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  <url>
    <loc>https://www.motomeds.org/support</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-11-22</lastmod>
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      <image:title>Support</image:title>
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      <image:title>Support</image:title>
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    <image:image>
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      <image:title>Support</image:title>
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      <image:title>Support</image:title>
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  </url>
  <url>
    <loc>https://www.motomeds.org/home</loc>
    <changefreq>daily</changefreq>
    <priority>1.0</priority>
    <lastmod>2024-11-22</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/9e99c2f8-59b0-4a8c-8f76-9a44191ff879/DJI_0015.jpeg</image:loc>
      <image:title>Home</image:title>
      <image:caption>We currently serve the urban regions of Les Cayes Haiti.</image:caption>
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      <image:title>Home</image:title>
      <image:caption>We receive calls from over 75 neighborhoods.</image:caption>
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  </url>
  <url>
    <loc>https://www.motomeds.org/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-06-17</lastmod>
  </url>
  <url>
    <loc>https://www.motomeds.org/team</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-11-22</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/452d3910-13fe-4d5a-a2f9-492623c991e8/IMG_1629_CC.jpg</image:loc>
      <image:title>Team - MotoMeds Providers, Haiti</image:title>
      <image:caption>In Haiti the MotoMeds call center is staffed by a team of dedicated Haitian providers (Nurses and Family Nurse Practitioners). Our providers help guide parents through the consultation process by referencing clinical guidelines and applying their accumulated personal clinical experience. They are backed by a team of on-call doctors to ensure each patient receives the high quality, professional care they need.  One provider, Marlene, who knows many families hesitate to seek care at clinics because they lack the financial means had this to say about MotoMeds. “The parents always hope their child will get better without intervention. But some of these children get sicker over the course of the day and by evening they are in a really bad situation with no options for care. MotoMeds has now provided the community with an option.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/d78de9d9-154c-4bb4-a424-b6554dda6d2a/Molly.jpg</image:loc>
      <image:title>Team - Molly Klarman, MPH</image:title>
      <image:caption>Project Director, Haiti Molly earned her undergraduate degree from Lewis &amp; Clark College and a Masters of Public Health degree from Emory University. Molly has conducted research across Latin America and the U.S. in diverse areas including household water purification, development of diagnostic tests for parasitic diseases and best agricultural practices for watershed management. She spent seven years working for health and community development based NGOs in rural Haiti. Molly began working at the Nelson Lab in December 2017. To date she has contributed towards the following research projects; a needs assessment to investigate the healthcare seeking behaviors of Haitian families with the onset of illness during nighttime hours, a case control study to investigate specific causes of household diarrhea in children under five years, a sero-surveillance study of COVID-19 and the Improving Nighttime Access to Care and Treatment (INACT) studies to evaluate and expand MotoMeds . “I am especially drawn to the work being done at the Nelson Lab because of its focus on bridging the gap between research and actionable public health improvements and I am excited to have the opportunity to contribute to this endeavor.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/faca01a1-3087-4b15-9159-1c8c045db1c2/IMG_0678.jpg</image:loc>
      <image:title>Team - Youseline Cajusma</image:title>
      <image:caption>Research Supervisor, Haiti Youseline is originally from Jeremie Haiti. She graduated from the Faculté des Sciences Infirmières de Léogane Nursing School in 2012. She has been working for The University of Florida since 2013 as a nurse researcher assisting with data collection and supervising staff for many different studies investigating different topic areas ranging from sexually transmitted infections to causes of household diarrhea. Youseline joined the Nelson Lab in 2019 as part of the field team for the healthcare needs assessment in Leogane and Gressier, Haiti. She was integral in helping to transform the idea for the MotoMeds call center into a functioning clinical service. She values the follow up component of MotoMeds where we check in with patients 24 hours or 10 days after their initial call. Youseline is currently enrolled in a master's program to become a Family Nurse Practitioner.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/ba9acd05-b149-43e2-af82-d1f01cf34cff/PHOTO-2020-11-23-11-36-43+2.jpg</image:loc>
      <image:title>Team - Chantale Baril, MD</image:title>
      <image:caption>Pediatrician and Advisor, Haiti As the Assistant Chief of the Department of Pediatrics at the State University Hospital of Haiti, Dr. Baril is an invaluable member of the MotoMeds team. Since 2018, she has advised on the development of culturally appropriate and locally feasible research study protocols and treatment plans as well as taking on a role in training MotoMeds staff. She acts as the go-to physician for MotoMeds nurses when questions arise with more complex patients. Dr. Baril earned her medical degree from Haiti State University Medical School. She has now worked at the State University Hospital for almost 35 years specializing in pediatrics and neonatal care. The hospital, located in Port-au-Prince, is one of the largest in the country and serves the most marginalized patients.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/1613594063397-T21ZWKYY0EU8SAEHNKOW/Screen+Shot+2021-02-17+at+3.33.25+PM.png</image:loc>
      <image:title>Team - Lerby Exantus, MD</image:title>
      <image:caption>Physician and Advisor, Haiti Dr. Exantus is a Haitian physician and radiology resident at the State University Hospital of Haiti. He has been working with MotoMeds since its establishment, as an on-call physician and helping with trainings as well as medical and research translations. He has assisted several Haitian organizations with healthcare education and is currently pursuing an Educational Commission for Foreign Medical Graduates certification as well as a United States Medical License.</image:caption>
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      <image:title>Team - MotoMeds Delivery Drivers, Haiti</image:title>
      <image:caption>Our delivery drivers are the backbone of MotoMeds’ remote telemedicine service. Their invaluable knowledge of the local terrain is the key to accessing homes without an address system. Many homes are in locations only accessible by motorcycle. Drivers navigate winding, narrow roads on rugged terrain in the dead of night. Their heroism is saving the lives of children in rural Haiti. “My wife called MotoMeds for my 10-month old son who had a cold.  The nurse recommended we follow up at a clinic the next morning where he received an x-ray and antibiotics. They told us he had a pulmonary infection. We would not have known that he had something so serious had we not consulted MotoMeds.” — Junior, MotoMeds Driver</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/4fadd48b-5322-496d-908d-28ee76a33f77/Screen+Shot+2021-01-20+at+2.54.23+PM.jpg</image:loc>
      <image:title>Team - Eric Nelson, MD, PhD</image:title>
      <image:caption>Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park.</image:caption>
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  </url>
  <url>
    <loc>https://www.motomeds.org/what-we-do</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-01-23</lastmod>
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      <image:title>What We Do</image:title>
      <image:caption>Dispatch a Delivery</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/1614018202922-V0WVXNY7N8NEZ48BY72Q/Photography+Studio+Etsy+Shop+Icon.png</image:loc>
      <image:title>What We Do</image:title>
      <image:caption>Make the Phone Call</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/1614018568237-L2JJPUOXZLWZJO4REWA1/Photography+Studio+Etsy+Shop+Icon+%281%29.png</image:loc>
      <image:title>What We Do</image:title>
      <image:caption>Speak to a Provider</image:caption>
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      <image:title>What We Do</image:title>
      <image:caption>Develop a Treatment Plan</image:caption>
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      <image:title>What We Do - Always There to Help</image:title>
      <image:caption>Many common childhood illnesses such as respiratory infections, malaria and diarrhea have well-established and low-cost treatments. These treatments are most effective when administered early. Children experiencing illness at nighttime are at risk of progression to an emergent state because most healthcare centers are closed. Preventing emergencies is a critical healthcare service in settings where emergency medical resources are often inaccessible and prohibitively expensive.</image:caption>
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  </url>
  <url>
    <loc>https://www.motomeds.org/donate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-02-15</lastmod>
  </url>
  <url>
    <loc>https://www.motomeds.org/media</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-05</lastmod>
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  </url>
  <url>
    <loc>https://www.motomeds.org/haiti</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/7bea410d-4000-4f2c-bc9b-6110b2d6ad14/Untitled.png</image:loc>
      <image:title>Haiti</image:title>
      <image:caption>After three years straight (1095 days!) of providing nighttime access to care the need to digitize the clinical decision support tools is . The paper version is cumbersome time intensive and prone to guideline deviations with providers referencing 3 different documents simultaneously. We hypothesize a digital version will streamline the process and improve efficiency and accuracy.</image:caption>
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      <image:title>Haiti</image:title>
      <image:caption>This workflow adjustment allowed MotoMeds to open its first satellite delivery zone to respond to the August 2021 earthquake in Les Cayes. The central call center in Gressier fields calls from families in Les Cayes, 200 km away. Locally positioned on-call nurses and delivery drivers are then dispatched. This ‘hub and spoke‘ model allows MotoMeds to further maximize resources.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5fa59cb57fb2846f5b9ba640/48995907-6ddf-471e-8f99-51cb5bf2b3d9/Untitled+3.png</image:loc>
      <image:title>Haiti</image:title>
      <image:caption>In January of 2021 we began testing the scalable model of MotoMeds with the launch of the INACT3 study. In-person exams were limited to moderate cases (~20% of all cases) and those with mild illness received a delivery alone. This is an essential step towards managing limited resources while maintaining a high standard of care.</image:caption>
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      <image:title>Haiti - What is the Need?</image:title>
      <image:caption>From August 2018-July 2019, our team conducted a needs assessment in Gressier and Leogane, Haiti to better understand how the community uses healthcare with the goal of identifying potential strategies to improve access to qualified care. Haiti's healthcare system is comprised of both conventional (clinics, hospitals, pharmacies) and non-conventional (medicine vendors, traditional healers, etc.) providers. The needs assessment revealed that geographic barriers often prevent families from seeking care from their preferred provider type. MotoMeds provides solutions to these barriers by reaching even the most remote patients on motorcycle.</image:caption>
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      <image:title>Haiti - Feasibility Study in Gressier Haiti</image:title>
      <image:caption>In September 2019, a feasibility study was completed in Gressier Haiti. We established the infrastructure necessary to operate a call center and delivery service and began evaluating the safety of the MotoMeds assessment tools and clinical guidelines.</image:caption>
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      <image:title>Haiti</image:title>
      <image:caption>Why</image:caption>
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      <image:title>Haiti</image:title>
      <image:caption>How</image:caption>
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      <image:title>Haiti</image:title>
      <image:caption>Who</image:caption>
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      <image:title>Haiti</image:title>
      <image:caption>Where</image:caption>
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  </url>
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