Haiti continues to face multiple ongoing crises, including cholera outbreaks, food
insecurity and malnutrition, as well as the Haitian-Dominican migration situation.1
The country remains vulnerable to natural disasters, and in October 2018, was hit
with an earthquake in the North West department. The cholera response progressed
well in 2018, reaching the last mile towards complete elimination, with a 70 per
cent decrease in suspected cases since 2017.2 The risk of an upsurge in cholera
cases remains high, however, as evidenced by the localized outbreaks in Artibonite,
Centre and West departments in 2018. An estimated 982,000 people are still facing
severe food insecurity;3 39,000 children under 5 years will be affected by acute
malnutrition in 2019; and over 640,000 people will require access to primary
health care, including maternal and child health services.4 The Haitian-Dominican
migration situation remains a concern, as most of the deportees arrive in Haiti
under very precarious conditions, without resources and separated from their
families. On average, 10,000 Haitians are expelled from the Dominican Republic
every month.5 This has created a significant protection challenge, with some
deportations failing to meet due process requirements and children requiring
specific attention not systematically referred to appropriate services.