Identifying malnutrition in Bwa Nef

Last week, Dr Hyppolite, Nurse Georges and Nurse Alcius visited an exemplary school in Cité Soleil.  It is called the Institution Mixte Union des Apôtres — a free school funded by an agency called Prodev.  The school had requested the visit to make sure that none of the students were suffering from malnutrition.  In the end, after providing a quick check-up for 75 children, it was determined that only one child was suffering from inadequate nutrition.  She was put into the medika mamba nutritional program. Overall, an affirming visit for the school and a positive day for the staff.

The partnership did, however, immediately raise the question of whether or not the Lamp should take on similar assessments at other local schools, schools which do not benefit from external funding nor provide food for their students two times a day as the Union des Apôtres does.

The question was quickly answered in the affirmative and we are looking forward to both strengthening our relationship with local schools and also taking pro-active measures to identify those children whose growth, mental abilities and resistance to disease (among other things) are being compromised by malnutrition.

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Children’s Nutrition Program Re-launched at the Lamp

Three years ago the Lamp launched a program for malnourished children called Medika Mamba.  The reason for the program was simple.  Children would come to the clinic in very poor health, but it was evident to the doctors that what they needed most of all was not medication but nutrition.  There happened to be an excellent solution at hand.  An organization named Food & Meds for Kids had developed a marvelous nutritional program based on heavily fortified peanut butter.  “Mamba” is Creole for peanut butter.  The peanuts are themselves purchased from small scale Haitian farmers, giving the program a doubly positive impact.  The peanut butter is fortified with vitamins and minerals, and additional supplements are added to the children’s diets.  The children come to the clinic each day to receive their “medication” and are carefully supervised to ensure that they are gaining weight at an acceptable rate.

In years past, one of our outstanding nurses, Moza-Flaure Alcius, was in charge of the program.  But last year, Flaure took comprehensive training as a midwife and has now become our Women’s Health Nurse.   We are very happy to announce, therefore, that Nurse Ylienne Georges has taken over the reins of this valuable program.  She completed the short training course provided by Food & Meds for Kids last month and is certain to do an excellent job.

Please note that a full course of medika mamba and supplements for one child costs approximately $160.  It is a terrific way to make a very direct impact on a young person’s life.  Proper nutrition in the early years of a child’s life are critical for physical growth, mental development and resistance to disease.  In the case of children that visit our clinic it is very often life-saving.  The gift of life, in literal fact.  Click on our Donate button and type “medika mamba” or “nutrition program” to make sure that your gift is applied to this program.

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Daniel Tillias receives HSNNE award

On April 6, an awards ceremony was held that had very special significance for the Lamp.  Daniel Tillias received the Human Rights Award from the Haiti Solidarity Network of the North East at their annual dinner and dance.

Daniel is an active and committed member of the Lamp’s board of directors.  He is also the founder and director of an organization named Sakala which operates a program for Cité Soleil youth, not far from the Lamp’s clinic.  Daniel grew up in Cité Soleil himself and is a sterling role model for the youth of the area.  His program includes a large urban garden, tutoring for local school children, organized sports activities and community service initiatives.  Sakala aims to promote values of peace, respect, physical fitness and environmental responsibility.   It is real, ground-level community development.

The Lamp is currently developing plans with Daniel that will see us collaborate on several activities, including mobile clinics at Sakala, and efforts to enhance health and peace education at local schools.

Congratulations, Daniel!  It is richly deserved.

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New Cardiology Capability at the Lamp

Last week the Lamp for Haiti Health Center received a welcome addition.  A very portable and very user-friendly EKG machine.  After training, Medical Director Dr. Barrère Hyppolite put it to immediate good use, using it eight times on the day of its arrival.

The Lamp clinic in Bwa Nèf is a primary health care center, but it is also the first, and often the only, medical facility utilized by an enormous number of low income families from the surrounding portions of Cite Soleil.  For this reason, the Lamp is constantly assessing the needs of the community in the interest of providing the most holistic care possible.

The ability to assess cardiac function and diagnose heart conditions is a valuable new tool for our doctors, made all the more valuable by its limited operating costs.  The unit connects to a laptop and the results are printed out on an ordinary printer.  For a relatively small initial investment of $4,000 we will be able to provide cardiology services for hundreds (or thousands) of patients.  This is especially exciting when one realizes that patients would need to pay approximately 600 to 750 Haitian gourdes (i.e., 15 to 20 US dollars) for results at a hospital or private clinic.  Although it does not sound like much, this cost almost always means that the patient simply does not receive an EKG.   Average wages in Cité Soleil are less than a dollar a day.  It is immensely satisfying to be able to provide this basic service as a matter of course.

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Thanks to You

It has been a difficult year for so many of you, our supporters, and we can’t thank you enough for keeping Haiti in your thoughts.

Sadly enough this will be another harsh year for most Haitians.  A combination of drought in many areas and the three major storms that hit Haiti this year have combined to wreak havoc on the expected harvest in this predominantly agricultural country.  Rising food prices have already caused massive protest in Haiti this year, and a poor harvest can only make the problem worse.  Rising food prices impact all areas of life for the poor.  The ability of people to pay for health and education, even clean water, will plummet, reducing everyone’s chances to improve their fortunes.

We must be persistent in our fight and your commitment to the people of Haiti has been inspiring.  Together we can continue to fight, to shine a light, to stand beside the people of Cité Soleil despite all difficulties.

We would like to wish all of our supporters (and potential supporters!) a great holiday and a terrific 2013!

 

(The accompanying picture is of Madame Maxine from Cité Soleil.  Read her story in the Fall newsletter — under the “News” menu item.)

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School kits start the year off right.

 

 

Something that is very striking in Haiti is the hunger for education.  When school ends for the day, the streets of the capital are filled with kids in their colorful uniforms.  Education is rightly seen as a way to a better future, but parents struggle to pay the basic costs.  The Lamp supports many children in local schools but this year we decided to extend our help a little further by providing school kits to each of the three schools that are near our clinic.  It was a bright day for those kids and now they are ready to learn!

 

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ENSLEY IS A FIRST

Ensley Jerome, the young man pictured here, was our first clinic patient to take advantage of our collaboration with the AmeriCares surgery program in Port-au-Prince.  The Canapé Vert hospital is a long way from Cité Soleil but his mom was there to keep him comfortable and in the end he was a model patient.  The doctors at Canapé Vert did a marvelous job and the hernia operation will allow him to grow and develop like any normal kid should.  It’s all one could ask for.

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BEING THERE FOR THE VULNERABLE

    Hurricane Isaac over Haiti  (NASA image)

Hurricane Isaac arrived in Port-au-Prince late at night on Friday, August 25th.  I was as safe as could be, on the bottom floor of a two storey cement house but others were much more vulnerable.  I had never been in a hurricane before: the sound of the wind was strange — wind simply shouldn’t sound like that.  The violence contained in that sound was terribly unnerving.  I could only imagine, with a sick feeling, the impact on the tens of thousands of people who still live in tent cities across Port-au-Prince.

Marc, who lives in this house, had received a phone call just before the main storm arrived: the roof had begun to lift off of the house where his wife and children were temporarily staying.  He went off into the howling darkness with his little flashlight to help.  There was very little rain at that point, the air and the house were full of dust.  I could hear heavy objects falling all around the house and the sound of at least two tin roofs crinkling and tearing away from their supports.  Near morning the wind lessened and the rain began.

The city seemed remarkably unchanged the next day although the sounds of people repairing their homes was everywhere.  Fitting, I suppose; surviving crises is a necessary skill here in Haiti.

Marc came back to say that he had moved his family to a safer place.  He had spent the night at the damaged house, comforting his kids.  Everything in the house had been ruined by the wind and rain.  He had rescued a neighborhood boy whom he found hanging from electrical cables, two storeys above the ground.  The boy had been asleep in his bed when the wind blew the wall of his home away.  His mattress was on the ground below him.  On the way home, Marc passed two bodies, still not claimed by relatives.

News reports say that 19 people died in Haiti as a result of the storm but this is woeful under-reporting.  The storm passed over the entire country.  Only deaths that are reported to authorities are ever recorded.

On Monday, the clinic opened in Bwa Nèf as always, a real testimony to the quality and commitment of our staff.  Thankfully the clinic itself was not damaged.  Ms Astrude was trapped in the Dominican Republic, where she had gone to visit relatives.  A bridge had washed away.  But there was no question that each one’s personal stories and worries would have to wait until work was done.  Ms Astrude even managed to turn up for a meeting later in the day.

Henry 30/8/2012

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An Amazing Program is Launched — A Vehicle is Needed!

The Lamp is very pleased to announce that it has been accepted as a partner in an excellent new program by the large US nonprofit AmeriCares.  It is a surgery and pediatric treatment program.  A medical unit has been set up in a downtown Port-au-Prince hospital, and will provide minor surgery and treatment to clients on a no-cost basis.   Our acceptance into the program means that we will be able to refer patients directly to the program.  Surgeries that can be provided include hernia operations, appendectomies, removal of ovarian cysts and others.  The program also offers treatment to children (and some adults) who are suffering from complications of malaria and typhoid, gastroenteritis and respiratory diseases.  To be able to offer a range of surgery and treatment like this is an unprecedented thing, a marvelous gift to the residents of Bwa Nèf (our community).  We are eager to take full advantage of these offerings!

But the program demands that we provide transportation for the patients.  Some of the interventions require four or five visits to the hospital and we are only too aware that our ability to provide this transportation is very limited.  Our current (single) vehicle is constantly in use and we simply must have a second vehicle to take full advantage of this program.  We must, therefore, move ahead with the purchase of a Toyota ambulance, as pictured  above.  But it is an act of faith on our part; our finances are already stretched as far as they can go!

Meeting with AmeriCares staff (below)

Your contributions to the Lamp have always resulted in the most direct assistance possible; they will be doubly appreciated now!  Please take the time to consider whether you are able to make a substantial contribution now.  Thanks in advance for your consideration and support!

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Training for Women’s Health — by Moza-Flaure Alcius

Training for Women’s Health: A New Experience

Moza-Flaure Alcius (in the turquoise scrubs) Lamp for Haiti nurse

[This is an article from our latest newsletter.  Find all the newsletters under the News tab]

I worked for two years at the clinic in Bwa Nèf, Cité Soleil.  In addition to my normal nursing duties I  was in charge of a nutrition program that involves treating children, from 0 to 5 years old, who are suffering from malnutrition.  Then,  a few months ago, I was invited to participate in a training program for midwives.  The program is an initiative of an organization called Midwives for Haiti and is located in Hinche, a three hour drive north of Port-au-Prince.  It is a 10 month program and I jumped at the chance to gain a different kind of experience and acquire new knowledge about health.

As with the other successful candidates, I went through an interview process in November, and started the courses in mid-January.  There are 16 students in the course, 14 women and 2 men, all with different backgrounds and experiences.   They come from many different places in Haiti.  The courses are not hard and are becoming more and more captivating.  They are based on obstetrics and community health and are taught in Creole.

On some days we learn theory in class, and on other days we are given practical training at the hospital.  The practical work in the hospital is very helpful; it allows us to encounter cases that we have not yet learned about, and later we discuss these cases in class.  We also participate in mobile clinics that may go to very remote areas.  In these areas pregnant women may easily die due to complications, because of the lack of health services.  We saw one patient in her fifties who had already had several children.  She said that she was in her fourth or fifth month of pregnancy, but when we examined her and gave her a pregnancy test, we discovered that she was not pregnant.  When we explained that she was going through menopause, she did not want to believe us and said she would consult someone else, because she knew she was pregnant.

Experiences like this show us how much we can offer;  being a midwife is no small affair.  Women without means, whether in remote areas or in Cité Soleil, need care to ensure that they have a healthy pregnancy and childbirth.  Pregnancy should not be a life-threatening affair because of a lack of care or lack of education.    I am proud to take part in this program because it will permit me to do my part to reduce maternal mortality in Cité Soleil, to empower women to take control of their own childbearing, and to bring healthy babies into the world.

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