HVH Outreach Prescriber signature list    Date: …./…./…….

• Your team's emergency kit should contain:
•  
• Diazepam PR rectal kit
• Epinephrine 0.5mg/mL EpiPen Junior Auto injector
• Epinephrine 1mg/mL EpiPen Auto injector or Epinephrine 1:1000 (0.1 mg/mL)
• Loratadine 10mg tablet
• Prednisone 10mg tablet
• Salbutamol inhaler + spacer

DAY 1: SATURDAY

Arrive in Cap Haitian, Haiti
Drive to Bod Me Limbe
Arrive at Guesthouse and get acquainted with the villages and surroundings and discuss project details, introduction to life in BML
Stay the night at Sante Pou Yo Guesthouse

DAY 2: SUNDAY
Beach Day at Isle Caramel
Pre-pack medications and check all supplies are packed for clinic
Voodoo Cermony and Welcome Party
Stay the night at Sante Pou Yo Guesthouse

DAY 3 - 7: MONDAY TO FRIDAY
Mobile clinic throughout the region
Evening tutorial presented by HVH doctor on day 3, and team on days 4-7
Stay the night at Sante Pou Yo Guesthouse

DAY 8: SATURDAY
Mobile clinic in the region of Labadee
Stay the night in Labadee

DAY 9: SUNDAY – OPTION 1
Depart BML and travel to Citadelle
Return to Cap Haitian and visit the local market
Eat dinner at LeKay restaurant
Stay the night at Hotel du Roi Christophe

DAY 9: SUNDAY – OPTION 2
Travel by Boat to Cormier Plage with visit to Labadee village
Beach Day at Cormier Place
Dinner at Cormier Place

DAY 10: MONDAY
Departure Day

Donation Guidelines:

To support a sustainable medical service at HVH, please ensure donated medications:

ü  Are in line with the local HVH drug formulary (which is in line with the WHO Essentials Medications list and MSF)

ü  Have at least 6 months expiry

ü  Are labeled in English

ü  Have all transport and customs cost met by the donor

If you would like to donate a medication outside of this list, please check prior to sending it.  Thank you for your generosity and support.

Please answer the following questions and send to Emma ( This email address is being protected from spambots. You need JavaScript enabled to view it. ) as an email or Word attachment. 

1. What is your educational background?

2. What are you currently studying? (if applicable)

3. What are your interests in research or volunteering?

4. What experiences have you had living/working/ travelling in under-resourced countries?

5. What languages do you speak?

6. How will you fund your trip?

For Volunteers:

1. How long do you intend to volunteer?  (Minimum of 1 month commitment required)

2. What particular skills will you bring as a volunteer for HVH?

For researchers:  

1. Do you propose to undertake research as part of a program of study (i.e. Masters or PhD thesis)?

2. What kinds of research have you undertaken in the past?

3. Have you submitted a research proposal to your university/faculty/committee for approval? Please submit a copy of your proposal.

4. Has your project been approved or is it subject to approval by a Research Ethics Board at your educational institution or clinical setting?  If so, please attach application and approval.

DAY 1: SATURDAY
Arrive in Cap Haitian, Haiti
Drive to Bod Me Limbe
Arrive at Guesthouse and get acquainted with the villages and surroundings and discuss project details, introduction to life in BML
Stay the night at Sante Pou Yo Guesthouse

DAY 2: SUNDAY
Beach Day at Isle Caramel
Pre-pack medications and check all supplies are packed for clinic
Voodoo Cermony and Welcome Party
Stay the night at Sante Pou Yo Guesthouse

DAY 3 - 7: MONDAY TO FRIDAY
Mobile clinic throughout the region
Evening tutorial presented by HVH doctor on day 3, and team on days 4-7
Stay the night at Sante Pou Yo Guesthouse

DAY 8: SATURDAY
Mobile clinic in the region of Labadee
Stay the night in Labadee

DAY 9: SUNDAY – OPTION 1
Depart BML and travel to Citadelle
Return to Cap Haitian and visit the local market
Eat dinner at LeKay restaurant
Stay the night at Hotel du Roi Christophe

DAY 9: SUNDAY – OPTION 2
Travel by Boat to Cormier Plage with visit to Labadee village
Beach Day at Cormier Place
Dinner at Cormier Place

DAY 10: MONDAY
Departure Day

General Clinic Support

Individual healthcare volunteers can spend time in one of HVH’s two clinics, supporting the HVH healthcare workers. Volunteers can volunteer at the Sante Po You clinic in a rural setting or at the Shada clinic in an urban setting. If a medical team is interested in conducting a mass clinic, this can be arranged in another village area** where there is not currently access to a clinic.

Prenatal outreach program assistance

Individual healthcare volunteers can support our Nurse and agent de sante in our prenatal outreach program where they conduct assessments and education with pregnant women in the surrounding villages.

Pediatric Outreach Trips

Medical teams can participate in pediatric outreach trips known as “Peds Blitz’s” where Well-Baby and Well-Child check-ups including vaccinations are conducted in all surrounding villages. If an individual would like to participate in a Peds Blitz but is not part of a team, they can contact HVH to see if there are scheduled Peds Blitz that have space for additional volunteers.

Healthcare Specialty Support and Training

HVH can benefit greatly from healthcare workers with various specialties and special arrangements can be made to take advantage of the services that the volunteers could provide. This includes both the provision of services as well as a training segment for Haitian healthcare workers to help build local capacity. If HVH does not have a significant need for a particular specialty, we can also work with one of our many health partners working in the North to place you at an alternate facility. Specialties that could be utilized include:

• Medical Doctors
• Paramedics
• OBGYN and Midwives
• Surgical specialists
• Nurses & Nursing Assistants
• Internists
• Dentists
• Ophthalmologists
• Pediatricians and Family Doctors
• Physiotherapist
• Pharmacists
• MD & RN & midwifery students
• Public Health Educators

** This would be planned in advance with the volunteer coordinator in conjunction with HVH medical staff and HVH partner organizations on a needs basis.