Tag Archives: disaster

Inclusive humanitarian action – Africa leads the way

The 4th Annual International Humanitarian Partnership Conference, organised under the Inter Agency Working Group on Disaster Preparedness for East & Central Africa (IAWG), has just finished in Nairobi. It was a pleasure to attend, and to have the chance to contribute. And it was an inspiration to all who are advocating for meaningful inclusion in humanitarian action.

I embolden the word ‘meaningful’ because I see a difference emerging in the rhetoric at these events. Attendees are now generally aware of the statistics like one billion persons with disabilities worldwide, and the fact that people with disabilities are disproportionately affected in disaster and conflict situations. But now, it seems we are moving on, and really identifying the causes and solutions.

The theme at this year’s conference was ‘Disability and Age Inclusion in Humanitarian Practice: Scaling up progress toward the achievement of Agenda 2030‘. The timing is good: In the last 18 months we’ve seen the adoption of the Sendai Framework for Disaster Risk Reduction (DRR), the release of the related Dhaka Declaration, and the launch of the Charter on Inclusion of Persons with Disabilities in Humanitarian Action. And of course we have the UN Convention on the Rights of Persons with Disabilities which marks 10 of existence this year.

These documents provide the foundations. We are now ready to build, and I saw evidence of this over the last few days.

Many speakers highlighted in their presentations that if we are to achieve inclusion as an end result, then we need to ensure inclusion from the outset. What does this mean? It means that persons with disabilities – usually through Disabled People’s Organisations (DPOs) – must be part of policy-making and planning of humanitarian action. And this should not be simply ‘checkbox attendance’, but should be meaningful (that word again) participation.

There was a real appreciation during the event of the various unique skills and knowledge of the individuals present and of the organisations they represent (from humanitarian organisations, to DPOs, to organisations of older people). So much so that hands shot up at the end when asked who has specialist knowledge to share. One participant neatly described it as ‘organisations helping each other through the baby steps of learning inclusion’.  Call it baby steps or not, I’m sure there will be much networking and cross-learning to come.

A regional working group on inclusion was proposed, and widely seconded.

And there was a general acceptance of the fact that to achieve this ‘first phase’ inclusion, organisations need a smarter hiring process and accessible infrastructure. All good news.

For me, I was delighted to present our new Humanitarian Hands-on Tool, which is still a prototype but well on the way to release. Feedback on this was positive. We are at the point where the basic nuts and bolts guidance is necessary for field workers tasked with inclusive preparedness and response initiatives. Watch this space for this one.

Of course, the need for data disaggregated by disability was raised. This is not an afterthought: It is an ongoing concern across all the 2015 agenda fields, an essential prerequisite if we are to deliver aid that works for everyone.

Lastly, a telling point was when asked who is responsible for ensuring inclusion, we came to the conclusion that we all are.  I look forward to the future.

Read some of the social media buzz as it happened



Nepal – We will rise again

Here is my first blog from Nepal, after a very moving day in Bhaktapur.

This ancient city lies nine miles east of Kathmandu. At its heart lie four connected courtyards containing some of Nepal’s most famous UNESCO World Heritage Sites, many of which were damaged or destroyed by the earthquake which shook Nepal on 25 April 2015.

Durbar Square, Bhaktapur

Durbar Square, Bhaktapur

In the main Durbar Square, around the base of one of the damaged temples, is an exhibition of photos of some of those who lost their lives, either because they were unlucky enough to live in old or poorly constructed homes or caught by the falling masonry in the web of narrow streets that characterise the area. Many of the photos show the faces of elderly men and women, or very young children, both groups disproportionately affected by natural disasters, but there are also faces of many other people, caught indiscriminately by either the first quake, or the one that followed two weeks later on May 12.

In one picture, a teenage girl in school uniform smiles shyly at the camera. Just a few yards away, a group of girls and boys of around her age are donning hard hats and picking up shovels before dividing into teams and heading off in different directions. Their matching t-shirts declare them to be members of the local community who are volunteering in street clearing initiatives.

This is one of the worst hit areas of the city and the lanes are still clogged with rubble, sometimes piled under the eaves of damaged houses, sometimes still filling the street so that you need to scramble over to get through. Despite other parts of Kathmandu being almost untouched, here there is not a road or side street which remains untouched.

Everything is covered with a thin film of dust, and the few shopkeepers who have ventured to open up again, busy themselves continuously with dusters and rags.

Psychosocial counselling and trauma care

A woman amongst rubble

Pramita Shrestha

I am with Pramita Shrestha, a social worker from KOSHISH, a CBM local partner that offers psychosocial counselling and trauma care in the Bhaktapur District. Pramita describes the additional support the psychologists and counsellors are providing, not only for those with mental health problems that they were already supporting, but also to an estimated 3,500 earthquake survivors who will need psychosocial support over the next few months.

This is one of the less visible after-effects of a disaster of this scale but one which touches on the lives of so many survivors. Schools have just reopened again and we are passed students with neat white shirts and royal blue skirts, matching ribbons bouncing above – but numbers are down as many children are too anxious to leave their parents, too scared to enter the school building or, with the many aftershocks still being experienced, too sleep-deprived to function well.

People have also started to return to work where they can, or to the social activities they used to enjoy and we see a few small groups of men on the verandas of undamaged houses playing cards or board games, while women sit in twos and threes knitting. But there are also those who sit in their doorways staring into space, and KOSHISH is reporting new cases every day of people of all ages struggling to come to terms with what has happened. Sadly for all those that come, as many remain unwilling to seek treatment for any kind of mental health condition which remains widely misunderstood and taboo in Nepal, as in many places.

Cleaning up, rising again

Man with wheelbarrow clearing rubble from street

Clearing rubble

We come across a single house collapsed among a row of otherwise intact buildings. Further along, two stories of a house with no side wall stand open to the air, as if a huge serrated knife has sliced vertically through the building.

As we approach, we see two figures rolling brick pieces down a corrugated iron sheet propped against the wall. On every street we come to, similar activity is beginning to take place. People on rooftops, shovelling debris. People pushing wheelbarrows of dust out of alleyways or carrying piles of bricks to the truck that cannot make its way down the blocked streets where life has started to go on once again.

Around the next corner, we come across a slogan daubed on a partially collapsed wall, “We will rise again”. Later someone walks past with this printed on a t-shirt.


Graffiti, Bhaktapur

The photos in Durbar Square are one of the ways that the city is mourning its loss and it will take decades before the country is close to full recovery. But this slogan has started to appear across the city and perfectly reflects the resilience of a nation that is already working hard to pick itself up and move forward.

KOSHISH was there in the days immediately following the earthquake, providing psychological first aid as vital as the bandages being so much more visibly applied, and it will continue to support for the long term the efforts of the Bhaktapur community to “rise again”.

Read more about mental health and emergencies


Inclusive humanitarian response – change is coming!

I arrived in Nepal on May 12th, some hours after the massive aftershock that caused more casualties and a number of additional damages to properties and infrastructure.

I could see in the faces of people how their lives were shaken again, and how they didn’t see where and how to ensure the safety of themselves and their families. My first night in Kathmandu was broken by a number of aftershocks that woke me up and made me run outside in search of safety.

Though earthquakes are not new to me, every time it makes me realise how frightening they are, bringing a feeling of helplessness.

Three weeks later, life has become quasi-normal in Kathmandu, with its traffic jams, crowds in the street, shops and restaurants all open. If you don’t travel to affected areas you won’t see that two major earthquakes hit the city only few weeks back. Though people are still talking a lot about them and every day small aftershocks remind all of us that it has happened.

Working with partners – ensuring inclusion

It’s been three weeks of working with partners to provide support to the most affected people, to raise awareness about persons with disabilities and older people and to make sure that all of them are included and have equal access to relief, despite the challenges posed by isolated and remote villages and the upcoming rainy season.

A woman (using a crutch) receiving medicine in a tent

Receiving medicines at a relief camp organized by CBM partner HRDC (Hospital and Rehabilitation Centre for Disabled Children)

Our partners are doing a great job to save lives and contribute to the effort made to assist people in need through trauma care and rehabilitation, organising medical outreach camps, providing psychosocial support – trying to help people to regain independence and normality in their lives. However, we still hear stories from persons with disabilities and older people not being able to access distribution points and being left behind – unintentionally – by relief stakeholders. It is a hard job to reach out to the most at-risk, as often they are not informed, cannot reach the front of the queue and their voices are not heard.

What would you do?

What would you do to find food if you are an 80 year-old man living more than a three-hour walk far from the main road and next city? You will walk downhill, hoping to access a relief package, and then find out that you have to carry a 30 kg bag back uphill …and that you can’t do it. You will seek support, but all other people are also too busy trying to survive to help you.

What would you do if you are a blind person trying to find out where distributions are happening and how to access them, only to discover that you have to compete to be front of the queue as there are not enough supplies for all? Obviously you’ll be at a disadvantage, and most likely you’ll lose out.

What would you do if you are a deaf person, having been transferred by helicopter to Kathmandu for trauma care and have no clue of what is happening to you as no one can communicate with you?

These are only few stories, but many more like this are reported every day…

It is great that donors and organisations are moving towards inclusive policies and frameworks, but exclusion happens on the field. What would you do if you were that relief worker and have limited aid to distribute? Field workers must be supported to turn inclusive policies into inclusive humanitarian action.

Advocating for inclusion

CBM works with our partner the National Federation of Disabled in Nepal (NFDN), supporting them to identify persons with disability and older people and assess their needs to then mobilise humanitarian stakeholders to respond to them. It is very encouraging as many of these organisations are willing to make the extra effort, but lack knowledge or information to ensure inclusion.

People in a workshop (including a wheelchair user)

Bhojraj Ghimire, CIL Kathmandu (checked shirt) takes part in the workshop on disability inclusion organised by CBM and the International Federation of Red Cross and Red Crescent Societies (IFRC) in Kathmandu

Early last week I gave a two-hour orientation on disability inclusion to Red Cross staff, and the head of the delegation said:

“The Red Cross movement was created to help the most difficult to reach and the ones who couldn’t care for themselves, and yet in our response we reach only the easy one. We need to make the extra effort to access all those who are living in remote areas, who are facing barriers to access relief and whose rights we should protect.”

Well, this kind of statement and willingness to walk the extra mile is very encouraging, as it will support the relief worker to develop the mechanisms to help the older man to carry home his 30 Kg of goods, the blind person to find the distribution point and be in front of the queue or the deaf person to access a sign language interpreter to understand what is happening to him and get news from his family.

I will travel back to Europe soon but I’m confident that our partners will continue to raise their voices and to make them heard by all. Change is coming!

Read more about the Nepal 2015 earthquakes


The second quake – an unforgettable experience

A young boy on a bed, being hugged by a young woman

Denish, who was waiting for surgery when the second major earthquake hit

On 12th May I was at CBM partner HRDC (Hospital and Rehabilitation Centre for Disabled Children) to document our response to the first earthquake on April 25, and to record the journey of a child client from an affected district who’s now receiving free treatment. As Tuesday (and Wednesday) are surgical days here, I could find quite a few children who were injured during the quake and were on the list for surgical intervention. With the help of the nurses, I decided to make the story of Denish (who is 4), from Gorkha district, who sustained severe injuries to his right leg. (As their shelter collapsed, both the boy and his mother were buried in the debris. His mother later succumbed to her injuries… the boy was brought in an army hospital to Kathmandu.)

It was around 12 noon, I finished both the tasks and was waiting to have a word with the hospital management about the relief camps in the three CBM supported CBR districts. I had just entered the director’s room when a massive quake, almost of the same intensity as the April 25th, struck Nepal. Unlike the ongoing aftershocks, this one made an unusual noise. With me there were three other members in the room and within seconds all of us were out in the open. The tremors continued for more than 15 seconds…


Suddenly, my mind went to four-year-old Denish whose story I had just recorded. Earlier, as I was speaking to Denish’s caretaker, the boy – who was waiting to receive a minor surgery – had fallen asleep in his bed in the medical ward. Before leaving them, I had asked his caretaker Sabina (who is herself only 19) to wait for the nurse’s call to take the boy inside the operation theatre). As I stood there, I don’t know why I thought I should check if Denish is still sleeping the ward. Instinctively, I rushed for the medical ward amidst a crowd of bellowing children and patients. As I ran, I could feel the ground was still shaking… there were patients being pulled out on their stretchers. As I entered the ward, there was no-one inside, little Denish lay there in his bed, oblivious of what was happening outside. I quickly picked him up and rushed outside. After a brief look at the chaos around, Denish went back to sleep in his caretaker’s arms…

By then, the four patients inside the operation theatre had also been evacuated. They were somehow rolled out by the nurses, with drip still inserted in their hand. Their caretakers came crying and screaming as their wards were brought out of the theatre. Mothers hugged their children and cried as they tried to wake them up. Fortunately, there was no patient with a major surgery during the time of the earthquake. As the crowd settled, there was yet another massive aftershock and the hospital immersed in a roar of cries and prayers. I had never experienced something like this before…


A large tent with many people inside, some with plaster casts and crutches

Tents, donated by CBM, set up in open spaces

HRDC staff brought the tents that CBM had provided as relief materials. The staff team pitched 10 of them, one after the other, in the open spaces within the hospital premises. Soon, all 72 patients and their caretakers were accommodated and given refreshment. Nurses attended to those who were still on intravenous drip and counselled the parents not to worry about anything. Gradually, mats were taken out of the medical and rehab wards to make preparations for all children and caretakers to sleep in the tents at night. Soon, a decision was taken to cancel all surgeries scheduled for the next day.

At 5 pm, a pall of silence descended on the hospital. As I left, I was reminded of how a fresh quake rattled the country that day. However, after the first earthquake and a series of aftershocks, we had gathered requisite resources and were better prepared to deal with the situation… I hope we continue to exhibit the same spirit and preparedness for future quakes.

Read about my visit to one of our relief camps