Sri Lanka

Yayawatta Seenimodora Village Medical Clinic

May 31, 2008

Michael Lear, Country Director

Inland from the coast, situated quite far from convenient medical care sits the Seenimodora Yayawatta Village, a community of 95 families relocated with the support of International Service Partners. In 2006, Real Medicine Foundation elected to provide a free medical clinic to this very poor village community who lacked the means of transport to seek medical attention when it arose. Today the clinic services an additional four surrounding villages and over 250 people per month.

This medical clinic remains one of the only post tsunami projects in the district and now serves four surrounding villages. It continues to play a significant role in the overall health of the community by providing these free services such as:

  • Timely treatment of minor cuts, colds and injuries which prevents serious conditions from developing if unchecked; worm and lice checks for school children
  • Education to the families in general hygiene, child care and family planning
  • Convenient on going follow up care to patients who have sustained serious injuries and were treated at the hospital
  • On going support for those suffering from Post Traumatic Stress
  • Timely referrals to the hospital for more serious cases.

Here are some of the other patients treated at the clinic

  1. A man who broke his leg seven months ago visits the clinic for assessment of the bone setting and healing
  2. A young girl and her mother who were in an automobile accident have visited every few days to track their healing process.
  3. The variable weather had created patterns of dry dusty conditions to damp moldy conditions throughout the village. Many children have been suffering from wheezing. This young boy is receiving a check up.
  4. Just after the New Year and before school started, many children came for check ups and worm medication for the family.

Over the past few months we've accomplished a great deal towards improving the clinic operations to provide better care for the increasing number of patients and meet the requests of the greater community.

* Implementation of a Clinic Data Management Program

  • Patient data and medicine prescription forms in English/Sinhalese have been developed to ensure thorough patient intake, treatment
  • Patient Visitation Logs provided for more accurate Morbidity Reporting Data
  • Medicine Inventory Logs for better accounting of dispensation

The popularity and reputation of the clinic for supporting the community's children has led to requests from area schools for one day Medical Clinics. To better coordinate these off site activities and meet this growing demand we've implemented a Special Project Proposal process that outlines and identifies the requirements for each unique request. At each event will provide healthy natural snacks, such a fruit, nuts, dried fruit, etc to emphasize nutrition as the basis for optimal health and a strong immune system.

The Next Step

To ensure the full empowerment of this community to attain better on going generational health and self-reliance, our future project goals include:

  • Offering Ayurvedic remedies for those patients who wish to be treated by traditional methods that have sustained their culture for centuries. There are many elderly patients who do not wish to take pharmaceuticals.
  • Lectures on Nutrition and Whole Food Diets and the avoidance of Non Organic produce, Processed Foods containing refined sugars, preservatives, hydrogenated oils such as soda, candy, pastries, fried foods, etc.
  • Workshops on Yoga, Movement Education and light exercise to address musculoskeletal discomforts
  • *Acquiring support for the local Agricultural Center to instruct the community in Home Gardening and Community Gardening
  • *Acquiring support from the government for Rain Water Collection Systems to provide low cost access to water for gardening and general subsistence. * In conjunction with International Service Partners


 

Growth of the clinic is not without it's challenges

Due to village re-organization, the clinic was re-located to its community center that has a partial open air structure. While the treatment office is secure and clean, the waiting area is subject to evening pigeons and the fence surrounding the community center is also not adequate to keep out roaming cattle at night. Frequently the staff has to remove dung from the premises.

The access road is slowly being prepared but still presents a problem. The clinic currently has no running water due to a delay in public installation and a conflict between the village community and the village management. For this reason it is difficult for us to fill the water tank without the possibility of the pipes being cut and the water being stolen. Many of the community now bathe at this damn near the village.

Growth of the clinic is not without it's challenges Due to village re-organization, the clinic was re-located to its community center that has a partial open air structure. While the treatment office is secure and clean, the waiting area is subject to evening pigeons and the fence surrounding the community center is also not adequate to keep out roaming cattle at night. Frequently the staff has to remove dung from the premises. The access road is slowly being prepared but still presents a problem. The clinic currently has no running water due to a delay in public installation and a conflict between the village community and the village management. For this reason it is difficult for us to fill the water tank without the possibility of the pipes being cut and the water being stolen. Many of the community now bathe at this damn near the village.

Country Page: Sri Lanka Initiative Page: Primary Care Clinic Yayawatta