July 9, 2010
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Continued from page 1.
Work and Witness
SURGERY AND REHABILITATION
|Number of beds||1,187|
|Patients treated: post operative care||11,421|
|Patients treated: bullet wounds only||264|
|Patients treated: other violence related trauma||2,147|
|Patients treated: other trauma||44,717|
|Patients treated: psycho social and mental health||81,735|
|Patients treated: deliveries||3,752|
|Patients treated: sexual violence||212|
|Relief kits distributed||35,350|
|Number of fixed sites||19|
|Number of mobile clinics||3|
|Litres of water distributed per day in cubic meters||723|
Following the earthquake, MSF initially developed fundraising activities and the generosity of people around the world in response to the tragedy that befell Haiti has been overwhelming. While the MSF medical relief effort was immediately shaping up to be massive in volume, the total of funds donated to MSF by the public specifically for this emergency threatened to eclipse what MSF could foresee to spend. Striking the right balance so early on was complicated by the fact that it took weeks for the real scale of needs to become clear as well as to gauge what other organizations would bring in terms of practical emergency assistance.
MSF takes the expectations of donors seriously and decided to discontinue active fundraising for the victims of the earthquake in the days following the disaster. While MSF continued to welcome donations, pro-active earmarked fundraising for Haiti was put on hold. Instead, MSF called upon donors to continue to support the organization for its current and future emergency work in general.
As of 31 May, four-and-a-half months after the earthquake, MSF had received around 91 million euros 1 earmarked for emergency relief in Haiti, and had already spent nearly 53 million euros on assistance to the Haitian population. MSF foresees to spend around 89 million euros in Haiti until the end of the year; remaining earmarked funds will support MSF’s ongoing commitment to the victims of the earthquake in 2011 and beyond.
|AT A GLANCE||ROUNDED TOTAL|
|Spent until 31 May||53 Million euros|
|Donated for Haiti until 31 May||91 Million euros|
|Projected budget until 31 December||89 Million euros|
Among the large scope of MSF activities in Haiti, as of May 31, more than 11 million euros have been spent on surgical care for significant numbers of Haitians injured in the earthquake. At least 4 million euros were spent on providing maternal health services, which were already extremely limited before the earthquake struck. Roughly 8.5 million euros 2 were spent on shelter and related items in an attempt to improve living conditions for some of the hundreds of thousands of people whose homes and livelihoods were destroyed.
MSF also invested substantial means in other medical and relief activities, including primary care, mental health support, and provision of water and sanitation.
|EXAMPLES OF MAJOR MSF ACTIVITIES||ESTIMATED COSTS UP TO 31 MAY|
|Surgery and post-operative care||More than 11 Million euros|
|Maternal health care||More than 4 Million euros|
|Shelter||More than 8.5 Million euros|
© Julie Rémy
Operating such emergency health programs requires a range of investments. Given the devastation in Port-au-Prince and beyond, including the near-total destruction of many health centers and hospitals, nearly 30 per cent of MSF’s expenditures as of 31 May were devoted to logistics, such as the rehabilitation or construction of medical facilities, and ongoing maintenance of health structures including water and electricity provision. Without this investment, medical staff would not be able to operate. A further 16 per cent of MSF’s expenditures have been attributed to medical materials and supplies.
Because of the large number of essential emergency workers and vast amount of relief goods brought into Haiti, transportation accounted for 23 per cent of the total spending to date. At one point, the MSF team totaled over 3,500 Haitian and international emergency personnel – many of them doctors and nurses, but also logisticians, administrators, drivers, and project coordinators. At the end of June, MSF still has more than 3,000 staff on the ground, well over 90 per cent of them Haitians. The costs related to employing personnel accounted for 28 per cent of the money spent.3
MSF is immensely grateful to the millions of people around the world who have helped finance the organization’s massive relief work in Haiti.
© Katrijn Van Giel
The broad range of MSF’s work listed above is constantly re-shaped to meet new needs and, in some cases, reduced ones. It is already clear that MSF will be making a very substantial commitment to Haiti in the years to come. There are uncertainties around the speed of reconstruction and the extent to which other organizations will still be providing elements of care. There are concerns about the continued physical exposure of so many people in Port-au-Prince and about political and criminal violence which always risks being increased by frustration and despair about the slow improvement in living conditions. All of this has reinforced the urgency of MSF’s planning and provision for all kinds of new emergencies; outbreaks of violence, disease, nutritional crises and further natural disasters.
The immediate challenge though for MSF has been to create some more robust medical facilities to replace those damaged in the quake and the tented structures that have coped up to now. In Port-au-Prince, the inflatable hospital known as Saint Louis, along with the Tabarre rehabilitation center, are expected to be replaced with a new hospital next year, that will be an MSF emergency medical and surgical hospital. Martissant hospital will continue into 2011 and Choscal is also likely to operate as an emergency room. Another container hospital in Delmas 33 will be dedicated to obstetric care for the next three years, while support will continue to the Ministry of Health maternity hospital of Isaïe Jeanty. Paediatric care will also continue in 2011 in Carrefour Paediatricand Bicentenaire hospital, which will provide trauma care and surgery too. Primary health care services, including mental health and sexual violence programs will be provided through next year in the deprived Carrefour area and in the new slums of the Airport zone.
Outside the capital, MSF will continue to support the hospital in Jacmel with a range of medical specialties through this year, although the hope is that the Ministry of Health will then be able to resume its responsibility there. In Leogane, a container hospital of up to 200 beds will become operational in the next few weeks to replace the current tent structure and until others can provide these services. MSF will work there on obstetrics, surgery and pediatrics.
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© 2013 Doctors Without Borders/Médecins Sans Frontières (MSF)