January 14, 2010
Country Without a Net
By TRACY KIDDER
THOSE who know a little of Haiti’s history might have watched the news last night and thought, as I did for a moment: “An earthquake? What next? Poor Haiti is cursed.”
But while earthquakes are acts of nature, extreme vulnerability to earthquakes is manmade. And the history of Haiti’s vulnerability to natural disasters — to floods and famine and disease as well as to this terrible earthquake — is long and complex, but the essence of it seems clear enough.
Haiti is a country created by former slaves, kidnapped West Africans, who, in 1804, when slavery still flourished in the United States and the Caribbean, threw off their cruel French masters and created their own republic. Haitians have been punished ever since for claiming their freedom: by the French who, in the 1820s, demanded and received payment from the Haitians for the slave colony, impoverishing the country for years to come; by an often brutal American occupation from 1915 to 1934; by indigenous misrule that the American government aided and abetted. (In more recent years American administrations fell into a pattern of promoting and then undermining Haitian constitutional democracy.)
Hence the current state of affairs: at least 10,000 private organizations perform supposedly humanitarian missions in Haiti, yet it remains one of the world’s poorest countries. Some of the money that private aid organizations rely on comes from the United States government, which has insisted that a great deal of the aid return to American pockets — a larger percentage than that of any other industrialized country.
But that is only part of the problem. In the arena of international aid, a great many efforts, past and present, appear to have been doomed from the start. There are the many projects that seem designed to serve not impoverished Haitians but the interests of the people administering the projects. Most important, a lot of organizations seem to be unable — and some appear to be unwilling — to create partnerships with each other or, and this is crucial, with the public sector of the society they’re supposed to serve.
The usual excuse, that a government like Haiti’s is weak and suffers from corruption, doesn’t hold — all the more reason, indeed, to work with the government. The ultimate goal of all aid to Haiti ought to be the strengthening of Haitian institutions, infrastructure and expertise.
This week, the list of things that Haiti needs, things like jobs and food and reforestation, has suddenly grown a great deal longer. The earthquake struck mainly the capital and its environs, the most densely populated part of the country, where organizations like the Red Cross and the United Nations have their headquarters. A lot of the places that could have been used for disaster relief — including the central hospital, such as it was — are now themselves disaster areas.
But there are effective aid organizations working in Haiti. At least one has not been crippled by the earthquake. Partners in Health, or in Haitian Creole Zanmi Lasante, has been the largest health care provider in rural Haiti. (I serve on this organization’s development committee.) It operates, in partnership with the Haitian Ministry of Health, some 10 hospitals and clinics, all far from the capital and all still intact. As a result of this calamity, Partners in Health probably just became the largest health care provider still standing in all Haiti.
Fortunately, it also offers a solid model for independence — a model where only a handful of Americans are involved in day-to-day operations, and Haitians run the show. Efforts like this could provide one way for Haiti, as it rebuilds, to renew the promise of its revolution.
To contribute to the Partners in Health relief effort in Haiti, click here.