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Vanderbilt Eye Institute and Les Centres Gheskio : Forming an eye care collaborative in Haiti. Amy S. Chomsky, MD Associate Professor of Ophthalmology. Inception. November 2009
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Vanderbilt Eye Institute and Les CentresGheskio: Forming an eye care collaborative in Haiti Amy S. Chomsky, MD Associate Professor of Ophthalmology
Inception • November 2009 • Chair of The Vanderbilt Eye Institute (VEI),Paul Sternberg, wanted to have VEI involved in an international humanitarian outreach project • The VEI Humanitarian Global Outreach Committee was formed- January 2010
VEI Humanitarian Global Outreach Committee • Amy Chomsky, Appointed Chair • Committee Members: Denis O’Day, Laura Wayman, Brian Carlson, Sarah Reynolds, Edward Cherney, Jeffrey Kammer, Stephen Kim, David Calkins, Janet Nicotera
Goals • Provide eye service to an underserved underprivileged population in an international setting. • Instill a sense of global healthcare service to VEI staff, faculty and residents. • Potential for training of local physicians and staff • Potential for research • Potential for resident/medical student rotation
Why Haiti? • Need • Vanderbilt Institute of Global Health’s involvement in Haiti- Les Centres GHESKIO • Denis O’Day, MD, former VEI chair is actively involved in health care initiative in Haiti: Visitation Hospital in Petite Riviere de Nippes
GHESKIO • In Port-au-Prince • History of Vanderbilt and Cornell collaboration with GHESKIO • Already working with Visitation Hospital in HIV outreach testing • Committed to: SERVICE, RESEARCH, TRAINING
Visitation Hospital • In Petite Riviere de Nippes • Visitation Hospital Foundation (VHF)- Founded in 1999. Its first component • The Visitation Outpatient Clinic, opened its doors in January 2008. • 250,000-300,000 otherwise without access to healthcare • Dr Denis O’Day vice chair of the board of VHF
Denis O’Day, MD Paul Sternberg, MD William Pape, MD
Eye Care needs • No sound epidemiological statistics available • High prevalence of Glaucoma, Diabetes, HIV • UV exposure issues- Pingecula, Pterygia, Cataracts • Hyperopia> myopia • Presbyopia- OTC readers
Over-all Plan • Set up a clinic in Port-au-Prince at GHESKIO • Outreach clinic to Visitation Hospital- every few months • Periodic trips by VEI Ophthalmologists to see patients and perform surgery. • Have a local Haitian Ophthalmologist funded at GHESKIO in collaboration with VEI • Set up screening devices that can be used for telemedicine
Outpatient Services to be provided: • Comprehensive eye examinations/screenings • Provide spectacles, medical glaucoma treatment, infectious disease treatment • Surgical services- Cataracts, Pterygia, Oculoplastics, Strabismus, Lasers, Injections, prosthesis • Low vision
Teaching and Mentoring • Work with local Ophthalmology community (SHO and the medical school training program)- help support speakers, symposia, etc • ? Help with the training of a Haitian Ophthalmology residents • ? Train ancillary support staff that can: assist the physician and train others to be assistants. • Also support local Ophthalmologists with equipment up-keep/service
The Timeline • To date we have made four trips and have seen approximately 300 patients- both at GHESKIO and Visitation Hospital • Provided medications, glasses, performed several lasers • Brought an Ophthalmic equipment Technician on most recent visit who performed ophthalmic equipment maintenance locally • Equipment for the clinic has arrived through customs • Space under construction for clinic and OR now at GHESKIO • Interviewing of potential Haitian Ophthalmologist
Budget • VEI is committed to at least two years of funding- the hope is with success of the program, this will be expanded. • Have had some donations already to date: Plan is for potential future fundraising as the program grows. **Although the plan is initially part-time, the hope is to expand to fulltime.
Challenges • Funds • Shipping/Customs • Ongoing stocking of supplies/medications • Donations- Fundraising and industry support • Training
Special Thanks! • William Pape, MD • Brigitte Hudicourt, MD • Franz Large, MD • Nancy Martelly Garnier, MD • Pascale Pelissier Auguste, MD • Paul Sternberg, MD • Armie Harper, MD • Denis O’Day, MD • Abel Villarreal • Janet Nicotera • Brian Carlson