Haiti

During a mobile medical clinic in Delmas 4 area of Port-au-Prince, MSF teams work in dark, windowless basement rooms, to avoid the high risk of stray bullets. Haiti, 2022. © Johnson Sabin
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Staff in 2022 (full-time equivalents): 1,584 locally hired; 102 internationally hired Expenditure in 2022: $67 million

KEY 2022 MEDICAL FIGURES

45,500

emergency room consultations

5,780

people treated for intentional physical violence

2,600

people treated for sexual violence

Rival gangs waged a brutal war on the streets of Port-au-Prince throughout 2022, paralyzing and isolating the country’s capital for extended periods of time. The increased violence and a resurgence of cholera led to a steep increase in the number of patients ad- mitted to Doctors Without Borders/Médecins Sans Frontières (MSF) hospitals.

In April, our hospital in Cité Soleil suspended activities for three months after a patient was killed outside the building. In July, over 300 people were killed in the city and numerous cases of rape reported. In our three trauma and emergency hospitals in Port-au-Prince, MSF teams treated survivors of gunshots, stab wounds and sexual and gender-based violence (SGBV), as well as people with severe burns and injuries related to road accidents.

MSF also provided care for survivors of SGBV at our health facilities in Gonaïves and through mobile clinics in the most affected neighbourhoods of Port-au-Prince, where we provided people with a range of health services.

After an increase in fuel prices was announced in September, a major gang blocked access to the country’s main oil terminal for more than a month. This exacerbated fuel shortages and forced healthcare facilities to close or reduce services, as they depend on generators for electricity.

Unrest also temporarily disrupted the water distribution network, which, along with overcrowded living conditions, led to a cholera outbreak. By the end of the year, MSF had admitted 13,000 patients to our six cholera treatment centres in and around Port-au- Prince. Our teams also chlorinated water points and provided logistical support to the Ministry of Health’s cholera vaccination campaign.

Haiti has one of the highest maternal death rates in the world. At our clinic in Port-à-Piment, in the southwest, MSF expanded our sexual and reproductive health activities to include surgery and pre- and neonatal care.