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 Nurse CarlaConstanza School

Carla came to Constanza with her husband and three children as refugees from Venezuela. She has been an incredible blessing to our ministry not only as a nurse but also as a friend and collaborative worker. Quick to take initiative and also teachable, Carla has advanced health care in both Constanza School and Ark Constanza home. She is a capable and reliable worker who not only communicates well but has been able to develop and give training to staff and children alike. During the coronavirus pandemic, Carla has played a key role in helping develop and disseminate information on COVID-19.
What is your work with Kids Alive?
For almost three years, I have worked in the area of health care. I serve in the Kids Alive ministry by focusing on prevention as well as providing care for the children. I really like working in this role because I have had the opportunity to develop and grow in what I love to do. 

Why is your work important?

One of the most important things I do is in the area of preventing illnesses in order to avoid more serious health issues in the future (done by educating students and staff as well as monitoring students’ vision and growth). I also check on and restock the medications we use at the school, ensuring that there are adequate supplies. I record all medications given and review this record regularly to identify any children that might have chronic problems that need to be addressed. 

How else do you help?

I help with acute and chronic health issues by caring for the children at school and helping the parents find the proper care for their children. If there is an emergency at the school, I take care of the child and if necessary take them to a doctor. Sometimes we are able to help the families of our students with health issues. One time, a student’s grandmother needed medicine that she could not afford. At the school, we had that medicine because it had been donated, so I was able to give her the medicine, a blessing. 

How have you been able to help during the pandemic?

Although our students are not on our school campus due to the pandemic, we stay in contact with them virtually. For example, I received a phone call from the family of a student reporting that the student had a skin infection. I was able to give them advice about personal hygiene and habits. Thanks to God, the student got better. I have been able to make calls to families to guide them regarding COVID-19, what they should do if they suspect a case, and how to create a routine that stops the spread of the virus. 

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