NEWSPAPER OF ASSOC IAT ION BENEF I C ENT EBENÉZER

+The CIES Project

• Health Wagon

• Health Box, Health Van and Hospice

2011 - September

Action

The Cies ProjectThe C i e s P r o j e c t was deve l oped t o t ake spec i a l i z ed , human i zed and h i gh - t e chno l ogy p reven t i ve med i c a l c a r e t o commun i t i e s i n need , t h r ough advanced mob i l e s med i c a l c en te r s . I t i s a l e ve r aged non -p ro f i t o r gan i z a t i on t ha t f o cu se s on l ow- i n come peop l e – t he popu l a t i on dep r i ved o f a c ce s s t o qua l i t y med i c a l c a r e .The C i e s P r o j e c t f o cu se s on t he t r i ad “ t r ea t -

educa te -p reven t” . I t s ma in ob j e c t i ve i s t o r e i n f o r ce t he cu l t u r e o f p r even t i ve hea l t h i n l ow i n come commun i t i e s , u s i ng t he educa t i on a s an e s sen t i a l t oo l t o p r even t i on . I n o r de r t o a ch i eve t ha t , i t p r ima r i l y i nve s t s on h i gh qua l i t y and human i zed t r ea tmen t t o s i c k peop l e , know ing t ha t i t i s impos s i b l e t o be educa ted when one i s s u f f e r i ng o r i n pa i n .

• t akes spec ia l i zed , p revent ive , humane and h igh- tech med i ca l ca re to peop le onthe ou t sk i r t s o f l a rge c i t i e s and remote a reas i n the count ry ;

• complements the outpatient units of the existing primary health care;

• deve lops a l oca l mas te r p lan fo r the imp lementa t ion o f a se l f - sus ta in ingmanagement in hea l th , based on da ta co l l ec ted and loca l needs ;

• l eve rages Loca l P roduc t i ve A r rangements ( c lu s te r s o f compan ies ,

governmentdepar tments and c i v i l soc ie ty o rgan i za t ions ) i n hea l th ;

• e s tab l i shes the concept o f i n teg ra ted hea l th to educa t ion wi th ac t i ve commun i ty pa r t i c i pa t ion .

The Cies Project also:

Direct beneficiaries: in 2009, there were 4,100 patients; in 2010, this numbergrew up to 20,000, an increase of 388%. In 2011, there will be an estimatednumber of 40,000 patients.

1. Health Box: it is a container-like structure of 7.5m x 2.5m easily transported by a tow truck, a catamaran or a raft, in order to service the population living in the Upper Amazon Basin, for example. It consists of a stand-alone mobile health system equipped with automated side opening comprising 16m² of living space, projected for a maximum of four specialties.It has an X-Ray room, an chocardiogram/ultrasound room with bathroom and one room with reception. It features air conditioning system and power generator to emergencies. In an area of about 45 m² with spots for light, tap water and culverts, this structure is autonomous to suit any space, including public squares. The Health Box targets cities with more than 50,000 and less than 150,000 inhabitants or that need between 4 and 7 medical specialties at same time.

2. Health Van (VDS): a mobile unit to transport equipment for digital radiology exams and ultrasound/echocardiography, with complete connectivity to a central unity of larger size if needed. The equipment is carried in “special cases” and discharged into the fixed unit.

Health Box, Health Van and Hospice

It isan innovative and cost-effective solution to be used together with the Family Health Program (FHP), a government program that takes preventive health to patients’ homes. In the FHP, there is a high demand for tests to justify the investment in infrastructure and equipment. Therefore the Health Van can be taken to the FHP units, solving this problem in an economic way, especially by taking this type of exams near the patient. Targeting cities with less than 50,000 people or necessity of less than 3 medicalspecialties at same time, the VDS is also an ideal model for mountainous regions such as slums in Rio de Janeiro, Santos and other steep areas. This portfolio of three types of mobile health units allows Cies Project to meet any population’s needs, fulfilling our mission: “Cies Project: Health without borders”. Cies Project also has fixed service in some cities in partnership with the municipality or local organizations. These services occur on a daily or a weekly basis and also seek to meet the necessities presented by these places. The difference is that in these spaces the Cies

mobile centers are used only as a means of transportation and not as a basis for medical care. The local partner gives the space where the service will happen.Nowadays, the fixed services take place in the following cities:- Lorena (Sao Paulo State): X-Ray, mammography and ultrasound services, in partnership with the municipality.- Itu (Sao Paulo State): ophthalmology service, in partnership with the SãoCamilo hospital.- Itapema (Santa Catarina State): ophthalmology service, in partnership with theCity Hall.Another project run by Cies Project is the Hospice, which provides assistance to terminally ill patients and their families. A medical practitioner meets and follows the patient and family as a whole: body, soul and spirit.

After visiting several cities, it was possible to verify different needs and local conditions (economic, structural and socio-educational). This evidence has conditioned the design and development of two new innovative mobile structures:

paragrafocomunicacao.com.brJOURNALIST: Ricardo Lauricella - MTB 40.488

LAYOUT: movibr.com

P r o d u c e d B y

CIES PROJECT contato@projetocies.org.br

www.projetocies.org.br

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Doctor Roberto Kikawa designed and bui l t an advanced mobi le medical center , a lso known as the “health wagon”, an adapted truck measur ing 15m x 2.5m x 4.3m (55 m² when c losed), endowed with a f lexible system in which the two s ide wal ls open at an angle of 90°. I t targets c i t ies with more than 150,000 inhabitants

Health Wagonand with good roadways or necess i ty of more than seven medical specia l t ies at same t ime.

The vehic le turns into a broad framework of three interconnected modules compris ing more than 100 m² of f loor space when open. I t consists of the fol lowing spaces: - Echocardiography/

ultrasound room- digita l mammography room- minicenter for surgical and endoscopic procedure- dress ing, c leaning, d is infect ion and ster i l izat ion rooms- rest room- recept ion- doctor’s off ice- purge, k i tchen and three toi lets- sta i rs- ramp with an electr ic l i f t for d isabled pat ients on wheelchairs- reservoirs of dr inking water served up to 400 l i ters- chemical ly t reated sewerThe truck serves up to ten specia l t ies such as gastroenterology, otolaryngology, urology, phthalmology, imaging, mastology, cardiology, dermatology, minor surgery and col lect ion of laboratory tests . This f lexibi l i ty a l lows each event to conf igure several types of schedul ing, adapted to the demands of d i f ferent communit ies , which var ies f rom place to place.