Get documents about "HANDBOOK AND RESOURCE GUIDE
Document Sample
HOM
HANDBOOK AND
RESOURCE GUIDE
(revised July 2011)
HOM HANDBOOK AND RESOURCE GUIDE (PRINT VERSION)
Many people expressed an interest in printing the HOM Handbook and Resource Guide as a total package.
We have included this document for that purpose – please note that several resources were designed to be
completed electronically and although they are included in this document – you must submit them via the web
site HOM Handbook and Resource Guide link. In addition the following forms and charts are designed in a
―landscape‖ format and are not included in this document. Please access them through the web site under
HOM Handbook and Resource Guides. This document is only available as a PDF file.
4a. Team Information Form (included but need to submit electronically)
4b. Team Member Spreadsheet (not included – see web site)
12. Creole Medical Words/Phrases (not included – see web site)
14. Clinic Templates (not included – see web site)
a. Patient Chart Cover and Visit Encounter Form
b. Prescription and RTC (Return to Clinic) Forms
c. Labels for Medications
21. Sample Certificates of Appreciation (not included – see web site)
22a. Medication Inventory Worksheet (not included – see web site)
If you have a question (or catch a mistake) – please contact Janet Horton at jchorton@embarqmail.com
1
HOM HANDBOOK AND RESOURCE GUIDE INDEX
1. HOM Introduction
2. Mission Opportunities and Guidelines
3. Long Term Volunteer Opportunities and Guidelines
4. Volunteer Information and Requirements
a. Team Information Form
b. Team Member Spreadsheet
5. Acknowledgement of Risks
a. Team Member Health History Form
6. Tips for Team Leaders
7. Airline and Travel Information for Mission Trips
a. Insert for Luggage
8. Suggested Packing List
9. Things to Remember While Traveling in Haiti
10. Introduction to the Medical Mission Clinic and Pharmacy
11. RN Protocols for Patient Care
12. Creole Medical Words/Phrases
13. Clinical and Pharmacy Supply Lists
14. Clinic Templates
a. Patient Chart Cover and Visit Encounter Form
b. Prescription and RTC (Return to Clinic) Forms
c. Labels for Medications
15. Suggestions for Team 1st Aid kit
16. HOM Formulary
a. Estimating Medication Needs
b. Options for Purchasing Medications
17. Acquisition of Medication Resources
18. Raising Support for Missions
19. Sample Donation Request Letter
20. Tips for Working With Interpreters
21. Sample Certificates of Appreciation
22. Team Feedback Form
a. Medication Inventory Worksheet
2
#1 HAITI OUTREACH MINISTRIES INTRODUCTION
You are embarking on an event that will change your life forever. It is not possible to become engaged with the
people of Haiti and not end up with a deep affection for them and a determination to partner with them in their
efforts to restore life and normalcy. You are going to Haiti because God has touched your heart – called you –
to this effort. What we are all doing in this is ministering and partnering in God’s name. If our names are not
known or not remembered that is as it should be – the focus is not on us. This is not about doing good stuff, or
how we can help someone less fortunate. It is about being partners with our brothers and sisters in Christ.
Several years ago many of us traveled to the Gulf Coast to similarly partner with our brothers and sisters in
Christ in Mississippi and Louisiana. We went there just as you are going to Haiti as disciples of the risen Lord
to fulfill his command to help each other. The legacy of that effort on the Gulf Coast is profound. It was the
ministry of Jesus Christ in the shape of our teams that made a difference. It was not the teams or the
individuals, but the presence of God that impacted everyone involved. Haiti Outreach Ministries is an
evangelical Christian organization and strives to reflect God’s grace in the world. We seek to witness to the
saving work of Jesus Christ in our lives. However, we invite people of all faiths to partner with us if their beliefs
lead them to this response to God’s grace.
Thank you for volunteering your time, effort and resources to help Haiti. In the best of times, Haiti has been in
great need. When the gangs held power several years ago, the effects of poverty were compounded by the
effects of the widespread violence. Haiti, and the ministry area of Cite Soleil, in particular, had begun
recovering from this low point. When we were in Haiti in December 2009 it struck us how much progress had
been made in many areas. While it was still deeply Third World, we were encouraged. The communities had
begun to look and act like communities. People were able to deal with the issues all of us deal with and not be
so focused solely on surviving until the next day. Sadly, Haiti today has found itself rolled backwards. The 125
homes HOM refurbished in 2009 are now a drop in the bucket to the thousands of homes needing to be rebuilt
or repaired. Twenty plus years of facilities work have been substantially undone and HOM is now in need of
rebuilding churches, a clinic annex, schools, sewage facilities and security walls. We need to accomplish both
the community work and the facilities work simultaneously, while also sustaining normal ministry activities, a
more aggressive nutrition supplement program, an enlarged microloan program in the communities – to name
but a few of our concerns. Your coming to Haiti helps the Haitians and helps the ministry deal with these
infinite needs.
In the past, HOM has relied on area guest houses for team quarters. The earthquake collapsed many of those.
The guest houses and hotels still operating have increased rates significantly. As a result, we have turned part
of the vocational school into team dorms – similar to what some of you experienced after Katrina. Before
January 2010, the idea of having a guest house at Blanchard was a dream and now we have been pressed to
do it. This is a long term effort. If a team comes down once, we deeply appreciate it. If a team returns time and
again, we are deeply grateful for your partnership. In our discussions, Leon and I have realized that we are in
this now until the end of our lives – it will take that long and beyond. When you first go, please remember this
is a marathon. Pace yourselves and look at what is being done as a long term effort to help Haitians regain
normalcy so that they can lead themselves.
Your ultimate purpose for being in Haiti is to share the love of God. Get to know our Haitian hosts. Meet
people with a smile and a handshake. Learn and use local greetings and polite phrases such as Bon Jou
(Good Morning) and Mesi (Thank you). While you are in Haiti we ask that teams plan on attending worship
services at one of the churches – most likely the Blanchard church. While the services are in Kreyol and
French, it will nevertheless, be a good worship experience even for English-only speakers. Haitians appreciate
our efforts to participate in their lives. Your mere presence at worship services conveys volumes about you
and your feeling of partnership with Haitians.
Bill Glass, President Haiti Outreach Ministries
3
Teams are encouraged to learn the basics of Haitian history and culture as they prepare for their mission.
Always remember we are guests in Haiti and need to be appreciative and considerate of that status.
INFORMATION ABOUT HAITI
Location: Haiti occupies the western third of the island of Hispaniola, 70 miles east of Cuba and 550 miles
from Miami, Florida. Haiti terrain consists of two large peninsulas; the southern peninsula is the longer of the
two. Haiti is a country of mountains, coasts, valleys, plateaus and small plains: the coastline offers beautiful,
clear water, and sandy beaches. About the size of Maryland, it has a population of about 9 million (a
population density of 670 per square mile compared with 22 per square mile in the US). Haiti’s capital is Port-
au-Prince. This waterfront city is surrounded by mountains and has a population of more than 2 million
people. It is the center of the government and much of the employment for the country exists here. The city is
diverse, home to the very poor of Cite Soleil and the very affluent Petionville.
Weather: Haiti is a tropical nation located near the equator. Daytime temperatures range in the 80’s in winter to
the upper 90’s in the summer. Nighttime temperatures range from the 70's (winter) to 80’s (summer). It stays
daytime warm until 8 or 9 PM. In open areas you will experience intense sun, particularly in the summer when the
sun is virtually overhead. The rainy seasons are in the Fall and Spring. Mosquitoes are prevalent.
Culture: Haitian culture is a mixture of primarily French, African elements, and native Taíno, with influence
from the colonial Spanish. The country's customs essentially are a blend of cultural beliefs that derived from
the various ethnic groups that inhabited the island of Hispaniola. In nearly all aspects of modern Haitian
society however, the European and African elements dominate. Haiti is world famous for its distinctive art,
notably painting and sculpture. Food in Haiti is largely influenced by French cuisine, and is sometimes referred
to as Creole cuisine. Haitian cuisine tends to be moderately spicy, not mild and not too hot. Rice and beans in
several differing ways are eaten throughout the country regardless of location, becoming a sort of national
dish. Some native staples are cassava, yam, and maize. Spaghetti is popular among Haitians as well. Tea is
rarely served, but coffee is very popular, as well as beer and rum. Football (soccer) is very popular both as a
spectator sport, and as an active hobby. Another highly popular sport is basketball. As a pastime occupation
many people like to play domino, and you often see men in the streets gathered around a domino table.
Demographics: About 95% of Haitians are of predominately African descent. The rest of the population is
mostly of mixed Caucasian-African ancestry. A few are of European heritage, and there is a very small
percentage of people of Japanese or Chinese origin. About two thirds of the Haitian population lives in rural
areas. Millions of Haitians live abroad, chiefly in North America: the Dominican Republic, United States, Cuba,
Canada (primarily Montreal) and Bahamas. They live in other nations like France, French Antilles, the Turks and
Caicos, Venezuela and French Guiana. There are an estimated 1.6 million Haitians living outside of Haiti.
Government: As of the 1981 Constitution, Haiti operates as a republic. The first democratic free elections
were held in the early 90's. The Haitian government consists of an Executive, Legislative, and Judicial Branch.
The president is elected by popular vote for a five-year term. The Judicial branch’s highest court is the Court of
Appeals. It administers its laws under a legal system that is based on Roman civil law
Language: The official languages are French and ―Kreyol‖. French used to be the official language, but Kreyol
is now spoken by more than 85% of the population and has increasingly become the language of politics,
administration, business, education, society and religion. Haitian Kreyol is a phonetic blend largely of French
and African dialects. English is taught in the schools.
4
Transportation: Roadways: Haiti has two main highways that run from one end of the country to the other.
The northern highway, Route Nationale #1 (National Highway One), originates in Port-au-Prince, winds
through the coastal towns of Montrouis and Gonaïves, before reaching its end at the northern port Cap-
Haïtien. The southern highway, Route Nationale #2, links Port-au-Prince with Les Cayes via Léogâne and
Petit Goâve. Maintenance for these roads lapsed after the 1991 coup, prompting the World Bank to loan $50
million USD designated for road repairs. The project was canceled in January 1999, after auditors revealed
corruption. Roads and streets in Haiti are often in a poor condition due to lack of maintenance. Haiti has a
garbage problem, and though Haitians are innovative people and find ways to get rid of the garbage by e.g.
burning it, using it for construction, art etc., there are still areas that suffer from trash-filled streets. Most
Haitians walk or ride a bike. The most common form of public transportation in Haiti is the use of "tap-taps".
Tap-taps are usually painted in very colorful motives, often with religious slogans written all over the vehicle.
They are named this because when a passenger needs to get off they use their coin money to tap the side of
the vehicle and the driver usually stops. Most tap-taps are fairly priced at around 10-15 Gourdes per ride within
a city. The catch to the price is that the driver will often fill a truck to maximum capacity, which can be as many
20-30 persons.
Ports: The Port International de Port-au-Prince has more registered shipping than any of the other dozen ports
in the country. The port's facilities include cranes, large berths, and warehouses, but these facilities are in poor
shape. The port is underused, possibly due to the substantially high port fees compared to ports in the
Dominican Republic. The port of Saint-Marc is currently the preferred port of entry for consumer goods coming
into Haiti.
Airports: Toussaint Louverture International Airport (formerly known as Port-au-Prince International Airport),
which opened in 1965 is located 10 km North/North East of Port-au-Prince. It is Haiti's only jetway and handles
the vast majority of the country's international flights. A handful of major airlines from Europe, the Caribbean,
and the Americas serve the airport.
Industry: Haiti is the poorest country in the Western Hemisphere. The average income is $370 per year.
Almost 70% of Haiti’s national income accrues to the wealthiest 20% of the population. 80% of the population
lives in poverty; 56% lives in abject poverty on less than $1 a day; two out of three adults are unemployed or
underemployed; and almost 40% of the population is under 15. Most people make a living in the informal
sector as vendors, shoe shiners, artists, farmers etc., and therefore have no steady income or any other
economic security. Working conditions for many are very difficult, it not unusual to see even small kids doing
hard manual labor. Most shops in Haiti are small businesses, often selling car parts, food and drinks, used
clothes etc. There are a very high number of street vendors, and as Haiti has many artists, there are many
street galleries. Port-au-Prince has food-processing plants, soap, textile, and cement factories and exports
coffee, mangoes and sugar. Since the 1990’s the number of industrial jobs has shrunk to fewer than 25,000, a
decline traced to competition from Asia, political and social instability in Haiti and inadequate services for
everything from electricity to roads and ports.
Agriculture: Forest and trees, which once covered 60% of Haiti’s surface, now cover less than 2%. Huge
swaths have been harvested for wood — Haiti’s principal source of energy — and to produce charcoal. Most
farming is primarily subsistence plots, increasingly truck gardens. Commercial crops are coffee, sugarcane,
sisal, and fruit. Food crops include beans, rice, corn, sorghum, and tubers. Average size of family farm: 2
acres. Only 28% of the land is arable, 12% is permanently cultivated
Haitian Currency: Haitians routinely refer to their own money as Haitian dollars, based upon the time of the
US occupation. The exchange rate fluctuates depending on the US economy or political unrest in Haiti.
5
Exchange methods and rates also vary also among merchants. One constant: there are always 5 Gourdes to
the Haitian dollar. Visitors must clarify whether the price being quoted is in Haitian or American dollars, or
Gourdes. During our first or second day in Haiti we may give you the opportunity to exchange US currency for
Gourdes. You frequently can use US dollars with the street vendors so you may want to make sure that the
money you bring is in small denominations, ones, fives and at the most twenty dollar bills. Some shops accept
credit cards although Discover cards are not used in Haiti. Traveler’s checks are not commonly used. We
suggest you bring a limited amount of cash. You will want to carry it on your person at all times. You should
have limited out of pocket costs for the trip so most of the money you bring will be used for shopping. Most
people find $100.00 - $200.00 sufficient for their personal use.
Health: Haiti has the highest rates of infant, under-five and maternal mortality in the Western hemisphere.
Approximately 230,000 infants are born each year: Infant mortality rate is 6% at birth; mortality is 30% total for
the children under 5 years. Half of the children in Haiti are unvaccinated and just 40% of the population has
access to basic health care. Most people are at a high risk for major infectious diseases: unsafe water,
inadequate housing and unsanitary living conditions, contributes to the high incidence of disease. Diarrhea,
respiratory infections, malaria, tuberculosis and HIV/AIDS are the leading causes of death. It is estimated that
5.6% of people in Haiti are living with HIV/AIDS. This includes approximately 19,000 children. Cases of
tuberculosis (TB) in Haiti are more than ten times as high as those in other Latin American countries.
Approximately 30,000 people in Haiti suffer each year from malaria, 90% of Haiti’s children suffer from
intestinal parasites, 75% of the population suffers from malnutrition, and only 41% has access to safe drinking
water. The average life expectancy is 59 years.
Education: Although public education is supposed to be free in Haiti, the cost is still quite high for Haitian
families who must pay for uniforms, textbooks and supplies. The reality is that such education is virtually non-
existent; as a result private, missionary and other parochial schools account for about 90% of primary schools,
and only 65% of primary school-aged children are actually enrolled. At the secondary level, the figure drops to
around 20%. Although Haitians place a high value on education, few can afford to send their children to
secondary school. Subsequently adult literacy rates are less than 30%. Churches and non-profits
organizations have worked to provide schooling for 85% of the children enrolled in elementary education as
well as providing secondary or high school education. Children are required to wear uniforms; colors may
indicate school or church affiliation. You will likely meet children in Blanchard wearing their pink and white
uniforms. All children are expected to meet one standard and pass the State exams after sixth grade. About a
dozen private universities and higher education institutions provide advanced education. The University of
Haiti in Port-au-Prince has colleges of medicine, law, business, social sciences, architecture and engineering.
There are also technical trade schools operated by a variety of organizations.
HOM administers a sponsorship program that provides support for primary and secondary school educations.
You may have the opportunity to tour the Cite Soleil or Blanchard schools and meet some of the students. For
$300/year ($25/month), HOM is able to provide teacher salaries, a school lunch program, school supplies,
books, vitamins, and yearly health assessments. (See HOM website for further information on how to become
a sponsor). This program is 100% dependent on sponsors for its funding.
Religion: Catholicism was the official religion from 1860 until 1960. Protestant missionaries first came to Haiti
in the 1700's and established churches in the early 1800's. 80% of the Haitian people are Roman Catholic and
20% Protestant. Over half the country practices Voodoo. Many Haitians practice a combination of Christianity
and Voodoo, with many Voodoo symbols based on Christian symbols and icons. HOM has a close relationship
with the Christian Community Church in the Port-au-Prince area, a set of four Protestant congregations,
including the church in the Blanchard community.
6
HOM LOCATIONS
7
CITE SOLEIL (City of the Sun) is located in the flood plains of Port-au-Prince. This community was originally
established by Papa Doc’s wife to house the influx of rural Haitian peasants looking for job opportunities in the
city. Today, Cite Soleil is the poorest slum in the entire Western Hemisphere. Poverty here is indescribable.
There are no public services; the roads are barely passable and nearly 300,000 people live in this area of
about 2 square miles. There are rows of one room shacks made of mud and concrete bricks reinforced by
scraps of metal, no running water and open sewage ditches. When it rains, the sewage of Port-au-Prince runs
down hill, collecting largely in this sea level community. This is the site of the first church started by Pastor
Leon Dorleans. With the help of his wife Jacky and American partners the Cite Christian Community Church in
Cite Soleil now includes a medical clinic, primary school and church that serve the community. Sunday
worship attendance is sometimes greater than 1000 people, depending on the political situation. Children have
an opportunity to attend school during the week. Medeus Profaite, a graduate of Cincinnati Christian
University, is the pastor at Cite Soleil.
REPATRIOTE: This ―suburb‖ of Port-au-Prince houses the newest community and church. The community is
being built on former cropland, with a primary intention being to house Haitians returning (displaced) from the
Dominican Republic. Hardest hit by the earthquake, plans for this site include a church, school and clinic.
Currently worship services are held under a tent as construction on the school and church proceed.
IBO BEACH (Source Matelas): Ibo Beach is a small rural community of
about 15,000 people, located 25 km northwest of Port au Prince. The
Christian Church there is pastored by a contemporary of Leon’s, Iclair
Balthazar. In addition to the church, there is a primary school of over 250
students (photos coming soon!)
8
BLANCHARD (TERRE NOIRE): Blanchard (New Land) is another ―suburb‖ of PAP and is directly north of Cite
Soleil. It is home to about 200,000 and is growing. The HOM Blanchard Christian Church is the worship home
for almost 1,000 members, and it hosts a primary school, vocational school, and a Family Health Ministries
(FHM) operated medical clinic. Luc Aristhene, trained by Leon and educated at a US college and seminary, is
the pastor at Blanchard. This community is only a short drive from Cite Soleil and serves as housing for our
teams. HOM’s flagship primary school is at Blanchard.
For further information about HOM: contact Bill Glass at haitioutreach@hughes.net
If you’d like to schedule a team: contact Stephen Carlton at haitioutreachtrip@gmail.com
To contribute to our mission efforts in Haiti: see donation information below.
For more information on sponsoring see the Student Sponsorship on the HOM home page
Donations can be designated to be used for:
A. Relief – now focused on home rebuilding for Haitians impacted by the earthquake
B. Reconstruction and repairs of HOM facilities
C. Sponsorship
D. Pastoral support
E. Vocational programs
F. Cite Soleil clinic staff and medicines
Send donations to: HOM
c/o Vince Tanner
12364 New Market Mill Road
Beaverdam, Va. 23015
9
#2 MISSION OPPORTUNITIES AND GUIDELINES
Opportunities exist for short-term medical, construction, and vocational missions, ongoing health projects,
specialty clinics, and long-term service. In addition there is much preparation and work that needs to be done to
enable a team to travel to Haiti and provide medical care or engage in building projects. Let us know your
expertise and how you'd like to help. We’d love to have you on our list of people we can call when we need
help. There are many areas where you can volunteer to help;
networking with professional and church organizations
grant writing and fund raising
organizing and packing medications and supplies for mission trips
travel to Haiti as part of a mission team
organize and lead a mission team to Haiti
volunteer to serve as a onsite field and project coordinator for months to a year living in Haitian
communities working on HOM projects. There is always a need for ESL teachers to help in the
schools and adult education programs.
Each mission trip is a unique experience when one considers the individual needs of the Haitian people and
the dynamics of each volunteer team. Keep in mind that flexibility is vital. Before deciding which type of
mission trip you’ll go on, ask yourself these key questions to select the right trip for you.
Why are you going? What is your motivation?
What type of experience are you looking for?
What level of cross-cultural experience is right for you?
How much time do you want to invest in preparation for the trip?
Can you commit to a short-term project? An ongoing project? A long term project?
How does what you will be doing contribute to accomplishing the Great Commission? Is there an
evangelism/outreach element even if it's mainly a medical or construction trip?
A short term medical or construction trip is generally 1-2 weeks in length and teams come prepared to finance
their ministry while in Haiti. The daily cost of staying in Haiti is approximately $30 per person. All supplies
needed to furnish a clinic must be provided by the medical team: this includes medicine, medical and pharmacy
supplies, printing charts and prescription forms. Estimated cost to supply a 1 week clinic is approximately
$2,000 depending on the size of the team. Currently efforts are being made to develop alternate - less
expensive - sources of medicines and supplies. The cost for teams that come to help with building efforts is
generally much lower as limited supplies are needed. See Resources for Fundraisers and Sample Donation
Request Letter for information on acquiring donations for mission trips.
Ongoing health projects include providing physicals for the school children. We are currently looking for
team(s) who will commit to performing these yearly exams. Each child should have a physical consisting of
weight, height, general physical exam, immunizations, de-worming and vitamins, the results of this physical
would become part of the child’s school record. Any child identified with health problems would be referred to
the Haitian clinic or to see a provider at the next scheduled medical team visit. These clinics can be done at
any time of the year; HOM will coordinate with the teams and school to incorporate them into the school
schedule for minimal disruption. Costs tend to be less since little medication, other than vitamins and de-
worming medications, are needed. Scales and thermometers are provided; volunteers will need a stethoscope
and penlight or flashlight.
Examples of other health projects or specialty clinics include leading community "health and hygiene‖ classes,
nutrition classes, vision and dental screening, pregnancy and birthing classes (HOM is working on developing
a birthing center). We’re also looking for volunteers to help develop written and pictorial health and information
pamphlets in English/Creole/French to give to the Haiti patients.
10
#3 LONG TERM MISSION OPPORTUNITIES AND GUIDELINES
Are you ready for a life changing experience in a new culture? Do you enjoying serving others and being
challenged in your walk with God? Then this may be the opportunity for you! In addition to volunteers for 1-2
weeks mission trip, we need field coordinators who are willing to serve on a long term basis as a vital link
between teams, HOM organization and the mission field in Haiti. These coordinators will help meet the
practical needs of teams and serve as liaison between HOM board members and church staff. Volunteers are
currently working with medical teams and Cite Soleil clinic administration, sponsorship liaison, housing and
facilities construction, and vocational programs. There is always a need for ESL teachers, engineers, and
medical professionals. Other responsibilities may be assigned depending on ability and/or interest.
MAIN RESPONSIBILITIES:
1. Pick up and take teams from the airport; assist with transportation of luggage and supplies to place of
lodging and to medical clinic or work site.
2. Provide "customer service" to teams, facilitating transitions to and from the field, serve as host and liaison
between Blanchard staff and teams staying at Blanchard, make arrangements for teams to purchase
additional food items or supplies as needed.
3. Serve as liaison between teams, church staff and HOM to address any issues regarding team needs or
projects. Facilitate opportunities for teams to learn, receive and share ideas. While field coordinators may
interact with all members of a team, their primary responsibility is to partner with team leaders to co-
ordinate the mission project, to anticipate, prevent and resolve conflicts and to contact HOM and/or church
staff for assistance if concerned for the safety of the team or mission.
4. Work closely with team leaders to encourage, guide and motivate team members to ensure a positive
experience that will result in more people joining HOM.
5. Coordinate transportation for teams to and from job site/clinics and for sightseeing (if time permits)
6. Procure adequate translators for teams
7. Coordinate with teams to ensure that sufficient materials/equipment is on hand to complete the project.
Help to supervise small groups of the work team members as they do construction, repairs, painting,
furniture building etc. Although experience in construction is helpful, it is more important that field co-
coordinators encourage, guide, and motivate work groups.
8. Coordinate with HOM medical staff to procure and transport drugs and medical supplies for clinics.
Maintain an inventory of formulary drugs and communicate needs to HOM medical board members and
teams as directed. Assist medical teams in setting up clinic and pharmacy space. Field coordinators do not
need medical experience, their primary responsibility is to assist medical teams by managing the physical
set up and maintenance of the clinic space and supplies. All medical decisions/responsibilities will be
made by the medical team leader and/or team physicians.
9. Work with HOM and church staff to identify needs within the community and assist in the development and
implementation of plans to meet those needs.
QUALIFICATIONS AND SKILLS
Strong faith
College education preferred
Good computer skills desirable
Practical experience of planning and implementing church mission projects
Experience in team leadership and project management
Strong interpersonal skills and the ability to communicate cross-culturally
Strong organizational and problem solving skills, an ability to think and plan strategically
Able to work as part of a team and independently
Must be resourceful and open to new ideas,
Must be highly adaptable and able to work with different cultures and work ethics
11
#4 MISSION TEAM VOLUNTEER INFORMATION AND REQUIREMENTS
WHAT IS A MISSION TEAM?
Mission teams are made up of adults and youth representing various organizations and groups committed to
offering their time and talent to those in need. Haiti Outreach Ministries is coordinating mission trips to help in
the recovery efforts and to continue with ongoing construction and health care projects. If you would like to
partner with HOM missions, please read and complete the following steps. A detailed HOM Handbook and
Resource Guide has been prepared to provide information and guidance as you prepare for your trip, while
you are on the mission field and for your return journey home.
RECRUITING AND SCHEDULING A TEAM
1. Determine what will be the focus of your team? Typical team focus areas will be medical, construction and
repairs. There are opportunities for relationship ministries (VBS, teacher seminars, etc.). (see Mission
Opportunities and Guidelines).
HOM’s primary medical clinic at Cite Soleil is staffed by Haitian personnel and supplemented by volunteer
medical teams. The Haitian clinic is currently operating out of the existing damaged clinic while volunteers
utilize the church offices and classrooms behind the church. Samaritan's Purse is at Cite Soleil seeing
patients daily and is committed to staying for an indefinite time as well as helping plan and fund
construction of a new clinic. Visiting HOM medical teams may work at Repatroite, Ibo Beach, Cite Soleil
clinic annex or at other public sites such as the tent city in Cite Soleil. Family Health Ministries operates a
clinic at Blanchard and also welcomes volunteer medical teams
Medical teams usually consist of MDs, DOs, NPs, PAs, RNs/LPNs, Pharmacists/Techs and
EMTs/Paramedics; we encourage inclusion of dentists and ophthalmologists on teams to create a more
comprehensive clinic. A medical team can expect to see approximately 50 patients per provider per day.
Medical, NP or PA students may join the team but cannot work without supervision in a ratio of 1 provider
per 4 students. Nurses may work as a medical team without a healthcare provider present under protocols
developed by HOM (see RN Team Protocols for Patient Care).
Haitian workers and U.S. teams have been building houses to replace family homes lost in the
earthquake. During 2010, 103 of these homes were built, with design and features evolving as we gain
experience and become more proficient. The number of homes funded each month varies with the actual
cost of the homes (they can vary dependent on site and construction complexities) and whether visiting
U.S. teams contribute additional funds. In addition, repairs and reconstruction continue in all of the HOM
facilities. Construction teams can include both skilled and non-skilled laborers, experience is a plus but
willing hands are always welcome.
2. Organize and prepare your team: team participants should be at least 16 years old and in good
health. Usually teams stay a week and come prepared to finance their ministry while in Haiti. Due to safety
and logistics concerns, we recommend a maximum team size of 16 people. At the present time we have
capacity to house 34 individuals at Blanchard. Many individuals have volunteered to go and we may ask
teams to consider integrating them into the group when possible.
3. Go to Mission Trips on the HOM Website and click on Team Registration Information, follow the directions
regarding scheduling your team. Contact HOM at haitioutreachtrip@gmail.com to be to be placed on the
mission trip calendar. Please submit your first and second choices of dates for your trip, the type of work
you will be doing and how many people are on your team. Allow 2 weeks for a reply. Although all efforts will
be made to accommodate requests, our first priority is to schedule teams in evenly distributed intervals
throughout the year and as staff resources and space allow. Even teams staying outside the Blanchard
complex require project and transportation coordination efforts.
12
In subsequent e-mails always include in the subject line: The name of your organization or team leader, the
arrival date and exit date for your trip (for example 6/11/2011 to 6/18/2011)
4. Once you have been approved, the following information is needed and can be submitted electronically on
the Team Registration site – click on Group Registration Form.
Beginning and ending date of trip with airline information
The name of your organization or name of team leader
The physical and email address of the organization of team leader
Team leader’s phone number
Focus of your mission trip (medical, school physicals, construction, VBS, etc)
Team size with a breakdown of the number of men and women (no more than 16 total per team)
5. Team leaders will also be asked to provide contact and other information on each team member. You can
submit the information by completing the Team Member Information Form found in the HOM Handbook and
Resource Guide and email it to haitioutreachtrip@gmail.com and to Bill Glass at haitioutreach@hughes.net.
This information provides us with contact information in the unlikely event we need to reach their emergency
contact while they are serving in Haiti and so that we may furnish team members with information on our
ministry after they return.
6. All volunteers traveling to Haiti must fill out a liability waiver (see Acknowledgement of Risks) and Health
History form. Team leaders will retain these forms until completion of the trip. HOM teams have conducted
many trips for over 20 years without incident. Although there have been reports of security issues HOM
teams have not had any negative experiences. Our partners and friends in Haiti advise us if political/social
conditions are not right, as they did for a trip in 2006. Since the earthquake conditions have been
challenging, teams should be prepared for spartan accommodations
7. All volunteers should be aware that photographs and videos of HOM’s work in Haiti may result in their
image being used in printed and electronic publications for the purpose of promoting Haiti Outreach
Ministries. No personal data will be disclosed and efforts will be made to protect individual privacy. No
photographs will be used for profit and no volunteer will be paid or rewarded for use of their image.
8. Read the Team Leader Tips for additional information and guidelines on preparing for a mission trip. We
encourage all team leaders and team members to read the HOM Handbook and Resource Guide, most
guidelines are applicable to all teams – a few are prepared specifically for medical teams. Even if you have
been on a mission team to Haiti before, time and conditions change and the resource material will reflect
the most current information and guidelines.
FEES: Fees may change depending on conditions. Please check with us before you depart. For a team of 8-9
people, the average cost is $30 (US) per person, per day. As of now these fees will need to be brought to Haiti
in the form of cash. The fee pays for lodging and meals (light breakfast and dinner) at the Blanchard complex
and the provision of one interpreter and one tap-tap/with driver. Other costs not covered include obtaining your
passport, airfare, immunizations, medical and clinic supplies, personal items and spending money in Haiti. You
will be responsible for providing your own lunches; packages of tuna or chicken, fruit cups, cookies and
granola bars all travel well, PB&J makes an easy lunch and all ingredients are available locally. A trip to a local
grocery store can be arranged for the day after your arrival to buy lunch materials and snacks. Prices are
usually higher than the in the States for these items. Some teams may incur higher costs. For example,
medical teams require more translators, which will increase the cost per person for that team. A team with
more than 9 people will incur higher costs due to the additional $50 per day Tap-Tap cost. HOM is a 501(C)3
organization. Trip costs may be tax deductible.
13
To schedule as an individual (Individual Registration)
If you want to participate in a mission trip to Haiti but can’t get a team together, we will try to help find a place
for you within another team. In order to do this, please allow for a little flexibility with dates. Email us at
haitioutreachtrip@gmail.com with possible dates and areas of interest. Once partnered with a team, we ask
that you participate with the team as much as possible in preparing for the trip and follow the direction and
guidelines of the team leader once in Haiti. All costs and conditions remain the same as for a team. Bear in mind
that many teams are at maximum size and may not be able to accommodate additional people.
GETTING THERE: Each team is responsible for its own travel arrangements. Airline tickets fluctuate between
$500 and $900 per ticket. It’s best to purchase your tickets as soon as possible to obtain the best rate. Mid week
flights are often the cheapest. All team members must travel on the same flight. HOM staff will meet you at the
airport and assist with transportation to your accommodations. For this reason, it is important that we know your
flight number and scheduled time of arrival (see Airline and Travel Information).
PASSPORT: A passport is needed; it must be current and is required for reentry into the US. Carry a photo
copy of it separate from your passport (and not in checked luggage). Remember to keep the green departure
slip given to you in Haiti Immigration. A Visa is not needed. Green Card holders (U.S. Resident aliens) must
take their green card. They will not be allowed to leave Haiti without it.
HAITIAN IMMIGRATION AND CUSTOMS: You will fill out a card upon arrival. It requires that you list an
address of where you are going to be located. The Blanchard address is:
Eglise Chretienne de Terre Noire, Carrefour Vincent, Rue David #48, Port au Prince
IMMUNIZATIONS: CDC (Centers for Disease Control) strongly recommends the following immunizations:
Dtap (Diphtheria-pertussis-tetanus) within 5 years. If you received a Td as an adult, you still need to
get a Dtap booster
Hepatitis A and Hepatitis B
Typhoid (oral dosage is effective for 5 years, injectable dose is effective for 2 years)
Polio Booster for Adults over the age of 21
Current Flu vaccine if traveling during winter months
HEALTH PROTECTION: Get all the recommended vaccinations. Remember to bring all personal prescription
medications. In addition it is recommended that you take an anti-malarial (chloroquine, doxycycline, or
malarone) to be prescribed by your physician. Most anti-malarial medicines should begin before you leave on
your trip and continue after your return, so plan ahead.
Insect repellant (DEET 30) should be taken and used often. Take the following steps when applying insect
repellant and sunscreen while in Haiti.
First apply sunscreen. Wait 15 minutes and apply insect repellant (Deet 30). If you don't wait these 15
minutes, one will cancel out the other.
Apply Permethine to your clothing, hats, gloves, socks and shoes. This retails often as ―Repel‖ or
Permanone and is applied only to clothing (not to your skin).
Each team should have an emergency kit which should contain all the medications you will need for most
common illnesses, nausea, pain medication (including narcotics), antibiotics and bandaging materials. (see
Suggestions for Team First Aid Kits). The Cite Soleil clinic has IV fluids and other medications if your team
needs them. If your team does not have a doctor or nurse, the Haitian doctor in the Cite Soleil clinic is
available to you. We recommend that each person have emergency med-evac insurance in the event that a
medical emergency occurs and immediate care is needed. The States are only 90 minutes away and there are
multiple flights out per day. (See Team Leader Tips for information about group policies)
14
GI upset and diarrhea can occur in Haiti in spite of taking all the precautions. If this occurs, the following
regimen is recommended: Take an Imodium each time you have diarrhea following the recommended
instructions until it stops. There is no data that taking Cipro as a preventative is helpful in preventing traveler's
diarrhea and we do not recommend this practice. In fact, in the long run it can cause more problems with
resistant bacteria. If the diarrhea persists, let your team leader and site coordinator know so that you can start
taking Cipro (Take 500 mg twice a day for 5 days). If you have an upset stomach, consider using anti-nausea
medication. Try to stay hydrated especially if you have diarrhea or nausea. Remember to drink plenty of fluids.
Heat exhaustion and in some cases, heat stroke comes on very quickly in this hot, humid climate. Be prepared
and do not over exert yourself when working. There is no air conditioning in Haiti! Report any illness to your
team leader immediately!
HOM FACILITIES: Volunteers will be housed at the HOM Blanchard facility in Port-au-Prince. The Blanchard
compound has 41 solar panels for electricity. This provides for electrical necessities (i.e. the water pump), but
not enough for extras like hair dryers. All electricity in Haiti is 110 volts with receptacles like in the US. There is
limited refrigeration and no air conditioning at Blanchard - they are too power intensive.
ROOM AND BOARD: Food provided will be Haitian – usually rice and beans. Breakfast will be fruit, bread and
coffee. If you have food allergies or dietary restrictions, it would be best to bring suitable food supplies for your
stay. Most meals may be acceptable to vegetarians but the cooks may use meat products in preparing the food.
There is pure drinking water at the Cite Soleil and Blanchard compounds. Bring a refillable container and always
use bottled water that is provided for drinking, taking medication and brushing your teeth. The dorms are located
nd
on the 2 floor of the school building. This is a fairly new structure which was not damaged during the
earthquake. We have one male dorm room, one female dorm room, and a smaller room for overflow. Each
dorm has bunks with an air mattress and mosquito netting. There are electric fans in each dorm, battery
operated fans are useful when electricity is not available. Bed linens are provided but very few pillows
available. Donations of towels and washcloths after your trip are appreciated. There are bathrooms with
showers; cold water only (sunny days may provide a slightly warmer shower). A computer is available for
teams to contact home. Limited internet access is available but teams are discouraged from bringing multiple
laptops due to power and bandwidth limitations.
SITE-SEEING AND SHOPPING: Teams are encouraged to explore Haiti; arrangements can be made to tour
Port-Au-Prince, the beaches or Baptist Mission at the top of the mountain. A retail shop is located at the
Blanchard compound featuring products from the vocational program as well as local metal, stone and wooden
crafts. All sales benefit the co-operative and its members.
HOM FIELD STAFF: In Haiti, HOM has several young people who have volunteered their services to be on-
site field coordinators at the Blanchard guest house and in the mission field. They will meet you at the airport
and be with you through your stay. HOM leaders and field coordinators working at the guest house will
coordinate with the team leader to provide a daily plan that includes the routine of the compound plus your
project. This daily schedule includes meal times, team meeting time(s), site seeing, special events (if one of
the Haitian leaders is scheduled to spend time with your team), and group devotions. These young adults are
giving up to a year of their lives to this mission without compensation. Please be considerate of them, if a staff
member is designated as the duty person, please contact them and not the others, since we attempt to rotate
responsibilities and provide for some personal time for the staff.
15
Blanchard Dorm Bathroom Corridor between Dorms Blanchard Dorm
Blanchard Compound
Roof and Dining Area
Dorms
located here
CONTACT INFORMATION
In Haiti
Blanchard address: Eglise Chretienne de Terre Noire, Carrefour Vincent, Rue David #48, Port au Prince.
Leon Dorleans – Haiti phone 509-3726-6408 Email: leon.dorleans@yahoo.com
Additional contact information will be provided in your Welcome letter once you have scheduled your trip. This
will include the name and local phone number of the staff member who will meet you at the airport and help
co-ordinate your clinic/project while in Haiti.
In the United States
Bill Glass – President (207) 388-2263. Email jglass50@gmail.com and haitioutreach@hughes.net
To contact a board member or for more additional details concerning Haiti missions see ―Board Members‖ and
―E-mail and Blogpage links‖ on the HOM website under ―About HOM‖
The Embassy of the United States of America in Haiti
Address: Boulevard du 15 October, Tabarre 41, Tabarre, Haiti,
Phone: (509) (2) 229-8000, facsimile: (509) (2) 229-8027,
email: acspap@state.gov
American Citizens Services Unit office hours are 7:00 a.m. to 3:30 p.m., Monday through Friday. The
Consular Section is closed on U.S. and local holidays. After hours, weekend & holidays: Please call (509) (2)
229-8000. The Marine guard will connect you with the Embassy Duty Officer.
16
#4a TEAM GROUP REGISTRATION FORM
Once your trip has been approved and the dates confirmed; please submit an official team registration form by
either clicking here to complete the form online or you may print, scan and email the completed form to
Haitioutreachtrip@gmail.com. (If you have not secured your dates, please return to the Team Registration
information web page and follow the directions for scheduling a team). This form must be submitted at least
one month prior to your trip to Haiti. Please email your flight information to HOM as soon as you purchase
your tickets, all team members must arrive on the same flight. All subsequent emails should include the team
leader contact information and trip dates.
TEAM REGISTRATION FORM
Mission Trip Date: Arrive: _____________________ Depart:________________________
Purpose of Mission Trip:____________________________________________________________
Name of Sponsoring Organization:____________________________________________________
Email Address of Sponsoring Organization:_____________________________________________
Contact Person at Sponsoring Organization:____________________________________________
Team Leader: ____________________________________________________________________
Team Leader’s Phone#____________________________________________________________
Team Leader’s Address:____________________________________________________________
Team Leader’s Email Address:_______________________________________________________
Total Number of Team Members: ____________ (max. 16) Male __________ Female__________
Flight Information: Carrier Name: ____________________________________________________
Arrival Time: Flight #: ______________________
Departure Time: Flight #: __________________
After you have submitted your team group form; we ask that the team leader submit information on each team
member by completing the ―Team Member Information Form‖ (different from the Group Registration Form) and
have all members read and sign the ―Acknowledgement of Risks and Responsibilities‖ and the ―Health
History‖ forms. All of these forms are found in the HOM Handbook and Resource Guide. Please email the
completed Team Member Spreadsheet form to Haitioutreachtrip@gmail.com and to Bill Glass at
haitioutreach@hughes.net as soon as possible. It is important that we have contact information on each person
in the unlikely event we need to reach their emergency contact while they are serving in Haiti and upon their
return so that we can keep team members informed of future plans for this ministry. Retain the
―Acknowledgement of Risks and Responsibilities‖ form at home until the completion of your trip. Take the
completed ―Health History‖ forms with you to Haiti in the unlikely event that a team member becomes ill and is
unable to supply the necessary medical information.
We encourage all team members to read the HOM Manual and Resource package for helpful information
about missions in Haiti. We praise God for each individual that desires to partner with HOM.
17
#5 ACKNOWLEDGEMENT OF RISKS & RESPONSIBILITIES ASSOCIATED WITH MISSION TRIP TO HAITI
I request permission to participate as a volunteer in the Haiti Outreach Ministries (HOM) mission program.
I acknowledge and accept the following (initial each one):
1. _____I understand that there are risks and dangers associated with travel to, from, and while in Haiti;
including possibly adverse health effects and/or injury and risk of being a victim of criminal and/or political
violence. I release and hold harmless HOM and all officers, agents and staff of the organization for any and
all claims and costs due to any liability, injury or damage which might occur as a result of my experience,
associated travel and living arrangement.
2. _____I understand that it is my responsibility to visit my physician to discuss my health status and ability to
participate in this mission trip. I understand that I may undergo types of exertion and conditions that I am not
used to and will notify the team leader if there are concerns regarding my health and fitness. I agree to
abide by any request made by HOM of me to cease being a part of the mission.
3. _____I understand that consequences of travel to Haiti may prevent a person from being an acceptable
blood or organ donor in the future.
4. _____I agree to notify the team leadership if I learn of anything that would alter the risks to others or me at
any time.
5. _____I understand that HOM is not financially responsible for any of my expenses associated with this
mission trip; I understand this is a group trip and if for any reason I cannot go on the trip, monies paid will
not be refunded unless a replacement is found. I also understand that if our return is delayed due to things
beyond HOM’s control, the extra cost will be billed to me.
6. _____I understand that the inherent dignity and privacy of the Haitian people must be respected and
protected regardless of the nature of the person's health problem. I agree that I will not perform outside of
my scope of practice or perform any experimental treatments or procedures on the Haitian people.
7. _____I agree to act in a responsible way while in Haiti and to follow the directions of the team leadership to
minimize risks to myself and other members of the team.
8. _____I agree to allow the team leadership to release personal information about me to the US State
Department or other agencies if they believe that it would be in my best interest.
9. _____I affirm that I am over 21 years old and competent to enter into this agreement. I understand the
potential for risk and agree to abide by HOM’s guidelines and the team leader’s direction.
_____I affirm that I am over 16 years old and have my parent’s permission to enter into this agreement. My
parents and I understand the potential for risk; I agree to abide by HOM’s guidelines and the team leader’s
direction.
Signed___________________________________________________ Date ________________________
Signature of Parent/Legal Guardian of minor___________________________________________________
Team Leaders: have each team member sign this form and retain the copies until after completion of your trip
18
#5a TEAM MEMBER HEALTH HISTORY FORM
Please notify your team leader of any health issue that may impact your ability to travel and participate in this
mission. Up to date health information is critical to your safety; if you have additional health or medical
information that is not included in the form, add additional pages as necessary. Note that HOM does not
guarantee access to electricity or refrigeration and cannot be responsible for medical equipment (i.e. c-pap
monitors) that requires electricity.
NAME: DOB:
EMERGENCY CONTACT PHONE #:
INSURANCE COMPANY AND POLICY #
PRIMARY CARE PROVIDER: PHONE #:
MEDICAL/HEALTH PROBLEMS
MEDICATIONS:
DRUG ALLERGIES:
In the event of a medical emergency if I am unable to communicate, I authorize HOM and its agents in its sole
discretion to: (1) take reasonable actions, including hospitalizing me, for my health and well-being and at my
expense; (2) notify the person(s) listed as my emergency contacts of the nature of the emergency and my location
Signed___________________________________________________ Date ________________________
Signature of Parent/Legal Guardian of minor___________________________________________________
19
#6 TIPS FOR TEAM LEADERS
Team Leaders: have each team member sign this form and retain the copies until after completion of your trip
We are happy you are thinking of joining us! If you haven’t already done so - please read the Mission Team
Volunteer Information and Requirements for information regarding missions with HOM, then go to the Team
Registration page on the web site to begin the application process. We encourage every team leader and each
team member to read the HOM Handbook and Resource Guide for useful information regarding missions in
Haiti. Even if you have been on a mission team to Haiti before, time and conditions change and the resource
material will reflect the most current information and guidelines.
Getting Ready to Go: Complete the Team Group Registration and Team Member Spreadsheet forms and submit
them to HOM. Have your team members read and sign the Acknowledgement of Risks Waiver and Heath History
forms and retain a copy until after your trip. Remind team members that they need a current passport and should
also carry a copy of their passport (separate from their passport). US Resident aliens must bring their green card.
Medical teams will also need to take a current copy of their medical license(s). Encourage team members to
participate in all aspects of preparation for the trip. Divide responsibilities up according to each member’s interest,
time and talents.
Stay in Touch with HOM staff for current information regarding your project. Medical teams should contact
Forrest Shroyer at fshroyer@gmail.com at least one month in advance to make arrangements to purchase
(available) medications for your trip (see ―Options for Purchasing Medications‖). If you have questions regarding
available supplies or resources in Haiti please contact HOM staff: please do NOT contact any Haitian official,
health care provider or supplier directly.
Prepare Your Team: Make sure team members have appropriate immunizations and malaria prophylaxis.
Review CDC travel guidelines at www.cdc.gov/travel or ―HOM Introduction‖ for current recommendations.
st st
Assign a team member(s) to outfit a team 1 Aid Kit (see Suggestions for 1 Aid Kits). Establish a medical
evacuation plan in the event of significant illness or injury to a team member. Decide if the team wishes to
purchase short term or group travel insurance in case of an emergency (strongly recommended!) Rates for
this coverage are very reasonable. If necessary, it covers medical evacuation back to the US. Group plans may
be purchased from most independent insurance agencies or from American Express. Brotherhood Mutual offers
a group rate for medical coverage to HOM teams; contact Bill Glass at jglass50@gmail.com for additional
information. For more options see International Travel Health Insurance Plans at www.gninsurance.com
Think of Yourself as a Good-Will Ambassador. Whether you agree or not, your team will be regarded as a
representative of the U.S. Encourage team members to avoid behaviors that may reinforce the stereotype of
Americans as pushy, rude, arrogant, condescending, or wasteful people. Dress appropriately to avoid offense.
Encourage team members to use local greetings and phrases such as Bon Jou (Good Morning) and Mesi
(Thank-you). Smile and shake hands with people you meet as much as possible. Remember that any action of a
team member can result in a lasting positive or negative impact to the ministry long after the team is gone.
Maintain a Cooperative Team Spirit. If team members can’t get along, it negatively affects the morale of the
whole team and ultimately the success of the mission. Remind members to maintain the attitude that you are
volunteering your time not only to give, but also to benefit from the experience. Be prepared for the fact that
some of your colleagues may have a very different work ethic than yours or seemingly acting less committed.
Encourage everyone to focus on their own experience and not the actions of their colleagues; remember
everyone handles the mission experience differently
Be Flexible. Working in any developing nation is challenging; things will change, and change again. Try to
remember that no matter how substandard the facilities and resources of the location are, this is likely the best
that the locals have and it works for them. Remind your team that this is really not about you: it’s about doing
the most good for the most people in a short time. Encourage them to think of this experience as an
opportunity to expand their abilities to think - and work - outside ―the box‖ and to develop new strategies to
provide good care or services with limited resources.
20
Have Realistic Expectations. Never promise more than you and your organization can deliver. When planning
a medical clinic, under-promise (and then over-deliver) on the number of patients you are able to treat, if you
see more patients than promised, satisfaction will be high. Construction projects often take longer than
expected and may not be completed in a week’s time; encourage your team to measure success in the quality
of the job done rather than amount of work completed. Recognize and accept that local people may or may not
show their gratitude or recognize your hard work.
Enforce Security. Crowd control cannot be overemphasized. Even if you help many people, leaving an angry
or dissatisfied mob at the end of the day will erase any good from earlier efforts. Good intentions but poor
outcomes will only cause problems for future mission teams and the coordinating church. Never promise
personal support to a family or individual. Never do ―giveaways‖ in a crowd—this can create instant chaos. Do
not allow team members to give away things such as water, food, candy, or empty water bottles; these and
other surplus supplies can be given to one of the pastors/teachers for distribution after you leave.
Set Aside A “Debriefing” Time. Spend time each evening as a group to discuss the day’s events and offer
encouragement and praise as needed. Compare notes on the project or clinic operation and discuss problems
or difficulties encountered and possible solutions so that the following day can be more efficient and
successful. The pharmacy staff on medical teams should update the providers on medications that are
running low. Devotions or prayers are often helpful during this time to encourage and boost team morale. Be
alert to team members who may be emotionally overwhelmed by the day’s experience.
Set a Good Example: A successful mission doesn’t just mean seeing a lot of patients or completing building
projects; it’s also about leaving the work site/clinic and church personnel – with a good impression. Taking the
time to thank the HOM field coordinators, church staff and interpreters goes a long way into making sure that
future teams are welcome and get the help they need for their mission to be a success. Although not required,
most teams provide a small thank you gift to the interpreters for their hard work (see Tips for Working with
Interpreters for suggestions). Leaving the work site/clinic and clinic pharmacy in a ―better than you found it‖
condition also helps. Our field coordinators have a lot of work to do – cleaning up after your team – is not one
of them! An end of trip inventory of supplies and medicines left in the clinic is not only encouraged but vital to
HOM’s ability to adequately anticipate and provide assistance for future teams.
Take a Team Photograph. In addition to the compassionate nature of the mission this is also a chance to see
a part of the world and encounter problems you may not have seen otherwise, and to gain insight into a way of
life which you may have never encountered. This experience may renew enthusiasm in your work environment
or practice of medicine and forge bonds with your team mates unlike those you experience with colleagues in
the States. Taking a photograph is a tangible way to capture some of the lessons and camaraderie you and
other team members may want to remember from the mission experience.
Anticipate "re-entry" Culture Shock. Encourage team members to schedule extra time at the end of the trip
before returning to work to unwind and digest the experience. Extra time can also provide an often-needed
cushion in the event of travel delays. Warn team members that friends and relatives may have little interest in
accounts of their experiences and the deplorable conditions encountered. It is impossible to describe the day-
to-day hardships the Haitian people struggle with to others but this experience may help you gain a lasting
sense of perspective on your own challenges.
21
#7 TRAVEL INFORMATION FOR MISSION TRIPS TO HAITI
Due to safety concerns and limitations of staff and transportation in Haiti, HOM requires that all team members
travel to Haiti on the same flight. Although there may be occasions when team members’ travel originates from
different cities, we encourage you to arrange for a central departing point from within the U.S. to Haiti.
Exceptions are permitted only in rare circumstances and with prior approval from the HOM staff. We strongly
encourage teams to arrive on Sunday and leave on Saturday – allowing time for our staff to help teams depart
and to prepare for incoming teams. You will have ample time to prepare for the next day’s clinic or project and
attend an evening Worship Service. Mid-week flights often offer significantly lower prices.
AIRPORT INFORMATION
Team members should arrive at the airport as directed by the airlines, typically 2 hours prior to departure.
Make sure everyone has their passports; Green Card holders must have their green card. Each team member
should pack personal belongings in a back-pack or carry-on suitcase. Some supplies may be shipped or
acquired in Haiti but most teams will pack 1-2 suitcases to be checked in your name. Currently all airlines
allow 2 free checked bags on international flights: check with your airline carrier for current guidelines and
pricing. Each team will determine how luggage is distributed, many will do this in advance and you will bring
―your‖ suitcases to the airport. In other cases you may be assigned a suitcase once you arrive, you may open
the containers so that you are familiar with its contents. Medical teams should inventory the contents of all
suitcases and compile a master list for inventory purposes. Each suitcase should contain a document stating
that all medications and supplies are intended for a medical mission and will be distributed for free in a Haitian
clinic (see “Insert for Luggage‖). The insert includes Leon Delorean’s address so that the airlines have a contact
if luggage is lost.
Delmas # 3, Rue Guignard, Port Au Prince, Haiti
In times of political unrest it may be advisable to be discrete and not tag luggage or wear scrubs/team clothing
to avoid attracting the attention of the Haitian custom officials – our friends in Haiti will keep us advised of
current recommendations. All checked suitcases need to be carefully weighed (cannot exceed 50 pounds)
prior to arriving at the airport to avoid paying fees or having to answer questions as you try to re-distribute
medicines and supplies in today’s cautious and suspicious airport environment. We recommend that one or
two ―team bags‖ be available for larger containers of liquids or extra snacks that you are not able to bring in
your carry-on luggage. While in flight to PAP, you will be given two cards to complete. One is a white Haiti
Customs Form and the colored (typically pale green or yellow) form is the Haiti International E/D Card
(Visitor’s Visa). Use the Blanchard address when asked where you are staying.
Eglise Chretienne de Terre Noire, Carrefour Vincent, Rue David #48, Port au Prince.
ARRIVING AT PORT-AU-PRINCE INTERNATIONAL AIRPORT
Prior to departing the plane, have your passport and visitor’s visa in a safe and easily accessible place. Once
you leave the plane, follow the directions of the Haitian airport ground crew carefully – they do not like it when
people stray! You will enter the terminal in the Immigration Area and wait in one of the usually long lines. Make
sure you stay behind the green line prior to your turn to have your passport and visa stamped. Couples may
go through together. Each person does need their own visitor card, but there is only one white card per family.
Put your passport and visitor’s visa (green or yellow card) in a secure place, you will need both to depart the
country. Next you will walk into the baggage claim area. Luggage carts are available for 2 dollars; generally 3-
4 pieces of luggage will fit on 1 cart. Part of the team should stand with the carry-on luggage as others remove
the bags off the line as they come out. It is important to make sure not to miss any bags. Custom agents often
target teams, if possible break into smaller groups to pass through customs. Have your white customs form
and luggage bar code stickers in your hands. You will give the customs agent your white form as you exit.
Once you pass through customs, exit as a group.
22
The next few minutes are the hardest part of the entire trip. There will be many Haitians trying to help with
your bags. Do not let anyone take your cart. (If someone takes your cart they may not release it without
payment). Just say ―no mesi‖ with a smile and keep walking. It helps to have several team members surround
the luggage cart. Do not give anyone money or “treats” – you will be mobbed! When you exit the airport,
turn right and push through the crowd to the end of a long sidewalk. Stay behind the fence until you see the
HOM representative who will meet you and help load the vehicles. Once you reach the end of the fence we
1/
recommend that you hold up a GREEN 8 2 x 11‖ sheet of paper so that you are more easily recognized. No
one from HOM is allowed in the airport or fenced area, be wary of anyone inside those areas who claim they
were sent to help you.
DEPARTING PORT-AU-PRINCE INTERNATIONAL AIRPORT
Preparing in advance is helpful. Remove all old airline luggage tags, consolidate and re-label empty luggage
as needed for check-in. Not everyone will be assigned luggage for the return trip, you should be able to check
all returning luggage. There will be lots of room for souvenirs to be packed in returning luggage. It is important
to know if you have been assigned a bag or box in your name for custom purposes in Miami. In Haiti, where
traffic jams, flat tires, and other hazards can delay travel significantly, we will build in sufficient travel time to
arrive at the airport. This may mean you will have a long wait, but the airport is AIR CONDITIONED. Once you
arrive at the airport, there will be many Haitians willing to help you. Again, do not allow anyone to help with
your luggage. You will need to show your passport at the security check at the door to the departure terminal.
Once you are inside teams usually assemble as a group to the left of the check-in counters and check in as a
group. Group members will take the luggage to the side and stay with it until the leader calls for the luggage to
be checked. Once luggage is checked and everyone has received boarding passes, proceed to the gates.
Each person should have his/her passport, boarding pass and colored green/yellow visa ready for check-in.
There are four check points prior to the gate counting the one at the entrance door. The last is right at the gate
(sometimes they do not use this fourth check). At the first desk through the boarding area, you will present
your passport to be stamped and render your visitor’s visa. Keep moving forward to the security/x-ray
checkpoint. Once through this checkpoint, depending on time, you can either shop in the duty free shops
located on the first floor or proceed to the waiting room at the departure gate on the second floor. Once in the
rd
waiting area you will not be able to return downstairs. There are restaurants on the 3 floor and bathrooms
and clean water fountains inside the gate.
MIAMI or FT. LAUDERDALE AIRPORT
When you return you will go through immigration and customs. When entering the immigration area, watch for
signs and security personnel for help on where to go. IMPORTANT do not use your cell phones until after you
clear customs and immigration, they will be confiscated! After clearing immigration proceed to the baggage
claim area. There you will need to claim all checked bags and proceed towards customs. If you have been
assigned a bag for the return trip, please try to be with these items. The most important thing is to avoid
getting sent to the agriculture line where all our bags will need to be scanned. The customs agents like to
make small talk, they are trying to decide if you need to go through the agriculture line. If asked what is in your
bags, tell them dirty clothes and medical/work supplies from the project you worked on in the City of Port-au-
Prince. After clearing customs take the bags through a set of doors and to the left where they will be again
scanned before the flight to your home airport. After that, just relax until you’re on your way home!
REGISTRATION:
We recommend that all team members register with the US State Department (US Embassy – Haiti) Go to:
https://travelregistration.state.gov/ibrs/register,short term traveler. You will need your passport number,
destination information and phone numbers; for purpose of trip; report humanitarian visit.
23
NOTICE
These medications and supplies were
purchased to be used by a volunteer medical
mission team to supply a free medical clinic
to benefit the Haitian people
AVIS
Ces médicaments et provisions ont ete
achetés pour etre utilisé par une équipe
volontaire de mission médicale pour fournir
une clinic médicale gratuite au profit du
peuple Haitien.
If found, please return to: Leon Dorleans at Delmas # 3, Rue Guignard, Port Au Prince, Haiti
24
#8 SUGGESTED PACKING LIST
1. Shoes: one pair suitable for work and one for church and shower shoes
2. Clothing – lightweight sleepwear, shirts, shorts, socks, underwear, & swimsuit (for use at beach or pool only)
3. Women: dress or skirt for church, shirt with sleeves & slacks for clinic, capris are allowed in Blanchard after hours
Men: short sleeve shirt & slacks for church, tie optional but would be appreciated. Knee length shorts after hours
Please bring only clothing that fits within these guidelines so as to maintain safety and avoid offense. It‟s
important that we not distract the people from the message we want to convey, and to respect cultural and
church standards. Laundry is available so there is no need to pack extra clothing (clothing must be marked
for easy identification)
4. Good quality work gloves and safety glasses if involved in building projects
5. Linens and pillows (twin sheets are available at Blanchard; towels, washcloths and pillows are in limited supply)
6. Sunhat, sunglasses, contacts (with PLENTY of solution)
7. Antibacterial Wipes, tissues (highly recommended to clean the tops of bottle, cans etc. before drinking)
8. Personal medications (suggest Imodium and antacids, each team should have a first aid kit)
9. Toiletries (Soap, toothbrush & paste, shampoo & deodorant)
No curling irons, hair dryers, or electric razors. Electric power is limited power!
10. Camera and extra batteries
11. Flashlight and extra batteries (may be needed at night after „lights out” and in the clinic for medical personnel)
12. Personal fan and extra batteries (highly recommend!)
13. Battery operated clock
14. Earplugs & iPods (Haitians roosters and dogs often start crowing/barking at 3 am)
15. Cell phone charger (Verizon offers a free international phone to its customers, call the company for details)
16. Citronella candles and matches
17. Insect Repellent w/deet 30 (many teams leave insect repellant so there is usually some available)
18. Sunscreen - at least SFP 15 or higher and waterproof (also usually available)
19. Lip balm, eye drops (liquid tears etc), saline nose spray
20. Refillable water bottle
21. Personal snacks (granola with dried fruit, protein bars, peanut butters crackers, tuna packets - be imaginative)
22. Gatorade powder (very expensive to purchase in Haiti)
23. Paper towels and toilet paper ( at least 2 rolls per day per team – larger teams may wish to bring more)
24. Duct tape, zip lock bags, trash bags
25. Copy of your passport & your PASSPORT,
26. Copy of your Green Card
27. Driver’s license-needed to use a credit card
28. Spending money- VISA, MC & American express (consider pre-paid credit cards)
29. Bible, devotional and journal items
30. Supplies for medical personnel (see Clinic and Pharmacy Supply List in Resource package)
31. Copy of Medical license(s) for medical personnel
All your personal belongings need to fit in your carry-on bag. Airlines have gotten very strict about personal carry on
items. Please note that airline carry-on luggage dimensions are 24" x 13" x 9". You are allowed 1 carry-on personal
item such as a pocket book or backpack. Other small items you attach to your person such as a money belt can be
considered a third item and will have to be stored in your personal carry-on bag when going through security. All
liquids and gels must be no larger than 100 ccs (3.4 oz) and contained in a quart sized Ziploc bag (team leaders may
choose to allow space in the team’s checked luggage for personal items that do not meet this criteria) Remember to
remove all unessential items from your wallet; we recommend carrying only 1 credit card and your driver's license.
While traveling, keep ALL your documents and money on your person, NOT in your carry-on or checked luggage. We
suggest that expensive jewelry, computers and other valuable items not be brought to Haiti; we cannot be responsible
for stolen or lost items or damage to electronics due to electricity surges while charging the battery.
25
#9 THINGS TO REMEMBER WHILE TRAVELING IN HAITI
1. Protect your passport at all times. Make two copies prior to departure. Give one copy to the group leader
and keep the second copy in a safe place separate from your passport and checked luggage.
2. The most common problem is petty theft. Please leave all expensive jewelry at home; do not carry
expensive items in your hand or on your person. Don’t carry backpacks on your back in crowded tourist
areas. Passports, credit cards, cell phones and any documentation should be left at the housing site when
not in use for maximum security. Team lockboxes are provided; please bring padlocks to secure these
boxes. We cannot be responsible for stolen or lost items.
3. Do not leave the group without permission from the team leader and HOM staff. When traveling away from
the group, always travel in groups of two or more team members. Never travel without a Haitian escort.
The team leader will make final decisions regarding group needs and activities.
4. Please listen to the team leader or HOM staff when he/she is giving directions, they are ultimately
responsible for your safety. Ask questions, chances are if you don’t understand instructions or information
provided, others in the group may be confused as well!
5. Shorts are discouraged outside of the Blanchard complex as well as pants and sleeveless shirts/dresses
for women. Although in PAP you may see women in shorts and pants, this is not the typical dress for the
Haitians. It is inappropriate to sunbath in any area except at the beach or a pool (if your team is staying at a
hotel). Team members may change into knee length shorts (men) or capris (women) after the work day.
Scrubs are appropriate for medical team members (men and women) in the clinic and after hours.
6. As representatives of a Christian based mission organization and out of respect for the customs of our
Haitian friends, please be mindful of wearing t-shirts with potentially offensive language or pictures and
refrain from conduct that may be viewed as immoral, such as ―colorful‖ language, public displays of affection,
tobacco use and consuming alcoholic beverages in the clinics, church complexes and communities.
7. Always wear closed toe shoes when walking outside.
8. There is NO safe public water in Haiti. Never drink water from the tap, always use bottled water for drinking,
taking medication and filling water bottles. Do not rinse your tooth brush with water from the sink and avoid
getting water in your mouth while showering. Carry alcohol and anti-bacterial wipes to clean the contact
surfaces of Coke bottles, etc. Always check the source of ice prior to using it in a drink.
9. Be careful what you eat! Food served at Blanchard is safe, but never eat from street vendors.
10. Please let your group leader know if you become ill while traveling or working in Haiti. We will have
antibiotics and other medicines available to start you on if such a need arises.
11. Your ultimate purpose for being in Haiti is to share the love of God. Get to know our Haitian hosts. Meet
people with a smile, a handshake and a ―bon jou.‖
12. Feel free to take photos, but be respectful of the people around you. Remember the dignity and right to
privacy of the Haitian people. Always ask permission before taking someone’s picture. Be subtle with your
photo taking in the market areas. Sometimes people photographed expect money for this privilege.
13. Keep mind that flexibility is vital, each trip is an unique experience when one considers the individual needs
of patients and the dynamics of each volunteer team
14. Never promise anything to a Haitian friend unless you are absolutely sure you can follow through with the
commitment. We discourage individual gifts, including gifts for the children. Do not share personal
information such as email addresses or cell phone numbers. If you would like to give an individual gift or
donation, talk with the HOM staff members, one of the pastors or Leon.
15. Don’t ever trust a Haitian dog or cat even if they appear friendly
26
#10 INTRODUCTION TO MEDICAL MISSION CLINIC AND PHARMACY
In preparation for a medical mission trip there are a lot of things to be done before going to the field. To
understand what needs to be done in advance, it helps to have an idea of what actually will happen at the
mission site. This is a general guide as one or more of these areas may be combined or expanded depending
on the size of the team, location of the clinic and number of patients to be seen. All medicines and supplies
needed to furnish the clinic must be provided by the medical team. Limited amounts of medicine and supplies
may available for team use (see Clinic and Pharmacy Supplies) The medical clinics in Haiti are open to
anyone; church staff may distribute ―tickets‖ several weeks in advance of a team or make arrangements to
bring patients in form surrounding areas. The patients wait in a designated place (usually the church) until it is
their turn. Some of the HOM or church staff will help with crowd flow.
Usually teams arrive on Saturday or Sunday and drop medications/supplies off at the clinic or housing site. On
Sunday, teams are encouraged to attend a worship service (Sunday arrivals may attend evening worship
services) and use the afternoon preparing for clinic on Monday. Sometimes one or more providers will see
HOM staff/leaders after church while other team members set up stations (a table with chairs for provider,
interpreter and patient) organize supplies, stocks the pharmacy, count pills and takes care of last minute details.
On Monday morning it’s time to go to work. The HOM or church staff will have the interpreters waiting at the
clinic site; we recommend 1 interpreter per provider and per station, more may be needed in the pharmacy to
ensure that patients understand medication directions. Some teams like to work with the same interpreter
each day while other teams mix it up, either way works (See Tips for Working with Interpreters). Most teams
start the day with prayer and then go to work. A work day is usually 8 am – 5 pm with a noon break for lunch.
Each provider can expect to see about 40-50 patients per day. It’s important that all team members take
frequent water and bathroom breaks to avoid illness and fatigue and as an opportunity to interact with the
patients. Although this is a medical mission, it’s also about Christian outreach.
Intake or Registration
Registrars, often non-medical personnel, will log initial information on a patient medical record. If a patient has
been seen before by a HOM team, he or she should have their medical record with them. If the patient is new
to the clinic or does not have his/her medical record, a new chart is issued (see Patient Chart template).
Registrars record the patient’s demographic information and chief complaint; we want to address the ONE
most important problem, although we may need to briefly address more than one. Jot down only pertinent
facts that will help the health care provider. Registrars will be assisted by local volunteers and interpreters to
help maintain order and monitor patient flow. They will direct patients to the next designated area. Registrar
personnel may join the pharmacy staff or triage area as needed after all patients have been registered.
Triage (This can occur before or after registration or may be combined with registration if the team is small)
Here vital signs are recorded on the medical chart; vision testing may be included in this area when available.
The patient is then referred to registration or to the appropriate medical or dental provider. On some projects
where simple lab tests are available, triage personnel may perform diagnostic testing such as blood sugar or
urine tests or monitor patients on nebulizers. In some cases the vitamins and anti-parasitics can be dispensed
from this area to prevent a backlog in the pharmacy.
Medical Consultation
The health care provider takes a more detailed history with the aid of an interpreter, examines the patient, lists
the diagnosis and writes the prescription on a clinic prescription form. Examinations will be problem-oriented,
and in many cases, diagnoses will be determined based on history. In some cases medications may be
dispensed from the examination area. Follow-up must be arranged for patients who need ongoing medical
care, either with the next visiting team or with the Haitian MD.
27
Points to Remember…
1. Record only pertinent physical findings in an abbreviated format, diagnosis(es), and plan of care.
Complete a prescription form for the Rx’s the patient needs to obtain from the pharmacy.
2. Try to minimize the number of meds for each patient and use medications recommended in the HOM
formulary so as to avoid confusion and provide continuity of care.
3. Antibiotic resistance is not a problem here, so treatment duration can be shorter. Pediatric doses
should be on the lower end of the acceptable treatment range.
4. If a patient has a life threatening illness, refer the patient to a hospital immediately!
5. If concerned about a patient, you may request that the patient return to see you before the end of the
mission. Give the patient a Prescription/Return to Clinic (RTC), check yes for return visit, include the
name of provider and the date the patient should return form and a brief note as to the reason. Instruct
the patient to give the form to the registrar or intake personnel on the appointed day.
6. Many of the diseases and medications available are very different than what we are accustomed to in
the U.S. A helpful reference is ―The Handbook of Medicine in Developing Countries” by Palmer and
Wolf. Several resources including Tabor‟s Pocket Pharmacopeia, Sanford‟s Guide to Infectious
Diseases, Color Handbook of Dermatology and a drug reference book are available for team use.
Dental Care and Consultation – Dentists that accompany medical teams will have access to a dedicated
space and basic dental equipment in the Cite Soleil clinic. Contact Forrest Shroyer, coordinator for medical
teams, at fshroyer@gmail.com prior to your trip for current inventory information.
Treatment and Dressings Area
Wound care, eye and ear irrigations, IVs, nebulizer and other treatments that require monitoring will be done in
this area. Blood-borne pathogen protocols will ALWAYS be followed, but especially in wound care. No one
who has not received Hepatitis B vaccine can handle any kind of body fluids or wounds.
Pharmacy (See page 3 for additional information regarding Pharmacy Set-Up and Med Dispensing)
Dispensing of prescribed medications is done from the prescription form that the patient brings from the health
care provider. Pre-packing and labeling medications in advance can greatly facilitate patient flow and is a
necessity in busy clinics. When possible labels can be preprinted with the drug name and directions (use of
universal symbols is helpful). Templates for these labels (compatible with Avery 5160 labels) can be
downloaded from the HOM website. A minimum of 2 members should be assigned to the pharmacy; larger
teams should add an additional person for every 2-3 providers. Generally more than 1 interpreter is assigned
to this area as it is essential for the patient to understand how to take the medicine. This is a busy station and
is the last to close for the day. Medication must be secured for the night. This may require boxing and moving
medicines to a lockable room or back to the team’s accommodations. Persons assigned to registration can
help in the "catch-up" and securing the area for the night.
At the end of the mission each team is asked to take an inventory of all medications and supplies not used;
this will help determine not only what medications are needed for the next team but also which medications
are used most often. Please leave a copy of the inventory and (filled) RX forms with the HOM field staff to be
forwarded to the HOM medical board after the team returns to the States (See Team Feedback form).
Clinic Supplies and Forms
Each team is responsible for bringing adequate clinic, pharmacy and general supplies, including patient charts
and Prescription/Return to Clinic (RX/RTC) forms to equip the clinic. The RX/RTC forms are designed for 2
RX per form and include a check off for return to clinic thus decreasing number of forms needed. See Clinic
and Pharmacy Supply and the Charts and RX/RTC templates.
28
Clinic and Pharmacy Set Up and Responsibilities
Medical clinics are currently being held at Cite Soleil in classrooms behind the church, under tents at
Repatroite and in other public sites such as the tent city near Cite Soleil until the permanent clinic is
completed. A locked medical supply storeroom been established and HOM field staff is co-coordinating
with teams to buy and maintain medicines and supplies for clinic use. Contact Forrest Shroyer at
fshroyer@gmail.com at least one month prior to your trip for information regarding available equipment and
assistance with purchase of medications in Haiti (see Clinic and Pharmacy Supply List and Purchasing
Options for Medications)
Prior to Arriving on the Site
In a typical medical clinic, 4 providers may see 200 or more patients per day. That can mean 600 or more
prescriptions to be filled! The best way to accomplish this is to pre-package and label medications at home
and to bring pre-printed labels and zip-lock bags to package medications each night after clinic. Encourage
help from local volunteers. Some medications may be dispensed at registration/triage (multivitamins, de-
worming medications) or at the provider’s stations (antacids, NSAIDS, etc.) to ease back-log at the pharmacy.
Depending on the clinic location in Haiti, you may be able to set up your medications in an established secure
site, at other sites you may have pack-up and bring all of your supplies each day.
Preparation - On site
Determine the clinic pharmacy location. For most sites, the clinic arrangement has already been
established by HOM staff. If site conditions change, the team leader or physician/pharmacist and HOM
staff decides on the pharmacy location for best workflow. Ideally the site must be secure and have
adequate space for 4 or more people to work. Carefully consider traffic and work flow issues.
Set up your dispensing station. Try to obtain a table to work from. If all else fails, use your medication
and supply boxes to create a surface that you can work from.
Organize your medications. Arrange medication so that the most used are easily accessible; less utilized
can be stored in boxes (or luggage) until needed. When possible organize medications by drug
classification and dosage (and possibly alphabetically). In some cases this may be done for you.
Orient your helpers. If there are not sufficient pharmacists for a team (usually at least 2 for every 4
providers) then you will need helpers to assist with the dispensing. Often these may be non-medical
personnel. Take time to explain the formulary set up and how you plan to dispense medications.
Get to know your interpreters. The most important part of your work will be to make sure the patient
understands how and when to take the medication. You will probably need to rely on your interpreter for
this process, so take the time to talk with him/her and decide how you plan to work. Many of the
interpreters are experienced with working with medical teams and may offer valuable suggestions.
During Dispensing
The pharmacy is usually the last station. If there are any questions regarding the medications prescribed by
the health care provider; ask the provider to clarify (while he/she is between patient examinations if possible).
The pharmacy may be the longest wait for the patient, but it is important that we are very careful in filling
Rx’s, and that each patient fully understands how to properly take his/her Rx’s.
No medicines will be dispensed without a prescription form (or as a last resort, patient medical chart).
After the Clinic is Done
During the evening debrief, compare notes on clinic operation and make plans for the next day. It is helpful to
record some basic statistics like number and type of prescriptions filled. That will help future teams to plan and
prepare for their visit. Do a quick inventory of medications that are needed or not being used. Continue to pre-
pack medications for the next day. Inform the providers of those medications that are running low.
29
#11 RN TEAM PROTOCOLS FOR PATIENT CARE
Nurse-only teams can provide patient care, health education, and medications in absence of a team health
care provider (MD, DO, NP, PA) using HOM developed protocols and independent judgment. Patients are
triaged according to urgency of need and directed to further care or provided with refills of specified
prescription and OTC medications. Utilizing these protocols does not involve making medical diagnoses but
provides the guidelines nurses need for the safe, effective, and fast disposition of the individual’s health needs.
The goal is to provide competent care of health related problems by RNs at the appropriate time.
Registered nurses at all educational levels are able to provide triage. Experience is the major requirement;
two years experience in Medical Surgical, E.R., or Family Practice is recommended.
PROTOCOLS
Allergic Rhinitis
Asthma
Back Pain
Bowel Problems
Diabetes
Fevers
GERD (Indigestion)
Headache
Hypertension
Muscle/Joint Ache
Pinworms
Rash
Thrush
Urinary Problems
Vaginal Problems
Always err on the side of caution. Remember - the older or younger the patient, the greater the risk of serious problems.
ALLERGIC RHINITIS
1. Ask if the patient has been diagnosed with A.R., if yes treat with OTC antihistamines
2. Ask if patient experiences itchy, watery eyes, clear nasal discharge, sneezing, sniffling and congestion
If no fever and normal lung sounds, treat with OTC antihistamines, liquid tears and OTC
cough/cold medications. Nasal corticosteroid sprays can also be helpful
If symptoms are accompanied by fever, pain in the front of the head and upper face, stuffy nose,
and thick, colored mucus refer to clinic MD
Cough and cold medicines are not advised in children under 2 years old
ASTHMA
1. Ask if patient has been diagnosed with asthma: if no, refer to the Clinic MD. If yes:
Ask the patient if they are taking any prescription or OTC medicine for their asthma, refill medications
as documented in the chart
2. If actively wheezing, administer jet nebulizer treatment
If wheezing improves, refill medications as documented in chart
If wheezing doesn’t improve, if accompanied by fever or patient appears ill, refer to clinic MD
If SOB or difficulty breathing, vomiting, blue lips or weakness, refer to hospital
30
BACK PAIN
1. Ask about other symptoms: fever, dysuria, loss of bowel or bladder control;
If no other symptoms and no history of injury: treat with OTC NSAIDs
If fever over 100 F & dysuria; check urinalysis,
If positive leukocytes: treat for UTI with Cipro 500 mg BID x 3 days or Bactrim DS BID x 7 days
If negative leukocytes – refer to clinic MD
2. Ask the patient if they have had a recent injury:
If no: treat with OTC NSAIDs
If recent trauma such as a fall, MVA, or similar incident refer to clinic MD or hospital
If experiencing symptoms of acute nerve dysfunction including the inability to walk or inability to
raise or lower the foot at the ankle or inability to raise the big toe upward. Refer to hospital
BOWEL PROBLEMS
Diarrhea:
1. Ask about length of illness, frequency of BMs and related symptoms
If symptoms for less than 48 hours with no fever or blood: treat with OTC Pepto-Bismol or Imodium
If symptoms persist for more than 48 hours, is accompanied by fever, blood in the stool or has signs of
dehydration: refer to clinic MD
If symptoms for more than 48 hours in the very young, the elderly, or sick: refer to clinic MD
* Haitian mothers are often concerned about their baby‟s stool: reassure them that loose stools are normal if breastfeeding
Constipation: (not a common complaint)
1. Ask if patient has been treated for constipation:
If yes, treat with mild stool softener or laxative (such as Peri-Colace or Milk of Magnesia)
If no: ask about duration and characteristics of symptoms:
If less than 2 weeks, no fever, no blood in stool or nausea and vomiting: treat with mild stool
softener or laxative
If constipation is a new problem, has lasted longer than 2 weeks, has blood in the stool and/or
has lost weight, refer to clinic MD
If patient is experiencing severe abdominal pain, fever, N & V: refer to hospital
DIABETES MELLITUS
1. Ask if patient has been diagnosed and treated for DM: if yes and has no adverse symptoms or
complaints, check and record blood sugar and refill medications as documented in the chart.
2. If no diagnosis of Diabetes; check blood sugar and record
If fasting above 120 or non-fasting above 200 with symptoms of increased urination, increased
thirst or unexplained weight loss, refer to clinic MD
If fasting is 100 to 120, recommend avoid sweets and recheck at next available clinic.
If fasting is below 100 but complains of any symptoms: refer to Clinic MD
If fasting below 100 and no symptoms: reassurance
31
FEVERS
1. In adults, if the fever is mild and there are no other symptoms: treat with OTC NSAIDs, fluids and rest
If fever is accompanied by lethargy or other symptoms that suggest an illness such as a sore
throat, earache, or cough refer to clinic MD
If patient has a new rash or bruises refer to clinic MD
If patient has dysuria, obtain urinalysis: if positive leukocytes, treat with Cipro 500 mg BID x 3 days
or Bactrim DS BID x 7 days
2. Ask parents if child over the age of 6 months with mild fever is alert, interested in playing, eating and
drinking well;
If yes, treat with NSAIDs or Tylenol, fluids and rest
If no or if fever persist for more than 3 days or is accompanied by other symptoms that suggest an
illness, such as a sore throat, earache, or cough refer to clinic MD
If child is inconsolable, is lethargic, seems confused, cannot walk, has difficulty breathing, has a
bad headache, stiff neck or refuses to move an arm or leg, refer to hospital
Any child younger than 6 months or with a toxic appearance, regardless of age, refer to clinic MD
or hospital
GERD OR INDIGESTION
1. Ask if patient has ever been diagnosed or treated for GERD: if yes treat with antacids or TUMS
2. Ask about symptoms and length of illness:
If patient experiences upper abdominal pain or burning sensation, burping, feeling of bloating,
stomach fullness, or nausea after eating: treat with antacids or Tums
Advise patients to follow-up with clinic MD if symptoms are not relieved by medications
Ask if patients experience hematemesis and hemoptysis: if patients complaints of spitting up small
amounts of bright or dark red blood, refer to clinic MD, if patient complains of vomiting large
volumes of dark red or brown blood or coffee ground colored matter, refer to hospital.
Ask if patients experience a feeling of fullness, tightness, or dull pressure or pain generally in the
center of the chest, dizziness, SOB, pain that spread to the shoulders, neck, jaw or arms refer to
clinic MD or hospital.
HEADACHE
1. Ask if patient has been diagnosed and treated for tension or migraine headaches; If yes: treat with OTC
NSAIDS as documented in the chart
2. Ask about onset and severity of pain; if pain is described as mild to moderate with no sudden onset or
other symptoms of illness;
If yes: treat with OTC NSAIDS
If pain is severe, sudden onset or accompanied by other symptoms, refer to clinic MD
3. Ask about other symptoms: fever, stiff neck, nasal congestion, cough, visual changes;
If no: treat with OTC NSAIDS
If yes: refer to clinic MD or hospital
4. Ask about recent head trauma or fall;
If no: treat with OTC NSAIDS
If yes: refer to clinic MD or hospital
32
HYPERTENSION
1. Ask if patient has been diagnosed and treated for HTN
2. Check and record Blood Pressure
If B/P is 160/100 or below and no adverse symptoms or complaints, refill medications as
documented in the chart
If B/P is 160/100 or below but patient complains of confusion, headache, chest pain, SOB or
or edema: refer to clinic MD
If B/P is above 160/100 with or without symptoms: refer to clinic MD
3. If a patient has NOT been previously diagnosed with HTN
If B/P is 140/90 or below, reassurance
If B/P is above 140/90, recommend that the patient return to the next scheduled medical clinic for
re-evaluation. Recommend decrease salt in diet
If B/P is above 160/100 or patient complains of confusion, headache, chest pain, SOB or edema:
refer to clinic MD
MUSCLE OR JOINT PAIN
1. Ask if patient has ever been diagnosed or treated for muscle and joint pain; if yes treat with OTC
NSAIDs
2. If patient does not have a documented history of muscle or joint pain,
Ask if patient has been in an accident or had a fall, if yes refer to clinic MD or hospital
Ask if patient has signs of infection around a muscle/joint i.e. redness, swelling, warmth: if yes
refer to clinic MD or hospital
Ask if patient has SOB, muscle weakness or inability to move any part of the body, if yes refer to
Hospital immediately
Ask if patient has had a high fever, stiff neck, and/or vomiting: if yes send to Hospital immediately
If no to above: document symptoms and history, treat with OTC NSAIDS and advise to follow-up
with clinic MD or next medical team if symptoms persist.
PIN WORMS
1. Ask if worms have been seen or if patient is experiencing itching around the anus especially at night
If yes: prescribe Mebendazole (Vermox) 100 mg or Albendazole (Albenza) 400 mg in adults and
children over the age of two. If possible a second dose is given two weeks later to lessen risk of
re-infection.
Discuss prevention methods; carefully washing the hands after using the toilet, and before and
after eating. Launder all bedding, clothing, and toys to destroy lingering eggs
2. Pinworms do not cause abdominal pain, bloody bowel movements, or fevers. If the person has any of
these signs or symptoms, refer to clinic MD
RASH – Although most rashes are not dangerous to a person or people in the vicinity (unless they are part of
an infectious disease) it is impossible to provide accurate guidelines for diagnosis of skin diseases. We advise
that it is best to refer all patients complaining of rashes to the clinic MD, but RNs may treat symptoms like itchy
and/or dry skin with OTC medications (anti-itch creams, antihistamines, or lotions)
33
1. Ask if patient has been diagnosed with eczema or atopic dermatitis, if yes refill medications as
documented in the chart.
2. Ask if patient is taking an antibiotic or recently treated with new medications:
If yes, advise patient to stop medications, treat with OTC Benadryl and refer to clinic MD.
If accompanied by SOB, angioedema, or dysphagia, refer to hospital immediately
3. If patient does not have documented history of eczema, atopic dermatitis, or pruitis: examine skin
If no lesions, wounds, redness, signs of infection, or fever may treat with OTC antihistamine and
moisturizing lotions
If pustules or vesicular lesions, wounds, redness, or signs of infection refer to clinic MD
If accompanied by fever, sore throat, nausea or other systemic symptoms refer to clinic MD
THRUSH (Oral Candida)
1. Evaluate lesions: document if there is cottage cheese-like appearance on the tongue, cheeks or roof of
mouth. Ask about bleeding if the lesions are rubbed or scraped.
2. Access hydration status and ability to swallow
If no difficulty swallowing and no symptoms of dehydration, treat with Nystatin suspension 5 mL
QID (½ of dose in each side of mouth). Advise patient to keep suspension in the mouth as long as
possible before swallowing.
If complaints of difficulty swallowing or feeling that food get stuck, refer to clinic MD
If symptoms are accompanied by fever, chills , vomiting refer to clinic MD
If concerns about dehydration, refer to clinic MD or hospital
3. Breastfeeding women = sensitive or itchy nipples, shiny or flaky skin on the areola, or unusual pain
during nursing or painful nipples between feedings.
Prescribe Nystatin cream
Evaluate infant for oral thrush, if infant has symptoms; treat with Nystatin suspension 2 mL QID
times daily (use dropper to place ½ of dose in each side of mouth) and avoid feeding for 5 to 10
minutes
If also bottle feeding - recommend rinse nipples and pacifiers in a solution of equal parts water
and vinegar daily and allow them to air dry to prevent fungus growth
VAGINITIS
1. Ask patient about onset and characteristics of symptoms:
If patient has vaginal itch of less than 1 week duration with no discharge or odor, no fever or
abdominal pain, treat with OTC barrier cream
If patient has vaginal itch and thick white discharge, but no odor, no fever or abdominal pain, treat
with OTC Monostat vaginally QD x 3-5 days or Diflucan 150 mg or 200 mg 1 tab x 1 day
If patient has vaginal itch with thin, yellow or green discharge, ―fishy‖ odor, but no fever or
abdominal pain: treat with Metronidazole vaginal cream for 5 days or Flagyl 500 mg 1 BID x 1 day
(advise to avoid alcohol including mouthwash 24 hours before and after taking Flagyl)
If vaginal discharge is accompanied by fever or abdominal pain; refer to clinic MD
2. Caution against use of harsh soaps or douching which can disturb the normal environment of the
vagina, and can lead to inflammation and infection.
34
#13 CLINICAL, PHARMACY AND GENERAL SUPPLY LIST
Items suggested should provide adequate supplies to equip a clinic seeing approximately 1,000 patients.
Although more injuries were seen in the aftermath of the earthquake, under normal circumstances very few
traumatic injuries are treated. Most common injuries are muscle aches, sprains, minor lacerations and burns.
Tip: Packing bandages and gauze between medication and supplies helps buffer damage in traveling. We have
B/P cuffs, Nebulizers, Otoscopes, Thermometers and Glucometers available for team use. Unless otherwise
notified you do NOT need to bring these items for your clinic. A few inexpensive stethoscopes are available but
we recommend that providers bring their own. Disposable supplies such as otoscope covers and glucometers
strips are available in limited supplies. Contact Forrest Shroyer at fshroyer@gmail.com at least one month in
advance for current information regarding available equipment and supplies prior to your trip. We encourage all
medical team leaders to talk with a HOM medical board member after reviewing the HOM Handbook and Resource
Guides. Contact Janet Horton at jchorton@embarqmail.com for further information regarding medical trips.
Many teams leave surplus supplies and medications, these supplies are welcome and will be stored for use by
visiting teams but we cannot hold these items for your use on future trips. We do ask that you do not bring
large quantities of extra supplies as storage space is limited. The list provided has proven to be more than
adequate for most teams – although there’s always a possibility that a situation may arise that we are
unprepared for - we do have access to the Haitian clinic, Samaritan’s Purse facilities and a local
pharmaceutical company. Please do NOT bring additional supplies not on the list – rarely are tracheotomies or
central lines inserted in the field and appropriate disposal of these types of supplies are problematic. Unusable
supplies will be sent back with the team to the US. We also request that all medications and supplies be ―de-
bulked‖ as much as possible, remove all cellophane wrappers, take bottles out of boxes, etc. We are very
creative with the use of our space and leftover supplies but there is no adequate waste disposal in Haiti and
we do not wish to contribute to the trash problem. If medications or supplies are brought in zip lock or
individual pharmacy bags EVERY bag must the name and dose of the medication and the expiration date on it
– otherwise these medications have to be discarded after you leave. Do not plan to leave your suitcases in
Haiti – although we can use a few for additional supply storage - there is very limited space to store these.
PATIENT CHARTS – 1000 (see HOM Handbook and Resource package for templates)
RX & RETURN TO CLINIC FORMS - 2000
SELF-STICK LABELS FOR MEDICATIONS (pre-print with med name, exp. date & directions, leave some blank)
MEDICAL & DIAGNOSTIC EQUIPMENT (Please bring these supplies unless otherwise notified)
1. Glucose Monitor Test Strips for AccuChek, True Track or Precision meters: 50 strips per 2-3 providers.
2. Albuterol nebules: 1 package (30 vials) per 2-3 providers; additional masks and tubing are welcome
3. Disposable otoscope and Braun ear thermometer covers; 500
4. Urinalysis strips: 1 Bottle (50 tests) per 2 - 3 providers (often available, inquire prior to your trip )
5. Urine Pregnancy Tests: 25-50 tests
As of January 2011 we have ample supply of the most medical and pharmacy items: included below is the list of
recommended items currently available. Unless otherwise notified, do NOT bring these supplies. General Supplies
(page 3); urine collection cups, medication cups, and disposable paper drinking cups are ALWAYS needed. You will
be contacted if we anticipate a deficit in supplies prior to your trip. Currently we are requesting that all teams bring a
few large plastic storage containers to use in organizing and transporting medications to the work site. These are
available at the Dollar Store, Wal Mart, etc. Pack supplies/clothing in the storage case and place in your suitcase.
BANDAGES (These supplies are available for your use, Do NOT bring casting materials, braces, or boots)
1. Ace Wraps and Coban: 2‖, 3‖, 4‖, four – six each size
2. Band-Aids: several boxes of different sizes
3. Gauze and gauze pads: Several rolls of sterile, non-sterile, medicated, four 100 packs each 2x2 & 4x4
4. Slings, 2-4
5. Tape: Several rolls of different kinds and sizes
6. Telfa Pads - Different sizes
35
MEDICAL SUPPLIES AND TOOLS (These supplies are available for your use unless otherwise notified)
1. Alcohol: several bottles
2. Alcohol Prep Pads: a box of 100 prep pads for each day of the clinic
3. Bandage Scissors & Small Sharp Scissors: one per nurse.
4. Betadine Solution & Iodine Swabsticks: 4 bottles and at least 1 one box of swab sticks
5. Bulb Syringe for ear irrigation (or large 60 cc syringe)
6. Eye Wash: 2 - 4 bottles
7. Face Shields: 2 - 4
8. Gloves: 1 box non-sterile and 2-4 packages sterile per provider and per nurse/EMT/tech, various sizes
9. Hydrogen Peroxide: At least 4 bottles
10. Kidney-Shaped Emesis Basins: one or two
11. KY jelly: 2 - 4 tubes
12. Lancets: 2 boxes (200)
13. NS IV Fluid & I.V. Setups: at least 4 (500 ml) bags (or 1 bag per every 2 teams members)
14. Q-tip swabs: 1 - 2 packages (100s)
15. Scalpels, disposable: 1 box
16. Sharps Container: 1 – 2
17. Sterile Needles: 22g 1½ inch, 23g 1 inch, 25g - several boxes
18. Sterile Syringes: 1cc, 3cc, 5cc, 10cc, 30cc – 2-3 boxes each
19. Sterile Water: 6 bottles for wound and ear irrigation.
20. Suture Kits: 6 – 10 kits
21. Tongue Depressors: 1 - 2 boxes
22. Urine Collection Cups: 200 (also useful to hold small amounts of creams, ointments or lotions)
23. Vaginal Disposable Speculums: 50 each small and medium
24. Forehead light with adjustable band (Please bring, not supplied by HOM)
PHARMACY SUPPLIES (These supplies are available for your use unless otherwise notified),
1. Alcohol – bottle and wipes
2. Bottles for mixing suspensions (please bring, more are always needed)
3. Brown lunch bags or large plastic bags (to give to patients for their medications)
4. Calculators (not supplied by HOM)
5. Cups – 500 paper drinking (Dixie cups) and 200 small medicine cups (please bring, more are always needed)
6. Drug and medical resource books
7. Empty medicine bottles (tip: save and use empty (clean) non-prescription medicine bottles (Advil, etc) to re-
use for liquid medications, be sure to attach new label)
8. Empty gallon containers to mix scabies wash
9. Medicine droppers (tip: 3 or 5 cc syringes make good droppers in a pinch)
10. Mortar and pestle (to crush meds)
11. Pens and Markers (fine point sharpies)
12. Clear plastic pharmacy bags or snack size zip locks (You will need to purchase these for pre-packing
medications prior to your trip, but do not need to bring additional to Haiti as we do have surplus. 3x4
pharmacy bags with picture dosing & white block for writing are available at Blessings for $2.50 per 100)
13. Pill cutters
14. Pill counters & spatulas
15. Zip lock bags – gallon and quart
16. Plastic shoe box-type storage containers and larger (Please bring, not supplied by HOM and useful for
organizing and transporting medications and supplies)
36
GENERAL SUPPLIES (NOT supplied by HOM, Please BRING these supplies with you)
1. Antibacterial hand wash: one per nurse, doctor, and staff to have at their stations plus extras for restroom
2. Batteries, AA, AAA, C, and Ds
3. Battery operated fans and extra batteries
4. Cable ties, twist ties and twine
5. Clipboards
6. Citronella candles and Bug Spray
7. Clorax wipes
8. Fans: battery operated and extra batteries
st
9. First Aid Kit (see Suggestions for 1 Aid Kit)
10. Flashlights & Pen lights, extra batteries
11. Gator Aid powder
12. Heavy Duty Electric Extension Cords - Several long ones.
13. Ink Pens - At least 4 per nurse and doctor.
14. Instant ice packs
15. Liquid soap
16. Lysol spray
17. Notepad: For reporting results and items/concerns that need to be addressed
18. Padlocks (for lockable storage containers)
19. Paper towels: 1 – 2 rolls per day
20. Permanent markers/sharpies
21. Poster board – to make signs for each provider, station and pharmacy
22. Rubber bands, small stapler and staples
23. Scissors, Safety pens & Sewing kits
24. Snacks
25. Stickers or lollipops for children (anticipate 300+ for children - adults like lollipops too!)
26. Tape: duct and scotch
27. Thank-you cards and/or gifts for translators, hotel/Blanchard staff and janitors
(see Certificates of Appreciation – can be pre-printed and names added after the clinic)
28. Toilet paper: 1 per team member if possible
29. Trash Bags: 2 large boxes
30. Ziplock Bags –several boxes each gallon, quart and snack
* 31. Two way radios or walkie-talkies
* optional – in some sites stations may be spaced some distance apart, hand held communication devices
save steps and time!
37
#15 SUGGESTIONS FOR TEAM FIRST AID KIT
In addition to medications and supplies for patient care, we strongly encourage all teams to travel with a well
stocked 1st Aid Kit. We have been fortunate that our teams rarely encounter serious medical problem but
every day mishaps and illnesses do happen. The most common illnesses are dehydration, heat stroke or
exhaustion, and gastrointestinal illness due to consumption of unsafe food or water. If you get sick and your
team physicians are not able to treat you adequately, there are hospitals in Haiti that offer a limited level of
medical care. In case of an extreme medical emergency you may be evacuated by a medical jet to the nearest
facility in the United States. All team members should purchase medical evacuation insurance (see Tips for
Team Leaders for information on group insurance). Team leaders are encouraged to have each team member
complete a Health History form with current medical, allergy and emergency contact information in the event of
illness/injury while in Haiti (See Team Member Health History Form).
Suggested Items for First Aid Kit
1. Antiseptic Wipes
2. Arm Slings (1-2)
3. Casting strips and splints
4. Bandages
Absorbent Compresses (two - three 5"x9" dressings)
Adhesive Bandages (in assorted sizes)
Adhesive Cloth Tape (10 yards x 1")
Coban (in assorted sizes)
3" & 4‖ Ace Wrap Bandage
Sterile Gauze (4‖ x 4‖, 3" x 3" pads)
5. Benzoin (1 small bottle) & Steri-Strip or Butterfly bandages
6. Blanket
7. Instant Cold Compress
8. Iodine or similar prep pads
9. IV fluids and set up (one 500 ml bag per every 2 people i.e. 18 person team = 9 bags)
10. Medications
Antacids
Anti-nausea – Zofran or phenergan suppositories
Anti-diarrheal (Imodium)
Aspirin
Bacitracin Antibiotic Ointment
Cipro 500 mg
Epi vial or pen
Glucose
Hydrocortisone Ointment
Ibuprofen
Silvadene ointment
Tylenol extra strength or prescription pain medication
11. Non-Latex Gloves
12. Re-hydration salts or Gatorade
13. Scissors - Bandage Scissors and sharp scissors
14. Suture Kit with Needles
15. Thermometer (Non-Mercury/Non-Glass)
16. Tweezers
38
#16 HOM RECOMMENDED FORMULARY
The formulary was developed from medical team records of illness/treatments seen in Haiti and recommendations
from international medical mission organizations. If you have different meds in the same drug class that can be
substituted for the meds on this list, please feel free to bring those, but we do we strive for continuity of care and in
medications whenever possible. Insure ample supply - projected patient load = 50 persons/day/doctor. The average
number of prescriptions is 2-3 per person plus vitamins and anti-parasitics. Amounts listed are recommended to
support a 1,000 patient clinic. Teams with fewer or greater than 4 providers should adjust amounts as needed.
ANTIBIOTIC GI
#1000 Amoxicillin 500mg # 200 Promethazine HCl 25mg tabs (Phenergan)
# 500 Bactrim DS or Bactrim # 200 Imodium
# 500 Cephalexin 500mg # 500 Omeprazole 20mg or any PPI
# 500 Cipro 500mg # 500 Ranitidine 75mg or 150mg
# 500 Erythomycin 500 mg # 10,000 TUMS
# 500 Flagyl 500mg
# 500 Hydrochloroquine 200mg MISC.
# 200* Vermectin 6mg tabs or 32 oz Scabies wash
BLOOD PRESSURE/CARDIAC # 1000 Mebendazole 100mg chewable (Vermox)
# 500 Amlodipine 5mg or Verapamil 180mg # 500 Prednisone 10mg
# 500 Atenolol 50mg # 24 Prep H or Annusol HC tubes
#1500 HCTZ 25mg
#1500 Enalapril 20mg or Lisinopril 20 mg RESPIRATORY
# 200 Lasix 20mg # 500 Albuterol 4 mg
# 100 Albuterol Nebules
CHILDREN’S MEDS # 50 Albuterol Inhaler or Corticosteroids/Beta agonists #
# 25 (100ml) Amoxicillin 250/5ml susp 2000 Benadryl 25 mg or Chlorpheniramine 4 mg
# 500 Amoxicillin 250mg Chewable
# 50 Flonase or any other nasal spray
# 10 Benadryl syrup 8 oz
# 500 Sudafed
# 10 (100ml) Bactrim 40mg/5ml susp
# 1000 Cough drops
# 10 (100ml) Cephalexin 250mg/5ml susp
# 10 Any generic children’s cough syrup (8 oz)
# 30 Infant Tylenol or Motrin drops 80mg/0.8ml
# 500 Children’s Tylenol Chewable SKIN
# 50 Barrier cream (A&D, etc) tubes
DM
# 144 1% Bacitracin or Triple Antibiotics individual packs
#2000 Metformin 500mg
# 50 1% Bacitracin or Triple Antibiotics cream tubes
EAR & EYE # 500 Griseofulvin 500mg
# 25 Floxin Otic or Cortisporin Otic drops # 50 Hydrocortisone 1% or Diprolene cream tubes
# 25 Gentamic Oph or Sulamyd Oph drops # 50 Lice shampoo or Lice B Gone
# 50 Debrox Ear Wax Softener # 50 Lotrimin 0.1% cream (tubes)
# 5ml x 200 Liquid tears # 50 Miconazole or Nystatin 2 % cream (tubes)
# 10 Silvadene cream (tubes)
FEMALE MEDS
# 200 DifIucan 150 mg or 200 mg VITAMINS
# 100 Clomotrazole or Monistat cream (tubes) # 21000 Adult MV w/FE
25 Pregnancy Test Kits # 9000 Children’s MV w/FE
# 100 Vagisil (OTC) tubes # 1000 Prenatal Vitamins
Most common diagnosis: Rashes (40%), Abdominal Pain &
FEVER & PAIN
# 10,000 IBU 200mg and/or Tylenol 375 mg GERD (30%) Musculoskeletal pain (20%), Respiratory (20%),
# 1,000 Naprosyn 220mg Fever (15%), HA (10%), Anemia (10%), Vaginal discharge
(10%), HTN (8%), and DM (2%)
39
#16a ESTIMATIONS FOR ORDERING MEDICATIONS
Listed below are illnesses seen and estimates regarding the amount of medications needed per class based on
previous mission trip logs. For simplicity we calculated the need based on a 4 provider team, seeing 50 patients per
day in a 5 day medical clinic. If possible plan on providing a minimum of 30 days for chronic meds and multi-
vitamins, 30 tablets of acute OTC meds such as Tylenol, Benadryl or Tums, and 1 de-worming pill per patient over 2
years old. For medications such as antibiotics; resistance is rare so lower doses for shorter periods of time can be
very effective. For a general clinic (not school physicals) expect to see approximately 300 children and 700 adults.
ANTIBIOTICS (2,800 doses) RESPIRATORY
25 patients with pneumonia or URI 110 patients with cough (3,500 cough drops/350oz syrup)
25 patients with UTI 25 patients with SOB (50 neb treatments/inhalers)
15 patients with malaria 25 patients with allergies (750 antihistamines)
15 patients with ear infections 20 patients with asthma (25 inhalers/100 doses prednisone)
15 patients with sore throat
5 patients with abscesses SKIN
200 patients with rash (2000 doses lotion or barrier cream)
BLOOD PRESSURE/CARDIAC 35 patients with dry skin (400 doses lotion)
90 patients with HTN (3,000 doses) 30 patients with fungal infections (350 doses antifungal)
5 patients with Arrhythmia (200 doses) 25 patients with eczema (300 doses hydrocortisone)
20 patients with scabies (25 dose scabies)
DM (500 doses)
15 patients with DM VITAMINS
90 patients with anemia (2,800 doses MV w/FE)
EAR & EYE
65 patients with dry eyes/irritation (400 doses)*
5 patients with ear wax (30 doses) Adult MV w/ FE (22,000 doses)
25 patients with poor vision Children’s MV w/ FE (10,000 doses)
Prenatal Vitamins
* Individual 3 ml NS vials for nebulizers is very
cheap and can be used for dry eyes/ irritation
in lieu of more expense lubricating drops. MISC.
280 patients with worms (300 doses)
FEMALE MEDS
75 patients with yeast infection (150 doses Diflucan) 80 patients with poor appetite (treat with multivitamins)
50 patients with BV (500 doses Flagyl) 30 patients with poor sleep (900 doses Benadryl)
15 patients with vaginitis (75 doses vagisil or barrier cr)
15 patients with positive pregnancy test
Other complaints seen less frequently include …
In most case oral ABX & Antifungals are used vs Breast masses, cysts, dehydration, dizziness, edema,
creams due to weight constraints and ease of use. fatigue, grippe, hemorrhoids, hernias, hoarseness, insect
bites, irregular menses, masses, poor memory, seizures,
FEVER & PAIN (12,500 doses)
and weight loss
185 patients with body pain
120 patients with HA
See “Purchasing Options for Medications and
15 patients with muscle aches
Supplies” and “Acquisition of Medication Resources”
150 patients with fever for additional information for obtaining medicines
for mission trips
GI (10,500 Antacid doses)
210 patients with abdominal pain * A medication inventory worksheet is provided in the
125 patients with acid (GERD) HOM Handbook and Resource guides, this is a useful
organizational tool as you acquire medications for your
trip and serves as an end of trip inventory record.
40
#16b OPTIONS FOR PURCHASING MEDICATIONS FOR HOM MEDICAL MISSION TRIPS
HOM strongly encourages teams to purchase medications in Haiti. Although we recognize that many teams
can obtain medications at low cost in the US and Canada, we feel it is vital to Haiti’s future that we encourage
economical growth through use of local resources. HOM has arranged to purchase (available) medications for
HOM teams through Laboratoires 4C in Port Au Prince. Prices for most medications are consistent with those
from Blessings International; in cases where prices may be greater, the convenience of obtaining medications
in Haiti versus packing and carrying them may outweigh the difference in cost. Listed below are the
medications included in the package for purchase, please note that medications and quantities are fixed and
deemed adequate to supply a 1,000 patient clinic. Please contact Forrest Shroyer at fshroyer@gmail.com at
least 1 month in advance to coordinate obtaining medications for your trip. HOM maintains limited amounts
of medications for team and clinic use. If additional medications are needed during a clinic, we will supplement
as inventory allows or facilitate a trip to 4C to resupply the needed medication. Often we have a surplus of one
medication and a deficit in others; we may ask that your team purchase additional medications of one kind in
exchange for another. We encourage teams to use medications with short expirations date to avoid potential waste.
ANTIBIOTICS AND ANTIFUNGAL CHILDREN'S
# 1000 Amox 500 mg 100 ml x 20 Amox 125mg/5ml sp
# 500 Bactrim (Sulfaprim) 100 ml x 20 Amox 250mg/5ml sp
# 500 Metronidazole 250 mg 100 ml x 10 Cefalin 250mg/5ml sp
# 500 Chloraquine 250 mg 120 ml x 10 Bactrim (Sulfaprim) sp
ALLERGY/RESPIRATORY GI
#1000 Benadryl (Allergine) 50 mg #500 Omeprazol (Opral)
# 500 Sinuflex(Chlorph. & Sudafed) #500 Promethazine (Promaz)
# 480 Ventrol 4 mg (Albuterol)
MISC.
BLOOD PRESSURE/CARDIAC #1000 Mebendazole (Vermizol)
# 1000 Enalapril 10 mg (Epril)
# 200 Furosemide 40 mg (Urinex) LABORATOIRES 4C MEDICATION PACKAGE
#1000 HCTZ 50 mg (Hydrex) PACKAGE COST = $600.00 USD
A list of prescription medications available from Blessing International and estimated prices are provided in
the following table. Please refer to the HOM Formulary for the complete list of recommended medications.
Note OTC meds are not included, estimated cost for OTC medications (including MV) = $500.00 USD
ANTIBIOTIC MISC
#500 Cephalexin 500mg # 200 Vermectin 6mg tabs (or Scabies Wash)
#500 Cipro 500mg # 500 Prednisone 10mg
#500 Erythomycin 500 mg
RESPIRATORY
BLOOD PRESSURE/CARDIAC # 100 Albuterol Nebules
# 500 Amlodipine 5mg or Verapamil 180mg # 1000 Cough drops
# 500 Atenolol 50mg
SKIN
DM # 500 Griseofulvin 500mg
#2000 Metforman 500mg # 50 Clomotrazole cream (tubes)
# 2 Lice shampoo or Lice B Gone (64 tx)
EAR & EYE # 500 Miconazole or Nystatin 2 % cream (tubes)
# 25 Ofloxacin Otic # 10 Silvadene cream (tubes)
# 25 Gentamic Oph
Estimated price of recommended medications
FEMALE MEDS NOT included in 4C Package = $700.00 USD
# 200 DifIucan 150 mg or 200 mg * price resource: Blessings International January 2011
HOM serves only as a liaison between teams and 4C and receives no financial incentive for med purchases
Blessings information and prices provided are based on current web information and are subject to change.
Please contact Blessing International or company of choice for most up to date medication availability and prices.
41
#17 ACQUISITIONS OF MEDICATION RESOURCES
Transporting medications and supplies to Haiti remains the greatest challenge. Shipping options and prices vary
depending on the political climate: Currently all medical supplies must be approved prior to shipping by the Haitian
government and are subject to customs and additional fees. CASCO and Relief Cargo ship medicines and
supplies by air at $18.00/cu.ft. (Jan. 2011 price). For more information on shipping options for medical supplies
contact Dennis Barnard, our liaison between Relief Cargo, and Haitian officials, at 12th_man@comcast.net.
HOM and our Haitian partners recommend that medications and supplies be packed in team luggage, with more
expensive medications and supplies packed into personal carry-on bags. We recommend that non-descript
luggage be used, no trunks or duffle bags that may arouse curiosity or suspicion, and that teams do not travel in
clothing that identifies them as teams or medical personnel. Custom officials often target teams for luggage
inspection; breaking into groups of two or three prior to clearing customs may attract less attention.
For more information on obtaining medications in Haiti, see ―Options for Purchasing Medications”. Soliciting
donations of OTC medication can also greatly reduce the cost of equipping a medical mission clinic (see Sample
of Donation Request letter). Listed below are several sources for acquiring medications and supplies for medical
missions; we encourage everyone to refer to the company(s) web site for the most up-to-date pricing information
and guidelines. Phone numbers and contact information are provided when possible. Eligibility to purchase
medications typically require statement of intent, current MD/NP/PA and DEA license and HOM’s 501(c)3
information (contact Connie Davis at CDavis5481@aol.com for this information). A few organizations may
request a Haitian contact: The MD at HOM Cite Soleil Clinic is Dr. Charles Danilo, The Blanchard address is
Eglise Chretienne de Terre Noire, Carrefour Vincent, Rue David #48, Port au Prince.
Please do NOT contact any Haitian Official or Health Care Provider directly, if you need additional
information to obtain medication or supplies, contact HOM staff for assistance.
Alcon Cares, Inc
Phone: 800-757-9790.
Web: www.alcon.com
Provides donation of drugs and medical devices for sight-saving missions.
AmeriCares
Phone: 800-486-4357
Fax: 203-972-0116
Web: www.americares.org
Providers who apply at least a month in advance may be able to get complimentary medical donations (usually
pharmaceuticals) for their mission trip
Blessings International "Medicine for Missions"
Phone: 918-250-8101
Web: www.blessing.org (note spelling change)
Provides pharmaceuticals, OTC medicines and medical supplies for about 10% of the value of their goods.
Brother's Brother Foundation
Phone: 412-321-3160
Fax: 412-321-3325
Web: www.brothersbrother.org
Provide pharmaceuticals, OTC medicines, medical supplies and equipment, and various other goods for
overseas shipment. The costs vary according to amount requested.
42
Catholic Medical Mission Board (CMMB)
Phone: 800-678-5659
Fax: 212-242-0930
Web: www.cmmb.org
Provides free pharmaceuticals, OTC medicines, and medical supplies; MD/PA/NP required to obtain
prescription medications. Usually shipping is free, groups are asked to contact CMMB 4-6 weeks in advance of
their trip. Limit 2 requests per year per provider.
Crosslink International
Phone: 703-534-5465
Fax: 703-536-8349
Web: www.crosslinkinternational.net
Provides pharmaceuticals, OTC medicines, medical supplies and equipment. If the requested items are in
stock and were donated to them, they do not charge a fee. Otherwise they provide goods at wholesale cost or
less. Prices are comparable to Blessings International
Direct Relief International
Phone: 800-676-1638
Fax: 805-681-4838
Web: www.directrelief.org
They emphasize sending large shipments directly overseas but also provide medicines and related goods for
mission team members to hand-carry.
Heart to Heart Inc. (HTHI)
Phone: 913-764-5200
www.hearttoheart.org
Can custom order supplies or get a pre-packaged ―Ready Relief Box‖ which contains OTC pain relievers,
antibiotics, topical creams, vitamins, re-hydration salts, antacids, allergy medications, first-aid supplies for
$500. A doctor’s bag with stethoscope, otoscope, B/P cuff and digital thermometer can be added for $100.
INMED
Phone: 703-444-4477, ext. 204
Fax: 703-444-4471
Web: www.inmed.org
INMED's program makes medicines and supplies available to mission groups and other non-profits serving
overseas. They have arrangements with pharmaceutical companies to get most requested drug sent from the
manufacturer. There is a fee for their expenses. See "Medical Supply" on their website for more details.
Interchurch Medical Assistance, Inc.
Phone: 410-635-8720
Fax: 410-635-7625
Web: www.interchurch.org
Provides medical goods for overseas use through their three main programs. (Requires 4 weeks’ notice if
applying for any of these programs for the first time)
43
General Inventory - offers any available medicines in stock for 6% of value.
"IMA Medicine Box" is pre-packed with 17 of the most essential medicines and supplies for subsistence
health care. Costs is $350
"Roche Mission Pack" (Available only to Health Care Providers) offers donated medicines from
pharmaceutical firm.
International Aid, Inc.
Phone: 800-968-7490
Fax: 616-846-3842
Fax for orders: 676-846-7911
Web: www.internationalaid.org
Provides new and refurbished medical devices, literature, repairs, supplies and technical assistance. OTC and
prescription medicines are available. Website describes their services, and they have a 24-hour hotline.
Interchurch Medcial Assistance (IMA)
Phone:877-241-7952
Web: www.imaworldhealth.org
Contact: Patty Pickett at pattypickett@imaworldhealth.org
IMA Medical Box is available for $325; includes pharmaceuticals, OTCs medications and medical supplies
Kingsway Charities
Phone: 800-321-9234
Fax: 540-466-0955
Website: www.kingbf.org
Provides pharmaceuticals and medical supplies donated from pharmaceutical companies at no charge to
qualified medical mission teams serving in third-world and developing countries. Allow 2-3 months from
submitting application to receiving medication
King Pharmaceuticals Benevolent Fund
Phone: 540-466-3014
Fax: 540-466-0955
Web: www.kingpharm.com (then see Benevolent Fund)
Provides pharmaceuticals and medical supplies to medical missionaries serving in developing countries. The
medicines are free, there are no shipping charges to locations within the U.S., a 2 month notice is preferred.
Lilly Global Cares
Phone: 877-419-8530
Fax: 317-277-6719
Donates up to $850 worth of pharmaceuticals per year to physicians doing overseas medical mission work.
Call for an application for one of their 3 pre-packaged kits. Products shipped at no charge.
MAP (Medical Mission Packs)
Supplied through Johnson & Johnson
Phone: 732-524-1863
Website: www.map.org/johnsonandjohnson
44
Provides Medical Mission Packs and Medical Mission Packs Plus:
OTC Medication pack is offered free (no shipping charges)
The Medical Mission Pack Plus includes OTC medications, medical supplies as in package above and
Levaquin (150 tablets). Shipping cost is $35
Limit 1 per provider per year
Ortho McNeil Pharmaceutical Medical Mission Program
Phone: 806-707-9566
Provides 3 different medical mission packages: Products include Pharmaceuticals, OTCs medications and
medical supplies; price varies per package but is greatly less than the total value of the products
World Vision
Phone: 253-815-2299
Fax: 253-815-3423
Web: www.worldvision.org
Donate medicines and medical goods from pharmaceutical companies to people going on short-term trips
Worm Project (WP)
Phone: 215-723-5513
Fax: 215-723-1211
Web: www.mrn.org/wormproject
Offer medical mission groups an initial gift of up to 5,000 free Albendazole chewable, mint-flavored pills. They
must be shipped to a physician's office and used outside the U.S. and Canada.
45
#18 RAISING SUPPORT FOR MEDICAL MISSIONS
Travelling to another country or even another state for a medical mission trip can be costly, often several
thousands of dollars per person. You do not have to finance the trip on your own, especially if you're traveling
as part of a team. By getting the support of your church, community, friends and family, fundraising can
become just another step toward your mission rather than an obstacle. Don’t be reluctant to ask for help, many
people who cannot physically participate in a mission trip may welcome an opportunity to support those that
can. Support may come in many forms; donations of medical, general, or personal supplies can decrease the
trip cost. Don’t forget to send a personal handwritten letter to thank those who support you.
SUPPORT LETTERS (See Sample Donation Request Letter in HOM resource package)
Write a fundraising support letter that you can send to potential donors. Include in your letter the trip details,
your personal story and interest in the trip, your specific needs and request for funding or supplies. Make a list
of people to send the letter to, including your extended family and friends, neighbors, coworkers and even
other businesses, such as your dentist's or doctor's office. When you send the letter, include a response card
and self-addressed stamped envelope, and include a deadline for contributions.
CHURCH, SCHOOL OR CIVIC ORGANIZATIONS
Ask your church to allow an offering to go towards the mission, you can choose to have the offering go toward
general mission trip expenses or designate the funds for supplies and/or medicines. If you’re involved in a civic
organization or school group that supports missions: propose that the group ―adopt‖ your mission team and
help with monetary support or supplies. If more than one team member belongs to the same church or civic
group – work together in raising funds; avoid overwhelming prospective donors with too many people making
requests for support.
FUNDRAISER IDEAS
1. Chic Fil A ―Spirit Night‖: 10% of income from a specified date and time is donated to (approved
organizations). Members of the organization have to participate at the store to qualify.
2. Most fast food restaurants offer discount cards/books that you sell for a profit. i.e. Subway offers a
card/book that is purchased for $4 and sells for $10.
3. Quick Sell Fundraisers: Order a product (candy bars, popcorn, pizzas, cookie dough) at ½ price and sell
them at full price
4. Brochure Fundraisers: Get free product brochures and sell and deliver product to customers.
5. Fundraising with Coupon Book or Discount cards i.e. Entertainment Book – Buy book/card (usually ½
price) and sell at a profit.
6. Raffle Fundraisers: Raffle off items, trips, experiences (ask local merchants for donations of products)
7. Auction: Similar to above but get bids (silent or with auctioneer)
8. Many home based companies i.e., Pampered Chef, will host a fundraiser party and give a percentage of
sales to your organization
9. Garage sales (the more people on your team the better! ask friends and family for items)
10. Local Movie theatre: May donate a percentage of income from a special showing of a movie
11. On-line donations: Have a web site that outlines your group’s mission and asks for donations. Go to
www.fasttrackfundraising.com to set up
12. 5K runs, Golf Tournaments, Turkey Shoots
13. Fundraising Dinners: Chili, Spaghetti, Brunswick stew, etc. can be sold
14. Fundraising Dances: with band or DJ. Offer snacks & non-alcoholic beverages
15. Pledge a mile. Map out your trip and figure up the cost per mile to pay for your journey (divide trip cost
by the miles from your house to the country), ask people to buy a mile or more to help get you there.
16. Homemade crafts. You can make jewelry, birdhouses, hot sauce, jams etc. Sell the goods to people
after explaining to them where the money is going to be used.
46
Dear Friends,
In the best of times, Haiti has been in great need but the devastation from the January 2010 earthquake has
increased that need ten-fold. Due to the lack of basic sanitation systems, housing and nutritious food, the
people of Haiti are in dire need of health care. The group that I work with is committed to traveling to Haiti as
often as possible to help meet the medical and physical needs there. Our goal is to send medical mission
teams in on a monthly basis and to help establish a permanent Haitian clinic to meet the day to day needs of
the Haitian people. We are currently planning our next trip and I am asking for your help.
There are many ways you can help; we are always looking for qualified people to join or lead a team to Haiti.
If you are interested in joining a team or planning a trip, please contact Haiti Outreach Ministries. Even if you
cannot travel to Haiti there are many jobs that need to be done to help those who can go. One of the most
important needs is help with financial support – either through donations or fund raising. All of the team’s travel
expenses, lodging, meals, supplies and medications are paid for by members of the team – your donation
enables us to travel to Haiti more frequently and to take more medications and supplies.
If you would like to help by donating money, medical supplies or medications or by supporting our fund raising
efforts, please contact me at (INSERT YOUR CONTACT INFO HERE)
For more information on Haiti Outreach Ministries go to www.haitioutreachministries.org
OTC MED LIST - (DUE DATE HERE).
We gladly accept donations of over-the-counter medications (OTC); Prices are usually best at Dollar Stores,
BJs, Sams, or Price Club. To decrease the bulk and weight we pack all medications in snack size zip lock bags
so donations of those are also appreciated. If you could remove extra packaging (take the bottles out of boxes)
that would be helpful. Please do not donate individual packages (1 or 2 pills per package) – it’s very time
consuming to remove the medications from these packages and usually not cost effective for you.
If you’d like to help by pre-packaging medications, put 30 pills per snack size bag and include either an original
package or write the name, dose of the medication, lot # and expiration date on the bag, or let me know that
you’re willing to help and we’ll plan a time to meet and work together.
Acetaminophen (Tylenol) 375 & 500 mg Multivitamins, adult and children’s
Ibuprofen (Advil, Motrin) 200 & 500 mg
Naprosyn (Aleve) 220 mg A&D or Desitin ointment
Chewable & Liquid Acetaminophen & Ibuprofen Antibiotic cream (Bacitracin, Neosporin)
(for children and infants) Steroid cream (Hydrocortisone)
Anti-fungal cream (Lotrimin)
Please do not send Aspirin, it is unsafe for
children and many Haitians have stomach Ranitidine 75 mg or 150mg
problems so we try to avoid it TUMS (we use lots & lots of tums!)
Pepcid or Prilosec
Decongestants (Sudafed) Imodium
Antihistamines (Claritin, Zyrtec, Alavert, Benadryl)
Benadryl syrup We are fortunate that we can get tape,
Cough drops or cough syrup (Delsym, Robitussin) band-aids, ace wraps and other medical
supplies free from medical suppliers so we
Debrox Ear Wax Softener do not need donations of those types of
Liquid tears (not Visine) supplies. Due to limited space we can only
use the medications listed here; these
Monistat cream OTC drugs or money for prescription drugs
Vagisil cream remain our greatest need
Prep H
47
#20 TIPS FOR WORKING WITH INTERPRETERS
Effective and ethical heath care depends upon clear, accurate communication and mutual understanding
between patient and provider. Even when both parties speak the same language, the opportunities for
misunderstandings occur frequently. In foreign mission fields where the providers and patients do not share
linguistic and cultural background, the possibilities for miscommunication are endless with an even greater
potential for harm. Effective use of an interpreter is an important travel skill if you do not speak the local
language. Follow these guidelines to help the interpreter communicate what you are saying.
Get to Know Your Interpreters
Spend a few minutes before starting work to get to know your interpreter. Ask questions about their education,
translating experiences, family and interests. By asking questions that require more than a yes or no answer
you can help determine how well they can understand what you are saying and communicate thoughts and
facts. Ask for their input regarding how to facilitate communication between you and the patients. Many of the
interpreters in Haiti have been helping teams for years and may have greater experience then you, be open to
their suggestions.
Treat Your Interpreters Well
Interpreters have a very tough job. Although the interpreter’s role is primarily to transmit the message, they
have an ―insider’s‖ knowledge of local customs and practices and can be invaluable in helping you understand
the patients’ unique needs and concerns. A good interpreter can put an appropriate cultural filter on the
communication and avoid potential embarrassment or misunderstanding. After you've experienced a few
complicated negotiations through an interpreter, you’ll have a much better appreciation for having someone
who knows the language and culture there to help.
Decide on Technique
There are three interpretation methods that you can use separately or in combination; the method you use
depends upon your circumstances and prior experience of you and your interpreter
Thought for Thought interpreting: you can have a complete conversation with the interpreter and then let
them speak on your behalf
Consecutive interpreting (sentence-by-sentence or section-by-section): Usually the most effective mode
of interpreting in a medical setting. Ask the interpreter to interpret everything that is said exactly: add
nothing, omit nothing and change nothing.
Simultaneous interpreting: Your interpreter ―whispers‖ a translation as you are talking - in many cases
this may be too distracting when working in a medical mission setting.
Be very specific as to how you wish to have something communicated: inform them that health care often
requires communicating in a direct and exact way and about matters that are often considered embarrassing
or private. Let them know that it is ok to repeat exactly what the patient says even if it upsetting or
unpleasant. Encourage them to ask questions if they do not understand what you are saying
Getting Started
Begin the session by introducing yourself and your interpreter and assure the patient that all
conversations are private, and will remain confidential.
Position the interpreter behind the patient or slightly off to the side; always focus on the patient.
Maintain eye contact and speak directly to your patients, NOT the interpreter.
Everyone wants to be treated with dignity and respect. Your patience and warmth can help over- come
any language barrier.
48
Tips for Providers Working with Interpreters
Speak slowly and clearly. Pause after a thought or phrase is complete (if not too long), or after major
points have been made. Asking an interpreter to remember long sentences or passages can lead to
omissions.
Use simple language: Avoid using technical vocabulary, slang, jargon, or colloquial expressions.
Speak at normal volume. Speaking louder does not help the patient understand better and may
intimidate them.
Try to avoid excessive gestures and body language, very few gestures and signs are universally
understood and could have offensive connotations in different settings.
Humor often does not travel well. Avoid jokes and humorous stories, even teasing can be open to
misunderstanding within different cultures.
Watch your interpreter to be sure he/she is keeping up with you. Allow the interpreter time to interpret;
do not interrupt them when they are speaking
Even if you don't understand anything said; the time spoken in each language should be about the
same. If you talk for 20 seconds and the interpreter only speaks for 5 seconds, something probably got
lost in the translation. The opposite is true as well
Watch the body language of the person you are trying to communicate with, if it does not match what
you would expect from someone who understood your language, something is wrong
Plan for breaks for both the interpreter and you - usually after 1-2 hours – many interpreters are reluctant
to interrupt a session so it’s up to you to stop for water and bathroom breaks.
Never assume that people do not speak English (or any other language), just because they do not say
anything. Making this assumption can lead to embarrassing situations.
Always allow your patients to ask questions. The best way to ensure that they have understood your
explanations and instructions is to ask them to repeat back to you what was said.
Show Your Appreciation
Developing a good relationship with your interpreter not only benefits the providers and patients but ultimately
the success of our missions in Haiti. Show your appreciation for your interpreters’ hard work and contributions.
Say "thank you" and "please" often. Although the interpreters are paid for their work, most teams also bring a
small gift of appreciation to give to the interpreters on the last day. Certificates of Appreciate (see Sample)
can also be prepared in advance and completed in Haiti for each interpreter. Be creative and generous. Gift
suggestions include:
Bibles (in French)
st
1 aid kits or medicine (bottle or package of NSAIDs, TUMS, etc – NOT a baggie packaged for patients)
Food (package tuna/chicken, peanut butter, jelly, granola bars, nuts, gum, powdered drinks, etc)
Flashlights and batteries
Hats for men, scarves for women
Notebook/notepads and pens
Reusable water bottles
Pocket knife with or without a belt caring case
Scissors and small sewing kits
Small tool kit
Sunglasses
T-shirts
Toiletries: lotion, soap, toothpaste, toothbrush, hairbrush or combs
49
#22 HOM MISSION TRIP FINAL REPORT
Thank you for your recent service to HOM and the people of Haiti. As we work and serve together countless
lives are changed, including our own. The efforts of professionals and lay people have made a tremendous
impact in many aspects of HOM mission efforts in Haiti. Our ministry is strengthened by the experiences and
knowledge of each volunteer; we strive to improve our ministry by utilizing feedback and suggestions from you.
We ask that each team leader take this form to Haiti and submit it to a staff member at the end of your mission
with suggestions or concerns that you feel that need to be addressed. You may also submit it and any additional
comments by email to Bill Glass at jglass50@gmail.com. Praise is always welcome too!
Date of Trip: _____________ Team Leader: ____________________________ Number of Members: _____
Names of Members (optional)
st
Was this your 1 trip? Yes No Was the HOM Handbook and Resource Guide useful? Yes No
What information would be helpful to add to the resource package?
Type of trip & projects accomplished:
Areas that worked:
Areas in need of improvement:
Supplies taken:
Supplies left behind:
Comments or Suggestions:
.
50
