The Republic of Nicaragua is a Central American country with an estimated population of 6 million. The healthcare in this impoverished and politically ravaged country is highly problematic. Children under 1 year old make up about 2.7% of the population, with infant mortality of 40/1,000 live births.
The main health facility dedicated to child-care is the Hospital de la Mascota de Corazon de Jesus, in Managua, the capital of Nicaragua. La Mascota is a 280 bed hospital, badly in need of literally everything. Throughout the years, the International Medical Outreach (IMO) Program has responded and continues to respond to several calls for assistance for various hospital supplies and surgical instruments from the Director, Dr. Jose Gerardo Mejia, and his Chief of Surgery, Dr. Francisco Escobar, including the refurbishment of the hospital’s only diagnostic x-ray machine.
Additionally, we were asked to refurbish the institution’s 12-bed Pediatric Intensive Care Unit, which lacked a centralized oxygen supply system, contained only two working respirators and an unreliable monitoring system. Children, who required artificial respiration, were hand-ventilated around the clock by nurses. Using donated and refurbished equipment, we were able to fully re-equip the Intensive Care Unit and bring it into new millennium technology. We recently sent an additional x-ray machine and a container full of medical supplies to the La Mascota Hospital.
The National Cardiology Center
The Program’s activities in Managua have continued with our involvement with the Centro Nacional de Cardiologia, the only public facility available to provide specialized cardiological services to the population of Nicaragua. Their principal problem was that the country’s only public heart catheterization laboratory had broken down over five years ago and they could not afford the cost of repair and maintenance. Because of the lack of funds, only a few patients in extreme need were referred to a private clinic with the proper facility. The great majority of patients were placed on medication; if, and whenever, it was available.
“Last year, I had a heart attack. I thank God for the donors – they gave me an opportunity to live”, said Geronimo Ramirez, a heart catheterization patient. “I had only a few hours to live, but the cardiology center was open and the doctors were able to do a procedure on me. I thank God because [the donors and the center] provided me one more opportunity of life.”
Cardiac Catheterization Labs
With the assistance of Transtate Equipment Company, the James H. Heineman Heart Catheterization Laboratory at the Nicaraguan National Cardiology Center in Managua was officially opened in 2009. As a public care facility led by the country’s Ministry of Public Health, the Cardiology Center provides free services to any patient seeking care. In early 2011, the IMO Program upgraded the cath lab and supplied Nicaragua with a fully equipped, self-contained diagnostic laboratory suitable for various cardiac imaging.
In December 2012, a second public cath lab was donated by the IMO Program and installed outside of the National Cardiology Center (Centro Nacional de Cardiología), located by the Roberto Calderón Gutierrez Hospital. IMO’s two laboratory donations have helped rebuild the country’s National Center of Cardiology. Prior to the first donation, Nicaragua’s six million residents had no public heart catheterization laboratories. Today, one laboratory can perform 40 catheterizations per week.
“We are grateful for the opportunity to help Nicaragua’s medical facilities treat additional patients and to facilitate the delivery of contemporary health care to the country’s six million residents,” said Francis Robicsek, MD, PhD, vice president of the IMO Program. “This donation will immediately improve accessibility to heart care and help the National Cardiology Center offer sustainable, consistent services for years to come.”
Provider Training in Orthopedic Care
A new aspect of the Program’s involvement in Nicaragua is our partnership with the International Assistance Program of OrthoCarolina, Charlotte’s largest orthopedic group. Dr. Thomas Fehring, orthopedic surgeon, recently joined the Heineman Board of Directors, and we actively assist them in bringing health providers to Charlotte from Nicaragua and Africa, for extended professional training.