Table 2. Evolution of the Haiti Master Health Facility List
Pre-earthquakeBefore 2010The HSIS list was available online through the HSIS website.Last updated in 2009.No entity served as a repository for an MHFL. The HSIS became the basis for the MHFL, but it was incomplete; it did not cover the non-public sector and had variable reporting from the 750 public health facilities in it.
1January 29, 2010PAHOInformation on health facilities from the HSIS was merged with other lists creating a total of +/- 1,260 records. The 2009 HSIS health facility list included the following fields: rank (a number assigned to the facility according to when it was created in the commune); name of the department, district, and commune where the facility is located; name of the facility; category (e.g., dispensary, hospital); and type (public, private, or mixed).Information sources included: HSIS, MESI, USAID, PAHO, PEPFAR, UNOCHA, the Sahana Foundation, MINUSTAH, and Ushahidi.
2February 9, 2010PAHO7 new health facilities were added.
3February 12, 2010PAHONew fields were added for damage and operational status information; 39 new health facilities were added (including field hospitals); and 41 duplicate records were removed.
4February 16, 2010PAHO63 new health facilities were added; 19 duplicate records were removed; and metadata was updated.
5February 26, 2010PAHOHealthC_IDs (unique identification codes) were added to facilities that previously lacked one.All HealthC_IDs from version 4 remained unchanged, but changes were made to the algorithm used to generate new unique identifiers in the metadata (Supplementary Appendix).
6March 11, 2010PAHORegion, commune, and department IDs in the MHFL were matched to the MSPP_2010 list; official facility names were added; inaccurate values for the various codes used by the MSPP were corrected; geocodes of numerous MSPP sites were corrected; and about 20 duplicate records were removed. This version included all 2010 MSPP health facilities.New information received post-earthquake from MEASURE Evaluation on behalf of the Haitian MSPP was incorporated into the new MHFL.
7March 18, 2010PAHO. Stewardship transferred to Shoreland, Inc., in April 2010, and version 7 was republished on Shoreland's Travax system.1750 duplicates were removed and more than 80 new health facilities were added. CATEGORIE, TYPE, and SANTE_ID fields were updated with the latest information from the MSPP.When the list was republished on the Travax site,17 a field for cholera treatment centers was added.
Liste des Institutions SanitairesSummer 2011MSPPHealth facilities and field hospitals can now be uniquely identified. Data are updated and validated through self-reporting from facilities and data collection efforts by the MSPP and partners. Some duplicates and data quality issues remain. The list does not include information on mobile clinics (those that are still operational).The MSPP incorporated the MHFL for a key input to its routine health information system. The MHFL forms the basis of the Liste des Institutions Sanitaires19 and is integrated into the MSPP's service delivery and infrastructure database.20,21 It is used on an ongoing basis to measure health service coverage.
  • Abbreviations: HSIS, Haiti Health Information System (Système d'Information Sanitaire d'Haïti); MESI, Electronic Monitoring, Evaluation and Surveillance Interface for HIV-infected patients; MHFL, master health facility list; MINUSTAH, United Nations Stabilization Mission in Haiti; MSPP, Haitian Ministry of Health (Ministère de la Santé Publique et de la Population); PAHO, Pan American Health Organization; PEPFAR, U.S. President's Emergency Plan for AIDS Relief; UNOCHA, United Nations/Office for the Coordination of Humanitarian Affairs; USAID, U.S. Agency for International Development.