Partners In Health (PIH)

Our mission is to provide a preferential option for the poor in health care. By establishing long-term relationships with sister organizations based in settings of poverty, Partners In Health strives to achieve two overarching goals: to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair. We draw on the resources of the world's leading medical and academic institutions and on the lived experience of the world's poorest and sickest communities. At its root, our mission is both medical and moral. It is based on solidarity, rather than charity alone. When our patients are ill and have no access to care, our team of health professi...
Nov 17, 2014

PIH Haiti Earthquake Recovery - Nov 2014 Update

Above: MIREBALAIS, HAITI - APRIL 2, 2014:  Clinical Nurse Administrator Naomie Marcelin conducts rounds at University Hospital in Mirebalais, Haiti, with nurses Jeddidiah Claude Pierre, Carline Gerome, Marie Synndie Aime, Heraldine Aneas, and Abdonie Laguerre. (Photo by Rebecca E. Rollins / Partners In Health)

 

Partners In Health received an outpouring of generous support after the January 2010 earthquake in Haiti (almost five years ago) from generous and caring people like yourself.  In partnership with the Haitian Ministry of Health, we put those resources to use immediately with the construction of University Hospital in Mirebalais.  Today, University Hospital is an innovative, national teaching and referral hospital that is equipped to provide advanced, high-quality health care while training Haiti’s next generation of health professionals and driving economic growth throughout the region. 

Since the opening of Hôpital Universitaire de Mirebalais (University Hospital) in March 2013, more than 100,000 uniquely registered patients have traveled across the country seeking treatment, surpassing our expectations. The facility represents a new opportunity for 3.4 million people, living within its catchment area, to access complex, life-saving services. But its impact extends well beyond the facility’s walls. Partners In Health/Zanmi Lasante (our Haitian sister organization) has built an innovative, national teaching and referral hospital that provides specialist, high-quality health care while training Haiti’s next generation of health professionals and driving economic growth throughout the region.

University Hospital is one of Haiti’s largest public-private investments in health and has created 807 jobs directly. Approximately 70% of its staff are from communities in and around Mirebalais. Many live at home, but the hospital also offers housing to approximately 200 staff in its residences on campus and in houses in the community. University Hospital staff shop in local markets, eat at neighborhood restaurants and food stands, and invest in nearby housing. Their economic activity is stimulating growth and encouraging new business. Linda, a Mirebalais resident and mother of three who sells egg sandwiches, recently moved her stand just outside University Hospital and is now selling dozens of sandwiches each morning. 

Researchers from PIH/ZL and the Haitian Ministry of Planning’s Centre de Techniques de Planification et d'Économie Appliquée have quantified the ‘multiplier effect’ University Hospital has across sectors of the Haitian economy; they found that for every $1 invested into University Hospital, $1.82 is returned to the local economy. This analysis does not take into account other important benefits associated with University Hospital, including benefits to the economy resulting from a healthier population and workforce, benefits to patients who receive high-quality care regardless of their ability to pay, and long-term benefits for the Haitian health care sector through University Hospital’s academic training and mentorship programs.

We thank you for your continued support, which enables us to continue providing high-quality health care to the poorest of the poor in Haiti. 

Nov 12, 2014

University Hospital in Mirebalais, Haiti Nov. 2014

Rebecca E. Rollins / Partners In Health
Rebecca E. Rollins / Partners In Health

(MIREBALAIS, HAITI - MAY 2014: A busy afternoon in the University Hospital emergency room.)

Thanks for your support of Partners In Health/Zanmi Lasante and our work to provide high-quality care at University Hospital in Mirebalais, Haiti!   I am delighted to share the following update on our increased capacity to provide emergency care at the hospital's Emergency Department: 

PIH/ZL is committed to making sure that every patient benefits from timely and effective care. We know that poverty puts Haitians at greater risk of needing emergency medicine – unmanaged chronic conditions, farming injuries, and increasing traffic accidents on newly improved roads are responsible for the high number of ER visits. 

That is why PIH/ZL designed an integrated emergency department with the capacity to respond immediately to critically ill medical and trauma patients 24 hours a day. PIH/ZL recently introduced triage to the emergency room so that patients are prioritized by acuity rather than complaint. Staff are being trained to reassess patient flow and bed management to ensure maximal efficiency. Beginning just last month, University Hospital began offering its first residency and certification programs in emergency medicine.

The capacity of University Hospital to respond swiftly to emergencies is an indication of the overall health of University Hospital’s systems. The emergency department is a test of system functioning because it requires collaboration with blood banks and other specialists across departments. If trained staff and triage systems are not in place, the increasing number of patients with complex, trauma-related injuries, like Guerrier, will not survive.

 Guerrier, 21, from Mirebalais

“I was in a tap-tap [local informal bus] on the way to PAP when the brakes stopped working. The car flipped on its side and during the crash I broke my neck. An ambulance arrived and brought me to the ER at University Hospital. I was in the ER from Thursday to Monday. On Monday afternoon I went down to PAP in an ambulance with Dr. Ward and Dr. Jacky. They put the collar on me and I returned to University Hospital the same day. I was able to return to my house the next day.

Now I sometimes get headaches on my right forehead but overall I don't have too much pain. I come for a consultation once a month and will take the collar off after three months, or earlier, if Dr. Luther says it is okay.

You never expect an accident like that to happen. I found really good care here, and I think this collar will help me return to the way I was before the accident. I'm in my last year of high school and hoping to go to university next year. I also love to play soccer and am hoping that one day I'll be able to play again.”

Guerrier came to University Hospital with severe spinal injuries. The emergency department quickly diagnosed his injuries using a CT scanner and determined that a halo collar was needed; but, University Hospital did not have the halo collar needed to begin treatment on hand.  PIH/ZL procured two collars from Boston Children’s Hospital and located a Haitian neurosurgeon in Port-au-Prince (PAP) that could perform his life-saving surgery.

Oct 27, 2014

MMRP October 2014 Update

Rebecca E. Rollins/Partners In Health
Rebecca E. Rollins/Partners In Health

Thank you for supportering Partners In Health's Maternal Mortality Reduction Project in Lesotho. With help from supporters like yourself, Partners In Health Lesotho (PIHL) has succeeded in achieving the following program objectives in its catchment area:

  • Increase villagers’ awareness of sexual and reproductive health care services through robust community outreach performed by Maternal Health Workers (MHW).
  • Increase women’s access to family planning and reduce the number of high-risk pregnancies.
  • Increase the number of pregnant women who go to the health center for an initial comprehensive antenatal care (ANC) visit.
  • Reduce the number of women lost to follow-up after their first ANC visit through counselling and accompaniment by MHW.
  • Increase the number of pregnant women who know their HIV status and are empowered to make informed choices about care and treatment.
  • Increase enrollment in Prevention of Mother to Child Transmission (PMTCT) services for HIV-positive pregnant women (including anti-retroviral treatment (ART) and post-natal prophylaxis as appropriate).
  • Increase the number of women who deliver at the health center with assistance from a skilled health care worker.

Through this work, PIHL has successfully scaled up the Maternal Mortality Reduction Project across the entire PIHL network and extended access to health care to many of the most vulnerable women and children in rural Lesotho.

Maternal Health Workers are key to the program’s success – they accompany women throughout their pregnancies, promote testing and treatment for infectious diseases, and ensure attendance at prenatal appointments. Importantly, MHWs also support women and families to make the choice to deliver at a health facility with skilled health professionals, which reduces the risk of maternal and neonatal deaths due to emergency obstetric complications. MHWs continue to receive monthly, performance-based compensation for their work and monthly trainings by PIHL staff. 

Mary (pictured above) is a 37 year old nurse-midwife that has been working with PIHL for ten years. She’s the lead on-site clinician at Tlhanyaku Health Center; she juggles a multitude of medical tasks while simultaneously providing administrative and logistical support to PIHL. The clinic she works at is located in one of the most remote regions – it is three hours from the nearest referral hospital. As Mary explains, “Our country is so mountainous. Doing outreach and home visits to some areas is difficult as the cars cannot reach those areas, hence we travel by horses or on foot.” She and her colleagues are improving health outcomes for women and newborns and catalyzing national system change. The MMRP is delivering real results. As she proudly reports, “Our efforts to stop HIV transmission are well coordinated. From a mother’s first antenatal care visit at which she’s tested for HIV, we accompany families. We provide education and support, and we continue to follow up with them.”

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