations that have helped in recovery from its instability. Individuals can also help by volunteering their time or supplies to Haitians in need. Being born on different sides of the same island should not determine drastically different life outcomes.

Diana Piper
Photo: Flickr

Women War and Peace
When resolving conflict in the face of war, women are noticeably absent. Throughout history, however, women have occupied important roles during wartime, including as soldiers, politicians, factory workers and even baseball players. People often exclude women and under-represent them among the governmental and conflict-resolution side of the war. Between 1990 and 2017, 92 percent of all peace negotiators were male. Accordingly, the perspectives and interests of women are disproportionately missing, even when war affects women just as much, if not more than men.

Evidence suggests that including women in peace negotiations significantly reduces the presence of violence and aids in bringing peace. Some evidence goes so far as to say that when others include women in negotiation, there is a 70 percent chance that peace will stay for 20 years, compared to a 25 percent chance if only men participate in the conversation.

The “Women, War and Peace” Docuseries

“Women, War and Peace” is a docuseries that began with the idea that when women are part of peace processes, the outcome is often more peaceful for a longer period of time.

Produced by Abigail Disney and a team of all-female executives, the first season of “Women, War and Peace,” which first premiered in 2011, follows female peace negotiators in Afghanistan, Liberia and Northern Ireland. With tactics ranging from sit-ins, mass rallies and negotiating around a table, despite challenges and doubts of their legitimacy, the women attempted to convince leaders of their worth and usefulness in wartime proceedings.

Season two, which premiered in 2019, follows the stories of women in Gaza, Haiti and Egypt. In one episode, directors Geeta Ganbhir and Sharmeen Obaid-Chinoy told the story of one of the only all-female peacekeeping units in the world. One hundred and sixty Bangladeshi women traveled to Haiti following the 2011 earthquake where they encountered devastating poverty and ravaged health care systems and attempted to stabilize peace in the country. Another episode followed three Egyptian women in the height of the Arab Spring, struggling to restore peace in the crosshairs of the military and the Muslim Brotherhood.

What Disney Hopes the Docuseries Achieves

In addition to the general public, people use the series for educational purposes, teaching women and all individuals about political advocacy, female empowerment and gender equality. Most of all, the docuseries is a look into the realities of war.

In an interview for Women and Hollywood, the interviewer asked Abigail Disney what she would like viewers to take away from “Women, War and Peace.” She responded, “I would love people to take a moment and ask themselves what they understand about war. What do they believe happens in war, and what is war about to them?” “Women, War and Peace” is a look at war through the perspectives people usually ignore. Disney and the production team of the docuseries aim to dispel the heroism and nobility that many perceive in war through movies, stories and myths. Rather, through the eyes of women working towards peace, viewers of the docuseries see what victims of wartime see. In Disney’s words, the “high-minded view of war” is impossible “through a woman’s eyes.”

– Orly Golub
Photo: Flickr