Health

Below is a National Public Radio piece by Jason Beaubien on the status of the  Mirebalais National Teaching Hospital, which will be Haiti’s largest health care facility.  The hospital is a priority for the Ministry of Health, which will be running the facility jointly with Partners in Health.  Eventually, the Ministry of Health will manage the facility itself.  When operational, the hospital will be mainly powered by solar energy.  Internet connectivity opens the door to new training opportunities.  In a recovery where much has gone wrong, the hospital is a symbol of what has gone right, and could be a model for replication in Haiti and elsewhere.   

Plumpynut revolutionized the treatment of acutely malnourished children.  In Haiti, Partners in Health (PIH) has produced a local variant, Nourimamba, since 2007.  The Abbot pharmaceutical company is working closely with PIH to further improve Nourimamba and to expand production.  The opening of a factory is scheduled for end 2012.  This is good news for malnourished children, the health care providers who treat them, and the farmers who produce the ingredients for Nourimamba.  An article by New York Times writer Duff Wilson on the PIH/Abbot partnership follows.  

Of all countries in the western hemisphere, Haiti lags furthest behind in vaccination coverage.  However, there are reasons for hope. The Haitian Ministry of Health (MSPP), the World Health Organization (WHO), The United Nations Children's Fund (UNICEF), the GAVI Alliance, American Red Cross (ARC), and key countries such as the United States, Brazil, Cuba, and Canada have pledged to coordinate in expanding coverage, including the introduction of new and much-needed vaccines.  The full press release follows. 

Water, Sanitation, and Hygiene (WASH) conditions in Port-au-Prince were not good even before the devastating January 2010 earthquake.  Perversely, the poor often paid the most for drinking water.  Against this backdrop, a number of international organizations and non-governmental organizations are working with the Haitian government to help establish a more effective and equitable water system.  One of these non governmental organizations, International Action, has been involved with water related issues in Haiti since 2006.  Below is an update as to their latest activities.

Last week, Trenton Daniel wrote an article highlighting malnutrition and hunger in Haiti’s neglected rural areas.  Over the long term, the countryside needs agricultural modernization, better environmental management, and roads to move crops to regional markets.  Haiti first has to make it through hurricane season which began May 1st.  The National Oceanic and Atmospheric Administration (NOAA) anticipates an above normal hurricane season with a 70 percent chance of 12 to 18 named storms, including 6 to 10 hurricanes.  Storms put lives, crops, and infrastructure in Haiti at risk. 

On Wednesday, January 12th, the American Medical Association, the National Institutes of Health, the National Disaster Life Support Foundation Inc. and Disaster Medicine and Public Health Preparedness will host a free webinar on the current status of public health and health care in Haiti, including the ongoing cholera response.  More information follows.  You can register for the event by clicking here. 

Partners in Health (PIH) is one of Haiti’s most important health oriented non governmental organizations, with a model based more on solidarity and human rights than on charity.  In addition to its development activities, PIH has at times been called on to be a humanitarian responder such as during both Gonaives floods and most recently the earthquake.  PIH also operates in Rwanda, Burundi, Lesotho, Russia, and numerous other countries.  Below are highlights from the PIH 2010 Annual Report, which include construction of the largest public hospital outside of Port au Prince, in the city of Mirebalais.

Plumpynut, a peanut based paste, has revolutionalized the way in which severely malnourished children around the world are treated.  Many young lives have been saved as a result.  There is now increasing attention on how Plumpynut variants can prevent children from becoming malnourished in the first place.  In Haiti, both Meds and Food for Kids (MFK) and Partners in Health (PIH) produce products similar to Plumpynut.  In the below New York Times article, Andrew Rice describes the promise, politics, and profitability of Plumpynut.  Considering the negative impact that malnutrition has on the health and cognitive development of children in Haiti, it is well worth a read. 

The credibility of any government is determined in large part by its capacity and willingness to provide basic services.  Health care can bring people together when there is equal access, or divide people when there is not.  Before and after the earthquake, quality health care in Haiti was/is primarily provided by non-governmental and international organizations (NGOs/IOs). The NGOs and IOs have been instrumental in keeping disease outbreaks at bay and access to health care for many residents in Port au Prince, at least for now, is better than it was before the earthquake.  While significant accomplishments, much more remains to be done before we can say that the health care system is truly being reconstructed. 

March 22 is World Water Day.  Growing up, like many others, I did not appreciate how lucky I was to have clean, safe water.  We need it to drink and become sick if we do not have it.  We need it for agriculture and would become hungry without it.  We need it for washing, bathing, and clean health care facilities.  Likewise we need sanitation and hygiene to protect food, water, and health.  One billion people around the world still lack clean drinking water and 2.6 billion lack access to basic sanitation.  It doesn’t have to be this way.  World Water Day is an opportunity to ask what we can do in the year ahead to address the world's water crisis.