Konbit Sante Cap-Haitien Health Partnership

Strengthening capacity for a healthier Haiti

aka Konbit Sante   |   Falmouth, ME   |  www.konbitsante.org

Mission

Our mission is to support the development of a sustainable health system to meet the needs of the Cap-Haitien community with maximum local direction and support.

Notes from the nonprofit

Haiti is a vibrant country with a unique history and culture. Yet the communities that our healthcare partners serve face constant challenges. Poverty, an unpredictable political climate, and unreliable access to electricity, housing, and food make everyday life a struggle. Simply ensuring that medicines and supplies are available to those in need is not enough. We understand that building the capacity of the Haitian health system is a long and deliberate process, and are committed to avoiding typical development sector pitfalls along the way. Over the past 20 years, Konbit Sante and our partners have made great strides towards this goal in the Cap-Haitien region with a track record of high-impact results. Konbit Sante maintains two offices (a program and administrative office at Justinien University Hospital in Cap-Haitien and a small office in Falmouth, Maine) comprised of a diverse staff that takes pride in our ability to support one another.

Ruling year info

2006

Executive Director

Rupal Ramesh Shah

Main address

362 US Rt.1

Falmouth, ME 04105 USA

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EIN

01-0540292

NTEE code info

International Relief (Q33)

Community Health Systems (E21)

Community Improvement, Capacity Building N.E.C. (S99)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

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Programs and results

What we aim to solve

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Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Community Health Outreach

Many of the communities served by our healthcare partners are located in remote areas, and their residents do not have easy access to health care. Community Health Workers (CHWs) are employed by the Haiti Ministry of Public Health and Population to deliver healthcare outreach to these communities.

Konbit Sante supports the salaries of CHWs that are based at the Fort Saint Michel Health Center, one of our partners. They spend an average of 15 days per month in the field and are supervised by a community health program manager who is employed full-time by Konbit Sante. Each CHW receives three months of initial training sponsored by Konbit Sante, which is further supplemented if needed. Their field work includes hosting vaccination clinics for infants; educating the public about general health, sanitation, and nutrition; providing prenatal and postnatal check-ups via home visits and “mothers’ clinics”; making referrals to healthcare facilities; meeting with community leaders to discuss the communities’ healthcare needs; and disseminating educational materials during public health emergencies to minimize the spread of infectious diseases.

Population(s) Served
Infants and toddlers
Economically disadvantaged people
Women
Pregnant people

Konbit Sante supports our partners by facilitating the collection and delivery of donated medical equipment, supplies, and office furniture to Cap-Haitien from our warehouse in Maine, as well as from other organizations around the U.S. and abroad. We only ship supplies that are requested by our partners to prevent waste.

Konbit Sante is dedicated to avoiding high operational costs, and maintains a renewable franchise from the Haitian government that allows us to import supplies duty-free. That franchise not only reduces the expense of our own containers, it also allows us to consign containers at a low cost for other nonprofit organizations that deliver supplies to healthcare facilities in northern Haiti. To further reduce costs, we purchase medications for our partners at deeply discounted rates from the Pan-American Health Organization’s medical supply program, PROMESS. At Justinien University Hospital, our largest and oldest healthcare partner, we support the salary of a full-time stock manager who reviews the inventory, alert the hospital about potential stock-outs, and ensures that supplies are allocated as needed. This provides security measures to ensure that equipment and supplies are properly stored, inventoried, and tracked.

Population(s) Served
Adults
Families
Children and youth
Economically disadvantaged people
Emergency responders

Helping our healthcare partners provide quality obstetrics, gynecology, and early childhood care is one of the top priorities of Konbit Sante in its mission to build a sustainable health system in Cap-Haitien. Without proper prenatal and postnatal health care, children can face difficulties with growth and development that have debilitating effects for years.

One of our healthcare partners, Justinien University Hospital (JUH), is the biggest public hospital in northern Haiti and is home to the largest pediatrics facility in the region. At JUH, we coordinate training for pediatric interns and residents on everything from conducting medical research to neonatal resuscitation training, and provide medications, supplies, and equipment to the service.

One of the key areas to providing proper pediatrics care is to identify issues in the delivery of care. Since 2012, Konbit Sante has facilitated monthly mortality reviews within the service. Through analysis and discussion, it was revealed that there was a high mortality rate of neonates born moderately premature due to a lack of readily available emergency medicines and supplies. We implemented a system whereby the assistant facilities manager tracks the inventory of these supplies and alerts the hospital when stock is running low so that it can be replenished before running out. This has reduced the mortality rate of moderately premature neonates by more than 40 percent, and we continue to work with JUH to further reduce this rate.

Population(s) Served
Families
Women and girls
Infants and toddlers
Children
Pregnant people

Reliable data is essential to the field of medicine. Without being able to accurately identify problems and develop a plan to address those problems in an informed, deliberate fashion, improvements to patient care and outcomes cannot be accomplished in a manner that is effective and sustainable.

Since 2018, Konbit Sante has collaborated with Haiti Medical Education (HME) and the administration at Justinien University Hospital (JUH) on a research program that helps medical residents fulfill graduation requirements while identifying and studying areas that impact patient care. Throughout the year, residents receive training on how to conduct research from A to Z—everything from identifying a topic and getting approval from an institutional review board to analyzing literature, collecting data, and presenting research findings. Konbit Sante and HME recruit volunteer physicians from the United States, Haiti, and abroad to mentor the residents throughout the process. The purpose of the program is not only to make participants more skilled healthcare providers, but to collect data that will strengthen capacity for health at JUH and throughout Haiti.

Population(s) Served
Researchers
Emergency responders
Adults
Academics

Konbit Sante recognizes that good infrastructure means more than just a building to deliver health care. It means having enough space to meet the needs of the community, clean water for washing and drinking, a reliable source of energy to power facilities and equipment, regular maintenance, and more.

At Justinien University Hospital (JUH), our largest and oldest healthcare partner, we have facilitated and/or assisted with numerous infrastructure improvements over the past 18 years, including the installation of internet access to improve communications; major upgrades to the water and electrical systems; construction of a solid waste management building; and the expansion of the pediatric services with a new building. We also support the salary of an assistant facilities manager in the JUH pediatrics department who monitors supplies and conducts routine maintenance on the facility.

At Fort Saint Michel Health Center, we assisted in the enlargement of the maternity care unit and conducted a major expansion that alleviated congested waiting and treatment areas as well as installed a drainage system to prevent frequent flooding.

Following a devastating earthquake that left thousands in Haiti with permanent disabilities, we helped fund the construction of a 20-bed rehabilitation facility at Hopital de la Convention Baptist d’Haiti. We continue to support this institution to gain independence through a new solar energy system.

For our newest partner, Unite de Lutte pour la Sante Health Center (ULS), we raised more than $200,000 and provided engineering and design expertise for the construction of a new primary care clinic in Bande du Nord. We also assisted in fundraising efforts for a solar panel grid at ULS that makes the clinic less reliant on electric power and gas-operated generators.

Population(s) Served
Families
Health
Adults
Children and youth

Since 2017, we have partnered with the Connecticut Children’s Medical Center (CCMC) in Hartford, Connecticut to deliver training on neonatal care at Justinien University Hospital. Volunteers from CCMC train medical staff in the pediatrics service both on site and remotely using Pediatric Advanced Life Support, a course developed by the American Heart Association to improve the quality of care provided to seriously ill or injured children.

The need and content of this training, like many of our activities in support of the pediatric service, are informed by what is learned during the service’s monthly mortality reviews in which the CCMC volunteers regularly participate. Training has included instruction on Continuous Positive Airway Pressure machines; election infusion pumps for fluid management; ultrasound/cardiography for diagnostics; and emergency medications for care management. They have also conducted educational sessions for the community on the nutritional benefits of breast-feeding and how to perform manual expression of breast milk.

Population(s) Served
Economically disadvantaged people
Economically disadvantaged people
Families
Infants and toddlers

Where we work

Our Sustainable Development Goals

SOURCE: Self-reported by organization

Learn more about Sustainable Development Goals.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • How is your organization collecting feedback from the people you serve?

  • How is your organization using feedback from the people you serve?

  • With whom is the organization sharing feedback?

  • Which of the following feedback practices does your organization routinely carry out?

  • What challenges does the organization face when collecting feedback?

Financials

Konbit Sante Cap-Haitien Health Partnership
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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Connect with nonprofit leaders

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  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

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Konbit Sante Cap-Haitien Health Partnership

Board of directors
as of 5/12/2021
SOURCE: Self-reported by organization
Board chair

Kathleen Healy

Verrill LLP

Term: 2020 - 2023

Hugh Tozer

Woodard & Curran

Eva Lathrop

Emory University School of Medicine

Manuchca Alcime

Justinien University Hospital

Jeffrey Musich

Wright-Pierce

Pascale Gaetjens

Non-affiliated

Barbara Ginley

Maine Health

Andre Jean-Pierre

C-NEW-C

Jonathan Simon

World Health Organization

John Wipfler

Eyecare Medical Group

Frank Feeley

Non-Affiliated

Adam Silverman

Connecticut Children's Medical Center

Michael Tranfaglia

Tufts School of Medicine

Youseline Telemaque

Jhpiego

Robert MacKinnon

Drinking Water Commission, Maine

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 05/12/2021

Who works and leads organizations that serve our diverse communities? GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center.

Leadership

The organization's leader identifies as:

Race & ethnicity
Multi-Racial/Multi-Ethnic (2+ races/ethnicities)
Gender identity
Female, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

Disability

We do not display disability information for organizations with fewer than 15 staff.

Equity strategies

Last updated: 03/02/2021

Policies and practices developed in partnership with Equity in the Center, a project that works to shift mindsets, practices, and systems within the social sector to increase racial equity. Learn more

Data
  • We review compensation data across the organization (and by staff levels) to identify disparities by race.
  • We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
  • We disaggregate data by demographics, including race, in every policy and program measured.
Policies and processes
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
  • We have community representation at the board level, either on the board itself or through a community advisory board.
  • We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.