In recent years, violence in Haiti has reached unprecedented heights, with gangs controlling large areas of Port-au-Prince and its suburbs. Communities live in constant fear, while roadblocks, shootings and kidnappings have become commonplace. This climate of insecurity has devastated institutions across the country, pushing the healthcare system in many regions to the brink of collapse. In the midst of this turmoil, the staff at Zanmi Lasante remain steadfast, embodying the hope and resilience that keeps essential healthcare services up and running.
The Unsung Heroes
When one thinks of healthcare, doctors and nurses often come to mind. While their contributions are invaluable, the crucial role of administrative and support staff - whether in the pharmacy, warehouse, garage or logistics - often remains in the shadows. Yet these women and men form the indispensable foundation that makes care possible.
For Joseph G., a logistician and forklift operator who has worked at Zanmi Lasante for 9 years, these challenges take on a deeply personal dimension. “I live in a very dangerous part of Port-au-Prince,” he explains. “Sometimes I have to get through roadblocks or leave the house when gunfire breaks out in the street. My family depends on me, so I find a way, I have to be an example for my children.”
Joseph’s sacrifices go far beyond his daily commute. He has spent years building the family home, but the constant threat of violence persists. “At any moment, we could be forced to abandon everything and leave without knowing where to go. The idea of sleeping at a friend’s house, in a school or even on the street is a constant burden,” he confides.
The psychological burden is immense. Joseph admits that the stress is sometimes unbearable. “It’s not just for me, it’s for my family and their safety. But then I remember: I’m not sick, I’m not bedridden in a hospital. I’m committed to helping those who are, those who need medication, who rely on someone to support them. If not us, then who? That’s what motivates me to keep going.”
Despite the weight of his responsibilities and the daily dangers, Joseph finds strength in the impact of his work. “Knowing that we are helping those less fortunate than myself gives me the energy to keep going. At my level, I’m contributing to the mission, and that fills me with pride and gives meaning to my life.”
A Commitment in the Midst of Crisis
Widespread violence in Haiti not only threatens lives, it also takes a heavy psychological toll. Chronic stress, depression and burnout are constant realities for ZL staff, faced with unimaginable challenges.
For Fabiola L., a pharmacist and warehouse manager at ZL for 12 years, work has become an escape. “Living in Haiti, especially in the capital, has become a nightmare,” she says. Her biggest fear is the daily commute to Santo. “Every time, I wonder if I’ll get there safely. The roads are unpredictable, and there’s no guarantee I’ll get home in the evening.”
Despite the risks, Fabiola finds comfort in her team and their shared mission. “When I’m working, I forget everything else. My presence motivates my team; they know they’re not alone in this fight. I often remind them that they are the engine of this institution and that our patients’ lives depend on their dedication.”
The Zanmi Lasante Engine
For Joseph and Fabiola, their work goes beyond a simple function: it’s a vocation. As Dr. Reginald Fils-Aimé, ZL’s Director of Strategic Planning, explains, “It’s the love of what I do and the pride of contributing to such a noble cause, at a time when our country needs it most, that keeps me going. We need our salaries to support our families, but many of us could choose other opportunities. We choose this one because we believe in the mission.”
The staff at Zanmi Lasante continue to rise to the challenge despite extraordinary conditions. Whether caring for patients, delivering supplies to facilities or maintaining vehicles carrying life-saving medicines, they know their work is essential to those they serve.
As Joseph sums up, “We stay strong. It’s not easy, but when I think of the people who rely on us, I know we can’t give up. Together, we’re making it possible for hope to survive in Haiti.”