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Healthcare in HaitiHaiti has a population of 11 million people and shares the Caribbean island of Hispaniola with its neighbor, the Dominican Republic. Coverage of Haiti’s poverty was launched into world news after the 2010 earthquake. The country is still recovering from this natural disaster which has had detrimental effects on every sector of the economy including healthcare. Here are five facts about healthcare in Haiti.

5 Facts About Healthcare in Haiti

  1. Haiti is the poorest country in the Western Hemisphere ranking 169 /189 countries according to the Human Development Index. The life expectancy for males is 61 years of age compared to 66 years for females. Haiti has one of the world’s most unequal income distributions, and with 6 million Haitians living on less than $2 a day affording healthcare is a challenge. In 2012, only one-third of the population was financially stable enough to access healthcare in Haiti.
  2. Little government funding causes low public investment in healthcare in Haiti. The World Bank deems the government’s finances should invest in preventing diseases rather than creating more hospital buildings. Unfortunately, the Haitian government has largely decreased its investment in healthcare and in 2017 only 4.4% of Haiti’s budget was spent on public health.
  3. The Hospital of the State University of Haiti is still not constructed following the devastating 2010 earthquake. This planned 534-bed infirmary was set to become the newest general hospital, but the project has come to a halt as $27 million is still needed for completion. Issues about which type of healthcare system to use, political problems and a poor economy bring about questions when this building will be finished.
  4. Around 96% of the Haitian population is exposed to natural disasters that hinder advancement in society. For example, the 2010 earthquake destroyed the capital city of Port-au-Prince, where more than 25% of the country lives. This earthquake killed 150,000 people and destroyed 60% of the healthcare system in Haiti. The highest rates of cholera in the Western Hemisphere are in Haiti. The cholera epidemic entered Haiti’s rivers in 2010 which infected 800,000 people and killed 10,000. In 2014 drought caused millions of people to become food insecure which created the problem of malnourishment.
  5. The current political conflict is putting a strain on access to healthcare in Haiti. In an attempt to force the Haitian President to resign, the country participated in a lockdown known as “Peyi Lock.” Due to the lockdown, patients were unable to travel to hospitals and major shortages of medical supplies such as drugs and oxygen occurred. Inflation caused the price of medicines to increase by 35%. International medical assistance groups have begun to leave the island which will harm those in poverty who cannot afford healthcare.

Political conflict and poverty create difficulties when accessing healthcare in Haiti. Though the current pandemic presents new challenges, the World Bank created a $20 million COVID-19 Response Project for Haiti to help address the most pressing concerns. Aside from emergency health funding, the World Bank is also addressing gaps in other sectors such as WASH and food security which all relate to ensuring resilience in the health of as many Haitians as possible.

– Hannah Nelson
Photo: Unsplash

disasters and homelessness in Haiti
In January 2010, Haiti’s capital city, Port-au-Prince, was in the epicenter of a magnitude 7.0 earthquake. Concrete buildings were reduced to rubble, homes were destroyed and more than five million people were displaced. As one of the poorest countries, the fight against disasters and homelessness in Haiti is a continuous uphill battle. Here are six facts about the link between natural disasters and homelessness in Haiti.

6 Facts About Disasters and Homelessness in Haiti

  1. Haiti needed around 300,000 houses before the 2010 earthquake, and over 500,000 afterwards. At the time of the 2010 earthquake, 70% of Haiti’s population was living below the poverty line. As a result of frequent natural disasters, political unrest and the high dependency on agriculture for livelihood, the country fell behind in development.
  2. Buildings in Haiti were not built to withstand powerful earthquakes. Before 2010, there were no proper building codes for houses in Haiti. Over half of the population lives in rural areas with their homes consisting of mud walls and palm leaves woven together for a roof. In the cities, most live in overpopulated slums with no enforced safety regulations. This leaves a majority of the population vulnerable to losing their homes if a natural disaster strikes.
  3. Those who lost their homes in the 2010 earthquake had to go to internally displaced persons (IDP) camps. There, they lived in makeshift tents of sheets and tin, had no direct access to running water, no electricity and no security. However, countries around the world banded together in an effort to help the displaced by sending supplies, along with doctors and relief workers. Donors of Direct Relief provided up to $7 million for rebuilding in Haiti.
  4. Continuous natural disasters delay the recovery process. In 2016, Hurricane Matthew struck Haiti as a category 4, damaging the south end of the country. Once again, countries and organizations like World Vision continued to supply relief well into 2018. The Red Cross also funded livestock replacement and vet clinics that brought benefits to 5,000 families. Collectively, it raised a total of $5.2 million to help those in Haiti who had been impacted by the hurricane.
  5. IDP camps are still in use today. Of the 1.5 million people who lived in IDP camps in the summer of 2010, there are 50,000 that remain. Those who were able to leave the camps had either raised enough money to rebuild their home or received rental subsidies from the government. There are also hundreds of non-profit organizations, such as Homes for Haiti, Build Change, Build Abroad and the Red Cross, providing volunteers to build shelters for the homeless in Haiti.
  6. A cholera outbreak took place in one of the camps after the earthquake. However, along with the foreign aid and continuous construction of houses, the country has been successful in containing the cholera outbreak that overtook the camp after the earthquake. Haiti’s last confirmed cholera case was in January 2019, and has not seen any since.

There is hope for homelessness in Haiti. Recovery from disasters in poor countries like Haiti take time, but with coordinated efforts between humanitarian organizations, Haiti can continue to rebuild.

– Molly Moline 
Photo: Flickr

Poverty in HaitiWith a population of more than 10 million, Haiti faces high levels of poverty. It is the poorest country in the western hemisphere. More than half of all Haitians live on less than $2 a day and about one fourth live on less than $1.25 a day. However, things are looking up thanks to these nonprofits fighting poverty in Haiti.

Haiti Foundation Against Poverty (HFAP)

Founded in 2007, HFAP originally focused on child sponsorships and providing food for the elderly. However, it expanded and opened an elementary school in Port-au-Prince in 2008. This school brought infections and illnesses to the attention of the organization. As a result, HFAP opened its first medical program in 2009. It trained local nurses and provided the children with needed medications. In 2010, HFAP opened both an orphanage and a women’s job creation program called “Gift of Hope” to fight poverty in Haiti.

HRAP’s founder, Mallery Neptune, runs HOPE House with her husband Frentz. Hope House is an orphanage that looks after and cares for abandoned Haitian children. It provides food, education, medical care, love and attention. HOPE House was originally established as a toddler and infant care center, helping malnourished, wounded or orphaned children recover and return home. HRAP also reaches out to the mothers of these children when possible. They can enroll in Gift of Hope so that these children can return to stronger and healthier families.

Gift of Hope is a program to give mothers in poverty reliable skills and income to help them provide for their children. It currently employs 70 Haitian women, providing them with an income that is “at least three times the minimum wage” in Haiti. It is helping prevent the cycle of poverty by creating jobs that keep the women out of poverty and their kids out of orphanages and off the streets. Gift of Hope also works with local artisans; all purchases on the online shop go toward helping empower women and strengthen families in Haiti.

REBUILD globally

Julie Colombino founded Rebuild globally when she visited Haiti after the 2010 earthquake to help with disaster relief. The organization has evolved drastically over the years. What started as disaster relief led to education and eventually job training. “The transition came out of necessity as I was learning the truths behind the poverty in Haiti,” Colombino told The Borgen Project. “I learned that education wasn’t just enough to be sustainable in a country like Haiti where the unemployment and under-employment rates were nearly 80 percent.”

Education is necessary, but it does not have as large of an impact on a country if there are no jobs available to provide Haitians with a much-needed income. So, REBUILD globally works to provide both an education and a job to those in need.

The Elèv Education Program provides students with full scholarships to attend school, covering the costs of books, uniforms and tuition. Students not only receive full funding for their education through Elèv but have access to mentoring programs and personalized tutoring. It is still a small program since it sees children all the way through their schooling (most of whom attend university afterward) and gives them a guaranteed job at their for-profit counterpart Deux mains. However, Colombino expressed her desire to reach out to more regions and counties in Haiti. The Elèv program has educated more than 300 students and provided 15,080 hours of tutoring.

The Lavi Job Training Program prepares Haitians for the workplace. With the lack of businesses and available positions, REBUILD globally decided to focus on what it could control and curate. Colombino stated that this allowed the organization to give those in the program “a 100% guarantee…[that] there would be a dignified, living wage job waiting for them.” Since every Haitian enrolled in their job training program is promised a job at Deux mains, the training is very specific to the craftsman’s work within the factory. The program has helped those enrolled see a 92 percent increase in food security and a 53 percent average decrease in debt.

Haiti Partners

John Engle and Kent Annan founded Haiti Partners in 2009. It helps provide education to Haitians so they can help their country grow and thrive. Engle had moved to Haiti in 1991 and started developing programs then along with their other Haitian and American staff members. The education programs being put to use had been in the works for more than a dozen years prior. Haiti Partners’ goal is to provide a new approach to education as their way of fighting poverty in Haiti.

Haiti Partners opened the Children’s Academy and Learning Center in 2012. It provides both a quality education and a “working model of education-centered community development.” It educates both the children and their parents, who attend adult education classes, community savings and loan groups or contributes to service hours. Haiti Partners seeks to become a model for Haiti’s Ministry of Education and other schools in the country, in hopes of reshaping how Haitians are being educated for the better.

USAID believes that education is necessary “for sustained social and economic development,” which is why it is often a focus of nonprofits. More than 85 percent of the schools in Haiti are run by NGOs and communities. It is no wonder that these nonprofits are fighting poverty in Haiti by improving education.

Jordan Miller
Photo: Flickr

Natural Disasters Shaping Global Poverty
When people discuss the causes of global poverty, natural disasters do not often come up, but there is a correlation between natural disasters and global poverty. This may be due to the fact that natural disasters tend to be completely out of human control, while human choice and behavior can either cause or greatly reduce other factors that contribute to poverty. However, natural disasters shape global poverty through post-disaster destruction and economic and societal instability. Geographical location and weather patterns, as well as vulnerability to natural disasters, are immensely pertinent to a society’s poverty rate.

The Danger of Natural Disasters

According to the World Bank, natural disasters force over 26 million people across the globe into poverty annually and cost the global economy around $520 billion every year. These disasters also reinforce the cyclical nature of poverty; they ruin progress that countries have made to reduce poverty and leave impoverished people completely vulnerable due to their inability to cope and recover after the calamity. The five countries with the highest Climate Risk Index ratings from 1998 to 2017 all have national poverty rates above 20 percent. Honduras and Haiti rank two and four on this index, respectively and are great examples of how natural disasters shape global poverty.

Hurricane Mitch

According to a Penn State University report, Honduras lost $3.8 billion after Hurricane Mitch in 1998. The agricultural economic sector dropped by 7 percent as both domestic and cash crops disappeared. According to Honduras Compassion Partners, the agriculture sector has dropped by almost 33 percent over the last 20 years. Adequate sanitation and clean water were rarities and are still not too ideal levels. The health and education system took a $33 million hit. Penn State University also reported that societal instability increased after the storm. The country saw a surge in gender inequality and sexual and domestic violence after the hurricane. Extreme weather is so influential to poverty rates because its devastation is multifaceted. Like in Honduras, natural disasters simultaneously strip individual necessities like food, shelter, security and sanitation and weaken socioeconomic resilience, that is, the ability for society as a whole to recover after a catastrophe.

Haiti

Another example is Haiti. The 2010 earthquake that ravaged the island nation cost the economy around $7.8 billion. The natural disaster affected all facets of life. A Global Foundation for Disaster Reduction and Recovery report revealed just how vast the consequences of a disaster like this can be:

  • Social sectors like water, food, sanitation, health and education suffered $553.3 million in economic loss.
  • Infrastructure sectors like housing, food, energy and transportation suffered close to $1.3 billion in economic loss.
  • Production sectors like agriculture, industry, retail and finance suffered $933.3 million in economic loss.

These figures do not even include the cost of damages, which more than double the total expense. Almost a decade later, partially due to more natural disasters, Haiti is still recovering from the earthquake. These calamities bombard all of the indicators of poverty and all of the variables that have the potential to lift an individual and a society out of poverty (i.e. food security, capital, sanitation, education, health care) in one fell swoop. The post-disaster consequences underpin the cyclical complexion of poverty. This is how natural disasters shape global poverty.

Direct Relief

Direct Relief is a non-governmental organization that provides relief from natural disasters in over 80 countries in Asia, Africa, South America, Central America, North America and Europe. To date, Direct Relief has provided $747,210,716 in international aid, given 160,038,758 doses of medicine and provided 3,531,448 pounds of medical supplies to victims of natural disasters. The organization distributes products such as emergency medical packs, cholera treatment kits, oral rehydration salts and hurricane prep packs. It also employs a hurricane prep map to supply aid to the affected countries. Direct Relief has been the largest provider of aid to Haiti since the 2010 earthquake.

Natural disasters and global poverty have a close relationship. The ability for one extreme weather event to negatively influence all of the factors that decide poverty makes it much more difficult for countries prone to these storms to end the cycle of poverty. More research and development on disaster preparedness and recovery are necessary to allow countries the opportunity to break the feedback loop. These disasters are stymying poverty reduction efforts in countries like Honduras, Haiti and even now in Zimbabwe which is suffering from severe drought. Response and preparation to natural disasters and climate tendencies need to be a higher priority in the strategy of mitigating global poverty.

Zach Brown
Photo: Flickr

 

Emergency Medical Care in Developing NationsNearly 88 percent of injury-related deaths happen in poverty-stricken countries. There is an urgent demand for emergency care in low- to middle-income countries. One study found that, in these countries, emergency professionals see 10 times the number of cases that a primary doctor does, and the rate of death in these areas is extremely high.

Many emergency care centers in developing countries are severely underfunded and under-resourced. Some lack basic medical instruments while others have medical professionals that work without training or any sort of protocol. The burden of emergency medical care in poor nations is not only due to the lack of medical care or training, but also poor infrastructure. Together for Safer Roads outlines the difficulties presented by deteriorating roads or indirect routes that affect both transport to the emergency scene and transport to the hospital. Improving these roads reduces the likelihood of crashes and unsafe traffic routes and increase the efficiency of trauma transport.

Kenya

Another study done by the National Center for Biotechnology Information (NCBI) has outlined a significant lack of emergency care. Only 25 percent of Kenyans are covered by health insurance, meaning that many must pay for medical care themselves. With so many bearing the financial burden of medical care, it is less likely they would seek it in an emergency.

There are barely any skilled professionals working in emergency medical clinics, resulting in a lack of specific training for emergency medical situations. However, it has recently been recognized as a specialty by both the Medical Practitioners and Dentists Board and the Clinical Officers Council (COC). The other issue at hand in Kenya is the lack of resources. The nation is severely lacking in ambulances, and due to the significant cost of transport by ambulance, many patients take private means like taxis. There is also not a reliable dispatch system in Kenya, making the rapid response of an ambulance unlikely.

The study concluded that there needs to be a creation of new policies at a national level to improve access to emergency care. It also states it is crucial that Kenya recognize emergency care as a significant part of the healthcare system in order to develop authority for emergency response, improve the expensive cost of emergency care and implement a communication network for an emergency system.

Haiti

The country of Haiti has been struck by several natural disasters, making the need for an adequate emergency system crucial. One of the largest issues is the location of clinics and hospitals. The country has around 60, but they are primarily located in larger cities, leaving rural areas with little to no access to trauma care.

Basic necessities like gloves and medicine are things patients have to pay for before they can receive care. Even asthma attacks can be fatal because some cannot afford the inhaler. Also, the medical instruments patients have to pay for out-of-pocket are not necessarily the most up-to-date or high quality. Similarly to Kenya, medical professionals are rarely trained to deal with emergency situations. However, some groups have begun the effort to train professionals in Haiti to be prepared for emergency situations. Dr. Galit Sacajiu founded the Haiti Medical Education Project for this purpose after the earthquakes of 2010. Her courses not only train the nurses and doctors of Haiti but also provide them with the knowledge of what to do with the little or substandard medical instruments they have access to.

Economic Benefit of Improvement

If the amount of injury-related deaths that occur in developing nations was reduced to that of high-income countries, over 2 million lives could be saved. The same study also set out to find the economic benefit of improving emergency care. They found that, if these deaths were reduced, it could add somewhere between 42 to 59 million disability-adjusted life years averted. By using the human capital approach, they also conclude that there is an added economic benefit to the reduction in mortality of $241 to $261 billion per year.

There are several factors that contribute to the effectiveness and availability of emergency medical care in developing nations. These factors mainly concern infrastructure or quality of medical care. Although the issue of trauma care seems far from being solved, a study done by the Brookings Institution states there are indications that it may improve. By monitoring the improvements in medical care in high-income countries, they found that similar improvements were beginning to occur with emergency medical care in developing nations. As trauma care becomes increasingly recognized as an urgent need, it can improve and save thousands of lives.

– Olivia Halliburton
Photo: Wiki

earthquake
On September 28, 2018, the poverty-riddled country of Indonesia experienced a deadly natural disaster. A 7.5 earthquake followed by a tsunami that produced waves of up to 6 meters tall hit the city of Palu killing hundreds. As search efforts to find survivors continued, many news outlets have called into question the effectiveness of Indonesia’s early disaster warning system.

The Tsunami in Indonesia

BBC News reported that a system of 21 buoys used to trigger the warning system based off of the data that they receive was inactive during the time of the tsunami. Gifted to Indonesia by a few generous countries after the last natural disaster, the buoys had either been vandalized or stolen. With a strict budget in place, Indonesia hasn’t been able to afford the cost of replacing the buoys or maintaining the remaining system they currently have in place. As a result of the unreliable warnings in regards to the size of the waves, many have perished.

When a natural disaster hits a country that already has problems with its infrastructure due to poverty, like Indonesia, it often causes far more deaths and inflicts a lot more damage. BBC News compared similar natural disasters in three countries and found that impoverished areas are more susceptible to the effects of natural disasters.

The Hurricanes in Puerto Rico

In 2017 Puerto Rico suffered back to back hurricanes that left the country with even fewer resources than it had before. With 40 percent of its population living below the poverty line, the ailing country was already crippled by debt, experiencing a lack of electricity and facing school shutdowns. Given the state of Puerto Rico’s poverty crisis prior to the disaster, the country was ill-prepared for the effect the hurricane would have on its crumbling infrastructure.

Puerto Rico’s disaster relief efforts have been both challenging and expensive given its previous state of affairs. The U.S. has offered $2 billion to fix Puerto Rico’s electric grid, but in order to fix the damage done before and after the hurricane, it would take $17 billion. Further financial resources would have to be given to restore Puerto Rico’s infrastructure and help it to withstand natural disaster threats in the future.

The Earthquake in Haiti

Before the 7.0 magnitude earthquake disrupted Haiti back in 2010, 72.1 percent of the Haitian population was living on $2 a day in cities with poorly constructed cramped housing. Dwindling funds in Haiti were met with cost-cutting measures that led to faulty building codes. The soil-based land on which Port au Prince was built was at the epicenter of the earthquake, which also contributed to the city’s imminent collapse. With a stronger magnitude earthquake than Haiti, China lost 87.5 thousand people while Haiti lost 230 thousand citizens.

The earthquake in Haiti made quick work of the poverty-stricken area of Port au Prince. Haiti received $13.5 billion in aid relief after the earthquake, but with the money, came the unforeseen side effect of disease. After stationing soldiers on the ground to provide relief after the earthquake, toxic waste was spilled into a Haitian river causing a severe outbreak of Cholera which has killed an additional 9,000 people over the last four years. Additional relief funds will need to be provided to treat the epidemic.

When natural disasters strike areas that have been weakened by poverty, it leads to more damage, more lives lost and far more money needed to fix the situation. In many of these instances, measures could have been taken to prevent mass casualties, especially in areas where natural disasters pose a significant threat. Investing in long-term infrastructure solutions and natural disaster prevention instead of just throwing funds at a problem for an immediate fix in poverty prone areas will save more lives.

Catherine Wilson
Photo: Flickr

affordable housingMakeshift tent communities become semi-permanent homes for those who have lost everything to natural disasters. Though housing charities like San Francisco-based New Story have built 850 houses for those affected by natural disasters since 2015, the cost and time it takes to build these houses are hindering the progress.

With plans to build an entire 3-D printed community in earthquake-prone El Salvador by the end of this year, New Story is partnering with ICON to print affordable housing for those that have no choice but to live in tents. Of the 850 houses built so fair, New Story has raised funds for 1,600. Solutions like the 3-D printed house will ensure that available funds are utilized efficiently, transitioning more communities from tents to secure shelters sooner.

Printing 3-D Affordable Housing

The current cost for one New Story house equipped with running water, a sanitary bathroom and concrete floor is $6,500. In March of this year, ICON, New Story’s tech construction partner, printed a 3-D house that only cost $4,000 and was built in 24 hours.

Specifically designed for disaster relief housing, the 3-D printer that built this prototype is made from aluminum, making the printer lightweight and easily transportable. The printer has a generator built in should a power outage arise. Designed to withstand worst conditions, ICON’s 3-D printer is revolutionizing affordable housing solutions, specifically for those devastated by natural disasters.

So far, houses built by New Story have improved the lives of over 6,000 people. Through traditional construction, houses have been built in the following places:

  • Haiti – Leveque, Labodrie, Minoterie, Gonaives
  • El Salvador – Nuevo Cuscatlan, Ahuachapan
  • Bolivia – Mizque

How 3-D Printed Houses Change Lives

Living in a secure shelter helps people out of poverty. Not having the worry of where clean water will come from, the floor turning into mud from the rain or someone robbing the home in the middle of the night allows people to focus on things other than survival.

Prior to living in their New Story houses, a community in Labodrie, Haiti, lived in tents for nearly six years after the 2010 earthquake. Many families were separated due to poor living conditions that were unsafe for children. Living in secure shelters bumped the community’s employment rate up 16 percent and reunited families. 150 homes were built equipped with clean running water, bathrooms and concrete floors.

Also devastated by the 2010 earthquake was Leveque, Haiti. People had been living in tent cities before New Story stepped in. With access to clean water, bathrooms and concrete floors, 75 percent of children in this community now attend school.

In El Salvador, 90 homes were built in Nuevo Cuscatlan and Ahuchapan with the help of New Story. In Nuevo Cuscatlan, 16 percent of homeowners started a business from their home, a playground was built in the community for the children and 66 percent of these children are attending school.

The Future of 3-D Printing

The impact of living in a solid home is the difference between surviving and thriving in a community. With the help of new technology, affordable housing will be built in even more communities than in the past. In addition to helping those affected by natural disasters, 3-D printing homes has the potential to help with a global housing shortage caused by rapid city growth and unaffordable housing prices.

According to City Lab, in some developing nations, “housing costs exceed incomes by more than 3000 percent.”  Disaster area or not, unaffordable housing puts people at risk for poverty.  Continued innovation by companies like ICON and New Story will build stronger, self-sustaining communities in places that are most susceptible to natural and manmade disaster.

– Hope Kelly
Photo: Flickr

water access in haiti

Haiti has long been one of the most impoverished countries in the Western Hemisphere, with a population of 11 million ravaged by earthquakes, hurricanes and epidemics in recent years. Now that the country is entering a new era of relative stability, after last year’s presidential election, government officials and civil society stakeholders are joining forces to improve water access in Haiti, a critical issue that has gone under-reported for years.

Diminished water access in Haiti contributed to the catastrophic cholera outbreak in 2010 which killed almost 9,500 people over several years. The outbreak began when water contaminated with cholera seeped into the River Artibonite from a base manned by U.N. peacekeepers from Nepal, where cholera still has a presence. The Artibonite is the longest and most important river in the country, providing millions of citizens with water access in Haiti.

The State University of Haiti (UEH), one of the country’s most prestigious universities, partnered with the University of Florida (UF) and Haiti’s national water agency, DINEPA, to host a symposium on water access in Haiti. Held on November 16, the conference focused on promoting research in the water sector and spurring creative solutions for the crisis surrounding water access in Haiti.

“The university’s medical college has its own system of water provision, assuring its own autonomy and bringing water to five laboratories that in turn provide water to around 1,000 people every day,” said Jean-Claude Cadet (head of UEH’s medical school) to the leading Haitian daily newspaper Le Nouvelliste.

DINEPA is looking to the university’s self-sustaining system as a model of how to improve water access in Haiti and tackle an equally important problem: ensuring better water quality for the country’s citizens. The conference, held on the university’s campus, concluded with three objectives for the partners to work on together: establishing a water treatment center at UEH’s medical school, reinforcing cooperation between UEH, UF and DINEPA, as well as other participants and, most importantly, establishing a new institute for water access and quality that will eventually produce highly educated graduates dedicated to the goal of creating greater water access in Haiti.

– Giacomo Tognini
Photo: Flickr

Street Vendor Pharmacists

Due to the lack of pharmaceutical access in Haiti, people are buying and selling all types of medicine on the streets. These street vendor pharmacists sell medicines ranging from ibuprofen to Viagra and even high-powered antibiotics.

The reason for Haiti’s lack of access to pharmaceuticals is due to a lack of infrastructure. Haiti’s medical infrastructure is underdeveloped due to government instability and several natural disasters that have occurred over the last decade.

Because of these events, Haiti has not had the ability to stabilize their infrastructure. This has led to a decrease in the availability of goods, including pharmaceuticals to treat various diseases and ailments.

The street vendor pharmacists carry large plastic buckets stacked high with different medications, held together with rubber bands. They try to stack the pills in an aesthetically pleasing way so as to attract more people to their bucket. Nearly all of these vendors have little to no knowledge about the medication they sell. While there are pamphlets available for them to learn the purpose of these drugs, they are limited in quantity and scope.

While these street vendors are helpful for Haitians in need of medicine, it’s not a business that can last. Many of the medicines that these vendors acquire are expired or counterfeit, and rather than helping people, they make them feel worse.

According to an interview with journalists Paolo Woods and Arnaud Robert, these vendors do not have the intention of hurting their customers. While they want to help those who are in need of medicine, they are also trying to make a living for themselves.

With the help of organizational intervention, Haiti is rebuilding its pharmacies and health clinics to better provide for its people. Organizations such as Plan International Canada and Plan International Haiti are working to make healthcare accessible to Haitians in a sustainable way.

Rebekah Covey
Photo: Flickr

The debate over immigration is one of the key tenets of modern U.S. political discourse. The poverty aspect of the conversation, however, is frequently ignored.

But some academics have taken to asking an intriguing question: should poverty reduction through immigration legislation be taken more seriously as a proposal?

The data bears out how legal immigration can benefit both parties when it comes to alleviating poverty. Among Mexican immigrants, the largest foreign-born group in the U.S., those with legal recognition have a 12 percent lower rate of poverty than the undocumented. Average annual income is around $6,000 higher.

The domestic economy, and U.S. workers, can benefit from these influxes. The labor market becomes more efficient and managerial positions often appear and are usually filled by native-born Americans. Employers are also spurred on to comply with labor, health and safety regulations, unlike when undocumented migrants form their employment base.

The 1986 Immigration Reform and Control Act stands as a testament to what federally sponsored legal immigration can do to reduce poverty both domestically and abroad. The legislation legalized the status of 2.7 million immigrants and in the process increased their wages by 5 percent. A frequent criticism of a more liberal immigration policy is that it encourages poverty to ‘migrate’. This fails to account for the impact bills like the 1986 act can have to encourage poverty reduction through immigration.

More successful than some humanitarian and foreign aid projects, migration is capable of alleviating poverty among some of the most at-risk nations in the world. Haitians, the most poverty-stricken people in the Western hemisphere, have migrated in large numbers to the U.S. and Canada, often as refugees. Now, around four out of every five Haitians who are above the poverty line live abroad. These migrants, in turn, often repatriate wages back to Haiti to support their relatives.

Encouraging legal immigration as a policy goal could be under threat in 2017. The White House has made moves to significantly curb legal migrants and a new proposal endorsed by President Trump seeks to greatly limit the availability of green cards to family members of existing immigrants. The number of refugees will also be cut in half.

Congress appears unwilling so far to pass such a bill. Some Republican Senators have highlighted the economic benefits of legal immigration to their home states, such as South Carolina’s Lindsay Graham. They could join Democrats in universal opposition to the proposal and effectively kill it.

Treating immigration as a poverty-solving method could prove effective if taken seriously on Capitol Hill. While it appears any restrictions to legal immigration remain unlikely to pass, poverty still is a largely absent feature of the debate. The 1986 Immigration Reform Act, in particular, should stand out as an example of how to support poverty reduction through immigration.

Jonathan Riddick

Photo: Flickr