Supply Healthcare to Floating Villages in Cambodia

by The Lake Clinic - Cambodia
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Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
Supply Healthcare to Floating Villages in Cambodia
New volunteers arrive on the 1st flight since C-19
New volunteers arrive on the 1st flight since C-19

As this year closes we need to acknowledge both our accomplishments and a return to a post-Covid normalcy. This "normalcy" is best illustrated by our calendar being filled with volunteers, both new and returning ones.

CLINICAL ACTIVITIES THROUGH 9 DECEMBER 2022

  • Clinics held:  334
  • Clinical Cases:  20,790
  • Health Education on board the clinics:  10,920
  • Dental Care:  1,021 (Dental care restarted in May 2022 after a multi-year hiatus)
  • Antenatal Care:  368
  •  Birth Spacing:  381 (Condoms, IUDs, injections, implants)
  • Eye Care:  446
  •  School Children Acuity Check: 681
  • Vaccinations: 2,296 (Measles, mumps, rubella and tetnus)
  • Covid-19 Vaccine: 484 (TLC is  the only non-governmental agency permitted to provide C-19 vaccines)
  • Mental Health Visits:  205
  •  Hospital Referrals:  45

 OUTREACH ACTIVITIES THROUGH 9 DECEMBER 2022

  • Home by home visits:  431
  •  Teen Health Education:  9 sessions
  • Mother’s Clubs: 2 (These have generally been replaced by the home to home visits since the start of the pandemic.)
  • School Health Screening Checks:  355 students
  •  CAR, Children at Risk: 125 presently at risk of malnutrition.
  • CAR, Follow-up: 202 (Recovered from Malnutrition)
  • Bio-Sand Filters (new): 8
  •  Bio-Sand Filters (follow-up):  509 (We assure that the filters are working properly and that they are being used.)
  • Gardening, (new):  26 (Both floating and land based)
  • Gardens, (follow-up): 27
TLC's Medical Advisor also visited from the UK.
TLC's Medical Advisor also visited from the UK.
And new volunteers found their way to TLC.
And new volunteers found their way to TLC.
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Police explaining the laws on domestic violence.
Police explaining the laws on domestic violence.

We have been busy. In addition to our core programming of providing free healthcare and and health education as well as community health and homecare, The Lake Clinic has expanded its scope of care to include a concentrations on Domestic Violence and COVID-19 vaccinations.

The Lake Clinic has partnered with The Department of Women's Affairs, The Cambodian Women's Crisis Center as well as local government and law enforcement agencies in order to address a sadly growing problem. Domestic violence, whether it was targetted to the spouse or the children - usually both - has historically been ignored by law enforcement and considered a "personal, family matter." TLC has worked for many years in an attempt to bring this mental health issue to the attention of those with the authority to actively take a role in solving some of these problems.

In the beginning we sought to empower women to feel free to talk about this issue. In some individual cases we had success with our direct intervention, but all too often we were met with frustration as many men were intractable; they felt free of any consequences. With the very public backing of the local authorities we are seeing our efforts supported and making a difference.

In July of this year TLC was approached by the Provincial Departments of Health in both Kompong Thom and Siem Reap Provinces to partner with them in the distribution of COVID-19 vaccines. This is a great honor for The Lake Clinic as we are the only provider other than the government (Military and Ministry of Health) to be trusted to undertake this responsibility. So now, in addition to the "routine" vaccinations that we offer to our patients we can now add Astra-Zeneca, Moderna and Pfizer vaccines.

Clinical to date:

  • 224 clinics held across 9 villages
  • 13,280 clinical cases recorded
  • 6,887 participants in Health Education
  • 258 Antenatal Care
  • 231 birth spacing visits
  • 1,510 vaccinations
  • 142 mental health sessions
  • 35 hospital referrals

Outreach to date:

  • 2,439 Home by Home visits
  • 49 Teen Health Education Classes
  • 1,025 Elementary School children checked
  • 1,166 Children at Risk monitoring
  • 59 New Biosand Water Filters installed
  • 19 Mothers' Club meetings
  • 331 New Gardens

Thank you for your continued support.

~Jon

An open village meeting to discuss DV
An open village meeting to discuss DV
Working with men identified by the village chief
Working with men identified by the village chief
TLC staff meeting with government health officials
TLC staff meeting with government health officials
Receiving the "covid jab" from TLC staff.
Receiving the "covid jab" from TLC staff.
Showing us his COVID vaccination card.
Showing us his COVID vaccination card.
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Doctor Sopeak treats the foot wounds of a diabetic
Doctor Sopeak treats the foot wounds of a diabetic

Commentary

For two, very long years The Lake Clinic-Cambodia has been living and working midst a global pandemic. With the start of 2022 we, in Cambodia, have seen a “return to normal”. No clinics needed to be canceled due to “cluster infections”, or fear of “community spread”.

So far, this has been a very good year.

 

Clinical Activities:

Clinics Held: 79

Patients: 1,448 women; 907 children 15 y.o. and younger, 491 men, and 34 Home-Care visits for the elderly and handicapped.

Total Medical Cases: 5,287

Total Services: 14,130. That includes:

2,830 Health Education,

2,828 Oral Health Education,

74 Dental,

119 Antenatal Care,

103 Birth Spacing (condom, IUD, implants and The Pill),

1,971 Birth Spacing Education for men and women,

156 Eye Care,

548 Vaccinations,

19 Mental Health visits,

and 15 Hospital/Specialist Referrals.

(PHOTO1)

Schools are in session

With schools in Cambodia now open with in-class learning, TLC’s Outreach Team, along with our clinicians are now able to provide health screening and health education to school children on the Tonle Sap Lake and the Steung Sen River.

(PHOTO2)

International Volunteers

With an easing of travel restrictions TLC has once again become available to medical volunteers. Drs. Helle and Erland of Norway decided to spend their honeymoon with The Lake Clinic. Their arrival via Singapore on 17 December. They stayed with us through the end of March.

(PHOTO3)

Focus on Outreach

As part of our on-going “Healthy Community Program” TLC’s Outreach Team engages in a number of projects all linked with the purpose to empower women through education and peer-to-peer support. Our Outreach Team also continues its “Children at Risk” project by going home to home each year to survey the nutritional status of children under 5 years of age, and then to follow-up on those children most at risk for malnutrition and its consequences.

(PHOTO4)

TLC’s Nary works with a Mothers Club to teach the care and feeding of infants-specifically the importance of breast feeding in the first six months.

In this 1st Quarter 9 such gatherings have taken place as communities leave the need for “social distancing” behind.

Children at Risk, or CAR, is an extremely important project that identifies children whose biometrics show them to be small for their age due to malnutrition and in danger of a lifetime of stunted growth and possibly cognitive impairments. In this 1st Quarter there has been 371 such measurements and follow-up visits conducted.

(PHOTO5)

Above, TLC’s Outreach Director, Kolyan, discusses a care plan for an undernourished young girl who is being provided with a high calorie, high vitamin supplement. Fourteen years ago, when TLC first started to work on the Tonle Sap Lake fully two-thirds of the children under 5 years of age were clinically malnourished, and one-third of those suffered from stunting and would never recover. A newer and more dynamic strategy is showing much improvement.

Clean Water is essential to good health and hygiene. TLC’s approach is to work directly with mothers and girls to set up bio-sand filters; teach their proper use, and to follow-up with those mothers and girls to encourage their use and to troubleshoot any problems that may exist.

(PHOTO6)

Biosand filters are provided on request by the family, and in Quarter One the Outreach Team has set up 189 new filters. By involving the women in the process of setting up and later troubleshooting, TLC brings the woman’s role in providing for the family to the forefront. We have seen the utilization of these filters increase dramatically as a result.

(PHOTO7)

Whether floating on the lake, or alongside the Steung Sen River, Home Gardens have become an essential source of additional nutrition due to the declining fish catch throughout the Tonle Sap basin.

TLC’s Outreach Team strongly encourages families, particularly the mothers, to try. TLC will provide the education as well as the seeds, and sometimes the tools necessary.

451 new gardens, both floating and land-based have been created across the nine villages on the Tonle Sap and along the sides of the Steung Sen River.

(PHOTO8)

In these first three months of 2022 there have been 992 Home Visits to meet the villagers face to face and to assess their needs for any of TLC’s services from clinical to other Outreach activities.

(PHOTO9)

Such meetings within the home, whether it is a planned follow-up or just a seemingly random visit goes a long way to establishing trust between the villagers and TLC. The Outreach Team will use these visits as an opportunity to learn what a family’s concerns might be, and to provide health teaching as well referral to the host of TLC’s services.

 

Mental Health: Because of their unparalleled  access to the homes of the villagers our Outreach Team is a source of referral to our Mental Health project that in this first quarter saw 19 counseling/clinical visits.

Domestic Violence

(PHOTO)

“DM” is a huge problem in Cambodia, and on the lake where homes are small and there is no escape for its victims, TLC’s Outreach Team has been trained by the Cambodian Women’s Crisis Center to recognize DM in the families they meet, and to refer those families to our Mental Health project.

One More Number from Outreach:

Fifty classes covering such topics as healthy relationships, conflict resolution, good nutrition and communication skills were held as part of our Teen Education project. No photo is available.

In closing.

(PHOTO10)

It takes a special kind of person to work with TLC.

Two of TLC's Outreach Team test visual acuity.
Two of TLC's Outreach Team test visual acuity.
Drs. Helle and Erland from Norway at a school.
Drs. Helle and Erland from Norway at a school.
TLC's Nary leads a  "Mothers' Club"
TLC's Nary leads a "Mothers' Club"
Kolyan explains the treatment plan to a mother.
Kolyan explains the treatment plan to a mother.
Installing a bio-sand filter in a floating home.
Installing a bio-sand filter in a floating home.
Visiting home by home
Visiting home by home
Lecture/workshop of Domestic Violence
Lecture/workshop of Domestic Violence
It takes a special kind of person to work with TLC
It takes a special kind of person to work with TLC

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The waiting area on the Steung Sen River
The waiting area on the Steung Sen River

Life, for all of us, has been challenging throughout 2021. Remarkably Cambodia had been spared the worst of the COVID pandemic in 2020 in terms of illness and its burden on health resources, but the economic impact on tourism has been felt throughout the country. However, beginning in February of 2021, Cambodia had its first "surge" of infections and community spread and The Lake Clinic had to suspend services from 31 May through 25 June because of a nationwide ban on travel. We also had to stop working from 5-16 July as some of our clinical staff had "close contact" with a COVID-patient that required all staff to self-isolate at our homes for 10 days.

Even with these challenges our Clinical Teams were able to provide the following services:

1 January - 15 December, 2021

  • 310 Clinics Held
  • 7,783 Adult Women
  • 2,682 Adult Men
  • 3,172 Children Under 15 Years of Age

Educational Services Provided:

  • 7,229 General Health Education
  • 7,496 Oral Health Education
  • 4,852 Birth Spacing Education

Sub-services:

  • 300 Ante-natal Care
  • 204 Dental
  • 208 Birth Spacing
  • 546 Eye Care
  • 1,437 Vaccinations
  • 30 Hospital Referrals

Our dedicated Outreach Team of midwives and nurses provided the following:

  • 2,438 Home Visits
  • 76 Adolescent Health Sessions (Schools were closed for much of 2021)
  • 34 Mothers Club Meetings (the need for "social distancing" limited these meetings)

     Children at Risk (CAR)

  • 422, Bio-metric Assessments of Children Under Five
  • 107 Children at Risk of Malnutrition
  • 57 Children Recovered after Intervention

     Clean Water

  • 72 New Bio-sand Filters Installed
  • 150 Follow-up Visits for Supervision and Maintenance

     Family Nutritions

  • 177 New Gardens Planted
  • 252 Follow-up Visits

     Mental Health

  • 245 Sessions with 41 Clients
Installing a bio-sand filter in a floating home.
Installing a bio-sand filter in a floating home.
Vaccinating a little one
Vaccinating a little one
Ultrasound scanning aboard the TLC-4. It's private
Ultrasound scanning aboard the TLC-4. It's private
Taking measurements as a part of CAR activities.
Taking measurements as a part of CAR activities.
Gardening wherever and however it can be done.
Gardening wherever and however it can be done.
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Clean water is essential to a family's good health
Clean water is essential to a family's good health

Though we in Cambodia had been relatively lucky in the first year of the COVID-19 pandemic, this second year has been completely different with the emergence of the Delta Variant's arrival in Cambodia. We have been locked down, and we have been locked out from having access to any of our boats after our port of call -- Kompong Khleang -- was declared a "red zone".

We have done what we have always done. We made adjustments. We adapted. Whether it is the now unpredictable water depths in the Tonle Sap Lake, or the tempermental nature of a boat's engine, we have always found a way to continue working to provide free health care, health education and healthy family development despite the difficulties.

In this Second Quarter of 2021 The Lake Clinic:

  • Held 83 clinics.
  • And treated 2,798 cases of disease and injury.
  • Provided health education, primarily COVID, to 1,589 individuals.
  • 259 vaccinations for early childhood illnesses
  • 111 Mental Health visits.
  • and more!
Monitoring children at risk of malnutrition.
Monitoring children at risk of malnutrition.
The TLC-4 at sunset.
The TLC-4 at sunset.
Dr Rida provides health education on the Stung Sen
Dr Rida provides health education on the Stung Sen
The port at Kompong Khleang
The port at Kompong Khleang
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Organization Information

The Lake Clinic - Cambodia

Location: Siem Reap - Cambodia
Website:
Facebook: Facebook Page
Project Leader:
Jon Morgan
Siem Reap, Cambodia
$37,998 raised of $50,000 goal
 
356 donations
$12,002 to go
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