La Naranja

  • Overview
  • Medical
  • Dental
  • Water
  • Business
  • Public Health

Overview

La Naranja is located in the mountainous region of central Nicaragua. The community has access to a local health center 5 kilometers away and a multigrade primary school. 84 students attend the primary school with four teachers and four classrooms. The primary school goes up to the age of twelve, and there is no secondary school located in La Naranja. Most people in the community work as agricultural laborers.

Global Brigades completed the Water Program in this community in September 2016. When Global Brigades first entered La Naranja, the top three needs expressed were: homes in bad condition, insufficient access to potable water, and lack of access to health and hygiene services. La Naranja is on the wait-list for continuing the Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: San Rafael del Norte

Department: Jinotega

Homes : 140
Population : 800
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 84%
Education : Up to 6th Grade
Distance from Lodging Facility : 1 hr

Medical

Program Status

  • Planning
  • Active
  • Complete

HEALTH CARE ACCESS:

La Naranja is a community located in the municipality of San Rafel del Norte in the mountainous region of Jinotega. They have a local health center located five kilometers away, however, medications are supplied only occasionally. At times the public health center is not stocked completely because the resources are dependent on the funding available from the government. There is no access to private pharmacies.

Based on Global Brigades Rapid Needs Assessment the top three illnesses in children are: respiratory infections, diarrheal diseases, and fevers. For adults, common illnesses are chronic diseases such as diabetes and hypertension, as well as asthma, and kidney infections. Without access to trained health care professionals and medications, chronic diseases can go unmanaged, leading to further health problems. Acute illnesses can also be severe, and affect quality of life.

*These statistics represent brigades in the community of Sisle, where community members from La Naranja attend Medical Brigades.

227

Brigade Volunteers*

3165

Patient Consultations*

109

Pap Smears Performed*

43

Health Education Workshops*

COMMUNITY HEALTH WORKER:

La Naranja has 3 Community Health Workers (CHWs) that are trained by the Ministry of Health and supported by Global Brigades to monitor the conditions of chronic patients. In this community, Global Brigades is establishing a partnership with the Ministry of Health and is looking forward to providing these CHWs blood pressure cuffs, stethoscopes, glucometers, and first aid kits, to facilitate more impactful work.

BRIGADE INFORMATION:

Medical Brigades for La Naranja will be held in a neighboring community, Sisle. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 274.

La Naranja offers strong support on Medical Brigades from the community volunteers. One way community volunteers assist is by running intake. Intake is the very first station of the clinic and it is where the community volunteers write down the patient’s name, date of birth, community, and identification number. Additionally, community volunteers manage clinic organization. They set up tables and chairs in the clinic prior to brigade’s arrival as well as direct patients to the next medical station, once the clinic has opened for the day. Lastly, community volunteers lead adult health education sessions on sanitation and hygiene, chronic diseases, contraception, women’s health, and water purification. La Naranja community volunteers are essential for the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 274

NEARBY COMMUNITIES: LA NARANJA, MOJON, SASLE, CARRIL, SAN ANTONIO, SAN GREGORIO

BRIGADE SITE: SISLE

 

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Marquette University January 2014 35 University of Missouri Kansas City May 2014 30
Syracuse University January 2015 38 San Jose State University May 2015 33
Marquette University January 2016 77 University of Missouri Kansas City/ Davidson College/ University of California Berkeley May 2016 27
West Virginia University March 2017 26

Dental

Program Status

  • Planning
  • Active
  • Complete

DENTAL CARE ACCESS:

In working closely with the medical program, the dental program provides fillings, extractions, and fluoride treatments as a standard part of medical brigades. Most community members do not have regular access to dental care due to the lack of dentists within a reasonable distance.

*These statistics represent brigades in the community of Sisle, where community members from La Naranja attend Dental Brigades.

356

Patients Consultations*

291

Flouride Treatments *

54

Fillings Performed*

26

Dental Education Workshops

BRIGADE INFORMATION:

Dental Brigades uses the neighboring community of Sisle as their brigade site. The site is suitable for brigades and running mobile clinics. Doctors spend an average of 11 minutes with each patient and we are able to provide 4-5 educational workshops a day. Each brigade sees an average of 40 patients per day.

La Naranja offers strong support on Dental Brigades from the community volunteers. One way the community volunteers, assist is by running intake. Intake is the very first station of the clinic and is where the community volunteers write down the patient’s name, date of birth, community, and identification number. Additionally, community volunteers manage clinic organization. They set up tables and chairs in the clinic prior to the brigade’s arrival as well as direct patients to the next medical station, once the clinic has opened for the day. Lastly, community volunteers lead adult health education sessions on oral health and hygiene. La Naranja’s  community volunteers are essential for efficiency and effectiveness of Dental Brigades.

AVERAGE PATIENTS ATTENDED: 40

NEARBY COMMUNITIES: LA NARANJA, MOJON, SASLE, CARRIL, SAN ANTONIO, SAN GREGORIO

BRIGADE SITE:SISLE

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Marquette University January 2014 35 University of Missouri Kansas City May 2014 30
Syracuse University January 2015 38 San Jose State University May 2015 33
Marquette University January 2016 77 University of Missouri Kansas City/ Davidson College/ University of California Berkeley May 2016 27
West Virginia University March 2017 26

Water

Program Status

  • Planning
  • Active
  • Complete

LA NARANJA WATER CHALLENGE:

Previously, one of the only water sources for the community was a system over 25 years old. This system was only available to approximately 20 of 163 families. The system had a rusted connection without water meters. Due to the lack of water meters, some in the community had an inconsistent supply that made water only available a few hours a day. Those who lived at higher elevation used water inefficiently by using potable water unnecessarily for washing and agriculture.

For families not connected to the water system, their only source of water was a natural mountain spring water source that was not protected. For these families, the spring was located far from most houses. Community members, primarily women and children, needed to walk between 300 to 1,000 meters in order to get non-potable water.

296

Water Brigade Volunteers

15000

Meters of Piping Installed

100

%

Percentage of System Completed

704

Project Beneficiaries

WATER SOLUTION: 

In May 2016, a partnership between La Naranja,  Global Brigades Nicaragua, the Municipality of San Rafael, and Water for People was officially formed. Before a plan for a water system custom-designed for La Naranja was created, the land was first surveyed by the Municipality of San Rafael. From this land survey, it was determined that the best fit for La Naranja would be a mini-aqueduct served by a gravity construction system with two storage tanks. Five water sources were identified, unified, and connected to the two storage tanks (each with 28 m3 storage capacity). Then by gravity, it was designed for the water to flow through the distribution pipeline to every house in the community. This new water flow will supply the community of La Naranja through the projected 20-year lifespan of the project.

In addition to construction, La Naranja mobilized to form a CAPS (Comité de Agua Potable y Sanitación/ Water and Sanitation Committee). Over the course of three months of construction, 296 Global Brigades volunteers worked alongside the committee and community members to construct a system that now reaches 163 families and 704 beneficiaries.  Before the project’s completion, a capacity test of the 5 springs water sources was completed, and demonstrated an average of 107 gallons per minute.The celebration of this system’s water inauguration was September 27th, 2016.

WATER BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Western Kentucky University August 2016 30 Rutgers University August 2016 38
Elon University August 2016 23 North Carolina State University August 2016 4
Middle Tennessee State University August 2016 48 Saint Louis University August 2016 13
University of Birmingham August 2016 18 University of Munster August 2016 10
Texas A&M University August 2016 37 University of Texas-Austin August 2016 27
Rutgers University August 2016 32 Northwestern University September 2016 16
University of Waterloo September 2016 11 University of Washington September 2016 33
SDI Munich September 2016 12

Business

Program Status

  • Planning
  • Active
  • Complete

LA NARANJA BUSINESS CHALLENGE:

The majority of the population are agricultural laborers. La Naranja does not have access to any cooperative or community bank. The opportunities for employment and sources of income are seasonal and dependent on the agricultural conditions of the season.

Public Health

Program Status

  • Planning
  • Active
  • Complete

LA NARANJA PUBLIC HEALTH CHALLENGE:

The community faces numerous public health challenges with limited infrastructure in their homes. Only 5% of homes have concrete floors as opposed to mud or dirt floors. Furthermore, 12% of homes have access to showers. 100%  of homes have traditional stoves, which means that the majority of homes have an over accumulation of smoke. Although 84% of homes have latrines, the community does not have sufficient methods of waste disposal. The river, where people bathe,  is contaminated with waste and chemicals. La Naranja is on the wait-list to partner with Global Brigades Public Health projects.

Local Reference Points

View the map to see the closest volunteer lodging facilities, hospitals, and other relevant points of reference.

  • Feature