HondurasHonduras

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%– Congenital Malformations 4.15%

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

• 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

• 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 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…

• 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.

HondurasHondurasKathryn Leccese R2

http://www.carolinahondurashealth.org/

http://www.honduranmissions.com/