International Missionary Fellowship - Hospital Evangelique

Most healthcare practitioners would probably tell you that delivering healthcare can often produce a sense of satisfied accomplishment (a warm fuzzy). They would probably also agree that, just as often, it can bring about a sense of frustration. If we were to see our service here as our altruistic favor for the citizens of Bombardopolis, we are certain to be frustrated regularly. People are people, and oftentimes people don't display the gratitude that we would hope, regardless of their geography. We gain perspective through the realization that the principal reason Hopital Evangelique began in 1972 was to further the Kingdom of God. The Providential circumstance that caused this beginning serves as a benchmark.

A relationship with God through Jesus Christ is foundational to a meaningful life, a life with direction, hope, eternal focus. As in the familiar John 3:16, God loves us and desires this relationship so much that He gave us His only begotten Son. Our relationship with, worship of, and service to Him have their genesis in this unparalleled gift. By actively serving Him we are not paying Him back, we are joining Him in the work He prepared for us (Ephesians 2:10). We are not earning eternal life or His favor; by placing our faith in His gift of the risen Christ, we have that.

1 John 4 tells us we can only love because He first loved us. Chapter 5 goes on to say that to love God equals keeping His commandments and that His commandments are not "burdensome" for us. Jesus told us in Mark 12:30&31 that the greatest commandment is, "to love the Lord your God with all your heart, all your soul, all your mind, and all your strength." He went on to say that the second is equally important, "love your neighbor as yourself." All who profess to be His children are obligated to this regardless of the distractions and enticements of the world, as also seen in 1 John 5 that He has given us the Power to overcome the world and its enticements.

If we approach any of the countless Kingdom work opportunities from any perspective save that of loving and serving God first and His people second, yet simultaneously, we are certain to be endlessly frustrated. This is apparent daily in the operation of a mission hospital at the end of the line.

Over the course of four decades, God has expanded our capabilities and our reach. The hospital/clinic today delivers healthcare to a population of at least 50,000. The remote location of the hospital heightens its local impact as there is no facility offering equivalent services within several hours' hard travel, and, arguably, none within a day's journey, which offers these services at such minimal cost.

Staff

Our staff, which includes two physicians and 15 nurses, sees 700-800 folks each month as outpatients, with a usual range of illnesses. We also have the capability to hospitalize 18, including 5 pediatric beds. As you would expect, length of stay can vary widely, from an overnight stay of a woman who has delivered a baby without complication to several weeks for more complicated illnesses. Both our physicians live on the grounds and nursing care is around the clock.
Staff photos

Culture of Caring

A significant difference in the care of a hospitalized patient here, as contrasted to the US, is that family members take care of all the non-medical needs of the hospitalized person, including meals and hygiene. This has a positive impact on the care as it assures family involvement and frees staff to address medical needs more efficiently. This is a cultural norm, and one that we don't seek to change and fits well with our philosophy that the folks should do all they can toward their own wellbeing.

Pharmacy

Our pharmacy stocks a wide range of medicines. Most medicines are purchased in Port-au-Prince, the capital of Haiti, an 8-hour drive which we make approximately every 6 weeks. We are fortunate that many medicines are inexpensive here. We typically charge a small percentage above our cost for the medicines to help defray the costs of folks who don't have the funds to pay for needed medicine. We are also fortunate to regularly receive medicines from Christian Aid Ministries (CAM) for free and are able to provide these to our patients at no charge.

Wound Care

Wound care is an ongoing need in the community. Wounds range from simple cuts to cellulitis to devastating burns. Complicated diabetic ulcers on the feet and lower legs are a challenge. We have many nurses who are adept in treating a wide variety of wounds. Dr. Leandre and the team have salvaged many limbs and treated many infections, simple and advanced. There are cases in which the wound just will not heal, necessitating amputation. This is of course done only after all attempts to heal the wound are exhausted and is necessary to save the life of the patient.

Radiology

We have X-ray capability, which is basic to the treatment of a wide variety of broken bones, tuberculosis, pneumonia, and so on. We acquired the ability to offer this basic diagnostic tool in 2008. We are also able to offer maternal sonography. This tool is invaluable in providing advance notice on potentially complicated deliveries, including multiple births.

Maternity

Though most babies in the area are born at home, we have a two-bed birthing suite and staff, which includes our two physicians, a nurse midwife and many nursing staff who are quite experienced in delivery. Many women now prefer to give birth at the hospital, some come to address potential complications associated with their birthing process and some just avail themselves to the expertise available here. The charge for delivering a baby here is the US equivalent of $6.25.

Mobile Health Clinic

We go with a full medical staff out into the community 6-8 times per year to test and treat. This makes healthcare more accessible for those who cannot or will not make the trip to the hospital.

HIV/AIDS

As a small mission with limited resources treating HIV/AIDS in the community as best as we could, we were often saddened and frustrated at our inability to realize positive outcomes and were forced to see patients die for lack of proper treatment availability. In 2007, we were invited to partner in HIV/AIDS treatment with the President's Emergency Program for AIDS Relief (PEPFAR). PEPFAR had its beginnings in the US in 2003, and offers the funds and coordination that have saved millions of lives across world and hundreds in our little corner of it. This program is administered in Haiti by GHESKIO.

Since we are a Christian organization, we proceeded with caution as we entered into partnership with PEPFAR/GHESKIO, with concerns that doing so could compromise our primary goal of delivering healthcare in Jesus' name. We have found since that time that there are no demands placed upon us to temper our testimony or to operate in a way that is at all non-Biblical. We have been able to show His love to many who we otherwise would have had to watch wither. We feel that this is a resource that God would have us utilize. Funding allows us to purchase needed medicine and equipment and employ needed staff, including a doctor, several nurses, lab personnel and community healthcare workers.

Through the program, we are able to offer individual and community education, diagnostic, treatment, counseling, and nutritional supplementation, as appropriate. Through education, we seek to increase awareness in the community on how to prevent becoming infected. We teach the various methods of prevention and take the opportunity to make clear that abstinence before and monogamy after marriage are the surest methods of prevention. We are able, at the same time, to discuss the other advantages of this Biblical choice.

Our lab allows for rapid diagnosing of infection. We often make initial diagnosis in one of our mobile clinics, which are done several times per year. The treatment regimen for AIDS has become quite effective in symptom control but strict adherence to medication administration is vital to long term efficacy. Proper nutrition is vital to successful treatment. In partnership with the World Food Program, we are able to make health nutrition available.

Tuberculosis

We are the recognized tuberculosis treatment center in the Northwest province of Haiti.

Hospital Staff Photos

Photos taken February 2012

  • Dr. Leandre

  • Dr. Jesus-Lange Joseph, a new doctor working with us

  • Kerda, Edel, Kettelie and Dr. Joseph

  • NURSES
    Front (L-R): Vanise & Deselia
    Back: Venita, Berela, Gardie, Sanite & Kerda

  • NURSES
    Front (L-R): Sanite & Christianna
    Back: Berela, Venita & Gardie

  • Vanise, Linda & Kerda

  • LAB STAFF
    Front (L-R): Unise, Kuchnie & Linda
    Back: Caleb

  • HEALTH WORKERS (give vaccines and weigh children)
    Julmise, Mme Menelus & Marie Claire

  • HEALTH WORKERS (do home visits)
    Front (L-R): Duverne & Hergranide
    Back: Estenio & Osias

  • HEALTH WORKERS (do home visits)
    Front (L-R): Kettelie & Estenio
    Back: Duverne & Osias

  • GUARDS
    Front (L-R): Dieufranc & Elimeme
    Back: Sony




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Compiled from year-end hospital reports (fiscal 2013)

  • 8,290 doctor office visits
  • 56 babies born at the hospital, 191 at homes in the community
  • 820 X-rays
  • 181 prenatal sonographies
  • 306 patients hospitalized
  • 916 vaccinations
  • 45,589 lab tests (whew!)
  • 155 families helped by food supplementation
  • 585 patients received HIV treatment
  • 191 treated for tuberculosis
  • and over 6,000 home visits

Hospital News

From touching stories to hospital improvements to mobile clinics, read stories and see photos of recent Hospital events.

Hospital Evangelique Needs

Status: 62% funded
$3325/month (approx $100/day)
More details