
Haiti: caring for women trapped between violence and poverty
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In Port-au-Prince, survivors of sexual and gender-based violence lack critical services such as safe shelters, as well as medical and psychological care. In recent years, rape and assaults have become widespread in the Haitian capital, marked by escalating violence and insecurity.
Since 2022, the commune of Cité Soleil has been the scene of violent clashes between rival armed groups. For several years, the Brooklyn neighborhood, controlled by one of these groups, remained surrounded by fighting. Its residents lived under the constant threat of crossfire and could not move freely without risking their lives.
Since July 2022, MSF has been the only humanitarian organisation present daily in Brooklyn. Teams support the Sainte-Marie Health Center and also refer survivors of sexual violence to the MSF hospital in Cité Soleil.
In February 2024, the groups ceased hostilities and lifted some roadblocks. However, extreme violence persists in the area. Murders, assaults, kidnappings, sexual violence, movement restrictions, and destruction continue to shape the daily lives of the approximately 300,000 residents of the slum.
Facilitating access to healthcare for women in danger
Insecurity has reached such a level that essential services, including public hospitals, have been forced to close. MSF teams, working to improve access to care for survivors of sexual and gender-based violence in Port-au-Prince, are witnessing a higher number of patients than ever before.
Dr. Odans El Mondo, an MSF doctor, works in the only health center in the neighborhood:
Imagine a community with no functional hospital. When there are clashes, we have to transform into an emergency room. The needs are immense, and the population has nowhere else to go," says the doctor.

In 2024, MSF cared for 4,463 survivors of sexual and gender-based violence at its Pran Men'm clinic, the maternity ward in Carrefour, and a new project within its hospital in Cité Soleil.
Women suffer even more here: we dare not leave our homes, we live in fear," says Geralda, a resident of Cité Soleil and mother of six children.
MSF has also treated patients in its mobile clinics deployed across several neighborhoods in Port-au-Prince.
MSF response in 2024:
prenatal and postnatal consultations
deliveries, including 167 C-sections
survivors of sexual and gender-based violence