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Position Paper – WHO – Haiti – Integrating of technology into health care

Access to water for human consumption is a major problem in Haiti. Haiti‘s infrastructure is almost totally collapsed and Haiti has the worst health indicators of the Americas. The rise in infant mortality is associated with increased poverty, deficiencies in the health system and the impact of the AIDS epidemic. Maternal deaths are related to aterial hypertension and eclampsia, as well as complications of labour since 76 % of all births occur without medical attention. AIDS is the leading cause of death for adolescents and adults. With an estimated adult HIV prevalence rate of 2,3 %, the Caribbean is the second worst-affected region in the world after sub-Sahara in Africa. In 1999, the estimated prevalence of tuberculosis – the sixth most important cause of death – was 114 per 100.000 populations. The AIDS epidemic has aggravated the tuberculosis situation.

To understand the reasons for these problems, we have to look at Haiti‘s Health System. The health services reach between 40 and 60 % of the population. 40 % of the population relies on traditional medicine, mostly in rural areas. In Haiti, there are 371 health posts, 217 health centres and 49 hospitals. Human resources are inadequate. But lack of funds prevents the creation of new positions and many professionals go into private practice or emigrate. Public funds spent on health represent only 0,8 to 1 % of the ...