Two Weeks Into Santo Domingo, Thoughts, and Reflection– Ansh

Hey everyone,

Welcome back to my blog! Today marks exactly two incredible weeks of our stay in Santo Domingo, which is already a quarter of our total time here. The time is flying by, and I have so much to share with you all!

This week kicked off with a visit to a storage unit where we got an exclusive look at the array of devices and equipment that DOFMI focuses on. From Bubble CPAP devices and phototherapy lamps for jaundice to lullaby books designed to stimulate neonates, each one seemed uniquely impactful. I was especially excited to see their reusable neonatal bag-valve masks, a fascinating device for low-resource settings that I’ve had the opportunity to work with in the past.

Storage Unit Visit!

As our mentor, Dr. George Suazo, presented each device, he discussed the issues DOFMI aims to address for each one. This provided us with a solid introduction to the work we’ll be doing with DOFMI and offered a fascinating insight into the multifaceted nature of global health solutions. It’s not just about engineering a device—addressing needs finding, design specifications for the setting, and incorporating feedback from stakeholders are crucial for a project to truly meet its intended goals.

The next day was marked by our second visit to the San Lorenzo Los Minas Maternal Hospital. This time, accompanied by Dr. Angelica Floren, we were able to take a closer look at the Pumani bCPAP machines currently in use in the NICU and PICU of the hospital. Afterwards, we also were guided through the stages of a hospital visit a pregnant mother would go through, from the waiting room all the way to the postpartum recovery room.

What stood out to me the most was the level of focus exhibited by every doctor, nurse, and birth attendant in each of these rooms. Despite the bustling hallways of the hospital, there was a remarkable, unspoken sense of coordinated efficiency. Many of the expectant mothers at Los Minas are Haitian and speak Creole, not Spanish. Yet despite this language barrier, the quality of care, meticulous attention to detail, and compassion remained consistently high and universally felt. The ability of the staff to maintain such standards in a challenging environment was truly inspiring.

Pumani at San Pedro Hospital!

The next day, we visited San Pedro Hospital, the first hospital in the Dominican Republic to utilize the Pumani bCPAP device. Upon inspecting the three Pumanis present, we found technical issues with two of them. We spoke with the birth attendants there as well, and it was inspiring to hear about the successful cases in whichthe Pumanis had made a significant difference.

Next, we traveled with Dr. Floren to various locations for possible maternal waiting rooms, low-cost places for high-risk mothers to wait and be transferred to a nearby hospital before delivery or complications.

Dr. Floren and our partners at DOFMI had already been working with a local church to find a location for the Dominican Republic’s first ever maternal waiting room, and it felt truly empowering to listen to them speak about these issues firsthand.

Beds at maternal waiting room location!

We wrapped up the day visiting a creole-speaking Dominican Batey, a location for undocumented second-and third-generation Haitians with no ties to their “homeland” Haiti. Our solution for maternal waiting rooms would be tailored to mothers in these Bateyes, largely due to their extensive distance from Dominican hospitals and clinics. The hospitality we experienced with residents of the Batey was incredible to say the least, and left me reflecting on why I find the field of global health so captivating.

I now realize that a powerful driving force of global health innovation is hope. Hope was reflected in the smiles of every person we met at the Batey, it fueled the unwavering focus of the healthcare professionals we encountered, and it is the primary source of motivation for our partners at DOFMI. At first glance, global health challenges sometimes appear overwhelmed with logistical hurdles such as language barriers and inadequate infrastructure.

However, it is hope that transforms these obstacles into opportunities for innovation and change. During our visits, we witnessed firsthand how the spirit of hope permeates every aspect of healthcare delivery. As we continue our work here, it’s clear to me that our mission goes beyond just providing technical solutions. We are here to support and amplify the hope that exists within these communities. By understanding their needs and working alongside them, we can co-create solutions that are not only effective but also sustainable.

The resilience and optimism I’ve encountered thus far reminds me that even in the face of challenges, hope can pave the way for meaningful and lasting change. In the coming weeks, I hope to contribute to this change in even the slightest of ways.

Thank you for reading, and until next time,

Ansh

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