This is a blog for anyone interested in telling others of their time in Haiti. It's meant more for us to share stories, and please make any comments you'd like in the box below the posts (no need to sign in). Contact Julian if you would like to post on the blog--we welcome anyone doing health-related work in northern Haiti.

While we welcome discussion on this blog, issues meant for feedback from the Network should be posted on the discussion board by emailing

Wednesday, December 28, 2011

MSPP meeting part 2

There are more then 40% of the people don't have any health care, why? Is it because the peolpe can not afford it? Is it because there are not many clinics being built in the communities?

Why isn't the doctors and nurses coming to work? Some people said there aren't any running water, power, and the roads are bad where that medical center at. I reply that's not a good answer because the people are still suffering without the doctors or nurses.

The health groups talk about having a map to locate the clinic/hospital, and how many staff are there, they think it will be the best for the foreign medical volunteers and donors to use.

They voted that in 2013 there will not be any dispensairs, only clinics and hospitals is going to be in the commuities.
The clinic or hospitals most have a budget even if it private or public. this budget most include salaries for the workers, and health insurance because in Haiti the medical staff don't have any insurance. If something happens to you, your family and love ones will not have any support. They think that's one of the reasons why most of our doctors and nurses leaving Haiti.

They talk about the lack of medications in the clinic/hospital. what is a good price to sale the medications? there are somethings that the people should not be paying for to get treatment, for example the people should not be buying gloves for the doctor or nures to use.
there are some things that the people should pay for because the doctors use that money to pay the workers and buy more medication.

The network had some partners at the meeting who are: Dr.Coq from Justinien hospital, Dr. Jean Pierre Romel from MSPP, Dr. Wesley Louis from St-Raphael hospital, Dr. Dadou from Limonade clinic.

Tomorrow is the last day of the meeting, I will keep you posted :)

Tuesday, December 27, 2011

MSPP meeting part 1

There were more then 15 different ONGs that came to this health care meeting.

The Delegue of the North was there and he said that health care is very important because you need your health to do your daily activity. He said that the president Michel Martelly said he wants to built more hospitals in 2013. The delegue also talked about the cholera, how it started? what cause it? how can it be treat?

MSPP asked all of the ONGs to come up with a plan together to better health care for the next 10 years 2012-2022. For example what is the objective for helping Haiti? Method of your work, by communication with other in health care. They want to have this plan when the international organization comes to Haiti, they will have to fellow that plan.

Dr. Jasmin talked about Cap-Haitien not having a lot of drinkable water and sanitation.

The most sickness that Cap-Haitien has is Cholera, HIV, High blood pressure.

There are 138,000 children die from malnutrition, HIV, Fever and TB.

The rate of HIV in Cap-Haitien is 2.9 and in Port au Prince it is 2.2

Dr. Jasmin also talk about the shortness of doctors, for example there are 32 doctors, 7 dentist, 3 pharmacist, 196 assent nurses, 151 nurses, 7 mid-wives, and 33 laboratories. One doctor sees 13,694 peolpe and one nurse sees 144,763 people.

There are 77 clinics, 16 of them are public, 33 are private, 26 are mix, 4 hospital, 12 CAL, and 52 CSL.

They also talk about places that needed more staff like Fort-Saint Michele, Dispensair de Quartier-Morin, Hospital de Limbe, St-Rapheal hospital, Hospital de Grand riviere du nord and Plaine du nord.
The places that need health care the most is Gobert and Soufriere.

After Dr.Jasmin done talking he broke up the people into groups, like health care and governmental to talk about the problems and how it can be fix. The network was apart of the health care, we talk about the biggest problems which were equipments without it the doctors could not work. We talk about the education, how to educate the people about health care around the community and the medical person that is working at that clinic or hospital.

Tomorrow is an other meeting we will continue discussing the health care issues.

Saturday, December 24, 2011

Project Cure Container: Supplies Distributed

by Elisabeth Kaplan
It went well today despite all the trials and tribulations. We emptied the whole container and distributed everything with the exception of 15 boxes (see picture of how much we started with).
What was a great big help to finishing the job is the color coding of the supplies. It really made the job easier. Everybody chipped in to help unload the truck.
Hopital Saint Francois de Sales, Hopital Bon Samaritan, temporary container host Haiti Hospital Appeal, and Hopital Sacre Coeur all picked up the valuable supplies they had selected from Project Cures offer, and we also provided  some of the supplies to several of the clinics in the Network.
I am too exhausted right now, I need to go to sleep. I have a headache and my body from head to toe aches!

Thursday, December 22, 2011

Project Cure container

(report from Elisabeth who is in Cap this week working with the Network Support Team to release and start distribution of 2 containers of hospital-oriented medical supplies donated by Project Cure)
"Working hard! The Network team does it again!"
"Anna was the inspector!"


NSVI missions to Plaisance with October 2011 Update

You can find Dr. Stein's report at this link:
They plan to return in late February or early March, 2012, go to for more information on this initiative

Friday, December 16, 2011

Well at St-Raphael

I wanted to share those pictures with you! We were able to provide a
well for  St-Raphael community this week. So, people can get good
drinking water. There was a great need for one there. People used to
get drinking water from an irrigation canal. Oh, that's too bad!!!!

  My thanks to everyone for helping us fight against cholera, worms, etc.


  Eugene Maklin MD

Thursday, December 8, 2011

Clinic of Sante Notre-Dame de Lourdes

Covsky and I had visit clinic of Sante Notre-Dame de Lourdes at Grand-Bassin. It was a clinic 40 years ago and it became a center 21 years ago until now. Only Plan Haiti supports the clinic and they gave them a fund in which 30 percent goes to the worker. The other 70 percent goes into medication and other supplies. There is 1 doctor, 3 nurses,1 dentist and 1 dental assistant. At this clinic, they do a lot of different things like child birth, dental work, etc. In a month, they can received about 300 people and they are open 5 days a week. They would be more grateful to receive volunteers and they have a guest house to house them in. They want the network to help them in receiving more medications and equipments. I have invited the mid-wife to Tom Lacy's teaching class " Helping Babies Breathe".

Center de sante Notre-Dame de Lourdes cholera treatment center

Covsky and I had visit Sante Notre-Dame de Lourdes (CSNDL) at Grand- Bassin has a cholera treatment center that is made out of blocks. A nun from Canada is running the center. There are only two ONGs that is supporting the center MSPP and Plan Haiti. The villager donated this land to the church to built a CTU center. Before they had the land, MSPP have given them cholera tents. It have been two months since MSPP have given them supplies. The CTU is receiving 35 people per month but since Dec 1 they have not had any people. In the month of Nov, there were 35 people and 1 death. There are 2 nurses and 1 assistant nurse. Every time it rains, the rate goes up at the center. Father Fave Joseph has people educating the community.

Monday, November 21, 2011

CTC at Robillard

We just visited Notre Dame de la Merci at Robillard, which has a cholera treatment unit (CTU, a smaller version of the CTC, or cholera treatment center) that has been hit hard with cases from the surrounding area (mostly communes of Acul du Nord, Plaine du Nord, Milot). The cholera burden was less at this point from a high a few weeks ago. We talked to Dr Carroll, an American internal medicine/emergency doctor, with decades of experience in Haiti, who is at the clinic for two weeks. The clinic and CTU was well stocked and organized, and had a full load of patients with other conditions.

Monday, November 14, 2011

Bord de Mer clinic, Limonade

Covsky and I had visited Bord de mer clinc, is open five days a week, and consist of on doctor and one nurse. On average they see about 100 patients per month, paying 50gdes.

Currently there aren't any ONGs supporting the clinic so they buy their medication to run the pharmacy. The clinic has a check up room, lab, pharmacy, and a labor room. The labor room isn't running due to lack of equipments.

I have passed through several clinics and Bord de mer clinic needs the most help. the Pharmacy is empty, the medication is expired.

The network team recently gave them useful medication, and their smiles were priceless.

Sunday, November 13, 2011

11/11/11 A big day in Limonade - Dry Compost Toilet Inauguration

Good evening everyone,
We are pleased to share with you some pics of our dry compost toilets inauguration on Friday, November 11, 2011. This is a joint effort of Earth Aid Finland and Sonje Ayiti with financial support from UNDP. On behalf of the Municipality of Limonade, we would like to thankk each and everyone of you who participated to make this a reality. We will send you more info shortly about our composting site in partnership with the Municipality of Limonade, Earth Aid Finland, and Aalto University.


Monday, November 7, 2011

From Father Andre Sylvestre at Robillard

Hi, all!
I want to take this opportunity to thank all the institutions who sent delegations to visit us and who provided supplies to the CTC of Robillard in order to help us take care of the cholera patients.  Thanks to your supplies, we are able to take care of our patients now.  Thank you very much.  Please continue to help us fight the cholera outbreak.
I want to take this same opportunity to send you the following update:
1). My nurses reported that 3 cholera patients started having mental troubles in the CTC of Robillard.  According to your knowledge about cholera, is it an usual or normal outcome to have mental troubles when someone suffers from cholera?  Do other people working with cholera patients observe that phenomen in their area?  I think that it would be interesting to conduct a study about that phenomen.
2) Second, my nurses reported that 6 family members who were with cholera patients at the CTC of Robllard became infected by the cholera outbreak.  Is it the result of the mud that exists inside of the tents?  Is it because of lack of precautions? I think that it would be interesting that those who are more knowledgeable about cholera help us to prevent other people from getting cholera.
3) For those who may not know it, the clinic of Rose-Merci of Robillard was built by the parishioners of the parish of Saint Rose located in Murfreesboro, Tennessee in collaboration of father Raynold Michel, the former pastor of Robillard.  Without that clinic, many people of Robillard would be already dead from several kinds of diseases, particularly from the cholera outbreak.  Not only the parishioners of Saint Rose built the clinic Rose-Merci, but they also pay the salary of the doctor, the nurse and the lab technician.  I think that they had done enough.  We are now urgently asking the assistance of other international institution and of the Haitian government particularly to save the lives of the people of Robillard.
Please allow me to make some recommendations:
1) It would be helpful that those working for the well-being the Haitian people help the people of Grizon-Garde, Labruyere and La Souffriere (from the municipality of Acul du Nord) get their own CTC so that we can have less cholera patients at the CTC of Robillard, because, as I said in my previous email, we are not equiped to welcome a lot of cholera patients.  It is good to mention that the week during which there were 84 cholera patients at the CTC of Robillard, more than half of them came from the municipality of Aculd du Nord.  If nothing is done about helping the people of the municipality of Aculd du Nord to have their own CTC, not only there will be wrong statistics about the cholera patients of Robillard, but we will be also unable to privide good care to those who attend our CTC.  We like to save lives, but I think that we need to work in a reasonable way to that.
2) Those working for the well-being of the Haitian people should to help us find another place for the two tents, because it is not healthy to have cholera patients inside of them with a lot of mud and they are too close of the sewing school who welcome about 40 young people.  I strongly invite everyone to visit our CTC to see what I am talking about.  The situation is very serious.  It is an issue of public health. Come and see.  If nothing is done to change that situation, many more people of Robillard, particularly the young people of our sewing school, will get cholera and they may die.  It is common for some people having the power to make decisions to intervene only after a lot of people die. Do not allow that more people of Robillard die from cholera. Let us try to do something now before it become too late. For, it is better to prevent diseases than to have to cure them. For that reason, please be the voices of the people of Robillard.  You can make a big difference, because if we have enough of supplies to take care of the cholera patients for now it is thanks to your help and it is because you spoke on behalf of the people of Robillard.  So, please spread my message so that the authorized voices and those who want to help can receive it.  On behalf of all he people of Robillard, I thank you in advance.


father Andre Sylvestre

Pastor of the Parish of Robillard

Sunday, November 6, 2011

Clean the World gala

Elisabeth and I attended the first ever fundraising gala of our Network participating organization Clean the World, held last night at the Peabody Hotel in Orlando. Clean the World, in only 2 years, has created a network of over 1600 hotels who send them discarded soap, which they sterilize and recycle for use in the third world, including Haiti, which has received over 2,000,000 bars so far.  This soap in turn help to prevent common contagious diseases.

We were joined at the Cap Haitien Health Network table by fellow volunteers Dr. Ralph and Ninotte Gousse, Nadine Mentor,  Maggy Alcineus, and Marie Robiou.

We look forward to continuing our partnership with Clean the World.  Shawn and William of their leadership corps tell us that we should be receiving more soap soon.

Monday, October 31, 2011

Dispensaire de Limonade

The clinic have 2 nurses and 1 assistant nurse, 1 doctor, 2 lab technicians for the lab.
They have 80 people per week. They receive medications from MSPP and ICC.
World food program feeds the people who are pregnant, malnourished and have TB and HIV.
They do receive cholera patients but they send the people to the HHA cholera tents.
Their consultation is free!

CSL Quartier Morin

Today we visited CSL Quartier Morin. The administrator is Francois Marcelaine, and her number is 3855-7566

It is a large facility: 5 Cubans doctors, 2 haitien doctors, 7 nurse and 2 assistant nurses; they have 600-700 people per week.

RMM is an ONG that supports them by paying 3 nurses.

When they received cholera patients they send them to HHA
The people pay 25 gdes for consultations, and additional for medications and tests. They need more employees for the hospital but can't afford to pay them. For example, they have one lab technician to do 50 lab tests at a time; when he comes in he does have time to do all of the labs (but they do not have enough money to pay an additional tech to come in)

Caracol Clinic!

Djail Covsky and I have visited St-Elisabeth clinic in Caracol. The last time we came to the clinic they had a doctor, today we came back and there was not any doctor because Father Joseph could not afford the payments.

The clinic have a mobile clinic every week and they use the ambulance to travel o different communities.

Father Joseph had told us that they have an ambulance that is available for other people to use (other clinics, hospitals, etc.), but the only thing you to be aware of is the person requesting use has to have a driver and gas; it is available anytime to us.

They need and doxycycline and bactrim (antibiotics) are the two most important medications that they need at the clinic. They do have a cholera treatment center in Caracol and that cholera treatment center is receiving 1-5 people per day. MSPP are supporting them with cholera supplies. They have one nurse and two assistant nurses working there. The head nurse is Miss Martine.

Cholera at Grow Project in the village of Soufriere

The cholera treatment unit at Soufriere, an isolated village in the Acul du Nord area, has 8 cases of cholera and is facing an urgent shortage of supplies. having proper supplies is particularly important there, since transportation to other cholera treatment units is very difficult. We gave Colas lactated ringers, IV sets and catheters, gloves, and a bit of soap for the staff. We appreciate their effort to keep in touch with everyone in Cap!
Julian Malinak, MPH
Team Leader, Cap Haitien Health Network
Facilitating coordination among health organizations in northern Haiti

Sent from my mobile device--pardon the brevity

Thursday, October 27, 2011

Hopital Grand Riviere du Nord!

On our way out to Bahon, Ted, Elisabeth, Juline, and I stopped by a new hospital in Grand Riviere. It was one of the more surprising visits I've had in Haiti so far, because I was not expecting to see a facility so new and comprehensive. There is a large Cuban contingent working at the hospital; one of the doctors had considerable linguistic talent, speaking Spanish to his Cuban colleagues, Creole to the Haitian staff, and English to us without missing a beat.

We hope that this hospital becomes a resource for those throughout the area, since it has a surgeon available throughout the week, a variety of diagnostic services (sonography, x-ray, hemogram, glucose, liver function), AIDS and TB programs, 15 clean, well maintained beds, and several doctors on staff (both Cuban and Haitian). They also go to communities with cholera cases and work with health agents to promote prevention and wellness. As always, the Network Support team is available to facilities coordination and learning between this facility and others around it.

Sterilized medical equipment!

The courtyard

Open beds