Archive for the ‘Juline’ Category

Return to Bahon

Posted: October 27, 2011 by Cap Haitien Health Network in general, Julian Malinak, Juline

We made our third trip to Bahon, what the Haitian government says has the worst health indicators in the north and second worst in Haiti.  It has a twin parish with Holy Family Catholic Church of Nashville, Tennessee, led by Patty Gaines. Our last planned trip, 1 year ago, was cancelled by the tropical storm, as was Patty’s trip, so the village was even more in need of help.

It was 2 hours by bumpy ride from Cap, now seemed to be a little shorter and less bumpy. We were driven by our friend Father Abraham, as our newer, better car for this difficult trip was still not credentialled to be used after 5 months (see story from Elisabeth about that). We had nice stops at Hopital Sacre Coeur, where we met with Dr. Previl, and at Hopital Grand Riviere, where we got a grand tour of a very nice not well known new hospital staffed by 21 Cuban docs and nurses (see blog by Julian).

Josh and Anna in Grand Riviere du Nord

Father Gaby was our host, and runs a very nice parish with a school, rectory/guest house, and clinic, called St. Joseph’s, with the help of Sister Rose and Sister Cecilia (who is also a nurse and runs the clinic).  The sisters have taken care of Joshua since he was a little baby and first came there and slept in a little “manger” that they made for him.  This time he was following around and playing with the boys of the village, who all learned how to pronounce his name very well.

This clinic has a doctor working there only once a week (not the day we were there), the rest of the time Sister Cecilia runs it.

Next morning we did clinic, with the help of Elisabeth and Juline, and Julian did some pill cutting so we could distribute a large amount of donated 100 mg captopril tabs and also for 500 mg griseofulvin tabs we bought at the pharmacy in Cap for Tinea Capitis.  We saw 35 kids.  Included was a now 2 year old that a pediatrician with us last year found to have anal atresia with a vaginal fistula. With great difficulty, we helped arrange for surgery in Cange by a pediatric surgeon from Harvard.  Her anus is now beautiful as an anus can be, and she is growing and developing pretty well.

The worst case of the day was a boy with an extensive dental infection.   

Bahon has a lot of dental problems (there is a theory there is something about the water) and we brought a lot of toothpaste and some brushes we could gather.  We are trying to arrange for mobile clinics with the Cap Haitien Dental Institute and ongoing dental visits there by the Haitian dentist, Dr. Junior, and Patty has a dentist coming with her team in January.

Julian, Juline and I also visited the MSPP Dispensaire that is also in Bahon, a few hundred feet south of the Catholic clinic, on the river.  It has a delivery area, the nurses deliver babies in the clinic, and provide other care, as there is no longer the weekly physician visit that they used to have. We met Mdm Napolean the nurse, and another worker there told us about her 5 year old son with undescended testicle (which is much later than would be ideal to be treated for that condition).  She brought him to be seen at the clinic we held St. Joseph’s, and we used the Network calendar to find out when there will be surgeons and urologists who might be able to treat him.

Dispensaire of Bahon, along the Grand Riviere du Nord and close to St. Joseph’s clinic

We encouraged the staff at both clinics to interact and assist each other, especially as St. Joseph’s is the only one that gets visiting teams.  We are looking for organizations and teams that might like to help the Dispenaire.

We always enjoy our visits to Bahon.  It is a beautiful community that is isolated and needs more assistance in health and dental care.

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Report of MSPP Dispesaire Clinics Visited

Posted: August 1, 2011 by Cap Haitien Health Network in Juline

Dr Jasmin had given us a list for the Network to visit for him.  On July 27, we have visited 5 clinics Dispensaire de Cadush, Grand Pre, Dispensaire de Limonade, Dispensaire de Quartier Morin and Dispensaire Bord de mer Limonade.

Dispensaire de Cadush we visited it at 10am we didn’t see anyone nurse, doctor, and even the watch man. We question the villagers about the clinic and one of them said that the nurses come everyday but very late. There was nobody to receive us 😦

We went to Grand Pre` the clinic is open but we didn’t see any staff. When we were leaving we found a lady name Mondesir, Yvrose she work in the clinic for 15 years. She give vaccines and she educate the community about cholera, she told us there is 11 people that have it and 2 people die from cholera. The clinic does not have a CTU when they have someone that have cholera they send to Milot. The clinic is open 5 days a week at 9 am and it was 10:24 am there wasn’t anyone at the clinic. They have 2 nurses that run the clinic no doctor, every day they have 15-20 people that comes for healthcare.

At Dispensaire de Quartier Morin we spoke with the nurse in charge her name is Yamie Rolrin and Francois Maiceloine, they took a while to talk to us because they have had people that comes to the clinic asking questions and never came back to give them what the clinic had requested. The clinic only has one Haitien doctor, 3 Cubans doctors,2 nurse and 5 Assistant nurses. They see about 100 people per day and there biggest problem is to have more then one Haitian doctor. The Cubans doctors don’t charge the people any money but 25gdes but the nurses said it need to be more because they have to buy the medications and tests to run the lab room.
The clinic ask the network team to help them with getting some medications, some easy to read lab tests, soaps, office supplies and some computers.

Dispensaire de Limonade we visit it but it was not open for that day.

Dispensaire de Bord de Mer Limonade is for Father Emmanuel and that clinic is already a member of our list. There was not a MSPP clinic in Bord de Mer Limonade.

The network team had visited two clinics on July 28 from Dr. Jasmin’s list: Dispensaire Carrefour de pe`res, and La Providence de Lory.

Dispensaire carrefour de peres in is Milot, it has the population of 3000 people. We spoke with Castille Simon, she is an assistant nurse, the clinic does not have a doctor just 2 assistant nurses. They open 5 days a week from 8 am – 4 pm and received 15-20 people per day. The community has 4 other clinics around the area that cause them not to have a lot of people who comes in for health care. The clinic holds mobile clinic twice a week and they see more people, the only way the clinic receive more people if MSPP giving Vaccine to the children. They have a midwife program but the midwives don’t have any equipment to use, for example they need gas towel,soaps, HTH and gloves. The clinic biggest problems are drinkable water and toilets for the community.

La Providence de Lory has a population of 17,300 people. The clinic has 2 doctors and 2 nurses and they see about 20 people per day. They have a water well but its not drinkable for the community. They have a need for lab equipment to run the lab room, and education equipment like a TV to educate the people of the community about health care. The clinic’s biggest problem is dental care most of the people in the area never have any dental care and their teeth are rotten.

The Network Support Team visited 3 clinics today, two in Robillard and one in Grison-Garde.

Notre Dame de La Merci is in Robillard. The amount of cholera has gone down, they have 9 people in total. One of the nurses named Suze Jack said the reason the cholera went down is that they have 3 more nurses, 4 people going around the community educating people about the cholera, and they have more supplies from the network team and IOM.
Nurse Suze Jack asked for some more medications, cotton balls, tape, IV, IV set and HTH.

Dispensaire de Robillard
The clinic is open 5 days a week from 8 am-3 pm, they have 2 assistant nurses and no doctor. They receive about 20 people per day, the clinic does not have any cholera cases, when they do they transferred the people to Notre Dame de la Merci. The commeon sickness that accrued at the clinic is abdominal pains, cold, etc….
The clinic does not have a lab room but they  treat the people by their symptom.
The clinic ask the network for soaps,HTH and some lab tests.

Centre de sante de Grison-Garde has just finish being built. Ever since 1982 the organization named Associution jeune de carrefour
Lacho. This organization is run by 7 people one of them named Gerdoth Symour had talked to us, he said they had been trying to build this clinic. They presented this project to an organization name CRUDEM in Milot but they didn’t agreed to their project. The community turn to the senator Kelly Sebastien and Dr. Jasmin from MSPP they had agreed to built it for the community. The senator and Dr. Jasmin plan to have doctors, nurses and even partner with Dr.Ford to put an operation room in the clinic.
The clinic will be open in January 2012.

Juline Mauricette

Supplies for Dondon clinic

Posted: July 27, 2011 by Cap Haitien Health Network in Juline

Denis (IOM) and I had brought Dondon clinic some cholera supplies last week. During that visit nurse Micheline showed us around the clinic and her biggest challenge is the lab room because she had no equipment to run it.

Yesterday Covsky and I had went back to Dondon clinic to bring them some lab equipment that we had at the wear house. The supplies we brought them was 1 box of eye wash, 1 mixed box of equipment and 3 boxes of knee supports for women.  The nurse was thankful for receiving the supplies, we told her the next time we have more  supplies we are more then happy to bring them some.

Cholera update:
Dondon just opened a CTU since 25 of July. The clinic is receiving 1-10 people a day. MSF has opened a CTU 10 minutes away form the clinic.
Juline Mauricette

St-Anthony Clinic

Posted: March 10, 2011 by Cap Haitien Health Network in Juline

I visited St-Anthony’s Clinic. The clinic is running well, they see about 100 patients per month. The clinic has one doctor, one nurse and a pharmacist. The clinic is open 5 days a week, however the doctor only comes on Mondays.

At this moment the clinic has a lack of medication in their pharmacy, when they don’t have the medication the doctor or the nurse writes the patients a prescription to take to another pharmacy but some people can’t afford to buy them. The pharmacy is supported by AmeriCares through the network.

The cholera rate was high at St-Anthony’s clinic, but since the opening of the ORP in Fort-St Michel early december, the admission rate to the clinic has gone down. To prevent the cholera the doctor of the clinic (doctor Eugene) distributed some Aquatabs,chlorox and soaps to the local community who were very happy to receive them because otherwise their water is not clean. Food for the poor inc had drill one water well and have more then 5 water faucets in the village for the people but the water is not purified.

Mama Baby Haiti visit

Posted: March 10, 2011 by Cap Haitien Health Network in Juline

On March the 4th the team visited MamaBaby it’s a non-profit organization dedicated to improving the health and well being of mothers and babies. They open ever since November and seen 100 pregnant ladies.They provide care 24/7 women come to the clinic weekly for prenatal care and children and families show up for needed healthcare, the women come from all over Cap-Haitien.They teach mothers and families about prenatal health and nutrition, hygiene, childbirth education,and breastfeeding their baby.They provide free prenatal, birth, postpartum, and paediatric care. They have 3 staff working there 1 haitien midwife, and 2 naturopathic doctors that come from the US. they have seen 35 ladies per months and had 2 births in the month of February referrals to Justinien Hospital which is the biggest hospital in Cap-Haitien and St francois des sales in Voderll for labour complications. Their needs are oxygen, vit K, prenatal vits,augmentin, and medika mumba for the children.

The team is helping them on linking them with medika mumba and the albendazole program. We going to get them a meet with Dr.Noisin.

Pilate trip

Posted: March 9, 2011 by Cap Haitien Health Network in general, Juline

The team have visited Pilate with Dr. Jeanty form Shada clinic to assess and treat some patients with disabilities. We see 11 patients in the clinic and visited 10 patients at their house because they was unable to get out their homes.

We saw a 16 year old girl who had a fever 2 years ago which left her paralyzed. Her vision is very poor and its difficult for her to speak. She was a student in 5th grade before she had the fever. She would love to go back to school but she afraid of her classmates reactions. She along with 4 other patients will be coming to the rehab clinic at Haiti Hospital Appeal.

Pilate has 60000 habitants their water system is good. half of the people get their water from a pipe system connected to a water reservoir, the community put their hands together to get money to buy aquatabs and chlorox for purification. The other half of the people get their water from a water source next to a running river the people use that water to drink, wash their clothes, and to cook. There are water faucets in every part of Pilate but only some of them are function.

The team had given the pastor some soaps to distribute to the community.

Distribution to the cholera treatment facilities

Posted: January 19, 2011 by Cap Haitien Health Network in Juline, Uncategorized

This week has been a busy week for the network ground team. We received helicopters with lots of supplies to treat cholera, for example IVs and IV sets. We distributed them to the clinics on our list, for example Borgne Health Clinic, which has 5 or 6 patients per day, 25 in total, MSF and MSPP does support them but they call the network team when they don’t have any more supplies. We have given them 14 boxes of IV, 4 boxes of gloves in each size 12 boxes in total, 5 vials 250 gm of ceftriaxone, etc…. At some of clinics the cholera rate has gone down because of the network team distributing some aquatabs and chlorox to the families and teaching them about cholera. The network team is making a big difference in Cap-Haitian as said from all of the cholera treatment facilities.  Juline