Current DonorsNuestros Pequenos Hermanos (NPH) is a non-profit, Catholic organization supporting orphaned and abandoned children in nine countries throughout Latin America. I am currently working as a clinic assistant in Rancho Santa Fe, the Honduras branch of NPH.
My primary responsibility on the NPH Ranch has been to manage the construction and operation of a brand new surgery center. Begun in 2004, the center is the vision of Dr. Peter Daly, an orthopedic surgeon from the U.S., and longtime NPH director Reinhart Koehler, whose goals are to provide a vehicle for bettering the health and medical care of underserved populations in this area through improved access to surgical services, which are in desperate need. My job is to communicate with project leadership to organize and execute construction tasks, as well as facilitate activities at the surgery center in construction, maintenance, and medical service provision. The center is nearly finished, having recently installed anesthesia gases and suction piping, and we are currently planning final modifications to prepare the facility for licensure and certification by the Honduran Ministry of Health. Our leadership is also looking at long-term business and operational plans, which must cover the building's expenses and upkeep while allowing access for poor and underserved Hondurans at prices they can afford. The center hopes to partner the expertise of U.S. and European medical brigades with Honduran care providers to exchange medical knowledge and elevate the country's level of care while providing high-quality, affordable surgical services. Primary care for surgery center patients, including triage and follow-up, will occur at NPH's external clinic, which is staffed by volunteer and Honduran medical staff and serves roughly 40 patients daily. Currently, the surgery center is being used once per week by a Honduran surgeon for small surgical procedures (e.g. removal of cysts, in-grown toenails, and benign tumors), and these patients are triaged at our clinic. They pay a symbolic nominal fee.
A second project of mine was to provide all needy children on the ranch with glasses. This project was begun last January by a volunteer ophthalmologist who examined almost all the children, fitted those in need with a supply of frames, and negotiated with the public hospital optometrist to make the lenses. Upon her departure in August, I finished her work by bringing the remaining children she did not examine to Tegucigalpa for eye exams, helping those who need glasses choose their frames, and taking prescriptions and frames to the optometrist. We just received our final group of glasses from the optometrist, so now the vast majority of children who need glasses, excepting those new to the ranch, have received them. Future work in this area would include keeping up to date with new arrivals, changing prescriptions, and repairing frames, and as we must pay for these services in Tegucigalpa this likely will be continued by other clinic staff.
My other duties include helping the Honduran surgeon provide medical services at the surgery center. I call the patients to come for surgery, act as an assistant during the procedures, and clean up afterwards. For one weekend, I also helped the NPH International medical team to check on water filters brought to rural Olancho by a Virginian medical brigade, and I will likely help the brigade again when they return in the spring. Future ideas include making a public health presentation about diet, exercise, and common illnesses to children in our school during their science classes when they begin next February, and possibly working with our IT volunteer to try to implement in the clinic some rudimentary form of an electronic medical records database.
Follow my blog:
