2022 Annual Report
HEI/SBH is pleased to present its first-ever digital annual report! Click here to download a PDF version.
From the President & Chair of the Board
This year we are honored and humbled to be celebrating HEI/SBH’s 40th anniversary. As you scroll through this page, I hope you are as proud as we are of how far we’ve come—and excited for where we’re headed, together.
In just the past year, our staff rose to new and greater heights to provide quality, life-saving care to more patients than ever before. They worked tirelessly to lead southern Haiti through the ongoing earthquake recovery effort, and the humanitarian crisis that left no corner of the country untouched. Their efforts are nothing short of heroic, and we are proud to honor them in this report.
Through every challenge, supporters like you stood unwavering in your dedication to our work and the people of Haiti. Because of you, SBH provided critical health services, 24/7, even amid dangerous unrest, extreme fuel shortages, and more. While these obstacles caused other facilities to shutter, you helped SBH remain a beacon of hope for all in need. Thank you for all you do.
As we honor our roots and look to the future, we know that we will continue to prove that incredible things are possible in Haiti, just as we have for the past four decades. We cannot wait to continue this great and important work with you.
What we do
HEI/SBH is a trusted, Haitian-led health network shaping and strengthening healthcare in partnership with the people we serve. We are the largest healthcare provider for over two million people in southern Haiti and serve as a model health system for the entire country.
Our dozens of services are designed to meet and evolve with our patients’ needs. Here at HEI/SBH, medical professionals at every level of their careers come to train and expand their skills. And through our community health program and satellite clinic, we are ensuring people living in even the most remote places can access the quality care they need.
Our doors are always open, and no one is ever turned away because they cannot pay. Providing care is our only priority—for every patient, every day.
Our vision is what makes us unique. Our work is based on equity. Every patient receives the same high quality of care.
We also value making patients feel welcome. From the moment they enter the hospital until the time they leave, we ensure that their experience is positive.
This hospital is a refuge for Haiti.
Ms. Rachelle Laguerre, Head Nurse
Photo © Nadia Todres
2022 By the Numbers
Our clinicians cared for more patients than ever before in 2022. Amid the earthquake recovery and humanitarian crisis, our patients trusted us to provide the urgent, life-saving care they needed.
COVID-19 Vaccines Administered
Young Medical Professionals Trained
Visits to Post-Earthquake Mobile Clinics
40 Years of Proving What’s Possible
This timeline of our work over the past four decades is dedicated to the ambitious, courageous, and generous leaders who helped shape HEI/SBH from its earliest days. Their legacies will live on in our work forever.
HEI/SBH is always prepared to navigate the most complex situations and save lives.
Our four decades of experience preparing for and responding to natural disasters, outbreaks, political unrest, and more have made us a leader the people of Haiti can depend on.
In 2022, our staff confronted some of the greatest challenges they have ever faced. As we continued our relief efforts for the 2021 earthquake, an escalating humanitarian crisis and the resurgence of cholera made it harder than ever to procure resources and provide care.
Despite every obstacle, our team stopped at nothing to ensure we were ready for every patient, every day.
The August 2021 earthquake damaged or destroyed more than half of all healthcare facilities in southern Haiti, leaving survivors without access to even basic health services. As the largest care provider in the region, HEI/SBH stepped in to lead the emergency response and save lives.
Clinicians served five mobile clinics and four impacted health care facilities
Total patient visits seen across sites in 2022
100+ communities received care through mobile clinics
Strengthening Southern Haiti
In the wake of the earthquake, we began leading a coalition of 31 healthcare facilities in southern Haiti to improve access to quality, affordable care throughout the region.
This impactful, five-year project will:
- ENHANCE LOCAL CAPACITY to provide quality, sustainable care throughout the region through mentorship, training, and technical assistance
- IMPROVE HEALTH OUTCOMES for more patients through quality service delivery, patient education, and community outreach
- INCREASE RESILIENCE to shocks and crises by prioritizing disaster preparedness and strengthening emergency response protocols
Photo © Nadia Todres
Dr. Saintilien Brings Care to the Community
Dr. Elie Saintilien is the Medical Director and Mobile Clinic Director at SBH.
In this story, he talks about the importance of the mobile clinic project and the power of HEI/SBH’s earthquake response.
Navigating Humanitarian Crisis
Haiti’s long-standing challenges with gang violence, fuel shortages, inflation, food insecurity, and other factors intensified to create an unprecedented humanitarian crisis in fall 2022. While this still-ongoing situation has forced many other healthcare facilities across the country to close, our fast-acting operations team moved mountains to ensure SBH had the resources to care for patients, 24/7.
Overcoming Challenges with Innovative Solutions
1. FUEL SHORTAGES
- Nearly doubled our fuel storage capacity
- Expanded supplier network and identified new fuel sources
- Implemented fuel triage system to ensure maximum support for critical services during fuel shortages
2. BLOCKED PORTS
- Utilized air freight and alternate ports to transport goods
- Analyzed and explored alternate ground routes to safely make supply runs during dangerous unrest
- Leveraged local partnerships to procure critical goods locally
3. FOOD AND WATER INSECURITY
- Distributed food kits containing dietary staples to families in need
- Distributed water purification tablets in the community
- Doubled water storage capacity with purchase of second water truck
Cholera reemerged in Haiti in October 2022, three years after its last confirmed case. Guided by our experience responding to the prior epidemic as well as COVID-19, HEI/SBH rapidly prepared a comprehensive response to the new outbreak.
HAITI-WIDE CHOLERA OUTBREAK | October 2022-February 2023
Hospitalizations for patients with suspected cases of cholera
Of confirmed cases were children under 9 years old
Cholera deaths* registered with the Haitian Ministry of Health
*The humanitarian crisis and limited access to health and laboratory services likely means that these numbers are underreported. Data from the Pan American Health Organization.
Our team quickly created a 15-bed cholera treatment center to provide safe, compassionate care for patients.
We also launched an outreach campaign to educate community members about cholera and ways to prevent its spread. By the end of the year, 3,000 community members had learned how to protect themselves and their families through these sessions.
While cholera cases have significantly decreased across Haiti in 2023, our team is vigilantly monitoring the situation. Together with our national and international partners, we will continue to conduct disease prevention activities in the communities we serve to prevent future outbreaks.
Miss Witnie Uses Knowledge to Counter Cholera
Miss Witnie is a member of our community health team. She and her colleagues have been working tirelessly to help stop cholera’s spread.
SBH is the largest and most reliable healthcare facility in southern Haiti.
Despite Haiti’s concurrent crises, our dedicated clinicians saw 158,782 patient visits in 2022: a new record. Along with the services spotlighted in the following pages, these patients came to access our dental clinic, enroll in our HIV/AIDs treatment program, manage non-communicable conditions like diabetes, and so much more.
Every day, we’re proving that high-quality, affordable, and sustainable care is possible in Haiti.
As the region’s leading maternal health referral center, our highly skilled clinicians are able to take on even the most complex cases.
Photo © Nadia Todres
“We contribute greatly to the reduction of maternal mortality [in Haiti],” says Dr. Berthony Guerrier, Head of Obstetrics and Gynecology. “We are a fountain in the desert.”
In 2022, more than a third of all women who delivered at HEI/SBH had a high-risk pregnancy, and nearly half needed a lifesaving C-section. Many traveled for hours in active labor while risking dangerous roadblocks—all because they knew here, they would find the care they needed.
SBH is one of the only hospitals in Haiti able to perform C-sections and other obstetric procedures, as well as treat dangerous complications such as high blood pressure and preeclampsia. Our maternal health program also includes comprehensive pre- and postnatal care, lactation support, HIV testing and specialized care to prevent mother-to-child transmission, family planning, and more.
Every year, Dr. Guerrier and his team care for an extraordinarily high volume of patients, often operating at over 120% capacity. Although the work can be difficult, they are immensely proud of the impact they are making. “When you think about all those people who come to receive assistance from us, you wonder: If St. Boniface didn’t exist, what would they do?” asks Dr. Guerrier. “St. Boniface serves the entire country. Our everyday work is its own success story.”
Accessible Care for Mother and Baby
Samora is 31 years old and comes from Maniche, Haiti. When she fell ill eight months into her pregnancy, she turned to both our mobile clinic and SBH for help.
At the only fully functional neonatal intensive care unit (NICU) in southern Haiti, we care for the littlest and most vulnerable patients.
Photo © Nadia Todres
In 2022, 28% of babies born at SBH required NICU care; nearly 1 in 3 are in peril before they are a day old.
Although there are many reasons why an infant may need NICU care, reduced access to maternal health services across Haiti may be contributing to this trend.
Our highly trained staff take great pride in delivering quality, compassionate care to every baby. They tend to each infant as if they were their own, providing advanced services such as breathing support, hypothermia treatment, and treatment for anemia and infections. All the while, our staff reassure and relieve parents and caregivers as their babies heal.
Thanks to our maintenance and supply chain teams, our NICU had a constant supply of oxygen and fuel for the generators that keep incubators and other critical equipment operating around the clock. Despite the great scarcity of these resources in Haiti throughout 2022, their tireless work helped keep our babies safe.
Urgent Care for Naromie’s Triplets
Naromie is 41 years old and comes from L’Asile, Haiti. She and her triplets received urgent care at a hospital near her home that our clinicians helped staff after the earthquake. She also received care at SBH.
Our Emergency Care Center is the only facility of its kind in southern Haiti. Here, our patients can receive urgent, life-saving care 24 hours per day—no matter what.
Photo © Nadia Todres
Mirielle Bien-Aimé—who we affectionately call Dr. Mimi—has been leading the ER for more than five years. “ER is a new specialty in Haiti,” she says. “This is one of the few hospitals that has an emergency room staff of high quality.”
Although the humanitarian crisis and ongoing unrest made travel extremely dangerous in 2022, Dr. Mimi and her team saw more than 9,000 patient visits. Working around the clock, the team treated everything from severe wounds to breathing difficulty. All the while, they were proud to know that for our patients, the care they received and the relief they experienced was worth the often-difficult journey.
“Because of the earthquake, so many new people have learned about the hospital, so we now have more patients than ever before,” says Dr. Mimi. “There would be much relief in the country if every area had a hospital such as this one. We are very dedicated to providing high quality care.”
Nourishing Little Princess
When baby Princess began showing signs of malnutrition at nine months old, her grandmother brought her to SBH for immediate care.
HEI/SBH provides a vast slate of general, pediatric, and orthopedic procedures for more than 4,000 patients each year. Here, surgical care is always a guarantee.
Our world-class surgical center is the most advanced facility of its kind in southern Haiti.
Our unique model has revolutionized the level of surgical care patients can receive in low-resource settings. Every member of our surgical team is cross-trained to perform a wide variety of procedures and tasks. This highly efficient approach ensures we are never dependent on any one individual, and life-saving procedures are never delayed.
In 2022, 56% of surgeries were emergency procedures. Because of our agile system, we are able to take on these cases and save lives where no one else in the region could.
SBH added a permanent orthopedic surgery program to our slate of services in response to the 2021 earthquake. The disaster highlighted the acute, pre-existing need for orthopedic care. Broken bones, torn ligaments, and other musculoskeletal injuries occur every day—not just in times of crisis. By creating this new service and building it to last, we’re providing essential care the people of Haiti deserve today, tomorrow—and for years to come.
Albertiny Can Play Again
Albertiny’s arm was crushed when the August 2021 earthquake toppled the walls of his home on top of him and his family. Today, he is making great strides in his recovery.
HEI/SBH ended Fiscal Year 2022 (July 1, 2021-June 30, 2022) in a strong financial position.
Generous funding from our partners and supporters helped us raise the already-high level of care we provide our patients during a tumultuous year in Haiti. We supported earthquake-devastated communities through our mobile clinics, strengthened our new orthopedic surgery program, navigated countrywide supply shortages, and more. We are deeply grateful to everyone who made this work possible.
40 Years of Proving What’s Possible
Whether you have been a part of our team for 40 years or 40 days, your partnership and support has helped us save lives and create a healthier tomorrow for the people of Haiti. Thank you for your partnership.
We hope you’ll continue to join us throughout 2023 as we celebrate our milestone 40th anniversary with events, special features, and more.