Friday, November 10, 2017

Haiti Haute Couture


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November 10, 2017


Shop in Thiotte
Esteemed Followers:  A recent NY Times article investigating the negative impact of donated clothes from the West on the market for locally sewn clothes got me thinking about Haiti's couture (see article below). Haiti's affair with the used clothes market started in the early 60s; the identifying term then used was Kennedys.  The present day term for piles and piles of bound up duds from our ubiquitous charity dumpsters is pepe, which signifies anything imported which otherwise could be created here, hence pepe rice,  pepe chicken.  Now Haitian women wear pepe t-shirts from Canyon Ranch or Pine Woods Christian Camp with pink leggings or denim minis rather than the common homemade garb of the pre-Kennedys era.  However, almost every day my eye catches a few homegrown dresses as they pass on the street or up close as someone sits in the clinic for a consult - their hand sewn buttonholes and delicate needle work call my attention as if it were the latest issue from a Paris fashion house.   I decided to dedicate this edition to the home-sewn dress of the Haitian woman.  May it survive pepe, Kennedys and beyond!

"East Africa Curbs Imports on America's Hand-Me-Downs" by Kimiko de Freytas-Tamura




photo by Patricia Borns*
I am no expert on the topic - my data is purely observational over my last 6 years in Haiti. The women who wear these dresses are generally post childbearing age but still contributing to family and society - selling goods, keeping animals, cooking meals.  It appears there are 2 styles - a shirtwaist style with a large collar in generally bright colors, and a style in navy blue which is reminiscent of a sailor suit.

Sailor style

traditional homemade shirtwaist

incorporating a hint of sailor suit




I grew up in a seamstress-managed household.  Our kitchen, where the 40's era Singer sat, was a domain for measuring tape, tracing wheels, tailor's chalk, tiny pieces of pattern tissues. My mom was magic at making Vogue fashions of the day; suits made from elegant fabrics with bound buttonholes and silk linings with a perfect fit.  Under her supervision I cranked out a few prom dresses, dozens of a-line mini skirts and even a surfer girl 2 piece with lacing up the back side.  Hence my nostalgia every time I see a treadle sewing machine on someone's porch in Haiti.  How pleased I was to meet Nadège, a teacher and seamstress who lives close by in Marjofre.  She sewed up for me a kostim devosyon, or devotional dress, in time to wear to the fet Gede, which is the November 1st vodou celebration of Papa Gede.  He is the beloved and feared traffic cop who directs the coming and going at the crossroads of life and death.  We had been invited to a local party and I wanted to fit in!




















Me and Nadège showing off the kostim devosyon



Calling Papa Gede later that evening
CLINIC UPDATE:  
           some portraits of what's going on in the world of HHP
Our new clinic sign with all services offered; hundreds of patients seen every month
clinic ruff back in 2013
Lab services started in September '17 *
we've gone green in '17
Visiting Univ of Colorado epidemiologist Alice White working with Dr. Antoine on a study of hypertension in the region 11/17

Ongoing cervical cancer screening in 4 health centers in the Arrondissment of Belle Anse sponsored by Hispañola Health Partners
Cervical cancer screening supervision in action *
Every clinic needs a chicken *


Fet Gede with kostim in action *

* Photos/video by Patricia Borns  Thanks for your interest in this blog; for appreciating the inside view of Haiti and supporting the growing impact that HHP creates in the SE department.  Come visit us sometime!!  All my best, Louise
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Sunday, March 12, 2017

Night Opera

OUR CLINIC: for the people, by the people     photo by Patricia Borns
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Haitian spirits in the darkness

March 2nd, 2017 Marjofre, Commune de Grand Gosier, SE Haiti:
For years now I have had a box seat at the night opera every time I sleep over in Marjofre. Well, honestly to be more comfortable I retreat a row back into the dress circle, to my mosquito-netted bed just inside the open balcony door which overlooks the wout prensipal, or main drag of rock and dirt. The evening starts with a punishing mix of burnt out speakers blasting kompa or reggaeton backed up by the high pitched squeal of the generator that powers them. This is usually coming from directly under my bed, where sits the courtyard of the "Love People Bar Resto." The racket is often punctuated with black-outs due to the blessed malfunction of the power source. By 9:30 the gasoline has run out and all that remains is the trilling laughter of a few drunk tenors as they inch their way off stage. I can hear silence for the first time in hours. Footfalls on the road below, sometimes just two - scrape, scrape on its surface, other times a shuffling lilt of hooves, a 3 against 4 rhythm, donkey or horse. More silence. I hear a truck coming from way in the distance and above the baritone of the engine a choir of voices sings as they ride atop the load - hymns in brilliant harmony rising from peaks of charcoal and plantains. It reaches its climax as they approach my balcony and then fades rapidly, before I can get out of bed to see what passed. More silence, maybe I fall asleep. Dogs begin to take the stage, one at a time, then in duets, trios, full chorus. Howling glissando, yappy staccoto. Their pauses give way to some distant drumming - I check the time, its after midnight, and the houngan, the clergyman of the Vodou psyche, has begun to sing in the breath of the gods somewhere near here. Drums' deep voices. Soft call and response crescendoing and decrescendoing, carried capriciously to me by the wind. This goes on for hours as I deliciously drift in and out of consciousness. The cock's aria is always the first to waken me - one shrill joker decides to disturb the peace with his hoarse solo that is then answered by a resounding chorus of atonal wannabes. The pigs' snorts, the donkeys' toothy gasps, the choking gurgle of a motorcycle trying to start, bring this fine performance to a close as dawn arrives.


Admin Asst Mr Bulgué on clinic roof
Little tyke with raging fever and marasmus
I found the Centre de Sante Communautaire Mare-Joffrey, (CSCM) now the official name of our community-shared clinic in Marjofre, in fine shape when I arrived on February 22nd. Better than fine in fact, when I saw everyone's phones plugged into the sockets and realized that WE HAVE ELECTRICITY!!A beautiful solar system has been installed and is fully functional as of a few weeks ago, thanks to the generosity of our donors.  As there is no electricity in town, this is a big deal for us.  This month marks one year of full-time operation of the clinic, and since the beginning of 2017 our providers have seen over 450 people.  This visit was an affirmation of the work we are doing; 5 days a week clinic consults, mobile clinics to more distant communities, cervical cancer screening and training, partnering with other regional non-profits to improve the health of the local population - the list goes on. Shocking and heartbreaking are the challenges we have in front of us; a 3 year old child in heart failure due to end stage sickle cell anemia who died as I sent her to the hospital by motorcycle; the malnourished 18 month old pictured here who arrived on our doorstep with raging ear infections and abscesses, a 2 year old blind in one eye from vitamin A deficiency.  Our staff is working hard to partner with the Ministry of Health to help address the chronic diseases of poverty, as we can not and should not do this alone.  But we have done much to provide the community of over 25,000 folks living in extreme poverty an oasis of hope.  We have you to thank.....


Anatomy refresher at HHP training


With funding assistance provided by Women International Leaders of Greater Philadelphia, HHP organized 3 days of training at the clinic in the procedure of VIA/cryo; a method of screening for and treating cervical changes that can lead to cancer.  Haiti has the highest rate of cervical cancer in the world, according to some sources.  We trained 12 doctors and nurses in the procedure, all from Ministry of Health clinics that we have equipped with training and tools over the past 3 years.  Some have already been trained by me in the past and needed a refresher course, others were new to the technique.   We screened 131 women and treated a few for positive findings; it was stimulating to share so much collective knowledge with so many experienced providers in the house. This is our first training held at the CSCM, which will become a regional center for cervical cancer screening.  I thank my fellow NP Erin Quinn and Dr. Marc Debay who helped me enormously.




Patricia filming surgeon and HHP Medical Director Roberto Peigne, outside his OR at the large Port-au-Prince public hospital "La Paix," which has been shuttered by a strike for almost a year now. 

Another exciting endeavor this time around is the making of a short documentary about the impact of HHP by brilliant filmmaker, Patricia Borns.  Patricia has worked in Haiti before and has a few documentaries out on Haiti - Madam Sara, Women of the Mountains, Women of the Border, which you can find here:  https://vimeo.com/search?q=patricia+borns
Nurse Musac and health agent Jean Robert, crucial to the project's success

We are honored to have Patricia's donated time and talent and anticipate a beautiful piece that helps describe the work we are doing and the land where we do it.   Travels with Patricia also brought us back to Pak Kado,  a community of cardboard shacks constructed by deported Haitians, booted across the border by 
their Dominican neighbors.  We squeezed into this tiny house, generously donated by its owner to do cervical screenings - we have done close to 200 there already since the camp opened in 2015.
photo by Patricia Borns
I leave you with a few tidbits - first, a photo of me and my beloved travel companion HHP treasurer, Peter Halle, here at the "Hotel Snobisme" in Port-au-Prince.  I thank him from the bottom of my heart for his patience and dedication to the cause, and for his love of Haiti, despite its "idiosycrasies."

We were in the thick of carnival celebrations this time around, and I filmed a little bit of rara or Haitian carnival music and dance that happened right outside our clinic gate.  I felt like I was back in West Africa...



Sunday, November 13, 2016

Silver Linings Social Aid and Pleasure Club


Dear Readers:  I came home last Tuesday full of the promise of silver linings in Haiti.  A month after Hurricane Matthew chewed up Haiti and spat it out, this natural disaster is giving birth to a new spirit of independence in the first black republic of the New World.  There is a growing generation of Haitians helping Haitians - not patronizing mega-NGOS or world powers manipulating puppet governments.  Examples include:

--Local fishermen banding together to carry their mammoth boats out of harm's way before the high tides struck

--Our community leaders distributing hygiene kits to 200 families, working daily against the threat of cholera

--Our staff keeping our clinic well protected and open as a service center during and after the storm, providing hundreds of neighbors with primary care

Belle Anse clinic
Peritoneal tap in our Marjofre clinic 
--The medical personnel of the Ministry of Health clinic in hard-hit Belle Anse working without pay to care for the rush of cholera patients.

--Our network of doctors, some of whom are from the worst hit Les Cayes region, organizing mobile clinics back home

Les Cayes
--A group of Haitian graduate students in the DR sending money to students who need uniforms, shoes and backpacks lost in the storm so they can go back to school

Hispañola Health Partners is doing what its mission directs - strengthening existing structures from the bottom up.  In the wake of Hurricane Matthew we have invested more than $5000 in Haitian-designed relief efforts.

More silver linings: The rains have also left our less devastated side of the country flush with green, happy corn and bean crops growing out of the usually dispirited rocky terrain.  And the vibrance of the people is very much alive and well. Take these kids playing a beat up drum kit at a Sunday service in Marjofre, or this lady selling chickens in a Port-au-Prince market.
A budding Tony Williams
Stop and Shop




Behold this brand new entrance of a local Catholic church with its simple honesty.

Haitian metal work of Grand Gosier Catholic Church
Charcoal powered ironing









Hope on wheels; we traveled 6 hours with this steel belted radial

Social aid and pleasure clubs are a New Orleans tradition mixing philanthropy with festivity, having roots in the island of Hispañola. So welcome to our Silver Linings Social Aid and Pleasure Club and thanks for the generosity you have extended to HHP.   
Please visit us at hispañolahealthpartners.org.  Our hurricane relief effort is ongoing.  We are responding carefully to ongoing requests from partners on the ground in Haiti to make sure we are using your funds to their utmost potential.  We are also making improvements at our community health center in Majofre so that we will soon have lab facilities and a solar power system to help serve our population better.  But it is not all hard work and dire straights. The pleasure part of the Silver Linings wraps us in the joy of the Haitian experience.  A la bon ou bon!  "Wow, you are good!"

Keep the faith, Louise

Louise Lindenmeyr APRN, FNP-BC
Executive Director
Hispañola Health Partners


PS: Every time you buy something at Amazon, go to smile.amazon.com (no need to reregister your information) and sign up  Hispañola Health Partners as your designated charity.  We will receive .5% of the purchase price. Thanks!
Michele Marie, 35, feels the love




Tuesday, July 12, 2016

Piece of Cake

Birthday cake delivery boy in matching Tee
Dear readers:
I am already digressing to the delightful minutiae of my travels.  But I think if you were there with me, you would do the same.  And in that vein, I will turn over the recall of our recent visit to my companion for the week, Peter Halle:
Community ambulance and the crew ready to start mobile clinics - left to right, outgoing administrator Cleeford Pierre, AMBUF member Jean Baptiste Altès, HHP Medical Director Dr. Roberto Peigne, Marjofre Clinic doctor Dr. Daniel Antoine, me, Peter Halle, clinic nurse/new administrator, Miss Florette


Travels with Louise

Louise and I flew into Port-au-Prince near the end of June, with four duffle bags filled with 200 lbs of free medicines, courtesy of AmeriCares.  The meds were destined for the burgeoning, but needy Centre de Santé Communautaire de Marre-Joffrey, a health clinic located deep in the Southeast.

Louise Lindenmeyr is a nurse practitioner and the executive director of Hispañola Health Partners, the NGO that helps support the Marre-Joffrey clinic.  You may know her as the mandolin-playing band member of the Joint Chiefs, along with her husband Eliot Osborn.  She is multi-talented and a force of nature.  I am a retired Wall Street finance guy who can build Excel spreadsheets, speak French, and withstand hours on bumpy jeep roads.

Hispañola Health Partners (HHP) was incorporated in 2013.  With the generous support of St. John’s Episcopal Church, the Salisbury Congregational Church, as well as private donors in our community, HHP has begun to realize its mission to provide integrative primary health care to rural Haiti.

After our first day in the capital converting currency and making arrangements, we headed to the bus terminal, a beaten down gas station, where we were packed like sardines into a rugged and worn 4WD bus for the five-hour drive up 3000 feet.  Now nighttime, we transferred to motorcycles for the remaining roller coaster ride down to Marre-Joffrey.

The Marre-Joffrey clinic opened for patients six months ago, amid local fanfare. The handful of Haitian nurses and doctors serve a surrounding population of 25,000.  The clinic struggles with neither electricity nor proper running water – both solvable problems in time.  But the staff is well trained and motivated to care for their community.  The clinic is dependent on the NGO’s expertise and money, and the plan is for it to become self-sustaining.

Beginning just a few miles outside Port-au-Prince, the road was unpaved with sharp scree, deeply rutted, crossing streams and flocks of goats and chickens.   It was the main highway.  But the crude roads are also a place for social interaction.  The people we met, and there were hundreds due to the mobile clinics, were friendly and, for the most part, content if not happy (after all, they were seeing a doctor).  The mobile clinics, a new initiative of the Marre-Joffrey clinic, consisted of hiring a stripped down 4WD “ambulance” to take us further into the hinterland to treat patients who could not easily get to the clinic.  While Louise and the other professionals saw to patient care, I acted as novice “farmasyen” counting pills, distributing meds, and fitting the far-sighted with free magnifier spectacles. 

Back at the clinic, the doctors and nurses tended to a regular stream of patients, organizing the inventory of drugs, and planning the necessary building improvements.  I trained the new nurse/administrator in Excel and how to track   the clinic’s finances.  But it was not all work.      

The rough and tumble roads were central to our adventures, providing a window into the dramatic landscapes and to the gorgeous unspoiled seashore.  Due to Haiti’s appalling infrastructure (water, sewage, electricity, roads), some of the most pristine beaches are unknown to all but a few.   Grand-Gosier on the southern coast possesses such a beach, where we swam one afternoon in the clear aquamarine waters.

From Marre-Joffrey we traveled six hours through the Belle-Anse arrondissement and over switchback roads to Jacmel, the regional capital, for a meeting with the health minister.   The politics of running a health clinic are every bit as important as the economics.  Jacmel has its charms, including a lovely waterfront and an old town with 19th century colonial architecture.

Our final leg was back to Port-au-Prince during rush hour.  Traffic lights have not functioned since the earthquake in 2010, and traffic rules are, well, flexible.  Coming from the ease and prosperity of our lovely corner of the state and the world, it is jarring to see the plight of Haiti.  But it is not depressing.  These are a people who have withstood the hardest knocks, and have kept their dignity and good humor.  With a little help, they may yet prosper.

Ribbon cutting of clinic on inauguration day, February 21st, 2016
We began full time clinic operations in January, providing primary care to a community that had poor or no access to services in the past.  However, it is not easy in a culture of poverty and deprivation to convince people to take care of themselves regularly.  When you are poor, I theorize, you are so consumed with fighting the enormous challenges of food, water, safety and shelter, that taking care of yourself only becomes necessary when the salivating jaws of the monster of death are about to devour you.
This woman delayed treatment for a deep neck ulcer, showing up on our doorstep with her problem hidden under a scarf

Our mobile clinics, which take place once a week, are designed to reach people who have not heard of our services, living farther than a long walk or an affordable moto ride.   For 50 goude, less than one dollar, they receive a registration card for our clinic, a consultation and free medication, appropriate for their problem.  We have started a Go Fund Me campaign to help cover the costs of the ambulance, driver, and medication.  PLEASE MAKE A TAX-DEDUCTIBLE DONATION TO HHP AT:  gofundme.com/25rbfe8e 

Baron Samedi, a raunchy bad boy, usually seen with cigar in mouth and rum in hand, imposes his diabolical power at the crossroads between the worlds of the living and the dead.

Despite Baron Samedi's taunting presence in Haiti, we carry on with the youthful optimism of these delightful carnival sprites.  Please help us win the battle at: hispanolahealthpartners.org or send a donation to HHP  374 Taconic Rd. Salisbury, CT 06068


Carnival sprites

In the loving memory of Joe Rinaldi, our dedicated board member who suddenly passed away on May 6th of this year, I lay down these words and continue the struggle.  Joe, a financial wizard with a generous heart and many years of NGO chops, helped us develop into a better board of directors over the last year of his involvement with HHP.  He visited Marre Joffrey for the first time in February for the inauguration and with a little touch of the Baron in him, he handed out cigars and Barboncourt (great Haitian rum) to the local committee.  Cheers, Joe!


Many thanks and stay tuned for more about our cervical screening program next time, Louise