Haiti

In partnership with the Ministère de la Santé Publique et de la Population (MSPP) and the local nongovernmental organization (NGO) Centre Haïtien pour le Renforcement du Système de Santé (CHARESS),  I-TECH implements programs to improve HIV services via a trained health workforce and robust health information systems (HIS) in Haiti. In June 2018, I-TECH successfully transitioned the country office in Haiti to the fully independent NGO, CHARESS, after years of strategic planning. Since the conversion to CHARESS, all of I-TECH’s activities are executed through the NGO.

Through CHARESS, I-TECH provides technical assistance to ensure that both national-level entities and health care sites are able to effectively use the integrated systems iSanté, the electronic medical record system, OpenELIS , the laboratory information system, and TrainSMART, the training participant management database. These allow for better decision making by providers, differentiated care for patients, and improved clinical performance through continuous quality improvement.

At the national level, the MSPP and the donor, the U.S. Centers for Disease Control and Prevention (CDC) through the President’s Emergency Plan for AIDS Relief (PEPFAR), are able to conduct national-level public health analysis using data from the systems. These analyses are used to modify policies and target assistance for better care and treatment of patients.

Currently, I-TECH focuses on three of the six World Health Organization health systems building blocks: health service delivery, health workforce, and HIS. Previously, I-TECH also supported the other three building blocks of leadership and governance, access to essential medicines, and health systems financing through the Centers of Excellence project that ended in September 2016.

Program Highlights

Clinical Mentoring in Haiti
I-TECH introduced its clinical mentoring program in Haiti in 2006. A team of physicians, nurses, and psychologists provide technical assistance to 20 sites in the MSPP care and services network to help strengthen HIV- and AIDS-related services. During site visits, CHARESS mentors conduct clinical rounds ...
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Continuous Quality Improvement in Haiti
In partnership with CDC, CHARESS helps the Haitian MSPP to implement the national care improvement program, HealthQual, by training providers on quality improvement concepts and using data from the EMR, iSanté, for clinical decision making and improved care ...
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Health Information Systems in Haiti
Electronic medical record (EMR) systems have the capacity to improve clinical decision making and quality of care at site level but can also be leveraged to make data-driven, population-level public health decisions. At the request of the MSPP ...
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Layering Research and Practice in Haiti
The EMR iSanté enables research on population health in Haiti, including the implementation of Option B+. This work was presented at the International AIDS Society Conference in 2015 ...
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