UNICEF Recovery Plan for Turkish Children
Situation Report
21 February 2000
 

Baby Gulnur and Grandmother, born 2 days after the Duzce earthquake

Residents of Sahin Tent City, Duzce

 
UNICEF Turkey Country Office
Tunalý Hilmi Cad. 88/114, Kavaklýdere/Ankara, Turkey
 

 I - Situation Analysis
 
a - General Overview

    On 17 August and 12 November 1999, two earthquakes devastated the populated and industrial northwestern parts of Turkey. Turkish authorities have reported that over 18,000 people have been killed and 49,000 people injured during both earthquakes. UNICEF recognizes that some areas of Turkey are disaster prone, and seeks to address the consequent trauma suffered by the affected children and their families.

     

    Provincial and Population Seismic Hazard Map of Turkey


    Source Middle East Technical University, 1999

     

    HAZARD AREAS                                             POPULATION

    I. Very high hazard (red)                      28,498,740

    II. High hazard (dark pink)                   16,674,656

    III. Medium hazard (yellow)                   9,334,138

    IV. Low hazard (light pink)                     8,129,711

    V. Very low hazard (white)                     1,107,757

     

    Since 1950, Turkey has been hit by 19 major tremors greater than 7 on the Richter scale. (see Map Tremors >7 Richter-scale Magnitude, page 3). Fifty-six of Turkey’s 81 provinces fall under the “very high” and “high” hazard category. The population residing in the “very high” category encompasses 16.6 million people.
     

    Tremors > 7 Richter scale, 1950 - 2000


    Source: Kandili Observatory,1999

     

    The population residing in the earthquake area has felt thousands of aftershocks since 17 August 1999. According to the Kandillli Observatory House records, the south and the eastern parts of the Marmara Region are the loci of approximately 13 aftershocks a day. Although most of these aftershocks are too small for human perception, larger tremors re-fuel the fears of the already traumatized population.

    Bolu Province was hit on Monday, 14 February, by a 5.0 Richter scale aftershock. This was to be the day many schools were to reopen for the second semestre of the school year. Though no deaths or injuries were reported, a number of schools in the centre and surrounding districts of Bolu closed between one to five days.

    As reported in the Turkish media on 15 February 2000... [Text box]

    The Milliyet daily:

    Schools close down due to aftershock panic

    Bolu was hit by two aftershocks yesterday morning. According to an announcement made by Bogazici University Kandilli Observatory Houses, a 5.0 Richter scale earthquake that hit Bolu early in the morning was followed by a 3.8 Richter scale aftershock.

    Due to the panic after the two tremors, families rushed to schools to pick up their children and schools in four districts of Bolu were closed for one day. The Governor of Bolu stated that students in Bolu were free to leave school and go home for the day.

    Rushing out of his class, a primary school student fell down and broke his leg. Some high school buildings in Mengen, the epicenter of the earthquake, were damaged and walls of a vocational school were cracked after the earthquake. Telephone lines were inoperable for some tme.

    Many people refused to return to buildings because of fear of a stronger earthquake. Mengen Mayor stated that they had requested additional tents from Bolu Crisis Center.
     

    The Hurriyet daily:

    Aftershock causes panic

    Schools closed after the 5.0 Richter scale earthquake, which hit Mengen district of Bolu yesterday.

    The earthquake and the following 3.8 Richter scale aftershock created panic and schools in four districts of Bolu were closed for a day. Personnel and patients of Izzet Baysal Hospital, who had recently moved to their new reconstructed facility, were required to leave immediately and waited for a long time in the hospital’s garden. The building of a vocational school in Mengen was damaged and boarding students were sent back home. Locals in Mengen stated that they began to feel the fear of an earthquake again.

    The 5.0 Richter scale aftershock was also felt in Istanbul, Ankara, Zonguldak, Kocaeli, Sakarya and Cankiri.
     

    The Radikal Daily:

    5.0 causes panic

    A 5.0 Richter scale earthquake and a 3.8-aftershock yesterday morning hit Bolu. Neighboring provinces also felt the tremors. No deaths or injuries were reported.

    As families rushed to schools to pick up their children, schools were closed for one day in many districts of Bolu, including five days in Mengen, the epicenter of the earthquake. Bolu Governor Nusret Miroglu stated that children were free not to attend school until they were no longer fearful.

    Some school buildings in Bolu and Mengen were damaged. Hospital personnel and the patients of Izzet Baysal Hospital in Bolu immediately evacuated the building that had recently been renovated after the 12 November earthquake.

    The Minister of Education requested that families send their children to boarding schools located throughout the region, rather than to tent schools.

    [End of text box]
     
     

    b - Tent Situation

During this reporting period (3 February-15 February 2000), the number of tent camps in the earthquake region decreased from 77 to 67. Heavy snowfall and Government efforts to relocate families living in tent camps have culminated in the rapid relocation of populations to warmer prefabricated housing shelters. According to the Government, of the 47,000 prefabricated houses that have been planned for earthquake affected families, 31,763 prefabricated homes are now complete and 27,715 housing units have been distributed.
 

 

Photographer: Raquel Wexler
Eight members of the Ozturk family share one tent in Rita Unger Tent camp in Duzce
 

Yet despite such encouraging figures, almost one-third of the population of Duzce - a total of 55,959 people - still reside in tents. The provision of social services in Duzce continues despite the challenges faced by the Province. Seven hundred and twenty-two (722) health care staff, 16 ambulances, 3 hospitals and 42 Primary Health Care Centres (PHCCs) and health stations are operating in the region. The number of people currently receiving food from the Turkish Red Crescent Society totals 20,800.

In Duzce city centre, there are 423 tents allocated for classrooms. In addition, Duzce hosts one school in a building, two schools in containers and one school in a prefabricated building. In surrounding areas, there are approximately 120 tents that provide classrooms.

 

c- UNICEF’s Response and Framework of Activities

 

Children at play in Sahin tent city, Duzce

In consultation with the Government of Turkey (GoT), UNICEF is currently implementing a Recovery Plan for Turkish Children (RPTC) to respond in an integrated approach to the needs of children and women affected by the earthquake. Valued at $14.2 million, the RPTC includes relief and rehabilitation interventions in the health, nutrition, education, water, sanitation and psycho-social sectors. In addition to relief interventions, UNICEF focuses on rehabilitation efforts and is actively advocating with government counterparts and humanitarian partners to ensure that all basic services are available to the affected children and mothers.

The Recovery Plan for Turkish Children (RPTC), developed in August 1999 and conceived for a period of six months, is being implemented in all areas affected by the 17 August and 12 November Earthquakes. The international community, through 14 UNICEF National Committees and 9 Governments, has responded generously to the UNICEF Recovery Plan. This commitment has been concretized by contributions of $US 14.4 million.

Activities are implemented through an integrated multi-sectoral approach which aims to provide a friendly environment for children and their mothers in tent camps and prefabricated cities, using the concept of “Child Friendly Environment” as a model. This concept is based on the provision of an integrated set of services to meet the basic needs of children and their mothers in various areas, namely the health, nutrition, education, water, sanitation, and psycho-social sectors.

UNICEF has established a strong presence in the Sea of Marmara earthquake affected area through its field base in Izmit. More than 15 staff are stationed at the Izmit base and travel continuously within the region to organize the distribution of supplies and materials, identify needs, monitor conditions and implement UNICEF programme activities.

 

 
II- UNICEF Activities

 

a- HEALTH AND NUTRITION

During this reporting period, the Health and Nutrition team visited the Health Directorates of the 5 earthquake affected provinces and discussed a number of issues, including how best UNICEF and the Ministry of Health (MoH) could cooperate in order to improve the health and well-being of children and women of Turkey, especially in the earthquake affected area. The need for information sharing as was articulated during the course of the meetings.

High Energy/Protein Biscuit Distribution

UNICEF’s health and nutrition team collected data on Primary Health Care Centres (PHCCs), health workers in each PHCC and the number of children aged 1-6 served by each PHCC. Little information is available regarding the number of pregnant and lactating women served by PHCCs. A high energy/protein biscuit distribution plan was completed during this reporting period and handed over to UNICEF’s logistics team.

 

Province
Distribution Status
Amount (kg)
Kocaeli
2nd distribution on Feb 11
9560.6
Sakarya
2nd distribution started on Feb 10
7074.14
Yalova
3rd distribution completed between Feb 1– 4
834
Bolu
1st distribution began Feb 8
13717.2
Duzce
1st distribution began Feb 12
13643
 
  

 

Monitoring of Emergency Health Kit Distribution

Follow-up assessments regarding UNICEF’s humanitarian medical supplies were jointly undertaken by the health and nutrition team and the Health Directorate of Izmit. UNICEF Emergency Health Kits (Basic health kit-400 and supplementary health kits-75) have been distributed to 3 provinces of the Earthquake area that in turn distributed them to the PHCCs. In come cases, PHCCs have opted to reserve the emergency health kits, as UNICEF medicines have a long (3-5 years) life shelf, while drugs received by other donors have a shorter shelf life. As the Ministry of Health will soon open 50 health centres in 50 prefabricated cities, UNICEF, in conjunction with the Provincial Health Directorate, has determined that the unused health kits can be reallocated to these new health sites.

Measles Immunization Mass Campaign

The Ministry of Health has made excellent progress in the measles vaccination campaign. Thus far, 151,188 children between the ages of 1 and 14 have been vaccinated against measles in the four reporting Provinces.
 

Measles Campaign Update and Vaccines Stock Status
 
No. of Children vaccinated
Vaccine Stocks
Measles
Diphtheria Pertussis and Tetanus
(Children)
Polio
Tetanus
Hepititus B
BCG
(Tuberculosis)
Td
Tetanus and Diphtheria (Adult)
Anti-Rabies
Kocaeli
78,791
50,000
36,000
46,000
36,000
2,000
0
50,000
250
Sakarya
52,000
34,000
18,000
30,000
7,000
14,000
0
15,000
250
Yalova
17,867
27,100
3,000
360
1,340
50
0
4,600
100
Bolu
*
15,000
9,800
7,600
5,500
2,700
0
3,000
250
Duzce
2,530
15,200
1,500
6,000
22,640
3,200
0
1,980
17
* Data not yet available

Request made by Sakarya Health Directorate

Following the earthquake, municipal sewerage and water networks were damaged, leaving Adepazeri city with many stagnant pools of water - providing breeding grounds for mosquitoes. Sakarya’s Provincial Ministry of Health requested UNICEF to support their Entomology Department with a vehicle and some spraying equipment for malaria prevention. Sakarya reports 150-200 malaria cases a year.

 

b- EDUCATION

General Situation for Primary Schooling

Following the 14 February 5.0 earthquake and 3.8 aftershock in Mengen district of Bolu, schools in three districts closed for one day. In Mengen, the epicentre of the earthquake, schools closed for 5 days. In addition, the Governor of Bolu stated that the appropriate date of the return of children to school in the Province is at the discretion of parents.

Problem behavior among children has been noted by Ministry of National Education (MoNE) officials and teachers in Duzce, as children are not attending schools and do not have adequate recreational activities. Officials emphasized the importance of the return of children to schools and UNICEF is facilitating this process.

All damaged schools in Yalova have been repaired and will be used for the coming school term, showing a continuation in the improvement of children’s schooling in the region.

 

Supply of School Materials Project

As a result of the earthquakes, many schools lost materials and supplies. In addition, many students lost their houses and with it all their possessions. This project aims to identify those schools that have been most affected by the earthquake, and supply materials to these classes. The map below indicates distribution of school materials as of 15 February 2000.

Under the third phase of this project, 1,563 educational kits and 543 recreational kits have been ordered for 181 pre-fabricated schools (1,563 classes)

A final survey of all planned and on-going prefabricated schools reveals the following information:
 

Province
Finished Schools
Planned Schools
Total
Sakarya
27
18
45
Kocaeli
11
40
51
Duzce
0
3
3
Bolu
0
7
7
Total
38
68
106
In summary, 106 new prefabricated schools have been planned, which will provide more than 1000 classes. Thirty-eight of the schools will be completed during the month of February, and the rest over the next few months. The Ministry of National Education will provide basic furnishings, school desks and benches, and UNICEF will provide educational and recreational kits to all these schools.

In addition, 650 1x2m whiteboards arrived to the field during this reporting period, and

are being distributed to 53 schools in Duzce for the benefit of 466 classes in tent and container schools.

School Nutrition Programme

In response to a concern by the health teams as to the well being of the children in this area, UNICEF has begun a short-term programme to distribute high energy/protein biscuits in the health centres of the tent cities and in schools within the earthquake area. The Ministry of National Education has identified the most vulnerable schools by surveying the school transportation system, and assessing where the children from the tent cities attend school.

A workshop and lunch were held in Bolu on 16 February and in Duzce on 17 February to coordinate the biscuit programme in these provinces. Head teachers from every school involved in the project will meet together to discuss the benefits of the programme and to look at potential problems.

Meetings this week with six district Ministry of National Education (MoNE) directorates confirm the appreciation felt by both students and teachers regarding the UNICEF high energy/protein biscuit project.
 

Photographer Jane Barham. Children with UNICEF educational kits in Dariyeri Hasanbey School
 

The total number of beneficiaries of high protein/energy biscuits can be found in the table below, together with the cumulative quantity of biscuits distributed.
 
  Yalova Kocaeli Sakarya Bolu Duzce TOTAL
No. of Schools 21 92 41 45 23 222
No. of Students 10,371 51,467 24,183 12,007 14,286 112,314
Cumulative weight 43,892 kg 157,169 kg 74,788 kg * * 275,850 kg 
* Distribution will begin on 28 February 2000.
 

Special Needs

A supply list has been finalized and submitted by UNICEF’s Education team for 25 special needs centres in the 5 provinces. These centres are particularly important at this time, as special needs students are often not able to attend the schools in tents or prefabricated units due to mental and physical disabilities. One new centre is being planned in one of the prefabricated cities in Sakarya. This centre will serve several prefabricated cities.
 
 

c- PSYCHOSOCIAL

 
Rapid assessments have shown that the psychological impact of the disaster on the population has been profound. Experiences from comparable disasters have indicated that psychological problems caused by the extensive exposure to traumatic events and the high degree of losses will result in long-term psychological, educational and health problems in a significant portion of the affected populations. Such trauma may arrest the resumption of normal daily life activities. Even limited psychological interventions, such as a psychological debriefing or classroom based interventions, if implemented appropriately manner, can have a lasting positive impact on the life experience of children and adults.

Through the Classroom-based Intervention Project, those classrooms that are most in need of psychosocial intervention will be provided an 18 hour curriculum by professional counselors over 6 weeks time to help them mediate their trauma and facilitate a return to normalcy. In December 1999, 85 school counselors were trained in the classroom-based intervention programme ( see Map, page 13).

Presently, there are 111 counselors in 600 schools where future classroom based interventions are planned. Half of these counselors are based in basic primary schools (ages 7-14 years, grades 1-8) and the other half are based in high schools (adolescents 15-17, grades 9 to 11). Three hundred counselors will be trained between 6-11 March in the classroom-based intervention methods and a number of counselors will be reassigned by the Ministry of National Education to conduct the intervention in primary schools. An agreement regarding the Classroom Based Intervention Project will be signed between UNICEF and MoNE on 28 February.

The training schedule for classroom based intervention, to be given in conjunction with the Centre for Crisis Psychology and a team of trainers from Boston, USA, has been finalized for February and March 2000. The second seminar with SHCEK will be undertaken between 27 February to 1 March 2000.


 

In an effort to provide psychosocial intervention to 240,000 children within the five affected provinces, an expert group has been established to develop material during the third week of Febuary for a psycho-educational project in all schools. Eight thousand teachers will be trained by Guidance and Research Centre counselors to implement the psycho-educational curriculum. This project is envisaged to begin March 2000 and will last until 1 July 2000.

UNICEF’s Psychosocial team had a second meeting with the team leaders in the expert group during this reporting period. The group has decided that there will be 3-4 experts for each of the five Provinces. The final candidates to be selected for the expert group will be finalized by UNICEF and MoNE during the third week of February.

 

Child Friendly Environment

UNICEF has been at the forefront of advocating that all prefabricated cities must have a supportive physical and social infrastructure and activates to meet the special needs, (such as the provision of recreational activities), of children. UNICEF maintains that prefabricated cities must have creches, youth activities and after school recreational activities.

Photographer: Zeynep Erdim
Children reading within Unicef creche in Kaynasli, Duzce.

All prefabricated cities have been visited by UNICEF’s Psychosocial team, and those with the largest populations were targeted as the starting point for the activities. UNICEF is actively seeking both building space, and personnel to run and manage the creches and recreational centers, and is offering equipment and supplies as a means to encourage the positive response of communities and private organizations.

During this reporting period, the psychosocial team endeavored to find adequate space for creche activities in Duzce. A new Governor has been appointed for Duzce province this week, and it is hoped that allocations for creches will be resolved in the near future.

SHCEK will collaborate with social work students to reinforce their activities in the earthquake area. UNICEF will contribute by providing a 2 day workshop in Izmit to prepare students for the conditions that they will encounter in the tent and prefabricated cities. This training will be done in partnership with SHCEK, UNICEF and Enfants du Monde, (a French NGO), during the month of March.

Further training has been planned in April 2000 for the child educators who have been working in SHCEK orphanages and creches. Due to the earthquake, the SHECK orphanages and creches were evacuated and the staff re-assigned to work in creches located in prefabricated cities.

 
 

d-WATER AND SANITATION

Water Distribution in Duzce and Adapazeri

The provision of safe drinking water distribution in Duzce will last until mid April 2000, with a graduated decrease in the number of trucks, as improvements and repairs in the city water network are made. This new plan has allowed for the continuation of services for two more months longer than initially forseen, with no increase in the budget. The new safe drinking water distribution plan is as follows:

 

A similar plan is prepared for the water distribution in Adapazarý. The new safe drinking water distribution plan for Adapazari is as follows:

 

Installation of UNICEF Water and Sanitation Clusters

The survey of possible cluster locations is on-going. Due to the continuous movement of the earthquake affected population from tent camps to prefabricated cities, the situation requires constant monitoring.

As populations move, clusters will be re-allocated. For example, a cluster installed at the evacuated Çökekler Tent City has been divided in two. One half has been moved to Bolu Ýzzet Baysal University Dormitory Tent City and the other half has been installed to Adapazarý Abalýköyü Prefabricated City.In this manner, UNICEF clusters will continue to provide sanitation services in new areas to affected population. A Map of UNICEF cluster installations in Bolu is provided below.

 

 

e- MONITORING AND EVALUATION

Monitoring UNICEF Activities with Geographic Information Systems (GIS)

UNICEF has inaugurated a Geographic Information System project to assist the monitoring of its multi-sectoral activities related to the earthquake programme. This project will help UNICEF express quantitative data visually, to provide a comprehensive overview of relief interventions. Information collected by the Kocaeli University (see below), Government Ministries and others will be incorporated.

Monitoring UNICEF Activities in the Earthquake Area

UNICEF/Ankara and Kocaeli University entered into an agreement on 29 December to monitor the humanitarian situation in tent camps and prefabricated cities in the earthquake area. This accord will help UNICEF assess the implementation of project activities and review the availability of basic services for children in the education, psycho-social, health, water and sanitation sectors by collecting data in all tent camps and prefabricated cities. On 4 February, two Assistant Professors and Kocaeli University students underwent in-depth technical training in the sectoral area of Water and Sanitation, in order to be fully incapacitated to administer a survey on the same theme. Data collection was subsequently undertaken by teams between 8 February and 15 February in all tent cities in the earthquake region, and schools where UNICEF has installed water and sanitation facilities. Kocaeli University will submit a consolidated report based on survey findings to UNICEF on 24 February 2000.

 III - Level of Funding

As of 21 February 2000, contributions to UNICEF Recovery Plan for Turkish Children amounted to US$ 14,390,409. US$ 7,286,902 has been pledged from UNICEF National Committees, and US$ 7,103,507 from Governments. The following table provides a breakdown of the funds pledged:

 
 
Contributions from Governments (in US$)
Sweden
4,939,000
UK
699,183
Australia
632,910
Ireland
295,137
Germany
261,043
Luxembourg
124,800
Canada
101,434
Netherlands
25,000
South Africa
25,000
Sub-Total
7,103,507
Contributions from UNICEF National Committees (in US$)
Netherlands
4,402,721
Japan
799,607
Spain
369,959
Germany
353,675
Hong Kong
361,798
UK
278,418
Belgium
289,406
Italy
162,753
Greece
120,000
Ireland
50,000
Finland
35,186
Canada
47,168
Andorra
14,847
Austria
1,365
Sub-Total
7,286,902
Grand Total
14,390,409