Cuatro Esquinas

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

Overview

Cuatro Esquinas is located in the mountainous region of central Nicaragua. The community has access to a local health center 1.5 kilometers away and a multigrade primary school with two teachers and one classroom. Most people in the community work in agricultural or as day laborers. Global Brigades completed a water system in this community in 2017. Before the Water program was implemented in Cuatro Esquinas, their top three needs expressed were: access to potable water, access to hygiene services, and a larger primary school. Currently, the Public Health program is active, with on-going brigades since March 2018.

Cuatro Esquinas 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 : 64
Population : 217
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 70%
Education : Up to 6th Grade
Distance from Lodging Facility : 1 hr

Medical

Program Status

  • Planning
  • Active
  • Complete

HEALTH CARE ACCESS:

 

Cuatro Esquinas is a community located in the municipality of San Rafael del Norte in the mountainous region of Jinotega. They have a local health center located in 1.5 kilometers and is periodically staffed with nurses by the Ministry of Health. The local health center has medications supplied occasionally. There is no access to private pharmacies.

Based on Global Brigades Rapid Needs Assessment the top three illnesses in children are: diarrheal diseases, acute respiratory infections, and fevers. For adults, common illnesses are chronic diseases such as diabetes, asthma and hypertension, as well as diarrheal diseases, and body 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 the quality of life.

*These statistics represent brigades in the community of Los Encuentros de San Gabriel, where community members from Cuatro Esquinas attend Medical Brigades.

246

Brigade Volunteers*

4756

Patient Consultations*

22

Pap Smears Performed*

17

Health Education Workshops*

COMMUNITY HEALTH WORKER:

Cuatro Esquinas has two 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 Cuatro Esquinas will be in the community church in Los Encuentros de San Gabriel.  This location has one large room and backyard for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen is 231 patients per day.

Cuatro Esquinas 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 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 sanitation and hygiene, chronic diseases, contraception, women’s health, and water purification. Cuatro Esquinas community volunteers are essential for the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 231

NEARBY COMMUNITIES: TOMATOYA, SASLE, LAS CURENAS, SARAGUASCA, CHAGUITE GRANDE, MESA DEL OCTE, SAN GABRIEL

BRIGADE SITE: COMMUNITY CHURCH

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
CUNY Queens College January 2013 23 Vanderbilt University March 2013 38
Pennsylvania State March 2014 35 Marquette University January 2015 35
Rice University March 2015 35 University of Miami January 2016 33
Oklahoma State May 2016 47

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 Los Encuentros de San Gabriel, where community members from Cuatro Esquinas attend Dental Brigades

141

Patients Consultations*

298

Flouride Treatments *

38

Fillings Performed*

12

Dental Education Workshops*

BRIGADE INFORMATION:

Dental Brigades use the community church in Los Encuentros de San Gabriel as their brigade site. The community church is suitable for brigades and running mobile clinics. Dental Brigades use space in the large one room of the community church. Dentists spend an average of 12 minutes with each patient and we are able to provide 4-5 educational workshops a day. Each brigade sees an average of 24 patients per day.

Cuatro Esquinas 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 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. Cuatro Esquinas’s  community volunteers are essential the efficiency and effectiveness of Dental Brigades.

AVERAGE PATIENTS ATTENDED: 24

NEARBY COMMUNITIES: TOMATOYA, SASLE, LAS CURENAS, SARAGUASCA, CHAGUITE GRANDE, MESA DEL OCTE, SAN GABRIEL

BRIGADE SITE: COMMUNITY CHURCH

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
CUNY Queens College January 2013 23 Vanderbilt University March 2013 38
Pennsylvania State March 2014 35 Marquette University January 2015 35
Rice University March 2015 35 University of Miami January 2016 33
Oklahoma State May 2016 47

Water

Program Status

  • Planning
  • Active
  • Complete
Jesus Maria Tinoco Pineda, donor of land for water system’s fresh water source

CUATRO ESQUINAS WATER CHALLENGE:

Previously, one of the only water sources of the community was a river contaminated with waste and agricultural chemicals. In the 1990’s the Municipality of San Rafael del Norte identified a mountain spring water source of good quality and quantity to build a water system off of. At the time there were no issues breaking ground on the project since the land had been fully donated by the landowner, Jesus Maria Tinoco Pineda, to the Municipality because Pineda knew the water needs that communities in the surrounding area had. Despite this promising beginning, lack of financing and a budget from the Municipality led to the project’s halt for almost 20 years.

353

Water Brigade Volunteers

558

Meters of Piping Installed

100

%

Percentage of System Completed

274

Project Beneficiaries

WATER SOLUTION: 

It was not until this past September 2016 that the project officially re-started after a partnership was formed between Cuatro Esquinas and 4 other communities, Global Brigades Nicaragua, the Municipality of San Rafael del Norte, and Water for People. In order to plan a water system custom-designed for the 5 communities, the land was first surveyed by the Municipality of San Rafael del Norte. From this land survey, it was determined that the best fit would be to take water from an available spring source. Households would then be connected to a gravity system with one storage tank of 5,500 cubic meter capacity. A concrete water catchment was constructed to collect water from the spring mountain source. From there nine kilometers of trenches were dug with pipeline laid. The system was designed to then conduct water by gravity to the storage tank, where it would be held and treated, before flowing through sixteen kilometers of distribution pipeline to every community member’s household. This new water flow will supply the communities of Sabana de en Medio, La Joya, Cuatro Esquinas, Mesa del Ocote and San Gabriel through the projected 20-year lifespan of the project.

In addition to construction, Cuatro Esquinas mobilized to form a CAPS (Comité de Agua Potable y Sanitación/ Water and Sanitation Committee). Over the course of eight months of construction, 816 Global Brigades volunteers worked alongside the committee and community members to construct a system that now reaches 221 families and 921 beneficiaries for the 5 communities combined.  Before the project’s completion, a capacity test of the well was completed, and demonstrated an average of 46 gallons per minute.

WATER BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
DePaul University Public Health December 2016 23 Oakland University Medical December 2016 31
Saint Louis University Medical January 2017 30 State University of New York Binghamton Medical January 2017 37
University of Southern California Medical/Dental January 2017 38 University of Missouri Medical January 2017 34
DePaul University Medical November 2016 35 West Virginia University Public Health March 2017 15
College of William and Mary Medical March 2017 35 UNC Charlotte Medical March 2017 31
Central Michigan University/ Pennsylvania State University Public Health March 2017 26 Carnegie Mellon University Water March 2017 8
University of Arizona Water March 2017 10

Business

Program Status

  • Planning
  • Active
  • Complete

CUATRO ESQUINAS ECONOMIC CHALLENGE:

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

Public Health

Program Status

  • Planning
  • Active
  • Complete

CUATRO ESQUINAS PUBLIC HEALTH CHALLENGE:

The community faced numerous public health challenges with limited infrastructure in their homes. Only 46% of homes have concrete floors as opposed to mud or dirt floors. Furthermore, 50% 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 70% 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.

242

Brigade Volunteers

36

Sanitary Stations Constructed

36

Households Benefitted

10

Hours of Charla

PUBLIC HEALTH BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Milwaukee School of Engineering Water February 2018 15 Northeastern University/University of Virginia/ University of Arizona Public Health March 2018 30
University of Arizona/ Pennsylvania State University Water March 2018 23 College of William & Mary Medical March 2018 30
Carnegie Mellon University/ University of Tennessee Public Health March 2018 24 Duke University/ University of Notre Dame Public Health March 2018 14
West Virginia University Medical March 2018 61 Carnegie Mellon University Medical March 2018 26
University of West Virginia Public Health March 2018 19

Local Reference Points

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

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