HEALTH CARE ACCESS
The Honduran government provides two types of health centres 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 unavailable in these health centers. The physician density in Honduras remains around 1,220 people for every doctor. According to the World Health Organization, there should be a maximum of 435 people per physician to qualify a country with adequate access to medical attention.
El Resbaloso does not have either type of health center. Instead, its inhabitants must walk to a CESAMO in Goascorán to seek medical attention. This center is located approximately five kilometers away from Resbaloso. If the treatments or procedures they require are not available there, community members must walk to the hospital in San Lorenzo. The most common illnesses are the common cold, dengue, zika, diarrhoea, diabetes, and arterial hypertension.
El Resbaloso is located within the municipality of Goascorán in the department of Valle in southern Honduras. Here, the climate is hot and arid, with temperatures frequently soaring to 100 degrees Farenheit or higher. The typical house is made of adobe. Children in the community have access to kindergarten, primary school, and centro básico, or up to ninth grade. Two different wells have been constructed in the community. However, one of these wells does not have electrical components nor pipeline installed. While the other well has these features, it is dry. Most of the community members work in agriculture. The top three needs expressed by El Resbaloso’s inhabitants during their initial communications with Global Brigades are a water project and improved household health infrastructure, such as latrines, eco-stoves, water filters, and water storage units.
COMMUNITY HEALTH WORKERS
EL RESBALOSO’S MICRO-FINANCE SOLUTION: