Health

According to UNICEF, Haiti's health system is "on the verge of collapse" with six out of 10 hospitals in the country barely operational. UNICEF emphasised that violence, mass displacement, dangerous epidemics, and increasing malnutrition have put the country's already weakened health system under great strain but it may be supply chain breaks that cause it to collapse. Getting vital supplies, health care staff, and patients to where they need to be has become logistically challenging and dangerous due to gang-violence.  It remains unclear, even after all this time, when the Kenyan-led security force will arrive - and without security, access to health care will suffer.  The full BBC article by Jaroslav Lukiv follows.  

Even in more peaceful times, Haiti's patchwork system of governmental, charity, and private sector health care facilities were insufficient to meet the needs of the population.  Conflict with and between gangs has caused the situation to deteriorate further with over 30 private and public health care facilities having been vandalised or forced to close.  Those still open often lack staff, stocks, and security.  Haiti has only enough vaccines to last until the end of the month, health care facilities throughout the country struggle to have pharmaceuticals delivered through largely gang-controlled Port-au-Prince, and cholera is spreading on top of increasing food insecurity and malnutrition.  At this point, the situation is so difficult that re-establishing security would in and of itself be a health intervention.  The full article by Jacqueline Charles of the Miami Herald is linked and follows. 

Dr. Marie-Marcelle H. Deschamps (GHESKIO) is among four finalists being considered for the 2023 Women Building Peace Award from the United States Institute for Peace. Dr. Deschamps emphasizes the role of women in promoting both peace and public health, for example in conducting outreach to gangs in order to continue providing much-needed health services to Port-au-Prince residents.  According to Deschamps. “I know the risks are there, but we all have to take a risk and know that we are on a mission, and you choose your battle. We each have a battle and mine is staying here.”  The full article by Miami Herald journalist Jacqueline Charles follows. 

Doctors Without Borders (Médecins Sans Frontières) works in difficult and insecure environments around the world, including Port-au-Prince.  Over half the city is controlled by gangs and fighting amongst them has caused MSF to temporarily close its maternity hospital.  Many health care facilities throughout Haiti have been negatively impacted by insecurity - to the detriment of their patients who need their services more than ever.  The full Al Jazeera article follows. 

As Haiti's largest city, what happens in Port-au-Prince impacts the whole country - including hospitals which are unable to acquire fuel for their generators.  Hospitals with solar power have been better able to cope.  Konbit Sante helped the Hopital Convention Baptiste d’Haiti (HCBH) in Cap Haitien purchase solar panels which, in this sunny country, ensures at least some power is available. Below is an update from Konbit Sante on the situation in Cap Haitien.  Updates from NGOs outside Port-au-Prince remind us that Haiti's struggles are nationwide.  

Insecurity in Port au Prince and beyond continues to negatively impact the economy, health care, and other basic services throughout the country.  MSF/Doctors Without Borders, which operates in insecure environments around the world, has temporarily shut down a second time.  Due to lack of fuel, clinics are suspending operations - this at a time, when cholera cases are increasing.  The UN is calling for a humanitarian corridor through which both fuel and aid workers can transit safely.  It wouldn't solve the fundamental problems but it would at least reduce the severity fo the current situation.  The full article article by Jacqueline Charles of the Miami Herald follows. 

Good News! Upon having their generator stolen by a gang, the situation was grim for the Saint Croix Hospital in Leogane and the many people who depended upon it.  With the support of Miami Herald readers, a new generator was purchased and transported to Leogane by boat in order to avoid having it stolen by gangs again.  With their generous support the gang lost, the hospital re-opens, and much needed care can be provided to pregnant women.  A small group of people committed to Haiti made a real difference in this situation.  

Every aspect of Haitian society is being negatively affected by gangs, who in the absence of a functional government, operate with impunity.  Jacqueline Charles of the Miami Herald reported that a violent gang in Martissant stole the generator of the Sainte Croix Hospital in Léogâne and are holding it for ransom.  The hospital is forced to shut down unless the gang returns the generator or another is donated.  This is a tragedy upon an existing tragedy given Haiti's already very high infant and maternal mortality rates.  The full article follows. 

Haiti has yet to deliver a single dose of COVID-19 vaccine.  There are many reasons for this - a weak government, political instability, an already over-burdened health system, other pressing problems such as gang violence, and a false sense of confidence that the pandemic would affect Haiti only minimally.  According to the Miami Herald, USAID announced a $16.1 million commitment to assist Haiti in the battle against COVID-19, it was providing lab equipment, disease surveillance, hand-washing stations and 50 oxygen concentrators to be distributed to 16 hospitals.  It remains to be seen whether Haiti will be able to secure and use vaccines that the United States could provide.   The full article by Jacqueline Charles is linked and copied below. 

Haiti's poor governance, failure to address the underlying causes of political instability, and weak response to COVID-19 continue to disproportionately affect the vulnerable.  UNICEF estimates severe childhood malnutrition may double this year.  Humanitarian assistance can and should be used to save the lives of malnutritioned children - but until the Haitian government has the will, capacity and resources to address the needs of its people, food security will remain the perpetual struggle.  The full article by Associated Press journalists Pierre Richard Luxama and Danica Coto follows.