Dr. Luther Castillo Harry Dr. Luther Castillo Harry GraduadoGraduado de de la Escuela la Escuela

Latinoamericana de Medicina en Latinoamericana de Medicina en CubaCuba

Miembro de la Etnia Garifuna de Miembro de la Etnia Garifuna de Honduras Centro AmericaHonduras Centro America

wasurusian@yahoo.com504-99247264504-99247264

LUAGU HATUADI WADUHEÑUPOR LA SALUD DE NUESTROS PUEBLOS

Luther Castillo Harry Doctor en Medicina

ELAM

ObjectivesObjectives

Understand the need for more personnel able Understand the need for more personnel able to address global health problemsto address global health problems

Understand that global health education can Understand that global health education can enhance the ability to work in cross-cultural enhance the ability to work in cross-cultural settingssettings

Understand that global health education can Understand that global health education can better prepare residents to serve the better prepare residents to serve the communities in which they livecommunities in which they live

Objectives continued…Objectives continued…

Recognize the differences in health care Recognize the differences in health care practices, beliefs and expectations in practices, beliefs and expectations in developing countriesdeveloping countries

Understand the challenge of practicing Understand the challenge of practicing medicine with limited resourcesmedicine with limited resources

Understand the importance of interacting with Understand the importance of interacting with individuals from different cultural individuals from different cultural backgroundsbackgrounds

HistoriaHistoria del pueblo GARIFUNAdel pueblo GARIFUNA

Arribaron a Honduras un 12 de Arribaron a Honduras un 12 de abril de 1797abril de 1797

Ciriboya

GARIFUNA GARIFUNA DECLACRADO POR LA UNESCO EN 2003 PATRIMINIO DE LA DECLACRADO POR LA UNESCO EN 2003 PATRIMINIO DE LA

HUMANIDAD HUMANIDAD

Preservamos nuestra herencia Preservamos nuestra herencia ancestralancestral

Espíritu AncestralEspíritu Ancestral

RetosRetos y y desafíosdesafíos

Una Mujer con serias complicaciones de parto es Una Mujer con serias complicaciones de parto es transportada 14 horas en hamaca y canoa para llegar al transportada 14 horas en hamaca y canoa para llegar al

hospital mas cercano. hospital mas cercano.

Escuela Latinoamericana de medicina en Cuba alberga estudiantes de America Latina, Estados Unidos y África. Mas de 150 grupos étnicos de las regiones mas

inhóspitas formándose bajo los principios de la medicina Solidaria y Humanitaria de Cuba para el Mundo.

Llevando atención medica a regiones donde Llevando atención medica a regiones donde nunca antes habían tenido. nunca antes habían tenido.

UN MODELO ALTERNATIVO DE SALUD UN MODELO ALTERNATIVO DE SALUD GRATUITO PARA LOS PACIENTES EN LOS GRATUITO PARA LOS PACIENTES EN LOS

PAISES EN VIAS DE DESARROLLOPAISES EN VIAS DE DESARROLLO

Recurso humano.Recurso humano. Creación de un mecanismo para la Creación de un mecanismo para la

construcción de la infraestructura. construcción de la infraestructura. Creación de un mecanismo de Creación de un mecanismo de

continuidad y sostenibilidad del sistema continuidad y sostenibilidad del sistema de salud.de salud.

UN MODELO ALTERNATIVO DE SALUD UN MODELO ALTERNATIVO DE SALUD GRATUITO PARA LOS PACIENTES EN LOS GRATUITO PARA LOS PACIENTES EN LOS

PAISES EN VIAS DE DESARROLLOPAISES EN VIAS DE DESARROLLO Recurso Humano:Recurso Humano:

Since the Latin American Medical School (based in Cuba) was Since the Latin American Medical School (based in Cuba) was founded in 1998—after Hurricane Mitch-- over 4 ,000 founded in 1998—after Hurricane Mitch-- over 4 ,000 medical students from 30 countries (from throughout Latin medical students from 30 countries (from throughout Latin America, Africa and the Caribbean) have become doctors, and America, Africa and the Caribbean) have become doctors, and have returned to their home countries to serve their have returned to their home countries to serve their communities.communities.

Cuba sees it as part of its international mission to dispatch Cuba sees it as part of its international mission to dispatch doctors around the globe to the countries most in need. doctors around the globe to the countries most in need. Approximately 30,000 are working throughout Latin America, Approximately 30,000 are working throughout Latin America, Asia, Africa and the Middle East. Asia, Africa and the Middle East.

Alternative model for health care delivery in developing Alternative model for health care delivery in developing countries that is free to patientscountries that is free to patients

Trainees return to their native communities to Trainees return to their native communities to finish their medical education with the finish their medical education with the assistance of Cuban faculty.assistance of Cuban faculty.

Trainees are expected to train local midwives, Trainees are expected to train local midwives, ancillary nurses and volunteersancillary nurses and volunteers

International collaborations with specialty International collaborations with specialty training programs promise to enhance training programs promise to enhance physician education and enhance global physician education and enhance global patient carepatient care

Developing InfrastructureDeveloping Infrastructure

In spite of lack of government health care In spite of lack of government health care infrastructure, raise funds to build infrastructure, raise funds to build comprehensive health care clinics.comprehensive health care clinics.

Develop sophisticated community volunteer Develop sophisticated community volunteer structures to assist with all aspects of facility structures to assist with all aspects of facility construction.construction.

Build continuity and sustainability into the Build continuity and sustainability into the health care delivery systemhealth care delivery system

Build alliances between key sectors of the community Build alliances between key sectors of the community (e.g. faith groups, womens’ groups, students, (e.g. faith groups, womens’ groups, students, workers, etc)workers, etc)

Expand social networks among those with similar Expand social networks among those with similar health care delivery models (international research health care delivery models (international research institutions, international medical volunteer institutions, international medical volunteer structures, health care NGO’s, social movements, etc)structures, health care NGO’s, social movements, etc)

Develop a system of preventive health care and Develop a system of preventive health care and patient education focusing on the culture of patient patient education focusing on the culture of patient basebase

In her 6In her 6thth hour of traveling to a town to find a hour of traveling to a town to find a doctor, with seven children in tow, Dr. Harry doctor, with seven children in tow, Dr. Harry

encounters this woman and examines her sick infantencounters this woman and examines her sick infant

SolutionsSolutions Educating and Recruiting Physicians and Educating and Recruiting Physicians and

health care providershealth care providers Establishing sustainable international Establishing sustainable international

collaborative relationships.collaborative relationships. Building hospitals and heath care Building hospitals and heath care

facilities.facilities.

Getting the community involved…Getting the community involved…

Setting up a camp at the future site of the hospital, Setting up a camp at the future site of the hospital, and treating our first patients and treating our first patients

to give the community a glimpse of the futureto give the community a glimpse of the future

Building hope…Building hope…

The participation of Garifuna women The participation of Garifuna women is essential to the success of the project…is essential to the success of the project…

No one person can do more than what we can do togetherNo one person can do more than what we can do together

Health care is being delivered even Health care is being delivered even though the building is not yet completethough the building is not yet complete

A Dream RealizedA Dream Realized

The Future holds…The Future holds…

Educating the community is fundamentalEducating the community is fundamental

Algunos Logros

Crear el primer hospital Garifuna en doscientos once años de presencia en Honduras.

En 1847 se funda la universidad nacional autónoma de Honduras y no es hasta 115 años de su fundación se gradua de ella el primer medico negro de Honduras Dr Alfonso lacayo Sanchez hoy a los ocho años de fundación de la ELAM en Cuba tenemos mas Negros estudiando medicina en Cuba que en mas de un siglo y medio de la existencia de la UNAH en Honduras.

Continuacion…

Once puestos de salud habilitados con medicos Garifunas permanentes en el universo del Hospital.

Brigadas internacionalistas con médicos egresados de la ELAM.

Inicio de un verdadero programa de desarrollo rural integral.

Brindar en un año mas de 80,000 consultas medicas gratuitas con su respectivo medicamento gratuito

Infant mortality in Honduras : Infant mortality in Honduras : 30. 8 per 1000 Births (2006)30. 8 per 1000 Births (2006)

Infant mortality in the area where the Cuban Infant mortality in the area where the Cuban trained doctors are present in Honduras: trained doctors are present in Honduras:

10. 1 per 1000 Births10. 1 per 1000 Births

Maternal mortality in Honduras : Maternal mortality in Honduras : 48.1 per 10,000 Births 48.1 per 10,000 Births

Maternal mortality in the area of Honduras Maternal mortality in the area of Honduras where Cuban trained doctors are present: where Cuban trained doctors are present:

22. 4 per 10,000 Births22. 4 per 10,000 Births

Introducing new alternatives with Introducing new alternatives with sustainable technologysustainable technology

Program to improve water qualityProgram to improve water quality

Control and prevention of hypertensionControl and prevention of hypertension

Diabetes programDiabetes program

Los Invitamos a incorporarse a este indetenible proceso, que este es solo el inicio, la historia NO perdonara a los

simples espectadores.

Using traditions and culture Using traditions and culture for better health educationfor better health education

This is the story of a people fighting This is the story of a people fighting for a better futurefor a better future

““My dream is that no child die of a My dream is that no child die of a preventable disease”preventable disease”