Founded in 1988, Medair is a non-governmental organisation (NGO) independent of any political, economic, social or religious authority. Its international headquarters are based in Switzerland. Its mission is exclusively humanitarian and it accomplishes its work in a spirit of dedication and solidarity, inspired by its Christian values. It does not proselytise. Medair's objectives are to respond to suffering victims in war and disaster situations (especially those which have been forgotten or neglected) through various kinds of emergency and rehabilitative projects. Medair employs 40 people in Switzerland, United Kingdom, Germany, France and Holland. In the field, 120 full-time expatriates help populations in difficulty, with the support of 1600 local employees. The organisation has obtained the ISO 9001 certification at world wide level for its quality management system.
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Topics
Summary
Why is Medair working in Madagascar?
What are the needs?
Who is Medair assisting?
What has the Medair team achieved by end February 2006?
Any recent news from the project area?
Who is responding to the needs?
What will Medair do next in Madagascar?
What is the core problem that Medair intends to address?
How does Medair intend to address this problem?
Describe the programme.
Facts and Figures
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Map of Medair's activities in Madagascar

Facts and Figures
Population 16 916 000
Beneficiairies 102 000
GDP per capita 993 $
Life expectency
(years)
56
Child mortality
(per 1000)
122
Medair staff 6 (average)
  80 local staff (average)
Main donors - ECHO
- Coopération Française
- Swiss Gov. (SDC/DDC)
- UNICEF
- Private donations
Related links
  AlertNet - humanitarian aid and disaster news READ MORE
  Reliefweb.org READ MORE
Medair in Madagascar
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Summary

In the four years Medair has been in Madagascar, it has specialised in improving water and sanitation in rural areas. Its expertise is particularly beneficial when dealing with the ongoing threats of cyclone emergencies: assisting with mitigation (how to prepare for and protect against cyclone damage), emergency response (how to re-establish access to clean water), and recovery (how to improve situations when rebuilding after a cyclone has hit).

Why is Medair working in Madagascar?

Madagascar ’s population is one of the poorest in the world, with over 70% living below the poverty level. Access to clean water and sanitation is absent for the great majority of its people. For instance, in the rural areas, only 16 % of the population have access to clean water . In addition, Madagascar is regularly hit by devastating cyclones. This combination of factors has a disastrous effect on both the health and the economic status of the population, slowing down the development process and leading to increased vulnerability, especially among the poorest residents.

In the past 10 years, natural disasters have claimed approximately 600,000 lives on this planet. They have affected the lives of about 2 billion people, and caused economic losses estimated at US$ 700 billion . Madagascar is a country that is regularly hit by devastating cyclones. Its population is one of the poorest in the world , with over 70% living below the poverty level. Access to clean water and sanitation is absent for the great majority of its people. This combination of factors has a disastrous effect on both the health and the economic status of the population, slowing down the development process and leading to increased vulnerability, especially among the poorest residents. To support Medair's activities, make an online donation at www.medair.org/donate

What are the needs?

When cyclones strike Madagascar, strong winds and heavy rains destroy buildings, bridges, and crops. Many villagers are forced to live in one or more metres of water for weeks at a time. Water points are also destroyed in the massive floods that follow. Medair focuses its response on this last element. In a country where several cholera outbreaks have occurred in the past five years, access to clean water is a priority, especially after a disaster when the population is already weak.

The key needs are re-establishing access to clean water, disinfecting and improving the water points, and reducing vulnerability to future cyclones. Depending on individual needs, additional help is also provided including logistical support to the government to help distribute supplies, along with Medair’s provision of basic medicines, plastic sheeting for temporary roofs, mosquito nets, and construction materials.

When the cyclone season ends, Medair’s priority for the next six months shifts from emergency relief to mitigation activities, with special focus on making long-lasting improvements to clean water accessibility for the poorest rural communities. The lack of knowledge about basic hygiene also has a serious effect on the health of the population. Hygiene promotion, clean water points, latrine construction and preparation for the next cyclone season are the main activities of Medair during this time of the year. There is also a strong focus on capacity building for the communities and local authorities. Helping communities help themselves is the key to Medair’s activities between cyclone seasons.

 
 


Who is Medair assisting?

In the beginning of 2006, Medair opened a new base in the Maroantsetra region of northeast Madagascar, an area that is especially vulnerable to cyclones and floods. The situation there is very precarious. Despite having almost 200,000 inhabitants, the whole district has only 575 wells or water points. Most of the population relies on contaminated river water. Even the families using open wells are not safe, because most of the wells are contaminated by faecal matters, due to inappropriate usage and poor construction. Only the 204 sealed wells constructed by Medair during the immediate post-cyclone response of 2004-2005 ensure access to clean water.

After four years, this project has now ended. Most of the project area villages have access to clean water (60 hand-dug wells with pumps, 2 gravity systems), sanitation infrastructure (more than 450 family latrines have been sold to individual families), and a better understanding of the risks associated with contaminated water and unhygienic environments. To support Medair's activities, make an online donation at www.medair.org/donate
What has the Medair team achieved since the beginning of the year?

In February 2006, Medair trained a new team in Maroantsetra, and established four separate departments: capacity building, hygiene promotion, water and sanitation construction, and administration. The Maroantsetra team now has 14 nationally-recruited members and 3 internationally-recruited members.

The water and sanitation team is working to introduce very inexpensive and simple drilling techniques to the remote villages of the region. For instance, by using the rota-sludge technique, a water point can be established in a day or two, without requiring an engine. Moreover, by using a Canzee manual pump, the water point becomes safe from contamination, and maintenance can be ensured at the village level.

But the right technologies are not enough. The capacity building team works to ensure that Medair is working with the communities, not just for the communities, so that improvements will be long-lasting and sustainable. The hygiene promotion team focuses on ensuring that people understand the risks of contamination around wells, water points, and latrines, so that the new infrastructures will bring lasting benefits to the health of the population

Any recent news from the project area?

Three workshops have been conducted, one at the district level and two at the community level. The two communities where Medair will work have been selected by the beneficiaries. Discussions are still ongoing between the local authorities, Medair, and the communities about how responsibilities will be shared for the different activities of the project. Many studies have been conducted on current hygiene behaviour, even in the most remote villages. Several demonstration water points have also been established, as part of the training of the water and sanitation team.

Who is responding to the needs?

While some agencies actively protect the environment and biodiversity of the area, no one is working to improve access to clean water and sanitation for the population. That is why Medair targeted this region, where the needs are so great and the risk of cyclone destruction so present.

What will Medair do next in Madagascar?

Medair’s work for 2006 is the pilot phase of a larger project, in collaboration with other NGOs. The goal is to build on this experience to enable more and more people to be served. During the coming months, cyclone response training will be held with the villagers and with local authorities. New tools will be tested, including methods of hygiene promotion in times of emergency response, and access to clean water in post-cyclone situations. More than 100 cyclone-proof water points and latrines will be established, emergency tools will be improved, and the population and local authorities will be better trained before the next cyclone season hits.

What is the core problem that Medair intends to address?

The core problems are the lack of access to clean water and sanitation infrastructure, and the absence of knowledge about basic hygiene. These problems are disastrous in a poor country like Madagascar: millions of working and schools days are lost every year due to water-related disease; according to a recent health survey, diarrhoea is the country’s second-ranking cause of child death, behind malaria and ahead of acute respiratory infections. and cholera outbreaks are a risk after every cyclone.

How does Medair intend to address this problem?

The core problems are the lack of access to clean water and sanitation infrastructure, and the absence of knowledge about basic hygiene. These problems are disastrous in a poor country like Madagascar: millions of working and schools days are lost every year due to water-related disease; 51% of young children regularly have diarrhoea; more than ten thousand people die each year from water-related diseases; and cholera outbreaks are a risk after every cyclone.. To support Medair's activities, make an online donation at www.medair.org/donate
To improve this difficult situation, Medair has developed an integrated approach to the water and sanitation problem. Firstly, an emergency preparedness capacity has been developed to respond without delay to any crisis. This capacity includes a complete stock of emergency materials, skilled staffs, and key partnerships, notably with MAF and Helimission. Secondly, a strong component of Medair’s intervention is to reduce the vulnerability of the population by providing improved access to safe water, latrines, hygiene promotion, and preparatory work in cyclone-prone areas. Finally, Medair supports public-private partnerships and the development of appropriate technologies for the water and sanitation sector. In this way, inexpensive and effective tools are placed in the hands of local government and private businesses, allowing them to improve the water and sanitation sector independently from international NGOs.


Describe the programme.

The Madagascar programme consists of four points:

  1. Develop and improve the emergency cyclone response, and re-establish access to clean water after a natural disaster, anywhere on the island and without delay;
  2. Reduce the vulnerability of the population, by improving access to clean water and sanitation in the cyclone-prone area of Maroantsetra;
  3. Support a network of public-private partnerships that will improve access to clean water, by training local governments and businesses in the usage of appropriate, cheap, and effective technologies;
  4. Share Medair’s experience and training with the national NGOs working in the field


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