Isiquí

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

Overview

Isiquí is located in the mountainous region of central Nicaragua in the department of Estelí. The typical house is made of cement block. The community has access to a local health center within the community and both a multigrade primary school and secondary school. 103 students attend the primary school with five teachers and six classrooms. The primary school goes up to grade 6. Following, students have the ability to do distance learning with a secondary school, up to grade 12. Distance learning involves students studying mostly in the home, and then meeting at the school once or twice a month for exams and new assignments. 96 students are in secondary education, with three teachers and three classrooms. Most people in the community work as agricultural laborers.

Global Brigades is currently working with the Medical Program in Isiquí and has been since the first Medical Brigade in May 2014. In their communication with Global Brigades, the top three needs expressed were lack of latrines or properly functioning latrines, shortage of medication, and repairs needed to homes. Isiquí is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: Estelí

Department: Estelí

Homes : 140
Population : 700
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 38%
Education : Up to 12th Grade
Distance from Lodging Facility : 1.5hr

Medical

Program Status

  • Planning
  • Active
  • Complete
Isiqui Community Health Center

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.  

Isiquí 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 Isiquí expressed were diarrheal diseases, respiratory infections, and skin conditions. For adults, common illnesses are chronic diseases nutrition, respiratory infections, and urinary infections. 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.

212

Brigade Volunteers

1518

Patient Consultations

51

Pap Smears Performed

40

Health Education Workshops

COMMUNITY HEALTH WORKER:

Isiquí has ten 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 Isiquí 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 Isiquí attend Medical Brigades in the health center of Isiquí. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 251 patients.

Isiquí 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. Isiquí’s community volunteers are essential the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 251

NEARBY COMMUNITIES: EL CARRIZO, EL CARACO, SALATUCA, LLANOS DE COLON, LOS CHAGUITES

BRIGADE SITE: HEALTH CENTER

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
University of Colorado Boulder May 2014 30 Medical Scribe Systems July 2014 19
University of Virginia January 2015 32 Denison University May 2015 11
DePaul University December 2016 24 Oakland University May 2016 21
University of Wisconsin – Madison January 2017 32 University of Utah/ Ferris State University May 2017 25
Ohio College Students January 2018 18

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.

313

Patients Consultations

309

Flouride Treatments

122

Fillings Performed

35

Dental Education Workshops

Medical clinic in Ohio College Students brigade

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 Isiquí attend Dental Brigades in the health center of Isiquí. The average amount of patients seen per day is 40 patients, with approximately 10-15 minutes per patient.

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

AVERAGE PATIENTS ATTENDED PER DAY: 40

NEARBY COMMUNITIES: EL CARRIZO, EL CARACO, SALATUCA, LLANOS DE COLON, LOS CHAGUITES

BRIGADE SITE: HEALTH CENTER

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Denison University May 2015 11 DePaul University December 2016 24
Oakland University May 2016 21 University of Wisconsin – Madison January 2017 32
University of Utah/ Ferris State University May 2017 25 Ohio College Students January 2018 18

Water

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Isiquí 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 Isiquí but has not yet begun with the Business Program. In the planning phase, local staff is working with community members to assess the economic needs of the community, establish a community bank, and identify micro-enterprises that can benefit from on-brigade consultations. 

Community Bank : No
Community Bank Members : No
Economic Activities : Agricultural labor
Existing Microenterprises : No

Public Health

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Isiquí 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.

% of Homes with Latrines : 38%
% of Homes with Showers : 90%
% of Homes with Washing Station : 2%
Common House Materials : Cement Brick

Local Reference Points

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

  • Feature