Haiti’s already Broken Healthcare system prior to the earthquake, The earthquake’s impact which I wont spend too much time on since I will assume we were all on this planet when it occurred, Introducing DUFH’s academic environment, steps to saving Haiti’s Healthcare, DUFH’s partners already making a difference and finally the future from DUFH’s perspective.

Haiti is the most abused, neglected and subsequently the poorest nation in the Western Hemisphere, unfair sanctions placed in the 1800’s as a form of punishment for creating the first free republic in the Americas when 13% of people living in the United States were Slaves, in addition, you have decades of militant ruling, careless policy making and corruption all which contributed to Haiti being underdeveloped and unable to keep up with its surrounding countries.

Scrofula, TB invading lymph nodes

Pots Disease, TB of the spine

Cutaneous Antrax, no telling what you will find in Haiti.

Healthcare in Haiti and The New Challenges A Doctors United For Haiti (DUFH) Perspective Sidney Coupet, DO MPH Internal Medicine Resident (PGY3) Geisinger Health System Founder& Executive Director Doctors United For Haiti (DUFH)

DUFH.org Saving Haiti Through Our Academic Efforts 1 Objectives: Haiti’s Broken healthcare system prior to the Earthquake Haiti’s Earthquake on January 12, 2010 and its healthcare impact. DUFH’s academic environment, steps to saving Haiti’s healthcare. DUFH’s partners making a difference DUFH’s capabilities

DUFH.org Saving Haiti Through Our Academic Efforts 2 Haiti’s National Disposition: Most abused and neglected The poorest nation in the Western hemisphere Unfair sanctions were placed on Haiti by both France and the United States in the 1800’s Decades of militant ruling, careless policy making and corruption. Lack of development is apparent in Haiti’s public health and healthcare arena.

DUFH.org Saving Haiti Through Our Academic Efforts 3 Facts About Haiti Total population: 8,373,750 Life expectancy at birth: Men= 59/ Women = 63 Probability of dying under five (per 1 000 live births): 80 Probability of dying between 15 and 60 years (per 1, 000 population): Men = 329/Women = 236 60% of the Population was under 24 years old in 2003 4% of deaths were between 0-24 years old.

DUFH.org Saving Haiti Through Our Academic Efforts 4 Public Health Crisis Inflation rate 15% and unemployment rate of more than 70% (PAHO 1998). Sanitation and water supply is significantly deficient in most part of the country. 46% has access to potable water (PAHO) Safe sewage disposal available to 44% Significant amount of Land are lost each year due to major deforestation and erosion. Malnutrition is a serious problem A quarter of the children suffer from chronic malnutrition. 3 to 6% of acute malnutrition.

DUFH.org Saving Haiti Through Our Academic Efforts 5 Haiti’s Broken Health System The public sector (Ministry of Public Health and Population and Ministry of Social Affairs); The private for-profit sector (all health professionals in private practice); The mixed nonprofit sector (Ministry of Health personnel working in private institutions (NGOs) or religious organizations; The private nonprofit sector (NGOs, foundations, associations); The traditional health system. 40% of the population, mostly rural areas There are 371 health posts, 217 health centers and 49 hospitals.

DUFH.org Saving Haiti Through Our Academic Efforts 6 Healthcare Workforce (1998) 2.4 physicians per 10,000 population (1996) 1 nurse per 10,000 and 3.1 auxiliaries per 10,000 (1996). Enormous Brian drain. Cuban bilateral agreement were 500 Cuban doctors working in 62% of the municipalities, until the return of 120 young Haitians who are studying medicine in Cuba There are public and private schools (of the four private schools of medicine, only one is recognized by the State). 9 recognized nursing schools n 1998. In 2000, a school for nurse-midwives opened. Since 1998, a dozen public sector hospital administrators and directors are trained every year.

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DUFH.org Saving Haiti Through Our Academic Efforts 12 Once Again, Disaster Strikes Haiti on January 12, 2010 The 2010 Haiti earthquake was a Catastrophic magnitude 7.0 Mw. The earthquake occurred at 16:53 local time on Tuesday, January 12, 2010. By 24 January the US Geological Survey recorded more than 52 aftershocks measuring 4.5 or greater. Estimation of about 3 million people were affected by the quake. The death toll exceeded well over 200,000 people

DUFH.org Saving Haiti Through Our Academic Efforts 13 Access to Health Care Services Access to drugs and medical supplies Communicable disease control Environmental Health Public Health Impact

DUFH.org Saving Haiti Through Our Academic Efforts 14 Healthcare Impact Malnutrition HIV/AIDS Acute Respiratory Illness Acute Diarrheal Diseases

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DUFH.org Saving Haiti Through Our Academic Efforts 17 Doctors United For Haiti (DUFH) I am only one. But still I am one. I cannot do everything, but still I can do something. I will not refuse to do the something I can do. DUFH (2003). Excerpt by Helen Keller. You don’t have to wait for the world to Change. DUFH (Now). Excerpt anonymous

DUFH.org Saving Haiti Through Our Academic Efforts 18 Who we are? Doctors United For Haiti (DUFH) is an independent, Academic non-profit organization developed to organize, coordinate, and thereby enhance healthcare systems and services in Haiti. DUFH will develop partnerships with Haitian healthcare professionals, hospitals and clinics throughout Haiti to help bring quality health care to Haitians through education and quality improvement.

DUFH.org Saving Haiti Through Our Academic Efforts 19 The Mission The mission of DUFH is to improve mortality and morbidity rates in Haiti using an academic approach to reach conflict resolution. DUFH will send healthcare volunteers for humanitarian efforts with the main goal of sharing knowledge and skills with the Haitian healthcare professional. Moreover, DUFH will work with health institutions in Haiti and search for opportunity for improvement through their services, procedures and policies that are created. Reduction of diseases and death will occur when critical information is shared, innovative best practices are identified and implemented.

DUFH.org Saving Haiti Through Our Academic Efforts 20 The Goals: DUFH will become a resource for healthcare facilities in Haiti for quality improvement. DUFH will impact policy for all Healthcare facilities in Haiti. DUFH will become an ally to both non-governmental and governmental healthcare organizations in Haiti.

DUFH.org Saving Haiti Through Our Academic Efforts 21 The Health Professionals of DUFH Motivated to bring their practices to the next level of quality care. Innovative Friendly and Professional. Dedicated to the People Always seek opportunity for improvement

DUFH.org Saving Haiti Through Our Academic Efforts 22 Our Partner Facilities Minister of Health of Haiti and its facilities Hopital Adventiste d’Haiti Good Samaritan Medical Clinic Haitian Christian Outreach Hopital Albert Schweitzer Many more Clinics and hospitals throughout Haiti

DUFH.org Saving Haiti Through Our Academic Efforts 23 Web-board Database Scheduling Healthcare Personnel

DUFH.org Saving Haiti Through Our Academic Efforts 24 Tele-Medicine Practice continuity of care Build Relationships with your patients in Haiti Be a consultant to Haitian Healthcare Professionals in Haiti by providing advise and guidance towards quality patient care.

DUFH.org Saving Haiti Through Our Academic Efforts 25 Cell phone data entry directly into DUFH’s database. Computers at our partner facilities to access pt. data. Cell phone access in case power outage. Information Technology

DUFH.org Saving Haiti Through Our Academic Efforts 26 Current COM Affiliates. New York Institute of Technology/New York College of Osteopathic Medicine Michigan State Lake Erie College of Osteopathic Medicine Many more…

DUFH.org Saving Haiti Through Our Academic Efforts 27 Osteopathic Challenges Haiti’s traditional Medicine Voodoo medicine Haitian’s distrust to traditional westernized medicine. Cultural challenges

DUFH.org Saving Haiti Through Our Academic Efforts 28 Methods of Support DUFH will continue to build partnerships with academic institutions in the United States and around the world in order to achieve its goal of saving Haiti’s healthcare through academic efforts that will guarantee sustainability.

DUFH.org Saving Haiti Through Our Academic Efforts 29 Thank you All things are possible until they are proved impossible-even the impossible may only be so as of now. Please visit our website at www.dufh.org to join!