1. Access to Healthcare
By: Mollie Walker

2. Patanatic, Guatemala
Panajachel
Sololá
Godíne

3. Objectives
Become familiar with the community we partnered with and take a glance at the background information
Explain the barriers of access to healthcare in Patanatic and surrounding communities
Discuss the implementation of access to healthcare in the sectors
Spread awareness to others about the access that the community members have to access to healthcare

4. Background
Patanatic, Guatemala is divided into four sectors. These four sectors are unique in their own ways and vary geographically. However, the health problems that were introduced were very similar amongst the sectors.
Located in sector 2 is Centro Educativo y Salud Patanatic. This center helps provide medical care to more than people yearly to the communities of Patanatic, San Pedro, San Juan, Cerro de Orro, San andres, San Pablo, and Panajachel.

5. Centro de Educativo Salud Patanatic
Partnership with Woodland Public Charity
7 years of service to the community
Provides medical care and checkups to the community. Neonatal, school medical checks, female annual well checkups, eye exams, ear care exams, diabetes exams, and family medical checkups
Home visits, water filters and air quality are checked

6. Centro Educativo y de Salud Patanatic Cont.
Private clinic
Two nurses currently at the clinic
Future surgeon completing school
Three audiologist beginning their training
Donated resources
Limited government support
Provides care for all four sectors of Patanatic and all who come to the clinic
Nursing school soon to be implemented

7. Access To Healthcare
Centro Educativo y Salud Patanatic provides care to communities outside of Patanatic., including: San Pedro, San Juan, Cerro de Orro, San andres, San Pablo, and Panajachel
The World Health Organization, aims to improve the accessibility of safe and effective medicines for children
Medicine prices and exchange rates made 1US dollar equal Quetzales
The lowest average income is around 56 quetzales a day equaling $6.87 USD per day
Medicines are less affordable

8. Hospital Nacional Juan De Dios RoDAS Solola
National hospital for the State of Sololá
Services provided shown on left
Once the hospital has reached their maximum capacity for the day, they will turn them away

9. Top 10 Life Adjusting Health Issues
Avila et al.

10. Highlights
There is a real lack of access to healthcare throughout Guatemala, the partnership with Woodland Charities has helped provide care for Patanatic and surrounding areas when they might not have had prior access
The community’s ability to help provide the foundation of the clinic and providing access to care throughout the community
Access to care in Sololá is difficult and often must be traveled great distances to reach access or access to care is too expensive
The benefits of donations and the expenses of medications

11. Interventions
Woodland Charities is partnering with the School to provide a vitamin chewable to each child everyday
Well child checks provided
Home visits for elderly and diabetics
Standardization of charting to provided better clarification on ways to chart
Free care is provided at the clinic if families cannot afford the care

12. Conclusion
The village of Patanatic has faced many challenges in regards to access to healthcare. The clinic has a bright future in store and is expanding to continue to provide care throughout the State and in surrounding communities
The final push towards the nursing school will help provide more talented members of the community to help provide care. With Carlos David in his final steps of becoming a General Surgeon, the clinic will be able to provide better care to the members of the community
Access to care is difficult with transportation being limited and care being extremely expensive
Providing information on prevention than solely treatment alone will help limit some of the care needed

13. Clinical Experience Assessment practice
An opportunity to use autonomy and complete assessments on our own to prepare for the future
Language Barrier
A great experience to understand how it feels to be on the opposite side of the barrier with amazing benefits of learning
Lack of resources
A way to provide care with the available resources and making them last longer

14. Cultural Experience Language Barriers
The use of interpreters and having the ability to learn from them
Terrain and Transportation
The hike to Sector 4 was an experience
Community
There was so much to learn about the bond of the community and family structure
A sense of happiness

15. References
Anson, A., Ramay, B., de Esparza, A. R., & Bero, L. (2012). Availability, prices and affordability of the World Health Organization’s essential medicines for children in Guatemala. Globalization and Health, 8,
Avila, C., Bright, R., Gutierrez, J., Hoadley, K., Manuel, C., & Romero, N. (2015). Guatemala Health System Assessment 2015 (M. P. Rodriguez, Ed.). USAID From the American People. doi: /wsc.v1i1.183.s6