Global Birthing Home Foundation, Inc.
5000 W 134th St
Leawood KS 66209
A sleepy newborn!
Mission Statement
The mission of Global Birthing Home Foundation and Maison de Naissance is to significantly reduce maternal and infant mortality rates in impoverished communities.
 
In Torbeck, Haiti, the services of a modern maternity center and community health program are offered from the hospitality of a safe, culturally appropriate, and welcoming  home:  a home for birth - Maison de Naissance.
Leadership
CEO/Executive Director Mr. James C Grant IV
Board Chair Ms. Elizabeth Wickstrom Phd, MPH
Board Chair Company Affiliation Shawnee Medical Group
History and Background
Year of Incorporation 2004
Former Names
Maison de Naissance Foundation
Healthy Mothers - Healthy Babies Foundation
Financial Summary
 
 
Projected Revenue $250,000
Projected Expenses $250,000
Statements
Mission Statement
The mission of Global Birthing Home Foundation and Maison de Naissance is to significantly reduce maternal and infant mortality rates in impoverished communities.
 
In Torbeck, Haiti, the services of a modern maternity center and community health program are offered from the hospitality of a safe, culturally appropriate, and welcoming  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.  Infrastructure, such as roads, medical centers, and social services are either sparse and widely spaced, poorly funded and maintained, nearly inaccessible, or non-existent.

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 eleven 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.”
 
Inspiring 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 from 2015:
 
  • For the 11th straight year, Maison de Naissance (MN) has maintained a maternal mortality rate of 0, with 4717 deliveries as of 12/31/2015 (Regular deliveries were transferred to the local public hospital effective Jan 2014 as part of a partnership agreement with the Haitian Ministry of Public Health.  Emergency deliveries are still performed onsite at MN.)
  • In 2015 the board of directors determined to resume deliveries at MN, due to patient feedback based on delivery experiences at the public hospital.  The target date is June 1, 2016.
  • A trial community garden, intended to provide extra food for patient families and to generate income in local markets, has been expanded from a small 20 ft x 50 ft plot to cover roughly a full acre, with a drip irrigation system, and plans for a living fence to surround it.
  • MN became the first (and only to date) midwifery based birth center to receive permanent a permanent license to operate from the Haitian Ministry of Health (MSPP).
  • Per statistics compiled by WHO and MSPP, from 2011 - 2013 MN provided:
    • 43% of all family planning services
    • 22% of all prenatal services
    • over 10% of all deliveries

    in a region (SUD Department, or South State) with a population of 705,000. Compared to the population of only 69,000 in MN’s actual zone of service, these statistics are even more meaningful.

 
Goals for 2016:
 
  • Resumption of full delivery services effective June 1.  Maintain a maternal mortality rate of 0 while increasing our scope of services to a broader community.
  • Increase economic development activities through introduction of new agricultural techniques to increase efficiency and production.
  • Establish a for profit delivery center in the neighboring town of Les Cayes to help fund MN operations without USA charity.
Needs Statement
  1. MN continues to seek 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, and a for profit delivery center that will help fund MN operations with local revenues.
  3. Funding to support expanded community health programming, with training to administer vaccines and provide basic, in-home prenatal care.
 
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 with the postponement of presidential elections in 2016.  Against this background of poverty and hopelessness, the peaked roof of Maison de Naissance, a birthing center in rural southern Haiti, stands firm but welcoming to all who need prenatal care, midwife attended births (effective June 1, 2016), family planning, HIV testing and care, well baby care, and women's reproductive health care, for a fee scaled to be affordable to all, and free when necessary.
 
Now open over ten 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 professional care for mothers and babies in extreme poverty, using a scaled fee system that includes free as needed. The services of a modern maternity center are offered with the hospitality of a safe, culturally appropriate, welcoming, and friendly home.  MN services include prenatal care, HIV/AIDS testing and treatment, well baby care, family planning, women's reproductive health, and community health outreach.
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, partially funded by the Haitian Ministry of Health (MSPP) through reduced price medicines, is focused on prevention of mother to child transmission (PMTCT) of HIV/AIDS.  However, we encourage testing of spouses as well, and refer them for treatment when tested positively.
 
Our program is monitored by 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.  MN tested 1656 pregnant women in 2015, and achieved a 100% 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 available when the patient is enrolled in and follows the treatment program.)
 
These results are reported to and monitored by CDC and MSPP on a monthly basis.
Examples of Program Success

INDICATOR in 2015




Pregnant women to test


1656


Other Adults to test


462


Overall # of patients enrolled in treatment


26

# of active patients in treatment


137




The overall reduction in HIV/AIDS patient numbers is indicative of the long term success of HIV/AIDS treatment programs in Haiti as a whole.

Description The WHO[1] and the UN, members of H4+ (UNFPA, UNAIDS, UNICEF, UN Women, WHO, World Bank), have also endorsed a midwife attended birth model, which is the core of the GBHF Model of Care (UN post-2015 development agenda[2]).  Attended deliveries are the number one factor in the reduction of maternal and infant deaths during childbirth.  Currently, per the World Bank, only 25% of all deliveries are attended by a skilled health worker, vs. 94% in the USA.  The combination of poor hygiene and an inability to cope with even the most minor complications can often have deadly results.

Category Health Care, General/Other Maternal & Infant Care
Population Served Poor,Economically Disadvantaged,Indigent, ,
Short-Term Success Short term and long term successes are equivalent, and described above.
Long-Term Success The ultimate goal is a significant reduction in the infant and maternal mortality rates within MN's zone of service.  To date, 4,017 deliveries have been conducted at MN with zero maternal mortalities.  Reliable statistics are not available for infant mortalities due to the low percentage of mothers who report infant deaths after returning home.
Program Success Monitored By   All treatment statistics (prenatal, postnatal, delivery, well baby care, family planning, women's reproductive health) are recorded in an Electronic Medical Records database, allowing full reporting on a patient's entire history with MN, and overall performance statistics.  These statistics are also collected by the Haitian Ministry of Health, which shares them with the WHO.
Examples of Program Success Zero maternal mortalities for all deliveries conducted at MN since 2004.
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 service fees are on a scale set by local community leaders, and include free as needed.  Otherwise we depend solely on the generosity of our donors to continue operations in this most needy of locations, as we implement new plans for economic development.
 
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, with staffs of up to 25 and budgets of $5M+.  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 in April 2011.
 
Staff
Paid Full-Time Staff 22
Paid Part-Time Staff 0
Volunteers 2
Paid 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
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 (MSPP); Mercy and Truth Medical Missions; Les Amis de Naissance
Government Licenses
Is your organization licensed by the government? Yes
CEO Comments
Maternity Center License granted by the Haiti Ministry of Health, as all maternal health activities are undertaken in that country. 
 
Our primary challenge is establishing a consistent program of economic development within the community of Maison de Naissance, to one day allow it to operate independently of charitable contributions from the USA.
 
Our primary opportunity is to replicate the success of MN's model of care in other impoverished communities.
 
 
Board Chair
Board Chair Ms. Elizabeth Wickstrom Phd, MPH
Company Affiliation Shawnee Medical Group
Term Jan 2016 to Dec 2016
Email jzw@aol.com
Board Members
NameAffiliation
Fr. Frantz Casseus PhdEpiscopal Diocese of Haiti
Ms. Jamie Haeuser MHAHaeuser Health Strategies
Ms. Carol Hogue PHD, MPHEmory University
Mr Lynn Hogue Phd, JDColumbia University
Ms. Margaret McCann PhD
Mr. Guy Montes
Dr Beth Mulvihill MD
Ms. Janice Taylor FLMIRetired
Dr. Elizabeth Wickstrom MDCommunity Volunteer
Board Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 7
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 3
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
CEO Comments Two of the GBHF board members are native Haitians, one now residing in Olathe, Kansas, the other is a Canon of the Episcopal Diocese of Haiti; two are medical doctors; and two are public health professionals.
 
 
Financials
Fiscal Year Start Jan 01, 2016
Fiscal Year End Dec 31, 2016
Projected Revenue $250,000
Projected Expenses $250,000
IRS Letter of Exemption
Foundation Comments
  • FY 2014, 2013, 2012:  Financial data reported using IRS Form 990.  
  • Foundation/corporate revenue line items may include individual contributions. 
Detailed Financials
Expense Allocation
Fiscal Year201420132012
Program Expense$295,523$283,932$411,962
Administration Expense$26,970$27,980$24,634
Fundraising Expense$14,506$16,227$14,413
Payments to Affiliates----$0
Total Revenue/Total Expenses0.970.870.60
Program Expense/Total Expenses88%87%91%
Fundraising Expense/Contributed Revenue5%6%6%
Assets and Liabilities
Fiscal Year201420132012
Total Assets$30,103$2,671$38,117
Current Assets$30,103$2,156$36,089
Long-Term Liabilities$0$0$0
Current Liabilities$50,586$11,961$4,826
Total Net Assets($20,483)($9,290)$33,291
Short-Term Solvency
Fiscal Year201420132012
Current Ratio: Current Assets/Current Liabilities0.600.187.48
Long-Term Solvency
Fiscal Year201420132012
Long-Term Liabilities/Total Assets0%0%0%
Top Funding Sources
Fiscal Year201420132012
Top Funding Source & Dollar AmountIndividual Donor $67,709 -- --
Second Highest Funding Source & Dollar AmountHodgdon Family Fund $43,000 -- --
Third Highest Funding Source & Dollar AmountIndividual Donor $26,960 -- --
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years Yes
Organization Comments Our financial challenge is declining revenues while rampant inflation in Haiti raise operating costs.  A large amount of funding for Haiti was redirected to relief work following the 2010 earthquake, and the misperception that Haiti was receiving millions in international funding further reduced donations to small charities such as GBHF/MN.  In reality, most of the post-earthquake funds pledged to Haiti were invested in and spent by large, international NGO's (e.g., Red Cross, https://nacla.org/news/ngos-and-business-poverty-haiti), and not shared with smaller scale organizations regardless of their efficiency and successes.
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. Elizabeth Wickstrom Phd, MPH
Board Chair Company Affiliation Shawnee Medical Group
Year of Incorporation 2004
Former Names
Maison de Naissance Foundation
Healthy Mothers - Healthy Babies Foundation