” Primary” pediatric care refers to the day to day health care offered children. In the United States, “urgent care” frequently refers to an after-hours medical clinic or a quick clinic as compared to that of our regular doctor’s office. In actuality, urgent care is that level of care between primary and emergency care. It is that level of diagnosis and treatment of medical conditions that are serious and acute but not life threatening if treated within 24 hours.
The majority of children in the United States are seen for primary care. When KTNY opened in 2012 the majority of children who came to the clinic were in need of urgent care as there had been little or no medical care available to them in the region. This is much less so today because of the clinic’s focus on education and prevention. However, we continue to see large numbers of children who suffer from pneumonia, severe respiratory infections, acute diarrhea, malaria, typhoid and many other serious conditions.
NTFP treats thousands of children per year in its Primary and Urgent Care Departments. We charge approximately $2.50 per visit for any and all services that may be required. However, no child is ever turned away for a family or caregiver’s inability to pay.
Children in our region require emergency intervention for a number of reasons. Serious car and motorcycle accidents are not uncommon. Children also suffer serious burns from falling on or into cooking fire pits. Some children come to KTNY in dangerous condition due to serious illness or diseases that have gone untreated.
KTNY has a dedicated emergency room for children in need of expeditious care and treatment, when death or serious impairment is a possible outcome if treatment is delayed. Also, KTNY physicians and nurses are very well trained to handle emergencies. They are skilled at making prompt initial evaluations, accurate diagnoses and initiating critical emergency interventions.
Though standard in the United States, Triage is not a practice in which many Haitian medical staff is trained. It is not unusual that patients awaiting medical care in Haiti be seen on a first come first seen basis leaving more seriously ill and or suffering children to wait needlessly for treatment.
We are very proud that KTNY has a very well trained triage staff. Treatment priority is based on how sick, seriously injured, or suffering a child might be. The process is one of assessment, evaluation and referral to the program, department, and/or physician who is best suited to treat. This method assures that the most sick, injured, and suffering children are treated first.
In the United States, laboratory testing is often part of routine medical examinations. They help the physician diagnose medical conditions, plan or evaluate treatments, and monitor disease. When used comparatively, they also detect changes in health. Children, like adults, have a wide range of testing needs.
Comprehensive laboratory testing is not always available in medical facilities in developing countries. KTNY’s laboratory is staffed by two highly trained laboratory technicians who perform an average of 60 tests per day. Some of these include: Bloodlines, Malaria, Widel, Urine, Stool, RPR, HIV, Hepatitis B, Sickling, and H.pylori.
KKlinik Timoun Nou Yo (KTNY) maintains a fully stocked pharmacy staffed by a highly trained and competent pharmacy technician.
There is no central medication distribution center in Haiti and medications must be purchased for the clinic at a variety of locations in Port-au-Prince and the nearby city of Les Cayes. KTNY tracks purchases, inventory, and distribution of medications electronically.
In addition to tracking and dispensing medications, KTNY’s pharmacy technician counsels parents and caregivers in the administration of all medications prescribed for a child.
KTNY charges approximately sixty cents for any and all medications prescribed in a single visit. However, no child is ever refused medication for a family’s inability to pay.
Malnutrition in children remains among the most critical health issues in Haiti. It is caused by a protein deficiency which impairs the immune system. It renders the child victim to diseases and illnesses such as diarrhea (which causes severe dehydration and death), measles, tuberculosis, meningitis, pneumonia, and countless others. One out of every eight children will die before their fifth birthday.
Klinik Timoun Nou Yo (KTNY) utilizes growth monitoring as a fundamental method of assessing and treating malnutrition. In accordance with recommended guidelines and objectives, KTNY’s Severe Malnutrition Program provides Medika Mamba, a nutrient infused food supplement, to critically starving children. Those too young to receive Medika Mamba (under six months of age), are provided formula.
In addition to recording and tracking a child’s growth and development in our Severe Malnutrition program, we treat concurrent conditions, illnesses, and disease in our primary medical care department. All families and caregivers receive guidance and instruction in proper nutrition and breast feeding. No fees are ever charged for this program.
Too often children seen in KTNY’s Severe Malnutrition Program suffered from a MODERATE form of malnutrition. Under government requirements, however, we were prohibited from enrolling them in our Severe Malnutrition program. It was only a matter of weeks when these children returned, having suffered more, but sufficiently malnourished to qualify for the SEVERE Malnutrition Program. This was a paradox we were unwilling to tolerate and so KTNY developed a MODERATE Malnutrition Program.
This program treats children ages six months to five years, suffering from serious malnutrition (but not yet severe). They receive Medika Mamba, a nutrient infused food supplement. Their growth and development is tracked and recorded while concurrent illness and diseases are treated in our Primary Care Department. Families and caregivers receive instruction in proper nutrition and breastfeeding. No fee is ever charged for this program.
In recent years the effect of poor dental care – particularly poor preventive care for children around the world, has been shown to lead to significant illness and even death. Tooth decay is now the most common infection on the face of the planet. This is especially so in Haiti where dental treatment and preventative dental care are limited.
There are approximately 1 dentists per 10,ooo people in Haiti. KTNY has the only pediatric dental office in our catchment area and see hundreds of children annually making this one the regions most vital programs.
IIn the United States, well baby care is not only the cornerstone of an infant’s emotional, cognitive, and physical growth and development, but assures that preventative disease through inoculation and parental education will maximize the infant’s quality of life from birth on. Without Klinik Timoun Nou Yo’s Well Baby Program countless newborns, premature and/or developmentally delayed at birth, would likely die for want of proper screening and treatment and or caregiver education. There is also substantial likelihood that a vast number of children in the Port Salut area would be victim to serious preventable diseases for their failure to be inoculated at birth and thereafter.
Our Well Baby Program serves more than 1,500 children annually providing full examinations, initial and on-going vaccinations, Vitamin A to prevent blindness, nutritional screening, and parent education. No fees are ever charged for this program. Our program is the ONLY well baby in the region and likely well beyond.
While a hernia in the United States is of increasingly less consequence for the new techniques and materials that make surgery less invasive, an inguinal hernia if untreated can result in complications which are life threatening. Many young male children in Haiti suffer this weakness in the lining of the intestine and require surgery. Unfortunately, too often, it is unavailable or too costly.
No Time For Poverty is proud to partner with Johns Hopkins University which annually brings a large team of medical personnel to perform a number of these lifesaving surgeries.