Haiti

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Activities  2013 International Activity Report

country_map_2013

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.

Decentralising care
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.

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No. staff in 2013: 2,324. MSF first worked in the country in 1991.

Finances  2013 International Financial Report

Expenses
Concept In thousands of €
Programmes 33341
Indirect supply costs 557
Field-related expenses 33898
Locally hired staff 18091
International staff 4798
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 -
Others 634
Funding
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
EU governments 2030
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 -
UN institutions -
Staff information
Concept In full-time equivalents
Field positions 2324
National staff 2222
International staff 102