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Impressions of Haiti

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Dear Afya Supporter,

Pite Pite Na Rive "Little by little we arrive"
Creole Saying


Last week I visited Haiti a country that is enduring, in spite of a long and tragic history. While there, I observed the stark circumstances of life as it has become, and saw the daunting reality of all that is needed.
 
afya in haiti 03One morning, colleague Deb Tupe and I were being driven to a clinic in Port au Prince. The trip took four hours instead of the normal 30 minutes, and we were hot, exhausted and irritated, because we had hoped to visit a number of nearby clinics. At some point, a quiet, familiar voice inside my head whispered "Observe, take this time to observe." At this moment, I witnessed as-of-yet unreported moments of strength and survival. I wish to share these observations of unimaginable resilience, demonstrating the Haitian superhuman capacity for staying alive in the shadow of destruction.
 
Generations of Haitians have experienced extreme poverty. On top of this pre-existing condition, now their homes have been leveled and they are in more dire need of care, food and shelter. In spite of this, they wake up each and every day and know that somehow, they will survive. Adaptation and coping with little afya in haiti 01at hand is seen everywhere.  Major news stations have shown the world the Haitian earthquake's devastation: broken streets of rubble, makeshift tented cities and thousands of Haitians who have suffered traumatic amputations. A tablecloth and an old metal structure becomes a shelter, a torn piece of fabric is utilized for street bathing, an obscure object found in the rubble is used for a game of toss. Life continues...Haitians miraculously hang on.
 
One morning, I observed an elderly woman sitting on a beach chair, calmly staring at the crumbled rubble of what remained of her home. Mothers smile lovingly at their children and hug them tightly in their arms. Street vendors try to sell their goods. Haitians have chosen to live; resilience is in the marrow of their bones. Some of the poorest people on the planet are offering us a powerful lesson in grace and survival.  
 
afya in haiti 04Haitians are kind hearted, and they are supremely grateful for every bit of help. They cherish their families, and understand the importance of caring for those who have no one else. When my colleague became ill while driving through one of the poorest areas of Port au Prince, a thin child reached up to the car window and handed her his only bottle of water.
 
As colleagues at Columbia University, the goal of our trip in was to meet with the staff at Gheskio, in Port Au Prince. We conducted a needs assessment for rehabilitation services/products needed by the thousands of people who have recently become disabled. As Occupational Therapists, this tragedy presents a unique opportunity to apply our years of training to circumstances that present mammoth systemic and logistical challenges.
 
There is presently no rehabilitation available to promote mobility and functional restoration in Haiti.  The number of trained therapists is small, and those who are there, have no supplies. This renders them helpless. Thousands of Haitians have experienced traumatic amputations. They are developing contractures that if remain untreated, will require further surgeries.
 
afya in haiti 06Afya's plan is to return to Haiti with a rehabilitation team of Occupational and Physical Therapists and 2-3 containers of vital rehabilitation supplies. This will be our Defibrillate Rehabilitation Program. Our goal is to return people with disabilities to the highest level of function possible. Using the equipment brought over in the containers, the team will match supplies to each patient's health needs and their unique set of daily activities. This healthcare must be appropriately designated and delivered immediately.
 
How will a woman who has had her arm amputated lift a bag of rice onto her head in order to carry it home to her children? How will a man who has lost both legs be able to stand all day to sell his wares? How will a malnourished baby eat by mouth without aspiration? A double amputee will need something to sit on when the heavy rains come into his tent. With the resources that have been so generously donated to Afya for Haiti, we can make a difference.
 
For the more fortunate Haitians, discharge from the hospitalafya in haiti 05 means going "home" to live in a tent. One million Haitians are in need of housing and this number will continue to rise. A newspaper article that was published recently discouraged the donation and use of tents, in lieu of more permanent housing solutions. One needs to spend just five minutes in a tented city to see why it is critical to collect and send these tents immediately. Tents have become sheltered dwellings; the most basic need requires the most basic response.
 
"Little by little we arrive." We have a lot to learn from those who have lost everything yet wake up each day smiling and loving, ready to dedicate themselves to survival. They know that little by little, their lives will improve. Afya is committed to the support of this compelling recovery - with heart, compassion and efficiency.
 
Since the earthquake on January 12, 2010, Afya has sent nearly 400,000 pounds of supplies from Afya. We are grateful to all of our volunteers, every donor, and each individual that makes our ongoing work possible. Your compassion and grasp of human tragedy is wrapped around the delivery of every single item in a supply container.
 
afya in haiti 02Our work is not done - it will take years for Haiti to establish an environment that supports good health. Financial contributions, donations of medical and humanitarian supplies and volunteers are still needed. At this time, we are asking all who are able, to continue to support our mission. Please visit our website to view our changing list of supplies needed, or to make a donation via PayPal. If you would like to volunteer, we will welcome, and be grateful to, all individuals and groups.
 
With sincere gratitude, 
 
Danielle Butin, MPH, OTR
Founder, Executive Director
 

 
About The Afya Foundation of America
Thank you for all your continued and future support.
 
The Afya Foundtion of America
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Yonkers, New York 10701
914-338-7034