Friday, November 28, 2014

#11 Visit a New Country: Haiti


Although I have been blessed to serve in several developing countries, Haiti is certainly unique.  Haiti is the most impoverished nation in the Western Hemisphere; the average Haitian’s income is about $2 per day (World Bank, 2013).   Because of its history of colonialism and oppression, its culture is a mix of Spanish, French, and African influences.  As I was walking/riding around, with the exception of the Creole being spoken, I felt like I was living in East Africa again due to the strong African roots.  In contrast, when I have served in neighboring Dominican Republic, the Spanish influence is much more enveloping which makes you more attentive to the fact that you are in the Caribbean.

I went to Haiti with a medical mission team from The Haiti Mission Foundation.  The Haiti Mission sends a medical team four times a year to the Tovar Clinic which it built in the rural area of Grison-Garde.  By sending teams with such frequency and regularity, patients are supplied with some continuity of care.  When a patient is diagnosed with hypertension, they are dispensed a three month supply of medicine and told to follow up at the next clinic.  Usually, and somewhat surprisingly, they do.  At the second visit, a provider can determine if their medicine is sufficient or if it needs to be adjusted.  For people who have medical needs which are immediate and above the scope of our clinic, we have funds reserved to send them to the hospital in the city so that they can get the help that they need.  In Haiti, you have to pay for your hospital stay up-front before services are rendered.  If you go to the hospital without any money, then you will be forced to leave without any treatment.

For the first time ever, I saw a patient with cutaneous anthrax – a common malady for children in Haiti.  Because it requires shots of antibiotic, the patient returned to the clinic throughout the week.  Watching the lesion diminish in size was impressive and rewarding.  I saw a lady who had been seen by the July team who had a cancerous growth on her foot; the massive growth had been removed in July to restore her foot to normalcy.  In October, the growth had returned, grown larger from its original size, and was impeding the elderly lady’s ability to walk unassisted and without pain.  We knew she would require a foot amputation to prevent the spread of the cancer and to improve her quality of life; we were able to provide her with the funds necessary for the hospital to perform the surgery.  I was nervous for her when through the translator I explained she would need a foot amputation; to my surprise she was elated when we told her the news.  She was ready to be rid of the massive growth which has plagued her for so long.

The poverty of Haiti is a very real and present danger for the people who live there.  Because access to clean water is not readily available to everyone, diseases like cholera, dysentery, and parasites are alarmingly frequent.  Malnutrition is evidenced in wasted muscles, deceptively bloated tummies, and chronic skin conditions.  Because indoor charcoal stoves are used for cooking, asthma and COPD are common afflictions even in non-smokers. As patient after patient filed in, the most common complaint by far was pain.  Pain from things we seen in the United States like Arthritis, acute muscle injuries, or chronic overuse.  Yet, their pain was exacerbated above anything I see here: Pain from the burden of carrying firewood and water for bathing, drinking, and laundry great distances; pain from working out in the fields without the luxury of farm equipment; pain from a lifetime of hunger and improper nutrition; pain from parents worrying how they would put food in the mouths of their young babes; pain from watching too many loved ones die too young and of diseases which would have been prevented or easily cured if in another country.  Pain in Haiti is a daily companion that is often untreated, but impossible to truly ignore despite their best efforts.

In the midst of their pain, there is hope.  Hope for healing. Hope for relief. Hope in Christ. Although this is my first time coming to Haiti, there were many veterans on this trip.  They were continually astonished at the signs of progress from prior trips: we saw less orange-haired children (an effect of malnutrition) likely in part because of the clinic’s feeding program; we saw no cholera likely because there are more bore-holes and wells in place to provide access to clean water; and we saw better-fed babies because of better-fed mamas.  Progress can be slow, hard, and frustrating, but we are starting to reap the harvest from the seeds which faithful servants started planting a decade ago.  I am excited to see what God has in store for Haiti and her people. 
 
“You Said” by Hillsong
You said, "Ask and you will receive
Whatever you need"
You said, "Pray and I'll hear from Heaven
And I'll heal your land"
 
You said, “Your glory will fill the earth
Like water, the sea”
You said, "Lift up your eyes
The harvest is here, yes the Kingdom is near"
 
You said, "Ask and I'll give the nations to you"
Oh, Lord, that's the cry of my heart
Distant shores and the islands will see
Your light, as it rises on us

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