Here is how the Domestic Program works in Haiti:
1. The Domestic Team: Maudelin Mesadieu, MD, Vasectomist (click for his bio), and Julelande Jerome, serving as both Nurse and Educator, hold vasectomy clinics at Dr. Mesadieu’s ULS clinic in Ft. Bourgeois periodically.
2. NSV Venue & Regular Schedule:
The Domestic Team holds a Regular Free NSV Clinic when Dr. Mesadieu can work it into his schedule at his own ULS Clinic in Ft. Bourgeois, and at Hopital Ft. St. Michel in Cap Haitien.
3. Specific Dates:
Dr. Mesadieu’s first Domestic Team vasectomy clinic conducted in the absence of any mission personnel took place on May 19, 2015. He was disappointed that his turnout was not higher, but NSVI is very proud of him for having the courage to do it all on his own. Since then, his numbers have increased. During NSVI’s Missions of July 22-25 and Nov 17-20, 2015, we fine-tuned his Domestic Program and he has now run all of the Domestic Team clinics you see above and independently performed all of the vasectomies in the shaded rows. As one can see in the November 2015 mission page (almost halfway down), Dr. Mesadieu is also helping train other Haitian doctors. 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. For those who have internet access, Dr. Mesadieu has prepared a Counseling Video in Creole in Creole.
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 Dr. Mesadieu, 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 on a per case basis 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.
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, $41.82 as of Dec 2016, but the exchange rate is always changing. NSVI budgets about $45 per vasectomy.
For payment, Dr. Mesadieu must send a Case Log and Payment Ledger (above) to an NSVI Board Member by e-mail. Along with this Vasectomy Payment Log, Dr. Mesadieu 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 (via Western Union) 2800 goud for each vasectomy performed. When working at his own ULS Clinic, Dr. Mesadieu keeps the Surgeon fee for himself, uses the Facility fee to buy supplies for his ULS Clinic, and distributes the rest to Patients, Facilitators, and his Nurse and Educator.
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 Domestic Team staff.