5 Lessons From Haiti's Disaster

What the earthquake taught us about foreign aid.

BY PAUL FARMER | DECEMBER 2010

1. Jobs are everything.

All humans need money -- they need it to buy food and water every day. And no matter how hard the government or the aid industry tries, people will want for all three things until they are employed.

The world pledged some $10.2 billion in recovery aid to Haiti after Jan. 12's devastating earthquake. Imagine how many people that money could employ, putting them to work on tasks like removing rubble (only 2 percent of which has been cleared to date), rebuilding key government buildings, and planting trees in a country that is almost entirely deforested. And yet so far, just 116,000 people have been employed in this way. Haiti has 9.8 million people, and at least half were unemployed even before the earthquake. If we focused our efforts on the singular task of getting them jobs -- even if we did nothing else -- Haiti's reconstruction could be a success.

2. Don't starve the government.

The international community doesn't know best. Local people do. NGOs like the one that I am lucky to work with cannot replace the state -- nor can the United Nations or anyone else. We don't have the expertise, and we won't stay forever. We don't have the same stake in building a community that the locals themselves have. And if aid is to work, it can't fall apart when the expats leave.

On this, almost everyone agrees. But the opposite approach has characterized Haiti relief. The dollar figures tell the real story: A mere 0.3 percent of the more than $2 billion in humanitarian aid pledged by major donors has ended up with local authorities. That money will hardly compensate for the 20 percent of civil servants who died in the quake.

Some donors argue that the Haitian government is rife with corruption and mismanagement -- and that infusing it with money will only make matters worse. But we need to strengthen the public sector, not weaken it. And that will take a working budget. It's impossible to be transparent and track your budgets when you lack computers, electricity, and even the personnel to do so. Until the government has the resources it needs, Haiti will remain the republic of NGOs.

3. Give them something to go home to.

Today, some 1.3 million Haitians live in tent camps amid often squalid conditions -- yet no one has been able to convince them to resettle. Why don't they want to leave? Because there is nothing to draw them back. Many of these displaced men and women didn't own the houses that collapsed around then; they rented them -- often under very unfavorable conditions. They were in debt to bad landlords. They had no schools or clinics.

Enticing them to return home will mean providing exactly what they lacked before: housing, education, and health care. Ironically, Haitians are getting some of those things now in the camps. They have shelter in the 69,700 tents distributed by donors; they have the food and hygiene kits that NGOs offer. The tent camps may well become semipermanent homes if those services don't also exist in the cities, villages, and towns.

4. Waste not, want not.

At least half of aid money probably never reaches its recipients, eaten up by overhead; often it's even more. I know of no other business or enterprise in which this would be an acceptable operational strategy. Equally frustrating, sometimes the money doesn't show up at all. Of the donor dollars promised for 2010, Haiti has so far received a mere 38 percent, or $732.5 million, excluding debt relief. Nine months after the disaster, not a cent of the U.S. donation for Haiti's reconstruction has been disbursed; it's tied up in appropriations. Imagine trying to re-engineer a devastated country when your budget is at the mercy of political whims in foreign lands.

5. Relief is the easy part.

Disaster relief is not reconstruction. We haven't rebuilt Haiti despite giving 1.1 million people access to drinking water; we didn't remake the country with the 11,000 latrines that have been installed. "Building Haiti back better" means sustaining those temporary gains and adding education, health care, services, and good governance.

What's most important in getting started? Economic growth. Yet it is a challenge hardly mentioned in aid documents or strategies -- coming up only twice in the United Nations' most recent 44-page report. Poverty of the kind that was so acutely revealed this January can't be defeated until there is a brighter economic future for the millions of Haitians who are ready to seize it.

PRNEWSFOTO/Austin College

 

Paul Farmer is a medical anthropologist at Harvard University.

BAILLYBUSBARN

12:31 PM ET

December 1, 2010

Haiti

The NGO's that I have worked with in Haiti have been supportive of the idea of training and employing Haitians in rebuilding the country. Paul Farmer is correct that to "fix" Haiti will take creation of a working class that is educated in occupations that provide living wages, and will facilitate the rebuilding of the infrastructure.
Just what we also need in the US.
The seeds of poverty, desease and dispare are planted when hope is lost. Hope for Haiti lies in the hearts of its people, they love their country and would work hard to rebuild it if just given a hand up, not just a hand out.

 

TEEFAL

9:13 PM ET

December 1, 2010

Haitians Helping Haitians

I recently returned from a trip to Haiti where I met with 18 NGOs and visited 20 schools. All I can say upon reading this article is Yes, Yes, Yes.

Our organization, Waveplace, teaches Haitians to teach children using low-cost laptops and progressive teaching techniques. The only long-term solution to Haiti's difficulties is teaching Haitian children to become creative problem solvers, to think for themselves and question all they see and hear. We're doing our small part to encourage Haitian adults to inspire children along these lines. We encourage others to do the same.

 

POLITIKA

9:41 PM ET

December 8, 2010

Confused by these lessons

Lessons well taken but I am confused here.
Isn't Paul Farmer the number 2 man for the UN in Haiti?
Is he not overseeing the current electoral farce as well??
In any case he is also the founder and main physician of the most successful NGO in Haiti -PIH which gets funding from USAID and Bill Clinton's foundation.
So he is not such an outside observor but really part of the system that has completely destroyed Haiti over the last 20 years..

 

POLITIKA

9:44 PM ET

December 8, 2010

Confused by these lessons

Not to say that I have also much admiration for what Paul Farmer has done in Haiti but I was confused by this article.

 

POLITIKA

9:44 PM ET

December 8, 2010

Confused by these lessons

Not to say that I have also much admiration for what Paul Farmer has done in Haiti but I was confused by this article.

 

BERTRAND LAURENT

5:53 PM ET

December 15, 2010

Citizens participation in national recovery in Haiti

I greatly appreciated Dr Farmer's article, and strongly agree with the need to involve Haitian civil society and community groups in the recovery process. It is a tricky process, requiring careful navigation among international and local interests -and many strongly conflicting points of view. It’s certainly not one that donors are very attracted to funding. Results are difficult to measure if your funders focus on simple outputs such as number of meals served or number of tarps distributed.

Nonetheless, in a partnership led by Haitian, American and Diaspora development practitioners, we (The Caribbean Institute) have obtained the Haitian Government's agreement to go forward with a vigorous initiative to involve grassroots and civil society in the recovery process, and have launched the first steps. Through the National Recovery and Consultations Program (NRCP), a network of international and Haitian organizations, including Diaspora associations and private individuals, is to facilitate a national grassroots re-visioning of Haiti, and at the same time is working with local organizations to set up a network of citizen-operated development centers in every town.

It’s a huge undertaking. Through these Centers, which are slated to become self-sustaining within five years, community groups can work with local government to execute Haiti’s Action Plan for National Recovery and Development. The Centers' programs focus on the creation of sustainable jobs and local business, will run legal clinics to bring legal services to ordinary people, support community-based disaster preparedness planning, and carry out an adult literacy program as part of the National Literacy Campaign. This is a new type of initiative: we’re recruiting businesses, organizations, colleges etc to partner with each Center to get them on a path to sustainability.

(This posting isn’t intended to be a plug, but anyone interested can find us on facebook or through a google search). Thanks again, FP and Dr Farmer, for a very informative article! -BL