Wilmar Dyck

Thursday, 20 April 2017 16:13

Mouth hygiene

For many years already the Department of Health of ASCIM has worked in the area of mouth health with technicians (one Enhlet and one Nivacle). There are many needs in this area, since indigenous people don't pay much attention to mouth hygiene. Since 2013 a dentist works in the Department of Health of ASCIM. She gives consultations in a clinic in Yalve Sanga and visits with the doctor the various indigenous settlements where, even with very little equipment, her services are given.

Thursday, 20 April 2017 16:13

Venereal diseases

All pregnant women receive an exam for venereal diseases and if infected, receive treatment. In a school campaign young people get a test to check for sexually transmitted diseases, especially syphilis, since it is very common among indigenous people. An AIDS test is done on all tuberculosis patients. Again and again speeches are brought on the subject of venereal diseases.

Thursday, 20 April 2017 16:13

Campaign against Anemia and Parasites

The campaign against anemia and parasites is a mayor activity called school campaign. The school children are visited in school and checked for their health.  This exam is done on children of the first and second grade, and teenagers in seventh and eighth grade. They are checked for blood, eyes and mouth hygiene. If a problem exists, the child receives a written recommendation for the child to be taken to a medical check-up with a doctor or sometimes the treatment is taken care of right away. Children are given a medication against vermin. The importance of this is that children without worms concentrate better and can be more alert in school.

Thursday, 20 April 2017 16:13


Prevention Campaign

The prevention campaign concentrates primarily on cervix cancer. Every year this campaign offers for women in each village to have the PAP test done. The necessary equipment is donated by the Ministry of Health and Social Wellbeing.

Family Planning

Teaching to plan a family has been a challenge in health care for the  ASCIM Health Department from its beginning in 1968. This program is coordinated to match the specifications of the Regional Department of Health, which also provides for the necessary medicine. Today, indigenous families have fewer children because they  take family planning seriously. Growth in percentage is between 2 and 2, 3 %.

Pregnancy care

Another goal of the Department of Health of ASCIM is that every pregnant woman would have at least 4 medical check-ups during their pregnancy. This is why certain days are specifically for checking on pregnant women. Along with the routine controls women receive instructions in healthy eating, the immunizations their babies will need, the possible risks and their preventions. They also have an opportunity to sew diapers and baby clothes with fabric donated by an organization.

Participation in the program for pregnant women has improved greatly in the last years. About 80% of pregnant women participate in the regular check-ups during their pregnancy.

Breast feeding Club

A club for women that are breastfeeding was founded in order to offer special activities which support these women in their care of their infants. This program gives the women information about how to nurture their newborns and infants and the importance of mother's milk.

Clinic for Infants

The clinic for infants is for children up to 3 years and it   is held in the health clinics of each locality according to necessity. The goal is to give the small child at least 20 check-ups during its first 3 years of life. This form of control is to ensure that each child develops correctly. Special care is given to cases of malnutrition and that the vaccinations are given correctly by the Ministry of Health. The Ministry hands the medicine for vaccination over to ASCIM and makes it responsible of making a record of immunizations given and handing these in to the Ministry.

Thursday, 20 April 2017 16:13

The Tuberculosis Program

The Department of Health of ASCIM has been battling tuberculosis for many years already. Many intents have gone into minimizing the harm done by this sickness. In the early years the primary goal was to minimize its mortality rate. The next goal is to prevent the infection of new patients with tuberculosis.

The primary goal that has not been met yet is to totally eradicate the sickness of tuberculosis.  This is the reason that efforts are now being put into preventing new cases of the sickness. It is therefore very important to not interrupt the treatment of a tuberculosis patient and so prevent the death of a patient that has tuberculosis.

Letting numbers speak: in the early years of ASCIM about 10% of indigenous population suffered from tuberculosis. Today that number is 0, 2% of the population.  The program that was started many years ago has had success. The sickness is still present, but compared with earlier years it has diminished and therefore is easier to control. This doesn't mean we can let down our guard and diminish precaution measure; we are always on the lookout for new cases of tuberculosis in order to treat them right from the beginning.

Within this framework of fighting against tuberculosis the Department of Health of ASCIM keeps a tight relationship with the national tuberculosis program. They provide all the medications, as well as the equipment for the investigations and the lab tests needed. The right treatment for a tuberculosis patient takes at least six months and, in some cases, two years.  During this time, patients must regularly take a mix of up to four different types of antibiotics.  Since tuberculosis is not a sickness that necessarily must be reported, data must be gathered monthly in the office of the National Department of Health of Boquerón.

Thursday, 20 April 2017 16:13

Atención Primaria de Salud

Thursday, 20 April 2017 16:12

Hospitals of Reference

The hospital of Yalve Sanga is equipped to handle basic medical treatments. Mayor surgery cannot be done, so cooperation must be sought from neighboring private hospitals. A formal contract was made with the hospital in Filadelfia and with Hospital Concordia (Neuland).  These hospitals do the previously planned surgeries at more economic prices affordable to patients insured by the private insurance for indigenous peoples (AMH). If the insurance is not able to pay for the treatments in the private hospitals then the patient gets transferred to a national hospital in the area or to Asuncion.

Thursday, 20 April 2017 16:12

The financial support

Financial support for the health program has various sources: most of the hospital personnel is under contract and paid for directly by ASCIM.

Part of the financing comes from services of the indigenous people; they are paid in part with a health insurance called AMH.

A small part of financing comes from a German fund for the assistance of leper patients called DAHW.  This money is used only for tuberculosis patients.

Thursday, 20 April 2017 16:12

The administration

Health care is one of the major divisions of the work that ASCIM does and it is represented by a manager in the executive committee of the ASCIM. Various subdivisions work under the responsibility of the manager of the health care. Each subdivision has its own supervisor that gathers his/her volunteers once a month to organize the work.

The Department of Health of ASCIM is governed by an administration in Yalve Sanga. Two doctors have been hired by ASCIM to offer their services not only in the Yalve Sanga hospital, but also in the various indigenous localities. Every locality has one or more health clinics, depending on population density and distances from one clinic to the next. The idea is to have at least one health clinic in the radius of 10 kilometers. ASCIM takes care of the technical functions of each health clinic.

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FIDA          FRICC          UTA          AMH Grupo de Cajas Ascim          FTC          IMO          MCC

Yalve Sanga (Central office)
PO Box:
Filadelfia, 40
9300 Fernheim
Tel. 0491 432231
Cel. 0981 484 975
Email: info@ascim.org
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