In the Republic of Haiti, there was a strong demand for improving health facilities and strengthening referral systems (cooperation among hospitals) in order to realize better healthcare services. In particular, the development of local hospitals and the improvement of healthcare services were urgent issues. Meanwhile, Haiti is located in an earthquake-prone area, and about 310,000 people died and 3.7 million people suffered due to the big earthquake in 2010. Haiti also experiences heavy rain and flood disasters from big hurricanes a few times each year. In particular, more than 1,000 people died due to hurricane “Matthew” in 2016. Therefore, Haiti regarded developing the core hospital in three regions which had enormous damage from the hurricane in 2008 as a priority, and requested the Japanese government to support the development of Saint-Michel Hospital in Jacmel in 2009. After that, a large earthquake struck in January 2010 and several facilities at the hospital were damaged. They continued to provide medical treatment in the remaining facilities, tents, and temporary buildings constructed by aid agencies because it was the only secondary hospital that had an emergency department and a prenatal medical facility in the South-East region. But those remaining buildings were also severely damaged and there was concern about further damage from aftershocks. Medical facilities and equipment were in shortage, and it was difficult to play a role as a secondary medical facility. Therefore, this project was conducted as a cooperation program in order to restore the confidence of local people and provide basic human needs by providing medical facilities, equipment and tools, and strengthening healthcare services in Haiti.