1. PROGRAM OVERVIEW October 2010 Baltimore Contact: Loddys Abreu, MD, MPH esmeraldabreu@hotmail.com esmeraldabreu@hotmail.com mosctha@codetel.net.do www.mosctha.org Working for a more dignified and human community

2.  MOSCTHA description  Intervention Areas  Target Population  Health Programs -Sexual and Reproductive Health - HIV/STI - Tuberculosis - Malaria  Community Development Programs - Education - Human Rights - Microfinance - Agriculture -Environmental Sanitation  Other Programs - Emergency and Disasters - Volunteer  Program Achievements

3.  The Socio-Cultural Movement for Haitian Workers (MOSCTHA) is a nonprofit organization founded in Dominican Republic by a Haitian immigrants group.  Since 1985, MOSCTHA implement community development programs aimed to improve living standards and human rights respect for vulnerable populations, especially Haitian immigrants living in remote areas (bateyes, urban and sub urban places and in cross border communities DR-Haiti) of Dominican Republic.

5. 1 The term “batey” traditionally refers to a community of Haitian migrant workers found in sugar cane plantations in the DR, where poverty is highly concentrated and a significant portion of the residents are of Haitian origin or descendence. There are 405 bateyes with an estimated total population of 315,215. Bateyes are characterized by marginalization, poor education, difficult access, machismo and promiscuity. Haitian migrants (living in remote and difficult access areas, cross border DR-Haiti, migrant workers at construction sites and Bateyes 1 )

7.  This program facilitates formation and reflection for a healthy, responsible and pleasurable sexuality, raising levels of information and education to target population.  MOSCTHA has a Community Health Center and Mobile Units that provide integrated health services to limited economic people resources and difficult access areas.

8.  Gynecological/Obstetric Consultations  Pediatric Consultations  General and Internal Medicine  Nutritional Care  Psychology consultations  Dermatology consultations  Family Planning  Reproductive Health for Men  Cervical Cancer Prevention  Laboratory analisis  Radiography, Sonography  Dental attention  Free medicines and planning methods

9.  This project develops educational activities to promote healthy changes in sexual behavior of target populations and increase STI/HIV preventive services contribute to: Increase consistent condom use with sexual partners Reduce risky behaviors among priority populations Improve the supply of condoms

10. 2002 2007 General 1,1% 0,8% Bateyes 5% 3,2% DHS 2002, 2007

11.  MOSCTHA contribute to strengthen the fight against malaria in vulnerable populations in high incidence DR areas, through social communication strategy and community involvement aimed to malaria prevention and control for reduce it`s transmission using insecticide-treated mosquito net

12.  Tuberculosis is a major public health problem. 2006 estimated incidence rate is 89 cases per 100,000 population, ranked among the highest in Latin America.  This program combines some strategies for IEC and community involvement to improve access to the DOT/TAES regime and detection cases that contribute to the TB prevalence reduction. Way to visit a patient under observation

14.  MOSCTHA recognizes that population welfare depends on their basic needs satisfaction (economic, social and environmental).  Community development programs, guide target populations on awareness of their community problems and encouraging community participation in social and local development to improve life quality.

15. Community schools: -Initial education for children -Children sponsorhip (school supplies, toys, etc.) - Construction of schools Adults Education: - Adult literacy Other Educational activities: Chats, workshops about children promotion rigths, familiar values promotion, domestic violence prevention, etc.

16.  This program aims to improve migrant documentation conditions and lack of knowledge, about human dignity respect as a way to reduce racism and xenophobia in communities and local authorities.

17.  This program seeks to achieve economic independence through the formation of savings and credit groups specific for women and youth.

18. Water Supplies Improving access to potable water and sanitation Guidance on the use and optimization of water Infrastructure Improvements Latrines construction Drainage systems Community Involvement Environmental clean-up days Environmental education program

19.  Raising poultry and other animals  Cultivation / Farming  Producers support to improve product marketing  Reforestation

21. Health Care and Medicines supplies Housing and latrines construction/ reconstruction Agricultural Rehabilitation

22. VOLUNTEER AND INTERNSHIP  All year MOSCTHA receive students from all nations universities, seeking to enrich their experiences serving as volunteers in health and education.

24. INTERVENTION METHODOLOGY  These interventions are implemented through:  Community mobilization activities  Educational activities  Condom social marketing and free condom distribution  Interpersonal communication activities  Radio and TV spots / Radio and TV soap operas  Posters, brochures, t-shirts and other promotional materials  Monitoring  Training of promoters and youth groups formation

27.  Over 13,000 people reach through educational activities per year  Over 70 promoters trained as key messages multipliers  Over 7,000 people received medical consultations per year  Educational activities in spanish and kreyol  Institutional growth (opening offices in Haiti)  Credibility and positioning of target population, national authorities and international funding agencies  Institutional growth in infrastructure and staff consolidation  Strong alliance with other locals NGOs