In 2015, BHI conducted an assessment of the clinics and hospitals administered by Zanmi Lasante (ZL) which revealed a host of issues. This assessment found problems with the water supply to the hospitals; unreliable generators and dangerous electrical systems; lack of restroom facilities for staff; lack of adequately trained maintenance staff; lack of resources to provide proper maintenance; and damaged or insufficient wastewater systems. In 2016, after considering the data obtained from this initial assessment, BHI and ZL looked at the project budget, determined which areas would provide the most benefit to patients and their well-being, and planned system adjustments and repairs accordingly. Critical redesigns were made to the potable water systems of the Hôpital St. Therese in Hinche (Hinche HST); wells were dug and water distribution pipes were entrenched to provide potable water to Petite Reviere, Cerca La Source, and Lacolline Lascahobas. New generators were installed at Hôpital St. Nicolas in St. Marc (St. Marc HSN), Cange, and Hinche HST. At Hinche HST and the Boucan Carre Archives Building, severe cracks in both buildings were filled and water drainage was improved to prevent foundation cracks from reforming. At most of these sites, maintenance staff received further training on how to repair these vital systems.