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Haiti
The History
•  Haiti was discovered by Columbus in
   1492
  –  Natives killed off in 25 years
•  Seceded to France, became center for
   slave trade
•  First black republic to declare
   independence in 1804 
•  Constitution: First approved 1987
Haiti’s Environmental, Energy & Infrastructure
                   Issues
Geography of Haiti




•  Area: 27,750 sq. km.
•  Capital: Port-au-Prince 
  •  Terrain: Rugged mountains with small coastal plains and
  river valleys, and a large east-central elevated plateau.
  •  Climate: Warm, semiarid, high humidity in many coastal
  areas.
  •  Natural resources: Bauxite, copper, calcium carbonate,
  gold, marble. 
The Issues
Deforestation, Energy, Waste/Water, Infrastructure
The Bottom Line: Deforestation
  “In 1923 forests covered nearly 60
percent of the country; today they cover
   less than 2 percent.” –Global Security
The Bottom Line: Deforestation
The Cause & Effects of Deforestation




•  Cause: Dependence on charcoal
•  Charcoal- 75%
•  Hydroelectricity- 5%
•  Petroleum products- 20% 


                             Topsoil          Flooding &
     Deforestation
                             erosion
        degradation


                         Desperately need alternative energy!!
Infrastructure
Infrastructure after the Earthquake
“There are no patterns of traffic, no recognizable right of
ways, no sense of order to the mass chaos in and around
 the capital Port au Prince — the epicenter of the massive
                    quake.” –World Focus
Waste & Water
10-Year Strategic Plan
  Let heaven and earth praise him, the seas and all that
   move in them, for God will save Zion and rebuild the
cities of Judah. Then people will settle there and possess
 it; the children of his servants will inherit it, and those
            who love his name will dwell there.

                                          -Psalm 69:34-36
Comprehensive Diagram

                                                       Haiti 10-yr Strategic
                                                       Growth Plan




               Phase I (1-2)
                    Phase II (3-6)
                            Phase III (7-10)


                                       -allocate-




               A
               Identify problems/
                                                 I
                                                 Plans/Programs
                                                                                            M
                                                                                            Sustainability
               issues

                                       -implement-


               Develop plans
       Regional
                 Local
           Resources
                Population




Environment
   Energy
              Infrastructure

                                         -manage-
Environment
Reforestation     Environment
• Reforestation Program- To protect and sustain forest life in Haiti 

•  Short term (3-6 years): Increase forested areas by 30% 

•  Long term (7-10 years): Increase forested areas by 70%



Planting Species 

•  Short Term - planting fast growing species

• “Bayahonda”

•  Grows anywhere and can be harvested in 3 years

•  Long Term - regenerate species

•  "Bamboo“

•  Re-grows spontaneously after it is cut


•  Restore soil & agriculture industry
•  export oil, cocoa, coffee and mangoes 
Water   Environment 
Water filtration for surface water flow



                                                     Bioswales




      Retention ponds
Energy
Bio-fuel   Energy 
•  10-Yr Goal: Shift energy dependency from wood fuel to bio
   fuel
•  Biofuel- Jatropha Curcas
    –  Renewable & burns cleaner
    –  1 ton seeds  600 L bio-diesel
    –  Sells in US average $3.20/gallon
•  Requires education, technology, & time
    –  Ex. Brazil’s ethanol- 20 years
    –  Educate Haitians in 10 years
•  Why in Haiti?
•  Optimal weather conditions
•  Self sustaining energy
•  Economic benefits
    –  Provide jobs and income
    –  Useful in producing other consumer products
Alternative   Energy
Renewable Energy Program
LPG is the short-term plan
for source of energy/ fuel:
• LPG ( Liquefied Petroleum
Gas)
• Low-carbon, low-polluting fossil fuel
• Widely available
• Used for many commercial and
domestic applications
• Used alongside renewable
technologies
• Alternative energy
substitute for wood fuel
Alternative   Energy




• Minimize damage on the forest
• More efficient energy than charcoal
• 1 ton of LPG is equivalent of 4.7 tons of
charcoal
• Environment friendly
Wind   Energy
Infrastructure
Water   Infrastructure 
Clean Water

Rain water harvesting
system
• Collect rainwater in:
1. Individual home
2. Community
3. Regional System




                  Find locations for possible well
                  drilling
                  Ultimate goal is to move water
                  away from city
Infrastructure and telecommunication         Environment
    Infrastructure Program: Community protection, growth, and sustainability 

•  Short term (3-6 years): 

•  Buildings codes & organized city layout 

•  Closed sewage system for water & waste control

• Aim for eco-friendly, pedestrian-friendly city

•  Bike-dependant community 

•  Long term (7-10 years): 

•  Connect nation- highways & public transportation

•  Implement landfills, recycling and composting



   Telecommunication program: 

• Short term (3-6 years): Operate radio network 

• Long term (7-10 years); Implement landline system
Agriculture & industry 

                           in
haiti
Introduction

  Plantations  were very successful early on
  Shift to small scale subsistence farming
   led to significant decrease in export
   crops 
  Currently, agriculture is the main source
   of income for 67% of Haitians
  Makes up 28% of national GDP

  Potential is not being maximized
Current Situation 


  No investment
  Low level agricultural technology and
   practices
  Mass subsistence farming
    Fragmented  land (no coordination)
    Cash crops are not focused on
Current Income

  Half of population makes $60 a year
  Legal minimum wage is 70 Gourdes
   ($1.70 US)
  Currently, many Haitians are receiving 17
   Gourdes (41 cents) maximum wage
  More than half the Haitians live with less
   than a dollar a day
Future Goal

  Commercialize  agriculture
  Defragment landholdings

  Allot more land for cash crops 

  Invest in modern agricultural technology

  Integrate modern practices

  Establish minimum wage and benefits
Coffee

  The growing season for coffee lasts four
   months
  Constitutes a large portion of national
   agriculture 
  Provides at minimum 400,000 jobs

  10% expected annual growth

  Eliminate middle-seller and directly
   export to increase grower’s profit
Mangoes

  Exports  only 20% of its potential output
  High demands in local and foreign
   market
  Growing and harvesting season lasts
   approximately ten months 
  Brings in more than $10 million revenue

  Over 500,000 small and medium-scale
   farmers and enterprises involved
cacao

  Two  growing seasons per year (Harvested
   from April to May and November to
   December) 
  20% annual growth

  4-5 year period before trees bear fruit

  Life of cacao tree is about 30 years
Projected export of food based on 10% the
income (monthly) growth

                  2010
              2011
                2020

food item
        Wage
              Wage
                Wage
             Produced Amount
   Produced Amount
    Produced Amount

Coffee
       210 Gourdes /      231 Gourdes /     420 Gourdes / month
 (Four           month
             month
months)
       28,000 tons
       30,800 tons
         56,000 tons
Mangoes
      360 Gourdes /      396 Gourdes /     720 Gourdes / month
 (Ten            month
             month
months)
        2,250 tons 
      2,475 tons
          4,500 tons
 Cacao
       330 Gourdes /      363 Gourdes /     660 Gourdes / month
  (Two           month
             month
seasons)
       5,000 tons 
      6,000 tons
          10,000 tons
Rice
  2009-2010,    the price of imported rice per
   pound was $0.70 USD, locally produced rice
   was $1.17 USD
  20% of the population is engaged in rice
   production
  However the agriculture of rice in Haiti has
   suffered due to inflow of cheap US rice as a
   part of foreign aid
  Small tariff on rice imports to help Haitian rice
   farmers to compete with US rice farmers
Sugar

  Production  cost of Haitian sugar is three
   times more than the world price 
  Currently there is little sugar production

  Currently Haiti is searching for alternative
   crops to sugar such as soybeans
Production & Import Comparison /
projection chart

                       2010
             2011
              2020
 Food item 
               Produce
 Import
    Produce
 Import
   Produce
 Import 

               66.137    379.189    85.977   266.059 132.274    186.559
   Rice
        tons
      tons
     tons
     tons
   tons
      tons

                         246, 051 25,000     196,760 250,000     87,294
   Sugar
         -
       tons
   tons
       tons
   tons
      tons
Alternative source (JatrophaCurcas)

  Non  edibel oil crop, used to produce bio-
   diesel
  Can be used to make paper, soap,
   cosmetics, toothpaste, and even cough
   medicine
  Grows best in sell drained soils, 600mm
   rainfall per year
  Can withstand long periods of drought
Alternative source cont.,
  1 ton seeds produces 600 liters bio-
   diesel
  30kg can be harvested per person
  Processing 24 hours
  1 year – 4.5 tons
  1 gallon = $3.20 USD = 127.20 Gourdes
  600 liters = 158.5 gallons (bio-diesel)
  1 ton = 907 kg
  30kg = 5.28 gallons bio-diesel
     = 671.62 Gourdes
Alternative source projection (20%)

                    2013
               2014
                2023



              Wage (30kg /bag)
    Wage (30kg /bag)
   Wage (30kg /bag)
                  produced
           produced
            produced
                 Total profit
         Total profit
        Total profit
               671.62 Gourdes
     805.94 Gourdes
     2,014.86 Gourdes

JatrophaCur        4.5 tons
           5.4 tons
           13.5 tons
     cas
      (713.25 gallons)
   (855.90 gallons)
   (2,139.75 gallons)
              90,725.94 Gourdes
 130,644.71 Gourdes
 816,533.46 Gourdes
               ($28,351.86 USD)
  ($40,826.47 USD)
   ($255,166.71 USD)
Industry
Some facts

  The  industry sector makes up 20% of the
   nations GDP
  Potential has been stagnated due to
   strong lack of investment
  Relies heavily on imports for many
   manufactured goods, machinery, and
   other industrial products
Major objectives

  Strengthenthe industrial sector through
 financial investments
    Subsidies for leading enterprises with
     significant contributions to the economy
    Subsidies for struggling enterprises in key
     industries
    Micro-loans for small businesses
Short-term goals
  Restructure production processes to
   maximize efficiency and increase output
  Introduce more advanced machinery

  Worker training

  Develop competent and honest leaders

  Push for non taxed exports 

  Provide basic business and management
   advice along with start up loans for small
   businesses
Long-term Goals

  Establish minimum wages
  Establish worker benefits in proportion to
   the profitability of the business
  Attract private investors and
   entrepreneurs to create businesses in
   weak industries
Major Industries

  Textilesand apparel 
  Food processing
    Sugar   refining, flour milling
  Beverages

  Tobacco    products
Textiles and Apparel

  Apparel   sector accounts for 2/3 of
   Haitian exports and 1/10 of GDP
  Tariff free trade with the US market for
   textile exports provided for by HOPE
   (Haitian Hemispheric Opportunity
   through Partnership Encouragement ) Act
   until 2018
Food Processing

  The  lack of sugar refineries has severely
   limited sugarcane farming which was
   once very successful in Haiti
  Haiti’s only major flour mill was damaged
   during earthquake
General facts before the
earthquake
Health Facts


•    80% below poverty line
•    Less than 50% has access to clean
     drinking water
•    Deficient sanitation systems
•    Poor nutrition
•    Life expectancy: 44 years
•    WHO (World Health Organizations)
     estimates that 43 percent of the target
     population receives the recommended
     immunizations
•    In terms of health care spending, Haiti
     was last in the Western Hemisphere. 
–    $83 annually on health care.
•    There are 25 physicians and 11 nurses
     per 100,000 population. 
•    Only one-fourth of births are attended
     by a skilled health professional.
This isn’t Haiti’s first major
          natural disaster…
•  10 recorded hurricanes
   since 1935
•  1 other recorded
   earthquake in 1946 with
   an 8.1 magnitude (the
   2010 earthquake had 7.0
   magnitude)
  –  Killed an estimate of
     15,000 people all
     throughout history.
  –  This also has spiritual
     implications…
     •  God has been putting Haiti
        through so much. Not only
        America but also Haiti
General facts after the
earthquake
Health Facts
•  80% below the poverty line
•  3 million people affected.
•  Buildings and infrastructure in Port-Au-Prince are extensively
   damaged and basic water and electricity is not nonexistent.
–  Health issues of immediate concern include search and rescue of trapped
   survivors; treatment of injuries such as lacerations, broken and fractured
   bones, burns, and crush injuries; respiratory problems due to inhalation of
   dust and building materials; treatment for and prevention of infection;
   distribution of clean water and food; proper sanitation; care and feeding of
   infants and young children; and management of a growing number of
   deceased. As of this writing, The Red Cross estimates is estimating that 45,000
   - 50,000 have died in the earthquake.
–  So far, 160 medical sites (both fixed and mobile) set up around Haiti.
–  Rape increased
–  Only 40% of the population have received emergency medical materials.

– “On a good day in Haiti," Williams said, "there's not enough food to go around,
   there's not enough potable water, there are not enough sanitation facilities, the
                                         
   hospitals are marginally staffed, they're poorly equipped, and they don't have
   enough medications." Medpage Today
Current Issues
Diseases
•  AIDS. 
  –  Haiti has the highest infection rate for the
     virus that causes AIDS in the Western
     Hemisphere.
  –  1 in 50 people are infected with HIV AIDS.
•  Malaria
•  Typhoid 
•  Hepatitis
•  Respiratory Infections
Other issues
•  Lack of medical care (only $83 annually from the government)
   especially where MOM is located. 
•  Transporting individuals to shelters for treatment due to road
   damage.
•  No Haitian doctors that will make healthcare in Haiti self-
   sustaining.
•  Hospitals, schools, and other important are either destroyed or
   damaged.




•  Rape in the community
   –  Sex-for-food is not uncommon in the camps, said a report issued
      Tuesday by the Interuniversity Institute for Research and Development
      in Haiti. "In particular, young girls have to negotiate sexually in order
      to get shelter from the rains and access to food aid." 
 ”For I know the plans I have for you," declares the LORD, plans to prosper you and not
to harm you, plans to give you hope and a future.” Jeremiah 29:11


10 year plan
Goals and Objectives
–  To establish and repair
   health care facilities,
   equipped with medication
   and equipment, ready to
   be used by long-term or
   Haitian permanent
   doctors, and to make
   Haiti a healthy, self-
   sustaining country in
   order to treat not only
   agricultural health related
   issues but also for the
   general need of health
   and sanitation in the
   desired area for the sake
   of demonstrating the
   grace of God.
Phase 1 (Preparation for
  Immediate Relief) Years 1-3
–  Clean up trash around the area in
   which the tents/health center/
   agriculture fields are going to be
    •  Missionary workers
    •  Salvation Army
         –  Locations: 
              »  Chantal in the region of Sud
              »  Les Anglais in the region of
                 Sud. 
              »  Fonds- Verrettes in the
                 region of Sud-Ouest. Les
                 Anglais in the region of
                 Sud-Ouest. 
              »  Ouanaminthe in the region
                 of Nord-Est.

–  Begin to bring in and set up tents 
    •  ***These shelters must have a
       plumbing system***
–  Begin to bring in medication
Phase 2 (Transitioning from
  immediate relief preparation to
long-term preparation) Years 3-5
                –  Start constructing health
                   centers/ start
                   reconstructing damaged
                   hospitals
                   •  Martissant health centre
                   •  Solidarite maternity hospital
                   •  Doctors Without Borders
                      Trinité trauma center
                      hospital
                       –  Missionary volunteers
                       –  Salvation Army
                –  Most tents around the
                   immediate area should be
                   set up and ready to go.
                   •  Plumbing is crucial and thus
                      must also be completed.
Phase 3 (Beginning of Immediate
  Treatment and Continuing to
Prepare for Long term) Year 5-7
 –  Begin treatment in the tents
    either using the long-term
    doctors or Haitian doctors
    (meaning that the first Haitian
    doctors, nurses, RNs, and TBAs
    should be educated and have the
    appropriate credentials)
      •  All Haitian medical staff must be
         permanent.
 –  Continue to bring in medication
    (they will run out and eventually
    need more)
 –  Continue to build health center/
    rebuild health centers.
      •  For rebuilding health centers, by
         now the outer structure must be
         constructed and the electricity,
         plumbing, air conditioning, etc will
         be in progress during this phase.
 –  Summary: Tents must now be
    ready for treatment of patients.
    Medications are still coming in and
    replenishing tents that have already
    used them on patients.
Phase 4 (Completion of Long-
term, Self-sustaining) Years 7-10
               –  Health center completed and
                  ready to treat patients.( Haiti
                  must now be self-sustaining in
                  producing doctors, nurses,
                  midwives, RNs, and TBAs.)
               –  Continue to bring in medication
                  (they will run out and eventually
                  need more)(in this way the health
                  center must be self-sustaining in
                  itself)
               –  Summary: The tents and the health
                  center must now be complete and
                  ready to that patients.
                  Reconstruction of hospitals can still
                  be on going. The end of the plan is
                  only determined if Haiti is now
                  self-sustaining and further
                  planning is unnecessary.
Obstacles
Sources of Medication
–  
 Different
  organizations     MOM
  will be able to
  supply
  medication to
  MOM.
                                          Medical
                    QuakeKare
 Global Giving
    Teams
                                              international
Bringing in Medication



                        Ability to bring
Utilizing   Utilizing   in medication
                          from desired
seaports
   airports
    locations (U.S
                             Cuba)
Bringing in Medication
  Air
  –  14 airports
  –  Port-Au-Prince
     airport is the only
     international
     airport in Haiti.
  –  4 airports of paved
     runways
  –  10 airports of
     unpaved runways
Bringing in Medication
Ports

            11 ports
Medication            Medication
           all around
from Cuba
             from U.S
               Haiti


      •    Sea
            –     Port of Cap Haitian
            –     Port of Corail
            –     Port of Gonaives
            –     Port of Jacmel
            –     Port of Jeremie
            –     Port of Les Cayes
            –     Port of Mirogoane
            –     Port of Petite Goave
            –     Port of Port de Paix
            –     Port of Port-au-Prince
            –     Port of Saint Marc
10 YEAR MEDICAL PLAN FOR HAITI
PRINCIPLES
- Accessibility
- 
Comprehensiveness
- Universality
- Need based
- Reducing wait 
times and improving
    “…the need to
access
                  transition to recovery
- Transparent
                         and to building a long-
progress to citizens
                         term, very sustainable
                         infrastructure for health
                         and health care in
                         Haiti…”

                                    -Dr. Nicole
                        Lurie
- 185 Hospitals
- 150 sq km per hospital
- 2 doctors per 10,000 people
- 1.8 nurses per 10,000 people
- Less than 300 doctors graduate from 
Haitian Med schools
District of Port-au-     District of Nord:
   District of Nord-     District of
Prince :
                - Justinian          Ouest:
               Sud:
- Martissant Health      Hospital in Cape-    -Immaculate           - Les Cayes
Facility
                Haitien
             Conception Hospital   General
- Solidarite Hospital
                        of Port-de-Paix
      Hospital
-60% of medical facilities
damaged or destroyed
- Influx out of Port-au-Prince to
other health centers
- Towns suchs as Gonaives,
Port-de-Paix, Cap Haitien lack
earthquake related needs
YEAR ONE
- Help from 33 Medical
Organizations

-Necessary Materials to
Hospitals (Donations and
organizations)

- Link hospitals with PIH,
AmeriCares, GHESKIO, MSF,
etc

- More Beds: Goal: at least
250 beds per hospital

- Begin Infrastructure

- 3,500 Haitians have access
to Antiretroviral drugs. 

- National goal: 25,000 to
30,000 by 2020
-Support of 25 health organizations
                                                                   Year 3
Exit: Klinik Fanm, UNOPS, SOE, Institut PANOS,
Medecins du Monde, HIMNET, CECI, Caritas

- All hospitals to provide antiretroviral treatment   - 7,800 Haitians have
(ART) --- Support: GHESKIO, Global Fund to            access to ART
Fight AIDS, FHI

                                                      - Propose Territorial
- Case study: 
                                       Health Access Fund to
Immaculate Conception Hospital in Cayes
              government ($150
                                                      million over 10 years)

                                                      - Propose Law to keep
                                                      Med school graduates
                                                      in Haiti

                                                      - HIV/AIDS center in all
                                                      Hospitals

                                                      - Rebuilding Martissant
                                                      Health Facility and
                                                      Solidarite Hospital
- Support of 15 Health Organizations
Year 5
                      Exit: Carrefour Haiti, ADRA, City Med/
                        M.A.R.C.H., H.E.L.P. Inc., PROFAMIL, OPS/OMS,
                        Zanmi La Sante, Etc.
- 12,100 Haitians
                        -Start Emergency Medical Center in Hospitals
have access to ART
                        -  Build radiology section in Martissant Health
- Port-de-Paix
Hospital to adopt       Facility and Solidarite Hospital
Red Cross blood
bank (only one in
the area)

- Hospital-University
Partnerships
       Case study:
Justinian Hospital

- United Nations
Development
Program to improve
roads for
ambulances
Year 7
                                  - Increase obstetrical operations in
-Support of 5 Health
                                  hospitals so that 95% of births are
Organizations
                    attended by skilled health
         Exit: INHSAC, Institut
                                  professionals (now 25%)
Cardinal Leger, AOPS, Red
Cross, IPPF, WHR, etc.

- 16,400 Haitians have access
to ART

- Continue rebuilding
Martissant Health Facility and
Solidarite Hospital

- Les Cayes General Hospital to
adopt Cuban field hospital

-  250 beds at least in all
hospitals

- Telemedicine support in
hospitals
Year 10
- Completely Independent Health system
            Exit: MSF, Red Cross, GHESKIO, Pan American
Health Organization, etc.

- 25,000-30,000 Haitians with access to ART

- Complete rebuilding Martissant Health Facility and
Solidarite Hospital

- 400 beds in each hospital

- 100% of pregnancies attended by skilled professionals

- Pass Territorial Health Access Fund to government
($150 million over 10 years)

- Emergency center in all hospitals

- 1: 250 doctor to patient ratio

- 1: 20 nurse to patient ratio
HEALTH EDUCATION:!
Proactive Prevention + Protection
Common Problems Education Must
          Address
 –  Infant Mortality, Malnutrition, Anemia and
    Parasites, Childbirth Complications, Cervical
    Cancer, STDs
Absence of Health Education
                    System
•  The gov’t FAILS to provide public health
   education. The ABSENCE of a healthcare system
   and education on proactive PREVENTION +
   PROTECTION results in:
•  
  –    >40% of the population has no access to health care 
  –    >70% of the population has no access to medication 
  –    <50% of children are vaccinated. 
  –    Lack clean water + adequate sanitization
  –    Cities rampant with violence and grime
  –    Haitians are some of the most malnourished people in the world
Health Education  Haiti’s
               Recovery:
 •  Proper EDUCATION of nutrition, basic hygiene,
    available resources greatly PREVENTS:

    –  Malnutrition
    –  Childbirth complications
    –  Anemia + Parasites
    –  STDs



…education of the
next generation will help us 
     –  
     
        
    
     
      
     create a
healthy
 Haiti
4 Areas of Education
•       HYGIENE - Nutrition - Disease Control - Rape +
     PREGNANCY
Hygiene




•  Washing hands
•  Anti-bacterial/Soap: Hand sanitizer
•  Covering up/protecting wounds
•   
Nutrition/ Dietary Concerns 
•  WATER (teach them to boil it!)
    –  Lack of clean water and sanitation is a major root
       cause of diseases/ dietary complications
•  Danger of INEDIBLE FOOD CONSUMPTION
•  WHAT foods /alternatives are available + WHERE
Disease Control


•  CONTAGIOUSNESS of viruses/bacteria
•  Hygienic TECHNIQUES such as covering coughs/
   sneezes
•  PROTECTION against STDs
Rape/Pregnancy


•  Rape VICTIMS:
   –  Educate on imp. of physical
      EXAMINATION, for:
       •  bruises and cuts, tears and
          bleeding, collection of fluid for
          investigation purpose and for
          sexually transmitted diseases
          (STDs)


   –  Emotional COUNSELING:
       •  Victims need to be counseled
          and given comforts,
          while obtaining the story of the
          circumstances where she was in. 
       •  
   –  "Morning-after pills”
• 
Rape/Pregnancy


     •  Pregnancy EDUCATION:

       –  Nutrition during pregnancy
       –  Importance of psychological
          stability to baby during
          pregnancy
       –  How to safely give birth/
          recover (6-8 weeks recovery)
       –  Proper care for newborn
          infants

     •  HOW TO improve the maternal/
        pregnancy health outcome
Rape/Pregnancy

•  Proper Midwife Training:
   –  The high maternal and infant mortality
      rate impacts socioeconomic status/
      ability to improve


•  Requirements
   –  MIDWIFE: 3-4 years training necessary
   –  RNs, 1-2 additional years


•  TBAs (Traditional Birth Attendant):
   –  Example from another developing
      country, Cambodia: 
       •  No formal training 
       •  In Cambodia there are laws prohibiting
          any people to deliver babies.  The
          Cambodia government encourages the
          education of midwives and TBAs to
          improve the maternal/pregnancy health
          outcome. 
10 Year Plan
•  PHASE 1 (Year 1-2)
  –  Draw a crowd, PLANT THE SEED of
     Project
     •  Bring in Health Teachers, Drs., RNs,
        Midwives, Medical teams, Volunteer
        staff to TREAT + TEACH

     •  Treating: 
     •  Begin a soup kitchen / medical center
        to draw
     •  Provide consultation to rape victims,
        injured, etc.

     •  Teaching
     •  Survey needs
     •  Develop teaching curriculum
10 Year Plan
•  Phase 2 (Year 3-6)
  –  Treat
      •  Continue treatment facility,
         expand
  –  Teach
      •  Recruit Haitian Medical Team to
         train, including:
          –  Midwives 
          –  RNs
          –  Health Education Teachers


  –  *goal: educate community
     leaders to create self sufficient
     learning system 
          – 
10 Year Plan
•  Phase 3 (Year 7-10) :
  –  Watch Haiti take ownership

    •  Treating: 
    •  Continue sending medical
       teams/ needs

    •  Teaching
    •  Continue sending teachers
    •  Allow Haitian practitioners
       to teach other Haitians
Important Notes
–  MOBILIZE + MAXIMIZE resources Haitians have
–  ACCULTURATE to the community 
–  UNDERSTAND culture/values before attempting to 
–  
 EDUCATE or CHANGE it
EDUCATION
  Rebuilding Haiti
Educational History
    First schools in 1805
    Free and compulsory primary education
    Education promoted in principle but comprehensive,
     accessible education not developed
    Curriculum emphasized
     literature
 
Educational History

    1860- Education under the
     control of Roman Catholic
     Church
    Education modeled on the
     French system
    7 yrs primary, 7 yrs
     secondary
    Secondary – admission test
     l    Lycee (public), college
          (private)
Educational History
  1970's Reform
  1978: Primary school restructured
  10 years of basic education, 3 yrs secondary


  Use of Haitian Creole in the first four grades


  Grouping children by ability


  Discovery Learning
Educational History
    1982 → 65% of children over 10 no formal education,
     8% get more than primary education
    Education is highly valued, but not accessible
    Cannot afford the fees, school supplies, uniforms
Educational Culture
    Fluency in French is a marker of success
    Memorization (vs. Analysis, synthesis)
    Grading is very strict
    Teacher authority
Culture
    Dualistic Culture
     l    European vs. African
     l    French vs. Creole
     l    Mulatto Elites vs. Black masses
     l    Urban vs. Rural
     l    Christianity vs. Voodoo
Religion
    Voodoo is national religion
    80% Roman Catholic
    20% Protestants of various
     denomination
    Most Haitians practice at least
     some aspect of voodoo
    “voodoo” - means “spirit” in
     West Africa
        −    Intermediaries with a single
             God Almighty
• 
           THE Century Education System
     in Haiti’s 21st
                     CURRENT STATE
THE CURRENT STATE
in Haiti’s 21st Century Education System




                        Gross: total of all ages
                        Net: total of ages of school
                        age
THE CURRENT STATE
            in Haiti’s Education System in the 21st Century

  Public schools enrollment is stagnant.
  Private schools account for 80% of
   student enrollment
    For-Profit
    Evangelical, Catholic
    Community School
  The enrollment between the first and
   last year of Primary school decreases by
   over 50%.
  Vocational/Technical Education lacks
   in consistency and effectiveness.
  Higher education is pursued in the
   Dominican Republic, Canada, or USA.
THE CURRENT STATE
           in Haiti’s Education System in the 21st Century

  80% of teachers do not hold official
   teaching certificate.
  Students are just not learning.
  Overcrowding
  Ineffective learning environment
      (buildings, outside noise, etc)
   Inexperienced/untrained/
      uneducated teachers
  Weak and Inconsistent Ministry of
   Education (government).
  Inconsistency and insecurity of the
   government keeps many foreign donors
   from supporting the education sector.
THE FINDINGS
  Negatively affects social, cultural, and spiritual.
  Unreliable government support.
  The Haitian government alone is not capable of resolving
   the educational crisis.
  The crisis has to be tended to community by community;
   and each community must take ownership of its schools
   and community center.
  The education system has to be built up on integrity.
Haiti Schools
Before              After
THE PLAN
 10-year plan
     Phase I Years 1-2: Resources
       “Rebuilding our Community”-- Open house for potential local
        teachers, staff, and volunteers.
        •  Interview, train, shadow, co-teach.
        •  INCENTIVE: Meals and shelter during the training, ID and
           certificate of completion, guaranteed paid position upon the
           successful completion of training.
        •  Gather teacher trainers from USA, Canada, and France (preferably
           from Haitian descent) for short-term on-site teacher training
           position.

     Phase II Years 3-5: Schools open
     Phase III Years 5-10: Evaluate schools and open community
     center.
PRIMARY
   EDUCATION



 Purpose: Starting point of
education to build up future
   leaders for the nation
School System: 1st-6th grade
Curriculum
  -- Courses: Math, Science, Language Arts, Social Studies
   (applies to all grades)
  -- 4th grade: Select second language: English or Spanish
  -- 6th grade: Preparation for admission exam (gifted or
   public school)
Sample Schedule

 AGENDA: 9AM-1:30PM
          TIME                COURSES

       9-9:30am          Morning Assembly
                      (Announcements & Praise)
      9:30-10:20am             Math
     10:20-11:10am         Social Studies
     11:10-11:50am        Snacks & Recess
    11:50am-12:40pm           Science
      12:40-1:30pm         Language Arts
Building Plan
  PHASE II: 15-20 students/class
  PHASE III: 20-25 students/class

    
 *we will hire teachers based on student
    
 enrollment
SECONDARY EDUCATION
             Vocational/Career School




Purpose: Prepare students for completion
of basic high school academics and train
  them for the career in which they are
               interested.
    School System: 7th to 10th grades
Curriculum
  -- Courses: Math, Science,
   Language Arts, Social
   Studies, Spanish (applies to
   all grades)
  -- End of 8th grade: Choose
   career field interested in
  -- 9th and 10th grade: Take
   job training courses in
   selected field
  -- 9th and 10th grade:
   English is offered as an
   option to those who would
   like to learn English
Vocations offered
  Agriculture
  Utility workers (Plumber,
   Electrician, etc.)
  Teaching
  Fashion (Sewing, etc.)
Sample Schedule

  Agenda: 9AM to 2:30PM

          Time
                     Course
     9:00AM – 9:20AM
          Morning Assembly
                         (Announcements, prayer, praise,
                                     etc.)
    9:25AM – 10:15AM
                 Math

    10:20AM – 11:10AM
           Social Studies

    11:15AM – 12:05PM
           Language Arts

    12:10PM – 12:50PM
          Lunch and Recess

     12:55PM – 1:45PM
              Science

     1:50PM – 2:30PM
    Foreign language and Dismissal
Building Plan
  PHASE II: 30 students
   per class
  PHASE III: 40 students
   per class

  *2 teachers per class
  *based on the number of
  students and teachers recruited,
  we will adjust the student-
  teacher ratio
Gifted Secondary Education

  Purpose: To educate & train
 the future leaders of Haiti by
 providing a rigorous
 education program in order
 to equip them to become
 college-bound.
 Requirements: Entrance
 exam
 Agenda: 9AM – 2:30PM
School System
  Middle school: 2 years
  High school : 3 years
  Goal: Enter a general university in Haiti or participate
 in exchange and cooperation training programs with
 prominent agricultural universities in Haiti or
 Dominican Republic
Curriculum
  Middle School                       High School
     Language Arts                    Language Arts (Including AP English
                                        Lang. & Comp.)
     Math
                                       Math (Including AP Calculus)
     Science
                                       Science (Including AP Physics)
     Social Studies
                                       Social Studies (Including AP
     Language: English or Spanish
                                        Economics)
     Physical Education
                                       Language: English or Spanish
     Computer Skills
                                       Physical Education

                                       Computer Skills
Sample Schedule

        Agenda: 9AM to 2:30PM
      Time
                  Course

 9:10AM – 9:30AM
        Morning Assembly
                      (Announcements/praise)
9:40AM – 10:30AM
             Math

10:40AM – 11:30AM
           Science

11:40AM – 12:10PM
            Lunch

12:20PM – 1:10PM
         Social Studies

 1:20PM – 2:10PM
         Language Arts

 2:20PM – 2:30PM
           Dismissal
Building Plan
  PHASE II: 25-30
   students per class
  PHASE III: 20-25
   students per class

  *2 teachers per class
  *based on the number of
  students and teachers recruited,
  we will adjust the student-
  teacher ratio
Building Communities in Haiti
Current Events

  “Traffickers targeting
  Haiti’s children, human
  organs, PM says...”
      http://www.cnn.com/2010/WORLD/americas/
       01/27/haiti.earthquake.orphans/index.html

  “How Haitian teens will
  end up on your online
  porn” (humantrafficking.o
  rg)
      http://humantrafficking.change.org/blog/view/"
Current Events continued...
  “In spite of everything, Haiti’s children still dream and
  laugh...” (cnn.com)
      http://www.cnn.com/2010/OPINION/05/04/danticat.haiti.children/index.html
      “The January 12, 2010, earthquake changed their lives. Many watched loved ones
       die, lost family members and other caretakers, one or both of their parents, siblings.
       Many were stuck in the rubble of their homes and were rescued several days later.”	

      “Haiti's children have suffered more than any child, or adult, should have to, yet
       they still represent the best that Haiti has to offer. The potential for a better country
       rests on their shoulders. The survival of Haiti's children means the survival of Haiti.
       Their success guarantees the country's future.”	

      “Parents willingly gave their children to Idaho Baptists”
Building a Community Center
  Mission Statement: A center
 where a safe, loving, and encouraging
 environment is given for all children and
 youth in developing their health and
 social well being, working in rebuilding
 the community of the Haitians for this and
 the next generation. !
    Praying of Godʼs Kingdom coming upon
     Haiti"
    Encouraging the people to dream their
     dreams: healing, new life, and overcoming
     evil"
    Developing a place where Godʼs
     compassion will flow through the people
     servings to make an impact upon the
     Haitians"
        Cambodia Mission Statement in
         Community Rebuilding - Lausanne
         World Plus Organization"
Centers Included...
  Day Care Center
      Mission Statement: to provide a childcare program that is designed to
       provide safe and loving environment for children (ages 0-4 years)
       from single parent homes or homes where both parents work and
       care is needed (UCIC Learning Center: Bothell, WA)
          Gives parents a chance to work in assurance of the safety of their
           children in a qualified center with trained volunteers and teachers
          Where a child can develop healthy physically and emotionally,
           especially from the after effects of the earthquake
  Teen/Student Center
      Mission Statement: to provide support and hope for those impacted
       by the disaster in delivering critical services such as counseling,
       educational support, recreational activities, and family programs.
       (YMCA Haiti)
Day Care Center
  Hours: 6:00am to 6:00pm (tentatively)
  Where children feel safe and become healthy
    lots  of love from caregivers
     providing sanitation (cleaning, washing, bathing)

     providing foods (following nutritional guidelines)

  Where children can have fun and socialize with those
   around them
     play areas

     donated toys

     art and crafts (hands on activities) : painting rocks

     music play
Day Care Center continued...
  Volunteers made up of
  out of the country to
  build those of in the
  country (mainly moms)
      Those that have a heart in
       serving the children
  Offer families of
  volunteers (esp. single
  moms) to have a place of
  shelter and meals
  throughout the day
Teen/Student Center

  After-school program (3pm
   to 7pm, tentatively)
  volunteers
    made up of mostly older
     siblings or parents and
     teachers
    gain benefits in getting
     provided with food, free
     education, and possibly health
     care (later on)
Teen/Student Center
  Providing counseling sessions for those
   emotionally and mentally hurt by the
   earthquake
  Providing student centers for students
     one on one private sessions with
      teachers/older student volunteers
  Providing sports and recreational
   activities
     team games

     equipment and centers
  Providing informative classes
     required for those who want to serve
      and become involved in the center
     SEX ED / Health

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Haiti's Path to Environmental, Economic and Social Sustainability

  • 2. The History •  Haiti was discovered by Columbus in 1492 –  Natives killed off in 25 years •  Seceded to France, became center for slave trade •  First black republic to declare independence in 1804 •  Constitution: First approved 1987
  • 3. Haiti’s Environmental, Energy & Infrastructure Issues
  • 4. Geography of Haiti •  Area: 27,750 sq. km. •  Capital: Port-au-Prince •  Terrain: Rugged mountains with small coastal plains and river valleys, and a large east-central elevated plateau. •  Climate: Warm, semiarid, high humidity in many coastal areas. •  Natural resources: Bauxite, copper, calcium carbonate, gold, marble. 
  • 5. The Issues Deforestation, Energy, Waste/Water, Infrastructure
  • 6. The Bottom Line: Deforestation “In 1923 forests covered nearly 60 percent of the country; today they cover less than 2 percent.” –Global Security
  • 7. The Bottom Line: Deforestation
  • 8. The Cause & Effects of Deforestation •  Cause: Dependence on charcoal •  Charcoal- 75% •  Hydroelectricity- 5% •  Petroleum products- 20% Topsoil Flooding & Deforestation erosion degradation Desperately need alternative energy!!
  • 10. Infrastructure after the Earthquake “There are no patterns of traffic, no recognizable right of ways, no sense of order to the mass chaos in and around the capital Port au Prince — the epicenter of the massive quake.” –World Focus
  • 12. 10-Year Strategic Plan Let heaven and earth praise him, the seas and all that move in them, for God will save Zion and rebuild the cities of Judah. Then people will settle there and possess it; the children of his servants will inherit it, and those who love his name will dwell there. -Psalm 69:34-36
  • 13. Comprehensive Diagram Haiti 10-yr Strategic Growth Plan Phase I (1-2) Phase II (3-6) Phase III (7-10) -allocate- A Identify problems/ I Plans/Programs M Sustainability issues -implement- Develop plans Regional Local Resources Population Environment Energy Infrastructure -manage-
  • 15. Reforestation Environment • Reforestation Program- To protect and sustain forest life in Haiti  •  Short term (3-6 years): Increase forested areas by 30% •  Long term (7-10 years): Increase forested areas by 70% Planting Species •  Short Term - planting fast growing species • “Bayahonda” •  Grows anywhere and can be harvested in 3 years •  Long Term - regenerate species •  "Bamboo“ •  Re-grows spontaneously after it is cut •  Restore soil & agriculture industry •  export oil, cocoa, coffee and mangoes 
  • 16. Water Environment Water filtration for surface water flow Bioswales Retention ponds
  • 18. Bio-fuel Energy •  10-Yr Goal: Shift energy dependency from wood fuel to bio fuel •  Biofuel- Jatropha Curcas –  Renewable & burns cleaner –  1 ton seeds  600 L bio-diesel –  Sells in US average $3.20/gallon •  Requires education, technology, & time –  Ex. Brazil’s ethanol- 20 years –  Educate Haitians in 10 years •  Why in Haiti? •  Optimal weather conditions •  Self sustaining energy •  Economic benefits –  Provide jobs and income –  Useful in producing other consumer products
  • 19. Alternative Energy Renewable Energy Program LPG is the short-term plan for source of energy/ fuel: • LPG ( Liquefied Petroleum Gas) • Low-carbon, low-polluting fossil fuel • Widely available • Used for many commercial and domestic applications • Used alongside renewable technologies • Alternative energy substitute for wood fuel
  • 20. Alternative Energy • Minimize damage on the forest • More efficient energy than charcoal • 1 ton of LPG is equivalent of 4.7 tons of charcoal • Environment friendly
  • 21. Wind Energy
  • 23. Water Infrastructure Clean Water Rain water harvesting system • Collect rainwater in: 1. Individual home 2. Community 3. Regional System Find locations for possible well drilling Ultimate goal is to move water away from city
  • 24. Infrastructure and telecommunication Environment Infrastructure Program: Community protection, growth, and sustainability •  Short term (3-6 years): •  Buildings codes & organized city layout •  Closed sewage system for water & waste control • Aim for eco-friendly, pedestrian-friendly city •  Bike-dependant community •  Long term (7-10 years): •  Connect nation- highways & public transportation •  Implement landfills, recycling and composting Telecommunication program: • Short term (3-6 years): Operate radio network • Long term (7-10 years); Implement landline system
  • 25. Agriculture & industry 
 in haiti
  • 26. Introduction   Plantations were very successful early on   Shift to small scale subsistence farming led to significant decrease in export crops   Currently, agriculture is the main source of income for 67% of Haitians   Makes up 28% of national GDP   Potential is not being maximized
  • 27. Current Situation 
   No investment   Low level agricultural technology and practices   Mass subsistence farming   Fragmented land (no coordination)   Cash crops are not focused on
  • 28. Current Income   Half of population makes $60 a year   Legal minimum wage is 70 Gourdes ($1.70 US)   Currently, many Haitians are receiving 17 Gourdes (41 cents) maximum wage   More than half the Haitians live with less than a dollar a day
  • 29. Future Goal   Commercialize agriculture   Defragment landholdings   Allot more land for cash crops   Invest in modern agricultural technology   Integrate modern practices   Establish minimum wage and benefits
  • 30.
  • 31. Coffee   The growing season for coffee lasts four months   Constitutes a large portion of national agriculture   Provides at minimum 400,000 jobs   10% expected annual growth   Eliminate middle-seller and directly export to increase grower’s profit
  • 32. Mangoes   Exports only 20% of its potential output   High demands in local and foreign market   Growing and harvesting season lasts approximately ten months   Brings in more than $10 million revenue   Over 500,000 small and medium-scale farmers and enterprises involved
  • 33. cacao   Two growing seasons per year (Harvested from April to May and November to December)   20% annual growth   4-5 year period before trees bear fruit   Life of cacao tree is about 30 years
  • 34. Projected export of food based on 10% the income (monthly) growth 2010 2011 2020 food item Wage Wage Wage Produced Amount Produced Amount Produced Amount Coffee 210 Gourdes / 231 Gourdes / 420 Gourdes / month (Four month month months) 28,000 tons 30,800 tons 56,000 tons Mangoes 360 Gourdes / 396 Gourdes / 720 Gourdes / month (Ten month month months) 2,250 tons 2,475 tons 4,500 tons Cacao 330 Gourdes / 363 Gourdes / 660 Gourdes / month (Two month month seasons) 5,000 tons 6,000 tons 10,000 tons
  • 35. Rice   2009-2010, the price of imported rice per pound was $0.70 USD, locally produced rice was $1.17 USD   20% of the population is engaged in rice production   However the agriculture of rice in Haiti has suffered due to inflow of cheap US rice as a part of foreign aid   Small tariff on rice imports to help Haitian rice farmers to compete with US rice farmers
  • 36. Sugar   Production cost of Haitian sugar is three times more than the world price   Currently there is little sugar production   Currently Haiti is searching for alternative crops to sugar such as soybeans
  • 37. Production & Import Comparison / projection chart 2010 2011 2020 Food item Produce Import Produce Import Produce Import 66.137 379.189 85.977 266.059 132.274 186.559 Rice tons tons tons tons tons tons 246, 051 25,000 196,760 250,000 87,294 Sugar - tons tons tons tons tons
  • 38. Alternative source (JatrophaCurcas)   Non edibel oil crop, used to produce bio- diesel   Can be used to make paper, soap, cosmetics, toothpaste, and even cough medicine   Grows best in sell drained soils, 600mm rainfall per year   Can withstand long periods of drought
  • 39. Alternative source cont.,   1 ton seeds produces 600 liters bio- diesel   30kg can be harvested per person   Processing 24 hours   1 year – 4.5 tons   1 gallon = $3.20 USD = 127.20 Gourdes   600 liters = 158.5 gallons (bio-diesel)   1 ton = 907 kg   30kg = 5.28 gallons bio-diesel   = 671.62 Gourdes
  • 40. Alternative source projection (20%) 2013 2014 2023 Wage (30kg /bag) Wage (30kg /bag) Wage (30kg /bag) produced produced produced Total profit Total profit Total profit 671.62 Gourdes 805.94 Gourdes 2,014.86 Gourdes JatrophaCur 4.5 tons 5.4 tons 13.5 tons cas (713.25 gallons) (855.90 gallons) (2,139.75 gallons) 90,725.94 Gourdes 130,644.71 Gourdes 816,533.46 Gourdes ($28,351.86 USD) ($40,826.47 USD) ($255,166.71 USD)
  • 42. Some facts   The industry sector makes up 20% of the nations GDP   Potential has been stagnated due to strong lack of investment   Relies heavily on imports for many manufactured goods, machinery, and other industrial products
  • 43. Major objectives   Strengthenthe industrial sector through financial investments   Subsidies for leading enterprises with significant contributions to the economy   Subsidies for struggling enterprises in key industries   Micro-loans for small businesses
  • 44. Short-term goals   Restructure production processes to maximize efficiency and increase output   Introduce more advanced machinery   Worker training   Develop competent and honest leaders   Push for non taxed exports   Provide basic business and management advice along with start up loans for small businesses
  • 45. Long-term Goals   Establish minimum wages   Establish worker benefits in proportion to the profitability of the business   Attract private investors and entrepreneurs to create businesses in weak industries
  • 46. Major Industries   Textilesand apparel   Food processing   Sugar refining, flour milling   Beverages   Tobacco products
  • 47. Textiles and Apparel   Apparel sector accounts for 2/3 of Haitian exports and 1/10 of GDP   Tariff free trade with the US market for textile exports provided for by HOPE (Haitian Hemispheric Opportunity through Partnership Encouragement ) Act until 2018
  • 48. Food Processing   The lack of sugar refineries has severely limited sugarcane farming which was once very successful in Haiti   Haiti’s only major flour mill was damaged during earthquake
  • 49. General facts before the earthquake
  • 50. Health Facts •  80% below poverty line •  Less than 50% has access to clean drinking water •  Deficient sanitation systems •  Poor nutrition •  Life expectancy: 44 years •  WHO (World Health Organizations) estimates that 43 percent of the target population receives the recommended immunizations •  In terms of health care spending, Haiti was last in the Western Hemisphere. –  $83 annually on health care. •  There are 25 physicians and 11 nurses per 100,000 population. •  Only one-fourth of births are attended by a skilled health professional.
  • 51. This isn’t Haiti’s first major natural disaster… •  10 recorded hurricanes since 1935 •  1 other recorded earthquake in 1946 with an 8.1 magnitude (the 2010 earthquake had 7.0 magnitude) –  Killed an estimate of 15,000 people all throughout history. –  This also has spiritual implications… •  God has been putting Haiti through so much. Not only America but also Haiti
  • 52. General facts after the earthquake
  • 53. Health Facts •  80% below the poverty line •  3 million people affected. •  Buildings and infrastructure in Port-Au-Prince are extensively damaged and basic water and electricity is not nonexistent. –  Health issues of immediate concern include search and rescue of trapped survivors; treatment of injuries such as lacerations, broken and fractured bones, burns, and crush injuries; respiratory problems due to inhalation of dust and building materials; treatment for and prevention of infection; distribution of clean water and food; proper sanitation; care and feeding of infants and young children; and management of a growing number of deceased. As of this writing, The Red Cross estimates is estimating that 45,000 - 50,000 have died in the earthquake. –  So far, 160 medical sites (both fixed and mobile) set up around Haiti. –  Rape increased –  Only 40% of the population have received emergency medical materials. – “On a good day in Haiti," Williams said, "there's not enough food to go around, there's not enough potable water, there are not enough sanitation facilities, the hospitals are marginally staffed, they're poorly equipped, and they don't have enough medications." Medpage Today
  • 55. Diseases •  AIDS. –  Haiti has the highest infection rate for the virus that causes AIDS in the Western Hemisphere. –  1 in 50 people are infected with HIV AIDS. •  Malaria •  Typhoid •  Hepatitis •  Respiratory Infections
  • 56. Other issues •  Lack of medical care (only $83 annually from the government) especially where MOM is located. •  Transporting individuals to shelters for treatment due to road damage. •  No Haitian doctors that will make healthcare in Haiti self- sustaining. •  Hospitals, schools, and other important are either destroyed or damaged. •  Rape in the community –  Sex-for-food is not uncommon in the camps, said a report issued Tuesday by the Interuniversity Institute for Research and Development in Haiti. "In particular, young girls have to negotiate sexually in order to get shelter from the rains and access to food aid." 
  • 57.  ”For I know the plans I have for you," declares the LORD, plans to prosper you and not to harm you, plans to give you hope and a future.” Jeremiah 29:11 10 year plan
  • 58. Goals and Objectives –  To establish and repair health care facilities, equipped with medication and equipment, ready to be used by long-term or Haitian permanent doctors, and to make Haiti a healthy, self- sustaining country in order to treat not only agricultural health related issues but also for the general need of health and sanitation in the desired area for the sake of demonstrating the grace of God.
  • 59. Phase 1 (Preparation for Immediate Relief) Years 1-3 –  Clean up trash around the area in which the tents/health center/ agriculture fields are going to be •  Missionary workers •  Salvation Army –  Locations: »  Chantal in the region of Sud »  Les Anglais in the region of Sud. »  Fonds- Verrettes in the region of Sud-Ouest. Les Anglais in the region of Sud-Ouest. »  Ouanaminthe in the region of Nord-Est. –  Begin to bring in and set up tents •  ***These shelters must have a plumbing system*** –  Begin to bring in medication
  • 60. Phase 2 (Transitioning from immediate relief preparation to long-term preparation) Years 3-5 –  Start constructing health centers/ start reconstructing damaged hospitals •  Martissant health centre •  Solidarite maternity hospital •  Doctors Without Borders Trinité trauma center hospital –  Missionary volunteers –  Salvation Army –  Most tents around the immediate area should be set up and ready to go. •  Plumbing is crucial and thus must also be completed.
  • 61. Phase 3 (Beginning of Immediate Treatment and Continuing to Prepare for Long term) Year 5-7 –  Begin treatment in the tents either using the long-term doctors or Haitian doctors (meaning that the first Haitian doctors, nurses, RNs, and TBAs should be educated and have the appropriate credentials) •  All Haitian medical staff must be permanent. –  Continue to bring in medication (they will run out and eventually need more) –  Continue to build health center/ rebuild health centers. •  For rebuilding health centers, by now the outer structure must be constructed and the electricity, plumbing, air conditioning, etc will be in progress during this phase. –  Summary: Tents must now be ready for treatment of patients. Medications are still coming in and replenishing tents that have already used them on patients.
  • 62. Phase 4 (Completion of Long- term, Self-sustaining) Years 7-10 –  Health center completed and ready to treat patients.( Haiti must now be self-sustaining in producing doctors, nurses, midwives, RNs, and TBAs.) –  Continue to bring in medication (they will run out and eventually need more)(in this way the health center must be self-sustaining in itself) –  Summary: The tents and the health center must now be complete and ready to that patients. Reconstruction of hospitals can still be on going. The end of the plan is only determined if Haiti is now self-sustaining and further planning is unnecessary.
  • 64. Sources of Medication –  Different organizations MOM will be able to supply medication to MOM. Medical QuakeKare Global Giving Teams international
  • 65. Bringing in Medication Ability to bring Utilizing Utilizing in medication from desired seaports airports locations (U.S Cuba)
  • 66. Bringing in Medication   Air –  14 airports –  Port-Au-Prince airport is the only international airport in Haiti. –  4 airports of paved runways –  10 airports of unpaved runways
  • 67. Bringing in Medication Ports 11 ports Medication Medication all around from Cuba from U.S Haiti •  Sea –  Port of Cap Haitian –  Port of Corail –  Port of Gonaives –  Port of Jacmel –  Port of Jeremie –  Port of Les Cayes –  Port of Mirogoane –  Port of Petite Goave –  Port of Port de Paix –  Port of Port-au-Prince –  Port of Saint Marc
  • 68. 10 YEAR MEDICAL PLAN FOR HAITI
  • 69. PRINCIPLES - Accessibility -  Comprehensiveness - Universality - Need based - Reducing wait times and improving “…the need to access transition to recovery - Transparent and to building a long- progress to citizens term, very sustainable infrastructure for health and health care in Haiti…” -Dr. Nicole Lurie
  • 70. - 185 Hospitals - 150 sq km per hospital - 2 doctors per 10,000 people - 1.8 nurses per 10,000 people - Less than 300 doctors graduate from Haitian Med schools
  • 71.
  • 72. District of Port-au- District of Nord: District of Nord- District of Prince : - Justinian Ouest: Sud: - Martissant Health Hospital in Cape- -Immaculate - Les Cayes Facility Haitien Conception Hospital General - Solidarite Hospital of Port-de-Paix Hospital
  • 73. -60% of medical facilities damaged or destroyed - Influx out of Port-au-Prince to other health centers - Towns suchs as Gonaives, Port-de-Paix, Cap Haitien lack earthquake related needs
  • 74. YEAR ONE - Help from 33 Medical Organizations -Necessary Materials to Hospitals (Donations and organizations) - Link hospitals with PIH, AmeriCares, GHESKIO, MSF, etc - More Beds: Goal: at least 250 beds per hospital - Begin Infrastructure - 3,500 Haitians have access to Antiretroviral drugs. - National goal: 25,000 to 30,000 by 2020
  • 75. -Support of 25 health organizations Year 3 Exit: Klinik Fanm, UNOPS, SOE, Institut PANOS, Medecins du Monde, HIMNET, CECI, Caritas - All hospitals to provide antiretroviral treatment - 7,800 Haitians have (ART) --- Support: GHESKIO, Global Fund to access to ART Fight AIDS, FHI
 - Propose Territorial - Case study: 
 Health Access Fund to Immaculate Conception Hospital in Cayes government ($150 million over 10 years) - Propose Law to keep Med school graduates in Haiti - HIV/AIDS center in all Hospitals - Rebuilding Martissant Health Facility and Solidarite Hospital
  • 76. - Support of 15 Health Organizations Year 5 Exit: Carrefour Haiti, ADRA, City Med/ M.A.R.C.H., H.E.L.P. Inc., PROFAMIL, OPS/OMS, Zanmi La Sante, Etc. - 12,100 Haitians -Start Emergency Medical Center in Hospitals have access to ART -  Build radiology section in Martissant Health - Port-de-Paix Hospital to adopt Facility and Solidarite Hospital Red Cross blood bank (only one in the area) - Hospital-University Partnerships Case study: Justinian Hospital - United Nations Development Program to improve roads for ambulances
  • 77. Year 7 - Increase obstetrical operations in -Support of 5 Health hospitals so that 95% of births are Organizations attended by skilled health Exit: INHSAC, Institut professionals (now 25%) Cardinal Leger, AOPS, Red Cross, IPPF, WHR, etc. - 16,400 Haitians have access to ART - Continue rebuilding Martissant Health Facility and Solidarite Hospital - Les Cayes General Hospital to adopt Cuban field hospital -  250 beds at least in all hospitals - Telemedicine support in hospitals
  • 78. Year 10 - Completely Independent Health system Exit: MSF, Red Cross, GHESKIO, Pan American Health Organization, etc. - 25,000-30,000 Haitians with access to ART - Complete rebuilding Martissant Health Facility and Solidarite Hospital - 400 beds in each hospital - 100% of pregnancies attended by skilled professionals - Pass Territorial Health Access Fund to government ($150 million over 10 years) - Emergency center in all hospitals - 1: 250 doctor to patient ratio - 1: 20 nurse to patient ratio
  • 80. Common Problems Education Must Address –  Infant Mortality, Malnutrition, Anemia and Parasites, Childbirth Complications, Cervical Cancer, STDs
  • 81. Absence of Health Education System •  The gov’t FAILS to provide public health education. The ABSENCE of a healthcare system and education on proactive PREVENTION + PROTECTION results in: •  –  >40% of the population has no access to health care –  >70% of the population has no access to medication –  <50% of children are vaccinated. –  Lack clean water + adequate sanitization –  Cities rampant with violence and grime –  Haitians are some of the most malnourished people in the world
  • 82. Health Education  Haiti’s Recovery: •  Proper EDUCATION of nutrition, basic hygiene, available resources greatly PREVENTS: –  Malnutrition –  Childbirth complications –  Anemia + Parasites –  STDs …education of the next generation will help us –  create a healthy Haiti
  • 83. 4 Areas of Education •  HYGIENE - Nutrition - Disease Control - Rape + PREGNANCY
  • 84. Hygiene •  Washing hands •  Anti-bacterial/Soap: Hand sanitizer •  Covering up/protecting wounds •   
  • 85. Nutrition/ Dietary Concerns •  WATER (teach them to boil it!) –  Lack of clean water and sanitation is a major root cause of diseases/ dietary complications •  Danger of INEDIBLE FOOD CONSUMPTION •  WHAT foods /alternatives are available + WHERE
  • 86.
  • 87. Disease Control
 •  CONTAGIOUSNESS of viruses/bacteria •  Hygienic TECHNIQUES such as covering coughs/ sneezes •  PROTECTION against STDs
  • 88. Rape/Pregnancy
 •  Rape VICTIMS: –  Educate on imp. of physical EXAMINATION, for: •  bruises and cuts, tears and bleeding, collection of fluid for investigation purpose and for sexually transmitted diseases (STDs) –  Emotional COUNSELING: •  Victims need to be counseled and given comforts, while obtaining the story of the circumstances where she was in.  •  –  "Morning-after pills” • 
  • 89. Rape/Pregnancy
 •  Pregnancy EDUCATION: –  Nutrition during pregnancy –  Importance of psychological stability to baby during pregnancy –  How to safely give birth/ recover (6-8 weeks recovery) –  Proper care for newborn infants •  HOW TO improve the maternal/ pregnancy health outcome
  • 90. Rape/Pregnancy
 •  Proper Midwife Training: –  The high maternal and infant mortality rate impacts socioeconomic status/ ability to improve •  Requirements –  MIDWIFE: 3-4 years training necessary –  RNs, 1-2 additional years •  TBAs (Traditional Birth Attendant): –  Example from another developing country, Cambodia: •  No formal training •  In Cambodia there are laws prohibiting any people to deliver babies.  The Cambodia government encourages the education of midwives and TBAs to improve the maternal/pregnancy health outcome. 
  • 91. 10 Year Plan •  PHASE 1 (Year 1-2) –  Draw a crowd, PLANT THE SEED of Project •  Bring in Health Teachers, Drs., RNs, Midwives, Medical teams, Volunteer staff to TREAT + TEACH •  Treating: •  Begin a soup kitchen / medical center to draw •  Provide consultation to rape victims, injured, etc. •  Teaching •  Survey needs •  Develop teaching curriculum
  • 92. 10 Year Plan •  Phase 2 (Year 3-6) –  Treat •  Continue treatment facility, expand –  Teach •  Recruit Haitian Medical Team to train, including: –  Midwives –  RNs –  Health Education Teachers –  *goal: educate community leaders to create self sufficient learning system – 
  • 93. 10 Year Plan •  Phase 3 (Year 7-10) : –  Watch Haiti take ownership •  Treating: •  Continue sending medical teams/ needs •  Teaching •  Continue sending teachers •  Allow Haitian practitioners to teach other Haitians
  • 94. Important Notes –  MOBILIZE + MAXIMIZE resources Haitians have –  ACCULTURATE to the community –  UNDERSTAND culture/values before attempting to –  EDUCATE or CHANGE it
  • 96. Educational History   First schools in 1805   Free and compulsory primary education   Education promoted in principle but comprehensive, accessible education not developed   Curriculum emphasized literature  
  • 97. Educational History   1860- Education under the control of Roman Catholic Church   Education modeled on the French system   7 yrs primary, 7 yrs secondary   Secondary – admission test l  Lycee (public), college (private)
  • 98. Educational History   1970's Reform   1978: Primary school restructured   10 years of basic education, 3 yrs secondary   Use of Haitian Creole in the first four grades   Grouping children by ability   Discovery Learning
  • 99. Educational History   1982 → 65% of children over 10 no formal education, 8% get more than primary education   Education is highly valued, but not accessible   Cannot afford the fees, school supplies, uniforms
  • 100. Educational Culture   Fluency in French is a marker of success   Memorization (vs. Analysis, synthesis)   Grading is very strict   Teacher authority
  • 101. Culture   Dualistic Culture l  European vs. African l  French vs. Creole l  Mulatto Elites vs. Black masses l  Urban vs. Rural l  Christianity vs. Voodoo
  • 102. Religion   Voodoo is national religion   80% Roman Catholic   20% Protestants of various denomination   Most Haitians practice at least some aspect of voodoo   “voodoo” - means “spirit” in West Africa −  Intermediaries with a single God Almighty
  • 103. •  THE Century Education System in Haiti’s 21st CURRENT STATE
  • 104. THE CURRENT STATE in Haiti’s 21st Century Education System Gross: total of all ages Net: total of ages of school age
  • 105. THE CURRENT STATE in Haiti’s Education System in the 21st Century   Public schools enrollment is stagnant.   Private schools account for 80% of student enrollment  For-Profit  Evangelical, Catholic  Community School   The enrollment between the first and last year of Primary school decreases by over 50%.   Vocational/Technical Education lacks in consistency and effectiveness.   Higher education is pursued in the Dominican Republic, Canada, or USA.
  • 106. THE CURRENT STATE in Haiti’s Education System in the 21st Century   80% of teachers do not hold official teaching certificate.   Students are just not learning.  Overcrowding  Ineffective learning environment (buildings, outside noise, etc)  Inexperienced/untrained/ uneducated teachers   Weak and Inconsistent Ministry of Education (government).   Inconsistency and insecurity of the government keeps many foreign donors from supporting the education sector.
  • 107. THE FINDINGS   Negatively affects social, cultural, and spiritual.   Unreliable government support.   The Haitian government alone is not capable of resolving the educational crisis.   The crisis has to be tended to community by community; and each community must take ownership of its schools and community center.   The education system has to be built up on integrity.
  • 109. THE PLAN  10-year plan  Phase I Years 1-2: Resources  “Rebuilding our Community”-- Open house for potential local teachers, staff, and volunteers. •  Interview, train, shadow, co-teach. •  INCENTIVE: Meals and shelter during the training, ID and certificate of completion, guaranteed paid position upon the successful completion of training. •  Gather teacher trainers from USA, Canada, and France (preferably from Haitian descent) for short-term on-site teacher training position.  Phase II Years 3-5: Schools open  Phase III Years 5-10: Evaluate schools and open community center.
  • 110. PRIMARY EDUCATION Purpose: Starting point of education to build up future leaders for the nation School System: 1st-6th grade
  • 111. Curriculum   -- Courses: Math, Science, Language Arts, Social Studies (applies to all grades)   -- 4th grade: Select second language: English or Spanish   -- 6th grade: Preparation for admission exam (gifted or public school)
  • 112. Sample Schedule  AGENDA: 9AM-1:30PM TIME COURSES 9-9:30am Morning Assembly (Announcements & Praise) 9:30-10:20am Math 10:20-11:10am Social Studies 11:10-11:50am Snacks & Recess 11:50am-12:40pm Science 12:40-1:30pm Language Arts
  • 113. Building Plan   PHASE II: 15-20 students/class   PHASE III: 20-25 students/class   *we will hire teachers based on student   enrollment
  • 114. SECONDARY EDUCATION Vocational/Career School Purpose: Prepare students for completion of basic high school academics and train them for the career in which they are interested. School System: 7th to 10th grades
  • 115. Curriculum   -- Courses: Math, Science, Language Arts, Social Studies, Spanish (applies to all grades)   -- End of 8th grade: Choose career field interested in   -- 9th and 10th grade: Take job training courses in selected field   -- 9th and 10th grade: English is offered as an option to those who would like to learn English
  • 116. Vocations offered   Agriculture   Utility workers (Plumber, Electrician, etc.)   Teaching   Fashion (Sewing, etc.)
  • 117. Sample Schedule   Agenda: 9AM to 2:30PM Time Course 9:00AM – 9:20AM Morning Assembly (Announcements, prayer, praise, etc.) 9:25AM – 10:15AM Math 10:20AM – 11:10AM Social Studies 11:15AM – 12:05PM Language Arts 12:10PM – 12:50PM Lunch and Recess 12:55PM – 1:45PM Science 1:50PM – 2:30PM Foreign language and Dismissal
  • 118. Building Plan   PHASE II: 30 students per class   PHASE III: 40 students per class   *2 teachers per class   *based on the number of students and teachers recruited, we will adjust the student- teacher ratio
  • 119. Gifted Secondary Education   Purpose: To educate & train the future leaders of Haiti by providing a rigorous education program in order to equip them to become college-bound. Requirements: Entrance exam Agenda: 9AM – 2:30PM
  • 120. School System   Middle school: 2 years   High school : 3 years   Goal: Enter a general university in Haiti or participate in exchange and cooperation training programs with prominent agricultural universities in Haiti or Dominican Republic
  • 121. Curriculum   Middle School   High School   Language Arts   Language Arts (Including AP English Lang. & Comp.)   Math   Math (Including AP Calculus)   Science   Science (Including AP Physics)   Social Studies   Social Studies (Including AP   Language: English or Spanish Economics)   Physical Education   Language: English or Spanish   Computer Skills   Physical Education   Computer Skills
  • 122. Sample Schedule Agenda: 9AM to 2:30PM Time Course 9:10AM – 9:30AM Morning Assembly (Announcements/praise) 9:40AM – 10:30AM Math 10:40AM – 11:30AM Science 11:40AM – 12:10PM Lunch 12:20PM – 1:10PM Social Studies 1:20PM – 2:10PM Language Arts 2:20PM – 2:30PM Dismissal
  • 123. Building Plan   PHASE II: 25-30 students per class   PHASE III: 20-25 students per class   *2 teachers per class   *based on the number of students and teachers recruited, we will adjust the student- teacher ratio
  • 125. Current Events   “Traffickers targeting Haiti’s children, human organs, PM says...”   http://www.cnn.com/2010/WORLD/americas/ 01/27/haiti.earthquake.orphans/index.html   “How Haitian teens will end up on your online porn” (humantrafficking.o rg)   http://humantrafficking.change.org/blog/view/"
  • 126. Current Events continued...   “In spite of everything, Haiti’s children still dream and laugh...” (cnn.com)   http://www.cnn.com/2010/OPINION/05/04/danticat.haiti.children/index.html   “The January 12, 2010, earthquake changed their lives. Many watched loved ones die, lost family members and other caretakers, one or both of their parents, siblings. Many were stuck in the rubble of their homes and were rescued several days later.”   “Haiti's children have suffered more than any child, or adult, should have to, yet they still represent the best that Haiti has to offer. The potential for a better country rests on their shoulders. The survival of Haiti's children means the survival of Haiti. Their success guarantees the country's future.”   “Parents willingly gave their children to Idaho Baptists”
  • 127. Building a Community Center   Mission Statement: A center where a safe, loving, and encouraging environment is given for all children and youth in developing their health and social well being, working in rebuilding the community of the Haitians for this and the next generation. !   Praying of Godʼs Kingdom coming upon Haiti"   Encouraging the people to dream their dreams: healing, new life, and overcoming evil"   Developing a place where Godʼs compassion will flow through the people servings to make an impact upon the Haitians"   Cambodia Mission Statement in Community Rebuilding - Lausanne World Plus Organization"
  • 128. Centers Included...   Day Care Center   Mission Statement: to provide a childcare program that is designed to provide safe and loving environment for children (ages 0-4 years) from single parent homes or homes where both parents work and care is needed (UCIC Learning Center: Bothell, WA)   Gives parents a chance to work in assurance of the safety of their children in a qualified center with trained volunteers and teachers   Where a child can develop healthy physically and emotionally, especially from the after effects of the earthquake   Teen/Student Center   Mission Statement: to provide support and hope for those impacted by the disaster in delivering critical services such as counseling, educational support, recreational activities, and family programs. (YMCA Haiti)
  • 129. Day Care Center   Hours: 6:00am to 6:00pm (tentatively)   Where children feel safe and become healthy   lots of love from caregivers   providing sanitation (cleaning, washing, bathing)   providing foods (following nutritional guidelines)   Where children can have fun and socialize with those around them   play areas   donated toys   art and crafts (hands on activities) : painting rocks   music play
  • 130. Day Care Center continued...   Volunteers made up of out of the country to build those of in the country (mainly moms)   Those that have a heart in serving the children   Offer families of volunteers (esp. single moms) to have a place of shelter and meals throughout the day
  • 131. Teen/Student Center   After-school program (3pm to 7pm, tentatively)   volunteers   made up of mostly older siblings or parents and teachers   gain benefits in getting provided with food, free education, and possibly health care (later on)
  • 132. Teen/Student Center   Providing counseling sessions for those emotionally and mentally hurt by the earthquake   Providing student centers for students   one on one private sessions with teachers/older student volunteers   Providing sports and recreational activities   team games   equipment and centers   Providing informative classes   required for those who want to serve and become involved in the center   SEX ED / Health