y e a r o n

One
 Haiti:
On January 12th, the world watched in horror as a 7.0 magnitude earthquake
struck Haiti, killing an estimated 230,000 people and turning the capital and
surrounding areas to rubble. In Haiti for over 25 years, Action Against Hunger was
one of the first organisations to respond to the disaster, rushing to
provide clean water and deliver emergency services in nutrition,
one year on sanitation and hygiene. Today, we assist thousands of Haitian
families living in precarious conditions.

2010: A challenging year for Haiti

Between 300,000 Over 230,000 dead

Earthquake and 400,000 injured
January 2010

Nearly 500,000
people forced to
leave Port-au-Prince
Cholera towards the provinces
October 2010
More than 150,000
people suffering
from cholera
Cyclone Tomas
November 2010

A COUNTRY IN SHOCK
The earthquake that struck Port-au-Prince
and the surrounding region on 12th January
2010 was one of the most devasting
catastrophes of our time.

56% of the population lives on less than

66p per day

Action Against Hunger in Haiti in 2010

OUR STAFF
Our team of 700 national
staff and 60 international staff
are working round the clock to
£ TOTAL
EXPENDITURE:
£17.5 MILLION
PRIVATE
DONATIONS
collected for survivors
of the earthquake:
help affected communities.
£5.8 MILLION

How funds are spent

45%
43%
Water, Sanitation and Hygiene

12%
Food Security

2 Haiti: one year on Nutrition and Health

ACF’s Programmes
Water, Sanitation
Food Security Nutrition and Health
and Hygiene

Nearly 16,000 Every day ACF ACF provided nearly

basic needs kits including
blankets, tarpaulins and provides 5,000 mothers and
soaps have been
distributed 2,500,000 their young children with
a safe setting for
litres of drinking breastfeeding as well as
43,447 fresh food
water to pycho-social support
vouchers worth nearly 300,000
£1,000,000 people
1,000 severely acutely
have been distributed to
malnourished children have received
15,000 families treatment at ACF’s 10 outpatient
treatment programmes

17,741 people have

benefited from 47,000 rations of high protein

=£ Cash-for-Work activities food supplements have been distributed

to prevent malnutrition

52,830m3 12,000
of rubble has
been removed...
...with 775 Over 100,000 More than people have
participated in activities related to
wheel barrows, people have access to:
adequate care practices
1,491 buckets, 1,100 latrines equipped with
349 rakes, 418 picks, hand-washing stations
821 shovels, 9,057 pairs of gloves 360 showers cubicles which
and 9,582 pairs of boots have been installed in camps Over 1,500 people have received
psychological support

To address the cholera

epidemic, 5 million
chlorine tablets, 572,000
soaps and 240,000
rehydration sachets 50,000
have been distributed to familles

275,000 people
have benefited from hygiene
promotion sessions

One Year On
Over a million people In 2011,96% of
still live in precarious conditions in more
than 1,200 makeshift camps rubble still remains

Only 4% of debris has

been cleared to this day

Action Against Hunger

still needs your support
to stem the outbreak of cholera and continue to
meet the basic needs of Haitians
Haiti: one year on 3
 CONTENTS

ONE YEAR ON: THE HUMANITARIAN SITUATION 5

- The Context 6
- Unkept Promises 6
- Action Against Hunger in Haiti 6

A LOOK BACK: ACTION AGAINST HUNGER’S IMPACT 7

- Water and Sanitation Programmes 7
- Food Security Programmes 9
- Nutrition and Health Programmes 10

THE FUTURE 12
- Action Against Hunger’s Long Term Commitment 12
- Thank You 13

financial statement 13

© ACF - Haiti

4 Haiti: one year on

 ONE YEAR ON: THE HUMANITARIAN SITUATION

The earthquake that struck Port-au-Prince and the surrounding region on 12th January 2010 was one of the most
devastating catastrophes of our time. The quake hit the country’s economic and political capital, with a population of
more than 3 million, leaving more than 230,000 people dead, between 300,000 and 400,000 wounded, and 1.3 million
homeless. It also led to an exodus of almost 500,000 people from the capital to other regions. The entire country was
shaken to the core.

It is estimated that almost half of the city of Port-au-Prince was destroyed, with levels of destruction varying greatly
from one quartier to another. The cities of Gressier, Léogâne, Grand Goâve and Jacmel suffered 50 to 90% destruction.
One year on, the huge mountains of rubble have still not been cleared: to date, it is estimated that only 4% of the
debris has actually been removed. More than 1 million people still live in precarious conditions in over 1,200 makeshift
camps.

Our programmes
Water, sanitation and hygiene
Nutrition and health
Food security

Three Disasters in One

During the twelve months following the earthquake,
the challenges of rebuilding Haiti have been
immense: the aftershocks of the quake, the
hurricane season, the recent cholera outbreak and
political instability have posed additional challenges
to Haiti’s recovery.
The hurricane season, with the passing of cyclone
Tomas, had dire consequences, particularly in the
region of Artibonite.
With some areas of the city suffering a high number
of cholera cases, the disease spread like wildfire.
Several rivers flooded their banks, speeding up the
spread of the disease even more, cutting off access
routes to certain areas and seriously challenging
humanitarian activities. The cholera epidemic shows
no sign of relenting. Since October, the epidemic
has claimed 3,333 victims and infected more than
150,000 people, weakening the country and its
population even further.

Haiti: one year on 5

 THE CONTEXT
By striking the political and economic centre of Haiti,
the earthquake destabilised the entire country. It hit a
country already weakened by a succession of political,
economic and environmental crises, reducing its capacity
to deal with the immense destruction, particularly given
that its infrastructures and services were already largely
insufficient. Homes and public infrastructures alike were
destroyed: the presidential palace, Parliament buildings
and nearly all of the government ministries were
brought down by the quake. Not only did the country’s
infrastructure physically collapse, all of the country’s
institutions also crumbled. Many people who held
positions that were key to the functioning of the state
and public services (MPs, teachers, doctors, students,
etc.) were killed when buildings collapsed. To date, most
buildings have still not been replaced.
UNKEPT PROMISES
In the wake of this major disaster, an enormous
humanitarian operation was launched to help the
victims. On 31st March 2010, the donor conference
of New York set up the Interim Haiti Recovery
Commission (IHRC), the coordinating body for the
recovery and rebuilding efforts, co-chaired by  Haitian
Prime Minister  Jean-Max Bellerive  and former U.S.
President Bill Clinton.
One year after the earthquake, over 3.1 billion
dollars have been pledged for humanitarian aid.
Unfortunately, Haiti has to date only received half of
ACTION AGAINST HUNGER IN HAITI
Action Against Hunger | ACF International has been
present in Haiti since 1985, carrying out emergency
measures in the areas of health and nutrition. Since
2001, ACF has focused primarily on food security
and water, sanitation and hygiene programmes in
both emergency and development contexts.
Action Against Hunger was one of the first
organisations to respond to the disaster,
providing clean water and delivering emergency
services in nutrition, sanitation and hygiene.
Today, our team of 60 international and nearly 700
national employees continues to provide emergency
assistance to hundreds of thousands of survivors
whilst helping communities regain self-sufficiency
for the long term.
6 Haiti: one year on
The earthquake affected the poorest country in the
Western Hemisphere: 72% of the population lives below
the poverty line (on less than $2 a day) and around
56% live in extreme poverty (on less than $1 a day).
The poverty and vulnerability of the population has
been sustained for years by political instability and its
various consequences (bad governance, insecurity,
migration, rural exodus, etc.) as well as countless
natural disasters and significant destruction of the
island’s natural environment (deforestation, erosions,
waste management, etc.). All of these factors combined,
as well as a particularly complex urban situation (urban
deconstruction, population density, mountainous
geography, lack of space, etc.) have made our emergency
intervention incredibly difficult.
this amount, around 1.5 billion dollars. Most of the
projects that have already been approved have not
received any funding or are waiting for extra funding
before they can launch.
But despite some donors’ reasons for delaying
payment (instability in Haiti, the lack of transparency,
corruption, the financial crisis in their own
economies, etc.), Haiti’s population is in dire need of
this funding.
Projects being carried out before the earthquake
in Artibonite and the Northwest (disaster risk
management, improving access to drinking water
and sanitation, integration of nutritional care in
healthcare centres) are also being continued and
strengthened. In view of the recent cholera outbreak,
our teams have launched an emergency water,
sanitation and hygiene response to contain cholera
in Artibonite, the epicentre of the epidemic and to
prevent its spread in the capital Port-au-Prince.
 A LOOK BACK: ACTION AGAINST HUNGER’S IMPACT

A key priority for our teams all across the world is to work in close collaboration with local communities and
authorities. Local committees were formed and/or supported in all the places where we work. This community-
based approach helps avoid the use of the armed forces during distributions, provides respectful support to the
survivors in accordance with humanitarian principles, and reduces security problems.

WATER AND SANITATION PROGRAMMES

Ñ WATER
Millions of people left homeless by the earthquake
have been surviving in makeshift camps. With water
networks destroyed, providing access to safe, clean
drinking water was an immediate priority for Action
Against Hunger. Every day, Action Against Hunger
distributes 2.5 million litres of clean drinking water
to nearly 300,000 people, more than 10% of Port-au-
Prince’s population.
Ñ SANITATION
Even before the earthquake levelled Haiti’s capital
and surrounding areas, poor access to sanitation
infrastructures was one of the major problems
encountered in Haiti. The earthquake only worsened
this situation. In order to control the outbreak of
disease, it was crucial to improve the sanitation
situation in the camps. The  terrain made of
concrete,  lack  of space and  the urban sprawl  of
the city limited our ability to build pit latrines. Instead,
our teams set up temporary latrines with tanks along
with a system for regularly emptying them, as well as
a large number of “building site” type latrines. Over
1,100 latrines equipped with hand washing stations
have been set up and 360 shower cubicles have been
installed in the camps, benefiting nearly 100,000
people.
© ACF - Haiti

© ACF - Haiti

Haiti: one year on 7

 Ñ HYGIENE
In order to maintain basic hygiene levels in the
overcrowded camps, Action Against Hunger
immediately launched public awareness activities.
Activities for promoting hygiene, particularly raising
awareness about hand washing, use of the latrines
and water usage effectively reduce the risk of disease
outbreaks. To date, 134,800 people have benefited
from hygiene promotion sessions.

a Preventing the spread of cholera and other water-

borne illnesses continues to be a major priority.
With most of the survivors still waiting to be re-
housed and awaiting the construction of a real water
distribution network, access to water continues to be
a major problem. Haiti’s population has never needed
chlorinated drinking water as badly as this. For Action

© S Hauenstein - Haiti
Against Hunger it is therefore crucial to continue the
distribution of clean drinking water and guarantee
minimum sanitation standards until lasting alternative
solutions have been found.

CHOLERA: YET ANOTHER CRISIS

Although there had not been a cholera epidemic for over one hundred years in Haiti, the disease reappeared in
October 2010, in provinces not even affected by the earthquake. Cholera is a serious threat to public health and
keeping the epidemic from affecting Port-au-Prince has been a real challenge. Action Against Hunger’s teams
immediately launched an emergency response to contain cholera in the affected regions and prevent its spread in
the capital of Port-au-Prince.

Prevention
ü 70 hygiene promoters are raising awareness ü Water points, latrines, showers and rubbish
among more than 23,000 people each day about skips are being disinfected 2 to 3 times a day.
cholera (15,000 in Port au Prince – 7,500 in
ü In Artibonite and the North-west, anti-cholera
Artibonite) by visiting individual families, and
kits (soap, chlorine, rehydration salts) have been
organising group sessions in local neighbourhoods
distributed to nearly 275,000 people.
and hygiene sessions in schools.
ü In Gressier, Mergié, Léogâne and Gonaïves, a
ü Training is being organised for several hundred
dozen workshops have been organised for locally
trainers including community leaders, associations,
producing chlorine.
health promoters, teachers, head teachers and
local authorities.
ü Awareness-raising sessions about hygiene
Access to drinking water and sanitation
rules are being organised for local stall owners
and sessions about the importance of exclusive ü Daily treatment of distributed water. 200
breastfeeding during the first six months of a bacteriological tests carried out each month, and
child’s birth are being organised for mothers. chlorine tests at the distribution points every time
they are filled.
ü Promoting community cleaning activities: each
week sites are cleared of debris and disinfected, ü Rehabilitation of more than 30 water points, 5
and rubbish bins are put in place. sources and 100 individual hand pumps.

8 Haiti: one year on

FOOD SECURITY PROGRAMMES
The earthquake left millions of people without their
homes and belongings. With the loss of income
sources and a huge shortage in demand in the markets,
Haitians have struggled to feed their families.
Given the immense needs in terms of access to food
Action Against Hunger distributed high energy biscuits
and nutritional products to the most vulnerable.
Emergency kits including plastic buckets, soaps,
blankets, mosquito nets and plastic sheeting were
also distributed. Through Action Against Hunger’s
fresh food voucher programme in Port-au-Prince,
families exchanged vouchers for fresh produce from
166 participating vendors. These vendors were then
directly reimbursed for the vouchers from a local
bank. The programme helped earthquake-affected
families become aware of the importance of varied and
balanced diets and allowed them to use their limited
income on other expenses like basic household items,
education and health care.
Cash-for-work schemes were also set up with the aim
of clearing the rubble and household waste from the
streets and gutters, enabling more than 17,000 families
from affected areas of the city to access temporary
employment and earn an income. At the same time,
our teams launched programmes specifically designed
for people who could not physically or psychologically
benefit from this kind of activity such as elderly people,
the disabled, people suffering from HIV/AIDS, teenage
mothers and single parent families, with the aim of
meeting their essential needs and providing them with
an income.
a The nutritional situation in Haiti remains fragile
and could easily deteriorate. Most households
still have not found a viable means of income and
the number of people who have found employment
is still a far cry from the figures before the
earthquake. It is therefore crucial to continue to
provide direct assistance to the most vulnerable
families to help meet their basic food needs. At
the same time, we remain committed to help build
a sustainable future in Haiti by implementing
programmes aimed at promoting long-term food
security.
© ACF - Haiti
Haiti: one year on 9
 NUTRITION AND HEALTH PROGRAMMES
Ñ NUTRITION
Despite a relatively low prevalence (below the alert
threshold of 10%, as defined by the World Health
Organisation), acute malnutrition remains a public
health issue in Haiti. The nutrition situation is
particularly worrying in the Artibonite region where
poor food diversity and inadequate child feeding and
weaning practices are common.
In the aftermath of the catastrophe, our teams
established multiple mother-baby centres
specifically designed to provide a range of services
to mothers with young children, including a safe
environment for breastfeeding, as well as medical,
nutritional and psychological support. The centres
are also designed to provide a sense of security for
mothers and children recovering from trauma.
The traumatic experience of the quake means that
mothers can find it hard to breastfeed and/or take
care of their young children due to the extreme
stress they are experiencing. Women may stop
breastfeeding altogether due to the trauma, or if
they are ill, and will not be able start breastfeeding
10 Haiti: one year on
again if the illness lasts for more than a few days.
The children themselves may have suffered intense
fear or trauma, and show difficulties in feeding.
In view of this situation, some 5,000 mothers and
their infants have received support at Action Against
Hunger’s mother-baby tents. The centres also
provide a place where mothers can play with their
children, engage in soothing activities like sewing
and basket making, and embark on the long road to
recovery.
In addition, a dozen treatment centres have been set
up in Port-au-Prince to care for children suffering
from acute malnutrition. These treatment centres
provide treatment to malnourished children and
provide psychological support to their mothers,
either in group sessions or on an individual basis to
help them deal with the trauma of the earthquake
and their new life situation in the makeshift camps.
Our teams are also working with the local authorities
to set up treatment units for acute malnutrition
© ACF - Haiti
according to the national protocol that exists within
the public health infrastructure, which is backed up
with technical support and the ongoing training of
healthcare staff. Training volunteers and healthcare
workers at community level with regard to screening
malnutrition and raising awareness helps to create
a network for detecting cases of severe acute
malnutrition.

a Over the next month, Action Against

Hunger will continue to expand its nutritional
programmes. Given the number of malnourished
children admitted to the treatment centres and
the risks with regards to the nutritional situation,
it is essential to continue existing programmes
aimed at improving nutritional care, reaching
more children and gradually integrating these

© ACF - Haiti
temporary programmes into the healthcare
structure.

LET’S NOT FORGET THE PROVINCES

The earthquake caused an exodus of nearly 500,000 have launched programmes aiming at reducing
people who sought refuge with their families HAITI - Displacement
the vulnerability of andlocal Population Figures (as of helping
communities, 6 February 2010)
7 February 2010
outside of Port-au-Prince. 160,000 of these people host families to deal with the influx of displaced
headed for the department of Artibonite, therefore people and reducing Number ofthe people impact
living in of potential natural Governmental Fig
0
spontaneous settlement (as of 6 Feb 2010) Area of detail

increasing the pressure on host families in a region disasters. TheTotal: programmes

1,237,077 include income-
Port-au-
1. Port-au-Prince
2. Carrefour

which was already very fragile and had high food generating activities G o l f e d e l aimed
a at enabling Princefamilies 3. Delmas
4. Petion-Ville
5. Cite Soleil
Gonâve
insecurity. The financial impact on homes that had to earn an income and participate in the economic
6. Croix-des-Bouquets
7. Leogane
20 10 8. Petit-Goave

to take in the survivors has been huge including recovery.

13 9. Grand-Goave
12
10. Arcahaie
Affected 15 11. Tabarre
17
45 53 communes
increasing food expenses, additional costs such
41 5 12. Cabaret
47 3 11
44 50 42 52 1 4 6 13. Anse-a-Galet
32 36 39 34 37 19 14 14. Ganthier
46 48 43 2
49 7
as purchasing medicines to care for the injured, 51 38 40 16 15. Cornillon / Grand-Bois
33 35 31 8 9 18 16. Kenscoff
27 21
26 24 23 30 17. Thomazeau
25
buying clothing and paying for school expenses.
22 28 18. Fonds-Verrettes
29 19. Gressier
Caribbean Sea 20. Pointe a Raquette
No. people living in spontaneous 0 300,000
Population displacements from Port-au-Prince to the
21. Jacmel
Source: SNGRD. Rapport de situation. 6 Feb 2010. & Bilan des dégâts #9. 27 Jan 2010. settlements (as of 27 Jan 2010) 22. Bainet

With reduced or no food supplies, host families have

Affected communes: communes where death, missing, injured, people living in shelter, house damaged or destroyed reported 23. Belle Anse
provinces,
by the Government. as at 6th February 2010 24. Marigot
25. Cotes-de-Fer

sold all or part of their belongings and/or taken on

26. Cayes-Jacmel
Number of people who left Port-au-Prince (as of 6 Feb 2010) 27. La Vallee
28. Thiotte

large debts to provide for the basic needs of the Total: 467,701 29. Anse-a-Pitre
30. Grand Gosier

100,000 NORD-OUEST
people they have taken in. It is in this area that
31. Miragoane
NORD 32. Baraderes
50,000 33. L'Asile
NORD 34. Anse-a-Veau
the cholera epidemic broke out in October 2010. ARTIBONITE
-EST 35. Fond Des Negres
36. Petit Trou de Nippes
162,509 37. Petite Riviere de Nippes
Flooding in certain quartiers of the department’s CENTRE
38. Plaisance du Sud
39. Arnaud
40 Paillant
administrative centre Gonaïves following the 41. Grand Boucan

42. Jeremie
passing of cyclone Tomas in November sped up the 43. Pestel
44. Dame-Marie
GRANDE 45. Abricots
phenomenon still further. -ANSE NIPPES OUEST
46. Anse-d'Hainault
47. Roseaux
SUD SUD-EST 48. Beaumont
49. Moron
50. Chambellan
51. Les Irois
Faced with this situation and the risk of it Source: SNGRD. Rapport de situation. 6 Feb 2010.
52. Corail
53. Bonbon

deteriorating further in the future, our teams

Map Sources: CNIGS, UNCS. Source: SNGRS. Bilan
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations.
www.reliefweb.int/haiti http://ochaonline.un.org http://oneresponse.info/disasters/haiti/ Send comments to: ocha.haiti.im@gmail.com

Haiti: one year on 11

 THE FUTURE
One year on from the earthquake, most survivors still
rely on international assistance and the emergency
response continues. The conditions needed for the
country’s transition into the recovery phase have not
yet been established. Without a strategic plan in the
fields of housing and reconstruction, aid agencies
are obliged to continue their temporary emergency
operations, at a very high cost, in order to respond to
the basic needs of Haiti’s population. One year after
the earthquake, the humanitarian response has not
been able to develop further.
ACTION AGAINST HUNGER’S LONG TERM COMMITMENT
Despite the magnitude of the destruction, progress
has been made. With your support Action Against
Hunger has helped 800,000 Haitians access food, clean
water, sanitation, income-generating opportunities,
psychological support and other life-sustaining services.
Yet, the effects of the earthquake are profound. Port-au-
Prince lies in ruins, a million people remain homeless,
and Haitians still bear the scars and trauma of a horrible
disaster.
Stemming the cholera outbreak and moving towards
long-term recovery must be key priorities. Meanwhile,
it is crucial that families continue to receive the
support they need to meet their basic needs during the
transition to reconstruction to ensure the sustainability
of public services and lay  the  foundations for future
12 Haiti: one year on
The dramatic consequences of the earthquake have
been exacerbated by pre-existing problems. The
actions of the Haitian government and the international
community should therefore be focussed on combating
poverty and inequality. It seems worrying to prioritise
reconstruction of infrastructure over basic social
services such as health, education, and access to water
and sanitation. Ensuring gender equality, minimising
the militarisation of humanitarian assistance and
preventing violence are also challenges that need to be
met within the framework of Haiti’s reconstruction.
development. While the challenges of rebuilding Haiti are
immense, Action Against Hunger is committed to helping
communities regain self-sufficiency over the long term.
In 2011, we will continue to help build a sustainable
future in Haiti by:
ü Responding to the basic needs of vulnerable people
and promoting long-term food security
ü Strengthening the resiliency of individuals, families,
communities and institutions (through partnerships
with institutions and local NGOs), and strengthening
the capacity of local institutions to deliver basic health
services.
ü Reducing the risks associated with future natural
disasters.
© Richard Aujard - Haiti
THANK YOU

We would like to use this opportunity to thank everyone

who has supported our programmes over the past
year. Thanks to your help, we have helped over 800,000
people access food, clean water, sanitation, income-
generating opportunities, psychological support and
other life-sustaining services.

Together, we will continue to save the lives of children in

Haiti and work with communities to lay the foundations

© Richard Aujard - Haiti

for a better future.

FINANCIAL STATEMENT

The suffering of the Haitian people has generated an extraordinary surge of generosity.

Private funds at the end of November 2010 totalled 7.2 million Euros. These funds have been used for the emergency
phase of our operation and long-term recovery programmes.

Since the earthquake, over 21 million Euros have been spent on our programmes in Haiti. Just over 90% of all funds,
19 million Euros, were used to help the victims of the earthquake.

In 2011, a predicted 10 million Euros will be spent on our work in Haiti. 30% of this spending, 3 million Euros, will
come from private funds donated by the general public and companies in 2010.

PERCENTAGE / DISTRIBUTION OF SPENDING DISTRIBUTION OF RESOURCES 2010

43% Food security 18% Private funds

12% Nutrition 12% Other partners

and mental health

45% Water,
70% Institutional donors
sanitation and hygiene

Haiti: one year on 13

 © S Hauenstein Swan © ACF - Haiti © ACF - Haiti

Registered Charity Number 1047501

For more information visit

www.actionagainsthunger.org.uk
© S Hauenstein Swan © ACF - Haiti © Richard Aujard - Haiti