This article examines post-earthquake conditions in Haiti, which have left women and girls in a heightened state of vulnerability, as well as the ineffectiveness of the U.N. and government to uphold obligations under international law to include grassroots women’s leadership in the planning and implementation sessions to address sexual violence in displacement camps. It provides a brief overview of pre- and post-earthquake responses to sexual violence in Haiti, and then an overview of sexual violence and the vulnerability of women and girls since the earthquake.