Author Archives: Allison Howard-Berry

C2C Diagnoses and Treats 4-year-old Boy, Ending Long Search for a Solution

“The clinic is very important to the community,” said Ronel, a Camp Coq local, after a visit  to C2C’s clinic with his son, Marvens.

The 4-year-old boy suffered from frequent fevers and cough and his parents had taken him to the hospital in Limbé (approximately half an hour from Camp Coq on a motorcycle taxi) a number of times.  There, doctors had run chest x-rays and a battery of other tests, but hadn’t been able to accurately diagnose Marvens.  The best the doctors could tell them was the cause was probably something coming from the river near their home in Camp Coq.

When C2C’s Camp Coq clinic opened, Marvens and his parents decided to try again to get appropriate treatment.  Here, the doctor was able to perform a lab test and come up with a diagnosis: it was a parasite that was making the little boy sick.  Marvens  and his parents were able to see the doctor, access lab tests and quick results, and purchase healing pharmaceuticals in one spot, and Marvens was soon feeling better.

Ronel said, “The clinic is very important for the population.  They prescribe you what is most important and explain to you how to take the medicine when you get home.  I find the treatment here to be better.”

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Chikungunya spreads in Haiti

For Haiti, as for the rest of the Caribbean, summer means rainy season.  And rainy season means mosquitos.  Lots of mosquitos.  And this year many of those mosquitoes are carrying something extra—the chikungunya virus.

Chikungunya is a disease transmitted by infected mosquitos.  Patients experience fever, headache, and, most notably, joint and muscle pain.  According to the World Health Organization (WHO), “the name ‘chikungunya’ derives from a word in the Kimakonde language, meaning ‘to become contorted’ and describes the stooped appearance of sufferers with joint pain.”  It is not fatal and symptoms usually last from a couple of days to a couple of weeks.

The WHO first reported that mosquitos had been infected in the Caribbean in December 2013, the first time it had been reported in the Americas.  Since then, the number of reported cases of chikungunya in Haiti and throughout the region has increased greatly.

At our Camp Coq clinic, approximately 10% of patients in May and June were suffering from chikungunya.  Because there is no medicine to prevent or cure it, our doctor and nurses addressed each patient’s pain with anti-inflammatory drugs.  Because of the epidemic, the prices of these drugs have skyrocketed; however, C2C has been able to keep prices constant and affordable for the families we serve.

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"C2C does not wait for the fire to come to us. We find the fire in the community."

“C2C doesn’t wait for the fire to come to us.  We find the fire in the community,” Fusley Laguerre, C2C’s lab technician in Camp Coq, told me during my visit last week.

He’s right!  C2C is about giving people the tools they need to keep themselves and their families healthy, from preventive education to efficient treatment.  Our clinicians and Community Health Workers are constantly in the community – in schools, in people’s homes, in churches – to educate as many people as possible about ways to avoid illness.  We find the fire in the community and give patients the information they need to stay healthy.

When prevention isn’t enough, our clinic provides excellent clinical services.  One patient, Martha, said, “I was never able to get proper care elsewhere.  As soon as I heard about this clinic I came, and it has changed my life.  Here, it’s human being to human being, and they treat people very well.”

The clinic’s self-appointed godmother, Rejeanne (pictured above), said, “This clinic is for us.  The prices are good, we don’t have to travel, and it’s important for us to support it.”

Having visited clinics in Haiti and elsewhere, I understand what Rejeanne, Martha, and their neighbors most likely experienced before their community partnered with C2C.  Travel on the back of a motorcycle taxi, long wait times (sometimes stretching into the next day), pharmacy stock-outs, non-functioning labs, rushed staff, and dirty surroundings are unfortunately the norm in many places.

I’m always in awe of our staff members on the ground, who work tirelessly to improve health in and around their community and provide a clean, safe space for treatment.  Our physician at Camp Coq, Dr. Preval, said it best: “We are always in the community so everyone knows us and we have a good understanding of their needs.  We hear from the community that they are happy and get better care here, and that’s why we do what we do.”

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C2C and partner offer HIV testing

This year’s Parish Day in Camp Coq, the celebration of the founding of the Parish of Marie Médiatrice, included a special partnership between Care 2 Communities and St. Jean Hospital (which is the nearest hospital to C2C’s clinic).

Team members from St. Jean traveled to our clinic to offer free HIV/AIDS testing to Camp Coq locals.  The event was a complete success, with more than 150 people lining up to be tested!

Dr. Jean-Eric Calvaire, C2C’s Haiti Country Manager, said, “This is a great C2C/St. Jean Hospital collaboration. The HIV testing day allows people who would never pay for the transportation to go to the hospital to be tested in their neighborhood for free. And the people who were diagnosed are now in touch with St Jean Hospital for better care. Those people might never know their positive HIV status if C2C had not sought out this partnership.”

Because HIV/AIDS testing and treatment is a very serious, and organized process globally, C2C is partnering with St. Jean Hospital to ensure our patients receive the safest and most responsible care.

The partnership is scheduled to continue, with St. Jean team members visiting the Camp Coq clinic on the first and third Tuesday of each month to test pregnant C2C patients.  This testing is part of C2C’s new antenatal care program, and we are grateful to be able to offer it to the community.

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C2C Participates in Community Writing Contest

Spelling bees and writing contests have gained popularity in schools throughout Haiti, and Care 2 Communities is thrilled to have sponsored a local writing contest in Camp Coq lipitor dosage.

The contest took place as part of preparation for the upcoming Parish Week Festivities (an annual, week-long celebration of the founding of the Parish of Marie Médiatrice, next door to C2C’s clinic).  Students from various schools in the Northern area participated in the contest, sponsored by C2C and held at Bethesda School in Camp Coq.

C2C’s Lab Technician, Fusley Laguerre, and Nurse, Herlande Duvot, organized the contest, and students, parents and spectators were given a tour of our Camp Coq clinic before the contest began.

Following their tour, the students gathered at Bethesda School where the writing prompt (which had been kept secret to all, including the teachers) was revealed.   The prompt was then read to the class, and each student had to write it down, word for word.

When the contest was over, all the students’ writing was read and graded carefully, accounting for proper spelling and accents (as the prompts are in French).  First-, second- and third-place winners were announced to the community at the Parish Day Mass (winners pictured above).

C2C is proud to be a part of this vibrant community.  Hosting events like this writing contest ensure that our neighbors know how important they – and Camp Coq – are to C2C and show our deep commitment to children and families.

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C2C Intern, Leah Ciffolillo, shares her experience

I began volunteering weekly at C2C in the fall of 2013, and I’ve spent the past three weeks completing a more intensive internship with the organization. During my time here, I have worked on a number of projects with different members of the staff. My first project, which I worked on with my cousin and fellow intern, Kailah, involved helping organize an item drive at a nearby high school for kits for kids who visit the clinics in Haiti. The kits include items like coloring books, colored pencils, and stickers – a few small things to show kids that there are people thinking about them when they’re sick.

When I began my intensive internship a few weeks ago, I worked with Julia, C2C’s Global Programs Manager, to enter and help analyze data that came directly from the clinics. I also did a number of research projects, on topics including social media, TED talks and peer organizations in global health. I learned a great deal about non-profit work and business models.

Over the school year, I have seen immense growth at C2C in a short period of time. From the new office in Newton Centre, to the rebranding of Containers 2 Clinics to Care 2 Communities, and to the implementation of better technology at the Camp Coq Clinic, C2C has had an incredible year. I am heading to college in August, and although I won’t be able to continue my work with C2C, I can’t wait to see what they do and how they expand their programs.

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New doctor joins Camp Coq team

C2C is excited to welcome our newest team member, Dr. Youveline Preval.  Dr. Preval will serve as clinic doctor for our Camp Coq, Haiti clinic, bringing expansive leadership and management experience with her.

Dr. Preval earned her medical degree from the Université Notre Dame d’Haïti in 2012. She completed her training and internships with Hôpital Justinien in Cap-Haitien, Haiti.

Following her internships, she was a Program Assistant for CONALD (Commission National de Lutte Contre La Drogue), Haiti’s national commission for the fight against drugs. As Program Assistant, Dr. Preval organized logistics for the head of Haiti’s North-East Department. She also supervised and trained nurses and social workers to work effectively with patients with drug addictions, and their families.

At C2C, Dr. Preval will devote most of her time to caring for patients and their families, but will also manage other clinic staff.

Dr. Jean-Eric Calvaire, C2C’s Haiti Country Manager, said, “Dr. Preval has a very strong history of managing and training, and she is looking forward to serving the community in Camp Coq.”

We look forward to growing our services in Camp Coq under Dr. Preval’s leadership!

 

 

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Travelogue from C2C Founder Elizabeth Sheehan

As I landed in Cap-Haitien last week, the rain began to fall so hard and fast it was three inches deep in only 15 minutes. Over the next five days of traveling between Cap-Haitien and C2C’s clinic in Camp Coq, I would come to understand just how challenging transport can be during Haiti’s rainy season.

Leaving Cap Haitian in rush hour traffic is always challenging, but the heavy rain worsened things. Massive rivers of water, mud and garbage from the hills ran into the roads and created deep, irregular potholes.

City congestion eventually gave way to steep green mountains and a rushing river.  As we neared C2C’s clinic in Camp Coq, I couldn’t stop thinking of how difficult it must be for our patients to travel on those roads.  Most travel via local tap-taps (Haitian shared taxis) or – more likely – on the back of a tiny motorcycle. Transportation is expensive, and distances to other medical facilities can be quite long.

When we arrived, the waiting room was busy with women, small children and older men waiting to be seen. C2C’s head nurse, Herlande Duvot, stopped to greet us before quickly returning to treating patients, prescribing medications from the pharmacy and sending for results from the on-site laboratory.

I met an older woman who had come in with her 11-year-old grandson (pictured above). He had been sick for many weeks, and was dehydrated and in pain. He was seen quickly by Nurse Duvot and sent to the lab for diagnostic tests. I felt confident that the lab tech and nurse had the tools and medication they needed to treat this young boy properly.

I felt proud that the C2C clinic is in the community – providing access to quality health care, laboratory, and pharmacy without an expensive, treacherous motorcycle ride through the rain and mud. Talking with this grandmother made it clear to me that we are making an enormous difference in her life and the lives of others in Camp Coq.

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New Technology to Improve Clinic Experience

C2C is happy to announce we have begun Phase 1 of a technology upgrade at our Camp Coq clinic.  We’ve partnered with Vecna Cares, a Cambridge-based organization, which provides training and technology to support and strengthen health systems in underserved areas.  This partnership was made possible, in part, by a gift from The Funding Network.

Earlier this month, C2C’s Global Programs Manager Julia Maxwell, along with Vecna Cares’ Executive Director Deborah Theobald and Program Manager Emily Wang, flew down to Camp Coq, Haiti to set up the new CliniPAK system at the C2C clinic.  The CliniPAK (Clinical Patient Administration Kit) will allow C2C’s team of doctors, nurses and community health workers to record and report data on a patient’s visit, diagnoses, and prescriptions, using laptops and tablets.

“The clinic staff is incredibly excited about the implementation of the Vecna system.  As soon as they started training on the system, they realized just how much more time they would have to focus on patients instead of paperwork,” said Maxwell.

C2C clinic staff will now be able to track the medical histories of thousands of patients, giving us the opportunity to make more effective clinical decisions, build strong long-term relationships with our patients, and spot community health trends that warrant attention.  Noticeable trends will lead to tailored health education sessions and home visits by C2C’s Community Health Workers (CHWs).

Later this year, the CHWs will also begin using CliniPAK in the field.  Phase 2 of this project will include CliniPAK Lite programs for CHWs, which will allow for more efficient surveys and home follow-up visits as well as capture data from health education sessions in the community.

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The Funding Network – USA Raises Funds for C2C!

Care 2 Communities’ Founder and President, Elizabeth Sheehan, and Board Member, Peter Urbanczyk, recently participated in The Funding Network (TFN) USA/NY’s spring event.  C2C was delighted to receive an invitation!

Held in the Jerome L. Greene Performance Space in New York City, TFN’s Spring Event brought together a number of donors and three non-profit organizations for a night of live crowdfunding.  Donors listened as each organization – including C2C, The New Black, and the Reciprocity Foundation – presented their work.  Elizabeth and Peter presented on behalf of C2C, explaining our work and goals for the future.

Following the presentations, donors participated in “auction-style” fundraising sessions, where anyone could raise his/her hand and give a minimum of $100 to the organization being “auctioned.”

The evening was a complete success, with more than $36,000 raised in total, $12,300 of which was awarded to C2C.  Funding will be directed toward the new electronic medical record and data capture solution at our newest clinic in Camp Coq.  Thank you to TFN and thank you to the donors who chose to support C2C!

Pictured above: Yoruba Richen from The New Black, C2C Board Member Peter Urbanczyk, C2C Founder Elizabeth Sheehan, and C2C supporter Matt Sheehan pictured at the TFN – New York event in March. 

 

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