Professional Documents
Culture Documents
New Roles, New Partners, and Maintaining the Core Mission Board and Staff
President:
Hugh Tozer
Dear Friends, New Initiatives and Roles: This year,
Vice president:
As you know, this has been an extraordinary more has been asked of us on many fronts,
Wendy Taylor
and catastrophic year for Haiti. The impact of and, thankfully, the tremendous outpouring
of support allowed us to be flexible and Secretary:
the earthquake—which resulted in so much Malcolm Porteous Rogers, MD
death, injury, and displacement—will continue responsive. In order to help address the myriad
to be felt for years to come, both in the issues facing our partners in the immediate Treasurer:
aftermath of the earthquake, we were able Michael Kilmartin
earthquake zone and the rest of the country.
We have been both saddened by such extreme to purchase pharmaceuticals and medical Founder and President
loss, and heartened by the courage, fortitude, supplies, pay for transport of injured people, Emeritus:
provide food for displaced families and hospital Michael Taylor, MD, MPH
and resilience of our Haitian partners and
friends over this past year. Konbit Sante has staff, and address immediate needs as they Directors:
been privileged to continue to work side by side presented. At the request of the hospital and Warren Alpern, MD
ministry, we helped coordinate the NGOs Michael Coughlin
with our partners in Cap-Haitien through this Brian Dean Curran
time, to make a greater contribution than any and other donors that wanted to assist the
Samuel Broaddus, MD
of us could have made alone. This is what a Justinian Hospital, and we co-chaired the ad Deborah Deatrick, MPH
konbit is, and why it is important. hoc Health Commission formed to coordinate John Devlin, MD
health sector earthquake response in the Skeek Frazee
Our work and progress for the past year can North. Recently-added permanent Haitian staff Polly R. Larned, RN
be characterized by: 1) a maintenance of effort will address some of the longer-term priority Stephen Larned, MD
through this difficult time made possible by issues identified by the health commission, Eva Lathrop, MD
strong and long-held relationships, 2) new Ann Lemire, MD
such as wound care in the hospital and a
initiatives, activities, and roles in response to a Donald E. Nicoll
strengthened community outreach in over- Michael J. Ryan
situation that could not have been anticipated, crowded neighborhoods where displaced people John Shoos
and made possible through unprecedented are being absorbed.
and generous support from many quarters, Clerk:
and 3) the forging of new partnerships that New Partnerships: Konbit Sante is predicated Peter S. Plumb, Esq.
have already been tested in challenging on the idea that partnerships can add up to
circumstances and have opened up new more than the sum of their parts. In the past, U.S. Staff
possibilities for the future. we have almost exclusively focused on the
Executive Director:
public aspect of the health system; however Nathan M. Nickerson, RN, DrPH
Maintenance of Effort and Fidelity to Core these extraordinary times have called for
Mission: Konbit Sante has not wavered in its Program Specialist:
greatly expanding our partnerships to other
commitment to the community of Cap-Haitien Tezita Negussie, MPH, MSW
Haitian and international organizations to
and the relationships that we have nurtured collaboratively address both emerging and Operations Manager:
over the past many years. Though Cap-Haitien Emily Gilkinson
growing needs for care and rehabilitation
was not in the earthquake epicenter, we believe of people with spinal cord injuries and the Outreach and Logistics
that the entire fragile health care system now immediate and longer-term mental health needs Coordinator:
has an even greater need to be strengthened to Daniel Muller
of people traumatized by the earthquake.
address both the ongoing health needs of the
people and the dramatically increased needs In Creole, Konbit Sante refers to a collective
in times of crisis and disaster (which occur all of people working together for the common
too frequently in Haiti). Those needs are made goal of improving health. Perhaps the most
even more obvious when the system is stressed encouraging thing for those of us within the
as it was this past year. To that end, we have organization during this past year has been
continued to support improvements in clinical the number – and the number of ways – people
care through volunteer partnerships with have stepped forward to join and contribute to
Haitian colleagues; to find and support very effort; this konbit. We humbly thank everyone
capable Haitian staff to play key integrated or who makes this work possible.
consultant roles to improve care and training; to Sincerely,
procure drugs, supplies, and equipment critical
to the provision of care; to make infrastructure
improvements to health care facilitates; to
support community outreach, education, and
care; and to support management systems in Nathan M. Nickerson, RN, DrPH
the public facilities, from business plans to Executive Director
inventory management systems. Konbit Sante Executive Director,
Nathan Nickerson, RN,DrPH.
2
Letter from the In-Country Program Manager
Highlights of 2010
This has been a year of focusing on acute needs after the implementing many of the recommendations from an analysis
January 12 earthquake, and also a year of continued efforts to of services done by volunteers. Areas targeted for improvement
expand community outreach and strengthen core programs. include infection control, money management, and materials
Earthquake response: Because of our long-term management. The pediatric team has also engaged in an
relationship with the Justinian Hospital and the Health important effort to improve medication dispensing.
Center at Fort St Michel, we were able to help them respond Knowledge exchange: To further build human
quickly to the earthquake victims who were evacuated to capacity through training, volunteer clinicians and other
Cap-Haitien, and the already urgent needs of the population professionals from the U.S. traveled to Haiti to share
in the area. Read more about this in the Focus Section. knowledge and develop plans to improve emergency triage,
Inter-agency coordination: Lack of coordination among sanitation and infection control, mental health, diabetes
governmental and non-governmental health care providers care, shock management, burn care, pediatrics, women’s
has long been a problem in Haiti. One contributing factor health, cardiology, vaccinations, acute respiratory infections,
is the lack of information. To begin to address this problem, and treatment without medication. Konbit Sante-sponsored
Konbit Sante, with the help of Haitian nursing students internist, Dr. Michel Pierre, attended a Harvard-sponsored
and U.S. volunteers, is developing a comprehensive resource conference for a week in December 2009.
guide of services in the Cap-Haitien area. On a different Diabetes collaboration: Konbit Sante has a new
level, Konbit Sante co-chaired the Northern Department’s collaboration with Maine Medical Center, which was
post-earthquake Health Commission and assisted the awarded a two year grant from the International Diabetes
Justinian Hospital coordinate the many volunteers who Federation. Konbit Sante volunteer Dr. John Devlin, aided
appeared after the disaster. by U.S. and Haitian clinicians, has begun developing a
Increased outreach and education: To address increased program to deliver the three most cost-effective interventions
health needs within the community, Konbit Sante added in developing countries: blood sugar control, blood pressure
nine more Haitian clinical staff who are integrated into control, and foot care in high-risk individuals.
the public health care system and working on the ground Management collaborations: Konbit Sante staff and
in Haiti. Six new community health workers were added; volunteers are working with colleagues and leadership at
including two focusing on TB education, detection, and Justinian Hospital to develop stronger management plans.
treatment support; two focusing on support and care of A business plan for the Radiology Service has resulted in the
diabetic patients; and two providing vaccinations and other longest period of uninterrupted functional imaging service
basic public health services. An additional community nurse in our entire partnership of close to ten years. This was
supervisor, a diabetes nurse specialist, and a wound care especially critical after the earthquake for clinical care, and has
nurse specialist have also joined our team. provided a significant and sustainable revenue source for the
Improving maternal outcomes: The Konbit Sante- hospital. Konbit Sante delivered its 11th container of medical
supported women’s health initiative continued to strengthen equipment and supplies, and, in efforts to acquire and manage
its community outreach by training traditional birth supplies of essential medicines and equipment, Konbit Sante
attendants and holding prenatal clinics in the community to has strengthened and expanded its important relationship
provide care and identify and counsel women with possible with Direct Relief International and has established a new
high risk deliveries. Nurse Miguelle Antoine organized partnership with Hope International of Canada.
mothers’ groups, with over 250 participants, to teach and
provide support for new moms in the care of their babies.
Maternal health team leader, Dr. Youseline Telemaque,
OB/GYN, traveled to Uganda to present findings from the
study of women’s postpartum family planning interests that
she co-authored with volunteer Dr Eva Lathrop. Results
from this study form the foundation of a postpartum family
planning counseling program and were put into practice
at the Fort St. Michel Health Center and the Justinian
Hospital beginning July 1.
Improving pediatric inpatient care: Pediatricians Drs.
Paul Euclide Toussaint and Rony St. Fleur continued to Konbit Sante-sponsored OB/GYN, Dr. Youseline Telemaque, educates traditional
improve quality of inpatient care at Justinian Hospital, birth attendants and community health workers about HIV/AIDS.
4
Program Updates
The earthquake of January 12, 2010 will long be We quickly set up purchasing arrangements for many of the
remembered as a defining event for Haiti. The immediate most urgently needed medications and supplies from the
death toll and physical destruction were focused in and Dominican Republic; purchased fuel to help local authorities
around the capital city of Port-au-Prince, the nation’s center transport victims from Port-au-Prince to the North for
of government, commerce, universities, and home to almost care; and supported the medical and psychological care at
three million people. The response of the world community a center set up to register migrating earthquake victims.
was swift and vigorous; unprecedented human and material We were able to provide daily hot meals for the medical
resources poured into the affected area to rescue and save residents who were staffing the hospital, as well as food
lives with a great deal of success. For that, we are grateful. distribution for families with children who had migrated
into the area.
Public facilities were completely without funds for several
months, so Konbit Sante paid the regular fees for over 600
earthquake victims at our partner institutions so that they
would have revenue to keep functioning. We provided supplies
and support to reopen, and keep open, radiology services
- a critical need with so many orthopedic injuries. We also
provided critical support to partners in Port au Prince who
were working to set up toilets and sanitation in the camps.
Many Konbit Sante volunteers quickly responded by going
to provide help to their Haitian colleagues in pediatrics,
women’s health, psychiatry, orthopedic trauma, surgery,
public health, and nursing/triage and wound care. At the
A patient rests after surgery at the Justinian University Hospital. request of the Justinian Hospital, we helped coordinate the
volunteer contributions and supply donations of many other
Understandably, the tenuous situation for the 7 million organizations that came to help them as well.
people outside of the physically affected area was not so much
in the global spotlight. Immediately after the earthquake, We participated in coordination meetings and activities with
Konbit Sante made the decision to focus our energies and the UN and local authorities, and co-coordinated, with the
resources on supporting the fragile public health system Northern Department of the Ministry of Health’s Northern
in the Northern Department of the country. There was an Department, the Health Commission, which was formed to
urgent need for it not to collapse, thus adding an incalculable identify and address priority health needs and issues. Our
further toll. Working together with our partners, we would longer-term commitments were informed by this group and
contribute to the care for the many injured and displaced include development of capacity for psycho-social care for
people who came in search of help, as well as the people trauma victims, supporting care for spinal cord injuries,
already in the area. We wanted the response to have a improving surgical capacity, improving wound care at the
meaningful impact on immediate needs, to build on the Justinian Hospital, expanding community outreach, providing
work and relationships already developed, and be oriented information for better access to community resources, adding
toward continued and long-term strengthening of the area’s community health workers and improving their supervision
health system. The generous outpouring of support to Konbit and facilities, and supporting sanitation improvements.
Sante’s Earthquake Response Fund from many people made
everything that followed possible. Total Earthquake Response Fund
Including Expenditures to Date and Multi-Year Commitments
The situation for the Justinian Hospital and Fort St Michel
Health Center was dire. There were severely injured Salaries $229,828
patients arriving from Port-au-Prince daily, and doctors Capital Projects $71,000
and nurses were working tirelessly to care for them without Community Health Outreach $54,766
critical supplies or medicines. Many staff and community
Materials and Supplies $42,613
members had suffered personal losses, and people were
traumatized and overwhelmed. Public power was disrupted, Immediate Response Medical $37,712
Care and Food for Victims
banks were closed, and there were fuel and food shortages.
The earthquake funds allowed for significant and flexible Logistics and Transportation $22,638
responses to some of these immediate needs. TOTAL $458,557
5
Partner Voices
This has been a year in which we have deepened old partnerships and developed
new ones, all with a renewed resolve to help Haitians build a brighter future.
Since the earthquake the Haiti Hospital a flat bed truck to use for waste collection in the IDP camps.
Appeal (HHA) has had the privilege to We are currently collecting over 5000 gallons of human waste
work alongside Konbit Sante through per week to be converted to fertilizer at our composting site.
officially partnering in a number of key health developments. Without the help of Konbit Sante SOIL would not be able to
When HHA was fortunate enough to receive some substantial maintain our current operations and we are deeply grateful to
funding to help improve the maternity mortality situation in the Konbit Sante community for making this work possible.
North Haiti, it seemed obvious to involve Konbit Sante. Their SOIL would like to take this opportunity to share our gratitude
experience has provided a very strong foundation to this work, with all of you who have stood with Haiti through these difficult
and their proven models of development a valuable example to times. We are honored to work alongside our colleagues in
base new strategies upon. Konbit Sante as we move along the path to recovery.
HHA and Konbit Sante have also partnered in the Sasha Kramer, Ph.D.
development of Northern Haiti’s first permanent Spinal Cord Co-founder Sustainable Organic Integrated Livelihoods (SOIL)
Injury unit. The respect that Konbit Sante have developed www.oursoil.org
through their years of work with the Minister of Health in
North Haiti, UN officials and the private and public health
community at large has opened a large number of doors for Our long-term partnership with
this work to progress. Konbit Sante has a strong mix of vision Konbit Sante has enabled us to more
and realistic expectation in Haiti, a quality rare to find. effectively distribute these items with
Spinal care has never been done before in this impoverished the oversight and feedback that is required when dealing
nation, and was seen by many as an ‘impossible task.’ Never with high-value, time-sensitive products such as critically
the less, from the start their team has expressed continuous needed medicines. By donating the items directly to Konbit
support and encouragement for this work, whilst developing Sante, we are assured that our donations are getting to the
practical solutions to advance the vision. patients who need them most.
Carwyn Hill Since the earthquake of January 12th, international
Executive Director, Haiti Hospital Appeal resources have poured into medical facilities in and around
haitihospitalappeal.org Port au Prince, but have largely excluded much of the rest
of the country, including the Northern Sector. Given this
inequality in aid distribution, Konbit Sante and Direct Relief
Sustainable Organic Integrated Livelihoods have worked extensively to ensure that our donations are
(SOIL) is an organization that has been appropriate and timely so that patients going to the north
working on converting wastes into resources for treatment are able to get the care they need.
in Haiti since 2006. Prior to the earthquake
we were based in Cap Haitien focusing on providing public Thanks to Konbit Sante’s continuous oversight, and with
composting toilets in neighborhoods where there was the collaboration of the dedicated staff at the Justinien
previously no access to sanitation. On January 15, SOIL University Hospital, thousands of desperate families have
moved some of our staff to Port au Prince to assist in relief received and are continuing to receive quality medical care
efforts. Since establishing our office in Port au Prince SOIL in northern Haiti.”
has built 200 composting toilets serving over 20,000 people in Andrew MacCalla
over 30 IDP camps throughout the capital. The toilets have Haiti Program Operations Specialist, Direct Relief
since been hailed as the nicest toilets in the camps thanks in www.directrelief.org
no small part to the assistance of Konbit Sante. SOIL has
collaborated with Konbit Sante for years in the north and
following the earthquake we were approached with an offer of
support from Konbit Sante. Through the generous donations
of Konbit Sante supporters SOIL received a grant to purchase
6
Partner Voices
Full versions of these letters from Konbit Sante’s partners are available at healthyhaiti.org.
7
Financials: September 1, 2009 – August 31, 2010
Total Expenses: $811,329 Equipment and Supplies: Salary support for two
people to manage the supply depot and one supply
chain coordinator, medical equipment and supplies
Equipment and Supplies $216,134 26.6% (purchased and donated), shipping costs.
8
Financials: September 1, 2009 – August 31, 2010
9
Thank You
Donations
Because of limited space, we are sorry not to recognize all who have Gorrill-Palmer Consulting Engineers, Inc. Portland Regional Chamber
generously supported Konbit Sante during the year. A complete listing Terrance and Sally Gray Ann Reynolds
can be found at www.healthyhaiti.org. Greely High School Class of 2012 Dr. and Mrs. Malcolm Porteous Rogers
Hall School Mr. and Mrs. Arthur M. Rogers, Jr.
$10,000 or More Daniel Zilkha Ward Hand Rotary Club of Bethel
Mr. and Mrs. Michael Zilkha Intermed Rotary Club of Hampton
Allied World Assurance Company, Ltd Irving Farm Coffee Company Rotary Club of Kittery
Emanuel and Pauline Lerner Foundation $1,000-$4,999 Joel Karp Rotary Club of Portsmouth
Terence J. Harrist, MD Harry Keller II Rotary Club of Scarborough
Kathleen Lannan Clark Abt
Drs. John Attwood and Karen Kurkjian Jenny Potter Scheu and John Ryan
Maine Community Foundation Amica Companies Foundation
Marc Voyvodich and Linda Lamberson Seaport Family Practice
Broad Reach Fund Leighton Arcenas
Kenneth Spirer and Joan Leitzer Sherman Family Foundation
Maine Medical Center Bath Sunrise Rotary Club
Maine Academy of Gymnastics Kim Simonian, MPH
Medical Mutual Insurance Ellen Belknap
Maine Family Federal Credit Union Kenneth Smith, Jr.
Company of Maine Roger Berle
Kevin and Polly Maroni Spirer-Leitzer Children’s Fund
Dr. and Mrs. Raymond S. Nickerson Lisa Bisceglia
Martin’s Point Health Care William S. Springer
SG Foundation Drs. Carrine Burns and Peter Bouman
McClaine Family Charitable Fund Spurwink Services
S. Donald Sussman Mary Anne and John Boyne
Don and Marilyn McDowell Dr. and Mrs. Richard L. Sullivan
Dr. J. Michael Taylor and Amy Bruning
Michael Ryan and Mary Lou McGregor Town and Country Federal
Wendy Taylor Casco Bay Gastronenterology
Mr. and Mrs. Michael I. McLaughlin Credit Union
United Way of Greater Portland Charlotte Fullam and Katherine Chaiklin
Mercy Hospital William E. and Sheri L. Traverse
Selim Zilkha Dr. and Mrs. David Clark
Middle School of the Kennebunks Drs. Charles de Sieyes and Carol Ward
Mary Ann Clark
Bobby Monks and Bonnie Porta Katharine Watson
$5,000-$9,999 Clifton Baptist Church
Mr. and Mrs. James Moody, Jr. Waynflete School
Frank Cloutier
Daniel Raymond Nickerson Carol Anne Kilhenny Moore Drs. Joel Cutler and Lucinda Wegener
Rachel Coleman
Foundation, Inc. Eva Lathrop Moore, MD, MPH West School
Brian Dean Curran
E.Eddington Community Church Jane Morrell Westbrook-Warren Church
Brad and Debbie Cushing
Ekedahl Family Foundation Jeffrey and Elaine Musich Drs. Peter Elias and Mary Williams
Damariscotta Newcastle Rotary Club
John Emery Susan and Bob Neilson Woodard & Curran
Scott Vile and Deborah Deatrick
Franciscan Sisters of the Poor Karen Newton Elizabeth Yee
Dermatology Associates
Mary Herman Nathan and Nancy Nickerson Elie Zilkha
Dr. John and Diane Devlin
Dr. Samuel Broaddus and Oakhurst Dairy
Normand and Agnes Dugas $500-$999
Sandra Jensen Ogunquit Rotary Club
Charles and Laura Edgar
Laura Kearns Suzanne Olbricht, MD Payson and Lisa Adams
James and Rebecca Evarts
Mr. and Mrs. F. Stephen Larned, Jr. Drs. Jefferson and Deborah Parker Allergy Association of
Exeter Rotary Foundation
Dr. and Mrs. Stephen Larned Partners for Rural Health in Northern California
Fabu Salon & Day Spa
John Mayer the Dominican Republic Warren and Heidi Alpern
Falmouth Middle School
Mr. and Mrs. Edward Miller Pericles Foundation Anne & Jack Spiegel Fund of the
Falmouth Rotary
Newton Highlands Congregational John Perry Maine Community Foundation
Firehouse Five
Church Phelps Family Foundation Gail and Al Ayre
Flatbread Co.
The Redmond Family Foundation Port City Music Hall John and Georgia Bancroft
Matt Liang and Diane Garthwaite
Sam L. Cohen Foundation Portland Friends Meeting Jackie and Peter Bates
Al and Judy Glickman
Richard and Sara Walker Portland Press Herald Jennifer Andrews and Mark Battista
Gorham Savings Bank
A young earthquake victim receiving treatment at Konbit Sante helps support a center for psychological Volunteer Dr. Carol Kuhn with young earthquake
the Justinian Hospital. care and health care for earthquake victims victim in the Cap-Haitien gymnasium.
and others.
10
Thank You
The x-ray machine and supplies provided by Konbit Sante were of critical use following the earthquake. Many people, including young children, walk long
distances to find potable water.
11
Our Mission
To support the development of a sustainable health care
system to meet the needs of the Cap-Haitien community
with maximum local direction and support.
HAITIAN PROVERB
Konbit Sante is a 501(c)3 not-for-profit corporation organized in the State of Maine. Contributions are
tax deductible and can be made to Konbit Sante, P.O. Box 11281, Portland, ME 04104. To donate online,
please visit www.healthyhaiti.org.