1. Learning while
Serving

2. Learning while
Serving
• Clinical Activities
• Student Elective Program
• Operations
• Community Outreach
• Forthcoming Priorities

3. Learning while
Hillside Patients 2008 - 2011 Serving
8000
Eldridge Clinic: 7000
6000
Patients Seen
Total outpatient clinics held 214 5000
4000
Total patients seen 3143 3000
2000
1000
0
2008* 2009 2010 2011*
Mobiles: Mobile 1680 2422 3422 4285
Eldridge 1900 2071 2654 3442
* Prorated to full year
Total mobiles health clinics held 191
Clinics Conducted 2008 - 2011
Total villages served 16
450
400
Total patients seen 3912
* Prorated to full year 350
300
Clinics 250
200
150
100
50
0
2008* 2009 2010 2011*
Mobile 100 126 199 211
Eldridgeville 127 107 234 237
* Prorated to full year

4. Learning while
Total Number of referrals Serving
Referrals for ultrasounds 15
Referrals to specialist clinics 23
Family Planning
Total number of people who have 140
used Family Planning services
Home Visits
Number of Patients 53
* Prorated to full year
Home visits done 337
Physical Therapy
Patient visits 203

5. Pharmacy Learning while
Serving
Top 10 Medications
• Metformin • Atenolol
• HCTZ • Aspirin
• Captopril • Simvastatin
• Enalapril • Acetaminophen
• Glibenclamide • Amlodipine
Lab
Blood Draws 353
PAP Smears 64
Tetanus Vaccines administered to adults 50
only * Prorated to full year
Labs done at Hillside
• urine dip • glucose checks
• microscopic checks • GUIAC
• hemoglobin • pregnancy tests

6. 130 Students from 45 different institutions and 4 different countries will have Learning while
Serving
participated in the Student Elective Program from January to December 2011
Distribution by Program Medical Learners at Hillside
PT 150 130 135
2%
88
PA 100 66 71
Pharmacy 63 53 59
23%
22% 50
Resident - USA
5% 0
Resident - 2005 2006 2007 2008 2009 2010 2011 2012
(estimated)
Medical - USA Medical -
International International
10% School Program Students
2% 34%
Drake University Pharmacy 17
Osteopathy Marquette PA 8
2% East Carolina University PA 7
Iowa Pharmacy 7
Kings College London Medical 6
Bristol Med School Medical 5
Distribution by Country Distribution by Gender
Imperial College London Medical 5
Australia Methodist University PA 4
5% Canada University of East Anglia Medical 4
2% University of Melbourne Medical 4
Male University of Wisconsin Medical 4
UK
University of Wisconsin PA 4
29% 24% University of Wisconsin Pharmacy 4
USA Medical College of Wisconsin Medical 3
Female Medical College of Wisconsin Resident 3
64% 76% Northeastern University PA 3
Peninsula Medical School Medical 3
University College London Medical 3
University of Sheffield Medical 3
Other Institions sending < 3 students 33

7. Learning while
Serving
Staffing Staff Development Loan Program
• Jennie Ical – pursuing a Bachelors in Nursing
Long term volunteers 6 • Alfia Pau- pursuing a Bachelors in Nursing
Nurse Practitioners 2 • Evert Mangar – pursuing a high school diploma
Registered Nurses 3 • US$30,000 needed for them to complete their study
Physical Therapist 1
Projects Completed
Short term volunteers 60
• Pharmacy/Lab Project
Pharmacists 12 • Install Ceiling & fans in Ed Center
MD’s 20 • Renovation of Tree House
• Installed hurricane shutters on Abby House
Lab Techs 3
• Driveway – fill and construct culvert/drainage
Physician Assistants 4
Nurse Practitioners 1
Registered Nurses 2
Occupational Therapist 1
Physical Therapists 5
Specialists doctors 6
Others – Non Medical 6
Belizean Staff 15

8. Learning while
Serving
Donations
Total in kind donations US$ 13,000
Total cash donations US$ 3,762.55
Volunteer Fees US$ 1,150
Student Fees collected in Bz US$ 1,200
Operational Costs
Monthly Cost to run the operation US$ 16,000 –
(including projects) 17,000
Annual Salaries US$ 62,000
Annual Electricity Expenses US$ 7,000
Annual Auto Expenses US$ 25,000
Annual Medication Expenses US$ 7,000

9. Learning while
Serving
Health Education Presentations
Fluoride Treatment done
Presentations Topics Covered include: Health Educations Activities:
“Normal skin changes in the elderly & skin
for preschoolers and
made at the • Delousing in Laguna, Midway
care” infants
following • Physical Therapy Health Fair in PG
“Nutrition for the elderly”
venues: “Dementia – what does it mean and how to town
HOPE
Corazon - 42
Eldridgeville
keep your mind sharp” Dolores - 17 • Mini Health Fair PG Town
“How to care for your sick child”
Barranco Otoxha – 26 • Participated in Mental Health Fair –
“Environmental Hygiene & related illnesses”
San Benito Poite “First Aid for Farmers”, Barranco – 25 PG Town
Aguacate “When you need to go to the clinic/doctor”, Crique Sarco – 35 • Health Fair in San Marcos,
Dolores “Belly Pain”, Conejo – 47 Barranco, Laguna, Jalacte
San Vicente
Otoxha
“Fever”, Jalacte – 34 • Toledo Community College -
“Skin Infections”
Jalacte Laguna – 12 Participated in their Career Day
“Headache & Backache”
Machaca Outreach “Environmental Hygiene & related illnesses” Midway – 44 • Julian Cho Technical High School –
Camp “G.I. Problems” Na Luum Ca – 30 Participated in their Career Day
PG Poly Clinic “Skin Infections”
PG Methodist School
San Benito Poite – 50
“Men’s Talk” San Felipe – 29
St. Benedict School ,“Normal Sexual Development and Body
5 Additional Schools Changes”,
San Vicente – 49
Footballers in ,“Touch/No Touch”,
Eldridge and Punta “Good Decsions/Bad Decisions” Total treated - 410
Gorda “Disabilities”
Toledo Community “Injury Prevention”
College “Stroke, Diabetes and Cardiovascular Disease”
Tooth brushing is done in the schools on all
mobiles

10. Learning while
Serving
A total of 15 training sessions were conducted for 44
community health workers.
Topics covered were:
• Where There Is No Doctor
• Danger Signs Needing Immediate Referral
• How to Interview and Examine a Sick Patient
• CVA Stroke, Diabetes
• Arthritis
• How to take Blood Pressure
• Fever
• CPR & General First Aid
• Diabetes (reinforced) & Cardiovascular Disease.
• STI’s and Sexually Transmitted Diseases including HIV & Aids
• Maternal Health
• Child Health & Family Planning
• Respiratory Disease
• Emergency Triage.

11. Learning while
Serving
Priorities for the Belize Operation are:
• Acquire Back up mobile unit within a year’s time
• Increase operating funds to match current costs of expenses
• Identify reliable source for acquiring medications in the US
• Funds to cover projects for 2012
• Start raising funds for roof of Abby’s House
• Approve $500 USD monthly for hiring of PT tech
• Recruit long term PT to replace Monica
• Recruit long term nurses for Home Visit Program