Dr. Luther Castillo Harry Graduado de la Escuela Latinoamericana de Medicina en Cuba

1. Dr. Luther Castillo Harry Graduado de la Escuela Latinoamericana de Medicina en Cuba Miembro de la Etnia Garifuna de Honduras Centro America wasurusian@yahoo.com 504-99247264

2. LUAGU HATUADI WADUHEÑUPOR LA SALUD DE NUESTROS PUEBLOS Luther Castillo Harry Doctor en Medicina ELAM

3. Objectives • Understand the need for more personnel able to address global health problems • Understand that global health education can enhance the ability to work in cross-cultural settings • Understand that global health education can better prepare residents to serve the communities in which they live

4. Objectives continued… • Recognize the differences in health care practices, beliefs and expectations in developing countries • Understand the challenge of practicing medicine with limited resources • Understand the importance of interacting with individuals from different cultural backgrounds

5. Historiadel pueblo GARIFUNA

6. Arribaron a Honduras un 12 de abril de 1797

7. Ciriboya

8. GARIFUNA DECLACRADO POR LA UNESCO EN 2003 PATRIMINIO DE LA HUMANIDAD

9. Preservamos nuestra herencia ancestral

10. Espíritu Ancestral

11. Retos y desafíos

13. Una Mujer con serias complicaciones de parto es transportada 14 horas en hamaca y canoa para llegar al hospital mas cercano.

14. Escuela Latinoamericana de medicina en Cuba alberga estudiantes de America Latina, Estados Unidos y África. Mas de 150 grupos étnicos de las regiones mas inhóspitas formándose bajo los principios de la medicina Solidaria y Humanitaria de Cuba para el Mundo.

16. Llevando atención medica a regiones donde nunca antes habían tenido.

17. UN MODELO ALTERNATIVO DE SALUD GRATUITO PARA LOS PACIENTES EN LOS PAISES EN VIAS DE DESARROLLO • Recurso humano. • Creación de un mecanismo para la construcción de la infraestructura. • Creación de un mecanismo de continuidad y sostenibilidad del sistema de salud.

18. UN MODELO ALTERNATIVO DE SALUD GRATUITO PARA LOS PACIENTES EN LOS PAISES EN VIAS DE DESARROLLO • Recurso Humano: • Since the Latin American Medical School (based in Cuba) was founded in 1998—after Hurricane Mitch-- over 4 ,000 medical students from 30 countries (from throughout Latin America, Africa and the Caribbean) have become doctors, and have returned to their home countries to serve their communities. • Cuba sees it as part of its international mission to dispatch doctors around the globe to the countries most in need. Approximately 30,000 are working throughout Latin America, Asia, Africa and the Middle East.

19. Alternative model for health care delivery in developing countries that is free to patients • Trainees return to their native communities to finish their medical education with the assistance of Cuban faculty. • Trainees are expected to train local midwives, ancillary nurses and volunteers • International collaborations with specialty training programs promise to enhance physician education and enhance global patient care

20. Developing Infrastructure • In spite of lack of government health care infrastructure, raise funds to build comprehensive health care clinics. • Develop sophisticated community volunteer structures to assist with all aspects of facility construction.

21. Build continuity and sustainability into the health care delivery system • Build alliances between key sectors of the community (e.g. faith groups, womens’ groups, students, workers, etc) • Expand social networks among those with similar health care delivery models (international research institutions, international medical volunteer structures, health care NGO’s, social movements, etc) • Develop a system of preventive health care and patient education focusing on the culture of patient base

22. In her 6th hour of traveling to a town to find a doctor, with seven children in tow, Dr. Harry encounters this woman and examines her sick infant

23. Solutions • Educating and Recruiting Physicians and health care providers • Establishing sustainable international collaborative relationships. • Building hospitals and heath care facilities.

24. Getting the community involved…

25. Setting up a camp at the future site of the hospital, and treating our first patients to give the community a glimpse of the future

26. Building hope…

27. The participation of Garifuna women is essential to the success of the project…

28. No one person can do more than what we can do together

30. Health care is being delivered even though the building is not yet complete

31. A Dream Realized

35. The Future holds…

37. Educating the community is fundamental

39. Algunos Logros • Crear el primer hospitalGarifuna en doscientos once años de presencia en Honduras. • En 1847 se funda la universidadnacionalautónoma de Honduras y no es hasta 115 años de su fundación se gradua de ella el primer mediconegro de Honduras Dr Alfonsolacayo Sanchez hoy a losochoaños de fundación de la ELAM en Cuba tenemos mas Negros estudiando medicina en Cuba que en mas de un siglo y medio de la existencia de la UNAH en Honduras.

40. Continuacion… • Once puestos de salud habilitados con medicos Garifunas permanentes en el universo del Hospital. • Brigadas internacionalistas con médicos egresados de la ELAM. • Inicio de un verdadero programa de desarrollo rural integral. • Brindar en un año mas de 80,000 consultas medicas gratuitas con su respectivo medicamento gratuito

41. Infant mortality in Honduras : 30. 8 per 1000 Births (2006) • Infant mortality in the area where the Cuban trained doctors are present in Honduras: 10. 1 per 1000 Births • Maternal mortality in Honduras : 48.1 per 10,000 Births • Maternal mortality in the area of Honduras where Cuban trained doctors are present: 22. 4 per 10,000 Births

42. Introducing new alternatives with sustainable technology

43. Program to improve water quality

44. Control and prevention of hypertension

45. Diabetes program

46. LosInvitamos a incorporarse a este indetenible proceso, que este es solo el inicio, la historia NO perdonara a los simples espectadores.

47. Using traditions and culture for better health education

48. This is the story of a people fighting for a better future

49. “My dream is that no child die of a preventable disease”