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Activities 2013 International Activity Report
Key medical figures:
- 6,550 births assisted
- 13,600 surgical interventions
- 7,400 patients treated for cholera
More than three years after Haiti’s devastating earthquake, the few public medical facilities in the country do not have the resources to meet the needs of most Haitians. Emergency services are particularly lacking.
Healthcare in Haiti remains largely privatised and most people do not have the financial means to pay for it. In 2013, Médecins Sans Frontières (MSF) continued to provide urgently needed free services to help fill some of the gaps.
Cholera, a water-borne infection that can lead to rapid dehydration and sometimes death, remains a health threat where there is poorly managed water and sanitation. Overall, living conditions in Haiti have improved over recent years, but in camps hygiene standards remain extremely poor and some people are without access to affordable drinking water.
The cholera crisis that began within months of the 2010 earthquake persists, particularly during the rainy season, when the number of patients reaches epidemic levels. Since October 2010, more than 700,000 people have been infected with cholera. One-third of these have been treated by MSF. Teams continued to run cholera treatment centres (CTCs) in Delmas and Carrefour, in Port-au-Prince. Preventive measures included distribution of hygiene kits, water chlorination points and educational activities. In 2013, more than 85,000 people learned about cholera prevention and 5,240 disinfection kits were distributed.
Historically there has been little emergency care available for people in Haiti unless they can afford to pay for it. MSF runs the Centre de Référence en Urgence Obstétricale (CRUO ), a 130-bed hospital in Port-au-Prince providing free, 24-hour obstetric care for pregnant women suffering from complications such as pre-eclampsia, eclampsia, obstetric haemorrhage and uterine rupture. A full range of reproductive health services, including family planning, postnatal care and prevention of mother-to-child transmission of HIV is also offered. A 10-bed unit, the ‘Cholernity’, is available for pregnant mothers with cholera within the CRUO . Teams assisted 5,450 births during the year.
MSF continued to manage the 160-bed temporary container hospital in the city of Léogâne, which had originally been set up to provide emergency services after the earthquake. Aware of the fragility of the healthcare system after the disaster, MSF decided to extend its programme in order to support the Ministry of Health’s aim of restoring services to the pre-earthquake level in the region. The hospital continued to provide basic healthcare for women and children this year, as well as specialist services, primarily for obstetric emergencies, and to run a cholera treatment unit. MSF has begun to reduce its activities in the hospital, and straightforward deliveries and antenatal care for uncomplicated pregnancies can already be managed in local health facilities. MSF has started to identify potential partners to handle complicated cases.
No. staff in 2013: 2,324. MSF first worked in the country in 1991.
Finances 2013 International Financial Report
|Concept||In thousands of €|
|Indirect supply costs||557|
|Locally hired staff||18091|
|Operational running expenses||586|
|Medical and nutrition||5051|
|Logistics and sanitation||3148|
|Transport, freight and storage||919|
|Training and local support||4|
|Consultants and field support||110|
|Private and public institutional grants||-|
|Concept||In thousands of €|
|Public institutional income||4202|
|Funding of field-related costs||33898|
|Private and other income||29696|
|Humanitarian Aid Office of the European Commission (ECHO)||1730|
|ECHO and EU institutions||1730|
|Danish Agency for Development Assistance (DANIDA)||2|
|Swedish International Development Cooperation Agency (SIDA)||2028|
|Swiss Agency for Development and Cooperation Department (DDC)||435|
|Municipalities and regional councils - Switzerland||7|
|Non-EU European governments||441|
|North American governments||-|
|Other governments or public institutions||-|
|Concept||In full-time equivalents|