Haiti was the first country to declare independence in the Americas in 1804. However, the Caribbean country’s past has been marked with political and social violence. Today, it’s the poorest country in the Western Hemisphere. Eighty percent of Haitians live in poverty with insufficient resources to overcome growing health challenges, such as including HIV/AIDS, malaria and water-borne diseases.
PSI/Haiti began programs in 1989 to ensure access to affordable health products and services, and promote safe sexual behaviors. Current PSI/Haiti programs are adding thousands of hours of DALYs.
PSI/Haiti estimates that in 2015, its products and services helped avert 42,670 DALYs, including, by health area:
- 1,996 Malaria DALYs
- 7,681 HIV DALYs
- 26,820 FP DALYs
- 6,077 MNCH DALYs
- 92 WASH DALYs
- 3 NCD DALYs
PSI/Haiti’s family planning programs also provided 101,953 couple-years of protection.
Haiti has one of the oldest AIDS epidemics and one of the highest rates of HIV infection in the world outside of sub-Saharan Africa. Gaps exist in testing, treatment and prevention, and stigma and discrimination stagnate the problem.
PSI/Haiti targets high-risk groups such as youth, commercial sex workers and law enforcement with mass media and peer education. Messages stress correct and consistent condom use, partner reduction, and the importance of testing. PSI/Haiti has also developed strategic partnerships with national and community-based media.
Since its inception, PSI/Haiti has sold more than 100 million male condoms and about 300,000 female condoms. PSI/Haiti also provides voluntary counseling and testing through mobile sites to reach target at-risk groups in Port-au-Prince.
The Americans region as a whole boasts a greater than 30 percent decrease in reported malaria cases and deaths since 2000. However, Haiti has not been a part of this progress.
In 2005, PSI/Haiti partnered with the Ministry of Health and Population to promote insecticide-treated nets (ITNs). The next year, the partnership marketed Serena-brand and generic ITNs, and distributed them to pregnant women and families with children under 5 years old. Another project is under way that is selling and distributing 300,000 ITNs over five years through NGO partners and commercial distributors. This project targets high-risk areas such as the Artibonite Valley, which has low altitude and abundant rainfall.
Haiti has the lowest contraceptive prevalence in Latin America and the Caribbean. Only 18 percent of Haitians use family planning, compared to well over 60% in Cuba, Columbia and Brazil. PSI/Haiti’s family planning program works with pharmaceutical distributors and retailers to make Pilplan, an oral contraceptive, and Confiance, a three-month injectable contraceptive, easily available. Social marketing campaigns also empower women with slogans, such as “C’est moi qui decide!” (“I’m the one to decide!”). Sales of female condom Reyalite increased 126% after this slogan debuted.
Diarrhea is endemic in Haiti and the second cause of death among children under 5 years old. Recently, water access and quality in Haiti has suffered even more than what’s typical due to civil unrest and earthquake damage.
PSI/Haiti has introduced two point-of-use household water treatment products – PuR and Dlo Lavi – to increase access to safe water and lower the risk of developing diarrhea. Point-of-use water treatments have shown reductions of 30 percent to 50 perecent in diarrhea disease, with even higher reductions during water-borne epidemics.
In October 2005, PSI/Haiti expanded into child nutrition when it launched Babyfer, an iron and micronutrient supplement to reduce the risk of anemia and related development problems. PSI/Haiti also provides Sel Lavi-brand oral rehydration salts to treat and prevent diarrhea-related dehydration.
Blood donation in Haiti is the lowest in the Western Hemisphere. In 2005, PSI/Haiti began collaborating under the direction of the Ministry for Public Health and Population to improve this ranking with a campaign to inspire volunteers to donate regularly.
- Family Health International
- Management Sciences for Health
- Haitian Ministry of Health
- Haitian National Police
- Programmes Nationaux de Malaria et Filariose Lymphatique
- Unité de Coordination et Planification
- Catholic Relief Services
- Association of Evangelical Relief and Development Organizations (AERDO)
- Plan International
- Coordination des Hopital Albert Schweitzer
- Association Des Oeuvres Privées de Santé
- CARITAS Haiti
- Management and Resources for Community Health
- Volontariat pour le Développement
- Foundation for Reproductive Health and Family Education
- Croix Rouge Haitien
- Centre de Developpement et de la Santé
- Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections (GHESKIO)
- More local agencies
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- 2012 Mid Year Region and Country Dashboards, Latin America and the Caribbean
Mid-year Latin America and the Caribbean region and country impact dashboards for 2012
- Violence Against Intimate Partners and Associations with Inconsistent Condom Use Among Clients of Female Sex Workers in Haiti
The results of this study support previous findings suggesting that men perpetrating intimate partner violence (IPV) engage in sexual behaviors that increase the risk of STI and HIV for intimate partners, in particular, non-condom use. As a result, abusive men may put their intimate partners at higher risk of contracting HIV/STIs.
- 2011 Region and Country Dashboards, Latin America and the Caribbean
Latin America and the Caribbean region and country impact dashboards for 2011
- COMING OF AGE IN THE DIGITAL ERA: REACHING YOUTH WITH TECHNOLOGY
With today’s rapid advances in technology, people all over the world are more connected than ever. These technologies impact everyone, yet one group of people is always up to date with the most cutting-edge technology available: youth. While the country context may differ, young people know what the newest technology is and how to use it.
- Determinants of Intention to Use Condoms Among Clients of Female Sex Workers in Haiti
A cross-sectional survey was conducted to examine factors influencing intention of condom use among clients of female sex workers (FSWs) visiting commercial sex sites in St-Marc and Gonaives, Haiti. The findings provide evidence for designing interventions targeted at reducing risky sex behaviors in this population.
- Factors Influencing Condom Use Among Male Clients of Female Sex Workers in Haiti
Male Haitian clients of female sex workers (FSWs) have a higher prevalence of HIV than the general population (7.2% vs. 2.2%) and serve as a bridging population between FSWs and other partners. Following the success of Condomania, male clients requested that PSI expand the program to include prevention activities targeted towards them.
PSI/Haiti launched in 1989 to ensure access to affordable health products and services and to promote safe sexual behaviors. Since its inception, PSI/Haiti has established and expanded its programs in HIV prevention, family planning, safe water and child survival, malaria, and voluntary blood donation.
- Determinants of Condom Use Among Haitian Youth: Improving Quantitative Findings Through Qualitative Methods
This paper presents a mixed methods approach to scale development and adaptation of the Population Services International (PSI) Behavior Change Framework for a specific behavior and sociocultural context.