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 Health  Haiti Project #16373

Give Mobility Devices for People in Haiti

by World Rehabilitation Fund
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti
Give Mobility Devices for People in Haiti

Organizational Announcement: Closing of Prosthetics/Orthotics Project of

World Rehabilitation Fund/ProsthetiKa at Adventist Hospital, Port-au-Prince, Haiti

WRF/ProsthetiKa partners were informed by the Adventist Hospital’s administration that the hospital is undergoing major financial challenges and is no longer capable of continuing the Prosthetics/Orthotics shop, along with few other services. The unfortunate news prompted the partners to take actions in attempts to sustain the use of the project’s accumulated resources: staff and their knowledge, equipment, materials, supplies, and tools.

The equipment of the project is to be donated to the existing P&O program in Cap Haitien, north of Port-au-Prince, by Mobility Outreach International in partnership with the government-run Justinian University Hospital and the Haiti Project of the University of Miami, Florida. The donated equipment will allow this program to provide improved services to the larger number of people with physical disabilities. The numerous materials and supplies of the project are donated to the P&O program at Ecole St. Vincent, a school for children with disabilities in Port-au-Prince, which hosts a P&O shop that was set up by WRF and is being run in partnership with Catholic Medical Mission Board. The shop serves on average 50 people with disabilities monthly, and additional components and materials are going to be of a great value to this program.

The WRF’s P&O technicians and assisting personnel have accumulated invaluable knowledge and experience during the life of the program and, equipped with the tools, will be able to continue serving people with mobility impairments and other physical disabilities in Haiti.

Through its lifetime, the program served 1260 people, trained 2 Haitians in senior level P&O techniques and procedures, and 2 staff in assisting P&O professionals. ProsthetiKa and WRF have donated materials, equipment, financial and volunteer resources to make that happen since the project’s launch in post-earthquake Haiti in 2010.

We are grateful for the opportunity to be able to assist so many people in need of our support. You can continue supporting WRF’s other projects on GlobalGiving.com, and please feel free to reach out to us directly if you have any questions about our work. You can read stories of two more people served by the project below. World Rehabilitation Fund plans to continue to stay engaged in assisting Haitians with disabilities. It is our hopes that we will be able to contribute to transforming the lives of people with disabilities in Haiti in the future.

Donating materials and supplies
Donating materials and supplies
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Jean Fabienne and Pier Guy Theodore, WRF
Jean Fabienne and Pier Guy Theodore, WRF

Jean, 35 year old patient, with right inferior limb amputation below knee crushed during the earthquake. Patient served by the project in January of 2015.

She was taken to the emergency room in a hospital, but being very full they referred her to another hospital, where the leg had to be amputated. She received physical therapy at the same hospital for a while, then continued in the NEPCO, (American Foundation), Foundation for a long period.

Jean refers to the time when she lost her leg, she thought she would never walk again, or moreover dance again (she has been a folk dancer since she was a child).  As she says, her faith in God helped her keep the hope of making it through every day. 6 months after the end of the physiotherapy she received her first prosthesis, which helped her to keep practicing dancing.

She says that her first prosthesis was not as comfortable and light as the one given by WRF/PROSTHETIKA Program. She does not feel pain and it gives her more confidence, given that before she had to use two prosthesis, one for daily walks and another one for dancing.  She feels the confidence of doing both activities with the same prosthesis, meeting both her personal and professional needs.

She says that WRF/PROSTHETIKA has given a good service, prosthetic and human, and hoped that the program continues for much longer - a program providing quality service and that is free for all persons with disabilities is needed in the country.

 

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Laguerre and his mother
Laguerre and his mother

Laguerre. 4 year old patient with Cerebral Palsy. 

At 4 months of age the child had fever and diarrhea, but the mother did not take him to the hospital but medicated it at home because a neighbor told her that the child will heal with serum and aspirin.

When he turned seven months, the mother noted that the child was not sitting and not moving much so decided to take him to Nos Petits Frères et Sœurs in Tabare. They evaluated and explained that due to high fever which had when he was 4 months and since it was not treated properly the child had Cerebral Palsy. They consulted with the nutritionist at the Center since the weight of the child was not the suitable and referred him to physical therapy twice a week.

Mother refers that there they gave him food and physical therapy free but that after 6 months she had to start paying for services and, therefore, had to leave. She stayed home with the child, and was upset because the child was not developing fully, even though they occasionally did exercises at home.

Near their house there is an orphanage called Mexni and they gave the mother and the child food and one day in August of this year (2014) Group of volunteers arrived from Loma Linda University and evaluated the child. They said that the child needs some booties to be able to stand. The Manager of the orphanage took the mother and the child to the Adventist Hospital of Diquini, WRF/ProsthetiKa project. 

“I am thankful because now with the booties (AFOs) he can stand and with the chair (seat of support) that I was provided I can let him sit a moment and do chores at my house. Thank God that this program and service I got is free, because I don't have the possibility to pay for all this.”

Marven. 3 year old patient with Agenesis femoral lower left limb.

The mother gave birth to the child in the Saint Teresa Hospital in Miraguane, and doctors did not explained nor said anything about what she only noticed when she got home: that the child had one leg shorter than the other. She went back to the Hospital to consult, and was referred to the Hospital General of Haiti. The doctors told that they will need to wait for the child to be older/larger to be able to operate the leg. She wanted a second opinion and went to the Hospital of Saint Vincent when the child was a month old, and was referred to the Adventist Hospital of Diquini for x-rays, and a complete assessment. They suggested revisions every three months to see how the child was evolving. When he was a year old the orthopedist referred the child to the WRF/ProsthetiKa program because the child was not yet walking. They made him an AFO with an increase of 3 cm.

The mom is concerned how the child will learn to walk with the manufactured orthosis. It was not easy but gradually he learned how to do it. Now we have a 3 year old return to change the orthoses, but the leg shortening is now larger so the technician made an orthoprosthesis device. At first, the patient at the time of delivery felt a little scared because it was something different than what he was used to, but his mom said that she was pleased with the work done. She was pleased to see how her son has evolved, and thinks he’s ready to start school, and that it will be an important step for him since he will be able to interact with more children his age.

Marven
Marven

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Little Jean Running with His New Prosthesis
Little Jean Running with His New Prosthesis

Quote from WRF staff in Haiti: "The day that we gave Jean prosthesis the child was very happy and started walking as if he had already used a prosthesis previously. Very happy mom said: "my son is very intelligent and learns very fast. Thank you for the opportunity he has now been given, walking without crutches. Your help has been very important and changed the life of my son and mine greatly. This year he began to go to school and now he can develop better with his friends and play with more freedom."

January-September 2014 and Total since 2010

Summary:  September saw the project providing 93 services for 67 patients.  This number is well above the average monthly service numbers for this year.    

The age distribution of patients has changed somewhat to show more diversity and less skewed attention to children.  This change is largely due to being able to fabricate more prostheses.  The concentration in prior years for orthotics, led to much more attention being paid to children than adults as the need for prosthetics is generally higher for adults. 

Although it is now 4 years since the earthquake devastated Haiti, the project continues to see patients whose disabilities stem from the disaster.  Thus far, the project has served 126 persons whose main cause of disability was the earthquake.  This month 7 new earthquake victims were served. 

The most frequent need seen by the project this month were foot related problems including club foot, drop foot and dysmetria (or the need to compensate for overshooting foot movements).  9 new cases of hemiplegia were also encountered this month.

The equipment problems from last month have continued which may be preventing the project from having even better productivity. The compressor and one of the air conditioners are malfunctioning and a priority has been placed on remedying these problems.

Table 1:  NUMBER AND PERCENT OF PATIENTS SERVED BY GENDER, January-September 2014

                 Returning Patients       New Patients         Total Patients

                  N           %                      N            %              N            %
Females   76          49%                  148        56%           224        54%
Males        80          51%                 114        44%           194        46%
Total         156                                 262                          418

Table 1a:  TOTAL NUMBER AND PERCENT OF PATIENTS SERVED BY GENDER (new patients only) 2010-Present

                              N                                          %                          
Females               580                                      52%
Males                   545                                      48%
Total                     1125

Discussion:  1125 different patients have been served by the project.  For the whole of the project, there is an almost equal distribution of males and females.  For 2014, new patients seem to be more frequently female than male.  The most recent month, however, showed only a slightly more females than males being served (22-20)

Table II:  NUMBER AND PERCENT OF PERSONS SERVED BY AGE GROUP, January-September 2014

             Returning Patients       New Patients       Total Patients

                      N          %               N            %              N            %

<5 yrs.           23       15%            54           21%           77           19%
5-12 yrs.        38       25%            50           19%           88           21%
13-19 yrs.      13         8%            22             8%           35             8%
20-29 yrs.      24        16%           20             8%           44           11%
30-39 yrs.      16        10%           30            11%          46           11%
40-49 yrs.      19        12%           23              9%          42           10%
50-59 yrs.      11          7%           42           16%           53           13%
60+ yrs.          9           6%           21             8%           30              7%
Total             153*                      262                            415*

*=An additional three cases served this year were patients whose age was unknown.

Table IIa: TOTAL NUMBER AND PERCENT OF PERSONS SERVED BY AGE GROUP (new patients only) 2010-Present

                                N                                          %

<5 yrs.                  314                                      29%
5-12 yrs.              199                                      19%
13-19 yrs.              76                                         8%
20-29 yrs.              92                                         9%
30-39 yrs.              83                                         8%
40-49 yrs.              90                                         8%
50-59 yrs.              102                                      10%
60+ yrs.                 91                                         9%
Total                  1089*

*=An additional 36 persons were served by the project in prior years, whose ages were unknown.

Discussion:  Nearly half of the patients served by the project have been children below 13 yrs. old.  The most recent figures show, however, that this proportion is dropping as the age distribution has become more diversified.  In September, children accounted for 40% of those served.   Well over 25% of those served are 40 years old or more.  

Table III: NUMBER AND PERCENT DISTRIBUTION OF DEVICES, January-September 2014

                                  Returning Patients     New Patients      Total
Type of Device                N            %            N         %              N        %
Above knee prosthesis    30        18%           31        11%          61       13%
Below knee prosthesis     60       36%           46         16%         106      23%
Ankle-foot orthosis           31        19%           77         26%        108      24%
KAFO/knee brace             27        16%          24          8%          51      11%
Pedorthic                          12         7%           48         16%          60      13%
Upper limb device              2          1%          40          14%         42        9%
Other                                  4          2%          25           9%          29        6%
Total                               166                        291                       457

Table IIIa: TOTAL NUMBER AND PERCENT DISTRIBUTION OF DEVICES (new patients only) 2010-2014

Type of Device                                 N                       %
Above knee prosthesis                    155                     13%
Below knee prosthesis                    135                     11%
Ankle-foot orthosis                          480               &nAnd this is how he can kick the ball!

And this is how he can kick the ball!
Raphael with his new Prosthesis
Raphael with his new Prosthesis

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Report Summary:  June saw the project providing 42 services for 31 patients. This was a decrease in the number served from previous levels this year. The average number of patients served per month from January to May was 47.   The primary barrier to service was not the number of persons requesting assistance, but the supplies available to meet the need.  Especially relevant was that this prevented us from making a sufficient number of casts and also the Compressor had malfunctioned.  A shipment of new supplies and some key equipment (including a compressor) has now reached Haiti and, hopefully, will enable the project to again reach the service level that had been maintained earlier in the year.  

The age distribution of patients has slightly changed to show more diversity and less skewed attention to children. This change is largely due to being able to fabricate more prostheses. Although it is now 4 years since the earthquake devastated Haiti, the project continues to see patients whose disabilities stem from the disaster.  Among prosthetic patients, recent clients show a more normal pattern of greater need for below knee than above knee devices.

Training of the Haitian technicians continues as the Senior Prosthetist initiated Module 5 of the technician training protocol and introduced lessons on fitting Knee-Ankle-Foot orthotics.  The program has continued its relationship with the former Johanniter sponsored program in Leogane as that facility has provided some supplies to the WRF/ProsthetiKa project.

Data Report: January – June 2014 and Total Since 2010

Table I:  NUMBER AND PERCENT OF PATIENTS SERVED BY GENDER, January – June 2014

            Returning Patients       New Patients                Total Patients

                        N          %                     N          %                     N          %

Females           45        49%                 101       58%                 146       55%

Males               46        51%                   74      42%                 120       45%

Total                91                                175                               266

Table Ia: 2010-Present: TOTAL NUMBER AND PERCENT OF PATIENTS SERVED BY GENDER, new patients only.

                        N                                              %

Females           533                                           51%

Males               505                                           49%

Total                1038

Table II:  NUMBER AND PERCENT OF PERSONS SERVED BY AGE GROUP, January – June 2014

Returning Patients       New Patients                Total Patients

                        N          %                     N          %                     N          %

< 5 yrs.            11        12%                 40        23%                 51        19%    

5-12 yrs.           23        25%                 33        19%                 56        21%    

13-19 yrs.           8          9%                 9          5%                 17          6%    

20-29 yrs.         20        22%                 14          8%                 34        13%    

30-39 yrs.         12        13%                 17        10%                 29        11%    

40-49 yrs.         10        11%                 16          9%                26        10%    

50-59 yrs.           3           3%                29        17%                 32        12%    

60+ yrs.                          4          4%                 17        10%                 21          8%    

Total                91                                175                               266

Table IIa: TOTAL NUMBER AND PERCENT OF PERSONS SERVED BY AGE GROUP

New patients only: 2010-Present

                                    N                                  %

< 5 yrs.                        306                               31%

5-12 yrs.                       189                               19%

13-19 yrs.                       69                                7%

20-29 yrs.                       90                                9%

30-39 yrs.                       78                                8%

40-49 yrs.                       85                                8%

50-59 yrs.                       96                              10%

60+ yrs.                                      89                                9%

Total*                           1002

*= An additional 36 persons were served by the project in prior years, whose ages were unknown.

Table III: NUMBER AND PERCENT DISTRIBUTION OF DEVICES, January – June 2014

                                                Returning Patients                   New Patients                Total Patients

Type of Device                         N          %                                 N          %                     N            %

Above Knee Prosthesis              16        16%                             26        13%                 42            14%

Below Knee Prosthesis        & Share on Twitter Share on Facebook

 

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Organization Information

World Rehabilitation Fund

Location: New York, NY - USA
Website:
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Project Leader:
Leyla Dursunova
New York, NY United States

Funded Project!

Combined with other sources of funding, this project raised enough money to fund the outlined activities and is no longer accepting donations.
   

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