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Haiti

3786

cases of cholera recorded in 2018, vs. 13,681 in 2017

11,4%

of children under the age of 5 suffer from chronic malnutrition

4

women die every week from complications of a pregnancy or childbirth

The situation

The fight against cholera

Since 2010, Doctors of the World has been supporting health authorities in Haiti in their efforts to eliminate cholera. Since 2017, the number of cholera cases has decreased thanks to the effective and coordinated work carried out with our partners from the water, sanitation, hygiene and health care sectors to prevent disease. Measures have been put in place to treat suspected cholera cases, respond more effectively to alerts, and carry out epidemiological surveillance. Although the epidemic has been partially contained, cholera remains a major public health problem today. Outbreaks and persistent sources of contamination are still seen in the West, Centre, Artibonite and Northwest departments.

 

Women’s, children’s and adolescents’ health

 

Haiti has one of the highest maternal mortality rates of any country in the Americas. Geographic inaccessibility to health care infrastructure is one of the main reasons for this unfortunate record: it takes women an average of 3 hours on dangerous roads to reach a health care centre. In addition, women are reluctant to go to health care facilities because the patient intake and care provided there are often of poor quality. As a result, women prefer to turn to traditional midwives, who are close to where they live and offer support service both at the birth and after the delivery. However, midwife care may be inadequate, especially for at-risk pregnancies or in the event of complications.

Four women die every week from complications of a pregnancy or childbirth

Over 3,000 children under 5 years of age die every year, as do 7,000 newborns, from complications of a pre- mature birth, trauma or infection

Chronic malnutrition affects 11.4% of children under the age of 5

Infant mortality is twelve times higher in Haiti than in Canada

 

Famille cité Soleil
Femmes enfants
Femmes enfants 2
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Our action

Support the fight against cholera

We have been fighting cholera in Haiti since the beginning of the epidemic in 2010. Today, we are the main organization supporting the government and health organizations in finding solutions to contain cholera outbreaks and prevent the disease altogether.

Our Actions: 

Prevention and high-quality care for cases of acute diarrhea

Improvement of the epidemiological surveillance system and early warning system for cholera outbreaks

Campaigns to promote health and to prevent and raise awareness about diarrheal diseases

Intervention regions : Northwest, South and Grand’Anse departments, Lower Artibonite, Lower Central Plateau, metropolitan area and Les Palmes (west department)


 

Improve sexual and reproductive health and the health of mothers, newborns and children

Doctors of the World has been working in Haiti to improve people’s sexual and reproductive health since 1998. Despite making significant strides over the years, significant challenges still remain. With the support of the Governments of Canada, Quebec, Belgium and our many donors, Doctors of the World is launching a new program in 2017 to reduce the maternal and child mortality rate in four (Nord-Ouest, Artibonite, Ouest and Nippes) of the 10 departments of Haiti. This program will benefit more than 230,000 people over the next three years.

Our Actions:

Campaigns to raise awareness of high-risk sexual behaviours in secondary schools

Continuing education for health professionals

Establishing a dialogue between matrons and personnel at health care facilities to encourage referral of pregnant women to these institutions

Intervention regions: Upper Northwest, Lower Arbonite, Cité Soleil Commune (West department), Nippes

 


 

Prevention of and care for child malnutrition and disease

Intervention regions: Upper Northwest, Lower Arbonite, Cité Soleil commune (West department)

Our Actions:

Child nutrition training for midwives, nurses, assistants and other medical personnel

Support for care to malnourished children through the distribution of dry rations and by offering special packages to families to ensure adequate medical follow-up for the child’s recovery

 


 

Prevention of and case management of gender-based violence

Intervention regions: Upper Northwest, Lower Arbonite, Cité Soleil commune, Nippes

Our Actions:

Training for health care personnel on caring for women who are victims of violence

Training for community agents to lead awareness-raising sessions

Distribution of educational materials and national poster campaigns about violence against women and girls

Tracking for record-keeping with national fact sheets on the number of cases of violence reported in health care establishments

 


 

Awareness-raising and prevention campaigns for teenagers on risky sexual behaviors (STIs and teen pregnancies) 

Intervention regions: Petite-Rivière-de-Nippes

Our Actions:

The project to raise awareness about risky sexual behaviour among adolescent girls and boys in four secondary schools aims to prevent teenage pregnancy – and indirectly, girls dropping out of school – as well as sexually transmitted and blood-borne infections. The aim is to raise awareness by and for students.

The best people to promote responsible sexual behaviour among young people are the young people themselves! About 50 young people have been identified to be the first ambassadors to their peers. They are trained, and then fifty other students willing to take part in the project are identified.

Supervised by the Doctors of the World team, the young people take ownership of the training content and translate it into their own language. Discussion groups, sketches, role-playing: they are free to choose on how to communicate the messages to their peers. The team remains available for personalized follow-ups with students who feel the need after the small group sessions.

Result: 228 students were informed, and about 20 of them were referred and accompanied in the existing health system for clandestine post-abortion complications or sexually transmitted and blood-borne infections.

In the field, young people may also need care. Doctors of the World refers them for medical examinations. Sometimes existing health facilities do not always have the resources to receive and treat them properly. Also, their teachers or parents are themselves not very aware of the problem, and they often hinder access to healthcare.

 

 

 

 

 

 

 

 

 

 

 

 


 

Preventive measures against COVID-19

Intervention regions: Upper North-West, Lower Artibonite, Commune of Cité Soleil, Nippes.

Our actions :

In Haiti, our team continues to make every effort to maintain and provide access to healthcare for the communities. The fight against COVID-19 is extremely important, and access to health care is even more important now.

Every day, community leaders and community health workers go out into the field to raise awareness about the virus among families and continue to provide services to communities that do not have access to health care. Our team also supports institutions by providing resources and protective equipment.

Our teams are closely monitoring the spread of COVID-19 and will continue to provide the necessary medical assistance in these areas where health needs remain critical and where the virus will have major health and social consequences on the population.

 

Our Impact

Between 2018-2019:
  • 710

    children under the age of 5 recovered from malnutrition as a result of nutritional treatment programs

  • 98 011

    people were informed of the importance of preventing diarrheal diseases and recognizing the signs of cholera

  • 5729

    prenatal consultations and 3,652 postnatal consultations

  • 587

    cases of cholera were treated in the acute diarrhea treatment centers

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