HEALTH CARE ACCESS
The Honduran government provides two different types of health centers throughout rural Honduras: Centros de Salud Médico Odontológico (CESAMOs) and Centros de Salud Rural (CESARs). CESAMOs are the larger of the two, often found in municipalities, and typically have at least one physician on staff at all times with nurses and potentially a dentist. CESARs are found sporadically in rural communities and generally have a single nurse available.
Even with this coverage, it is important to note that medications, supplies, and materials are often not available in these health centres and the physician density in Honduras remains around 1,220 people for every one doctor. According to the World Health Organization, there should be a maximum of 435 people per physician to qualify a country as having adequate access to medical attention.
There is no health center in the community of El Jiote. If community members need to receive medical attention, they must walk two and a half kilometres to the nearest CESAMO in San Bernardo. However, this health center only sometimes has the medications that patients need. The health center does not have access to a laboratory, and there are no private clinics in the area. The most common illnesses reported by community members include diarrhea, fevers, the common cold, zika, and vomiting.
El Jiote is located within the municipality of Namasigüe in the department of Choluteca in Southern Honduras. The typical house is made of adobe, cinder blocks, wood, and/or aluminum/zinc sheets. Children in the community have access to education through primary school, or up to sixth grade. Most of the community members work in agriculture, producing basic grains or fishing, or as day laborers. The top needs expressed by El Jiote’s inhabitants during their initial communications with Global Brigades include the construction of a potable water system, in-home public health infrastructure, and access to financial services.
COMMUNITY HEALTH WORKERS
EL JIOTE’S ENGINEERING SOLUTION
EL JIOTE’S WATER SOLUTION