Haiti

Sexual and gender-based violence remains alarming high

Dr Jerry Dely, left, and the MSF team operate on a patient at Drouillard hospital.
Haiti 2018 © Scott Streble
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In 2018, Doctors Without Borders/Médecins Sans Frontières (MSF) continued to provide a range of specialist medical services in Haiti, from treatment for victims of sexual violence to advanced surgery and trauma care.

Our teams in the capital, Port-au-Prince, and the southwest are filling critical gaps in health services and helping to boost the capacity of the local health system.

 

7,950
major
surgical interventions in 2018
1,869
births
assisted
25,500
outpatient
consultations in Port-à-Piment alone

Trauma care

Nap Kenbe hospital, located in the Port-au-Prince neighborhood of Tabarre, provides specialist surgical care for victims of trauma. In 2018, our team admitted 1,367 patients and performed 3,238 major surgical procedures. As planned, the number of admissions was stabilized in 2018 in order to prepare for our withdrawal by June 2019. In December, we started discussions with the Ministry of Health regarding the handover of our activities to the Haitian authorities.

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Mother and child care

In 2011, we started running the Centre de Référence des Urgences Obstétricales, a 176-bed hospital in Port-au-Prince for women with obstetric complications and newborns requiring specialist treatment. It closed in July, after offering care to a total of approximately 120,000 women and assisting 37,000 births. We gradually decreased admissions leading up to our departure, while urging the Ministry of Health to fulfil its responsibilities towards women with pregnancy complications.

Burns treatment

MSF’s 40-bed Drouillard hospital, near the Cité Soleil slum, is the only facility in Port-au-Prince where specialized care is available for patients with severe burns, a widespread problem linked to poor housing conditions. More than a quarter of our patients are children under five, and 90 percent come straight to us without going to a non-specialist facility first. Services include surgery, wound dressing, physiotherapy, and mental health support. In 2018, we completed the construction of a new hospital, with better facilities that will improve infection control, a major issue in burns treatment. We also started running training sessions on burns treatment for medical personnel in other Haitian health facilities.

Victims of sexual and gender-based violence

Sexual violence is an under-reported medical emergency and care for victims in Haiti remains inadequate. In Pran Men’m clinic, in Port-au-Prince’s Delmas 33 neighborhood, we offer emergency care to victims of sexual and gender-based violence. We treated 1,063 patients in 2018.  

Emergency care in Martissant slum

In Martissant, the MSF emergency and stabilization center provided first-line emergency care to 27,794 sick and injured people in 2018. Some were admitted for observation for a few days, but the majority were referred to more specialist facilities after stabilization.

Primary health care in Sud department

In the southwest, we support the Ministry of Health in the delivery of primary health care, focusing on mother and child health care and water-borne diseases. We have worked in Port-à-Piment since October 2016, and in 2018 rehabilitated and started supporting two more health centers, in Côteaux and Chardonnières. In Port-à-Piment alone, our teams conducted more than 25,500 outpatient consultations, treated 2,183 emergency patients and assisted 624 births during the year, as well as running community health promotion and water and sanitation activities in the surrounding areas in order to prevent cholera outbreaks in this zone.


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