HIGHLIGHTS OF HOPITAL ALBERT SCHWEITZER ANNUAL REPORT ON 2018 MATERNAL CHILD HEALTH ACTIVITIES TO CANADIAN FRIENDS OF HAS
While we cannot overstate the impact of Canadian Friends of HAS on the people of the Lower Artibonite Valley, particularly the programs that directly reach women and children. While this report highlights several important statistics from 2018, the numbers tell only a portion of the story. Seeing the people who are directly impacted by the support of the Canadian Friends annual financial support, and knowing how their lives will be impacted for years to come is the real meaning behind the numbers. Thank you for your generosity and compassion for the families we serve.
HAS aims to improve maternal and child survival rates in Haiti, which are among the lowest in the world. The services range from emergency obstetric care for high risk pregnancies, to community based education about various topics including breastfeeding, nutrition and prenatal warning signs.
IN PATIENT MATERNITY HEALTH SERVICES
Two HAS Obstetricians completed 9,392 consultations in the hospital outpatient clinic. This represents a 17% increase over those accomplished in 2017
Two thousand one hundred and fifty (2,150) women were admitted to the high risk maternity unit, a 12% increase over the 1,911 women admitted in 2017
A total of 1, 892 deliveries took place at the hospital. Of those 619 were done via Cesarean section due the high risk nature or complications of pregnancy.
IN PATIENT CHILDREN’S HEALTH SERVICES
In 2018, children represented 30% of all admissions but 46% of total patient days indicating that their cases are often complex and require them to stay in the hospital for considerable length of time. They often suffer from serious, even life-threatening health conditions including severe, acute malnutrition, infectious illnesses diseases and upper respiratory infections and injuries or conditions that require surgery and rehabilitation.
A total of 931 children were admitted to the pediatric surgery ward and 2,499 to general pediatrics. Admissions to the nutrition stabilization ward increased by 4% going from 894 in 2017 to 931 in 2018.
INTRODUCTION OF CERVICAL CANCER SCREENING
Cervical cancer has been reported as the most common cancer among Haitian women and the second most common cause of cancer death. Haitian women experience cervical cancer at a rate as much as 50 times higher than women in the United States.
In Partnership with Rotary International and a team of doctors from the US, several staff members were trained in a see-and-treat method of cervical cancer screening. This method enables the Dr. to immediately remove any problematic cells identified during the screening. This eliminates the need for a follow up appointment which can result in women failing to receive treatment due to a missed follow up visit. Over 1,000 women have been screened with over 30 women receiving treatment for cell changes.
COMMUNITY MATERNITY AND PEDIATRIC HEALTH SERVICES
The Integrated Community Service Division continues with a focus on improving the health and well being of mothers and children. A total of 163,635 consultations were conducted at the four community health centers and mobile clinics. In addition, the community health workers held a total of 6,634 education sessions sharing vital public health information on topics such as breast-feeding, vaccinations, hygiene,sanitation and communicable diseases.
COMMUNITY MATERNITY SERVICES
Located in some of the most remote regions of HAS’s service area, the community health centers and mobile clinics ensure quality maternal health care is accessible to all patients who may live up to eight (8) hours walking distance from the main hospital. The staff play a vital role through community education and home visits encouraging women to attend regular prenatal exams, teaching about important pregnancy milestones and warnings signs of pregnancy complications.
The staff conducted 11,912 prenatal consultations at either the health centers or mobile clinics. They recorded 1,393 births in the community all of which were assisted by traditional birth attendant (in most cases a HAS trained matron). Mothers made 2,179 post natal visits at the health centers and 1,394 received post natal consultations at home.
COMMUNITY CHILDREN’S HEALTH SERVICES
Activities from nutrition screenings to immunization to distribution of vitamins and deworming medication are targeted at reducing child mortality, particularly in the “first 1,000 days of life”. During this critical period proper nutrition and health can profoundly impact a child’s ability to grow, learn and live a full productive life. HAS estimates that it covers at least 96% of children in its service area with routine nutrition screenings which amounts to approximately 8,688 screenings per month.
FAMILY PLANNING SERVICES
In Haiti, thirty-five (35) percent of currently married women have an unmet need for family planning. Fourteen (14%) of young women 15-19 have already begun child bearing. Two main priorities for HAS are to expand understanding of reproductive rights and provide access to quality reproductive services and education. The 21,395 family planning/reproductive health consultations with women (and men) follows a trend of a steady consistent increase in the demand for family planning services.
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