Community Outreach

SPECIAL PROGRAMS ( FEB MEDICAL, DENTAL AND EYE BRIGADES)

 

FEB MEDICAL, DENTAL AND EYE BRIGADES (2 Weeks Intensive Medical Outreach, Public Health Education, Data Collection and Report Writing)

Project set up

FEB Foundation is committed to providing more support for Ghanaian communities in the area of healthcare.  These projects are designed to be of benefit to both our communities and our volunteers who have dedicated time and resources to come and help. Our outreaches usually target 2000-3000 people.

It is intense but satisfying, a great way to help, an opportunity to learn, a chance to see a village in Ghana, a way to understand how people live with so little, and an experience to provide a helping hand.

Our program is unique

Aims:

  1. To detect and prevent diseases early
  2. To provide deprived communities with free medical care
  3. To promote health and well being
  4. To establish community based health monitoring systems
  5. To help Ghana achieve the United Nations sustainable development goals, working on Goal 3 (Good health and well-being)
  6. To Provide support for the poor, vulnerable, elderly, and sick people in the communities
  7. To provide educational opportunities for volunteers
  8. To enable volunteers to have a cultural experience in Ghana

Our medical brigades serve as free clinics in the communities with the above mentioned aims. We mobilize resources with our volunteers. We work on a community for weeks; about one week is for the clinics and the other week for reports and presentations.

There are three main phases of the project

  1. Planning
  2. Implementation
  3. Follow up, community exit

      Most volunteers are involved in phase 2 and 3

PLANNING

Choice of community: FEB uses special selection criteria to select communities and ensure that they will achieve the maximum benefit. Chosen communities are those in the most need of healthcare and areas without access to healthcare. Chosen communities should also be accessible and should have neighbouring communities who can also come. We also compile community demographics at this stage.

Community Entry: This is an introductory process between the community elders and the FEB Team. We consider ourselves a team at this stage. It is an important process where we both bring together our ideas and concerns. The elders usher FEB into the community. It is from this stage that announcements are made to community members about the project.

Community mapping and Grounds planning: We develop a working plan for the project. We design grounds plan, flow charts, volunteer placements, timetables, etc. Resources are also built in at this step.

Set up of auxiliary team: We further complete the rest of the team. This team is made up of implementers, i.e. Doctors, nurses, pharmacists, volunteers, interpreters, community members etc. This team is very important since they will be responsible for what happens on the grounds. Each individual plays an important and unique role.

IMPLEMENTATION

Divided into 4 main areas. All of these happen on the grounds each day:

Public health education: During projects, there is continuous education on the grounds. This education is provided by nurses and is on various topics of concern, e.g., HIV AIDS, other STI, hand washing, malaria, water borne diseases etc.

Free medical Care: Ghanaian Medical staff will be available on the grounds to provide free care. There is a triage station, doctors consultation, examination rooms, basic diagnostic tests, pharmacy etc. All is set up in the communities using basic things that the community can offer. These are sometimes classrooms, churches, parks etc. Volunteers have the opportunity to be at any of these stations. They can shadow the Ghanaian medical team.

Referral and follow up: Conditions that cannot be treated at the community are referred to hospitals or clinics.

Data entry: Data is collected and necessary corrections are made on the field.

FOLLOW UP, COMMUNITY EXIT

Follow up is done in the community after we have exited. Community health monitoring teams are also set up

Volunteers will be performing tasks such as

  • Blood pressure measurements
  • Blood glucose testing
  • Weight
  • Height
  • MUAC
  • BMI
  • Shadowing medical doctors
  • Eye Screening
  • Dental Care- shadowing dentist
  • Malaria testing 
  • Pregnancy testing
  • Free drugs for the community- Working at pharmacy
  • Screening for various diseases- ,Hepatitis B, voluntary counselling and testing for HIV
  • Wound dressing
  • Referrals to bigger hospitals 
  • Public health education on various topics such as antenatal and post natal care, contraception, sexually transmitted diseases, environmental sanitation, water- borne diseases and handwashing techniques, early recognition of childhood illnesses, first aid, breast feeding practises and good nutrition.
  • Data Entry

Our brigades are in summer and winter of every year. Check out dates for brigades at Cost page

 Teams during brigades: 

Our volunteers are encouraged to be a member of one or more teams. Because we deal with large numbers of people, equipments, medications etc, having effective teams makes running such projects  easier. Teams are made up of both Ghanaians and volunteers working together. 

Roles of Various Teams

  • IMPLEMENTATION

 This is the field work team. It is made up of FEB Core team and Auxiliary Team thus every participant is a member of this team. This team will be responsible for successful implementation. Two people will be elected to do a group presentation at the end of the project.

  • LOGISTICS/ ORGANISATION TEAM

Its work is to ensure that everything is ready to go into the field. They are responsible for making a list of all equipment’s, correctly labeling them, making sure they work, and  have spare batteries, and also ensuring that all materials for public health education is readily available. They will also be responsible for informing us of any faulty equipment so they can be replaced. They will pack and unpack all materials each day and ensure buses are ready at the said time for transportation in and out of the community.

  • REPORTING TEAM

As with all projects a detailed report of work done at the end of every project has to be written.  We will all contribute to writing up these reports but this team will be responsible for making sure these reports are as professional as possible.  They will compile all the data gathered, draw graphs, site plans etc.

Under the reporting team a subgroup will do data gathering\collection on the field.

  • PUBLICITY TEAM

This team will be responsible for taking clear and nice pictures and videos of the event. They would make a photo album at the end, and will also provide labeled pictures to the reporting team. All pictures are copy write to FEB Foundation, and should protect beneficiaries.

 

Medical items needed

Patient vitals equipment’s: sphygmomanometer( 5 electronic 5 manual), thermometer ( 10), glucometer (4) with strips(1000),  height and weight scales( 5), MUAC measurement tapes ( 5) stethoscopes (10), urine specimen bottles(100), ENT set (5) .

Consumables: gloves 40 packs\boxes or more, alcohol swabs, lancets, cotton wool, hand sanitizer,

Veronica bucket for hand washing (4) and soap.

Grounds plan

Community outreach programme will be made up of health professionals in 4 main specialties:

These are:

1. Pediatrics

2. Obstetrics and Gynecology

3. Internal medicine

4. General surgery.

Patients will be triaged to the appropriate specialty at presentation. This will improve accuracy in diagnosis, referrals, follow up and efficiency in the whole process.

List of drugs needed for outreach

Albendazole syr

Artemether +lumefantrin[lots]

Albendazole tablet

Atenolol tablet

Amitriptyline

Atorvastatin

Amlodipine

Azithromycin

Amodiaquine + artesunate[lots]

Bendrofluemethiazide

Amoxicillin+ clavulanic acid [ lots]

Cefuroxime tablets

Amoxicillin capsules

Ciprofloxacin

Amoxicillin suspension

Clarithromycin

Diazepam tablet

Clindamycin

Diclofenac capsules\tablets[ lots]

Clotrimazole+hydrocortisone cream

Diclofenac gel[ lots]

Clotrimazole pessaries

Doxycycline capsules

Clotrimazole cream

Ephedrine nasal drops

Co-trimoxazole susp

Folic acid tablet, fersolate tablets

Cough syrup

Furosemide tablets

Hydrocortisone eye drops

Gentamycin eye drops

Ibuprofen suspension

Glibenclamide

Ibuprofen tablets[ lots]

Hydrocortisone cream

Iron [iii] polymaltose complex suspension&capsules[ lots]

Isosorbide dinitrate

Nystatin ointment

Ketoconazole suspension

Nystatin suspension

Ketoconazole cream[ lots]

Omeprazole tablets

Lidocaine gel

Oral rehydration salts powder[ lots]

Lisinopril+ hydrochlorthiazide

Paracetamol suppository 125mg, 250mg

Lisinopril tablet

Paracetamol tablets

Losartan tablet

Paracetamol syrup

Mebendazole suspension[lots]

Povidone iodine aqueous solution

Mebendazole tablet[ lots]

Prednisolone tablets

Mefenamic acid capsule\tablet

Propranolol tablets

Metformin tablet

Salbutamol inhaler

Metronidazole suspension

Salbutamol syrup

Metronidazole tablets

Salbutamol tablets

Multivitamin drops[lots]

simvastatin

Multivitamin syrup[lots]

Soluble aspirin

Multivitamin tablets[ lots]

Tetracycline eye ointment

Nifedipine capsules\tablets

Zinc tablet 10mg, 20mg

Other drugs:  Flucloxacillin tablets and syrup, Fluconazole tablets, Vit B complex, antibacterial creams.

OTHER ITEMS MEDICAL- Crepe bandage, gauze, cotton wool , tooth brushes and paste( a lot), specimen containers, plaster, pregnancy test kits, normal saline, hydrogen peroxide,  rapid diagnostic test for malaria kits( lots), condoms, Hepatitis B test Kits, HIV test kits.

OTHER ITEMS NON MEDICAL

Mattresses for examination, writing materials, referral forms, doctors consultation forms, tables, chairs, pins, glue, files, electrical extension cables, multi sockets, batteries( different sizes, preferably rechargeable).

Toys for the kids

FEB encourages volunteers to help raise some of these items which they can bring along when coming. Volunteers can do drives to get some of these items as donations.The rest are bought by FEB Foundation in country from local pharmacies using funds from volunteer placement. The community also provides some items like mattresses, tables, chairs. We encourage volunteers to contact us for any assistance. Success and impacts of brigades are dependent on a solid team effort, any assistance is very much appreciated.

Daily routine: We will usually drive from the provided accommodation to the communities by 8.30am. Brigades starts at 9am and will end at 3pm, after which we will drive from the community back to our accommodation. Debriefing sessions together with data entry and clarification with medical team is from 7.30pm and end at 8.30pm on a daily basis.

 

Why come with FEB?

  • You get more hands on patients care
  • You acquire knowledge
  • It is Ghanaian owned, headed by a Ghanaian trained Doctor
  • Cheaper
  • You experience intercultural exchange
  • Make friends all over
  • You get experience with tropical medicine
  • You assist to provide health to the community
  • Networking
  • Communication skills
  • Understand Ghanaian Culture