- Five years after Haiti’s massive earthquake, the health system is only partially reconstructed and specialist services remain out of reach for many people.
- Médecins Sans Frontières has continued to fill gaps in the Haitian healthcare system and has been helping build local capacity by training national staff.
Drouillard burns unit
- Domestic accidents and poor living conditions are the main causes of burns in Haiti, and victims are predominantly women and children.
- Médecins Sans Frontières continued to run the only facility treating burns patients in the country, in Drouillard hospital, close to the Cité Soleil slum in Port-au-Prince.
Emergency services in Port-au-Prince
- Responding to more than 45,000 emergencies in 2014, the Martissant emergency and stabilisation centre is a free, around-the-clock resource for people experiencing any kind of medical emergency, caused by violence, accidents, burns or obstetric complications.
- Médecins Sans Frontières' specialists provide care in paediatrics and internal medicine and provides emergency services including surgery and trauma-related care around the clock at the 121-bed Nap Kenbe centre in Tabarre, eastern Port-au-Prince.
- Since mid-2014, Médecins Sans Frontières has been running an orthopaedic surgery training programme at the centre.
- To ensure a high standard of care, Médecins Sans Frontières has installed onsite technical services, including an X-ray machine, a laboratory and a blood bank, sterilisation facilities and a pharmacy.
- Social and mental health support and rehabilitation through post-operative care and physiotherapy are all available to patients to maximise their recovery after emergency treatment.
Specialist care for obstetric emergencies
- Located in the central Delmas 33 neighbourhood of Port-au-Prince, Médecins Sans Frontières' 140-bed Centre de Référence en Urgence Obstétricale (CRUO) continued to provide 24-hour, free obstetric care to pregnant women experiencing serious and life-threatening complications such as pre-eclampsia, eclampsia, obstetric haemorrhage, prolonged and obstructed labour and uterine rupture.
- CRUO offers a range of reproductive healthcare services, including ante- and postnatal care, family planning and prevention of mother-to-child transmission of HIV, as well as neonatal care and mental health support.
- There is also a 10-bed ‘Cholernity’ ward for pregnant women with cholera.
- Following the January 2010 earthquake, Médecins Sans Frontières constructed a temporary container hospital to conduct surgery in Léôgane, an area that was 80 per cent destroyed by the disaster.
- The programme has evolved to handle emergencies, focusing mainly on complications in pregnancy and road accident victims.
- Basic medical care is also provided to pregnant women as well as children under five.
- In February, a cholera treatment unit that had been running since 2010 was closed.
- As of November, only emergency services for pregnant women, newborn babies and children under five were being provided.
- There will be no formal handover of the hospital to the Haitian authorities, and so teams have been reinforcing the capacity of other medical facilities in the area in preparation for the closure.
- Four years after cholera’s first appearance in the country, the Haitian health system is still facing a shortage of funds, human resources and drugs.
- When the number of people contracting cholera spiked in October, Médecins Sans Frontières set up cholera treatment centres (CTCs) in the Martissant, Delmas and Carrefour neighbourhoods of the capital.
- Teams also focused on preventive measures, including distribution of disinfection kits (chlorine, buckets, etc), and awareness and education activities.
For the latest news of where we work visit: http://activityreport.msf.org/
Médecins Sans Frontières has worked in the country since 1991 and at the end of 2014, Médecins Sans Frontières had 2,159 staff working in the country.