Haiti has both the largest number of people infected with HIV and the second highest prevalence rate in the Caribbean region. According to the 2012 Demographic Health Survey, HIV prevalence among adults aged 15-49 years is 2.2 percent. However, prevalence among most-at-risk populations (MARPs) is markedly higher. Based on the Integrated Biological and Behavioral Surveillance 2012 data, the HIV prevalence among men who have sex with men is 18.1 percent, while the prevalence among commercial sex workers is 8.4 percent. Furthermore, since 2000, the proportion of women in Haiti infected with HIV has gradually increased; the Joint United Nations Program on HIV/AIDS now estimates that more women are infected than men.
Municipalities in Haiti are responsible for providing a wide range of services to the population. However, most local governments struggle to pay operating costs and are largely dependent on the national government to fund public services or infrastructure improvements. Haitian law establishes a legal basis for local taxation, but many municipalities only collect a fraction of the possible revenue. Lastly, due to a scarcity of trained staff and antiquated management systems, most municipalities lack the capacity to transform these few resources into public services.
Last updated: August 26, 2015