A Global Grant Proposal Presented at the Rotary USA / Mexico Friendship Conference Scottsdale, AZ October 2017

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A Global Grant Proposal Presented at the Rotary USA / Mexico Friendship Conference Scottsdale, AZ October 2017 Barbara Kiernan World Community Service Chair Catalina Rotary (Tucson) D5500 barbarakiernan@cox.net 520-240-8020

Rotary Global Grant Proposal in Sonora, Mexico Improving Rural Healthcare Help for Today; Model for Tomorrow Host Club: R.C. de Navojoa (Sonora, MX) D4100 International Club: Catalina R.C. (Tucson, AZ) D5500

Goal: Use Rural Empowerment Strategies to provide sustainable & accessible health care to underserved, marginalized communities in remote areas of northern Mexico

Rotary Area of Focus Disease Prevention & Treatment

Remote Rural Areas Indigenous communities with limited or no access to healthcare, routine or otherwise. to be Served Mesa Colorada Los Estrados/San Juan Mochibampo Burapaco Colonia Makurawe

Barriers Distance from clinics and hospital care Transportation availability Language isolation/ communication systems Equipment/technology access Timely Treatment and stabilization for transport Training of all people involved

Sustainable Resources, Partners, Collaboration Options Clinica Almas Integral in Alamos, Sonora Trainees in waiting Telemedicine Rotary in Sonora Community volunteers University UNISON (University of Sonora) Municipalities of Alamos/Navojoa

Solutions Proposed: Grant Objectives CREATE Rural Empowerment Zones (REZ) within each targeted community PROVIDE Professional Development for healthcare workers PROVIDE Training for community members DEVELOP Telemedicine system of communication

REZ The Rural Empowerment Zones in each community focus on community residents & the augmentation of resources that permit immediate access to healthcare.

Rural Empowerment Zones: Healthcare Services Implemented Quality of Life Center appropriate technology Non -Transmissible Disease Cardiac /Respiratory REZ 1st Aid/Trauma Family, Maternal & Child Health Rehydration/ Sanitation

REZ - Quality of Life Zone - Appropriate technology Solar lights Hearing aids Screening Ophthalmology Audiology Special Needs Wheel chairs for rural care Solar powered ice chest development for vaccinations and insulin

REZ -Non -Transmissible Disease Cardiac /Respiratory Blood pressure monitoring Pulse oximeters and glucometer training Oxygen - respiratory & cardiac care Nebulization Telemedicine dosing - guidance for adult /pediatric care

REZ Family Maternal / Child Health Nutritional education Child weight, growth & wellness Screening Birth center empowerment Gardens - food sovereignty Special Needs Reproductive health

Rural Family, Maternal and Infant care

REZ -Rehydration/ Sanitation Water purification systems Water supply for electrolytes Telemedicine for hydration dosing with IV Oral rehydration/ training for diarrhea vomiting or heatinduced dehydration

REZ -First Aid/Trauma Preservation of bicultural healing traditions & care Infection vector control First aid & paramedic training for remote rural communities Preparation for evacuation & transport

Training for Community And Professional Development for Healthcare workers

Health Education & Capacity Building Asset Mapping, Health outreach, Nutritional classes, Community Gardens

Telemedicine A reliable solar-powered digital system that permits remote diagnosis & timely treatment of patients in need of acute or chronic care.

Long-term Objectives Create a replicable model of sustainable & effective health care in remote areas of rural Mexico Enhance sustainable clinic centers to facilitate continued quality of care

Budget Total Expenses $140,000 Fundraising objective: $70,000 Equipment $ 71,400 (51.0%) Supplies $ 11,200 (08.0%) Training $ 45,500 (32.5%) Project Mgt $ 11,900 (08.5%) October 2018 September 2020