1. Global Health Partnership: University of Wisconsin Eau Claire Family Medicine Residency and Midwives for Haiti Jaime D. Stringer, MD Sakina Sachak, MD Gretchen Adams, DO University of Wisconsin Eau Claire Family Medicine Residency

2. Disclosures None

3. Objectives Review components of developing global health curriculum. Identify cultural and language barriers to providing health care in Haiti. Discuss challenges in providing health care in areas lacking resources.

4. Developing a Global Health Elective Jaime D. Stringer, MD Assistant Professor of Family Medicine University of Wisconsin School of Medicine and Public Health

5. Curriculum AAFP longitudinal guidelines Consortium of Universities in Global Health Create your own adventure

6. Organizations Partners in Health http://www.pih.org/ http://www.pih.org/ Mission of Hope Haiti www.mohhaiti.org/ www.mohhaiti.org/ Global Communities (formerly CHF international) http://www.globalcommunities.org/ Midwives for Haiti https:// www.midwivesforhaiti.org / https:// www.midwivesforhaiti.org /

8. Preparing for the Trip Vaccinations & Malaria Prophylaxis Supplies Funding International Travel Press Release https://travel.state.gov /

9. Sakina Sachak, MD Culture and Language Barriers to Healthcare Provision

10. Language Creole –French, Taino, English, Spanish and various African languages French Translators –English in Mind (EIM) –English-Creole speakers Friends of EIM. (2016). Retrieved on March 31, 2016 from http://volunteer.englishinmindinstitute.org/

12. Creole Lessons

13. Religion Roman Catholic (54.7%) Protestant (28.5%) Voodoo (2.1%) Other (4.6%) None (10.2%) Haiti: WHO statistical profile. (2014). World Health Organization.

14. Voodoo Rites & ceremonies Sent Sickness Dokte fey Oungan/Manbo Corbett, B. (1988). Introduction to Voodoo in Haiti. Webster University..

15. Impact upon Treatment in OB setting Stillborn infants Abortion Breastfeeding Placenta Culture and Mental Health in Haiti: A Literature Review.(2013). World Health Organization. Retrieved on March 29, 2016 from http://www.who.int/mental_health/emergencies/c ulture_mental_health_ eng.pdf Report about Haitian Culture and Tradition. (2013). U.S. Central Intelligence Agency. Retrived from cia/library worldfactbook.cia.gov/library/publications/the_world_factbook/geos/ha.html

16. Challenges in low-resource settings: Haiti Gretchen Adams, DO

17. Challenges of providing healthcare in Haiti Impoverished nation –Political upheaval –Natural disasters Current conditions –Infrastructure –Access to healthcare –Resources

18. Political Climate Political instability Declining public services Culture and Mental Health in Haiti: a literature review. (2010). World Health Organization. Retrieved from http://www.who.int/mental_health/emergencies/culture_mental_health_haiti_eng.pdf Haiti: The Challenges of Poverty Reduction. (1999). World Bank. Retrieved from http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTPOVERTY/EXTPA/0,,contentMDK:20207590~menuP K:435735~pagePK:148956~piPK:216618~theSitePK:430367,00.html

19. Environmental Problems Deforestation Overpopulation Natural disasters The State of Food and Agriculture. (2001). Food and Agriculture Organization of the United Nations. Retrieved from http://www.fao.org/docrep/003/X9800e/x9800e10.htm#P209_28159. Water, Sanitation, and Hygiene in Haiti: Past, Present, and Future. (2013). The American Journal of Tropical Medicine and Hygiene. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3795096/ Haiti Making Good Progresses in Health but Challenges Remain. (2014). The Lancet. Retrieved from http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61835-3/fulltext?rss=yes

20. Infrastructure Housing Water Electricity Roads Transportation Food Access Culture and Mental Health in Haiti: a literature review. (2010). World Health Organization. Retrieved from http://www.who.int/mental_health/emergencies/culture_mental_health_haiti_eng.pdf

21. Access to Healthcare Financial barriers Personnel barriers Location barriers Global Health Observatory Data, Health Workforce, Density of Physicians. (2015). World Health Organization. Retrieved from http://www.who.int/gho/health_workforce/physicians_density/en/.

22. Ste. Therese Hospital

23. Resource Barriers Medications Supplies Facilities

25. Summary Anyone can develop a curriculum in global health. Cultural, language and resource challenges to providing care. Experiences lead to more well-rounded & empathetic health care providers.

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