Lessons Learned

Delegation Selection
-Helpful to have some Spanish for every member

Pretrip Contact of Resource Person
-Helpful for support

Preparation/Needs Assessment Prior to Trip, Contact list
-Fondo physician
-Tierra Blanca Unidad director
-Jiquilisco hospital lead physicians
-HIV Clinic in San Salvador
-CIS
-Dean Brackley

Pretrip briefing session
-Need to be clear with goals of medical visits
-Ideally team is made aware of local projects in process (renal failure study)

Itinerary
-Ideally R&R day on Wednesday
-After lunch sitting limited to 30-45 minutes
-Best combination is sitting then walking
-Continue morning and evening reflections
-Need to have more sharing of medical visit experiences
-Keep Romero home/chapel visit
-Keep Dean Brackley visit
-Iterinary should include meeting with Fondo doctor and Tierra Blanca Unidad

Computer Access
-Need better access in the evening, & morning
-We can supply a wi-fi router for less than $100, have constant access

Medical Visits
-Need a formulary for teams
-Ideally backpacks could be pre-packed with formulary meds
---Tylenol
---Multivitamins with iron
---TUMS and H2 blockers (Pepcid, Zantac)
---Hydrocortisone cream
---Antifungal cream
---Antibiotics – oral, topical
- Standardize history and demographics
---Preprinted H&P forms?
---Possible to get demographics from animador?
-Improve process for arranging follow-up
---Currently up to Sisters Fran/Elena
---Ideally could impart some responsibility to animator

Future Considerations
-What should be the depth of involvement?
---Periodic/Annual social/medical home visits (current level of involvement)
---Periodic/Annual health advisors to community leaders
---Partnership with local physicians
---Community public health needs assessment
---Permament or intermittent Providence clinic
---Providence hospital
-Who is the focus of future efforts? Delegations or Communities?
-What should be the scope of effort?
-Worldwide scope vs focused regional projects
-What process should be used to move forward?

Discussion Points of the Group
-International mission needs to be linked with U.S. mission
-International efforts need to be supporting local community, NOT directing community
-Plan must be sustainable, impactful, partnered with grassroots efforts
-Should include health and business development
-This requires more of a presence
-Local relationships already developed by Sister Fran who has created a legacy
-Entering new communities would take years
-Latin America geographically convenient relative to other parts of globe
-Internal Providence process for development of a strategic plan
-Intentional focus on personal formation relative to immersion