Doctors Without Borders Halts Operations in Haiti Amid Threats from

A recently displaced mother holds her child in a makeshift displacement camp in Léogâne. Credit: UNICEF/Maxime Le Lijour

By Oritro Karim
UNITED NATIONS, Nov 21 2024 (IPS)

Doctors Without Borders, the medical humanitarian organization, which has served in Haiti for over 30 years, announced on Wednesday that it would suspend its activities in Port-au-Prince, Haiti’s capital amid repeated threats from local law enforcement. This announcement indicates the precariousness of the situation in Haiti where humanitarian groups on the ground face security issues from even members of law enforcement.

In their announcement, Doctors Without Borders, also known as Médecins Sans Frontières (MSF), cited multiple incidents where local police made verbal threats on staff members, threatening violence, death and rape. Other incidents included attacks on ambulances, tear-gassing, and harassment. This also comes following an incident on November 11, where two patients were executed following an attack on an ambulance by police and vigilante groups. The spokesperson for the Haitian National Police has not a public comment.

MSF patient admissions will be halted, excluding patients that are currently in care and those that are receiving care in the maternity sector. All five of the organization’s medical facilities in Haiti are currently inactive.

“As MSF, we accept working in conditions of insecurity, but when even law enforcement becomes a direct threat, we have no choice but to suspend admissions of patients in Port-au-Prince until the conditions are met for us to resume”, said Christophe Garnier, MSF’s head of mission in Haiti.

Prior to halting operations, MSF provided care to over 1,100 patients, 54 children with emergency conditions, and more than 80 survivors of sexual violence on a weekly basis. Humanitarian organizations predict that this will be a massive blow to Haiti’s barely functioning healthcare system.

“Healthcare services have never been so limited for people in Haiti. Many people will lose access to MSF services because we are not able to work safely in Port-au-Prince,” Garnier added.

The appointment of Alix Didier Fils-Aimé as the new prime minister of Haiti has been followed with sharp rises in social insecurity and gang violence. In recent days, attacks on civilian settlements reached new levels of brutality, with armed gangs gaining more territory in the capital, Port-Au-Prince.

Thousands of civilians have fled their homes. Due to the wide scale of needs, as well as numerous security challenges, humanitarian efforts have been pushed to their limits. Shelters and essential resources remain critically strained.

The past few weeks have yielded a considerable surge in gang violence, with most of the attacks being concentrated in the capital and the Artibonite River region. According to a report by the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), a total of 20,000 Haitians have fled their homes in the past week, noting significant disruptions to basic services such as education, protection, and healthcare.

This recent escalation has also led to a rise in civilian casualties. According to the Office of the United Nations High Commissioner for Human Rights (OHCHR), the recent attacks have pushed the total death toll from gang violence past 4,000 in 2024 alone.

Currently, it is estimated by OCHA that armed groups control 85 percent of Port-Au-Prince. According to Ulrika Richardson, the UN humanitarian coordinator for Haiti, gangs have begun to gain increasing amounts of territory within the capital.

This endangers thousands of civilians and provides humanitarian organizations with numerous access challenges. “With only 20 percent of Port-au-Prince accessible, humanitarian workers face immense challenges in reaching affected populations,” said chief of the International Organization for Migration (IOM) in Haiti, Grégoire Goodstein.

On November 19, the Viv Ansamn gang launched an attack on Petionville, an upscale neighborhood in Port-Au-Prince. Armed gang members clashed with the local police and civilians, resulting in the deaths of at least 28 suspected gang members according to the Haitian National Police. Jimmy Chérizier, the leader of Viv Ansamn, has threatened reprisals of violence, encouraging opposition from the police and the Multinational Security Support (MSS) Mission, saying, “They think they can stop us, but all the helicopters in the world won’t be enough. The gangs are here to stay”.

This is only the latest in a series of attacks following the Fils-Aimé’s appointment as prime minister. The Viv Ansamn coalition is especially known for capitalizing on moments of extreme political instability in Haiti. “In a power vacuum like this, it’s a fertile ground for organized crime,” Richardson remarked.

In the hours following the attack, MSF made their announcement to suspend its activities in Port-au-Prince until further notice. The conditions in Haiti pose a security threat to humanitarian workers, even as they work tirelessly to remedy the needs of affected civilians.

Living conditions in displacement shelters have considerably deteriorated due to the lack of humanitarian aid and medical care. According to a report from OCHA, approximately half of the Haitian population faces severe food insecurity. The United Nations Population Fund (UNFPA) reports that access to healthcare and sanitation resources are severely limited, with women being highly susceptible to gender-based violence and unsafe practices, such as transactional sex.

The UN has pledged to continue its efforts in providing humanitarian assistance wherever it can. “Despite the temporary suspension of air transport, humanitarian operations continue actively in the Port-au-Prince area, although security conditions are unpredictable. In addition, humanitarian and recovery activities continue uninterrupted in the rest of the country,” Richardson said.

Aid personnel are currently on the frontlines, distributing essential resources to affected communities, including hot meals, cash transfers, clean drinking water, healthcare, and psychosocial support. Additionally, the UN urges member states of the MSS mission to continue their support.

IPS UN Bureau Report