During my visit to Haiti two years ago I had the privilege of visiting two hospitals: L’Hôpital Albert Schweitzer (HAS) in Haiti’s Artibonite Valley and L’Hôpital Sainte-Thérèse in Hinche, Haiti. Many of the patients at both hospitals, I learned, walked or took public transport over long distances for quality hospital care. As the poorest country in the Western Hemisphere, Haitians need many more hospitals and health workers to care after their sick. There are currently only six health workers for every 10,000 Haitians according to USAID. And, Haiti has the highest rate of infant, child, and maternal mortality in the Western Hemisphere. Most Haitians live on less than $1 a day and their life expectancy is only 64 compared to 74 for its neighbor, the Dominican Republic.
Quality health care in Haiti continues to be one of the country’s greatest problems. In fact, Haiti only spends 6 percent of its expenditures on health care and relies heavily on international funding.
Continue reading Residents in Southern Haiti Receive New Access to Quality Health Care
To Fool the Rain: Haiti’s Poor and Their Pathway to a Better Life by Steven Werlin
My rating: 4 of 5 stars
“Helping families lift themselves out of poverty means helping them build income and wealth, but it is a social phenomenon as well,” wrote Steve Werlin, the author of To Fool the Rain: Haiti’s Poor and Their Pathway to a Better Life. “And one of the social change we try to effect involves working on the way members look at themselves.”
It is quite impressive how someone’s mind and attitude can alter and reset the course of one’s life. However, in order to eventually arrive at that mind reset some people require a substantive hand out, constant observation and follow-up; not simply a prescriptive hand up. When looking at the lowest income countries in the world like Haiti a vast array of NGOs work to alleviate some of its inherent problems with programs that address the root of poverty. Some provide work programs, educational programs, health care, or even microloan programs. But some of Haiti’s families are so extremely poor they cannot dream of qualifying for many of these programs because they have virtually nothing. In fact, they live in such cyclical poverty they cannot feed themselves on a daily basis, or even every other day. In Haiti’s deepest far reaches and unfathomable rural areas are families who live in abject poverty far away from roads and towns. They require the most cumulative social programs designed by worldwide NGOs that specialize in the nuances of poverty reduction and eradication.
In Haiti, for example, one of those social programs is called “Chemen lavi miyo (CLM)” in Creole or a Pathway to a Better Life that is run by Fonkoze, Haiti’s largest microfinance organization. Even as a microfinance enterprise Fonkoze realized that to reach the poorest Haitian families means to provide overarching programs that teach rural women who qualify for their CLM program financial and entrepreneurial skills as well as life and relationship skills.
Continue reading Book Review: To Fool the Rain: Haiti’s Poor and Their Pathway to a Better Life
Rosa Freedman, University of Reading and Nicolas Lemay-Hébert, University of Birmingham
The United Nations has, at long last, accepted some responsibility that it played a part in a cholera epidemic that broke out in Haiti in 2010 and has since killed at least 9,200 people and infected nearly a million people.
This is the first time that the UN has acknowledged that it bears a duty towards the victims. It is a significant step forward in the quest for accountability and justice.
Haiti is one of the poorest countries in the world. It is frequently devastated by disasters – both natural and man-made. Yet cholera was not one of its problems before 2010. Then a group of UN peacekeepers was sent to help after an earthquake.
Continue reading As the UN finally Admits Role in Haiti Cholera Outbreak – Here is How Victims Must be Compensated
B.D. Colen, a documentary photographer, is currently in Haiti with our partner Midwives for Haiti capturing the realities of maternal health for many Haitian women who live in the country’s poor Central Plateau. The mothers who receive care from Midwives for Haiti are the lucky ones. They have access to prenatal care at mobile clinics in the region as well as in far-off villages with traditional birth attendants or matrones as they are called in Creole. Expectant mothers are also afforded quality labor and delivery as well as postnatal care in the hospital. Midwives for Haiti also teaches matrones how to perform safe, clean births for women who object to delivering in the hospital or for those who want to deliver in the hospital but it’s too far and they cannot afford transport.
As you may recall, I spent a few days in Hinche, Haiti and visited L’Hôpital Sainte-Thérèse earlier this year with Midwives for Haiti. There, I spent time with the visiting certified nurse midwives as they did rounds. Read my piece: Maternity Ward Observations: Midwifery Care in a Haitian Hospital.
Colen is documenting Midwives for Haiti’s work at their mobile clinic as well as at L’Hôpital Sainte-Thérèse. He has also visited mothers’ home.
Below are photos he has posted this week. Follow him @TheBDColen.
8/ 24/ 15: Updated to include additional posted photos from B.D. Colen.
Continue reading [Updated] Photographer Captures the Realities of Maternal Health in Haiti
By Dr. Leslee Jaeger
Roseline had delivered her baby during the chaos of our first day at Mama Baby Haiti, a birthing center for women near CapHaitian, Haiti. Mondays are the busiest day at the center, located on a dirt road just off Highway 1, as it is the intake day for expectant mothers that are new to the program. Three of us had arrived the night before from the early spring of Minnesota weather to be greeted by unseasonable warm Haitian weather – 95 degrees and high humidity.
While we were teaching 10 Haitian nurses and physicians asked about cervical cancer screening in a low resource setting and Roseline was laboring with the aide of a Haitian trained nurse midwife to deliver her healthy baby girl. She graciously agreed to be interviewed only hours after the birth of her child and shortly before she was to depart for her home (patients stay at the center for only 4 hours after an uncomplicated birth).
As is true for many of the 30-40 women who deliver at Mama Baby Haiti each month, she had heard of the program through a friend. She lives 20 minutes away and had been seen for five prenatal visits. She was appreciative of the nurse midwives that seemed to listen to her concerns and the cleanliness of the birthing center. This was Roseline’s first child. The father of her baby was sick and unable to work and she supported herself with side jobs and help from her family. The cost of her care at the center was much reduced from what her care would have cost at the local hospital. Without the services of Mama Baby Haiti, she would have had to deliver at home, either by herself or with an unskilled birth attendant.
Continue reading Cervical Cancer: Haitian Women’s Next Biggest Killer