Schools: the 5Th of April Marked the Reopening of Schools in a Phased Approach Throughout the Most Earthquake Affected Areas of Haiti

Home , Gressier, Jacmel, Ouest (department)

UNICEF HAITI EMERGENCY RESPONSE UPDATE : 14 APRIL 2010 HEADLINES

Reopening of schools: The 5th of April marked the reopening of schools in a phased approach throughout the most earthquake affected areas of Haiti. UNICEF, with its partners, is supporting the return to school of 200,000 children in some 600 priority schools in the first phase. The immense task will continue over the coming weeks. Relocation and rainy season: With the predicted increase in rainfall starting this week, and the upcoming hurricane season, the priority for the humanitarian community and the Haitian Government has been the relocation of displaced people from high risk areas into safer shelters and sites. The most important option is for families to return to those houses assessed by trained engineers as safe. So far, some 14,500 buildings have been assessed, with over 50 per cent declared safe. The second initiative is to provide new settlement sites with access to basic services such as water, sanitation and hygiene, education, health. Three-months since the earthquake: The 12th of April marked the three-month anniversary of the earthquake. UNICEF published a report, ―Children of Haiti: Three Months After the Earthquake‖, on the progress, challenges and plans re- garding humanitarian action, as well as issues related to the Transformative Agenda to support a Haiti Fit for Children. The report is available on the website. RETURN TO SCHOOLS

On 5th April, the reopening of schools in earthquake affected areas marked the road to recovery and development for the children of Haiti. UNICEF, upon the request of the Government, is supporting a priority list of 120 schools. In the first stage, UNICEF has been supplying tents to restore learning and safe spaces for children. UNICEF also has a commitment to support semi- permanent and later on permanent construction using the principles of building back better and child friendly schools in partnership with the government.

Over the past week, 40 of these schools have been supported to re-open through site preparation and the installation of 477 tents to accommodated 34,000 children. To encourage enrolment and retention in these schools, UNICEF also provided teaching and learning materials and recreation materials as well as blackboards. Five schools were also provided with water and sanitation facilities over the past week, benefitting approximately 5,000 children. IMPACT OF EARTHQUAKE Up to 2.9 million children experienced either an interruption to their studies or lacked access to basic education since the earthquake, which damaged or destroyed some 4,700 schools accord- © UNICEF/NYHQ2010-0292/Shehzad ing to the Ministry, and led to the deaths of around 38,000 stu- Sterling writes and draws in her home in the Carre- dents, some 1,350 teachers and 180 education personnel. With four neighbourhood of Port-au-Prince, the capital. some 85 per cent of schools destroyed or damaged in the 240 She is using notebooks and crayons given to her by sites assessed in Port-au-Prince, Leogane, and Jacmel, one of UNICEF. Sterling has just arrived home, having the greatest challenges to schools reopening has been the clear- been reunited with her father. She spent more than ance of rubble. a month lost and living with a host family.

UNICEF IN HAITI: 31st March —13th April 2010

EDUCATION AS KEY PILLAR OF In the Departement du Centre, around 90,000 persons displaced by the earthquake are in Plateau Central. The major- TRANSFORMATIVE AGENDA ity of IDPs are living with their relatives. There are 3 camps in Hinche (Pandiassou 452 personnes, Papaye 60, and Education is the key to the overall recovery, transforma- Carneille 85); Savanette (Section Communale de Colombier tion and development of Haiti. Prior to the earthquake, 58); Lascahobas (Lospinos 45),Mirebalais (Centre Kapofos, the challenges in terms of access and quality were signifi- Family Night Club, and Residence d'un ancien depute). cant: 55 per cent of school-age children were out of school in Haiti; public primary schools accounted for only In the Departement Artibonite, there are a total of 75,000 8 per cent of all education facilities; many of the private displaced persons (IDPs): 60,000 in Gonaives with host schools were operating below minimum standards; direct families or on their own, and 25,000 in St. Marc in camps and indirect costs presented a major obstacle to access and with families – the majority being children and women. and retention. Most of the displaced are originally from Gonaives.

The Ministry-led movement for learning, a multi-level effort to transform the education system in Haiti, has three priorities:

1. Education for ALL children – supporting a massive enrolment leading to September 2010;

2. Equitable access to quality education – to ensure free and equitable access to quality education for all children;

3. Regulation and transformation – to assist with the long- term rebuilding of the education system.

Within the goals of a Haiti Fit for Children vision, the priority is given to the development of a free, inclusive, and high quality education system that guarantees opportuni- ties for learning and development from early childhood to primary school-age and adolescence, where the state has the capacity to perform its normative and regulatory role.

INTER-SECTORAL JOINT ASSESSMENT

From the 5th to the 9th April, UNICEF conducted a multi- sectoral assessment of Gonaives and Les Hinches. As a priority, UNICEF is expanding its field presence in the areas of its cluster leads – Child Protection, Education, Nutrition, and WASH – to provide support in coordination and advocacy. Recommendations of the assessment include: providing technical support including training and capacity building of government bodies and national NGOs, urgent interventions on gender-based violence, and registration of separated children and family tracing and reunification.

UNICEF IN HAITI: 31st March—13th April 2010 DINEPA/UNICEF supported trucking, which has been more WATER, SANITATION AND than half of the capacity is reviewing the way forward looking at handing over water trucking to camps to other organiza-

HYGIENE (WASH) tions and to reduce and eventually remove the subsidies to private sector kiosks as the most expensive option for provid- SITUATION UPDATE ing water supply. Based on an initial standard of 1 latrine for 100 peo- Supplies ple, the current requirement for emergency latrines is a minimum quantity of 11,000. So far, some 213,970 hygiene kits have been distributed; 1,108 showers; and 5,578 latrines – up from 4,981 two weeks Many affected families in overcrowded camps do not yet have access to a sufficient number of water and ago. sanitation facilities, posing serious health risks to chil- Cross-border interventions (shadow clusters) dren. The safe disposal of human excreta in camps Lifeline Haiti (LLH) is making arranging to distribute 2,500 remains a serious concern. While hand washing with hygiene kits in the Dominican border. soap is one of the most cost-effective measures in The Lifeline Haiti field team is assessing and monitoring the reducing the incidence of diarrhoea, hand washing humanitarian situation at the border of the Dominican Repub- stations and personal hygiene education is not suffi- lic. ciently provided in Haiti and remains a significant cul- tural hurdle. Reportedly, rates of hand washing with soap at critical times are very low among the affected UNICEF INPUTS population. Sanitation Some 11,000 children in 13 schools benefit from UNICEF

CLUSTER COORDINATION supporting the installation of latrines, water storage facilities, UNICEF is the Cluster lead agency together with the and hand washing stations as part of the Ministry of Educa- Department DINEPA (Direction de l´Eau Potable et de tion‘s initiative to create learning environments for school l´Assainissement) within the Public Works Ministry, in ages children living in the affected areas, partnership with some 50 An additional 1,100 people have sanitation access with the In Leogane, the WASH Cluster is coordinating with 22 portable latrines that UNICEF dispatched to NGOs. more than 40 organisations. Another 25,000 people have sanitation access with the 500 extra latrine squatting plates that have been dispatched to The WASH cluster is targeting 1.1 million people in NGOs. some 650 sites in Port-au-Prince, Jacmel, Gressier, Almost 600 family hygiene kits have been distributed through Leogane, Grand Goave . NGO partners.

CLUSTER ACHIEVEMENTS CLUSTER AND PROGRAMME CHAL- LENGES Relocation The rains will bring severe challenges, including: how to sup- Targeting the biggest sites will be important as a prior- port affected families outside of camps; providing effective ity to try to improve services to the greatest number of sanitation and hygiene services and ensuring hygiene prac- sites. tices to avert diarrheal and other diseases. Under-reporting of agencies continues to be a significant challenge in getting a clear picture of actual and planned ef- Water trucking forts, with only 13 reporting this week out of some 67 organi- Water trucking has been in progress since Janu- sations involved. ary13th. The water is supplied in water trucks to more The potential doubling of the number of people in camps than 397 destinations in Port Au Prince, Leogane, would have enormous implications in terms of ability to re- Petit Goave, Grand Goave and Jacmel. Water has spond. also been supplied through 450 subsidized private Landownership – many camps are on private land and often permission to provide services is forbidden, limited and at sector ‗kiosks‘. Over 15 organizations (that are known best takes much negotiation –including being asked for pay- of) are involved in water trucking. ment in order to provide services.

UNICEF IN HAITI: 31st March—13th April 2010 NUTRITION Treatment of Acute Malnutrition: 28 stabilization centers for inpatient management of severe acute malnutrition with medical complications are currently functioning throughout the country. SITUATION UPDATE 126 outpatient therapeutic feeding centers (OTPs) for the management of severe acute malnutrition without medical The disaster-affected population is estimated to be complications are currently functioning throughout the country. 2.473 million people of which 494,600 are children under The number of supplementary feeding centers (SFPs) for five and 197,840 are pregnant and lactating women. All treatment of moderate acute malnutrition continues to be are considered at risk of malnutrition and will be targeted verified by WFP and USAID MYAP partners; it is expected in ongoing blanket supplementary feeding. that there are 250 to 300 supplementary feeding centres functioning on a national level.

CLUSTER COORDINATION UNICEF INPUTS

UNICEF is co-chairing the Nutrition Cluster with the Min- Community-based management of acute malnutrition istry of Health and coordination unit of the national pro- UNICEF is supporting 19 baby tents and eight sites for gram of food and nutrition (Ministere de la Sante Pub- community-based management of acute malnutrition tar- lique et de la Population, MSPP). geting 20,000 infants under-1 year; 6,500 children with Se- There are now 65 nutrition cluster partners in country vere Acute Malnutrition (SAM); 50,000 pregnant and lactat- (approximately 25 are active and reporting) and 33 ing women; 166,000 children under-5 years. global nutrition cluster partners. A cooperation agreement was signed with the NGO "Les Nutrition Cluster coordination structures are also active Centres Gheskio‖ for community-base management of in Leogane and Jacmel. acute malnutrition and breastfeeding promotion and support.

CLUSTER ACHIEVEMENTS Supplies released this week Nutrition supplies for an amount of $21,607 were released Infant and Young Child Feeding (IYCF) over the past two weeks to NGOs by UNICEF, including: 30 There are currently 29 – up from 23 just over a week cartons of therapeutic milk, 190 sachets of therapeutic ago - Infant and Young Child Feeding programmes or spread among other items. Points de Conseil de Nutrition Pour les Bebes (PCNBs) functioning in Port-au-Prince sites, Leogane, Petit Training and support to the Ministry Goave and Grande Goave. A WHO and UNICEF-supported training on Inpatient Thera- The cluster conducted a monitoring visit to Jacmel to peutic Feeding Program of 24 people from Government focus on the coordination for treatment of severe and (Nutrition Focal Point and IMCI focal point for each depart- moderate acute malnutrition, and the use of ready-to- ment) was held on 6-10 April. use infant formula (RUIF) in displaced sites and host families in the South-East Department. The temporary office for Ministry of Health Nutrition department is expected to arrive by the end of April.

Prevention of Malnutrition: Blanket feeding for children under five years and pregnant and lactating women is ongoing (Round II in Port- CLUSTER AND PROGRAMME CHAL- au-Prince and Round I in Leogane). LENGES

There is a need for the Nutrition Cluster to decentralize staff, given the numbers of displaced people in sites and host families.

UNICEF IN HAITI: 31st March –13th April 2010 EDUCATION

SITUATION UPDATE

Reopening of schools: The week, beginning on the 5 April, schools reopened throughout the most earthquake affected areas of Haiti. The return to school is taking place in a progressive manner, supported by UNICEF and other partners. The task is immense: in the first phase, UNICEF is engaged in supporting the return to school of 200,000 children in approximately 600 priority schools.

120 priority schools Site clearance and the leveling of the ground to support the placement of tents, water and sanitation facilities, as well as boundary walls involve the mobilisation of several teams of workers. For the April return, UNICEF has been working to ensure that temporary learning spaces are in place for 120 schools, with a safe and protective environment to support the restored learning of approximately 70,000 children. In 28 of these schools, UNICEF is also providing water and sanitation facilities and the construction of boundary walls.

To support enrolment and retention and to lessen the cost burden of families, each child in these 120 schools is receiving essential learning materials. Blackboards and recreation materials are also being provided, to ensure that effective teaching and learning can be restored and that children will have the opportunity to engage in sport and recreation activities. For the remaining schools on the priority list of 600 schools, UNICEF is supporting return through the distribution of student and teacher kits containing basic teaching and learning materials.

In the first weeks of school, the teaching and learning process will focus on non-formal learning, life skills and the provision of psycho-social support. Before the end of April, UNICEF will hold a workshop with the Ministry of Education and other partners to plan the scaling up of school reopening to cater for all the school-aged children in Haiti. a boy’s upper arm, using a mid-upper arm circumference armband, inside a tent of Port-au-Prince. Situation in Ouest Departement As of the 11 April, only a handful of schools have reopened in Leogane, although precise figures are not available. In Petit Goave, 17 per cent of schools have reopened. Many of the schools in Leogane and Petit Goave have flagged April 12 as the target date to reopen schools and this will be monitored by UNICEF and partners.

CLUSTER COORDINATION

UNICEF co-leads the Cluster together with Save the Children, in support of the Ministry of Education, with some 175 members from over 100 organisations that have asked to be on the regular mailing list. This includes around 40 – 50 members at the national level in Port-au-Prince. About half of these members provide regular updates to the Cluster. Cluster coordination has also been established in Leo- gane, Jacmel, and Petit Goave. Full-time Sub-Cluster Coordinators are stationed in Leogane (which also cov- ers Petit Goave) and Jacmel. Specific working groups have been created to provide detailed recommendations on the development of © UNICEF/NYHQ2010-0210/Noorani teacher training, psycho-social support, curriculum, 9 year-old Yolande Senatus and her classmates draw in a UNICEF tent school, on Early Childhood Development and infrastructure/ reconstruction. the first day of classes in the remote village of Jacquot Merlin, above Port-au- Prince, the capital. “I will now be able to start learning again.” Yolande said.

UNICEF IN HAITI: 31st March—13th April 2010

CLUSTER ACHIEVEMENTS Cross-border interventions (Shadow Clusters) Over the week, 8 prefabs were dispatched for Haiti‘s Min- Reopening of schools istry of Education.

This week, the Ministry of Education officially reopened UNICEF INPUTS schools in the regions most affected by the earthquake. UNICEF has supported the reopening of 40 priority Supporting reopening of schools schools benefiting 34,000 children; Save the Children supported a further 50 schools. A survey of 70 schools revealed that on average, 75 UNICEF celebrated the return to school from 5 April with per cent of children enrolled prior to the earthquake two large ceremonies: on 6 April, approximately 500 chil- had now returned to school. dren celebrated the re-opening of Institut du Sacre Coeur which was attended by the Ministry of Education and re- In the South-East Department it was reported that 90 ceived widespread media coverage in Haiti and interna- per cent of schools have progressively reopened since tionally; on 7 April, Foyer Culture St. Vincent de Paul re- March 8th. The 66 schools destroyed or severely dam- opened, welcoming back approximately 2,200 children in aged have been reopening since April 5th through the a celebration for the local community in the Cite Soleil installation of temporary learning spaces. Monitoring of area of Port-au-Prince. attendance in all schools of the Department (estimated UNICEF has supported both schools through the prepa- at 1,000-1,300) is underway and data should be avail- ration of the land, the erection of tents, and through the able soon. provision of teaching and learning materials. These two schools are part of the priority list of the 120 The Bureau du District Scolaire of Petit Goave and schools the Ministry has requested UNICEF to support. Grand Goave reported that 58 out of 318 primary During the past week, 40 of these schools have been schools had reopened (around 18 per cent), and 2 out supported to re-open through site preparation and the of 67 secondary schools had reopened (3 per cent). installation of 477 tents to accommodated 34,000 children. Relocation of displaced persons from high-risk To encourage enrolment and retention in these schools, areas UNICEF also provided teaching and learning materials and recreation materials as well as blackboards. Five schools were also provided with water and sanitation fa- The relocation of up to 7,500 individuals from the high- cilities over the past week, benefitting approximately risk areas of the Petionville Golf Club to Corail began 5,000 children. this week. Education activities will be provided by Plan The supply of tents is the first stage of the strategy to International, Save the Children and UNICEF. The Edu- restore learning. UNICEF also has a commitment to sup- cation Cluster‘s first phase response in Corail includes port the semi-permanent and later, the permanent con- the delivery of school tents and supplies, Early Child- struction using the principles of building back better and hood Care and Development (ECCD) services, and child friendly schools in partnership with the government.

primary education. Children in camps The Education Cluster is working with the Camp Coor- dination Management Cluster (CCCM) on the design UNICEF is working with the Ministry of Education to sup- and planning of new flood and landslide-resistant sites port the education of children in the camps. Where possi- ble, support will be provided to local host schools and a for the relocation of 250,000 displaced persons (IDPs) policy will be developed on accreditation of schools which in Port-au-Prince and will ensure access to quality edu- have been established in the camps themselves, which cation services for children relocated. will take into account the needs of children and teachers.

UNICEF IN HAITI: 31st March—13th April 2010

School attendance Supplies: School visits during the first week of April revealed an To support the resumption of learning in all phases encouraging trend of large numbers of children returning and areas, UNICEF has already distributed 870 to school. Between the 7th and 9th April, 70 schools school-in-a-boxes for 34,800 children per shift; 1,495 among the first to re-open received teaching and learn- ECD kits 74,750 children under six years; and 2,226 ing materials. Monitoring visits of these 70 schools re- recreation kits for over 200,000 children; 1,400 vealed that on average, approximately 75 per cent of school tents for temporary classrooms, ECD classes children enrolled before the earthquake had returned to and to support the education, protection and develop- school. ment of 170,000 children.

Communication campaign In parallel with the physical support to schools, UNICEF worked with the Ministry of Education over the past CLUSTER AND PROGRAMME CHAL- week on a communication and media campaign to in- LENGES form communities about the reopening of schools and to encourage parents to send their children to the schools as they re-open. Key messages were diffused through The main challenges to the reopening of schools re- posters and leaflets, supported by television, radio and main: insufficient debris clearance: lack of spaces newspapers. available for temporary learning facilities; an insufficient number of shelters and distributed educational materials; lack of compensation for teachers and the Support to the Ministry loss of teachers in favor of more lucrative profes- UNICEF has prioritised supporting the Ministry of Edu- sions. cation to become operational following the destruction of most of its infrastructure. UNICEF has procured seven Delay in the identification of sites for debris clearance prefabricated offices (each capable of housing 10 per- and the authorization for the clearance is hindering sons) and accompanying WASH facilities for use by the the installation of temporary learning spaces and Ministry. The site has been cleared and offices are being transitional structures for learning. established as of the date of going to print. The inspection and certification of school buildings safe for re-occupation has been slow, and the Minis- Decentralisation try has stated that children should not return to un- 145 schools in Leogane, 67 schools in Petit Goave and safe structures. There is likely to be a need for tem- 76 schools in Jacmel were identified as priorities to porary and transitional learning spaces until the certi- benefit from UNICEF programme support. Distribution of fication process can be completed. education materials began during the week in Leogane and Petit Goave, targeting 43,384 children and 1,808 teachers. EARLY CHILDHOOD DEVELOP- In collaboration with the clusters in Leogane and Jacmel, a monitoring tool was developed to support the MENT (ECD) local government in tracking the reopening of schools To mark the launch of the preschool campaign, an inter- and the emergency education response. A baseline as- ministerial committee composed of representatives from sessment of the status of schools will be launched in nine different government departments will take on the Leogane on Monday, April 12. Early Childhood Development (ECD) Task Force established by UNICEF in the immediate aftermath of the earthquake.

UNICEF IN HAITI: 31st March—13th April 2010

CHILD PROTECTION Supplies: Some 1,550 UNICEF ECD Kits have been distributed in SITUATION UPDATE Haiti through a number of partners, including in baby nu- Immediate concerns include: trition tents, pediatric centers, orphanages, preschools, Ensuring that the protection concerns of children are ad- and child friendly spaces. dressed during the relocation of IDPs to safer sites prior to the rainy season; Training: Safety and well-being of children in residential care facili- On 5 April, a two week training programme for 25 master ties; trainers on ECD and psychosocial support began, with Needs of separated children and unaccompanied minors; UNICEF support, to ensure quality and scaling up of ECD Threat of child trafficking and other forms of exploitation interventions across the country. At a later stage, UNI- including gender based violence (GBV); CEF anticipates that all partners and caregivers using the General gaps in social protection/welfare for affected chil- kits will benefit from this training. dren. There is also an overwhelming need for psychoso- UNICEF partners are conducting a series of training for cial assistance for children. caregivers, and UNICEF is facilitating sessions on ECD, The focus remains on decentralization and scaling up in including the use of ECD Kits. A parenting programme is the field. In Leogane and Jacmel, the designated child also being developed with UNICEF and partners to protection focal point is working in collaboration with other improve family care practices. child protection actors including IBESR, international and national NGOs. Preschools A list of preschools to be prioritized for reconstruction is CLUSTER COORDINATION being developed in collaboration with UNICEF/ ECD and the MoE. Child Protection Sub-Cluster has 57 members. A mapping of the sub-cluster members is ongoing. Working groups focus on: 1) separated children; 2) mental health and psycho-social support (MHPSS); 3) child friendly spaces; 4) trafficking and abduction; and 5) communication for communities.

CLUSTER ACHIEVEMENTS

Relocation The Child Protection sub-cluster has engaged in the relocation of 9,000 people through participation in the planning and design process of the new sites to ensure child protection services are integrated in the camps. The Cluster has provided child protection monitors and mobile Child Protection teams to the camps during the days of the move.

Separated Children Over 907 separated children—an increase from 630 children two weeks ago - have been registered and have received follow-up visits. The ongoing priority is on scaling © UNICEF/NYHQ2010-0078/LeMoyne On 24 January, an older girl cares up family tracing and reunification. for her baby sister while their mother assists at a food distribution, in the Pinchinat camp for people displaced by the earthquake, on a football pitch in the city of Jacmel.

UNICEF IN HAITI: 31st March—13th April 2010

The quality of care in 359 residential childcare centres Strengthened role of Government in Child Protec- hosting approximately 25,339 children has been tion coordination evaluated, and immediate needs of children have A meeting with the president of the Parliament and par- been addressed in half of the centres, with UNICEF liamentarians took place on April 12 in which UNICEF sup-port. Out of the 359 residential centres only 174 and MINUSTAH advocated for diversion and alternative had authorization by the government. solutions to the detention of minors within the juvenile justice system. Psychosocial support, community-based child The cluster also promoted a child protection system with protection referral mechanisms and social policies for children, Over 58,000 children per week benefit from over 85 adolescents, and youth with a gender sensitive ap- child friendly spaces set up. Each CFS benefits proach. around 500 children/day through several shifts with activities for youth; including child friendly spaces, as UNICEF INPUTS well as recreational and sport activities. These activities take place in camps and neighborhoods in 18 dif- Reunification ferent communes of Port-au-Prince, Leogane, Petit To date there have been approximately 82 reunifications Goave, Jacmel and Les Cayes. of separated children with their families, 34 children were reunified under the inter-agency programme on Prevention of violence, abuse and exploitation family tracing and reunification (FTR), 33 trafficked chil- UNICEF is working with Brigade de la Protection des dren and 15 unaccompanied children from an interim Mineurs (BPM - Child Protection Brigade within the care centre. Police) and other agencies, to ensure that mechanisms are in place for reporting sexual abuse and ex- Training ploitation, and that all hotlines have information on A total of 60 caseworkers and social workers from differ- how to refer callers for support and medical services. ent partner NGOs – Catholic Relief Services (CRS), Heartland Alliance, and International Rescue Committee Trafficking (IRC) received over a period of 3 days training on family Prevention and awareness raising programs on traf- tracing and reunification. ficking issues have reached some 120,000 people in the border areas. Relocation Over 80 people from the national Haitian police (child The relocation has started with the first 57 families (293 brigades) have received training on how to work with persons) from Petion Ville to Corail. issues of trafficking. UNICEF has mobilized 100 Scoute d‘Haiti to provide The Cluster has developed an advocacy plan for the families with child protection messages, and to under- new trafficking law, and has promoted the reinforce- take measures to prevent the separation of children from ment of the rule of law sector to address the illegal their families. movement of children. Children below 5 years from families registered for relo- Airlines Ambassadors International will donate two cation are provided with a bracelet with their name. safe houses for children victims of trafficking in Bellad- Mobile teams provided the families with information on ere with the agreement of the MoI. how to protect their children during the relocation process. Vulnerable families and persons with disabilities are provided with special assistance. Two child friendly spaces are established in the new location providing support to the families upon arrival by taking care of the children while the families are settling.

UNICEF IN HAITI: 31st March—13th April 2010 UNICEF INPUTS Support to Ministry UNICEF and IBESR have prepared a strategy on fos- Emergency Vaccination Campaign ter care which has been shared with the Ministry of The ongoing Emergency Vaccination campaign is target- Social Affairs for review and approval. ing infants between 6 weeks and 8 months for Diphteria, Tetanus, Pertussis (DPT) vaccines, children aged 9 Cross-border interventions months to 7 years for DPT/measles and Rubella vaccines The adaptation of 'Return to Happiness' psycho-social and children more than 8 months with adults for DT vac- support materials and methodology into the Haitian cines. Vaccination is associated with Vitamin A and Alben- context started on 7 April with a workshop with 20 Hai- dazole distribution. tian youths. This adaptation aims to strengthen/boost As of 9th April, a total of 162,957 children aged 9 ongoing implementation of Return to Happiness mate- months to 7 years have been reported vaccinated in rials in Haiti - in Leogane, Belladere, Hinche, Fond 542 sites - up from 107,808 children two weeks ago: Parisien and Ouanaminthe. In the metropolitan area 133,956 children The Ministry of Foreign Affairs in the Dominican Re- aged 9 months to 7 years immunized in 386 public has requested UNICEF for technical assistance sites (114,804 last week in 335 sites). Immuni- in drafting the terms of a bi-national agreement be- zation activities are still ongoing in the com- tween Haiti and the DR against child trafficking. mune of Tabarre. The Dominican Republic Border Armed Forces In Western department, 29,001 children aged (CESFRONT) has requested UNICEF‘s technical as- 9 months to 7 years have been immunized in sistance in producing training material and defining 156 sites (15,845 last week in 124 sites). The chronogram of ToT in DR border provinces. campaign is finished in Croix des Bouquets, Leogane and Petit Goave and continues in Grand Goave and in Gressier. CLUSTER AND PROGRAMME CHAL- Preparation for campaigns are ongoing in LENGES Jacmel (East) and Miragoane (Nippes). Rapid monitoring of the vaccination activity continues in Port au Prince. Based on moni- There are increased reports of trafficking and of gen- toring data, mop up activities are planned in der-based violence including rape affecting children areas with poor performance. and women. The insecurity in communities and displaced locations and the lack of safe spaces for GBV UNICEF is supporting the reinforcement of routine survivors to seek information and referral to appropri- Expended Programme on Immunization and is partici- ate services. pating in the preparation of the Pan American immunization week planned in bordering communes of West- ern and Eastern departments.

HEALTH CARE Assessment: To better support the Ministry (MSPP) in affected areas with displaced populations, UNICEF is conducting CONTRIBUTION TO CLUSTER an inter-sectoral mission in Artibonite and Plateau Central Departments. The objective for the Health UNICEF is a key partner of the Health Cluster under section wasto evaluate the health situation and medi- the leadership of WHO/PAHO and Ministry of Health, cal care of IDPs, the support received by MSPP, in partnership with 150 national and international NGOs and Agencies and the needs. Directors of NGOs. Health Departments, UN Agencies, main NGOs have UNICEF is a member of the cluster working groups: been met and hospitals have been visited. malaria, disabilities, and environmental waste management.

UNICEF IN HAITI: 31st March—13th April 2010

Emergency health kits and basic units Field outreach

To better support the Ministry (MSPP) in affected So far, UNICEF has provided to Government and areas with displaced populations, UNICEF conducted NGOs 134 Emergency Health Kits and health basic an inter-sectoral mission in Artibonite and Plateau units for primary health clinics for the benefit of an ap- Central Departments, to evaluate the health situation proximate 134,000 people for 3 months and 115 mid- and medical care of IDPs, the support received by wifery kits to perform 5,750 normal deliveries and 4 MSPP, NGOs and UN agencies and the existing obstetric surgical kits to perform an average of 400 needs. deliveries with complications. All the departments with displaced populations have received supply (Midwifery kits, drugs, ORS, fridges) to face increase number of patients: Sud (Les Cayes), Centre (Hinche), Sud-East (Jacmel), Grande Anse (Jeremie).

Iste Mui cries as he holds his daughter Sterling, reuniting after more than a month of separation, near where her aunt Elude lives in the tent settlement for people displaced by the earthquake, near the national football stadium in Port-au-Prince, the capital.

UNICEF IN HAITI: 31st March—13th April 2010