Even before the earthquake, the health situation in Haiti was already one of the most fragile in the region. However, over the past years, significant progress was made in several areas, including nutrition and HIV-AIDS prevention. In 2012, the United Nations continued to support a wide range of programmes to improve service delivery to the most vulnerable through state and non-state actors. The fight against cholera has remained a priority. Since the outbreak of the epidemic in October 2010, the United Nations has spent about USD 118 million on prevention and treatment activities in support of the Government of Haiti.