Mankha free health camp

29 th November - 2th December 2011

Historical Perspective .Aim of the free Health Mankha camp experience.

� Since the beginning of 2009, Ven Lama Dorje Dondrub , has been the spiritual leader of several medical doctors who are close to buddhism

� This group has met monthly

� sharing experiences

� learning how to improve themselves as human beings

� in order to benefit

� patients that they treat

� health community environment in which they work.

Historical Perspective .Aim of the free Health Mankha camp experience.

� Ven Khenpo Vagindra Shila is a spiritual leader , master in buddhist philosophy , and a teacher of buddhist philosophy around the world.

� He was born in a small village , Mankha, in the Sindhupalchowk district , Nepal.

� The relationship between Ven Lama Dorje Dondrub and Ven Khenpo Vagindra Shila has been strong and close for a long time . He also teaches in the Lama Dondrub community

� Ven Khenpo asked Lama about the possibility to go to his village for a free health campaign.

� Causes and conditions allowed this at the end of November 2011.

Historical Perspective .Aim of the free Health Mankha camp experience.

6 medical doctors

A non health worker person came as assistant

7 nurses, doctors and non health worker persons from Nepal came too in order to help our group as translators or assistants in the experience

Ven Lama Dorje Dondrub worked also as an assistant of the group.

6 medical doctors

A non health worker person came as assistant

7 nurses, doctors and non health worker persons from Nepal came too in order to help our group as translators or assistants in the experience

Ven Lama Dorje Dondrub worked also as an assistant of the group.

Report

3

Database

4

� 750 Adults

� 278 Children

1028 patients

5

Data visit distribution

Nov 29 Nov 30 Dec 1 Dec 2 Dec 10 Unknown

6

Adults

� 502 female ( 66,9%)

� 233 male (31,1%)

� 15 unknown (2%)

7

Adults

� Age : 44,5 + 19 years old ( 15-90)

� Weight : 48,1 + 9,19 Kg ( 27 – 100 )

� Children number/women: 2,1 + 2,7 (1-15)

8

� Village

Adults

Village n %

Pathologies: number of adult patients visited

10

Pathologies:% in the adult population

(% in women)

11

Adult gender diferences

43 + 1847,7 + 20

422 197

Age

% from Mankha

Weight : 46,9 + 9 Kg ( female ) 50,7 + 8,9 (male)

12

Number of adult patients visitedGender differences ( I )

*

= statistical diferences between gender*

13

*

*

* = statistical diferences between gender

Number of adult patients visited.Gender differences ( II )

*

= statistical diferences between gender*

% Pathologies by gender(adult population I)

% Pathologies by gender(adult population II)

*

*

* = statistical diferences between gender

Children : 278

Sex

Age ranges Weight : 24 + 10,27 Kg ( 4 - 54)

Children� Age : 9,1 + 3,7 years old ( 0,25 - 14)

� < 1 year old : 9 (3%)

� 1 – 7 years old : 86 ( 31%)

� 7 – 14 years old : 183 ( 66%)

7 77 159

� Village

Children

Village n %

Number of children visited

Pathologies: % in children population

(% in women)

Number of children visitedAge interval differences ( I )

Visited children number.Age interval differences ( II )

% PathologiesAge interval children groups (I)

% PathologiesAge interval children groups (II)

Study Limitations

� This report is based in the patients who attend to our free health camp. So we cannot say they are representative of overall population.

� Morever database was fill based on a medical files written for all of us. It was not fill prospectively. For this reason, it can be some hazard situations as tireness, emotional status or others that can influence the way in wich medical files were fill.

� Nevertheless , we believe this study bring to us a clear vision about the health needs in this population

Discusion

� The majority of problems found were cronical ones. Only one patient was sent emergently to the next hospital ( postpuerperal infection )

� The fact that almost 50% of adult population have locomotor problems , lets to reflect us that it is mandatory change some postural and several working habits. But for this , it is necessary bring to this population some tools to facilitate this change.

� Locomotors disorders (mainly back pain) are not a serious disorder, but it decrease quality of life because pain. Teaching some phisioterapic tips and tricks, and providing tools to carry hard loads , can improve their quality of life.

� Probably digestive problems are mainly related with how they prepare foods . “ Piro” (spicy) foods are perhaps too much present in the meals of this population .

Discusion

� Dermatological problems are present in 20% of total adult population and ginecological ones in around 20% of women. Both problems can be prevented with higienical educational teachings for both men and women.

� Respiratory disease can be prevented partially with smoke cessation, but we are not sure if other environemental factors can play a role.

� Interestingly we diagnosed cataracts in 5,1% of population (38 patients) . This is a kind of blindness than can absolutely be resolved if a proper treatment (surgery) is applied.

Discusion

� Concerning children population we saw that hygienic educational programs can solve too a lot of problems.

� 23% of them had dermatological diseases and almost 14% had odontologic ones. Both can be prevented with adequate profilaxis. Otorrinolaringological and respiratory disorders were present in around 17% .

� Probably teaching some paramedic persons ,the majority of non severe cases can be resolved in a satisfactory way.

Conclusion

� We saw that despite majority of patients seemed happy with their life, the population had several problems that can be almost avoided if regular educational teachings, with adequate follow up, were implemented .

� The majority of problems are not severe and nurses or even paramedical persons can be trained in order to ameliorate the majority of their problems.