San Jose de Pire

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

Overview

Profesora Sophia (left) and Profesora Jhonis (right). Two teachers at the community school.

San Jose de Pire is located in the mountainous region of central Nicaragua in the department of Esteli. A typical house is made of mud brick. The community has access to a local health center within the community and both a multigrade primary school and secondary school. 65 students attend the primary school with 4 teachers and 4 classrooms. The primary school goes up to grade six. From there, children have the option to attend secondary school, until grade 12. 150 students attend the secondary school with 4 teachers and 3 classrooms. Most people in the community work in agricultural, as day laborers, or cattle farmers.

Global Brigades is currently working with the Medical Program in San Jose de Pire and has been since the first Medical Brigade in June 2015. 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 a shortage of medications. San Jose de Pire is on the waitlist for continuing Holistic Model implementation as part of Global Brigades’ strategic plan in Nicaragua.

Municipality: Condega

Department: Esteli

Homes : 96
Population : 580
Water System : Yes
Community Bank : No
Electricity : Yes
Health Center : Yes
Community Health Workers : Yes
% of Homes with Latrines : 96%
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.  

San Jose de Pire 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. In San Jose de Pire, a doctor is available Monday and Friday 8am-4pm and Wednesday 8am-12pm. On Tuesdays and Thursdays,

this doctor is traveling to serve patients in other communities. 

During their initial communications with Global Brigades, the top three illnesses in children that San Jose de Pire expressed are respiratory infections, dengue, and epilepsy. For adults, common illnesses are chronic diseases such as hypertension, respiratory infections, 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.

Dra. Mariel H., Doctor in San Jose de Pire community health center

216

Volunteers

5175

Patient Consultations

232

Pap Smears Performed

76

Health Education Workshops

COMMUNITY HEALTH WORKER:

San Jose de Pire has 7 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 San Jose de Pire 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 San Jose de Pire attend Medical Brigades in the health center of San Jose de Pire. This location has rooms for triage, consultation, dentistry and pharmacy stations. The average amount of patients seen per day is 350 patients.

San Jose de Pire 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. San Jose de Pire’s community volunteers are essential the efficiency and effectiveness of Medical Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 350

NEARBY COMMUNITIES: LABRANZA, PENAZCO, HONDURA SUR, LA NARANJITA, EL RODEO

BRIGADE SITE: HEALTH CENTER

 

MEDICAL & DENTAL VOLUNTEERS IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Oregon State University Medical Brigade June 2015 31 West Virgina University Medical Brigade March 2016 48
Western Kentucky University Medical Brigade August 2016 30 Michigan State University Medical Brigade March 2017 45
Mayo Clinic Medical Brigade July 2017 31 Marquette University Medical Brigade January 2018 30

Dental

Program Status

  • Planning
  • Active
  • Complete
Marquette University student assists in dentistry, PC: Jesse Lee

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.

796

Patient Consultations

903

Flouride Treatments

491

Fillings Performed

28

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 San Jose de Pire attend Dental Brigades in the health center of San Jose de Pire. The average amount of patients seen per day is 41 patients, with approximately 10-15 minutes per patient.

San Jose de Pire 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. San Jose de Pire’s community volunteers are essential the efficiency and effectiveness of Dental Brigades.

AVERAGE PATIENTS ATTENDED PER DAY: 41

NEARBY COMMUNITIES: LABRANZA, PENAZCO, HONDURA SUR, LA NARANJITA, EL RODEO

BRIGADE SITE: HEALTH CENTER

MEDICAL & DENTAL VOLUNTEERS IN THE COMMUNITY:

Chapter Date # Of Volunteers Chapter Date # Of Volunteers
Oregon State University Medical Brigade June 2015 31 West Virgina University Medical Brigade March 2016 48
Western Kentucky University Medical Brigade August 2016 30 Michigan State University Medical Brigade March 2017 45
Mayo Clinic Medical Brigade July 2017 31 Marquette University Medical Brigade January 2018 30

Water

Program Status

  • Planning
  • Active
  • Complete
Paula M., a community member from San Jose de Pire, using a manual public well

San Jose de Pire has, in total, has 5 non-potable manual public wells. 4 of these wells were constructed by the government in 1990. In September 2017 World Vision partnered with the community of San Jose de Pire to build the fifth manual well. The partnership also included constructing 92 latrines and doing repairs on the other 4 public wells.

Upon Global Brigades completing a Water Assessment with San Jose de Pire, it was noted that some problems with water still exist. One problem is that there is rarely sufficient amount of water to serve every home, especially in dry season. Secondly, while these manual public wells increase water accessibility, the water that comes out is still not suitable for drinking. The only source of potable water is a pipeline from a neighboring community. San Jose de Pire receives the remainder of this water source, which is only enough for approximately 30 families.

At the community school, kids bring their own bottles of water, but also collect water at school. The Nearest well is 80m away. It takes 15 and 3 kids at a time to collect the water. This is needed 2x a week.

Global Brigades is working on the implementation of the Holistic Model in San Jose de Pire 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 Pump
% 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 San Jose de Pire 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 : Agriculture, day labor, and cattle raising
Existing Microenterprises : No

Public Health

Program Status

  • Planning
  • Active
  • Complete
World Vision latrine project 2017

In September 2017, World Vision formed a partnership with the community of San Jose de Pire to build 92 latrines in their community.

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

 

% of Homes with Latrines : 96%
% of Homes with Showers : 0%
% of Homes with Washing Station : 0%
Common House Materials : Mud brick

Local Reference Points

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

  • Feature