AHF became active in Haiti in 2006. AHF Haiti currently provides care to incarcerated populations in conjunction with another NGO, Health Through Walls. The incarcerated population is a very vulnerable population in Haiti, and AHF even provides care to people after their release from prison so there is no interruption in treatment. Partners of incarcerated HIV-positive individuals are also able to receive HIV testing so they too can know their status and be linked to care if necessary. AHF conducts mass testing drives focused on people visiting incarcerated Haitians in the national prison system to help identify those who are HIV-positive and link them into care. Additionally, AHF has a freestanding clinic in Port au Prince that provides testing and treatment services to the general public.
Haiti has the highest prevalence of HIV infection in Latin America and the Caribbean. It faces the worst AIDS epidemic outside Africa and bears the greatest burden of HIV in the Western Hemisphere. The epidemic began in the late 1970s and has spread widely throughout the country. Today Haiti faces a generalized epidemic fueled by endemic poverty, high illiteracy rates and inadequate health and social services that have been further weakened by chronic political instability, high internal migration rates and a high prevalence of sexually transmitted infections. To add insult to injury, on January 12, 2010, the capital Port-au-Prince suffered a 7.3-magnitude earthquake that killed over 300,000, injured as many as 500,000 and displaced about 1.5 million. After 3 years, the consequences of this earthquake are still felt in the everyday life of the majority of the population.
The prevalence of HIV/AIDS among adults was estimated to be between 2.5% and 11.9% in 2003. An estimated 280 000 adults and children were living with HIV/AIDS at the end of 2003, and an estimated 24 000 adults and children died from AIDS during 2003. Analysis of the causes of death, which started when hospital death certificates began to be collected in 1997, shows that AIDS is the leading cause of death in the country. The high prevalence of HIV/AIDS has also aggravated an already somewhat generalized tuberculosis (TB) epidemic. HIV sero-prevalence surveys of pregnant women indicate rates of 6.0% in 1993, 5.9% in 1996, 4.5% in 2000 and 2.9% in 2003. HIV infection rates may no longer be rising and may potentially be declining in some areas; there are also concerns of higher prevalence rates in pocket areas as well as target risk groups.
According to the Global Aids Response Progress Report 2016, disseminated by Haitian Ministry of Health, HIV epidemic in Haiti is still widespread. Its prevalence is 2.2% [2.0%; 2.4%] among adults aged 15-49, the same level of prevalence as in 2006. This is in favor of stabilizing the epidemic in Haiti. Levels are currently known at the key group levels as of MSM and Sexual Workers (SW) which are higher than 6%. PS. Among MSM, it was 12.9% and the PS was 8.7%.
According to recent data available the number of people living with AIDS has declined more than 10% between 2010 and 2014. According to the Technical Coordination of PNLS, the number of PHAs turns around 159,000 [140,000 – 178,000] by the end of 2015, an Increase of 9% since 2008. These figures are explained by the Number of people newly infected with HIV and By the considerable widening of access to Antiretroviral therapy, which has helped to reduce the number of deaths from AIDS-related causes
There is actually more than 68000 people on TAR, most of them are living in the West department.