FGHL Blog: Beth O'Connell - Part 3

Report from the Field

Feb 14 2014

We visited a malnourished and abused child, named Cesar, who is doing much better. My hosts and I visited him in the hospital yesterday and he looked like a different child. He had been given a much needed hair cut and had gained about five pounds. He was watching cars and motorcycles out of his window and jabbering away in Q’eqchi’ about them. We did understand “beep, beep!” He is expected to be transferred to a rehabilitation center next week.

I have spent time this week continuing data analysis on a malnutrition study. The results are staggering. Of 954 children, 63 percent were chronically malnourished, with stunting as a result. Eighteen children were acutely malnourished, but improved to normal weight for their height by subsequent visits after receiving nutritional supplements based on the United Nations protocol. Another fourteen were acutely malnourished at their last or only visit. We will be following up with these children to retake height and weight measurements and provide the supplements according to the UN protocol. We hope not to find more situations like the abused boy, but are prepared to help children in whatever way is necessary.

I have also assisted with two dental health fairs. The first had 266 participants including children, parents, and teachers, and the second included 231 participants. There were four stations through which participants rotated. The first station taught participants to brush teeth and learn a little song about how to brush them. They practiced by brushing the teeth of a stuffed monkey. The second station educated participants about what causes cavities and allowed them to do a fluoride rinse. The third station was on healthy eating for healthy teeth. And the last station was a demonstration of dental sealants available through CAFNIMA, my host organization. All instruction was done in the local indigenous language. Toothbrushes, toothpaste, and fluoride are made available for purchase at a very small amount. There was a positive reaction and many purchased toothbrushes and toothpaste.

A large part of my job has been crowd control with hundreds of children to manage. A double language barrier has prevented me from direct educational involvement. We will be doing two more dental health fairs during my stay.

I have attended two community meetings while I've been here. The culture of this population is very communal and all decisions and important events are discussed in community meetings. Therefore, my host organization participates in them to get permission for projects and to promote participation in events. I have found this experience important to my understanding of community health and working with communities to improve health.

It is worth noting that this population is spread out over a mountainous terrain and that putting on events and attending meetings often requires intense hiking. To get to one community meeting, I and my hosts hiked an hour and a half down a mountain and half way up another. There was a bridge in the middle to cross a river. It rained, so the hike back was a two hour slip-and-slide climb on hands and knees at times. In other words, a two hour event actually takes most of a day to accomplish. This is fairly typical and another interesting part of community health when working with a rural population. 

What is the MDG5?

And how can you be involved in improving maternal health worldwide?

Feb 12 2014


Of all the Millennium Development Goals (MDGs), MDG5, or Improving maternal health, is critical for addressing other global health issues like child survival, extreme poverty and hunger. If Mom dies in childbirth or suffers severe complications, the entire family is in jeopardy. Kids may not be able to finish primary education in order to raise siblings. Mom may suffer from poor health and cannot maintain her job. Newborns lack a mother to nurture them in their first years of life.

Every year about 350,000 women die from pregnancy-related complications. 99 percent of these deaths occur in developing regions, and 80 percent of them are preventable.

Maternal mortality has fallen by 50 percent since 1990, but still only half or women in developing regions receive the recommended health care during pregnancy. The goal is to reduce the maternal mortality ratio by 75 percent by next year. We have far to go.

You can help improve maternal health and combat maternal mortality through learning more about these issues, working alongside groups focusing on maternal health such as Every Mother Counts, and advocating for these women. We encourage you to make a phone call or email your Congressional Leader today to let him/her know that you care about maternal/child health and you want them to fully fund programs which would improve the lives of mothers around the world. 


UN: Millennium Development Goals 

Action for Global Health  

The Bill & Melinda Gates Foundation

Image by Action for Global Health

FGHL Blog: Beth O'Connell

Descriptive Statistics

Feb 10 2014

            The comprehensive report that I have been creating of a baseline study has proven to be a challenge and a great learning experience. I have learned how to use SPSS software more fully and gained a better understanding of application of biostatistics and epidemiologic concepts I learned in the classroom. Having to actually use information always brings a new level of understanding. I have called upon colleagues within my network at the ETSU College of Public Health to help me along the way. After finishing up some literature review for recommendations, my report will be ready to submit to the organization by February 14.

            Findings of my data-crunching include demographic, water and sanitation, maternal and infant health, economic development, communication infrastructure, education, community organization and advocacy, women’s empowerment, and nutrition data. Some of the more interesting findings include the number-one cause of death of children being diarrhea, as well as a high prevalence of diarrheal illness at the time of the survey. Figures from these questions are shown below. 

Beth O'Connell Child Cause of Death

Beth O'Connell Current Illness of Children

Other highly interesting data is found in education levels and literacy rates. Please see the graphs and table below. 

Beth O'Connell Literacy

Beth O'Connell Languages Spoken

Beth O'Connell Highest Grade Completed

These are just two examples of data standing out from this now forty-page report. I expect my work to be of significant value to my host organization, and it is certainly adding to my knowledge and understanding of baseline needs assessment and data analysis. 

Beth O'Connell dental fair
Day 1, Guatemala

I spent my first night in Guatemala City with Christian Aponte, director of CAFNIMA, my host organization. He helped me review the report I have been working on of the household survey data. We have been fine tuning it to be the most helpful to the organization and people. From there, I took a five-hour bus ride to Cobán and a two-hour truck ride to the Ulpán Valley. 

The major project I have been working on since my arrival is a malnutrition study. We are using the WHO program Anthro to determine which children are chronically and acutely malnourished and require intervention. This determination is based on the height, weight, and age of each child. So far, I have identified fourteen children who were moderately to severely acutely malnourished at the last visit. We will be visiting as many of these children as possible to remeasure them and provide nutritional supplements as well as education to the family on their care. The supplements given with the supervision of a physician based on the United Nations recommendations for in-home recuperation of malnourished children. These interventions have been shown to work—an additional eighteen children were previously acutely malnourished and improved in subsequent measurements following intervention.

Beth O'Connell Chained

The first child we visited as a part of this study had not been previously seen, but a CAFNIMA employee, Ricardo, had been told about him. At our first visit to the home, it appeared that no one was home. We heard noise behind the house and found a six year old boy chained to a post. It was immediately apparent that this was a case of abuse rather than simply lack of food in the home. Because this organization works with the community, this situation needed to be handled delicately. We returned to the home when the adults were present including a mother, aunt, and grandfather. The other four children in the home appeared healthy. We got permission to weigh and measure each child with the intention of focusing on the six-year-old’s situation. After discussion, we found out that this one child was mistreated because of a superstitious belief of the Maya that if the mother experiences trauma during pregnancy, the child is cursed. This belief was further encouraged when he was born early at four pounds. He is currently only 21.8 lbs. We provided the family with supplemental food and vitamins and watched the child eat as fast as he could. Ricardo was communicating with the community authorities to see what could been done to change the situation from an authority standpoint.

The following day, we returned to the home with clothing for all of the children and more food. We gave the boy food again while we were there, and he vomited immediately. We then found out that he had been vomiting and had diarrhea with the food provided the previous day. He also had a cough. We told the family the protocol we were using and the organization physician both advised that with such complications the child be taken to a hospital. They agreed to allow us to take the mother, the sick boy, and a younger sibling who was still breastfeeding to the hospital. It was a long night of trying to get help because it took about three hours to get to the first clinic (with several stops when he would vomit or have diarrhea again) and then we had to take him to another facility. There was a long delay before he was actually registered and began receiving care. We stayed the night in the city to get a few hours of sleep and returned to the hospital the next morning to check on him. They would not allow the younger sibling to stay in the hospital, so we took the mother and baby back to the community and convinced her to leave the baby with the aunt and return to the hospital to stay with the sick boy. All of this was in an effort to reconnect her to her child and learn to care for him again. Additionally, an organization employee filed an official abuse report to the government. The church the family attends has also been involved, and we hope that there will be encouragement from them as well for the family to change their treatment of him as “special.” For now, the child is receiving care and food and the proper actions have been taken to get him legal help as well as to encouraging the family to change their views of him.

All this happened in my first three days in the community. It has been a rude introduction to the needs of the people and the complexity of cultural situations. We have fourteen more children to find and follow up with. I am also providing the organization with further data on all of the children involved in the study. Chronic malnutrition is rampant, with 63% of those measured fitting guidelines for moderate to severe stunting. I pray that we are able to make a difference for these children and families.

Tomorrow my hosts and I will attend a community meeting to promote upcoming dental health fairs. 

MDG4 Gates Foundation

Five years ago, Save the Children asked me to chair their Newborn and Child Survival Campaign. In 1990, over 12 million kids were dying every year; that is, over 33,000 children were dying every single day from preventable, treatable disease.

Today, the statistics have changed. We have almost cut that number in half. The goal for Millennium Development Goal #4 to reduce child mortality by 2/3 is within our grasp. The numbers show that almost 6.6 million children die per year, or about 18,000 children per day. The good news is that we are making progress.

What are the keys to this progress? With over 40% of the deaths under 5 being attributed to newborn or infant mortality, addressing the need for a skilled birth attendant, keeping the baby warm and dry at birth, and encouraging breastfeeding goes a long way. After the first year, simple interventions such as vaccines and ORT (oral rehydration therapy) combat the number #1 and #2 killers of children in developing nations: pneumonia and diarrhea. Bed nets, nutrition, clean water, and sanitation access have also been key interventions to combat child mortality.

We aren’t there yet. But we are on the way. Join Hope Through Healing Hands and follow us on Twitter to stay up to date on MDG4 and other global health news and why it matters. 

Photo from the Bill and Melinda Gates Foundation website.

Brad Paisley Harmony Award

Brad Paisley Harmony Award

Saturday night, December 14, Senator Bill Frist, MD, was honored to present Brad Paisley with the Harmony Award at the Nashville 29th annual Symphony Ball. This prestigious prize is given to someone who exemplifies musical excellence and serves the community by making a difference in people's lives.

Hope Through Healing Hands has had the privilege of working with Paisley on the Water=Hope Campaign, which provides clean water to communities in Haiti. Read more about the evening at TasteofCountry.com.

photo by Terry Wyatt, Getty Images

In 2000, Senator William H. Frist, MD, was a founding co-chair with then Senator John Kerry of the first bi-partisan task force on HIV/AIDS, which led to the creation of the groundbreaking PEPFAR plan and ultimately paved the way for the Global Fund, which is dedicated to fighting AIDS, TB, and malaria worldwide. Just a few weeks ago in Washington, DC, a group of international leaders met, including the President of the United States and Bill Gates, to rally financial support for the fourth replenishment of the Global Fund. Sec. Kerry acknowledge the crucial leadership role that Senator Frist provided in the early days of the fight against HIV/AIDS. 

J. Stephen Morrison and Katherine Bliss of the Global Health Policy Center wrote about this meeting and what it means for the global fund in "Refueling the Global Fund."

Gayle Smith CSIS

Since the Global Fund to Fight AIDS, Tuberculosis, and Malaria's inception, the US has been a leader in supporting it, and will continue to do so in the future. But why? In this short video, Gayle Smith, Special Assistant to the President and a Senior Director at the National Security Council explains why the Global Fund is important to America and how we're working with other nations to make global health an even more important priority worldwide.

If you want to know more about Senator William H. Frist, MD's involvement on the board of CSIS, watch what he has to say about Health and our Common Humanity

Kate Etue is Director of Communications for Hope Through Healing Hands.

Marie is struggling today in the oppressive Haitian sun.  

It's not that it's hotter than usual today, it's always hot here, but as the baby grows in Marie's womb, he takes the last of the nutrients out of Marie's already depleted body and today she feels it more than ever.  She thinks of her other six children and remembers how hard their births were as she cried out on the dirt floor of her mud hut with only her sister to help her.  She sees the faces of her two little ones that she laid to rest in that same dirt the year before.  

Marie has heard stories of women in the United States, 2 hours away, who give birth in clean hospitals and are given medicines that take away the horrible pain.  The babies there are put into warm clean incubators instead of filthy rags on the dirt floor.  She hears that the mothers and babies there have enough to eat.  But that two hours distance might as well be twenty hours.  Marie lives in Haiti and she is struggling.

Why is it that two countries separated by a mere two hour flight have such vastly different stories?  One of success and comfort and the other of failure and pain.  One with more resources than can be counted and the other with starvation, disease and death.  

Our Maternal Health Clinic seeks to bridge that gap.  By offering food, prenatal vitamins, medical care and counseling, we hope to give mothers like Marie hope.  We presently have funding for 200 pregnant women, giving them similar medical care to the care that American mothers get.  

But Marie is not one of the 200.  She is one of the 1800 who are not in the program.

For $10 per month, you can supply Marie with enough food, prenatal vitamins and medical tests to bridge that gap.  

That's the cost of one movie ticket or two grande, non fat, extra hot 
chai lattes at your favorite coffee house.

With ninety bucks, Marie will thrive during her 9 month pregnancy and her baby will enter this world with a robust cry on a clean blanket.

Donate Now at LiveBeyond

Give Life
Be a part of the solution!


Dr. Vanderpool is a great friend of Hope Through Healing Hands' chairman, Dr. Frist, and has also travelled to Haiti several times with Senator Bill Frist, M.D. to provide aid to those in need. Live Beyond is a non-profit organization that provides medical care, clean water, and nutritional support to those who are devastated by natural and man made disasters. "We choose to Live Beyond ourselves, our communities and our professions so that others may Live."


It is with great pleasure that today we announce Global Health Service Corps (GHSC) is changing its name to  Seed Global Health. As many of you know, we have been considering a name change over this past year to better capture the full scope and mission of our work and to better distinguish our cause. We believe this new name better represents our efforts to cultivate stronger, sustainable health systems through training new generations of physicians and nurses in countries where they are needed most.

Our name is changing, but not our innovative public-private partnership with the Peace Corps and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) - the  Global Health Service Partnership (GHSP). Seed Global Health's role in the partnership is to provide the expertise in medical and nursing education as well as knowledge of clinical education in resource limited countries.
We are extremely proud to be sending our first class of GHSP volunteers -33 doctors and nurses - to serve as faculty in medical and nursing schools in Malawi, Tanzania, and Uganda this July. They are truly an impressive group of nurse practitioners, midwives, pediatricians, OB/GYN's, psychiatrists, anesthesiologists, family and internal medicine doctors who will work with faculty in their host countries to develop curriculum and help train a new generation of doctors and nurses. We will be sharing some of their stories with a bigger announcement in July.
Also today, the Global Health Service Partnership begins accepting applications for 2014 volunteers. We're committed to recruiting the best qualified-candidates for the job. And for those who may have financial constraints to service, Seed Global Health raises and disburses loan repayment and other support to those chosen to serve abroad.
We hope you will share this information with individuals you think might be a good fit for the program.  For more information on applicant requirements, visit Seed Global Health.

You can like us on facebook and follow us on twitter to spread the word, too.
facebook link to Seed Global Health or twitter Seed_Global.
We are humbled and excited that just over a year ago we were announcing our collaboration, and just 2 months from now we will have volunteers on the ground and working to build a pipeline of medical professionals in the countries that most need them.
Thank you for your continued support!
Warm regards,
Vanessa Kerry, MD MSc
CEO, Seed Global Health
[email protected]
Join the Seed Global Health mailing list to follow our progress.
[email protected]

Subscribe to our newsletter to recieve the latest updates.