Local Haitian Services through Innovative Financing
Summary
In 2024, Sustainable Organic Integrated Livelihoods (SOIL) and partners committed to raise and invest $13 million and launch a results-based financing mechanism in Haiti for local service provision, which would identify and direct funding towards high-impact local organizations while increasing these organizations’ capacity to scale. This innovative financing model will redefine the way public services are financed by providing results-based financing to local and community-based organizations in Haiti. This approach would expand funding to local partners, improve the sustainability and accessibility of services, and help bring resilience to people of Haiti. For the first time in this region, this unique funding approach will offer people in Haiti better access to essential services and livelihood opportunities. Through this commitment, SOIL and its partners will improve water, hygiene and sanitation systems and community-based health clinics; strengthen agricultural value chains across the country; and from 2025-2026, directly serve 309,000 Haitians.
Approach
As local service providers and market facilitators in water and sanitation, health and agriculture, this consortium commits to significantly expand access to low-resourced communities through partnerships with committed philanthropic partners, development finance institutions and government actors to unlock significant results-based financing for service scaling. This commitment will ensure access to safely managed sanitation and waste treatment for about 5% of the population of Cap Haitien in collaboration with the Haitian National Sanitation Authority (DINEPA) , strengthen, augment and improve community-based health clinics in partnership with the Ministry of Public Health, increasing access by over 175,000 people, and strengthen agricultural value chains in collaboration with the private sector and Ministry of Agriculture supporting 10,000 farmers.
Each implementer has a unique area of expertise, however, through this commitment will jointly explore how to use combined experience to shift the way development finance is disbursed, expanding the current models of development finance which largely focus on infrastructure investments to include a component of the financing for service provision. Given the lack of basic road, power and water infrastructure in Haiti, there is a critical need for new financing mechanisms which can reach those who do not have access to centralized or networked services.
Changing the way development and public financing for basic services is disbursed, in the absence of strong service authorities, has proved challenging; however, the time has come to take a close look at the ways traditional financing has excluded vulnerable populations, perpetuating inequitable access to markets and public services. Sustainable Organic Integrated Livelihoods (SOIL) and partners believe that the Clinton Global Initiative has the convening power and influence to showcase this innovative partnership in Haiti to influence decision making at a larger scale, impacting the sustainability of local service providers serving vulnerable communities around the world
Action Plan
From January 2025 to December 2026, Sustainable Organic Integrated Livelihoods (SOIL) plans to expand access to safely-managed household sanitation to 5% of the population of Cap Haitien, resulting in a 50% reduction in families who have no access to sanitation, while working with other private sector providers and the Haitian government to develop strategies for replication in other cities throughout the country.
In the first 18 months of partnership, Acceso and the Haiti Food Systems Alliance (HFSA) , via the Seed to Market project, has committed to increasing the yields of 1,000 smallholder farming families by implementing basic regenerative and agroforestry practices. In the next phase of partnership which will last four additional years, Acceso and the HFSA will expand to support 10,000 farmers, both supporting regenerative practices but also connecting farmers to stable, profitable local markets.
In the next two years, C2C is committed to expanding its community clinic model in partnership with the Ministry of Health, launching four new sites while reinforcing their Community Health Worker program to significantly improve health outcomes for children under five. Additionally, C2C will drive impactful advancements in women’s reproductive health by prioritizing maternal health, postnatal care, family planning, and sexual and reproductive health (SRH) . Simultaneously, C2C will implement robust strategies and tools to guarantee that every C2C patient receives exceptional, patient-centered care during every visit, setting new standards for quality healthcare in Haiti.
Background
Foreign aid and development assistance have long played a central role in addressing pressing social and environmental issues in Haiti. Foreign Direct Aid totaled nearly 8% of GDP from 2000-2019. Despite this assistance, nearly 60% of Haiti’s population still lives on less than US$3.65 per day, and 4.6 million Haitians suffer from acute food insecurity and require urgent assistance (World Bank, 2023; IPC, 2022) . Haiti faces chronically high fragility, including political instability, insecurity, violence and vulnerability to natural disasters.
New financing instruments are urgently needed to ensure private and public funds are spent transparently and effectively to alleviate human suffering. Instruments such as Results-Based Financing (RBF) contracts are critical to ensure improved accountability and outcomes. These instruments identify and direct funding towards high-impact local organizations while increasing these organizations’ capacity to scale. Thoughtful structuring of these partnerships in collaboration with government stakeholders can develop models for future public-private partnership.
The commitment partners are long-standing local service providers in Haiti seeking to redefine the way non-profit organizations fund and implement public service provision and market development. The end goal is a thriving public-private ecosystem which ensures sustainable and equitable access to basic services and livelihood opportunities.
Locally based non-profit implementers in Haiti are uniquely placed to respond to basic needs given their deep connections to the communities where they work and a network of local stakeholders. While many international organizations have had to cease operations, local providers continue to navigate the complex socio-political landscape to provide ongoing, critical services. This work has continued through the generosity of committed philanthropic foundations. To scale these services and reorient them to a future of active government partnership, there is a need to unlock much larger sources of financing through innovative mechanisms which support equitable service provision in the absence of infrastructure.
Progress Update
Partnership Opportunities
Sustainable Organic Integrated Livelihoods (SOIL) and partners are seeking additional financial resources from philanthropic foundations who are results-oriented and interested in creating impact in fragile contexts as well as larger development finance institutions and bilateral donors who have significant budgets for Haiti but often struggle to partner with local providers., Sustainable Organic Integrated Livelihoods (SOIL) and partners believe this model has the potential to be replicated for other sectors within Haiti and also in fragile contexts globally, whether highly localized (such as informal settlements or isolated rural communities) or at a national level.