The Caribbean island of Hispaniola is shared by Haiti and the Dominican Republic.  Haiti is considered the poorest country in the Western Hemisphere.  The Ministry of Care undertook a mission trip to this nation in 2013, a couple of years after the great earthquake of 2010.  The death toll from this event is estimated to have reached as high as 300,000, while recovery continues to be slow because of limited resources and recurrent losses from new disaster events.
Haiti represents a special challenge to humanitarian aid workers and providers of care because of the large collection of impoverished persons and because of the frequency and severity of natural disasters that have devastated the area for several years in succession.