Tuesday, February 22, 2011

Why We Do What We Do

As I finished my last post, thinking about the various models for accountability monitoring of charity sector, including some forms of government regulatory schemes, I thought that it might be important for me to reflect on my own experience and assumptions, as well as the basis for ICFO's basic philosophy regarding the monitoring of charity accountability.  I was reminded of a talk that Ken Berger, the CEO of Charity Navigator, gave some time ago, and posted on his blog in August, 2010.

Do you ever reflect on what it is that drives you to be involved with the third sector?  Either as a contributor or donor, volunteer or charity leader, charity monitor or evaluator?

All of which got me thinking about the importance of being up front here about my biases and motivations for doing what I am doing, as a donor to charities,  as a member of a number of governing boards of charities, and as someone who has been involved in charity monitoring for over 30 years.

Ken Berger was speaking at a philanthropy camp in New York, and the substance of his speech can be found at http://vimeo.com/14123869. While much of his speech addressed the work of Charity Navigator in the US, what I found more interesting was his brief autobiographical discussion that kicked off his talk.  He spoke of how he became involved in charity work.  Well, here is my journey.

I was raised in the nonprofit sector.  My parents were missionaries in Guatemala with what was then known as the Central American Mission, now CAM International.  We traveled to Managua, Nicaragua sailing on a United Fruit Company ship from New Orleans, Louisiana, by way of Havana, Cuba, through the Panama Canal, and up the Pacific Coast to Managua.  Originally based in Nicaragua, our family moved to Guatemala in 1943, where my father was a professor at a Guatemalan seminary.  He later founded a cultural radio station, Radio Cultural TGN, TGNA, and was its first executive director.

The recent events in Tunisia, Egypt, Libya, Bahrain, and Yemen, and elsewhere in the Middle East have brought back memories of my childhood.  Shortly after arriving in Guatemala, we were caught up in the middle of protests and a revolution in which attempts were made to overthrow the government of Generalismo Jorge Ubico.

My memory, such as it is, of that time, was of a peaceful and almost prosperous nation.  Early in the 20th Century, around 1901, the U.S. United Fruit Company, became a major force in Guatemala.  During the dictatorship of General Ubico in the 1930s, foreign investments flowed into Guatemala, with special favors granted to the United Fruit Company by General Ubico.  As a result, the United Fruit Company poured investments into Guatemala, bought the controlling shares of the railroad, electric utility, and telegraph, while also gaining control of more than 40 percent of Guatemala's best land.

But first, a little context.  It has been said that one cannot really understand the history and politics of Guatemala without knowing something of the United Fruit Company.  Indeed, the history of banana growing in Central America is closely tied to the history of politics in that region from the 1880s through the 1970s.

In 1901, the Guatemalan government hired the United Fruit Company to manage the country's postal service and in 1913, the United Fruit Company created the Tropical Radio and Telegraph Company.  By the 1930s, the United Fruit Company had absorbed more than 20 rival firms and became the largest employer in Guatemala.  However, with its control of vast tracks of land and its domination of regional transportation networks through its railways throughout Central America and its great fleet of steamships, it was able to maintain its market dominance and control the distribution of bananas and banana producing land.  In order to do this, it often required government concessions, which meant the firm had to be politically involved in the region, even though it was an American company.  It was through its heavy-handed involvement with governments in Central America, which often were or became corrupt, that the term, "Banana Republic," became the term to recognize the presence of a "servile dictatorship."

One thing I remember, however, was that the road system in Guatemala was not at all well-developed.  Indeed, there were vast areas of Guatemala which were not accessible by automobile or bus because of the absence of roads.  Because the United Fruit Company allowed vast tracts of lands it owed to remain uncultivated, it discouraged the governments in Guatemala and elsewhere in Central America from building highways, which would lessen the profitable transportation monopoly of the railroads under the company's control.

Admittedly, my memory of that time may not be the best, especially when my interpretation of events and my understanding of what I was experiencing was through the eyes of a young boy.  On reflection, I thought of General Ubico as something of a benevolent dictator, assuming of course, that I knew what that meant.

I remember a basically happy time, where the streets and parks were safe, where my mother shopped freely in the central open market, where there seemed a measure of freedom, at least in the eyes and imagination of a young boy, and where religious communities, primarily Roman Catholic and Protestant flourished.  It was also a time when justice was swift.  When thieves and petty criminals were caught and arrested, tried and convicted in the space of a few days, and then summarily executed by police rifle squads.  This had an effect on the crime rates in Guatemala City and potential problems of recidivism.  The executions were always announced in the newspapers and on the radio, and carried out at the wall surrounding the National Central Cemetery not far from where we lived.  Church bells rang out as the sound of the gun fire was unmistakable in announcing to the citizens of Guatemala City just what was happening down at the National Cemetery.

But as I later learned as an adult, the record was not that clear.  By way of background, in the 1890s, during the U.S. implementation of the Monroe Doctrine in Latin America, European colonial powers were expelled and U.S. hegemony over the resources and labor in Latin America was expanded.  The dictators ruling Guatemala during the late 19th century and early 20th century were accommodating to the U.S. business and political interests.

It was during the 1930s, that General Ubico came to power with U.S. support, and according to some reports, instituted one of the most brutally repressive governments in the region.  According to these reports, he created a network of spies and informants.  Political opponents were tortured and put to death.  A staunch anti-communist, he consistently sided with the wealthy landowners and urban elites in disputes with the peasantry.

Nevertheless, Ubico remained close to the United States, informing the U.S. Minister at the time of the Munich crisis in 1938, that "Guatemala will follow the policy of the United States as long as it is not Communistic."  When President Franklin Roosevelt successfully ran for and was elected to a third term, contrary to the two-term tradition in the United States, General Ubico and his supporters were encouraged, seeing that the U.S. had placed "the man above tradition," and believed that this was also a good reason to keep General Ubico in office for an additional extended period.

His repressive policies and arrogant manner eventually led to a widespread popular insurrection which was led by middle class intellectuals, professionals, and young junior officers in the Guatemalan army.  In 1944, a group of dissident military officers, students, and liberal professionals, the so-called "October Revolutionaries," empowered by revolutions in Venezuela, Cuba, and El Salvador, overthrew the dictatorship of General Ubico.

I remember this because much of the fighting in the streets of Guatemala City took place right outside our urban apartment building.  Indeed, shots were fired that penetrated our apartment and caused some minor damage.  Our building was quite close to the main army fortress, Fort Matamoros, where much of the fighting was taking place.  The final action in this coup leading to the unseating of General Ubico was led by two young officers, Jacobo Arbenz and Francisco Javier Arana.  Arbenz and Arana then stepped aside making way for a general election and what was called "Ten Years of Spring."  Juan Jose Arevalo, a university philosophy professor and popular democratic socialist, was elected and held the presidency until 1951 when he was term limited and stepped down.  He was be followed by the election of Colonel Jacobo Arbenz, one of those two young officers, in 1950 and his his inauguration in 1951.

Jacobo Arbenz was the son of a Swiss German pharmacist who immigrated to Guatemala in 1901.  His family was quite wealthy and upper class.  Arbenz had wanted to be an economist or engineer, but when the family business went bankrupt, he could not afford to go to the university.  His father subsequently committed suicide.  Nevertheless, young Arbenz won a scholarship to the Escuela Politecnica, the Guatemalan military academy, which was several blocks from our home.  He entered as a cadet.  After graduating, he was posted in several military assignments, ultimately returning to the Escuela Politecnica as a professor teaching military subjects, history, and physics.  It was during this time that he met Maria Vilanova, the daughter of a wealthy landowner from El Salvador.  They were married .  It was through her that he was exposed to Marxism.  She had received a copy of The Communist Manifesto, and left a copy for him to read.  They discussed it as Jacobo Arbenz began to read more works by Marx, Lenin, and Stalin.  By, the late 1940s, he was regularly interacting with a group of Guatemalan communist leaders and thinkers.

The election of Jacobo Arbenz as president in 1950 accelerated the process of social and economic change in Guatemala which had been started by his predecessor, Juan Jose Arevalo.  The centerpiece of Jacobo Arbenz's program was a June 1952 agrarian reform law which allowed the taking or expropriation of 1.5 million acres of unused agricultural land from approximately 100 owners of large tracks of land and giving this land to rural workers.  As part of this arrangement, the United Fruit Company lost approximately 250,000 manzanas (or just under 500,000 acres) out of 350,000 manzanas (or a little less than 700,000 acres) that it owned in Guatemala.  Although the United Fruit Company was compensated, the compensation was regarded by the company as inadequate.  According to the decree, this land had to be taken and distributed to peasant communities and the local natives for agricultural purposes.  The company fought the land expropriation and the proffered compensation on the basis that the valuation of the land was estimated to be about 20 times higher than offered by the government.  The United States supported the United Fruit Company in its dispute with the government of Jacobo Arbenz.

Nevertheless, Jacobo Arbenz sought to end the domination of the United Fruit Company and other U.S. companies, primarily those in the public utility and transportation sectors.  He claimed that he would adopt policies for nationalistic economic development if necessary, and that all foreign investment would be subject to Guatemalan laws.  He further claimed that Guatemala was not prepared to make an exception for the United States.

However, it was not just his agrarian reforms that got him in trouble with the United States.  President Arbenz eventually forced moderate representatives out of the leading positions in his government and replaced them with communist party leaders.  In 1952 the Guatemalan Party of Labor was legalized, and communists subsequently gained considerable minority influence over important peasant organizations and unions.  There had been a radicalization in the major government parties.  The Communist Party was never the center of the communist movement in Guatemala until Jacobo Arbenz came to power.  However, when he came to power, he extended political freedom to the communists allowing them to participate in politics.

In 1952, U.S. President Truman authorized the first CIA effort to overthrow Arbenz, a CIA collaboration with Nicaraguan dictator Anastacio Somoza.  According to CIA documents released in the late 1990s following their declassification, the CIA directed covert operations aimed at removing the government of Arbenz from power in Guatemala.  The agency drew up a list of some 58 individuals for assassination, exile, imprisonment, and otherwise removal from office.  In the end, the plans were abandoned and no Arbenz government officials were assassinated.  The names of targeted individuals have been deleted from the released documents, and so it is unclear whether or not there were any assassinations of any of the individuals listed..

In 1953, President Eisenhower authorized the continuation of this plan against Colonel Arbenz and his government.  The takeover of the United Fruit Company (subsequently renamed and known today as Chiquita) and the proliferation of labor and agricultural laws were instrumental factors in the White House decision to continue the plans to overthrow the government of Guatemala.  However, the policy was also rationalized in terms of anti-communism and the need to respond to the threat that might lead to Guatemala's withdrawal from the capitalistic politico-economic orbit.  While there is no evidence that America viewed what was going on in Guatemala as a specific threat against the United States, Arbenz's "drift toward Communism" had become an established fact of policy-makers.  As one writer described it:

In Guatemala Communism has achieved its strongest position in Latin America, and is now well advanced on a program which threatens important American commercial enterprises in that country and may affect the stability of neighboring governments.  Continuation of the present trend in Guatemala would ultimately endanger the unity of the Western Hemisphere against Soviet aggression, and the security of our strategic position in the Caribbean, including the Panama Canal.

According to some historians, Arbenz's land reform was designed by the Communist Party and was ruled unconstitutional by the Guatemalan Supreme Court, after which Arbenz purged the Court.  His regime openly praised Stalin and relied on communists for key decisions.  He was alleged to have killed hundreds of his opponents.  Arbenz also purged the military brass of officers who were thought to support Francisco Javier Arana, President Arevalo's chief of the armed forces, and a possible opponent of Arbenz.  One of those officers was Colonel Carlos Castilla Armas.  Colonel Armas retired from the Army and was subsequently exiled to Honduras.

Throughout the early 1950s, primarily in 1953-1954, there was a campaign of propaganda against Jacobo Arbenz.  The US Information Agency (USIA) placed unattributed articles in foreign newspapers labeling Guatemalan officials as communists.  Additionally, the USIA distributed 100,000 copies of a pamphlet, "Chronology of Communism in Guatemala" throughout the Western Hemisphere.  A radio station, La Voz de la Liberacion (The Voice of Liberation), was set up in Miami but claimed to be operating deep in the Guatemalan jungle, broadcasting a mixture of popular music, humor, and anti-government propaganda.  Local Guatemalan newspapers also carried on a propaganda campaign against the president.

In the early 1950s, the Roman Catholic press in the United States, following the lead of secular journalists, became convinced that there was a Moscow-directed plot to take over Guatemala, and that it had succeeded and was spreading throughout Central America.  Popular Catholic periodicals were turning their attention to Jacobo Arbenz and Central America generally, warning readers of the dangers of the supposed communist regime of Jacobo Arbenz.  When he was subsequently overthrown, the Catholic press praised his downfall and predicted cooperation between Guatemalan authorities and the Church. with support by the U.S. government, and the onset of democracy.

Following a March 1954 meeting of Foreign Ministers in Caracas, Venezuela, the CIA received its "marching orders" to plan and train an invasion force of Guatemalan exiles to overthrow the Arbenz regime.  Washington's assessment of the situation in Guatemala seemed confirmed when Guatemala received a shipment of weapons from Czechoslovakia in May 1954 at its port, Puerto Barrios, on the northeast Atlantic coast of Guatemala.

During a state visit by Nicaraguan president, Anastasio Somoza, to the U.S. in the early 1950s, he informed the U.S. of Colonel Castillo Armas and his small army of rebels.  President Somoza believed that with proper financial support from the United States and from the Dominican Republic dictator, Rafael Trujillo, he and Colonel Armas could depose President Arbenz.


The decision was made to support Colonel Armas and his ragtag army of rebels.  Colonel Armas's history is wrapped up in Guatemalan history of this time.  He was from a poor family, abandoned by his father and raised by his mother.  He attended and graduated from the Escuela Politechnica, the National Guatemalan Military Academy and participated in the coupe that resulted in the overthrow of General Ubico.  He was later appointed the superintendent of Escuela Politechnica, a supporter of Colonel Juan Jose Arana.  During a coupe attempt, he was wounded and arrested, and subsequently escaped to Honduras.

On 18 June 1954, Colonel Armas's forces crossed the border from Honduras into Guatemala.  Before dawn, CIA P-47 fighter planes bombed the Guatemalan Pacific port city, San Jose.  The invading army was 480 strong and invaded along the border of Guatemala with Honduras and El Salvador at five key points.  This gave the impression of a major force and with this kind of disbursement, reduced the chance of the entire force being routed in a single engagement.  During the invasion, radio broadcasts transmitted false reporting of huge forces joining the local populace in a popular revolution.

Aircraft dropped a few bombs here and there during the invasion on the 18th of June.  Also during this period, aircraft were flying over the capital, Guatemala City dropping leaflets of propaganda.  However, on subsequent raids on the capital, the P-47 aircraft bombed and strafed several targets effectively demoralizing government leaders.

Our home was a few blocks from the Guatemalan military headquarters, the Escuela Politechnica, the headquarters and stables of the Guatemalan Army Cavalry, and the transmitter building for the government radio station, TGW.  Although much of the fighting took place in the city center around the national palace, considerable fighting took place in our neighborhood because of the location of the military installations and national radio station.  Because of its location, our home suffered some minor damage due to the shooting in the neighborhood.

The CIA P-47 airplanes became known as "Sulfatos," the Guatemalan word for laxative, because of the alleged effect their appearance had upon Arbenz and his officials.

There was one mistake that was made by the CIA, however.  On 24 June, a P-47 swooped down over Guatemala City strafing gasoline stations and in the process of its strafing runs, knocked out a radio station.  It was not, as luck would have it, the government radio station, TGW, which was the intended target and near our house.  Rather, it was TGNA, the protestant missionary radio station founded and operated by my father.  Our new family car was heavily damaged by the bullets from the aircraft's 50 mm machine guns, and the studio and transmitter facilities, as well as towers, were badly damaged.

At the sound of the roar of the P-47 conducting the raid, my father and his staff of studio personnel and transmitter engineers stepped outside the respective buildings just in time to see the dive strafing runs of the aircraft.  My father and his colleagues dove to the ground to avoid being targets, only to have their bodies surrounded by bullets from the plane's machine guns.

On 27 June, with most of his cabinet ministers having resigned and having fled to various embassies, consulates, and other countries, President Arbenz took to the airwaves to announce his resignation from the presidency, leaving his friend, Colonel Carlos Enrique Dias, then chief of the Guatemalan armed forces, as head of the government.  Colonel Dias, whose nickname was Pollo Triste (Sad Chicken), went on the air and announced that:

The struggle against the mercenary invaders of Guatemala will not abate.  Colonel Arbenz has done what he thought was his duty.  I shall carry on.
Initially, Arbenz fled to the Mexican Embassy, seeking refuge there, and was subsequently given safe passage to Mexico.  He stayed in Mexico for a short while, and then moved with his family to Switzerland.  However, the Swiss government did not allow him to stay there, unless he gave up his Guatemalan citizenship.  He refused to do so, and then moved to Paris initially, and then to Prague.  The Czech officials were uncomfortable with his stay there because they were afraid that he would demand the government to repay him for the poor quality of the arms which Czechoslovakia had sold him shortly before the 1954 coupe and revolution.  He then moved with his family to Moscow, and finally was allowed to move to Uruguay in 1957.  In 1960, Fidel Castro invited him to come to Cuba, and he remained there until 1965, when he returned to Mexico following the suicide of his daughter.  Arbenz died on 27 January 1971, and his remains were later returned to Guatemala on 19 October 1995 to a hero's welcome for burial in the National Central Cemetery following a ceremony in the National Palace.

In the meantime, On the 28th of June, Jerry DeLarm, one of the pilots with the CIA, bombed Guatemala City again.  DeLarm was a native of San Francisco, California, known for his barnstorming adventurous flying around Central America.  Initially flying for Colonel Arbenz, doing sky-writing and broadcasting, when he was not paid for his work as promised, and suspecting that Arbenz was a communist, he started flying for Colonel Armas.  This time, he hit his target, the right one, the government radio station, TGW, knocking it off the air, and then dropped two bombs on the major army fortress, Fort Matamoros.

President Arbenz's friend and successor, Carlos Enrique Diaz, was deposed two days after he assumed the presidency as head of a military junta, by a military coup led by Colonel Elfego Monzon, who established a military junta.

Colonel Carlos Castillo Armas was invited to join the junta, which he did and on 3 July 1954, he returned to Guatemala City to a huge welcome, and succeeded Colonel Monzon as the leader of the junta on the 8th of July 1954.  On 1 September, the remaining members of the junta resigned, and Armas was formally declared president.  Although my family stayed in Guatemala, I left for the United States to continue my education around that time.

Throughout the latter half of the 1940s and early half of the 1950s, I attended a small boarding school in the Guatemalan highlands in the town of Huehuetenango.  Initially, the only roads were small and difficult roads through Quiche or through Quetzaltenango that required 10 to 12 hours to drive to Huehuetenango through difficult and mountainous terrain and so we traveled there by airplane from Guatemala City, a 45 minute flight.  After I left Guatemala in 1954, with the construction of the Pan American Highway, it was possible to make the trip in about four hours.

Situated in the center of Mayan culture, and close to the ancient Mayan pre-Columbian capital of Zaculeu, we experienced the beauty of the land, the abject poverty that was present every where in that area, and the nature of accountable charity.  So little had changed in over 100 years.  The languages, of that area of Guatemala, still existing from ancient Mayan times, were Mam, K'iche', and Q'anjob'al.

The boarding school was a place in which 20-30 boys and girls from missionary families throughout Central America came for their elementary schooling.  The students all became part of the local Huehuetenango.  We participated in the cultural, civic, commercial, and religious life of the community.  However, for most of us, it meant that we were away from our homes and families, and unable to see our parents during the almost 10-month school year.

Yet, it was basically a happy and fulfilling life.  We contributed to the community through our charitable services and through regular practices and disciplines taught to us by our parents and the teachers at the school.  We regularly visited sites of historical and cultural significance, giving us appreciation for the ancient cultures and practices of the Indian nations that made up Guatemala, and in particular, during the pre-Columbian period.

Zaculeu, is a pre-Columbian Maya archeological site in the highlands of western Guatemala, just a little less that four kilometers outside the city of Huehuetenango.  Its occupation dates back to the Early Classic period (AD 250-600) of Mesoamerican history.  It was later the capital of the Postclassical Mam kingdom, and later conquered by the K'iche' Kingdom of Q'umarkaj.  In AD 1525, the city was attacked by the Spanish during a siege that lasted several months.

There are a number of these ancient cities consisting of nothing more than the ruins covered with mounds of dirt.  One such ancient capital, is Iximche', located near the town of Tecpan and not far from Huehuetenango.  Like Zaculeu, it was built on an isolated bluff surrounded and protected by ravines.  It was one of the K'iche' Mayan capitals until it was conquered by the Spanish with the help of the Kaqchikel Indians in the early  1500s.

These ancient cities of the Mayans were pretty much the same, unexcavated mounds of dirt, containing temple-pyramids and government palaces grouped around a series of plazas, and a ballcourt for the playing of the Mesoamerican ballgame.  Zaculeu  was no different, and abandoned in 1525, around the same time as the others were abandoned.  However, in the late 1940s during my elementary school years, the United Fruit Company excavated and restored it, essentially by clearing the mounds away and covering the pyramids, ballpark, and plazas with concrete.


Now, why is any of this important?  Well, maybe it isn't really important because it is so much ancient history and so personal to my history.  But, it also fills in some of the cracks that have informed me in connection with what I believe and how I have become involved in the third sector.

The first is the recognition that I was raised in a Christian family that devoted itself to its religious calling and service to others.  As a result, it was in that family that I learned what was important to life and the meaning of calling and stewardship.  I don't mean to suggest that these are simply religious terms, which clearly they are.  But rather, that there is a difference between being called to serve to poor and others in need, as opposed to being driven to be successful; that my talents, experiences, time, and material resources are held in trust to that end; that my interest is only that of being a steward.  Stewardship not only involves what I do with my resources, talents, experiences and time, but how I am accountable for what I do and to whom do I owe that accountability.

Secondly, the one lesson I learned well from my parents, their colleagues, and my personal experiences and history, was that whenever I am in a country other than my own, I am a guest in that country.  This has several effects, some of which may be contrary to many of the INGOs that are participating in the INGO Charter.  That does not mean that I discount the importance of what organizations, like Amnesty International, Greenpeace, CIVICUS World Alliance, Earthrights International, Transparency International, and similar groups do.  But, that just is not where I am right now.

I am reminded of what I wrote in one of my posts on Haiti last year, that Haiti is really not able to progress and be an effective self-governing country because of the large NGO sector there, almost acting in a parallel sort of fashion doing the things the government should be doing.  My father always respected the host country government, and dealt professionally and courteously with most of the individuals identified in this post.  My family was in Guatemala to serve the people of Guatemala, not to advance some political or socio-economic agenda.  He did not spend a lot of time being concerned about some effectiveness or impact evaluation of his work.  He was okay with letting the United Fruit Company worry about that.

A third lesson I learned was that governments deserve a certain sense of skepticism, both with respect to what they can deliver in terms of social services and good government, and in how they can regulate all sectors of national life.  This is not to say that I am anti-government in any way.  However, as one who has worked for the United States government for almost 50 years, but who also spent his formative years in Guatemala, I have learned that governments, no matter where they are located and at what level they operate, are not able to provide for all the needs of all of the people, and still allow a decent level of personal freedom and personal responsibility.  I also understand that through legal and regulatory regimes, and the exercise of executive powers, civil society organizations may be restricted in what they can do, either through registration processes or regulatory enforcement mechanisms, and that charities will often owe their existence to governmental decisions.

A fourth thing I learned that wherever I am, any effectiveness in my service through charity takes place in the context of relationships.  That involves learning about the history, culture, and traditions of the people with whom I work and to whom I offer assistance.  In foreign countries to my own, that involves learning the language, meeting and knowing the people and their interests and needs.  As a child, my playing with the indigenous children my age tended to inform my beliefs and motivations when dealing with people and their needs.  My father brought into his circle of advisers, including as member of the boards of several organizations he led, national Guatemalan leaders, technicians, and specialists.  Not because it was required by law at that time.  Rather, he wanted the relationship and advice of those who knew the country, its history, its people, and wanted to be a part of the mission of his organization.  My father not only loved his work, he most of all loved the Guatemalans.  Proud as we were to be Americans, we understood that America did not have all the answers.

As an illustration, I joined my mother and father, and sister and brother-in-law in a trip to Guatemala many years ago for the 40th anniversary celebration of the radio station my father founded.  As we were having breakfast in the guest apartment one morning, a Guatemalan Indian woman came to the door with a basket of Guatemalan tamales.  She had worked with or for my parents in the late 1940s, and had left her village early that morning, long before sunrise to walk miles and then to take an early morning bus to Guatemala City on the chance she might see our family.  We sat around the table eating those wonderful tamales she had made with such care catching up on 50 years of personal history.

Ten years later, or 11 years ago, my brother and I went to Guatemala to take part in the celebration of the 50th anniversary of Radio Cultural TGN, TGNA.  I had been in the offices in the studio building when one of the staff members approached me to tell me of an elderly woman that was waiting for me in the crowd of several thousand.  I went out to see who might be looking for me, and found a woman, then in her mid-90s, waiting patiently on a park bench for the chance to see me.  She had left her home in Huehuetenango that morning around 4:00 to travel by bus to the Capital.  She knew my father and mother had died, but thought I might be there to represent the family on this important anniversary event.  She really had no way of knowing whether that would be the case.  But, for the next two days, she did not leave my side during the programs at the radio station or in the Olympic Stadium.  She was just one of the many people my parents served.

The fifth lesson I learned as a boy was the importance of accountability.  In those days, and to a lesser extent today, most missionary societies in Europe and the United States required their missionary workers to raise their financial support as they went out around the world; to Africa, India, China and other parts of Asia, and Central and South America.  We now call this deputized fundraising.  I guess to be clear about the nature of this effort and make sure that there was no misunderstanding by the government concerning compliance with its tax laws.  Funds were raised from organizations, churches, individuals, etc., by those individuals preparing to go out into missionary service, with the donations made directly to the mission society, from which salaries and expenses and project costs would be covered.

I remember evenings as my father sat down with his typewriter writing personal thank you letters and reports of his work to those who had made donations to the mission society for my parents' support.  He did this for almost 60 years, right up to shortly before he died.  During his return trips to the U.S., he would make every conceivable effort to visit those people, organizations, and churches that had made donations to his work.  My father and mother believed that their work represented a team effort, and that they were the point of the spear, whereas those donating the funds were every bit as important to the success, however it was defined, of the work they were doing.

My parents never bought into the modern maxim that big is good, that bigger is better, and that biggest is best.

Rather than be concerned about how someone defined success, or how their successes, however defined, were adequately perceived by others, they simply sought to be faithful in all they did, whether it was in their work in Guatemala and later around the world, or in how they maintained their communication with those donors that made it all possible.

Old fashion, isn't it?  But this was the environment in which I grew into adulthood, and these are some of the things that shape my thinking, even today.  I suspect that there are other things that I learned in life concerning the sector, but these are a few that came to mind as I was reflecting on my life and writing down these few thoughts.

By the way, I do still love Guatemala and the Guatemalan people.

Sunday, February 6, 2011

Civil Society and Monitoring Models

My friend, Chris Zealley, a long-time participant in the third sector as a charity trustee and monitor of that sector, has corresponded with me this past week, mainly in regard to the Charity Commission in Britain.  In a message to Adri Kemps, Secretary General of the International Committee on Fundraising Organizations (ICFO) and Director of Centraal Bureau Fondsenwerving (CBF) in Amsterdam, and me, Chris raised an interesting question: Do the British need a Charity Commission, and if so, do they need the one they have?  He addresses this question in an article he wrote for Third Sector, a weekly charity sector magazine in Britain at the suggestion of its editor, Stephen Cook.

In his editorial on 24 January 2011, Editor Stephen Cook wrote:

Charity Working at the Heart of Society, a policy document from the Charity Commission in 2005, announced that the regulator was intending to take a broader role as a promoter and champion, enabling charities to maximize their impact and encouraging innovation and effectiveness.
* * *
When the commission's policy was revised the following year, the phrase "championing the work of the sector" was replaced by "championing the public interest in charity."  The dissenters were mollified, but have never been entirely satisfied with the widened role of the watchdog.
The purpose of this historical detour is to put in context the response of the umbrellas and representatives have made to the commission's recent consultation about how it should make the ₤8 million cuts to its budget over the next four years. Not to put too fine a point on it, they have treated this as an opportunity to get the commission back in its box.
Their message, broadly speaking, is that the commission should concentrate on maintaining a high standard of regulation and leave it to them to offer advice and guidance to charities.  The unspoken implication is that a slimmed-down commission should relinquish any remaining claim to the "champion" role.
In his message to Adri and me, Chris suggested that there were two main grounds in which ICFO could enter the discussion on a broader and international basis.  The first was the functions carried out by the UK Charity Commission, and how these functions were handled in other countries.  The second was that in the context of the debate regarding the Charity Commission in the UK, ICFO might address how accreditation schemes operating under the ICFO standards, or similar standards, are common in other countries, such as in Europe, Canada, and the US.

While it is my intention to address these two issues in forthcoming posts, what caught my eye in Chris' message to us was his statement that "The main argument must now be to link Accreditation with the huge demand for funds that has fallen on charities through the government financial pressures on people, business and charities, of which many of the latter have been receiving large government funding, now being dramatically reduced."

In our further exchange, Chris and I seemed to narrow part of this issue down to what I think raises an essential question that I think tends to bring confusion to the entire subject of civil society and the nature and role of civil society organizations which I addressed in my earlier post, Government, Civil Society, Charity, and Public Benefit, on 22 November 2009, and my earlier post on Alexis de Tocqueville and Civil Society.  Chris wrote me that the opportunity for new ideas and for reconsideration of old ideas that had been rejected regarding accreditation or monitoring schemes seemed to be opening up in Britain "because a swathe of UK charities have been sustaining their bulging overheads with grants and contracts from Government departments."  To which I responded, "If a charitable organization receives a substantial portion of its income from the government through grants and contract programs, is it really a charitable organization that is part of civil society, or is it just another arm of the government engaged in some form of social welfare on behalf on the government?"

As this discussion between Chris and me was going on, President Barack Obama spoke at the National Prayer Breakfast in Washington, D.C. on 3 February 2011 in which he said:

     Now sometimes faith groups can do the work of caring for the least of these on their own; sometimes they need a partner, whether it's in business or government.  And that's why my administration has taken a fresh look at the way we organize with faith groups, the way we work with faith groups through our Office of Faith-based and Neighborhood Partnerships.
     And through that office, we're expanding the way faith groups can partner with our government.  We're helping them feed more kids who otherwise would go hungry.  We're helping fatherhood groups get dads the support they need to be there for their children.  We're working with non-profits to improve the lives of people around the world.  And we're doing it in ways that are aligned with our constitutional principles.  And in this work, we intend to expand it in the days ahead, rooted in the notions of partnership and justice and the imperatives to help the poor.
     Of course, there are some needs that require more resources than faith groups have at their disposal,  There's only so much a church can do to help families in need  -- all those who need help making a mortgage payment or avoiding foreclosure, or making sure their child can go to college.  There's only so much a nonprofit can do to help a community rebuild in the wake of a disaster.  There's only so much the private sector will do to help folks who are desperately sick get the care they need.  And that is why I continue to believe that in a caring and just society, government must have a role to play; that our values, our love and our charity must find expression not just in our families, not just in our places of worship, but also in our government and in our politics.
 Shortly after his inauguration, President Obama appointed the President's Advisory Council on Faith-Based and Neighborhood Partnerships.   The President asked the Council to focus its attention on making recommendations in the following priority areas:

  • Economic Recovery and Domestic Poverty
  • Environment and Climate Change
  • Fatherhood and Healthy Families
  • Global Poverty and Development
  • Interreligious Cooperation
  • Reform of the Office of Faith-Based and Neighborhood Partnerships.

While it is my hope to address this report in future posts in a way that may be of interest to the international community that follows this blog,  my point here is that one of the assumptions in this report appears to support my concern that if the charity receives significant public funding from governments, it ceases to be a charity, public benefit civil society organization and simply become an arm of the government engaged in some form of social welfare on behalf of the government.

In the section of Economic Recovery and Domestic Poverty in the report of the Council, the Council recommended that the government ease the burden on nonprofit social service agencies by removing barriers to service programs such as matching fund requirements, burdensome reporting and regulations, and slow payments and disbursement.  In explaining the background for one of its recommendations here, the Council wrote:

The non-profit sector employs over 9.4 million workers and 4.7 million full-time volunteers nationally.  This constitutes roughly 11 percent of the American workforce.  With this many employees, it is critical that the federal government provide an adequate response to keep these entities financially secure and functioning.  In recent years, non-profit agencies have had to raise more and more unrestricted private dollars to meet the match requirements, administrative fees, and licensing and permit fees.  Another way to characterize this is that while non-profits are tax exempt, they are paying a "tax" to accept and administer government funds.
Non-profit agencies that operate programs in partnership with federal and state governments continue to experience dramatic cost increases to run these partnerships.  In the wake of current economic downturn, these escalating costs make it difficult to continue current services and extremely challenging to take advantage of funding opportunities.  Many government contracts are structured with the assumption that small non-profits will be able to identify local resources to cover and support the administration of these partnership in an increasingly unstable economic climate.
In our exchange, Chris wrote of a charitable organization in the UK in which the government had cut over 70 percent of its funding.  So, there was a "renewed dependence on old-fashioned Donors [that was ] going to be very suddenly realised!"

The Chronicle of Philanthropy, electronic update of 6 February 2011 noted that despite the fact that more than 50 billionaires announced last year that they would devote at least half of their wealth to charity, few made big gifts in 2010.  Donors and nonprofit officials feared that the economy would slide back into recession and uncertainty about the tax rule would result in a reduction of major giving.  While older donors making large gifts gave to colleges and universities, younger wealthy donors were giving to medical care, human rights, social entrepreneurship, and efforts to improve public schools.  Thus, for example, Facebook co-founder, Mark Zuckerberg, at age 26, pledged $100 million to help overhaul the Newark, New Jersey (U.S.A.) public school system.  The eBay founder, Pierre Omidyar and his wife, Pam, both 43, gave $61.5 million, mostly to their philanthropies, which support social entrepreneurship, human rights, and other causes.  However, Whitney Tilson, a 44-year old hedge-fund manager said that he expected the face of big giving to change with his generation, and noted that:

I can think of no less needy charity than Harvard.  I have to struggle to think of anyone in my age group who has given big money to a traditional charity.
While it is true that alumni tend to give to, and support their alma maters, it is difficult to think of Harvard University as a particularly needy charity with its almost $3.5 billion income for fiscal year 2008, with an endowment valued at $27.6 billion for the fiscal year ending June 30, 2010, with real estate holdings of 4,979 acres, and with more than 323,000 living alumni in the U.S. and in some 203 other countries.

Of course, what is so confusing about this is that we really are not sure what a traditional charity is, especially when the lines between a government socio-economic-political purpose, responsibility, and funding, and the the goals and nature of public benefit charity are blurred. 

As I wrote in my 22 November 2009 post, Government, Civil Society, Charity, and Public Benefit, civil society reflects the complex set of a dense network of civil associations that are said to promote stability and effectiveness of the democratic polity through the associations of citizens' "habits of the heart."  So, we think of civil society as that part of the public square set apart from the State and the market, that is, apart from the political sector and the commercial and business sector.  If nonprofit, public benefit organizations are fulfilling a public function as arms of the government, and are funded in some significant measure by government entities, they are bound by the legal and regulatory schemes set forth by the government, accountable to the government with respect to the use of the monies furnished by the government through grants and contracts, and largely deprived of those charitable impulses of individuals banded together to meet certain defined needs.  Of course, any charitable organization will be bound by legal and regulatory requirements set forth by the government, but the nature and consequences of this legal and regulatory scheme may be more intrusive in the case of a charitable organization which receives funds from the government.

When the lines are blurred between the role of government in society and the traditionally understood functions of charity or civil society organizations, as they are now in many parts of the world, the motivations for civic participation, including the giving of donations and the volunteering of services, are quite different than the motivations for paying one's taxes and participating vicariously as a citizen through some anonymous government bureaucracy to alleviate the hardships of human existence.  It also distances and separates individuals from those in need, or from the general welfare of society, and thus tends to reduce or destroy any sense of community in which we all have a part in alleviating suffering and improving the human condition.  Perhaps, we don't even feel any responsibility toward our fellow human beings, assuming that if there is a need, it is the government's responsibility to address that need.



As I watched this video clip, I could not help but wonder how our  values, our love and our charity must find expression not just in our families, not just in our places of worship, but also in our government and in our politics.

Nevertheless, this then leads to the questions posed by Chris Zealley as to the efficacy of the model presented by the Charity Commission in the UK as a non-Ministerial Government Department with certain regulatory powers, and the model for accreditation similar to that followed by the national monitoring agencies that are member of ICFO.  This will be the subject of future posts.

Sunday, December 19, 2010

Merry Christmas and Happy New Year

 On behalf of the Board and Membership of ICFO, we extend to you this Christmas wish and best wishes for a happy new year.

  
International Committee on Fundraising Organizations       
ICFO – the association of national monitoring agencies   

Dear Colleagues and Friends of ICFO,

It is a time of year when we are surrounded by music and lights,
and for many around the world, a time of celebration as we
recognize the birth of Jesus. But, for all of us, Christmas also can
be a time of celebration as a symbol of hope, love, and generosity,
and a time of reflection.

Like so many years, 2010 has been filled with so much of the stuff
of human experience, beginning with the earthquake disaster in
Haiti in January, the flooding in Pakistan in July and August in
the midst of war, damage caused by other natural disasters, and
the reminders of poverty throughout the world. The
nongovernment, public benefit sector has engaged these
challenges.

Included within the mission of ICFO is the promotion of donors'
confidence regarding the efficacy of their giving, and the
transparency, integrity, and accountability on the part of
charitable sector these donors support with their gifts. With self-regulation initiatives springing up around the world, ICFO and its member organizations are eager to participate in this effort.

As we wish you a Merry Christmas and a Happy New Year in
2011, we hope you will join us in the calling.



Rollin van Broekhoven        Adri Kemps
President, ICFO                  Secretary General, ICFO

Sunday, November 21, 2010

Disaster Aid, Revisited

My college alumni magazine came in the mail recently, and like most folks, I immediately picked it up to start reading.  But, what caught my eye almost immediately was a story about Haiti and an interview with a former college colleague of mine, The Honorable Raymond Joseph, the former Haiti Ambassador to the United States and now a candidate for that nation's presidency.  I was fascinated with what he said, and it prompted me to revisit the disaster aid issues for Haiti and Pakistan.  But, more about his comments in a moment.


I ended my last post with these thoughts:

Could it be that most of us can watch scenes and events like this on television, and yet could never watch or experience them in real life?  Put them on the screen and we can watch them.  Whether it is an earthquake in Haiti, or a flood in Pakistan in the midst of a war, we may start to analyze them, and marvel at the destructive power of an earthquake, the power of the river and the horribleness of war, but that is it.  However, if one were to see them in real life, one would be expected to intervene, to rescue the victims or to come to the aid of the victims.  To do something.

I think one of the things that has happened with our ability to see things on the screen may be illustrated by what happened in Haiti, or the starving in Darfur, or the death and destruction and hopelessness of Pakistan, is that we see them and absorb them, realizing something horrible has taken and is taking place on our television screens, knowing that there is no question about what we are seeing, and then we simply just move on with our lives.  And we say that, yes, people starve in places like Darfur, and lose their lives and homes and livelihoods in places like Haiti or Pakistan, but what can one do about that?  We don't necessarily become harder or colder to what we are seeing.  Rather, we simply accept it.  We become detached, and therein lies profound social problem.

Watching and participating is the basis for a real moral dilemma.  If we are just an audience, it is easier for people to do terrible things, or for us simply not to take any more than a fleeting interest in what we see.  I am not sure that even responding to an appeal for funds on television by calling a number or texting a donation to a large and somewhat anonymous NGO can be considered moral participation in the relief of the disaster.  But then, why respond when all of the emphasis is on what the UN should do through its agencies, what the international community, particularly, national governments, should do, and what the Pakistani government or the Haiti government should do for its own people.  Doesn't this just say what we think but are afraid to say out loud?  Does this seem to explain why so little aid has been provided to the people of Pakistan as I wrote in my last post, and as repeated in the media?

Now, more than ten months since the earthquake in Haiti, and almost six months since the flooding in Pakistan, I was curious about what has been done for the Haitians and the Pakistanis in the intervening months and how the people that have suffered through these two disasters are doing.  We all agree, that with the level of devastation, it is too early to see some significant difference and improvement in the living conditions.  But, has there been any improvement?

With all of the attention given to the UN conferences, particularly the donors' conference in March 2010 to address the needs in Haiti, the pledges by countries to provide for relief and development aid to Haiti, and to start the process of rebuilding the country for a more stable and prosperous future, I wondered how we were doing.

But, first a word of caution here.  Frequently, I write these posts over a period of several days or a week.  Such was the case here.  The story or substance of what I am writing, particularly if it is about an ongoing crisis or situation, evolves as the situation changes and as data are updated.  As one will see here, that is what has happened, particularly in the case of Haiti.


So now, let me focus on Haiti.  Rather than hearing much about all the good that has been done, the daily headlines are filled with reports hurricanes, more mud slides in the countryside from stripped mountains, of the spreading cholera epidemic in the Haitian countryside, and the potential spread of cholera even to the capital, Port-au-Prince, with reports of deaths increasing by the day.

In an Associated Press report in late September 2010, we learned that:
Nearly nine months after the earthquake, more than a million Haitians still live on the streets between piles of rubble.  One reason: Not a cent of the $1.15 billion the U.S. promised for rebuilding has arrived.
The money was pledged by Secretary of State Hillary Rodham Clinton in March for use this year in rebuilding.  The U.S. has already spent more than $1.1 billion on post-quake relief, but without long-term funds, the reconstruction of the wrecked capital cannot begin.
 * * *
Meanwhile, deaths in Port-au-Prince are mounting as earthquake survivors scramble to live without shelter or food.
"There are truly lives at stake, and the idea that folks are spending more time finger-pointing than getting this solved is almost unbelievable," said John Simon, a former U.S. ambassador to the African Union, who is now with the Center for Global Development, a Washington think tank.
Shortly after the earthquake hit Haiti, the U.S. government sent ships, troops, rescue teams, aid workers, and supplies to Port-au-Prince for emergency rescue and relief operations.  On March 24, President Obama sought from the U.S. Congress $2.8 billion for emergency assistance to Haiti.  Approximately one-half of this was to reimburse money already spent by USAID, the U.S. Department of Defense, and other government agencies.  In May, Congress approved a total of $2.93 billion for Haiti which was divided into three categories: $1.642 billion was earmarked for relief; $1.15 billion for recovery and reconstruction and $147 million for diplomatic operations.  It was this $1.15 billion that Secretary Hillary Clinton pledged at the UN Donors' Conference in late March 2010.

Other countries have also delayed sending reconstruction assistance. Less than 15 percent of the money promised at the donors’ conference for 2010-11 has been received.  In the meantime, in late September 2010, an isolated storm destroyed about 8000 tarps, tents, and shacks in the capital, killing six people.

In early November 2010, Haiti was scrambling to prepare its crowded towns and survivor camps for a possible hit by a hurricane Tomas.  As one blogger wrote in early November, "there's nothing quite like walking into abject poverty to make you painfully aware of your wealth, your full belly, your watch, your shoes, your sunglasses, your backpack with its small store of emergency rations, your bottle of clean water, your camera."  The first thing she noticed, and the first thing friends of mine working with NGOs in Haiti noticed were the children, their "enormous eyes, wide smiles, and the way they greeted people. "Every time I walked through a tent community, or got out of the truck to visit a school, the children came running and they made me their friend, holding my hand as we walked."

Looking at the storm clouds rolling in over the mountain and hearing the thunder nearby, she wrote about the stifling heat and:
I hoped it would cool things down just a bit.  And then I remembered the tents.  Rain for us meant a cool breeze in our rooms as we slept; rain for those in the tents meant women would be holding their babies all night so they could sleep and everyone else would be standing to avoid the mud.
None of this is okay.  It is not okay that they are hungry, that they sleep on dirt and gravel, that they stand when it rains, that they are malnourished, and get their water from a well miles away.
"Ou we sa wgenyen ou pa konn sa wrete."  "You know what you've got, but don't know what's coming."
All eyes gaze up at the sky, nervously, as the gray creeps across like a demon.  Hurricane Tomas comes early.  Banks and markets close -- suddenly-- and panic strikes the streets of Port-au-Prince.  For those who can leave, it is a mass exodus: traffic, fear and uncertainty.
The government's text message arrives advising all displaced persons to evacuate their tent camps, prepare supplies and protect their families.  To many, this advice seems absurd faced with the reality these people face.  If they could have found shelter, why would the be living in tents in big, crime-ridden tent ghettos in Port-au-Prince, or in tent shantytown compounds in the center medium strips of the highways?  If they could afford clean water, why would they be drinking contaminated water from the stream and rivers and canals?  If they could afford food for tomorrow, why is it a struggle every day just to survive and eat today?

Haiti, a nation with an outbreak of cholera in the countryside spreading toward the capital, Port-au-Prince, now faced hurricane Tomas.  Cholera, a bacterial infection that spreads through contaminated water, causes severe diarrhea and vomiting that can lead to dehydration and death within hours if left untreated.

Tomas destroyed houses and turned streets into rivers.  According to the Haitian Civil Protection Authority, six people were killed by the storm as water several feet deep rushed through the streets of Leogane, the town closest to the epicenter of the 12 January 2010 earthquake.  But, Haiti got lucky as the storm pushed northward from Haiti, missing the capital by about 140 miles, or 230 kilometers.  And so in depths of the tent ghetto in the capital, in a neighborhood overlooking the broken down Presidential Palace, women dressed in white danced with offerings as a voodoo ceremony greets a new day, calling forth Haiti's ancient spirits and celebrating a past not forgotten.

But with over 10 inches of rain, and the threat of ongoing rain, the possibility of the spread of waterborne disease, especially cholera, increases.


The first cases of cholera appeared in October 2010.  As of 30 October 2010, Haiti reported 337 as the number of people that had died as a result of the cholera outbreak, with an additional 4,764 people infected and under medical treatment.  Health officials were battling to contain the disease, fearing it could spread to the capital, where 1.3 million displace people were living in the squalid tent cities.  As of 16 November, more than a thousand people had died from the disease and at least 15,000 had been infected and hospitalized.  The U.S. Centers for Disease Control and Prevention found that that the strain, which resembled one from South Asia had reached all ten departments (or provinces) of the country and swept into the capital.

Prior to late October 2010, Haiti never had a confirmed case of cholera.  However, in late October a few cases of cholera along the Artbonite River were reported by health officials.  According to the U.S. Centers for Disease Control and Prevention and reported in the Associated Press, the particular strain of cholera found in Haiti matches strains commonly found in South Asia.  This has intensified scrutiny of a United Nations base above a tributary to the Artibonite River which is the home of a contingent of recently arrived peacekeepers from Nepal, a country in which cholera is endemic and which saw an outbreak this past summer.  Within a week, the number of deaths from Cholera had increased dramatically, and the number of people infected and hospitalized strained the capacity of hospitals.


Today, 19 November 2010, as I write this, the number of deaths from cholera now exceeds 1,200 and more than 20,000 have been infected and hospitalized in Haiti.  The EU is urging its member states to provide beds, medical expertise, ambulances, medicine, and other aid to help Haitians combat this epidemic.  Health workers consider those numbers to be understated, as Haitian hospitals face overcrowding as the epidemic continues to spread. The United Nations projected that as many as 200,000 Haitians could contract cholera as the outbreak continued.  This is approximately 2 percent of the population.  Some humanitarian workers estimate a substantially larger number, approximately 5 to 8 percent of the population of Haiti, or 500,000 to 800,000 cases of cholera.


We get a sense of the despair and effects of this outbreak of cholera in a story published on 16 November 2010, by the GlobalPost in which it reported from Port-au-Prince a story about a Ysabelle Marcellins who went about her normal morning chores like she did most Saturdays, cooking and cleaning house in this city of rubble and recovery.
Hours later, she was doubled over in pain vomiting.  "We did not know what was happening.  One minute, she cooking lunch and then she was in so much pain," said her brother, Louis Marcellins, as he paced in front of a cholera clinic at Port-au-Prince's General Hospital.  "It was all so sudden."
The speed at which cholera overtakes patients like Marcellins worries health officials and aid organizations as much as it surprises Haitians who received ample warning of the disease's strength.
 As reported in a story in The Washington Post newspaper of 15 November 2010, the difference between life and death in Haiti is now an ordinary bar of soap.  Soap could slow the terrifying outbreak of cholera that is spreading so quickly and has even entered the capital,
But in the squalid slums of Port-au-Prince and the river towns where the cholera outbreak began three weeks ago, many Haitians held up their hands and shook their heads, saying they had no soap to stop an infection that is spread by contaminated food and water, and were a vigorous hand-washing, especially after using the toilet, is the number-one way to save lives.
A cake of yellow Haitian soap costs about 50 cents.  But many Haitians don't have soap, because they cannot afford it.  More than half of the population lives on less that $1.25 a day.
"They buy food instead," said Gaelle Fohr. a coordinator for hygiene programs in Haiti for the U.N. Children's Fund.
In the past two weeks, international aid groups have been scrambling to deliver soap and hygiene kits to some of the million people living in tarp and tent camps in Port-au-Prince and to the most vulnerable populations in the countryside.  UNICEF brought 100,000 pieces of soap to 500 of the country's orphanages, and distributed another 82,000 bars of soap along the Artibonite River valley.  The group, Clean the World, has distributed 100,000 bars of used soap it had collected from 550 hotels in North America, rather than allowing the hotels to throw away the bars after their use by one guest.

The United Nations has warned that the outbreak could last for months and said that the entire nation of 10 million people is at risk because they have no immunity to cholera.  Haiti is facing one of the most severe outbreaks of the disease in the past 100 years and the UN is appealing to international donors for $164 million in response money, saying that $163.9 million in aid is needed over the next year to combat the epidemic, with $89 million going to sanitation and hygiene efforts.  This, notwithstanding the fact that only about 10 to 15 percent of the amount pledged for the rescue and rehabilitation efforts pledged at the UN donors conference in late March 2010 had been provided.


As the cholera situation worsens, with rapidly increasing number of people dying and hospitalized every day, violence then breaks out in Haiti.  Anger over the cholera breakout erupts in violent demonstrations, first in the villages along the Artibonite River, particularly in the cities of Cap-Haitien and Hinche, where angry protesters blocked roads, lit burning barricades, threw rocks, and shouted anti-UN slogans.  Many believed that the cholera outbreak originated in the U.N. camp housing the new Nepalese peacekeepers where the effluent reportedly trained into the water supply.  The camp, of course, denies the link.  U.N. officials admit that the base's sanitation is poor, but denied that the Nepalese soldiers brought the disease from south Asia.


Then, IRIN PlusNews reported on 17 November 2010, that health workers in Haiti were concerned about the spread of tuberculosis (TB) in the tent cities that had housed more than a million people since the earthquake in January.  According to Macarthur Charles, a doctor with Group for the Study of Kaposis's Sarcoma and Opportunistic Infections (GHESKIO), one of the largest HIV- and TB- focused NGOs in Haiti, with the quake, the spread of TB in tent cities that housed more than a million people, this became a major emergency.  Founded in 1982, GHESKIO is one of the world's oldest HIV-dedicated NGOs.  It provides life-prolonging antiviral medication to 55 percent of all Haitian people on HIV treatment, an estimated 13,500.


The main TB hospital and sanatorium in Port-au-Prince collapsed during the earthquake, and the GHESKIO hospital in Leogane for treating multi-drug resistant TB also collapsed.  GHESKIO also suffered losses to its health infrastructure worth approximately $10 million, and two government TB sanatoriums were also destroyed during the earthquake.  According to William Pape, the director and founder of GHESKIO, "TB is an extremely important situation because transmission is facilitated by the situation of people living under tents."  Yet, across the capital, people are crammed into tiny tents, with 6-10 people sharing a tent made for two people.


UNAIDS (the Joint UN Programme on HIV/AIDS) recently released a situation assessment report stating that some of the priority areas for Haiti included rebuilding the health system, restoring networks for people living with HIV, and protecting internally displace people (IDP) from HIV.


The attention to HIV and AIDS has produced another problem in health services generally in Haiti.  For example, Haiti's only public hospital serving 500,000 people in the South-East Department is St. Michel Hospital in the coastal town of Jacmel.  It has only one ambulance, no functioning X-ray machine, no medical director, a shortage of nurses, and was without electricity for months.  However, one corner of the hospital, the HIV/AIDS clinic was fully staffed and well-equipped.  Its medical services were completely free, unlike other departments of the hospital.  As the hospital administrator, Margarette Vernet, said, "There are other illnesses we see every day, but because they don't have HIV, we can't help them."  "They put so much money into AIDS and they don't even look at other programs, like maternal mortality.



A debate has raged globally in the past year as to whether the large sums of donor dollars dedicated to HIV/AIDS programs has strengthened or weakened national health systems.  The Washington, D.C.-based Centre for Global Development, released a report in August 2010 in which it concluded that donors might have actually weakened health systems in the three countries it studied by creating AIDS-specific systems that competed for health workers, created additional administrative burdens, and strained inadequate infrastructures.  Although Haiti was not one of the countries studied, this seems to be the case in Haiti as well.


In an IRIN report of 17 November 2010, there was a story of a young 16 year old girl who had been living with her aunt and was put out onto the chaotic streets of Port-au-Prince.  She survived by befriending men who gave her a place to stay for the night and some money the next morning.  She recounted her situation,

I don't want to do this kind of work, I want to finish school.  But I feel I don't have anyone; my family can't help me.
Even if she finished school, things may not have been much different because she lives in the poorest country in the Western Hemisphere.  More than 60 percent of Haitians live in poverty on less than $2.00 per day, and the unemployment rate is over 30 percent.
"Women are particularly vulnerable," noted Steeve Laguerre of Catholic Relief Services, and international non-governmental organization (NGO) that provides food and other support to people infected by HIV.  "We have a lot of cross-generational sex between young girls and older men who can provide for them."
On 15 November 2010, the CBS television program, "60 Minutes," broadcast a segment on Haiti, 10 months after the earthquake.  One of the places visited by the CBS crew was Carrefour, a large city on the outskirts of Port-au-Prince.  There was a makeshift camp precariously located on the ten-foot wide center medium of a busy highway.  "Even by Haiti's standards, this place is incomprehensible."  The camp started out in the days following the January earthquake.  As CBS reported on this visit, a woman had invited the reporter into her tent where she lived with five other people.  When the reporter asked 7-year old Jean-Edouard about his home for ten months, the boy responded that it was not good, that he was afraid of a car.    In the background, one could hear traffic whizzing by the tent, and as CBS reported,
Outside, traffic races by at breakneck speed, a few feet from where children play.  A camp leader told us nearly 30 people have been hit by oncoming vehicles; ten were killed, three of them children.
Partners in Health, a Boston, Massachusetts-based NGO focuses on the delivery of quality health care in poor communities around the world, including Haiti.  Partners in Health was founded in 1987 to support activities in the village of Cange on Haiti's Central Plateau, has been in Haiti since 1987, and currently operates 15 hospitals and clinics in Haiti.  It has been heavily involved in addressing the cholera epidemic.  Dr. David Walton, a physician with Partners in Health, when asked about the rapidly increasing number of deaths from cholera responded:
It makes me frustrated.  I can understand if there was another earthquake that happened.  But cholera?  You know, it seems like the insults never end.
"In Haiti, the insults never end."

As the former Haitian Ambassador to the US, the Honorable Raymond Joseph, said during this class reunion in early May 2010:
Haiti has so many international organizations working there that deridingly it's called a "republic of NGOs [nongovernmental organizations]."  When I went to Washington in 2004, USAID was spending about $300 million in Haiti, and of that money, only about 3 cents on a dollar was spent on the Haitian government.
All of the money was going through NGOs.  While some of them do work that the government has not been able to do (like in the fields of health and education), the NGOs cannot build the infrastructure.  With little coordination, there is much duplication.
Things were done this way in the past because the governments were corrupt and nontransparent for so long.  But the longer we depend on the NGOs, the longer the government does not receive any support.  So my position is not to discourage the work of NGOs, but to have some control over them.
Now, according to Ambassador Joseph,
The Haiti that was shunned then is today, because of an earthquake, being embraced.  For this, I am saying, "Thank you."  For the first time the whole world -- I mean the whole world -- had come in solidarity around Haiti.  For the first time, people are finding a new Haiti.
These observations of Ambassador Joseph were spoken before the outbreak of cholera, but they have really gotten me thinking more about the role of NGOs in Haiti generally, not just in relationship to the earthquake and cholera epidemic.

You see, I am not sure that we really know how many NGOs are operating in Haiti.  According to the United States Institute of Peace, there are at least 3000 NGOs operating in Haiti, and have been operating there for some time.  A number of other sources, including the World Bank, put the number at approximately 10,000.  At the same time, Jean-Max Bellerive, the Haitian Minister of Planning reported that there were only about 400 NGOs that were registered with the government, but that there may be as many as 10,000 to 20,000.

The consensus appears to be that there are about 10,000 NGOs in Haiti.  There is a problem with NGO credibility that is especially onerous in Haiti.  According to former U.S. President Clinton, with the exception of India, Haiti has more NGOs and charities per capita than any other country on the planet.

NGOs began arriving in Haiti shortly after the end of WWII, but their presence and number increased dramatically over the past 30 years.  In 1981, USAID began bypassing what U.S. officials defined as an extremely corrupt Haitian government and delivering dollars directly to international NGOs.

According to InterAction, NGOs have done a job that the Haitian government was not equipped to do.  InterAction reports that NGOs working in Haiti over the past 30 years have addressed a broad list of critical needs, including healthcare, education, sanitation, micro-loans, and agricultural assistance at the community, city, or regional levels.  There have been 10 presidents of the country since 1990, and several coups.  International embargoes led by the United States, and donor fickleness led to the ebb and flow of tightly controlled donor dollars, meaning that foreign assistance often bypassed the Haitian government for NGOs as a result of fear of corruption, lack of capacity, and deficient regulations and controls.  Hence, as the United States Institute of Peace and others, call Haiti, "A Republic of NGOs," the questions arises whether the NGOs are part of the problem or part of the solution.

Cultural anthropologist, Timothy Schwartz, a specialist in Haiti who lived and engaged in research there and in the Dominican Republic over several years wrote in a recent blog. Save NGO Sec. from Itself (and Haiti from the NGOs):
But while individual NGOs have educated children, drilled wells, planted trees, and saved tens of thousands of lives through vaccination and clinic programs, they have accomplished little detectable change in the country as a whole.  Haiti remains the most underdeveloped nation in the Western hemisphere and over the past three decades, precisely when NGO activity flourished, it has sunk into abysmal poverty.
One reason for this failure is arguable the lack of transparency, feedback, accountability, and coordination discussed in the Part 1 of this blog.  The NGO sector is best described as an uncontrolled mass of organizations de facto unaccountable to any governing or regulatory institutions, i.e., no accountants, no auditors, no reviews, and no publication of poor or dishonest performance.
My question is this: Is the third sector responsible to accomplish detectable change in a country as a whole?  It seems to me that this is part of the debate with respect to those who stress the importance of effectiveness of NGOs, and in particular, that portion of the philanthropic community that seeks to produce change in society.

Former President Bill Clinton, speaking on the CBS television broadcast, "60 Minutes," on 15 November 2010, made the comment that one of the major problems he faced as the United Nations Special Envoy to Haiti and as leader of his Clinton Global Initiative (CGI), providing leadership and coordinating the aid program there, was the fact that there were so many NGOs, but that there was no mechanism for coordinating their activities, that they were all just doing their own thing.

This then is the context of what is going on in Haiti.  In my post of 28 March 2010, I noted that American charities had raised close to $1billion for Haiti relief within nine weeks after the devastating earthquake, and also the fact that donors gave approximately $66 million in response to a start-studded telethon Hope for Haiti Now organized largely by actor, George Clooney and singer/performer Wyclef Jean.

In this post, I want to briefly note several NGOs that have been providing assistance to the people of Haiti but that have not been widely reported for their fundraising efforts or work in Haiti.  I am familiar with all of them, having served on the Board of one of them and have been a regular contributor for over 40 years to that organization, and have been familiar with the others for over 20 years, and in the case of HCJB Global, all of my life.  In the general scheme, none of these would be considered to be in same league as those charities listed in my post of 28 March 2010.

The first is Mission Aviation Fellowship (MAF).  MAF is a Christian, faith-based organization founded after WWII, by a group of Christian pilots from Britain, America, Canada, New Zealand, and Australia, with its first flight in 1946 in a remote region of Mexico.  It provides aviation, communications, logistical service, and learning technology services to more than 1,000 faith-based and humanitarian agencies around the world, as well as to thousands of isolated missionaries and indigenous villagers in some of the most remote areas of Africa, Asia, and Latin America.  Averaging about 101 flights every day in 31 countries across Africa, Asia, Eurasia, and Latin America, MAF pilots transport missionaries, medical personnel, medicines, and relief supplies, as well as conduct thousands of emergency medical evacuations in remote areas.  MAF staff also perform tasks as diverse as digging wells in Eastern Africa, disaster relief, operating computer centers in rural African villages, and air ambulance services in all of these regions of the world.  Additionally, there are currently national affiliates or branches of MAF-International in a number of countries around the world.

MAF has been providing critical aviation services, including air ambulance, communications services, including email service, and distance education services in Haiti since 1986.  It operates primarily out of Port-au-Prince, and services and operates 14 or 15 landing strips around the country, with an additional four or five that are presently closed, but available to be reopened.

We can gain a little perspective of the value added and effectiveness of MAF in providing flight services to the outposts and cities depicted on this map.  On a typical day, these pilots may spend much of the time in the air making several flights each day and 35-50 flights per week.  Normal travel around the country on the road system may take many hours or maybe several days.  However, by MAF airplanes, the trips to airstrips served by MAF may take anywhere from 18 minutes to an hour from Port-au-Prince, with many flights taking well under an hour.  Road conditions are dangerous with bandits along the way, and in extremely poor condition, in some case impassible.  So, for example, a 10-15 hour trip by road takes only 30 to 45 minutes to fly by MAF pilots.  Airstrips operated by MAF and others help, and in medical emergencies, the time saved by these short flights can mean the difference between life and death.

On 12 January 2010, MAF instructor pilot Will White was on the ground to experience the catastrophic earthquake that hit Haiti.  Now, he spends a large part of every day in the cockpit of a small airplane, flying Haitians, missionary groups, and relief workers to their destinations within Haiti.  Even from the sky, it is apparent that the country is still struggling to recover.  This in addition to his other instructor pilot duties which include flight scheduling, maintenance on all of the MAF planes in Haiti, and assigning other pilots to specific flights and tasks.

Although the field staff in Haiti is small, in the last 12 months it has saved humanitarian workers 4,163 days of travel time, it has operated 2,853 flights, it has transported 7,296 passengers, and it has delivered 799,000 pounds of cargo.  All with nine missionary staff families, including the five guys who are pilot/mechanics, 18 or 19 Haitian nationals, and five or six small airplanes.

MAF headquarters in Nampa, Idaho deployed a new Kodiak airplane and a crew of four to join its fleet in Haiti  This Kodiak was diverted from its assigned destination to MAF's operations in Papua, Indonesia.  The deployment of this new specially designed aircraft, designed and manufactured specifically for bush flying and missionary service, marks the first time that it has been used in disaster relief.  The Kodiak carries more cargo and passengers than the Cessna airplanes currently in use in Haiti and runs on jet fuel which is more readily available than the costly aviation gas which fuels the Cessna airplanes and is in short supply in Haiti.  Following a brief dedication ceremony in Nampa, the Kodiak took off for its 3,000 mile, 18 hour flight to Haiti.

MAF president John Boyd said:
The KODIAK is the next generation bush plane and is made for such a time as this.  It can land on short, unpaved airstrips to get essential humanitarian help to its destination quickly and safely in absence of viable roads.  The KODIAK will greatly expand our ability to quickly take aid where it is most needed.
As CBS news reported,
This deployment of its finest aircraft is the latest MAF response to the tragedy that has claimed 200,000 lives and damaged most of the buildings in the capital city of Port-au-Prince.
By way of background, Quest Aircraft was established as a nonprofit organization, for the purpose of designing and manufacturing a backcountry/utility aircraft suited to the needs of the mission and humanitarian aviation communities which provide access to the most remote regions of the world.  The Kodiak was designed with the participation of the Quest mission team, which included Adventist World Aviation, Air Serve International, Arctic Barnabas, Asas de Socorro, Flying Mission, JAARS, MAF, Mercy Air South Africa, Mission Padamo, New Tribes Mission, Seventh-Day Adventist Church, Samaritan Aviation, Spokane Turbine Center, and Zululand Mission Air Transport.  All of the U.S.- based organizations are registered charities with the U.S. Internal Revenue Service.  A number of these based in the U.S. have been accredited by BBB Wise Giving Alliance and/or ECFA, both member of ICFO.

Mark Williams, a pilot/mechanic with MAF in Haiti recounts the events of 12 January 2010, when the earthquake hit a little before 5:00 PM.  He was out in the street in front of his house.  The ground shook, its intensity kept growing until the walls and poles lining the street were wobbling and surging .  "Everything appeared to be made of rubber."  Anyone who has experienced an earthquake can visualize what he was experiencing.
After 38 seconds, the quake was over, but all around I could hear people everywhere making a commotion.  Some were weeping or yelling in response to this terrible experience.  I looked through a clearing towards downtown Port-au-Prince, about 7 miles away, where clouds of dust reminded me instantly of 9/11.
One of the MAF Haitian staff members was killed in the quake.  The MAF staff spouses and children were evacuated to the US shortly after the earthquake.  Mark Williams wrote that,
MAF, working in concert with Missionary Flights International, based in Ft. Pierce, Florida, and the U.S. Air Force, has so far facilitated the logistics of bringing in about 670,000 pounds of disaster relief supplies, and the transport of 3,200 relief workers and evacuees.  Within Haiti, MAF is flying relief supplies, along with relief workers, missionaries, medical teams, to outlying areas in desperate need of help.  We also fly critical patients to outlying medical facilities better equipped to give necessary medical care.
In January 2010, MAF had provided earthquake assistance bringing into Haiti over 1.5 million pounds of disaster relief supplies and transported 3,500 relief workers, doctors, and evacuees.  Then, on 24 September 2010, a microburst storm lasting 35 minutes hit Port-au-Prince.  The storm destroyed or damaged the tent and tarpaulin homes of more than 10,000 families.  MAF responded by flying hundreds of tents for distribution to those in dire need, thereby fostering relationships with the inhabitants of the tent and tarpaulin communities.

In addition, MAF partnered with 208 relief agencies to distribute 23,049 cases of food through its Port-au-Prince airport hanger.  The shipment of this food benefited over 144,000 people.  Included among the groups with which MAF partnered to distribute food was the United Nations World Food Program.

MAF also partnered with top NASCAR (National Association of Stock Car Auto Racing) racing teams through Missionary Flights International (MFI), which is based in St. Pierce, Florida to shuttle relief workers and supplies into Haiti, and transport evacuees, workers and earthquake victims out of Haiti.  Right after the earthquake, Hendrick Motorsports owner offered MFI the use of three of his Saab 2000 series, 45-seat airplanes for Haiti relief.  These planes which were used to carry crew and family members to NASCAR races each weekend would now be used to carry supplies and relief workers to Haiti.  The aircraft would be rotated in daily round-trip flights carrying humanitarian workers and other volunteers from the US to Haiti, and then on the return flights, transporting evacuees, volunteers returning home, and orphans who before the earthquake had been awaiting permanent placement with adoptive parents in the US.  The Joe Gibbs Racing team, also loaned a Saab 2000, 45-seat airplane to MFI.  Both Hendrick Motorsport and the Joe Gibbs Racing team paid for all the flights, including fuel, food, and hotel accommodations.  John Woodberry, MAF's Disaster Response Manager estimated that this assistance to the Haiti relief cost these teams hundreds of thousands of dollars.

In January after the earthquake, MFI transported 1.5 million pounds of relief supplies and more than 4,000 relief workers through its Ft. Pierce hanger bound for Haiti.  Additionally, 100 volunteers worked for several weeks in the hanger sorting, boxing, and loading airplanes headed for Haiti.

With the outbreak of cholera in late October, MAF was actively involved in transporting doctors and medical supplies to help fight the growing epidemic in Port-de-Pais, a city in northwest Haiti.  The hurricane Tomas brought washed out roads making it impossible to drive to Port-de-Pais.  As cholera spread through the flooded rivers, infecting hundreds of local people, MAF was needed more than ever.  Immediately after the onset of the cholera epidemic, MAF provided flight service transporting approximately 900 pounds of IV solution for the hospital in Port-de-Pais that was providing medical care for over 100 patients, most of whom were children.  As the epidemic worsened, and staffing and supplies began to run short, there was an increased need for MAF to fly doctors north to Port-de-Pais, including teams of doctors to teach hospital personnel how to administer the IVs through the marrow of the leg bone.
In describing MAF's operations in which transport of medical teams and medical supplies were provided to the needs in the northwest area of Haiti, Mark reported:
Several small children had already died in the hospital that morning, since their veins had collapsed, and the doctors were unable to administer the IV through the blood leaving bone marrow IV as the only option.  After flying them to PPS [Port-de-Paix] the MAF pilot drove with the medical team to the hospital, and watched as they held down a small child, and without anesthetics, drilled into the bone to insert the IV needle.  They proceeded to do this procedure to as many children as they could, before the sun began to set, forcing the pilot to return back to Port-au-Prince.  After starting bone marrow IV's, there have been no more deaths so far.  Praise the Lord that many lives have been saved due to this special technique, and the fast reliable means of transportation that MAF provides.
Through a partnership with Samaritan's Purse, a Boone, North Carolina based Christian humanitarian organization, MAF added a Cessna Caravan to its fleet in Haiti, that has a much larger capacity, both for passengers and for cargo.  MAF is leasing this aircraft from Samaritan's Purse for two years at a cost of $1.00, and example of how these two mission organizations can work together.  MAF installed an aircraft payload extender on the plane which allowed it to take off and land with more weight on the short airstrips in Haiti.

Unlike MAF, which had been providing flight and technical service is Haiti since 1986, Samaritan's Purse mobilized immediately after the earthquake in January.  Within hours after the earthquake, Samaritan's Purse had a team in Haiti focusing on providing emergency medical assistance, shelter, clean water, and hygiene supplies.

Since the earthquake, Samaritan's Purse continued to respond to the suffering from the earthquake, the continuing situation throughout the country of IDP living in tent and tarp cities, and the health and environmental crises that continued to cause so much hardship to the Haitians.  Samaritan's Purse had committed to construct 7,500 shelters for the homeless.  As of early July, Samaritan's Purse had completed 2,360 transitional shelters, more than any other relief agency in Haiti.  The shelters were wood framed buildings, 12-by 12 feet and provided some relief from the summer heat and intense evening storms.


With the onset of cholera in July, Samaritan's Purse clinics in Bercy north of Port-au-Prince, and its clinic in Cite-Soleil were crowded with cholera patients and those seeking hydration.  There was an urgent need for doctors and nurses, and Samaritan's Purse sent out urgent requests for volunteer physician, nurses, and medical workers.  Another Christian charity, HCJB Global Hands, based in Colorado and Ecuador, brought in medical teams to partner with Samaritan's Purse to provide the needed medical treatment and care as the cholera epidemic spread.  Unlike the cholera cases reported by Doctors Without Borders, in Haiti's capital, Port-au-Prince, there was no evidence that any of the people living in Cite Soleil had been outside Cite Soleil and visited Artibonite District where cholera first appeared.


As a member of Samaritan's Purse response team wrote on 11 November 2010:

These last few days have played out on a figurative battlefield, in large dirt fields and between small clinic walls, school house yards and under bright blue Samaritan's Purse tarps.  The Samaritan's Purse medical team has formed a fluid strategy which is carving our response, following the flow of cholera closely as it heads toward the capital--assessment, set-up, treatment, and education.  We've seen first-hand how successful this is, and the Haitian medical community has joined with us, proclaiming a rallying cry against the attack.
They do not like to see their communities succumb to cholera.  And we are committed to working alongside of them, instructing their doctors and nurse on how to treat and prevent the aggressive bacteria.  We hosted a training at the Samaritan's Purse base, which brought nearly 70 Haitian medical personnel from around the Cabaret, Cite Soleil and Arcachaie region.  This is the first time something like this has been done, and our goal was successful--to provide a forum for the sharing of ideas, resources and personnel as a unified, efficient approach.
One other group active in Haiti, particularly immediately after the earthquake in January, was Operation Smile, based in Norfolk, Virginia.    Operation Smile is a not-for-profit medical service organization founded in 1982.  Its principal mission is to serve as a children's medical charity providing cleft-lip and palate repair surgeries to children worldwide.  As such, it has established a network of professionals and volunteers engaged in restoring badly deformed faces of children in developing countries.  In doing so, it organizes international volunteer missions to developing countries, coordinates programs for training physicians from around the world, manages programs to assist host countries, verifies the credentials and organizes the participation and travel arrangements for the teams of volunteers.  These medical teams generally include a mission site coordinator, plastic surgeons, anesthesiologists, pediatricians, dentists and orthodontists, and intensive care physicians, as well as nurses, child development specialists, speech pathologists.


Harrison Ford, a legendary actor, humanitarian, philanthropist, and long time supporter of Operation Smile, was called to provide some assistance to Operation Smile's relief work in Haiti following the earthquake.  He piloted his Cessna 208 Caravan to Santo Domingo, Dominican Republic with a team of medical volunteers and supplies, destined for Hinche to provide the much needed treatment for the victims of the earthquake.  MAF pilots in Port-au-Prince provided Harrison Ford with airstrip charts of the Port-au-Prince airport and provided personal briefing.  Battling adverse weather conditions as he flew from Los Angeles and Miami during a winter storm, he made several trips over several days into remote landing strips in Haiti delivering teams of volunteers, along with medical supplies.  Mr. Ford simply wanted to provide support after seeing the devastating impact of the earthquake and all the suffering.


Here, Mr. Ford, rather than participate in a telethon with other celebrities to raise millions of dollars, donated his time, his flying skills, and his personal expense to provide this unique and valuable service so that Operation Smile could do what it does best, and in this case, not only repair of cleft-lips and palates of children in Haiti, but to provide expert medical care to those in need from the impact of the earthquake.  After completing the flight shuttle services for Operation Smile volunteers and medical supplies, Mr. Ford was able to visit both pediatric and adult victims of the of the earthquake at the hospital in Hinche, all with the devastating injuries that required urgent surgery.
Most had been buried in the rubble of collapsed buildings, subsequently rescued and brought by family members to this remote area because of not alternative locations for care.  Upon arrival, the Operation Smile medical team rapidly triaged patients according to the severity of their injuries and additional patients were directed to physical therapy volunteers to begin the process of rehabilitation.
What I find interesting here is that a number of these NGOs I have written about are accredited by ECFA and have been reviewed by BBB Wise Giving Alliance, both member of ICFO.  The accreditation, for example of MAF, Samaritan's Purse, and HCJB Global, is based on these two organizations being in full compliance with the respective standards of accountability.  Neither MAF or Samaritan's Purse were granted BBB Wise Giving Alliance seal due to compliance issues with one or more of Wise Giving Alliance's Standards.  Although both have reputations for integrity and accountability, the lack of BBB Wise Giving Alliance accreditation demonstrates the differences between charity monitoring organizations, and I think, in the case of MAF, a lack of understanding or communication between the charity and the monitoring organization.  However, BBB Snake River Region awarded MAF honorable mention for its Integrity Counts Award for 2010.  Samaritan's Purse also received a four star rating from Charity Navigator.