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[[File:Flag of Haiti.svg.png|450px | thumb|right|alt=Image provided by Creative Commons.|]]
[[File:Flag of Haiti.svg.png|450px | thumb|right|alt=Image provided by Creative Commons.|]]
'''OVERVIEW''' <br>
Generally speaking, Haiti struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded in 2010 and 2016 by disastrous earthquakes and hurricanes. This has left the country in need of international aid and a devastating lack of resources. This has obviously had a dramatic effect on sexual, reproductive and women's health care needs throughout the country. Though Port-au-Prince has more civil resources available than many of the countries more rural areas, there is still undoubtedly a lot of improvement to be made in these areas. Some of the issues include the lack of availability of contraception, overpriced feminine hygiene products, lack of proper medical facilities,  unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women<ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>. Additionally, abortion is completely illegal and there is little help from government organizations to curb the STI infection rate and lack of education on family planning.
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'''OVERVIEW''' <br>
'''OVERVIEW''' <br>
In Haiti, women face significant challenges in accessing comprehensive sexual and reproductive health. The country struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded by disastrous earthquakes and hurricanes in recent years. This has left the country in need of international aid and a devastating lack of resources. This has obviously had a dramatic effect on sexual, reproductive and women's health care needs throughout the country. Though Port-au-Prince has more civil resources available than many of the countries more rural areas, there is still undoubtedly a lot of improvement to be made in these areas. Some of the issues include the lack of availability of contraception, overpriced feminine hygiene products, lack of proper medical facilities,  unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women<ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>. Additionally, abortion is completely illegal and there is little help from government organizations to curb the STI infection rate and lack of education on family planning. Historically, women's rights are not a high priority for the Haitian government. As of 2016, not a single woman holds a seat in the senate of Haiti.<ref>[http://www.miamiherald.com/news/nation-world/world/americas/haiti/article55358850.html No women in new Haitian parliament]</ref>
In Haiti, women face significant challenges in accessing comprehensive sexual and reproductive health. The country struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded by disastrous earthquakes and hurricanes in recent years. This has left the country in need of international aid and a devastating lack of resources. This has obviously had a dramatic effect on sexual, reproductive and women's health care needs throughout the country. Though Port-au-Prince has more civil resources available than many of the countries more rural areas, there is still undoubtedly a lot of improvement to be made in these areas. Some of the issues include the lack of availability of contraception, overpriced feminine hygiene products, lack of proper medical facilities,  unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women<ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>. Additionally, abortion is completely illegal and there is little help from government organizations to curb the STI infection rate and lack of education on family planning. Historically, women's rights are not a high priority for the Haitian government. As of 2016, not a single woman holds a seat in the senate of Haiti.<ref>[http://www.miamiherald.com/news/nation-world/world/americas/haiti/article55358850.html No women in new Haitian parliament]</ref>
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==Contraception (Birth Control)==
==Contraception (Birth Control)==
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==Emergency Contraception (Morning After Pill)==
==Emergency Contraception (Morning After Pill)==


'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].
===Laws & Social Stigmas===
The morning after pill is not widely available over the counter in Port-au-Prince. If it can be found, it is likely imported and will contain instructions in a foreign language which may render the product useless.<ref>[http://www.nytimes.com/2012/12/09/opinion/sunday/haitis-silenced-victims.html Haiti's Silenced Victims]</ref> If you are in need of emergency contraception in Haiti, you have the option of taking larger doses of regular hormonal birth control instead of the morning after pill.<ref>http://ec.princeton.edu/countryquery.asp</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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===Costs===
===Costs===


'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].
==Sexually Transmitted Infections (STIs/STDs)==


'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].
'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


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===What to Get & Where to Get It===
===What to Get & Where to Get It===
"Fluconazole" is the name of the active ingredient in yeast infection medication. Make sure this is listed under active ingredients to ensure that you are buying an effective medication. PReP is not available to buy in Haiti.<ref>[http://www.prepwatch.org/ PrEPWatch World Map]</ref> As far as HPV vaccinations go, Haiti has a "Pilot Program", which means it is available but not readily accessible to everyone. [https://www.facebook.com/search/110097772353183/places-in/134381433294944/places/intersect/ Click here] to be redirected to a list of 11 pharmacies in Port-au-Prince and their Facebook pages.<br>[http://hiccayeshaiti.e-monsite.com/ Hôpital Immaculée Conception] has a steady supply of antiretroviral HIV medication.<ref>[https://blog.usaid.gov/2016/05/delivering-life-saving-hivaids-drugs-around-the-world/ Delivering Life-Saving HIV/AIDS Drugs Around the World]</ref>
"Fluconazole" is the name of the active ingredient in yeast infection medication. Make sure this is listed under active ingredients to ensure that you are buying an effective medication. PReP is not available to buy in Haiti.<ref>[http://www.prepwatch.org/ PrEPWatch World Map]</ref> As far as HPV vaccinations go, Haiti has a "Pilot Program", which means it is available but not readily accessible to everyone. [https://www.facebook.com/search/110097772353183/places-in/134381433294944/places/intersect/ Click here] to be redirected to a list of 11 pharmacies in Port-au-Prince and their Facebook pages.<br>[http://hiccayeshaiti.e-monsite.com/ Hôpital Immaculée Conception] has a steady supply of antiretroviral HIV medication.<ref>[https://blog.usaid.gov/2016/05/delivering-life-saving-hivaids-drugs-around-the-world/ Delivering Life-Saving HIV/AIDS Drugs Around the World]</ref>
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==Menstruation==
==Menstruation==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


===Costs===
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===What to Get & Where to Get It===
* Dr. Serge Guichard<br>
Address: 13 Rue Faubert, Port-au-Prince , Haiti.<br>
Tel: +509 257 1109<br>
Specialism: Obstetrics & Gynaecology<br>
* Marco Percque<br>
Phone: 2257-4711 / 2257-3646<br>
Address: Unite Chirurgical
#75 Rue Lambert, Petion Ville<br>
* Ronald Fouche<br>Phone: 2245-6301/ 2244-2970/ 2968<br>Email: Email: rfouche@obgyn.net<br>Address: 42, Chemin des Dalles, entre rues<br>
St-Cyr & Magny- La Maison
Medicale, P-au-P<ref>[http://photos.state.gov/libraries/haiti/231771/PDFs/LOCAL%20ENGLISH%20SPEAKING%20PHYSICIANS%20_August%202011_.pdf LOCAL ENGLISH SPEAKING PHYSICIANS - American Embassy]</ref><br>
<br>[http://www.shog.org/
* Société Haïtienne d'Obstétrique et de Gynécologie]<br>
Address : 27 Ruelle Berne, Port-au-Prince, HAITI<br>
Email: shog@hainet.net<br>
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===Costs===
===Costs===
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The cost for a stay in a Public hospital in Port-au-Prince can cost less than 1 USD a day. However, the patient is accountable to pay for all other expenses, such as syringes, medicine, transportation etc. Because of this, the price of giving birth in a public hospital is out of the question for most people since about 60% of Haiti lives beneath the poverty line.
The cost for a stay in a Public hospital in Port-au-Prince can cost less than 1 USD a day. However, the patient is accountable to pay for all other expenses, such as syringes, medicine, transportation etc. Because of this, the price of giving birth in a public hospital is out of the question for most people since about 60% of Haiti lives beneath the poverty line.


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* An option available for women in need of medical care regarding their pregnancy is provided by the organization [http://www.msf.org/en/where-we-work/haiti Médecins Sans Frontières]has at least one location in Port-au-Prince that offers prenatal care for women with pressing health complications regarding their pregnancy. Unfortunately, their facilities are often overwhelmed with too many patients seeking aid and only have room for very few of them. However, these facilities do their best not to reject any woman in labor, regardless of their health status.<ref>[https://www.ft.com/content/4ecb945a-1e97-3369-9117-8fb3c2b61908 Improving Maternity Care in Haiti]</ref><br>
* An option available for women in need of medical care regarding their pregnancy is provided by the organization [http://www.msf.org/en/where-we-work/haiti Médecins Sans Frontières]has at least one location in Port-au-Prince that offers prenatal care for women with pressing health complications regarding their pregnancy. Unfortunately, their facilities are often overwhelmed with too many patients seeking aid and only have room for very few of them. However, these facilities do their best not to reject any woman in labor, regardless of their health status.<ref>[https://www.ft.com/content/4ecb945a-1e97-3369-9117-8fb3c2b61908 Improving Maternity Care in Haiti]</ref><br>
* Pran Men’m - Located in the Delmas 33 neighbourhood of Port-au-Prince, MSF’s 148-bed Centre de Référence des Urgences en Obstétrique (CRUO) <ref>[http://www.msf.org/en/where-we-work/haiti Medecins San Frontieres - Haiti]</ref><br>
* Pran Men’m - Located in the Delmas 33 neighbourhood of Port-au-Prince, MSF’s 148-bed Centre de Référence des Urgences en Obstétrique (CRUO) <ref>[http://www.msf.org/en/where-we-work/haiti Medecins San Frontieres - Haiti]</ref><br>
* Many women, if they can afford it, choose to fly to Jimani in the Dominican Republic to give birth where healthcare is more widely accessible.<ref>[http://cronkite.asu.edu/buffett/dr/giving_birth_full.html</ref>
* Many women, if they can afford it, choose to fly to Jimani in the Dominican Republic to give birth where healthcare is more widely accessible.<ref>[http://cronkite.asu.edu/buffett/dr/giving_birth_full.html</ref>
* [https://www.facebook.com/UNFPAHaiti/ UNFPA]: Address: LOCAL MINUSTAH, Log Base - Zone 5, Boulevard Toussaint Louverture and Clercine 18, Port-au-Prince, Haiti, Email address: Office@unfpahaiti.org, Work timetable: Monday - Thursday 7:30 AM - 4:30 PM, Friday 7:30 AM - 1:30 PM<br> Telephones: 509 2815-6000, 509 2813-0415.
* [https://www.facebook.com/UNFPAHaiti/ UNFPA]: Address: LOCAL MINUSTAH, Log Base - Zone 5, Boulevard Toussaint Louverture and Clercine 18, Port-au-Prince, Haiti, Email address: Office@unfpahaiti.org, Work timetable: Monday - Thursday 7:30 AM - 4:30 PM, Friday 7:30 AM - 1:30 PM<br> Telephones: 509 2815-6000, 509 2813-0415.
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===Costs===
===Costs===
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Rape and all other sexual assault goes largely unreported throughout Haiti due to the fact that many victims are subject to victim blaming by their communities. Many women also don't report such incidents due to fear of potential reprisals from their attackers. Haiti has a long history of of enforcing minor penalties for those convicted of rape and sexual assault, but this trend has been slowly changing since new legislation was passed in 2005. The new law now holds the attackers more accountable for their crime as well as guaranteeing free health coverage for sexual assault victims. The legal procedure for reporting a sexual assault to police is convoluted and difficult, further diminishing the number of reports made. Critics of Haitian police have called their response to reported rapes inadequate. <ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>
Rape and all other sexual assault goes largely unreported throughout Haiti due to the fact that many victims are subject to victim blaming by their communities. Many women also don't report such incidents due to fear of potential reprisals from their attackers. Haiti has a long history of of enforcing minor penalties for those convicted of rape and sexual assault, but this trend has been slowly changing since new legislation was passed in 2005. The new law now holds the attackers more accountable for their crime as well as guaranteeing free health coverage for sexual assault victims. The legal procedure for reporting a sexual assault to police is convoluted and difficult, further diminishing the number of reports made. Critics of Haitian police have called their response to reported rapes inadequate. <ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>


===Costs===
===What to Get & Where to Get It===
The Pran Men’m clinic (Creole for “Take My Hand”) is a facility offering the emergency medical assistance required during the 72 hours following an assault, along with longer-term medical care and psychological support. They are open 24 hours a day, 7 days a week. <ref>[http://edition.cnn.com/2016/12/08/world/cnnphotos-sexual-assault-haiti/ Sexual Assault in Haiti]</ref>


===Costs===
===Costs===
The Pran Men’m clinic offers most of its services free of charge.
The Pran Men’m clinic offers most of its services free of charge.


==References==
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<references />
==List of Additional Resources==
[http://http://www.hpvcentre.net/statistics/reports/HTI_FS.pdf Haiti HPV Vaccine Status]<br>
[http://www.handsupforhaiti.org/about-us/ Hands Up For Haiti]<br>
[https://www.ippfwhr.org/en/country/haiti International Planned Parenthood Federation]<br>
[http://www.doctorswithoutborders.org/country-region/haiti Doctors Without Borders - Haiti]<br>
[http://ganm.nursing.jhu.edu/partnership-not-aid-how-the-women-of-haiti-are-claiming-a-new-future-3/ GANM Blogs]<br>
[http://www.expat.com/en/business/central-america/haiti/6_health/pharmacies/ Expat Pharmacy List]<br>
[http://www.msf.ca/en/country-region/haiti MSF]<br>
[http://www.scms.pfscm.org/scms SCMS (Global Access to HIV/AIDS Medication]<br>
[http://iwhp.sogc.org/index.php?page=171 International Women's Health Program (Haiti)]
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* [https://www.profamilhaiti.org/ Association Pour la Promotion de la Famille Haitienne (PROFAMIL)]: "In a country with high rates of poverty and HIV, Profamil is a leading provider of sexual and reproductive health care and education in Haiti. In addition to its static clinics, it reaches marginalized populations through its mobile health units and network of health promoters." This is an affiliate of the International Planned Parenthood Federation. Email: info@profamilhaiti.org
* [http://http://www.hpvcentre.net/statistics/reports/HTI_FS.pdf Haiti HPV Vaccine Status]
* [http://www.handsupforhaiti.org/about-us/ Hands Up For Haiti]
* [http://www.doctorswithoutborders.org/countrEy-region/haiti Doctors Without Borders - Haiti]
* [http://ganm.nursing.jhu.edu/partnership-not-aid-how-the-women-of-haiti-are-claiming-a-new-future-3/ GANM Blogs]
* [http://www.expat.com/en/business/central-america/haiti/6_health/pharmacies/ Expat Pharmacy List]
* [http://www.msf.ca/en/country-region/haiti MSF]
* [http://www.scms.pfscm.org/scms SCMS (Global Access to HIV/AIDS Medication]
* [http://iwhp.sogc.org/index.php?page=171 International Women's Health Program (Haiti)]


==References==
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