To determine the factors leading to outbreaks of the sugarcane aphid, Melanaphis sacchari, (Zehntner) (Hemiptera: Aphididae) in sorghum in Haiti, a survey was carried out on farms during two cropping seasons, spring and fall of 2018. A total of 45 plots in three Haitian regions were monitored from the five-leaf stage to grain ripening. Infestation with M. sacchari was significantly higher in spring than in fall, except in one location. Melanaphis sacchari populations varied significantly according to phenological stages of sorghum, with significantly higher abundance during the heading and flowering stages than other stages. In and around sorghum fields, the sugarcane aphid was observed on plants from three families: Poaceae, Malvaceae, and Cucurbitaceae. Aphid natural enemies found in sorghum fields consisted of eight species of ladybeetles (Coleoptera: Coccinellidae), one hoverfly (Diptera: Syrphidae), one lacewing (Neuroptera: Chrysopidae), and one predatory midge (Diptera: Cecidomyiidae). In addition to these predators, two parasitoid species, Adialytus sp. (Hymenoptera: Braconidae) and Pachyneuron aphidis (Bouché) (Hymenoptera: Pteromalidae), emerged from sugarcane aphid mummies. Predator and parasitoid densities were highly affected by growing season, with most of the biological control happening in fall. This study provides insights on sugarcane aphid management in Haiti and the Caribbean Islands.