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June 16 , 2006 - Tulane / March Newsletter #5 is released! - Click here to read it!

Nurse Extraordinaire: AIDS Warrior
Odine Charles.
      by Jana McDonald

Ms. Odine Charles is a nurse-midwife for the HIV program in Mirebalais. The benches in the waiting room are usually full of patients when she starts work in the morning. She first takes care of any urgent cases and checks on the hospitalized patients, then begins calling people one by one to check and record vital signs, and send them on to see a doctor. If a doctor is not there, she carries out the consultation herself. She also draws blood for patients that need a CD4 test as early as possible so the lab can have ample time to process during the day. (Thanks to CDC we now have our very own CD4 machine!) Between patients, Odine helps accompagnateurs requesting formula or medication, or who bring in a newborn baby to be weighed and given lifesaving HIV prevention medication. Odine spends a lot of time with individual patients, especially new ones who require more counseling and education.

She also teaches women about family planning methods. Some daysOdine is responsible for HIV and syphilis voluntary testing and counseling for all comers. At any time on any day, Odine’s regular activities can be interrupted by having to deliver babies—for the entire hospital, not just the HIV program. Odine truly does it all; she goes above and beyond, from arranging food for hospitalized patients to seeing that newborn babies in our program receive boiled water, to making patient home visits in Mirebalais.

It is quite a demanding job, but she usually shares the load with colleague Ms. Erlande Pierre. She admits that the hardest part of her job is when she is on her own.

What she likes most about her work is the contact with HIV+ individuals. She becomes friends with our patients, providing support and advice along with medical care. She likes to help them feel that they are not alone. Her favorite part is watching patients gain weight and witnessing remarkable improvement in their health. One patient that stands out in her mind is 23 year old Adeline. Everyone in her village thought Adeline would die. When her parents kicked her out because they were ashamed of her disease, she lived for two months in the hospital. She had both AIDS and tuberculosis. Now she looks and feels so much better! Tulane-MARCH rented a house for her, and today she washes clothes for others to earn a living.

Odine would like Tulane-MARCH supporters to know that their donations are not in vain. “Your money helps a lot of people. It helps people who think that their lives are over, people who think that they will die. They return healthy to their families and continue with their activities.”The photo on the right depicts a typical Odine scene: at 6 pm after a long day, she relaxes by…giving a haircut to Lonny, an orphan boy living in the hospital. We are lucky to have such a dedicated, caring nurse!

The Tulane-MARCH Haiti Initiative

The Infectious Disease faculties of Tulane University in New Orleans and a Haitian organization called MARCH (Management and Resources for Community Health) have entered into a cooperative relationship for the purpose of attacking the problem of AIDS in Haiti.

MARCH is a non-profit agency run by Dr. Antoine Augustin, a Haitian physician. With partial support from the Haitian Ministry of Health and a few non-governmental organizations, it provides health care to some 175,000 persons in villages surrounding Mirebalais, a town in Haiti’s rural central plateau. To fully meet the health needs of this population, MARCH depends on donations from the private sector, foundation grants, and corporations.

Tulane is represented by Drs. Ruth Berggren, Holly Murphy, and Susan McLellan, each an academic and clinical specialist in the field of AIDS.
Jana McDonald, MPH, also of Tulane, works in Mirebalais to monitor and evaluate the program which prevents HIV transmission from mothers to children.

The Tulane-MARCH group is engaged in a number of AIDS-related activities. It has received initial funding from the World AIDS Foundation and the American Society for Tropical Medicine and Hygiene for a program directed at the prevention of HIV transmission from mothers to children.

The activities of Tulane-MARCH include Voluntary Counseling and Testing for HIV among pregnant women and their partners, and provision of antiretroviral medications to HIV infected pregnant women and to any member of the population found to have AIDS. All HIV positive persons are linked to a special accompanying friend, called an “accompagnateur” whose role is to provide support, encouragement, and directly observed therapy (DOT).

Since its inception in June 2003, the Tulane-MARCH program has tested 10,950 pregnant women for HIV. 275 HIV infected persons and HIV exposed infants are in care, 103 babies have been born; only 3 with HIV in their blood. We employ rapid HIV tests, allowing us to bring HIV screening directly to rural communities via mobile clinics. Pregnant women have received these services enthusiastically, because they know we keep their test results confidential, and we offer antiretroviral therapy for free.

To learn more about our impact and future objectives, click on the headings below.

Directly Observed Therapy

AIDS Treatment

Prevention

MARCH Social Services