1. Promoting Health in Haiti Carol Roye, EdD, RN Andrea Sonenberg, PhD, WHNP, CNM-BC Steven Baumann, PhD, RN

2. Promoting Health in Haiti is an organization founded in 2010, after the devastating January 2010 earthquake  A group of nursing faculty went to Haiti to help the National Nursing School in Port-au-Prince, which collapsed during the earthquake, killing faculty and students  We found nursing education to be at a low level – only a diploma, no degree

3. The health problems were so much greater than one school  Most Haitians have no primary care  Few women are getting prenatal care  In a country with the highest rates of:  Maternal and infant mortality in the Western hemisphere  Cervical cancer death rates in the world

4. STUDENTS LEARNING NEONATAL RESUSCITATION

5. STUDENTS LEARNING PRENATAL EXAM

6. Partnerships with Haitian nurses and health officials is key!  We formed partnerships with the Ministry of Health, educational institutions, and nursing leaders; we pledged to stay with Haiti  The solution: Educate primary care nurses, Family Nurse Practitioners, as we have in the US

7. FNP Students providing care

8. What is innovative about PHH ??  Most people think of doctors when they think of primary care – or any care  In the US much primary care is provided by nurse practitioners  Equivalent to physician care in major studies  There are many, many more nurses in Haiti than physicians  They currently provide primary care – without the education  Almost 90% of primary care (for the few who have access) is provided by nurses  MAKE IT HIGH QUALITY AND SAFE BY: EDUCATING THEM THE TO PROVIDE SKILLED PRIMARY CARE

9. PEOPLE DO NOT UNDERSTAND THE IMPORTANCE OF NURSES FOR PROVIDING CARE!!  Nurses are the face of health care in Haiti and other resource-poor nations  Haitian nurses are eager to advance their education, and provide care to their people  ANOTHER BENEFIT  Most nurses are women  When women further their education, their families and communities benefit

10. How will we measure outcomes? In areas where FNPs are working, we will track:  Health related data, including:  Tests for anemia  Diagnoses of common conditions: diabetes, cervical cancer, dehydration, malnutrition  Number of women receiving prenatal care  Maternal and infant deaths

11. Huge “bang for the buck”  It takes $5,000 to educate an FNP  That FNP will provide care to thousands of Haitians over the course of his/her career  Improved health outcomes are also a cost- saving  Where else can you get that kind of bang for your buck??

12. Three questions:  How do we generate interest in this poorest country in the Western Hemisphere, our neighbor! It has disappeared from the radar screen  How do we develop a well-functioning and constructive Board of Directors  How do we generate interest of funders –  To be frank, they are likely not funding nursing programs

13. PROMOTING HEALTH IN HAITI  The people of Haiti THANK YOU