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Nursing Study Abroad in Honduras A Collaborative Community Health Project Melissa Wafer, RN, MSN Southeastern Louisiana University School of Nursing [email protected] © 2000 Southeastern Louisiana University Southeastern Louisiana University Mission • Strategic Priority: To address change in a new community of learners through effective instruction and relevant curricula • Global perspectives are broadened through programs which offer the opportunity to work and study abroad. • Service-Learning © 2000 Southeastern Louisiana University 2004: Nursing Study Abroad © 2000 Southeastern Louisiana University Student Activities • Observational experiences in public and private medical facilities • Medical brigade work – Guiamaca – El Cruce • Talanga Community Health unit – Immunization program • El Hogar Orphanage © 2000 Southeastern Louisiana University Sustainability © 2000 Southeastern Louisiana University Effective humanitarian efforts which provides for the needs of a population without damaging the ability of future generations to provide for themselves Sustainability © 2000 Southeastern Louisiana University Community Health Nursing vs Short-term Medical Mission • Short term health care project in local community • Address health care of at risk population • Public health focus • Ongoing evaluation • Short term humanitarian health care project in 3rd world areas • Address health care of at risk population • Usually faith based • 1-2 weeks © 2000 Southeastern Louisiana University Short-term Sustainability Medical Mission Community Health nursing © 2000 Southeastern Louisiana University Desarrollo Comunitario Interinstitucional Universidad Nacional Autónoma de Honduras © 2000 Southeastern Louisiana University Cross-Cultural Nursing Project • Medical mission brigades in Guaimaca and Talanga • Community Health Promotion (education) © 2000 Southeastern Louisiana University Population @ Risk Department Talanga Guiamaca Population 26,756 20,749 Undernourished 33% 36% Below Poverty 57% 75% Illiterate 28% 30% % s running H2O 44% 43% % s Basic Sanitation 40% 34% Secretaria de Estado del Despacho Presidencial 2002 © 2000 Southeastern Louisiana University Community Health Project Methods • • • • • • Short term Medical Brigade format Triage --- Health Screening Physician visit Pharmacy Health Education Center Home visits/family assessments © 2000 Southeastern Louisiana University Educational Methods • Student pairs • Work groups • Formative evaluation each night © 2000 Southeastern Louisiana University 2007 program evaluation Demographics Variables of Honduran Clients 350 300 250 200 150 100 50 0 Males Females Adults Pediatric © 2000 Southeastern Louisiana University 2007 Program Evaluation Diagnoses of Honduran Clients Respiratory 9% 4% 19% Pain 3% gastro dermatitis 13% 14% UTI/vaginitis Chronic Dxs 38% other © 2000 Southeastern Louisiana University 2007 Program Evaluation: Health Education • Basic Hygiene • Dental Hygiene • Clean Water (water born illness) • Childhood Illness (fever, cough, cold) • Women’s Health © 2000 Southeastern Louisiana University 2008 program goals © 2000 Southeastern Louisiana University www.selu.edu/honduras [email protected] • Alkire, S. & E. Newell ( 2005). What can one person do? www.churchpublishin.org • Cáceres, M.Creating an Unconventional Movment & Working Towards a Positive Future accessed @ projecthonduras.com • Crigger, N. & Holcomb, L. (2000). Beyond Band-aids: Empowering a honduran community. Journal of Christian Nursing, 17 (1), 30-35. • Gibboney, R. (2000). Service-learning: Lessons for and from nursing. In, A.B. McBride (Ed.), Nursing & Philantrophy: An Energizing Metaphor for the 21st Century (pp. 43-64). Indianapolis, IN: Sigma Theta Tau International Honor Society of Nursing. • Keller, L.O., Strohschein, S., Lia-Hoagberg, B., & Schaffer, M. A. (2004). Population-based public health interventions. Public Health Nursing, 21 (5), 453-468. • Oken, E., Stoffel, E. & Stern, L. (2004). Use of volunteer medical brigades to assess growth in Honduras. Journal of Tropical Pediatrics, 50 (4), 203-208. • Secretaria de Estado del Despacho Presidencial. (2002). Informacion por departamento y municipio: anexo 4. Retrieved September 20, 2005, from http://www.projecthonduras.com/maps/statistics.pdf • Servan-Scheiber. (2000). For what purpose. JAMA, 283 (1), 18-19. • United Nations. (2005). Health in the millennium development goals. Retrieved September 20, 2005, from http://www.un.org/millenniumgoals/ © 2000 Southeastern Louisiana University