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MSF Evacuates Hospital in Cité Soleil as Haiti’s Gang Violence Escalates

5/13/2026, 11:23:08 PM

Hospital Evacuation in Cité Soleil

On May 10-11, Doctors Without Borders (Médecins Sans Frontières, MSF) halted operations at its Cité Soleil hospital in Port-au-Prince after gunfire intensified across the neighbourhood. The agency reported that more than 800 residents sought shelter there, including pregnant women and newborns transferred from nearby Hopital Fontaine. Over a 12-hour period staff treated more than 50 gunshot victims, and a security guard was struck by a stray bullet inside the compound. MSF announced that “the gunfire has not stopped” and that no hospital remained open in the fighting zone, prompting a full evacuation of patients by ambulance and the relocation of staff to a safe house.

Background: Gang Conflict and Security Vacuum

Violence surged after the July 2021 assassination of President Jovenel Moïse, with gangs now controlling roughly 90 % of Port-au-Prince. A broad alliance known as Viv Ansanm, including the Chen Mechen gang, has been fighting rival factions for control of Cité Soleil and the nearby Croix-des-Bouquets area. The Kenyan-led UN-backed security mission withdrew its last members on April 27, leaving a restructuring effort hampered by funding shortfalls, personnel gaps, and allegations of sexual abuse.

Key Actors

  • Davina Hayles, MSF head of mission in Haiti.
  • Alix Didier Fils-Aimé, Prime Minister of Haiti.
  • Delphine Gardère, CEO of Rhum Barbancourt.
  • Chen Mechen gang and other factions within the Viv Ansanm alliance.
  • UN Security Council, which approved a plan for a 5,550-person force (only 400 Chadian troops have arrived).

Timeline of Recent Escalation

  • Mid-April 2026: Kenyan police contingent departs Port-au-Prince.
  • Late April 2026: UN-linked foreign troops begin arriving.
  • May 10 2026 (Sunday): Intense gun battles erupt in Cité Soleil.
  • May 11 2026 (Monday): MSF evacuates hospital; Prime Minister announces election postponement.

Data & Statistics

  • ? 800 people sheltered in MSF hospital; > 50 gunshot patients treated.
  • UN estimate: 1.45 million internally displaced at end 2025; IOM reports > 1.4 million displaced overall.
  • 70 % of Port-au-Prince health facilities closed (ICRC).
  • Planned deployment of 5,500 troops by summer; only 400 Chadian personnel on the ground.

Impact on Health System and Elections

The evacuation underscores the collapse of Haiti’s health infrastructure and leaves thousands without emergency care. Prime Minister Fils-Aimé cited the security situation as the reason elections scheduled for August 2026 cannot proceed, pushing the timeline to at least year-end.

Official Statements & Responses

MSF issued a statement that it could no longer protect staff or patients amid ongoing gunfire. The Prime Minister declared that “security conditions are not met” for elections and emphasized the need for a safer environment. Barbancourt’s leadership warned that deteriorating roads around Toussaint Louverture International Airport hinder security patrols, urging government action. The UN mission reiterated its commitment to deploy additional troops, though funding and logistics remain uncertain.

Criticism & Opposition

Business leaders, including Barbancourt, criticized the government’s “largely insufficient” response to the crisis. The Kenyan police contingent faced accusations of sexual exploitation, which its commanders denied. Observers noted that delays in reinforcing the UN-backed force have emboldened gangs.

On-the-Ground Reports

Monique Verdieux, 56, described fleeing to a highway after her neighbourhood was set ablaze, now sleeping on the street. Hospital staff recounted patients and families streaming in for shelter, only to be forced out as gunfire drew nearer.

Conflicting Reports & Gaps

Displacement figures vary: UN-based reports cite 5,000 newly displaced in two weeks, while IOM estimates exceed 1.4 million overall. Troop numbers differ, with the UN authorizing 5,550 positions but only 400 Chadian soldiers confirmed on the ground. Gunshot casualty counts range from “over 40” (AP) to “more than 50” (CBC).

Verbatim Quotes

  • “It's a hard decision,” — Davina Hayles, MSF head of mission in Haiti
  • “We managed to evacuate him and his condition is now stable,” — Davina Hayles, MSF head of mission in Haiti
  • “You cannot secure an airport if you allow the roads around it to degrade,” — Delphine Gardère, CEO, Rhum Barbancourt
  • “It is clear that the security conditions are not met at the level for us to have elections in August,” — Alix Didier Fils-Aimé, Prime Minister of Haiti
  • “The health system has completely collapsed in Haiti,” — Davina Hayles, MSF head of mission in Haiti

What’s Next

The UN aims to increase troop contributions before October 2026, while MSF plans to return to Cité Soleil once safety can be assured. The postponed presidential election is slated for the end of 2026, contingent on improved security conditions.