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Simply Smiles provides bright futures for children, families, and communities. The organization partners with populations in need to create physical and emotional environments where suffering is alleviated and from which local leaders can emerge.

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Simply Smiles blog

Follow our blog and read insights from Simply Smiles staff, volunteers and other individuals whose lives are affected by our work!

Filtering by Tag: medical care

Field Notes from Oaxaca: Health promotion in action

Alex Gross

The latest Field Note is from Colleen Travers, a critical care nurse who has traveled with Simply Smiles on two of our medical clinics and food distributions in the village of Santa María Tepexipana (SMT) in Oaxaca, Mexico. In her thoughtful post, Colleen talks about putting her professional skills to use in a different capacity and witnessing the Simply Smiles approach in action. Read more:


Twice in the last three years, I have been fortunate enough to visit Santa María Tepexipana (SMT), a remote village in Oaxaca, Mexico. Each time, I have left a little piece of my heart with the people and the community there. This past December, after three successful days of a food distribution and medical clinic, as we drove through the winding dirt roads on our way out of town, I felt a sense of fulfillment, satisfaction, and overall purpose. Simply Smiles has allowed me to take part in its parasite eradication efforts and medical clinics, and it has turned out to be an experience far beyond administering medication.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

I chose to leave my liberal arts career over a decade ago and pursue nursing, which has given me the opportunity to connect with people and communities. As a pediatric intensive care unit nurse, I have been privileged to care for families and patients in some of the most heartbreaking, as well as some of the most wondrous, parts of their lives. Aside from medical intervention and critical care knowledge, nursing is a gateway to connect with people in times of need and to provide care, education, and assistance when and wherever needed. Simply Smiles has been another path in allowing me to practice nursing in ways that are unconventional to that of my bedside career.

Global health and community health have always been passions of mine. Having been involved in educating nurses in Haiti, and my previous trip to Oaxaca with Simply Smiles, I knew I wanted to get involved again. Simply Smiles’ parasite eradication efforts encapsulate what community health nursing means to me. In community health, medical professionals look to focus on maintaining health, locations where healthcare can be improved, and providing protection in areas that appear vulnerable. Health promotion and disease prevention are key. Simply Smiles’ deworming initiative ties all of these ideas and values together. Simply put, if distributing medication was Simply Smiles’ sole role in intervention, there would be less of an impact on the village community; it would simply function as a band-aid to a much larger problem.

Simply Smiles works to take this to the next level by identifying the needs in Santa María Tepexipana and the surrounding villages, evaluating what can be done, and executing a plan. This has allowed for great success in the prevention and eradication of parasitic infection.

Sustainability is crucial in community health initiatives. In addition to medication administration, Simply Smiles provides long-term support and the resources that allow for eradication efforts to be successful. In addition to giving medicine to treat intestinal parasites, Simply Smiles promotes educating the community to reduce the spread of infection through proper hand-washing and footwear. It has also successfully built 137 latrines that are maintained by local families in remote areas of southern Oaxaca over the last few years.

As a nurse, I greatly appreciate working with an organization like Simply Smiles. In addition to practicing and providing reliable resources, there is a connection with the community in SMT that shines through. The smiles, the excitement, and the warm greetings from the SMT community stand out above all. Upon entering the community we were greeted with open arms. The children were smiling — eager to play and quick to correct my less-than-ideal Spanish grammar. As a returning volunteer, it was fulfilling to see familiar faces and how much the children had grown. The community connects with Simply Smiles and its volunteers and involves us like we are part of their family. This is the thing that stands out the most. When there is already a bond between communities, healthcare providers and relative outsiders like myself are have able to assist and make an impact.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

Volunteer and nurse Colleen at the medical clinic and food distribution in Oaxaca in December 2018.

While medical intervention has been the focus of my past visits to Oaxaca, there is so much more to the trips when I reflect on them. For me, they have meant seeing and experiencing a community unlike any that I would find in Boston (where I come from) or North Carolina (where I currently reside). These trips have allowed me the opportunity to open up to a new community that can provide new ways of looking at healthcare. They have allowed me, as a nurse, to understand the importance of access and reliability. And overall, they have opened the doors for me to connect with more people in an amazing place. I remain changed by the people and community of SMT and Simply Smiles both personally and professionally. Experiences like this one enable me to approach nursing and living with new perspective. I am ever grateful to Simply Smiles for involving me in such an important project.


What Simply Smiles Means to Me: A reflection from Erin Scionti, volunteer & intern extraordinaire

Alex Gross

Erin Scionti first volunteered on the Reservation in 2013 and returned as an intern in 2015. She joined Simply Smiles staff members Zach and Sam and a team of medical staff during our fall medical clinic and food distribution program in Mexico in November. Below, Erin reflects on her experiences. 

I was beyond ecstatic when I was offered the opportunity to travel with Simply Smiles to Oaxaca, Mexico to help with the food and medicine distribution in the village of Santa Maria Tepexipana (SMT), and to assist Dr. Gil L’italien in testing stool samples to determine the prevalence of various intestinal parasites in that region. I am currently studying public health at Southern Connecticut State University, so this trip encapsulated everything that I had learned so far in the classroom. It made the classroom lessons tangible. I could feel and see the impact of the countless hours spent studying textbook material.

Erin, right, works alongside Simply Smiles board member and epidemiologist Dr. Gil L'italien to test stool samples for the presence of parasitic intestinal worms in Santa Maria Tepexipana and its neighboring communities.

Erin, right, works alongside Simply Smiles board member and epidemiologist Dr. Gil L'italien to test stool samples for the presence of parasitic intestinal worms in Santa Maria Tepexipana and its neighboring communities.

We arrived in Oaxaca as a spirited group of eight hard working and dedicated individuals, ready to take on the crucial tasks ahead. Coming into the week, I already had a strong understanding of what was expected of us as representatives of Simply Smiles. I served as an intern with Simply Smiles this past summer on the Cheyenne River Reservation in La Plant, South Dakota. There, I saw the attentiveness, flexibility and love put into each project and person by the staff of Simply Smiles. Though the tasks were drastically different in Oaxaca than those I worked on in La Plant, our mission remained the same: to inspire hope. 

On our first day in Oaxaca, we visited Casa Hogar Benito Juarez, the children’s home that first inspired Simply Smiles. I was a bit nervous at first that I wouldn’t be able to connect well with the kids because of our language differences. But, I learned quickly that language was the smallest of barriers standing in the way of children and fun. The kids warmed up to us immediately as we colored, ran around and enjoyed multiple servings of their favorite ice cream. Seeing the way the kids at Casa Hogar interacted with us reassured me that a language barrier wouldn't stop me from connecting and building relationships with the other children I would meet throughout the week. 

The next day, we departed on an eight hour drive through the breathtakingly beautiful roads of Oaxaca up to Santa Maria Tepexipana, a small village in the remote mountains. When we arrived, I was expecting to see a town in despair but instead I saw quite the opposite. Though poor and many stricken with illness, the people of SMT were some of the warmest people I have ever met. I was so fortunate to meet these kind-hearted individuals, which reaffirmed that happiness is not a measurement of material worth, but rather, a reflection of how one values life.

People in SMT are simply happy to give love and be loved. Families took pride in their home and their culture, they looked out for one another and willingly took less to give others more. Their generosity never ceased to amaze me. One family cleared out an entire half of their home so that we would have a place to sleep and eat during the week. Like the children at Casa Hogar, the kids in SMT instantly became our best friends, hugging us, and holding our hands upon moments of our arrival. I was pleased to see that, once again, despite our language differences, we were welcomed with open arms and smiling faces. 

During the three days of the food distribution and the medical clinic, I worked closely with Dr. Gil Litalien in examining stool samples to track the prevalence of intestinal parasites in the SMT region. We looked specifically for Ascaris, Trichuris, and hookworm. We gathered samples from 113 children who came through the food distribution program with their families.

After careful examination, we found a 21.2% prevalence in the entirety of the region, compared to a 31.4% prevalence in 2014. This 10% decline is a remarkable confirmation that the work Simply Smiles is doing to treat and prevent the spread of infection is noticeably working. By distributing Abendezol at each food distribution and educating the community on the importance of hand washing and wearing shoes out side, the prevalence of intestinal parasites in the SMT region has drastically decreased. 

Erin, during her time as an intern on the Reservation in 2015. Her positive attitude, willingness to lend a hand wherever needed, and sense of humor are among her many qualities that make her a favorite in the La Plant community!

Erin, during her time as an intern on the Reservation in 2015. Her positive attitude, willingness to lend a hand wherever needed, and sense of humor are among her many qualities that make her a favorite in the La Plant community!

As the week continued to run with ease, thanks to the hard work of our energized and committed team, I grew more and more attached to all the smiling faces of the children and their families in SMT. The people I met in this one small village in Oaxaca, Mexico were so thankful for the help we brought them, but I feel what they gave me in return was an even greater gift. They gave me their friendship. Though our work here is not complete, I returned home knowing that the people we helped this week would continue to grow healthy and remain happy. 

Interning for Simply Smiles has taught me a great deal about myself and the world around me. I’ve learned how to be a valuable part of a team, how to be a strong leader, how to love and care for everyone I meet and most importantly how a simple smile can go a long way.


Tell us what Simply Smiles means to you! Respond with a comment below, post to our Facebook page, Instagram a photo, or tweet @simplysmilesinc using the hashtag #SimplySmilesmeans.

Field Notes from Mexico: More progress made in our public health efforts

Alex Gross

This Field Note is brought to you by Simply Smiles Senior Program Manager Zach Gross, who recently returned from our Mexico projects, where we held our third medical testing and fifth treatment of parasitic intestinal worms.


On November 9, I returned home from a fantastic week in Oaxaca, Mexico working with our Mexican staff members and a team of volunteers to carry out our latest medical clinic to treat for intestinal parasites.

I am pleased to report that our latest round of testing shows that the infection rate is now at 20% across this region—down from 48% just two years ago!

Nurse Bernarda Lopez Ordaz helps us to distribute treatment to children in Santa Maria Tepexipana (November 2015)

Nurse Bernarda Lopez Ordaz helps us to distribute treatment to children in Santa Maria Tepexipana (November 2015)

Over the course of three days, 2,173 people from the remote villages of southern Oaxaca came to our food distribution in the town of Santa María Tepexipana and received a month’s supply of food staples. Everyone (except children under age two and nursing or pregnant women) also received a dose of albendazole, which rids the body of intestinal worms and their eggs.

Our method of collecting demographic and qualitative information from participating families allows us to target areas with the highest incidence of intestinal parasites.

Simply Smiles board member and epidemiologist Dr. Gil L'Italien tests stool samples to determine the effectiveness of treatment. Gil has spearheaded our approach to eradicating parasitic intestinal worms in the region. (November 2015)

Simply Smiles board member and epidemiologist Dr. Gil L'Italien tests stool samples to determine the effectiveness of treatment. Gil has spearheaded our approach to eradicating parasitic intestinal worms in the region. (November 2015)

The infection rate on our final day of testing was 0%—meaning there were no positive samples among children in those villages.

These latest results are certainly encouraging, and they prove that our multifaceted public health initiative is having a directly positive impact on the health of children and families in Oaxaca.

But we still have work to do. A 20% infection rate is not 10%, which the World Health Organization deems the level at which treatment can occur on a case-by-case basis. And it’s not an overall rate of 0% — which is our ultimate goal, so that soil-transmitted intestinal worms are no longer a reality for families in the region.

Until that time, we will continue to treat the entire population. We will also continue working with the local schools to implement health programs, passing out informational literature on methods of prevention, and building more latrines and hand-washing stations—particularly in villages with the highest infection rates.

While the test results are a reliable, scientific method of measuring the impact of this public health initiative, other, more “subjective” methods are perhaps more telling of our overall impact in this region.

As soon as we first visited this remote part of Oaxaca in 2009, we saw the distended bellies, vacant stares, and malnutrition spots — all signs that intestinal parasites were plaguing the children and families there.

Rather than coming in as outsiders with microscopes and pills, we knew that in order to have long-term success in this region, we needed to form friendships first.

We needed to build trust and prove ourselves worthy of that trust and friendship through our actions. Because of these foundational relationships, we can continue to effectively implement all of our initiatives and measure their effectiveness,

Over the past few weeks, we have collected responses from various supporters and friends at our project sites about what Simply Smiles means to them. We asked our friend, Matea Figeuroa Santiaguez, from Santa María to explain how she sees Simply Smiles. She made note of our “humanitarian support,” referring specifically to the our distributions and school construction, but she really focused on the relationships she’s made with Simply Smiles staff and volunteers over the years—on the people behind the projects.

We appreciate all of the people who make this work possible, and we hope to maintain our friendships with those who visit us in this tiny corner of Mexico. We admire everyone we’ve met from different countries, and we in Tepexipana feel so proud to have made so many new friends over the years. We cannot thank everyone enough for all of their support — especially for the personal energy and sacrifice that each volunteer makes just to be with us in our town.
— Matea Figeuroa Santiaguez, resident, Santa Maria Tepexipana

 

The willingness of our volunteers to give up a week of their lives to spend time in Mexico and on the Reservation will never cease to amaze me. Our volunteers are the hands that distribute food & medicine and build latrines in Mexico, but they are also the encouraging role models and friendly faces that solidify the Simply Smiles dignity-first, relationship-based philosophy.