Vue de la cathédrale de Port-au-Prince.

Haiti

Amid increasing instability and violence in Haiti in 2023, Médecins Sans Frontières (MSF) worked to maintain vital services,
including treatment for trauma, burns and sexual violence, and maternal and neonatal healthcare.

Read more in the 2023 International Activity Report

Nos activités en 2023

emergency room consultations

people treated for intentional physical violence

people treated for sexual violence

total deliveries assisted

Years of political turmoil and gang warfare have taken their toll on the physical and mental health of the people of Haiti, and on the provision of basic services, such as healthcare. Since the assassination of President Jovenel Moïse in 2021, however, the situation has taken a marked turn for the worse and pushed the western hemisphere’s poorest country to the brink of collapse.

In 2023, the capital, Port-au-Prince, and other areas of the country, continued to be rocked by politically and economically rooted gang violence, which sometimes exploded into full-scale street battles, such as the ones in April and May, which resulted in hundreds of deaths and injuries. On 24 April 2023 alone, our teams admitted around 50 people with gunshot and knife wounds to our medical facilities.

Régions où MSF était présente en 2023

The foreign intervention requested by Prime Minister Ariel Henry did not materialise during the year, but remains a looming presence as Haitian citizens, in particular in the capital, are confronted by the daily threat of being kidnapped, mugged,
sexually assaulted or even killed.

The results of an MSF survey indicate that between August 2022 and July 2023, more than 40 per cent of all deaths in Cité Soleil, Haiti’s largest slum, were linked to violence. Forty per cent of the women surveyed said they had foregone antenatal care due to the risk of being exposed to violence while travelling to a hospital or clinic.

Maternal and neonatal health
Sexual and gender-based violence

Our teams continued to deliver a range of medical services in Port-au-Prince and several other areas in the country, including general healthcare and treatment for burns, trauma, and sexual and gender-based violence. Our facilities include hospitals in Tabarre and Cité Soleil, a sexual violence and reproductive healthcare clinic in Delmas, and an emergency and stabilisation centre in Turgeau. In addition, we support health centres and operate mobile clinics in the most affected neighbourhoods of Port-au-Prince, such as Brooklyn, Bel Air and Delmas 4, as well as sites where people have gathered after fleeing violence. We are able to work in these hard-to-reach areas because MSF’s work is perceived positively and respected by the communities.

However, our teams were not immune to the risks posed by the volatile security situation in the country. Serious security incidents, which endangered our staff and resulted in the deaths of two of our patients, forced us to suspend some
of our activities. We ended our support to Raoul Pierre Louis hospital in Carrefour in January when  a wounded patient was removed by gunmen and shot dead. We temporarily closed our Cité Soleil hospital in February and April due to fighting in neighbouring streets, and suspended activities at our Tabarre facility for almost two months after armed men stormed in and forcibly removed apatient in July.

In December, the Turgeau emergency centre closed its doors indefinitely when a patient was taken from an ambulance and killed in the street.

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