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Haiti

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.

Cholera

The cholera crisis that began within months of the 2010 earthquake persists. Since October, more than 700,000 people have been infected with cholera. One-third of these have been treated by Médecins Sans Frontières. Teams continued to run cholera treatment centres (CTCs) in Delmas and Carrefour, in Port-au-Prince, and took preventive measures including  distribution of hygiene kits, water chlorination points and educational activities.

Médecins Sans Frontières  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, including infection with cholera. A full range of reproductive health services is also offered. Teams assisted 5,450 births during the year.

Decentralising care
Médecins Sans Frontières  continued to manage the 160-bed temporary container hospital in the city of Léogâne. 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. Médecins Sans Frontières  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.

Drouillard hospital
A team provides trauma care to victims of accidents, burns and violence, including sexual violence, at the 130-bed Drouillard hospital in Port-au-Prince. Some 13,200 people were treated in 2013. More than one-third had been in road accidents, one-fifth were victims of violence and one-quarter were injured in domestic accidents. A large percentage of patients who suffered burns in domestic accidents were children under five. Drouillard hospital is the only facility with a specialist burns unit in the country.

Martissant emergency and stabilisation centre

Médecins Sans Frontières  provides paediatric care, internal medicine and maternity services, as well as psychological support for patients and caregivers at the 24-hour Martissant emergency and stabilisation centre.. An ambulance service transports patients to appropriate hospitals for treatment. More than 100 patients were seen daily in 2013.

Tabarre

The Nap Kenbe surgical centre in Tabarre continued to provide free emergency and trauma services, orthopaedics, physiotherapy and post-operative care for people in eastern Port-au-Prince.


Médecins Sans Frontières  first worked in the country in:
1991    

No. staff:
2,324
     
This text is an excerpt from the 2013 International Activity Report, published annually looking at our work in the previous year. The full report is available here.

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