Working in the hospital Sarah saw the dire effects of poverty on the health and well-being of the village.

As a volunteer with the St. Boniface Hospital, a Boston-based public health NGO, Sarah traveled to Fond des Blancs, Haiti where she quickly fell in love with the country and its beautiful, ambitious people. The challenges that faced women in the community particularly touched Sarah and she sought to seek a way to to collaborate with women to empower themselves to pull themselves out of poverty.

In 1994, Sarah launched the womens health clinic that provided much-needed family planning services to the community. When she realized that most women lacked the means to afford basic medical fees, Sarah sought to address a deeper problem — a lack of employment and income in the rural community. After spending time with women in the community she realized that many of them had excellent sewing, knitting, and embroidery skills and in 1996 the Artisanat Cooperative was launched, bringing important work and income to the women. 

Over the years, the Haiti Projects has become an essential part of the community and is now the second-largest employer in the region, after the local hospital. Haiti Projects now provides life-saving income to nearly 100 women from all across the area who work to support their families.​

Haiti Projects has since grown to provide supporting services in other areas of the community. In addition to the womens health clinic and the artisanat cooperative, Haiti Projects has also launched a community library, girls soccer club, and beekeeping program. All of these programs together work to empower women and their families in Fond des Blancs.