Cazale, Haiti: Day 5

Last night (Thursday night), I took the night shift with baby Jean-Roni, so
I fed him at 10pm, but ended up awake chatting til 11:30pm, then got up with
him to eat at 1pm. Pretty much newborn-duty. He got really fussy between
1pm-4pm so I stayed up, then only fell asleep for like 2 hrs…
So I stayed in with him most of the day, cuz I was pretty tired.

We did bring back Ojean from the Rescue Center to hang out for lunch, then
we took an afternoon nap with the baby. Our main task planned for today was
to process all the charts from the 3 clinic days, but Lori got pulled in to
translate for an inservice for the clinic nurses, so we were just waiting
around on her.

Around 4pm, we decided to take a walk around the village. Jess took us
through area with the homes of some of the people we know from here. Most
are concrete, mud, or sticks, and only about 10′ × 12′ total. Very
primitive.

When we circled back around on our walk, we ended up at the river, and
crossed the bridge to the rented house where the 3 ladies mentioned on the
Real Hope for Haiti Rescue Center blog recently live – all three ladies were in
malnutrition themselves when they came to Real Hope, and now are employed
and doing great. It was really neat to see them living in community and
raising their kids together. Adjacent to their 2-room house (3 moms,
multiple kids), lives a guy who fell out of a coconut tree and is paralyzed
below the waist – they take care of him, too.

We ended our walk in the river. It was so inviting that I started out
wading, but eventually just laid down in it! Everyone else in the river is
either fully naked (kids) or mostly naked (adults bathing – underwear only)
– but I was fully dressed I assure you! It felt amazing.

When we got back, Lori was ready for the filing process. It started with us
sorting all the papers from the 1,000 visits this week into piles of
prenatal, pediatric and general care. Then we got totals for each type of
visit, and then totals for which pediatric visits had malnutrition. Then
Lori goes through every paper (2-4 hrs… we only started, not finished,
tonight) and keeps track of how many of each category of illness were seen
(worms, headache, malaria, bloodpressure issue, etc) and each type of med
that was prescribed. I am really blown away at the level of data they are
working to collect. When this part of the task is done, all the papers will
be filed and ready for next Tuesday’s clinic.

Some other random clinic info I gathered:
– Alternating Mondays, they have a TB clinic for the 50+ active TB cases in the area. – Every child in the rescue center will be tested for TB & AIDS as soon as they are healthy enough to take a ride to a clinic 2 hrs away that has TB tests – for some reason Lori can’t get a hold of these tests. So she pays 2 staff to ride with the children, for their food, for a return trip to have the tests read. – The $1 Haitian that is paid for each clinic visit is enough to cover the 14 staff members that work there ($5-$11/day) (minimum daily wage in Haiti is $3.75), as well as most of the medicine, some of which comes from the US, some from India, some from Haiti.

Also a little history of Real Hope for Haiti specific to the clinic:
Lori & Licia’s mom Gretchen was a nurse, and come down to minister in
Port-au-Prince with another organization. When she was interested in opening
another clinic, they asked the government where the need was the greatest.
The government needed to open a clinic here, so happily sent them to open
this instead.
The new files started this week (people who have not been here before) are
numbers 104,000+.

Tomorrow (Saturday), we get to work with the Community Development group on
projects they plan to improve Cazale. More on that tomorrow!

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