Health Care for 10,000 Nicaraguan Campesinos

by Nicaragua-Projekt e.V.
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos
Health Care for 10,000 Nicaraguan Campesinos

Every year we run our special "jornada", a special offer for all women to receive a PAP (Papanicolau test).
This is an examen in which you take a swab of the cervix of the uterus to detect inflamation or (pre)cancer. We offer that to all our adult female patients during our consultation in the villagages or in Ocotal. It is -as all our services- free of charge.
The tests need to be examined by a pathologist in a laboratory. We take it to Ocotal and deliver it to the local lab. The doctor doing this test has offered us a special price to support our work.
We later receive the written report with the results and hand them out to the women during our next visit in the community .
Certainly if necessary we start the treatment of an infection (which happens very frequently ) or transfer the patient to the Centro de Salud or hospital if (pre)cancer is found so that a therapy can be planned.
It sounds easy and logical but it is an immense help because the coordination of doing the test, examining it in a lab and the most difficult part to let the patient know the result and organise necessary treatment is not easy and very special.
Early detection and treatment of cervix carcinoma and also infection is crucial and urgently needed for our female patients .
This year we could perform 45 tests within one month and initiate treatment where necessary .
A big succsess and we want thank you for your support making this possible!!

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Cab off the road, flatbed of logs stuck
Cab off the road, flatbed of logs stuck


Delivering healthcare services using our mobile clinic — our trusted 4-wheel drive truck — can require innovation. In this case, as we were driving to the village where we planned to work, we came across a large truck hauling logs that had run off the road, blocking all traffic. As it attempted to make the tight turn, the cab slipped down the hillside, stranding the flatbed. This situation could take all day to resolve! A resourceful motorcyclist wove his way around the truck and offered to deliver our message to the village about two miles away: we were setting up the mobile clinic along the side of the road. We unloaded tables and equipment. Within an hour, patients had walked from the village and were lined up, waiting patiently to be seen by our doctor, nurse, and dentist. Our doctor perched on the tailgate of the truck. The dentist examined her patients standing up. Our nurse dispensed medicine from a table on the verge of the dirt road. One by one, we located our patient’s files. As he treated patients, the doctor made his notes in the files. As required, the nurse filled the doctor’s prescriptions. The dentist could not do any extractions, but did as much as she could. It was the best we could do under the circumstances. We were happy to have been able to show up according to schedule and see our patients, despite the log truck blocking our way. 

Villagers lined up for treatment
Villagers lined up for treatment
Locating patients' files
Locating patients' files
Doctor consulting with patients
Doctor consulting with patients
Dentist examining patient
Dentist examining patient
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Patients holding their hygiene kits, wearing masks
Patients holding their hygiene kits, wearing masks

This past year our Healthcare Project has been dominated by the COVID pandemic. One year ago, the Nicaraguan government did not acknowledge the existence of COVID. Now COVID vaccinations are widely available. We have been providing masks and hygiene kits to our patients throughout the past year. During our mobile clinic visits to the eleven villages we serve, our doctors continue to give short talks to our patients about how best to protect themselves and their families. But the dangers of COVID in Nicaragua are far from over. In November, our beloved local project Director died of COVID. All our patients are aware of this great loss. Fortunately, our Director’s younger sister has energetically assumed the role of Director, so our program will go on, and our services will continue to improve.

Our doctor and nurse are committed to improving our patient record keeping, and all patient visits are now being entered into an electronic medical records software program. This system allows us to easily see a patient’s medical history and helps us to provide better care. It also provides data that allows us to see trends in physical complaints and illnesses. We hope to use this information to find solutions to chronic problems.

Two thousand twenty-one has been an exceptionally challenging year for our Healthcare Project. We are happy to report that our program is emerging stronger than ever. 



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Our doctor with a patient during mobile clinic
Our doctor with a patient during mobile clinic

 


In November, our Healthcare Project suffered a major tragedy: our beloved local director, who had managed the project since its inception sixteen years ago, died of COVID.

At the end of November, the Director and Executive Director of Nicaragua Projekt traveled to Ocotal to explore ways for our project to continue operating.

We are very happy to report that our project will continue operating with a new local Director. She is the younger sister of our former Director and is deeply committed to carrying on her older sister’s life work. She is energetic and quite competent.

Our medical team now consists of our doctor, our nurse, and our fourteen local healthcare providers, called brigadistas.

During our visit to Ocotal, our brigadistas came to Ocotal for a quarterly continuing education meeting. This was the first quarterly meeting since COVID struck in March 2020. Our brigadistas are all fully vaccinated. Even so, during the meeting, we all wore masks. These meetings are important to improve our brigadistas healthcare skills and also to maintain our sense of working as a team.

During our two-week visit to the project, we traveled with the mobile clinic to all eleven communities we serve. We visited each brigadista’s home and consultation space and resupplied their mini-pharmacies. Almost all of our brigadistas have been working with us since they completed their training in spring 2017. They continue to grow in experience and expertise.

Despite our loss, our healthcare project is vigorous and strong.  

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Corona is getting worse
For the last year we often hear of people who fall ill or may be did not survive "atypical pneumonia", but now the situation is getting worse. More and more people dy of Corona. Everybody knows someone how passed away, killed by COVID-19. More in the City (Ocotal) than in the country side where our communities are located. People are reluctant to visit the city.... We changed our brigadista training to a 1 to 1 training in the villages, no big meetings in Ocotal. We continue our health chats, explaining how to follow simple hygiene standards and supply masks.
Vaccination campaigns run by the government have now started. You can see long queues of patients waiting to get the injection.

But they are also some good news. A final year medical student joined our team. We are happy to get some help and to be on the same time able to teach, show what we are doing and to establish a relation with the medical university.
Katrin Hennings

Sent from my Android phone with GMX Mail. Please excuse my brevity.

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Organization Information

Nicaragua-Projekt e.V.

Location: Bremerhaven - Germany
Website:
Facebook: Facebook Page
Project Leader:
Katrin Hennings
Bremerhaven, Germany
$26,252 raised of $35,000 goal
 
265 donations
$8,748 to go
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