El Tuma

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

Overview

El Tuma is located in the mountainous region of central Nicaragua in the department of Matagalpa. The typical house is made of cement block. The community has access to a local health center within the community and a primary school. 460 students attend the primary school with eight teachers and ten classrooms. The primary school goes up to the age of twelve. After that, there is also a secondary school available in El Tuma, where 330 students attend. There are twelve teachers and nine classrooms. Most people in the community work as coffee farmers.

Global Brigades is currently working with the Medical Program in El Tuma and has been since the first Medical Brigade in May 2017. In their communication with Global Brigades, the top three needs expressed are limited access to potable water, poor waste management infrastructure, and lack of sexual and reproductive education. El Tuma is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: El Tuma

Department: Matagalpa

Homes : 2601
Population : 6645
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 100%
Education : Up to 12th Grade
Distance from Lodging Facility : 2 hr

Medical

Program Status

  • Planning
  • Active
  • Complete

HEALTH CARE ACCESS:

Healthcare access in Nicaragua is structured by the Ministry of Health, based in the capital, Managua. From there, each of the fifteen departments has it’s own department hospital, which is overseen by the SILAIS administrations (Sistema Local de Atención Integral en Salud). At a municipality level, there is a health center (Centro de Salud) for every municipality within the department. While they are not hospitals, health centers in the municipality are typically staffed with one doctor, and two nurses, that can attend patients with chronic, communicable, or noncommunicable diseases, as well as pregnancies. They however, do not have the ability to perform surgeries. Lastly, most but not all communities have a Puesto de Salud, a smaller health center. These health centers are usually staffed with only one nurse and a rotating physician. Physicians are staffed in these health centers by Nicaragua’s Social Service. This is an initiative that requires Nicaraguan medical students to do two years of service in rural communities prior to graduating.  The physician density in Nicaragua is approximately 1,099 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. This density is significantly lower for the 40.6% of the population that lives in rural areas. It is for this reason that Nicaragua’s Social Service initiative brings medical students to these communities. However, access remains limited since these training physicians may be assigned to up to fifteen communities at a time.   

El Tuma has access to a health center within their community. Even with this access, it is important to note that medications, supplies, and materials are often not available in these health centers and are dependent on government funding. There is no access to private pharmacies. Additionally, as noted above, access to trained medical professionals is limited.

During their initial communications with Global Brigades, the top three illnesses in children that El Tuma expressed are diarrheal diseases, acute respiratory infections, and epilepsy. For adults, common illnesses are chronic diseases such as diabetes and hypertension, and epilepsy.Without access to trained healthcare 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.

26

Brigade Volunteers

1010

Patient Consultations

144

Pap Smears Performed

44

Health Education Workshops

COMMUNITY HEALTH WORKER:

El Tuma has 23 Community Health Workers that are trained by the Ministry of Health monthly. Community Health Workers, or Brigadistas de Salud, work on a volunteer basis as advocates for healthcare within their communities. They are tasked with treating and preventing common illnesses, and some of their responsibilities include first aid, supporting and caring for pregnancies and newborns, and responding to emergency situations. They are also responsible for following up with chronic patients to ensure proper administration of medications and treatments to avoid further complications. Global Brigades is planning to establish a partnership with El Tuma Community Health Workers and the Ministry of Health, and is looking forward to providing these Community Health Workers with blood pressure cuffs, stethoscopes, glucometers, and first aid kits, to facilitate more impactful work. The presence of these volunteers and their advocacy for health within their community contributes to the sustainability of healthcare supported by Global Brigades’ Medical Program and is one of the most impactful disease prevention strategies in rural communities.

BRIGADE INFORMATION:

Community members from El Tuma attend Medical Brigades in the health center of El Tuma. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 111 patients.

El Tuma offers strong support on Medical Brigades from the community volunteers. One way the 8-15 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. El Tuma’s community volunteers are essential the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 335

NEARBY COMMUNITIES: PIEDRA LUNA, LA PLANTA, SIEMPRE VIDA, DIAMANTE, LOS ANDES

BRIGADE SITE: HEALTH CENTER

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Northern Arizona University May 2017 26

Dental

Program Status

  • Planning
  • Active
  • Complete

DENTAL CARE ACCESS:

While medical access is low, dental access is even more sparing. Dental services are not available within the community health centers, or even the municipality health centers. Instead, if a patient was needing dental care, they would be required to travel to one of the country’s fifteen department hospitals. This could be up to a 2-3 hour bus ride, with many needing to first walk or horseback ride to the bus stop.

130

Patients Consultations

200

Flouride Treatments

64

Fillings Performed

6

Dental Education Workshops

BRIGADE INFORMATION:

Working closely with the Medical Program, the Dental Program provides fillings, extractions, and fluoride treatments as a standard part of medical brigades. Community members from El Tuma attend Dental Brigades in the health center of El Tuma. The average amount of patients seen per day is 43 patients, with approximately 10-15 minutes per patient.

El Tuma offers strong support on Dental Brigades from the community volunteers. One way the 8-15 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. El Tuma’s community volunteers are essential the efficiency and effectiveness of Dental Brigades.

 

AVERAGE PATIENTS ATTENDED PER DAY: 43

NEARBY COMMUNITIES: PIEDRA LUNA, LA PLANTA, SIEMPRE VIDA, DIAMANTE, LOS ANDES

BRIGADE SITE: HEALTH CENTER

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Northern Arizona University May 2017 26

Water

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in El Tuma but has not yet begun with the Water Program. Now in the planning phase, the financing, delivery, and installation of a water system infrastructure, or repairs to existing infrastructure will start as soon as feasible.

Water System : Yes
Type of Water System : Gravity
% of Homes with Access to Water : 100%
Water Council : Yes

Business

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in El Tuma but has not yet begun with the Business Program. Now in the planning phase, a community bank will be established as soon as feasible, followed by market studies and investment in an anchor business to provide additional capital.

Community Bank : No
Community Bank Members : NA
Economic Activities : Coffee, Day Laborers
Existing Microenterprises : No

Public Health

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in El Tuma but has not yet begun with the Public Health Program. Now in the planning phase, the financing, delivery, and installation of household health infrastructure products will start as soon as feasible.

Furthermore, only 5% 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 100% of homes have latrines, the community does not have sufficient methods of waste disposal. El Tuma is on the wait-list to partner with Global Brigades Public Health projects.

% of Homes with Latrines : 100%
% of Homes with Showers : 5%
% of Homes with Washing Station : 5%
Common House Materials : Cement block

Local Reference Points

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

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