Dependency ratio is the ratio of dependents (people younger than 15 or older than 64) to the working-age population (those ages 15-64 )
Some countries have high dependency ratios because they have lots of older people (elderly dependents), others have lots of young people (young dependents).
Countries with lots of older people are typically HICs, whereas those with lots of young people are typically LICs.
According to CIA Factbook, in 2020 Haiti had a total dependency ratio of 60.4, but this is not the whole story. Haiti's high dependency ratio is because it has lots of young dependents. Its youth dependency ratio is 52.1, the second highest in the Western Hemisphere (just behind Guatamala). Whereas it's elderly dependency ratio is only 8.3.
This means Haiti is considered a country with High Child Dependency because its youth dependency ratio is >45 and its elderly dependency ratio is <15.
This creates very specific issues for Haiti in the short, medium and long term. Some of which are detailed below.
On the assumption that Haiti can reduce it's fertility through appropriate family planning its youthful population could be a major benefit, particularly if they are healthy and educated. This creates major challenges for Haiti.
Haiti faces both supply and demand challenges in education. On the supply side, there are not enough spaces for children to enroll in school. On the demand side, the average cost of US$80 in tuition per child/per year before books, uniforms and transportation, puts basic education unaffordable for many.
Maternal mortality in Haiti has declined steadily but slowly, yet Haiti’s maternal mortality rate remains the highest of any country in the Western hemisphere, at an estimated 521 deaths for every 100,000 live births. Approximately one of every 80 women in Haiti will die from childbirth and pregnancy related causes.
In Haiti, the immunisation program has been historically weak and vaccine-preventable diseases (diphtheria, pertussis, tetanus, neonatal tetanus) continue to be a public health concern. Since 2000, reported coverage levels for these diseases have fluctuated, with 53% coverage reported for 2008 and 68% for 2009.