Strengthening lives

There they are – lined up outside in the bright sun waiting to have children weighed, measured, letters to sponsors written, and photos taken.

   This is the first mission to help gather, organize and disseminate information about the hundreds of children in the sponsorship program.

It would not be a stretch to say lives are being saved through this program but mostly, the quality of those lives is being enhanced.

With funds provided, the families are able to buy food and most of the children go to school. They are able to get healthcare at the bi-monthly medical clinics. The people are grateful.  

Still, life is hard in Haiti. Even with the help that sponsorship provides. 

Yesterday a woman came in with her daughter and her niece. The woman’s sister had died in childbirth and now she is raising the baby. Since she cannot breastfeed, she gives the baby what she is able to give.

In her case, that means crackers, a little milk, and some spaghetti. The baby is 6 months old, thin and  lethargic. We give her 2 ounces of formula that she takes with ease. We give the aunt instructions on feeding the baby.

She needs to practice everything from opening and closing the canister to mixing the formula that we give her. We tell her she needs to boil the water she will mix with the formula, and she seems to understand. The interpreters hired to help us do a great job.

The baby also has scabies. We remove all the clothing, give the babe a scabies treatment, and re-dress her in new clothing we brought with us.

Again we give instructions. This time on boiling the clothing, bedding, towels, and anything else that they have that might be infested with the mites. We give them a card to return in March where they will get additional supplies and care.

I hope we have helped sufficiently so they are all stronger and happier when the March team sees them.

Without the funds that sponsorship supplies, life for these people would be much more of a struggle. They are grateful. So am I - because I can see the difference that we can make in the life of a child.

--Trudy Vogel

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Posted by Leigh 

Sponsorship team report + clinic tour


This is my first time coming to Haiti and it has been a very different experience. My first thoughts were that I was very intimidated by the culture and the people, but amazed by the beautiful landscape.

Spending time at the beach and getting to know everyone the first day was a great start to the trip. Working with the families of Haiti was more rewarding than I thought. Many of the children were very happy to be recieving gifts and their families were very grateful. I have had a wonderful time so far and cannot wait to see what the next few days hold.

Already I am planning to come back down to Haiti in the very near future. I am glad to experience something so wonderful.

--David Grant, junior, Southern Illinois University, Edwardsville

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Posted by Leigh 

FOTCOH's first breast feeding clinic

Haitibreastfeeding

Phillis and I held a breast feeding education class for a little over two dozen Haitian women. All were still pregnant, with the exception of one woman who came with her 5-day-old baby. For a majority of the women it was their first pregnancy.

We discussed breast feeding starting at birth, breast milk and supply, demonstrated how to hold the baby in different positions, special considerations such as illness, premature infants, etc. as well as nutrition. We also stressed the importance of exclusively breast feeding for the first six months of the child's life, which is often not the case down here. One of the big hits of the class was when the women got to practice the different breast feeding positions with dolls.

The women told us they enjoyed the class and asked very appropriate questions. Some of the questions were related to the cultural beliefs they have about breast feeding.

It was an amazing opportunity to provide this education to the women. We learned several lessons from presenting the class and have many ideas for FOTCOH on how they can continue this education with future teams.

-- Phillis Dewitt and Sue Behrens

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Surgical update: Nearly 700 cases to date

FOTCOH Surgical Director Dr. Garron Lukas and his Haitian surgical teams have done procedures on hundreds of children and adults in the six years since the FOTCOH surgical program began.

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What will happen to Marie Ange and her daughters?

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Marie Ange is 31 years old and arrived today with her 2-year-old daughter, Malabissa, and her 45-day-old daughter, Marie Angelyne.
 
Marie Ange doesn't know if Marie Angelyne was born early, however, she tells me how she bled during her pregnancy; her newborn daughter currently weighs 2.6 kg. Malabissa is also small for her age.
 
Marie Ange is sick with a high fever, low blood pressure, oral thrush and pneumonia; she tests positive for HIV.
 
Marie Ange initially denied knowing she was HIV positive, but later told her she did know and was taking medications over a year ago, but stopped her antiviral therapy because she did not want the "other women to find out."
 
I spent some time with Mare Ange, not only resuscitating her with fluids and medicine, but talking with her about the complications and risks of being HIV positive.
 
I encouraged her to go to the local HIV clinic to restart her antiviral medications, as well as have her two daughters tested.
 
I instructed her to stop breast feeding her 45-day-old (current research shows women can breast feed who are HIV+, but they and the infant need to be treated with antiviral medications - this was not the case for Marie Ange).
 
As I watched Marie Ange walk down the path and out of our clinic, I wondered what would happen to her and her children.
 
The stigma for being HIV+ in this country is high and I'm not confident that I convinced Marie Ange to be treated  again for her HIV.

 --Sue Behrens, APN

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Posted by Leigh 

Medika Mamba update

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In our first week of clinic we have admitted six children into our nutritional support program, Medika Mamba. We have a set of 7-month-old twins, Stephane and Stephanie, who weigh 4 kg each.  The mother is not breast feeding and feeds the twins with whatever she can get them to eat.

 

Hensley is also 7-months-old and weighs 4.5 kg, a little bigger than Stephane and Stephanie, but he needs help too. Hensley was born prematurely and needs the nutrition form Medika Mamba to help him survive. His mom doesn’t breast feed Hensley; she feeds him several small meals a day of a variety of solid food -- basically, whatever she can find.

 

A 10-month-old boy who weighed 5.4 kg is also a twin, however, his twin brother died right after birth. The mother told me she delivered her first child, Esterline, at home. She later developed severe pain and went to the hospital where she delivered a second child who died shortly after birth. Not having any prenatal care, the mother was not aware she was carrying twins.

 

Samanta is a 12-month-old girl who was released from our program last November. She gained weight while in our program, but, unfortunately started losing weight since being discharged. We will re-admit Samanta again.

 

Jean Roody is another 7-month-old who weighs a little over 4 kg. He has the same story: his mother is not breast feeding him and has very little to offer him in regards to food.

 

Where we seemed to have a common theme of low-weight, 7-month-olds this clinic, we have seen several success stories from children who have been in our nutritional program. We have seen children who have graduated from the program and continue to gain weight, and we have cared for several other children who are still currently in the program and gaining weight.
 
Medika Mamba works, and is a life saver for our children. 
 
-- Sue Behrens, APN

 

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Sunrise over Cyvadier

Photo

 

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In search of hope

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Vania Aly arrived at our clinic today with her 3-month-old, Mattius.

Originally from Port-au-Prince, she came to this area after the 2010 earthquake destroyed her house and killed family members.

Her other son, Franst, 14, is still in Port-au-Prince, staying with neighbors, and Aly is hoping he can join her here in the Jacmel/Cyvadier area.

When that will be, Aly, 40, doesn't know. She doesn't have a permanent place to stay. When she can, she shares a tiny temporary shelter here with 7 relatives.

She also suffers from cardiomyopathy, an enlargement and weakening of the heart that can be managed with medication, but not cured.

What worries her most, though, is feeding Mattius, since she, like most Haitians, can't find work.

Still, she says she's hopeful that the baby will be accepted into a child sponsorship program that will help provide sustenance.

Comment (1)
Posted by Leigh 

Gabriel Lamarre was spearfishing...

Bends


...6 days ago, then collapsed the following day and had been unable to stand up when he arrived at the clinic via a wheelbarrow.

Dr. Mike Cruz examined the 44-year-old fisherman from nearby Ville Jacmel, and diagnosed him with "the bends," the decompression sickness that's a scuba diving hazard.
It's possible Lamare could regain some mobility in one leg through physical therapy. But it's unknown if Lamare will be able to find that kind of help here.

"He's devastated," says Cruz. "He wants to go fishing again."


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