The most amazing thing about the number of children that Middle Ground’s programs have impacted, is that it is made up of individual lives.   And the impact is even larger than the numbers we can measure. Each child belongs to a family that is being impacted - caregivers and siblings. And as each caregiver participates in our education and business classes, they bring that knowledge and experience to their communities, impacting even more lives. And in addition to those lives, each staff member of Middle Ground is able to impact their own families with a steady income. 

The number of lives you are impacting with your donation is difficult to measure. But that number is made up of individuals created in the image of God. Every child who is treated from malnutrition in our recovery center is unique, special, and loved. Every caregiver that participates in the education and business classes have pasts, futures, heartaches, and joys. Every person has a story being written. And with your support, you are impacting each one.





Inpatient Program

Our inpatient malnutrition program exists to provide temporary care for children who are affected by severe acute malnutrition. Children who meet the standards of severe acute malnutrition are treated by qualified medical staff following the Plumpy Nut treatment plan. They are also treated for general health concerns that are prevalent in children with malnutrition. During their time in the recovery center, the caregivers of our patients receive in-depth health education to enable them to better care for their children at home.


Outpatient Care

Our outpatient program enables us to continue the treatment of children formerly in our inpatient program as they transition home and off of nutritional support. Once children and caregivers reach a place in their journey where we determine that they can continue with their recovery with less intervention from us we release them to return home. The caregiver and child are seen weekly to check on their progress and collect their mamba supplements. Just as with inpatient recovery, children are treated according to the Plumpy Nut treatment plan. Most children who enter our outpatient program have fully recovered from malnutrition in 4-6 weeks.


Formula Program

Our formula program allows us to support babies under one year who would otherwise be without adequate nutrition. Primarily, these are babies whose mothers have died at birth or shortly after. This program aims to prevent childhood malnutrition by ensuring babies have proper nutrition in their first year of life. Each child and caregiver is given regular medical attention and ongoing education during their time in our formula program.




Health Education

A large part of the reason that children are admitted in our nutritional programs is due to a lack of education. There are often many misconceptions about what makes up nutritional meals, what to do when a child shows symptoms of malnutrition, and how to treat these symptoms. As well as a lack of awareness surrounding hygiene, sanitation, birth control, child development and other important topics. We believe that a sustainable treatment process MUST be partnered with education. All the caregivers attend mandatory classes focused on nutrition and health that are run by our medical staff. Our classes, which are based on Facts for Life (a UNICEF and WHO publication) are coupled with visual images to meet the needs of the audience, and are targeted to address these important topics.


Counselling and Spiritual Health

Life in Haiti is incredibly difficult for the majority of people who live here, especially the families that come to our center. Sickness, death, injustice, and other hardships are an unfortunate reality. We believe that mental and spiritual counselling are an extremely opportunity part of our approach to healing. Because of this, we partner with Espere Counselling Center to provide an option for counselling to every parent, caregiver and child over the age of three in our programs, as well as our staff. We also offer individual and group grief counselling to families experiencing loss.

In addition to this, we also hold Bible studies twice a week, and members from the local church will often come to pray with the parents of the children in our care.



Middle Ground

Family Centered Care

Family Centered Care is an individualized strengths based approach to care that we have found to be efficient in serving those in our programs. By taking time to dig deep and look at the needs of the entire family, this approach is successful because we are able to utilize a multi-disciplinary group of individuals each with different field professionals. This team is made up of our doctors, head nurse, social worker and psychologists, along with specially trained family advocates who spend countless hours with our patients. This has allowed us to really understand each family’s individual situation and effectively identify the strengths and needs of each family.


Business Classes

Our business classes are offered to parents whose children have graduated from our program and whose participation and follow up in their children's care has proven to us that they are committed to their health and well-being. The training is based on a program developed by Lorika Foundation. This program has been adapted to reflect Haitian culture and practices. It teaches practical business skills using drawings and pictures, making it suitable for those who are illiterate. Topics covered include:

  • profit and loss
  • credits
  • money for living
  • avoiding failure
  • business community
  • business plans
  • money management and recording keeping
  • loans
  • sustaining life

Once parents complete and pass the classes, they can apply to Middle Ground for a small business loan. Parents are encouraged to start a business based on their passion and skills as well as what is practical in their community. To find out more about the loan program or to support a loan, click here.

In the past, we’ve offered this program to business leaders in other organizations in Haiti (Train the Trainer). If you’re interested in this program, let us know.

Middle Ground

Dributts Program

In the spring of 2019 we launched our Dributts Product Program - using scraps of the Dributts diaper material our parents make handmade bracelets and hair ties which are then sold in Re-Thread (a thrift store that is designed to support the non-profit Dributts). Some of the profit of these sales goes directly to the parents who created the products and the rest goes into our parent and family fund which includes things like, home and community visits by our social work and family advocacy staff.
In the summer of 2019 we took yet another step in our partnership by committing to facilitating several community diaper drops and mobile malnutrition screening clinics alongside the DriButts team in 2020.


Harvest 107 Family Farm Packs

Many of the families that we serve live in rural areas of Haiti, so Middle Ground, in partnership with Harvest 107, a non-profit dedicated to supporting family preservation and sustainability through farming and agriculture, work together to offer agriculture support to caregivers directly in their communities. 

Through this program, caregivers complete a 2 day business and money management class with our business instructor before meeting with with the Harvest 107 agronomist in their community. Each family is gifted a Harvest 107 Family Farm Pack which includes everything needed to start an organic garden - a five gallon bucket for water, quality soil, seed packs and tools. Plus – Harvest107’s signature natural fertilizer and the secret to making it at home! 

The agronomist and our own social worker then continue to follow up and support these families in their new sustainability journey for one year. 

You can read more about the incredible work Harvest 107 is doing with communities and farmers in Haiti


School Sponsorship

In our efforts to impact the future of families and well as Haiti as a whole, we offer school sponsorship to the children who have gone through our programs. Education is a vital part of long-term sustainability, but unfortunately education is not free in Haiti and many families cannot afford to pay for their children’s tuition. Through the program, we offer tuition sponsorship as well as assistance with school supplies, books, and uniforms.



The children who graduate from our programs are required to attend follow-up appointments after they are released from our care. Patients are initially seen after two weeks at home, as those first few weeks are the most vulnerable for malnutrition cases. They are then required to come monthly for six months, and finally graduate to appointments once a year to follow their ongoing health at home.


Family Preservation

Our family preservation program is offered on a case-by-case basis to those in very vulnerable situations. The program primarily focuses on young, single mothers with no support or children who are in immediate danger of being relinquished to outside care. Because this is offered rarely and based on individual circumstances, the support we give varies and never looks exactly the same. Some of the things we have offered as part of this program are counselling, school sponsorship, college tuition support, and housing and temporary food stipends.

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