Dr. Sévere joins the Lamp

Several years ago, the Lamp realized that there was a large gap in locally available health services, namely that of services for women.  We therefore organized a women’s clinic, trained one of our nurses in midwifery and have provided specialized services, two days per week, since then.  Now, however, we are moving to expand and improve these services.  The first step was to construct a new building that could provide a home for the expanded women’s clinic.  Despite delays, we are very close to moving in to this new building.  Next, we needed someone to take on the role of women’s clinic director.  We hoped very much that we would be able to find a woman for this role.

We are very pleased to announce, therefore, the hire of Dr Ophnie Severe (pictured above).  Dr Severe will dedicate her time to the women’s clinic and we are very much looking forward to her energy and ideas.   Having a dedicated physician for the women’s health clinic has been a long-standing dream for the Lamp and is certain to take the women’s clinic to a new level of excellence.

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Lamp at Midwives for Haiti conference

[Picture: Midwives for Haiti graduate Flaure Alcius presents the Lamp’s women’s health program; Dr Hyppolite in foreground]

By In-Country Medical Director Barrère Hyppolite MD

The recent Midwives for Haiti conference was a great opportunity to build relationships with other NGOs, and especially Midwives for Haiti, who work in this field of maternity care.  It has given us opportunity to know each other and possibly to create a network in the future. With its  in-depth midwife training program Midwives for Haiti is working hand in hand with the Ministry of Health and other partners to have a greater impact on maternal and infant health in Haiti, which has the highest rates of child and maternal mortality in the Caribbean.  Also, to allow every woman in this land to be assisted in their pregnancy and assure them a good outcome.   It’s a huge task: to gain the confidence of the pregnant patients and convince them to be followed by a qualified person in the field for the happiness of the mother and also for the baby.  This is especially important in remote areas, where a hospital may be many hours away.

We believe also, at LAMP, that we have a great mission to fulfill in the field of the maternity care.   In the area where we work, in Cité Soleil, there is a lot of work to do: the education of the pregnant patients, the medical care throughout pregnancy, the response to complications and concurrent illnesses.  We also believe that we must build up strong relationships with people of the area through the action of community health workers.  A community health worker program is our plan for the future.

It is very satisfying to contribute to the decrease of child and maternal morbidity through prevention and treatment, and keep the smile on the face of each mother who wants to give birth; to give, too, a great push to the index of development of our country Haiti.

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Electronic Medical Records: Tech Success!

Feature Photo: Dr Jim Morgan (Lamp co-founder) and Dr Barrère Hyppolite work together on the new OpenMRS system

Below: Staff training on the new system (Nick Sahagian on the far right);  Nurse Astrude uses the new system in the pharmacy

Low tech or high tech, the point is to provide the best medical care and the best transparency to donors that we can.  In this case, the Lamp is convinced that electronic medical records are indeed the way to improved care, analysis of local health conditions, and reporting.  To tell the truth, this is not the first time we have tried to replace our paper system with a digital one.  There is no doubt that the change can be a difficult one for staff to manage.  More importantly, the system itself must take into account the intermittent access and slow speeds of the internet in Haiti.  Our system, therefore, uses a local area network — only — to link the five laptops at the clinic.  That is, no internet connection is necessary, except for periodic back-ups.

It is, perhaps, a little early to claim “Tech Success!” but we are very confident that the new system is with us to stay.  Over the long run there is little doubt that it will improve patient outcomes through improved access to patient records and the ability to do focused and comprehensive follow-up.  Analysis of local health conditions — the ups and downs of cholera or typhoid for example — will be a snap and we will be able to report on our activities without having to stop our activities to do so (!)

Thanks to Nick Sahagian and Partners in Health (Boston) for their priceless assistance in this project!

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Young Minds at Work

The Lamp is, first and foremost, a health organization.  Our health center in Bwa Nèf, Cité Soleil is the heart of our program.  But we are also a part of a community, a community in which there is a burning hope to do better in all aspects of life.  One obvious evidence of this hope is the number of schools throughout  the area.  There are five within a short walk of our clinic.  You would be hard pressed to find a community with a keener appreciation of education than this one.  Education — it is known — is the way to move from mere survival to some small taste of the good life: meaningful work, food on the table, and rest from the endless crises of poverty.

Misterlande with school bagThe Lamp sponsors 21 children in these local schools.  The pictures show Misterlande and Steevenson receiving their school supplies at the beginning of the year.  It is a small program, but it has many benefits.  It creates a strong relationship with the leadership of the schools.  The owners, principals and teachers are among the most community-minded leaders in the zone, and their support of our other programs is a great benefit for us.  The regular income they gain from the sponsored children has a outsize effect on the facilities of their entire schools.  The relationship allows us, too, to easily integrate health education sessions into school curriculums.  And, of course, we are able to provide a few beautiful children with a basic education.

Recently the kids were asked to provide some information about themselves.  Their favorite color, the name of their teacher, and so on.  The answers were very touching.  When asked about their favorite food fully half said “rice with bean sauce” which is what they eat each day (if they are lucky).  Only a few were bold enough (or experienced enough) to say “meat”.   When asked what they wanted to be when they grew up, half of them chose “doctor” or “nurse”.  That is the good effect of having a fine Haitian-run health center in their neighborhood (the Lamp!), and here’s hoping they achieve their dreams!

Steevenson with school bag

 

 

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Thanks to all!

Concert posterFifth Annual Concert for Haiti

On Saturday, January 25th the Montclair community once again came together for an evening of music, community-building, and support for Haiti at the Fifth Annual Concert for Haiti.

The concert featured the marvelous Emeline Michel as headliner (the “Joni Mitchell of Haiti”) along with Montclair High School’s Passing Notes, Big Mamou (Zydeco),  Zing Experience (Haitian roots, rock and reggae), the Jazz House Kids, the Oxygen Box Band, and a group featuring Cantor Meredith Greenberg, Leora Perlman and Bob Mellman from Temple Ner Tamid.   A musical feast, and a sell-out!  Thanks to everyone who participated!

Proceeds from the concert went to the Lamp, the Edeyo Foundation which operates a school in the Bel-Air section of Port-au-Prince, and Haitian Education and Leadership Program (HELP) which provides university scholarships to deserving Haitian youth.

Click here for photos and conversation with Emeline Michel and Jim Morgan:   Montclair Times article and photos

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LAMP: a symbol of life for the people of Cité Soleil

By Barrère Hyppolite, In-Country Medical Director for the Lamp

 

Probably If I tell you that some people come as early as 1:00 a.m. to have the chance to be consulted by a doctor in our clinic you will doubt me.  But personally we know, the Haitian local staff with  the members of the board of LAMP.  And it is certainly not only the free services that we provide that gives us our reputation.  It’s because we feel that the patient deserves the best care.  We want to be included in their life, walk beside them and help them build something stronger for their future and for their children.  People love it when they are given respect, when they are respected for what they bring to society.  They want to be part of society, they don’t want to be marginalized.  And because the Lamp has considered this part of their life, they want the Lamp to continue and to enlarge its services in the community: the Lamp is their symbol.  So it is not a surprise to see people coming at 1 a.m. so that they can get a place and wait until 6 a.m. to get a ticket in order to be one of the people that will be seen by our staff.

Working here is also a chance for us, a great opportunity to help our brothers and sisters of this big slum to have a better life and to facilitate a new tomorrow, saying I feel better, both in my physical health and in my mind.

 

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Global Handwashing Day

October 15, each year, is Global Handwashing Day.  Research shows that the simple action of washing hands with soap on a habitual basis can reduce childhood rates of mortality from acute respiratory and diarrheal diseases by almost 50 per cent.  Accordingly, the Lamp took this opportunity to stage our own event in support of this valuable campaign.  Our Medical Director writes:

It’s a pleasure to write you about the special day of washing hands on October 15, 2013 at the clinic. Again with the big support of AmeriCares we have transformed this ordinary day into an extraordinarily informative and useful one. For 1 hour and 30 minutes we have educated the 71 persons who were present at this day in the clinic, who followed carefully the instructions and  information provided by our nurses.  Our nurses made a big demonstration on washing hands and invited the people to come and to reproduce this demonstration.  It was totally funny and awesome to see the special care with which the persons did this.  After the demonstration, we proceeded to some special quizzes with the people in order to give them as a gift some small hand sanitizers.  Later, in the waiting room, the people were able to watch videos on some principles of washing hands, in order to remember the importance of this gesture. A team from AmeriCares Haiti, who provided materials for this event, came to the clinic on this day in order to see our activities.  Once finished the consultation, each person received some materials in order to follow the instructions received at the clinic, including soap, hand sanitizers, and various buckets and containers for water.

The more our clinic can act as a conduit for special motivational campaigns such as this, and for health education in general, the less the demand for our services…. and the better we have fulfilled our mission!

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Musical Fundraiser in Montclair, NJ

On September 28, the Lamp held a musical fundraiser at InsaniTea, 570 Bloomfield Avenue, Montclair, NJ.  It was a terrific event which raised $4,500 for the Lamp.  Thanks to everyone that attended!  Performances included The Porchistas (“folk, hippy, rock”), Terry McCarthy (“alternative singer songwriter”), The Catbirds (“acoustic, honky-tonk”), The Passing Notes (an amazing acapella group from Montclair High School), and Julio Jean (“Haiti-inspired singing”).  Many thanks to Alan Smith of The Porchistas for arranging this event!

Also present was the Lamp’s In-Country Medical Director, Dr. Barrère Hyppolite, fresh from a one week advanced seminar on TB at the Global Tuberculosis Institute of the New Jersey Medical School.   Dr Hyppolite joined Lamp founder Dr James Morgan to give a brief presentation on the Lamp’s work in Haiti.  Dr Hyppolite has been a marvelous leader for the Lamp since his hire in late 2011.  He impressed everyone with his genuine dedication to his clients in Cité Soleil.

The performers (from top left): The Catbirds, Julio Jean, The Passing Notes, The Porchistas, Terry McCarthy

 

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All-Local Construction

Construction of two new exam rooms next to the clinic in Cite Soleil continues!

As a part of our commitment to the community we are always looking to provide as many jobs as possible to local residents.  We are proud to note, therefore, that our current construction is being completed entirely with local labor, both skilled and unskilled.  We were very happy to find three “boss” masons from the community with substantial experience in this type of construction.  “Bòs” Lamarre, pictured on the home page, is directing all activities.

In addition to the jobs provided, the construction offered an opportunity to provide a measure of vocational training to local laborers.  Construction was therefore preceded by a day-long workshop, led by a well-experienced contractor from Port-au-Prince, Jean Filsaime, who shared many basic concepts and skills.  Mr. Filsaime was the contractor for our previous construction project, a public toilet.  In addition to imparting basic construction knowledge he also had much to share regarding construction in an area where the water table is six inches below the surface.

The building is rising rapidly. The result will be, I believe, something that the community will always view with a sense of — justified — pride.

 

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Construction has begun!

A central principle of the Lamp, from our earliest days, has been to integrate our services into the life of the community we serve.  A second principle, even more fundamental, has been to target our efforts to the most impoverished and neglected populations of which we are aware.  The direct result of these principles was our decision to locate our health center in the middle of the desperately poor neighborhood known as Bwa Nef, within the wider slum of Cité Soleil.

That this location has provided challenges is certainly true, but we remain committed to the wisdom of our chosen path.  Now, to reinforce that commitment we are expanding our “campus” in Bwa Nef with the construction of a new two-room building.

It will be our first ever purpose-built structure for medical use.  Ever since the Lamp clinic opened in 2006, we have made do with converted residential buildings.  But our plans to install a much needed x-ray facility call for a building with unique specifications.

Not to mention, of course, that our current space is extremely cramped!

Each of the two rooms will function as an exam room for our physicians, but each also has a distinct purpose: one will be the new home of our women’s health clinic and the second will double as our x-ray room.  Our ability to provide top quality medical service will greatly increase once these additions are made!

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