HAITI: Health Care Providers are More Confident Thanks to PRISMA 2's Support

The “Project for Integrated Management of Maternal and Child Health in Artibonite  - Phase 2” (PRISMA 2) has just completed a second year of interventions in Haiti. Planned over a four-year period (2017-2021), this initiative contributes to improving reproductive, maternal, newborn and child health for women, girls and children under five, in eight Communes of the Artibonite department.

This year, the Project focused mainly on training health care providers to building their capacity to apply the standards required by the Artibonite Health Directorate (DDSA) related to providing quality health care to beneficiaries, more specifically pregnant women and newborns. A total of 254 providers (188 women and 66 men) were trained on topics such as family planning and neonatal resuscitation throughout the year.

Here’s the story of Miss Cadet Guetna Lourdy, a young 29-year-old nurse who was supported by the PRISMA 2 team.


Graduated in 2015, Miss Cadet began her career as an instructor of clinical internship for nurse students from the Faculty of Nursing (Public University of Artibonite) at the emergency room of the Providence Hospital of Gonaïves (HPG), the largest health institution in the department. In 2018, she was recruited by the DDSA as a part of the reinforcement of staff initiative supported by PRISMA 2. Miss Cadet was then assigned to Anse-Rouge as a frontline nurse, where she worked in very different conditions from those she was used to.

Located at the core of an arid landscape, wedged between mountains and sea, the Anse-Rouge Health Centre serves a population of approximately 40,000 people. Providing Basic Emergency Obstetrics and Newborn Care (BEmONC), the institution faces many challenges, including limited resources and extremely difficult road access, which constitutes a significant barrier to attendance at the centre. Indeed, the long, bumpy and sometimes dangerous roads leading to the centre affect the willingness – and ability – of pregnant women of the Commune to attend the health centre, also making it dangerous to transfer patients safely to the HPG if there’s a problem during delivery. It is therefore essential for the staff to be well trained to maintain the trust of pregnant women that choose to go to the health centre. That way, the staff can provide them with the quality health care they are entitled to and can respond promptly and appropriately when the situation requires it.

The PRISMA 2 Project therefore ensures that Anse-Rouge’s health care providers (as well as those of 8 other BEmONC instutions in Artibonite) develop and strengthen the skills they need to allow women to give birth with dignity and children to be born without complications.

Now a nurse in charge of the maternity ward at the Anse-Rouge Health Centre, Miss Cadet was able to benefit from the training provided under the Project: “Deliveries and partograms were insurmountable challenges for me. However, the Labour and Risk Management (ALARM) carried out by PRISMA 2 just prior to my assignment gave me real confidence, allowed me to understand and complete the partograms, which allows me to make informed decisions on a case-by-case basis. I now feel very comfortable with my actions and my behavior towards the beneficiaries from the centre is greatly improving”.

With a little emotion in her voice, the nurse explains that she didn’t expect such an increase in her skills, not only in the maternity area, but also in terms of her behavior. She once didn’t bother to introduce herself to women before they were taking care of. Now, she proudly claims that she has reviewed and changed her attitudes towards her patients. Since she attended the Client-Centred Approach training from PRISMA 2, Miss Cadet respects women’s right and privacy, as she considers this her priority.    

Thanks to the local support offered by PRISMA 2’s team, she now says that she’s able to carry out her duties with confidence and pride: “Currently, when I refer a patient to the HPG, I find it necessary to learn about her evolution, either by calling the hospital or through the parents, which allows me to know if my references are in order. Usually, I can see that they’re accurate”, says Miss Cadet with a smile on her face.