The Power of Many - Managing Health Care Aid after the Haiti Port-au-Prince Earthquake

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1 The Power of Many - Managing Health Care Aid after the Haiti Port-au-Prince Earthquake Presented by: Marie O. Etienne, DNP, ARNP, PLNC Professor, Benjamín Léon School of Nursing Miami Dade College, Medical Campus Australian Nurses and Midwives Conference Thursday, September 10, 2015 Melbourne Convention and Exhibition Centre, Australia

2 Acknowledgements The ANMF Victorian Branch Conference Organizing Committee Australian Nurses & Midwives Conference Attendees and Volunteers Mark Staff Professional Officer Miami Dade College Benjamín León School of Nursing - Dr. Amy Pettigrew, Dean International Red Cross and American Red Cross Carole de Greenlaw Industrial Professional Secretary Haitian American Nurses Association National Black Nurses Association

3 At the conclusion of this presentation, participants will be able to: Discuss the dangers and public health concerns in Haiti post earthquake Learn the impact of Haiti s earthquake on the health care system infrastructure and its people Analyze the effect of the earthquake and the significant role nurses and midwives play in humanitarian aid Understand the power of many and the critical needs in managing health care aid after the Haiti Port-au-Prince earthquake Objectives

4 Earthquake Struck Haiti

5 Video of Haiti s Earthquake Video clip submitted by Island TV

6 Background Haiti struggles constantly with complex issues which require careful and deliberate attention, and is faced with significant challenges that exist after the devastating January 12, 2010 earthquake The human impact of the massive 7.0 magnitude natural disaster earthquake that killed 200, 000 left millions in need of urgent health care relief and continued medical/psychological attention.

7 Haiti is one of the poorest countries in the Western Hemisphere Ranked 149 th of 182 countries on the Human Development Index. Haiti was faced with two disasters within one year (Earthquake and Cholera) The earthquake destroyed Haiti s governance and infrastructure which left the country most vulnerable Background

8 Background Haitians pay for healthcare out of pocket This influences negative health outcomes in the Western Hemisphere Healthcare is funded by NGOs from foreign donors which play a key role in the delivery of health care due to limited capability and financing of Haiti s public health sector

9

10 Public Health Dangers of Haiti Earthquake Lack of access to clean water and poor sanitation Tropical disease outbreak of Cholera and Chikungunya Crowded environment due to limited housing Malnutrition due to poverty Structural and functional damage to hospitals A significant increase in mortality of health providers and workers

11 Tent Cities in Port-au-Prince, Haiti

12 Consequences of Haiti s Earthquake Health Impact 2010 Haiti s earthquake affected its people and health in variety ways: mental health, communicable diseases violence reproductive nutrition and security water and sanitation etc Disrupted infrastructure for HIV/AIDS health services

13 Consequences of Haiti s Earthquake Health Impact Fractures, amputations, spinal cord traumatic brain injuries, burns, eye injuries, ad others The Ministry of Health was unable to fulfill its leadership role, primarily because of its main building was completely destroyed (

14 HANA, FSIL & HAPC: Caring for the Community Abroad Post Earthquake

15

16

17 Interdisciplinary Team Approach

18 Nursing, Medical Team & Volunteers

19 Caring for Pregnant Mother in Haiti Maternal mortality in Haiti is highest in the Western Hemisphere Complications during pregnancy or delivery. includes eclampsia and hemorrhaging, the main causes of maternal death in Haiti For every 270 live births, 35 mothers will die shortly after delivery Center for Disease Control (CDC) is assisting in efforts to increase access to emergency obstetric care CDC & Ministère de la Santé Publique et de la Population (MSPP) is developing a national framework for maternal death surveillance and response system (

20 Medical Mission in Petavie, Cayes-Jacmel

21

22

23 Public Health Challenges Children unvaccinated Lack of access to basic healthcare Waterborne diseases and intestinal parasites, especially in children Increased rates and high prevalence of infectious disease TB, HIV/AIDS Malaria Low life expectancy

24 Scope of the Problem Mortality of healthcare workers including students The entire second year class and teaching staff of National School of Nursing, the nation s largest nursing school were killed Damaged three out of four medical schools Displacement and dispersion of people who became homeless Social disruption due to loss of family members

25 U.S. Marines Volunteers

26 Delivery of health Services 47% of the Haitian Population lacks access to basic health care Over 50% of women are affected Services are of poor quality Shortage of physicians, nurses and midwives (including male midwives)

27

28 The Power of Many

29 International Response To Emergency Field Hospitals

30 The Power of Many.

31 International Response To Emergency Medical Teams

32 International Response to Emergency Rescue

33 Humanitarian Aid for Food Distribution

34 Providing Shelter

35 Miami Dade College, HAPC, Foundation ICI Medical Mission in Haiti, October 2014

36 Miami Dade College, HAPC, Foundation ICI Medical Mission in Haiti, October 2014

37 Miami Dade College & HANA welcomes Haitian Nursing Students for Immersion Experience

38 Five years later Inadequate response to Cholera epidemic Poor sanitation Doctors without Borders (nurses are invited) still provide care Médecins San Frontières (MSF) and other NGOs responded for emergency relief efforts as well as managing four hospitals in the earthquake-affected area Obstetric emergencies Trauma Treated 23,000 cases of cholera

39 Lessons learned from Disaster Information and coordination management is a major challenge Disasters are tragedies, but also provide windows of opportunities Major focus on mental health and psychological support shed lights on the inadequacy of the lack of institutions for treating mental health patients Higher number of Amputees prompted a positive shift in public attitude toward those with disabilities and committed to rehabilitation program

40 Successful Surgery of Twin Babies!

41 Remembering Haiti s Earthquake Victims & Survivors

42 Together, We can Achieve!

43 Questions?

44 Thank you for your attention Contact information of Dr. Marie Etienne 950 NW 20th Street, Miami, Florida Phone: (305) Fax: (305)

45 References Earthquake in Haiti One Year Later PAHO/WHO Report on the Health Situation, Retrieved from Progress Toward Rebuilding Haiti s Health System. Center for Global Health Division of Global Health Protection Center for Disease Control. Retrieved from Haiti Earthquake Response Five-Year Update January American Red Cross. Retrieved from De Goyet, C., Sarmiento, J. P. & Grunewald, F. (2011). Pan American Health Organization. Health response to the earthquake in Haiti January 2010: Lessons to be learned for the next massive on-set disaster. Retrieved from

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