Category Archives: Project

Community projects

Diabetes Study

:: PROJECT FACT SHEET
Diabetes Study

Description
Project will attempt to identify the scope of diabetes on Ulithi Atoll. This information will be used to help educate the people of Ulithi Atoll about the risks of diabetes and how to prevent and treat it. It would also help establish a baseline upon which the progress of diabetes prevention/treatment can be measured.

Research
Investigate the diabetes literature on similar diabetes projects and identify what would be most successful in Ulithi Atoll.

Identify experts
Identify experts in Hawai’i who could help design and implement all aspects of the program: screening/education and prevent/treatment.

Ulithians in Hawai’i
Involve members of the Ulithian community in Hawai’i in the design and implementation of the Hawai’i-side of the project.

Screen
Screen the adult population of Ulithi Atoll (approx 700) for Diabetes and glucose intolerance. This would be done with volunteers from Hawai’i as well as members of the Ulithian community trained in diabetes screening.

Glucometers would be purchased/donated in Hawai’i to be used in screening. The glucometers would be left to those members of the community who needed them. Extra glucometers would be saved to be used in future screening projects elsewhere.

Document
Results of the screening would be documented on a population basis and all numbers would be anonymous. Individuals with abnormal screening results would be notified privately at the time of screening and offered education and treatment possibilities. All the results of the screening will be shared with the community in the form of discussions and handouts.

Educate
Education sessions would be performed with the help of experts from Hawai’i and members of the Ulithian community. These sessions would be formal and informal and take place on each of the islands of the atoll.

Train
The training of Ulithian diabetes educators is an important part of the project. These individuals would be essential in making a lasting impact. They would be trained in the essentials of proper diet, foot care, blood sugar monitoring as well as the pathophysiology of the disease. Of course this training would stress changes that are possible in the setting of Ulithi (economic, cultural and physical). We would like to train at least one educator for each of the islands of the atoll.

Participants
This project will be carried out by members of the Ulithian community both in Hawai’i and in Micronesia, diabetes educators/experts, and volunteer help from students in medicine, nursing, social work and public health.

Supporting Existing Health Systems: Assisting Yap Department of Health Develop an appropriate chronic kidney disease clinic

:: PROJECT FACT SHEET
Supporting Existing Health Systems: Assisting Yap Department of Health Develop an appropriate chronic kidney disease clinic

Problem
With high rates of diabetes and hypertension, chronic kidney disease is becoming a problem for Yap’s community. Without end-stage treatments available, like dialysis, Yap must focus on the prevention of kidney failure.

What we did to help
The Yap Department of Health approached OCH to assist reducing kidney disease in Yap. Working with the Yap State Physicians, an OCH volunteer, Dr. Chris Lindshield from the University of Hawaii Department of Family Medicine and Community Health put together a Chronic Kidney Disease Clinic. This clinic was designed to utilize the most up-to-date prevention strategies for chronic kidney disease. It was especially designed for Yap, using the available laboratory tests, medications and life style initiatives. This clinic has put in place a protocol that is easily followed by all Yap Health Care Providers. In order to strengthen the effectiveness of the protocol a presentation was given by Dr. Lindshield on Chronic Kidney Disease. In addition, to see if the clinic is successful in reaching its goals of slowing the progression of Chronic Kidney Disease, Dr. Lindshield performed a survey of Kidney Disease in Yap over the past 5 years. This clinic will hopefully improve the medical care provided for kidney disease and eventually help reduce the rates of kidney failure in Yap.

Completed Project Grade: Pending Completion

Supporting Existing Health Systems: Responding to a Dengue Fever outbreak on Fais Island, Yap

:: PROJECT FACT SHEET
Supporting Existing Health Systems: Responding to a Dengue Fever outbreak on Fais Island, Yap

Problem
Yap Department of Health discovered a Dengue Fever Outbreak in the small island community of Fais. An immediate response by the community was necessary to stem the spread of the virus via mosquitos. Unfortunately, the community and the department did not have access or ability to qucikly purchase mosquito repellent.

What we did to help
Oceania Community Health stepped in to quickly purchase the needed mosquito repellent for the island of Fais. This enabled the Yap Department of Health response team to provide the repellent during their initial assessment. Since the team went in to Fais on March 22, 2007 there has been no further cases of Dengue Fever in the outbreak. Hopefully the mosquito repellent played a small role in limiting the spread of the virus.
Completed Project Grade: 86%

Yap Cancer Survey

:: PROJECT FACT SHEET
Yap Cancer Survey

Problem
Cancer data collection and analysis has been inadequate in much of the Pacific including Yap.

What we did to help
We partnered with the University of Hawai’i and Papa Ola Lokahi to collect cancer mortality and prevalence data in Yap. The results were presented at the June 2003 conference of the Hawaii Public Health Association, and published in Pacific Health Dialog, (“Cancer in Yap State, Federated States of Micronesia,” Pacific Health Dialog September 2004 Volume 11, Number 2) Surprisingly, cancer is the number one cause of death in Yap. We hope this will be helpful in providing prevention and treatment of cancer in Yap.

Completed Project Grade: 88%

Supporting Existing Community Efforts to Achieve Health: Medical Supplies to Yap Memorial Hospital

:: PROJECT FACT SHEET
Supporting Existing Community Efforts to Achieve Health: Medical Supplies to Yap Memorial Hospital

Problem
Despite its best efforts, the Yap State Department of Health Services is inhibited by limited resources.

What we did to help
In order to help the existing systems that deliver health services to Yap, we have provided donated health supplies. Oceania Community Health wants to work with existing health systems to promote their distribution of health rather than compete and demote the care provided by existing systems. We have been able to deliver needed medical supplies such as a cardiac defibrillator, blood analyzer and assorted medical supplies to Yap Memorial Hospital. These supplies have been generously donated by Queens Medical Center and Wahiawa General Hospital in Hawai’i.

Completed Project Grade: 82%

Ulithi Community Health Assessment

:: PROJECT FACT SHEET
Ulithi Community Health Assessment

Problem
There has been no recent assessment of health in the outer island communities of Yap. Without a recent assessment it was impossible to identify what health issues need to be addressed. In addition, an assessment would provide a baseline from which future outcomes could be measured.

What we did to help
Using a health survey developed by the Yap State Department of Health Services we conducted a study on Ulithi Atoll covering the two islands of Fatharai and Mogmog. This data will provide an example of health conditions in the outer islands of Yap. Some apparent health needs included- construction of a Health Dispensary on Fatharai Island, tobacco cessation, obesity and cervical cancer screening. Please see the Health Assessment Study Results (2mb PDF) for more detail.

Acrobat PDF format
The results are in the Acrobat PDF format. You will need to download the free Adobe Acrobat Reader to view this file.

Completed Project Grade: 88%

Providing the Tools to Rebuild an Island's Health: Constructing a Community Health Dispensary

:: PROJECT FACT SHEET
Providing the Tools to Rebuild an Island’s Health: Constructing a Community Health Dispensary

Problem
The island of Fatharai lost its community health dispensary during a typhoon 2 years ago. Rebuilding the dispensary has been delayed because financial resources to provide tools and materials have been unavailable.

What we are doing to help
We are working closely with the community, the Yap State Health Department and island health professionals to create a structure that is culturally appropriate and capable of serving the community now and in the future. Thanks to community input we have made design changes that will improve the provision of culturally appropriate care. In addition, the structure will fit into the existing outer island dispensary system operated by the Yap State Health Department. We will to obtain funding through grants and donations to provide the community with the tools, materials and resources to construct their health dispensary. Expected completion is November 2007.

Completed Project Grade: Pending Completion

Building Health Care Capacity: Training Community Health Assistants

:: PROJECT FACT SHEET
Building Health Care Capacity: Training Community Health Assistants

Problem
Because of their scattered geography, the Outer islands of Yap have inherent difficulties in accessing health care. To deliver health to these isolated communities, the Yap State Health Department created a system of community health dispensaries. Each dispensary is operated by a member of the community trained in basic health care. Unfortunately, these health providers have very few opportunities to get additional training to better serve their community.

What we did to help
In the summer of 2005, we collaborated with the Yap Area Health Education Center (Yap AHEC) to offer on-site instructors to train these community health workers. The instructors selected were two Yapese physicians previously noted for their exceptional teaching skills. We felt it was essential to use qualified individuals from the Yap Community as this would help build the community’s capacity to educate itself in the future.

The courses to be provided include:
1) Review of Health Sciences
2) Health Problems in Adults
3) Introduction to Life, Society and Health
4) Maternal and Child Health I
5) Maternal and Child Health II
6) Health Problems in Children

By completing these courses the community health workers will be able to obtain a certificate degree as Health Assistants from the College of Micronesia and, more importantly, better serve their communities.

Completed Project Grade: 92%

Ensuring the health of the future: Care for the Health of Yapese Children

:: PROJECT FACT SHEET
Ensuring the health of the future: Care for the Health of Yapese Children

Problem
Many of the children of Yap are faced with restricted diets, poor oral hygiene and limited educational resources.

What we did to help
We provided community care packages to each of the island communities of Ulithi Atoll. These packages included items to help improve the health of the islands’ children- school supplies, tooth brushes, floss, toothpaste, multivitamins and sports equipment. They were distributed through the elementary schools of each of the four inhabited islands of Ulithi Atoll.

Our visiting physicians also aided in providing physical exams to children enrolled in Head Start on Yap proper in 2004.

Completed Project Grade: 70%

Reading Towards Better Health: Books for Ulithi Library

:: PROJECT FACT SHEET
Reading Towards Better Health: Books for Ulithi Library

Problem
Although provided text books for school, the students of in the Outer Islands of Yap have few other reading materials.

What we did to help
In November 2004, we donated approximately 150 books to the Ulithi Outer Islands High School library. The books were donated by Mr. & Mrs. William Powell of Honolulu, Hawai’i. These books have been used not only by students, but the entire community of Ulithi. We feel that education is an essential component to the overall health of a community. We hope that improving the Outer Islands High School Library we have provided lasting improvements in education.

Completed Project Grade: 72%