primary education certificate. The 2006 World Bank report notes that "the high dropout rate is generally not reflective of a Haitian disregard for or disinterest in education; rather, it is an unfortunate consequence of limited family resources". In the poorest 20% of households in Haiti, school fees can represent up to 25% of a family's annual household income per child. Of those who were able to progress to secondary education, 75% go to private schools. Students who complete secondary schooling were not automatically eligible to enroll in a university. This is because approximately 90% of the higher education system consists of private universities with high tuition fees, making it unaffordable to the general population. While the average GDP per capita in Haiti is $673, tuition fees can exceed more than $2000 a year for Haitian private universities. There is also a lack of enrollment space among public Haitian universities, which comprise 5% of all institutions of higher learning. Access to healthcare Serviced by a mixture of the public sector, the private sector, the non-profit sector, and religious institutions, the health system in Haiti faces the challenge of establishing efficient health coordination. This is further compounded by the presence of more than 250 additional implementing partners within the health sector. Coupled with a continuing series of political upheavals that have led to an unending social instability, Haiti's inefficient healthcare framework has crippled the nation's ability to provide good healthcare access to its people. The government has limited ability to provide services, where about 55% of health care is provided by missionaries or other non-governmental organizations. While there are a small number of physicians who operate for-profit clinics, most are found in the larger cities. Additionally, medical services, whether public or private are disproportionately located in the metropolitan Port-au-Prince area. Obstetric facilities also follow a similar trend. Hospitals outside the Port-au-Prince area provide limited obstetric services. In rural areas, prenatal care services are often delivered either by outreach teams or by small clinics that do not have formal maternity wards or delivery capabilities. This physical separation of adequate medical facilitates from parts of rural Haiti makes access to healthcare by those living away from the city difficult. While most medical infrastructures are concentrated within Port-au-Prince, these hospitals and clinical facilities are often in a dilapidated state as they are compromised by infrastructural deficiencies and electrical blackouts. This lack of medical infrastructure was