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SOME OF THE MANY PROJECTS OF THE COOPERATIVE
CLINICS IN THE
MOUNTAINS
Over a year ago the Maria
Luisa Ortiz Women’s Cooperative Clinic began training “Brigadistas”,
approximately 30 men and women from very remote communities surrounding
Mulukuku. These towns range in size from 300 to 2000 people and are
not reachable by road, only on horseback or on foot. Some are 10 hours
away from Mulukuku and none have any health care. These community health
workers are taught to identify people who need to get to a doctor urgently,
simple first aid, and treatment for a few easily identified but prevalent
diseases like malaria and intestinal parasites. They give out prenatal
vitamins and encourage women to get prenatal care at the clinic. Importantly,
they also learn about human rights and intervention in cases of domestic
violence and child abuse.
Now, the cooperative plans
to create a team consisting of a doctor to see sick children, men and
women; a nurse to do prenatal care, contraception, and cervical cancer
screening; and a human rights worker, along with a supply of medicines.
The team would go out to these outlying communities and others on a
rotating basis so that each would be visited twice a quarter. This is
the only opportunity any of the people of these remote areas has to
see a medical provider. Many children in these towns die of diarrheal
disease before age 5. Many women die in childbirth or from hemorrhage
during miscarriage. Malaria and other parasites are ubiquitous.
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