The mission of Maison de Naissance is to improve health for mothers and babies in impoverished communities. Our challenge is to prevent maternal and infant deaths. Maternal and infant mortality rates in Haiti are among the highest in the world. The causes of mortality are both social and medical. We have therefore developed a model combining both social justice and medical excellence to prevent unnecessary deaths. Our strategy has been to recognize the barriers which deny healthcare to the poor and strive to overcome them. Maison de Naissance provides accessible... read more The mission of Maison de Naissance is to improve health for mothers and babies in impoverished communities. Our challenge is to prevent maternal and infant deaths. Maternal and infant mortality rates in Haiti are among the highest in the world. The causes of mortality are both social and medical. We have therefore developed a model combining both social justice and medical excellence to prevent unnecessary deaths. Our strategy has been to recognize the barriers which deny healthcare to the poor and strive to overcome them. Maison de Naissance provides accessible, free, reliable healthcare. We employ innovative technologies to insure quality and measure outcome. Our vision is 'Healthy Mothers and Healthy Babies' - communities where maternal and neonatal mortality rates are low and every infant has the opportunity for a healthy birth. Our Guiding Principles: High-quality maternal and infant healthcare, including full prenatal, maternal, and postnatal care, provided with compassion and dignity. Maternal healthcare that is available, accessible, and accepted, including personal linkages to every expectant mother in our zone of service, in order to provide healthcare that is free (thus, no barrier of availability), with doors open on a 24/7 basis and with transportation service if needed (thus, no barrier of accessibility), and welcoming (thus, no barrier of acceptance). Indigenous management, including local staffing, with programs for technical skills enhancement, professional training, and education. Innovative and efficient use of technology, including electronic medical records (MN Health Atlas), telemedicine through IM and internet transmission, specially designed assessment tools, etc. Community engagement, including population surveys using demographic and GIS-based mapping, collaboration with community and government bodies, partnerships with other agencies, etc. It is our hope the Maison de Naissance is not only an effective local solution but also a scalable model which will be of assistance to meet the Millennium Development Goals, especially the reduction of maternal and child mortality. Plans are underway to replicate the Maison de Naissance model in Haiti and other countries. Our Strategy Triple Therapy Breaking the barriers which poverty erects to health will require multiple strategies. We are focusing on three goals: 1. Accessibility Maison de Naissance is accessible, not only by its location immediately in the rural community it serves, but also because of its character. The ambiance of the Maison de Naissance is culturally appropriate, welcoming and friendly - in keeping with the hospitality of a home rather than the potentially intimidating image of a medical center. All services are free, because even the least financial expectation would be a deterrent to preventative care and early treatment of problems. 2. Quality Maison de Naissance emphasizes wellness and preventative care while also providing essential services such as family planning, prenatal and postnatal education, obstetrical care, newborn medical care, social services, and spiritual support. Quality is measured by the competence and compassion of our healthcare team, and also by outcome monitoring and improvement processes. 3. Resources Haiti is a resource poor country. Financial support and educational programs are bringing resources to where they are desperately needed. Internet communication and information access are connecting healthcare providers in Haiti with the resources of medical centers and specialists in the United States. Integration of essential health services with community programs for health, education, and economic development promises to transform this community. Resources now mean new opportunities for the generation of babies born at Maison de Naissance. Paradox for change Moving healthcare to the patient rather than the patient to healthcare, providing high quality care in a poor rural area, and providing internet technology in a community which is still without electric lights may seem paradoxical. We believe that these are "bottom-up strategies" necessary to change the existing economics of healthcare for the poor in Haiti. These are preferential options for the poor, who need them most.
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