Who?
The
University of Rochester/Highland Hospital Family Medicine
Residency Program conceived and
created the San Jose project in collaboration with the
inhabitants of the San Jose area. Dr. Stockman is the current
Director for Global and Refugee Health at the Department and
leads the San Jose project from the US side. Dr. Stockman has
spent over three years volunteering in rural areas of West
Africa where much of his energies were directed towards rural
development in addition to curative medical care. He brings
his extensive global health and development experience to the
San Jose project. The Department of Family Medicine has
joined the non-governmental organization Shoulder-to-Shoulder
which has worked in southwestern rural Honduras for over 15
years.
Shoulder-to-Shoulder provides
in-country expertise and logistical support.
What?
The
primary goal of the project is to improve the health and
welfare of Hondurans living in the project area. Our hope is
that successful interventions in the project area will be
disseminated to other needy communities in Honduras and
beyond. Because the Department of Family Medicine is a
teaching institution, an anticipated side benefit is to train
other health professionals to improve their care of
under-served populations anywhere in the world. When we
reviewed job choices of graduates of our program, we found
that the vast majority of doctors that spent time overseas
ended up working with the under-served – both in the US and
in developing countries.
Where?
San
Jose San Marcos de Sierra is in the state of Intibuca,
Honduras, Central America. Honduras is the second poorest
country in the Western hemisphere, after Haiti. Intibuca is
one of the poorest states in Honduras and the county of San
Marcos is the poorest county in Intibuca. San Jose San Marcos
is a township made up of seven different small villages
spread out over about 5-7 square miles of mountainous
terrain. Most homes are at least ¼- ½ mile from their nearest
neighbor. Honduras is very US-friendly with many US companies
having a significant presence.
More details at:
CIA Factbook |
Wikipedia
When?
As of
November 2008, our program has visited Honduras 11 times. We
have worked with the San Jose communities for the last seven
trips and have made San Jose our main project site. Our
intentions have been made very clear to the people of San
Jose. We will continue to work with them in partnership until
they feel they no longer need our support because the project
has been a success. We realize that life-altering changes
take time. We expect to be involved with this community for
at least 1-2 generations.
Why?
The
Department of Family Medicine visited Honduras four times
before deciding to partner with the people of San Jose.
During those first four trips, we visited multiple rural
communities interviewing them as to their needs, their
problems, their resources and their strengths. San Jose was
well organized and had worked together previously on multiple
projects. Some of these included cutting a road with pick
axes and shovels through the mountains and building a new
primary school for their children. They had proven to
themselves and others that they had the desire to improve
their quality of life. They just needed a few more resources
and a few new ideas to make great things happen.
How?
We
try very hard to let the people of San Jose tell us what they
need. In other words, listening is the first step to
partnering with the San Jose people. We went to San Jose and
informed the people we could promise nothing. We just want to
learn from each other and see if by collaboration we could
address some of their concerns. The people of San Jose were
very clear as to their five greatest problems: 1. lack of
water, 2. inadequate nutrition, 3. limited/no education, 4.
limited/no access to health care and 5. poverty. Please see
the October 2008 trip report to learn more about some of the
interventions we are pursuing to address these identified
problems.