Tag Archives: vaccines

[Photos] Haiti Works Toward Eliminating Maternal Tetanus

Casimer Dieuvela, 24 years old and five months pregnant, lives two to three hours walk from her monthly health post in Deschappelles, Haiti, but she goes despite the distance to receive her tetanus shot.

It’s her third time coming to the health post run by health agent Junior Exanthus and arranged by Hôpital Albert Schweitzer (HAS). Dieuvela brings her daughter to receive her full course of vaccinations. HAS also immunizes pregnant women for tetanus. Last year there were 1,332 first doses and boosters administered.

“I heard through a neighbor about the health post,” Dieuvela said through translation. “I come because it is good for my health. It is important to me.”

Maternal and newborn tetanus (MNT) is an extremely deadly disease, but can be prevented through immunization, proper cord care, and hygienic birthing practices. Without care and immunizations, tetanus has a 100 percent death rate. In Haiti 1.3 million women between the ages of 15 – 49 are at risk of contracting tetanus.

Maternal Tetanus
Women receiving the maternal tetanus shot at a health post in Deschappelles, Haiti

The World Health Organization effectively started initiative campaigns to eliminate maternal tetanus in 1999 with a goal year of reaching the goal by 2015. Thus far, 36 of highly affected countries have reached their goal to eliminate maternal tetanus. Haiti is not one of those countries. In fact, Haiti accounts for 50 percent of all maternal and newborn cases of tetanus in the Western Hemisphere.

Since 1999, 129.5 million expectant women have been immunized against tetanus. According to the WHO, MNT remains a major public health problem in 23 countries.

In 2013, Minister of Health of Haiti Florence D. Guillaume said during a vaccine drive in Port-au-Prince, “Vaccination has always been a priority for prevention and improving health and today we are reaffirming that commitment.”

Expectant women receiving tetanus vaccine in Deschappelles, Haiti.
Expectant women receiving tetanus vaccine in Deschappelles, Haiti.

In order to eliminate maternal tetanus, more women in remote areas need to be vaccinated. GAVI has committed to over $20 million dollars in vaccines and health systems strengthening through 2020. As of Feb 28, 2015, a little over $10 million has been disbursed.


Save the Children Sounds Alarm on Plight of the World’s Urban Poor

When you think about very low- and middle-income countries you might assume that the poor in deep rural pockets in these countries have the highest chance for maternal and infant mortality. That isn’t the case according to Save the Children’s latest State of the World’s Mothers report released today.

The report says that it is the urban poor in countries like Haiti, Somalia, Niger and Mali, for example, who are suffering the most and have less access to health care, nutrition services, sanitation and clean water. Even as child mortality has decreased by 49 percent since 1990, the numbers do not fully tell the entire story. While resources have successfully helped the rural populations, the urban poor continue to suffer from a lack of overall services that will allow them to live and thrive.

“Our new report reveals a devastating child survival divide between the haves and have-nots, telling a tale of two cities among urban communities around the world, including the United States,” said Carolyn Miles, president and CEO of Save the Children in a statemtn. “For babies born in the big city, it’s survival of the richest.”

New data says there are 54 percent of the world’s population lives in urban areas. 860 million people live in urban slums in big cities like Delhi, Nairobi, Rio, and Johannesburg where the disparity between the rich and poor is incredibly stark. In fact, poor children in urban areas are two times more likely to die than their richer peers. In some countries, poor children are up to five times more likely to die before the age of five than their peers in a much higher income bracket.

Slum area - Addis Ababa
Slum area – Addis Ababa

Urban slums continue to grow because poor migrants from rural areas seek jobs in cities. This causes squatter communities and slum-dwelling as well as a perpetual cycle of poverty. These migrants often believe that it is better to live in crowded slums in the city than in their rural home towns because they can at least find work. The tradeoff, however, comes in the form of poor living conditions.

Continue reading Save the Children Sounds Alarm on Plight of the World’s Urban Poor

The Priceless Reaction of a Baby Being Vaccinated #Haiti

As I watched baby after baby receive the pentavalent (5-in-1) vaccine at a mobile health post put on by Hôpital Albert Schweitzer (HAS) in Haiti this week, their reactions were all the same. First, they were oblivious to what was going on. Then, they all felt a momentary prick of pain and the waterworks began.

Vaccinations Vaccinations vaccinations

Even though each of the babies experienced short-lived pain, they are now protected against diphtheria, pertussis and tetanus (thus replacing the former diphtheria, pertussis, and tetanus vaccine), hepatitis B and Haemophilus influenzae type b (Hib), which causes pneumonia and meningitis.

Continue reading The Priceless Reaction of a Baby Being Vaccinated #Haiti

Health Agent Junior Exantus on Why He Became a Health Worker

Junior Exantus
Junior Exantus prepares the pentavalent vaccine.

Junior Exantus is a health agent for Hôpital Albert Schweitzer in Haiti. He has been a health agent for three years.

“I wanted to enter the field to help the community,” said Exantus through translation. “I saw a lot of illnesses in the community.”

Continue reading Health Agent Junior Exantus on Why He Became a Health Worker