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Cofradía, Honduras

 

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General Information

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Population* 304
Number of homes 80
Avg # of people per home 3.8
Number and % of children

(0-5yrs): 30/9.8%

(0-9yrs): 84/27.6%
Electricity Yes
GPS

N 14° 18.460'  

W 86° 58.190'
Municipality San Juan de Flores
Department Francisco Morazán
Corresponding Health Center CESAR-Zarzal
Distance from compounds 40 minutes
Road conditions Normal

* Population does not reflect how many patients will be seen on medical
brigades as many people from surrounding communities come seeking
Medical Brigades medical attention.

 

Top Needs Expressed

The top needs expressed by the key community members are construction of a community center, construction of water storage units (pilas) and latrines, and repairing of homes.

Geography

 

 

 

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Cofradia is located in the Cantarranas municipality in the Fransisco Morazon department.

 

 

 

Education

Cofradía’s educational system includes Kinder, Primary, and Middle schools (until 9th grade). There are 54 students and Deysi Suyapa Salgado is the school director. It is approximated that about 75-100% of the community knows how to read and write.

Water

Cofradía has a water system that was re-constructed in 2006. The system is functioning well and water arrives every day. The water is chlorinated once a week1 . Approximately 100% of homes are connected to the water system. There is a Water Council with 3 active members, led by Lionel Arguijo.

Health

Cofradía does not have a health center in the community. The nearest health center is in Zarzal, located about a 15-minute walking distance. However, Oralita, the nurse at CESAR-Zarzal, lives in Cofradía and is on-call. Dental care is not available in the community or at the health center.

 

Currently, Global Brigades and Oralita have selected Cofradía as one of the next communities for implementing GB’s Community Health Workers (Guardianes de Salud) program. Training began in June 2010 for selected community members to serve as local health workers. 

 

The most common illnesses seen by community members are the flu, cough, and skin infections. Approximately 100% of the community is estimated to have latrines that currently function. 38% has eco-stoves (estufas justas). About 25-50% is estimated to have concrete floors.

 

Though there is no health data available at the community level for Cofradía, below are some health center statistics from the CESAR-Zarzal2 that serves Cofradía:

 

I. Annual Morbidities, 2009: CESAR-Zarzal

Rank

Morbidity

Number of Cases (2009)

1

Common Cold

184

2

Intestinal Parasites

135

3

Cervicitis

94

4

Urinary Infection

86

5

Pharyngotonsillitis

75

6

Anemia

62

7

Skin infections

50

8

Acid Peptic Disorders

44

9

Skin Allergies

34

10

Hypertension

31

Centro de Salud Statistics, Centro de Salud Regional-Francisco Morazán, 24 March 2010

 

II. Caserios (small villages) served by CESAR-Zarzal, 2009

Caserios

Population

Number of Homes

Potable Water (%)

Latrines (%)

Malnourished Children

 (<5yrs)

Births/ % Coverage of Pregnancies

Order of Priority (based on HC standards)

ZARZAL*

285

75

100

100

NA

3/27%

5

Cofradia*

304

80

100

100

NA

5/63%

6

Guaricayan*

185

22

100

77

NA

4/100%

10

Yamaguare*

244

60

100

100

NA

2/50%

8

Miravalle*

242

50

100

100

NA

5/46%

10

San Luis

197

40

100

100

NA

2/50%

12

Centro de Salud Statistics, Centro de Salud Regional-Francisco Morazán, 24 March 2010

*Global Brigades also works in these communities with medical brigades.

(NA) = Not Available Data

Socio-economics

The average family income per month is estimated to be 2400 Lempiras, which is an approximate average of L480 (US $25.41) per person3. The majority of homes are made of adobe and bahareque (stick and mud). The main form of employment is agriculture on owned land, and the main products that are cultivated in the community are corn and beans, as well as plantain. Members of Cofradía have access to credit through microloans offered through FINCA. They do not have a community bank, though would be interested in forming one in the future.

Other Observations

Cofradía is not currently receiving brigades from any organization other than Global Brigades. The Catholic Church completed an eco-stove project in 2004, finishing 30 in total. In 2006, when SANAA reconstructed the water system, they also built new latrines.

 

Cofradía is one of several communities served by CESAR-Zarzal, whose local nurse has been very collaborative with Global Brigades in the recent past. GB’s Community Health Workers program has selected this as a new community for CHW training in 2010 which demonstrates commitment and collaboration with GB’s work.

 

Gallery

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Source of information: Key informant interview, Centro de Salud statistics

Date of interview: 18 March 2010

1The accepted regulation frequency for chlorinating water is every 4 days.

2CESAMO and CESAR are terms used for types of health centers. CESAMOs are larger, more comprehensive facilities that usually have a physician on staff at all times and occasionally a dentist. CESARs are more remote, less equipped facilities, usually with

1-2 nurses on staff.

3According to Red Solidaria and World Food Programme in Honduras, the average family is approximated at 5 people per household, the poverty line is L930 (US$49.23) per person per month, and the extreme poverty line is L617 (US$32.66) per person per month.