Community Health Initiative, Haiti
WHO WE ARE
Dr. Chris Buresh
Dr. Judy Stark
Dr. Joshua White
Dr. Paul Elbing
Dr. Chris Buresh
Dr. Joshua White
2018 Recognized Employees
Jean Onel Desrosiers
2018 Scholarship Recipients
CHI Board of Directors
Dr. Chris Buresh
Dr. Joshua White
Dr. Paul Elbing
Marie Miracle Timolus
Marie Nandy Eloi
Annie Vander Werff
IT & Data Committee
Dr. Chris Buresh
Dr. Paul Elbing
Dr. Joshua White
Human Resources Committee
"If you talk to a man in a language he understands, it goes to his head. If you talk to him in his own language, it goes to his heart." -Nelson Mandela
When I get the opportunity to travel with our clinic teams, I find myself filling in where someone needs a break. I often sit at the TEBOW electronic medical records station, a job that requires regularly speaking in Creole (personally or through an interpreter), asking clarifying questions, and providing direction on where the patient should go next.
Sitting next to a first time volunteer, I recall how hard he worked at connecting with patients. Through his most basic
and broken Creole, he spent time greeting patients with a smile. He introduced himself, mastered short phrases, and creatively made each person feel welcome. By the end of the week, he was well on his way to speaking without a cheat sheet.
Learning a second language has its challenges. But with practice, we begin to pronounce, annunciate, and form sentences. People appreciate the effort!
In 2018, CHI went through a year of learning to pronounce, annunciate, and form sentences - surrounding our organizational values.
With focused energy on putting our values into action, we encouraged volunteers and staff to consider how they speak of their experiences with CHI, share photos from their trips, and support the organization. As a result, through job creation, local professionals have empowered, equipped and encouraged the growth of their own future by investing in their families and communities.
As you read through this report, you will see beautiful examples of how CHI's values have been carried out. I hope you find them as inspiring as I do.
Thank you for joining us on this journey to communicate in a new language. Just as my TEBOW colleague did, we can all continue to practice and get better. And as we do, we speak directly to the heart of those who matter to us most.
Yours in health,
Annie Vander Werff
"The best way to find yourself is to lose yourself in the service of others." Mahatma ghandi
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integrity allows us to have unity in our service to communities in rural Haiti while we remain true to our word in all circumstances and respect the autonomy of individuals and communities at every juncture.
Solidarity is not charity. It is the idea that we share common cause with the people of rural Haiti. It means that we share the burden of each challenge faced by our partner communities.
Many of our volunteers know Dr. Louine Mompremier, one of our Haitian providers who has joined us for many medical clinics since January 2016. Dr. Louine was in medical school during the 2010 earthquake, and was part of the 50% of his class that survived. He went on to graduate from medical school and developed an interest in obstetrics. One year later, Dr. Louine was accepted into the Partners in Health/Zanmi Lasante Obstetrics/Gynecology Residency. Because of the program’s rigor, he was unable to work at every CHI clinic. But, in August 2018, he had a week of vacation and chose to spend it working with CHI's August Medical Team! The team marveled at how he had grown as a professional, mastered the ultrasound, and treated patients with the utmost care.
All of his skills came into play when a young pregnant woman walked into clinic with her boyfriend. In triage, she was soft spoken and clearly in pain. The team quickly moved her through clinic to meet Dr. Louine. He quickly performed an ultrasound and detected that we had an emergency on our hands. She had an ectopic pregnancy and it had ruptured. He mobilized the team to coordinate transportation and accompanied her to the hospital in Port-au-Prince. He spent the entire day with the woman and her boyfriend, serving as her advocate as she went through surgery. Concerned about her mental health after the loss and surgery, he connected her with a CHI Community Health Worker so that she could be further accompanied in her recovery. Dr. Louine Mompremier exemplifies many of CHI's values, but on that particular day, he demonstrated how working in accompaniment transforms lives. He envisioned her needed care and stayed by her side until that solution was achieved.
We operate five annual medical clinics and two annual surgical clinics in an attempt to provide continuous medical care to our partner Haitian communities. These clinics occur approximately every three months so that patients can receive check-ups and medication refills. However, we recognize that patients may not see a doctor between clinics. This is where our Community Health Workers come in.
Our five CHWs — Nola, Agnes, Widlyne, Denis, and Ketma — provide health education to individual patients and community groups. They travel throughout their respective communities to meet with patients that may need their blood pressure monitored or a wound cared for, referring patients to the next clinic when necessary. They hold Helping Babies Breathe classes for expectant mothers , training them and their elected birth attendant to safely deliver their baby at home and providing the life-saving materials to do so. They ensure that these women make it to clinics for prenatal checkups. Our CHWs also visit schools to instill healthy and hygienic habits in young children. These students learn how to brush their teeth or make a nutritious meal. And, the young students love when they get a toothbrush too!
Our CHWs are the lifeblood of CHI. They meet, listen to, and educate community members — from the youngest students to the most elderly patients. These five individuals understand patients’ needs and advocate that these needs are addressed. They help CHI fulfill our mission of providing continuous medical care through their commitment and solidarity with our partner communities.
CHI does not see itself as a charity, but as a development organization. By acting with integrity, we respect the dignity of our patients by providing high quality service rather than low quality handouts. When patients come to our medical clinics, a small fee is collected for the service. While the fees are waived if patients cannot afford the nominal cost, this fee helps us offset the cost of renting people’s homes for clinic space, cleaning the community daily, and hiring locals to set up the area in the wee hours of the morning. Another portion of this fee funds small development projects selected by the Do Digue community and conducted between clinics. In the past, these projects have included building a roof over the community well and fixing the nearby bridge. The community also saves some of this money throughout the year to conduct a larger development project. In 2017, the community decided to construct patient rooms and a waiting gallery. The project is nearing completion.
For each of these larger projects, community members prepare a plan and enact the solution. For the clinic rooms project, the community decided that the space must be multifunctional. The rooms will be used as patient and waiting rooms during clinic, but they will also serve as storage space for clinic supplies, areas for community events and meetings, and even classroom space so local children can attend school. The project will be completed in sections. In 2018, the community laid the foundation and constructed the first section of walls. Do Digue community members will continue to finish this project throughout 2019 so that, ultimately, the community can benefit from this multifunctional space year-round. It is encouraging to see that, through our clinic service and value of integrity, community-selected development projects are coming to fruition and will positively impact the future for our Haitian partners.
The Water for Life: Haiti Project was born out of conversations with our partner communities. They identified their communities' needs for improved water infrastructure. Together, we dreamed big and saw an opportunity in partnership with Haiti Outreach, DINEPA, and Rotary International. In our collaboration, Haiti Outreach has brought their expertise in borehole and well construction and maintenance. Because we aim to work with communities and governments to contribute to sustainable development, we are proud to be working alongside local and national water authorities at DINEPA. The project would not be possible without Rotary International’s support as well as the support of several private donors and local Rotary chapters - Iowa City Noon Rotary Club, Cedar Rapids Rotary Club, and the Champs de Mars Rotary Club.
Through these partnerships, we are mapping groundwater potential in Arcahaie and Cabaret, identifying appropriate drill sites for boreholes, transitioning to a sustainable latrine business, distributing Gadyen Dlo to more families, and providing borehole maintenance and management training to community leaders. This project began with the vision of community leaders and has grown into a sustainable initiative to improve local water infrastructure. With community input and strong partnerships, we are able to create a lasting solution that will contribute to local development.
Over 40,000 lbs of plastic are brought into Haiti every day. Much of this plastic ends up in streets and canals, or is burned. The Recycling Center aims to employ community members to pick up some of this plastic, as well as aluminum, to effectively turn trash into cash. With this income, families can put food on the table and send kids to school!
In April 2018, our Recycling Center opened in a new location near the Arcahaie market, complete with a shiny new sorting space. This move would not have been possible without the support of the Arcahaie Mayor, Market Director, and our partners at HaitiPlast. A solar panel was installed to provide light in and around the center at night, as well as an electricity source for collectors to charge their phones in exchange for turning in recyclables. Through a new partnership with HaitiPlast, the Recycling Center is offering resources to community members. HaitiPlast is an organization based in Port-au-Prince sponsored by the international Plastic Bank to promote Social Plastic. HaitiPlast has helped us supply wifi at the Center and has plans to offer full and half-tuition scholarships. Our most active collectors are eligible to pay their children’s school tuition with these scholarships. Our Recycling Center staff are also able to receive new training to make operations for efficient and innovative and to grow as professionals.
The Recycling Center embodies community-directed development. The Center employs community members. The Center cleans up the environment. The Center is Haitian-directed. The Center is sustainability.
Accompaniment is what happens between envisioning a solution and achieving a solution.
growing through our values
As we celebrated our sixth year in 2018, we began to see ourselves “growing up”. We began in 2012 as an organization committed to helping rural Haitian communities actualize their self-defined development goals. As we set out to make this vision a reality, we used our values to guide our journey. We have seen our patients, communities, and partners become healthier, grow, and develop. As CHI transitions from infancy to established, we reflect upon our five guiding principles — accompaniment, solidarity, integrity, partnership, and sustainability — and how they have contributed to our growth. We have put these values into action as we deepen our partnerships and further invest into community development.
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sustainability emerges when a community has a meaningful stake in conceiving, developing, and implementing an initiative that will benefit their friends, family, and neighbors. Sustainability arises from partnership, solidarity, and accompaniment, but without sustainability there is a limit to what partnership, solidarity, and accompaniment can achieve.
partnership is the foundation of our service to communities in rural Haiti. As partners, we explore community needs and work together to enact solutions by conveying their voice to the larger world, confronting financial barriers, providing technical assistance, and aiding project management.
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research for better reproductive health
In development, it is vital that we evaluate if our programs work in practice. Research is how we determine the impact of our programs. Haiti does not need more poorly implemented projects with little impact. We aim to address community-defined needs effectively. That is why we have recently partnered with graduate students and professionals to conduct three research projects.
In Haiti, 40% of women have unmet family planning needs. Lack of family planning contributes to more unplanned births, higher maternal and infant mortality, unsafe abortions, and decreased opportunities for women. In order to understand the women in our partner communities, Rachel Elbing met with women attending CHI clinic in June 2018 and spoke with them about their thoughts and experiences with birth control methods. With this deeper insight, we as an organization can better understand how to assist women in controlling and improving their reproductive lives.
Rachel and her interpreter Edna interviewed 52 women ages 18-40 years in Do Digue and Fondol, as well as CHI’s five Community Health Workers. These women represent women open to speaking about birth control with Rachel but not all women attending clinic. Overall, the number of women who said their partners supported birth control was impressive, and some of them were actually encouraged to get birth control from their male partners. Rachel found that the most commonly used and desired form of birth control was Depo-Provera. However, women like to see their periods regularly, which is a downside of Depo-Provera. Women prescribed oral contraceptive pills do not always take as directed, which is an area for additional education. Moreover, our CHWs are very informed about various methods of birth control, further supporting their importance as a health resource in the communities we serve. Women have a desire to learn about birth control and take control of their reproductive lives.
Dr. Jordan Reed and Dr. Allie Adam helped us evaluate our Helping Babies Breathe (HBB) neonatal resuscitation curriculum delivered by our Community Health Workers. This program, a modified version of the American Academy of Pediatrics curriculum, is delivered to expectant mothers so that neonatal health outcomes are improved in the home birth setting. Additionally, CHWs return to check maternal and infant outcomes at a postpartum visit.
Dr. Jordan Reed analyzed data from 214 births in our partner communities. Of these births, 153 had an HBB-trained attendant. These births were significantly more likely to have a health baby (90% vs 76%, p = 0.01). Neonatal mortality was further lowered when a skilled birth attendant and sterile birthing kit were present (2.3% vs 8.0%, p = 0.054). Therefore, HBB training, attendance, and supplies have been proven to reduce neonatal mortality by 71% in our partner communities. Lastly, Jordan found that 88% of mothers were satisfied with the HBB program and their home birth experience. We were proud to see Jordan present this research at the Unite for Sight conference at Yale University in April 2018. Jordan’s research has helped us evaluate the effectiveness of HBB training and demonstrated that this program works in practice.
Dr. Allie Adam furthered Jordan’s research by investigating the cause of neonatal deaths in families that had undergone HBB training. At the time of Allie’s research, 142 families had been trained, and 10 of these families had experienced a neonatal death from 2015-2017. Allie interviewed 7 of these families to elucidate if these deaths were secondary to primary apnea (not breathing after birth) or if they could have been prevented with more aggressive resuscitation. Allie concluded that the majority of the poor neonatal outcomes would likely have required interventions outside the scope of the HBB program. Mothers who experience decreased fetal movement before delivery and neonates that die more than 1 day after delivery typically require a level of care not feasible in the home birth setting.
Allie did not identify a situation in which the HBB-trained delivery attendant did not appropriately or accurately provide basic resuscitation. Rather, attendants retained the curriculum at an expert level when recounting each delivery and the interventions they performed. Of the 26 attendants interviewed, 24 had a sterile birthing kit provided by CHI present at the time of delivery.
Allie's survey further demonstrates that CHI’s adapted HBB curriculum has positively impacted the community. By providing a sterile environment for cord cutting, we can prevent infection and tetanus. By suctioning, we can prevent hypoxia and aspiration pneumonias. By providing HBB training, our CHWs are reducing neonatal mortality in our partner communities.
We are grateful for Rachel, Jordan, and Allie for lending their time and expertise to conduct this research. Like integrity, research tells us if we are doing the right thing. We aim to address community needs and ensure our programs have measurable impact. With their help, we have evaluated family planning needs and our HBB curriculum in order to improve reproductive, maternal, and neonatal health outcomes. We have identified areas for improvement and also proven effectiveness. With these results, we will modify our practices in order to better our service delivery in our partner communities.
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WATER FOR LIFE: hAITI
This year, we partnered with Haiti Outreach and local and national water authorities at DINEPA for our Water for Life: Haiti project. This project aims to improve the water infrastructure in the Arcahaie and Cabaret communes, ultimately helping our partner Haitian communities achieve their self-directed development goals.
In Spring 2018, we received funding approval from The International Rotary Foundation. This grant would not be possible without the tremendous support of the Champs de Mars Rotary Club of Port-au-Prince, the Cedar Rapids Downtown Rotary Club, and the Iowa City Noon Rotary Club. In addition to these clubs, we are thankful for several groups and individuals who supported this grant.
The project started with hydrogeologic mapping conducted by Haiti Outreach with approval by DINEPA. By overlaying population maps with groundwater sources, we are determining potential successful intervention locations in order to minimize the likelihood of failed borehole construction. This portion of the project also contributes to country-wide efforts to map groundwater potential. These maps have been catalogued by DINEPA and are available on the FRAPE website.
In the next stage of the year-long project, four qualifying communities will be invited to create clean water proposals. The communities will be asked to demonstrate their desire to become a water management community by drafting their proposed fee structure and borehole maintenance plan. In return, communities will receive water management training.
After this training, wells will be installed and monitored by Haiti Outreach for two years. A sustainable business model for eco-composting latrine construction will be created and used to install latrines for 90% of the communities’ families. Gadyen Dlo, point-of-use water treatment systems, will also be installed in 90% of the communities’ households. CHI Quality Control Workers will train these households on proper use, sell chlorinated solution, and monitor for proper function of the systems.
We are ecstatic to be part of building water infrastructure in the Arcahaie and Cabaret communes. This project was born out of conversations with our partner communities and we are honored to be accompanying them in seeing their goals become reality. Together, we are able to create a sustainable solution that will contribute to local development.
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Our programs are successful in part because of the generosity of our donors who believe in CHI, in our partner communities, and in Haiti. Giving is not limited to monetary donations but is a sharing of time, talent, and passion.
In 2018, we started recognizing these generous and creative supporters with the CHI Chanpyones program. The program encourages members and friends of the CHI family to share their own gifts and talents in their own unique way to equip Haitian partners to progress the health and development of their communities. CHI Chanpyones create their own events, offer their artistic talents, or collect needed items for our programs. Regardless of age or location, CHI Chanpyones support our Haitian staff, programs, and values by raising money and awareness for CHI.
In the past year, we have had the these CHI Chanpyones:
Vermont Mountain Running Camp 2018
United Methodist Church of Mount Vernon, IA
Allie Adams & Shannon Haines: Omaha Benefit Concert
Mackenzie Monahan & Tony Mancuso, Somewhere Out There: Arts & Music Festival
Iowa City School - Recycling Center Operations Fundraiser
Tim Melin & Orchard Ridge United Church of Christ
Blake Rupe, University of Iowa Social Good Entrepreneurship in Global Health Class
Joanna Krajewski, Flagler College
Iowa City Old Capitol Kiwanis Club
Kim RIley-Adams & Trinity Lutheran Church
*We apologize if we missed an event and encourage you to let us know of your event!
Source: New Yorker
FUEL TAX INCREASE
During Summer 2018, the Haitian government announced a tax increase on fuels that included a 38% increase on gas, 47% on diesel, and 51% on kerosene. The government stated that the hike was necessary in order to ensure the country met requirements for $96 million low-interest loans and grants from the International Monetary Foundation. Haitians around the country protested this dramatic tax increase. One day later, the government rescinded the proposed hikes and the prime minister, Jack Guy Lafontant, resigned. Protests lasted three days, and as described by Haiti’s Economic Forum of the Private Sector, primarily reflected "the high level of frustration — even the despair — of the majority of our fellow citizens in the face of the deterioration of their living conditions for many years." Many Haitians made their voices heard by the government, demonstrating that they face levels of poverty that make such tax increases have a devastating impact on households.
OCTOBER 5.9 MAGNITUDE EARTHQUAKE
On Saturday, October 6, a 5.9 magnitude earthquake with an epicenter 12 miles off the northwest coast of Port-de-Paix shook Haiti. Trembles of the quake and aftershocks were felt in Arcahaie, but all CHI staff were safe. Prime Minister Henry Ceant confirmed that most of the reported damage and flooding was in the Far North, much further north than Arcahaie. In total, 15 people died and about 300 were injured. In light of the 2010 earthquake, feeling the ground shake is traumatic and post-traumatic to many Haitians. We empathize with our partners and friends affected by this natural disaster.
"Nobody made a greater mistake than he who did nothing because he thought he could do only a little" -Edmund Burke
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Photo: Amery Journey Church Safe Birthing Kit Assembly Party
CHI 360: MN breaks records
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In response to hurtful comments made about Haiti and African countries, donations poured in for latrines. In the first two months of 2018, we raised funds for 29 latrines and made a dent in our community waiting list. Thank you to everyone who donated!
Josh White and Joel Zylstra organized a Guys Night Out in Minnesota in March 2018. Together, they raised $1,200 for CHI!
In 2018, we decided to move CHI 360 to Minnesota...and we made this our most successful event yet, raising $39,000! Because of you, more community members will receive clean water, latrines, and nutrition and Helping Babies Breathe training from our Community Health Workers, and continue to access medical care!
We would not have had such success without our Event Committee: Deb Gatzow (Event Chair), Gudrun Morgen (Event Emcee), Jan Palmer, Brenda Wise, and Theresa Christiansen; our event hosts Dave and Sue Elbing and honorary hosts Estefan and Sultane; and our Minnesota alumni and board member, Joel Zylstra.
We were happy to honor awardees Dr. Paul Elbing, Dr. Jeffrey Lynch, Dr. Judy Stark, Dr. Michael Barthman, Shellie Marving & Girl Scout Troop 13433, and Deb Gatzow!
We are excited to announce we will be returning to Minnesota in 2019! We look forward to celebrating with you again!
CHI RoundUps in Iowa and New England
Steve Yagla won our 2018 Buckets for Haiti Tournament by raising 61.5 Gadyen Dlo buckets ($615)! In total, participants raised 144 buckets or $1,440. Thank you to all our players!
In March 2018, we launched the inaugural women's surgical team under the guidance of team leaders Robin Meetz and Dr. Judy Stark. We were thrilled to see the success of this first clinic! Using the same general format as the January surgical team, we were able to focus our surgeries on gynecologic conditions.
After several years, it became increasingly apparent that the January team was providing much needed care for male hernias and hydroceles. However, women were not being seen for surgery at the same rate. With the help of all medical providers, we started "advertising" a March surgical clinic focused on gynecologic issues. We were not certain we would have any patients when we arrived at clinic the first day, but patients certainly came to see us! We had a team of five gynecology surgeons and one general surgeon who were able to perform hysterectomies, ovarian cystectomies, myomectomies, and LEEPS.
Although this clinic had major successes, it had its challenges as well. For example, we had to figure out a private setting to conduct triage where we could also use the ultrasound. Many of the patients were not surgical candidates but needed medical management instead. So, we were running a gynecology clinic as well as a surgery clinic all week. We were also able to consult with the Ob/Gyn staff at Hopital Reforme d'Ayiti about several high risk obstetrics patients.
This surgical team was the first step in offering the entire continuum of Ob/Gyn care to the women of CHI's partner communities. We certainly intend to offer this clinic and support these services to women in the future!
2018 TEAMS: BY THE NUMBERS
THE FIRST WOMEN'S HEALTH SURGICAL TEAM
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From state to state, our volunteers are great! In 2018, we had 159 volunteers from 24 US states, British Columbia Canada, and Victoria Australia!
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Being awarded the Benzoni Scholarship to be able to go to Haiti with CHI in June was life-changing in more ways than I could have imagined. Not only was I able to learn hands- on from the wonderful providers I was with, but meeting and caring for the gracious patients in Haiti was humbling, exciting, and eye-opening. I am so grateful for the opportunity that has confirmed my path in the medical field as well as my passion for global health and the beautiful country of Haiti. I am excited to return with CHI as a provider one day! -Katy Littlejohn, Des Moines University
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2018 FINANCIAL REPORT
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We love that you are a part of the CHI Haiti family, and we want to stay connected with you! But we want you to stay connected with Haiti too!
The Alumni Club aims to give individuals the opportunity to stay involved after your trip is over. We have designed varying levels of giving participation to meet your desired level of commitment. Alumni Club levels operate on three year terms.
Student: $25/yr LaBallade: $50-249/yr Fondol: $250-499/yr
Prestige: $500-999/yr Magistrate: $1000/yr
Visit chihaiti.org/connect/alumni-club to read our volunteers' testimonials!
Annually, we provide scholarships to several medical, public health, health sciences, and dental students to cover trip fees. Available scholarships include: Roger Williamson Medical Scholarship, Roger Williamson Health Sciences Scholarship, Bouskaship for Public Health, Benzoni Scholarship, and Emergency Physicians of the Rockies Scholarship. To learn more about scholarship opportunities or to apply, visit chihaiti.org/volunteer/scholarships
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Colin & Kim Adams
Heather & Richie Akers
Rod & Susan Backes
Harvey & Teresa Beyer
Gregory & Kathryn
David & Barbara Bryce
Julie Bucheit Peterson
Tim & Patty Burke
Larry & Denise Buttry
Rob & Jenifer Bystry
John & Barbara Cannefax
Rita & Charles
Donald & Nancy Craun
Frank Dalle Molle
Terry Dewald Fredrick
Krista & Craig Dopf
Richard & Debra
Shannon & DeLane Duval
Dave & Sue Elbing
Douglas & Gayle Elliott
Ed & Linda Farkas
Melissa Ann Fath
Michael & Erin Florin
Amber Nichole Fluto
Guy & Michelle Fromme
Tommy & Shelley Garrett
Deb & Keith Gatzow
Greg & Deb Gogins
Jayne & Michael Goldberg
Christine O. Heins
Mary Ann Hire
David & Carolyn Horton
Dale & Denise Huff
Rob & Staci Huisman
Colleen & David Jackson
Jared & Sarah Jupin
G.P. & Lyn Dee Kealey
Joel & Cindy Kruckenberg
Daniel & Margaret Lawlor
Dale & Rebecca Lawrence
Jo Nell Leadholm
Marcia Smith Leslie
Joan & Daniel Lindstrom
Donna & James Lunde
Jo Ann Mayberry
David & Pamela McCarthy
Martha & Jim McCormick
Valerie McDougall Kestner
Tim & Liz Melin
Michael & Jane Melloy
Jo Beth Northrop
Bill & Pam Olson
Jacob & Marcy Pease
Sara Jane Pegg
John & Sherry Purdie
William & Natalie Raaths
David & Susan Rager
Derek & Sonya Reynolds
Gayle & Kirk Roser
Richard & Helen Rucker
Cheryl & Charlie Ryan
Annie Kira Seide
Tim & Amber Sheeley
Roger & Glenda Sivers
Dean Preston Smith
Ken & Shelly Snyder
Judy & Randall Stark
Bradley & Kari Steber
Gary & Linda Stephans
Jo & Todd Strickler
Maurine and Gary
Donald Van Wyke
Jill Van Wyke
Toby Vanden Heuvel
Annie & Brad Vander
Alexis Vander Werff
Dave & Cheryl Vander Werff
Wyatt Vander Werff
Crystal Vander Werff
William Richard White
Mehrdad & Tiffany Zarifkar
Robert & Melissa Zuzek
Joel & Amy Zylstra
CHI 360 Sponsors
Associated Eye Care
Atlantic Bottling Company
The Print Shop
Trail Ridge Consulting
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Community Health Initiative, Haiti | POBox 5908, Coralville, IA 52241 | chihaiti.org |
Working in solidarity to create healthy, empowered, and self-directed communities in Haiti...until the work is done!