MEDICAL SERVICE TRIP REPORT

TIMMYGLOBAL HEALTH

QUITO|ECUADOR

ALUMNI 12-19 JULY 2014

QUITO, ECUADORMEDICAL SERVICE TEAMTimmy Global Health alumni traveled to Ecuador and to the world’s second highest capital from July 12th-19th, 2014. An outstanding group of medical professionals accompanied the alumni during their week of service. Together they provided direct medical assistance and healthcare services to low-income and marginalized communities of south Quito. Through their efforts, Timmy’s partner organization, Tierra Nueva, was able to reach and serve more people.

In five communities, the group organized and participated in primary care clinics. Throughout their time, the volunteers explored the realities of the patient population, explored the beautiful historical district of Quito, and enjoyed incredible views from 13,000 ft up Rucu Pichincha.

Timmy Global Health has provided continuous care for the past 8 years to its partner communities in south Quito. In 2013 alone, over 7830 patients received medical services; medications and follow-up care by Timmy’s network of medical professionals and its partner hospital, Padre Carollo.

It is Timmy’s mission for our Alumni volunteers and healthcare professionals to foster global awareness and humanitarian values so that they may be empowered to actively engage in fighting health disparities in the future.

5

MEDICAL PROFESSIONALSSamuel BlumenthalPhysician

Theodore GuildCNA

Roberta BoyerRNA

Nicole SherokRPh

Michelle PielRPh

Marilyn GeninattiER Physician

Xavier PicoPhysician

Gabriela YanezPhysician

CLINICALPROFILEPowered by TIMMYCARE

5 partner communities were served in mobile medical clinics.

CHILDREN

ADOLESCENTS

ADULTSWOMEN

MEN

In total, we treated

601PATIENTS

TOP DIAGNOSES

MEDICATION TIMES PRESCRIBED

Albendazole 161Acetaminophen 124Ibuprofen 120Metronidazole 61Hydrochlorathiazide 56Fish Oil 56Ocular Lubricant 53Omeprazole 40Calcium Supplements 35Sunscreen 33

POPULAR PRESCRIPTIONS

174

47

380

411

190

Parasites

Hypertension

Gastritis

Osteoarthritis

General pain

Headache

UTIDry/Irritated Eyes

Diabetes

Osteoporosis

URI

12%

10%

7% 7% 6%4% 4%

3% 3% 3%

Michelle PielRPh

Marilyn GeninattiER Physician

Xavier PicoPhysician

Gabriela YanezPhysician

3%

indicators of health impact:

1

2

3

TIMMYGLOBAL HEALTH

How many patients were referred to a partner hospital for further treatment?

What percent of patients have chronic conditions, requiring regular care?

How many community patients were returning for care after previous visits?

78

48%

63%

MEDICAL

REFERRALS withHEALTH PARTNERSQUITO REFERRAL SYSTEMTimmy’s primary partners are the Tierra Nueva Foundation and its Hospital Padre Jose Carollo also known as “Un Canto a La Vida.” Un Canto a la Vida a 138-bed hospital acts as Timmy’s main referral partner, receiving Timmy patients from rural areas and managing Timmy’s patient social work fund. Timmy works in collaboration with the Tierra Nueva Foundation year-round to perform follow-up care with our critical patient cases and expand health services to those who lack access to it. Hospital Padre Carollo serves as Timmy’s largest referral center where patients from the coastal, Amazo-nian, and Andean region are referred to through our community medical service trips.

Every year, Timmy donates $24,000 to facilitate patient follow-up care. Due to the remarkable growth in the number of volunteers trips (increasing from 5 to 16 in the last 2 years), Timmy is looking for innovative ways to continue providing support to its ever-increasing patient population.

REFERRALS WRITTEN 13% of total clinical population

Of the 78 referrals made to Hospital Padre Jose Carollo, 9 cases (11%) were labeled high priority. 54 referral pa-tients were female and 24 were male.

General - 53

Opthalmology- 3

Ultrasound - 2

ENT - 2

Internal Medicine - 2

OBGYN - 2

Cardiology - 2

X-Ray - 1CT - 1

Lab - 3

Neurology - 1

Radiology - 2

PARTNERCOMMUNITIES

STO. THOMAS

Timmy Global Health has been providing medical services to these two adjacent communities of south Quito, Sto Thomas and Garrochal, since 2005.

Sto. Thomas, having been first settled, counts on basic services like telephone, road, transportation, water and electricity. The municipality purchased the materials for road construction, but it was the community that came together in a “minga” to build their roads. The completion of the roads meant that other basic services could become more acces-sible. Garrochal, on the other hand, was only first settled 18 years ago, and had to pay for their own materials and labor so the roads have not yet been completed and some of the homes still lack basic services. The land is swampy and is prone to floods. The nearest health center is 30 minutes by foot, and only offers emergency services and lacks other health services and a pharmacy.

The needs are so great that Tierra Nueva’s mobile medical unit serves these communities on a weekly basis. There is a significant group of health promoters that are responsible for patients in each community and that work voluntarily to promote a sense of unity and wellbeing.

SIGNIFICANT DIAGNOSESParasites 36%Other 34%Gastritis 21%

CHILDREN

ADOLESCENTS

ADULTSWOMEN

MEN

70

3124

8

69

Osteoarthritis 20%General Pain 19%URI Non-Specific 11%

Number of patients seen: 101Percent of total who were returning patients: 55%Rate of patients referred: 13%

LA VICTORIA

The people of Victoria are industrious; they work as construction workers, porters, vendors and domestic employees. A health ser-vices center, recently opened, has begun providing health services to the area. However, the “subcentro” as these centers are known are ill equipped to meet the demand. More importantly, they lack medication to treat the aging population.

Most of the patient population in Victoria is elderly and suffers from chronic conditions such as hypertension, osteoarthritis, and chronic pain. Health promoters in the community have assigned patients in the area that they follow up with regularly between Timmy’s medical service trips to do regular blood pressure controls and perform good body mechanics exercises. The chronic patients have come to rely regularly on their medication from the medical service trips and the community services of their health promoters for the management of their disease. In the coming years, it will be important to address these needs by fine-tuning the services provided, such as sending physical therapists to the area.

SIGNIFICANT DIAGNOSESParasites 18%Osteoarthritis 15%Hypertension 15%

S. DOMINGO CUTUGIAGUA Majority of the community members are natives to other highland regions such as Riobamba, Cotopaxi, El Oro, and Loja. Both Spanish and Kichwa are spoken and nearly 90% of the members own their homes while the remaining 10% are tenants. There is a lack of leadership that has led to disunity, violence, and crime between the community’s different sectors. Each sector uses a different water system and water studies have found certain water sources to be contaminated. Santo Domingo de Cutuglagua belongs to the Machachi municipality and therefore does not receive basic services from the Quito municipality. Their rural identity is apparent in their raising of livestock that contributes to the poor hygiene in the area. The community’s strengths are the presence of a school, pharmacy, nursery, Community Board and health promoters.

SIGNIFICANT DIAGNOSESParasites 40%Hypertension 21%Osteoarthritis 17%

Gastritis 10%Dry/Irritated Eyes 8%General Pain 7%

CHILDREN

ADOLESCENTS

ADULTS

86

44

278

95

Gastritis 16%URI Non-Specific 15%Fungus 12%

WOMEN MEN

Number of patients seen: 130Percent of total who were returning patients: 50%Rate of patients referred: 12%

Number of patients seen: 128Percent of total who were returning patients: 34%Rate of patients referred: 11%

CHILDREN

ADOLESCENTS

ADULTS

94

34 44

8

76

WOMEN MEN

SAN JUAN DE TURUBAMBA (11 DE MAYO)Located at 3,000 meters (10,000 ft) above sea level 11 de Mayo is a community that bears the name of its founding date, its surrounding areas are known as San Juan de Turubamba. The land was purchased from a fraudulent landowner and the community has had to face a never-ending struggle to avoid expropriation. The nearest health services center is 45 minutes by car and 2 hours on foot, with no access to emergency services or pharmacy. There are no transportation lines that serve this community.

11 de Mayo has founded and grown award-winning community gardens, their award money has been invested into wood artisanal workshops for women that could learn new skills and earn independent incomes. They have focused on women empowerment and providing good nutrition for their children. Though this area lacks basic services such as electricity and sewage, they are incredibly well organized and motivated to improve their quality of life.

SIGNIFICANT DIAGNOSESParasites 29%Gastritis 8%Hypertension 7%

CHILDREN

ADOLESCENTS

ADULTSWOMEN

MEN

79

43 40

17

65

Headache (non-spec) 6%Dry/Irritated Eyes 6%URI Non-Specific 5%

Number of patients seen: 122Percent of total who were returning patients: 50%Rate of patients referred: 18%

SANTA FENumber of patients seen: 120Percent of total who were returning patients: 8%Rate of patients referred: 12%

CHILDREN

ADOLESCENTS

ADULTSWOMEN

MEN

81

39 39

12

SIGNIFICANT DIAGNOSESParasites 27%Hypertension 13%General Pain 12%

Gastritis 9%Diabetes Mellitus 7%Osteoarthritis 6%69

Santa Fe, known formerly for its abundant mountain springs, nowa-days is an urban community where Spanish and Kichwa are still spo-ken, but where only one of its famous springs remains. Women travel to the remaining spring to hand wash their garments and to gossip. The diet of this community is restricted by income and therefore they have little control over their nutritional development.

The surrounding area does have basic services such as water, elec-tricity, telephone and sewage system but they are still plagued with the common urban problems of income disparity that prevent them from obtaining a high quality of education or medical services. The community members identify robbery, drug abuse, assaults and family violence as the community’s weaknesses.

TIMMYGLOBAL HEALTH

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