Barlow Family - Haiti

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The WHOLE crew

 

Ted & Rebecca

(Haiti)

Tania Grace

(Texas)

Ana & Oliver

(Germany)

Tynan

(California)

Emma

(California)

Olivia

(Texas)

Syndie

(Haiti)

 

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In Prayer, For...
  • the orphans in Haiti
    a smooth moving process
    calm during the transition
  • our kids -
  • Tynan & Tania in college
  • Ana working in Germany
  • Twins' homeschooling
  • the future "additions"
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Entries in Central Plateau (2)

Friday
Jul112014

from Hinche...

Last week, Syndie & I strapped on our adventure gear, climbed into the car with all of our tough chick power and made the trek 3 hours north into Haiti's central plateau...on our own! We dripped through nearly an hour of traffic in the blazing heat wishing the air conditioning worked and finally made it to the outskirts of the city. Syndie dozed a little as we climbed the barren dry mountains surrounding Port au Prince. The well paved but narrow roads wound up, over & down into the “provinces” (Haitian word for the “countryside”). Cresting the summit our surroundings went from brown and dry to lush and green. We weathered rain storms, crazy big trucks, slick roads and magnificent views. Syndie woke from time to time bursting out with "Sa bel, mama!! tre bel!!" (It's beautiful, mama, SO beautiful!!) We arrived at the Midwives for Haiti compound just in time for dinner and to settle into our room, which will be our home, away from home, for the next couple of months.

If I haven’t said enough about Midwives for Haiti...let me just sum it up now. MFH is a small humanitarian organization doing some pretty remarkable things here in Haiti. They started a training program for Haitian nurses to teach them the full-spectrum of maternity care and delivery. From that program they have invested into the local hospital where both their graduates & students provide moms with tender care during labor and assist in identifying and treating high risk and emergency cases. Some would say that anyone who comes to the hospital is likely a high risk case, as Haitians often prefer to deliver at home. MFH also has mobile clinics that go out 5-6 days a week into the remote areas of this region to provide monthly prenatal care & identify moms that need referral or transport to the hospital. They also provide a Matron Outreach training program for the lay or village “midwives” who have had very little training, but a passion and heart to help their community members deliver babies well.

That is where Syndie & I will spend the morning today…

I love how the health dept curriculum that is used includes songs to teach hand washing, warning signs and such. Many of the matrons have never been to school or ever completed it. Last week as I sat in on class the current students were teaching about the female anatomy...several snickered as they reviewed the external genitalia visuals in detail. When the flip chart page was turned to discuss the internal female reproductive organs the crowd gasped with delight. One matron shared that they had never seen what the inside looked like before!! They were such a happy and excited crowd of sponges with this new information in front of them. The midwife who helped get this program up and going shared that this class is 22 weeks long & if they don’t mis more than 3 times they will get to participate in a “graduation” ceremony for their certificates & receive an ID badge that shows they have had training. She said that for most of them this is likely the FIRST and ONLY graduation they will ever have. So not only will they be able to provide safer care & know when to refer moms for high risk needs, this course also serves as a lifetime highlight for them as their families gather around them to celebrate at the end.

ONE of the reasons I am here for the next 2 months is to help out with a brand new training program. Jenna Schmitz one of the in-country staff midwives has been working hard to get a post-natal clinic off the ground. It may sound surprising, but at present mom’s receive monthly prenatal care, safe delivery care and then if all is normal they are discharged with their babies 6 hours or so later...never to be seen again. SO, in trying to help cut down the maternal & newborn complications & risk of death in the weeks following delivery TWO MFH graduate specialty nurses are being trained to provide all of the postpartum care in the local hospital here as well as follow up outpatient clinics for each mom during the 6 weeks after birth. They will eventually receive anyone who has delivered in the area, even if the birth was at home.

My other function here is to serve as a temporary “in-country coordinator”. I’ll be helping with volunteers that come to stay at the MFH house and work alongside the students or in the surrounding community. It's been a quick learning curve & my Kreyol is being stretched again too!

In the afternoons, Syndie and I have been going to a local hospital that is part of Mother Teresa’s ministries here in Haiti. We’ve been serving in the infant malnutrition ward, helping with feedings and providing stimulation, developmental play, physical touch and simply quick response to the babies needs as it is severely understaffed. The sister in charge is joyful and welcoming and Syndie LOVES “giving the babies milk” as she says. She is learning to hold and carry the little ones and truly enjoys our ministry there. We hope to go at least 3 afternoons a week and perhaps weekend mornings too as it is so nearby.

Here are a few highlights of our week:

Syndie running FREE in the countryside on the 4th of July...and every other chance she gets.


Ted came to visit with our new little guard pup… (no name yet)


A Sunday drive in the countryside. (yes this is a CHURCH!)


Post-Natal Care Training Classes

PNCP team - Jenna, Illa, Jusline & Rebecca

 

Thursday
Mar062014

a visit to Midwives for Haiti

Tuesday afternoon Ted, I & Hugo packed it up to get out of the city for a couple of days. We picked up Jenna Schmitz, the education coordinator for Midwives for Haiti & three of her friends, Sam, Jordan & Mary who are global health fellows working in a remote medical center in Thomasique, Haiti, who were all returning from a long hike through the mountains from Furcy to Jacmel. We had a pleasant 3 hour drive through the plush farmland up north to the homebase of MFH in Hinche.

It was fun & new to be with a vibrant group of young people all working in the medical field here & sharing dinner with the resident staff of MFH. Part of the plan was just to learn more about the organization first hand, to get to finally meet face to face with Nadene Brunck the founder and also to tour the local facilities where they teach their skilled birth attendants kind compassionate, quality, hands on care. I also hope to return & provide preceptorship for the new class of midwives late this spring & wanted an idea of what it would be like beforehand.

photo: MFH

We had great conversation & I was intrigued by a firsthand look at the rural Haitian hospital setting and the scope of care. There is a group from Ohio State, currently working alongside the pediatric nursing staff, to develop better neonatal care for preemies & high risk infants. We enjoyed visiting the bedside of day old preemie twins as the American RN modeled and explained necessary care of the little ones for her Haitian nurse counterpart.

photo: MFH

The disparity of care here in Haiti vs the US, where I’ve recently practiced, struck me solidly. We helped examine the mother of the twins, who had a vertical abdominal incision as well as a small unrepaired episiotomy from the birth of her babies. I watched as her mother changed the saturated rags that took the place of the nicely wrapped fresh white disposable peripads that I handed out to my patients these past few months. Patients or their families bring all of their own care items, including food. I could actually see that working in the US where my family would bring all of the best for me & yet we have each necessity included. Here in impoverished rural Haiti, there wasn’t much to choose from for families to provide.

photo: MFH

On Thursday morning Ted & I took a small hike on the land behind the MFH compound and went up to the top of the local hills. We shared our personal thoughts & ideas while pondering further where God was taking us next. The view that we had up there struck me as very SYMBOLIC of our current place in life & ministry right now…there were roads leading in EVERY direction around that hillside!

SO MANY roads...which one should we travel? where will it lead us? That prompted us to spend some time in prayer then & there and afterwards we built a small monument of local rocks (a tradition I follow whenever I meet with God in nature) to commemorate our time with Him there.

We drove back to the beauty of the central plateau, soaking up our thoughts & experiences. I’m looking forward to spending this International Women's Day, this Saturday (3/8) further immersed in maternity care at a forum on birthing center development that MFH is hosting in Petionville.