Haiti continues to face multiple crises, including worsening food insecurity and malnutrition,
the Haitian-Dominican migration situation, water-borne disease epidemics and high
vulnerability to natural disasters. The situation further deteriorated in 2019 due to the unstable
and fragile economic, political and social contexts and recurring civil unrest, which culminated
in a countrywide shutdown in September that may lead to increasing needs in 2020. An
estimated 3.7 million Haitians are food insecure and over 65,500 children under 5 years are
affected by acute malnutrition. More than 850,000 vulnerable people require access to
primary health care, including maternal and child health services. With an estimated
10,000 Haitians denied entry to and deported from the Dominican Republic every month, the
Haitian-Dominican migration situation remains a concern. Given their legal and social status,
children who have been denied entry or expelled may not be able to access services and are
vulnerable to violence and exploitation. The cholera epidemic is on the decline, with no
confirmed cases since February 2019, and an 80 per cent decrease in suspected cases since
2018. However, continuous progress is required to maintain zero cases, declare the complete
elimination of cholera and hand cholera prevention and control over to the Government