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Instability adversely affects HIV care in Haiti

Instability adversely affects HIV care in Haiti
- Fragile states are characterised by the intersection of weak governments and weak health systems. Since the 2010 earthquake, Haiti has been in a prolonged period of political upheaval, public health crises, and natural disaster. A public health worker strike beginning in Port-au-Prince in March, 2016, spread throughout the country and ended only recently. We report the effects the strike has had on care since April, 2016, at two public hospitals (table): Hôpital St Michel in Jacmel and Hôpital St Antoine in Jérémie. The strike had many causes ranging from the fact that some workers have received no salary since October, 2015, to difficult working conditions. Patients in Haiti with HIV can