During the 2024-2025 biennium, PAHO strengthened Haiti’s capacity to detect and respond to public health threats among internally displaced populations in the Artibonite and Centre departments, areas severely affected by insecurity and partial gang control. 

Together with key partners, PAHO supported the establishment of active surveillance for epidemic-prone diseases, including cholera and COVID-19, across all internally displaced persons sites in the targeted areas. This included the deployment of trained and equipped surveillance officers and community health workers, enabling systematic case detection, reporting, and early warning in settings with limited access to routine health services. These actions improved early detection and rapid response to outbreaks among highly vulnerable populations, reducing the risk of uncontrolled transmission in displacement contexts.

In parallel, PAHO supported the continuity of emergency medical care by providing essential medicines and medical supplies to three health facilities, two in the Centre department and one in Artibonite, operating under increasingly volatile security conditions. This support enabled the continued management of critical medical emergencies, including gunshot-related injuries and obstetric complications, despite severe constraints on access, staffing, and supply chains. By simultaneously reinforcing epidemic surveillance and sustaining emergency clinical services, PAHO helped preserve essential health system functions in a fragile environment, mitigate preventable morbidity and mortality, and strengthen Haiti’s overall capacity for emergency detection and response among populations in situations of heightened vulnerability.