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MEDICAL MATERIALS MISSION

Worldwide Medical Support was formed to help fill the medical supply needs of developing countries. We do this by collecting unused date stamped medical supplies and finding serviceable used equipment from USA medical facilities. We also try to fill requests for specific supplies, medications and equipment from doctors and hospitals in these countries. We then transport and disburse these supplies and equipment.

We have developed a distribution relationship with Wheels of Charity in Antigua, Guatemala. They send us requests and distribute the filled requests and all other materials we send to facilities in Guatemala. Wheels of Charity has been arranging charity medical services in the Northern Department (State) of Peten for over eleven years. To improve the care for the poor in this area Wheels of Charity developed the concept of a Mobile Medical and Dental Clinic and a Surgical Center.

Because of the success of Wheels of Charity, Worldwide Medical Support has chosen to support their efforts to build the Mobile clinic and the Surgical Center. We will secure funding for these facilities and oversee the construction of the Mobile Clinic, which will be assembled here in the States.

We believe that after reading the following material, you also will be impressed with the value of this project. Your contribution will show your concern and desire to participate in the improvement of these impoverished lives.

WORLDWIDE MEDICAL SUPPORT
a Non-Profit Charity

1243 South 800 East

Kaysville, UT 84037

 
801-529-3033
 
 
www.wmsinc.org
EIN 02-0520553

PROPOSAL SUMMARY

The medical facilities in Guatemala are in need of supplies and equipment. The jungle villages have no medical facilities at all. To help fill the need for ongoing care in the rural areas, we are sponsoring a Mobile Medical / Dental Clinic and Surgery Center. The Mobile Clinic will be staffed by volunteer interns and local medical personnel on loan from regional government clinics. Doctors will come from Guatemalan government hospitals. The Clinic vehicle will be maintained by organized volunteers in the area of service.

There are mobile clinics in Guatemala serving villages but they are limited to minor medical issues. The clinic being constructed will have the equipment to do sophisticated diagnostics and medical and dental care. The dental issues are not being addressed by any other programs at this time in Guatemala. To handle the surgical needs that the mobile clinic finds, a free standing Surgical Center will be built at a nearby city.


PROBLEM DESCRIPTION

In a survey for quality of healthcare out of 162 countries, Guatemala ranked 108 behind even Bolivia. The USA ranked 6th in the survey. In Guatemala 75% or 3 out of 4 live in poverty. An average family of 6 lives on less than $2 a day. That poverty percentage grows to 93% if they are Mayan. Maternal mortality is 400 per 100,000 in Guatemala. In the USA it is 8 per 100,000. Because of the overwhelming poverty, those affected must often walk days to get to the nearest government medical clinic.

Because of the extreme poverty, the nation of Guatemala suffers from shortages of many things that we in the USA take for granted. Medical and dental care are some of the more serious needs of this country. The cities and large towns have medical care available especially for those who can pay for it. In small, out of the way towns, where only a subsistence style of living is available, medical care is absent altogether. These small towns do not have the resources to build and staff even the most elementary standing medical and dental clinic. Residents of these towns often walk for days to get to the nearest government medical clinic and continually suffer from treatable maladies and illnesses.

Examples of the maladies that are common in Guatemala are birth defects like cleft palette, internal parasites, and hydrocephalus (water on the brain). Primary illnesses in this country are malnutrition, chronic diarrhea, respiratory aliments, malaria and Tuberculosis. In 2000 over 226,314 people died of diarrhea! These kind of problems are cured and corrected early in life in developed societies. In impoverished societies like rural Guatemala, these conditions continue through life causing misery and tremendous limitations to quality of life.

The list of healthcare problems does not end with serious diseases. Normal accidents of life, like broken arms must rely on primitive remedies. This results many times in loss of use because of poor quality of care. Dental problems like infections and cavities cause tremendous pain and suffering to anyone, but there, the problem can't be cared for. The people become toothless.


PROJECT OBJECTIVES

The first priority of a project of this type is to identify specific needs of the local people with the number one concern being to reduce the risk from disease and major infection

The major objective is to bring complete medical and dental service to the small jungle villages of Northern Guatemala.

One long-term goal will be the reduction of the incidence of hygiene related diseases and spread of infectious diseases. This goal will be accomplished by initial treatment followed by an education program in healthcare and hygiene.

Another long-term goal will be to provide much needed prenatal care. This will bring the incidence of preventable birth defects and high mortality of birth mothers closer to the norm for developed nations.

The third goal of this project is to provide proper medical care for occupational injuries, thus improving the quality of life for those injured.


PROPOSED PROJECT METHODS

Mobile Clinic

A Mobile Clinic that could visit several villages in turn is a very effective approach to the problems observed. It would be the most cost effective method, avoiding the costly construction of several standing facilities. To accomplish this, mobile unit will be assembled and delivered to Guatemala. The Mobile Clinic will be housed in a recycled mobile CAT-scan trailer. The size of the trailer will make it possible to have a fully equipped facility that can relocate weekly to several different major villages.

The Mobile Clinic will be furnished with recycled diagnostic and medical equipment. The trailer was originally equipped to carry a heavy CAT-scanner between hospitals in the USA. This area has only rough roads. The structure's unique construction will make it very effective carrying and supporting the newly installed equipment over these roads. It also comes with AIR CONDITIONING. This will make working in the hot humid jungle climate more convenient and less stressful for all involved.

The size of the mobile unit will allow for full medical diagnostic support. This will include a small lab, an ultrasound and an x-ray unit. The clinic will have a dentist office for dental care that is not available anywhere in the target area. This is a very unique service that is not offered by any other rural medical services.

The Clinic will also provide a pharmacy because pharmacies are private and very expensive in the local areas. Because cost is so high, patient's medicines are not purchased when they are needed. The clinic pharmacy will provide medicines that can be afforded by villagers being served. This can be achieved by purchasing directly from distributors and avoiding wholesalers.

Surgery Center

Surgery is normally only available in major cities like Guatemala City. To make surgery locally available a 'stand alone' facility will be constructed in a centrally located town of Peten. The doctors can then use the town's airport to fly in for a weekend of surgery. This avoids the current 12 hour drive that the current doctor visits require.

The surgery facility avoids the long and expensive travel to Guatemala City. By having the surgery done locally by appointment the travel expense and trauma is avoided for those who can least afford it.

Staffing and Maintenance

The personnel for this clinic will be nurses and doctors from government clinics in nearby cities. These personnel will be paid by the government clinics. When surgery is needed doctors from hospitals in Guatemala City will staff the surgery center only when surgery is scheduled. Therefore, the cost of constant staffing is avoided.

The mobile clinic and supporting truck will be maintained by local volunteers who are already organized. Fuel will be provided by local government officials such as the mayors of nearby cities.


PROJECT RESULTS

When the Mobile Clinic and Surgical Center are in place, we will see a significant improvement in the overall health and well being in the villages served.

An immediate benefit will be a systematic correction of birth defects and abnormalities. We will see lower maternal and infant mortalities. We will also see control of parasitic infections that are now disabling. There will be more control of infectious diseases like pneumonia, tuberculosis, and diarrhea because of initial care and ongoing training and education of the villagers.

Because of the clinic's regularly scheduled visits to the villages, reoccurring problems like cleft palate and diarrhea can be addressed on a regular basis. This is an improvement over the doctor groups that fly in and address immediate, problems but are not there for follow-up and prevention.


BUDGET

Mobile Clinic 
 
Cat-Scan Trailer$25,000
Remodel Trailer50,500
Tractor12,000
 
Equipment/Cabinetry75,000
Medicines and supplies first year19,233
 
Transportation to Guatemala11,540
 
Personnel and overhead 
Site Director for one year24,400
Project administrator USA25,000
Insurance/Administrative overhead5,300
Undiscovered Costs20,000
 
Total$258,973
 
Surgical Center 
 
Construction cost$142,819
Equipment69,646
Supplies for first year15,950
Facility Director first year6,500
 
Total$234,915
 
Transport Vans 
 
One diesel Toyota minivan for patient transport$10,500
Ambulance with equipment$15,255
Transportation cost to Guatemala$3,200
 
Total$28,955
__________ 
Total$522.843

PROGRAM SUPPORT

Wheels of Charity

Francisco Sagastume, Founder

Wheels of Charity began with a wheelchair, bought at a yard sale in Los Angeles and taken to Guatemala. In the eleven years since, over 80 wheelchairs, plus crutches and walkers, and medicines have been donated. In 1990 Francisco organized the first surgeries, bringing in specialists from Guatemala City to perform operations in the remote areas of the country.

The focus of Wheels of Charity is on medical care of the Mayans in Northern Guatemala. Through the organization, arrangements are made for critical medical care for children with birth defects and adults with catastrophic injuries. From November 2000 to April 2001, Wheel of Charity supervised and directed the construction of a clinic in one of the villages. These villagers formerly had to walk over a day to get other medical support. Arrangements have also been made for doctors from Guatemala City government hospitals to perform the surgeries for the village.

Doctors supporting Wheels of Charity with their time and Services.

Doctor Gustavo Palencia ,surgeon specialist in Laparoscopy, Director of the Antigua Guatemala Hospital was the very first to come, he was followed by Doctor Jose A. Del Busto , Director of the Largest government owned Hospital of all Guatemala, the Roosevelt Hospital, Doctor Rodolfo Asencio a Cleft lip and Palate Surgeon, Doctor Julio Sagastume H, Plastic Surgeon from the Pediatric foundation, Doctor Armando Bendaña, Orthopedist, Doctor Arturo Carranza, Gastroenterologist , Doctor Vinicio Vettorazzi, gynecologist, Doctor Guillermo Echeverria, surgeon, Doctor Gustavo Velasquez, surgeon and others such as Dentist Dr. Norberto Fernandez are now involved in the success of this Program. Cleft lip, Palate Brain Shunts for hydrocephalic babies, gall bladder Laparoscopic Surgeries , prostate, circumcision , Plastic Surgeries of all kinds, Prostate, uterus and gynecology problems, hemorrhoids and all sort of trauma cases are now being performed at no cost.

Wheels of Charity provides the Transportation for personnel , materials and equipment to be used. Mayors from the local area provide the hotel and the meals. Social and health workers help selecting the cases.

Mayors of Peten Department (State)

Sr. Cristobal Calderon Alvarez, Mayor of Dolores

Prof. Juan Francisco Oliva, Mayor of Poptun

Sr. Noe Amezquita Gonzalez, Mayor of San Luis

Central Government of Guatemala

Sra.Margarita de Mijangos, Secretary to First Lady (Presidents wife)

Sra Margarita coordinates the efforts of the First Lady.

The First Lady oversees the Humanitarian efforts in Guatemala


APPENDIX


A small sampling of the type of cases
served by Wheels of Charity follow
EXAMPLES OF CHILDREN SERVED BY
WHEELS OF CHARITY


This boy required colon bypass until he was old enough for reconstructive surgery of his rectum.

A picture worth a thousand words - successful surgery and a future.

Spina Bifida successful reconstruction surgery. Doctors services are donated.

Toddler with Cleft Pallet awaiting surgery

Infant with Cleft Pallet awaiting surgery

WHEEL CHAIR RECIPIENTS
MADE POSSIBLE BY
WHEELS OF CHARITY

This man was totally dependent on his invalid mother until he received his wheelchair. Now he can return to his profession of shoemaker and support himself and his mother.

Grandmother can now get out of the house and help with the family affairs, important in a society that needs everyone's participation.

Another happy family, now Mom can get out and about and be with friends and be of value.

Mobile Clinic Plans

Surgical Center Plans and supporting documents
MOBILE CAT SCAN TRAILER



PROPOSED SURGICAL CENTER
Elevation




SURGICAL CENTER COST PROJECTIONS

LAND THAT HAS BEEN DONATED
FOR THE SURGERY CENTER


This land is next to a school that was build by the USA Army as a gift to the Guatemalans.

Letters of Introduction and Request

Lets us congratulate you from our distant State of Peten, Guatemala. On behalf of the South Area Municipalities of Peten, municipalities of Dolores, Poptun, and San Luis, as mayors we have the honor of representing the will of our people. We want to let you know that our counties are among the biggest within the Northern area of Guatemala.

The population of Dolores is 62,846 residents within an area of 3,050 square kilometers.
The population of Poptun is 51,545 residents within an area of 1,296 square kilometers.
The population of San Luis is 68,436 residents within an area of 2,087 square kilometers.

We are asking for:

Through you we can obtain a donation of mobile clinic. The clinic will move through the southern areas of Peten which are mainly rural and very impoverish.

Thank you for your valued generosity supporting our communities.


I am glad to inform you that Mr. Francisco Sagastume has been a great contributor to the Pediatric Foundation of Guatemala for the past eight years.

He has organized effectively with great enthusiasm the activities for the surgeries that have been scheduled for the needy patients.

During 1996 twelve campaigns in the National Hospital of Antigua were organized by the Pediatric Foundation and supported by the hospital with assistance and direction of Francisco. In 1997 six campaigns were organized. In March 2001 Francisco organized a campaign in Poptun, Peten.

We are please to recommend Francisco as an honorable person, who is an enthusiastic and cooperative innovator and highly respected. All the staff of the Pediatric Foundation will support all of the health programs that Francisco organizes. We thank you in advance for all the help he may receive from you.


The Director and the Administrator of medical and paramedical staff of this hospital are very appreciative for Francisco Sagastume who is a person who has been outstanding for his humanitarian help in this county for the past 6 years. During this time he has coordinated specialized surgery campaigns that cannot otherwise be realized in this county do to the lack of human and material resources. Thanks to Francisco and to the help that he gets to assist him, he has been able to collect wheelchairs, prosthetics, crutches and all kinds of equipment for handicapped patients. He has also been the link to obtain medical materials for our hospital. For all of this we are very grateful for all of the help you can give to Francisco so that he can continue helping all of the most needy people of our county.


It is nice and very emotional to see and get to know people like you that are dedicated to serve you fellow beings, giving them physical, emotional and spiritual support to many homes.

In this opportunity I want to thank you greatly for all the help from which we all have been benefited one way or another, such assistance consists of construction and partially equip a health clinic in the community of Esmeralda for return refugees of the war, for cleft lip, cleft pallet, prostate, gall bladder, circumcisions, surgeries that were performed at the hospital of Poptun. Francisco helped consistently bringing wheelchairs, crutches, walkers, hearing aids, clothing, medicine and something very special to the children of the very impoverished areas, Christmas presents that year after year have lighted up the faces of hundreds of those children. We are hoping that Francisco will continue giving this humanitarian help and I know God will reward him. Francisco must feel happy for that gift of generosity to help the needy this gift that was inherited from his father. May our Heavenly Father bless him greatly. This gratitude goes to the medical staff that has always accompanied him as well as the other people with good hearts and humanitarian vision that collaborate with him. We hope that it becomes real that drinking water project to that particular community will be accomplished. As all topography work from our side has been done. As a representative of all these communities and on behalf of all of these communities that have valuable help we thank Francisco and hope that all the valuable help may continue coming through his efforts.

I as a mayor of Dolores I can testify of the help that has been received from Francisco Sagastume.

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