Systemic implementation barriers
| Year . | Barriers . | Resolution . |
|---|---|---|
| 2019-2020 | Employer strike action at JUH and HUEH The COVID-19 pandemic slowed down clinic attendance in both Haiti and Miami. | Both resolved. |
| 2020-2021 | Electrical outage damaged IEF machine at JUH. | Machine replaced. Surge protector purchased and installed. |
| 2021-2022 | Gang violence at Port-au-Prince; Haitian president was assassinated (7 July 2021); ongoing delays in deliveries of IEF gels to Cap Haitien (not to Port-au-Prince); and emigration of 2 study staff from Haiti resulting in extra training needed for TCD ultrasound sonographers. | Ongoing street violence. Outsourcing of dried blood cards to Florida after brief trials sending them to SDH (there were delays in deliveries, making the samples uninterpretable). 1 site remains without a person responsible for performing TCD ultrasound. |
| 2022-2023 | Strike action at JUH and HUEH; gang violence at Port-au-Prince; and ongoing delays with gel deliveries to Cap Haitien. | Ongoing strikes. Searching for partnerships in the Dominican Republic to shorten the time for gel delivery. |
| Year . | Barriers . | Resolution . |
|---|---|---|
| 2019-2020 | Employer strike action at JUH and HUEH The COVID-19 pandemic slowed down clinic attendance in both Haiti and Miami. | Both resolved. |
| 2020-2021 | Electrical outage damaged IEF machine at JUH. | Machine replaced. Surge protector purchased and installed. |
| 2021-2022 | Gang violence at Port-au-Prince; Haitian president was assassinated (7 July 2021); ongoing delays in deliveries of IEF gels to Cap Haitien (not to Port-au-Prince); and emigration of 2 study staff from Haiti resulting in extra training needed for TCD ultrasound sonographers. | Ongoing street violence. Outsourcing of dried blood cards to Florida after brief trials sending them to SDH (there were delays in deliveries, making the samples uninterpretable). 1 site remains without a person responsible for performing TCD ultrasound. |
| 2022-2023 | Strike action at JUH and HUEH; gang violence at Port-au-Prince; and ongoing delays with gel deliveries to Cap Haitien. | Ongoing strikes. Searching for partnerships in the Dominican Republic to shorten the time for gel delivery. |