Gangs have intensified their rampage in the downtown area of Haiti’s capital, setting fire to a school and looting pharmacies across the road from the country’s largest public hospital.

The attacks that began Monday and continued into early Tuesday mark nearly a month since gunmen began targeting key infrastructure across Port-au-Prince including police stations, the main international airport that remains closed and Haiti’s two biggest prisons, releasing more than 4,000 inmates.

“The violence and instability in Haiti have consequences far beyond the risk of the violence itself,” Catherine Russell, UNICEF’s executive director, said in a statement Tuesday. “The situation is creating a child health and nutrition crisis that could cost the lives of countless of children.” The number of children in Haiti estimated to suffer from severe acute malnutrition has increased by 19% this year, according to UNICEF. In addition, some 1.64 million people are on the precipice of famine. “This malnutrition crisis is entirely human made,” Russell said.

Violence has forced the closure of roads and certain hospitals and prevented aid groups from delivering critical supplies at a time they are needed the most.

Only two of five hospitals in Haiti are operational across the country, according to UNICEF. In addition, the violence in Port-au-Prince has prevented the distribution of health and nutrition supplies for at least 58,000 children who are severely wasted, the agency said.

Scores of people have been killed in the ongoing attacks, and some 17,000 have been left homeless as Haiti’s National Police continues to be overwhelmed by heavily armed gangs that control 80 per cent of the capital.

On Tuesday, US President Joe Biden approved up to USD 10 million in emergency assistance for Haitian security forces to “protect civilians and critical infrastructure against organised and targeted gang attacks”, White House Press Secretary Karine Jean-Pierre said.

Jean-Pierre said the funding comes from the US Department of Homeland Security budget and can be used for materials including weapons, ammunition, bullet-proof vests and helmets.

Meanwhile, members of a regional trade bloc known as Caricom have pushed to accelerate the formation of a transitional presidential council in hopes it could soon help quell the ongoing violence.

Haiti’s criminal gangs have long opposed the current Prime Minister Ariel Henry, blaming him for deepening poverty, but critics of gangs accuse them of trying to seize power for themselves or for unidentified Haitian politicians.

The transition council would be responsible for choosing a new prime minister and a council of ministers. Henry, who was locked out of Haiti when the attacks began, has said he would resign once the council is created.

However, multiple setbacks continue to delay formation of the council, which will be composed of nine members, seven of them with voting powers.

On Monday, Rene Jean Jumeau, who was nominated to represent Haiti’s religious sector in a non-voting position, resigned.

“The need for concrete action is too strong to remain helpless in the posture of spectator,” he said in a letter addressed to the council.

Meanwhile, Col. Himmler Rebu, a former colonel of Haiti’s army and president of the Grand Rally for the Revolution of Haiti, a party that obtained a seat on the council, told Radio RFM 104.9 on Tuesday that he believes the council will fail.

Rébu said officials should just move quickly to Plan B, which he said should involve granting powers to a judge from Haiti’s Supreme Court to select the country’s new leaders.

Supporters of that plan include the Protestant Federation of Haiti. It issued a statement on Monday backing the selection of a Supreme Court judge who would serve as interim president and help choose a prime minister.

Caribbean officials said no additional meetings with nominated council members are planned for the week since they have asked for more time to work through various unidentified internal issues.

Disagreements among delegates over who should head Haiti’s transitional council are stalling the body’s formation, a representative told AFP Monday, while over the weekend one member quit amid death threats.

The Caribbean nation’s security crisis has been intensified by a political one: elections have not been held since 2016, with Prime Minister Ariel Henry heading the country since President Jovenel Moise’s 2021 assassination.

As unrest has worsened under Henry’s rule — culminating when armed gangs united to launch attacks and demand his ouster late last month — the prime minister said he would resign once a transitional council was stood up.

But the body, supported by the United Nations and regional bloc CARICOM among others, is still struggling to come into shape two weeks after Henry’s March 11 announcement.

The transitional council — to be composed of seven voting members and two non-voting members — draws from Haitian political parties, the private sector and others, and is to name an interim prime minister and government to set the stage for fresh elections.

Its formation has dragged on amid arduous negotiations, though its composition changed again over the weekend.

Haiti’s ambassador to UNESCO Dominique Dupuy, chosen by one of the political coalitions, said she was stepping aside, citing threats against her and her family as well as misogynistic attacks.

She was the sole woman representative on the council, and was replaced by Smith Augustin, Haiti’s former ambassador to the Dominican Republic.

Holding up the official formation of the council is the disagreement over who should lead it, one of the delegates told AFP, speaking anonymously.

Meetings were held through the weekend and on Monday, with another one scheduled between delegates and CARICOM.

The meetings did make progress on several points, the delegate said, including on the criteria for becoming president of the council and for choosing the interim prime minister.

– Gang rule –

Ahead of the CARICOM meeting, a calm held across Port-au-Prince Monday morning, after a weekend of intense exchanges of gunfire in the Haitian capital, which has been under a state of emergency for almost a month.

While people made their way onto the street, however, the absence of government order could still be felt as schools and government offices remained closed.

Gangs are thought to control some 80 percent of the capital and swaths of the countryside.

The United Nations warned Monday that aid services in Port-au-Prince were still being disrupted by violence and insecurity.

“The crisis has crippled operations and hindered access to the few remaining facilities,” said Farhan Haq, a spokesman for UN Secretary-General Antonio Guterres.

Haq added that, according to the World Health Organization, fewer than half of the health facilities in Haiti’s capital are functioning at their normal capacity.

Members of the General Security Unit of the National Palace, USGPN, set up a security perimeter around one of the three downtown stations after police fought off an attack by gangs the day before, in Port-au-Prince, Haiti on March 9, 2024.
| Photo Credit: AP

Residents of Haiti’s capital scrambled for safety on March 9 following the latest spasm of gang violence, with a U.N. group warning of a “city under siege” after armed attackers targeted the presidential palace and police headquarters.

Criminal groups, which already control much of Port-au-Prince as well as roads leading to the rest of the country, have unleashed havoc in recent days as they try to oust Prime Minister Ariel Henry as leader of the Western hemisphere’s poorest country.

On Saturday, dozens of residents were seeking safety in public buildings, with some successfully breaking into one facility, according to an AFP correspondent.

The unrest has seen 362,000 Haitians internally displaced — more than half of them children and some forced to move multiple times, the International Organization for Migration (IOM) said Saturday.

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“Haitians are unable to lead a decent life. They are living in fear, and every day, every hour this situation carries on, the trauma gets worse,” Philippe Branchat, IOM’s chief in Haiti, said in a statement.

“People living in the capital are locked in, they have nowhere to go,” he said. “The capital is surrounded by armed groups and danger. It is a city under siege.”

Police on Friday night repelled gang attacks, including on the presidential palace, and several “bandits” were killed, Lionel Lazarre of the Haitian police union said. No police were among the victims.

The violence left burned-out vehicles, still smouldering, outside the Interior Ministry and on nearby streets, an AFP correspondent said.

Gunshots rang out late Friday throughout Port-au-Prince and witnesses recounted clashes “between police officers and bandits” as gangs apparently tried to commandeer police stations in the city center.

Mr. Lazarre on Saturday pleaded for “means and equipment” to protect police buildings and other key facilities.

State of emergency

The well-armed gangs have attacked key infrastructure in recent days, including two prisons, allowing the majority of their 3,800 inmates to escape.

Along with some ordinary Haitians, the gangs are seeking the resignation of Prime Minister Henry, who was due to leave office in February but instead agreed to a power-sharing deal with the opposition until new elections are held.

The United States has asked Henry to enact urgent political reform to prevent further escalation. But he was in Kenya when the violence broke out and is now reportedly stranded in the U.S. territory of Puerto Rico.

After months of delays, the U.N. Security Council finally gave its green light in October for a multinational policing mission led by Kenya, but that deployment has been stalled by Kenyan courts.

Port-au-Prince and western Haiti have been placed under a month-long state of emergency and a nighttime curfew was in effect until Monday, though it was unlikely overstretched police could enforce it.

‘Running away’

In Port-au-Prince, Filienne Setoute told AFP how she had worked for the Ministry of Social Affairs and Labor for more than 20 years.

That job, she said, meant she “was able to build my own house. But now here I am, homeless. I’m fleeing without knowing where to go, it’s an abuse.”

“We haven’t been able to sleep since last night,” she added. “We’re running away.”

Haiti’s airport remained closed while the main port — a key point for food imports — reported looting since suspending services on Thursday, despite efforts to set up a security perimeter.

“If we cannot access those containers (full of food), Haiti will go hungry soon,” the NGO Mercy Corps warned in a statement.

CARICOM, an alliance of Caribbean nations, has summoned envoys from the United States, France, Canada and the United Nations to a meeting Monday in Jamaica to discuss the violence.

Guyana’s President Irfaan Ali said the meeting would take up “critical issues for the stabilization of security and the provision of urgent humanitarian assistance.”

The violence is threatening the country’s most vulnerable, including pregnant women and survivors of sexual violence, as the health system collapses.

Branchat, of IOM, deplored gang attacks on hospitals and “dire” lack of mental health services.

“Some hospitals have been run over by gangs and had to evacuate staff and patients, including newborns,” he said.

“Medical professionals across the capital are sounding the alarm as their capacity to deliver even the most basic medical services is severely diminished.”