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Life in our region continues to be extremely difficult.  Recovery from the earthquake is ongoing and many still do not have safe housing. 

Update April- June 2023


Transportation continues to be problematic, often interrupted by insecurity at the airports and on the roads, flooding, petrol shortages and overall unreliability of services.


Compounding existing troubles, the Grand’Anse region experienced another earthquake on June 5th. This caused already fragile infrastructure to collapse, blocked roads, and the many casualties overwhelmed hospitals. GAHDA was able to supply medical centers with supplies, help housing insecure families with tarps and other essentials.


Presbyterian Disaster Assistance provided an emergency grant of $10,000 to support GAHDA with relief supplies including tarps and MREs to meet this latest catastrophe. 


The breast cancer program continued despite all the challenges. The Digicel Foundation, funded by a local phone company, paid to advertise via SMS messages dates for GAHDA breast cancer screening clinics. One was held in May and one in June.  This helped us greatly expand our reach and resulted in over 100 women coming to the clinics.


We have successfully raised sufficient funds to purchase a badly needed sonogram machine!

We also received a donation of a one year supply of the essential breast cancer medicine, Tamoxifen.


Our “Hand Up” project continued and expanded support to the most vulnerable in Jérémie. This included:

  • personal supplies for victims of rape given to GYN department of the hospital

  • monetary gifts to support viability of small businesses during economic hardship

  • 480 Buckets of food/supplies distributed by GAHDA on behalf of Project Medicare

  • 45 families received food rations purchased in local markets


GAHDA continues to provide humanitarian support to those incarcerated at the local prison, providing essential access to potable water, personal hygiene supplies and food rations.


Disaster Response and Recovery:

Disaster Recovery continues to meet the needs of those affected by the Aug 14, 2021, magnitude 7.2 earthquake.  GAHDA coordinates supplies for the PT needs of those still recovering from injuries as well as medical supplies for long-term care of the injured.


GAHDA is supporting the rehabilitation of a Baptist Church in coastal Pestel town.  Funds from Asylum Hill Congregational Church in Hartford, CT matched by GAHDA resources have made this possible.  This building will be used as a community center, emergency shelter and educational site in addition to church services.


Presbyterian Disaster Assistance (PDA) hosted a disaster training conference in Grenada.  Dr. Douge, GAHDA Medical Director, represented GAHDA at the meeting further strengthening the partnership between PDA and GAHDA.

News from Haiti: (April- June 2023)

2023 International Women’s Day 

GAHDA provided special training of 30 nursing students in breast cancer and teaching techniques of breast self-examination as part of Women and Health Together for the Future (WHTF) International Women’s Day activities. (photo of banner)   (photo of training)

women's health day banner March 8 2023.jpg
30 nursing students from 6 schools trained in BSE education March 8 2023.jpg

Dealing with Extreme Hunger

We are experiencing a 4 1/2 month drought. Water scarcity made winter planting season nearly impossible.

Food security efforts through goat distribution to women-headed households is temporarily on hold.  456 goats were already distributed in 4 counties between February and December 2022. (photo of women and their 2 new goats in rural Jeremie)

The challenge to transport goods in and out of the region continues. Food and fuel are extremely expensive.  According to the World Food Program nearly 1.8 million people are in emergency phase of food insecurity (IPC4).  The entire Grand’Anse department is in this category. (WFP Haiti Country Brief January 2023). Two hundred families have received food rations.

Dollar to gourde value $1.00 =163 gourdes in March 2023 up from 102 gourdes in December 2021.

Breast Cancer Care:  Screening for women with breast lumps continued through the efforts of parish volunteers, nurse led education in the hospital and at a yearly conference for members of a Protestant church network.  Referrals to the physicians at CREMED continue and 3 breast biopsies were completed and sent for pathology in the USA.

Cholera:  Between September 2022 and January 2023 more than 20,000 people had suspected cholera infection, most in Port-au-Prince but all of Haiti was affected.   

Mobile Medical Clinics: Since the earthquake in Aug 2021, over 20,000 people in 8 counties received health care consultation, medication and referral through volunteer physicians, nurses, health workers and support personnel.  Teams walked, took boats, motorcycles, mules and trucks carrying supplies with them for 1-4 days.  Distant clinics have recently been suspended for security reasons. (photo 1: volunteers walking 1-4 hours to rural site, photo 2 families waiting for medical consultation, photo 3 physician consulting patient and pharmacy)

White Structure

Earthquake Recovery

Church construction: A special grant for rehabilitation of a Church in the coastal city of Pestel is nearing completion.  The building will also be used for health education and screening.

Since July 2021, when president Jovenel Moise was assassinated, the country has been in a downward spiral. In all these years since I moved to Haiti in 1987, I have never witnessed widespread hunger like this, lack of power, fuel, food and transportation and access to health care. 60% of Port-au-Prince is controlled by scores of gangs.  Rape is rampant and kidnapping continues. Gang members demand up to $1000 for vehicles to pass controlled areas. The US Embassy urged people not to come to Haiti, or, to leave a soon as possible. We are grateful to be hours away from unrelenting fear and uncertainty in the capital.

The BBC posted this report earlier this month. (107) Port-au-Prince: Haiti's capital city taken hostage by brutal gangs - BBC News - YouTube

What to do?

We are a small organization but remain a conduit of support from generous donors and partner organizations to continue our mission to “Meet the needs of Grand’Anse individuals and families seeking healthcare and livelihood support not being met by existing services. Contribute to skills development of Haitian health professionals. Provide community education”

We have been on the ground for hurricanes (category 5 Hurricane Matthew), earthquakes (2010 and August 2021 in our area, cholera (2010 and now again) and other infectious diseases, political unrest and …. We have nurtured trust and community networks that reach all corners of this region of 500,000 people.

Haitian health providers and religious leaders are engaged to teach people about breast cancer. Since July, we have established a diagnostic service site for people with breast problems. We are all grateful for pathology services not otherwise available. All this with the support of materials, medicines, expertise, and funds. Despite the hardships, GAHDA provides care to women diagnosed with breast cancer.

End of biopsy training day with MDs and nurses at GAHDA Center.jpg

Photo of woman 40 year old cancer survivor

40 year old cancer survivor.jpeg

The 7.2 earthquake that struck our area in August 2021 is a disaster we are all still recovering from. Many lost their houses, access to mountain springs, jobs, animals and livelihood. Some people were never found. Urgent medical care in these regions was critical. GAHDA put out the word and many responded immediately to supply needed emergency medicines and wound care supplies.

The political and economic disasters compounded the suffering of families already affected by loss. And it is getting worse.

GAHDA, with the generous donation of many helped us develop a cadre of 5 MD teams that volunteered to travel on foot, by boat, mule, and motorcycle to underserved areas in four counties. They were able to consult over 20,000 people with urgent and chronic conditions. When fuel topped $25/gallon, these efforts stopped. We plan to continue as soon as possible.

Photos of trips by medical team and MD consultation in rural area

People are near starvation and eat what is currently being harvested. GAHDA distributed 18,000 rapid cooking rice/soy packets and locally purchased food to elder headed households

Photo of elder with food

We need your help to continue this work. Please donate through the PayPal link on this website or send a check made to the Grand’Anse Health & Development Association.

elder with rice, dry rations, cooking oil.jpg

Photo of woman with two goats

Despite the risks, five hundred female goats were given to women headed households in 4 counties, most recently, this month.  When offspring are ready, one will be shared with another woman in the village.

Photo of Brunette and 2 goats thanks to CCO.jpg

GAHDA provides essential healthcare and a range of supportive services to the Grand’Anse Community. This remote corner of southwest Haiti struggles to meet the needs of over 400,000 people. At GAHDA, we seek to meet the needs of the people where they are, causing less hardship, financial strain, and disruption to their already challenging day-to-day lives. 

Goat program
MD performing biopsy guided by sonogram
Nursing students learning BSE
Certificates for participants
Discover Our Projects


Avera Breast Center Director Jill Schult

GAHDA believes that healthcare is a human right, one that is often inaccessible to people with extremely limited resources. Access is also compromised by a public health care system that is resource poor.


While Haiti continues to make great strides at harnessing local talent and training medical professionals, there is still a long way to go for the system to meet the needs of all people.  We are committed to helping fill that gap while also contributing to strengthening local systems through mentoring, training, tools, and materials.

Get Involved

Please join GAHDA in providing essential healthcare and a range of supportive services to the Grand’Anse Community.

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