Speciality Training Increases Ability to Care for High Risk Mothers and Infants

This slideshow requires JavaScript.

Five young Haitian professionals from the NPH Haiti St. Damien Hospital are currently in Milan and Genova, invited by Fondazione Francesca Rava – NPH Italy, in a mission to acquire advanced medical knowledge to assist Haitian mothers and babies.

Obstetricians Hansa David and Josette Michel, are completing an internship at the Ospedale dei bambini Buzzi, Milan, to increase their knowledge on labor and delivery to raise awareness about the confrontation between the realities of Italy and Haiti.

Wancy Valmont and Joseph Jean Pierre, gynecologists of the maternity ward at St. Damien, are working with the team of the Clinica Mangiagalli in Milano. The focus of their formation are eco graphs, pre-natal diagnosis and fetal growth. Their formation is part of the High Risk Maternity Project of the St. Damien Hospital in Haiti, born after the 2010 earthquake with the intent to reduce maternal and infant mortality after delivery.

Steve Gabriel, specializing in pediatric surgery at St. Damien, is following an internship at the Istituto Gaslini di Genova, to enhance his capacity in oncological and urological surgery. Steve is one of the two young general surgeons at their third year of pediatric surgery training program organized by Fondazione Francesca Rava, in collaboration with Italian Society in Pediatric Surgery (SICP) and Ospedale Gaslini di Genova.

The five Haitian professionals arrived in Italy thanks to the support of Rotary Foundation in collaboration with Rotary Club Cremona Po, Rotary Club Aix en Provence, Rotary Club Port-au-Prince. They also received in Cremona, the donation of a portable eco-graph for St.. Damien. We are also thankful to Dr. Houdicourt, a consultant at St. Damien for pediatric ophthalmology, for having promoted the collaboration between the Italian and Haitian clubs.

St. Damien Needs You

tjs_9586In July, a hospital providing free care near St. Damien Pediatric Hospital closed, and by year end, another nearby hospital plans to follow suit. In Haiti, a country where access to healthcare is already almost non-existent, these hospital closings leave an underserved, vulnerable population with very few options, even in life and death.

As a result of the recent and imminent hospital closings, St. Damien is experiencing a tremendous increase in demand for services, particularly from women in labor and children, putting a significant strain on the hospital’s resources. St. Damien, motivated by the gospel command to care for the sick and strive to offset the injustices of poverty, is committed to meeting the needs of those who call on it for help with no other place to go.

St. Damien anticipates extending its maternity services to an additional 250 women and its neonatology services to an additional 50 babies per year. In order to do so, the hospital is seeking emergency funds to hire 16 new maternity and neonatology staff (e.g. physicians, nurses, midwives, and custodians) and to purchase needed medical equipment and supplies (e.g. four new incubators, eight new beds, additional medicine, etc.).

For as little as $50, you can help save the life of a child and extend quality and dignified healthcare to the women and children who depend on the hospital in their time of need. On behalf of those St. Damien serves, thank you for your consideration and for your generosity. You can donate here. 

Hands Up for World AIDS Day

Antiretroviral therapy reduces the risk of #HIV transmission to babies & saves #children’s lives. #HIVprevention

The NPH Haiti St. Damien Pediatric Hospital has a program for elimination of mother to child transmission (EMTCT) of HIV. In 2015, this program had over 3,500 consults and provided ARTs to over 780 women and children.

Read more at:

https://saintdamienhospital.nph.org/2016/09/01/making-an-hiv-free-future-a-reality-in-haiti/

pm

Six New Haitian Pediatricians to Serve the Children

This slideshow requires JavaScript.

On September 18th, six new pediatricians trained by the consortium NPH Haiti St. Damien Pediatric Hospital, University Notre Dame d’Haiti (UNDH) and Hospital Bernard Mevs/ Medishare, graduated after three years of training. The graduates were:

  • Renee Alcee
  • Roberson Charles
  • Joelle C. Denis
  • Frantzy Dieudonné
  • Danielle Dorinvil
  • Valerie Lallemand

The residency program started in September 2013, to improve the quality of pediatric care in Haiti where there is an estimated one doctor for every 15,000 people, with the most vulnerable being children.

There is a severe shortage of specialty training for medical graduates in Haiti. Only 60% of them have access to a residency program. Furthermore, only 300 pediatricians are in function in a country where 30% of the 10 million inhabitants are children under 15 years of age. St. Damien, with over 20 years of experience in managing pediatric healthcare, decided to combine its efforts with UNDH and Bernard Mevs/Medishare to work at decreasing this severe gap by implementing the residency program.

The graduation ceremony took place at UNDH and started with a prayer, which was then followed by a speech from graduate and chief resident, Dr. Renee Alcé. Many guests, international friends, and family were there to support the graduates who worked hard for the last three years. Dr. Brittany Potts, pediatrician from Ohio represented the St. Damien Collaborative.

Program directors, congratulated the six new pediatricians for their motivation and devotion to achieve their dreams. The residents then offered appreciation plaques to their mentors, as well as to Ms .Margareth Mehu, the coordinator of the program. Mentors who received plaques were:

  • Antonia Eyssallenne, Residency Program Director
  • Jacqueline Gautier, National Director of St. Damien Pediatric Hospital
  • Jerry Bitar and Marlon Bitar, Executive Director of Bernard Mevs/Medishare
  • Jude Jean Jacques, Coordinator University of Notre Dame D’Haiti
  • Margareth Mehu, Coordinator of the Residency Program at St. Damien Pediatric Hospital

Dr. Renee Alcé, who had been chosen to be the chief resident for her exceptional leadership and interpersonal skills, gave a wonderful speech. She reported that her peers and herself fought until the end of these three years for every single child they were caring for even though resources were limited.

At the forefront of pediatrics in Haiti, St. Damien provides training opportunities in the care of surgical patients, childhood cancer, and many other pediatric specialties available nowhere else in the country. The residency program enjoys support from a network of committed pediatric residency programs, known as St. Damien Collaborative that includes:

  • Akron Children’s Hospital, Akron, OH
  • East Tennessee State University, Johnson City, TN
  • University of Minnesota Masonic Children’s Hospital, Minneapolis, MN
  • Hasbro Children’s Hospital, Providence, RI
  • Children’s Hospital of the King’s Daughters, Norfolk, VA
  • University of Massachusetts Memorial Children’s Medical Center, Boston, MA
  • Dell Children’s Medical Center, Austin, TX
  • University of Nebraska Medical Center, Omaha, NE
  • Rainbow Babies and Children’s Hospital, Cleveland, OH
  • McGill University, Montreal, Canada

In her speech, Dr. Alcé expressed her gratitude to the group on behalf of her colleagues. She also thanked all the Haitian physicians who mentored them during their training at Bernard Mevs Hospital as well as at St. Damien.

St. Damien is pleased to announce that two of the graduating residents, Dr. Renée Alcé and Dr. Charles Roberson, have been hired. Dr. Alcé is working as Chief Resident coordinating the residency program along with the other program directors; Dr. Charles works at the emergency department. Dr Joëlle Denis has been hired at Hospital Bernard Mevs. We are certain that the three others will soon be employed. In the meantime, two are replacing other pediatricians on vacations at St. Damien.

Making an HIV Free Future a Reality in Haiti

This slideshow requires JavaScript.

Haiti has made tremendous progress in recent years in its efforts against HIV and AIDS, reducing new infections, lowering AIDS-related deaths and increasing access to treatment. Yet, the small island nation still has a long way to go to be HIV free. Fifty-five percent of all HIV positive people in the Caribbean live in Haiti. As in many places, women and girls are disproportionately affected due to stigma and cultural practices. Young women in Haiti are three times more likely to be HIV-positive than young men. One of the champions leading the charge for an AIDS free generation in Haiti is Dr. Jenny Edouard and her dedicated team at St. Damien’s Pediatric Hospital.

Dr. Jenny Edouard has been fighting for an HIV free Haiti since she graduated from medical school in Port-au-Prince in 2006. She now coordinates a public health and HIV program at the St. Damien’s, a 224-bed pediatric hospital that provides over 80,000 medical services annually to children and their families. Dr. Edouard supervises a community health and HIV program that provides care to over 4,000 children annually with a particular focus on the elimination of mother to child transmission (EMTCT) of HIV.

“We’ve made huge strides towards eliminating mother to child transmission of HIV. Our EMTCT programs have been impactful, practical and effective in reducing HIV transmission in Haiti. Infant mortality has decreased and when mothers take part in the program, their children are given the chance to live HIV free. Soon we hope we’ll see a new, HIV free generation here,” says Dr. Edouard.

Dr. Edouard shares that “EMTCT is a challenge in Haiti. We see women delaying early prenatal care, we have trouble following up with our patients in rural areas, low hospital delivery rates, and most significantly, a stigma around HIV that leaves women afraid their partners may abandon them or resort to violence if they take part in the program. These are the things we are fighting against.”

“The EMTCT program saves lives – it’s that simple. The overall mortality rate of children born to HIV-positive mothers has significantly decreased as a result of this program. Women also find support in a new community free of fear of being stigmatized. They can talk with each other about their fears and concerns openly. Many become friends and educate other HIV positive pregnant women about the risk their infants face and how the EMTCT program can help,” Dr. Edouard recounts.

Since the beginning of St. Damien’s EMTCT program in 2011, Dr. Edouard and her team have worked with over 400 HIV positive pregnant women. The program’s current cohort includes 79 soon-to-be mothers. Dr. Edouard attributes part of the program’s success to its comprehensive approach which integrates HIV testing and counseling, nutrition services, and support for women affected by domestic violence.

“EMTCT services open the door for HIV care and treatment services not only for women, but also their partners and families. We believe that more investment in the EMTCT program could have a significant impact on maternal and child survival in Haiti among HIV positive patients. Despite the many challenges we face each day we are incredibly proud to do what we do and to take care of our patients,” says Dr. Edouard.

“Our HIV program with integrated EMTCT services is working incredibly well. Nearly all of the children of the HIV-positive pregnant women supported by our facility are HIV free. We’ve experienced several unfortunate budget cuts over the previous few years that have led us to lose staff. For this reason, we’re more grateful than ever for partners who are standing by these important programs.”

Photo Credit: Angela Altus