Haiti

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Activities  2012 International Activity Report

Key medical figures:

  • 24,980 patients treated for cholera
  • 16,820 surgical procedures
  • 14,890 births assisted

Reconstruction has been slow since the 2010 earthquake, and many Haitians continue to rely on humanitarian aid for emergency medical care.

Delays in disbursements and in the realisation of planned projects mean the reconstruction of the health system is far from complete. Access to healthcare was a problem for vast numbers of people even before the disaster: fees were unaffordable and there were few adequately equipped public hospitals. Médecins Sans Frontières (MSF) continues to fill gaps in emergency care with more than 500 beds in four hospitals. Teams also provide treatment for cholera, a potentially deadly water-borne disease, which according to Haitian authorities had affected 638,000 people and killed almost 8,000 by the end of 2012.

Maternal healthcare

Pregnant women in Haiti often find themselves in a precarious situation in emergencies. MSF runs a 130-bed obstetric and neonatal emergency hospital in the Delmas 33 neighbourhood of Port-au-Prince, offering free, round-the-clock emergency care for women experiencing complications, including common hypertensive disorders such as pre-eclampsia. In 2012, 7,980 patients were admitted to the hospital and teams assisted 6,360 births.

In addition, the hospital provides a full package of reproductive healthcare services including family planning, prevention of mother-to-child transmission of HIV, neonatal and postnatal care and mental health counselling. A 10-bed cholera centre has also been set up inside the hospital for pregnant women who have contracted the disease.

Emergency surgery in the capital

In February, MSF opened the Nap Kenbe – Creole for ‘staying well’ – surgical centre in Tabarre, eastern Port-au-Prince. Teams provide emergency trauma, orthopaedic and abdominal surgery for victims of gun crime and domestic violence as well as people injured in road accidents. Of almost 1,200 patients in 2012, 18 per cent had suffered violent trauma and 72 per cent were victims of accidents.

MSF continued to work out of the 130-bed Drouillard trauma hospital close to the Cité Soleil slum in the north of the city. This facility is equipped with an emergency department, operating theatres and intensive care and burns unit, and provides physiotherapy and mental health services. In 2012, hospital staff cared for 19,700 emergency patients and carried out 8,000 surgical procedures, treated 480 people with burns and provided medical and psychological support to 150 victims of sexual violence.

Martissant emergency and stabilisation centre

The only MSF facility that remained intact after the earthquake was the 35-bed Martissant clinic for paediatric care, maternity services and internal medicine. A 100-bed cholera treatment centre remained open until June. MSF closed its mental health programme at Martissant at the end of the year. In total, more than 61,200 patients received treatment at the facility in 2012.

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At the end of 2012, MSF had 2,582 staff in Haiti. MSF has been working in the country since 1991.

Finances  2012 International Financial Report

Expenses
Concept In thousands of €
Programmes 37918
Indirect supply costs 532
Field-related expenses 38450
Locally hired staff 21363
International staff 6198
Operational running expenses 780
Medical and nutrition 5299
Logistics and sanitation 1932
Transport, freight and storage 17
Training and local support 2068
Consultants and field support 232
Private and public institutional grants -
Others 29
Funding
Concept In thousands of €
Public institutional income 1469
Funding of field-related costs 38450
Private and other income 36981
Humanitarian Aid Office of the European Commission (ECHO) 302
EU Others 27
ECHO and EU institutions 329
Municipalities and regional councils - Belgium 30
Danish Agency for Development Assistance (DANIDA) 173
Swedish International Development Cooperation Agency (SIDA) 878
Governments - Italy 27
EU governments 1108
Municipalities and regional councils - Switzerland 2
Non-EU European governments 2
North American governments -
Other governments or public institutions 30
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 2582
Locally hired staff 2469
International staff 113