NSVI (No-Scalpel Vasectomy International) in Haiti

August 31, 2010 - Day 2 - Cange

After a good night's sleep, starting the day with a group photo as we await the arrival of our patients and doctor trainees.

Dr. Doug Stein, Dr. Ramon Suarez, technical assistant Lisette, driver Laurore, Dr. Fritz Lolagne
Four patients were scheduled and two arrived. Here those two patients discuss vasectomy with Drs. Joanel Joasil (Medical Director of Zanmi Lasante) and Dr. Lolagne.

The 28 year old man on the left had had 8 children with 8 different partners in the Dominican Republic. He had brought the children back to Haiti and they were living with his mother. Now he had a 23 year old girlfriend and thought that he might wish to have children with her, so he declined having a vasectomy. The man in the striped shirt had had 3 children with his present partner and was ready to proceed with vasectomy.

Given the fact that we had only one patient, we wanted our three NSV trainees to be as familiar with the technique as possible before entering the procedure room. So they all watched videos of NSVs and underwent training in proper use of their hands and the NSV instruments.

Cadet Bernard, M.D., OB/GYN (in blue), Pierre Jean-Hamiltong, M.D., General Surgery (in red), and Obelson Revolus, M.D., OB/GYN.

Dr. Suarez demonstrates (and explains in English) the 3-finger NSV technique of securing the vas, while 3 gloved trainees await their turns and Dr. Lolagne informs the patient in Creole about our progress and what he might feel.

Dr. Bernard has good hands and proves to be a quick learner. Our patient, nickname Tilepr�, was exemplary in his patience and cooperation.

Then our group photo gathered around the Zanmi Lasante logo placard.
Drs. Suarez, Jean-Hamiltong and Revolus; Lisette; Drs. Bernard, Lolagne and Stein.
Then it was on to Cap-Haitien for the night, in preparation for a day of NSV training in Ouanamithe. We were told that Route 3, the main route through the central plateau via Hinche and Pignon, might be even more rutted and muddy than it was during my trip in April and that it might even be impassable at one or two river crossings, now that it was the rainy season. We were advised to return south from Cange to Mirebalais, then take route 109 to Liancourt where it would meet Route 1/100, the main route between Port-au-Prince and Cap-Haitien. Route 109 courses through the valley of a large river between the coastal range and the central highlands.
The road south of Cange was dusty, sometimes narrow or torn up,
and busy with overcrowded vehicles.
We stopped for a cold drink in the agrarian central valley (rice and corn) spotted with smaller towns, equally poor.
We entered the mountains northeast of Gonaives at dusk, escorted over dark and bumpy road by our skillful drivers, Wolf and Laurore.
Keep in mind that all of this was made possible through the generous support of MSH, dedicated to the provision of quality family planning services throughout Haiti.
Enjoying a late-evening meal on arrival in Cap-Haitien are
Dr. Lolagne and Stein, Lisette, and Drs. Suarez and Revolus,
then rest at the Hotel Mont-Joli where Dr. Suarez reviews e-mails from the USA.
On to September 1, Day 3 - Ouanaminthe
Use the links below to go to any page about Haiti:
First trip to Haiti: April 2010  Second trip to Haiti: August/September 2010 
Preliminary trip to Haiti
April, 2010
Monday Aug 30
Arrival and MSH
Tuesday Aug 31
Cange
Wednesday Sep 1
Ouanamithe
Thursday Sep 2
Cap Haitien
Friday Sep 3
Fermathe

Third trip to Haiti: May/June 2011
Fermathe & Plaisance