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MSF Activities in Haiti as of May 2010May 19, 2010Hospitals and SurgeryIn Port-au-Prince: Saint-Louis Hospital: Medical and surgical activities are ongoing in a 250-bed-capacity inflatable hospital, which includes three operating theaters, one of them specially designed to treat patients suffering from burns. MSF’s La Trinité hospital, de¬stroyed by the earthquake, was replaced by Saint-Louis, a trauma center providing surgical care for major trauma cases and burn victims. Saint Louis has also developed the services of a general hospital, complete with pediatric and medical emergency capabilities. The hospital also provides complete post-operative care, which includes medical and surgical follow-up, physiotherapy, and psychological care. Over 2,300 surgical operations have been performed since January 25, and 190 patients are currently hospitalized there. Choscal Hospital in Cité Soleil: MSF intervened in this Ministry of Health hospital initially focusing on earthquake-related trauma. Currently two operating theaters are functioning for major surgery, and one for minor surgery. MSF also works in the emergency room and the maternity and pediatric wards. Medical and psychological care is also provided to victims of sexual violence. The hospital has a 100-bed capacity, all occupied and all under tents (the building has been repaired but patients are still too afraid to stay indoors). Rehabilitation works are ongoing to reduce the risks of flooding. The team has rearranged the facility into a general hospital, providing drugs to all the services and serving a population living in extremely precarious conditions. Psychological care continues for all patients and caretakers. Bicentenaire: This post-operative, emergency, and surgical facility features two operating theaters, pediatric and obstetric services, and has a capacity of 70 beds. Mental health services are also provided. Isaie Jeanty, Emergency Obstetrics Hospital: MSF is working in collaboration with the Ministry of Health in this 85-bed hospital, providing maternity, neonatal and emergency obstetric care. In April, 635 deliveries, including 131 c-sections, were done. This at the moment is the main referral hospital for Port-au-Prince for complicated births and eclampsia cases. In the next few weeks, MSF is going to build a flat-packed container hospital with a capacity of 130 beds, which will become a referral and training center for neonatal and obstetrical care. The partnership with the Ministry of Health at the level of Isaie Jeanty will continue. MSF Orthopedic and Trauma Hospital in Carrefour: Around 18 surgical interventions are performed every day in this 135-bed trauma and post-operative hospital, which houses two operating theaters, a normal X-ray machine and one of the few C-arm x-ray machines in the city. Orthopedic surgery, including external and internal fixation, skin grafts, and muscle flaps are being performed and post-operative care and rehabilitation provided. The hospital is also functioning as emergency trauma hospital for the Carrefour area. Currently, 100 patients are hospitalized. Rehabilitation care is offered to patients in collaboration with Handicap International. Psychological care is offered to patients and families. The hospital has also an outpatient department for wound care treating around 50 patients per day. Carrefour Grace Pediatric Hospital: This new hospital, located next to Grace Camp, is under construction. A pediatric ward (80 beds) and emergency services station are being constructed. As of May 1, the ITFC stabilization center for severely malnourished children in need of hospitalization with 30 beds is located in this hospital with an average of 20 children hospitalized. Outside Port-au-Prince: Léogâne: MSF has been working since the earthquake in this 120-bed hospital on the site of Chatuley Hospital. The hospital is providing emergency services including: maternity, obstetrics and gynaecology, general surgery and general medicine. Physiotherapy and mental health are also integrated. MSF has started to build a container hospital, with a capacity of 100 beds, as well as 60 additional beds in outside structures. The new hospital is expected to be ready between mid-July and mid-August and will be providing the same services as those mentioned above, plus radiology and laboratory facilities. Jacmel: As the hospital was badly damaged in the earthquake, MSF has provided full outpatient and inpatient services under tents (81 beds). A team is finalizing the construction of new wooden structures where the surgery, maternity, and internal services have already been transferred. The team also provides services such as emergencies and mental health. Post-Operative CareAlthough a full range of post-operative care is offered in all MSF-supported structures where surgery is performed, some sites in Port-au-Prince are specifically dedicated to welcome patients after surgery. Promesse: MSF has been working in this post-operative care structure with a capacity of 50 beds, where mental health support is also provided. This facility will close its doors by the end of the month and patients will be referred to other MSF facilities. By the end of May, this center will close after having provided post-operative care to a total 66 people. Tabarre: This post-operative tented center located in the Port-au-Prince neighbourhood of Tabarre provides physiotherapy and mental health support with about 100 beds. It accommodates patients and their caretakers who are being transferred from the Saint-Louis Hospital. This structure has replaced MSF’s post-operative center in Delmas 30, which was closed in April. Sarthe: In February, MSF opened a new post-operative center in a converted soft drink factory in the Sarthe area of Port-au-Prince, with a potential capacity of up to 300 beds. 160 patients are receiving post-operative care – wound care, more specialized orthopedic or reconstructive surgery – in this structure. Handicap International physiotherapists are working in collaboration with MSF to optimize rehabilitation and patient adaptation to prosthetics. Mental health care is also provided. In addition, there are also 100 external consultations per week for post-operative care. Site “Mickey”, Crèche Angle rue Christ Roi et Bourdon: This site, which closed in April, received an average of more than 60 patients hospitalized for post-operative and medical care, mental health care, and physiotherapy. All who required further treatment were referred to other MSF facilities. Psychological care has been routinely offered to patients who have been through major surgery in MSF-supported structures. While a team of psychologists is focusing on the patients and the caretakers inside the hospitals of Carrefour, Isaie Jeanty, Sarthe, Cité Soleil, and Martissant—with group counseling is available in some locations—these activities have also shifted towards providing counseling to displaced people living in makeshift camps around the structures, as well as to victims of sexual violence.
Primary Care
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