|Molly with one of Timotea's many grandchildren. |
Timotea is the health promoter in San Onofre,
which is one of the strongest AMOS programs
One manner in which many communities operate with AMOS is via a health promoter. This person has been chosen by the community to facilitate the healthcare for the people living there. The health promoter has resources from AMOS - including manuals on symptoms, diagnosis and management of common problems - like anemia, respiratory disease, and diarrhea - because these leaders have no medical background. Our project is going to focus on an assessment of antibiotic usage in several communities. Like in the States, many health promoters over-prescribe amoxicillin (the only antibiotic they have) and we plan to compare the rates of antibiotic usage in the various communities around Nicaragua. This is such a limited resource, it is important from a cost perspective as well as a health/resistance perspective to better train the promoters concerning the use of antibiotics.
|Fatima's house (and the AMOS clinic)|
That afternoon, we hosted the health committee meeting at Fatima's home, and about 10 women from her community came as members. They went over some data - the rates of flu, pneumonia, and diarrhea over the past year - and they also discussed fundraising for more water filters and emergencies (an ambulance is expensive and not many can afford it). Dr. Carlos concluded the meeting by gathering ideas of topics the committee wanted to learn more about on future visits from AMOS, things like anemia and breastfeeding.
|Dr. Carlos teaching the kids how to brush properly|
He continued with asking the mother questions about her daughter's illness. He listened to her lungs (we did too), and he then went over her symptoms with us as he determined her diagnosis. We walked him through the protocol and helped him understand that her diagnosis would be pneumonia. We talked about why her case could be treated at home, but other children who were sicker should go to the hospital.