In Haiti, the Management Sciences for Health conducted an analysis of essential health and social services needs of children and young people living in orphanages in 2004. The study aimed to provide strategic orientations towards an optimal care model. The research team consisted of Prof. Paul Adriën, MD, MSc, and Jules Grand-Pierre, MD, MPH, with technical collaboration from the Haitian Institute of Childhood. The study employed a mixed-methods approach, combining both quantitative and qualitative data collection and analysis methods. The research team conducted surveys, interviews, and observations in 15 orphanages across Haiti. The study population consisted of 2,500 children and young people, aged 0-18 years, living in these orphanages. The results of the study highlighted several key findings. Firstly, the majority of the children and young people in the orphanages were between the ages of 5-14 years, with a slight majority being girls. The most common reasons for admission to the orphanages were the death of one or both parents, followed by abandonment and poverty. The study also found that the majority of the children and young people had experienced some form of physical or emotional abuse prior to their admission to the orphanage. In terms of health needs, the study found that the majority of the children and young people had not received any vaccinations, and those who had received vaccinations were not up-to-date. The study also found that the majority of the children and young people had experienced some form of illness or injury, with the most common conditions being respiratory infections, diarrhea, and skin infections. The study also highlighted the need for improved social services in the orphanages, including counseling, education, and vocational training. The research team recommended that the Haitian government and international organizations provide more support to the orphanages, including funding, technical assistance, and capacity building. The study’s findings have important implications for the development of policies and programs aimed at improving the lives of children and young people living in orphanages in Haiti. The research team’s recommendations provide a framework for addressing the complex needs of these vulnerable populations and promoting their well-being and development.