Tag Archives: health screening

Mission Trip to Port-Au Prince, Haiti

Our Haiti global health fitness mission went very well. Haiti occupies the western third of the Caribbean island of Hispaniola, sharing a border with the Dominican Republic. Over 10 million people live in Haiti with a large portion of its population being young people, in part because of a high birthrate and shorter life expectancy. 37% of Haitians are younger than 14, 59% are between 15 and 64 years old, and just 3% are 65 and older. 

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Our global health fitness mission to Haiti focused on non-communicable disease prevention through health and wellness biometric screenings and counselling and physical activities such as Zumba dance fitness class. We partnered with the YMCA D’Haiti / YMCA of Haiti to offer free health and fitness services. YMCA d’ Haiti is a community-based organization committed to building spirit, mind and body. The organization develops youth, teens and adults through education and character building programs, to help them become leaders in creating a stronger community in Haiti.

Watch the video below to learn more about the work of the Haiti YMCA and what they consider to be Haiti’s biggest health challenges.

 

During this trip, we were only able to perform a few biometric screenings due to limited supplies and human resources. We were able to take blood pressure readings, body composition measurements which include height, weight and body fat. We also gave health advice based on the person’s screening results.

Based on our health screening results and general observation, some Haitians were under weight, while some of them were within their healthy weight based on age and height. The younger people had a normal blood pressure. However, most of those those above 30 and the elderly had high blood pressure, mostly due to blood pressure. High blood pressure is a silent killer and most people have no clue if they are a walking time bomb until they get regular health screenings and get the right treatment or medication to contain it. Unfortunately, most of the people we saw don’t have adequate access to health care, especially the elderly who are on blood pressure medication but go months without refills because they don’t have the money to refill their prescriptions and they don’t have transportation to take them to get their medications.

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Haiti’s Health Profile:

Haiti reports some of the world’s worst health indicators, which continue to inhibit the country’s development. The problem with healthcare in Haiti it is almost nonexistent. There’s no system, structure or plan that has been implemented. What healthcare facilities that exist are not adequate. There’s insufficient medical staff, support staff, equipment and treatment. The little healthcare system that Haiti has depends heavily on medical NGOs such as MSF, the Cuban Brigade and a few faith-based and charity clinics to fill the void. Haiti needs a permanent, modern health care infrastructure that can respond to the medical needs of all Haitians and one that is organized and staffed mostly by Haitians.

Environmental health wise, Haiti suffers from a deforestation problem which partly contributes to its devastating natural disasters. With oil being too expensive to the average person, charcoal from burnt trees has provided 85% or more of the energy in Haiti for decades. Despite the Haitian government discouraging its citizens against deforestation, Haitians have relentlessly hunted and chopped down huge amounts of forest. In the past couple of decades, the US Agency for International Development (USAID)  planted over 60 million trees. However, an estimated 10 to 20 million of these are cut down each year.

Although Haiti didn’t have much of a healthcare structure to destroy, the earthquake of January 12, 2010 caused damage to the health care infrastructure in Port-au-Prince and shut down basic services critical.  A few months after the earthquake, Haiti’s health care network was further strained by the country’s first cholera outbreak in a century. Cholera is an acute dehydrating bacterial infection spread through water and food contaminated by human faeces. The illness is exacerbated by heavy rains, poor sanitation, and limited clean water, and associated poor hygiene, such as failure to wash hands after going to the toilet. Treatment for most people is through oral rehydration and, in severe cases, an intravenous rehydration with antibiotics.  

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Key Challenges to Haiti’s Health status include:

A weak health system: Roughly 40 percent of the population lack access to essential health and nutrition services; only 45 percent of all children (12-23 months) are fully vaccinated and 22 percent of children under 5 years old are stunted.

Funding environment: Government spending for health is low and only represents 6 percent of all government expenditure for the country. There is still heavy reliance on international funding to provide Haitians access to health care services.

Human resources for health: Attracting and retaining qualified health professionals is a chronic struggle, with as few as six health professionals per 10,000 people.

Health infrastructure: The destruction created by the 2010 earthquake and Hurricane Matthew exacerbated an existing lack of adequate health infrastructure, such as health care and storage facilities, as well as access to electricity, clean water and sanitation systems.

According to CDC, Haiti Top 10 Causes of Death are:

Cardiovascular Diseases

Diarrhea/LRI/Other

Neoplasms

HIV/AIDS & Tuberculosis

Diabetes/Urog/Blood/Endocrine Diseases

Neonatal Disorders

Unintentional Injuries

Chronic Respiratory Diseases

Transport Injuries

Other Non-Communicable Diseases

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Click here to see more pictures from our Haiti mission trip

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Global Health Fitness work in Dominican Republic

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Had a memorable global health mission in Santo Domingo, Dominican Republic, in partnership with the YMCA of the Dominican Republic. Dominican Republic has a population of over 10 million people. It sits on the island of La Hispaniola which is one side Dominican Republic and the other side is Haiti. Santo Domingo is a modern and cosmopolitan city. It is an attractive and versatile city with modern shopping malls and entertainment. The people are also very warm and hospitable.

The YMCA of the Dominican Republic / ACJ-Republica Dominicana just celebrated its 50th anniversary this year. It was formed in 1967. Their focus is more on early child development and youth educational programs. They have a fitness center at their headquarters in Santo Domingo, where they also offer swimming. They operate a number of branches in Santo Domingo and have programs in other parts of the country.

Our work in Dominican Republic:

The goal of the Global Health Fitness Initiative (GHFI) is to inspire the world to health, fitness and wellness, with a focus on preventative medicine. Our efforts in Dominican Republic focused on physical activities such as Zumba and dance fitness classes, with biometric health screenings. During this trip, we were only able to perform a few biometric screenings due to limited supplies and human resources. We were able to take blood pressure readings, body composition measurements which include height, weight and body fat. We also gave health advice based on the person’s screening results.

From our observation, Dominicans love to look good so they do take their fitness seriously. People are mostly within their healthy weight. However, during our health screening sessions, we had a lot of cases of people with high blood pressure, mostly due to blood pressure. High blood pressure is a silent killer and most people have no clue if they are a walking time bomb until they get regular health screenings.

Dominican Republic Health Profile:

The Dominican Republican government only spends about 5.9% of GDP on health, in comparison to 7.6% for the region and 16.2% for the United States. The world average is 9.9%. However, Dominican Republic has one of the most advanced healthcare systems in the Caribbean. While at the airport on the way to Dominican Republic, our team member met two people who were traveling to Dominican Republic for “Medical Tourism” as they called. One of them was going to a rehab house for six months to get help with their addiction. The other person was going for a weight loss surgery. Their reason for choosing Dominican Republic versus the USA for these services was because it was much cheaper and the quality of the service was comparable to the USA.

The Dominican Republic’s health care system is three-tiered. At the bottom, the poorest in society are guaranteed access to free, socialized care. People who work in the Dominican Republic and earn less than RD$4,000 a month make social security contributions through their paychecks. As a result, they are automatically entitled to government health care services. Also, many employers provide something called an “Iguala” which is a monthly subscription to use the services of a specific clinic at no cost. Most people still end up paying out-of-pocket  for medical supplies and other services because the government doesn’t spend enough on health care so the people have to pay a big chunk of their healthcare out of pocket. In public, government operated hospitals, patients often need to provide their own supplies. Friends and family tend to look after them when it comes to meals and other needs.

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According to the Center of Disease Control, the top causes of Death in DR non-communicable diseases and lifestyle related:

  1. Ischemic Heart Disease
  2. Stroke
  3. Road Injury
  4. Diabetes
  5. Lower Respiratory Infections
  6. Prostate Cancer
  7. Hypertensive Heart Disease
  8. HIV/AIDS
  9. Preterm Birth Complications
  10. Cirrhosis

The Life expectancy at birth is W 77/M 71 yrs. The Infant mortality rate is 31/1000 live births.

Here are more pictures from The Dominican Republic