1. Haiti Country-Wide EBM MCH Care Enabled by Clinical Engineering and Country-Wide HTM (In Progress)
Submitted by
Name: Tom Judd et al.
Affiliation: Bethesda BRTH (NGO)
National association (if exists): ACCE / IFMBE CED
Location: Haiti
address for contact:

2. Country Estimates in Brief Please fill the statistics you can find
Population
10,573,000
Population Growth Rate
1.17%
Life Expectancy at Birth
63.51 years
Infant Mortality Rate
47.98 deaths/1,000
Number of Health Centers in Country
10 Regions: Public & Private 2010 MSPP (MoH) data: 230 Clinics, Mobile Clinics, & Dispensaries; 110 hospitals
Total Expenditure on Health as % of GDP
9.4%
Global CE / HTM Success Stories

3. Country's Health Technology Program Key Success Story – In Progress
Plans for a national referral hospital, initially focused on Maternal Child Health (MCH) using World Health Organization (WHO)-acknowledged evidence-based medical (EBM) care practices, are underway for Haiti.
The following reference details hospital plans to open in 2020; community relationships have begun to be developed throughout Haiti in 2015; the project is known as NGO Bethesda Referral and Teaching Hospital (BRTH) aka Bethesda.
(1) Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care, The Permanente Journal, L. Jacobs, MD; T. Judd, MS; Z. Bhutta, MD; Spring Shows Bethesda plans & strategies.
EBM MCH care will be enabled by health technologies (HT), specified by WHO, with HT planning & management (HTM) led by the author’s team (Bethesda board member / clinical engineer T Judd with other HT & IT experts).
(2) Interagency list of medical devices for essential interventions for reproductive, maternal, newborn and child health. World Health Organization (WHO),
(3) Technology deployment to improve clinical outcomes, T Judd et al, Proceedings of 1st International Clinical Engineering Health Technology Management Congress China, October Example HT is Telemedicine and other EBM medical devices.
(4) Developing HTM Capacity for Haiti, T Judd et al, WHO 2nd Global Forum for Medical Devices, November, Presentation outlines Haiti HTM country-wide strategy.
March 2016
Global CE / HTM Success Stories

4. Country's Health Technology Program Next Steps for Success Story
EBM article (1) published in The Permanente Journal in Spring 2016, see
Bethesda’s funding raised ; WHO MCH expert Dr. Zulfigar Bhutta notes: ‘Bethesda to provide EBM care at pennies on the dollar, versus similar projects globally; that is why I joined the team.’
T Judd leads ‘Technology’ team, Bethesda opening 2020; see providing HT and Health IT tools; note references (2)-(4).
The Technology team will not only plan and deploy HT/Health IT tools, but also oversee their management, further developing HTM strategies country-wide to ensure their ongoing sustainability along with public & private health facility partners.
MCH example hospital partners include Mirebalais Zamni Lasante, CHS HSFS in Port-au-Prince, and MSPP (MoH) MCH hospitals country-wide. HTM partners include IMEC America and other existing public/private CE-HTM in Haiti, developed through discussions from 2012-present, see Reference 4.
March 2016
Global CE / HTM Success Stories

5. Conclusions and Action Plan
Improved MCH care is a dire need in most developing countries, as WHO statistics clearly demonstrate.
This in progress CE Success Story provides a model for introducing EBM MCH care in a developing country with globally recognized health gaps, while enabling this care delivery through specifying, deploying, & managing of appropriate health and health IT technologies, aka CE-IT.
The project is intended to not only provide tertiary EBM MCH care centrally, but also through public & private relationships, to enable this care country-wide, eg, through virtual care clinics in all areas, for improved secondary and primary care as well.
March 2016
Global CE / HTM Success Stories