Nos Petits Frères et Soeurs Haiti

Highlights

Program de Vie ‑ Programs of Life

Saint Helene Foyer ::: Located in the mountains of Kenscoff, (elevation 6,000 feet) St. Helene is a permanent home to 400 children. Over 200 external students from the community attend the on‑site school. Kay “House” Christine is

located inside St. Helene and is home to over 30 children with special needs.

Saint Don Bosco ::: Roughly 250 children and youths still supported by NPFS but not living at St. Helene are enrolled in the St. Don Bosco program. Students live with extended family or in group homes and attend secondary school, including professional or vocational school. The future site of the Don Bosco

school and student dorms is located in Tabarre, near the hospital.

Saint Anne ::: A rented temporary home for up to 40 children, 6 years and under. The home began as a response to the thousands of children in need due to the January 12, 2010 earthquake. The future site of this home will be located in Tabarre, near the hospital.

Saint Louis ::: Temporary child protection camp located in Tabarre for 50+ vulnerable and displaced children. Capacity of the camp will be 350. A site for the permanent home is being sought.

Father Wasson Angels of Light ::: Emergency response program for children living in the tent cities. Includes day camp and educational activities for 2,500 children plus a meal program. Youths that grew up at NPFS help coordinate the various programs. In October, the program hopes to open its first primary school for 700 students and offer about 60 jobs.

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2011 Estimated Monthly Budget

St. Helene Foyer $95,000

St. Don Bosco $42,000

Fr. Wasson Angels of Light $50,000

St. Helene in Kenscoff

Fr. Wasson Angels of Light student

Nevna from the St. Louis Child Protection Camp

St. Damien Medical CenterSt. Damien Pediatric Hospital is located in Tabarre, a suburb of Port‑au‑Prince, near the airport and US Embassy. The outpatient clinic treats 100 children daily, has 120 beds, including an 18‑bed emergency unit, 10‑bed pediatric intensive care unit and nine‑bed cancer center.

The hospital has a laboratory, digital x‑ray facilities, pharmacy, surgery ward, public health department, dental clinic and post‑earthquake programs such as maternity and neonatal.

St. Germaine Rehabilitation Center ::: At the Hospital Medical Center in Tabarre, a rehabilitation center was officially opened on September 8, 2008. The three main components to the Kay Germaine program are physical

therapy, school and a meal program. A prosthetics lab and physical therapy program for amputees began

shortly after the earthquake.

Kay St. Elaine :::: Formerly located in the Fr. Wasson Center in Petionville, a six‑story building that collapsed during the earthquake,

St. Elaine has been relocated to another facility in Petionville to continue serving the special needs children who attended the educational, physical therapy and

meal program.

Other sites in Petionville are administrative offices, social work, sponsorship

and visitor housing.

St. Luke FoundationThe St. Luke Foundation, an affiliation of NPFS Haiti, developed and manages numerous outreach programs in the poorest areas and slums surrounding Port‑au‑Prince. The newest program is an adult hospital named St. Luke Hospital, which was opened right after the earthquake.Additional St. Luke programs include:• 24 primary schools• Two maternity clinics• Satellite healthcare clinics • Out‑patient malnutrition ward near the hospital• Food distribution (basic food staples; rice, beans and oil)• Dignified burials• Water delivery• Disabled children’s home• Social and economic support for people living with HIV• Transportation system to assist employees and patients

St. Francisville ::: “Works of Justice are Works of Peace,” is the motto of this unique program that produces a variety of goods including cement block, cobblestone, bread and biscuits, and most recently pasta. There are also workshops for automotive mechanics, sewing, printing and digital production. The goods and services are used by NPFS and St. Luke, as well as external missionaries and other non‑governmental organizations (NGOs). During the earthquake, bread production was accelerated to 5,000 rolls daily and the buildings were used as a warehouse distribution center.

Highlights

Patient from the St. Damien Maternity ward.

Patient from St. Damien’s hospital enjoys a fresh roll.

Nos Petits Frères et Soeurs Haiti

Saint Damien Pediatric Hospital

The island nation of Haiti is located in the Caribbean and is the poorest

country in the Western Hemisphere. In a population of less than 10 million,

over 138,000 children die of preventable diseases every year. Leading causes

of death include diarrhea, respiratory infections, malaria, tuberculosis and

HIV/AIDS, with widespread malnutrition and poor sanitation compounding

the health crisis.

Yet there is hope. Nuestros Pequeños Hermanos, founded by an American

priest, Father William Wasson in 1954, opened their

doors in Haiti, Nos Petits Freres et Soeurs (NPFS)

or Our Little Brothers and Sisters, in 1988. While

the initial goal of NPFS was to build a permanent home for orphaned and abandoned

children, the large amount of children dying from treatable illnesses showed a desperate

need for a hospital that could treat chronic and other debilitating pediatric illnesses.

As part of NPH’s mission to truly serve the needs of the poorest children, Haiti

National Director (and physician) Father Rick Frechette started our first medical

center in 1989. The new St. Damien Hospital in Tabarre, a 45,000 square foot facility,

was opened in 2006. Funded through private contributions to NPH worldwide, St.

Damien’s provides high quality medical treatment for disadvantaged and destitute poor

children in Haiti. More than half of all patients are admitted for an infectious disease

such as tuberculosis, malaria, or HIV while 25% are admitted for non‑infectious

diseases such as cancer, cardiovascular disease, and kidney infection. Most patients

admitted are also malnourished. The outpatient clinic treats 100 children daily, for acute

infections as well as parasitic and bacterial infections. In specialized programs, chronic

conditions such as sickle cell anemia, congenital heart diseases, tuberculosis and cancer

are treated for months or years if needed. The St. Damien Pediatric Hospital and the

associated public health programs of NPFS reach over 30,000 children annually.

Hospital

Front view of St. Damien’s and patient.

Nurse’s aid attending to a child.

Girls from the hospital are roomed together.

St. Damien’s has 120

beds, including an 18‑bed

emergency unit, 10‑bed

pediatric intensive care

unit (pICU), and nine bed

cancer center.

The hospital is staffed

with 18 pediatricians, 50

nurses and 60 certified nursing assistants, as well as

eight lab technicians, one x‑ray technician and three

x‑ray auxiliary technicians. The hospital pharmacy

is headed by a trained pharmacist, whose work is

supported by 22 pharmacy technicians and overseen

by an international volunteer pharmacist.

The hospital’s laboratory has the capacity to do many

essential tests, including malaria blood smears, HIV,

and sickle cell. On average, about 1,500 hematologic

exams and more than 4,000 bacteriological exams

are conducted monthly.

The digital x‑ray, which

performs 400 x‑rays

a month, is capable of

sending images across the

internet to an external

radiologist in the US or

Europe. More than 90% of

all x‑rays are of the chest

to exam the lungs for

respiratory tract infections.

The pharmacy is responsible for providing medicine,

medical supplies and other items to the patient

rooms and out‑patients. While some essential

drugs are produced and purchased in Haiti, most

medications and supplies are imported from Action

Medeor, a specialist supplier for charity projects from

Germany.

The hospital has a fully

functional pediatric

surgery department.

The Surgical Director

performs emergency

surgeries and operations

needed by children in the

hospital. Foreign surgical

teams come four to six

times a year for elective surgery.

The public health program provides standard

pediatric vaccinations to all hospital patients, and

provides out‑patient public health clinics, including

HIV care.

The Dental Clinic is available to children and

adults Monday through Friday.

Hospital

Estimated Hospital Budget for 2011

4.2 million

Below: aerial view of hospital. Right: patient has double amputation as a result of earthquake.

Infectious disease ward.

Digital x-ray post-earthquake.

Volunteer surgical team.

NPH/NPFS HaitiFor more information please visit www.nph.org or email info@nph.org

Over 220,000 are believed to

have died and it is estimated as

many as 300,000 were injured

making the Haiti Earthquake

one of the deadliest natural

disasters in modern history.

Hospital

Responding to a Tragedy

On January 12th, 2010, a devastating 7.0 magnitude earthquake struck Haiti. In the days that followed, hundreds of thousands of lives were lost. For those who survived, tragic injuries were sustained, homes were destroyed, and hope seemed to disappear.

NPFS reacted immeditely, opening the hospital doors to anyone who needed help. St. Damien quickly became a hub for trauma care for quake‑related injuries, and even maternity care. It also became one of the premier orthopedic medical centers within Haiti. And with 20,000 orthopedic injuries caused by the quake, the need for quality orthopedic care was tremendous. Teams of doctors, nurses, and other medical professionals from all over the world flew to St. Damien to help care for the wounded. Within the first three weeks, the hospital attended to over 10,000 adults and children. Teams also immediately began distributing emergency aid of food and water to the numerous tent cities.

Programs developed since the earthquake include:

Maternity and neo‑natal ward which estimates 400 births annually.

Prosthetics lab and physical therapy for amputees.

Adult field hospital, including prefab surgery room.

Day camp, school and meal program for displaced and vulnerable children living in the tent cities.

Eight additional street schools were established, including one for blind and deaf children.

Live‑in child protection camp which serves children who would not otherwise survive.

Babies house to care for 40 children six years and under.

Francisville bakery supporting the many feeding programs with fresh rolls daily and pasta production.

Intergrating displaced children into our home at St. Helene Foyer.

Micro‑credits for youths who grew up at the NPFS home that need to rebuild, or rent accomodations.

Interior courtyard of the hospital after the earthquake.

Celestine, in the hospital and then test-ing her new prostheric leg at Kay St. Germaine Rehab Center.

Rehab

Nos Petits Frères et Soeurs Haiti

Kay Saint Germaine and Elaine Rehabilitation Center

In 2004, Gena Heraty, Director of Kay Christine, began offering outpatient services to disabled children and their mothers in the slum of Wharf Jeremy. Gena found if the mothers are given the tools to care for their child then they are less prone to abandon them. The program named Kay Elaine grew and was relocated to the old hospital facility in Pétionville, which collapsed during the earthquake. Kay Elaine now operates out of a large house and continues to offer the original services of physical therapy, school and feeding program to children with neurological disorders.

At the Hospital Medical Center in Tabarre, a rehabilitation center finished construction and was officially opened in September 2008. The three main components to the Kay Germaine program are similar to Kay Elaine: physical therapy, school and a meal program. Approximately 50 children receive physical therapy daily and 80 students are enrolled in school.

After the earthquake, Kay Germaine began to attend to the amputees and quake‑related orthopedic and neurological injuries referred from the St. Damien Hospital. Fifty amputees have been fitted with artificial legs and an average of 25 orthopedic patients receive physical therapy daily, including stroke patients. Thanks to our friends from Italy, a prosthetics lab was developed to serve this population. The program has also hired four new local physical therapists. With the help of an Israeli organization, in addition to volunteers from Italy, Ireland and the United States, they trained all staff to treat the specific post‑earthquake needs.

The horseback riding program continues to grow and children from the three special needs programs participate weekly in therapy lessons. Last year five students traveled internationally to participate in equestrian events.

Aerial image of Kay St. Germaine. Physical therapist with patients.

St. Germaine students.

Therapeutic riding program.

Prosthetics lab. Learning to balance on crutches.

Through 15 day camps and various outreach programs, Father Wasson Angels of Light staff and volunteers carefully monitor children affected by the earthquake and identify whether they are abandoned or orphaned. Set up at St. Damien—a free pediatric hospital in Tabarre—and in numerous tent cities sprawled throughout the capital, the camps feature community engagement and educational activities that provide shelter, medical care and food for the children. NPFS then determine each child’s social situation, providing a safe haven in their live‑in Child Protection Camp or integrating them into the larger NPFS family at the St. Helene orphanage in Kenscoff.

Founded in January 2010, Angels of Light currently feeds 2,500 children per day, mostly through donations from the World Food Program. In October 2010, the organization hopes to open its first primary school for children, which will create space for 700 students and about 60 jobs.

Over 80 youths who grew‑up at the NPFS home are now working as activity coordinators, teachers, caregivers and administrative staff. In total, Angels of Light provides over 140 jobs.

Angels

Children from the tent cities enjoying the day camp.

Stress relieving activities.

Music therapy with drum lessons.

Emergency response program for vulnerable and displaced children.

Kenson, Hermano Mayor with camper.

1.5 million displaced people are living in tent cities.

St. Luke FoundationOnly a little over half of primary school‑age [Haitian] children are enrolled in school. Less than 2% of children finish secondary school. Source UNICEF.

Every Child Counts

The St. Luke Foundation, an affiliation of NPFS Haiti, developed and manages primary schools for thousands of Haitian children who otherwise could not afford an education. Most of the schools are located in the Port‑au‑Prince area and surrounding rural areas. Prior to the January 12th, 2010 earthquake, 18 schools were operating. Due to the tremendous need, six new schools have now been opened.

Five years ago, St. Luke opened its first free primary school in Wharf Jeremy, the poorest area of Port‑au‑Prince. Since then, 23 additional schools were opened in other destitute areas of Cite Solei, Delmas, Petionville, Kenscoff, Jeremie, Leogane, Cayes and Dupity. The schools are free to the children, leaving only the cost of the uniform and the books to the families. About 300 children attend each school and all receive a hot meal at lunchtime, which in most cases, is their only meal of the day.

In 2002, the St. Jude Program started enrolling children who live on the streets into the schools. For these children, the uniform and books are provided. Approximately 150 children meet at a park each morning where they eat breakfast (sandwich and

juice) and then are transported to their respective schools. These students are particularly eager to learn and 2008 marked the first graduation of a

St. Jude student.

The street school program not only provides futures for the 7,500 children

enrolled, but also helps relieve the financial burden on their families so they can better afford healthcare,

food, clothing and other life

necessities.

St. Luke

St. Luke was initiated by Fr. Rick Frechette in 1999 as a response to the need of what he witnessed in the slums and on the streets. As he cared for the sick and dying, he realized the true reality of the deplorable conditions that the youth of NPFS faced once on their own.

“If we don’t help our children integrate into society then it’s our failure. We need to look for solutions to help the poorest children and create employment for the older youths that incorporate dignity and compassion,” explained Fr. Rick.

As a result, some NPFS graduates from the orphanage program are now working as teachers, hospital staff, bakers, mechanics and other roles, employed in the St. Luke programs alongside other Haitian staff.

Students at the St. Anne Street School.

Left: Kindergarten student at St. Martin Street School. Right: Outside classroom at Temple of Grace Street School.

St. Luke

Mission of TobitIt is an ancient Jewish belief that charity toward the dead is the highest charity. There are two components to this program, one is preparing the bodies of the 200 children who die at the St. Damien Pediatric Hospital and two is burying the destitute from the general hospital morgue. Children have the first priority resulting in 15 to 20 children per paper mache coffin. The coffin also includes a hand‑made rosary. They are transported to a cemetery which is located on rented land owned by the government.

The Blessing of WaterThe children and families in the Cité Soliel slums have little to no access to water. Each day 21,000 gallons of water are delivered daily in a truck donated from an Italian foundation. It fills up with water at the municipal city service station for $25. The truck then drives into the slums and parks while people form a line. Once the valve is opened it takes about one hour to empty. The water services 2,500 families per day, delivering 1,400 loads a year, 4,320,000 gallons per year. Two employees work distributing the water and they also perform crowd control.

Many people in the developing world have access to only 5 liters of water per day, whereas the average American uses 80 times that amount.

Manna from HeavenDistributing food to the poor is becoming more difficult with the rising food costs. Areas for food distribution are identified by workers and rotated throughout the year. Basic food items such as rice, bean, oil and pasta are typically distributed.

Clinic on the Pier The St. Luke Medical Team operates a clinics five times a week in Wharf Jeremy. Roughly 30 children and 30 adults receive services daily including the continued care 60 patients with HIV, 38 patients with tuberculosis and 400 diabetic and hypertension patients. There are 16 employees, including two physicians and two nurses.

Additional St. Luke programs include:• Two maternity clinics • Satellite healthcare clinics • Dignified burials • Water delivery• Disabled children’s home • Out‑pateint malnutrition ward near the hospital• Social and economic support for people living with HIV • Food distribution (basic food staples: rice, beans and oil)• Transportation system to assist employees and patients

Fr. Rick Frechette at the burial site.

Cité Soliel residents line up to receive free water.

Rice, pasta, candles and matches for food delivery.

Clinic on the Pier in Wharf Jeremy.

St. Luke

Public Health and HIV ProgramsThe Public Health center is an outpatient program located on the hospital grounds, which serves 10,000 children and mothers annually. The staff provide healthcare services at the facility plus on‑the‑ground health agents conduct home visits. Services provided are immunization to children under five, health education such as sanitation, nutrition, children’s illnesses and HIV prevention and transmission. This program also supports a prenatal clinic with physicians, nurses and a midwife.

HIV Clinic Currently NPFS is receiving a grant in collaborating with I‑TECH, International Training and Education Center on HIV. I‑TECH provides development and guidelines for prevention, care and treatment efforts. Many of the population are referred from the outpatient clinic at the hospital. The staff supporting this program are physicians, field agents, psychologists, pharmacists and administrative support. Currently there are 216 children enrolled in the program.

Clinic Manitane ‑ Women’s Health and Pre‑Natal CareAccording to the United Nations Population Fund, one in 44 womendie in pregnancy or childbirth, making Haiti “the most dangerousplace to give birth in the Western Hemisphere.” In March 2009, St. Lukeopened Clinic Manitane in order to provide high‑quality prenatal careto expectant mothers in Haiti. The eight‑room clinic contains two consultation rooms, an ultrasound, a laboratory, and a large waiting area. It is conveniently located five minutes from St. Damien’s, and all severepre‑natal complications are seen by the gynecologists of St. Damien’s.

Manitane has increased its patient load from 400 a month to 1,000. Laboratory capacity has increased to include basic prenatal tests, and regular ultrasound tests. Additionally, patients are seen weekly for non‑prenatal issues including hypertensive crisis, hyperglycemia,dehydration, malaria, and sickle cell.

Manitane is expected to reach Degree 1 Motherhood certification, which would permit single, midwife‑performed births.

Wharf Jeremy where NPH and St. Luke operate streets schools, a clinic and Angels of Light day camp.

Public health physican at St. Damien’s.

Public health clinic.

Pre-natal clinic.

St. Luke

Francisville Named in the honor of St. Francis of Assisi, Francisville’s motto is, “Works of Justice are Works of Peace.” The goal of Francisville is to be a production/trade center where products that NPFS and other missionary organizations need are produced, sold and distributed. Many of the Francisville staff received training in Italy for all pre‑earthquake activities: producing cement block, bakery, print shop digital production and mechanics. During the earthquake, the damaged building was used to accelerate bread production, to help combat hunger, and the warehouses of Francisville were an important base for receiving emergency relief supplies.

In the past six months, most of the Francisville buildings and the perimeter walls have been repaired and the foundation for a large‑scale warehouse is under construction. Post earthquake activities include production of cobblestone for building roads, a pasta factory, and a sewing workshop to make school uniforms. Francisville runs at no expense to any NPH affiliate. The St Luke Foundation manages Francisville as a mission cooperative, paying for the production often through grants, and donating the profit to NPFS Haiti. In the first six months since the earthquake, Francisville has produced 950,000 small loaves of bread, 32,000 cement blocks, 4,000 cobblestones, and 360,000 printed forms. One of NPFS Haiti’s future projects is the construction of a trade and secondary school, including student housing for our young adults from St. Helene.

Rolls, biscuits and pasta produced at Francisville.

Francisville bakery.

Cement block production.

Pasta factory arrives at Francisville.

NPH/NPFS Haiti™

For more information please visit www.nph.org or email info@nph.org