Konbit Sante Annual Report 2013

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    2013 Annual Report

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    Lespwa fe viv: Hope gives the strength to carry on.

    2013 Annual Report

    Dear friends,

    There is good news in Haiti. Did you know, for example,that between 1990 and 2010 the rate by which mothers diein childbirth in Haiti declined by nearly one-half?

    People often ask me, How are things in Haiti? Recently,someone asked me that very question, immediately followed

    by the remark, I would be afraid togo there after all I have heard aboutit; the poverty, the violence, the cor-ruption. The interaction broughthome to me the disconnect betweenwhat I know about the countryitsbeauty, its complexities, the greatstrides made in recent yearsandthe dominant narrative that contin-ues to exist about Haiti here at home.

    The common perceptions hardly need repeating: Thepoorest country in our hemisphere; or Nothing ever getsbetter there. While the rst statement is true, both aretired, one-dimensional, and fail to recognize importantprogress being made. How many people know that infantmortality has decreased by 25%, and under-ve mortal-ity has decreased by 22% in the past 15 years? Childhoodvaccination rates are up and severe malnutrition down. Arecent UN study on global homicide rates shows that themurder rate in Haiti is dropping; its lower now than inmany popular Caribbean vacation destinations.

    That there is still a long way to go to alleviate preventablesickness and death speaks to the remaining challenges, butthese things are moving in the right direction in spite ofthe many disasters and obstacles that Haiti has endured.

    As daunting and challenging as the very real problems arein Haiti, the good news is that they are not intractable orbeyond hope.

    We at Konbit Sante continue to feel honored to be a smallpart of this forward movement in Haiti. I was excited thisyear that the hospital administration of the second larg-est public hospital in Haiti, Justinian University Hospital(JUH), demonstrated their commitment to improved man-agement in many concrete ways. Perhaps one of the most

    telling was asking us to take a comprehensive look at theirnancial systems and make recommendations on how theycould be more accountable and transparent. Of course, wewere very pleased to take on the task, and look forward tosupporting their continued management improvements inany way we can.

    I nd hope in the community work being done by the newHaitian health organization ULS, which established a clinicin an underserved area of Cap-Haitien called Bande du Nord.We were very pleased to help them grow in their capacity andlook forward to building the relationship further.

    This year we restructured our Haitian administrative lead-ership and now have a program manager dedicated exclu-sively to community initiatives. Her reach and connectionin the community has been amazing. I nd hope in the waythat the pediatric service at JUH has embraced the col-lection of data on patient outcomes to guide interventionsaimed at lowering newborn deaths in the service. I amthrilled to help facilitate the work of partner organizationslike SOIL, who are introducing household sanitation insome of the poorest area of Cap-Haitien in this age of chol-era, and our continued work with Haiti Hospital Appeal,utilizing mobile clinics to reach women and children oftenmarginalized from the formal health system. I nd hope inthe construction of new facilities at the Justinian Hospitaland improvements to the electrical systems throughout the

    hospital as the result of the assessment and advocacy workthat we have done.

    A couple of years ago, one of our Haitian staff told me that hewas discouraged by the slow rate of change and wasnt surethat real change was possible. I told him that I didnt alwaysknow what to believe about the bigger picture, but I did knowthat I believed in him and what he was doing. I continue tobelieve in the growing number of people who remain commit-ted to manifesting the change they want to see.

    We are truly privileged to support such agents for positivechange whose work is marked by dogged persistence againstthe odds, dedication to service, and humility and compassionin the pursuit of helping others. I hope that this report givesyou a glimpse of the work that your support has made pos-sible over the past year and why the many people who haveseen rsthand what is going on tell a Haitian story countertoor perhaps more complete thanthe one most often re-peated; a story of steadfastness, of friendship, of daily actionsthat work to meet the needs of all those in Haiti who surelydeserve health and well-being in their lives.

    Thank you for being a part of the community of people whoare making this narrative of resilience and hope a reality.

    Sincerely,

    Nathan M. Nickerson, RN, DrPH Executive Director

    Many people who have seen rsthand what is going ontell a Haitian story of steadfastness, friendship, and dailyactions that work to meet the needs of all those in Haitiwho surely deserve health and well-being in their lives.

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    Amid Shared Burden and Effort, a Song Rises and the Konbit Endures

    Konbit Sante Cap-Haitien Health Partnership

    Dear Friends,

    When I joined the konbit in 2010, it was just afterthe devastating earthquake that claimed hundredsof thousands of lives. I didnt really know what hadhappened, not until I witnessed the rst buses thatstarted to bring those poor souls to the hospital. This

    sad story has been told time andtime again, so I wont impose yetanother version upon you. No,instead, I would like to talk abouta few people whose work, despiteharsh conditions, brings hope to mycountry.

    Konbit Sante has been workingwith the Haitian public healthsystem, with two health facilities

    in Cap-Haiten, for many years now. Bringing in suppliesand equipment is the easiest part of our partnership.Nurturing this partnership by listening and understandingeach other, this is challenging. Making sure that Haitianvoices are heard and their view implemented wheneverpossible is what we long for. We try to do away with thewe know better attitude. Sure, nothing is perfect and

    just because youve been doing something for a long timedoesnt mean its the best way. There are times when weneed to offer our partners other perspectives. But in noway should it be directives. We take pride in this ongoingeffort to make this a real konbit .

    What is a konbit ? I hear you ask. In rural Haiti, farmersonly have rudimentary tools to work with. Theres no bigmachinery to till the land. The trick is then to join forcesto do by hand what the machine would have done. Allcapable women and men gather in one farmers eld tohelp him out. Then the magic happens. What would havebeen near impossible just became possible. With lots ofsongs and laughter, with a camaraderie thats strongerthan the obstacles ahead. Everyone there will work forfree, knowing that when their turn comes, everyone willalso be here for them.

    Konbit Sante has little resources and the health facilitiesin Cap- Haiten have to struggle to give just the basiccare. The work is challenging; the rules are always

    changing. It has become more and more difcult fororganizations to work in the country for all sorts ofreasons. But we are committed to our vision to helpachieve a health system that can stand on its own twofeet. We sometimes feel our efforts are like a drop ofwater into the ocean. But what is an ocean if not the sumof all those drops?

    Being part of this konbit has brought me incredible joy andprideIve also made some good friends along the way. Ivealso experienced some frustrations. At times, we might feeldoubtful about the outcomes. The eld looks too wide, toodifcult. The workers are getting tired. Can we make it?But then a song rises. Not really a song at rst, maybe awhisper, which will be echoed by many others, transformingitself into an invigorating song. And all of a sudden, theeld is not that big. All of a sudden the men and women feelrejuvenated and tackle the work remaining.

    So yes, theres hope. This is what the konbit is all about. You too can be part of this konbit . You too can bring aglimmer of hope in the eyes of a mother or future mother.

    You can bring a smile to the face of a child. Because youknow, as we say here in Haiti: Men anpil, chay pa lou.With your help, the load can only get lighter.

    Cordialement,

    Jose Raymour In-country Director

    We sometimes feel our efforts are like a dropof water into the ocean. But what is anocean if not the sum of all those drops?

    About Our NameIn Creole, a konbit refers to a traditional method of working together to till your friends fields as well as yourown. The people working together side by side as equals toward a common purpose, each contributing whatthey are able, form the konbit . Sante means health. The health of the Haitian people is our common purpose,and the konbit includes everyone with their shoulder to the plow Haitian community groups, the Haitiangovernment, US and international funders, and you, our donors and volunteers.

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    2013 Annual Report

    Well-trainedWorkers

    A profile of Dr. Rony St. Fleur

    Dr. Rony St. Fleur is a Konbit Sante supportedpediatrician at Justinain University Hospital (JUH) and

    the Hospital at Fort St Michel(FSM). He is also an advocate forchildrens health who uses hisrole as an educator, a health careprovider, and an administrator tomake his vision of compassionate,quality care a reality for thethousands of children who aretreated annually in Haitis secondlargest public hospital. Dr. St. Fleuris among Konbit Santes many

    valued colleagues. Using his own words, we are happyto introduce this extraordinary doctor and the importantwork he does for his patients, JUH, and this konbit .

    Tell us about your early years: Where were youborn? Where did you grow up?

    I was born and grew up in Saint Marc, in the ArtiboniteDepartment. I left Saint Marc to attend high school inPort-au-Prince. After that, I went to the State Universitywhere I got my medical degree in 1999. I spent a yearin Gonaives for my social service, then three years atthe Justinian Hospital in Cap-Haitien where I did myresidency in Pediatrics.

    Why did you decide to become pediatrician?

    When I was a child, I was often sick and there werentany pediatricians in Saint Marc to take care of manychildren like me, so I decided to be not just a doctor, but apediatrician. I grew up with that idea. Time didnt changemy mind. Also, as a person, I like the challenge. I believeeverything can change if only one person wants it.

    Konbit Santes missionTo support the Haitian visionof a strong health system toimprove the health of the people

    in northern Haiti. How do wehelp build a strong, sustainablehealth system? Like any structure,a health system needs the rightbuilding blocks, including:

    Well-trained workers Quality health care services Medicine, supplies and equipment Infrastructure like safe buildings, clean water,

    and sanitation

    Together with our partners, Konbit Sante improvesthese building blocks, so that Haiti can one day havea health system that really meets the needs of itspeople from door-to-door community outreach all theway to hospital care. The goal is always to enhance thecapacity of Haitians to provide care to their citizenry.

    In our annual report we want to show you how yourcontributions have improved these essential buildingblocks over the past year.

    US Board of Directors

    President:EJ Lovett III, PhDVice Presidents:

    Brian Dean CurranMalcolm Porteous Rogers, MDSecretary:Marianne RingelTreasurer:Robert N. MacKinnon, Jr.Directors:Stephen Larned, MDEva Lathrop, MDNancy Martz Jeffrey Musich P.E.Marion Knox Jon QueallyAmanda Similien John Shoos Jonathon Simon, DSc, MPHHugh Tozer P.E.David VerrillClerk:Peter Plumb, Esq.

    Founder and President Emeritus:

    J. Michael Taylor, MD, MPH

    Board Advisor:

    Henry Perry, MD, PhD, MPH

    Cap-Haitien Advisory Board

    Max LarocheMarie-Carmelle Leconte, MD Jose Raymour

    Administrative Staff

    US Office:Executive Director:Nathan Nickerson, DrPH, RNProgram Specialist:Tezita Negussie, MPH, MSWLogistics & Information TechnologyCoordinator:Daniel MullerFinancial Specialist:Richard Williams, MBA

    Cap-Haitien Office:In-country Director: Jose RaymourCommunity Health Program Manager:Clotilde Saint- Jean, RNFinancial Manager andSupply Chain Coordinator:Ruddy Emmanuel Adeca

    Dr. St Fleur working in the pediatric department at Justinian Hospital.

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    Konbit Sante Cap-Haitien Health Partnership

    What is a typical day like for you at JUH?

    I can say my work starts at 8:00 AM with the morningreport where I review the new admissions with theresidents. Depending on the number of new admissions,the morning report can last 1 to 1 1/2 hours. We alsobenet from looking at the charts of all patients whohave died; the mortality review. After that I consult onpatients with problems, and then I go to the outpatientclinic to see about 25 patients there. Three days a weekwe have lectures or discuss a challenging case. At 2:00PM I usually meet the chiefs of the service to decide what

    materials we will need for the night. I usually leave thepediatric unit at 3:00 PM, but sometimes I come back atnight if a senior resident needs my help.

    What do you nd most challenging and rewardingabout your work?

    We have to train the medical residents most of the timeto work with their minds and their ngers. Making adiagnosis with technology is often a luxury at Justinian.In spite of what we lack, we do miracles every day. Weoften discharge kids who are now healthy that came inwith very little hope.

    What would you say to donors and supporters ofthe pediatric unit?I cant imagine life in the pediatric unit without KonbitSante or without help from outside. The majority of ourclients cant pay. We had a program called MATS: Manman

    Ak Timoun en Sante which paid for kids under ve yearsold that began two years ago, but its ending now. Theadministration is making a great effort to improve thesituation, but without help I dont think they can go far.

    Konbit Sante participated in the Government of Haitisnation-wide effort to train community health workersin a new curriculum developed by the Haitian Ministryof Health. The new curriculum prepares communityhealth workers to educate, refer, and provide basicservices to community members on a range of healthissues. Whereas the previous curricula often focused onhelping community health workers respond to specichealth problems, such as HIV/AIDS or tuberculosis, thenew curriculum and accompanying training programensures that each community health worker can addressa variety of health issues, including family planning,child immunization, and cholera. The Ministry hopes tosignicantly lower rates of preventable illness and deathby equipping all community health workers with broaderrange of knowledge and skills.

    As a long-time partner of the Ministry of Health, KonbitSante was invited to participate in a train-the-trainerworkshop in Port-au-Prince in early 2013. Our program

    manager for community health, Ms. Clotilde St. Jean,was one of those who attended the training on the newcurriculum. She returned to Cap-Haitien to organizeand facilitate a series of workshops for local communityhealth workers between March and June. Trainingparticipants included community health workers fromKonbit Sante, Unite de Loute pour Sante, and BaptistConvention Hospital. In the course of the coming year,Ms. St. Jean will develop mechanisms to measure theimpact of the training on the performance of communityhealth workers.

    Training the Trainers: Building Capacityfor Community Health Workers (CHWs)

    Nursing staff at Fort San Michel health clinic receive patients for care.

    Clotilde Saint-Jean, RN (left)coordinating a mobile clinic for women and children.

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    2013 Annual Report

    Medicine, Suppliesand Equipment

    Meet Konbit Sante Volunteer:George CrockettGeorge Crockett is a man behind the scenes and usuallyout of public view, but he is well-known to Konbit Santein the U.S. for his tireless work in the warehouse. Hemakes his tremendous contribution and impact bycoordinating, receiving, packing and sending medicalequipment and supplies to the organizational partners inHaiti. George began volunteering after the earthquake,and continues until this day.

    George has a deep insight into health service needsgained from his travels with Rotary International. Mostof my international volunteer time over the last 8 yearshas been on medical service missions in Africa and South

    America. I witnessedthe severe limitationsthey have providing themost basic service for thelack of supplies, Georgestated. Konbit Santefully recognizes this in itsprogramming. Without thesupplies and the equipmentmany of the other programswould be severely limited.It is rewarding to knowthat my small part can helpsomeone receive care.

    Georges work, in tandem with Konbit Sante staff anda cadre of other volunteers, has been instrumental insuccessfully collecting and shipping ve 40-foot shippingcontainers of donated medical supplies, equipment, andmedications from across the New England since theearthquake and subsequent cholera epidemic over thepast three years. The organization is both proud andgrateful to have George as part of this konbit !

    FY 13 Program HighlightsProgramsChild Healtho Conducted Quality Improvement data collection

    concerning child mortality, and medicine usageWomen Healtho Stakeholder presentation of study on womens

    preference for place of deliveryo Coordinated mobile outreach prenatal clinicso Established community-based transportation for

    obstetrical emergenciesCommunity Healtho Provided capacity-building support for a new

    Haitian health clinico Offered trainings for community health workersSupply Chaino Built electronic databases for equipment

    and supplieso Provided recommendations for supply chain

    improvementso Delivered containers and moved to new

    warehouse spaceInfrastructureo Completed facility improvements at Fort St.

    Michel Hospitalo Installed and maintained a hospital sterilizero Managed repairs to the Mobile Medical Unito Facilitated electrical upgrade and the planned

    construction of a new pediatric building Managemento Conducted a hospital-wide nancial study and

    offered recommendations for improvementTraining o Traveling volunteers provided on-site training to

    multiple hospital serviceso Development of teleconferencing and distance

    learning

    Research Partnered with a study on the impact of a

    nutritional supplement on growth stunting Partnered with a study on the contribution of

    unsafe abortion to the maternal mortality rate Invited to present an abstract at the 2013

    International Family Planning Conference onpost-partum family planning service delivery

    Partnerships strengthening: Supported and helped facilitate successful projects

    with partners including, SOIL and TiKay (as ascal agent), Smile Train, and others.

    Nurse Sherlie Jean-Louis sharing results of nutrition study with participant mothers.

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    Konbit Sante Cap-Haitien Health Partnership

    Program expenses were allocated as planned FY13 and

    were kept within the approved budget.Grant income supporting Konbit Sante-implementedprograms remained essentially unchanged from theprior year. This year Konbit Sante managed grants forother partners totaling $200,000. There were no majorconstruction or capital projects in FY13 as there had beenin the prior year, resulting in an overall decline of totalgrant and foundation funding (program and capital).

    Donor income from our annual campaign and majorfundraiser, Maine Walks with Haiti, increased slightlyover the prior year.

    Total in-kind contributions grew about 250%, in partdue to a $400,000 donation of medicines and medicalsupplies by Direct Relief International, California, that

    were shipped on our 15th 40-foot shipping container,

    making it the highest value one we have ever sent.Reserves (total net assets) have decreased by $82,445in FY13; the third year of declining reserves. Decreasesin reserves resulted from the scale-up of programs andthe resultant expenditures of funds raised in 2010 anddedicated to our 3-year earthquake response plan. Theseearthquake relief funds were exhausted prior to FY13and current revenue levels will not support the samescaled-up level of programming indenitely, withoutadditional new revenue.

    For complete nancial statements including a comparisonto the prior year, please go to www.konbitsante.org and

    visit our Funding Page .

    Total Income

    Donations: Restricted and unrestricted funds from individuals and groups.

    Foundations and Grants: Funds received from public and private fundingsources for specic health-related programs or capital improvements.

    In-kind Contributions: Includes the value of donated medical equipmentand supplies as well as the value of our donated ofce and warehousespaces.

    Revenue does not reect the in-kind value of volunteer time and skills

    contributed. Value of the professional time volunteers spent in Haiti isestimated at $93,500 in FY13.

    Total Expenses

    Community-based Programs: includes support for womens and childrenspublic health programming through the health center in FSM, and the ULShealth center in Bande de Nord; pediatric and prenatal mobile outreachclinics, community health workers, training for traditional birth attendants,mothers and fathers group, TB services, and vaccination campaigns.

    Hospital-based Programs: includes healthcare and nutrition services forinfants and children; nursing and medical resident trainings; developmentand support of clinical initiatives such as nursing, wound care, andemergency medicine; technical assistance on management issues; andfacility & infrastructure improvements at the Justinian Hospital.

    Supply Chain Program includes: Procurement, shipping, inventorymanagement and distribution costs for equipment, medicines and supplies.

    Managed Projects- SOIL & TiKay: Konbit Sante served as the grantrecipient and scal manager for two important health-related projectsimplemented by partner organizations SOIL and TiKay and describedelsewhere in this report; one focused on household sanitation and one onimproving TB care.

    Administration Expenses: U.S. and Haiti operations teams, operatingexpenses, and organizational development.

    Each category includes materials and supplies; salary, benet, andtraining expenses for employees; merit incentives; travel costs; and U.S. programmatic expenses for that program area.Drawn from Reserves: $5,291

    Total Income: $1,361,476

    Total Expenses: $1,366,767

    Community-basedPrograms

    $511,502 (37.4%)

    Supply Chain$169,180 (12.4%)

    Hospital-basedPrograms

    $399,776 (29.2%)

    Administration Expenses$110,223 (8.1%)

    Managed Projects:SOIL & Tikay

    $176,086 (12.9%)

    Donations$249,258 (18.3%)

    In-kind Contributions$$636,733 (46.8%)

    Foundations andGrants Programs

    $475,485 (34.9%)

    2013 Financial RecapSeptember 1, 2012 August 31, 2013:

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    2013 Annual Report

    Donated Professional Services

    Many people offer their time and professional skillsas volunteers, assisting with all aspects of our workincluding communications, outreach, strategic planningand events. There are too many people to thank in thisreport, but these volunteers are our cornerstone andhave our sincerest gratitude. This year we would like toespecially recognize the outstanding commitment of ourFinance Committee, who has developed and maintaineda nancial model of accountability and transparencythat allows you, the donor, to track every dollar. We areindebted to David Verrill, Steve Larned, Nate Huckel-Bauer, Hugh Tozer, Marianne Ringel, & Mike Kilmartinfor their trustworthy expertise.

    Donors and Volunteers Amitie HispaniolaBam Bam BakeryJ.B. Brown & SonsCity of PortlandDirect Relief InternationalGreen Seeds DesignHope InternationalDevelopment AgencyMaine Medical CenterMartins Point Health CareMajella Insight

    Middle East Childrens AllianceNorthern Data SystemsOrthopaedic AssociatesPartners for World HealthPlastic & Hand Surgical

    AssociatesPortland Foot & AnkleSt. Lawrence Arts &Community Center

    Exceptional Long Term Donors

    Two southern Maine businesses deserve specialrecognition and appreciation for their long term support.

    Northern Data Systems (NDS) has provided free ofcespace for our U.S. headquarters for over eight years. NDSfounder, Charlie Stevens and his family, have gone aboveand beyond in their support, traveling to Haiti, offeringIT expertise and staying involved in our efforts.

    J.B Brown & Sons has provided free warehouse space formedical supplies and equipment that we have shipped toHaiti for over ve years.

    Konbit Sante is humbled by the exceptional people at

    these socially responsible businesses and the support andsolidarity they continue to offer.

    Dr. Erin Berry-BibeeDr. Tracey BeardJeffrey CauleldSeraina EgliBretta Hixson, MPHDr. Carol KuhnDr. Eva LathropDr. Ann LemireBob MacKinnon

    Jeff Musich, P.E.

    Dr. Michael Quinn

    Marianne RingelDr. Mac RogersMeike Schleiff, MPHDr. Kristen SciaccaKim Simonian, MPHDr. Ralph St. FortHugh Tozer, P.E.David Verrill

    Alive and Thrive/Washington UniversityChemonics (USAID Ofce of Transitional Initiatives)Direct Relief InternationalEmory University

    GlobalGiving Grand Challenges CanadaManagement Sciences for Health (USAID/SDSH Project)WestWind Foundation

    Konbit Sante wishes to express appreciation for grant support from the following funders:

    FY 2013 In Kind Donors

    Traveling Volunteers - FY13

    Grant Support

    Volunteer Meike Schleiff d iscussing medicationstudy with Dr St Fleur.

    Volunteer Kim Simonian works on womenshealth study.

    Volunteer Dr. Tracey Beard works on emergencysupply distribution during ood.

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    Konbit Sante Cap-Haitien Health Partnership

    $10,000 and up

    John EmeryDr. Matt Liang & Diane

    GarthwaiteKathleen Lannan

    $5,000 - $9,999

    Ekedahl Family FoundationGipson Family FoundationDr. Steve and Polly LarnedDaniel Raymond Nickerson

    FoundationDr. Raymond and Doris NickersonDr. J. Michael & Wendy TaylorWestwind Foundation

    $1,000 - $4,999AnonymousAnonymousDr. Warren & Heidi AlpernDr. Sam Broaddus and Sandra

    JensenCarrine BurnsMary ClarkGeorge and Stephanie CrockettWoodard & CurranDr. John and Diane DevlinElliot Badgley Foundation Inc. James and Mary Ann EmswilerFox Family Charitable Foundation

    TrustGorham Savings BankPatricia and Cyrus HaggeDr. Terence Harrist James and Beverly HayIDEXX Laboratories Inc. Joel KarpDr. Carol KuhnF. S. Larned, Jr.Coalter LathropDr. EJ and Lynne LovettMaine Medical CenterMartins Point Health Care John Mayer

    Mr. Donald and Marilyn McDowellSusan & Frank McGintyMichael Ryan & Mary Lou

    McGregorDr. Eva Lathrop and Dr. Robert

    Moore Jeff and Elaine MusichNate and Nancy NickersonPhelps Family FoundationDan and Elinor RedmondMarianne RingelLinda RobinsonDr. Malcolm and Sue RogersRobert Roswell

    George W and Kate M Rowe Fund Jenny Scheu and John Ryan

    John Shoos and Lisa MerchantDr. Richard and Louise SullivanDr. Laalitha SurapaneniHugh Tozer and Kathryn ReidDr. William and Sheri TraverseUNUM GroupWaynflete SchoolKatharine WatsonDaniel and Fran ZilkhaMichael Zilkha

    $500 - $999

    AMICA Companies FoundationEllen Asherman

    John and Maggie AtwoodDr. John and Georgia BancroftBangor Savings BankDr. Peter and Jackie Bates Jennifer Andrews and Mark

    BattistaRichard BoudreauRuth BurdettSouthern Maine Medical CenterBiddeford - Saco Rotary ClubGregg Lipton and Sara CrispDean CurranCarrie Cwiak Joseph DekaySteve Douglas James and Rebecca EvartsPeter and Linda GammonsGail GilbertCara and Michael GordonDr. Robert HillmanEdward and Sherelyn Hixson John Hixson and Janet HobbsSandi Ste. George and Phillip

    Hoose James and Elizabeth KilbrethMarni and Roy KolarsickDr. Nanny-Co LathropRichard & Nancy Lemieux Dr. Ann LemireLovett Collins Associates, LLCLucas Tree ExpertsRobert MacKinnon and Jane

    OConorPolly MaroniDr. Robert McAfeeSusan McLaughlinAvis and Fred MillerGerald McCue and Sheila MolinariDr. Daniel Morgenstern and

    Moriah MoserDr. Suzanne OlbrichtOA Centers for Orthopaedics

    Drs. Jefferson and DeborahParker

    Richard PulkkinenThomas and Jeanette Puorro Jon and Amanda QueallyGinny RemeikaNancy RoachAnne RussellEleanor Baker & Tom SaturleySherman Family FoundationKaren ShoosAnna SidesKim SimonianUrsula and Bill SlavickDr. Jo Ellen Linder and Samuel

    SolishAnne SpiegelMaxine SpohrBob and Kari SuvaLaura TraverseRichard UptonRichard WalkerDan WellehanPhil and Sue WheelerDrs. Peter Elias and Mary

    Williams

    $250 - $499

    AnonymousAnonymousAnonymousDr. Payson and Lisa Adams John Arrison Jane BlairVictoria & Erno BonebakkerRobert and Sandy BurnhamCathy CaronWilliam and Susan Caron, Jr. John Higgins and Nancy ChatfieldGail and Peter CinelliFlatbread Co.Christopher CoyneDr. Robert P. Smith & Margaret

    CreightonTeresa DoucetDrs. Eileen Reilly and Ed DownesPriscilla DreymanPhilicia DuncanGerald FairmanAnne and Leo FamolareSand Dollar FoundationTerrance and Sally GrayGreely4 HaitiClare HallwardDavis and Jane HartwellEdward HollidgeGene HopkinsPaul and Mary HosfordElizabeth Eisenhardt and

    Nathaniel Huckel-BauerInterMed

    Win and Kyle IrwinDeema IsmailG.M. JohnsonRuth JohnsonMike and Anne KilmartinAnthony Kleitz John Attwood and Karen KurkjianAnn LaliberteTerry Lehnen and Ted LarnedWilliam and Polly Larned John LazarusMarlene LynchMike and Amara LynchCapt. D. R. and Joyce MacKinnonDavid MacKinnonMichael Connors and Ann

    MacSweeneyE John Martin Joseph McCueDr. Elizabeth Ackerson and Alan

    McIlhenny, Jr.Emile MehannaDrs. Stephanie Boggs and

    Stephen MetteKeith Armitage and Maria MincekLydia MolandDana MolliconeCarol MooreRuth & Elizabeth Muller Jane OConorStephen PalmerThe Community Church PepperelWalter PomeroyBikram Yogan College of India,

    PortlandDr. Michael RoyPamela Merchant and Kirby SackDr. John & Karen SaucierMel and Pamela ShaftelKamal ShemisaDr.Jonathon SimonMaine Episcopal Missionary

    Society

    Nathan and Christina StehouwerPeter SteketeeDavid Mention and Dorothy

    StreettCharles TarrioShruti TiwariSuzanne Trazoff Susan VeligorDavid and Jackie VerrillThe Episcopal Church of St. Mary

    the VirginPatricia White Jeremy Wintersteen

    Donations

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    May We Send You Occasional E-news?Its easy, its green and its a great way to learn more about howKonbit Sante is working to improve health care in northern Haiti.To receive electronic updates, please visit www.konbitsante.org and look for Follow Us on the right margin. (You can decide tounsubscribe at any time.) Also follow us on Facebook by clicking onthe Facebook icon located at the bottom of the web page.

    We Welcome Your Comments:[email protected]

    How You Can HelpKonbit Sante depends on generousdonations from individuals andorganizations to fund our programs.Donations of cash, stocks, or in-kinditems are greatly appreciated.

    A remittance envelope is enclosed for

    your convenience or you may visit ourwebsite at www.konbitsante.org tomake a donation on line.

    Thank you!

    N o n - p r o f i t O r g . U S P o s t a g e

    P A I D P o r t l a n d , M a i n e

    P E R M I T # 3 4 8 3 6 2 U S R t 1 F a l m o u t h M E 0 4 1 0 5 U S A 2 0 7 . 3 4 7 . 6 7 3 3 2 0 7 . 3 4 7 . 6 7 3 4 f a x i n f o @ k o n b i t s a n t e . o r g w w w . k o n b i t s a n t e . o r g

    Konbit Sante Cap-Haitien Health Partnership is a 501(c)3 not-for-profit corporation organized in the State of Maine.

    2013 Annual Report

    Community health worker Madam Senat visiting a new mother.