Many of the survivors have not only been traumatized by the earthquake but by earlier conflicts and rampant violence. Apart from treating acute cases it is necessary to establish sustainable infrastructures in psychosocial care. Moreover the whole public health system in Haiti was very weak and undeveloped when the earthquake occurred. Therefore after the end of the emergency phase there is further need to build up a primary health care system. It is on this area that Trauma Aid wants to focus in the immediate future.