Health System in a context of humanitarian crisis: the case of Haiti

Abstract

This research aims to analyze the organization of Haiti's health system between 2010 and 2020, based on the Postulate of Coherence proposed by Mário Testa. The study used public sources compiled and coded with the help of the QSR NVivo 10.0.641.0 software, for subsequent critical content analysis. The results revealed that the management of sexually transmitted infections (STIs) were the largest range of services, but in a fragmented manner, with the main causes of morbidity and mortality being ischemic heart disease and other cardiovascular diseases, due to an unidentified epidemiological transition as a priority problem in the country. It is noteworthy that irregular electricity, the lack of equipment to supply water and sanitary facilities in health institutions emerged as structural issues to be faced. It was identified that donors contributed more than half of health expenses in 2010-2019, highlighting a dependence on external financing. It is concluded that the situation of continued political instability significantly affects the performance and improvement of the Haitian health system, but effective collaboration between the identified actors can bring about significant changes.

Keywords:
Health System; Health organization; Health financing; Haiti