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Honduras

Honduras. Kathryn Leccese R2 http://www.carolinahondurashealth.org/. http://www.honduranmissions.com/. General Health Info. Life expectancy: Men:68 Women: 73 Mortality Rate: 5/1000 IMR: 29.65/1000 live birth respiratory infection & bacterial sepsis 19.3% Diarrhoea & GI illness 6.3%

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Honduras

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  1. Honduras Kathryn Leccese R2 http://www.carolinahondurashealth.org/ http://www.honduranmissions.com/

  2. General Health Info • Life expectancy: • Men:68 • Women: 73 • Mortality Rate: 5/1000 • IMR: 29.65/1000 live birth • respiratory infection & bacterial sepsis 19.3% • Diarrhoea & GI illness 6.3% • Congenital Malformations 4.15%

  3. Common Diseases • Prone to infectious disease: population density, swiftly varying temperatures/levels of humidity • Medical attention sought: • # 1 reason Respiratory infections • # 2 Diarrhoea • Parasitic infections: malaria, dengue most prevalent. Also amoebiasis, leishmaniasis • Next most common morbidity is cancer • Women: uterine • Men: GI tract

  4. Rainy Season Approaching

  5. Health Admnistration • 9 health regions operate independently • Immunisation program: diptheria, tetanus, pertussis, hepatitis B, pneumonia and meningitis, polio, BCG, measles, rubella and parotitis • Eastern area much less populated • Less developed; no skilled medical workers (prefer ressource rich cities) • Unequeal distribution of health facilities • Polical sectarianism

  6. Limon Clinic • 3 exam rooms, a treatment room , pharmacy and laboratory. • The Lab is run by a local woman (Gloria):can run malaria smears, CBCs, urine analysis • Pharmacy run by the team • One room has a pediatric scale. One room is set up for gynecological exams. • File room organized by town/region of origin. • Must bring your own stethescope, BP cuff, opthalmoscope (and any other tricks you have)

  7. Limon Clinic • The clinic is a walk in service and patients are usually waiting by 7 in the morning. • Work from 7:45 to 12:30; then 13h to 18 - 19 untill there are no more patients. • There are 3-4 physicians working at a time and each will see 30-40 per day • Most patients will be speaking Spanish (doctors are provided with a local translator) • There is an ambulance service but is unreliable. The closest hospital is about a 2 hour drive.

  8. Pediatric Complaints seen in only 10 days… • Well care, to diabetes, dermatological problems, respiratory infections, long standing fevers, head lice, taenia, impetigo, scabies anemia, malaria, malnutrition & sequlae, amoebiasis, dengue, sepsis, leishmaniasis and asthma. • Severe dehydration secondary to GI illness • Dental issues (a dentist accompanies the team) • All patients are offered vitamins and mebendazole for worms. • There is an orphanage with 50 kids in town that is served as well.

  9. How to give a bolus

  10. Honduras Kathryn Leccese R2 http://www.carolinahondurashealth.org/ http://www.honduranmissions.com/

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