Latest info - July 2017: Against Their Will - new report on sexual violence


Health needs are immense in Haiti, and this year, access to medical care, already severely limited for most people, was further hampered by repeated strikes in the island’s public hospitals.

There is a shortage of nursing staff and resources in public facilities, and private clinics remain unaffordable for the majority. Haiti’s health system has been further weakened after the damage caused by Hurricane Matthew at the end of 2016. MSF continues to respond to urgent needs wherever possible, but greater investment is required by the Haitian government and international donors to meet the growing demand.

Medical care for women

In May 2015, MSF opened its Pran Men’m clinic in the Delmas 33 district of Port-au-Prince to provide emergency medical care to victims of sexual and gender-based violence, and by the end of this year had treated 787 people, including 438 young women and girls under the age of 18. In Haiti, sexual violence is a neglected medical emergency and the number of cases is greatly underestimated in official statistics. MSF is working to improve the availability of services in this field and raise community awareness, emphasising in particular the need for victims to seek medical care within 72 hours of being attacked. Awareness-raising methods range from focus groups and text messages to radio spots and conferences, according to the target groups.

In the same district, MSF runs the Centre de Référence des Urgences en Obstétrique (CRUO). Founded in 2011, the 176-bed centre treats pregnant women with obstetric complications such as pre-eclampsia, eclampsia, obstetric haemorrhage, obstructed labour or uterine rupture. In 2016, the team carried out 19,077 consultations, assisted 5,594 births (2,176 by caesarean section) and admitted 2,498 babies to the neonatal emergency care unit. The CRUO also provides postnatal care, family planning services, prevention of mother-to-child transmission of HIV and mental health support, and has a special ward for pregnant women suffering from cholera.

The ongoing cholera epidemic

The cholera epidemic remains a major public health concern, seven years after the disease was introduced to the country. In 2016, teams treated a total of 2,615 patients. Many of those were infected in the aftermath of Hurricane Matthew and received treatment from MSF directly in their communities. In addition to building cholera treatment centres, MSF helped hospitals to manage infected patients. Teams are still working at two centres in Delmas – the 55-bed Diquini centre, run jointly with the Ministry of Health, and at MSF’s Figaro centre.  MSF continues to monitor the spread of the disease and has a rapid response capacity in case of emergency.

Read more about MSF's activities in Haiti in 2016

Year MSF first worked in the country: 1991.


2016 Key figures
Surgical interventions 14,900
Births assisted 5,600
Individual  mental health consultations 7,500
No. staff in 2016 1,687
Expenditure 2016 €41.6 million


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