Working to Help the Most Vulnerable Survive and Stay Safe

Ali* (right), 14, with his sister Noura* (left), 6, outside the house their family rents in Sana’a, Yemen.

In times of crisis, when children are at their most vulnerable, Save the Children is there. Our humanitarian aid workers are willing to stay as long as it takes to ensure children and families can recover, restore their lives and build their resilience for years to come.

Today, some of the biggest challenges for children and families are those caught in the crossfire of conflict. The children of Yemen face unrelenting hunger and suffering. Every day, our dedicated humanitarian aid workers are there to help them survive, and thrive, despite the dire situation.  Jeremy Stoner, Regional Operations and Humanitarian Response Director at Save the Children Middle East and Eastern Europe Regional Office is one such humanitarian. Here is his story.

Written by Jeremy Stoner

Sana’a to Haddjah…
I left Sana’a, Yemen’s largest city, on Wednesday morning accompanied by the Director of Safety and Security. Together, we headed
for Haddjah Governorate in the north of Yemen which shares a border with Saudi Arabia. Having stopped by in Arum, where Save the Children also has a field office, to briefly the meet the staff, we climbed, seemingly incessantly, through breathtaking scenery and arrived at Haddjah City. The beauty of the area is marked by cascading terraced agriculture recently planted to catch the first of the rains rendering the mountains with a fresh green hue.

A Country at War
It is easy to be seduced by so much natural beauty but there are always reminders that Yemen is a country at war – a war which has been so devastating to 22 million people – the world’s worst humanitarian disaster. There are regular reminders of the war in Yemen at different points in the journey. While our minds are focused very much on Hodeida, where a fresh wave of violence has seen bombing escalate and deadly clashes erupt, they are also with the millions of children directly and indirectly affected by the volatile civil war, now in its fourth year.

Even a simple journey requires elaborate planning to ensure it is as safe as possible. Somewhere in Yemen and on a daily basis, we can’t actually access some of the neediest children simply because we aren’t granted permission. There are so many complications to delivering for children in Yemen but, despite that, we continue to be on the ground, working to help the most vulnerable survive and stay safe.

Arriving In Haddjah and Meeting the Team
The town of Haddjah is dispersed over a number of mountains and hillsides and has incredible views over the dramatic countryside. Save the Children opened an office here in January 2017 but had been supporting the area from other offices prior to that. The Field Manager for our  Haddjah  office  showed good leadership during our visit and clearly manages strong relationships internally with the team and externally with local authorities. His enthusiasm and passion for the work is clear. The other members of the team also demonstrated similar levels of commitment and enthusiasm which was a great foundation for our visit to see our water, sanitation and health work in Baniqais District.

Before departing, we shared breakfast with the Director General of the National Authority for Management Work. He oversees the humanitarian efforts in Haddjah and he is clear about the issues and the needs in both Haddjah and its surrounding districts. He spoke very highly, not just of the work that we are doing on the ground, but also of the excellent relationship that the authorities and Save the Children have built.

Visiting Baniqais
We left the city on Thursday morning and headed down through the mountains to Baniqais District, an area considered to be the poorest within Haddjah. From the relative cool of the mountains the contrast in the valleys way below couldn’t be stronger. A searing heat greeted us as we stepped out of the vehicle to have a look at the central water tank that Save the Children has put in to serve the Health Centre and nearby houses in the local community (funded by UN OCHA). It is a serious-looking tank fed by a network of eleven wells, also supported by Save the Children. The quality of construction of these wells and the central tank itself looks good with each having a solar pump attached to feed water to the central tank near the Health Centre.

Later we visited the Health Centre itself to see more of the rehabilitation work that we have been supporting there (also UN OCHA funded). We have added a small laboratory and clinic on site for malaria which might be unusual for a Health Centre. However, the plans are to convert this Health Centre into a District Hospital to serve this desperately poor and under-resourced district. We will be able to achieve this dream with a second round of funding from OCHA which we expect shortly. Under this phase of funding, we also intend to extend our water, sanitation and health (WASH) work to cover more of the District’s water needs. This will hugely relieve the burden on women and especially girls who can be seen carrying water for 5 or 6 KMs from the nearest well to their homes. Water carrying can be the single most important contributing factor to girls dropping out of school early which is barely thinkable.

Children’s Health
The water system was working perfectly during my visit with plenty of fresh water available throughout the clinic! We visited on a Thursday, which is the weekend in Yemen, and so the Health Centre was technically closed. However, they do operate a 24-hour service for health emergencies.

Thank goodness for this, as I saw a boy who must have been about 4 years old brought to the clinic with severe diarrhea by his brother who himself was only 10 or 11 years old. The staff examined the boy for acute diarrhea as well as cholera. They would have to send a sample to Sana’a to confirm the boy’s condition, as they don’t currently have the equipment to diagnose cholera. They do, however, have the basic equipment to test for malaria.

One of the doctors showed me the log of cases that he keeps explaining that the peak months for malaria in this region are January thru March. In March of this year alone, 1,200 malaria cases were dealt with by the Health Centre. Now, the number of cases is down to around 150 or so.

I met the pharmacist of the Health Centre who, for the time being, had a good supply of basic drugs including antibiotics and ant-malarial drugs. Just these two types of drugs save children’s lives and it feels good to know that Save the Children is supporting health centers like this across Yemen. The Centre also has a dedicated nutrition section where mothers get advice on the best food for their children, based on what is available locally, and malnourished children can get support. In this district alone, food baskets are given to 1,200 families every month with special food for children to build them back to their ideal weight.

The Health Centre management team were present and provided us with a thorough tour of the facilities. Again, people were delighted with the support that the team have been providing and enthusiastic that the Centre can become a District Hospital to serve the most deprived people in the Governorate.

Samir* suffers from Severe Acute Malnutrition and was brought to a Save the Children-support health center for care.

Haddjahh Hospital and Pediatric Unit
We returned from the district to Haddjah City where our first stop was the hospital. It is the Authority of Al-Gamhori Hospital or the main hospital in Haddjahh. Here, Save the Children has installed an impressive solar power system on the hospital’s roof. A truly huge array of panels that provide electricity to the hospital – light and fans so that they can deliver essential tertiary services to the Governorate population (about 2.2 million). Close by to the hospital, we have renovated a large building which will become the pediatric unit for children at Governorate level. This will provide children’s health care at the Governorate level from nutrition, to curing childhood killer diseases and nutrition support to mothers and their children – can’t wait to hear about its progress once it is up and running! 

Delivering in Conflict
Reflecting on Save the Children’s amazing 614 staff and numerous volunteers in the Yemen Program, it is clear that they are working under incredibly difficult circumstances but able to serve some of the neediest children in the world. Many staff remain in Haddjah during the week, only returning to their families on the weekends.  

As the situation in and around Hodeidah remains tense, it is worth remembering that some of our staff and their families have come to the relative safety of Sana’a and are working from the country office as their temporary base. Our expatriate staff also do an incredible job with severe restrictions on their movement every day but still maintaining the drive and commitment to make a success of Save the Children’s Yemen Humanitarian Program.

As the Program gears up to our highest level of humanitarian response, I was left with a strong sense of hope. This is built on the excellent staff that I met both national and international combined with some really powerful work on the ground for vulnerable children and communities – excellent! The incredible thing is that, despite the war and the suffering in such a massive and complex crisis, we are absolutely delivering what is needed and are looking to do even more!