Global Medical Brigades

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(No Transcript)
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Presentation Outline

• Honduras
• GMB 7 Day Program
• Additional Brigade Programs
• Clean Cooking Systems
• Chagas Prevention Program
• Sustainable Health Care Model

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Welcome to Honduras!

• Population 7.6 million
• 3 ages 65 and over
• Median Age 20 y/o
• Infant Mortality Rate 24.61 deaths/1,000 live
  births
• Life expectancy 69 y/o
• Total Fertility Rate 3.38 children born/woman
• HIV/AIDS Adult Prevalence 1.8, 63,000 people
  infected in 2003

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The Economic Situation

• The second poorest country in Central America,
  with an extraordinary unequal distribution of
  income and massive unemployment, 28.
• GDP-per capita 3,300
• Labor Force by Occupation
• Agriculture 34
• Industry 23
• Services 43
• Population below Poverty Line 51

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Day 1 Arrival

• Airport Pick-Up
• Settle into Housing Facility
• Meet and Greet our Honduran Team
• Group leader will meet 1-on-1 with Honduran
  Medical Brigade Coordinator
• Medical Brigade Coordinator will go over rules
  and expectations
• Unpack/Sort Medicines
• Night Time Question and Answer Session with our
  Honduran Staff

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Day 2 Brigade Prep

• Breakfast as a Team
• Presentation on GMB, SAN, and Itinerary
• Tour of Nuevo Paraiso and/or Flor Azul
• Medicine Packing
• Involves packing pills into labeled bags.
• Pharmacist or Brigade Leader will advise on what
  labels need to include

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Days 35Medical Brigades

• Early morning wake up
• Group Breakfast
• Medical Brigade in Rural Community 1 (Day 3) and
  Community 2 (Day 5)
• Patients will be seen throughout the day
• Return to home base once all patients have been
  cared for
• Dinner
• Flagging Medical Records Sort Medicines
• Hand-off of patient information for follow-up for
  community 2 to MDs
• Divide group into 3-4 additional care group
  providers (Chimney Builders, House Repairers,
  Follow Up Care Givers)

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The Medical Brigade

• Primary Health Care Clinics take place in
  schools.
• The Brigade consists of intake, triage,
  consultation, and pharmacy areas
• Intake should be tabled closest to entrance
• Triage goes behind intake, but far enough to not
  crowd area
• Consultations will take place in classrooms
• The Pharmacy will be set up in a free open space
  or room.

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How a Medical Brigade Works

• Patient gives name, age, village, gender

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Triage

• Triage BP, Allergies, Weight, Main Complaints
• Temperature on babies and elderly
• Sugar on diabetics and elderly
• BP on anyone over 40

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Consultation

• Consultation Doctors diagnose patients and
  prescribe appropriate prescriptions

Referrals are written in this corner.
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PHARMACY

• Separate medicines by class
• Assign group volunteers to fill prescriptions
• Receive prescriptions from patients throughout
  the day and fill accordingly- keep families
  together
• When in doubt, go back to the medical
  professional who wrote the prescription and ask
• Make sure all patients thoroughly understand the
  directions for the medicines they are prescribed
  via translators

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Stove and Chimney Construction Day 46

• Background info
• Indoor air pollution, mainly from smoke emitted
  from stoves and fires using solid fuel (such as
  wood, dung and crop waste), is the fourth
  greatest risk factor for death and disease in the
  worlds poorest countries.(World Health Report,
  2002).
• In response to the large amount of our patients
  suffering from respiratory illness we are now
  attacking the problem at it source.
• University student volunteers will work in small
  groups with community members to construct new
  clean cooking solutions/stoves in specific
  houses.
• The medical professionals will provide follow up
  consultations to our most at risk patients
  suffering from chronic diseases.

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Mother
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Stove and Chimney Construction

• Construction of one stove will be done by 5
  students and several community members throughout
  the course of the day. The number of stoves the
  group builds will depend on the size of the
  group.
• Construction includes
• Mixing cement
• Laying bricks
• Laying stove top
• Setting-up Chimney

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GMBs Overall Goal

• Create an integrated, sustainable, academic
  health care system within our 40 partner
  communities within the next 5 years.

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Step 1 Medical Brigades

• Medical Brigades will provide the foundation for
  blanket primary health care, data collection,
  education, and relationship building.
• Key to its success is our electronic medical
  record and community data informatics system,
  follow up care, and strong commitment to our core
  communities.

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Step 2 Partnering with Local Health Care
Providers

• Establish former relationships with local Centro
  de Salud health centers and health care
  providers.
• Provide local centers and professionals with much
  needed medicines and collaboration
• In return, gain more insight into local
  pathologies and health concerns, build health
  care outreach teams, and collect epidemiological
  data.

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Step 3 Filling the Gap

• Construction of new clinics
• Formalized relationships with the Minister and
  Department of Health
• Formalized relationships with La Hospital Escuela
  and Medical School
• Communication networks between our community
  health care providing centers
• Permanent US MD in Honduras 2009 Dr.
  Fulkenberry, 2010 Dr. Mahoney

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Step 4 Empowerment

• Community health care out reach teams
• Maternal-Fetal Health
• TB/HIV
• STIs
• Medical Compliance
• Nutrition
• Screenings
• Research and Data Tracking
• Retreats and Presentations

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Next step Contact a Global Medical Brigades
representative Shital Chauhan at
shital_at_medicalbrigades.com or Don Osborne at
don_at_medicalbrigades.com.