This report has been prepared to provide the Inter-American Development Bank with a policy analysis of the relationships established by Haitian organizations in the diaspora with their country of origin. It considers the actions of Haitian organizations and associations in four locations outside of Haiti and how they have addressed serious gaps in Haitian health care delivery and education. The intention is to shed light on how Haitian migrants and those still in the country are contributing to development processes which have implications for international policies and practices. The decision to focus on health and education reflects a particular interest in how private groups have attempted to fulfill functions that the state has seriously neglected. This analysis is intended to inform future donor decisions related to their support for health and education initiatives in Haiti.