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Home: Where
MSH Works: Latin
America and the Caribbean: Haiti Haiti 
Political instability and abject poverty for 80 percent of Haiti's population make Haiti the poorest country in the Western Hemisphere and leave most Haitians with limited or often completely unavailable health care. HIV/AIDS and tuberculosis are both major concerns in addition to the standard range of primary health care needs. Inadequate nutrition and a lack of access to safe water also contribute to health concerns on this western third of the island of Hispaniola. MSH first responded to the situation in Haiti in 1980 and today continues to help Haiti develop self-sufficient comprehensive health services. |
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| Haiti SDSH Pwojè Djanm | 2007 – 2010 |  |
| Haiti Health Systems 2007 (HS-2007) | 2004 – 2007 | |
| Management and Leadership (M&L) Program | 2004 | |
| Rational Pharmaceutical Management Plus (RPM Plus) Program | 2004 – 2006 | |
| Haiti Health Systems 2004 (HS-2004) | 1995 – 2005 | |
| Rural Health Delivery System (RHDS) Project | 1980 – 1986 | |
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Haiti SDSH Pwojè Djanm
MSH’s Santé pour le Développement et la Stabilité d’Haïti (SDSH) Project—known as Pwojé Djanm (“robust project”) in Creole—and its all-Haitian team are working to increase availability of essential social services, reduce internal conflict, enable productive livelihoods that contribute to Haiti’s economic development, and build capacity as the foundation for progress.
MSH and its partners will continue to support local service delivery NGOs by using performance-based contracts, a proven way to reinforce innovation and accountability; these NGOs will go on to become additional sources of technical assistance. Pwojé Djanm’s focus will be on supporting decentralization, strengthening public-sector capacity in service delivery, and supporting local NGO service delivery by leveraging funding from the commercial sector and other donors.
Pwojé Djanm is an MSH-led collaboration of Johns Hopkins Bloomberg School of Public Health/Center for Communications Programs (CCP), AIDS Healthcare Foundation (AHF), JHPIEGO, and Fondation pour la Santé Reproductrice et l’Education Familiale (FOSREF) with USAID, the Government of Haiti, local NGOs, community leaders, and the commercial private sector. Together, MSH and its partners will use improvements in the health sector as a catalyst for greater social and political stability.
Haiti Health Systems 2007 (HS-2007)
HS-2007 is a follow-on project for the successful HS-2004. The project plans to further move Haiti from a FBO/NGO-dependent system to a balanced national system through fair access to basic reproductive, maternal, and child health services, and reduction in the transmission of infectious diseases. A major feature of the project effort is to support the Ministry of Health in its departmental strategy for expanding access to health services in rural areas by empowering local leadership in the public sector.
Management and Leadership (M&L) Program
The Management and Leadership (M&L) Program is aimed at improving health care around the world by improving the performance of health organizations. It recognizes the importance in assessment of a country's resources and programs before initiating a response. In conjunction with ITech, the M&L program evaluated human resource capacity and management in Haiti in preparation for the expansion of HIV/AIDS services.
Rational Pharmaceutical Management Plus (RPM Plus) Program
The RPM Plus Program collaborated with USAID/Haiti through the US President's Emergency Plan for AIDS Relief to support the Government of Haiti in reinforcing and extending HIV/AIDS services, including voluntary testing and counseling, prevention of mother-to-child transmission, and antiretroviral therapy (ART). The goal was to extend these services to approximately eighty selected centers in ten geographical departments by the year 2007. However, increasing availability and access to essential medicines, including antiretroviral medicines, remains a challenge in Haiti, where resources allocated to the public pharmaceutical sector are limited and not often used appropriately.
RPM Plus collaborated with the Ministry of Health and other stakeholders to identify interventions and mechanisms necessary to deliver a minimum package of health services, including ART. Areas in which RPM Plus provided technical assistance include:
- training in pharmaceutical management;
- procurement of medicines while building local capacity in quantification;
- distribution of health commodities to selected health care facilities; and
- reinforcement of the pharmaceutical management information system.
Additionally, as part of an effort to expand the internationally recommended tuberculosis control strategy (directly observed treatment, short-course, or DOTS) throughout Haiti, RPM Plus has worked with WHO's Global Drug Facility to assess the country's pharmaceutical management system for tuberculosis medicines and to address identified problems.
Haiti Health Systems 2004 (HS-2004)
Running nine years, HS-2004 targeted vulnerable populations in Haiti to provide equal access to primary and reproductive health services. Additionally, the program developed health services to be more self-sufficient and eventually sustainable without the influence of NGOs. Achievements of the expansive program include expanding access to quality health services through the network of 32 NGOs and FBOs to over 3 million people, reaching, within this population 90 percent immunization rate, 11 percent increase in contraceptive use after the first phase of the program, 17 percent increase in "three plus" prenatal visits after phase one, and 16 percent increase in attended deliveries after phase one. Thousands of service providers were trained in clinical and management topics, a Haitian network of trainers was established, as was an independent consortium to support short-term training needs in health over the long term.
Rural Health Delivery System (RHDS) Project
MSH was contracted in 1980 by USAID for the RHDS project. RHDS aimed to extend access to health care for 4 million rural Haitians—from 10 to 15 percent to 70 percent. The program improved all levels of the health delivery system through improved transport, development of information systems, a community-based pharmacy system, personnel management, and extensive training of health workers at all levels.
