Contributing to a strategic plan for Reconstruction and Development
In Haiti
By
Dr Joseph Pierre-Paul Cadet MD., MBA.,FACFFEI.,
ELABORATED CONCEPT:
 In Collaboration with OAS, Co-organizer
 Originated by Co-Organizers:
- NOAH (National Organization for the
Advancement of Haitians)
-AMHE (Association des Médecins Haitiens à
l’Etranger)
- HAES (Haitian-American Engineers
Association)
- HLA (Haitian Lawyers Association)
- HACCOF ( Haitian-American Chamber of Commerce
Of Florida
OTHER CO-ORGANIZERS:
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HAGC (Haitian-American Grassroots Coalition)
THL (The Haitian League)
GWHRC (Greater Washington Haiti Relief Committee)
HANA (Haitian-American Nurses Association)
HATA ( Haitian-American Teachers Association)
HAPOA ( Haitian-American Police Officers Association)
CHE (Consortium for Haitian Empowerment)
FANM ( Fanm Ayisyen Nan Miyami, Inc.)
Veye Yo
Haitian Coalition
NHAEON (National Organization of Haitian Elected
Officials Network )
OBJECTIVE:
 To develop recommendations on :
- Plan for short-term recovery
- Long-term reconstruction and development
efforts in Haiti.
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To design a collaborative strategy addressing
key issues for an integral and sustainable
development.
FOCUS AREAS:
 Kind of Reconstruction and Development plan
needed to tackle challenges and transform Haiti into a
vibrant and functioning country.
 Diaspora contributions to implementation
EXPECTED RESULTS:
 Identify the elements of specific recommendations for
reconstruction plan, including disaster risk reduction,
immediate humanitarian needs, and long-term
development efforts in Haiti.
 Develop a coordinated strategy for the Haitian
Diaspora to engage in capacity and nation building
and to relate to other domestic and international
partners in this effort.
PROPOSED FORMAT
 Get together at OAS Headquarters in D.C. on March
21st, 2010
 Six Parallel workshops on March 22 and 23, according
to guidelines; a venue for dialogue, exchange
experiences and collaborative strategy.
 Workshop results from the rapporteurs to include
broad vision for Haiti’s reconstruction and action plan
for Diaspora organizations to implement.
WORKSHOP FORMAT
 Objectives of Workshop
 Guidance for the discussion
 Possible Issues for Discussion
 Methodology and Time Management
 Expected results
SIMULTANEOUS WORKSHOPS
 W-1: Urgent Humanitarian Needs, Effective Deployment of
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Foreign Aid, Experiences from around the World in
Recovering from Earthquake.
W-2: Ensuring a Dynamic and Transparent Reconstruction
process.
W-3: Strengthening Governance
W-4: Sustainable Development and Natural Disaster
Preparedness and Mitigation.
W-5: Economic Development
W-6: Social Development….Three sections:
a) Child Development and Education
b) The role of the women in the Reconstruction
c) Health Development
HEALTH DEVELOPMENT
 Moderator: Dr Joseph Pierre-Paul Cadet
(1st V-P CEC, AMHE)
 Technical Experts:
Mario Cruz ( Advisor Health Systems
Strengthening- PAHO/WHO).
Gail C. Christopher ( V-P for foods program,
W.K. Kellogg Foundation)
Dr Jean-Claude Desgranges ( Chairman international
Speakers Bureau
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Rapporteurs : Dr Aldy Castor, Dr Tania Desgrottes and
Martine Etienne, RN
NEW CHALLENGES
 3 times need for medical and healthcare based on 2
millions injured and/or displaced.
 Twice Haiti’s pre-earthquake capacity in Health
system.
 Secondary Health problems: Infections, accidents ,
mental health illnesses.
ABOUT 40 RECOMMENDATIONS
 Based on Population in need:
a) Victims displaced by the earthquake or
Internally displaced persons ( 1 out of 5).
b) Women, life expectancy (53) being
considered.
c) Children , facing inadequate sanitation and
clean water, poor living conditions, infantile
diarrhea and infectious diseases.
ABOUT 40 RECOMMENDATIONS,(CONT’)
d) Elderly with specific care needs, such as
HBP, Diabetes Mel., lack of proper care.
e) Laborers: Impact on workforce due to
physical and emotional change. For ex.
Amputees population, affected health
workers.
f) Students: Sustained support and
continuous training of medical, nursing,
paramedical persons for future optimal
health care in Haiti.
RECOMMENDATIONS BASED ON PROFESSIONAL
GROUPINGS
 Preventive Medicine
 Human Resources
 Emergency Preparedness
 Partnership in Advanced in Clinical Education
 Women’s Health
 Performance Based Evaluations
 Mental Health
PREVENTIVE MEDICINE
 Promoting health education using specific framework of social determinants.
 Education campaign within the camps, on infectious diseases using media forum.
 Increasing health focus in penitentiary system.
 Promoting healthy lifestyles for youth through sports.
 Implementing a follow-up care system, specifically post-amputation, by funding existing
rehab centers and supporting them by well-established organizations from the diaspora.
 Investing in sustainable health by prioritizing the environmental effects pre/post
earthquake on Healthcare in Haiti.
 Continuing to increase the current capacity in Haiti through support
HUMAN RESOURCES
 Promoting a partnership between Diaspora Health care professionals and
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professionals in Haiti to provide intense and modern tech training.
Support existing development of small community health centers outside
of the capital.
Investing in work force development, community workers and mid-level
providers to build the infrastructure.
Creating incentives for specialists to work in the provinces thereby
decentralizing special care services (95%specialists in P-a-P and ratio:
25/100,000.)
Investing in indigenous Haitian organizations promoting Health.
Supporting a US version of US Comfort with Haitians Drs, RNs, SWs.
Creating civil humanitarian service Act for Haitians to return to Haiti for 2
weeks to provide service, with guarantee on current job.
Using a pool of students to provide basic primary care and P.H. promotion.
EMERGENCY PREPAREDNESS
 Investing in adequate emergency system(
ICU, CCU)
 Promoting partnership between American
University Hospitals and MSPP to
accomplish sustainable outcomes.
 Establishing a network throughout the
country.
PARTNERSHIP IN ADVANCED CLINICAL EDUCATION
 Funding towards building medical schools of excellence in partnership
with private/public hospitals through:
- Rebuilding hospitals
- Supporting clinical mentorship programs to build technical and
practical capacity for students.
- Partnering with MSPP, Universities and Hospital to build
continuum of care through clinical education.
- Maintaining residency and fellowship using Telemedicine so users/
participants can intertwine.
- Supporting CME by visiting professors already established with the
Faculty of Medicine and General Hospital.
- Supporting training program already started by reputable
associations, locally and from the diaspora.
Funding mini-fellowship in infectious diseases for local doctors.
WOMEN’S HEALTH
Investing in Family planning, women’s reproductive health
and child health organizations and centers with emphasis
on women’s health.
Improving maternal health through increasing skilled
midwifery and health providers, referral system to prevent
birth complications.
PERFORMANCE –BASED EVALUATIONS
 Establishing a system through MSPP for
indigenous based organizations, hospitals
and international aid working in Haiti.
MENTAL HEALTH
 Investing in mental health with special attention on
post-earthquake illnesses.
 Looking at different mediums for children
 Creating a culturally sensitive model for mental
health.
AMHE ACTIVITIES IN HAITI
 “Haiti Medical Relief Mission” (Dr Paul Nacier)
 Interns and Residents training at HUEH (Dr Maxime Coles)
 HIV-TB clinic surveillance program at HUEH (Dr Vladimir Berthaud)
 Students House at HUEH (Dr Fritz Apollon)
 Dialysis support program at HUEH…soon at Cap-Haitien. (Dr Eric
Jerome)
 Emergency Training at HUEH and “Hôpital de la Communauté
Haitienne “
(Drs A. Castor and W. Leblanc)
 Interns and Residents training at Justinien Hospital in Cap-Haitien.
(Dr Louis A. Auguste)
The Big Question:
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The role of the AMHE is this big picture?
THANKS A MILLION !