Paso Hondo

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

Overview

Paso Hondo is located in the mountainous region of central Nicaragua in the department of Estelí. A typical house is made of mud brick or cement block. The community has access to a health center within the community, as well as a multigrade primary school. 58 students attend the primary school with six teachers and three classrooms. The primary school goes up to grade 6, and there is no secondary school located in Paso Hondo. Most people in the community work as agricultural laborers.

Global Brigades is currently working with Medical Program in Paso Hondo and has been since the first Medical Brigade in August 2016. In their communication with Global Brigades, the top needs expressed were limited access to potable water, and repairs needed on the roads. Paso Hondo is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: Pueblo Nuevo

Department: Estelí

Homes : 89
Population : 486
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 100%
Education : Up to 6th Grade
Distance from Lodging Facility : 1.5 hr

Medical

Program Status

  • Planning
  • Active
  • Complete
Mural on Paso Hondo 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.  

Paso Hondo 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 Paso Hondo expressed were respiratory infections and poor nutrition. For adults, common illnesses are chronic diseases, urinary tract infections, and osteoporosis. 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.

116

Brigade Volunteers

4119

Patient Consultations

129

Pap Smears Performed

181

Health Education Workshops

COMMUNITY HEALTH WORKER:

Paso Hondo has four 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 Paso Hondo 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 Paso Hondo attend Medical Brigades in the community health center of Paso Hondo. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 343 patients.

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

AVERAGE PATIENTS ATTENDED PER DAY: 343

NEARBY COMMUNITIES: LOS CEDROS, EL CHORRO, SABANA GRANDE, EL HORNO, EL ROSARIO, LA CALERA, CERRO GRANDE

BRIGADE SITE: COMMUNITY HEALTH CENTER

 

MEDICAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Texas A&M August 2016 31 University of Southern California January 2017 42
University of Colorado- Boulder May 2017 32 University of Dayton January 2018 33

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.

466

Patients Consultations

174

Flouride Treatments

257

Fillings Performed

55

Dental Education Workshops

University of Southern California volunteer applies fluoride treatment in dental charla

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 Paso Hondo attend Dental Brigades in the community health center of Paso Hondo. The average amount of patients seen per day is 38 patients, with approximately 10-15 minutes per patient.

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

AVERAGE PATIENTS ATTENDED PER DAY: 38

NEARBY COMMUNITIES: LOS CEDROS, EL CHORRO, SABANA GRANDE, EL HORNO, EL ROSARIO, LA CALERA, CERRO GRANDE

BRIGADE SITE: COMMUNITY HEALTH CENTER

DENTAL BRIGADES IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Texas A&M August 2016 31 University of Southern California January 2017 42
University of Colorado- Boulder May 2017 32 University of Dayton January 2018 33

Water

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Paso Hondo 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 : Manual public well
% of Homes with Access to Water : 80%
Water Council : Yes

Business

Program Status

  • Planning
  • Active
  • Complete

Global Brigades is working on the implementation of the Holistic Model in Paso Hondo 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 Paso Hondo 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 : 100%
% of Homes with Showers : 1%
% of Homes with Washing Station : 10%
Common House Materials : Mud brick & cement block

Local Reference Points

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

  • Feature