Health in Haiti 2007 : Demographics,Mortality, and Morbidity
Thursday, November 29th, 2007According to the 2003 General Population and Housing Census, Haiti’s annual population growth rate was 2.5%.According to
that same census, the country has a population of 8,373,750 persons and a population density of 302 inhabitants per km2. Three
departments account for almost two-thirds of the population:
Ouest, for 37%; Artibonite, for 16%; and Nord, for 10%. About 40% of the population is urban.
Haiti’s population is young—60% was under 24 years old in 2003 and 36.5% was under the age of 15. Analysis of death certificates from 2003 shows that 4% of deaths in the country were in the age group 0–24 years old.
The birth rate remains relatively high, at 25 per 1,000 in urban areas; 30 per 1,000 in rural areas; and 28 per 1,000 for the country
as a whole. The average number of children per woman has declined from 4.7 to 4.0, averaging 5 in rural areas, 3 in urban areas,
and 2.4 in the capital. Life expectancy at birth is 52.7 years for males and 56.8 years for females.Around half of the population is
single.
Women represent 51.8% of the population (86 men per 100 women in urban areas and 98 men per 100 women in rural areas),
a situation explained by factors related to population shifts— overwhelmingly, women migrate from rural areas to the cities,
while the reverse is true for men. (See Figure 1 for the country’s population structure.)
Out-migration is significant in Haiti, be it temporary or permanent, legal or illegal, or what is termed “brain drain.”The Ministry
for Haitians Living Abroad estimates that the total number of émigrés is 1.5 million: 700,000 are in the United States of
America, 550,000 in the Dominican Republic, 100,000 in Canada, 70,000 in neighboring French overseas departments and territories, and 40,000 in the Bahamas.Many Haitian professionals and skilled technicians who live outside Haiti provide an important source of revenue for the country.
The first published analysis of death certificates in Haiti dealt with deaths in 1997. At that time, death certificates were filled
out for only 6.3% of deaths. Coverage increased to 10% in 2003. However, a precipitous drop in death certificate coverage occurred in 2004 and 2005. At the same time, the way in which death certificates are completed improved (the percentage of
death certificates with an ill-defined cause of death fell from 48% in 1999 to 26% in 2002). Immediate and effective feedback
was put in place at the central and departmental levels. Given this poor coverage, mortality data should be interpreted with
caution. Table 1 shows the 10 leading causes of death in 2003. The data come from an analysis of death certificates from the
country’s 10 departments.