Port-au-Prince - Médecins Sans Frontières (MSF) is scaling up medical activities in Port-au-Prince, Haiti, to care for the mounting number of people injured in the chaos that has engulfed the Haitian capital since the 28 February announcement that general elections may be postponed as late as August 2025.  

The violence has taken on a new dimension since last weekend, causing an explosion in the number of casualties and triggering the government’s declaration of a state of emergency. Faced with this further deterioration in the security situation, the number of wounded requiring treatment by our teams has risen sharply.

“The 50 beds in our hospital in Tabarre have all been occupied since the beginning of February, but on February 28 the situation worsened, and we had to increase the bed capacity to 75,” says Mumuza Muhindo Musubaho, MSF head of mission. “We are receiving an average of five to 10 new cases a day, and we are working at the limits of our capacity.”

While several local hospitals have stopped functioning, our teams have now reopened our emergency centre in the Turgeau district, two weeks earlier than planned, to increase medical activities and reduce pressure on our existing facilities. On 4 March, our teams also opened our new hospital for the injured in the commune of Carrefour, with an operating theatre and 25 beds. We are currently looking for additional hospitals where it could be possible to work in different areas of Port-au-Prince, as insecurity and improvised roadblocks are preventing ambulances from transporting patients. 

Thousands of people have fled their homes in recent days due to clashes in their neighbourhoods, while current high tensions have led us to temporarily suspend our mobile clinics in several sites. Insecurity in Port-au-Prince has also contributed to an increase in sexual violence in recent years, and our teams fear that these numbers will rise further as the number of displaced people continues to grow. Last year we provided care to over 4,000 victims of sexual assault. 

Many parts of the city are currently in the throes of violence, which is the culmination of a political, economic, and social crisis that has plagued the country since the assassination of President Jovenel Moïse in 2021. The country’s main port is currently difficult to access due to tension and insecurity in most parts of the city. The international airport has also been closed for several days.

“We are also worried because our stock of medical supplies is extremely difficult to access, not only because of the situation at the port, but also because it is impossible to continue with the administrative procedures for customs clearance,” says Musubaho. “We fear we will run out of medicines and medical supplies, which are absolutely essential to meet the enormous needs we are facing at the moment.”

In late 2022, the country was virtually paralyzed for weeks when a wave of demonstrations led to the declaration of peyi lok or ‘country lockdown’, hampering movement, economic activity, water, and fuel supplies, and forcing many health facilities to suspend their activities. Port-au-Prince’s healthcare system is once again under enormous pressure, struggling to meet needs.