Cooperation in
Humanitarian
Disasters
Rolf Maibach, MD FMH Ped, Ilanz/Switzerland & Deschapelles/Haiti
Balancing
between

cultures
EARTHQUAKE IN HAITI 7 M
January 12, 2010 WHERE TO GO?
Haiti: 10 Mio inhabitants
Hôpital Albert
Schweitzer Haiti

316’000 killed 400’000 injured
2 Mio displaced >6’000 amputees
HÔPITAL ALBERT SCHWEITZER HAITI
HÔPITAL ALBERT SCHWEITZER
HAITI
1315 injured, 90% open fractures,
transported 4-8 hours on trucks
Lè ou bezwen, ou dwe pi
intèlijan.
When you are in need, you must be
more intelligent.
No telephone available: 80 volunteering
surgeons, anesthesiologists, orthopedic
surgeons
infrastructure, ressources
laboratory, blood bank, medicaments
external fixations
Life goes on
Diphtheria
PROSTHESIS LAB AT HAS
HANGER IVAN R. SABEL
FOUNDATION
40 new prosthesis every week!
1500 prosthesis, 5600 follow up
MITHA, 29 y. buried
under her house for
several days,
amputation of both
legs, abandonnend
by her husband, her
four childr...
MITHA on
training with all
her four children
Smile, whenever you are
stressed!
Orthopädische
Uniklinik Balgrist
Zürich
Dr. Thomas Böni
NAOMIE
The only surviving of
a large family in
Port-au-Prince.
Surgeon in small
team overwhelmed,
did not have time to
tre...
Too many amputations in
Haiti?
• Many small organizations without
technically skilled personnel and
insufficient technical...
Too many amputations in
Haiti?
• Many small organizations without technically
skilled personnel and insufficient technical...
Too many amputations in
Haiti?
• Many small orgizations without technically
skilled personnel and insufficient technical
r...
Visiting foreign
doctor ?
Art exposition at
the Oloffson
Port-au-Prince
Haiti
November 2011
In the the last few years we had
several disasters in Haiti. HÔPITAL
ALBERT SCHWEITZER played a major
role in disaster rel...
Other disasters
• August 2008: 4 Hurricanes with
inundations (Gonaive/Artibonite)
• Several truck accidents with >50
sever...
Cholera
Cholera 2010 / 2011
It has been widely
recognized, that Hôpital
Albert Schweitzer Haiti was
very successful in handling
these disasters. Why w...
Which qualifications are
prerequisites for a medical
disaster intervention team?
Which qualifications are
prerequisites for a medical
disaster intervention team?
1 Technical competence, speed
Which qualifications are
prerequisites for a medical
disaster intervention team?
1 Technical competence, speed
2 Infrastru...
Which qualifications are
prerequisites for a medical
disaster intervention team?
1 Technical competence, speed
2 Infrastru...
COOPERATION=SUCCESS
Which qualifications are
prerequisites for a medical
disaster intervention team?
1
2
3
4

Technical competence, speed
Infr...
Which qualifications are
prerequisites for a medical
disaster intervention team?
1
2
3
4
5

Technical competence, speed
In...
COOPERATION AT EYES LEVEL!
COOPERATION AT
EYES LEVEL
RESPECT
REVERENCE FOR LIFE
COOPERATION AT
EYES LEVEL
RESPECT
MODESTY
COOPERATION AT
EYES LEVEL
RESPECT
MODESTY
DETERMINATION
DETERMINATION

New Medical
Director at HAS
Dr. Herriot
Sannon
COOPERATION AT
EYES LEVEL
RESPECT
MODESTY
DETERMINATION
HUMOR
NATHALIE lost a
leg, but did not
loose her humor !
COOPERATION AT
EYES LEVEL
DETERMINATION
RESPECT
MODESTY
HUMOR
LOVE
JULIETTE
ET
FRÉDERIC
• Nouveaux
jambes,
nouveaux amis!
• New legs, new
friends!
DAS GLÜCK IST DAS EINZIGE, DAS SICH
VERDOPPELT, WENN MAN ES TEILT
THE FORTUNE IS THE ONLY THING THAT
DOUBLES, WHEN YOU SHA...
CONCLUSION
• The first two days everyone has to
focus on live saving measures,
hopefully in an organized way.
CONCLUSION
• The first two days everyone has to focus on live
saving measures, hopefully in an organized way.
• Thereafter...
CONCLUSIONS
• The first two days everyone has to focus on live
saving measures, hopefully in an organized way.
• Thereafte...
Nampwen zamlèt san
kase ze.
There is no omelet
without breaking some
eggs.
One must make
necessary sacrifices to
get a desired result.
Sometimes it is
necessary making
unpopular decisions to
achiev...
CONCLUSIONS
• The first two days everyone has to focus on live
saving measures, hopefully in an organized way.
• Thereafte...
Never, ever underestimate local knowlegde
LESPWA FÈ VIF
Hope gives life
MESI ANPIL!
MERCI
BEAUCOUP!
THANK YOU!
ENGRAZIEL
FETG!
VIELEN DANK!
www.hopitalalbertschweitzer.org
www.hashaiti.org
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures
Upcoming SlideShare
Loading in...5
×

Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures

395

Published on

Published in: Travel, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
395
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
7
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Rolf Maibach - Cooperation in Humanitarian Disasters – Balancing between cultures

  1. 1. Cooperation in Humanitarian Disasters Rolf Maibach, MD FMH Ped, Ilanz/Switzerland & Deschapelles/Haiti
  2. 2. Balancing between cultures
  3. 3. EARTHQUAKE IN HAITI 7 M January 12, 2010 WHERE TO GO?
  4. 4. Haiti: 10 Mio inhabitants Hôpital Albert Schweitzer Haiti 316’000 killed 400’000 injured 2 Mio displaced >6’000 amputees
  5. 5. HÔPITAL ALBERT SCHWEITZER HAITI
  6. 6. HÔPITAL ALBERT SCHWEITZER HAITI 1315 injured, 90% open fractures, transported 4-8 hours on trucks
  7. 7. Lè ou bezwen, ou dwe pi intèlijan. When you are in need, you must be more intelligent.
  8. 8. No telephone available: 80 volunteering surgeons, anesthesiologists, orthopedic surgeons
  9. 9. infrastructure, ressources
  10. 10. laboratory, blood bank, medicaments
  11. 11. external fixations
  12. 12. Life goes on Diphtheria
  13. 13. PROSTHESIS LAB AT HAS HANGER IVAN R. SABEL FOUNDATION
  14. 14. 40 new prosthesis every week! 1500 prosthesis, 5600 follow up
  15. 15. MITHA, 29 y. buried under her house for several days, amputation of both legs, abandonnend by her husband, her four children being listed as missing
  16. 16. MITHA on training with all her four children
  17. 17. Smile, whenever you are stressed!
  18. 18. Orthopädische Uniklinik Balgrist Zürich Dr. Thomas Böni
  19. 19. NAOMIE The only surviving of a large family in Port-au-Prince. Surgeon in small team overwhelmed, did not have time to treat open fracture. Too many amputations in Haiti?
  20. 20. Too many amputations in Haiti? • Many small organizations without technically skilled personnel and insufficient technical ressources (Swiss army knife is no surgical instrument!)
  21. 21. Too many amputations in Haiti? • Many small organizations without technically skilled personnel and insufficient technical ressources • Unethical behaviour? Kick ? Lack of responsibility?
  22. 22. Too many amputations in Haiti? • Many small orgizations without technically skilled personnel and insufficient technical ressources • Unethical behaviour? Kick ? Lack of responsibility? • Absence of any control mechanism, governmental organization.
  23. 23. Visiting foreign doctor ? Art exposition at the Oloffson Port-au-Prince Haiti November 2011
  24. 24. In the the last few years we had several disasters in Haiti. HÔPITAL ALBERT SCHWEITZER played a major role in disaster relief!
  25. 25. Other disasters • August 2008: 4 Hurricanes with inundations (Gonaive/Artibonite) • Several truck accidents with >50 severely injured people • End of 2010 and Summer 2011: severe Cholera epidemics, HAS treated more than 7000 patients
  26. 26. Cholera
  27. 27. Cholera 2010 / 2011
  28. 28. It has been widely recognized, that Hôpital Albert Schweitzer Haiti was very successful in handling these disasters. Why was it so? Which qualifications are prerequisites for succesful medical and surgical interventions in a disaster situation?
  29. 29. Which qualifications are prerequisites for a medical disaster intervention team?
  30. 30. Which qualifications are prerequisites for a medical disaster intervention team? 1 Technical competence, speed
  31. 31. Which qualifications are prerequisites for a medical disaster intervention team? 1 Technical competence, speed 2 Infrastructure, sufficient ressources
  32. 32. Which qualifications are prerequisites for a medical disaster intervention team? 1 Technical competence, speed 2 Infrastructure, sufficient ressources 3 Excellent interpersonal communication
  33. 33. COOPERATION=SUCCESS
  34. 34. Which qualifications are prerequisites for a medical disaster intervention team? 1 2 3 4 Technical competence, speed Infrastructure, sufficient ressources Excellent interpersonal communication Cultural adaptability
  35. 35. Which qualifications are prerequisites for a medical disaster intervention team? 1 2 3 4 5 Technical competence, speed Infrastructure, sufficient ressources Excellent interpersonal communication Cultural adaptability Competent leadership – Cooperation at eyes level
  36. 36. COOPERATION AT EYES LEVEL!
  37. 37. COOPERATION AT EYES LEVEL RESPECT
  38. 38. REVERENCE FOR LIFE
  39. 39. COOPERATION AT EYES LEVEL RESPECT MODESTY
  40. 40. COOPERATION AT EYES LEVEL RESPECT MODESTY DETERMINATION
  41. 41. DETERMINATION New Medical Director at HAS Dr. Herriot Sannon
  42. 42. COOPERATION AT EYES LEVEL RESPECT MODESTY DETERMINATION HUMOR
  43. 43. NATHALIE lost a leg, but did not loose her humor !
  44. 44. COOPERATION AT EYES LEVEL DETERMINATION RESPECT MODESTY HUMOR LOVE
  45. 45. JULIETTE ET FRÉDERIC
  46. 46. • Nouveaux jambes, nouveaux amis! • New legs, new friends!
  47. 47. DAS GLÜCK IST DAS EINZIGE, DAS SICH VERDOPPELT, WENN MAN ES TEILT THE FORTUNE IS THE ONLY THING THAT DOUBLES, WHEN YOU SHARE IT. A S
  48. 48. CONCLUSION • The first two days everyone has to focus on live saving measures, hopefully in an organized way.
  49. 49. CONCLUSION • The first two days everyone has to focus on live saving measures, hopefully in an organized way. • Thereafter healthcare has to be given first and foremost by institutions or organizations, technically well equipped, being on the ground or with experience on the ground. •
  50. 50. CONCLUSIONS • The first two days everyone has to focus on live saving measures, hopefully in an organized way. • Thereafter healthcare has to be given first and foremost by institutions or organizations, technically, well equipped being on the ground or with experience on the ground. • NGOs and surgical teams with skilled personnel and aware of cultural sensitivities may collaborate with these institutions and reinforce them. •
  51. 51. Nampwen zamlèt san kase ze. There is no omelet without breaking some eggs.
  52. 52. One must make necessary sacrifices to get a desired result. Sometimes it is necessary making unpopular decisions to achieve your goal.
  53. 53. CONCLUSIONS • The first two days everyone has to focus on live saving measures, hopefully in an organized way. • Thereafter healthcare has to be given first and foremost by institutions or organizations, technically well equipped, being on the ground or with experience on the ground. • NGOs and surgical teams with skilled personnel and aware of cultural sensitivities may collaborate with these institutions and reinforce them. • Never, ever underestimate local knowledge!
  54. 54. Never, ever underestimate local knowlegde
  55. 55. LESPWA FÈ VIF Hope gives life
  56. 56. MESI ANPIL! MERCI BEAUCOUP! THANK YOU! ENGRAZIEL FETG! VIELEN DANK! www.hopitalalbertschweitzer.org www.hashaiti.org
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×