Feb 21, 2019

Fw: Nicaragua Projekt Report Feb 2019

Please confirm receipt of this report. Thanks so much!

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Begin forwarded message:

On Thursday, February 21, 2019, 11:21 AM, Barbara Euser <bjeuser@yahoo.com> wrote:

The past few months, the number of patients in the ten villages Nicaragua Projekt serves has continued to increase. Through the British NGO emr4dw, which stands for Electronic Medical Records for the Developing World, we are able to create a database of patients and their illnesses. Our healthcare system is beginning to be as organized as a standard medical practice. Having patient records up-to-date and easily available means that we can offer a higher standard of care. Fortunately, we have a volunteer whom Dr. Evertz has trained to enter the patient data into the system. It is a big project, but we are committed to providing the best healthcare possible to our patients.

Nov 26, 2018

Expanding Healthcare Services


Nicaragua Projekt's health care program for campesinos is expanding. When we originally trained the community health care providers, brigadistas, in 2016, the idea was to have one brigadista and one backup brigadista in each community. There would be one mini-pharmacy, botiquine, in each community. Based on our experience, we have made some adjustments. In the case of the community of Guasure, we had two excellent brigadistas covering a very large area. We decided to divide the area in two and give a second botiquine to the former backup brigadista. Julio takes his work as a brigadista very seriously and he treats over three dozen patients each month. We also have a new brigadista in Las Palmas, Carlos. He received his basic training elsewhere, but he has been an enthusiastic participant and contributor at each of the continuing education seminars since May 2018. Carlos' photo, with his freshly restocked botiquine, is above.

Each month, our doctor, Dr. Evertz Tercero, spends a half day in each community seeing patients. Sometimes he sees seventy patients in one day. In the photo below, patients are waiting to see the doctor at brigadista Julio’s house in north Guasure.


On November 7-8, 2018, Dr. Tercero taught the third quarterly two-day continuing education seminar for our brigadistas at the Vida Nueva Center in Ocotal. All the brigadistas attended. As you can see in the photo below, two of our brigadistas have young babies themselves. Our brigadistas are very committed to providing the best health care services possible, serving their communities as volunteers.



Working with the NGO Electronic Medical Records for the Developing World, EMR4DW.org, Dr. Tercero and our nurse Alba are gradually entering all of our patients into an electronic database. This will enable us to track our patients’ health much more efficiently. We are very excited about adding electronic records to the handwritten records so painstakingly kept by each brigadista for each patient she or he sees. 

Aug 31, 2018

Training and Communication

Dr. Tercero examining a patient in Ocotal.
Dr. Tercero examining a patient in Ocotal.

On August 4 and 5, Dr. Evertz Tercero led a two-day continuing education program for our health care providers, known as brigadistas. All fourteen brigadistas attended. This was especially impressive, given the current unstable political situation in Nicaragua. Several of our villages are located in areas where anti-government demonstrations have been held and villagers have been jailed. In May, Dr. Tercero orgainzed a experimantal one-day continuing education program. Its success led to the new, expanded two-day format.

The training that the brigadistas received in 2016 and 2017 gave them the skills to provide basic health care to the people in the ten mountain villages where they live. However, that training needs reinforcement. The quarterly training sessions give the brigadistas a chance to share their medical experiences with each other and to learn new skills.

To facilitate communication between the brigadistas in their mountain villages and our project headquarters in Ocotal, Nicaragua Projekt has given each brigadista a cell phone that can call three numbers: Dr. Evertz Castillo, our nurse Alba, and our Executive Director Dulce Maria Calderon. Each month, each brigadista is given a new $5 phone card. The brigadistas can call Dr. Castillo if they need advice concerning treatment for a patient, or need his prescription for medication for a patient. Nurse Alba also calls each brigadista during the month to see which medications and other items they need to resupply their mini-pharmacies. Communication between the brigadistas, our doctor, our nurse, and headquarters is extremely important. We seem to have found a solution that works well.

At our project headquarters in Ocotal, Dr. Castillo sees patients who have come in from the villages because they have a serious health issue. He then refers them to specialists, if necessary. Dulce Maria has identified several specialists who will see our village patients for a reduced fee, which is paid by Nicaragua Project.

Due to current political instability, we have experienced some difficulties buying medicine to resupply the botiquines, but so far, each month we have found a way. Monthly visits to the villages have become more difficult, as roads are unpredictably blockaded by government forces. The health services Nicaragua Projekt provides to the campesinos and their families in our ten villages is now more vitally important then ever.

Brigadistas and Dr. Tercero at training session
Brigadistas and Dr. Tercero at training session
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