Haiti’s investment in health has dropped from 16.6 percent in 2004 to 4.4 percent in 2017 despite everything its people have been through since then - unrest, cholera, natural disasters, the earthquake, COVID-19, gender-based violence, and grinding poverty. Opportunities to consult formally trained mental health workers rmeain rare. For a country of nearly 11 million, Haiti also only has 23 psychiatrists and 124 psychologists. Some alternatives, such as hotlines, are beginning to emerge in response. Linked and below is an article by Jessica Obert in the New Humanitarian about the mental health situation in Haiti.
Most agree that efforts to protect the safety, dignity and rights of the most vulnerable populations (women, children, the disabled, the elderly, etc.) in post earthquake Haiti could and should have been more effective. Women and children are still vulnerable to a range of protection threats including sexual abuse/exploitation and human trafficking. Interaction, an advocacy group for American non-governmental organizations (NGOs) has released two reports, on improving protection and on preventing and responding to gender-based violence (GBV) respectively. Both are thorough, well thought out, and are copied below.
Attached and copied below is a Refugees International (RI) report concerning opportunities to build on the bilateral relationship between Haiti and the Dominican Republic (DR) which has markedly improved since the earthquake. The DR rightfully deserves credit for the solidarity showed to its neighbors in the weeks and months after the earthquake. This solidarity now provides a foundation upon which to address challenges in the bilateral relationship, for the benefit of both countries, such as migration management and statelessness.