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Aid after disasters

MSF in Sri Lanka- One of the most quick and powerfulmobilisation among international aid agencies-Local communities;
Neighbours, schools, temples, churches...
-Aid movement at national level;
Doctors, nurses, other volunteers...
-International aid.

MSF’s aid activities
Kachevalai;
Rehabilitation of hospital andconsultations, drinkable watersupply, 500 tents.
Ampara;3 sites of medical consultations, 13 mobile
clinics, non-food items for 35,000 people.
Hambantotta;
Medical consultations, distribution of shelters.

Further needs• Transport/distribution of materials stocked in
the Capital• Surveillance of epidemics• Psychological support• Reconstruction

December 26th
December 27th
December 30th
January 2nd

Tsunami disaster
Arrival at the Capital of the first teamTeams present in the affected areas> 50 international staffs> 150 tons of medical/non-food items
Tons of emergency foodSummary of the exploration-Drinking water and food were provided at an
acceptable level.
-Sanitation was not satisfactory but it did notcause major problems.
-Need for medical aid was minimal.
In short, first emergency is overMSF stopped emergency fundraising> 40 million euros have been donated to MSF
in the world until January 4th 2005.
Thank you so much, but no more donation toMSF for the “emergency” aid for tsunami.
The dimension and effectiveness of the aid not
only depends on the scale of fund and activities
of foreign aid-workers, but also on national
capacity of the human resource, economy,
infrastructure etc.

4February 14, 2005
By Alexandra Frean and Ben Hoyle

Charities struggle to spend cash for tsunami

Friday, 25 February

Sri Lanka re-directs tsunami aid

BRITISH charities admitted they would struggle to spend thevast sums of money donated to victims of the Asian tsunami.
More than £365 million has been raised in individual
donations to tsunami relief in the six weeks.

Sri Lanka has so manytsunami relief supplies it
is now distributing themto those unaffected by
the disaster.

the British Red Cross may have difficulty responsibly
spending the £60 million raised and is considering whether it
can divert money to other causes.
Oxfam has suspended its tsunami appeal while Médecins Sans
Frontières has offered donors their money back.

The country's social services minister said goods werebeing sent to homes for the elderly and institutions forchildren and the disabled.
Supplies of milk powder, tinned food, bottled water andother goods have left warehouses bulging.

Niger: Nutritional emergency
in a peaceful anddemocratic context

APRIL 18, 2005
Niger: Nutritional emergency
During February and March, the number ofseverely malnourished children who needed
admissions to MSF nutrition centers has
risen to 1,900, compared to the 750
admissions at the same time last year.

7 June 2005
Niger: the crisis has been finally recognised.
MSF has treated over 6000 children
suffering from severe malnutrition since thebeginning of the year.
The Prime Minister has started an appeal
for emergency food aid, the United Nations
refers to a serious crisis in their appeal for
16 million dollars.

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7 June 2005 (suite)
A response that is inadequate

2nd August 2005
Niger:

A food security survey showed there areareas where the population cannot accessfood aid via the sale of government
controlled low priced food. Half of thefamilies simply do not have enough money
to buy food, even at low prices.

Between January and week 30 more than
14,000 severely malnourished children wereadmitted, and since the beginning of June
the rate of admission has been 1,000 per
week across the four programmes.

August 26, 2005
Niger: appeal heard?

Factors which may haveworsened the situation so far

Kofi Annan’s visit to Niger allowed MSF to
get its message heard loud and clear on theinadequacy of aid sent by UN agencies toNiger [not enough in the most affectedareas, and no therapeutic flour].

- Delayed recognition of the crisis- Reluctant reaction from the international
community and aid agencies- Too late introduction of free of charge fooddistribution- Inadequate distribution of food (based on
the data of last year’s harvest, not on theassessment of populations)Lessons learned? (from 2 disasters)
Need for;- Accurate assessment- Quick and sound decision- Sound communication and fund raising- Free emergency aid for the poorest andmost vulnerable people- Adequate distribution of aid according to
the assessment

6MSF afterKashmir
earthquake

A week after the quake

A week after the quake

HUMAN RESOURCE
Pakistani side
Expats number 77: Coordinators; doctors(including surgeons); nurses; logisticians;
mental health officers; water and sanitation
logisticians; and communication officers

CARGO (in addition to the initial expedition)- 2 full-charter flights, 250 tons of material

Indian side
Expats number 10: MD’s; nurses;
coordinator, mental health officers and logs

Medical items: emergency medical kits,drugs, surgical material, dressings, plaster,
etc.
Logistical items: tanks, pumps and water
treatment units; shelter (60.000 blankets,10.000 sleeping mats and 1.200 winterizedtents) etc.

A week after the quake
OPERATIONS; in 6 locations in Pakistan
and 3 in India. More isolated sites will be
involved in coming days.
- Take in charge of infected wounds andfractures (treatment; referrals); mental
health support- Distribution of relief items (shelter; water &hygiene; blankets etc.)7Dr. Ritsuro Usui
Médecins Sans Frontières Japon

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