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Who We Are

Jean-Guy Honoré, MD, OBGYN | Country Director

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Dr. Honoré has worked sixteen years in maternal and child health, monitoring of community-based health programs, including HIV/AIDS prevention and treatment, focusing on the Prevention of Mother to Child Transmission of HIV. His specializations are in obstetrics and gynecology, fertility and reproductive health, and in public health policy and management. He has over nine years of experience in providing medical care and support to female survivors of sexual violence. He has excellent training skills in monitoring and evaluation of programs, program design and implementation of global health, and in colposcopy. He holds a Doctor of Medicine from the State University of Haiti in addition to certificates in obstetrics and gynecology, reproductive health, public health and colposcopy.

Jean Gabriel Balan, MD | Associate Country Director

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Dr. Balan has nearly ten years of experience with I-TECH, starting as the Clinical Mentor Lead and currently serving as the Associate Country Director, a role he took on in 2012. He has strong leadership skills and is dedicated to helping clinicians to improve their training and mentorship skills. He is an expert trainer with specialties in pediatrics and nutrition. He serves on the National Healthqual Committee in Haiti. He holds a Doctor of Medicine from the State University of Haiti.


Nathaelf Hyppolite, MD, MS | HMIS Project Director 

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Dr. Hyppolite has over ten years of clinical and health informatics experience. He started his career in clinical practice with particular emphasis on HIV care and treatment. Since joining I-TECH in 2007 as a clinical mentor, he has shifted focus to health management information systems (HMIS). After earning his Master of Science in Health Informatics in the US, he returned to I-TECH to manage the HMIS programs where he applies and integrates the fundamental concepts of information technology in clinical settings.


Marinho Elisma, MD | Clinical Mentor Lead

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Dr. Elisma is a skilled clinician with over ten years of clinical experience in the treatment and care of patients, in particular those infected with HIV. He specialized in internal medicine and continues to provide guidance to clinicians in both inpatient and outpatient clinical settings. After his residency, he taught at the National Nursing School, prior to joining I-TECH. With I-TECH he began as a Clinical Mentor focusing on the Hôpital de l’Université d’Etat d’Haïti (HUEH). In 2014 he took on the role of Clinical Mentor Lead Assistant. He is dedicated to helping clinicians to improve their training and mentorship skills.

Scott Barnhart, MD, MPH | Principal Investigator

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Dr. Barnhart is a professor of medicine and global health with over 15 years of global health experience. As the former medical director and associate dean of Harborview Medical Center in Seattle, and the former director of I-TECH’s Division of Global Health Programs, he provides leadership and technical assistance to I-TECH Haiti. His experience and training include extensive clinical work, research and program management in pulmonary and environmental and occupational medicine, and over 8 years as medical director of a safety net / Level 1 Trauma Center hospital. Major implementation projects include VMMC scale up in Zimbabwe and Malawi, Open MRS, and Lab Information Systems. Currently, Dr. Barnhart supports efforts in multiple African countries and Haiti to strengthen health systems and health care.

Joanna Diallo, MBAc | Senior Program Manager

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Ms. Diallo has ten years of experience in international development program management with expertise in HIV/AIDS, nutrition, and food security. She leads the Seattle-based team and collaborates with the country-based staff to implement health systems strengthening projects in Haiti. Ms. Diallo has managed projects focusing on healthcare quality improvement, maternal, neonatal and child health and nutrition, reproductive health and disease-specific programs to fight HIV/AIDS and malaria. She served as a U.S. Peace Corps Health Education Volunteer in Mali. Ms. Diallo has her B.A. in Political Science from Boston University and is pursuing her MBA from the UW Michael G. Foster School of Business.

Nancy Puttkammer, MPH, PhD | Research and Evaluation Advisor

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Dr. Puttkammer is a trained Health Services Researcher, with expertise on qualitative and quantitative research methods and multidisciplinary perspectives in systematic inquiry about health care delivery systems. Her research interest include evaluation of projects to strengthen health information systems, enhance routine surveillance systems using electronic data systems, and promote data quality and data use in routine health information systems.  She serves as a Research and Evaluation Advisor at the International Training and Education Center for Health (I-TECH) and supports program evaluation and applied research for health informatics projects in Haiti, Kenya, and South Africa. These projects involve the implementation of electronic medical records systems and laboratory information systems in Haiti and Kenya, as well as development and dissemination of eLearning training materials for health workers on health information systems, data quality, data analysis, and data use.  She has led data quality assessments, needs assessments, pilot evaluations, cost evaluations, and process and outcome evaluations for multiple health informatics projects. In Haiti, she has led retrospective cohort studies using multi-site EMR data to investigate retention in HIV care and ART adherence, including among pregnant women living with HIV and is currently the Co-investigator for the NIH R-34 InfoPlus Adherence grant.

Craig Appl, MPH | Senior Technical Advisor

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Mr. Appl provides leadership for the overall design, development and implementation of health information systems including standardized system architecture and software development for clinical and public health information systems across multiple country programs in a highly dynamic environment. He supports the I-TECH/Haiti team on the implementation of iSanté and iSantéPlus. Craig comes to I-TECH with a wealth of experience in field implementation, solution architecture and project management. His experience ranges from managing global software development teams to small scale implementations in Nepal and Uganda. He has an MPH from Johns Hopkins University with a certificate in Health Informatics.

Steve Wagner, MS | Senior Systems Analyst 

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Mr. Wagner has 30+ years providing software support, consulting, and development as well as database administration for commercial software vendors and public institutions, most recently on the team developing Haiti's electronic medical record. He has his BS from the University of Wisconsin and MS from the Massachusetts Institute of Technology, both in Engineering.

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