Surgical Care in Haiti

Chapter

Abstract

Haiti, the poorest country in the western hemisphere, is woefully lacking in basic medical care as well as having a high burden of surgical disease. Basic operations, trauma interventions, fracture repairs, and obstetrical interventions are the most needed. Limitations in physicians and infrastructure exist and more advanced procedures, such as vascular interventions, are not contemplated. Availability of and access to care are challenges in this resource-poor country. Non-governmental organizations have been vital in Haiti to assist in building surgical capacity, as well as improving access to primary care. Sustainable programs that provide ongoing repeated agendas and educational training curricula, rather than sporadic missions, will be crucial to reducing the burden of both medical and surgical disease.

Keywords

Haiti Surgery Surgical capacity 

References

  1. 1.
    Castro A, Farmer P. Infectious disease in Haiti. EMBO Rep. 2003;4:S20–3.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Ivers LC, Garfein ES, Augustin J, et al. Increasing access to surgical services for the poor in rural Haiti: surgery as a public good for public health. World J Surg. 2008;32:537–42.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Farmer PE, Ivers LC. Cholera in Haiti: the equity agenda and the future of tropical medicine. AmJTrop Med Hyg. 2012;86:7–8.CrossRefGoogle Scholar
  4. 4.
    Anderson FW, Morton SU, Naik S, Gebrian B. Maternal mortality and the consequences on infant and child survival in rural Haiti. Matern Child Health J. 2007;11:395–401.CrossRefPubMedGoogle Scholar
  5. 5.
    DeGennaro Jr V, DeGennaro VA, Bitar M, Bitar J, Thaller S. Building advanced surgical capacity at a hospital in Port-au-Prince, Haiti. J Craniofac Surg. 2015;26:1042–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Hottinger DG, Patel BM, Frechette RL, Walent W, Augustin ME, Daly PJ. Building surgical capacity in developing countries: lessons from Haiti and Honduras. J Health Care Poor Underserved. 2015;26:278–86.CrossRefPubMedGoogle Scholar
  7. 7.
    Hughes CD, McClain CD, Hagander L, et al. Ratio of cesarean deliveries to total operations and surgeon nationality are potential proxies for surgical capacity in central Haiti. World J Surg. 2013;37:1526–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Ivers LC. Strengthening the health system while investing in Haiti. Am J Public Health. 2011;101:970–1.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Ivers LC, Cullen K. Coordinating and prioritizing aid in Haiti. N Engl J Med. 2010;362:e21.CrossRefPubMedGoogle Scholar
  10. 10.
    Tran TM, Saint-Fort M, Jose MD, et al. Estimation of surgery capacity in Haiti: nationwide survey of hospitals. World J Surg. 2015;39(9):2182–90.CrossRefPubMedGoogle Scholar
  11. 11.
    Teicher CL, Alberti K, Porten K, Elder G, Baron E, Herard P. Medecins sans frontieres experience in orthopedic surgery in postearthquake Haiti in 2010. Prehosp Disaster Med. 2014;29:21–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Missair A, Gebhard R, Pierre E, et al. Surgery under extreme conditions in the aftermath of the 2010 Haiti earthquake: the importance of regional anesthesia. Prehosp Disaster Med. 2010;25:487–93.CrossRefPubMedGoogle Scholar
  13. 13.
    Patel A, Pfaff M, Clune JE, et al. Disseminating surgery effectively and efficiently in Haiti. J Craniofac Surg. 2013;24:1244–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Chin-Quee A, White L, Leeds I, MacLeod J, Master VA. Medical student surgery elective in rural Haiti: a novel approach to satisfying clerkship requirements while providing surgical care to an underserved population. World J Surg. 2011;35:739–44.CrossRefPubMedGoogle Scholar
  15. 15.
    McGraw IT, Dhanani N, Ray LA, Bentley RM, Bush RL, Vanderpool D. Rapidly evolving outbreak of a febrile illness in rural Haiti: the importance of a field diagnosis of chikungunya virus in remote locations. Vector Borne Zoonotic Dis. 2015;15(11):678–82.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Texas A&M Health Science Center College of MedicineBryanUSA
  2. 2.LiveBeyondNashvilleUSA

Personalised recommendations