In Port-au-Prince, Haiti, the Tabarre Hospital stands as one of the last remaining trauma centers in a city overwhelmed by violence. This facility, run by Doctors Without Borders, is a makeshift structure of shipping containers and modular units, surrounded by barbed wire. The hospital’s existence highlights the dire state of Haiti’s healthcare system, which has nearly collapsed amid ongoing conflict and instability.
Haiti is facing a severe crisis as armed groups take control of much of the capital. Last year alone, over 5,600 people lost their lives due to violence, according to the United Nations. The streets of Port-au-Prince have become battlegrounds, with gunfire echoing regularly. An alliance of armed groups now controls about 90% of the city, pushing police and community defense forces into small pockets.
The humanitarian situation is dire, with approximately 1 million people displaced and nearly half the population facing hunger. Hospitals across the city have shut down due to safety concerns, difficulty obtaining medical supplies, and the threat of violence against healthcare workers. Many medical professionals have fled the country, further straining the already fragile healthcare system.
Despite these challenges, Tabarre Hospital remains open. During a recent visit by an Al Jazeera documentary team, the emergency room was inundated with patients suffering from gunshot wounds. The staff described themselves as the last line of defense for trauma care in the region. "If Doctors Without Borders were to close, the impact would be really heavy for the population," said surgeon Xavier Kernizan.
The team observed that patients often waited until daylight to be transported to the hospital due to the dangers of traveling through the city at night. This meant that many victims of violence lay where they fell until it was safe to move them.
Among the patients was Chrismene Desilhomme, who had her foot amputated after being shot, and her cousin Jean Claude Saget, who arrived with multiple injuries after fleeing an attack. Their story reflects the broader plight of civilians caught in the crossfire of gang violence.
While the hospital operates under constant threat, it has become a place of refuge. Staff members share moments of joy and camaraderie, providing hope amidst the chaos. Surgeon Donald Jacques Severe, who has chosen to stay in Haiti despite the risks, emphasized the importance of their work. "If we’re not here, someone will struggle," he said.
The hospital’s burn unit is the only one left in the country, providing critical care for survivors like four-year-old Alexandro, who suffered severe burns after an armed group set fire to a displaced persons camp. His mother, Youseline, expressed gratitude for the care they receive at Tabarre, describing it as a place filled with love.
As the situation in Haiti continues to deteriorate, the future of Tabarre Hospital remains uncertain. The staff is committed to staying and helping those in need, even as the violence rages on outside its walls.