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Indicator Haiti USA
Gross national income per capita (PPP international $) 1070 44070
Life expectancy at birth (years) 61 78
Infant mortality rate (per 1 000 live births) 60 7
Maternal mortality ratio (per 100 000 live births) 670 11
Prevalence of HIV among adults aged > or =15 years (%) 3.4 0.5
Prevalence of tuberculosis (per 100 000 population) 402 3
Incidence of tuberculosis (per 100 000 population per year) 299 4
Antiretroviral therapy coverage among HIV-infected pregnant
women for PMTCT (%)20 –
Population with sustainable access to improved drinking water
sources (%) urban70 100
Population with sustainable access to improved drinking water
sources (%) rural51 94
Population with sustainable access to improved sanitation
(%) urban29 100
Population with sustainable access to improved sanitation (%) rural 12 99
Source: World Health Organization, 2008
Basic health indicators
The slave revolt of 1791
• On August 22, 1791, the slaves revolted,
razing approximately 180 sugar
plantations and 900 coffee, cotton, or
indigo plantations
• At least 1000 whites and 10,000 slaves
were killed
• The revolt was remarkable both in scale
and in organization
The U.S. occupation of Haiti, 1915-
1934
Partners In Health, 2012
Research, Training, Service
The PIH Model of Care
Access to primary care
Free health care & education for the poor
Community partnerships
Addressing basic social & economic needs
Serving the poor through the public sector
Accompagnateur
Key part of the system
CHW
37%
Nurse
15%
Doctor
24%
Other
6%
Social
worker
16%
Auxilliary
2%
Housing
assistance
Water projects
Addressing the underlying causes of disease
School assistance programs
Principles of accompaniment
Apply one standard for all
Favor institutions that the poor identify as representing their interests.
Fund public institutions to do their job
Make job creation a benchmark of success
Buy and hire locally
Co-invest with governments to build strong civil services
Provide cash to the poorest
Support coordination and regulation of NGOs
Treating the Sick
March 2003
August 2003
Investment in public infrastructure
National Palace
Clinics in 4 spontaneous settlement camps
© Louise C. Ivers
Total population: 88,000
Over 5,200 patients seen each week
Fighting the Root Causes of Poverty and Disease
Medical Education