While the joy of serving children and youth includes keeping a close watch on them to ensure their sustained holistic development, it also demands constant vigilance for potential threats. Coming from at-risk situations, those risks, particularly relating to their health, can quickly turn into a razor’s edge for our children.
“We have a visiting Service Team member from Seattle with a cough, fever, and a sore throat,” said the voice of one of our school directors reporting the issue via phone to Vic Trautwein, Country Co-Director of Kids Alive Dominican Republic (KA DR). Having hosted hundreds of visitors over the years to KA DR programs, and knowing how under normal circumstances travel and weather changes can be punishing, Vic might not have been too concerned. But that call was in March, and Dominican Republic had just reported its first case of COVID-19, even though at that time it had not been recognized as a pandemic-level threat in the Americas. COVID-19 still seemed distant, fuzzy, and transient.
Our forward-thinking health care team had already begun to spruce up the health care systems to ensure the protection of our 2,000 plus children and several hundred staff. But the call, like an alert from God, propelled our efforts into high gear and we switched operation into emergency mode. We urgently put into place precautionary policies and measures while fleshing out details. Hand washing and hygiene protocols went into immediate effect, followed by designated quarantine rooms and the development of educational material for all our schools. Those early decisions put us in the driver’s seat to stay ahead of the COVID-19 curve while responding to the unfolding crisis. We even got ahead of the Dominican government’s response to the epidemic! Two weeks later, the Dominican government ordered all schools closed and sealed the island from visitors.
We sealed our residential homes and quarantined all our residential children and workers on their campuses. Ever since then, our health care workers have been working diligently in various ways to protect our students, their families, and our staff from COVID-19.
These health measures paid off: all our residential kids at the time of this update are in good health. We are so grateful to God for honoring our decisions and actions.
All of this couldn’t have been possible without a robust health care team. We are blessed today to have a team that includes a pediatrician, nutritionist, five nurses, three dentists, and a medical student that help care for the over 2,000 children and youth in the 10 Kids Alive programs. But until a few years ago this was little more than a dream. “I recall a few startling events many years ago,” remembers Vic Trautwein. “A visiting dental team pulled out 114 infected teeth from the youth at one of our schools, and the family of a seven-year-old student was asked to find a guarantor for $1,000 before she could have emergency surgery for a ruptured appendix. We realized that with better organization and effort we could preemptively save not just teeth but, in some cases, lives.” Until a few years ago, better prevention, health education, good nutrition, and access to emergency care were only in the realm of possibilities, but now they are a pleasant reality for all our children.
Thanks to God and your provisions, the scope of medical services at Kids Alive Dominican Republic programs now includes:
- First Aid capacity and local clinic relationships for each site
- Regular dental care at four of seven schools with plans to add more
- Menu assistance from our nutritionist at each site along with a supplemental program for underweight children
- Assistance with chronic health conditions such as asthma and diabetes
- Capacity for vision and hearing checks for each child
- Educational material (including COVID-19 protection) for each site
- Training of more than 30 of our workers in First Aid and CPR
Our goal is for every young person to leave our program with a healthy spirit, mind, and body, having learned how to take responsibility for their own health.
An interview with Lisa 
Lisa Marte has been the ANIJA School nurse and health care specialist since the spring of 2019. She serves a population of children and youth who have little access to professional medical care and has been a huge blessing to many in the short time she has been with us. She attended ANIJA School since childhood and is now studying to be a lab technician at a local university on a Kids Alive scholarship. She has received additional training from Kids Alive to support our children with medical (CPR, First Aid, dental hygiene) and social/emotional care.
How have you helped in your time with Kids Alive?
I help children medically in many ways including treating playground injuries or other minor wounds, giving anti-parasite medicines, lice treatment (a common condition here), and accompanying our children and parents for their local medical appointments. Additionally, I monitor children’s physical development by regularly measuring their height and weight, and administering a supplemental nutrition program for those underweight.
What is something that you like about your work helping at–risk kids?
I like working with kids. It fills me with joy when a simple word lifts them up and makes them smile. It also gives me a lot of satisfaction when I can serve them medically and help them feel better.
Tell us about a specific child that you have helped recently?
A child of Haitian descent (among the most disenfranchised and hence with little access to medical care) had scabies (an intensely itchy skin condition). Thankfully, I was able to clean and scrub his hands and feet with soap and water and then apply medication. I also taught his mom to disinfect his bedding and apply medication. Within a few days, he completely recovered!
Click on an image below to enlarge and read captions
Nurse Felicia works compassionately to provide competent care to children, following up on those with special needs like this young boy with Type 1 diabetes getting an insulin shot. She also works closely with nutritionist Taylor to guide the kitchen staff and the boy's mother regarding an appropriate diet.
Health care workers Carla and Lisa work with nutritionist Taylor to accurately measure all Constanza School children. Taylor then calculates body mass index (BMI) to determine which children are to be included in the nutrition supplementation program. Distance learning this fall poses a daunting challenge to execute this critical program.
All children in the 10 Kids Alive sites are measured at least once per year, and more often if identified as having issues. Pediatrician Leslie Trautwein, Kids Alive DR Medical Director, works closely with health care workers at each site to care for acute illnesses as well as develop preventative care.
Nurse Mariel of Park School distributes peanut butter and vitamins to children with low BMI’s who are in the nutrition supplementation program. Nutritionist Taylor oversees these programs and, along with the health care worker, follows the children's height and weight progress closely. With schools in distance learning mode, the nurses are working on alternate plans to measure children and provide supplements to those in need.
Although most of our children receive their primary nutrition from the various Kids Alive schools, nutritionist Taylor has developed instructional tools, like this game of “My Plate,” to teach children healthy eating. With diabetes and hypertension being two common adult illnesses in Dominican Republic, it is important for kids to learn about the nutritional value of common foods here.
Nurse Carla organizes the Constanza medical “pharmacy” which is used to restock the First Aid kits in all the Ark Constanza homes. She carefully monitors the use of medications in the homes, guides the house parents, and follows children under medical treatment plans. As part of preventative care, she makes sure children's vaccinations are up to date.
Annual vision screening is often carried out with the help of visiting student ophthalmologist work teams. Here a Vanderbilt University student screens Eva M Russell and Casa Monte Plata's children. Those with sight issues are taken to a local optometrist or ophthalmologist for more complete exams and provided glasses.