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HEODRA:
HEODRA León
 
HEODRA León
 
HEODRA León
 
HEODRA León
 
HEODRA León
 
HEODRA León
 
HEODRA León
 
HEODRA León
 
AMOCSA:
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
AMOCSA León
 
Vicente de Paul:
Vicente de Paul
 
Vicente de Paul
 
Vicente de Paul
 
Vicente de Paul
 
 

Hospitals and medical institutions in Nicaragua

Electives and internships for medical and nursing students, and volunteer positions for professionals are possible at the public hospital "HEODRA" in León and at the private hospitals "AMOCSA" at various locations in Nicaragua. Final year medical rotations are also possible at HEODRA. 

Public hospital "HEODRA"

The public hospital HEODRA ("Hospital Escuela Oscar Danillo Rosales Arguello") is a teaching hospital of the medical faculty of León University. Therefore, final year medical rotations are possible. There are regularly overseas physicians at the hospital as part of international exchange and development programs.

HEODRA is the largest hospital of Nicaragua. There are 440 beds and 1000 staff (of which around 300 are physicians and 350 nurses). Departments include Pediatrics, Gynecology/Obstetrics, surgery, pathology, radiography, anesthesia, orthopedics, ontology, plastic surgery and physiatry (rehabilitation medicine). 

The hospital receives around 20,000 patients per year from the whole Northwest of Nicaragua. Many patients are poor and benefit from the free treatment at the public hospital.   

Within the scope of the hospital is the provision of medical services at the rural regions. Following a fixed plan, physicians of the hospital travel to El Sause, which is located around 100 km outside of León, to offer medical services in the countryside. Further, there are smaller medical units located at many locations in rural Nicaragua, with a permanent staff of around 5-6 physicians each. Elective students, interns and volunteers can also participate at these outreach programs.

The most common diseases treated at the hospitals are respiratory tract diseases, caused by dust and smoke in the people's homes. Typically, Nicaraguans cook inside of their houses on an open fire. The second most common diseases are cardiovascular diseases caused by a lack of movement, greasy nutrition, obesity, alcohol and smoking. A further problem is the high fertility rate of Nicaraguan women. One third of all babies born are of very young mothers; in rural areas a woman has an average of 6 children. The reasons for this situation are lack of education, broken families and the machismo culture. 

Volunteering positions (for qualified physicians, nurses and other medical professionals):

Medical and nursing volunteers are always needed; they should have intermediate Spanish language skills. The minimum duration of stay is 3 months; specialists (experienced physicians) can also stay for a shorter duration.

Students (Clinical electives):
 
Clinical electives, internships and final year rotations are possible. with a minimum duration of 3 weeks. Students should send us their CV/resume in Spanish, a letter of recommendation from their university's dean, pro-dean or professor on the university's letter head with signature, and a letter of motivation which describes in detail what the student wishes to learn during his or her elective/internship/final year rotation.
 
 
Private hospital AMOCSA

AMOCSA ("Asistencia Médica de Occidente S.A.") is the private hospital that probably offers the highest medical standard of León. Besides AMOCSA in León, in western Nicaragua, there are 2 further locations with larger AMOCSA hospitals and several small outpatient clinics. They are primarily targeting patients that can afford better medical care than that which is offered by public hospitals.
 
At the moment, AMOCSA León is in a process of transformation, as step by step the old buildings are being demolished and replaced by new ones. Two new buildings have already been completed; another one is currently under construction. In total, there are 4 buildings of AMOCSA located in one street in the city centre of León.
 
One of the new buildings hosts the emergency care unit, the laboratory, outpatients' clinic, and 3 intensive care units. The other one offers inpatients' wards with a total of 61 beds, pediatrics, gynecology/obstetrics, orthopedics, and a pharmacy. The maternity and physiotherapy wards have recently moved to a completely new building. 
 
In León the hospital has 170 employees. Particularly in the afternoon, the outpatient's department is very busy, as the private health care insurances require the hospitals not to have any patients waiting for more than 2 hours.
 
AMOCSA has contracts with the social security of Nicaragua so that the staff of companies that insure their employees and employees' family members through the National social security are being treated at AMOCSA. This contributes to a total client base of around 60,000 people. Furthermore, AMOCSA specialises in work health. Health checks are being carried out for individuals seeking new employment, and those needing recurring health checkups, as well as special tests including hearing tests and eyesight tests. AMOCSA also performs test of health conditions at work places, for instance measuring levels of noise.

Volunteers:

Volunteers from the medical and nursing subject areas are always needed. Intermediate skills of Spanish language are expected.

Electives, internships:

We can offer a limited number of elective placements/internships at AMOCSA. 

There are three shifts at the hospital. Shift 1 is from 7am to 2pm, shift 2 is from 2pm to 9pm and shift 3 from 9pm to 7am.

 

Nursing home of Sociedad San Vicente de Paul

Sociedad San Vicente de Paul is a Catholic charitable organization which is active on a world-wide level. In León they are operating a nursing home for sick people, offering general medical treatments and consultations, dental treatments, laboratory services and support for malnourished children.

The nursing home was founded in 1989. It is located directly next to the large public hospital HEODRA, accommodating patients who don't have anyone looking after them. As in many other countries, HEODRA hospital doesn't provide any meals, laundry service etc., but it is expected that the patient's family members deal with these issues. San Vicente de Paul is offering these services (accommodation, breakfast, dinner, laundry service) for free for those who cannot count on the help of anyone. The home also administrates the patient’s supply of medicines. There is a dorm for 10 men and a dorm for 10 women, both with their own bathroom. 

In 2011, 1,798 persons were able to benefit from the nursing home's services, particularly women and children.

Besides this, Monday to Friday from 7:30 am to 3 pm there is medical consultation and treatments, performed by nurses; once per week a general practitioner joins. A symbolic contribution of 1 USD is expected for the medical service, while medicines are still supplied totally free of charge. In 2011, 12,630 patients were able to benefit from this service and 37,890 prescriptions were issued.

Since 2000, Monday to Friday from 8-11am and from 1-3 pm, dental treatments are being offered; 4 female dentists are rotating their shift. In 2011, 3,153 persons benefitted from dental treatments.

The laboratory has been added in 2003. From 7:30 to 10 am, Monday to Friday, basic laboratory tests are being offered, including complete blood count, malaria test, urine test, scatoscopy, and blood sugar test. There are no funds for further examinations. In 2011, 4,830 tests were carried out.

Since 2006, San Vicente de Paul in León has been running a program to support malnourished children. Nutrition plans are being made, food supplies are being provided to mothers, and the mothers are being educated about nutrition issues, always considering their very limited financial recourses, and weight and condition of the children are also being checked. In 2011, 50 malnourished children aged 6 months to 10 years were supported. Besides this, 7 malnourished adults have also been treated.

Volunteer positions are possible at Sociedad San Vicente de Paul for anyone who can contribute qualified professional support, such as nurses, physicians, dentists, nutritionists and laboratory technicians. 


Info box:

Location: León, Nicaragua

Duration: see text above

Special qualifications needed: yes

Costs: For electives and internships the trouble-free package is mandatory, for professionals it is optional

Accommodation: Not included

Meals: Not included

Included: Placement in the project; if you opt for the trouble-free package the whole range of services which is part of the trouble-free package is included

Not included: Travel to Nicaragua, health insurance, visa

Book this placement now!