Politics

Even in more peaceful times, Haiti's patchwork system of governmental, charity, and private sector health care facilities were insufficient to meet the needs of the population.  Conflict with and between gangs has caused the situation to deteriorate further with over 30 private and public health care facilities having been vandalised or forced to close.  Those still open often lack staff, stocks, and security.  Haiti has only enough vaccines to last until the end of the month, health care facilities throughout the country struggle to have pharmaceuticals delivered through largely gang-controlled Port-au-Prince, and cholera is spreading on top of increasing food insecurity and malnutrition.  At this point, the situation is so difficult that re-establishing security would in and of itself be a health intervention.  The full article by Jacqueline Charles of the Miami Herald is linked and follows. 

The much-awaited Kenyan-led multi-national force is nowhere to be seen - and even if it were, it may not be enough to stop the chaos.  Gangs control 80% of Port-au-Prince, have attacked the airport, and are banding together to force for the resignation of Ariel Henry.  According to a Miami Herald article by Michael Wilner and Jacquline Charles, the U.S Government has asked Henry to move forward with the formation of a transitional council — a mechanism that would involve the appointment of an interim prime minister to replace Henry, compelling his resignation. The situation has been urgent for a long time but the lack of action may result in the toppling of the government and the overwhelming of the Haitian National Police.  A New Humanitarian article by Daniela Mohor below provides more information the humanitarian impact. 

It can take years or even decades for countries to recover from major disasters.  The aim is to build back better over time so the country becomes more resilient, better able to prevent and respond to a wide range of hazards.  Haiti remains just as vulnerable to major disasters as it was when the earthquake hit ten years ago.  There is not an improved building code nor a resourced and widely understood national emergency response plan nor drills to operationalize and refine such plans.  Haiti remains consumed by political instability, the root of which is the lack of an effective, accountable government that invests in its people.   Donors have become frustrated and less interested - that is until the next major disaster happens, which eventually it will.  An article below by Miami Herald journalist Jacqueline Charles and Jose Iglesias traces what has happened since 2010 and why.