Las Mangas

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

Overview

Las Mangas  is located in the mountainous region of central Nicaragua in the department of Matagalpa. A typical house is made of cement block. The community has access to a local health center within the community as well as both a primary and secondary school. 200 students attend the primary school with eleven teachers and six classrooms. The primary school goes up to grade 6. Following primary school, students have the option of attending secondary school up to grade 12. Currently, 282 students attend the secondary school with even teachers and eight classrooms. Most people in the community work as agricultural laborers.

Global Brigades is currently working with the Medical Program in Las Mangas and has been since the first Medical Brigade in December 2015. In their communication with Global Brigades, the top three needs expressed were lack of latrines or properly functioning latrines, repairs needed to homes, and improved treatment of paste and garbage disposal. Las Mangas is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: San Isidro

Department: Matagalpa

Homes : 320
Population : 1251
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 70%
Education : Up to 12th Grade
Distance from Lodging Facility : 1.5 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 Mangas 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 illnesses in children that Las Mangas expressed were respiratory infections, and dermatitis. For adults, common illnesses are chronic diseases such as hypertension, as well as respiratory infections and skin conditions. 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. 

124

Brigade Volunteers

1509

Patient Consultations

79

Pap Smears Performed

25

Health Education Workshops

COMMUNITY HEALTH WORKER:

Las Mangas has two Community Health Workers that are trained by the Ministry of Health three times a year. 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 Mangas 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 Las Mangas attend Medical Brigades in the health center of Las Mangas. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 252 patients.

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

AVERAGE PATIENTS ATTENDED PER DAY: 252

NEARBY COMMUNITIES: EL CARRIZO, EL TULE, EL LLANO, MALPASO, SABANETA, ALMENDRO, OCHOA, CERRO LA MINA, MAJADITA, QUEBRADA HONDA, EL ZAPOTE

BRIGADE SITE: HEALTH CENTER

 

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Oakland University Medical December 2015 60 University of Dayton Medical January 2017 33
Indiana University Medical May 2017 31

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.

311

Patients Consultations

406

Flouride Treatments

155

Fillings Performed

9

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 Las Mangas attend Dental Brigades in the health center of Las Mangas. The average amount of patients seen per day is 35 patients, with approximately 10-15 minutes per patient.

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

AVERAGE PATIENTS ATTENDED PER DAY: 35

NEARBY COMMUNITIES: EL CARRIZO, EL TULE, EL LLANO, MALPASO, SABANETA, ALMENDRO, OCHOA, CERRO LA MINA, MAJADITA, QUEBRADA HONDA, EL ZAPOTE

BRIGADE SITE: HEALTH CENTER

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Oakland University Medical December 2015 60 University of Dayton Medical January 2017 33
Indiana University Medical May 2017 31

Water

Program Status

  • Planning
  • Active
  • Complete

Las Mangas has not been identified as a community in need of partnership with Global Brigades Water Program. Currently, Las Mangas utilizes a well (water underground with pump) system. The system was constructed in 2015, and has in-home connections to 98% of the households. There is a six member elected Water Council responsible for maintaining the system and making repairs when needed. The community as a whole supports the system’s maintenance with their monthly water fee. 

 

Water System : Yes
Type of Water System : Well (water underground with pump)
% of Homes with Access to Water : 98%
Water Council : Yes

Business

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Las Mangas 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 : None
Economic Activities : Agricultural labor
Existing Microenterprises : Agriculture cooperative

Public Health

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Las Mangas 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 : 70%
% of Homes with Showers : 50%
% of Homes with Washing Station : 0%
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.

  • Feature