Contributing to a strategic plan for Reconstruction and Development In Haiti By Dr Joseph Pierre-Paul Cadet MD., MBA.,FACFFEI.,

ELABORATED CONCEPT: In Collaboration with OAS, Co-organizer Originated by Co-Organizers: - NOAH (National Organization for the Advancement of Haitians) -AMHE (Association des Médecins Haitiens à l’Etranger) - HAES (Haitian-American Engineers Association) - HLA (Haitian Lawyers Association) - HACCOF ( Haitian-American Chamber of Commerce Of Florida

OTHER CO-ORGANIZERS: HAGC (Haitian-American Grassroots Coalition) THL (The Haitian League) GWHRC (Greater Washington Haiti Relief Committee) HANA (Haitian-American Nurses Association) HATA ( Haitian-American Teachers Association) HAPOA ( Haitian-American Police Officers Association) CHE (Consortium for Haitian Empowerment) FANM ( Fanm Ayisyen Nan Miyami, Inc.) Veye Yo Haitian Coalition NHAEON (National Organization of Haitian Elected Officials Network )

OBJECTIVE: To develop recommendations on : - Plan for short-term recovery - Long-term reconstruction and development efforts in Haiti.. To design a collaborative strategy addressing key issues for an integral and sustainable development.

FOCUS AREAS: Kind of Reconstruction and Development plan needed to tackle challenges and transform Haiti into a vibrant and functioning country. Diaspora contributions to implementation

EXPECTED RESULTS: Identify the elements of specific recommendations for reconstruction plan, including disaster risk reduction, immediate humanitarian needs, and long-term development efforts in Haiti. Develop a coordinated strategy for the Haitian Diaspora to engage in capacity and nation building and to relate to other domestic and international partners in this effort.

PROPOSED FORMAT Get together at OAS Headquarters in D.C. on March 21 st, 2010 Six Parallel workshops on March 22 and 23, according to guidelines; a venue for dialogue, exchange experiences and collaborative strategy. Workshop results from the rapporteurs to include broad vision for Haiti’s reconstruction and action plan for Diaspora organizations to implement.

W ORKSHOP FORMAT Objectives of Workshop Guidance for the discussion Possible Issues for Discussion Methodology and Time Management Expected results

SIMULTANEOUS WORKSHOPS W-1: Urgent Humanitarian Needs, Effective Deployment of Foreign Aid, Experiences from around the World in Recovering from Earthquake. W-2: Ensuring a Dynamic and Transparent Reconstruction process. W-3: Strengthening Governance W-4: Sustainable Development and Natural Disaster Preparedness and Mitigation. W-5: Economic Development W-6: Social Development….Three sections: a) Child Development and Education b) The role of the women in the Reconstruction c) Health Development

HEALTH DEVELOPMENT Moderator: Dr Joseph Pierre-Paul Cadet (1 st V-P CEC, AMHE) Technical Experts: Mario Cruz ( Advisor Health Systems Strengthening- PAHO/WHO). Gail C. Christopher ( V-P for foods program, W.K. Kellogg Foundation) Dr Jean-Claude Desgranges ( Chairman international Speakers Bureau. Rapporteurs : Dr Aldy Castor, Dr Tania Desgrottes and Martine Etienne, RN

NEW CHALLENGES 3 times need for medical and healthcare based on 2 millions injured and/or displaced. Twice Haiti’s pre-earthquake capacity in Health system. Secondary Health problems: Infections, accidents, mental health illnesses.

ABOUT 40 RECOMMENDATIONS Based on Population in need: a) Victims displaced by the earthquake or Internally displaced persons ( 1 out of 5). b) Women, life expectancy (53) being considered. c) Children, facing inadequate sanitation and clean water, poor living conditions, infantile diarrhea and infectious diseases.

ABOUT 40 RECOMMENDATIONS, (CONT’) d) Elderly with specific care needs, such as HBP, Diabetes Mel., lack of proper care. e) Laborers: Impact on workforce due to physical and emotional change. For ex. Amputees population, affected health workers. f) Students: Sustained support and continuous training of medical, nursing, paramedical persons for future optimal health care in Haiti.

RECOMMENDATIONS BASED ON PROFESSIONAL GROUPINGS Preventive Medicine Human Resources Emergency Preparedness Partnership in Advanced in Clinical Education Women’s Health Performance Based Evaluations Mental Health

PREVENTIVE MEDICINE Promoting health education using specific framework of social determinants. Education campaign within the camps, on infectious diseases using media forum. Increasing health focus in penitentiary system. Promoting healthy lifestyles for youth through sports. Implementing a follow-up care system, specifically post-amputation, by funding existing rehab centers and supporting them by well-established organizations from the diaspora. Investing in sustainable health by prioritizing the environmental effects pre/post earthquake on Healthcare in Haiti. Continuing to increase the current capacity in Haiti through support

HUMAN RESOURCES Promoting a partnership between Diaspora Health care professionals and professionals in Haiti to provide intense and modern tech training. Support existing development of small community health centers outside of the capital. Investing in work force development, community workers and mid-level providers to build the infrastructure. Creating incentives for specialists to work in the provinces thereby decentralizing special care services (95%specialists in P-a-P and ratio: 25/100,000.) Investing in indigenous Haitian organizations promoting Health. Supporting a US version of US Comfort with Haitians Drs, RNs, SWs. Creating civil humanitarian service Act for Haitians to return to Haiti for 2 weeks to provide service, with guarantee on current job. Using a pool of students to provide basic primary care and P.H. promotion.

EMERGENCY PREPAREDNESS Investing in adequate emergency system( ICU, CCU) Promoting partnership between American University Hospitals and MSPP to accomplish sustainable outcomes. Establishing a network throughout the country.

PARTNERSHIP IN ADVANCED CLINICAL EDUCATION Funding towards building medical schools of excellence in partnership with private/public hospitals through: - Rebuilding hospitals - Supporting clinical mentorship programs to build technical and practical capacity for students. - Partnering with MSPP, Universities and Hospital to build continuum of care through clinical education. - Maintaining residency and fellowship using Telemedicine so users/ participants can intertwine. - Supporting CME by visiting professors already established with the Faculty of Medicine and General Hospital. - Supporting training program already started by reputable associations, locally and from the diaspora. Funding mini-fellowship in infectious diseases for local doctors.

WOMEN’S HEALTH Investing in Family planning, women’s reproductive health and child health organizations and centers with emphasis on women’s health. Improving maternal health through increasing skilled midwifery and health providers, referral system to prevent birth complications.

PERFORMANCE –BASED EVALUATIONS Establishing a system through MSPP for indigenous based organizations, hospitals and international aid working in Haiti.

MENTAL HEALTH Investing in mental health with special attention on post-earthquake illnesses. Looking at different mediums for children Creating a culturally sensitive model for mental health.

AMHE ACTIVITIES IN HAITI “Haiti Medical Relief Mission” (Dr Paul Nacier) Interns and Residents training at HUEH (Dr Maxime Coles) HIV-TB clinic surveillance program at HUEH (Dr Vladimir Berthaud) Students House at HUEH (Dr Fritz Apollon) Dialysis support program at HUEH…soon at Cap-Haitien. (Dr Eric Jerome) Emergency Training at HUEH and “Hôpital de la Communauté Haitienne “ (Drs A. Castor and W. Leblanc) Interns and Residents training at Justinien Hospital in Cap-Haitien. (Dr Louis A. Auguste)

The Big Question: The role of the AMHE is this big picture? THANKS A MILLION !