In December 2018, we participated in a surgical mission trip to Port-au-Prince, Haiti. The team consisted of a fellowship-trained arthroplasty surgeon, a chief orthopaedic resident pursuing fellowship training in arthroplasty,… Click to show full abstract
In December 2018, we participated in a surgical mission trip to Port-au-Prince, Haiti. The team consisted of a fellowship-trained arthroplasty surgeon, a chief orthopaedic resident pursuing fellowship training in arthroplasty, an anesthesiologist, a surgical technologist, and an implant representative. Our goalwas to set the foundation uponwhich a sustainable,modern, arthroplasty program in twoof the public hospitals in Port-au-Prince could be built. Here, we present our experience, lessons learned, and goals for future program growth. Since the 2010 earthquake leveled Port-au-Prince, many nongovernmental organizations (NGOs) from all over the world have established health missions to Haiti, totaling $13.8 billion in foreign aid [1]. However, the resource allocation for health care in Haiti in the fiscal year 2016-2017 was only 4.5% of the total government budget [2,3], or roughly $13 per capita per annum, well below the average for low-income countries [4]. Despite the large amount of foreign aid, pervasive poverty and lack of infrastructure,
               
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