In Haiti’s health sector, there have been positive gains in some areas with stagnation in others. The 2017 Demographic Health Survey shows that during the last five years, period infant mortality decreased by 23 percent, and total fertility fell by 14 percent. The HIV prevalence among adults also declined slightly, from 2.2 percent in 2012 to 2.0 percent in 2017. In contrast, immunization coverage has deteriorated. The proportion of children who received the eight essential vaccines decreased from 45.2 percent in 2012 to 41.4 percent in 2017. In these same five years, maternal, neonatal and infant mortality rates have remained stagnant. These mixed results reflect a health sector that continues to face significant challenges. Weak governance and coordination, geographic and financial barriers to access health services, shortages of essential medicines, and the difficulty of attracting and retaining qualified health professionals, are all chronic struggles for the Ministry of Health (MOH).