NexSa
Triple Nexus and inclusive health
Strengthening the resilience of health systems and communities in fragile contexts in Haiti and Cameroon.
Implementation (2025-2030)
Total budget: Can$10,499,930
Description
NexSa works to ensure that displaced women and survivors of sexual and gender-based violence living in fragile contexts in Haiti and Cameroon have equitable access to healthcare and can assert their rights. The project empowers them through an innovative approach that integrates humanitarian action, development, and peacebuilding.
Context
NexSa responds to the protracted crises affecting communities in Haiti and Cameroon. Security instability, mass displacement, and fragile health systems exacerbate gender inequalities and limit access to medical and psychosocial care services.
Haiti
27% of Haitian women have experienced a form of sexual violence in their lifetime.
40% of hospitals in the Ouest department have been closed since May 2024.
A 17% satisfaction rate for mental health services, due to the near- absence of the service.
The urgency
in numbers
Cameroon
35% of Cameroonian women reported having experienced sexual violence.
Less than 2% health insurance coverage in the Far North.
6% of women adopt healthy behaviors regarding sexual and reproductive health.
The urgency
in numbers
Haiti
27% of Haitian women have experienced a form of sexual violence in their lifetime.
40% of hospitals in the Ouest department have been closed since May 2024.
A 17% satisfaction rate for mental health services, due to the near- absence of the service.
Cameroon
35% of Cameroonian women reported having experienced sexual violence.
Less than 2% health insurance coverage in the Far North.
6% of women adopt healthy behaviors regarding sexual and reproductive health.
Our approach
NexSa implements a Triple Nexus and inclusive health approach, an internationally recognized framework that it adapts to the contexts of Haiti and Cameroon through four pillars:
Nexus :
Intersectional feminism:
analysis of power relations
Decolonial approach:
valorization of local knowledge
Social determinants of health:
action on structural factors
NexSa
Concrete changes are expected
Accessible and appropriate healthcare
We are strengthening local health systems to provide services tailored to the needs of displaced and survivor women, particularly in sexual and reproductive health, while encouraging the adoption of behaviors that promote well-being and strengthening protective factors within communities, and also supporting the economic empowerment of vulnerable people.
More United Communities
We support spaces for dialogue and restorative justice to strengthen social cohesion and peaceful conflict resolution, while integrating women’s voices.
Women’s organizations that have a voice
We strengthen the capacity of women’s and inclusion organisations to promote and protect health rights, by amplifying their voice in decision-making spaces.
people directly supported in the communes of Léogâne and Gressier (Haiti) and the districts of Mayo-Tsanaga and Mayo-Sava (Cameroon).
additional people who could benefit from the effects of the project in the surrounding communities.
%
of women and girls among those directly supported.
Haiti : ROFGL, Famn Deside, Nègès Mawon, INHSAC, UAS Anacaona
Cameroon: CDD-Caritas, ALVF, ALDEPA
NexSa is implemented by Mission inclusion in partnership with the Interdisciplinary Centre for International Health Development (CIDIS) of the Université de Sherbrooke and with the support of the Government of Canada.
Jules and Paul-Émile Léger Foundation
© 2019-2025 The Léger Foundation. All rights reserved.