El Hatillo

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

Overview

El Hatillo is located in the mountainous region of central Nicaragua. The community has access to a local health center 10 kilometers away and a multigrade primary school. 27 students attend the primary school with two teachers and one classroom. The primary school goes up to the age of twelve, and there is no secondary school located in El Hatillo. Most people in the community work as agricultural laborers.

Global Brigades is currently working with the Water Program in El Hatillo. Other programs that have been implemented are Medical, Dental, Business, and Public Health.  Before Global Brigades programs were implemented in El Hatillo, the top three needs expressed were: limited access to potable water, limited access to medical attention, and need fro road repairs. El Hatillo is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: Jinotega

Department: Jinotega

Homes : 34
Population : 122
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 62%
Education : Up to 6th Grade
Distance from Lodging Facility : 1 hr

Medical

Program Status

  • Planning
  • Active
  • Complete
Global Brigades pharmacist checks off medication before explaining the medication and dosage to next patient in line.

HEALTH CARE ACCESS:

El Hatillo is a community located in the municipality of Jinotega in the mountainous region of Jinotega. They have a local health center located in 10 kilometers. The local health center has medications supplied 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 illnesses in children are parasites and diarrhea, and respiratory infections.  For adults, common illnesses are chronic diseases such as hypertension, diarrhea, and joint pain. 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.

66

Brigade Volunteers

1819

Patient Consultations

N/A

Pap Smears Performed

15

Health Education Workshops

COMMUNITY HEALTH WORKER:

El Hatillo has six Community Health Workers (CHWs) that were trained by Global Brigades in June 2016 to monitor the conditions of chronic patients. CHWs were trained in taking blood pressure, blood glucose, and temperature, as well as assisting when a person is having convulsions, diarrhea, vomiting, or in need of first aid. These CHWs were also provided with blood pressure cuffs, stethoscopes, and glucometers by Global Brigades to support their work. In the first six months following their training, collectively these X Community Health Workers took 1102 blood pressures, completed 467 blood glucose tests, and attended to 298 cases of vomiting or diarrhea.

BRIGADE INFORMATION:

Medical Brigades in El Hatillo will be in the community school. This location has two rooms and a large backyard for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 212 patients per day.

El Hatillo offers strong support on Medical Brigades from the community volunteers. One way the six Community Health Workers, who serve as volunteers in the mobile clinic, assist is by running intake. Intake is the very first station of the clinic and is where the community volunteers write 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. El Hatillo community volunteers are essential the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 212

NEARBY COMMUNITIES: RINCON LARGO, SITIO VIEJO, OCOTAL ESPESO, LA GALERA, EL CASTILLO, LOS CALPULES, EL TANQUE, EL HORNO, LA LIMA, LAS TRANCAS, MATASANO, SAN JOSE DE HUMURE

BRIGADE SITE: COMMUNITY SCHOOL

 

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Pennsylvania State March 2013 39 Carnegie Mellon University March 2013 27
Loyola University January 2014 33 Syracuse University January 2015 38

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.

530

Patients Consultations

347

Flouride Treatments

333

Fillings Performed

16

Dental Education Workshops

University of Mississippi/ University of South Florida Medical Brigade provide fluoride treatments in El Hatillo

BRIGADE INFORMATION:

Dental Brigades use the community school as their brigade site. The health center is suitable for brigades and running mobile clinics. Dental Brigades use of one room in the health center. Dentists send an average of 10 minutes with each patient and we are able to provide 4-5 educational workshops a day. Each brigade sees an average of 212 patients per day.

El Hatillo 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 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 oral health and hygiene. El Hatillo’s  community volunteers are essential the efficiency and effectiveness of Dental Brigades.

AVERAGE PATIENTS ATTENDED: 37

NEARBY COMMUNITIES: RINCON LARGO, SITIO VIEJO, OCOTAL ESPESO, LA GALERA, EL CASTILLO, LOS CALPULES, EL TANQUE, EL HORNO, LA LIMA, LAS TRANCAS, MATASANO, SAN JOSE DE HUMURE

BRIGADE SITE: COMMUNITY SCHOOL

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Pennsylvania State March 2013 39 Carnegie Mellon University March 2013 27
Loyola University January 2014 33 Syracuse University January 2015 38

Water

Program Status

  • Planning
  • Active
  • Complete

EL HATILLO WATER CHALLENGE:

Prior to Global Brigades involvement, El Hatillo had been using an outdated water system of 21 years in the neighboring community of Rincon Largo. This presented challenges, as Rincon Largo is located at a higher elevation and the system was not built with flow meters. With both of these factors in mind, it was easier for Rincon Largo to have access to water first, and in the amount they desired (without it being measured), while El Hatillo, being located at lower elevation for a gravity system was disadvantaged with only the water that was left over.  Often times there was not enough water between the 70 families in both Rincon Largo and El Hatillo. Because of this, 70% of those in El Hatillo reported having access to water less than 1 to 3 hours a day. In the summer time this access could be even more scarce. At its worst community members reported only having water every two days, for only a half an hour to an hour. When water was not available at the tap, it required  community members, typically women and children, to walk to rivers to receive water. This meant carrying buckets, many times over long distances if there was even water available due to a four-year drought. Additionally, the quality of the water was often not adequate for drinking.

1307

Water Brigade Volunteers

2500

Meters of Piping Installed

40

%

Percentage of System Completed

124

Project Beneficiaries

WATER SOLUTION: 

In May 2017, a partnership between El Hatillo, Global Brigades, the Municipality of Jinotega, and AVODEC was officially formed. In order to plan a water system custom-designed for El Hatillo, the land was first surveyed by a contracted AVODEC technician. 

Since a lack of a water source was the main issue hindering the construction of the system, a solution was for the technican to conduct a hydrogeological survey to find out where the highest likelihood was in the community to drill a well that would contain a sufficient capacity to supply water to the whole community over a minimum period of 20 years. A specialist in this field was hired to do the job using their expertise, national maps, and on-site visits to the community. Then, results were compiled in a formal document which suggested an ideal spot where a well could be drilled.

With the hydrogeological research results in hand, an assembly took place on February 27, 2017 at the community primary school. The goal was to set a plan moving forward and elect a Water Council. The job of those on the Water Counic would be to assist in the assembly of the committee, as well as lead the conversations with the land owner whose land was proposed as being the best drilling location. The community members elected five representatives: President, Vice President, Secretary, Treasurer, and a Support Member to offer support during the entire duration of the water project.

Once the drilling land site was set, it was determined that the best fit for El Hatillo would be to build a mixed gravity well with a submersible electric pump, and two storage tanks (one of 14 cubic meters, the other of 4.5). This system is currently being worked on with brigades in Nicaragua, and upon completion will have a distribution network that connects the water storage tanks to 38 families, consisting of 124 individuals, as well as the community health center, primary school, and church.  

Brigades began working on this water system on May 5, 2017

In total, the water system cost $37,200 USD. Of this, the community financially supported with 16% of the funding. Rotary Club contributed the cost of the excavation of the well at approximately 19%. AVODEC supported with 3%, and Global Brigades with 62%. Outside of these funds, the value of labor donated by each family should be recognized.

In the interest of sustainability, after the project is complete, the five members of the Water Council will be trained on water treatment and system maintenance, administration, and operation, so they can continue adequately managing the water system.  El Hatillo will also establish a monthly water fee in order to pay the Water Council for water treatment, maintenance costs, and system sustainability.

 

WATER BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Wright State April 2017 24 Oakland University April 2017 24
McMaster University April 2017 40 University of Cincinatti May 2017 11
University of South Florida May 2017 25 Florida Atlantic University May 2017 43
Pennsylvania State University May 2017 25 University of Central Florida May 2017 31
University of Utah/ Ferris State University May 2017 25 Florida Gulf Coast University May 2017 35
Indiana University May 2017 31 Emory University May 2017 20
University of Miami May 2017 14 Ball State University/ Colorado State University May 2017 36
Rutgers University/ Seton Hall May 2017 26 Middle Tennessee State University/ Bowling Green State University May 2017 29
Otterbein University/ Case Western Reserve May 2017 35 Temple University/ Columbia University May 2017 35
University of Colorado- Colorado Springs May 2017 51 University of Arizona May 2017 26
University of Texas San Antonio May 2017 43 University of Minnesota- Rochester May 2017 24
University of Kansas May 2017 14 University of Missouri May 2017 30
University of Texas Dallas May 2017 21 SUNY Stony Brook May 2017 18
University of Colorado Boulder May 2017 11 University of Minnesota- Twin Cities/ University of Pennsylvania May 2017 34
Miami University of Ohio/ Missouri Kansas City May 2017 29 SUNY Stony Brook May 2017 29
California State University Bakersfield/ SUNY New Paltz May 2017 33 Northern Arizona University May 2017 26
University of Colorado Boulder May 2017 46 University of Colorado Boulder May 2017 16
Boston College May 2017 25 CUNY Brooklyn College June 2017 21
Thomas Jefferson University June 2017 37 CEGEP Marianopolis June 2017 24
Temple University School of Medicine June 2017 28 California State University East Bay June 2017 27
Drexel University/ University of California Riverside June 2017 27 Oregon State University June 2017 33
University of California Santa Barbara June 2017 29 University of California Santa Barbara June 2017 16
University of California Davis June 2017 26 University of Los Angeles June 2017 14
University of California Riverside June 2017 40

Business

Program Status

  • Planning
  • Active
  • Complete

EL HATILLO BUSINESS CHALLENGE:

Prior to Global Brigades involvement, El Hatillo did not have access to any cooperative or community bank. Community members lacked access to financial resources within the community. The majority of community members did not have bank accounts and there were only limited informal forms of credit available. Larger financial institutions did not approve loans to community members without a fixed income, making it difficult for local micro-enterprises to grow and thrive.

For occupation, the majority of the population are agricultural laborers that cultivate corn, beans, and sorghum. Ability to harvest these products has been significantly impacted by drought. The opportunities of employment and sources of income are seasonal and dependent on the agricultural conditions of the season.

 

6

Brigade Volunteers

22

Loans Disbursed

1

Savings Accounts Opened

$700

Capital Invested

EL HATILLO’S MICRO-FINANCE SOLUTION:

The cooperative of El Hatillo was formed in April 2016. There are 11 elected leadership council members that manage the cooperative, consisting of 33 total members. Through the cooperative C$3,300 (approximately $110USD) is in savings for business investments.  The next step will be to increase the capital and expand to not only assist those interested in starting businesses but additionally to become a local financial institution for any individual looking to take out loans. Global Brigades and El Hatillo’s cooperative are working towards being able to disperse loans and train individuals on loan management and financial literacy. 

EL HATILLO’S BUSINESS SOLUTION:

In addition to loans that can be taken out to invest in already established businesses, Global Brigades has worked with El Hatillo to start one new cooperative business– a lime tree orchard. 26 families have invested in the purchase of 400 lime trees to be planted in the community. Additionally Global Brigades contributed C$20,000 (approximately $665USD). In collaboration with the cooperative, named “Tahiti,” limes will be harvested and packaged for sale in local supermarkets. In addition, the group is undertaking a reforestation initiative to battle drought conditions in the community. This imitative will use recycled bottles to create an irrigation system.

BUSINESS BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Humanos March 2017 6

Public Health

Program Status

  • Planning
  • Active
  • Complete

EL HATILLO PUBLIC HEALTH CHALLENGE :

The community faces numerous public health challenges with limited infrastructure in their homes. 88% of homes have concrete floors as opposed to mud or dirt floors. Furthermore, 88% 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 62% 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.

1084

Brigade Volunteers

32

Sanitary Stations Constructed

2170

Meters Squared of Concrete Floors

EL HATILLO  PUBLIC HEALTH SOLUTION:

With the community having large public health needs, each family was given the opportunity to receive a sanitary station (latrine, water storage tank and shower), and concrete floors. The number of projects each family received depended on what the family desired and what they could afford. As part of our development plan, families are required to financially contribute to 10-15% of the cost of the projects to encourage ownership and buy-in.

To ensure the sustainability of the in-home infrastructure projects, the Public Health Program provides continuous follow-up in the community. It also partners with the Basic Sanitation Committee, a community body formed by local leaders which monitors the correct usage and maintenance of the new infrastructure. Clear responsibilities and powers are assigned to each member, making the beneficiaries themselves an even stronger stakeholder in the Public Health projects.

PUBLIC HEALTH BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Carroll University January 2014 37 Marquette University January 2014 69
Loyola University of Chicago January 2014 33 Saint Louis University January 2014 47
University of Dayton January 2014 43 Vanderbilt University March 2014 21
Pennsylvania State University March 2014 51 University of Texas-Austin March 2014 28
Grinnell College March 2014 18 Florida Gulf Coast University May 2014 22
University of California-Berkeley/ University of Missouri May 2014 44 Louisiana State University May 2014 24
University of Colorado-Boulder/Texas A&M University May 2014 66 University of Colorado-Boulder May 2014 13
Rutgers University May 2014 21 Temple University May 2014 12
University of Minnesota-Rochester May 2014 30 Montclaire University May 2014 16
Stony Brook University May 2014 35 University of Pennsylvania May 2014 19
Brooklyn College June 2014 28 California State University East Bay June 2014 44
Oregon State University June 2014 37 University of San Diego August 2014 28
University of Washington September 2014 36 DePaul University December 2014 16

Local Reference Points

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

  • Feature