GHOT Trip Descriptions 2014

Jessica Gonzalez University of Florida College of Pharmacy

Trip Descriptions

2014

The Global Health Outreach Trips of the College of Pharmacy seek to accomplish 3 missions:

• To provide pharmaceutical care to communities in resource-limited settings

• To bring value to an interdisciplinary team through our expertise in drug formulary, medication supply logistics and storage, provide medication recommendations to prescribers based on patient-centered care, and to council patients to get the best medication utilization outcome.

• To allow students the opportunity to gain a rich experience in cultural diversity that will shape their pharmacy practice and careers

How we accomplish this mission:

• Providing student-led/Faculty Supervised Health Outreach Trips to resource-limited/culturally unique settings.

• Experiencing a “service-learning” component and preceptors delivering the “teachable moments”.

• Mobilizing a great number of pharmacy students while bringing maximal value to the interdisciplinary team and considering the burden of volunteers on our in-country host.

InternationalPharmaceuticalStudents’ federationPan-American Regional O!ce

GHOT 2014 Tr ip Descr ipt ions

• Ayuda Nicaragua

o Matagalpa, Nicaragua

• DR HELP

o Jarabacoa, Dominican Republic

• DR SALUD

o San Francisco de Macoris, Dominican Republic

• Hait i Lake Azuei

o Lake Azuei, Port Au Prince

• Project Audiology

o State of Campeche, Mexico

• Project Hait i

o Fonds Parisien, Haiti

• Project HEAL

o Ecuador, Andes, Amazon

• Project Thai land

o Chiang Rai and Bangkok, Thailand

• Project Yucatan

o Merida, Yucatan Peninsula, Mexico

GHOT Name Ayuda Nicaragua

Locations vis ited Matagalpa, Nicaragua and surrounding rural areas

Pat ient Outreach 500-600

Estimated Out-of-Pocket Expense

$1,400

Estimated Reimbursement

Depends on Fundraising

Medical Considerat ion to attend

It is the dry season so malaria prophylaxis was not required.

Hep A vaccine was recommended.

# of Pharmacy students

13

Other health professionals

Physicians

Tr ip Descr ipt ion: Every day was spent at a different clinic site in the rural mountain villages. Set up clinic in schools/ churches in rural villages. Each clinic day was divided into stations, triage, doctor, central pharmacy and counseling pharmacy. We had triage to check patients in and obtain vital signs and chief complaint. There were 3 doctors stations where students assisted doctors with patient work up, diagnosis and treatment recommendation. There were 4 counseling stations where students worked with pharmacist to determine appropriateness of treatment, availability of medications and counseling patients on treatment. Central pharmacy was where students filled prescriptions and compounded. Clinic days usually lasted until 5 pm. We have stayed at Hotel San Tomas, which is located on top of a mountain that looks over the city of Matagalpa. The lobby area has Wi-Fi access. The hotel is located in a safe neighborhood and morning exercise is possible around the area or in the basketball court. Recreat ion: We spent some time in the city visiting a market, coffee place, pizza place, a pottery store, a volcano, downtown Matagalpa and went to church, The last Saturday we go zip lining.

GHOT Name DR HELP Locations vis ited Jarabacoa, Dominican Republic

Pat ient Outreach 1441 Est imated Out-of-Pocket Expense $500


$100


HepA, HepB, and Tetanus. Malaria prophylaxis was

considered at the individual student’s discretion.

# of Pharmacy students 4

Other Health Professionals

Medical Students and Physicians

Tr ip Descr ipt ion:

DR Help partners with a local doctor who identifies sites around the city of Jarabacoa to set up clinics. The travel time to the site ranges from 15 minutes to about one hour. From Sunday through Thursday, the DR Help team splits into an “urban” group and a “rural” group (both sites are rural). The population at these sites is largely of a low socioeconomic class. On one of the days there is a night clinic in addition to the morning clinic and on Thursday, a half-day of clinic, the group packs up to leave the monastery for a resort. Each day the team loaded the truck and left the monastery around 7:30 AM and arrived at the site to set up. The sites ranged from a person’s home to a school to a church. Upon arrival, pharmacy students find an appropriate (typically shaded, blocked-off) location to set up the medications while waiting for the first patient to arrive. The medical students conducted patient histories and physical exams and then presented to the attending for assessment, plan, and medications. They wrote this on a form which was brought to the pharmacy, which dispensed the medications with appropriate counseling.

While in the Dominican Republic, we stayed at El Centro Pinar Quemado monastery in Jarabacoa. Each room had two beds, ceiling fans, outlets, a shower that was mostly cold and occasionally hot, a flushing toilet, and a sink. Wifi was available in the central area. Breakfast and dinner were provided at the monastery and lunch was brought out from the monastery to the clinic sites. Most places in the DR accept US dollars. Recreat ion: In Jarabacoa, the group went out to dinner one night, went dancing at a discoteca, and the last two days were spent at an all-inclusive resort near the capital. There were activities available at the resort, including, scuba diving, horseback riding, and kayaking. After clinic students would walk to nearby roadside shops and purchase refreshments. After returning to the monastery, some students organized Frisbee and soccer games; some went for runs through the area outside the monastery or explored the surrounding area. On a couple of afternoons, groups went out to the local market to purchase food and souvenirs and experience the local cuisine.

GHOT Name DR SALUD

Locations vis ited 5 different clinic sites around San Francisco de Macoris,

Dominican Republic

Pat ient Outreach 1500


$500




Hep A and Malaria prophylaxis was considered at the

individual student’s discretion.



Medical Students and Physicians


This is a busy interdisciplinary trip with completely different clinic sites each day. We saw on average 300 patients per day depending on the location and time frame. During the day, we had the opportunity to work the physicians and the medical student, and we counseled all the patients that received medication.

We would wake up at around 7, have Authentic Dominican breakfast and be on our way to clinic by 8. Most of our clinic took place at a school. We would set up the pharmacy in one of the central classroom and fill prescriptions according to the soap notes the medical students/physicians would fill out and give to the patients. At Clinic until 4-5 pm most days with lunch prepared by locals at 1 pm and then back to hotel for showers. For some evenings we were free to explore with some other evenings set as an learning or social activities. Most evenings the pharmacy students had some prep work to sort meds for next day. We spent the week at the same hotel and travel each day to a different clinic site. There is also dinner at the hotel. Recreat ion: We had a short clinic day Thurs and traveled to an all-inclusive beach resort to stay thurs and Fri night. We left for home Sat morning. At the resort we were able to relax on the beach or by the pool, enjoy a nice dinner and dance in the evening. We met as a group for dinner, but basically had free time on our own during the day.

GHOT Name Haiti – Lake Azuei

Locations vis ited Various Lake Azuei regions (Lylette, Fonds Baynar, Belizare,

and a Fish Hatchery)



$850




Malaria Prophylaxis & recommended basic shots (HepA, B, MMR, DPT, Polio).


Other Health Professionals Physicians

Tr ip Descr ipt ion: Our in-country partner is Caribbean Harvest Foundation which has been for 7 years involved in a fish-farming operation to help build self-sustainability in the families of the villages. 5 days of clinic in 3 different Lake Azuei villages. We departed the hotel around 8-9am and returned around 7pm each day. All clinics were in rural area about 1-2 hours outside of Port-Au-Prince. We made patient assessment, gave primary care, and established medical records for use in subsequent visits. The native language is Creole, although French speakers can do quite well. Translators will be provided. We stayed in hotel on the east side of Port-au-Prince area which had food prepared on site and wifi.

Recreat ion: The first day there we took a tour of the Caribbean Harvest fish farm. On the last clinic day we ate at a nice local restaurant. On the last day, some of our team went to a local beach resort, while a few of us chose to do an extra clinic day at a near-by "tent city."

GHOT Name Audiology

Locations vis ited Ciudad del Carmen, Mexico and other smaller villages around

the State of Campeche

Patient Outreach 1510


$495




Hepatitis A and Typhoid



Audiology students and Physicians

Tr ip Descr ipt ion: In 2012, we implemented a diabetes program where we screened for high glucose levels and helped patients set up appropriate follow-up with local physicians. The clinic we worked at was a state-of-the-art children’s hearing and speech rehabilitation center. There were doctors and nurses available on-site if there were any doubts or questions. Every morning we would go set up the clinic. Some of us went on distance sites that required a bus to take us there. Clinic days usually went from 8 am to 5 or 6 pm. During clinic, we not only have blood pressure and diabetes screenings, we also counseled patients on any problems that they were experiencing. Recreat ion: The last day after clinics we had a party with AYPRODA and DIF. Every day after clinic you are free to site-see around the city, eat dinner, etc.

GHOT Name Project Haiti

Locations vis ited Fonds Parisien, Mirgrette, Croix des Buquets, Fonds Cheval,

Port au Prince



$600




Malaria Prophylaxis, HepA, HepB, and Tetanus



Medical students and Physicians


The first day of the trip, Saturday, we spend getting settled in, learning about the area, and pre-packaging medications. From Sunday through Thursday, we set up clinics in different rural villages from 8am-4pm. The Haitian Mission Christian (HCM) group, whom we stayed with, has a medical site on the compound with surgery rooms, patient rooms, and its own pharmacy, which we were permitted to use when we stayed on the site. The medical students triage and prescribe, while the pharmacy students dispense and counsel. We were provided about 6 translators, but having students who spoke the native language was much more beneficial. On occasion, we split the group where some remain on the compound while others go treat patients in villages, orphanages, schools, etc. Friday is our off day, and what we do is up to the group but usually it involves some sort of resort. The following Saturday we head home. Expect each day to do inventory, packing, re-packing, team meetings, and re-sorting.

While in Fonds Parisien, we stayed at the Haitian Christian Mission compound. The compound’s personal cooks provided all meals to us. Also, we were supplied plenty of bottled water to drink in addition to sodas and other cold beverages. There was wifi internet access. Recreat ion: On the second to last day, we buy paintings used in our fundraising auction for the following year and we go to the Kaliko Beach resort where we enjoy each other's company and dine together for the last night.

GHOT Name Project HEAL

Locations vis ited Guangaje, La Victoria, Shell, Nono

Patient Outreach ~900


$500 and CDC Vaccines

Est imated Reimbursement



HepB , Tetanus, and Yellow-Fever vaccine. Additional

vaccines recommended include Typhoid and HepA. Malaria

prophylaxis is recommended for tropical areas.



Medical students, Nursing students, Dentist, and

Physicians Tr ip Descr ipt ion:

There are around 5 clinic days, and the communities served are VERY-Rural! Travel to clinic start out early (7 AM) and finish around 5 pm (occasionally later). There are different cities visited every year. In 2013, we visited Guangaje, La Victoria, Shell, and Nono. Students usually pair up with another student so that at least 1 can speak Spanish. Pharmacy has its own room to set up medications for dispensing, and every patient is counseled on medication use/administration, side-effects, duration of therapy, etc.

We mostly stay in hostels, may sometimes stay in houses from the local's in the village at the clinic sites. Recreat ion:

There is usually 1 day set aside for ecotourism, with activities depending on the cities visited (River, Equator, Volcano, etc.). There is also some downtime in Quito which is very limited! Students must be aware that this trip has the least recreation, there is a lot of traveling after clinic days, and we see around 1000 patients that week.

GHOT Name Project Thailand

Locations vis ited Chiang Rai, Thailand (clinic days) and Bangkok, Thailand

(free days) Pat ient Outreach ~250 Children, 100 Adults Est imated Out-of-Pocket Expense

$1500


$800


Malaria prophylaxis, HepA, HepB, and Tetanus




Tr ip Descr ipt ion: Project Thailand works with the Children’s Rescue Mission in Chiang Rai. Clinics are set up daily to provide assessment and primary care to the hundreds of children that living at the mission. Pharmacy students will help set up and organize the pharmacy area in the rescue mission, administering vaccinations, and dispensing medications for the children during the 3-4 clinic days. There is opportunity to counsel hundreds of patients on their pharmacy interventions and educated staff members of the orphanage so that our efforts will continue to help them even after we left. The students were able to work closely with the assistant director for the orphanage that serves as the caregiver for the children. There is also an experience of interacting at a Thai pharmacy and speaking with the pharmacist about her day-to-day activities. It is a very safe area that is supported by the Thai government. The students stayed at the care center site.

Recreat ion: We are able to explore the city, both Chiang Rai and Bangkok. Usually groups of students will go to markets, the shopping malls, get Thai massages, and sight-seeing Temples along with local pharmacies. There are taxis, boats, and sky-trains to take you around the city. At night – there are several nice clubs and sky bars that we go to. There’s a small shop that you can buy sodas, candy, ice creams.

GHOT Name Project Yucatan

Locations vis ited Merida, Mexico



$550


$100


Hepatitis A and typhoid vaccination




Tr ip Descr ipt ion: Project Yucatan primarily works with the underserved Mayan population in Mexico. A typical day was to leave the hotel around 7 to go to clinic. We visited a different city each day. It would take anywhere from 1-2 hours to get to clinic. The pharmacy team sets up the pharmacy while the medical team sets up the triage area. Each patient is triaged by the medical students, then sent to see an attending physician if it is necessary. Once they are done being seen, they are sent to the pharmacy to have their prescriptions filled. We mostly treat acute infections and conditions. The women of the towns make a meal for lunch each day. After clinic, we would go back to the hotel and go to dinner or explore the city. Recreat ion: On the first Saturday and Sunday we had various cultural activities planned, such as visits to the Mayan ruins and swimming in cenotes.

For more information or comments contact

IPSF International VP Jessica Gonzalez via

[email protected]

GHOT Trip Descriptions 2014

Documents

Transcript of GHOT Trip Descriptions 2014