Primary Health Care

100,000 registered patients have access to compassionate, high quality community healthcare. As our patient volume continues to grow, the goal remains the same: to provide our patients with unwavering access to the dignified health care that they deserve. In our work we strive to treat the whole patient and have developed a number of community development programs that complement our clinical services.

We know that exceptional primary care cannot be successful in isolation, in a resource poor environment like rural Haiti. When our patients leave one of our health centers, many have limited access to a nutritious diet or educational and economic opportunities to support their families, which limits their ability to thrive. As we strive to treat the whole patient, acknowledging the complex web of biological, social, and environmental factors that impact human health, we have developed a number of community development programs that integrate our clinical services to maximize impact.

At the SRHF Centre de Santé we deliver comprehensive primary care services to every patient. We have two health centers - one in Saint Rock and one further south in Macaco. Our current spaces house exam rooms, dental suites, laboratories, and pharmacies. Both centers are staffed five days per week by our dedicated clinical and administrative team who provide prenatal, pediatric, adult primary, mental health, and dental care. As community health centers, we provide vaccinations and vitamins in addition to our maternal care, malnutrition prevention, hypertension, and STI prevention programs.

Our staff regularly visits local schools to provide public health and education. Additionally, we have implemented a school nurse program in our five primary schools and a school feeding program.

Sante Lakay (Home for Health)

Launched in 2025 using a MEAL* framework, this system is unifying all our health services, serving our patients, into one cohesive system that covers clinical services, pharmacies, laboratories, and electronic medical records system (EMR) for two health centers.

The system is built on the CommCare platform. CommCare is a high-performance, open-source mobile platform developed by Dimagi. It is primarily designed for frontline workers in low-resource settings to track and support clients with electronic forms, decision support, and longitudinal data tracking. It replaces things like paper records and aids in integrating existing systems into a cohesive whole.

*Monitoring, Evaluation, Accountability, and Learning (MEAL) is an integrated, four-part framework used primarily in humanitarian and development sectors to track project progress, assess impact, ensure stakeholder accountability, and foster continuous, evidence-based improvements. It involves systematic data collection (monitoring), judgmental analysis of results (evaluation), responding to stakeholder needs (accountability), and using these insights to adapt and improve strategies (learning). 

Community Health Workers

The SRHF employs seven Community Health Workers. These individuals are elected by their respective communities, trained by the local Ministry of Health (MSPP), equipping them with basic medical training, and equipped with basic medical training. They visit patients in their homes to check in, monitor those in treatment for chronic health issues, and refer patients to the clinic for treatment as necessary. They also serve as a wellness resource for their neighbors, educating the community on issues such as hygiene and sanitation, nutrition, and preventative care. Integrating the local community with SRHF’s mission is critical to the foundation’s success in providing healthcare to the community.

Maternal Health

For over two decades, SRHF has been a lifeline for women and children in rural Haiti, a region where a staggering 90% of births take place without skilled medical attendance. Our comprehensive maternal health program bridges this critical gap by providing a continuous circle of care. Each month, we provide prenatal care, nutrition assessments, and essential screenings for 130 pregnant women, while our 24/7 emergency ambulance and clinic stand ready for imminent deliveries. Through our dedicated network of Community Health Workers, we extend this care directly into the valleys and villages, delivering vital postnatal checkups, vaccinations, and breastfeeding education right to a new mother's doorstep.

Our approach is working: patients in our program experience 40-60% higher chances of improved maternal and neonatal outcomes. But we know that true health requires looking at the whole picture. That is why SRHF integrates trauma-informed mental health care for survivors of violence and provides regular cervical cancer screenings. We are also investing heavily in the future of Haiti’s healthcare system, having awarded nearly 200 scholarships, over half to young women, to pursue careers in medicine, nursing, and midwifery.