Our Family Health and Medicine program at Alyans Sante Borgne hopsital (ASB) has become recognized as one of rural Haiti's most successful community health models. Founded in 2006, Alyans Sante Borgne (A.S.B.) became a strong partnership between H.O.P.E., Haiti’s Ministry of Health (MSPP/DSN), and a number of international NGO’s, foundations, and aid agencies. It is regarded as one of Haiti’s most successful and effective rural health programs delivering services to a geographically dispersed population of 80,000. H.O.P.E. provides the management and core operating funding for this partnership; and engages outside partners to provide vital resources and funding.
A particular strength of A.S.B. is its grass-roots household level health program, "sante nan lakou". This program was founded by H.O.P.E./A.S.B. Medical Director, Dr. Thony Michelet Voltaire, whose vision and leadership have made this a model for rural health. Sante Nan Lakou (loosely translated to ‘health at the household level’) is a model that combines clinical care with prevention and behavior change activities that are able to access hard-to-reach populations. One of the main features of the health model is that the clinical facilities (main health center in the village of Borgne and satellite hospital in Tibouk) serve as hubs of continuous care, while mobile clinics and mobile hospitals bring services directly to people in more remote areas who may have a difficult time reaching these facilities. The health model also integrates clinical care with prevention activities in every household through a broad, far-reaching volunteer program.
The prevention activities include HIV/AIDs and STI screening and treatment, cervical cancer screening, pre-natal and post-natal care, as well as behavior change promotion activities in the community.
How H.O.P.E. responded to the lack of a professional health system for Borgne
Prior to establishing our Borgne Health Alliance (Alyans Sante Borgne or ASB) in 2006, the H.O.P.E. clinic was the only professionally staffed clinic and laboratory or first-line professional medical care available to this community. Today, ASB treats over 35,000 patients a year through mobile clinics and the community hospital in Fond la Grange. Despite significant progress since ASB’s startup, the lack of basic medicine, inoculations, vaccines and health awareness enables highly treatable and avoidable diseases, injuries and illnesses to become life-threatening and debilitating on a large scale. Our goal is to provide preventive and primary care medicine to the entire community. To date we have had significant success, but we face ongoing challenges due to funding shortages and the fact that we are the only site serving this population. ASB has developed numerous successful partnerships to channel global funds and foundation support into this community. We make excellent use of the funding we secure, and we are ever-cognizant that it does not matter how much money we have if we are not building capacity on the ground in Borgne.