Oxfam International Blogs - cholera http://l.blogs.oxfam/en/tags/cholera en Oxfam community activists help prevent cholera after Cyclone Idai in Mozambique http://l.blogs.oxfam/en/blogs/19-04-05-oxfam-community-activists-help-prevent-cholera-after-idai-cyclone-mozambique <div class="field field-name-body"><p>In the aftermath of the Idai Cyclone In Mozambique, Oxfam and the Ministry of Health have trained more than 60 community ‘activistas’ in Mozambique to promote public health advice to help stop the spread of cholera.</p> <p><strong>Cholera is easy to treat and prevent</strong></p> <p>“The tragedy is that cholera is actually easy to treat and simple to prevent.” Dorothy Sang, Oxfam’s Humanitarian Advocacy Manager in the devastated city of Beira, said. “But, if it really [takes] hold, it will flare [up and get] out of hand and the response will be that much more costly – both in terms of lives and the resources needed to stop it. We must get clean water and decent sanitation to people and [urgently promote the fact] that simple things like soap can keep cholera at bay.”</p> <p>“We need to bring in far more supplies and fast, particularly to ensure clean water and safe waste management… the people [need to be prioritised and we need] to step up public health promotion in the heart of the affected communities.”</p> <p>She went on to say that while the international response had been good, “the overall appeal remains just 17 percent funded – incredibly low for what the UN has described as ‘one of the worst weather-related disasters in Africa.”</p> <p><img alt=" Micas Mondlane/Oxfam" title=" Micas Mondlane/Oxfam" height="826" width="1240" data-delta="4" typeof="Image" src="http://l.blogs.oxfam/sites/default/files/18104lpr-boy-wading-1240.jpg" /></p> <p><em>Jose Arnando wades through the highly contaminated waters inside Tica village. His house can only be reached through the water. Photo: Micas Mondlane/Oxfam</em></p> <p><strong>The Mozambique government is working fast to set up cholera treatement centers</strong></p> <p>Cholera treatment centers are being set up in the city of Beira, Mozambique, where the threat of a cholera epidemic is high.</p> <p>Six people have died from the acute diarrheal disease and the number of cases is soaring, now over 3,000. The government began <a href="https://www.who.int/news-room/feature-stories/detail/combating-cholera-in-mozambique" rel="nofollow">oral vaccinations for 900,000 people</a> on April 3rd.</p> <p>These vaccinations need the support of a massive community outreach campaign to help people learn how they can protect themselves against cholera.</p> <p>With the help of Oxfam supporters like you, 64 ‘activistas’ so far have been trained to reach local communities with vital health information, including what to do if they suspect family or friends are infected. We will also distribute water purification liquids.</p> <p><img alt=" Micas Mondlane/Oxfam" title=" Micas Mondlane/Oxfam" height="826" width="1240" data-delta="2" typeof="Image" src="http://l.blogs.oxfam/sites/default/files/18059lpr-felix-volunteer-lin-oxfam-1240.jpg" /></p> <p><em>Janete Luciana, is getting information on hygiene and sanitation to prevent Cholera. Volunteer Felix and supervisor Lin are handing out bottles of chlorine to disinfect contaminated water in Mozambique. Photo: Micas Mondlane/Oxfam</em></p> <p><strong>More community 'activistas' are needed to help prevent cholera now</strong></p> <p>We now need you to help us scale up this programme, and fast. To get more than 1,000 community activistas working ASAP so local communities get the health information they need in time to prevent more deaths. And so we can carry on trucking clean water, building toilet facilities and distributing water containers, buckets and soap.</p> <p><a href="https://www.oxfam.org/en/emergencies/cyclone-idai-malawi-mozambique-and-zimbabwe" rel="nofollow"><strong>Donate now to help those affected by Cyclone Idai.</strong></a></p> <p><a href="https://www.oxfam.org/en/emergencies/cyclone-idai-malawi-mozambique-and-zimbabwe" rel="nofollow"><strong></strong></a>To prevent a further health emergency, we need the international community to step up funding to organisations now on the ground to rapidly scale up the response to contain and stop the spread of the cholera.</p> <p><strong>The crisis is still unfolding</strong></p> <p>The full scale of the Cyclone Idai crisis is still unfolding. Many thousands of people are still isolated in difficult to reach areas. The scale of destruction means that reaching people is costly and requires fast and flexible funding.</p> <p>Oxfam’s Humanitarian Program Manager, Ulrich Wagner, led an assessment team by boat to Buzi, one of the hard to reach areas prioritized for the vaccination campaign.</p> <p>“What I saw there was shocking, the perfect breeding ground for cholera. Just by looking at the side of some of the buildings you could see the flood waters had come up to way above my head,” he said.</p> <p>“People were cleaning out what was left of their houses or trying to construct new shelters with any debris they could find. Toilets had been destroyed and were overflowing. We must assume all wells are contaminated but people are forced to still collect water from them. I was told that in some areas people were digging holes in the ground just to find a water source.”</p> <p><img alt=" Sergio Zimba" title=" Sergio Zimba" height="930" width="1240" data-delta="1" typeof="Image" src="http://l.blogs.oxfam/sites/default/files/116168lpr-standing-water-1240.jpg" /></p> <p><em>Survivors of Cyclone Idai in Beira, Mozambique, face water and electricity shortages and are at risk of waterborne diseases carried in contaminated flood water. Photo: Sergio Zimba/Oxfam</em></p> <p><strong>Oxfam is in Mozambique</strong></p> <p>In Mozambique, Oxfam is trucking clean drinking water to more than over 8,000 people living in displacement camps and distributing buckets and soap working as part of a collective of charities and with local partner AJOAGA.</p> <p>A crucial next step in averting health hazards is to build toilets.</p> <p>Last week (3 April), <a href="https://twitter.com/Oxfam/status/1114314776346333184" rel="nofollow">we shipped 38 tonnes of water and sanitation equipment</a> to Beira: the shipment included over a thousand pieces of building material for constructing emergency toilets, over 20 large water containers to collect and store fresh water, 10,000 smaller water containers for people to use to carry and keep water clean and safe, three desludging pumps with generators, and over a hundred tap stands.</p> <p><a rel="nofollow" href="https://www.oxfam.org/en/emergencies/cyclone-idai-malawi-mozambique-and-zimbabwe"><strong>Donate now to Oxfam's flood response</strong></a></p> <p><em><strong>Thank you for your continued support.</strong></em></p> <p><em>Top photo: Julia Pedro (right), a hygiene promotion volunteer for Oxfam. Julia’s family home collapsed and they are living with an aunt now. But still she wants to volunteer because, “these people do not know enough about dangerous diseases like cholera. I want to help them and save their children.” Julia is doing household visit and chlorine distribution in in Praia Nova, a poor area in Beira that has been hit hardest. Credit: Micas Mondlane/Oxfam</em></p> </div><div class="field field-name-title"><h2>Oxfam community activists help prevent cholera after Cyclone Idai in Mozambique</h2></div> Fri, 05 Apr 2019 14:38:26 +0000 Guest Blogger 81927 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blogs/19-04-05-oxfam-community-activists-help-prevent-cholera-after-idai-cyclone-mozambique#comments Yemen: The struggle to reach aid in the world's worst cholera outbreak http://l.blogs.oxfam/en/blogs/17-10-23-yemen-struggle-reach-aid-worlds-worst-cholera-outbreak <div class="field field-name-body"><p><em>Yemen’s cholera outbreak has killed at least 2,177 people since 27 April. The World Health Organization now estimates the number of suspected cholera cases to be over 862,000, as of 22 October, making Yemen’s outbreak the world’s worst on record. In Haiti, as of 27 September last month, the WHO had recorded 813,026 suspected cases since 2010. Oxfam Public Health Promoter, Eva Niederberger, reports back on how challenging it is to reach cholera-affected people in Yemen.</em></p><h3>The cholera outbreak is widespread</h3><p>It’s more than 45 degrees C outside and I’m listening to Sameera, a pregnant woman living in Abs city. The city is located in Hajjah governorate, North of Yemen and has been severely affected by the current cholera outbreak.</p><p>Sameera tells me about her experience when her husband got infected by cholera few weeks ago. Her husband started to vomit and suffer from diarrhea shortly after having taken his cholera-affected relative to a public hospital. He soon took Oral Rehydration Salt, essential to prevent further dehydration, but his condition continued to worsen.</p><p>“I was really worried and not sure how I could protect myself of cholera whilst taking care of my sick husband. Luckily some of Oxfam’s volunteers were there to answer my questions and advised me what to do,” she explained.</p><p>Both Sameera and her husband didn’t trust the treatment available at the public hospital and decided to go to a private clinic. A few days later, Sameera’s husband recovered but the treatment costs had worsened their already precarious financial situation: before moving to Abs, Sameera was working as a teacher in Taiz and hadn’t been paid for several months. Her husband currently has no income either.</p><p><img alt="Badriyah Abdullah, 38 years old, is surrounded by her husband and children as she fights cholera. Photo: Abs, Hajjah – Ahmed Al-Fadeel/Oxfam" title="Badriyah Abdullah, 38 years old, is surrounded by her family as she fights cholera. Photo: Abs, Hajjah – Ahmed Al-Fadeel/Oxfam" height="827" width="1240" class="media-element file-default" data-delta="1" typeof="foaf:Image" src="http://l.blogs.oxfam/sites/default/files/eva-blog2-patient-bed-1240.jpg" /></p><p><em>Badriyah Abdullah, 38 years old, is surrounded by her husband and children as she fights cholera. A dozen members of her family got infected with the disease.&nbsp;Photo: Ahmed Al-Fadeel/Oxfam, Abs health center in Hajjah</em></p><h3>The need for better awareness</h3><p><strong>Trust in the given treatment options is critical</strong> for families when they have to decide whether to send a sick family member to the hospital or not – and ultimately save lives in a cholera outbreak. Equally important are traditions, habits and access to treatment. For example, a few days later I am with our public health team in Amran governorate which has to date more than 84,000 suspected cholera cases, counting 170 deaths.</p><p>We are trying to understand better how to motivate people to provide early rehydration to sick family members and refer them to a treatment centre if the condition doesn’t improve – both very important factors to reduce and prevent further epidemic spread.</p><p>We soon figure out that in some areas people would first rely on natural remedies – in few cases this helped patients; in others it delayed effective rehydration and risked to worsen people’s condition.&nbsp;</p><p>The provision of natural treatment is something which people would often do for less severe health issues: fever, stomach pain, diarrhea or headache. Since the cholera outbreak though, an increased number of affected people are now aware of the importance of oral rehydration salt (ORS). Weam, Oxfam’s Public Health Promotion Officer, tells me that there were four cholera cases in this village and that one man has died because of it.</p><p>“Therefore people here fear to get infected by cholera and try to do as much as they can to prevent it,” she said. However, in many cases ORS is not available in the local market, or people do not have the money to pay for transportation to travel to the market in the first place.</p><p><img alt="Zaid Ameen, 3 months old, is being treated for cholera in Abs health center in Hajjah. Photo:: Al-Fadeel/Oxfam" title="Zaid Ameen, 3 months old, is being treated for cholera in Abs health center in Hajjah. Photo:: Al-Fadeel/Oxfam" height="827" width="1240" class="media-element file-default" data-delta="2" typeof="foaf:Image" src="http://l.blogs.oxfam/sites/default/files/eva-blog3-baby-1240.jpg" /></p><p><em>Zaid Ameen, 3 months old, is being treated for cholera in Abs health center in Hajjah. Photo:: Al-Fadeel/Oxfam</em></p><h3>Difficulty to access treatment</h3><p><strong></strong>In both governorates, Amran and Hajjah, we also know that more lives could have been saved if treatment could have been brought closer to affected communities. For example in Al-Wadi village, close to Khamer city in Amran, people tell me that they have to sell the few remaining assets they have, such a jewellery or traditional daggers, to take a sick family member to the treatment center. Others are getting into debt.</p><p>Already in early June 2017, when <strong>over 400 cases per day</strong> were reported at MSF’s&nbsp; treatment center in Abs, their staff told me that there was an urgent need to support the set-up of oral rehydration points where people could quickly access rehydration - and if required being then referred for further treatment. But the response has been slow, hampered by getting customs clearance for supplies from abroad, the lack of critical items in the local market, and inconsistent approval processes to move material across the country.</p><p>In addition,<strong> access to highly affected communities remains a real challenge</strong>. For example, in Haradh district most of the people have fled due to the ongoing conflict but there are still almost 50,000 people who are in need of urgent assistance. However the risk that aid distributions and other assistance will be targeted by airstrikes is too high to be able to provide direct support. This makes it very difficult to get security clearances or travel permits to the area.</p><p>In other areas, access is only granted after long negotiations with different stakeholders - and even then not consistently guaranteed. Our teams try to develop creative solutions and help as best as they can. For example they work closely with the Ministry of Health to identify community health workers who could be engaged in the cholera response. These people are then trained in an accessible location to promote preventive measures back in their communities. They are further provided with chlorine sachets to make water safe for drinking as well as testing equipment to ensure the quality of treated water.</p><h3>Ensuring clean water</h3><p><strong>Yemen is a water scarce country</strong> and the lack of access to safe water the primary infection source of the ongoing cholera outbreak.</p><p>In Bani Hassan, an IDP camp in Hajjah district, I meet with Mohammed, one of Oxfam’s volunteers. He tells me that five years ago he was already volunteering with Oxfam back in Haradh but then had to flee from the conflict. Since the cholera outbreak, one of his main tasks involves the water quality testing. “Every day I follow-up to understand whether the water delivered by the network is safe for drinking. I test the water quality of the communal tanks and also in some households.”</p><p>I ask him whether people agree that he comes to their tent for water testing. “People know me here very well and they trust me.”</p><p><img alt="Oxfam has rehabilitated water chambers and latrines in various hospitals, treatment centers and other health facilities. Photo::Omar Algunaid/Oxfam, Aden" title="Oxfam has rehabilitated water chambers and latrines in various hospitals, treatment centers and other health facilities. Photo::Omar Algunaid/Oxfam, Aden" height="827" width="1240" class="media-element file-default" data-delta="3" typeof="foaf:Image" src="http://l.blogs.oxfam/sites/default/files/eva-blog4-axfam-equipment-1240.jpg" /></p><p><em>Oxfam has rehabilitated water chambers and latrines in Al Gomhoriah Hospital in Al Mu’allaa, as well as in Diarrhea Treatment Centers and several other health facilities. Photo::Omar Algunaid/Oxfam,&nbsp; Aden</em></p><h3>Oxfam is there</h3><p>In some of those inaccessible areas people have mobile phones and there is network, and our Public Health team created a WhatsApp group with a wide network of volunteers. These volunteers often send pictures to document their activities and/or inform about new cases. Our teams check in with them on a daily basis to respond to different queries, take up the case notification to epidemiological units within the districts, and provide technical advice in line with health risks fostering the epidemic spread.</p><p>This was the third time that I travelled to Yemen to support Oxfam’s humanitarian program: in 2011 our public health program looked at the increasing rates of malnutrition resulting from the economical and political crisis and increasing poverty levels. I returned in 2015, a few months after the escalation of the conflict, working on access to water, hygiene and sanitation in Taiz - an area heavily affected by ongoing fighting, which cut off over 100,000 people from desperately needed aid.</p><p>Two years later the situation has worsened again with the world's worst cholera outbreak, on the top of a war torn country.</p><p><em>This entry posted on 23 October 2017, by Eva Niederberger, Oxfam Public Health Promotion Adviser, who spent three weeks in Yemen.</em></p><p><em><em><em>Oxfam is <a href="https://www.oxfam.org/en/emergencies/crisis-yemen" rel="nofollow">delivering essential aid</a> in both the north and south of Yemen, and since 2015 we have reached 1.2 million people across the frontlines.</em></em></em></p><p><em><em>Photo at top: Ahmed Ali sits next to his son Qassem*, 5 years old, who was already suffering from malnutrition, epilepsy, and inability to speak, and now cholera. Credit: Abs, Hajjah – Ahmed Al-Fadeel/Oxfam Yemen</em></em></p><h3>What you can do now</h3><p><strong>Donate to <a href="https://www.oxfam.org/en/emergencies/crisis-yemen" rel="nofollow">Oxfam's Yemen Crisis Appeal</a></strong></p><p><strong>Read more <a href="https://blogs.oxfam.org/en/tags/yemen">blogs on Oxfam in Yemen</a></strong></p><p><em>&nbsp;</em></p></div><div class="field field-name-title"><h2>Yemen: The struggle to reach aid in the world&#039;s worst cholera outbreak</h2></div> Mon, 23 Oct 2017 17:19:29 +0000 Eva Niederberger 81261 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blogs/17-10-23-yemen-struggle-reach-aid-worlds-worst-cholera-outbreak#comments Yemen: The story of a war-affected people, strong in the face of adversity http://l.blogs.oxfam/en/blogs/17-06-12-yemen-story-war-affected-people-strong-face-adversity <div class="field field-name-body"><p><em>A moving first-hand account of the effects of the terrible conflict Yemen has been suffering for the past few years, but a call to remain hopeful, however, that peace will arise after the war’s darkness. This entry posted by Sajjad Mohammad Sajid, Oxfam Yemen’s Country Director, on 12 June 2017.</em></p><p><strong>As the sun rises, covering the rocky mountains with a coat of gold, we are welcomed to Yemen by fishermen and dolphins jumping out of the blue water.</strong> <br><br>After a 14-hour boat journey from Djibouti, the view of Aden city in the early morning was a magical sight. At first, life in the city looked normal: road dividers were freshly painted, people were chatting while sipping red tea or having breakfast in small restaurants, youth were playing pool in the streets, and taxis were shouting to collect their passengers. However, as we moved in the city, buildings riddled with bullet holes appeared, several residential areas and hotels had their roof collapsed, and cars were waiting in long queues for petrol. <br><br>This tableau of contrasts was telling the story of Aden.<br><br>The second day after our arrival, we travelled to Lahj with the Aden team. Our conversation kept switching between the work Oxfam does in Aden and other Southern governorates, and the destruction passing before our eyes, a terrible witness of the conflict Yemen has been suffering for the past few years.</p><h3>Oxfam is there</h3><p>In such a volatile and insecure environment, <a href="https://www.oxfam.org/en/emergencies/crisis-yemen" rel="nofollow">Oxfam continues to provide</a> water, improved sanitation and basic hygiene assistance to more than 130,000 affected individuals in Lahj governorate. The team sometimes travels for more than two to three hours to reach the target location. Community engagement is thus key to deliver assistance. Our staff along with community based volunteers consults affected community as well as key leaders to identify the intervention. The affected community not only participates in water supply, sanitation and hygiene promotion activities, but also works closely with host communities to ensure that social harmony is maintained. &nbsp;<br><br>In Lahj, the focus is to rebuild the water supply system to help both displaced persons as well as local communities, and Oxfam works with the local water and sanitation authority to ensure the sustainability and viability of the rehabilitated system. Displaced people in these areas used to collect water only once in a week because of the long distances they had to walk to reach the wells. Now, both IDPs (Internally Displaced Persons) and host communities can access water on daily basis.</p><p>Meeting community members made clear that war has impacted everyone, and they all share their grief and pain and support each other. The strong bonding between displaced people and host communities despite their high level of hardship also indicates that Yemeni people have come a long way through several wars and conflict and are therefore more resilient.</p><p><img alt="Water tank built by Oxfam in Al-Jalilah village, in Al-Dhale governorate. Credit: Omar Algunaid/Oxfam, March 2017" title="Water tank built by Oxfam in Al-Jalilah village, in Al-Dhale governorate. Credit: Omar Algunaid/Oxfam, March 2017" height="680" width="1240" class="media-element file-default" data-delta="1" typeof="foaf:Image" src="http://l.blogs.oxfam/sites/default/files/img_4753-water-tower-1240.jpg" /></p><h3>Hunger is rampant</h3><p>The impact of war and conflict in Aden and surrounding governorates is very high. More than two million people were affected since the beginning of the crisis. Food insecurity in Lahj, Abyan and Al Dhale is rising and remain among the governorates in Yemen with high food assistance need. <br><br>The tragedy and suffering of Abdullah, a 70-year-old man who had to flee Abyan during the peak of the war, speaks for itself. However, he does believe that peace will return back to Yemen, but to survive, he had to mortgage his pension card to feed his family. There are many invisible people like him who probably would like to see peace come back to Yemen so their impoverished lives can improve.</p><h3>Displacement crisis</h3><p>Tough host communities initially provided spaces to displaced persons, but in addition now, displaced people have started settling down in barren land areas on their own. Those who managed to return back to their original location are now severely impacted by a cholera outbreak. Lack of provision of salaries to government employees have further added burden to the households who host displaced families. Water, food assistance and healthcare remain the top three priorities. Hardship has reached to a threshold where affected people are willing to mortgage anything and everything they can. Basic services and utilities including water, education and health have been halted to a greater extent and therefore increasing stress on affected communities.</p><p></p><p><img alt="Oxfam Yemen Country Director, Sajjad Mohammad Sajid, visits the pumping room in Al-Roweed village, as part of the water project Oxfam implemented in the area. Credit: Omar Algunaid/Oxfam" title="Oxfam Yemen Country Director, Sajjad Mohammad Sajid, visits the pumping room in Al-Roweed village, as part of the water project Oxfam implemented in the area. Credit: Omar Algunaid/Oxfam" height="680" width="1240" class="media-element file-default" data-delta="2" typeof="foaf:Image" src="http://l.blogs.oxfam/sites/default/files/sajid-roweed-1240.jpg" /></p><h3>Fighting cholera</h3><p>Saleema* is community health volunteer who works with Oxfam and is a true agent for change. She raises awareness with the affected communities on the importance of clean and safe water.&nbsp; She visits houses and speaks to women, elders and young girls to ensure key health messages are understood and applied. Increasing numbers of youth, such as Saleema, support affected communities to rebuild their lives and to help build social cohesion.&nbsp;</p><p>Last year when a <a href="https://www.google.co.uk/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=6&amp;cad=rja&amp;uact=8&amp;ved=0ahUKEwjk0Pjcv8LUAhXmAMAKHau4B4wQFghUMAU&amp;url=http%3A%2F%2Fwww.bbc.co.uk%2Fnews%2Fworld-middle-east-40200017&amp;usg=AFQjCNFsabtoiG2t_57FBhuqIWm2Cx3Hyw&amp;sig2=jtJ9O0LotgG8yGKOyleoLg" rel="nofollow">cholera outbreak</a> was declared in Yemen, Aden was one of the governorates among others like Al-Hudaydah where most suspected cases were registered.</p><h3>Resilience in the face of darkness</h3><p>As we returned from Lahj, the smell and taste of Mindi (local chicken meal with rice) and mouth watering local paratha (wheat based chapati) reminded us that that Yemeni people’s resilience had also stood strong in the face of adversity.</p><p>As the Apollo boat finally departed Aden after sunset, with the noise of waves gushing in and the dark smudging in, we remembered that a beautiful sunrise would welcome us upon arrival, in a similar way that humanitarian needs in Aden and surrounding governorates continue to grow. We remain hopeful, however, that peace will arise after the war’s darkness.</p><p><em>This entry posted by Sajjad Mohammad Sajid, <a href="https://twitter.com/oxfamyemen" rel="nofollow">Oxfam Yemen</a>’s Country Director, on 12 June 2017.</em><br><em>*Name changed to protect identity.</em></p><p><em>Yemen is in the grip of a runaway cholera epidemic that is killing one person nearly every hour and if not contained will threaten the lives of thousands of people in the coming months. We're calling for a massive aid effort and an immediate ceasefire to allow health and aid workers to tackle the outbreak.</em></p><p><em><a href="https://www.oxfam.org/en/emergencies/crisis-yemen" rel="nofollow"><strong>Please donate to Oxfam's Yemen Appeal</strong></a><br></em></p><p><em><strong><a href="https://blogs.oxfam.org/en/search/node/yemen">Read more blogs on Yemen</a><br></strong></em></p><p><em>Photos:<br></em></p><ul><li><em>Ghodrah and Taqeyah fill their jerrycans from the Oxfam water distribution point in Al-Dukm village, Lahj governorate. Credit: Omar Algunaid/Oxfam, April 2017</em></li><li><em>Water tank built by Oxfam in Al-Jalilah village, in Al-Dhale governorate. Credit: Omar Algunaid/Oxfam, March 2017</em></li><li><em>Oxfam Yemen Country Director, Sajjad Mohammad Sajid, visits the pumping room in Al-Roweed village, as part of the water project Oxfam implemented in the area. Also there, Al-Melah district Manager and members of the water management committee. Credit: Omar Algunaid/Oxfam, February 2017</em></li></ul></div><div class="field field-name-title"><h2>Yemen: The story of a war-affected people, strong in the face of adversity</h2></div> Mon, 12 Jun 2017 13:07:42 +0000 Guest Blogger 81103 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blogs/17-06-12-yemen-story-war-affected-people-strong-face-adversity#comments Des téléphones mobiles face au choléra dans les régions reculées de Somalie http://l.blogs.oxfam/en/node/10070 <div class="field field-name-body"><p><strong>En Somalie, l’un des endroits les plus dangereux et compliqués pour les organisations humanitaires, les conflits ont isolé bon nombre de communautés. Les téléphones mobiles offrent une solution innovante dans la formation de ces communautés en matière de soins de santé.</strong></p> <p>Oxfam et son partenaire Hijra ont lancé un projet pilote afin de fournir des informations de santé publique via les téléphones mobiles. Et ce en concordance avec la période de pic des cas de choléra, moment où les familles de réfugiés vivant dans les camps bondés de Mogadiscio sont les plus vulnérables. Malgré les nombreux défis qui se présentent en Somalie, la couverture du réseau est bonne et les téléphones sont bon marché. De nombreux Somaliens utilisent d’ailleurs les téléphones pour recueillir l’argent que leur envoient leurs proches depuis l’étranger.</p> <p><strong>Un centre de messagerie a été mis en place dans les bureaux d’<a href="http://www.hijra.or.ke/" target="_blank" rel="nofollow">Hijra</a></strong>, ce qui permert d’envoyer 10 000 messages par heure – du moins, temps qu’il y a du courant. Le message peut être lu par n’importe quel téléphone. 10 000 personnes ont ainsi pris part au projet et ont reçu cinq « séries » de messages à propos du contrôle et de la prévention du choléra. </p> <p>Une évaluation récente de cette première phase de test révèle un impact important sur les jeunes, qui sont les plus à même de maîtriser les nouvelles technologies. Les jeunes ont parlé du projet à l’école et trouvaient  « cool » d’être impliqués et d’en apprendre sur le choléra de cette manière. Ensuite, l’effet de groupe a permis d’impliquer d’autres jeunes dans le projet.</p> <h3>Un logiciel facilement adaptable à d'autres besoins</h3> <p>Les principaux investissements ont été la mise sur pied de la plateforme et la création du logiciel. Mais ce dernier peut être modifié et adapté au contexte, à la langue locale ou au sujet sans faire appel à un expert IT. Ainsi, le staff local est en mesure de s’en occuper seul. Une série coûte environ 60 cents. Bien que de nombreuses personnes possèdent un téléphone mobile, elles n’ont pas toutes du crédit, c’est pourquoi les utilisateurs ont été réapprovisionnés d’1 dollar. Comme pour toute campagne de santé publique classique (où le personnel et les volontaires vont à la rencontre des communautés), l’approche est interactive et permet aux gens de renvoyer leurs questions directement au staff.</p> <p><strong>En général, l’évaluation par les participants a été très positive.</strong> A la différence de ce qui se passe dans les campagnes de santé publique classiques, les gens ont affirmé apprécier le fait de pouvoir conserver les messages et de pouvoir les consulter quand cela les arrange – particulièrement les femmes qui doivent souvent rester à la maison pour s’occuper des enfants.</p> <h3>« Un atelier de formation à domicile »</h3> <p>Quelqu’un a même déclaré qu’il avait « l’impression d’avoir un atelier de formation à domicile ». De plus, les gens se souviennent plus facilement des messages que des bulletins d’information à la radio (qui ne peuvent pas être conservés) ou des affiches.</p> <p>Un père de famille a expliqué comment il a concocté un complément de réhydratation orale pour son enfant malade en se basant sur les messages qu’il avait reçus. De son côté, une dame a voulu utiliser de la chlorine mais ne se souvenait plus du dosage. Le message conservé lui a permis d’en être certaine.</p> <p><strong>De nombreuses recommandations doivent être prises en compte :</strong></p> <ul><li>Les jeunes ont fait savoir qu’ils aimeraient recevoir des informations « personnalisées »  sur le VIH-Sida et en matière d’éducation sexuelle, de même qu’ils aimeraient avoir des « chansons médicales » téléchargeables en lieu et place de leurs sonneries.</li> <li>D’autres suggestions concernaient l’utilisation de ticket électronique (« e-voucher ») pour les distributions d’aide, et la possibilité d’envoyer des commentaires et remarques par téléphone pour aider à améliorer ce service et dans un souci de transparence vis-à-vis des bénéficiaires  </li> <li>Alors que les jeunes préfèrent recevoir des messages par écrit, les générations plus anciennes – principalement les femmes- préfèrent la voie orale, donc une composante vocale des messages a aussi été demandée.</li> </ul><h3>De nouvelles perspectives s'ouvrent</h3> <p>Les téléphones mobiles ne sont pas en soi la panacée, mais leur utilisation en combinaison avec des méthodes plus traditionnelles a prouvé son efficacité. La promotion traditionnelle de la santé publique est certes plus participative mais les jeunes s’adonnent de plus en plus aux nouvelles technologies, et, dans les régions plus difficiles d’accès, cette plateforme de téléphonie mobile offre de nouvelles perspectives pour Oxfam dans son soutien aux communautés.</p> <p>Une deuxième phase du projet est actuellement en cours et concerne une nouvelle plateforme de téléphonie mobile dédiée aux programmes d’approvisionnement en eau, de santé publique et d’hygiène (WASH) et qui permettra de procéder à des évaluations rapides, de distribuer des articles non alimentaires, de mener des campagnes d’information à destination de communautés et d’en assurer le suivi.</p> <h3>En savoir plus</h3> <p><a href="http://www.oxfam.org/fr/emergencies/somalia" rel="nofollow"></a><strong><a href="http://www.oxfam.org/fr/emergencies/somalia" rel="nofollow">L'action d'Oxfam face à la crise alimentaire et au conflit en Somalie </a></strong></p> <p><a href="http://www.oxfam.org/fr/somalie" rel="nofollow"></a><strong><a href="http://www.oxfam.org/fr/somalie" rel="nofollow">Le travail d'Oxfam en Somalie</a></strong></p></div><div class="field field-name-title"><h2>Des téléphones mobiles face au choléra dans les régions reculées de Somalie</h2></div><ul class="links inline"><li class="translation_en first"><a href="http://l.blogs.oxfam/en/blogs/12-11-13-mobile-phones-help-tackle-cholera-somalia" title="Mobile phones help tackle cholera in inaccessible parts of Somalia" class="translation-link" xml:lang="en">English</a></li> <li class="translation_es last"><a href="http://l.blogs.oxfam/es/blogs/12-11-30-los-telefonos-moviles-ayudan-combatir-el-colera-en-partes-inaccesibles-de-somalia" title="Los teléfonos móviles ayudan a combatir el cólera en zonas inaccesibles de Somalia" class="translation-link" xml:lang="es">Español</a></li> </ul> Fri, 23 Nov 2012 18:25:03 +0000 Jesse Kinyanjui 10070 at http://l.blogs.oxfam http://l.blogs.oxfam/en/node/10070#comments DRC: Promoting hygiene behind the (prison) walls http://l.blogs.oxfam/en/blogs/12-05-23-drc-hygiene-behind-prison-walls <div class="field field-name-body"><p><strong>I’ve often had to document Oxfam’s hygiene promotion activities in communities, schools, markets and other public places. But never a prison. Until now.</strong></p> <p><a href="http://maps.google.com/maps?f=q&amp;source=embed&amp;hl=en&amp;geocode=&amp;q=Bunia,+Ituri,+Democratic+Republic+of+the+Congo&amp;aq=0&amp;oq=bunia&amp;sll=37.0625,-95.677068&amp;sspn=35.494074,86.396484&amp;ie=UTF8&amp;hq=&amp;hnear=Bunia,+Ituri,+Democratic+Republic+of+the+Congo&amp;t=p&amp;ll=-1.406109,25.048828&amp;spn=26.129953,26.279297&amp;z=4" rel="nofollow">View Larger Map</a> </p><p>In Bunia town, Ituri district, in Congo’s Orientale Province, Oxfam’s health and emergency response teams have been tackling a serious cholera outbreak. We’ve been working with a local water provider, Ngongo, to try improve water supply to sections of the town.</p> <p>In Bunia, however, only half of all neighborhoods receive any treated water and the amount per person is only about a quarter of what humanitarian agencies normally say are acceptable levels.</p> <h3>Cholera outbreak</h3> <p>According to a <strong><a href="http://www.un.org/apps/news/story.asp?NewsID=37850&amp;Cr=dr+congo&amp;Cr1" rel="nofollow">UN report</a></strong> last year, an estimated 51 million people, or three quarters of the population in Congo, have no access to safe drinking water.</p> <p>During the current cholera outbreak in Ituri district, more than 2,000 cases have been reported and 56 cholera deaths have been confirmed. Oxfam has set up two large water treatment units; treating water from the city’s Ngezi river with aluminum sulphate and then chlorinating it so that it’s safe to use.</p> <p>The water treatment means we can provide an extra 180 cubic meters of water a day, helping more than 40,000 people receive clean water.</p> <h3>A prison with no beds</h3> Bunia prison. Photo: Caroline Gluck/Oxfam <p><strong>Recently, reports surfaced of a possible cholera outbreak in Bunia’s Central Prison prompting Oxfam to begin work there too.</strong> We began providing water and installing hand washing facilities at the request of the International Committee of the Red Cross which had been working in the prison, while other arrangements were made for the water to be trucked twice a day from our water treatment center. Oxfam staff are also carrying out hygiene promotion activities at the prison.</p> <p>It was an eye-opening visit. The prison is severely over-crowded. Built for 200 inmates, it currently houses over a thousand; mostly men, although there are also separate compounds for minors and women. Before our intervention, the prison received just 1,000 liters of piped water a day, barely a liter per person for drinking, cooking and washing.</p> Overcrowding is a big problem in the prison. Photo: Caroline Gluck/Oxfam <p><strong>There are no beds and only a few dark, unlit and unfurnished bare-floor rooms that are crammed with people.</strong> Most inmates normally have to sleep outside in the prison courtyard because of lack of space. But heavy rain the night before my visit forced prisoners to get shelter where they could – some even slept in the toilets to stay dry.</p> <p><strong>It’s easy to see how disease could spread like wildfire here.</strong> People tightly packed together with poor sanitation facilities, including maggots in the toilets, while the number of toilets is woefully insufficient for the large number of people, and there was not enough water for drinking, washing or cooking. The scarcity of water meant most prisoners were only able to wash once a week.</p> <h3>Hygiene in an overcrowded prison</h3> <p>I watched as public health promotion team leader, Emilie Bhania, spoke to a large group of male prisoners who’d gathered for our visit. She spoke about good hygiene and the importance of hand washing. The prisoners listened attentively and asked questions. Many raised problems that they were still facing due to overcrowding and sanitation.</p> <p>Later, several told me disease was rampant. There had been cases of typhoid; and many inmates had serious respiratory illnesses and skin diseases. I was told matter-of-factly that several prisoners had died and that cholera was not the cause. Inmates said they were very happy that Oxfam was now helping and that it had made their difficult conditions a bit better.</p> <p><strong>Cholera has become endemic in eastern Congo.</strong> Last year, an estimated 22,000 cases and 600 deaths were reported. Oxfam’s work in areas like Bunia has made a difference. But it's clear that huge problems remain. People might understand and know what they need to do to prevent cholera, but unless they have access to the basics, things like clean water and soap, it's still going to be very difficult to keep cholera at bay in the future.</p> <h3>Read more</h3> <p><strong><a href="http://www.oxfam.org/drc" rel="nofollow">Oxfam's work in the Democratic Republic of Congo (DRC)</a></strong></p> <p><strong><a href="http://www.oxfam.org/en/development/drcongo/oxfams-work-eastern-democratic-republic-congo" rel="nofollow">Photos: Oxfam's working in eastern DRC</a></strong></p> <p><strong><strong><strong>Update: Oxfam briefing:</strong> <strong><a href="http://www.oxfam.org/sites/www.oxfam.org/files/oxfam-lobby-briefing-drc-july2012-for-me-but-without-me.pdf" rel="nofollow">"For me, but without me, is against me": Why efforts to stabilize the Democratic Republic of Congo are not working</a></strong> (July 2012, pdf 957kb)</strong></strong></p></div><div class="field field-name-title"><h2>DRC: Promoting hygiene behind the (prison) walls</h2></div><ul class="links inline"><li class="translation_es first last"><a href="http://l.blogs.oxfam/es/blogs/12-05-25-rdc-tras-las-rejas-de-una-prision" title="RDC: Tras las rejas (de una prisión)" class="translation-link" xml:lang="es">Español</a></li> </ul> Wed, 23 May 2012 16:30:42 +0000 Caroline Gluck 9945 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blogs/12-05-23-drc-hygiene-behind-prison-walls#comments Haïti : Oxfam forme des équipes et transfert progressivement la gestion de l’approvisionnement en eau http://l.blogs.oxfam/en/node/9431 <div class="field field-name-body"><p><strong>Pour Oxfam et les centaines de milliers de victimes du séisme résidant dans les camps éparpillés à travers Port-au-Prince, la capitale haïtienne, la phase de transition et de transfert de responsabilité à des comités locaux a commencé.</strong></p> <p>Depuis plus d’un an, Oxfam fournit de l’eau chlorée (jusqu’à 300 millions de litres par mois) pour aider à prévenir les maladies en s’assurant que les individus aient accès à une source d’eau saine et fiable pour boire et cuisiner.</p> <p>Mais depuis la mi-février, l’organisation a commencé à transférer cette responsabilité, de même que celle de la collecte des déchets solides, aux <strong>comités des camps qui ont été formés pour superviser la gestion de la vente d’eau, de la chloration et des déchets solides.</strong> L’objectif est de donner aux individus les moyens de contrôler l’eau, ce qui signifie également de payer pour son usage.</p> <p>Avant le séisme de janvier 2010, un grand nombre d’individus devaient payer leur eau. Le coût moyen d’une bonbonne de 20 litres était de 12 cents. L’année dernière, au mois de juin, la Direction nationale de l’eau potable et de l’assainissement (Dinepa) a demandé aux organismes d’aide tels Oxfam d’essayer de <strong>trouver d’autres solutions, plus durables, à l’approvisionnement en eau</strong>, qui était alors transportée par camion et distribuée gratuitement. La Dinepa pense que, si les organismes d’aide continuent de fournir gratuitement de l’eau, elle ne sera pas en mesure de construire un système permanent.</p> <p>En réponse à la demande de la Dinepa, Oxfam va un peu plus loin pour s’assurer que cette transition s’accompagne d’avantages pour les résidents : les 12 cents facturés pour chaque bonbonne de 20 litres couvrent également la collecte des déchets solides deux fois par semaine dans les camps où travaille Oxfam.</p> <p><strong>Oxfam ne va pas quitter les camps pour autant.</strong> Alors que les communautés prennent la responsabilité de leurs services d’eau et d’assainissement, Oxfam déploiera <strong>une équipe de spécialistes dont la mission sera d’examiner et d’entretenir les infrastructures</strong> - les conduites d’eau, les robinets - et s’assurer de la qualité des services dans les camps. Oxfam continuera également de vidanger les latrines.</p> <p>Et l’équipe mobile aura la capacité d’<strong>intervenir en cas de nouvelle épidémie</strong> dans les zones où Oxfam est en activité. Au cours de l’<strong><a href="http://blogs.oxfam.org/fr/blog/11-01-18-lutte-contre-cholera-haiti-prevention-peur-dissipe" title="Grâce à la prévention, la peur du choléra se dissipe à Haïti">épidémie récente de choléra</a></strong>, peu de cas ont été signalés dans les camps où Oxfam était présent - un signe que ses efforts de promotion de l’hygiène ont porté leurs fruits.</p> <h3>En savoir plus</h3> <p><strong>&gt; <a href="http://www.oxfam.org/fr/haiti-seisme" target="_blank" title="Oxfam face aux conséquences du séisme à Haïti" rel="nofollow">L'intervention d'Oxfam à Haïti</a></strong> </p> <p><strong>&gt; <a href="http://www.oxfam.org/fr/emergencies/haiti-seisme/oxfam-mobilisee-pour-repondre-epidemie-cholera" target="_blank" title="Oxfam mobilisé face à l'épidémie de choléra à Haïti " rel="nofollow">Oxfam mobilisé pour faire face à l'épidémie de choléra à Haïti</a></strong></p></div><div class="field field-name-title"><h2>Haïti : Oxfam forme des équipes et transfert progressivement la gestion de l’approvisionnement en eau</h2></div><ul class="links inline"><li class="translation_es first"><a href="http://l.blogs.oxfam/es/blog/11-03-25-haiti-oxfam-forma-diferentes-equipos-locales-y-les-transfiere-la-gestion-del-suministr" title="Haití: Oxfam forma a diferentes equipos locales y les transfiere la gestión del suministro de agua" class="translation-link" xml:lang="es">Español</a></li> <li class="translation_en last"><a href="http://l.blogs.oxfam/en/blog/11-03-24-haiti-oxfam-trains-teams-manage-water-delivery" title="Haiti: Oxfam trains camp residents to manage water delivery" class="translation-link" xml:lang="en">English</a></li> </ul> Thu, 24 Mar 2011 13:27:08 +0000 Coco McCabe 9431 at http://l.blogs.oxfam http://l.blogs.oxfam/en/node/9431#comments Haiti: Oxfam trains camp residents to manage water delivery http://l.blogs.oxfam/en/blog/11-03-24-haiti-oxfam-trains-teams-manage-water-delivery <div class="field field-name-body"><h4>In the camps where Oxfam works in Port-au-Prince, displaced people are beginning to pay for their own water </h4> <p>For the hundreds of thousands of earthquake survivors Oxfam has been working with in camps scattered across the Haitian capital of Port-au-Prince, now is a time of transition.</p> <p>For more than a year, Oxfam has been providing free chlorinated water – up to 79 million gallons a month – to help prevent the spread of disease by ensuring people had a clean and reliable source for drinking and cooking.</p> <p>But since mid-February, <strong>Oxfam has begun to hand over that responsibility</strong> – along with the collection of solid waste – to camp committees trained in overseeing  water sales, chlorination, and solid waste management. The goal is to empower people to take control of the resource, which also means paying for its use.</p> <h3>A more permanent water distribution system</h3> <p>Before the January 2010 earthquake, many people paid for their water. The average cost of a five-gallon jug was about 12 cents. In June of last year, the national water authority – <a href="http://www.dinepa.gouv.ht/" rel="nofollow"><strong>DINEPA</strong></a>, or Direction Nationale de l'Eau Potable et de l'Assainissement – asked aid groups like Oxfam to try and <strong>find a more sustainable solution to the water supply than <a href="http://www.youtube.com/watch?v=cZ0ZNuYA2Zc" rel="nofollow">trucking it in for free</a></strong>. DINEPA maintains that if aid organizations continue to provide free water, the authority will not be able to build a permanent system.</p> <p>In supporting DINEPA’s request, Oxfam is also going a step further and ensuring that this transition includes extra benefits for residents: the 12 cents charged for every five-gallon jug includes a fee that will cover the collection of solid waste twice a week in the camps where Oxfam works. </p> <h3>Oxfam is not leaving the camps</h3> <p><strong></strong>As communities assume responsibility for their water and sanitation services, <strong>Oxfam will deploy a mobile team of water experts</strong> whose job will be to monitor and maintain the infrastructure – the water lines, the taps – and guarantee the quality of services in the camps. Oxfam will also continue to de-sludge the latrines. And the mobile team will have the ability to intervene if there are new outbreaks of disease in the areas in which Oxfam works. During the <strong><a href="http://blogs.oxfam.org/en/blog/11-01-18-thanks-prevention-fear-cholera-dissipating-haiti" title="Thanks to prevention, fear of cholera is dissipating in Haiti">recent cholera outbreak</a></strong>, there have been few cases of the deadly waterborne disease in the camps where Oxfam has been present – an indication that its hygiene promotion efforts have been effective.</p> <h3>Read more</h3> <p><strong>&gt; <a href="http://www.oxfam.org/en/haitiquake" target="_blank" title="Oxfam's work in Haiti" rel="nofollow">Oxfam's humanitarian response in Haiti</a></strong></p></div><div class="field field-name-title"><h2>Haiti: Oxfam trains camp residents to manage water delivery</h2></div><ul class="links inline"><li class="translation_es first"><a href="http://l.blogs.oxfam/es/blog/11-03-25-haiti-oxfam-forma-diferentes-equipos-locales-y-les-transfiere-la-gestion-del-suministr" title="Haití: Oxfam forma a diferentes equipos locales y les transfiere la gestión del suministro de agua" class="translation-link" xml:lang="es">Español</a></li> <li class="translation_fr last"><a href="http://l.blogs.oxfam/fr/blog/11-03-24-haiti-equipes-formation-transfert-gestion-approvisionnement-eau-transition-reconstruction" title="Haïti : Oxfam forme des équipes et transfert progressivement la gestion de l’approvisionnement en eau" class="translation-link" xml:lang="fr">Français</a></li> </ul> Thu, 24 Mar 2011 11:01:31 +0000 Coco McCabe 9430 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blog/11-03-24-haiti-oxfam-trains-teams-manage-water-delivery#comments Des toilettes en dur au camp Corail, à Haïti : un signe de transition http://l.blogs.oxfam/en/node/9427 <div class="field field-name-body"><p><strong>Je quitte rarement mon bureau. Bien que je travaille dans le cadre de notre intervention à la suite du tremblement de terre et de l’épidémie de choléra à Port-au-Prince à Haïti, ma mission en tant que chargé de la gestion des finances me retient au bureau.</strong> </p> <p>Cependant, je saisis toujours les occasions d’aller voir les résultats du travail de mes collègues. Cela m’aide vraiment à <strong>faire le lien entre les piles de contrats et de documents de paiement sur mon bureau et la réalité du terrain</strong>. Quand John Kanani, ingénieur en santé publique, m’a dit qu’il allait faire une réunion avec des maçons au camp Corail, situé au nord de la ville, je lui ai donc demandé si je pouvais l’accompagner.</p> <p>Le camp Corail a vu le jour à la suite du tremblement de terre de janvier 2010. <strong>Oxfam est chargé de fournir de l’eau potable et des installations sanitaires</strong> dans deux parties du camp. Les toilettes temporaires et les sanitaires qu’Oxfam a installés à l’ouverture du camp doivent aujourd’hui être remplacés par des infrastructures plus durables. De nombreux maçons et autres travailleurs qualifiés sont disponibles pour ce type de travail. Oxfam tient à s’assurer que nos maîtres d’œuvre emploient des personnes locales. De cette façon,<strong> nous fournissons à la fois des services essentiels et une source de revenus</strong>. </p> <p>Le trajet du bureau au camp Corail contourne le centre de Port-au-Prince. La banlieue chaotique déborde d’activité. Il y a des murs couverts de peintures colorées, des bus "tap tap" décorés de façon élaborée, des écoliers et des écolières bien habillé-e-s et des étals bien approvisionnés. A cette distance du centre de la ville, les seuls indices du tremblement de terre sont les tas de débris que l’on aperçoit de temps à autre. </p> <p></p> <p><strong>Le camp Corail, c’est autre chose. Des rangées de maisons qui ressemblent à des boîtes sont soigneusement organisées</strong> avec en toile de fond la chaîne des Matheux. C’est une réelle amélioration comparée aux tentes des débuts. Beaucoup de celles-ci parsèment aujourd’hui les collines environnantes au fur et à mesure que de nouvelles personnes affluent. On aperçoit peu de monde aux environs et la seule couleur dans le paysage est le bleu éclatant du ciel. Nous garons la voiture à côté d’une école fraîchement construite. Le sol est dur comme de la pierre. Le soleil brille tellement qu’il éblouit presque. La poussière est partout. </p> <p>Nous sommes accueillis par Barbara Dorcé, l’ingénieure en santé publique d’Oxfam dans le camp. Elle va mener les activités de la matinée. Des gens commencent à faire leur apparition. Finalement, environ soixante hommes se pressent sous la tente, profitant autant que possible de la seule ombre disponible. D’autres, y compris la police du camp, se faufilent dans la foule pour voir ce qu’il se passe. John veut savoir si les personnes présentes sont toutes maçons.</p> <p><strong>Chaque personne montre ses mains abîmées et poussiéreuses,</strong> exhibant fièrement ses durillons. Beaucoup hochent vigoureusement de la tête quand on leur demande s’ils ont des outils fournis par Oxfam dans le cadre de l’initiative pour des moyens de subsistance durables. Quelques-uns ont même leurs outils avec eux. John expose brièvement les plans de construction et demande aux personnes présentes de former des équipes. Le but de cette réunion est que ces équipes soient recrutées par les maîtres d’œuvre. L’équipe la plus performante décrochera alors un contrat. </p> <p>La réunion se fait au son des machines des sites de construction voisins. <strong>Le camp abrite déjà plus de 9 000 personnes et continue de s’agrandir.</strong> Après la réunion, John me montre quelques-uns des travaux les plus durables : des blocs de toilettes, chaque cabinet étant associé à un groupe de familles et disposant d’un verrou, des éclairages de sécurité fonctionnant à l’énergie solaire, des rampes permettant l’accès aux personnes handicapées et des barils de pétrole adaptés pour contenir de l’eau pour se laver les mains. Ces barils ont une importance toute particulière avec la menace du choléra.  </p> <p>Haïti reste paralysé politiquement. Le processus électoral a commencé il y a des mois et a été source d’incertitude et de perturbation pour toute la population. Dans le même temps, <strong>des centaines de milliers de personnes restent dépendantes des abris et des services provisoires</strong>. Il me semble malheureusement que ces camps commencent à devenir permanents. Les résidents s’installent en effet dans les camps et ne voient pas d’alternative. </p> <p> </p> <p> </p> <p>Les espoirs sont maintenant tournés vers les résultats des élections pour la présidence [qui ont eu lieu le 20 mars 2011]. Toutes et tous espèrent que cela relancera les efforts de reconstruction. Oxfam, ainsi que d’autres organisations internationales, continuent d’apporter leur soutien aux camps en cette période difficile. Malgré les nouvelles peu réjouissantes, <strong>ma visite au camp Corail m’a montré que nous apportons toujours un soutien concret</strong> aux personnes qui ont perdu leur logement lors du tremblement de terre. </p> <p> </p> <p> </p> <p>A l’entrée du camp, deux tentes ont été converties en un restaurant de fortune. L’entrepreneuriat commence à se développer dans le camp. Nous nous arrêtons rapidement pour manger du poulet en sauce avec du riz, puis nous rejoignons Port-au-Prince où je me remets au travail.</p> <p>En savoir plus</p> <p><strong>&gt; Lire le rapport : <a href="http://www.oxfam.org/fr/policy/haiti-aide-reconstruction_110106" target="_blank" title=" de l'urgence au relèvement - Soutenir la bonne gouvernance en Haïti après le séisme" rel="nofollow">Haïti : de l’urgence au relèvement – Soutenir la bonne gouvernance en Haïti après le séisme</a></strong> - Les recommandations d'Oxfam pour la reconstruction de Haïti</p> <p><strong>&gt; En images : <a href="http://www.oxfam.org/fr/emergencies/un-apres-tremblement-terre-haiti-photos" target="_blank" title="Un an après le tremblement de terre à Haïti, en images" rel="nofollow">La première année de travail d’Oxfam après le séisme à Haïti</a></strong></p> <p><strong>&gt; </strong><strong><a href="http://www.oxfam.org/fr/policy/rapport-avancement-haiti-2010" target="_blank" title="Rapport d'avancement 2010 d'Oxfam à Haïti" rel="nofollow"> Rapport d'avancement 2010 d'Oxfam à Haïti</a></strong></p></div><div class="field field-name-title"><h2>Des toilettes en dur au camp Corail, à Haïti : un signe de transition</h2></div><ul class="links inline"><li class="translation_en first last"><a href="http://l.blogs.oxfam/en/blog/11-03-21-latrines-corail-haiti-transition" title="Latrines in Corail camp, Haiti: a sign of transition" class="translation-link" xml:lang="en">English</a></li> </ul> Mon, 21 Mar 2011 13:06:05 +0000 Richard Atkinson 9427 at http://l.blogs.oxfam http://l.blogs.oxfam/en/node/9427#comments Thanks to prevention, fear of cholera is dissipating in Haiti http://l.blogs.oxfam/en/blog/11-01-18-thanks-prevention-fear-cholera-dissipating-haiti <div class="field field-name-body"><p><em>Since the <strong><a href="http://www.scientificamerican.com/article.cfm?id=cholera-outbreak-haiti&amp;print=true" rel="nofollow">first cases of cholera appeared</a></strong> in Haiti in October 2010, Oxfam has taken specific action to prevent the disease. We have reached more than 700,000 Haitians with sanitation and hygiene promotion programs since</em><em>. Sophie Martin Simpson, Oxfam’s Monitoring and Evaluation Officer in Haiti, explains what Oxfam and local communities have achieved.</em><strong></strong></p> <p><strong>It is my job</strong> to support our teams to make sure we are monitoring the progress of our activities and assessing what impact and positive changes our work is making in people’s lives in Haiti. Crucially, this involves gaining feedback on the quality and usefulness of the services we are delivering from the very people we are delivering them to – namely Haitians who have been affected by the earthquake, and more recently, communities hit the hardest by the spreading cholera outbreak.</p> <p>By listening to what these people have to say, we are able to learn, maintain quality and improve Oxfam’s work in Haiti to ensure maximum positive change in people’s lives.</p> <h3>Monitoring Oxfam's cholera response</h3> <p>Such information is vital to ensure our <strong><a href="http://www.oxfam.org/en/emergencies/haiti-earthquake/cholera-outbreak-response" rel="nofollow">cholera response program</a></strong> continues to deliver the key essential services and activities needed to make sure people have the knowledge and resources to protect themselves from cholera. Gathering this type of information, monitoring the success of our activities, and gaining an understanding about what changes they are making to people’s lives will help to achieve the ultimate goal of Oxfam’s cholera response program: to prevent the spread and reduce the number of cases of cholera being reported in the communities hardest hit by the outbreaks.</p> <p><strong>I have recently returned from two days with our cholera response team</strong> in the region of <strong><a href="http://blogs.oxfam.org/en/blog/10-10-27-haiti-cholera-outbreak-disease-cant-beat-us">Petite Rivière in Artibonite</a></strong>. I was there to support our team to collect information from the local population about existing water sources, access to basic hygiene facilities such as showers and latrines and knowledge about cholera and cholera prevention. The first cases of cholera were reported in Artibonite in October and the region continues to be one of the worst hit by the outbreak. As such, it is a focus for Oxfam’s cholera response.</p> <h3>Training community volunteers</h3> <p>I visited rural communities and talked with community members, some of whom proudly showed me their newly constructed family latrines. Before Oxfam began its cholera response program, the majority of communities lacked any latrine or toilet facilities. In a number of locations, Oxfam has additionally set up ORS (<strong><a href="http://en.wikipedia.org/wiki/Oral_rehydration_therapy" rel="nofollow">Oral Rehydration Solution</a></strong>) corners. ORS is <strong><a href="http://ije.oxfordjournals.org/content/39/suppl_1/i75.full" rel="nofollow">the most effective way</a></strong> to keep people with cholera hydrated until the cholera causing bacteria have passed through the body. These corners are staffed by volunteers from the community who have been trained to treat water to ensure it is safe to drink, in <strong><a href="http://www.youtube.com/watch?v=F7JTKIFFyaw" rel="nofollow">hand-washing practices</a></strong> and ORS preparation.</p> <p><strong>If community members suspect they have cholera</strong>, they can get instant assistance from the ORS corner volunteer who supplies them with enough ORS solution and clean water to ensure they stay hydrated on their journey to hospital. Oxfam staff carry out regular spot checks of these corners to ensure the quality of the treated water is adequate and that ORS is being prepared correctly.</p> <p><strong>I was very happy to hear the corner volunteers report a decrease</strong> in the number of people presenting cholera symptoms in the past few weeks. It was also good to hear community members speaking repeatedly about the importance and benefit of having such ORS corners within easy reach of their homes as a means to help treat and prevent the spread of cholera.</p> <h3>Confidence replaces fear</h3> <p><strong>Before the cholera outbreak</strong>, many community members were unaware of the symptoms of cholera, how it was transmitted or how to treat it. Since the outbreak, Oxfam <strong><a href="http://www.youtube.com/watch?v=5KLKgDpLm94" rel="nofollow">has been working hard</a></strong> to educate people about these issues.</p> <p><strong>I attended two community meetings</strong> during which community members were encouraged to share what they had learned about cholera symptoms, ORS preparation and how to handle the bodies of people who have died from cholera. Although a rather morbid subject, it is essential that people know what to do with cadavers to ensure the cholera microbes from the bodies do not penetrate the local soil or water supplies. It was great to watch each and every person at the meeting stand up and with confidence literally shout what they knew through a megaphone!</p> <p><strong>It was also reassuring to find the mystery and fear surrounding cholera</strong>, which was prevalent during the early weeks of the outbreak, dissipating. Oxfam’s health and hygiene messages are clearly getting through to increasing numbers of people who now have the knowledge, skills and resources to effectively treat and manage cholera within their communities.</p> <h3>Read more</h3> <p><strong>Watch the video: <a href="http://www.oxfam.org/en/video/2011/stand-haiti-one-year-after-earthquake" rel="nofollow">Stand with Haiti: One year after the earthquake</a></strong></p> <p><strong><a href="http://www.oxfam.org/en/emergencies/haiti-earthquake/cholera-outbreak-response" rel="nofollow">Oxfam responds to Haiti cholera outbreak</a></strong></p> <p><strong></strong><strong><a href="http://www.oxfam.org/en/emergencies/haiti-earthquake" rel="nofollow">Oxfam's work in Haiti after the earthquake</a></strong></p></div><div class="field field-name-title"><h2>Thanks to prevention, fear of cholera is dissipating in Haiti</h2></div><ul class="links inline"><li class="translation_fr first last"><a href="http://l.blogs.oxfam/fr/blog/11-01-18-lutte-contre-cholera-haiti-prevention-peur-dissipe" title="Grâce à la prévention, la peur du choléra se dissipe à Haïti" class="translation-link" xml:lang="fr">Français</a></li> </ul> Tue, 18 Jan 2011 16:40:23 +0000 Sophie Martin Simpson 9390 at http://l.blogs.oxfam http://l.blogs.oxfam/en/blog/11-01-18-thanks-prevention-fear-cholera-dissipating-haiti#comments Grâce à la prévention, la peur du choléra se dissipe à Haïti http://l.blogs.oxfam/en/node/9391 <div class="field field-name-body"><p><strong>Dès l'apparition des premiers cas de choléra à Haïti signalés à l'automne 2010, Oxfam a mis en place des actions spécifiques pour prévenir l'épidémie. Plus de 700 000 Haïtiens et Haïtiennes ont depuis pu bénéficier d'infrastructures sanitaires et de programmes d'éducation à l'hygiène. Sophie Martin Simpson, chargée du suivi et de l'évaluation en Haïti pour Oxfam, détaille ces actions et leurs impacts positifs.</strong></p> <p>Mon travail consiste à soutenir nos équipes pour contrôler les progrès de nos activités et évaluer quel impact et quels changements positifs a notre action sur la vie des gens en Haïti. Fondamentalement, il s'agit d'obtenir les informations sur la qualité et l'utilité des services que nous fournissons aux personnes que nous aidons - autrement dit les Haïtiens qui ont été touchés par le <strong><a href="http://www.oxfam.org/fr/haiti-seisme" target="_blank" title="En savoir plus les actions d'Oxfam face aux conséquences du séisme en Haïti (site d'Oxfam)" rel="nofollow">tremblement de terre</a></strong>, et, plus récemment, les communautés les plus durement touchées par la propagation de l'<strong><a href="http://www.oxfam.org/fr/emergencies/haiti-seisme/oxfam-mobilisee-pour-repondre-epidemie-cholera" target="_blank" title="En savoir plus les actions d'Oxfam face à l'épidémie de choléra à Haïti (site d'Oxfam)" rel="nofollow">épidémie de choléra</a></strong>. En écoutant ce que ces personnes ont à dire, nous sommes en mesure d'apprendre, de maintenir la qualité et améliorer le travail d'Oxfam en Haïti pour assurer le maximum de changements positifs dans leur vie.</p> <p><strong>Ces informations sont indispensables pour nous assurer que notre programme de lutte contre le choléra continue à fournir les services et activités essentiels</strong> nécessaires pour que les populations aient les connaissances et les moyens de se protéger du choléra. Rassembler ce type d'informations, le suivi de la réussite de nos activités et mieux appréhender ce que les changements apportent à la vie des habitants nous aidera à atteindre l'objectif ultime du programme d'Oxfam sur le choléra : prévenir la propagation et réduire le nombre de cas de choléra signalés dans les communautés les plus durement touchées par les épidémies.</p> <p><strong>Je rentre tout juste de deux jours avec notre équipe de <a href="http://blogs.oxfam.org/fr/blog/10-10-28-eclosion-de-cholera-en-haiti-cette-maladie-ne-pourra-pas-nous-abattre">lutte contre le choléra dans la région de Petite Rivière dans le département de l'Artibonite</a></strong>. J'y étais pour aider notre équipe à recueillir des informations auprès de la population locale sur les sources d'eau existantes, l'accès aux installations d'hygiène de base telles que des douches et des latrines et les connaissances sur le choléra et la prévention de cette maladie. Les premiers cas de choléra ont été signalés dans l'Artibonite en octobre 2010 et la région continue d'être l'une des plus touchées par l'épidémie. En tant que tel, le département est un objectif prioritaire du programme d'Oxfam contre le choléra.</p> <p><strong>J'ai rendu visite à des communautés rurales et parlé avec leurs membres, certains d'entre eux m'ont montré avec fierté les latrines familiales</strong> récemment construites. Avant que ne débute le programme d'Oxfam contre le choléra, la majorité des communautés n'avaient pas de latrines ou de toilettes. Dans un certain nombre d'endroits, Oxfam a en outre mis en place des espaces SRO (sels de réhydratation orale). Le SRO est le moyen le plus efficace pour maintenir hydratées les personnes atteintes de choléra jusqu'à la disparition des bactéries. Ces espaces sont gérés par des bénévoles de la communauté formés pour traiter l'eau afin de s'assurer qu'elle est potable, faire en sorte que les gens se lavent les mains et préparer les SRO.</p> <p><strong>Si des membres de la communauté pensent avoir le choléra, ils peuvent bénéficier immédiatement de l'aide des bénévoles</strong> de l'espace SRO qui leur donneront une solution de SRO et suffisamment d'eau pour qu'ils restent hydratés pendant leur trajet vers l'hôpital.</p> <p>Le personnel d'Oxfam effectue des contrôles ponctuels réguliers de ces espaces pour s'assurer de la qualité adéquate de l'eau traitée et de la bonne préparation du SRO. J'ai été très heureuse d'apprendre par les bénévoles une diminution ces dernières semaines du nombre de personnes présentant des symptômes du choléra. Entendre les membres de la communauté expliquer à plusieurs reprises l'importance et l'avantage d'avoir de tels espaces de SRO à proximité de leurs maisons pour aider à traiter et à prévenir la propagation du choléra est également une source de satisfaction.</p> <p><strong>Avant l'épidémie de choléra, de nombreux membres de la communauté ne connaissaient pas les symptômes du choléra</strong>, les conditions de transmission ou les possibilités de traitement. Depuis l'irruption de la maladie, Oxfam a beaucoup travaillé pour informer les gens sur ces questions. J'ai assisté à deux réunions communautaires au cours desquelles les membres de la communauté ont été invités à partager ce qu'ils avaient appris au sujet des symptômes du choléra, de la préparation des SRO et la manière de traiter les dépouilles des personnes mortes du choléra. Même si ce sujet est assez morbide, il est essentiel que les gens sachent quoi faire des cadavres pour être certains que les microbes du choléra ne contaminent pas le sol ou l'approvisionnement local en eau. C'était une belle expérience de voir chaque personne présente à la réunion se lever et littéralement crier ce qu'elle savait à travers un mégaphone !</p> <p><strong>C'est également rassurant de constater que le mystère et la peur qui entouraient le choléra au cours des premières semaines de l'épidémie se sont dissipés.</strong> Les messages d'Oxfam sur la santé et l'hygiène sont clairement passés et un nombre croissant de personnes ont acquis les connaissances, les compétences et les ressources pour traiter efficacement et gérer le choléra au sein de leurs communautés.</p> <p><em>Sophie Martin Simpson est chargée du suivi et de l'évaluation en Haïti pour Oxfam</em></p> <p> </p> <h3>En savoir plus</h3> <p><strong>Vidéo : <a href="http://www.oxfam.org/fr/video/2011/cotes-haiti-annee-apres-seisme" title=" Aux côtés de Haïti, un an après le séisme" rel="nofollow">Aux côtés de Haïti, un an après le séisme</a></strong></p> <p><strong><a href="http://www.oxfam.org/fr/emergencies/haiti-seisme/oxfam-mobilisee-pour-repondre-epidemie-cholera" rel="nofollow">L'action d'Oxfam face à l'épidémie de choléra à Haïti</a></strong></p> <p><strong><a href="http://www.oxfam.org/fr/haiti-seisme" title="Les actions d'Oxfam en Haïti" rel="nofollow">L'action d'Oxfam à Haïti à la suite du séisme</a></strong></p></div><div class="field field-name-title"><h2>Grâce à la prévention, la peur du choléra se dissipe à Haïti</h2></div><ul class="links inline"><li class="translation_en first last"><a href="http://l.blogs.oxfam/en/blog/11-01-18-thanks-prevention-fear-cholera-dissipating-haiti" title="Thanks to prevention, fear of cholera is dissipating in Haiti" class="translation-link" xml:lang="en">English</a></li> </ul> Tue, 18 Jan 2011 09:54:54 +0000 Sophie Martin Simpson 9391 at http://l.blogs.oxfam http://l.blogs.oxfam/en/node/9391#comments