Las Cureñas

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

Overview

Las Cureñas is located in the mountainous region of central Nicaragua in the department of Jinotega. The town is about 15km from the urban city of Jinotega. A typical house is made of wood. The community has access to a health center in the neighboring community, Las Lomas, 5km away. 71 students attend the primary multigrade school with four teachers and five classrooms. The primary school goes up to grade 6, and there is no secondary school located in Las Cureñas. If students are interested in attending secondary school, they have to attend at a neighboring community, Tomatoya, 3km away. Currently around 90% of eligible students are attending secondary school. In a survey that included current students and older generations, it was found that only 16.3% of people had pursued secondary education and beyond (12.5% secondary school 2.3% technical school, and 1.5% university). For a majority (63.5%) their last formal education was in primary school, and for 2.5%, pre-school. 17.8% had never had formal education. 

There are 190 people in Las Cureñas that have employment. Of these 190 who work, 134 are men and 56 are women. Most people in the community work as agricultural laborers. 53.9% of those working, work in agriculture, with 49.4% who own their property versus 4.5% who rent. The next most common occupation is day labor (20.5%) or artisan work (16.5%). The remaining are bosses, home assistants, and those who have commercial businesses. 87% of those employed have consider their work to be permanent, while 9% have temporary, and 4% mixed. Mixed employment signifies working several temporary jobs. 

Prior to Las Cureñas being founded in 1867, the land was a booming sugarcane plantation. However, the land became abandoned as soon as the cash crop devastated the soil fertility for sugarcane production. The plantation owners left and as new settlers arrived, they found remnants of “cureñas,” a part of the sugar mill factory. The new settlers then decided to name their community “Las Curenas.”

Global Brigades is currently working with Water, and Business Program in Las Cureñas. This Water partnership began in November 2017, and the first brigades in December 2017. Las Cureñas’s Community Bank was established on December 14, 2017 with Global Brigades permanent staff. Business Brigades began March 2018.

In their communication with Global Brigades, the top three needs expressed were lack of latrines or properly functioning latrines, limited access to potable water, and improvements needed to the community health center. Las Cureñas is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: Jinotega

Department: Jinotega

Homes : 111
Population : 450
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : No
Community Health Workers : Yes
% of Homes with Latrines : 46.5%
Education : Up to 6th 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.  

Las Cureñas has access to a health center 5km away, in the neighboring community of Las Lomas. Community members also will go to the health center in San Rafael. Each of these neighboring health centers requires a one hour walk. To take a bus, requires a 20 minute walk and a bus ride for 30 minutes that costs 30 cordobas (approximately $1USD) roundtrip. This cost is sometimes difficult for families living below the poverty line. Additionally, 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 illnesses in children that Las Cureñas expressed were diarrheal diseases, and respiratory infections. For adults, common illnesses are chronic diseases such as diabetes and hypertension, as well as arthritis. In a sample point study, its was found that 7% had diarrhea in the past 3 months. 13% had stomach ache, 35% cough, 37% fever, and 7% skin 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.

*These statistics represent brigades in the community of Tomatoya, where community members from Las Cureñas attend Medical Brigades.

222

Brigade Volunteers

2362

Patient Consultations

30

Health Education Workshops

COMMUNITY HEALTH WORKER:

Las Cureñas has two 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 Las Cureñas 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. Additionally more work can be done to help encourage community members to seek out community health workers when they are ill, or in need of chronic disease management. In a Global Brigades study it was found that while 94.5% of the community is aware of the community health program, only 5% have received services from them. 

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 Las Cureñas attend Medical Brigades in the community school of Tomatoya. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 262 patients.

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

AVERAGE PATIENTS ATTENDED PER DAY: 262

NEARBY COMMUNITIES: LA JOYA, SARAGUASCA, TOMATOYA, LAS PILAS, SAN GABRIEL, HERMITA DE SARAGUASCA

BRIGADE SITE: COMMUNITY SCHOOL

 

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
University of Connecticut January 2013 34 Washington University March 2013 27
Oakland University April 2014 35 Texas A&M January 2015 37
Florida Gulf Coast University May 2015 21 Texas A&M January 2016 41
Case Western University May 2016 27

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.

*These statistics represent brigades in the community of Tomatoya, where community members from Las Cureñas attend Medical Brigades.

109

Patients Consultations

209

Flouride Treatments

37

Fillings Performed

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 Las Cureñas attend Dental Brigades in the community school of Tomatoya. The average amount of time with each patient is approximately 10-15 minutes.

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

NEARBY COMMUNITIES: LA JOYA, SARAGUASCA, TOMATOYA, LAS PILAS, SAN GABRIEL, HERMITA DE SARAGUASCA

BRIGADE SITE: COMMUNITY SCHOOL

 

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Florida Gulf Coast University May 2015 21 Texas A&M University January 2016 41
Case Western Reserve University May 2016 27

Water

Program Status

  • Planning
  • Active
  • Complete

Brigades are currently working on the Water Program in this community! Las Cureñas previously had five manual wells. All five were built by the government. The first was built in 1990 next to the school, and four others in 2005. Of these wells, 2 carry potable drinking water, while 3 pump water that should only be used for cleaning and agriculture. The two manual pumps with potable water are treated with chlorine by community volunteers. The chlorine is delivered by the Ministry of Health every two months. The community volunteers then administer the chlorine tabs to treat the water every 8 days. Additionally every two or three months the Ministry of Health will perform a water sample test, to ensure that the water is remaining safe for consumption. 87.5% of community members in Las Cureñas use these public water pumps. 11.5% source their water from the river, and 1% of the population has their own private water pump. 67% drink water that is purified, while 19% do not. 1% of the community is unsure whether their water is purified or not. 

While there is potable drinking water in Las Cureñas, there is an issue of accessibility. With water only being accessible by manual pump, community members have to walk to obtain drinking water. A walk to the nearest pump could be up to 20 minutes on rough terrain. This is especially difficult for the elderly. The responsibility of collecting water often falls on the mother of the household and/or children. Typically an individual will make a trip to the water pump 4-6 times daily, carrying 10-liter jugs. The time taken from a persons day simply to collect water is significant. Additionally, water access becomes more sparse between the dry months of February to May.

Global Brigades began a partnership with Las Cureñas for the Water Program in November 2017, with brigades starting in December 2017. We are excited to currently working on this water system which will provide an in-home connection to all interested families!

 

 

1788

Water Brigade Volunteers

1743

Meters of Trench Dug

75%

Percentage of System Completed

450

Project Beneficiaries

WATER BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
DePaul Universtiy December 2017 28 DePaul University December 2017 20
University of Mississippi/ University of South Florida December 2017 21 Rice University December 2017 21
Emory University December 2017 18 Purdue University/University of California –
Los Angeles
December 2017 26
Michigan State University December 2017 36 Pennsylvania State University December 2017 19
Virginia Commonwealth University January 2018 28 University of Missouri & University of Portland January 2018 18
Harvard University January 2018 49 Marquette University/ Texas A&M University January 2018 28
Syracuse Area January 2018 28 University of Connecticut January 2018 25
Texas A&M University January 2018 18 Saint Louis University January 2018 50
Texas A&M University January 2018 45 Governors State University January 2018 22
Virginia Commonwealth University January 2018 31 Carroll University January 2018 21
Wellesley College January 2018 20 University of Dayton January 2018 65
Boston College January 2018 47 Marquette University January 2018 63
Ohio College Students January 2018 18 University of Vicotria February 2018 37
Milwaukee School of Engineering February 2018 15 Michigan State University March 2018 35
University of Toledo/ Stetson University March 2018 42 University of Virginia March 2018 23
University of Arizona/ Pennsylvania State University March 2018 23 Northeastern University/ University of Arizona/ University of Virginia March 2018 30
University of Arizona/ Appalachian State University March 2018 33 Northeastern University March 2018 34
College of William & Mary March 2018 30 Carnegie Mellon University March 2018 9
University of West Virginia March 2018 19 University of Texas – El Paso March 2018 10
Carnegie Mellon University/ University of Tennessee March 2018 24 University of Notre Dame March 2018 32
Colgate University/ Columbia University March 2018 30 Duke University/ University of Notre Dame March 2018 14
Yale University/New York University/ University of North Carolina- Chapel Hill March 2018 42 University of West Virginia March 2018 61
Saint Louis University March 2018 15 Marquette University March 2018 26
University of Houston March 2018 16 Texas A&M International University March 2018 41
University of Maryland Baltimore County March 2018 36 University of Maryland Baltimore County/ University of Denver March 2018 19
DePaul University March 2018 25 Tulane University March 2018 27

Business

Program Status

  • Planning
  • Active
  • Complete

LAS CUREÑAS’S ECONOMIC CHALLENGE:

Rural communities in Nicaragua face a number of structural obstacles when it comes to economic growth. Access to credit is limited by physical barriers in transportation and exclusion from formal financial institutions. This exclusion can be the result of a lack of financial literacy, credit history, and land titles or substantial consumer goods to offer as collateral. In Las Cureñas, 24% reported access to credit. Additionally, maintaining savings is not a common practice in rural communities in Nicaragua, where only 18.5% of community members in Las Cureñas personally own, or have a family member with a savings account. 

In Las Cureñas, the average family income is estimated to be $2,239 Cordobas per month, which is approximately $72 USD per household. The main form of employment in Las Cureñas is agricultural labor, and the primary crops produced are beans, corn, lettuce, cabbage, and coffee. 53.9% of those working, work in agriculture, with 49.4% who own their property versus 4.5% who rent. The next most common occupation is day labor (20.5%) or artisan work (16.5%). The remaining are bosses, home assistants, and those who have commercial businesses. 87% of those employed have consider their work to be permanent, while 9% have temporary, and 4% mixed. Mixed employment signifies working several temporary jobs. There are 190 people in Las Cureñas that have employment. Of these 190 who work, 134 are men and 56 are women. 

Economic growth faces additional obstacles due to the community’s dependence on agriculture, as its inhabitants’ incomes are earned on a seasonal basis, determined by crop yields, and susceptible to external factors like drought and plant disease.

Global Brigades began working with the Business Program in Las Cureñas when the community bank was established on December 14, 2017. Business Brigades then began in the following March.

20

Brigade Volunteers

84

Savings Accounts Opened

$703.65

Capital Invested

LAS CUREÑAS’S MICRO-FINANCE SOLUTION:

The Business Program works to stimulate the local economy by organizing community residents around a community bank, which is entirely owned and operated by its members. Focusing on providing access to credit and savings for the members, its Bank Council members are tasked with socializing the community bank and managing the funds. The Business Program provides training and support to help strengthen these community banks and stimulate the flow of capital within the community. These financial services can be used by members for everything from farmers taking out loans to buy their seeds before planting, to a family taking out a loan to cover medical expenses. 

Las Cureñas’s community bank, named El Esfuerzo, was established December 2017 with the support of Global Brigades. The community bank has 32 females and 39 males shareholders who meet in Las Cureñas’s Primary school bi-weekly on Thursdays, and a 3- person Bank Council (President, Secretary, and Treasurer) that leads the shareholders and oversees the meetings. In order to pool funds together, increase the capital available to the community bank, and expand the impact of its financial services, each member contributes a monthly share or fee for which they receive a proportional amount of the bank’s dividends at the end of its fiscal year. Additionally, Global Brigades provides matching capitalizations once these capitalizations meet established benchmarks.

Global Brigades and Las Cureñas’s community bank are working towards being able to disburse loans, increase savings and train individuals on financial management

LAS CUREÑAS’S BUSINESS SOLUTION:

In addition to working with the community bank, the Business Program provides strategic training to existing micro-enterprises. The goal is to better integrate isolated communities into the local economy and facilitate growth. During this process, interested community members receive training to increase their familiarity with business concepts, develop their administration skills, and promote innovation and diversify their goods and services.

Currently, there is potential for expanding the capacity of existing micro-enterprises. Las Cureñas has a strong culture of artisan pottery, as it is a craft that has been passed down for many generations. Since the mid-1990s a women’s cooperative has been creating and selling the signature pottery madein this region

Additionally, Global Brigades is partnering with two other existing businesses, a barber shop microenterprise and a horticulture farm. The barber has been cutting hair for 15 years, much of it without electricity. Initially, he offered cuts with the basic style, since his only tool was a comb, scissors, a wooden chair and a mirror in the back of his house protected with a plastic roof. But now, with access to electricity, he has begun to improve his styles with the use of an electric razor and a wider space in the corridor of his house. Despite these limitations, Jairo recognizes this microenterprise as an important source of income for his family

The horticulture farm is owned by another family that grows cabbage, lettuce, beets, celery and basic grains. Business brigades will work with the farm on mapping, accounting, business planning.

BUSINESS BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Vanderbilt University March 2018 12 Ball State University May 2018 8

BUSINESSES CONSULTED BY BRIGADES:

Business Sector Owner
Cooperativa Artesanas San Expedito Artisan Ceramins Luz Marina
Barberia San Vincente Barber Jairo Zeledon
Cultivos la Chispa Horticulture Jaime Herrera

Public Health

Program Status

  • Planning
  • Active
  • Complete

According to Global Brigades Baseline Survey in Las Cureñas, 46.5% have latrines in good condition. Of the 53.5% in poor condition, 5.8% can no longer even be used. For showering/bathing, 62% bathe in the river or with buckets by the public water pump. 18% bathe outside of the home, 4% inside the home, and 2% bathe in a neighbor’s shower. Having inadequate access to public health products is a threat to sanitation, privacy, and safety. 

Global Brigades is working on the implementation of the Holistic Model in Las Cureñas and has begun with the Public Health Program. They have completed the first phase of the project. The work has been carried out only with local masons and community members. The community is preparing for the second phase next year.

32

Sanitary Units constructed

% of Homes with Latrines : 46.5%
% of Homes with Showers : 22%
% of Homes with Washing Station : 8%
Common House Materials : Wood

Local Reference Points

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

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