Prior to the founding of USAFAHTT, the work of providing safe spaces for children to learn table tennis was done largely by the AHTT, under the leadership of the Technical Director, Mozart François. Table tennis is a safe sport, which does not require a lot of land or equipment; it is accessible to people of all ages; it is not limited to one gender or another; it can be played by people with handicaps (such as amputees).  In 1989, Mozart François and Herold François first established the AHTT. Initially funded entirely by Mozart and Herold, the AHTT worked to make table tennis more widely available in Haiti. Increasingly over the years, AHTT has brought equipment, coaching, and support to as many children as could be reached by one man and a small budget. Before AHTT, the average Haitian was not exposed to the sport of table tennis. There were no tournaments in Haiti, and there were few or no Haitians participating in tournaments outside of Haiti.

The AHTT established itself as the national Table Tennis Association in 1997. In 1999, AHTT was granted membership in ITTF and was recognized by the Commité Olympique Haitienne.

On January 12, 2010, there was a devastating earthquake in Haiti. Many schools were damaged and/or destroyed. Many people were killed, many people were seriously injured, and many people were made homeless. The infrastructure, which was already deficient, was further degraded. The poverty and hopelessness endemic in Haiti became overwhelming.

The AHTT has taken on the challenge of alleviating the misery into which children are born and raised today. The goal remains to teach the children of Haiti to acquire skills, strength, self-respect, and self-reliance; to encourage their desire to make the world a better place for themselves and for others.