Haiti

Haiti has the highest maternal and infant mortality rates and the lowest contraceptive prevalence in the Latin America and Caribbean region. In 2016 modern contraceptive prevalence was just 32 percent. Fear of side effects and opposition to contraception are major barriers to use. Diarrhea is a leading cause of under-5 deaths, and in a country with nearly 60 percent of its population living below the national extreme poverty line, 32 percent had to purchase bottled water in order to have an improved source of drinking water.  The cholera outbreak killed nearly 10,000 people. 

From 2015 through October 2019 SHOPS Plus used generic social and behavior change campaigns to increase overall demand for family planning and child health products, including home water treatment product, low osmolarity ORS, and dispersible zinc sulfate tablets for diarrhea case management. This work included health education through community theater, radio, social media, and digital messaging. SHOPS Plus also ensured the availability of health products by working to enhance marketing and distribution by local firms of male condoms, ORS, zinc, and home water treatment products to meet growing demand.