Mano a Mano Health Program Update – Second Quarter 2014

Mano a Mano Health Program Update – Second Quarter 2014

Below is an update on our health programs, that are run by Mano a Mano’s counterpart organization Mano a Mano Bolivia, for the second quarter of 2014.

CLICK HERE for the first quarter 2014 health program update.

Doctor visit to a Mano a Mano clinic.

Doctor visit to a Mano a Mano clinic.

Delivered 646 Babies

Infant and maternal health is one of the primary services in our clinics. In the second quarter of 2014 our network of clinics delivered 646 babies, with 4 infant deaths. Bolivia has the second-worst infant mortality rate in the Western Hemisphere, trailing only Haiti, and the rural infant mortality – where Mano a Mano’s clinics are built – are much higher than the national average (up to 8% in rural areas).

Infant mortality can be dramatically decreased with some basic interventions:

  • Frequent prenatal exams (assisted by the Bolivian government-funded Juana Azurduy program which provides stipends for expecting mothers to attend prenatal exams and give birth in a hospital)
  • Having births attended by trained healthcare personnel, who have the supplies and equipment they need
  • Ongoing exams after birth
  • Being able to quickly communicate with larger hospitals in case of emergencies

Mano a Mano staff are also well-connected in the community and travel frequently to peoples’ homes – 230 of the 646 deliveries, or 36%, were in-home deliveries attended by Mano a Mano staff.

For comparison, over the same number of births that Mano a Mano delivered in the second quarter of 2014 and had 4 infant deaths, up to 52 babies could be expected to die according to the average in rural Bolivia.

245,586 Total Patient Visits in Second Quarter 2014

Mano a Mano’s clinics focus on primary care; the vast majority of these visits were for basic needs:

  • 81,570 visits were for what we categorize as lab services – pap smears, wound care, IV hydration, providing iron supplements and Vitamin A injections, among others.
  • 18,731 visits were for vaccinations – tetanus, yellow fever, measles, polio, etc. Because Mano a Mano clinics are designated as the official health center for their catchment area, we receive vaccinations, medications, and other supplies from the Bolivian Ministry of Health as part of their national healthcare outreach programs.
  • 48,183 visits were for dental care – exams (29,471) , treatment (7,114), fluoride applications (9,271), and extractions (2,327 extractions). Dental care is a huge need in rural Bolivia, which is why of the 474 medical professionals working in our clinics, 77 are dentists (in a typical clinic, staff will include a doctor, nurse, and part-time dentist, but this varies by the size of the community and their needs).
Volunteer medical professionals from Mano a Mano Bolivia providing a weekend health clinic in department of Beni, August 2014.

Volunteer medical professionals from Mano a Mano Bolivia providing a weekend health clinic the in department of Beni, August 2014.

474 Medical Professionals Staffing our Clinics – All Salaries Paid by Sources in Bolivia

Mano a Mano has 474 medical professionals on staff. All of our clinic staff are Bolivian and are living on-site in our clinics and hospitals, which includes 165 doctors, 232 nurses, and 77 dentists. Every staff salary is paid for by someone other than Mano a Mano. The Bolivian Health Ministry (81% of staff salaries), local Bolivian municipal governments (11%), and a handful of local companies and organizations (8%) pay for all of our staff salaries as a continual line item in their annual budgets.

In this way our projects are able to continue to operate even though they receive no direct ongoing funding from Mano a Mano (they are still supported through continuing education, distribution of medical supplies and equipment, and direct connection with our Cochabamba office for difficult cases).

Report Notes

The clinic information is from the second quarter report on clinic activity sent to us by our counterpart organization Mano a Mano Bolivia, which includes the months of April, May, and June. This report includes 143 of our clinics reporting; clinics that have been newly constructed take a quarter or 2 to be included (to date we have completed 149 clinics). There is usually about a 3-month lag before reports are completed for the previous quarter.

One of Mano a Mano's newest clinics in Kollpa Pampa, Bolivia -dedicated June 23, 2014.

One of Mano a Mano’s newest clinics in Kollpa Pampa, Bolivia – dedicated June 23, 2014.

Camping Under the Mano a Mano Plane

Camping Under the Mano a Mano Plane

Mano a Mano Aviation pilot Ivo Daniel Martinez camping overnight in Mapiri, under the plane as he waits for his passengers the next day. Because we work in extremely rural areas, there is often no where else to stay, and we also like to stay close to our equipment and planes overnight.

Just one small example of the conditions our staff work under on a daily basis.

Mano a Mano pilot Ivo Daniel Martinez camping under the plane.

Mano a Mano pilot Ivo Daniel Martinez camping under the plane.

Mano a Mano Aviation Program

Here are a few recent updates about our aviation program:

Biosand Water Filter Pilot Project

Biosand Water Filter Pilot Project

Mano a Mano Volunteer Receiving 3M Gives Volunteer Award

Mano a Mano Volunteer Receiving 3M Gives Volunteer Award

Flying in San Benito, Bolivia

Flying in San Benito, Bolivia