The credibility of any government is determined in large part by its capacity and willingness to provide basic services.  Health care can bring people together when there is equal access, or divide people when there is not.  Before and after the earthquake, quality health care in Haiti was/is primarily provided by non-governmental and international organizations (NGOs/IOs). The NGOs and IOs have been instrumental in keeping disease outbreaks at bay and access to health care for many residents in Port au Prince, at least for now, is better than it was before the earthquake.  While significant accomplishments, much more remains to be done before we can say that the health care system is truly being reconstructed.  Read more »

As we get closer to May, the rains will become more frequent and intense.  Even brief rainfall to date gives an indication of how vulnerable the displaced in Port au Prince are to flooding and mud-slides. Some, such as the displaced at the Petionville Golf Club are being relocated to the hastily prepared Corail-Cesselesse site 15 km north of Port au Prince. Six other sites require urgent evacuation before the rainy season.  Other sites can be made safer with engineering interventions.  Disturbingly, hundreds sheltering at the National Stadium were reported to have been forcibly removed.  Close coordination and rapid action are urgently needed to protect the displaced from the upcoming rains.  Read more »

March 22 is World Water Day.  Growing up, like many others, I did not appreciate how lucky I was to have clean, safe water.  We need it to drink and become sick if we do not have it.  We need it for agriculture and would become hungry without it.  We need it for washing, bathing, and clean health care facilities.  Likewise we need sanitation and hygiene to protect food, water, and health.  One billion people around the world still lack clean drinking water and 2.6 billion lack access to basic sanitation.  It doesn’t have to be this way.  World Water Day is an opportunity to ask what we can do in the year ahead to address the world's water crisis.  Read more »

Immediately after the earthquake, information came out of Haiti in a trickle.  It is now more like a flood.  As of February 3, the Government of Haiti (GOH) increased its death toll estimate to over 200,000.  300,000 are reported to have been injured, 250,000 homes destroyed, and 30,000 businesses disrupted.  Assessments carried out by MINUSTAH now indicate a 15-20% population increase in the South, Grand Anse, Nippes, and Central Plateau departments due to displacement from Port-au-Prince.  Below is a summary of where things stand in terms of emergency response and recovery.  Read more »

When people think of Haiti, they often think of hunger, and not without reason. Though there has been significant progress over the past year, hunger remains a pervasive problem.  Achieving food security is fundamental to nutrition, health, education, economic growth, stability and all the other issues we lump under “development.”  There are well intentioned groups, such as this one from Kansas, that often try to send packages of food to Haiti.  It might make one feel good, but in reality, it does little good. There is much that we can do to promote food security in Haiti, but it is up to us to ensure that our time, energy, and resources make an actual, and not just a perceived, difference. Read more »

JSI Research & Training Institute, Inc. is a health research/consulting firm dedicated to improving the health of individuals and communities worldwide.  JSI visited Haiti in January 2009 to identify gaps in the availability and accessibility of reproductive health (RH) services and to assess community responses for strengthening quality, accessibility and availability.  Reproductive health is a social issue, a public health issue, a human rights issue, a security issue, and one that is important for countries that are fragile, stable, or in Haiti's case, teetering in between.  The report is attached and deserves to be widely read.

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