MEDICAL RELIEF MISSION REPORT JULY 31, 2010

MEDICAL RELIEF MISSION REPORT

JULY 31, 2010

Created in 2004

• OBJECTIVES

• OBJECTIVES• MEMBERS

• OBJECTIVES• MEMBERS• PAST REALIZATIONS

• OBJECTIVES• MEMBERS• PAST REALIZATIONS• RESPONSE TO EARTHQUAKE OF JAN 12, 2010

• OBJECTIVES• MEMBERS• PAST REALIZATIONS• RESPONSE TO EARTHQUAKE OF JAN 12, 2010• LONG TERM COMMITMENT TO HAÏTI

• OBJECTIVES

• OBJECTIVES – Provide medical education to Haitian medical

students, interns and residents

students, interns and residents– Contribute in upgrading the quality of the health

care provided to the hundred of thousand low income men, women, children who seek care at the HUEH

students, interns and residents– Contribute in upgrading the quality of the health

care provided to the hundred of thousand low income men, women, children who seek care at the HUEH

– implement a comprehensive HIV/AIDS treatment protocol at HUEH.

• This program operates in cooperation with the:

• This program operates in cooperation with the:– Association Médicale Haïtienne (AMH)

• This program operates in cooperation with the:– Association Médicale Haïtienne (AMH)– US Agency for International Development (USAID)

• This program operates in cooperation with the:– Association Médicale Haïtienne (AMH)– US Agency for International Development (USAID)– Groupes Haïtiens d’Etude du Sarcoma de Kaposi et

des Infections Opportunistiques (GHESKIO)

• This program operates in cooperation with the:– Association Médicale Haïtienne (AMH)– US Agency for International Development (USAID)– Groupes Haïtiens d’Etude du Sarcoma de Kaposi et

des Infections Opportunistiques (GHESKIO)– Sisters of St-Joseph at Hamilton, Canada.

• MEMBERS

• MEMBERS (In alphabetical order)– Vladimir Berthaud

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.– Maxime Coles, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.– Maxime Coles, M.D.– Eric Jerome, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.– Maxime Coles, M.D.– Eric Jerome, M.D.– Christian Lauriston, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.– Maxime Coles, M.D.– Eric Jerome, M.D.– Christian Lauriston, M.D.– Wilner Leblanc, M.D.

• MEMBERS (In alphabetical order)– Vladimir Berthaud, M.D.– Pierre-Paul Cadet, M.D.– Aldy Castor, M.D.– Maxime Coles, M.D.– Eric Jerome, M.D.– Christian Lauriston, M.D.– Wilner Leblanc, M.D.– Paul Nacier, M.D.

• PAST REALIZATIONS

• PAST REALIZATIONS – Visiting professors program

• PAST REALIZATIONS – Visiting professors program– Support of dialysis center at HUEH

• PAST REALIZATIONS – Visiting professors program– Support of dialysis center at HUEH– Implementation of a HIV program at HUEH

• PAST REALIZATIONS – Visiting professors program– Support of dialysis center at HUEH– Implementation of a HIV program at HUEH– Rehabilitation of the student quarter and meal

subsidies

• PAST REALIZATIONS – Visiting professors program– Support of dialysis center at HUEH– Implementation of a HIV program at HUEH– Rehabilitation of the student quarter and meal

subsidies– Clinical research in breast cancer

• PAST REALIZATIONS (Continued)– Clean water project and Lifestraw filter

distribution in cooperation with the Haitian Red Cross

• PAST REALIZATIONS (Continued)– Clean water project and Lifestraw filter

distribution in cooperation with the Haitian Red Cross

– Rotation of residents at Brooklyn Hospital and Interfaith Medical Center, Brooklyn, with the help of SIMACT, an investment group from the Haitian diaspora

• PAST REALIZATIONS (Continued)– Rotation of orthopedics residents in Kansas with

Dr. Maxime Coles

• PAST REALIZATIONS (Continued)– Rotation of orthopedics residents in Kansas with

Dr. Maxime Coles– Medical clinics in the bateys with Batey Relief

Alliance (BRA).

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– Swift

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– Swift– Challenging

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– Swift– Challenging– Not good enough

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– Swift– Challenging– Not good enough– More than 400 health professionals of different

specialties have been dispatched (physicians, nurses, physical and respiratory therapists, pharmacists)

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– Swift– Challenging– Not good enough– More than 400 health professionals of different

specialties have been dispatched (physicians, nurses, physical and respiratory therapists, pharmacists)

– Rotation of new team every week mainly at HUEH

• RESPONSE TO EARTHQUAKE OF JAN 12, 2010– We have worked with

• The University of Miami (UM)

• The University of Miami (UM)• The University of Nebraska

• The University of Miami (UM)• The University of Nebraska• Mount Sinai Hospital of New York

• The University of Miami (UM)• The University of Nebraska• Mount Sinai Hospital of New York• The Global Giving Organization for

reimbursement application on personal expenses. (The Global Giving Organization is associated with USAID)

• The University of Miami (UM)• The University of Nebraska• Mount Sinai Hospital of New York• The Global Giving Organization for

reimbursement application on personal expenses. (The Global Giving Organization is associated with USAID)

• AAO and ICS.

• LONG TERM COMMITMENT TO HAÏTI

• LONG TERM COMMITMENT TO HAÏTI– Major Goal

• LONG TERM COMMITMENT TO HAÏTI– Major Goal– Objectives

• LONG TERM COMMITMENT TO HAÏTI– Major Goal– Objectives– Action Steps

• LONG TERM COMMITMENT TO HAÏTI– Major Goal– Objectives– Action Steps– Logistics and Cooperation

• LONG TERM COMMITMENT TO HAÏTI– Major Goal– Objectives– Action Steps– Logistics and Cooperation– AMHE Evaluation Resources

• To “assist” in the rebuilding of the healthcare in Haïti

• Contribute to improve the health status of the Haitian community

• Contribute to the rebuilding of medical education in Haiti

• LONG TERM COMMITMENT TO HAÏTI– Objectives

• Provide expert advice and technical support

• Provide expert advice and technical support• Rebuilding two (2) functional operating rooms

at HUEH

• Provide expert advice and technical support• Rebuilding two (2) functional operating rooms

at HUEH• Help establish emergency, trauma and critical

care services (cooperation with HRDF and MOTION)

• LONG TERM COMMITMENT TO HAÏTI– Objectives (continued)

• “Assist” in the rebuilding of the medical school

• “Assist” in the rebuilding of the medical school• Develop partnership with well established

healthcare organizations, such as AMH, PIH GHESKIO, HANA, AAP, AAO, AMA, ICS, HRDF

• “Assist” in the rebuilding of the medical school• Develop partnership with well established

healthcare organizations, such as AMH, PIH GHESKIO, HANA, AAP, AAO, AMA, ICS, HRDF

• Make use of the signed agreement with MSPP

• Pediatrics section in AMHE looking for recognition from AAP (See report from Dr. Wilner Leblanc at www.AMHE.org)

• Pediatrics section in AMHE looking for recognition from AAP (See report from Dr. Wilner Leblanc)

• Establish a permanent office in Haïti.

• LONG TERM COMMITMENT TO HAÏTI– Action Steps

• Make need assessment and determine areas of priorities for effective interventions as by DHHS database and as by MSPP

• Identify Haitian experts in the diaspora who could assist

• Extending our database to Haitian and non-Haitian professionals of different medical associations, such as AMA, ACS, AAO

• LONG TERM COMMITMENT TO HAÏTI– Action Steps (continued)

• Promote AMHE with a public relation campaign in Haïti, Canada, USA and Europe

• Cultivate the recent recognition of AMHE by AMA on February 22, 2010

• Continue the dialogue with DHHS and MSPP

• Design goal expectations and logistics toward our objectives

• Participation at/or creation of a rehabilitation center.

• LONG TERM COMMITMENT TO HAÏTI– Logistics and Cooperation

• AMHE at HUEH

• AMHE at HUEH• AMHE and DECENTRALIZATION

• AMHE at HUEH• AMHE and DECENTRALIZATION• AMHE and Medicine by Proxy

• AMHE at HUEH

• AMHE at HUEH• cooperation or partnership with PIH in ICU,

ER and Internal Medicine

ER and Internal Medicine• Working group in Ob-Gyn (Dr. Apollon &

Dr. Mandeville)

Dr. Mandeville)• Pediatrics section (Dr. Leblanc)

Dr. Mandeville)• Pediatrics section (Dr. Leblanc)• Orthopedics (Dr. Coles)

• AMHE at HUEH (continued)• Ophthalmology (Dr. Laroche & Dr. Olivier)

• AMHE at HUEH (continued)• Ophthalmology (Dr. Laroche & Dr. Olivier)• General Surgery (Dr. Poulard)

• AMHE at HUEH (continued)• Ophthalmology (Dr. Laroche & Dr. Olivier)• General Surgery (Dr. Poulard)• TB and HIV care (Dr. Megan & Dr. Berthaud)

• AMHE at HUEH (continued)• Ophthalmology (Dr. Laroche & Dr. Olivier)• General Surgery (Dr. Poulard)• TB and HIV care (Dr. Megan & Dr. Berthaud)• Rental of two (2) studios by AMHE.

• AMHE and DECENTRALIZATION

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)• AMHE at St-Marc (Dr. Pierre-Louis)

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)• AMHE at St-Marc (Dr. Pierre-Louis)• AHME at Jacmel

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)• AMHE at St-Marc (Dr. Pierre-Louis)• AHME at Jacmel• AMHE at Petit-Goave (Dr. Desgrottes)

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)• AMHE at St-Marc (Dr. Pierre-Louis)• AHME at Jacmel• AMHE at Petit-Goave (Dr. Desgrottes)• AMHE at Aquin (Dr. Castor)

• AMHE and DECENTRALIZATION• AMHE at Justinien Hospital (Dr. Auguste)• AMHE at St-Marc (Dr. Pierre-Louis)• AHME at Jacmel• AMHE at Petit-Goave (Dr. Desgrottes)• AMHE at Aquin (Dr. Castor)• AMHE at Hospital LaPaix (Dr. Dauphin)

• AMHE and DECENTRALIZATION (continued)• AMHE at Community Hospital

• AMHE and DECENTRALIZATION (continued)• AMHE at Community Hospital• AMHE at Quisqueya (Dr. Desrouleaux)

• AMHE and DECENTRALIZATION (continued)• AMHE at Community Hospital• AMHE at Quisqueya (Dr. Desrouleaux)• AHME at Jérémie (Dr. Jerome & Dr

Tabuteau)

Tabuteau)• AMHE Rehabilitation Center at Santo

(Dr. Gibbs & Dr. Cadet)

Tabuteau)• AMHE Rehabilitation Center at Santo

(Dr. Gibbs & Dr. Cadet)• AMHE in Rwanda (special invitation from

Dr. Paul Farmer)

• AMHE and DECENTRALIZATION (continued)• AMHE in the Dominican Republic (BRA)

working in Anse-à-Pitre (Dr. Nacier & Dr. Léger)

• AMHE with CECI at Diquini

• AMHE with CECI at Diquini• AMHE in E-medicine and Tele-medicine

(meeting with AMA in June 16, 2010).

• AMHE and Medicine by Proxy

• AMHE and Medicine by Proxy• Personal safety concern

• AMHE and Medicine by Proxy• Personal safety concern• Paying for the services by local professionals.

• LONG TERM COMMITMENT TO HAÏTI– AMHE Evaluation Resources: LIMITED

• Financially

• Financially–Poor contribution from the members

• Financially–Poor contribution from the members–Cooperation with HRDF and NGO status

• Administrative vacuum

• Administrative vacuum–No dedicated staff

• Administrative vacuum–No dedicated staff–Position of Executive Director for AMHE

• LONG TERM COMMITMENT TO HAÏTI– AMHE Evaluation Resources: LIMITED (continued)

• Human resources

• Human resources– Increase in membership

• Human resources– Increase in membership–Convincing by our good deeds

• Human resources– Increase in membership–Convincing by our good deeds–Reaching the young medical graduates, the

retirees and our friends

• Human resources– Increase in membership–Convincing by our good deeds–Reaching the young medical graduates, the

retirees and our friends–Reaching the non Haitian professionals

• Deficit on logistics

• Deficit on logistics–Transport, lodging, work assignments

(General Hospital or expansion to other sites)

• Drawback

• Drawback–Lack of commitment from the members

• Drawback–Lack of commitment from the members–Financial and personal.

• A FEW WORDS OF WISDOM

– BRAINSTORM

– BRAINSTORM– OPEN THE HEART

– BRAINSTORM– OPEN THE HEART– FEEL THE EMOTION

– BRAINSTORM– OPEN THE HEART– FEEL THE EMOTION– PROVE THE BELIEF IN AMHE

– BRAINSTORM– OPEN THE HEART– FEEL THE EMOTION– PROVE THE BELIEF IN AMHE– TAKE ADVANTAGE OF THE CRISIS

L’EMBARRAS DU CHOIXOU

LE CHOIX DE L’EMBARRAS

ABBREVIATIONSAAO: American Association of OphthalmologyAAP: American Association of Pediatrics AMA: American Medical AssociationAMHE: Association Medecins Haitiens AbroadDHHS: Department of Health and Human

Services

ABBREVIATIONS (cont’d)GHESKIO: Groupes Haitiens d’Etude du Sarcome de Kaposi et des Infections OpportunistiquesHANA: Haitian American Nurse AssociationHRDF: Haitian Ressources and Development

FoundationHUEH: Hôpital Université d’Etat d’Haiti

ABBREVIATIONS (cont’d)ICS: International College of SurgeonsMSPP: Ministère Santé Publique and

PopulationNGO: Non Governmental OrganizationUSAID: US Agency for International

Development

THANK YOU FOR LISTENING

PAUL E. NACIER, M.D., F.A.C.P, A.G.A.F.July 31, 2010

MEDICAL RELIEF MISSION REPORT JULY 31, 2010

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