Employee Profile – Phadoul

PhadoulPhadoul is a dedicated member of the NPH Haiti team and we feel honored to have him as a part of this ever-growing family. His journey with us began up in the mountains in Kenscoff and over the past decade he has been in various leadership roles to help us improve the organization and the lives of our children.

After graduation, Phadoul was offered the opportunity to visit a potential job site that was seeking a director for their Montessori program. Phadoul did not expect to find a job so quickly after graduation so he jumped at the chance and he quickly accepted the job offer after visiting. He was then a Montessori teacher at the on-site school of NPH Haiti St. Helene and then six months later he was promoted as the director.  He worked with NPH Haiti from 1994 until 2003 and he was an irreplaceable member of the staff. However, after working closely with Fr. Rick Frechette on a few projects, Fr. Rick asked him to transfer to St. Damien Pediatric Hospital in Tabbare to serve as the Human Resources Manager and Phadoul has been in the role ever since.

Phadoul comments that his favorite part about the job is being a part of the mission. He bares witness to the incredible work that NPH is doing daily, not just in the hospital, but the mission as a whole.

Phadoul said, “How many lives are being saved physically, emotionally, mentally and socially? NPH is doing that. We are contributing to the country’s development. Each time we get the chance to educate a child, that is helping shape the country. I’ve seen so many children who were raised at our NPH home who are now high school and university graduates. I even have children who I met as children at St. Helene who are now a part of our staff at St. Damien’s! NPH helps keep the gospel alive.”

We cannot thank Phadoul enough for his hard work and devotion to our NPH Family.

 

A Word of Gratitude…

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In 2014, year of the 60th anniversary of NPH, St. Damien continued its work at supporting vulnerable families seeking healthcare for children and women with obstetrical conditions. We were able to see 13,789 children in our outpatient clinic, admitted 3,648 inpatients, delivered 1,878 newborns, including those by cesarean sections, treated 298 children with tuberculosis, offered dental care to 5,161 adults and children, treated 65 new cases of pediatric cancer. We have a cohort of 793 women and children infected and exposed to HIV including 550 receiving antiretroviral long-term treatment.

Year 2014 brought its load of challenges and accomplishments at the hospital. We succeeded in raising the basic salary of one third of our staff, the less paid employees, to an acceptable level.

We organized training sessions for the staff about keeping a welcoming atmosphere for families and also about using good communication among other strategies to always keep an approach of patient centered care.

Multiple other training sessions took place in neonatology with Bambinu Gesu hospital from Milan, Italy, with Italian neonatologists coming to support our program as well. Additionally we received volunteer midwives and pharmacists from Italy, and a neonatologist nurse from the US.

We opened a new Kangaroo unit as to help our fragile but stable premature babies to growth naturally before their discharge home.

We continued to work with a US network of pediatric programs offering global health experiences to US pediatric residents while our institution benefited from their expertise in subspecialties to improve our work.

St. Damien has strengthened our cardiologic program: six children went to Akron Children’s Hospital in Ohio where they received cardiac surgery. We also received regular visits from two pediatric cardiologists from that same hospital. Also, St. Damien will receive a cardiac surgical mission from Gift of Life in March 2015: they will perform cardiac surgery for 10 to 12 children. A team of six staff members from Saint Damien spent six weeks training in Akron to prepare for this activity that will be a great accomplishment for our hospital and for Haiti. All these activities are supported and organized by Gift of Life International, a branch of Rotary Club.

We welcomed the second group of six residents in our program of pediatric residency: a way for St. Damien to contribute to the investment in medical education in Haiti where the lack of well-trained medical personnel is one of the main obstacles to healthcare access.

Unfortunately since October 2014, we have been experiencing a new surge of cholera cases. Our unit receives up to 100 cases a month. Programs promoting hands hygiene and increased access to potable water are implemented throughout the country to eradicate cholera, but their impact is not yet significant enough to prevent the outbreaks. Our center is one of the rare cholera centers still in function since many closed when the number of cases dropped.

Moreover, St. Damien is restructuring its administrative and financial office while encouraging more participation from all department heads in administrative duties. We are also benefitting from a cost study conducted by USAID with the goal of strengthening our administration. We need to move forward as we are experiencing a continuous increase of the cost of our operations while resources are not following the same trend. As a result, we are forced to ask the vulnerable families we serve for more financial contributions to their care, in order to limit the reduction of services next year.

We feel blessed that St. Damien is holding strong no matter the challenges, internal and external in the country. On behalf of the staff and of the families we serve, I am thanking you all: volunteers, donors and partners who make this work possible. Our organization is grateful for your invaluable support throughout the years.

With your help, we will continue to invest in children, our future. God bless you!

Jacqueline Gautier, MD, CEO

Please Join Us in Prayer

Today marks the fifth anniversary of the 7.0-magnitude earthquake that devastated the nation of Haiti. We are deeply grateful to everyone who supported our work in Haiti by sponsoring children, making donations, attending and sponsoring events, visiting our home, volunteering, and giving products and services. With your help, we were able to launch or expand many services after the earthquake.

Please join us in prayer today for our NPH Haiti family, for those that have lost family members, and for the country.

“This is the meaning of the day, solidarity among people of good will worldwide…and determination by the human race to keep going today –embodied by the Haitian people,” Fr. Rick Frechette.

Below is a video highlighting what NPH Haiti has accomplished during the past 5 years. It’s 3 minutes that you surely can’t miss.

http://www.youtube.com/watch?v=HUd1nZFAu0k

Oncology Christmas Party

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Presents, cake and games! What fun for the oncology patients, many of whom came back to visit and celebrate.

Did you know that St. Damien is the only pediatric hospital in Haiti that has an oncology program? There is no pediatric oncology anywhere else in the country.

Since 2004, the oncology department at St. Damien has grown from one bed to 13 beds. The program has advanced from treating 3 types of solid tumors; nefroblastoma (kidney), retinoblastoma (eye) and hepatoblastoma (liver) to nearly all types of cancer pathologies except cerebral. The department also treats certain benign hematology pathologies.

Third Quarter Update

  1. The chikunguya epidemic, transmitted by the Aedes mosquitoes bites, in Haiti did not last long. Very rare cases were seen for the last quarter. Many adults are left with some residual ailments, mostly joint pain.
  2. Rehydration Unit: We are experiencing a new cholera outbreak again since August 2014. We are up to the 100 cases per month after it decreased to 0 cases or just 3 per month. Many rehydration places closed down explaining the importance for us to treat children coming from Cité Soleil and the nearby town of Croix des Bouquets.FHACIlogo
  3. Oncology: FHACI: Fondation Haitienne Anti Cancer infantile is the name of the new foundation created to support the work of the oncology department of Saint Damien and pediatric cancer in the country in general.  The group is made up of very dedicated volunteers with our St. Damien physician Dr. Pascale Gassant, head of the oncology, as its Secretary. FHACI will have a pre launch event on December 9, 2014  to gather more members for the cause.
  4. HIV/AIDS department reorganized its work to adapt to the loss of a 1/3 of their budget, starting October 12014.  PEPFAR, the US government program funding HIV/AIDS in Haiti has cut a third of its support to the country. The post natal clinic included in the HIV program moved to Manitane, the Saint Luc women health clinic.  Unfortunately some of our staff members now work part time, a few lost their jobs and we had to stop our training for outside staff. It was a big challenge for Dr. Jenny Edouard, who became the coordinator for this program recently, and had to work hard with the staff for this painful adjustment. Luckily antiretroviral drugs were not impacted with the measures. 
  5. Forty children in the HIV program attended a summer camp organized by  the US worldwide orphan organization (WWO) in Kenscoff last August. This is the third camp offered by WWO to children living with HIV/AIDS in Haiti. The children had a wonderful experience while learning to live better with HIV/AIDS and improve their compliance to their treatment.
  6. SCIPH, Saint Damien Collaborative to improve pediatrics in Haiti, organized its third annual global health conference in Virginia last September, under the leadership of Dr James Schmidt from Kings Daughters hospital. The goal is to encourage pediatricians in the US to engage in global health activities while taking the opportunity to showcase Saint Damien’s work. The collaboration of NPH Italy office, Bambinu Gesu hospital in Rome and the neonatology department at Saint Damien was featured.
  7. Training for cardiac care: At the end of September, a multidisciplinary team left Saint Damien to go to Akron Children’s Ohio  for a six week training in cardiac intensive care. Saint Damien will receive, on March 15, 2015, the visit of a cardiac surgical mission from Gift of Life International, a Rotary program.

Contributed by Dr. Jacqueline Gautier, Executive Director
NPH Haiti St. Damien Pediatric Hospital

Team from St. Damien Pediatric Hospital travels to Akron, Ohio

To learn how to diagnose and then care for those patients after surgery, a 7-person team from St. Damien has been visiting Akron Children’s during the past 6 weeks.

They’ve been spending quite a bit of time studying Akron Children’s pediatric intensive care unit.

The team from Haiti includes Drs. Beatrice Fontalis and Johanne Alix, nurses Charlemagne Ganaelle and Marie Lourdie Chery, pharmacist Pierre Hagues Saint Jean, biotech engineer Jean-Marc Deralien, and administrator Jean Claude Andre Marie.

The team from Haiti includes Drs. Beatrice Fontalis and Johanne Alix, nurses Charlemagne Ganaelle and Marie Lourdie Chery, pharmacist Pierre Hagues Saint Jean, biotech engineer Jean-Marc Deralien, and administrator Jean Claude Andre Marie.

In addition to participating in daily rounds in the PICU, the team has been doing medical simulations and practicing procedures, and even learning Lean Six Sigma principles and doing their own quality improvement project.

Perhaps the most valuable training was following 2 boys from Haiti – a 10 year old and a 2 year old – as they underwent heart surgeries. They observed pre-surgical diagnostic tests and physical exams, watched Drs. Phil Smith and Michael Spector perform the surgeries, and then stayed with the boys through their recovery.

Akron Children's trains Haiti team using medical simulations

Akron Children’s trains Haiti team using medical simulations

Dr. Beatrice Fontalis has taken note of the differences between St. Damien and Akron Children’s, including many things most likely taken for granted here, such as ventilation equipment in every PICU room and CT scans.

Nurses play more active role in U.S.

After observing rounds in the PICU one morning, Dr. Fontalis noted the more active role that nurses take in the process.

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“Here, nurses present the medical history, the vital signs and the labs,” she said. “When we do rounds, nurses participate but do not speak.”

She noted that St. Damien treats children with many more infectious diseases, such as malaria, pneumonia, meningitis and tuberculosis.

She looks forward to being able to offer the children of Haiti the same surgeries that are routinely available to all children in the United States.

“There are far, far too many kids in Haiti to fix,” said Dr. Kempf. “But this will be a good start. St. Damien’s should be ready to handle the more minor congenital heart surgeries, but the children with the more complex defects and in need of multi-stage surgeries will still need to travel to the United States.”

One good outcome of the earthquake was the mobilization of healthcare providers and humanitarians to help Haiti.

Dr. Kempf has worked to not only send delegations of Akron Children’s doctors and nurses to St. Damien over the past 4 years, but he also helps coordinate efforts with 6 other children’s hospitals across the United States.

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Dr. John Clark, a pediatric cardiologist who has taken several trips to Haiti, said it can be emotionally difficult to be limited in what he can offer parents when he is at St. Damien.

“The need is overwhelming,” he said.

Local, regional and national chapters of Rotary International and Gift of Life gave a grant to cover the cost of bringing the Haitian clinicians to Akron Children’s, as well as paying $5,000 for each boy’s surgery – just a fraction of the actual cost.

If you would like support these efforts, contact Dr. Jeff Kempf at jkempf@chmca.org or visit Gift of Life’s website at www.golneo.org

– See more at: http://inside.akronchildrens.org/2014/10/29/transplanting-a-pediatric-cardiology-program-to-haiti-takes-team-effort/#sthash.glAfIdU7.dpuf

Story first published on inside.akronchildrens.org

Saving young lives at heart of Haiti mission

 

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Dr. Lisa Martorano (second from left) a resident at Akron Children’s Hospital, describes the procedure for the removal of a central line for surgery on an eleven-year-old Haitian boy to Haitian medical team members Dr. Beatrice Fontalis (left) and nurses Charlemagne Ganaelle and Marie Lourdie Chery the day after his surgery to repair a heart defect in Oct. 2014 in Akron. (Karen Schiely/Akron Beacon Journal)

READ FULL STORY AT:

http://www.ohio.com/news/top-stories/saving-young-lives-at-heart-of-haiti-mission-1.535747

Photo of the Week

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Just over a year ago, St. Damien teamed up with the leaders at the University Notre Dame D’Haiti and Hospital Bernard Mevs/Project Medishare to launch a pediatric residency program. Currently, there are only 2.6 doctors/10,000 people in Haiti, and remarkably, there are only 139 residency training positions available annually across all disciplines. Pediatrics accounts for only 27 of those positions, and there are 4.8 million children across the country to care for. Clearly, the need is great.

By providing this opportunity for higher education, this program will educate and graduate the pediatric specialists necessary for the management of complicated illnesses in children throughout Haiti. The program is designed to train 6-8 residents over a three year period specialized curriculum that includes supervised evidence-based treatment and care of critically ill pediatric patients, as well as prevention strategies for pediatric health and safety according to ACGME-International guidelines.

Ultimately, this program will help save countless lives in a country where disease and poverty run rampant. Please consider making a gift to support essential programs and services like this that St. Damien provides. There are thousands of vulnerable children in Haiti that desperately need and deserve our help.