Shoulder to Shoulder Volunteer Orientation

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Shoulder to Shoulder Volunteer Orientation

  1. 2. Travel and Customs <ul><li>Be sure to complete all paperwork for Shoulder to Shoulder in advance </li></ul><ul><li>Make sure that passport does not expire within 90 days of return </li></ul><ul><li>Allow enough time for processing a new or updated passport (the post offices can direct you to the nearest office). </li></ul><ul><li>Keep a copy of your passport in each piece of luggage and carryon, and carry it with you at all times. </li></ul><ul><li>Leave a copy of your passport and itinerary with your family. </li></ul>
  2. 3. Travel and Customs <ul><li>All brigades are registered with the State Department by Shoulder to Shoulder before departure. </li></ul><ul><li>For MDs and RNs, carry a copy of your licensing credentials </li></ul><ul><li>Keep important documents with you at all times </li></ul><ul><li>All travelers should have evacuation insurance, which is provided with your brigade fee to Shoulder to Shoulder. </li></ul>
  3. 4. What to know before you go <ul><li>The most common medical problem encountered is traveler’s diarrhea </li></ul><ul><li>You can avoid this by eating only what the Hombro a Hombro cooks prepare. The food is prepared by cooks who are used to cooking for North American brigades. </li></ul><ul><li>In restaurants, eat only foods that are cooked-avoid fresh fruits and vegetables and drink drinks from a bottle, without ice. </li></ul><ul><li>Avoid eating food from street vendors. </li></ul><ul><li>Bring a prescription of ciprofloxacin with you, to take in case of GI symptoms! Imodium may be helpful as well, but should only be taken along with ciprofloxacin. </li></ul><ul><li>Hepatitis A immunization is recommended. </li></ul><ul><li>Typhoid vaccination is generally not necessary-unless you are an “adventurous eater”. </li></ul>
  4. 5. What to know before you go <ul><li>In Intibuca (Santa Lucia, Concepcion, Pinares), there is very little malaria. Chloroquine prophylaxis is not necessary. </li></ul><ul><li>There is more malaria along the coast, and in the Bay Islands (Roatan). If travel to these areas is planned, then you should plan to take chloroquine prophylaxis. </li></ul><ul><li>In Intibuca, Dengue Fever does occur, so insect precautions are advisable. </li></ul><ul><li>Bring insect repellent with 5-10% DEET. </li></ul><ul><li>Mosquito tents are available in the clinic for use if you wish. </li></ul>
  5. 6. What To Bring <ul><li>Flashlight or Headlight </li></ul><ul><li>Insect Repellent (DEET) </li></ul><ul><li>Good Book </li></ul><ul><li>Pocket translation guide </li></ul><ul><li>Good walking Shoes </li></ul><ul><li>Flip flops </li></ul><ul><li>Lightweight sweater or jacket </li></ul><ul><li>Hat </li></ul><ul><li>Sunglasses </li></ul><ul><li>Raingear (May-December) </li></ul><ul><li>Water Bottle </li></ul><ul><li>Bathing Suit </li></ul><ul><li>Sunscreen </li></ul><ul><li>Camera </li></ul><ul><li>Ear plugs </li></ul><ul><li>Toilet paper </li></ul><ul><li>3-5 days of clothes (laundry service is available) </li></ul><ul><li>Toiletries </li></ul><ul><li>Personal medications in marked original bottles </li></ul>
  6. 7. Recommended Reading <ul><li>The End of Poverty (Jeffrey Sachs) </li></ul><ul><li>Mountains beyond Mountains (Tracy Kidder about Paul Farmer) </li></ul><ul><li>Enrique’s journey (Sonia Nazario) </li></ul><ul><li>I, Rigoberta Menchu </li></ul><ul><li>Not All of Us Are Saints (David Hilfiker, MD) </li></ul><ul><li>Three Cups of Tea (Greg Mortenson) </li></ul>
  7. 8. Packing and Supplies <ul><li>You may choose to purchase plastic bins for packing that may be left in the country. </li></ul><ul><li>Recommended procedure: </li></ul><ul><li>Use the 24 gallon Rubbermaid bins </li></ul><ul><li>Drill a hole in each corner </li></ul><ul><li>Use plastic cable ties to secure the bin at the four corners, tape four more cable ties to a piece of paper inside the bin with a note for TSA to use to reclose as needed </li></ul><ul><li>Be sure to keep the weight below 50 lbs! </li></ul><ul><li>Place a copy of the customs letter in each bin. This letter is on the website. </li></ul>
  8. 9. Luggage <ul><li>When taking luggage through customs , be prepared to open everything. Leave the airline issue tags on your baggage, as customs will check them against your claim stubs. </li></ul><ul><li>If your luggage doesn’t arrive, notify your brigade leader immediately. </li></ul><ul><li>After customs, collect your luggage and meet with team. </li></ul><ul><li>Travel may be long, so keep your carryon with you. </li></ul>
  9. 10. Packing and Supplies <ul><li>The Hombro a Hombro Clinic continues to rely on donations brought down by brigades. </li></ul><ul><li>Your donations are of huge benefit to the clinic </li></ul><ul><li>Clinic and project supply needs are listed on the website. </li></ul><ul><li>If you have supplies not listed on the needs list, check with Mo before bringing. </li></ul><ul><li>Of note, medications should not be within 6 months of their expiration. </li></ul><ul><li>Attempt to pack all or almost everything you will need in your carryon, leaving checked baggage primarily for medications and supplies. </li></ul>
  10. 11. The Santa Lucia Compound <ul><li>Clinic building with offices and dental clinic </li></ul><ul><li>Library under construction </li></ul><ul><li>Large building behind Clinic with brigade quarters below and apartments above for long term volunteers and employees. </li></ul><ul><li>There are four dormitories with 8 beds each in the building behind the clinic. </li></ul><ul><li>There are two large bathrooms with showers. </li></ul>
  11. 12. Water <ul><li>The clinic uses a large sand filter to purify the water. </li></ul><ul><li>There is a large water cooler in the “comedor” that has safe drinking water. </li></ul><ul><li>The water that comes out of taps in the clinic and dormitory is not safe. </li></ul><ul><li>Any drinks (juices, etc) that the cooks put out are safe. </li></ul><ul><li>When out of the clinic, only drink what comes out of a bottle (Coke, bottled water, or from your own canteen) </li></ul>
  12. 13. Water conservation <ul><li>During the entire year, there are water shortage problems. </li></ul><ul><li>This is worse during the dry season-January through May. </li></ul><ul><li>Most people in town only receive water for a few hours every 3 days. They fill up all the containers in the house and use this water until it comes again. </li></ul>
  13. 14. Water Conservation <ul><li>The clinic has a tank system. </li></ul><ul><li>Army showers are VERY important (turn on water to get wet, turn it off, lather up, turn it on again to rinse off). </li></ul><ul><li>Only one shower per day! </li></ul><ul><li>Toilets also use lots of water. Use the rule: “If it’s yellow let it mellow, if it’s brown flush it down.” </li></ul>
  14. 15. Safety Issues <ul><li>In general, Honduras is politically stable. </li></ul><ul><li>Around Santa Lucia and in the rural areas, there is very little crime. In San Pedro Sula, El Progreso and Tegucigalpa, there is more crime. </li></ul><ul><li>In the rural areas, always use the “buddy system” and travel in pairs. Do not walk outside the clinic compound after dark. </li></ul><ul><li>In the cities, travel in groups, and let your brigade leader know where you are going. </li></ul>
  15. 16. Internet <ul><li>The internet in Santa Lucia is vital to the functioning of the staff and Hombro a Hombro operations. </li></ul><ul><li>There is a bandwidth limit, and therefore use is not “unlimited” like it is here in the US. </li></ul><ul><li>So, it is extremely important to follow the policy, or else the internet is shut down completely for 2-3 days. </li></ul><ul><li>You may bring a laptop as there is wireless access. If you do, please turn off all automatic updates. </li></ul><ul><li>Otherwise, they will let you know which computer can be used. </li></ul>
  16. 17. Internet <ul><li>In general, check just your email quickly. You may wish to set up a gmail or yahoo type account before arriving, as sometimes the university based accounts are more difficult to access. </li></ul><ul><li>Please DON’T use sites like myspace, facebook. </li></ul><ul><li>No streaming video, Utube, music, instant messaging etc. </li></ul><ul><li>No downloading or uploading pictures-wait until you get home! </li></ul><ul><li>Instruct family that the electricity often goes out, and they may not hear from you for 1-2 days (sometimes longer!), but you are still OK! </li></ul>
  17. 18. Phone <ul><li>Employees may have cell phones that you can borrow once for a brief time to call home. </li></ul><ul><li>Ask the person what kind of phone they have (TIGO or Claro) and then go buy a “tarjeta” (card) for 50 or 100 lempira at the nearest “pulperia” (store). </li></ul><ul><li>You may give your family members the STS number for emergencies (Mo Jennings) and STS will contact you in Honduras in the event of an emergency. </li></ul>
  18. 19. Money <ul><li>The currency in Honduras is the Lempira. The exchange rate is roughly 18 lempira in $1. </li></ul><ul><li>All of your costs are taken care of in your brigade fee, including food, lodging and transportation. </li></ul><ul><li>At the end of the trip, they will take you to a large souvenir shop that takes credit cards. </li></ul><ul><li>During your stay, you may want to carry a small amount of cash for a drink or snack or trip to the market. You will likely need less than $50 during your stay. You can exchange money with Nelson. </li></ul>
  19. 20. Dress Code <ul><li>As you have limited time to establish credibility with those you are here to serve, respecting cultural expectations of professional dress will simply make you more effective as a volunteer. </li></ul><ul><li>It is certainly a cultural oddity in rural Honduras to have more than a female's ears pierced. </li></ul>
  20. 21. Dress Code <ul><li>In the clinic, avoid flip flips or open toe shoes for safety reasons. </li></ul><ul><li>Avoid camouflage. This area of Honduras has a history of guerrilla fighting. </li></ul><ul><li>In the clinic, avoid informal t-shirts, or tank tops. </li></ul><ul><li>No shorts in the clinic. Scrubs are cool and acceptable. </li></ul><ul><li>In general, most Hondurans in rural areas do not wear shorts (men or women). On your free time, you may wear shorts if they are of conservative length. </li></ul>
  21. 22. Honduran Staff <ul><li>Director of Brigades: Marvin Cacho (bilingual) </li></ul><ul><li>Director of Operations in Santa Lucia: Nelson Requeno </li></ul>
  22. 23. Honduran Staff <ul><li>Leslie Napora (Director of Volunteers and Government Contract) </li></ul><ul><li>Mark Tyburski, MD (Pharmacy and Supplies, Children’s Health Initiative) </li></ul>
  23. 24. Honduran Staff <ul><li>Watchmen </li></ul><ul><li>Don Beto </li></ul><ul><li>Watchmen (Vigilantes) </li></ul><ul><li>Don Reynaldo (“Nato”) </li></ul>
  24. 25. Honduran Physicians <ul><li>Currently, there are four Honduran Physicians: </li></ul><ul><li>Ruben Martinez (bilingual) </li></ul>

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