Fighting for Life

Mothers – loving, tired, stressed, weary, worried, desperate.
The struggles of Haiti etched eternally on their faces.
Loving eyes struggle to keep watch, watch the IV, watch the oxygen, watch the temperature.
Days and nights of watching and the eyes fight to stay open.
Loving arms balancing restless sick children.
Road weary feet swollen and hot from days in the hospital.
Days sitting on blue chairs.
Nights sitting on blue chairs.
With occasional respite found on a sheet on the hard tiles.
Tiny babies – 500 lbs, 1 kilo, less than 500 lbs.
Big kids swollen.
A boy shoved a bead up his nose.
A boy shoved a pea in his ear.
Big babies.
Small babies.
Fighting for each breath, oxygen, IV, nurses desperately trying to find tiny veins.
All veins seem to stay at home.
Valiant nurses keep trying.
Dehydrated bodies.
Busy, busy nurses.
Fighting with death daily.
Fighting for life.
And still the patients come.
From all over the country.
Looking for life.
No more room.
Make room.
How to refuse.
How to say yes.
Young mothers – kids themselves.
Young fathers – hurtled into the realities of parenthood.
Pneumonia the biggest killer of kids under 5 in Haiti.
Racing hearts, gurgling lungs.
Scared parents.
Small kid – huge tummy
Tiny premie – went to God.
Beautiful Chloe, trying to breathe.
Eyes fixed on her praying crying aunt as if to say, “why me? I am just a tiny baby. Why is so hard for me to breathe”.
Can she know she has a heart problem and she has not long left.
Her poor Mam.
Doctors trying to find space.
Meeting after meeting, trying to find ways to find money to keep this hospital open.
We can’t afford to keep it open.
We can’t afford to close it.
Breathe in.
Breathe out.
Breathe in.
Breathe out.
Life and death – always dancing together.
Dancing around the beds.
Fighting around the beds.
It should be so easy for life to win.
Suffering is there with them.
Yes indeed suffering and more suffering.
Mothers and nurses and doctors and fathers joined together, united together.
An eternal circle, comings and goings.
Different faces.
The same suffering.
The same fight for life.
Every year I get an insight into the realities of life here as Marcus* takes me inside our hospital emergency room.
St. Damien Pediatric Hospital.
The ONLY pediatric hospital in Haiti.
Don’t read this and feel sad.

Read this and help us in our fight for life.

Contributed by Gena Heraty, NPH Haiti Special Needs Director

Photo credit: Giles Ashford

*Named changed for privacy purposes. Marcus lives at the NPH Haiti home, Kay Christine. He is 15-years-old and is fighting an infection and is currently at our St. Damien Pediatric Hospital. Please keep him in your prayers.

Summer at Kay Germaine


It’s summer time here in Kay Germaine and all the children are on their holidays. However, while the school is quiet, therapy is still offered and patients continue to make the sometimes difficult journey here for treatment. By the end of the year we estimate that over 550 children and adults will come through our therapy center.

Benefits of Working Together

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Based out of Mare Rouge, Akyson Gasmy (AG) provides rehabilitation and eduction services to people with special needs in the northern diocese of Port de Paix; one of the most rural and isolated areas in Haiti. Over the last number of years, we have partnered with AG to assist in the training of their therapists and teachers through work placements in Kay Germaine, monthly training formations and outreach visits.

The pictures above are from our outreach visit last week.

Transforming Pain Into Something Beautiful

gena_cuteboyAs a girl growing up in Mayo, Ireland, Gena Heraty beseeched God to show her where and how she was needed in the world, says Sarah Caden, and, ultimately, he sent her to Haiti. There, she found her calling among children with disabilities, shunned, discarded and neglected by their families and society. Gena has spent decades bringing love and first-world treatments to ‘her’ kids, but her huge heart always hopes for more. Here, she opens up her personal photo album to LIFE – Sunday Independent June 14th 2015.

In the normal course of events, as the mother of a child with a disability, if you said “handicapped” to me, it would be a deal-breaker, a relationship terminator. However, when Mayo woman Gena Heraty uses that word to describe some of the children she cares for in Haiti, it’s OK.

Gena gets a special dispensation, because what Gena is doing for the children with disabilities that she cares for is incredibly special. In Haiti, where people with intellectual and physical disabilities are routinely neglected and regularly shunned, Gena is a shining light. And Gena uses the word “handicapped” knowing that here in Ireland, the language of disability has moved on from such terms, but the language is not what matters in Haiti.

Over there, she’s too busy trying to keep a roof over the heads of ‘her’ Haitian children and adults with special needs to pause and absorb the semantics. And what anyone associated with disability will tell you is that while language matters, actions matter even more, and Gena is a woman of action.

Gena meets me in a Dublin city cafe en route from Mayo back to Haiti, where she has been for 22 years. She’s had a lovely time with her family, making scones with her mother despite her recent diagnosis as coeliac, catching up with her siblings and nieces and nephews and forcing herself to do some media spots to rustle up some much-needed funds for her work.


Gena and “her” children with Fr. William Wasson, founder of NPFS Haiti.

“For the first few years when I was in Haiti,” she says, “I felt like an alien when I came back home to Ireland. I didn’t feel like anyone here could understand what I was doing there and I couldn’t talk about it. But, over the years, I’ve learned the value of two wonderful families, in Haiti and in Ireland, and I’ve learned to live in the present. When I’m in Ireland, I’m with the people in Ireland. And then, when I’m in Haiti, I speak to Ireland on the phone, but the second I put the phone down, I forget and I’m fully in Haiti.”

So, when we meet, as she travels back to Haiti, Gena’s head is already there. Her mind is on one of her children who is very sick, about whom doctors have said there is no hope “a million times”, but who keeps fighting. The worst thing, Gena says, is if one of the Haitian children dies when she’s in Ireland.


Gena, with Fr. Rick Frechette, CP

“This job and my whole  life,” she explains, “is about loving and losing. It’s about opening your heart and putting yourself into these children and losing them and then loving again. It’s about transforming pain into something beautiful; that’s what we do.”

Gena has been in Haiti since the early 1990’s. She went there after spending some time working for the Simon Community in Dublin, having always felt drawn to doing something meaningful in the world. An acquaintance in Simon told her about the Nos Petits Freres et Soeurs program in Haiti, a country she couldn’t even have found on the map at the time. But something about it chimed with her and she made contact and she went. She found a country that didn’t know what to do with children with disabilities, and she found an organisation, a community, where she instantly felt she could help. And she did, and she does.

When Gena went to Haiti, the programs ambition was to build a home for children with special needs who had been abandoned. Now, with Gena as director, the program runs four facilities that give levels of care and therapy that would be the envy of many services in the developed world. They work to keep kids with disabilities with their families, in a country where, she explains, they are routinely abandoned and “humiliated” as useless and disposable. It’s hard work, but it’s harder work changing the culture of contempt in Haiti and near impossible work to raise the money to keep their services alive.

Joanne, her mother and a family friend.

Special needs child with her mother and a family friend.

“The problem is both to do with culture and poverty,” Gena explains. “But the main thing is poverty; because no mother would ever want to abandon her child. But if you picture a disabled child in Haiti, typically the mother will have five or six other kids. And as soon as it becomes obvious that this child has special needs, eight times out of 10, the father will say he wants nothing to do with it, and he’ll do a runner. Often the father will have children with several women, so it’s not your typical family structure, and the mother is then left to mind all these kids. But even if that wasn’t the case, culturally,” Gena  continues,  “even  if it was a typical family, there is 80 percent unemployment in Haiti and the parents and children could be out on the street selling rags or soap just to keep the family alive. If that family has a kid with special needs, someone has to stay in and mind that child. And then there’s no money for food. And most people are only eating one meal a day anyway, if they’re lucky. So then this child becomes a burden. So nine times out of 10, if they’re not abandoned and if there’s not someone to mind them, they’re left in the house, door closed, and they’re there all day until the mother comes back.”

While Gena talks with compassion and sympathy about families, and specifically mothers, who want to do their best but just can’t, she goes hard on a Haitian society that dismisses out of hand their children with disabilities. She talks about how there are grants for people made disabled by the earthquake in 2010, but none for her children and adults. She talks about no availability of wheelchairs and no proper foot paths to wheel them on, anyway. She talks about a society that chooses to ignore that disability even occurs.

gena_kaygermaine“These people are utterly humiliated by society,” Gena says. “The tap-tap, the local transport that’s basically pick-up trucks with a little roof converted into a bus, they won’t even stop for them. People on the tap-tap would say, ‘Where are you going with that thing? You should dump that thing. That thing’s no good!”

Initially, in Haiti, Gena’s work was out in the country, up in the mountains. They had nine kids, who had been abandoned, who were being sent to Mexico, to a sister program for therapies and treatments. Gradually, they informally trained themselves up – with the help of visiting volunteer therapists – to help the children themselves and, slowly, the program developed.

In 2004, around the time that Gena became director of the program, they began branching out to involve mothers and keep the children in their families. Nos Petits Freres et Soeurs offers education, therapy, support, and, increasingly, children stay with their mothers.


Gena at Kay Christine, home to 30+ special needs children and adults.

“In those years, we created a very good program,” she says, “and I always thought it could be replicated. People were always ringing me up about children in need and children who had been abandoned, but we didn’t have space for them. So I decided that what we really had to do was solve the problem of abandonment. My dream is that every child and family in Haiti with special needs will have services and won’t be abandoned and shunned and rejected,” Gena says.

Growing up near Westport, Co Mayo, Gena always believed that there was a mission for her, somewhere out there. “For as far back as I can remember,” she says, “I was interested in the developing world. In our church at home, we’d have people coming home from the missions and they’d come in to the school, and I remember thinking, ‘I could do that’. But they were always nuns, I was very aware of that. And I didn’t want to be a nun. It was in my head that I wanted to do this without having a title, but I was aware that it seemed you had to be someone ­a nurse, a doctor, a nun. I just wanted to be an ordinary person doing this work. It was also in my head that if there was a God in this, he must have a job for me,” Gena continues. “Because if God made me, then he or she should find something for me. So my prayer all through secondary school was for God to find me a job. And at the end of secondary school, still no sign of a job. I remember being out shaking the hay saying, ‘Come on now, God, I need some direction.”

With no sign of direction in sight, Gena followed her sister to the University of Limerick, where she got a degree in business studies. By the end of the course, she was despairing of what to do next, when she heard about a place in Dublin running courses preparing people for voluntary placements in the Third World. Gena approached the organisation and they advised her to undertake some voluntary work in Ireland first, and that led her to the Simon Community. During her time there, Gena met a fellow volunteer who had been in Haiti, where he had been working with abandoned children with severe disabilities, for whom they were trying to build a home. He asked Gena if she’d come and help.

“I said, ‘Yes, but I have no qualifications. I’ve no experience with handicapped kids,”‘ she explains. “He said, ‘If you are able to work in Simon, you are able to work there’:’ And so, off Gena went to Haiti. All she knew about the country was Papa Doc and the ‘awful heat’: When Gena arrived in Haiti, she was brought to this tiny house in the mountains where the abandoned children with disabilities were housed. There were only three children there when she arrived, as the others were in Mexico for treatments. The fellow volunteers showed her where they slept on mattresses on the floor beside the children and explained that the little house had once been a stable. “It all seemed so bleak,” Gena recalls.

One month later, the six other children returned to Haiti. “We went to pick them up at the airport,” Gena says, “and they all had these really thick prism glasses on. They looked so weird, like aliens, and I thought, ‘Oh  my God: I knew nothing about this,  nothing about autism, or cerebral palsy or anything. Simon had been rough and ready, but nothing like this. I thought, ‘OK, this could  be interesting.”‘ On the transport back to the mountains, a little girl called Eliane sat on Gena’s knee. Gena made it her mission to make Eliane laugh, and she did, and, later, one of the women told Gena that she’d never seen the little girl engage with anyone before. That connection with Eliane, who had hydrocephalus and had numerous operations and was very sick, became the turning point in Gena’s life.


Gena with Eliane

“She had to go back to Mexico and I was picked to go to with her,” Gena recalls. “You have to picture it: she was very severe and very sick and I had no experience. It was just me and her and I had no Spanish to speak to the people treating her. Every day, I thought she was going to die on me. I was petrified. It was very stressful, but from that moment, when it was me and that child, and me doing my best to keep her well and alive, that was so bonding. And I thought, ‘For as long as she’s alive, I’m never going to abandon her.’ It was sealed for me. This was my spot in the world.” Eliane died in 1997. “That was the first disaster for me;’ Gena says, “when she died.”

“You’re winging it at the start,” she continues, “but you can be amazed what you find in yourself in these situations. When Eliane died, I thought that no matter what else happens to me in life, nothing can be worse than this. Because I couldn’t imagine anything worse than the suffering with her and the loss of her. It’s one thing when you suffer yourself, but when a kid suffers and dies, you die twice over.”

Children whom Gena and her team have loved and laboured for have died since and it has been hard every time. Even in the time between meeting Gena and writing this piece, she mails me about the loss of one of the young adults in their care. Also, as Gena admits, you can’t help but have pets, and she picks out a pair of twins that they cared for, both of whom had cerebral palsy.

gena_christian2008“This mother had three kids already,” Gena explains.” And then these two, with severe cerebral palsy. And we said, ‘No, we don’t take kids who have parents, so she went and came back a few months later and said, ‘I don’t want to abandon my children. I need to find them somewhere that I can visit them, but they are cared for,’ so we took them.

“Karvens and Cleevens,” says Gena, recalling the twins. “They were so severe. Karvens was my little prince. I love them all, but some touch you in particular. He died after two years, but Cleevens is still alive, and that family comes every month, for the last 14 years, to visit. Cleevens went to his sister’s wedding. He’s still very much part of the family.”

These are the triumphs in Gena’s Haiti, triumphs that might seem small somewhere else, but which are big there. She talks about the school they run for children with disabilities giving them an education they would never get otherwise. She explains how she and her staff have no formal qualifications as therapists and teachers, but they have learned from professional volunteers who have visited. It’s a can-do attitude, instead of an attitude that could see them waiting forever for funding for staff with the degrees and the formal training.

Her ambition, Gena says, is to create a situation where adults with disability could find a purpose and an occupation in Haitian society. Tiny, tiny steps is what it’s about, but she’s hopeful, and she is a person who can put a positive spin and find the hope in just about anything.

For example, the 2013 attempted robbery at her accommodation in Port­ au-Prince, during which she was attacked with a hammer and a security man, Major, was killed. Ask Gena about this and she focuses attention on Major’s dedication and the fact that two of the young adults in her care rushed to her defense.

“That attack only confirmed that I was in the right place,” Gena says. “Imagine being somewhere where you’re about to be killed and two kids with disabilities come to your rescue. And one of them got a whack for her efforts.”

Even then, Gena felt no diminishing of her sense of mission and no despair that she was fighting a losing battle in Haiti. She sees small ripples of change as a result of their efforts, she says, though it’s near impossible to get any financial support in Haiti. “My mission is to give a first-world service in a third-world country,” she says. But, for that, Gena needs support from the first world.


Therapy center and school, Kay Germaine.

“And that’s hard. I won’t tell lies, so we don’t get any of the grants for the people who were made disabled as a result of the earthquake. And when you ask for money anywhere, there are checks and balances to be taken into account and we don’t tick the boxes. They want to know about sustainability, but there is none in Haiti. They ask about our income, but we have no income.”

“I get annoyed, you know? When I look at how it’s all grown, from a little house in the middle of nowhere to this facility, with hydrotherapy and classrooms and everything, I’m so amazed. But it’s all about money; that’s the pain in the neck.” She hates doing publicity, hates going on the radio or appearing in the press, but it’s necessary.

“Denis O’Brien is a huge help,” Gena says. “He’s been  fantastic. There was a young fella shot in front of our gate a while back, paralysed from the waist down, and I wrote an email about it and within a day, Denis O’Brien got back to me and asked was there anything he could do, and he paid off some of his bills in the hospital. And he’s creating employment in a country where there is none, and they’ve built 150 schools. Good schools with computer labs; I’ve been to them. People give off about him, but if only there were more people like him.

“But, really, we get by on small donations,” she adds. “One million people giving a euro each is €1m.” She explains that they have no speech therapists at the moment, that they have let go three special needs assistants in the last year and scaled back various operations.

They need to raise $500,000 (€460,000 ) in the next year to get things back to a level that Gena would be satisfied with, and that’s not even starting into working on building a vocational educational facility for young adults.


Gena with children at NPFS St. Helene home in Kenscoff.

“I never accept that there is no hope,” says Gena. “When we were going to expand out into a rehab facility, I didn’t know the first thing about rehab and had never been in one. But that didn’t stop me. I emailed every care provider I  knew, and asked them what should be in a rehab facility. My attitude in life is that if I was in that position, what would I want? Not what’s good enough for someone in Haiti, what’s good enough for anyone in that position? You have to aim for the top. No matter where you are.”

Never, ever has Gena wished that she was somewhere else other than where she is in Haiti. Never once has she questioned her conviction that this is where she is meant to be. Without doubt, there are families in Haiti who believe her to be the answer to their prayers; but as far as Gena is concerned, Haiti is the answer to hers.

“My father, who died last year, said to me that it is a hard life I’ve chosen for myself,” Gena recalls, “but I told him: ‘I don’t think it is. I think it would be harder if I didn’t do it.’

by Sarah Caden

Personal Development – Family Style

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The Miss and Mister Competition
St. Helene, our flagship home in Kenscoff, has been a hive of activity these past weeks. We seem to have had one celebration after another;

  • Feast day for Dominique Savio – a Salesian Saint that is held as a role model for our kids
  • Feast day for Marie Mazerello – founder of the Salesian Sisters
  • Beginning of the 4th Annual Miss and Mister of St. Helene competition
  • Baptism of 24 children

So you see it has been a busy month and guess what? We are not finished with the festivities as on Friday we will celebrate the feast day of Our Lady Mary Help of Christians and on the 31st we will have First Holy Communion and Mother’s Day!

Let me tell you a little bit about the Miss and Mister competition. As I said this is the fourth time we have had this event and it is organized by one of our social workers, Mrs. Christella Barreau. The idea is to encourage the older children to work on their social skills, their general knowledge and their talents. They have to study hard as they are questioned on a variety of topics and they also have to present their own individual talents; music, dance, poetry, singing, whatever. They also take part in a host of workshops whereby they have different people coming to cover different topics with them and the whole idea is to help them grow and develop in ways that will be useful for their personal development and for their future careers.

An independent jury presides over each session and of course the audience is made up of all the other kids and staff. The competition takes place over a series of weekends and outings are also a part of the activities whereby the children get to visit some place of interest in the country. So far we have had two sessions of the event and they have gone very well. There is great support for the participants and what is beautiful is that everyone has the support of everyone. While it is a competition, the atmosphere is a family one. You see it when they are getting dressed for the event – one helps the other. The objective is NOT to look better than the other, it’s that everyone looks beautiful. When one makes a mistake, the whole group feels bad for that person. If they feel one could do better, they all encourage him her to do better. It really is something to watch and I think Father Wasson would be very happy to see that these children really do feel that they are one family and it’s easy to see how they live out this feeling.

Of course there will be prizes for the winners and those that chose to take part. Our friends in the new Marriott Hotel kindly offered a day at their pool with food included for the finalists. This will be a special treat for everyone.

Stay well and stay supporting us – in whichever way you can!
Gena Heraty
Special Needs Director