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A male and female physical therapist wraps a bandage around a man's amputated leg at a rehabilitation center in Haiti
Haiti

Six months after earthquake, rehabilitation needs persist

In its ongoing support of Haiti earthquake survivors, Humanity & Inclusion works to fill the rehabilitation gap in affected communities.

The Haiti earthquake injured more than 12,700 people, causing fractures, open wounds and, in some cases, eventual amputations. In the early days following the tragic disaster, many went without appropriate care due to an under-resourced health system, difficulty reaching the nearest hospital, transportation and treatment costs, personal beliefs about the medical system, or the incorrect idea that their wounds would heal on their own. Such delays often resulted in worsening injuries, necessitating even more intensive and long-term care. 

Even for those fortunate enough to receive medical attention quickly, care was largely incomplete as few facilities offered any rehabilitation services to ensure proper healing and prevent long-term disability.

Treating survivors

Within days of the earthquake, Humanity & Inclusion arrived in Les Cayes to implement an emergency response with a key focus on rehabilitation services and support for the affected populations. Since August, Humanity & Inclusion physical therapists and rehabilitation specialists have worked with injured earthquake survivors in two hospitals and one rehabilitation center in Les Cayes, one hospital in Camp Perrin, and are now expanding care to Aquin. Humanity & Inclusion also supports its rehabilitation partner, FONTEN, in mobile units to provide rehabilitation care and health education sessions to more isolated communities that lack access to these services.

As of mid-January, Humanity & Inclusion had provided over 2,200 rehabilitation sessions to those injured in the earthquake, treating more than 600 people. In December alone, Humanity & Inclusion worked with more than 150 new rehabilitation patients, demonstrating the ongoing need for rehabilitation care even several months after the disaster. Some of the individuals had injuries or fractures still not seen by any health professional. Targeting mostly trauma-related injuries, Humanity & Inclusion provides both early, short-term rehabilitation as well as longer-term services for patients requiring up to nine months of care.

Strengthening community systems

One of the key goals of this intervention is supporting and reinforcing the capacities of local actors who are already responding and will continue serving the community long after the emergency.

To help strengthen the structures already in place, Humanity & Inclusion has provided equipment, administrative support and hosts weekly trainings for health personnel, including the use of assistive devices, early rehabilitation services, amputation, tele-rehabilitation and identification of disabilities. Humanity & Inclusion also provides weekly collaborative sessions to discuss the most suitable care for complicated cases in each health structure.

Mykelson

Children are among the most vulnerable groups affected by the disaster. As of January, the Humanity & Inclusion emergency response in Haiti had helped with the care of 115 children, most of which had fractures from trauma injuries.

Only 2 years old and just learning to walk, Mykelson was severely injured during the earthquake and lost the use of his foot.

“Our house was falling down, when a brick fell and hit my son,” his father explains. “The next day, we came to the hospital in the Cayes where Medecins Sans Frontieres cared for his wounds for a week and then referred us to Humanity & Inclusion. Now our son receives rehabilitation care three times a week from Humanity & Inclusion, and has been coming for about two months. He’s starting to be able to walk again without much pain, though he still has some discomfort. We just hope that our child will be able to walk normally again.”

Mykelson will soon receive a brace, which will help him walk with more ease and independence.

Josselin

"When the earthquake hit on August 14, I was struck by a beam while running to escape my home,” Josselin says. “I was operated on at Notre Dame Hospital and then I came here to the hospital in Les Cayes for care. I come once a week to sessions with Humanity & Inclusion, where I do therapeutic movements.

“I feel better. Before, I had to stay in bed but now I can walk again. I am very satisfied with the rehabilitation services and I thank the Humanity & Inclusion teams for their understanding, wisdom and skill.”

Horace

Horace, 46, is from the Grande-Anse department of Haiti and works as a mattress sales clerk. After sustaining injuries in the earthquake, he has been treated by Humanity & Inclusion’s rehabilitation team to facilitate his healing process.

“I could no longer bend my knee, but with the care I receive from Humanity & Inclusion, I’m starting to bend it better,” Horace explains. “I come three times a week for my sessions, and the people who provide my care do it with such kindness. My hope is that everything will soon return to normal and I will be able to stand on my own and continue my activities.”

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