The poorest country in LAC, recently hit by multiple crises, Haiti will be the focus of the second study to be conducted through the LAC regional network. A country-case study on the Haitian health situation with emphasis in RMNCAH interventions and other relevant health issues such as natural disasters and cholera, the study is planned with a 2-year timeframe culminating in dissemination activities taking place in May 2019.
The overarching objective of the Haiti case study is to explore the reasons for progress in selected indicators of RMNCH in Haiti since 1994, including the role of social determinants such as antipoverty strategies, health system reforms, health sector financing, health policy adoption, implementation of specific public health RMNCH interventions, international assistance, and NGOs. The specific objectives of the study are enumerated below (the full Haiti case study workplan is available upon request).
- To describe trends in
- RMNCH coverage in Haiti from 1994 to present at both national and departmental levels;
- Neonatal, infant and under five mortalities, stunting and total and adolescent fertility rates;
- To document inequalities for the indicators listed in objective (1) at both national and departmental levels;
- To document changes in social, political and economic determinants of health in Haiti for the same period;
- To document implementation of policies and programs
- Inside the health sector, including their financing, policies and human resources (e.g. malaria, HIV and tuberculosis);
- Outside the health sector, relevant to RMNCH, such as female education, access to improved water and sanitation, access to basic infrastructure, poverty reduction strategies, women’s empowerment;
- To assess the association between RMNCH interventions coverage and impact indicators, considering contextual factors such as GDP, human resources, health care facility availability;
- To explore the role of factors such as natural disasters (cyclones, earthquakes), epidemics, governance and external help on RMNCH;
- To document trends of domestic health financing and in Official Development Assistance (ODA);
- To derive lessons to guide policy actions for further improvement of RMNCH by 2030.