Haiti earthquake: Survivors begin long journey to recovery | Doctors without borders

In Tabarre, Widnika underwent surgery. The bones in his lower leg are now held in place by an external fixator – a medical rod attached to the outside of his leg – as the bones begin to grow together again. Widline appreciates the care given to her son and is saddened at the prospect of returning to the destroyed home. Their city, Camp Berrin, is a five-hour drive from Port-au-Prince in normal times, and now roads throughout the region are damaged, making travel even more difficult.

Patients require prolonged follow-up care

The many challenges faced by patients and their families – medical, psychological and practical – pose thorny problems for the hospital staff responsible for ensuring that patients receive the care they need in the coming weeks and months. In southern Haiti, many hospitals have been damaged and, at the moment, cannot provide the follow-up care that many earthquake survivors need.

“We are in the process of making contact with other organizations to ensure that they continue to provide physiotherapy and psychological care when our patients return to their communities,” explains Dr. Kanout Dillala, MSF coordinator at Tabari Hospital. “It is essential that patients with bone fractures undergo regular medical consultations to monitor how their bones are healing and to make adjustments if necessary. We must assess whether hospitals have the capacity for radiography and other aspects of this care.”

There are many logistical challenges as well. Traveling from southern Haiti to Tabaré will be very difficult, as the roads were badly damaged by landslides. Many earthquake survivors have temporary or permanent disabilities as a result of their injuries, making travel more difficult.

Finding a place for patients to stay

Elvi Pierre, a social worker at Tabari Hospital, works to keep patients connected to their families, who are a crucial source of emotional support. “Does anyone know you’re in the hospital?” She asks regularly, and takes out her phone if a call is needed. As patients’ conditions improve and they are ready to leave the hospital, she asks if they have relatives they can stay with in the city while they continue with outpatient treatment.

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