Left vulnerable, communities then formed self-defence groups and Haitian security forces reinforced their operations and made small gains only to be rebuffed again by gangs.

And at all stages of this cycle, human rights violations are being committed against civilians, according to a report released on Friday by the UN office in Haiti (BINUH) and the UN human rights office (OHCHR).

“Caught in the middle of this unending horror story are the Haitian people, who are at the mercy of horrific violence by gangs and exposed to human rights violations from the security forces and abuses by the so-called ‘self-defence’ groups,” said Volker Türk, High Commissioner for Human Rights.

The report also warned about “early signs of criminal governance” in the Centre Department where gangs are beginning to consolidate their gains and act as a de facto governing authority.

Four years of horror

Since 2021 and the assassination of President Jovenel Moïse, gang violence has dominated the capital Port-au-Prince which is now 85 per cent controlled by gangs, says the UN.

Over 1.3 million Haitians have been displaced because of this violence, representing the largest displacement due to political upheaval in Haitian history.

Food insecurity among displaced Haitians is rampant, with Haiti one of five countries worldwide which is experiencing famine-like conditions.

As of March 2025, the violence has also expanded into previously untouched areas of the country, specifically the Artibonite and Centre Departments where 92,000 and 147,000 people have been displaced respectively.

The report also noted that recently, gangs have begun to expand beyond central Haiti towards the border of the Dominican Republic, with the apparent goal of controlling key roads through which much of the illegal weapons trafficking is happening.

“The expansion of gang territorial control poses a major risk of spreading violence and increasing transnational trafficking in arms and people,” said Ravina Shamdasani, a UNHCR spokesperson at a briefing in Geneva.

Human rights endangered

Between October 2024 and June 2025, 4,864 people in Haiti have been killed by gang violence. At least hundreds more have been injured, kidnapped, raped and trafficked.

“Human rights abuses outside Port-au-Prince are intensifying in areas of the country where the presence of the State is extremely limited,” said Ulrika Richardson, interim Head of BINUH and UN Resident Coordinator.

While many of these human rights violations – including the denial of the right to life and physical integrity, sexual violence and forced displacement — are being perpetrated by organized gangs, there are also documented human rights abuses at the hands of Haitian authorities.

Specifically, between October 2024 and June 2025, there were 19 extrajudicial executions by security forces in the Artibonite and Centre Departments – 17 of them in Artibonite.

Self-defence groups, which are increasingly prevalent as a result of inadequate State security, have also committed human rights violations, often in the form of lynchings of suspected gang members.

“The human rights violations and abuses that we have documented are further evidence of why Haiti and the international community urgently need to step up to end the violence,” Mr. Türk said.

At this point, there have been no documented human rights abuses committed by the Multinational Security Support (MSS) mission authorized by the United Nations and funded and staffed largely by Kenya.

No accountability

The Haitian National Police and MSS have launched multiple operations to regain territory lost to the gangs. While some have been briefly successful, the operations have been unable to maintain a lasting presence or protect local communities, according to the report.

In fact, the report suggests that in the Centre, the situation is trending in the opposite direction with gangs consolidating territorial gains outside the capital and beginning to institute forms of criminal governance.

As a result of this persistent insecurity, judicial operations are virtually at a standstill in the Centre and Artibonite Departments.

“The international community must strengthen its support to the authorities, who bear the primary responsibility for protecting the Haitian population,” said Ms. Richardson.

She returns, over and over, to a single image: that of a ten-year-old girl – standing on the edge of adolescence, her future uncertain, and her rights still in grave doubt.

“Will she be able to stay in school, graduate, and make her way through the world?” Dr. Kanem wonders. “Or is she going to be derailed by things like child marriage, female genital mutilation, or abject poverty?”

That seismic question and that girl – not one child in particular, but an emblem of the millions worldwide whose future is at risk – have become the touchstone of Dr. Kanem’s nearly eight-year tenure as Executive Director of the UN’s sexual and reproductive health agency, formally known as the UN Population Fund (UNFPA).

From her early days working on the frontlines in East Africa to overseeing a $1.7 billion agency with operations in more than 150 countries, Dr. Kanem has shepherded UNFPA through global shifts, political headwinds, and ideological pushback.

Most of all, she has led a fierce revolution in the lives of millions of women and girls.

This month, she is stepping down from her post ahead of schedule. “It’s time to pass on the baton,” the 70-year-old told her staff – a 5,000-strong workforce – in a videotaped address earlier this year. “I have pledged to do everything in my capacity to keep positioning UNFPA to continue to do great things.”

Roots and ascent

Born in Panama and trained as a medical doctor, Dr. Kanem joined UNFPA in 2014 after a career in philanthropy. Her decision to serve “the noble purpose of the United Nations” first led her to East Africa and Tanzania, where she was struck by the quiet heroism of field staff. “It’s really at the country level where we prove our worth,” she told UN News.

But the job was not easy. In 2017, when she took the reins of the agency, Dr. Kanem inherited an organization grappling with waning visibility, unstable funding, and persistent pushback from conservative viewpoints. Still, UNFPA grew – not just in budget, but in stature.

“When I came, the narrative was, ‘We’re a small organization, beleaguered, nobody understands what we do,’” she said. “Now, I think it’s clearer.”

That clarity came, in part, from what Dr. Kanem calls “thought leadership.”

Whether challenging misconceptions about fertility or confronting gender-based violence enabled by technology, she pushed UNFPA to the frontlines of global discourse. “We exist in a marketplace of ideas,” she explained. “And we have to tell the truth in a way that’s compelling enough so we can garner the allies this movement requires.”

Under her leadership, the agency trained hundreds of thousands of midwives, distributed billions of contraceptives, and expanded humanitarian operations to reach women and girls in the most fragile settings – from the Rohingya camps in Bangladesh’s Cox’s Bazar to war-scarred Ukraine and cholera-stricken Haiti.

UNFPA’s presence in crisis zones was not only logistical, but symbolic. In Sudan, Syria, and Gaza, a simple tent stocked with menstrual pads, a blanket, and a bar of soap could serve as sanctuary. “It represents the respite that a woman needs in a time of crisis,” she said. “You know, we call our kits ‘dignity kits’ for that reason.”

UNFPA Executive Director, Natalia Kanem (right), visits Sudan in March 2021.

Shifting the conversation

Beyond delivering services, Dr. Kanem elevated UNFPA’s role as a thought leader in a polarised world. She steered the agency into difficult public conversations – about teen pregnancy, climate anxiety, fertility rates, and online harassment – with an unflinching insistence on rights.

“The 10-year-old girl exists,” she said. “What her parents and her religious leaders and her community think is vital for her to be well prepared, for her to know what to do when she’s challenged by coercive practices.”

That leadership extended to data. Under Dr. Kanem, UNFPA invested heavily in supporting national censuses and building dashboards to help lawmakers shape reproductive health policy with real-time insight.

This year’s State of World Population report, the agency’s annual deep dive into demographic trends, reframed conventional narratives around so-called “population collapse” – noting that many women and men delay having children not out of ideology, but because they cannot afford to raise them.

Dr. Kanem praised the altruism of young people who say they’re choosing not to have children for fear of worsening the climate crisis. But that’s not what the data shows.

“The world replacement fertility rate is not endangering the planet,” she explained. “The facts really say: you can have as many children as you can afford.”

A rights-based compass in turbulent times

Dr. Kanem’s tenure coincided with mounting attacks on reproductive rights, rising nationalism, and growing scepticism of multilateral institutions. She faced years of US funding cuts – including under the current administration – even as demand for UNFPA’s services surged.

“UNFPA has more money than we’ve ever had,” she noted. “But it’s never going to be enough to stop the flow of need.”

Resources alone won’t secure the agency’s future – credibility and persistence are just as vital. “The multilateral system itself has come under question at a time when it is needed now more than ever,” she warned. “We do have to prove ourselves each and every day. And when we make mistakes, we’ve got to get up and rectify them and find partners who are going to be allies.”

One such partner has been the private sector. In 2023, UNFPA teamed up with tech firms to launch a development impact bond in Kenya, delivering mobile-based sexual health services to prevent teenage pregnancy and new HIV infections among adolescent girls.

Dr. Natalia Kanem, head of the United Nations Population Fund (left) talks to UN News and Media Deputy Director Mita Hosali.

Changing mindsets

UNFPA has long worked to end harmful practices such as female genital mutilation (FGM) and child marriage. Under Dr. Kanem, that work became as much about shifting mindsets as changing laws.

“Yes, absolutely,” she said when asked if progress was real. “It’s been very important to see religious leaders and traditional leaders standing against certain practices… and to work with school systems so that the girls themselves will understand the risks and be able to take better decisions about their options.”

The coronavirus“>COVID-19 pandemic, she admitted, was a setback. With schools closed, some communities increased the number of weddings and FGM ceremonies. But in many countries – including populous Indonesia – UNFPA has seen the practice decline, in part thanks to youth advocates speaking out from within their own communities.

New generation, next chapter

Looking ahead, Dr. Kanem didn’t dwell on uncertainty. She spoke instead of possibility. “We’ve transformed ourselves, modernized ourselves,” she said. “There’s just unlimited possibility for UNFPA.”

Her own future includes what she calls a “mini-sabbatical” – more time for music, her family, and, finally, herself. But she won’t stay silent for long. “I know that my passion for issues of women and girls is not going to recede,” she said. “It’s been a labour of love.”

Her parting thought? One final return to the girl at the centre of it all.

“When that 10-year-old girl succeeds, everyone succeeds,” she said. “It is a better world.”