Fathers clubs to improve child health in rural Haiti.
OBJECTIVE
This paper describes an innovative public health nursing strategy, village-based fathers clubs, to improve child and family health in rural Haiti. It discusses related nursing implications in Haiti and other parts of the world.


METHODS
Relevant current literature was reviewed and evaluated with respect to child health in Haiti and the development of the fathers clubs. Program participants and organizers were consulted.


METHODS
The fathers clubs in remote areas of Jeremie Haiti, participants and program directors, provided input for this description.


RESULTS
Public health practitioners continually face grave challenges when addressing the health care needs in less developed countries. One such case is Haiti, where crushing poverty, poor infrastructure, a failing economy, natural disasters, and chaotic sociopolitical conditions compound these challenges. Public health practitioners, including nurses, must seek creative, culturally-appropriate, low technologic approaches to improve the health of the children and families in the remote villages of Haiti. The institution and support of village fathers clubs is one approach that has been ongoing since 1994. Fathers meet together on a regular basis for health education, support, and community building activities. The curriculum is health-based and facilitated by nurses, with participation by young and old men alike.


CONCLUSIONS
Participants and organizers believe that family and child health is improved as a result of the groups.
Sloand
Elizabeth
E
Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA. bsloand@son.jhmi.edu
Gebrian
Bette
B
D002648:Child; D002669:Child Welfare; D003152:Community Health Nursing; D005220:Fathers / Q000523:psychology*; D006205:Haiti; D006801:Humans; D008297:Male; D019035:Rural Health Services / Q000458:organization & administration*; D012944:Social Support