| 1. Identify available resources in context to the health problem, population, and causes. |
Phase I was initiated in September 2014, when PHNs in Ouanaminthe, at the request of ADO, collaborated with the local Ministry of Health and stakeholders to perform a healthcare needs assessment. Data on population demographics, endemic diseases, chronic diseases, and patient perspectives were collected. The needs identified included health education, disease prevention, diagnostics, and treatment.
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| 2. Create objectives to impact behavior and environmental causes. |
Due to the nature of the intervention, the behavioral and environmental objectives were not indicated. The program was to provide primary care to patients. |
| 3. Identify theory for behavior change. |
The program was not intended to change behaviors. |
| 4. Design an intervention plan. |
ADO leadership recruited a team of facilitators and educators, including those from the US and Canada who participated in several preparatory meetings to discuss training topics and approaches. Fundraising was undertaken, and monies were utilized to pay for medications, supplies, fees for the venue, and travel expenses for Haiti-based volunteers. Additionally, national and international medical outreach programs furnished some medications and supplies. Performance expectations and tasks were delineated according to the roles.
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| 5. Implementation of the program |
Implementation occurred from January through August 2015 and was orchestrated by the ADO leadership and international and local providers/PHNs. Publicity and marketing for the event were coordinated at least 3 months before its launch. Training for local healthcare practitioners was delivered on August 11, 2015, 2 days before the MHC. The support team, which consisted of technological experts, clerical staff, and security staff, participated in operation logistics. Patients were triaged through a preregistration process the day before and given a bracelet. The MHC was launched on August 13, 2015.
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| 6. Evaluate outcomes and sustainability. |
Evaluation of the project started in August 2015, on the day of the intervention, and consisted of (a) preliminary appraisal of the activities of the clinic; (b) performance appraisal of the team and providers; (c) informal patient interviews; and (d) sustainability and maintenance factors. At the end of December 2015, decisions to continue the yearly clinic were made in conjunction with ADO, the local Ministry of Health, and other stakeholders.
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