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Geographical Locations - Haiti
 The WWW Virtual Library: Public Health
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- (Statistical) Number of Inhabitants per Doctor: 6.083
- CIA - World Factbook : Haiti
Organisations and Networks
UN and Multinational
Government
Non-Government
- Association Médicale Haïtienne
- CARE : Country Profile
- Haiti Medical Page - in English and French by the Haiti-Med e. V. - in German and French
- Haitian Health Foundation
"HHF’s main facilities are located in Jérémie, Haiti, in the western end of Haiti — where people depend on subsistence farming, charcoal production, and other menial jobs for their livelihood. The average income is just $90-$300 US per year. HHF has created a stable and loving preventive and curative health and development program in the poorest area of the poorest country in the Western Hemisphere. In addition to the city of Jérémie, HHF provides support to over 100 rural mountain villages. Our mission is to improve the health and well-being of the poor, the sick, and the infirm of Jérémie and to break the bonds of poverty, which tie so many Haitians to a life of great deprivation."
- Marie Stopes International : Haiti
- Medical Mission Exchange
Medical Mission Exchange aims to facilitate referrals of underserved patients to appropriate medical specialists in Central America and the Caribbean. MMEX provides a free, online database of short- and long-term medical missions serving Belize, Dominican Republic, Guatemala, Haiti and Honduras. The information provided includes when and where these groups are working and what medical specialties are represented. Long-term missionaries, health care workers, NGOs, and short-term medical health care providers will be able to determine when and where people with various health problems can be medically evaluated and treated, both at long-term facilities and short-term missions. Patients can be offered a specified date and place to see a specialist. The goal of the MMEX Web site is to enable referrals to be made to short-term mission groups prior to their arrival, thereby better utilising the physicians and other health care providers who are volunteering their services
- MSF - Médecins Sans Frontières / Doctors Without Borders :
- Aid to the continent's poorest
Academic Institutions
National Policy and Related Documents
Reports, Guidelines, and Projects
- Building a More Resilient Haitian State
This report appraises past and current plans and policies to improve the provision of public services in Haiti and, drawing on this appraisal, provides recommendations on how those plans and policies might be improved. The report focuses on setting priorities and suggesting how programs and initiatives might be refocused so as to provide palpable improvements in the provision of public services in Haiti over the course of the next few years. It is designed to be useful to the government of Haiti as it develops detailed plans for policy and institutional reforms and to the international donor community as it determines how to support the government’s efforts." [Rand Corporation, 2010]
- Geographic distribution of lymphatic filariasis in Haiti
Although lymphatic filariasis is known to have been endemic in Haiti since at least the mid 1700s, a national filariasis survey has never been conducted. As a first step in the national program to eliminate filariasis, [the authors] collected blood in January−April 2001 from 50–250 school children (6−11 years old) in all 133 communes of the country using an adaptation of the lot quality assurance sampling method. Of 22,365 children tested, 901 (4.0%) were positive for circulating Wuchereria bancrofti antigen. When weighted by commune population, the overall national antigen prevalence in this age group was 7.3%. Infected children were found in 117 (87.9%) communes, the most heavily affected areas being concentrated in the northern part of the country. In only 16 (12.1%) communes were all 250 children antigen negative. Thus, W. bancrofti infection in Haiti is much more widespread than previously realized; virtually the entire population of the country may be considered at risk of infection. [author abstract] [Am. J. Trop. Med. Hyg., 71(5), 2004, pp. 598–601]
- Health in the Americas 2007: Haiti
As a health agency, the Pan American Health Organization’s core discipline is epidemiology, which enables the measurement, definition, and comparison of health problems and conditions and their distribution from the perspectives of population, geography, and time. This publication on Haiti addresses the issue of health as a human right, taking into account both the individual and community contexts, and examines various critical determinants of health, including those of a biological, social, cultural, economic, and political nature. That examination reveals the existence of gaps, disparities, and inequities that persist in Haiti, especially those related to access to basic services, health, nutrition, housing, and adequate living conditions as well as to the lack of opportunities for human development—all of which contribute to the greater vulnerability to diseases and health risks of some population groups. [Adapted from the preface of Health in the Americas 2007] (Version in French)
- Mental Health in Haiti: A Literature Review
"At the request of the Department of Mental Health and Substance Abuse of the World Health Organization, we have prepared a brief systematic review of the English and French-language literature on mental health in Haiti. This review focuses on relevant beliefs, help-seeking behavior, service utilization and both formal and informal resources for mental health. Our hope is that this report can provide some useful background for those unfamiliar with the local situation who hope to contribute to improving mental health services in the country." [WHO, 1 February 2010]
- Migratory Routes from Haiti to the Dominican Republic: Implications for the Epidemic and the Human Rights of People Living with HIV/AIDS
The presented study analyzes the possibility of a relationship between the migratory flow from Haiti toward the Dominican Republic and the spread of HIV/AIDS, as well as implications for the human rights of immigrants living with the infection. Its purpose is to identify possible areas of intervention and research in order to increase the participation of this population and its organizations in HIV/AIDS awareness and prevention efforts. The current study was carried out in three main phases: 1) review of existing documentation on the relationship between Haitian immigration, HIV/AIDS, and the human rights of infected people; 2) semi-structured interviews with key informants, authorities, and experts in the areas of concern; and, 3) eight case studies of Haitian immigrants living with HIV/AIDS in agricultural bateyes in the Dominican Republic. Results evidence the stigmatizing scenarios that immigrants living with HIV/AIDS face. [publication abstract] [Revista Interamericana de Psicología/Interamerican Journal of Psychology - 2007, Vol. 41, Num. 1, pp. 7-16]
- Political Violence and Public Health in Haiti
"In 1991, a violent military coup unseated Haiti’s first democratically elected government. An estimated 5000 people died, and hundreds of thousands more were displaced during the three years when military and paramilitary groups ruled the country. It was my privilege and responsibility to help provide basic medical services in central Haiti during those years. After constitutional rule was restored in 1994, it was possible to assess the effects of those events on our medical and public health efforts in the central plateau. We termed these years the “lost years,” since many of our efforts required a modicum of order and a functioning public health system in order to bear fruit. In the years since 1994, the nongovernmental organization Partners in Health has been able to forge strong public–private partnerships throughout central Haiti. During the past three years, for example, we have scaled up an integrated AIDS prevention and care project in this region. With support from the Global Fund to Fight AIDS, Tuberculosis, and Malaria, about 1000 patients with advanced human immunodeficiency virus disease are currently receiving supervised, community-based care and treatment. Working in conjunction with under-funded public health clinics, we were witness to the reinvigoration of primary health care in many of the major towns in central Haiti. But recently, a long-simmering conflict in Haiti has erupted and threatens to reverse these important gains." [N Engl J Med, 350; 15, 8 April 2004, pp.1483-1486]
- Public health risk assessment and interventions – Earthquake: Haiti, January 2010
"The purpose of this public health risk assessment is to provide health professionals in United Nations agencies, nongovernmental organizations, donor agencies and local authorities currently working with populations affected by the emergency in Haiti, with up-to-date technical guidance on the major public health threats faced by the earthquake-affected population. The topic areas addressed have been selected on the basis of the burden of morbidity, mortality and potential for increase in the area." [World Health Organization (WHO/HSE/GAR/DCE/2010.1)]
- Rapport National de Suivi de la Déclaration d’Engagement sur le VIH/SIDA (UNGASS) – Haiti 2007
"Depuis juillet 2006, le rapport préliminaire de la dernière Enquête de Morbidité, Mortalité, Utilisation des Services (EMMUS-IV 2005-2006) avec un volet spécifique de dépistage VIH a révélé une séroprévalence nationale du VIH de 2,2 % chez les 15 à 49 ans. Ceci allait être confirmé à la publication de la version définitive et officielle de l’EMMUS-IV en mai 2007. L’épidémie est au stade généralisé affectant tous les groupes d’âge."
- Securing Health: Lessons from Nation Building Missions
This monograph presents the results of research conducted by the RAND Corporation on the health component of nation-building operations. The purpose of the research was to analyse the activities that countries, international institutions, and non-governmental organizations undertake in rebuilding public health and health care delivery systems after major conflict. In addition, this monograph outlines key principles for the success of such reconstruction efforts and identifies lessons for future nation-building operations.
- Seroprevalence of antibodies against rubella virus in pregnant women in Haiti
Objective: To assess the seroprevalence of immunity to the rubella virus in pregnant women in Haiti attending the Obstetrics and Gynecology Department of the State University Hospital, in the capital city of Port-au-Prince, in order to help with the introduction of the rubella vaccine for the population and provide protection for women of reproductive age in the country. Methods: This cross-sectional study was done between February 2002 and May 2002. A total of 503 pregnant women were tested for rubella-specific immunoglobulin G antibodies, using enzyme immunoassay; 8 of those women were later excluded because they did not know their age, leaving 495 women in the analysis. Results: Of the 495 participants included in our analysis, 471 of them (95.2%) were seropositive; only 24 of them (4.8%) were seronegative (susceptible). A statistically significant difference (P = 0.02) was found in the rate of seronegativity for rubella virus between the pregnant women living in the Port-au-Prince area (17 of 426 women, or 4.0%) and those living in rural areas (7 of 69 women, or 10.1%). In terms of age, 81 of the 495 (16.4%) women were under 21 years old. Conclusions: This study is an important first step in addressing the issue of prevalence of rubella virus infection among Haitian women and in dealing with the still-under-recognized public health problem of congenital rubella syndrome in Haiti. We recommend additional research that uses randomized sampling and includes a significant proportion of women from rural areas of the country. [author abstract] [Rev Panam Salud Publica. 2004; 15(3): 147–50]
- Short report: Documentation of Iodine Deficiency in Haitian Schoolchildren: Implication for Lymphatic Filariasis Elimination in Haiti
In this study [the authors] documented unexpected moderate-to-severe iodine deficiency in Haitian schoolchildren although they live in a coastal community where presumably they have access to iodine-containing seafood. This fact combined with the lack of an iodized salt supply and endemic lymphatic filariasis makes community distribution of diethylcarbamazine-fortified, iodized salt an attractive strategy for elimination of lymphatic filariasis and iodine deficiency disorders in this area of Haiti. Combining lymphatic filariasis elimination with other public health interventions is one strategy to increase its public health benefit and maximize the impact of limited public health resources. [author abstract] [Am. J. Trop. Med. Hyg., 64(1, 2), 2001, pp. 56–57]
- Ten Years of Experience Training Non-Physician Anesthesia Providers in Haiti
Surgery is increasingly recognized as an effective means of treating a proportion of the global burden of disease, especially in resource-limited countries. Often non-physicians, such as nurses, provide the majority of anesthesia; however, their training and formal supervision is often of low priority or even non-existent. To increase the number of safe anesthesia providers in Haiti, Médecins Sans Frontières has trained nurse anesthetists (NAs) for over 10 years. This article describes the challenges, outcomes, and future directions of this training program. From 1998 to 2008, 24 students graduated. Nineteen (79%) continue to work as NAs in Haiti and 5 (21%) have emigrated. In 2008, NAs were critical in providing anesthesia during a post-hurricane emergency where they performed 330 procedures. Mortality was 0.3% and not associated with lack of anesthesiologist supervision. The completion rate of this training program was high and the majority of graduates continue to work as nurse anesthetists in Haiti. Successful training requires a setting with a sufficient volume and diversity of operations, appropriate anesthesia equipment, a structured and comprehensive training program, and recognition of the training program by the national ministry of health and relevant professional bodies. Preliminary outcomes support findings elsewhere that NAs can be a safe and effective alternative where anesthesiologists are scarce. Training non-physician anesthetists is a feasible and important way to scale up surgical services resource limited settings. [author abstract] [World J Surg, March 2010; 34(3): 453-458]
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