Baptiste Health Clinics

1. Health Infrastructure
Stanley Jean-Baptiste ,
Ministry of Public Health and Population
Haiti Priorities Conference, Port-au-Prince from April 29 to May 4

2. Introduction
• The establishment of CHCs meets the requirements of national health
policy (PNS)
• About 8% of the Haitian population, mainly in 125 communal sections, do not have
access to health care
• Hundreds of lives can be saved by quick responses in case of epidemic and other
infectious diseases
• The extension of clinics in schools targets all public schools
• Three strategies are studied in this work
low-intensity clinical strategy (one visit per semester)
high-intensity clinical strategy (one visit per month)
fixed school clinic strategy

3. First Intervention Analyzed
Establishment of community health centers, taking into account the requirements
of the Essential Services Package (PES)

4. Description of the Intervention
The aim of the intervention is to construct CHCs in the communal
sections with the aim of:
• improving the supply and quality of services in rural areas and making the CHCs the
gateway to the system as mandated by the PES
To do this, the CHC will offer promotion, prevention and curative
activities, including care for mothers and the newborns.

5. Costs Related to Implementation
• Estimated annual costs of the establishment of CHCs is:
• 774,465,407 gourdes for the 125 sections
• 811 gourdes per beneficiary

6. Benefits of Intervention
• Total benefits are 3,065,668,058
gourdes, with 2,937,533,485 for
DALYs avoided and 128,134,573
for resource saving due to the
establishment of centers
0
5000
10000
15000
20000
25000
Années de vie perdues
évitées
Années de vie vécues
avec l'incapacité évitées
Total
YLI and YLL avoided
Total

7. Total Costs and Benefits of the Project, and
Benefit-Cost Ratio
Intervention Discount rate Benefits Costs Benefit-cost
ratio
3% 4,133,543,950 730, 993,910 5.7
Establishment of
CHC 5% 3,065,668,058 774, 465,406 4
12% 1,772,089,364 953, 452,677 1.9

8. Second Solution Analyzed
Extension of the mobile clinic school project vs. fixed clinic at the school

9. Description of the Intervention
Mobile clinics are intended through two or ten visits a year to offer:
• health promotion services
• general consultations (oral, vaccinations, measurements weight/height)
• and curative care
The fixed clinic offers the same services but to a greater degree
because it operates on all school days

10. Costs Related to the Intervention
The low-intensity clinic has an annual cost of
• 85,263,656 gourdes and 134 gourdes/student
The high-intensity clinic has an annual cost of
• 357,215,348 gourdes and 562 gourdes/student
The fixed clinic has an annual cost of
• 516,296,496 and 812/student

11. The Benefits of the Intervention
•Fixed and high-intensity clinics
offer similar benefits of
2,001,604,697 gourdes, and
•the low-intensity clinic offers
benefits of 403,890,130 gourdes.
-
500,000,000
1,000,000,000
1,500,000,000
2,000,000,000
2,500,000,000
Clinique fixe Clinique mobile à
forte intensité
Clinique mobile à
faible intensité
Total

12. Total Costs and Benefits of the Project, and
the Benefit-Cost Ratio
Interventions Discount rate Benefits Costs Benefit-cost ratio
Small-scale mobile
clinic
3%
469, 077,335 83, 807,706 5.6
5% 403, 890,130 85, 263,656 4.7
12% 322, 574,894 90, 895,685 3.5
Large-scale mobile
clinic
3%
2, 371,512,277 345, 082,431 6.9
5% 2,001,604,697 357, 215,348 5.6
12% 1,542,515,386 404, 148,922 3.8
Fixed clinic at school 3%
2,371,512,277 507, 603,974 4.7
5% 2,001,604,697 516, 296,496 3.9
12% 1,542,515,386 552, 640,713 2.8