Haiti one year after: Post-emergency phase

Reorganisation of medical activities
With no real progress towards the provision of free-of-charge secondary emergency trauma, obstetric, pediatric, orthopedic, or burns care on a national level, it was clear that MSF would not only have to replace the medical services it provided before the earthquake, but also maintain a scaled-up level of assistance for years to come.

MSF had reduced its total number of operational sites from 26 to 20 by the beginning of May, reorganising its emergency medical operations, closing some medical care facilities, and reducing activities in several displaced persons camps in the capital, which were by then being well served by other nongovernmental organisations.

Earthquake response overview?From January 12 to October 31, MSF treated more than 358,000 people, performed more than 16,570 surgeries, and delivered more than 15,100 babies. MSF also uses mobile and fixed-point clinics to provide primary medical care and relief supplies (40,000 non-food item kits and nearly 28,000 tents) to displaced persons living in various camps in Port-au-Prince. The organisation carried out water-and-sanitation services to displaced persons in the Cité Soleil slum and Carrefour.

MSF was operating seven private, free-of-charge, secondary-level care hospitals and supporting two Ministry of Health structures in Port-au-Prince, accounting for nearly 1,000 hospital beds in the capital by the middle of October. These facilities provided emergency, trauma, obstetrical, pediatric, maternal, and orthopedic care services.

Mental health care and treatment and counseling for victims of sexual violence are also provided by MSF. All told, more than 40,000 people received psychosocial or psychiatric support from MSF staff during the initial emergency phase.

Outside the capital, MSF supported Ministry of Health hospitals in Jacmel with nearly 100 beds of patient capacity and runs a private, 120-bed container hospital in Léogâne that opened in October, designed to focus on obstetric, trauma, and paediatric emergencies and intended to allow MSF to phase out the tented hospital it established on the grounds of the Ministry of Health hospital in the city just after the earthquake.