Here is how the Domestic Program works in Haiti.
1. There are two teams:
Domestic Team #1: Maudelin Mesadieu, MD, Vasectomist (click for his bio) is the Team Director. Vildor Pierre is the Lead Facilitator; he increases local awareness and educates the public about vasectomy. Louis Clodine provides the final counseling and takes care of all paperwork including consents. Julelande Jerome maintains and sterilizes the equipment and prepares trays in the procedure room. Together they provide vasectomies at Dr. Mesadieu’s ULS clinic in Ft. Bourgeois periodically.
Domestic Team #2: Classaint Saint-Vil, MD, is the vasectomist and Team Director. He provides vasectomies at Clinique Sourire de Vie in Cap-Haitien and at Clinique Metropolitaine in Limonade. In Cap-Haitien, Wilnot Olizard is his Lead Community Facilitator/Educator, and Rhode Saintyl provides final counseling and maintains records. Renette Etienne maintains equipment and helps in the procedure room. In Terrier Rouge, Fabiola Val is Lead Community Facilitator/Educator, Fabre Ingreen is Counselor, and Myriam Previl is the technical director.
2. NSV Venue & Regular Schedule:
The Domestic Teams hold Regular Free NSV Clinics when Drs. Mesadieu and Saint-vil can work them into their schedules.
3. Specific Dates:
After training by Drs. Curington, Stein, and Lolagne during the missions of November 2014 and March 2015, Dr. Mesadieu conducted his first Domestic Team vasectomy clinic on May 19, 2015. He has served with all International Team Missions since then to fine-tune his skills, and he is also helping train other Haitian doctors. For those who have internet access, Dr. Mesadieu has also prepared a Counseling Video in Creole.
After training with a number of International Mission Vasectomists during most missions since November 2015, Dr. Saint-Vil conducted his first Domestic Team vasectomy clinic on December 16, 2017. NSVI has supplied 3000 brochures (click to take a look), which are disbursed through the community by men who have had vasectomies and who are willing to educate others about vasectomy.
4. “Livelihood Assistance” Special Project:
This Special Project hits 2 birds with one stone. It addresses at least 2 social problems in the Haiti: (1) Poverty and (2) Overcrowding due to a high rate of unintended pregnancy.
The Livelihood Assistance Project is specially intended for Men who have had a Vasectomy already. The aim is to provide them with extra income. However, this is only for those who are willing to promote Vasectomy to fellow fathers, especially the low-income men who desire no more additional children. Those who have had NSV are more credible as educators, because of their experience. In return for their efforts at educating others, they are paid as Facilitators per the schedule below.
This Project also helps other Haitians supplement their incomes: (1) A Doctor/Surgeon (for now only Drs. Mesadieu and Saint-Vil, but we hope to train others) is paid for his services to those who are too poor to pay themselves in a country which provides no payment to doctors for this service as yet. (2) A Social Worker/Educator is paid to coordinate the Facilitators and confirm that full counseling is complete and that surgical consents have been signed. (3) A Nurse is paid to maintain sterile equipment and an inventory of disposable supplies, run the procedure room, and help with counseling as needed. All are paid on a per-case basis as follows:
Each Patient is asked to refrain from working on the day of his vasectomy and the next day. Many Haitian men are so poor that they cannot lose 2 days of income or afford the transportation needed to come for a vasectomy. So NSVI reimburses each patient 700 goud (about $10 depending on the exchange rate) for lost income and transportation costs. It’s not much, but the patients appreciate the help.
After his vasectomy, each patient is offered the opportunity to become a Facilitator. If he would like to, he is given a number of brochures with his name on them. He is paid a “Facilitator fee” for each patient who returns with his brochure and undergoes a vasectomy. It is NSVI’s way of reimbursing vasectomy clients for the time they devote to educating other men about vasectomy.
The total compensation is 2800 goud, $43.60 as of Jan 2018, but the exchange rate is always changing. NSVI budgets about $45 per vasectomy performed by the Domestic Teams.
For payment, Drs. Mesadieu and Saint-Vil must send a Case Log and Payment Ledger (above) to an NSVI Board Member by e-mail. Along with this Vasectomy Payment Log, they must also submit to NSVI via email a Vasectomy Patient Log:
This Patient Log assures NSVI that proper criteria are being followed (as yet, no vasectomies on young men with fewer than 2 children) and provides data about the demographics of men seeking vasectomy in Haiti.
Upon receipt of both Logs, NSVI transfers to Dr. Mesadieu or Dr. Saint-Vil (via Western Union) 2800 goud for each vasectomy performed. When working at their own clinics, the doctors keep the Surgeon fee for themselves, use the Facility fee to buy supplies, and distribute the rest to Patients, Facilitators, and their Nurses and Educators.
If you would like to DONATE, rest assured that a donation of $450 will provide vasectomy services for 10 men. Those men will be able to (1) better provide for the children that they already have, (2) relieve their wives of the risks of other forms of contraception and the unintended pregnancies that occur while using those less dependable forms of contraception, and (3) enjoy better sex without the fear of unwanted pregnancy. Your donation will enhance the quality of life for Haitian men, their families, and Haitian society overall. Moreover, it will provide extra income for our dedicated Domestic Teams.