Tag Archives: Healthcare

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%