
OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS
Overview of Humanitarian and
Short Term Needs
following the
Samoa
“Earthquake and Tsunami”
FINAL
UNOCHA
On behalf of the Pacific Humanitarian Team and the
UN Resident Coordinator
25 November 2009

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Executive Summary
This document presents a brief overview of humanitarian and short term needs three
weeks after the tsunami struck Samoa on 29 September 2009. Following the disaster,
the Government of Samoa, Samoa Red Cross and other national and local organizations
and international organizations and bilateral partners responded to the needs with great
effort. As a result operations moved rapidly from response to recovery. The government
of Samoa requested within a week the UN to take the lead in the formulation of an early
recovery framework. Following discussions in the IASC meeting of the Pacific
Humanitarian Team, OCHA was requested to provide the IASC an overview of
humanitarian and/or short term needs that would not necessarily covered in the Early
Recovery Framework and planning.
Following the impact of the tsunami, the Government of Samoa immediately activated
the National Emergency Operational Centre at the Faleata Fire station and Government
ministries and departments immediately activated emergency plans and response under
the leadership of the National Disaster Council.
The Inter-Agency Standing Committee (IASC) of the Pacific Humanitarian Team (PHT)
under the guidance of the United Nations Resident Coordinator (UNRC) activated, for
the first time in the Pacific, the cluster approach for coordination of the international
response. Seven clusters were activated for a coordinated international response:
WASH, Health, Education, Protection, Information Management and Logistics.
Following the swift response and resources mobilized by the Government of Samoa,
bilateral government donations, particularly Australia and New Zealand, the Red Cross
movement, churches, communities and NGO’s for relief, the Government requested the
UN to take the lead in the development of an early recovery framework. As the Early
Recovery cluster therefore focused on a timeframe of 3-8 months, the IASC requested
the clusters to provide an overview of the humanitarian and other short term needs
during the emergency phase and first 3 months, which was to be compiled by UNOCHA.
The summary of identified humanitarian and other short term needs in each
cluster/sector is as follows, INCLUDING Emergency Shelter and Non-Food Items (NFIs).
Cluster
Cost
Water, Sanitation and Hygiene(WASH)
260.000
Health
83.000
Education
114.470
Protection
Nil
Emergency Shelter
Nil
NFI
Nil
TOTAL
USD 457.470
Background
In the morning of 29 September 2009, a powerful 8.3M earthquake struck south of the
main Samoan Island chain with its epicenter 190 kilometers south of the Samoan capital
of Apia. Few minutes later a series of quake-triggered tsunami waves hit American
Samoa, Samoa and the small northern island of Niuatoputapu in Tonga. The tsunami
waves, some of which are said to have been as high as 6 meters, caused fatalities,

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casualties and serious damage to Samoa. As of 16 October, the official death toll stands
at 143 with five missing and 310 injured. Data from the Ministry of Health (MOH) and the
Samoa Red Cross suggest that the directly affected population, most of who were
displaced, is around 4,500. However, this figure is assumed to be the lower estimate
since the assessment information compilation is still on going by Ministry of Health to
cover the entire affected areas. According to the draft Early Recovery Framework, the
affected population is estimated to be 5,275 people, based on the 2006 population
census. The maps on annexes 3 and 4 show the areas and population affected.
The coastal areas of Samoa sustained damages with extensive destruction mainly to the
south eastern coast of Upolu Island. Damages were caused to family homes, community
buildings, schools, resorts, roads, power lines and water supply located along the
coastline of the affected areas.
The Government immediately activated the National Emergency Operational Centre at
the Faleata Fire station and this remains the central control point for the response
operation. Government ministries and departments immediately activated emergency
plans and response under the leadership of the National Disaster Council.
The Inter-Agency Standing Committee (IASC) of the Pacific Humanitarian Team (PHT)
under the guidance of the United Nations Resident Coordinator (UNRC) immediately
convened a meeting and decided on 1 October to activate cluster approach for
coordination of the international response. This was the first occasion to introduce the
cluster approach in the Pacific since the “Pacific cluster approach” has been endorsed
by the PHT in July 2008, and disaster preparedness activities have been conducted
since then based on the agreed regional cluster arrangement.
The IASC humanitarian cluster system agreed in Samoa was as follows (after revision
on 9 October). UNOCHA took the leading role in Information Management.
Cluster / Activity
Lead Agency
Water, Sanitation and
Hygiene(WASH)
UNICEF/OXFAM
Health
WHO (with support of UNICEF for nutrition)
Education
UNICEF/Save the Children (with support of
UNESCO)
Protection
OHCHR (UNICEF/Save the Children lead the
working group on child protection and psycho-
social support)
Early Recovery
UNDP (supported by FAO as the co-lead for
Agriculture and Fisheries Working Group and
UNEP as the co-lead for the Environmental
Working Group)
Logistics
WFP
The above clusters cover key humanitarian sectors which required coordination support.
Emergency shelter was identified as a key priority and was rapidly addressed by relief
mechanisms in place. The emergency shelter cluster system was not activated as the
actors involved in the emergency shelter were limited, emergency shelter needs were
addressed early on and the scale of the disaster did not warrant cluster activation. IFRC

4
FACT, the designated emergency shelter cluster convener at the global level,
participated in and concurred with this decision.
From the onset of the disaster there was a strong collaborative effort by government, UN
and humanitarian organizations and all involved partners. Various organizations
immediately dispatched their emergency team and cluster coordination staff. IFRC
dispatched a FACT team to Samoa to provide support to the national society. The team
consists of technical experts of various sectors including WASH, health, logistics, relief,
psycho-social, shelter and tracing. OXFAM dispatched emergency coordinators,
UNOCHA dispatched an UNDAC team to provide coordination support to the UNRC and
NEOC, UNICEF mobilized human resources to support clusters where its leads and
supports and WFP dispatched a logistics coordinator to support the logistics cluster.
WHO deployed an emergency coordinator for the Health cluster and strengthened their
health sector support with additional staff. UNDP also formed a team to coordinate the
development of the early recovery framework and leads the early recovery cluster.
OHCHR dispatched staff to lead the protection cluster.
Summary of identified needs:
The matrix below is a summary of identified needs in each cluster/sector. It makes a
distinction between humanitarian (i.e. life saving) needs and other short term needs for a
period up to 3 months. The matrix does not include the early recovery needs as the Early
Recovery cluster has its own early recovery framework which focuses on early recovery
needs with a timeframe of 3-8 months. Hence this document aims to provide an
overview of the humanitarian and other short term needs during the emergency phase
and first 3 months.
Two supporting clusters, namely the Information Management (IM) cluster and Logistics
cluster are also not included as they do not have operational programmatic interventions,
but rather provide support to other operational clusters. IM was the cluster in which
UNDAC and UNOCHA, with the support of the Pacific Disaster Net (PDN) team, SOPAC
and SPREP, provide IM services including issuance of situational reports, maintenance
of the Pacific Disaster Net “Samoa/Tonga Tsunami” website, sharing of documents
(meeting schedules, contact lists, minutes, maps, photos, etc) for inter-cluster
coordination. The Logistics cluster’s main objective was to strengthen logistics
management system at DMO with technical expertise provided by WFP logistics
coordinator, and at the end of his mission, the strengthened logistics management
system, based on the existing system, will be handed over to DMO.
In addition to the established clusters, Non Food Items (NFI) and Emergency Shelter are
covered in this document because these are important operational humanitarian
response sectors, although there is no specific clusters established for these sectors in
Samoa.
No significant humanitarian gaps have been identified for emergency shelter. The need
for transitional/semi-permanent housing will be covered in the early recovery framework.
WASH has identified a numbers of gaps, especially lack of water supply, lack of
sanitation facilities and the essential hygiene supplies. It is expected that the cluster will
identify resources to address the needs. The Education cluster clearly articulated the
humanitarian needs and the related costs regarding schooling, however the Education
cluster has already addressed how to meet the needs by cluster members. The Health

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sector also provided areas of needs and cost implications. Regarding NFI, DMO/EOC is
expected to provide clearer pictures on what items in what amount are still in gaps. They
are currently following up all the relief items already in pipeline. The Protection cluster
has highlighted the need for periodic monitoring of the displacement situation throughout
the early recovery phase and beyond.
Cluster/
Sector
Humanitarian Needs
Short term Needs
Cost
implication
(USD)
a) WASH
1. Continuous supply of water
by tankers/truck to meet the
minimum demand @30
lit/capita per person per day
for Tsunami affected families
who have moved to inland
and constructing temporary
shelter.
(US$ 30,000)
2. In order to meet immediate
water demand, possible
alternative options which
include promotion of rain
water harvesting at
household level
(US $ 40,000)
3. Installation of temporary pit
latrines and promotion of
safe hygiene. This include
deployment of additional
environmental health
engineers and health
promoters for hyg/sanitation
campaign
(US$ 40,000)
4. Procurement and
distribution of life saving
essential hygiene supplies
for affected families for
additional two months.
(US $ 80,000)
1.
Deployment of design
engineers for conducting
feasibility and detailed
study for permanent
water supply systems in
new settlements.
(US $ 30,000)
2. Installation of WASH
facilities in 9 early
childhood care centres
affected by Tsunami
(US $ 10,000)
3. Emptying and cleaning of
damaged septic tanks
(US $10,000)
4. Disposal of toxic fluid-
need to be consulted with
environmental working
group
(US$ 20,000)
a. Humanitaria
n needs:
US$190,000
b. Short term
needs:
US $ 70,000
Total:
US$ 260,000
b) Health
- Transportation: 2 vehicles for
Public Health Surveillance &
Primary Health Care mobile /
outreach teams
- Support Personnel
- Infectious disease
specialist
- Mircrobiologist
- Nurse specialist in wound
management/care
- Data Management
(hardware and software)
60,000
15,000
8,000
83,000

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c) Education
- Year 1-3 student furniture
- Year 4+ student furniture
- Teacher furniture
- Classroom tent
- Water tank
- Latrines
- First aid kits
Resources to address these
needs have been committed by
the Education Cluster partners
(UNICEF, Save the Children,
Tear Fund and either ADB or
ADB/NZAID/AusAID
joint
cooperation to be determined
by MESC)
3,060
27,420
1,430
30,000
28,000
24,000
560
114.470
d) Protection
No humanitarian gaps but as
a
medium-long
term
intervention, monitoring of
displacement and durable
solutions
during
early
recovery phase and beyond.
--
e) NFI
Basic NFI needs are met
except numbers of items
specified on page 17
Needs and the
cost to be
quantified by
NEOC by next
week
f) Emergency
Shelter
No significant needs in
emergency shelter, but need
for transitional/ semi-
permanent/permanent
housing as the rainy seasons
would start soon
To be reflected
in
Early
Recovery
Framework
as
“Housing”
a) WASH (Water, Sanitation and Hygiene)
1. Needs identified
Access to water for drinking, cooking and hygiene has been a priority need from day 1
since the water supply system was damaged and most of the directly affected population
has been displaced. A continuous supply of minimum amounts of water to the affected
families, most of whom have now moved to inland, is foremost important to maintain
good hygiene among the affected population, particularly children. Additional pumps and
tankers (2) are required to fulfill the need.

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In addition to the provision of water and repairing of the water supply systems,
installation of sanitary facilities is a priority need. MoH is working very hard and
encouraging each household to construct pit latrines. WASH needs at schools and early
childhood learning centers also need to be immediately addressed in order to resume
this public service. In addition, the issue of solid waste and hygiene promotion needs to
be considered and addressed well to protect the local environment and ground water.
Meanwhile, SWA also should seek to identify alternate water sources in order to provide
safe water to the families who have moved inland and constructing temporary shelters.
This certainly will take some time and therefore addition tankers/pumps would be
required to accommodate and fulfill immediate needs of drinking water.
The maps in annexes 5 and 6 provide more detailed in formation on water sources and
sanitation facilities in the affected areas.
2. Activities conducted up to today
UNICEF and OXFAM became the lead agency for WASH cluster, closely working with
the government. The WASH cluster lead role has been handed over to the government
and renamed as the “Samoa Water Sector-Post tsunami support” although the support
of UNICEF, OXFAM and other international agencies continues. Detailed assessment
was carried out by the Public Health Department and the government quickly took
actions to restore the water supply system. It is reported by Samoa Water Authority
(SWA) that the system has been restored in the affected areas. Bottled water was
distributed by various agencies.
However, it still requires alternative water supply operation especially for those displaced.
SWA, with the support of New Zealand, IFRC, OXFAM and UNICEF, distributes trucked
water with 7 trucks operational (one requires maintenance and 4 are for short term rent).
Commitment of Oxfam and UNICEF support is expiring soon. Sector is seeking support
from EU for procurement of new truck. It might take more time and existing SWA and
SRC trucks don’t meet minimum water demand and therefore need to hire additional
trucks to meet daily demand.
Various organizations provided WASH relief items such as water tanks, water purifiers,
water containers and jerry cans including UNDP, UNICEF, Australia, New Zealand,
Samoa Red Cross, EU, JICA, World Vision, ADRA, Caritas, Bluebard Lumber and others.
Temporary toilets were constructed by the Public health department with assistance of
the New Zealand health department, IFRC and UNICEF. Hygiene education with
distribution of soap is also being provided by the PH department with assistance of NZ,
IFRC and UNICEF.
UNFPA and IFRC also provided female hygiene products/dignity kits to improve the
hygiene and protect the dignity of women. Other hygiene items such as soap, tooth
paste, toilet paper, baby hygiene kits, etc. have been also distributed by various
organizations. It is also important to follow up whether provided relief materials have
been already distributed or kept at the warehouse.
Please refer to annex 1 for more
detailed information.

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Currently SWA, with the possible support from UNICEF and ADRA, is working on to
provide access to safe water at schools and ECD centers especially before the schooling
start for all grade children next week.
3. Needs identified
Lacks of sanitary facilities are still considered to be a serious need, and it will be
addressed by two activities mentioned under (1) and (3).
(1) Installation of household pit latrines and promotion of safe hygiene, reaching over
200-250 households
(2) Procurement and distribution of life saving essential hygiene supplies for two months
(3) Installation of WASH facilities in 9 early child care centers;
(4) Installation of household water tank fitted with rainwater harvesting option.
(5) Continuous supply of water by tankers/truck to meet the minimum demand@30
lit/capita per person per day for Tsunami affected families who have moved to inland
and constructing temporary shelter
(6) Regular septic tank cleaning
(7) Solid waste/toxic fluid clean up
(8) Technical support for designing of water systems for renovation/new construction
Item (1) pit latrines and promotion of safe hygiene activities will cover the following
villages (Satitoa-63 h/h, 2. Lalomanu-36 h/h, 3. Latopue-32 h/h, 4. Vailoa-29 h/h, 5.
Ulutogia-27 h/h, 6. Lutiatele-26, 7. Vavau, 8. Lotofaga) reaching over 200- 250
households.
Regarding item (4), other options to meet immediate water demand include i Extension
of water supply line from existing bore holes to the affected families by pumping and ii.
Installation of temporary pipeline from Lake Lanoto. Depending on quality of lake water,
provision of mobile water treatment plant has been foreseen.
In addition, although water system has been re-established and truck water distribution
is on-going, it is important to keep monitoring the quality and quantity of water available
to the affected communities, and if water quality or quantity problem is identified, it needs
to be immediately addressed by SWA and WASH partners.
4. Cost implication
(1) Installation of household pit latrines in displaced areas
US$ 40,000
(2) Procurement and distribution of life saving essential hygiene supplies
US$ 80,000
(3) Installation of WASH facilities in 9 early childhood care centres;
US $ 10,000
(4) Installation of household water tank fitted with
rainwater harvesting option.
US$ 40,000
(5) Continuous supply of water by tankers/trucks
US$ 30,000
(6) Regular septic tank cleaning
US$10,000
(7) Solid waste/toxic fluid clean up
US$ 20,000
(8) Technical support for designing of new /renovation/of water systems US $ 30,000
__________________
Total WASH gap
US $ 260,000

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b) HEALTH
The Health cluster was initiated by WHO, and had to merge into the Ministry of Health
coordination of health response, chaired and coordinated by MOH.
1. Needs identified
At the early phase of disasters, emergency medical support was required. As of 15
October, it is reported that 310 were injured due to the disaster. Public health and
nutritional status of the affected population needs to be monitored, and campaigns of
health promotion and public information to support recovery programmes have started.
Electricity, water and sanitation services to infrastructure need to be fully restored.
General waste management including medical waste is another important issue. It is
also crucial to map the accessibility to health care facilities against current and projected
future population distributions.
The health sector received health professionals personnel support from the Australian
and New Zealand Governments, plus a range of overseas based volunteers, health
professionals and others like OXFAM, etc. However, when these assistance left, the
Samoan NZ & Australian based nurse mission are still continuing their support in
collaboration with the Samoa based nursing teams. Furthermore, the medical & nursing
teams from USA are also on board to assist the local teams with continuous responses
to the affected population. On the other hand, the supplementation of human resource
capacity in the following key areas also need to be immediately addressed; e.g. medical
& nursing mobile/outreach teams, laboratory capacity (microbiology, haematology,
biochemistry and blood banking), infectious disease specialist in the surgical/medical
area, nurse specialist in wound management/care.
A combined team of local and volunteer health professionals have completed an
assessment of the environmental health issues to attempt to quantify the needs of the
affected population. The following are key results from this assessment:
Shelter:
Of the 444 identified family clusters directly affected, all have various shelter issues. The
priority for obvious health and social reasons are those who were identified as living
under tarpaulins or tents.
181 or 41% of the 444 affected family clusters are living under tarpaulins or tents
and urgently need more suitable shelter
21 family clusters have moved into a school (supplemented by tents)
The rest of the families are either living in damaged houses or have moved in
with relatives, exacerbating health conditions and health risks due to
overcrowding and the sanitation risks involved.
Water:
140 or 32% of the family clusters are totally reliant on bottled water and/or water
trucks
Many of the families relying on water trucks, as well as those relying on
piped/springs/rain tank sources still needed containers as at assessment times.
Sanitation:
196 or 44% of the family clusters urgently need basic pit latrines to be dug for
excreta waste disposal at a minimum (see also recommendation above under a)).

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70 family clusters urgently need work on proper waste disposal for other wastes
(see also recommendation above under a)).
In addition, psycho social support is another important element which requires further
attention.
For medium to long term phase, complete assessment of structural integrity of health
infrastructure is required as well as reconstruction of damaged and destroyed health
infrastructure. It will also suggest infrastructure in hazard prone areas and infrastructure
with poor access needs to be relocated. This will need to be addressed in the early
recovery action plans.
2. Activities conducted up to today by the Health Sector
2.1
Clinical (Treatment & Curative)
Primary Health Care Service
Daily medical and nursing primary health care services have been provided to District
Hospitals. NHS has planned and supplied the capacity and flexibility to mobilise medical
personnel in support of nursing teams as needs have been identified in displaced
populations currently living in tent settlements in the hills. Other services have been
delivered to people with unmet health needs who are living in coastal areas and do not
have transport.
10 teams – 3 teams located at district hospitals and 7 mobile teams made up of medical,
nursing and allied health personnel have been able to provide comprehensive primary
health care to the majority of those needing immediate assistance in the disaster area.
The mobile teams have been deployed on a daily basis to areas of most need, for
example 3 teams were sent to Manono Island over 2 days and were able to see over
100 affected people. This information was shared with public health and other disaster
response services so that appropriate help could be mobilised.
Clinical leaders of all teams are Samoan medical staff. Other volunteer health personnel
have been formed in to teams led by Samoan clinical team leaders. Leadership by
Samoan clinicians is important as it has provided a working knowledge of local
environment, local health systems, local resource support, and has met the cultural,
protocol and language competencies needed for teams to work effectively at the district
hospitals and in mobile teams working in villages and temporary settlements. It has
further had the advantage of placing lower demand on the NHS for orientation and
ongoing support of medical volunteers. It has meant that care has been more effective
and has meant primary medical services have had the flexibility to respond promptly to
new areas of need as they have been identified.
The team structure and processes have meant that the largely volunteer workforce that
has been arriving and leaving episodically has been able to be oriented and replaced as
required with minimum extra demands on NHS.
Mental health issues
The Mental Health Unit of the National Health Services plays the coordination role and it
operates a 24/7 telephone support service in addition to deploying psycho social support

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team to the fields. Samoan NGOs are also sending counseling teams to the affected
areas, while church groups are also providing counseling. The Samoa Red Cross has
mobilized 30 volunteers who are consistently providing psychosocial support in parallel
to relief distribution. UNICEF and Save the Children coordinated by the MOH and the
Ministry of Women, Community and Social Development conducted a psychosocial
training for community volunteers and trained volunteers are now outreaching to the
affected communities. UNICEF and Save the Children also provide psychosocial support
through distribution of recreational kits and early learning kits, along with briefing to
promote the use of structured play and child friendly activities to promote the recovery of
children. These kits are provided to the schools and community groups to organize child
friendly activities in the existing buildings such as churches and schools
Psychosocial and mental health issues are also being monitored by the medical &
nursing primary health care mobile/outreach teams and there is close liaison with the
mental health team. Mental health issues of post traumatic stress type symptoms –
hyper vigilance, insomnia and anxiety have been identified.
Emerging health issues
New problems are emerging in displaced populations, related to the unsafe living
environments in camp settlements. There are new injuries due to children standing on
nails or rusty corrugated iron and injuries related to rebuilding homes. Infected scabies
and skin rashes are a major problem in children. There have been a few cases of
gastroenteritis.
There is also a burden of unmet need for chronic diseases like diabetes, hypertension
and cardiovascular disease. Patients require follow up who have lost their medication in
the Tsunami. Our teams have also reported high numbers of chronic, infected skin ulcers
which need good wound care management.
Ongoing access to enhanced primary health care
Continuing high quality comprehensive primary care made available through the District
Hospitals and some mobile medical team capacity will be required in the disaster areas
to meet these identified needs and support the process of recovery.
An estimated 150 patients were seen daily by the PHC team by the end of week 2 and
week 3 post-Tsunami. An additional 100 patients per day were treated by mobile
primary nursing teams working in the disaster area (sometimes with the support of our
medical teams where people needing more medical treatment were identified).
It is likely that without the enhanced primary medical care model, that many of these
people would not have been able to access effective early primary health care, which
may have led to further morbidity and complications and increased demand for
secondary care services.
These findings have further strengthened the concept of strengthening health systems
through revitalization of primary health care.
Secondary & Tertiary Health Care Service
The health sector secondary and tertiary level care response to the Tsunami was mainly
on resuscitating, retrieving and triaging. This was initially carried out by the Samoa
Medical Disaster Organization and the clinical and health allied staff of NHS. This was

12
followed by the Australian Rapid Response team, primarily trauma and surgical. The
New Zealand Disaster and Emergency Response team took over from the Australian
team on day six.
Samoan volunteer Doctors (Specialists and GPs) and Nurses from New Zealand began
arriving on the second day after the Tsunami and were part of the TTM Hospital’s acute
phase response. There were also Samoan volunteer Doctors from America and Canada.
The third day after the Tsunami saw continuing admissions of a large number of
survivors with multiple fractures, soft tissues injuries and aspiration pneumonia from near
drowning.
2.2
Public Health
Public Health work carried out since the Tsunami is as follows:
Surveillance
To minimise the opportunity of any infectious disease outbreak through the analysis of
clinical data presented to health care service providers and medical teams in the field.
-
Clinical data from Fusi, Poutasi and Lalomanu Health Centres
-
Clinical data from TTM
-
Clinical data from MedCen and GPs
-
Clinical data from Medical Teams
Clinical data will continue to be collected on a daily basis and reviewed continually as
the need requires.
Environmental Health Assessments
To minimise the opportunity of any infectious disease outbreak by working with
populations on basic hygiene practices and waste control.
-
Environmental Health Assessment for the East Coast and reporting back urgent
issues
-
Face to Face Behavioral adaptation and change of displaced populations to
follow assessments.
-
Mapping of displaced (GIS) mainly concerning population concentration, and
immediate shelter, food, water and sanitation needs.
The Environmental Health Assessment of the affected areas has been completed with
data collected as per population and immediate needs per location. This information has
provided a general outline of the area using GIS coordinates.
The Face to Face behavioural adaptation and change work which requires Public Health
workers to work with families on a daily basis to ensure safe occupational health safety,
hygiene and sanitation practices, will continue until displaced families have secured
permanent living conditions.
Health Promotion
To minimise the opportunity of any infectious disease outbreak by providing awareness
via mass media and targeted IEC materials.

13
-
Weekly Radio Programmes
-
Television spots
-
Radio spots
-
IEC Materials to be distributed to displaced families
General Health Promotion via the general for the affected areas will continue until the
sanitation, hygiene and environmental health issues have subsided. Health Promotion
materials distributed during face to fact interventions will continue as the need requires.
Nutrition
To ensure that food provided to affected communities are compatible nutritionally and as
much as possible cater for special needs such a pregnant women, babies and infants.
Collaborative work with the Health Promotion Team and the Environmental Health Team
ensures that nutrition focused IEC materials are being produced and that damaged or
expired foods are not distributed to affected communities.
A joint UN-Government-NGO Food Security Survey confirmed that the livelihood for the
majority of affected households included subsistence agriculture, backyard pig and
poultry production for self consumption, and artisanal/subsistence fisheries. In addition,
tourism was the main source of cash income. Damage to the plantation was in general
limited, but most of the farming tools and equipment have been lost. Farmers affected
may not be able to carry out essential farming works in the coming weeks. Home
gardens have been totally destroyed. These home gardens are important for a balanced
family diet as most of the nutritious foods come from the garden. MOH under its Nutrition
Program and the MWCSD under its Aiga ma Nuu Manuia Program will continue to work
together in addressing these issues.
A number of pigs and poultry along with fishing gear and canoes were lost. As a result,
the affected families lost most of the protein sources for their diets. Due to the loss,
family food security is extremely fragile. Most victims are at the moment relying on
external food assistance or moved to live with relatives and/or friends, putting additional
pressure on the limited food availability. Providing key lost assets that are essential for
food security is an urgent priority, which will enable rural households to resume food
production. The current fish supply for the local market in Samoa is reduced by
approximately 50 percent, due to damage to vessels. The repair/replacement of lost
vessels is an immediate priority for the restoration income generating activities and food
availability in Samoa.
Plan for Actions
The government currently focuses on restoration of priority public health services as well
as priority treatment / curative care services.
In order to assure the access to treatment/curative services, outreach/mobile teams
need to continue for the next 1-2 months. The health sector through NHS plans to
activate Village Based Centres (Clinics) that were already identified during the Pandemic
H1N1 crisis. These centres will be manned by the trained village health volunteers and
will be supervised by the NHS Nursing & ICHS Teams based at District Hospitals
through daily visits. It is proposed that these VBCs will run for 8 weeks. MOH also

14
needs to supplement human resource capacity in laboratory, and medical specialised
areas.
The health sector through MOH also plans to strengthen prevention and control of any
disease outbreaks, and it requires immediate construction of at least temporary homes
for affected / displaced families. Continuation of environmental / public health
assessments & surveillance for affected areas and new settlements – assisting
displaced families with hygiene behavioural adaptation and change is also crucial. MOH
plans to continue general health promotion via mass media and targeted IEC materials
especially for affected areas until the sanitation, hygiene and environmental health
issues have subsided. MOH also plans to inspect food relief supplies (quality & safety for
consumption).
Medium and Long term
In the medium to long term, the health sector plans to reconstruct damaged and
destroyed health infrastructure and restore health services with basic facilities including
electricity, water and sanitation in the affected districts, ensuring accessibility of these
areas to health services as it was before. Health facilities and infrastructure in hazard
prone areas and infrastructure with poor access will need to be relocated. Emergency
response capacity of the main laboratory will be also strengthened. MOH also requires to
strengthen emergency surveillance systems in place e.g. EWARS and conducts surveys
to document nutritional status and disability
3. Needs identified
-General support
Transportation – 2 vehicles (2 for Public Health Team and outreach)
Support Personnel; 3 x 2 months x (est.) USD 50/day
Data management equipment (hardware and software); 2 laptops (Windows
Office) and mapping software
4. Cost implication
Transportation USD 60,000
Support Personnel USD 15,000
Data management equipment (hardware and software); USD 8,000
______________________________________TOTAL USD 83,000
c) EDUCATION
1. Needs identified
It is confirmed by the Ministry of Education, Sports and Culture (MESC) that there are
five (5) schools, four (4) primary and one (1) secondary school, damaged by the tsunami.
The assessment shows that over 1,000 children are affected by the damage/destruction
to these schools. The resumption of schooling for children is the immediate need of the
Education Cluster. This requires the immediate supplying of basic classroom furniture for
students and teachers, access to sufficient safe water for drinking and washing and
sanitary facilities for the host schools where displaced children will join, transportation of
students from the community to the nearby host schools, first aid kits, classroom tents
for additional space, textbooks, stationeries and recreational play supplies.
2. Activities conducted up to today

15
The Education Cluster is lead by the joint cooperation of UNICEF and Save the Children
which is closely working with the Ministry of Education, Sports and Culture (MESC).
Secondary students and higher Grade 8 students resumed schooling in the neighboring
host schools on 14 October. It is expected that all lower grade primary students will
resume schooling the following Monday, 19 October. MESC and the Ministry of Health
conducted health, water and sanitation assessments of the schools in the affect areas to
ensure the environment is safe for children to return to the schools. Through the Child-
Protection working group of the Protection Cluster, recreational kits have been
distributed as well training conducted for teachers on the utilization of these in order to
lead structural recreational play for school children. The government of Samoa has
committed education support including tents, water tanks, transportation and school
supplies such as text book and stationeries to the affected and host schools while
Education Cluster members are committed to filling all the remaining needs gap such
teacher and student classroom furniture, first aid kits, latrines, water tanks and tents.
3. Needs identified
School furniture, first aid kits, additional latrines, water tanks and tents are identified as
current needs. The Education Cluster have coordinated to have these fully covered by
Education cluster partners: UNICEF, Save the Children, Tear Fund and either ADB or a
joint cooperation of ADB/NZAid/AusAid to be determined by MESC.
4. Cost implication
(1) Year 1-3 student furniture:
US$3,060
(2) Year 4+ student furniture:
US$27,420
(3) Teacher furniture:
US$1,430
(4) ClassroomTent:
US$30,000 (in total, 20 tents are needed and the
government has provided 5 thus 15 tents remain as
an additional requirement)
(5) Water tank:
US$28,000 (13 water tanks)
(6) Latrines:
US$24,000
(7) First aid kits:
US$560
Total: US$114,470
d) PROTECTION
1. Needs identified
The UN Office of the High Commissioner for Human Rights (OHCHR) became the lead
agency for the Protection Cluster and two staff were deployed from Suva to Apia to
coordinate the protection cluster and to promote protection as a cross-cutting issue to be
mainstreamed into other clusters’ planning and implementation. The protection Cluster
identified four key areas of focus: 1) displacement and durable solutions, 2) access to
services and to ensure equal distribution of relief items according to the identified needs,
3) child protection and 4) psycho-social support in close collaboration with the Health
Cluster.
2. Activities conducted up to today
The Protection cluster lead agency (OHCHR) has participated in the early recovery
assessment and highlighted protection concerns, including those of displaced
populations to ensure that durable solutions are in line with the IASC Guiding Principles

16
on Internal Displacement, and concerns around gender and groups with special needs,
for inclusion into the design and implementation of the assessment.
The cluster also distributed protection checklists for other clusters as well as other IASC
protection tools and guidance, including the IASC Code of conduct to humanitarian
actors. The protection cluster reminded all clusters to adhere to the Code of Conduct as
well as other IASC guiding principles.
Psycho Social Support
MOH plays the coordination role and it operates a 24/7 telephone support service in
addition to deploying psycho-social support team to the fields. Samoan NGOs are also
sending counseling teams to the affected areas, while church groups are also providing
counseling. UNICEF and Save the Children coordinated by the MoH and the Ministry of
Women, Community and Social Development conducted a psychosocial training for
community volunteers and trained volunteers are now outreaching to the affected
communities. UNICEF and Save the Children also provides psychosocial support
through distribution of recreational kits and early learning kits, along with briefing to
promote the use of structured play and child friendly activities to promote the recovery of
children. These kits are provided to the schools and community groups to organize child
friendly activities in the existing buildings such as churches and schools
3. Needs identified
The Protection cluster held its last official meeting on 8 October, and the regional
protection cluster with the support of country based protection members will follow up on
protection concerns during the early recovery phase. Registration of families and
children at the shelters needs to be followed up and it is proposed to try to track the
more vulnerable families that may not have extended family support and see how they
can be supported during the early recovery phase. The Protection cluster will try to find
out whether there are other shelters in Apia and other locations accommodating the
displaced population.
Due to the displacement of most of the affected population, there will be a need to
develop a project to monitor over time the disaster displacement in Samoa and the
success of durable solutions. Experience from ‘natural’ disaster situations in Asia and
the Pacific suggest that assumptions cannot be made on preferred options for internally
displaced persons (return, settlement elsewhere, or local integration) and that much
more information on the motivations and decisions making factors by those displaced is
needed to be able to offer affected populations strategies that will eventually lead to
durable solutions. Return/settlement elsewhere/local integration options in Samoa are
likely to be sustainable when IDPs feel safe and secure, with no further risks posed by
the effects of a natural disaster; they have been able to establish residence in their
preferred place, repossess their properties or homes, and these have been adequately
reconstructed or rehabilitated, or they have received compensation for property
lost/damaged; and they are able to return to their lives as normally as possible, with
access to services, schools, livelihoods, employment, markets, etc. without
discrimination.
The OHCHR team is planning to return to Samoa during the early recovery phase in
order to monitor whether the protection concerns raised by the cluster are mainstreamed
into early recovery activities.

17
4. Cost implication
None for humanitarian phase.
e) NON FOOD ITEMS (NFI)
1. Needs identified
Since the majority of the directly affected populations were displaced, they require basic
items including beddings, clothing, WASH items, water, food, cooking utensils and
others from day 1 after the disaster.
Annex 7 provides information on families’ need for food.
2. Activities conducted up to today
Relief items were provided by various organizations and groups including the
government, Red Cross, NGOs, UN agencies, civil and religious organizations as well as
private donors.
As of 11 October, Red Cross, as a major distributor of NFIs, distributed relief materials to
40 locations including support for the families relocated in Apia, Manono island and
families in damaged villages or supported in neighboring villages in the affected areas.
The items include beddings, clothing, WASH items, water, food, cooking utensils and
others.
The summary of relief item donations and distribution as of 8 October registered at
NEOC is attached as annex 1 and Red Cross distribution as of 10 October is attached
as annex 2.
Red Cross is also procuring additional relief items including 54 water tanks, 1000 female
hygiene kits, 1,500 mosquito nets in addition to 3 types of kits (1)500 sets of “getting
started household kits which includes 45 items such as wire cutters, trowel, string etc (2)
20 sets of Community Tools comprising a cement mixer, ladder wheelbarrow, chain saw,
rivet machine and fuel cans (3) 500 sets of Demolition and Rebuild Kit items such as
hammers, bush knife, spade, axe, shovel, saw etc. World Vision has been also working
with DMO to distribute NFIs for 2,500 beneficiaries, which includes 10L collapsible jerry
cans, 32,000 water purification tablets, 497 family hygiene kits, 99 baby hygiene kits,
998 tropical blankets, 998 mosquito nets, 497 tarps and equipment for sanitary facilities,
most of which have been already distributed to the affected communities. They are
providing another consignment of non food items (400 Solar Powered Lamps and 120
Solar Powered Radios) on 17 October.
3. Needs identified
Although the most urgent and basic NFIs needs are considered to have been met, the
latest National Emergency Operation Centre (NEOC) situational report as of 14 October
refers to relief items, which are currently needed, which includes
Building and gardening tools
Food and water storage containers/water containers
Hurricane lamps
Mosquito nets
Building materials
Cooking utensils (pots and teapots)

18
Cooking stoves (kerosene)
Transistor radios and batteries
Dining room tables and chairs
Bedding
The Government, NGOs and other agencies are currently mobilizing resources to
procure extra NFIs. Therefore, at this stage it is not yet confirmed exactly what items in
what amount are still in gap. NEOC is gathering information on what relief items are
already in the pipeline, and what remains as a gap at this stage.
NEOC will be able to report it back by next week.
4. Cost implication
The amount of the items in needs is not yet quantified at this moment, so that the costing
is not available at this moment.
f) EMERGENCY SHELTER
1. Needs identified
Since the most of the directly affected population, which is estimated to be around 4,500,
are displaced, emergency shelter was a priority need in order to physically protect the
displaced populations.
Annex 8 provides information on the location of families in emergency shelter.
2. Activities conducted up to today
Samoa Red Cross Society took the lead in providing emergency shelter in the form of
tarpaulins and tents. They also registered those displaced and have distributed 1,147
tarpaulins and 46 tents as of 10 October, which is complemented by distribution of
building tools for housing reconstruction.
3. Needs identified
Regarding the provision of emergency shelter in the form of tarpaulins and tents, it is
considered that there is no significant gap at this stage. However, this regards the
temporary emergency shelter and considering the fact that the rainy season begins in
late October in Samoa, transitional shelters will be urgently needed until semi-
permanent/permanent housing is constructed.
A Shelter Sub-Committee meeting was held on 20 October and addressed the urgent
needs to build shelters. The government aims to start the building of shelters by the end
of this week. It was clarified that average unit cost of SAT 18,000 only includes the
building materials but not labour and other related costs.
Cabinet decided that the official number of shelters to be built in the first round of
construction will be 425. This number is based on the list of affected families as compiled
by the Ministry of Women, Community and Social Development (MWCSD), DMO, Red
Cross and Electricity Power Corporation (EPC). One family constitutes an extended
family that may consist of many nuclear families. Regardless of the number of nuclear
families, the extended family will be provided with one shelter in the first round of
building. The design of the shelter has been agreed upon among all related agencies
and endorsed by the government.

19
Habitat for Humanity (HFH) will support the building of 325 shelters, while Caritas (50
shelters), LDS (40 shelters), SUNGO (7 shelters) and Tear Fund/ILEM Church (5
shelters) also already committed to support building shelters. HFH will also provide
human resources to build the shelters.
The Ministry of Finance has prepared a special form for signature of the village
authorities to verify that people are resettling on to their own properties.
4. Cost implication
No additional emergency shelter is required at this moment. However, transitional
shelter/semi-permanent shelters are urgently needed, and this should be well reflected in
the early recovery planning.

20
Annex 1
TSUNAMI SAMOA
NEOC SUMMARY-AS OF 8 0CT 2009
ITEM
ITEMS
DONATIONS
DISTRIBUTIONS
BALANCE
WATER
BOX - Different size
bottles
2198
2190
8
Water Containers
Individuals
1913
751
1162
Water Purifiers
Strips
12500
326
12174
WATER
Water Tanks
UNDP 10 (1000 L )
10
0
10
0
0
0
Generator Set
9
5
4
0
0
0
Family Tents
229
182
47
SHELTER
Tarpaulin
Bundles
1118
704
414
0
0
0
Stretches
33
0
33
0
0
0
BANANAS
AUFAI
99
98
1
BREAD
1 BOX - 10 LOAVES OF
BEAD
139
31
108
BUTTER
1 BOX
28
27
1
CUCUMBERS
1 BAG
1
1
0
CABBAGE
12 X 1 BAG
4
0
4
COFFEE
INDIVIDUAL
120
11
109
CORNED BEEF
BOXES
59
9
50
FLOUR
SACK
163
40
123
MARLIN
BOX
237
174
63
MASI/KEKESAIGA/COOKIES
1 BOX
574
235
339
MILK
12 PACKS X 1 BOX
2360
176
2184
NOODLES
24 PACKS X 1 BOX
2612
2596
16
PUMPKIN
62
35
27
PUSA PISUPO / CORNED
BEEF
BOX
23
21
2
PUSA APA
BOXES
782
584
198
RICE
SACK
3882
2828
1054
ROLLED OATS
BOXES
390
49
341
SALT
SACK
30
28
2
SPAGHETTI
12 CANS X 1 BOX
388
163
225
SUGAR
SACK
528
178
350
TARO
SACK
98
31
67
TEA BAGS
1 BOX
226
117
109
VIENNA SAUSAGES
1 BOX
1006
110
896
LARGE TARO
260
26
234
SNACKS
BOX
1
1
0
RATION PACKS
42
30
12
OTHER CANS
2
0
2
POPO
1 BAG
30
2
28
COOKING OIL
308
0
308
MASIMASI (I'A) -
80
0
80
FOOD
SOY BASED
Box
8
0
8
0
0
0
CLOTHES
Adult & Kids Clothes in 1
bag
1318
1065
253
CLOTHES
&LINEN
MOSQUITOE NET
INDIVIDUAL
1026
485
541

21
BLANKETS
INDIVIDUAL - (8 Per
Bundle)
557
549
8
BED SHEETS
302
69
233
SHOES
pairs
33
29
4
SOLO AFU
81
0
81
TOWELS
BAG
190
69
121
BABY CLOTHES
BOX
65
1
64
PILLOW
BOX
95
31
64
MATS
BUNDLES
429
46
383
MATERIALS
1 ROLLS
1
1
0
0
0
0
BED
KING SIZE
1
0
1
FURNITURE
INDIVIDUAL
6
0
6
0
0
0
BATH TUBS
1
1
1
0
RAZOR BLADES
PACKET (24 PER
PACKET)
6
5
1
SOAP
BOX
294
181
113
TOILET PAPER
24 x 1 box
419
62
357
TOOTH BRUSH
24 - 1 packet
72
59
13
WIPES
Disinfected Wipes in
packets
71
60
11
TOOTH PASTE
PCS
377
363
14
WASHING POWDER
PCS
3
3
0
SPECIAL WALKING CHAIRS
& TOILET CHAIRS
2
0
2
NAPPIES
PACKET (24 PER
PACKET)
78
75
3
TOILETRIES
MIX BAG - SOAP
TOOTH PASTE TOOTH
BRUSH
301
64
237
PLASTIC TOILETS
SQUAT COVERS
19
18
1
LIBRA PADS
0
0
0
TOILETRIES
DISINFECTIVE CHEMICAL
0
0
0
0
0
0
KNIVES & FORK
12 KINVES - 1 BOX
48
37
11
CONTAINERS
BIG CONTAINER
(Individuals)
150
147
3
CUPS/GLASSES
100 CUPS - 1 CUP
230
172
58
LARGE BOWELS
DINNER BOWLS
17
17
0
LARGE WOK
20
1
19
MATCHES
INDIVIDUAL (100/box)
100
75
25
KEROSENE OVEN
1 ITEM - SINGLE
20
13
7
BOWLS
100
45
55
PLATES
100 plates - 1 box
194
192
2
POTS
BOX
206
108
98
FRYING PAN
2
2
0
SMALL WOK
18
16
2
SPOONS
12 SPOONS - 1 BOX
227
15
212
TEA POTS
1 Medium size Teapot
23
19
4
TOYS
9
1
8
KITCHEN
UTENSILS
TEA TOWELS
15
12
3
GARBAGE BAGS
3
2
1
ASSORTED UTENSILS
BOX
130
112
18
0
0
0
ROTARY CONTAINERS
1 BOX CONTAINER
4
3
1
FAMILY KIT
1 KIT
497
488
9

22
BABY KIT
1KIT
147
145
2
MEDICAL KIT
1 KIT
2
1
1
EMERGENCY BOX
BOX
100
0
100
HOUSEWEAR
1 BOX - (CONTENT:
Medium size Billy, can
opener,safety pins,string,
clothesline rope, clothes
pegs, insulation tape,
plastic sheets, blankets
17
10
7
0
0
0
BATTERIES
BOX
392
116
276
MOLI MATAGI
120
42
78
TORCHES
10 PER BOX
245
241
4
LIGHTS
ELECTRIC IRON
1
0
1
0
0
0
PANADOL
1 BOX
1
1
0
GLOVES
PRS
322
287
35
WHEEL BARROWS
INDIVIDUAL
42
28
14
TOOL KITS
BAG/BOX
80
39
41
SPADES
INDIVIDUAL
14
2
12
SHOVELS
INDIVIDUAL
63
13
50
RAKES
INDIVIDUAL
3
0
3
MUDPICK
INDIVIDUAL
6
5
1
AXE
INDIVIDUAL
28
8
20
JERRY CANS
30 X 1 CART
41
41
0
PORTABLE TOILET
INDIVIDUAL
0
0
0
KNIVES
INDIVIDUAL
100
5
95
NAILS
BOX
28
7
21
HANDSAW
INDIVIDUAL
35
0
35
SHELTER BOX (tarpauline,
nuts, nets, tools)
53
23
30
HAMMER
BOX
17
0
17
PIN SPA
INDIVIDUAL
10
0
10
MEASURING TAPE
INDIVIDUAL
101
0
101
0
0
0
UTENSILS
SOCCER BALLS
INDIVIDUAL
50
0
50

23
Annex 2
Red Cross Relief Distribution
Go back
Total Distribution 30/9/09-8/10/2009
Shelter & Bedding
Food / Cooking
Tarpaulins
1147
Noodles (box)
167
Tent
45
Sack of food
5
Umbrella Tents (ANZ)
1
Tinned Fish (Box)
132
Blankets
1232
Rice
233
Sheets (boxes)
2
Flour
9
Sheets (set)
65
Biscuits (Box)
136
Mosquito Nets
167
Cooking Fat
4
Lanterns
98
Cooking Oil (bottle)
24
Candles (bundle)
4
Bowls
88
Torch
29
Cups (doz)
28
Mats
44
Plates (doz)
29
Matresses
6
Plates (box)
13
Pillows
145
Utensil/sets
90
Cooking sets
398
Clothing
Kerosene Stove
1
Clothes (Sack/Box)
1892
Milk (ltr)
47
Shirts/Blouses
265
Butter
12
Childrens Clothes
9
Sugar (box)
8
Baby clothes (box)
8
Coffee/Tea
79
T-Shirts (box)
3
Bananas (box)
4
Towels (box)
4
Snacks (box)
10
Towles (indiv)
90
Tinned Spaghetti/baked beans (box)
68
Sandals (box)
64
Mixed tins (box)
14
Sandals (pairs)
69
Matches (box)
42
Shoes (pair)
124
Other
Hygiene & Personal Care
Toys (box)
1
Hygene Kits
235
Toys (individ)
28
Collapsable Water Containers
35
School Kit
4
Shower to Shower Powders (box)
8
Body Bags (box)
2
Mouthwash (box) Toothpaste (tube)
14
Heavy Duty Gloves (pr)
12
Feminine Hygene Products (box)
9
Examination Gloves (pair)
91
Body Wash (bottles)
33
Mosquito Coils (pack)
75
Soap/Handwash (box)
4
Panadol (pkt)
27
Soap (pc)
164
Air NZ Gift Bag
76
Toothbrushes (each)
29
Masks
10
Daipers (box)
7
Umbrella (BOC)
9
Disinfectant (box)
13
Rope
38
Newborn Kits
110
Tool Kits
4
Buckets
2
Water
Rain Coats
10
Boxes H20
721
ANZ Bags
70
Containers H20
1394
Bush Knives
1

24
Water Bottles
53
Jerry Cans
75
Water Tank (1000 ltr)
28
Hammer
2
Water Tank (3000 ltr)
0
Shovel
5
Water Tank (5000 ltr)
0
Nails (bag)
1

25
Annex 3

26
Annex 4

27
Annex 5

28
Annex 6

29
Annex 7

30
Annex 8