Build Latrines in Rural Haiti

Aug 23, 2011

Education on cholera prevention is key

The rainy season in Haiti has meant marked increases in the rates of cholera infections, especially in the rural parts provinces.  These rises are making it especially difficult for those that are sick to receive timely treatment - several Cholera Treatment Centers (CTC’s) have closed thanks to a lack of funding or a presumed lack of need (cholera rates were declining prior to the start of the rainy season).


Visit Lambi Fund’s cholera statistics page to get updated information on the cholera outbreak.  This page features maps spotlighting the distribution and intensity of cholera throughout the country, which help visualize the epidemic.


Since infection rates continue to rise, Lambi Fund is continuing to provide education on cholera prevention and awareness to communities throughout rural Haiti.  Prevention is essential for many communities in rural Haiti because CTC’s are so hard to come by.


May 23, 2011

Cholera Continues in Haiti's Countryside

Community members at a local meeting
Community members at a local meeting

     Cholera, like most news in Haiti, made headlines and then was placed on the sidelines as other more "newsworthy" events were brought to the forefront. Since the fall of last year, Haiti has been battling this ugly epidemic and it has been particularly devastating in the countryside due a lack of water infrastructure and nearly unnavigable dirt roads. 

     Haitians still in the midst of dealing with the tragedy of the earthquake began losing thousands to a once forgotten illness. For many this is an unimaginable new wave of heartbreak and loss. As of March 2011, over 240,000 individuals have been infected and 4,600 people have died from cholera.
     The troubling part is that the worst is yet to come. A new study conducted at the University of California, San Francisco (UCSF) and Harvard Medical School predicts that the cholera epidemic could be far worse than initial projections, which had estimated 400,000 cases of the disease throughout the epidemic. The study is predicting that there could be nearly twice that number — perhaps 779,000 cases of cholera between March and November of this year alone.
     Why? How can it be that cases of cholera had not been seen on the island for more than 100 years and now the disease has reemerged as a full blown epidemic? Simply put, cholera is bacteria spread from person-toperson through contaminated food and water. It causes diarrhea and can be deadly if left untreated (ScienceDaily, March 2011). Cholera is completely preventable in places where modern sanitation and clean water are readily available.
     This is not the case in Haiti. Only 1 in 5 Haitians have access to a sanitary toilet or latrines. Of the rural population in Haiti, just 12% have access to sanitation and 51% have access to improved drinking water sources. These dire circumstances create a perfect storm for cholera to grow, spread and continue to contaminate individuals. The devastating truth is that 2010 brought the earthquake which was over and done with in mere minutes. Cholera which arrived just nine months later is not quick. It is persistent and will linger for years given the proper conditions.
     And linger it has. Cholera continues to claim lives in rural communities throughout Haiti. A lack of proper water infrastructure and sanitation continue infections, while poor roads and a complete shortage of timely transportation (like ambulances) greatly reduce timely access to immediate care and increase the severity of the illness.
     Several longtime partners of Lambi Fund have lost their lives to cholera and every partner has been affected by this deadly infection. Farmers from the Bige district recount story after story of carrying sick friends and family members on wooden doors across rivers. Four people carry one sick individual as they trudge through mud, fields, water and over hills in pursuit of the nearest Cholera Treatment Center (CTC). Others cart loved ones in wheel barrels, which as you can imagine is a jarring and unwieldy journey for someone who is ill and in desperate need of a hospital bed. Treatment at a CTC in a timely manner is proven to be critical, yet for the majority living in the most remote parts of Haiti, they simply are not close enough to be effective. Even more upsetting, many of these centers have been closed down as officials declare the need is subsiding.
     What is being done in efforts to contain and control the rate of infections? The Haitian Ministry of Health has done a good job of launching a prompt and comprehensive awareness campaign. They have launched radio and television ads throughout Haiti that educate citizens on the contamination, spread, and symptoms of cholera, along with techniques for prevention and care. Educational materials and brochures have been widely distributed to health centers, schools and other public gathering places throughout the country. This campaign has been particularly effective in cities and towns and countless lives have been saved, yet for the rural parts of Haiti much of this information has yet to be received and cholera, not surprisingly rages on, intensifying in new spots of infections.
     Disseminating information in the rural parts of Haiti has been particularly difficult. Following the immediate
outbreak, hysteria reigned. Due to a complete lack of knowlege of what cholera is or how it spread, community members abstained from organizing or meeting in local spaces. This immense fear made holding meetings to inform locals on the prevention of cholera very difficult. 
     Getting communities to once again organize and trust one another was the first step. From there, Lambi Fund has been fervently working to share the published information and reinforce the messages and strategies proven safe.
     This has been a two pronged approach: first staff are meeting with organizations and providing information and visuals that explain how to prevent the spread of cholera. This includes water purification methods and hand washing.
     From there, Lambi Fund field staff are planning training sessions for 2-3 people in each partner organization. These trainees have the role of circulating information regarding cholera prevention to all organization members and their families.
     This is a critical component as these water ambassadors will work to keep the information alive. In order to prevent the return of old habits, they will work with community members to remind them to continue washing their hands and purifying their water long after the scare of cholera has subsided.
     In the South, cholera numbers have been steadily increasing. Cholera broke out in the Artibonite region of Haiti, thus most treatment efforts have been focused in this region.
     Given this reality, Lambi Fund project monitors are visiting all partner organizations in the southern provinces. During these visits, they are sharing with members how to prevent and protect their families from contracting the cholera bacteria. If symptoms are shown, Lambi Fund recommends keeping individuals hydrated through a serum of water and sugar. This is incredibly important, because these are measures to take before seeking a CTC, which are few and far between in the South.
     This health crisis was certainly not one that was foreseen, but Lambi Fund has been doing its very best to mobilize and utilize its resources in an effort to educate the greatest number of individuals in rural communities. Maricelle, an organization member and recipient of Lambi Fund's cholera awareness program said, "We went through the earthquake, Lambi Fund is with us. We went through hurricanes, Lambi Fund is there and now we face the cholera epidemic and Lambi Fund is with us distributing goods and resources. Lambi Fund is with us hand in hand through the tough times."
     To be certain, cholera will not disappear overnight. Josette Perard, Lambi Fund's Program Director emphasized the importance of these education programs stating that, "It is essential that we reinforce the prevention of cholera through education across Lambi Fund's various projects as a means to controlling and eliminating the disease." It is hoped that through this comprehensive grassroots campaign to educate and improve access to clean water, entire communities will benefit from improved health and cleaner environments as a direct result.
Girls carrying clean drinking water
Girls carrying clean drinking water
Women using clean cooking methods
Women using clean cooking methods


Feb 24, 2011

Making Sanitation a Priority

Affected community at a local meeting in NW Haiti
Affected community at a local meeting in NW Haiti

    For the time being, the cholera crisis appears to be tapering off.  Communities throughout Haiti are reporting fewer cases of cholera and the death toll has begun to level off – while this is a good thing, the battle for clean water and sanitation in Haiti is definitely not over.  Cholera is and will continue to be a very serious concern for Haitians for quite some time.

     Since the epidemic began sweeping throughout the country, the Lambi Fund of Haiti has been working with local partner organizations to teach proper methods of sanitation and has provided communities with affordable water purification methods.   During the height of the cholera epidemic, hysteria was sweeping through communities – no one was quite sure how it was spread and rumors were running rampant.  Lambi Fund worked swiftly to educate local communities on the causes and spread of cholera.  The main message was that this is an illness of dirty water and improper sanitation.  Steps like proper hygiene and drinking purified water can and have been taken to greatly decrease the risk of contraction.

    It is important to note though that a lack of human waste management throughout rural Haiti plays a major role in the transmission of cholera.  This is no quick fix given that 88% of rural Haitians do no not have access to proper sanitation.  Thus, Lambi Fund is prioritizing the building of hundreds of latrines throughout Haiti and we need your help.  Educating rural communities on the use, building and maintenance of latrines is a large task and will take extended time and commitment.  Building just one latrine can provide up to 25 individuals with access to proper sanitation – keeping the environment they live in clean and improving health conditions.


Nov 23, 2010

Let's make a change this World Toilet Day

Meeting of a grassroots organization in Haiti
Meeting of a grassroots organization in Haiti

Today is World Toilet Day- a day not only to recognize the millions around the world who do not have access to proper toilets and sanitation on a daily basis, but also a day to take action.  The Lambi Fund of Haiti's efforts to build latrines in rural Haiti is now more important than ever.

The cholera outbreak is sweeping Haiti. This deadly infection strikes fast - over 1,000 have died and now that it has reached the capitol, the death toll is sure to rise.

These are heartbreaking circumstances for a country that has already faced an unimaginable year of hardships.  Many of Lambi Fund's grassroots partners in the Artibonite Valley, where the first cases of cholera were reported, have lost dear friends, family, and loved ones.  Needless to say, this is indeed a very serious and stressful situation - Lambi Fund would like to extend our solidarity and condolences to our staff members, colleagues, and partner organizations during this difficult time.

Sometimes frightening events like this can be paralyzing, but there’s no need to feel helpless.  Lambi Fund is working in this very region of Haiti to build proper latrines that will protect valuable water sources from contamination.   At the same time Lambi Fund is working with our grassroots partners in communities throughout the country to provide means of water purification to ensure that drinking water is clean and safe.  

You can help solve this crisis by supporting Lambi Fund's efforts to build latrines today.  


Oct 12, 2010

Working with Communities in Northwest Haiti

Smiling children
Smiling children

Since January’s earthquake, improving rural Sanitation and Hygiene in Haiti has been a priority of Lambi Fund’s.  Our field monitors have been working with community organizations in the Northwest to develop a sustainable sanitation plan that will provide these populations with access to latrines.  Through conversations with these local groups, it has been decided that the latrines will be built in community centers like local grain mills.  This will provide community members with equal access and group members will be able to oversee the management and maintenance of the latrines. 

Continued support for this project is greatly needed though, as the need for latrines far exceeds Lambi Fund’s financial resources.    The purchase of one latrine provides approximately 25 individuals with access to proper sanitation- exponentially improving their overall health, keeping the local environment clean and ensuring local water sources are not contaminated.  Together we can provide a clean and healthy environment for all communities in rural Haiti.


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Lambi Fund of Haiti

Washington, DC, United States

Project Leader

Marie Marthe Saint Cyr

Executive Director
Washington, DC United States

Where is this project located?

Map of Build Latrines in Rural Haiti