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Background
The clinic at the mission provides medical, dental and optical assistance,
some kinds of surgery, but more complicated cases are taken to a government
hospital in Mazatenango. The clinic seeks to educate people in health-related
areas (preventative medicine). Also, they assist people with their ability
to grow vegetables and the like - which are not a part of the "normal"
diet, but can do a great deal to prevent illness - and work with people
and communities to assure potable (non-polluted) water. At one point,
a major task was to convince people that they should not have an open
fire inside their house.
The mission
clinic operation is made up of various projects that receive support from
several donor agencies. These projects work together to provide excellent
care to those who come to Clinica Maxeña and also those encountered during
visits to the outlying communities. At the clinic in Santo Tomas we have
a Guatemalan doctor, who is from the parish, who sees about 15-20 patients
daily, five days each week; an assistant serves as a nurse-aid and health
promoter, consults and provides care for patients that remain for short
treatments or observations when the doctor is absent.
Laboratory
There is a Laboratory to assist the doctor and health promoters in diagnosis
and treatment, and is staffed by a health promoter who is trained as a
technician. The lab tech performs coprology, urinalysis, and tests for
tuberculosis, malaria, typhoid fever, venereal diseases, hematology, and
pregnancy. During 2000 the laboratory processed more than 5,200 tests.
Pharmacy
The Pharmacy sells a limited number of medicines according to the recommendations
of the World Health Organization. The health promoters in the pharmacy
have certification as community pharmacy technicians. Costs are kept as
low as possible for the benefit of our needy population.
Dental
Office
The Dental Office has services of a 6th year student from the University
(who will be certified as a dentist if this internship is completed successfully)
from February to October. The project has an outreach to the villages
and schools, with education and prevention for the entire population.
Prenatal
Clinics
Prenatal Clinics are held every Wednesday with a midwife-educator, who
also operates our clinic in Samayac. She and the midwives who serve the
various communities of the area have constant refresher courses with the
goal of reducing maternal-infant mortality.
The
Medicinal Plant Project
The Medicinal Plant Project includes a demonstration garden with more
than 100 varieties of plants that produces seeds and medicines. The coordinator
examines patients and prescribes plant-based medicines. The pharmacy at
the project produces and sells about 30 medications in the form of tincture,
salve, shampoo, soap, and dried plants for teas or compresses. The team
also trains promoters in the communities to grow their own plants for
medication and treatment.
Community
Health Project
The clinic is developing a Community Health Project which will enable
communities to build a local health system whereby they can be fairly
self sufficient with the option for referrals to the Clinica Maxeña and
other health entities. The emphasis in the CHP is on women and children,
including teaching and primary care on occasion.
Special
Projects
Two very serious endemic health problems in the Boca Costa area in which
the clinic is located are tuberculosis and trachoma. There are two projects
to identify, treat, reduce or eliminate these diseases that Clinica Maxeña
coordinates with the National Health Ministry and the National Committee
against Blindness.
Satellite
Clinics
Clinica Maxeña administers two satellite clinics, one in Chocola that
is staffed by a health promoter and an assistant, who treat patients and
dispense some medications. A health promoter-midwife and an assistant
attend the clinic in Samayac. Both clinics adhere to the same philosophy
as Clinica Maxeña, that is to provide health services to all without discrimination,
with special attention given to the most needy who often lack access to
health care due to barriers of language, great distances, and extreme
poverty.
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