In Mozambique, as part of the President’s Malaria Initiative (PMI), we will launch the Malaria Communities Program (MCP). This program will support the efforts of communities and indigenous organizations to combat malaria. The primary beneficiary groups of the MCP are children under five and pregnant women.
In Zambia, a rural health center built with support from a USAID humanitarian assistance program will be handed over to the local community for its own management and use.
In Ghana, we will hold a Voucher Fair to distribute vouchers to those affected by recent flooding. This one-day event will distribute vouchers to 700 households, an estimated 4,200 people that were affected by the recent floods in the Central Gonja District. The vouchers can be used to purchase items such as blankets, clothes, plastic sheets, mattresses, kitchen supplies and school supplies from local
Nancy Lindborg is the Assistant Administrator for the Bureau for Democracy, Conflict and Humanitarian Assistance. Photo Credit: USAID
Responding to disasters is never easy, and the cholera outbreak in Haiti is no exception. The six-week-old outbreak has claimed the lives of more than 2,000 Haitians and infected 80,000 others. Sadly, this illness will likely continue to spread for many months to come, and cholera will be present in Haiti for years.
Six weeks after joining USAID, I traveled to Haiti as part of the U.S. response to the cholera outbreak. I saw the worst of it: sick women and children, massive dehydration, and widespread fear.
I also saw signs of hope and reasons for the American people to be proud of our response to the outbreak. The Haitian Government is leading the charge against cholera, and the U.S. Government is coordinating with the international community to deliver life-saving supplies, train Haitian medical staff, and monitor the outbreak.
United States government assistance to the cholera outbreak has been a swift, coordinated multi-agency effort. We have collectively provided more than $21.5 million in assistance for the cholera outbreak in Haiti to date. As cholera continues to spread, the U.S. Government is focusing on both the prevention of and treatment for the disease.
On the prevention side, USAID is supporting a nationwide messaging campaign to promote better hygiene practices and increase public awareness of prevention and treatment of the disease. We are also training almost 7,500 community health workers and hygiene promoters across all 10 departments in Haiti.
To further assist the Government of Haiti’s cholera prevention programs, USAID has already delivered or scheduled the delivery of much-needed cholera prevention supplies. These include:
30 metric tons of chlorine, which will provide nationwide treatment of Haiti’s water utilities for three months
15 million aquatabs, enough to help 750,000 people
Nearly 63,000 family hygiene kits, to benefit 345,000 people
As the numbers of cholera patients increases, we are also increasing our cholera treatment activities. U.S. government funding has established 27 cholera treatment facilities, and we are working to bring an additional 37 facilities online as soon as possible.
To further increase treatment capacity, USAID delivered 25 cholera treatment kits to Port-au-Prince last week. These kits include items such as medical supplies, gloves, soap, and intravenous fluid, and the kits will help treat 10,000 moderate and severe cholera patients. These cholera kits are being placed at critical sites in underserved and remote, rural areas in each of Haiti’s 10 departments.
USAID is also providing supplies to aid in the treatment of cholera. The following supplies are already in country or planned for staggered arrival through the month of January:
5.3 million ORS sachets, which will benefit an estimated 530,000 people
600,000 liters of ringer’s lactate, which will benefit 75,000 patients
2,000 cholera beds
NGOs, donors, and other members of the international community are also mobilizing to help curb the spread of this epidemic. Tragically, it will be nearly impossible to fully stop the course of this epidemic. The earthquake exacerbated Haiti’s weak sanitation systems and health infrastructure, making it particularly susceptible to disease outbreaks. Cholera is also a new disease for Haitians, so their immune system is more vulnerable than those populations where cholera is endemic.
Our goal is first to ensure every Haitian receives information about how to prevent infection and how to recognize the early symptoms of cholera. Secondly, we are determined to reduce both fatalities and the number of severe cases that require hospitalization. We’re already seeing progress. Early in the outbreak, about 9 percent of hospitalized cholera cases were fatal. In the latest reports from Haiti’s Ministry of Health, that figure is down to 3.5 percent.
To say 2010 was a challenging year for Haiti would be a brash understatement. An earthquake, hurricane, and disease outbreak would test the mettle of any population, but Haitians are confronting these challenges head on, and they’re doing it with unprecedented resolve and tenacity.
The U.S. Government, led by the U.S. Agency for International Development (USAID), is immediately dispatching U.S. Department of Defense aircraft to aid in the suppression of the raging wildfires in Israel.
Three U.S. Air Force Reserve and Air National Guard C-130 Modular Airborne Fire Fighting System (MAFFS) aircraft will depart the United States for Israel this weekend to conduct fire suppression operations in support of the Government of Israel. In addition, two U.S. European Command C-130 aircraft carrying 20 tons of fire retardant will depart Ramstein Air Base in Germany to arrive over the weekend to further aid in fighting the wildfires.
These aircraft are in addition to the commercial aircraft chartered by USAID to deliver 45 tons of Fire-Troll fire retardant and 12,000 liters of WD881 Class A foam. Through its partnership with the U.S. Forest Service’s Disaster Assistance Support Program, USAID is also deploying a team of experts join with their Israeli counterparts to help combat the fires.
The United States stands prepared to provide additional assistance should it be necessary.
For more information about US assistance in the wake of the wildfires in Israel, please visit www.usaid.gov.
U.S. Ambassador Karl W. Eikenberry joined senior Afghan officials, including the Minister of Women’s Affairs, the Mayor of Kabul, the Governor of Kabul province, and members of parliament, to celebrate the reopening of the Women’s Garden in Kabul on November 3, 2010.
The garden, once a sanctuary, was destroyed during the Afghan civil war. During the paralyzing restrictions of the Taliban era, women and girls were unable to enter the park, and it became a garbage dump.
Now that the historic Women’s Garden has reopened its doors, the eight-acre enclosure provides the women of Kabul a safe space to participate in a range of recreational and educational activities. The garden hosts gym and sports classes, vocational training, literacy classes, and serves as a place to socialize. It is also home to the provincial Directorate of Women’s Affairs.
The reconstruction project was led and implemented by the Director of Women’s Affairs, Ms. Karima Salik, who had played in the garden as a young girl before it was destroyed. The Women’s Garden was rehabilitated through USAID’s Food Insecurity Response for Urban Populations (FIRUP) and the Local Governance and Community Development (LGCD) programs, with CARE International acting as the implementing partner for FIRUP, and DAI as the implementer for LGCD. Fifty percent of the laborers who rebuilt the garden were women.
In his remarks at the ceremony, Dr. Husnbanu Ghazanfar, Minister of Women’s Affairs said, “Over the last 30 years this garden turned into a ruin but with the assistance of the U.S. government and other international donors, the garden has a new life now. More than ever, it is both a place to relax and to learn.”
Acknowledging the dedicated work and leadership of Ms. Salik, and the tremendous efforts of Minister Ghazanfar, Governor Zabihullah Mujadadi, Mayor Mohammad Yunus Nawandish, and the entire Provincial Development Committee for their efforts to advance the rights of women, Ambassador Eikenberry noted, “Today marks a new day — and the hope that Afghan women can again have a garden of their own in Kabul. While this Garden heralds the strength of Afghan women, it is my hope that it will also be seen as a symbol of the United States government’s — and, for that matter, the whole international community’s — support for a lasting friendship and partnership with all Afghans.”
More than 100,000 Beninese have been made homeless due to massive flooding caused by the country’s worst rains in a half century. According to the United Nations, 360,000 people have been affected, while 50,000 homes and 276 schools have been flooded or destroyed. In this Pennsylvania-sized west African country of 9 million people, the effects have been devastating.
On October 26, flood victims from Vekky village in Sô Ava county are transported to a safe site on the premises of the county council, where they can receive USAID-funded relief. Photo Credit: Simplice Takoubo/USAID
After the U.S. Embassy declared a disaster, USAID responded immediately, granting Catholic Relief Services $50,000 to purchase and distribute water storage units and water purification kits to flood victims in Sô Ava county—one of the worst affected areas that has been under water since the beginning of September. This assistance will provide 3,000 people with clean drinking water for three months, a crucial step in preventing the emergence and spread of disease.
USAID also donated plastic sheeting that will be used to construct 1,700 emergency family shelters and will soon provide an additional grant of $1.5 million to assist families in resuming their livelihoods and to help communities rehabilitate their infrastructure.
Throughout the disaster, USAID has been closely coordinating with the United Nations and the Government of Benin to ensure that aid is coordinated and reaches those most in need.
State Department officers, USAID development experts, and representatives from several other U.S. government agencies serve alongside the U.S. military throughout Afghanistan as part of our efforts to integrate civilian and military operations, including with Brigade Combat Teams (BCTs), with combat battalions, Provincial Reconstruction Teams, and District Support Teams.
BCT Task Force Mountain Warrior’s area of operations covered the four eastern Afghanistan provinces of Nangarhar, Nuristan, Kunar and Laghman, and the BCT was deployed from June 2009 to June 2010. Task Force Bastogne replaced the Task Force Mountain Warrior team, but many civilians under Chief of Mission authority remain in the area, providing valuable continuity.
In March 2010, Time.com embedded with Task Force Mountain Warrior and produced a video that reflects the work of the Brigade Senior Civilian Representative and other State Department Officers in Kunar province over the past year. The video shows the integrated nature of the Task Force’s work and the important role that civilians are playing on the front lines, working hand-in-hand with their military colleagues.
Recently, I visited Bangladesh to find out how you feed a country that has half the population of the United States squeezed into an area the size of the state of Iowa. One thing is for certain: no one can do it alone. During my trip, I witnessed how partnerships among a broad range of stakeholders — the Rome-based UN agencies, the Government of Bangladesh, donor countries, civil society and the private sector — are coming together to change the way we address chronic hunger. The U.S. government is supporting partnerships that deliver food, including fortified vegetable oil, in conjunction with health and other interventions that help ensure our programs translate into better nutrition outcomes.
Good nutrition is crucial during the first 1,000 days — from the mother’s pregnancy through the child’s second birthday — because it affects lifelong mental and physical development, IQ, school achievement, and, ultimately, work capacity and income generation. Thus, nourishing children not only enables individuals to achieve their full potential, but creates the conditions for nations to grow and prosper. This is one of the reasons why nutrition is the critical link between Feed the Future and the Global Health Initiative, the game-changing Presidential initiatives that address global hunger and maternal and child health as part of a broader strategy to drive sustainable and broad-based growth.
We know that we have to look at child malnutrition in new ways to accelerate progress toward the first Millennium Development Goal of halving poverty and hunger by 2015. We know that better targeting and implementation of nutrition programs can greatly increase the effectiveness of our assistance and, most importantly, the ability of all children to thrive. We also know, as Secretary Hillary Rodham Clinton stated at the “1,000 Days: Change a Life, Change the Future” event in New York last month, that prevention is better, and less expensive, than treatment.
The U.S. government is leading programs that focus on preventing malnutrition before it occurs. Core components of this new approach aim at improving the quality and use of health services, caretaker behaviors and dietary intake. Pregnant women and lactating mothers attend monthly pre- and post-natal services and nutrition education sessions while children up to 24 months are weighed and provided with basic care. Sick or malnourished mothers and children are treated or referred for additional care. Mothers and babies receive supplementary food in addition to a household food ration. As the international community recognizes, we need comprehensive approaches that draw from a broad toolbox in order to prevent and treat malnutrition effectively.
In addition to working to improve our programs on the ground, we are increasing the quality and scope of our food assistance commodities. We recently established a pilot effort to introduce and field-test new or improved micronutrient-fortified food aid products. We are also pursuing innovation around the nutritional content, product composition, and packaging of food products delivered through humanitarian assistance programs. Congress made $14 million available to support these two efforts in fiscal year 2010.
The American people will continue to provide emergency food aid assistance to vulnerable populations. And we are working with top researchers to help ensure that the food aid provided has a high nutritional value. With Tufts University’s School of Nutrition, we are examining nutritional needs and how we can best meet those needs — be they in Bangladesh or the Great Lakes of Central Africa — where I’ve seen incredible work being done. The study includes a scientific review of current enrichment and fortification technologies, a review of methods for delivery of micronutrients and an active consultative process that involves industry, academic and operational experts. Ultimately, it will provide recommendations on how to meet the nutritional needs of vulnerable populations with food aid assistance in a cost-effective manner.
While we expect that some time will be necessary to implement the recommendations, make the necessary changes in formulations, and test new products, our purpose is clear: We are committed to delivering high-quality, nutritious food assistance to people in need. As reaffirmed in the Committee on World Food Security nutrition side event last week, nutrition science has pointed the way to interventions that are basic, low-cost and effective. There is political will to scale up nutrition, align our efforts and measure our results. As Secretary Clinton has emphasized, we must use this remarkable opportunity to make a measurable impact on child hunger and malnutrition.
On a recent hot and sunny day in Port-au-Prince, Haiti, a group of military personnel from U.S. Southern Command (SOUTHCOM), staff with the U.S. Agency for International Development (USAID) and the U.S. Treasury went to Tabarre Isa camp armed with buckets of blue and white paint and paintbrushes. Their mission is to work with camp residents to paint a newly constructed police substation. The structure enables U.N. Police (UNPOL) and Haitian National Police (HNP) to have a full-time presence in the camps, and it provides crime victims, especially women and children, a safe refuge where they can report crime.
The U.S. government built police substations in six key camps in the Port-au-Prince area for people displaced by the Jan. 12 earthquake, including Ancien Aeroport Militaire, Golf del Mar 48, Acra, Tabarre Issa, Carredeaux and Corail Cesselesse, to help reduce crime in the camps, particularly gender-based violence. Originally, UNPOL was going to construct the police substations over the course of six months for $50,000. But because SOUTHCOM had extra time and resources, they completed the project in six weeks at a cost of $5,000.
In August, Louisiana National Guard Task Force Commander Col. Michael Borrel and his Task Force Kout Men had two engineer rotations working in Gonaives as part of SOUTHCOM’s New Horizons humanitarian assistance exercise. When Lt. Col. Paul Gass, an Army civil affairs officer attached to the U.S. Embassy, heard they had finished their six weeks of projected work in only four and had two extra weeks of time, he reached out to Col. Borrel with ideas for a “light-duty” project they could perform.
After examining needs in the camps, Gass and Borrel had an epiphany: Use these troops to build the substations. This would ensure a better police presence in the camps sooner.
With the agreement and cooperation of UNPOL and the HNP, they took on the project. The Louisiana Army National Guard, Task Force Kout Men and South Dakota National Guard engineers took over the design and construction of the 8-by-12-foot buildings. Once the idea was pitched, UNPOL became the voice for the HNP with input from Kevin Kennedy, the Deputy Special Representative of the Secretary-General for the U.N. Stabilization Mission in Haiti.
“This project is a shining example of how a simple design, some coordination, extra resources and commitment can result in an extremely successful project,” Lt. Col. Gass said.
In addition to the police substations in the camps, USAID worked to increase lighting in camps, especially around latrines and shower facilities. USAID has also helped form women’s support groups and provided funding for psychosocial services such as GBV referral information, legal counseling and protection coordination.
A photo slide show of the substations is on Flickr.
I have been in the Foreign Service with USAID for 24 years and currently have the honor of leading the Office of U.S. Foreign Disaster Assistance. Thursday I returned from Pakistan where I saw USAID’s team and the NGOs we support on the ground providing hope to millions of Pakistanis after the floods that devastated 20 percent of the country.
The United States Government, through USAID, requires the NGOs we fund to “brand” the assistance they provide to people in need with the Agency’s handshake logo and the words “from the American people” in local languages. Branding is not just required by law; it ensures transparency when America provides aid. We believe that the people we help have a right to know where their assistance is coming from.
In fact, many Pakistani people often criticize USAID for not being more aggressive when it comes to branding our aid. The USAID handshake is an enduring symbol of America’s support for Pakistan, well known by many who saw it as children when the Agency was a major contributor to important infrastructure projects, including dams and hydro power plants that provided millions with crucial transportation links and power. During my visit last week, Pakistani NGOs urged me to better make our efforts known to the flood-affected victims, so they are able to appreciate that no country is doing more to help them than the United States. The U.S government , through USAID is the largest overall donor in Pakistan, and it is important that we are able to communicate those efforts to the people we are helping.
At the same time, USAID is highly sensitive to the risks of branding in environments where one’s association with foreigners can turn a humanitarian worker into a target. We are in constant contact with security personnel in country; and where the security risks warrant it, we will continue to grant waivers to the branding requirement for certain areas and limited periods of time.
For example, in Pakistan today, I have granted waivers for NGOs working in the Federally Administered Tribal Areas and Khyber Pakhtunkhwa Province. But Pakistan is a vast country and not a monolith. In other parts of the country ravaged by the floods, where security has not been an issue, we continue to require branding on our aid.
Weighing the balance between carrying out our mission with transparency and ensuring the security of our workers and our NGO partners in the field is a constant challenge. We welcome the opportunity to work with all of our implementing partners to ensure that we get the balance right.
During my recent trip to Russia, I was presented with USAID/Russia’s exciting new child welfare project implemented by a first-time Russian grantee, the National Foundation for the Prevention of Cruelty to Children (NFPCC). This project, which was officially launched September 9, is very timely, as preventing child abandonment and supporting the development of family-based services for orphans are priorities for the Russian government.
Around 130 people participated last week in the official launch of USAID/Russia’s “Compass for Childhood” project. They included representatives of the Russian government, professional community, leading NGOs in child welfare and journalists writing about child welfare issues. Opened by the Russian government, the event focused on the presentation of the project’s goals and objectives to help Russian regions strengthen the system of care for vulnerable children and families. Although there has been substantial economic growth in Russia over the past decade, there were still over 126,000 children newly registered without parental care in 2009 alone. Although reforms are underway in several regions, there is still much to be done to improve the system of care nationwide and establish services to ensure children get the proper care they need and a family-based environment.
During my visit to Moscow, I was pleased to meet with NFPCC representatives, UNICEF, and representatives from other Embassies to discuss how we can work together with Russian government counterparts and civil society to support this priority area. Although we’ve worked with NFPCC for several years as a sub-grantee, I am thrilled that we’re a part of this new partnership, working directly with a Russian organization. This is a good example of the long-term work we are trying to do in Russia to build the capacity of civil society organizations such as NFPCC.