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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

Honduras

Kathryn Leccese R2

http://www.carolinahondurashealth.org/

http://www.honduranmissions.com/

general health info
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%
common diseases
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
health admnistration
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
limon clinic
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)
limon clinic1
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.
pediatric complaints seen in only 10 days
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.
honduras1

Honduras

Kathryn Leccese R2

http://www.carolinahondurashealth.org/

http://www.honduranmissions.com/