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Global Medical Brigades


... additional care group providers (Chimney Builders, House Repairers, Follow Up ... Stove and Chimney Construction ... Setting-up Chimney. GMB's Overall Goal ... – PowerPoint PPT presentation

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Title: Global Medical Brigades

(No Transcript)
Presentation Outline
  • Honduras
  • GMB 7 Day Program
  • Additional Brigade Programs
  • Clean Cooking Systems
  • Chagas Prevention Program
  • Sustainable Health Care Model

Welcome to Honduras!
  • Population 7.6 million
  • 3 ages 65 and over
  • Median Age 20 y/o
  • Infant Mortality Rate 24.61 deaths/1,000 live
  • Life expectancy 69 y/o
  • Total Fertility Rate 3.38 children born/woman
  • HIV/AIDS Adult Prevalence 1.8, 63,000 people
    infected in 2003

The Economic Situation
  • The second poorest country in Central America,
    with an extraordinary unequal distribution of
    income and massive unemployment, 28.
  • GDP-per capita 3,300
  • Labor Force by Occupation
  • Agriculture 34
  • Industry 23
  • Services 43
  • Population below Poverty Line 51

Day 1 Arrival
  • Airport Pick-Up
  • Settle into Housing Facility
  • Meet and Greet our Honduran Team
  • Group leader will meet 1-on-1 with Honduran
    Medical Brigade Coordinator
  • Medical Brigade Coordinator will go over rules
    and expectations
  • Unpack/Sort Medicines
  • Night Time Question and Answer Session with our
    Honduran Staff

Day 2 Brigade Prep
  • Breakfast as a Team
  • Presentation on GMB, SAN, and Itinerary
  • Tour of Nuevo Paraiso and/or Flor Azul
  • Medicine Packing
  • Involves packing pills into labeled bags.
  • Pharmacist or Brigade Leader will advise on what
    labels need to include

Days 35Medical Brigades
  • Early morning wake up
  • Group Breakfast
  • Medical Brigade in Rural Community 1 (Day 3) and
    Community 2 (Day 5)
  • Patients will be seen throughout the day
  • Return to home base once all patients have been
    cared for
  • Dinner
  • Flagging Medical Records Sort Medicines
  • Hand-off of patient information for follow-up for
    community 2 to MDs
  • Divide group into 3-4 additional care group
    providers (Chimney Builders, House Repairers,
    Follow Up Care Givers)

The Medical Brigade
  • Primary Health Care Clinics take place in
  • The Brigade consists of intake, triage,
    consultation, and pharmacy areas
  • Intake should be tabled closest to entrance
  • Triage goes behind intake, but far enough to not
    crowd area
  • Consultations will take place in classrooms
  • The Pharmacy will be set up in a free open space
    or room.

How a Medical Brigade Works
  • Patient gives name, age, village, gender

  • Triage BP, Allergies, Weight, Main Complaints
  • Temperature on babies and elderly
  • Sugar on diabetics and elderly
  • BP on anyone over 40

  • Consultation Doctors diagnose patients and
    prescribe appropriate prescriptions

Referrals are written in this corner.
  • Separate medicines by class
  • Assign group volunteers to fill prescriptions
  • Receive prescriptions from patients throughout
    the day and fill accordingly- keep families
  • When in doubt, go back to the medical
    professional who wrote the prescription and ask
  • Make sure all patients thoroughly understand the
    directions for the medicines they are prescribed
    via translators

Stove and Chimney Construction Day 46
  • Background info
  • Indoor air pollution, mainly from smoke emitted
    from stoves and fires using solid fuel (such as
    wood, dung and crop waste), is the fourth
    greatest risk factor for death and disease in the
    worlds poorest countries.(World Health Report,
  • In response to the large amount of our patients
    suffering from respiratory illness we are now
    attacking the problem at it source.
  • University student volunteers will work in small
    groups with community members to construct new
    clean cooking solutions/stoves in specific
  • The medical professionals will provide follow up
    consultations to our most at risk patients
    suffering from chronic diseases.

Stove and Chimney Construction
  • Construction of one stove will be done by 5
    students and several community members throughout
    the course of the day. The number of stoves the
    group builds will depend on the size of the
  • Construction includes
  • Mixing cement
  • Laying bricks
  • Laying stove top
  • Setting-up Chimney

GMBs Overall Goal
  • Create an integrated, sustainable, academic
    health care system within our 40 partner
    communities within the next 5 years.

Step 1 Medical Brigades
  • Medical Brigades will provide the foundation for
    blanket primary health care, data collection,
    education, and relationship building.
  • Key to its success is our electronic medical
    record and community data informatics system,
    follow up care, and strong commitment to our core

Step 2 Partnering with Local Health Care
  • Establish former relationships with local Centro
    de Salud health centers and health care
  • Provide local centers and professionals with much
    needed medicines and collaboration
  • In return, gain more insight into local
    pathologies and health concerns, build health
    care outreach teams, and collect epidemiological

Step 3 Filling the Gap
  • Construction of new clinics
  • Formalized relationships with the Minister and
    Department of Health
  • Formalized relationships with La Hospital Escuela
    and Medical School
  • Communication networks between our community
    health care providing centers
  • Permanent US MD in Honduras 2009 Dr.
    Fulkenberry, 2010 Dr. Mahoney

Step 4 Empowerment
  • Community health care out reach teams
  • Maternal-Fetal Health
  • TB/HIV
  • STIs
  • Medical Compliance
  • Nutrition
  • Screenings
  • Research and Data Tracking
  • Retreats and Presentations

Next step Contact a Global Medical Brigades
representative Shital Chauhan at or Don Osborne at