further exacerbated by the 2010 Haiti earthquake. In 2007, 47% of the population lacked access to basic health care, with a majority of the population turning to traditional healers for various forms of treatment. A study on Haiti's prosthetic situation also revealed that less than 25% of all amputees obtain a prosthetic limb. Access to healthcare also includes issues like perceived quality of care. While well-known national maternity hospitals located in Port-au-Prince are either at full capacity or overcapacity, rural maternity beds outside of Port-au-Prince, are under utilized, with utilization rates of about 30 to 35%. However, evidence suggests that pregnant women want competent care. This under-utilization of existing rural services is directly tied to the perceived and actual quality of the facilities. A widespread tendency to avoid government-run public facilities is frequently credited to those institutions' low quality of care, such as a lack of equipment and services, and unfriendly attitude of the medical staff. Health outcomes Structural violence impacts health outcomes at both an individual and communal level. Individually, structural violence creates barriers that prevent one from properly receiving and utilizing health care systems. Some of these barriers include high user fees, which lower health facility utilization levels, as well as social stigma around certain diseases that reduce utilization and thus negatively impact health outcomes for certain individuals. An example of how the pre-existing healthcare system reinforces social stigma is the way that facility-based health care is delivered to women. In most of Haiti's public health facilities, waiting lines for family planning services and HIV/AIDS testing are designed to be separate from those of routine care. This public separation thus makes visible the social stigma of sexually transmitted diseases, which can deter women from utilizing certain sex-related health services. Aside from individual impact, structural violence also impacts the society as a whole as it facilitates inequity in terms of the distribution of a society's resources and hence the overall quality of life of a society. This uneven distribution of resources across Haiti's society has created numerous social and economic disparities, all of which have led the country to perform below other countries in a series of health outcomes. Life expectancy According to the 2011 World Health Organization data on health indicators, the average life expectancy in Haiti at birth is 61 years for males and 64 years for females, lower than the global average of 70 years. In