Primary and first contact care on a medical support mission to the Dominican Republic

Aims and objectives The role of the volunteers in healthcare has a significant impact in developing countries. In countries where healthcare services are sub-optimal the contribution of voluntary organisations is important. The aim of this project was to provide primary / first contact care to the local population within a structured community project. Content of presentation The DR is still considered a developing country but is undergoing transformation due to its popularity as the fastest growing Caribbean . The coast and major cities are well served by an adequate if piecemeal health care system. Away from these areas villages can be isolated, transport minimal and health care problems substantial. A group of volunteer healthcare practitioners provided free healthcare services in rural areas in village schools or community halls. Locals were provided with free advice, medicine, clothing, eye testing/spectacles and educational sessions. Relevance/Impact Government directives and data collection were incorporated into the sessions e.g. measuring blood pressure for all patients over 14 years, height and weight up to age 14 and education sessions on breast feeding, tooth hygiene and choking were led by local health volunteers. Anti-parasite medication and daily vitamins were given to all patients unless contraindicated. Outcomes Diabetes and hypertension are common in the DR (8-9% and 29-35% respectively). These were common presentations at the clinic. Underweight children comprise 3.4% . Poor nutrition has resulted in a high number of underweight locals especially on the Haitian border. Discussion Poor sanitation and water supply and a sub-optimal diet contribute to preventable problems in the DR. Long term conditions are also very common. Volunteering provides opportunities for clinicians and developing countries alike