Second Mile's Model of Care

'In our fight to keep families together, caregivers must be at the center of our approach.'

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families are referred from within Haiti’s health and social service sectors

(from Hospitals and clinics, and from orphanages and aid organizations where the family has gone seeking help... )

  • Referred children are screened for severe acute malnutrition
  • Children with severe acute malnutrition are admitted to live-in center with a caregiver/family member
  • Professional health team coordinates individualized care response including referral to local hospitals as needed, and coordination of follow-up visits with these health centers
  • Haitian trained nurses monitor daily progress, intervene according to National Protocol for Treatment of Children with Severe Acute Malnutrition (PTA), and teach mothers/caregivers how to administer treatment
  • Rehabilitation continues for 4 - 10 weeks depending on severity of child’s condition

During her stay at the center each caregiver,

  • Participates in daily group education classes: in health, nutrition, business, gardening, and literacy
  • Receives individual issue-based support
  • Benefits from participatory learning, hands on livelihood-training, and peer-support
  • Gains confidence by driving her child’s recovery and developing literacy skills
  • Learns how to manage income-generating activity and raise small animals as asset investments

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During education classes and one-on-one sessions, caregivers learn that prevention of malnutrition begins with family planning, prenatal care, breastfeeding, and improved hygiene and sanitation:

Upon program graduation, each caregiver,

  • Is supported through home visits as well as follow-up visits at the center
  • Starts income-generating activity which allows her to meet her children’s nutritional, educational, & health needs through earned income
  • Can participate in an incentive based savings program which leads to purchase of assets like livestock and small animals
  • Is more likely to send her children to school, an important step in breaking the cycle of generational undernutrition
  • Shares her knowledge with friends, family, and community, and becomes an advocate for malnutrition prevention