Global Birthing Home Foundation, Inc.
5000 W 134th St
Leawood KS 66209
Contact Information
Address 5000 W 134th St
Leawood, KS 66209-
Telephone (913) 402-6800 650
Email info@maisondenaissance.org
Mission Statement
The mission of Maison de Naissance is to reduce maternal and infant mortality rates in impoverished communities.
 
In Haiti, the services of a modern maternity center and community health program are offered from the hospitality of a safe, culturally appropriate, welcoming, and friendly home:  a home for birth - Maison de Naissance.
Leadership
CEO/Executive Director Mr. James C Grant IV
Board Chair Ms. Carol Hogue Phd, MPH
Board Chair Company Affiliation Emory University
History and Background
Year of Incorporation 2004
Former Names
Maison de Naissance Foundation
Healthy Mothers - Healthy Babies Foundation
Financial Summary
 
 
Projected Revenue $450,000
Projected Expenses $450,000
Statements
Mission Statement
The mission of Maison de Naissance is to reduce maternal and infant mortality rates in impoverished communities.
 
In Haiti, the services of a modern maternity center and community health program are offered from the hospitality of a safe, culturally appropriate, welcoming, and friendly home:  a home for birth - Maison de Naissance.
Background Statement The challenges of providing healthcare to impoverished mothers and babies in the developing world are exemplified in rural Haiti, where poverty and maternal and infant mortality rates are the highest in the western hemisphere, and among the highest in the world.

In 2003, Dr. Elizabeth Wickstrom, a Perinatologist, and Dr. Stan Shaffer, a Neonatologist, both practicing in Kansas city, formed Maison de Naissance (MN) to create a humane, scalable solution to these challenges in Haiti, and to link supporters in Kansas City and the United States to the realities of the developing world.

In its five years of operation, MN has been enthusiastically embraced within its zone of service in Haiti and endorsed by the Haitian Ministry of Health (MSPP), which considers MN to be “the reference for maternal and newborn health in Haiti.”

Warm testimonials are also voiced by the many volunteers, interns, and visitors who have traveled to Haiti to participate in the “MN Way.”
Impact Statement Accomplishments for 2013:
  • For the 9th straight year, MN has maintained a maternal mortality rate of 0, with over 4700 deliveries as of 12/31/2013.
  • MN is now 100% staffed by indigenous employees, who are professionally trained and dedicated to their mission to reduce maternal and infant mortality rates.
  • A new partnership was created with the Haitian Ministry of Health (MSPP), expanding our delivery services to the local public hospital, with MSPP funding the salaries of select MN staff.

Goals for 2014:

  • Maintain a maternal mortality rate of 0 while increasing our scope of services to a broader community.
  • Increase the number of clinical internships through new partnerships with USA based educational and medical institutions.
  • Establish a partnership with a local natural birth clinic to promote a  successful, midwifery based birthing methodology for underprivileged and under-served families in USA inner city neighborhoods.
Needs Statement
  1. MN seeks operating funds to maintain the impact of its continuing operations and to extend its reach to the Port Salut Peninsula in a phase-by-phase expansion that will ultimately reach 100,000+ rural Haitians.
  2. Capital funding for vehicles, community health equipment, communications and technology, energy independence and infrastructure projects.
  3. Funding to support expanded community health programming, including village health workers ("Monatrices"), transportation and cell phone dispatch center, rural navigation network, etc.
  4. Funding is also sought to cover indirect costs, including systems, communications, and support at foundation offices in Kansas City.
  5. Plans are also underway to ensure long term foundation sustainability through creation of an endowment, backed by a vigorous legacy/planned giving program and an operations reserve fund to provide resources for emergencies and opportunities.
Descriptive information including detailed budgets can be supplied upon request. Please ask for custom proposals when appropriate.
Service Categories
Reproductive Health Care
Family Planning
Community Health Systems
Areas of Service
International
CEO/Executive Director/Board Chair Statement
Maternity care in Haiti is sporadic and inaccessible to the majority of pregnant women, especially in rural areas, where subsistence farming is the usual source of income and the average family earns less than $2 (US) daily. Events in 2008 led to an alarming rate of inflation, with the dietary staples of rice and beans skyrocketing to as much as $25 (US) for a bag which may last a family for a week. This was followed by a series of hurricanes in late 2008, the devastating earthquake of Jan 2010, and ongoing political and economic strife.  Against this background of poverty and hopelessness, the peaked roof of Maison de Naissance, a birthing center in rural southern Haiti, stands serene and welcoming to all who need prenatal care, family planning, HIV testing and care, and a safe, clean place to give birth with a nurse midwife in attendance, all without any cost to the mother or family.
 
Now open over nine years, Maison de Naissance (MN) has seen a dramatic increase in the number of women in our zone of service seeking prenatal care, delivering with a skilled birth attendant, and getting their life-saving vaccinations. Incredibly, we’ve maintained a 0% maternal mortality rate during that entire time.
 
Financial support will save lives, definitely, but it will also change lives, giving hope and purpose to local employees and women who participate in our “Mother’s Clubs” to support and advise new moms, as well as allowing us to partner with additional organizations such as Project Espwa (Haitian Kreyol for “hope”), to whom we are able to refer sick children, and Rotary Club International, for our water and sanitation projects.
 
Our key programs are based in rural Haiti, but our vision is global. We believe the proven methodologies of Maison de Naissance warrant expansion to the Port Salut Region in southwestern Haiti and eventually to the nation of Haiti as a whole. We believe our proven methodologies will also be applicable in other settings of poverty around the world, including pockets of urban poverty in developed countries such as the United States. At Global Birthing Home Foundation we believe that every mother and every baby have the right to a safe, dignified, and compassionate birthing process.
Programs
Description Maison de Naissance (MN) is a maternity center in rural Haiti, that provides free, professional care for mothers and babies in extreme poverty. The services of a modern maternity center are offered with the hospitality of a safe, culturally appropriate, welcoming, and friendly home.
Category Health Care, General/Other Maternal & Infant Care
Population Served Poor,Economically Disadvantaged,Indigent, ,
Short-Term Success The MN “Health Atlas” documents steady improvements in clinical measures such as maternal and infant mortality and morbidity, and continuous growth in healthy behaviors such as health-seeking; access to health care; participation in community health education, family planning, prenatal, and postnatal services.
Long-Term Success An expanding zone of service (reaching a regional population of 100,000, and then on to broader national geographies) where all mothers and their babies have access to free, modern, welcoming healthcare services starting with community-based family planning and continuing through to prenatal care, healthy birthing, and well-baby care including vaccinations, supported by a community-engaged fabric of village health outreach, communications, and transportation. It is envisioned that as the documented efficacy and cost efficiencies of MN programs are increasingly recognized, MN methodologies will serve as models for a national program of maternal and newborn healthcare in Haiti, and beyond.
Program Success Monitored By The MN “Health Atlas” is a comprehensive information management tool, employing an innovative synthesis of electronic medical records and geographical information systems technologies. It provides information and tracking for the entire MN zones of service, enabling outcomes to be documented, monitored, and reviewed for continuous process improvements (see below).
Examples of Program Success

Since MN opened in 2004

  • The percentage of women receiving prenatal care in the original zone of service has increased from 51% to 99%.
  • The percentage of births supervised by a skilled birth attendant has increased from 13% to 91%. 
The neonatal mortality rate (newborns dying within a month of birth) has dropped from 4.0% to 0.9%.
Description MN’s “Health Atlas” information management structure includes:
  1. A web-based community health census - Data are inputted daily permitting real time assessments of individual and community health status.  In addition, in 2012 we started an annual community health survey, focused on general health in 2012, and vaccination status/infant mortality in 2013/2014.
  2. Web-based electronic medical records - The data depository includes all inpatient, outpatient, and community health encounters. Patient and community health problems can be monitored by specialists in the United States and timely interventions can be discussed with health care partners in Haiti.
  3. Geographic Information System (GIS) technology - Health information is organized geographically. Health information maps direct individual and community health interventions, and assist in pinpointing trouble areas, e.g., if there is an increase in the incidence of a particular illness being observed in patients presenting at the birthing center.
Category Health Care, General/Other Maternal & Infant Care
Population Served Poor,Economically Disadvantaged,Indigent, ,
Short-Term Success Prior to the establishment of MN, there was no familiarity with modern maternal and newborn healthcare among the rural population of southwestern Haiti. Babies were born at home, without electricity or running water, and often on a dirt floor, with the assistance of a traditional birth attendant or maybe the help of a grandmother or an older sister. Before trying to introduce modern techniques and hygiene, community assessments were performed by MN survey teams using electronic collection devices. This community engagement and the data analysis revealed a strong demand for improved maternal and newborn healthcare and guided strategies for culturally appropriate outreach. The “Health Atlas” was used to record steady community acceptance of MN
Long-Term Success The MN “Health Atlas” enables comprehensive information tracking for performance and quality management across the expanded zones of service. In addition, our long-term goal is to insure ready access to maternal and newborn healthcare for all the 100,000+ inhabitants residing on the Port Salut Peninsula in southwestern Haiti. The original zone of service surrounding MN was a quadrangle of about 30 square kilometers and a population of 10,000+, defined by estimates of the reasonable distance that prospective patients could be expected to walk. To attend to patients beyond that distance, it is envisioned that mothers will be able to use cell phones to call in to the MN Dispatch Center to receive medical guidance and emergency transportation when required.
Program Success Monitored By The MN “Health Atlas” is used to establish the community database, with individual health records organized according to the global information system coordinates of an individual’s habitation. When a mother or newborn receives healthcare at MN, information becomes a permanent entry into the individual’s health record in the electronic “Health Atlas.” This enables tracking; e.g., to make sure a mother receives appropriate testing and care at each of her scheduled prenatal visits, or to make sure her child receives his scheduled well-baby care and vaccinations. Assessments, tracking, and process improvements assure quality of service.
Examples of Program Success Although MN is staffed by dedicated and highly skilled Haitian health professionals, sometimes special challenges can arise: as when a newborn may have difficulty nursing and the daily counsel of a lactation specialist from the US can provide guidance and encouragement, or when a mother is undergoing or expected to undergo delivery difficulties and consultation and advice from a physician in the US can make a lifesaving differences. 
Description
Our program, funded by PEPFAR (President's Emergency Program for AIDS Relief), and partially staffed by employees of the Haitian Ministry of Health (MSPP), is intended to detect and prevent transmission of HIV/AIDS from mothers to their babies.  However, we encourage testing of spouses as well, and refer them for treatment when tested positively.
 
Our program is monitored by PEPFAR, MSPP, and the CDC, to ensure that the latest treatments are employed and highest standards of testing and treatment maintained.
 
Category Health Care, General/Other Maternal & Infant Care
Population Served Poor,Economically Disadvantaged,Indigent, ,
Short-Term Success Our short term success is measured primarily by three metrics: total number of patients (pregnant women) tested; percentage of HIV/AIDS positive patients enrolled in treatment; and the percentage of patients enrolled in treatment who remain active in the program until their baby is delivered.  The targets set by PEPFAR for 2013 were: 2000 pregnant women tested, based on local population numbers; 100% of positive patients enrolled in treatment; and 100% of enrollees remaining in treatment until delivery.  MN tested 2700 pregnant women in 2013 (135% of target), and achieved a 99% success rate in both treatment categories. 
Long-Term Success
The ultimate goal of this program, as part of the larger effort being conducted by the Haitian Ministry of Health (MSPP) and PEPFAR, is to fully eliminate mother to child transmission of the AIDS virus, producing a new generation free of HIV/AIDS. 
 
The more realistic goal is to achieve these results among 100% of all mothers who test positive for HIV/AIDS at our facility.  When combined with the real potential of early treatment of infants born HIV positive, the goal of a generation free of HIV/AIDS is ultimately achievable.
 
Program Success Monitored By
Program success is monitored at MN by tracking each HIV/AIDS positive patient through the 3 program stages: testing, treatment program enrollment, and treatment program participation.  The program supervisor tracks actual results by starting with a daily list of all new pregnant patients, and ensuring that each one's chart has a corresponding HIV/AIDS test recorded.  She then ensures that each HIV/AIDS positive patient has been enrolled in the treatment program, and monitors their treatment progress until delivery of their baby.  Babies are then tested to ensure the efficacy of treatment.  (A standard for this success rate has not been imposed, because it is entirely dependent on the effectiveness of the drugs provided through the PEPFAR program, when the patient is enrolled in and follows the treatment program.)
 
These results are reported to and monitored by PEPFAR and MSPP on a monthly basis.
Examples of Program Success

INDICATOR

Objectives

(Oct.2012-Oct 2013)

Results as of October 2013

% of target realised

Pregnant women to test

167/mth = 2000

2700

135%

Other Adults to test

600

754

126%

Overall # of patients enrolled in treatment

100%

33

99%[1]

# of active patients in treatment

100%


99%



[1] A patient already knowing she was HIV + was tested and then found to be enrolled in another PMTCT program elsewhere

CEO Comments Challenges

Maternal and infant mortality rates in Haiti are the highest in the western hemisphere and among the highest in the world. One in every 16 women in Haiti will die during childbirth (about 200 times the risk of mothers in the United States). Most women have known a relative or neighbor who has died in childbirth. One in every 12 infants will die before their first birthday. The period of greatest risk is immediately following birth.  

From a medical perspective, maternal deaths are due to infections, obstructed labor, placenta previa, and eclampsia.  Neonatal deaths are due to birth asphyxia, low birth weight, and infections.  In most cases, these conditions are preventable or treatable.  The more fundamental and challenging problem is extreme poverty, a condition which erects barriers to healthcare access.

Because mothers lack access to basic health services, deliveries take place at home where support for birth is sparse: a two roomed house with a dirt floor, no electricity, no water, and no trained birth attendant.  Our challenge is offer an alternative, so that mothers can access the care they desire.  

Our services are fee free to our patients, and we depend solely on the generosity of our donors to continue operations in this most needy of locations.
 
Executive Director/CEO
Executive Director Mr. James C Grant IV
Term Start Apr 2011
Experience
Jim Grant is an IT professional with 20+ years experience, including 8 years of project and office management.  He started volunteering for MN in Feb 2008, and traveled to Haiti numerous times in support of MN as a volunteer.  He was the MN project manager and Logistics director Nov 2008 - March 2011, prior to accepting the executive director's position. 
 
Staff
Full-Time Staff 35
Part-Time Staff Global Birthing Home Foundation, Inc.
Volunteers 0
Contractors 0
Retention Rate 80%
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
Non-Management Formal Evaluation Yes
Non-Management Formal Evaluation Frequency Annually
Plans & Policies
Organization Has a Fundraising Plan Yes
Organization Has a Strategic Plan Yes
Years Strategic Plan Considers 10
Date Strategic Plan Adopted Sept 2010
Management Succession Plan Under Development
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Collaborations
University of Missouri Kansas City School of Medicine, Program in International Medicine; Children’s Medical Missions of Haiti; Episcopal Diocese of West Missouri; Haitian Episcopal Learning Partnerships (HELP) Foundation; St. Luke’s Hospital, Kansas City, Missouri; Truman State University GlobeMed chapter; PEPFAR; Haitian Ministry of Health; Mercy and Truth Medical Missions; Les Amis de Naissance
Board Chair
Board Chair Ms. Carol Hogue Phd, MPH
Company Affiliation Emory University
Term Jan 2014 to Dec 2014
Email CHOGUE@emory.edu
Board CoChair
Board CoChair Ms. Cara Busenhart
Company Affiliation KU Med Center
Term Jan 2012 to Dec 2012
Email cbusenhart@kumc.edu
Board Members
NameAffiliation
Fr. Frantz Casseus PhdEpiscopal Diocese of Haiti
Mr. John Hicks JD
Ms. Carol Hogue PHD, MPHEmory University
Mr Lynn Hogue Phd, JDColumbia University
Mr. Guy Montes
Dr Beth Mulvihill MD
Ms. Meaghan Novi
Ms. Cindy Obenhaus RNINMED
Dr Evelina Swartzman MD
Ms. Elizabeth Wickstrom MDCommunity Volunteer
Board Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 8
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 4
Female 6
Unspecified 0
Governance
Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 75%
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100%
Percentage Making In-Kind Contributions 50%
Constituency Includes Client Representation No
Number of Full Board Meetings Annually 12
Standing Committees
Executive
Finance
Strategic Planning / Strategic Direction
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Program / Program Planning
 
 
Financials
Fiscal Year Start Jan 01, 2014
Fiscal Year End Dec 31, 2014
Projected Revenue $450,000
Projected Expenses $450,000
Spending Policy Income Only
IRS Letter of Exemption
Detailed Financials
Expense Allocation
Fiscal Year201220112010
Program Expense$411,962$385,990$337,060
Administration Expense$24,634$72,044$150,548
Fundraising Expense$14,413$12,546$70,573
Payments to Affiliates$0$0$0
Total Revenue/Total Expenses0.600.560.85
Program Expense/Total Expenses91%82%60%
Fundraising Expense/Contributed Revenue6%6%16%
Assets and Liabilities
Fiscal Year201220112010
Total Assets$38,117$223,420$429,319
Current Assets$36,089$219,190$414,591
Long-Term Liabilities$0$0$0
Current Liabilities$4,826$4,570$8,319
Total Net Assets$33,291$218,850$421,000
Short-Term Solvency
Fiscal Year201220112010
Current Ratio: Current Assets/Current Liabilities7.4847.9649.84
Long-Term Solvency
Fiscal Year201220112010
Long-Term Liabilities/Total Assets0%0%0%
Top Funding Sources
Fiscal Year201220112010
Top Funding Source & Dollar Amount --White Flowers Foundation $125,000White Flowers Foundation $135,000
Second Highest Funding Source & Dollar Amount --Individual donor $48,904Individual donor $56,478
Third Highest Funding Source & Dollar Amount --Individual donor $46,050Individual donor $44,575
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years Yes
Foundation Comments
  • FY 2012, 2011, 2010:  Financial data reported using IRS Form 990's.  
  • Foundation/corporate revenue line items may include individual contributions. 
Organization Name Global Birthing Home Foundation, Inc.
Address 5000 W 134th St
Leawood, KS 66209
Primary Phone (913) 402-6800650
CEO/Executive Director Mr. James C Grant IV
Board Chair Ms. Carol Hogue Phd, MPH
Board Chair Company Affiliation Emory University
Year of Incorporation 2004
Former Names
Maison de Naissance Foundation
Healthy Mothers - Healthy Babies Foundation