April 2010 - File photos

March 2010 - File Photos

Feb. 2010 - File photos

 Photos from top to bottom:

1. A teenage cancer patient flown home to Paramakatoi village; 
2. Mashramani float parade with Lethem hospital; 
3. Two centrifuges provided to Dr Lucy Spellman and the Karanambu vet program; 
4. The RPH team preparing to depart for the deep south of the Rupununi with Eye care Guyana in partnership.

RPH links with women's health program and MOH to demonstrate health team in Yupukari.

A team including doctors and volunteers from Guyana, North Carolina, Minnesota, and Oxford University loaded onto the RAM Bedford truck, pictured above departing Lethem Public Hospital, to provide HIV testing and education services along with a multi-disciplined medical clinic.

Activities included:

• Village council meeting
• Community-wide 'edutainment' event including video presentations.
• Confidential HIV testing and counceling
• GYN services including pap smears and pelvic exams
• General Medical clinic
• MOH administrative review of village health post.
• 'Marundoi' listening and review session with primary school.
• Documentation of special-needs children.

The RAM women's health team had a full schedule with a couple of 14 hour days at the Lethem clinic and following the Yupukari mission an early departure to the Upper Mazaruni district of Region 7.  Using the organization's aircraft and boat assistance from the Kamarang Hospital, they were able to follow up with previously screened women in every community for the prevention of cervical cancer.

Eye Care Guyana in joins RAM Guyana to launch first RPH outreach.

Wednesday morning was the big day for the launch of our first RPH mission in the interior of Guyana.  The RAM Bedford truck departed Lethem with a team of twelve on board including Eye Care Guyana's nine person crew. Vision and hearing screening are to be coupled with HIV testing and counseling in villages of the Deep South of the Rupununi. 

Rupununi Partnerships for Health (RPH) Truck is on the road.

The RAM  4x4 Bedford truck is officially on the road here in Guyana.  It was dispatched from Georgetown to our base in Lethem on Saturday morning early with a load of supplies and equipment as well as a large shipment  of drugs and related boxes from the Ministry of Health for Region 9. 

The truck has been recently outfitted with a new canopy featuring zippered windows and end panels, an AC inverter to run critical appliances and chargers as well as upholstered seating for the tray.  The truck will be serving some of the most remote villages in country with a variety of health services packaged with HIV testing, counseling and education.    

The RAM Bedford truck is pictured here loaded and ready to depart the capital city for the interior of Guyana.  Our first RPH mission is scheduled this week in partnership with Eye Care Guyana.  A team of nine eye specialists will be transported with the RAM Bedford to the deep south of the Rupununi district.   The mission will additionally serve as an initial test run of sorts as we continue to develop our team and network to deliver an increasing diversity of services.

Thousands reached by Flying doctors

By Partnering with health workers from the public and private sectors in Guyana, Remote Area Medical has served 3,125 patients with their airborne medical service during 2009.  A specially equipped [six-seat] Cessna 206 aircraft is based full time in Lethem to provide both emergency and outreach services. 

The numbers recorded include patients flown [in Regions 7,8 and 9] for emergency treatment, and those reached by flying doctors, medex, dentists, dentex, vaccine nurses, and HIV testers and councilors and health professionals.  Many interior villages are not accessible by road or are many hours or even days over rough terrain from the nearest Doctor.  The figure is expected to grow further as statistics from the eye care and spectacle programme are compiled.

As the primary partners, the Ministry of Health and Lethem Hospital provided the majority of the specialists to extend the health services to the most isolated communities in southern Guyana.  The schedule was established early in the year based on discussions with regional health authorities and .

To maximize the use of the aircraft a multi-discipline team typically traveled together to provide a variety of services in one visit.  The team would leave early in the day and usually be home to their families the same evening or the following day.  “The aircraft allows us to maximize the sparse human resources in the hinterland regions to reach many more outlying communities” said RAM founder Stan Brock, who has first hand experience living in the South Rupununi for many years.

While the majority of medical missions were flown in Region 9, outreaches were also conducted in Regions seven and eight.  In addition to its’ local airborne operations, RAM Guyana facilitated visits from nine medical and veterinary teams during the course of the year which provided services such as major surgery, cancer screening, and general medicine in Regions 1, 7, 8, and 9.

The work was constrained by the aircraft being unavailable due to maintenance for the entire month of December and half of November.  In 2010 RAM plans to partner further with local providers to offer not only airborne outreach programs but add a 4x4 Bedford Army truck to reach communities best served by ground transportation. 

The RPH initiative. RAM Guyana launching new collaborative project.

Rupununi Partnerships for Health (RPH) - an HIV and AIDS prevention and reduction program.

Rupununi Partnerships for Health’s goal is to expand HIV/AIDS services to interior communities by building indigenous capacity, strengthening partnerships, and expanding prevention efforts.

Project Summary:

HIV is recognized as a major threat to development in the Caribbean and around the world. As we collectively work to limit its impact, HIV can quickly threaten under-served areas. The interior regions of Guyana are some of the most rugged and difficult areas to work. Delivering health services is a particular challenge due to the scattered and mobile nature of the population. Increases in mining, logging and cross-border traffic pose further risks for disease transmission.

Much work has been done in areas of basic education on HIV and AIDS in the Rupununi (Region 9), but the time has come to dramatically scale up prevention, testing and coordination of services with the aim of universal access. The Hinterland Initiative is a critical opportunity at a time when threats are on the rise for this vulnerable population.

The plans and methods for the RPH will be built on the existing assets and robust partnerships that already produce results in Region 9. The idea is to combine the vital HIV/AIDS prevention, testing, and treatment activities together with existing and proven outreach programs. The high cost of transportation will be offset, allowing robust and diverse service delivery (dental care, eye care, TB testing, and blood sugar screening). HIV testing/counseling (VCT) and treatment would have far greater impact when held in concert with these critical activities.

Instead of an “AIDS Team” arriving in a village to offer a single service, a comprehensive “Health Team” would provide multiple services and generate a more enthusiastic and positive response.

At this time, we have the machinery in place to get moving. Not only do we have the mechanism of teamwork fostered by years of public-private partnership, but we also have a road-worthy Bedford army truck designed for just the inhibitive terrain that the Rupununi is famous for. Staffed with a team of volunteers, health workers and VCT personnel and equipped with a vibrant edutainment module, the objective of HIV prevention will be advanced.

RPH seeks not only to provide key services, but to set new standards in collaboration, information sharing and capacity building at the local and regional levels.

RAM Vets work to protect endagered sea turtles.

November 2009: A team of Remote Area Medical Veterinarians has recently completed a critical mission to the Shell Beach area of Region one at the request of local conservationists. The objective: to reduce the impact of the number one predator to rare giant sea turtles - feral dogs.

Using innovative capturing systems and humane surgical technique, the team lead by Dr Bruce Langlois partnered with local residents and volunteers including the Peace Corps to conduct a week long spay and neuter clinic at Shell Beach.

An overpopulation of wild dogs has been seriously threatening the sea turtle population as their nests are routinely raided as a food source for hungry canines.

More details to follow….

In other RAM Vet news: Earlier in 2009 RAM Vets completed an extensive survey of the Rupununi horse population at the request of the Ministry of Agriculture. They screened hundreds of animals from scattered locations throughout the five subdistricts of Region 9 for Equine Infectious Anemia.

RAM's Cervical Cancer screening and treatment teams criss-cross the Rupununi, October 2009

The RAM Women's Health Team once again returned to region 9 this time with three simultaneous mobile screening and treatment teams.

The team pictured here was led by Jacqui Dorran and served the North Rupununi after completing a series of major GYN Surgeries at the St Joseph Mercy Hospital in Georgetown.

For the first time, an HIV counseling and testing service was added to a RAM W.H. Team - in this case holding two co-located clinics in the Deep South of Region 9. This was made possible through our Partnership with Youth Challenge Guyana.

RAM has been working with the Ministry of Health and all stakeholders to save lives and address the cervical cancer issue affecting so many families throughout Guyana since 2003.

Welcome to the RAM Guyana Blog.

This is the official blog of Remote Area Medical Guyana Inc. and we would like to invite you to stay in touch with our latest news, projects, and humanitarian work at this site. Additionally the blog will be used to provide updates on our exciting and collaborative HIV and AIDS project in Region 9. Stay tuned.

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