Friends of Hidalgo Orientation to Community Projects in Calnali

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Friends of Hidalgo Orientation to Community
Projects in Calnali

• Food for Thought
• For
• The Journey
• International Youth Worker Exchange

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Governor of Hidalgo in Indianapolis June 20,
2009
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Where is Calnali?
In the state of Hidalgo
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Friends in Calnali
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Assessment Methodology

• Key Informant Interviews
• Clinic workers
• Mayor
• Priest
• Local business owners
• Teachers
• Focus Groups
• Men
• Women
• Youth
• Teachers
• Skills Inventory
• Physical Mapping of Calnali

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Key Informant Interviews
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Focus Groups
Proud of Traditions, culture natural
environment Most important qualities of a health
community Clean air, water, land Issues of
primary importance Doctors, Education about
health Barriers to change Economy, politics, lack
of concern for each other Areas of
Improvement Access to Medical care and medications
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Skills Inventory - Youth

• 70 or more agree that
• they are encouraged to participate in the towns
  activities
• they could make a difference in their town
• they enjoyed participating in the community
• As a group, youth feel empowered to help change
  their community, as well as to help other young
  people
• Admire and rely on their parents and family
• 97 believe that they are an important part of
  the community

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Physical Mapping of Calnali

• Objective formally document assets in Calnali
• Method handheld GPS device and digital
  photography
• Resultsget Map powerpoint from joan

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Report and Recommendations from Community

• Clinic in Calnali (Secretaria de Salud) 6 total
  in surrounding communities
• Very strong primary care programs
• Dental Care
• Diabetes prevention and management
• Hypertension
• Nutrition
• Early childhood development
• Prenatal care
• Planned parenthood

• Vaccinations
• Home visits
• Epidemiology (map of each home in Calnali), dog
  vaccination, etc
• Help with applications for new health insurance
  program for those in the informal economy (Seguro
  Popular)
• Growing interest in domestic violence, family
  violence

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Possible Roles of External Groups

• Facilitate connection with and transportation to
  new hospital in Tlanchinol (1 ½ hour drive)
• Facilitate communication with IMSS clinics (21
  total) re complicated patients and interventions
  needed
• Areas of Improvement
• supplies
• medications for Asthma and Diabetes
• educational materials to teach (low literacy)
• transportation to Huejutla or Tlanchinol for
  emergencies
• increased birthing supplies and capabilities
• Make this clinic the gatekeeper for all the
  groups that come to provide health services

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• Churches
• Some ability to outreach in material ways to
  community
• Evangelical group has connections to a medical
  group that comes every 6 monthsfacilitate
  communication with them to decrease overlap of
  services and continuity of care
• Areas of Improvement
• physical meeting space
• transportation to other communities
• support to do outreach

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• Business
• Areas of Improvement
• Facilitate equipment for clinic
• Trash collection and training people to throw it
  away
• Improve drinking water
• Control of street dogs
• Mosquito control
• Preventive health

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• Government
• Hot lunch programin schools and on plaza that
  serves meals at low cost
• DIFprovide help to families, children
• Oportunidades---support for very poor if they
  comply with education, health requirements
• Ecology Department
• Ecotourism in Atempa
• Areas of Improvement
• Potable water, water treatment plant
• Facilitate public health campaigns
• Facilitate growth of small soccer league which
  uses balls, uniforms, incentive prizes

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• Schools
• Special Education school with new rehab
  facilities
• Secondary school has library and computer room
  that needs updating
• Areas of Improvement
• increase access to uniforms, supplies, after
  school activities (sports, chess, dance), outside
  play areas, computers, help with advanced
  training for secondary school
• Nutritionimprove by selling other items besides
  junk food
• Information requested by school
• Healthdiabetes, herpes, GI disease, vaccines,
  domestic violence, alcoholism

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• Groups to work with
• Churches
• Solo para Ayudar (womens group)
• Campesino group
• CECYTEC
• Presidencia (DIF, Ayuda Para Grupos Indigenas)
• Interesting ideas of how to partner with
  community
• Sports for kids
• Help organize clean community
• Decrease barriers to getting community involved
  and engaged
• Friends of Hidalgo as a role model, provide
  mini-grants, supplies to community members to do
  community projects with the group

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Conclusions From Survey and Report

• Youth appears to be energized and eager to learn
• The community as a whole appears interested in
  development, improvement in the health care arena
• Short -term goals were expressed, as well as a
  few long-term goals, such as drinkable water and
  a clean environment
• Several outside organizations are working
  separately in Calnali to assist the town. These
  outside organizations should work together with
  the residents to build empowerment within the
  community which would enhance the change
  processes.

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Please Do

• Use this community survey of assets to plan a
  project that will be meaningful and long lasting
• Communicate with the stakeholders in the town
  that are already working with the issue to review
  your plan and seek their advice
• Email one month ahead
• Meet with them Sunday or early Monday morning
• Try to build on the work of other groups to have
  projects that are sustainable and ongoing.

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Please Do Not

• Interrupt classes for activities that are not
  part of the teachers curriculum.
• Children get out of school at 2pm so there is
  lots of time to do activities outside of school
• Purchase candy, junk food, sodas or toys for the
  childrenschool supplies, fruit, uniforms, books
  are better gifts
• Smoke or drink alcohol outside of Juanas
  housethis is directly against what the town is
  teaching them and counter to the goals of the
  health interventions
• Insert here quote from the mom at the school

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