By Coralie Noisette | Director of Development
From August to October 2025, ZanmiLasante (ZL), in partnership with the Ministère de la Santé Publique et de la Population (MSPP) and community actors, sustained essential HIV and tuberculosis services for more than 17,000 active HIV patients, despite Haiti’s deepening security, humanitarian, and health crises. Amid mass displacement, restricted access, and rising violence particularly affecting women and children, ZL’s care model - rooted in community accompaniment, decentralized delivery, and respect for dignity - continued to deliver integrated HIV/TB services and preserve viral suppression rates above 80%.
Recent field reports highlight how teams in Verrettes (Bas Artibonite) persevered in very difficult contexts - managing patient migration, staff shortages, and funding gaps - to maintain retention in care. Meanwhile, in the remote mountains at the Haiti–Dominican Republic border, a clinic supported by ZL enabled a returning migratory worker to receive life-saving TB treatment, underscoring how access to care restores dignity and hope even in isolated settings.
However, this progress is now jeopardized by reductions in U.S. foreign assistance and evolving PEPFAR policy that restricts support to direct clinical services only, excluding social-support components such as youth clubs, orphan and vulnerable children (OVC) activities, and school-based programs that historically underpinned adherence and retention. ZL’s adaptive strategies—such as community drug distribution points and mobile outreach—continue to mitigate the impact of insecurity and funding disruptions, but these are not long-term substitutes for comprehensive care.
Maintaining these services is not simply a matter of continuity—it is a matter of life and rights. ZL’s two-decade partnership with the MSPP and global donors has shown that high quality, equitable HIV/TB care is possible even in extreme resource-constrained settings. But sustaining this requires renewed investment and flexibility now, before years of progress are lost. Your support is essential to ensure that access to HIV and TB treatment in Haiti is defined by need, not by crisis.
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