Access to clean water is hard to come by in Haiti, especially in rural areas, contributing to public health challenges and impeding daily living thoughout the country. Many communities, especially those in rural areas face severe shortages and contamination issues. The country’s water infrastructure is underdeveloped, and the situation is exacerbated by natural disasters such as earthquakes and hurricanes, which frequently damage already fragile water systems.

Close to 70% of the population does not have direct access to potable water. Those without access often rely on untreated surface water, leading to the spread of waterborne diseases. This scarcity is attributed to both the lack of infrastructure, only 15% of the urban population is connected to a piped water supply system and more than half of rural households get their water from unimproved wells, springs, rivers or streams. As of 2020, only 43% of the rural population in Haiti has access to safe water, a decrease from 50% in 1990.

Efforts to improve the situation include international aid and local initiatives focusing on building sustainable water systems and promoting hygiene education. Hope for Haitians engages with partners and develops clean water options in communities where we conduct village projects. This effort since 2001 has provide safe water for over 270,000 people in Haiti.

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Womens Empowerment

Children and Education

Economic Activity

Water and Health

In Haiti, the reliance on river water for daily needs presents significant health risks due to the presence of pollutants, parasites, and human and animal waste. Additionally untreated water sources Increase the risk of water borne diseases like cholera, dysentery, and typhoid fever. In rural areas of the country, rivers serve as the primary source of water for many communities

Waterborne Parasites

Parasites, such as Giardia, Cryptosporidium, and Schistosoma, significantly impact health, causing a range of symptoms and diseases.


  • Giardia is responsible for giardiasis, leading to diarrhea, abdominal cramps, and nausea. It’s transmitted through contaminated water and can cause prolonged illness, especially in children and immunocompromised individuals.
  • Cryptosporidium, causing cryptosporidiosis, presents with watery diarrhea, stomach cramps, fever, and dehydration. It’s notable for its resistance to chlorine treatment, making it a persistent risk in untreated water.
  • Schistosoma, through schistosomiasis, affects the urinary tract and intestines. Symptoms include abdominal pain, diarrhea, bloody stool, or blood in the urine. In chronic cases, it can lead to liver damage, kidney failure, infertility, or bladder cancer.
Waterborne Bacteria

Bacteria like E. coli, Vibrio cholerae, and Salmonella can contaminate water, causing diseases like cholera, typhoid fever, and gastroenteritis. These bacterial infections can lead to severe dehydration, diarrhea, and even death if untreated.

  • E. coli (Escherichia coli) can contaminate water through fecal matter and cause illnesses ranging from mild gastroenteritis to severe infections. Symptoms include stomach cramps, diarrhea (often bloody), and vomiting. Severe cases can lead to dehydration, kidney failure, and even death if not properly treated.

  • Salmonella is found in contaminated water and food, Salmonella bacteria cause typhoid fever and gastroenteritis. Symptoms include fever, stomach cramps, diarrhea, and vomiting. Typhoid fever, if untreated, can lead to serious complications and death

  • Vibrio cholerae is the causative agent of cholera, this bacterium spreads through contaminated water. Cholera is characterized by watery diarrhea, vomiting, and leg cramps, leading to severe dehydration and shock. Without prompt treatment, cholera can be fatal within hours.

Waterborne Viruses

Viruses like Hepatitis A, norovirus, and rotavirus are transmitted through contaminated water, leading to liver inflammation, gastroenteritis, and severe diarrhea in infants and young children, respectively. These viral infections can significantly impact public health, especially in areas lacking proper sanitation and clean water.


  • Hepatitis A Virus causes liver inflammation and can be transmitted through contaminated water and food. Symptoms include fatigue, nausea, abdominal pain, jaundice, and dark urine. While most people recover with no lasting liver damage, the disease can be severe and life-threatening, especially in older individuals and those with pre-existing liver conditions.
  • Norovirus is known for causing acute gastroenteritis, norovirus leads to stomach pain, nausea, diarrhea, and vomiting. It is highly contagious and can spread quickly through contaminated water or in crowded conditions, such as cruise ships, schools, and healthcare facilities. Dehydration is a common complication, especially among vulnerable populations.
  • Rotavirus is the leading cause of severe diarrhea among infants and young children worldwide. The virus spreads through contaminated water and can cause fever, vomiting, and watery diarrhea. Severe cases can lead to dehydration and hospitalization. Vaccination can prevent rotavirus infection, but the public health system of Haiti is not able to provide complete vaccination.
Cholera in Haiti

Following the major earthquake in 2010, Haiti experienced a major outbreak of cholera. The outbreak, introduced by UN peacekeepers, led to over 800,000 cases and 10,000 deaths due to inadequate water and sanitation systems. This crisis stressed Haiti’s healthcare infrastructure and underscored the need for better disease surveillance and response in disaster-hit regions.

In 2022, Haiti celebrated it had zero confirmed cholera cases for the past three years. That changed in 2023 and by the end of the year The WHO reported Haiti was one of two countries with the deadliest outbreaks of cholera. In the village of Acul-Samedi the site of Hope for Haitians current project, an outbreak in early 2023 led to 7 deaths.

    Water and Womens Empowerment

    The water crisis has a major impact on the lives of Haitian women. They are the primary member of the family responsible for gathering water for consumption, cooking, and cleaning.

    A round trip to get 5-gallon bucket or Jerry can of water can take an hour or more. Washing clothes may mean a trip to the river to wash them at the riverbank and then wait for them to dry on the branches of bushes and trees. The significant time consumed in water related activities is an obstacle for the advancement of women.

    This burden limits the time women have available for participation in employment or other income-generating activities limiting their economic empowerment and further entrenching gender disparities. When safe water is more accessible there is more time to develop skills, seek employment or participate in opportunities like women’s microloans than enhance their economic security and help provide for themselves and their family.

    There are specific personal safety risks associated with water collection. The risk of injury is present every time a woman goes to gather water at a distant location on a potentially treacherous path. The need to bathe at the river, and solo treks for water increase the risks of harassment, or gender-based violence.

    For pregnant or nursing mothers, sickness resulting from contaminated water can lead to complications during pregnancy along with other serious health risks to both mother and baby.

    Impact on Children and Education

    Water borne disease is the leading cause of death for children in Haiti. Nearly 1/3 of all deaths of children are connected to issues related to contaminated water. Often it is the combination of severe malnutrition which sets the stage, and a water borne illness that tips the scale leading to significant illness or death.

    Most water related illnesses usually do not kill the victim but those that don’t still create issues for children. Frequent illness due to contaminated water interferes with a child’s ability to go to school. Education is often the only pathway out of chronic poverty, and it is already difficult to obtain. Missing educational opportunity because of illness is a big blow to future prospects for a child.

    It is not only illness related to impure water that impacts children is is also the fact that after women, children and most likely to be involved in water collection for the family. The hours children spend daily collecting water for their families can be exhausting lowering school performance for children tired from water collection. It also subjects them to the same risk of injury, harassment of personal violence.

    Water Impact on Economic Activity

    Water issues in Haiti significantly impact the country’s economy, exacerbated by the government’s inability to provide safe drinking water for all or even most of its citizens. This deficiency has led to the emergence of an unregulated private market for water, making access to safe drinking water prohibitively expensive. Consequently, some families allocate up to 20% of their income to secure water that is safe for drinking and cooking, placing a substantial strain on their already limited financial resources. This situation not only highlights the economic disparities within the country but also underscores the urgent need for comprehensive water management and infrastructure improvements.

    Furthermore, the government’s failure to ensure a reliable water supply forces many individuals, especially women, into the time-consuming task of water collection. In many Haitian communities, women bear the primary responsibility for gathering water, dedicating several hours each day to this essential activity. This commitment significantly limits their opportunities to engage in income-generating activities, pursue educational endeavors, or participate in community development, further entrenching the cycle of poverty.

    The combination of an unregulated water market, significant financial burdens on families, and the government’s inability to provide universal access to clean water directly undermines the health and economic stability of Haitian families, posing a substantial barrier to the country’s overall economic development.

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