Surgical Mission November 2016 La Antigua, Guatemala Team Handbook 1
Surgical Mission November 2016 La Antigua, Guatemala Team Handbook  1
Health for Humanity: Overview Health for Humanity Service Society is a registered not-for-profit, charitable organization of volunteer healthcare professionals and support staff. Our mission is to improve the health status of communities in the developing world where there is limited access to healthcare. To that end, H4H has supported surgical missions to Guatemala and the Philippines, as well as primary care missions and health promotion projects in Guatemala. Every year, the volunteers of Health for Humanity ● organize a multidisciplinary team of volunteer healthcare professionals to provide health services ● collect medical equipment and supplies ● collect funds for patient and medical expenses ● collect funds to support partner volunteer organizations ● participate in fundraising for health promotion projects All funds raised are used to cover medical/surgical expenditures, medical equipment, medications, supplies and direct project costs. We have no paid staff and minimal administrative costs. All our volunteers pay their own travel expenses (e.g. airfare, accommodation, food). In order to achieve our goals, H4H works specifically with a number of partner non-governmental organizations (NGOs) in Guatemala: ● ● ● ● ● Associacion Obras Sociales Del Santo Hermano Pedro and its Hospital in La Antigua Guatemala – this hospital provides diagnostics, primary care, surgical services and residential care for disabled patients of all ages. Partners for Surgery – a Guatemalan-based NGO that supports indigenous, rural Mayan populations Faith in Practice – a US-based NGO that has been instrumental in setting up the operating room at the Obras. They also oversee “Casa de Fe”, a facility in Antigua that provides convalescence/accommodation to patients and families. Ecofiltro One- a Guatemalan socially conscious business which has as its goal to provide safe water to rural schoolchildren and “water for life” to Guatemalan families. The Rotary Club of West Vancouver Sunrise- Our major partner in the fundraising efforts which supports all of our projects. Our History In 1996, Poco a Poco (based in Vancouver Island) sent the first Canadian surgical team to Antigua to volunteer at the Obras Sociales del Hermano Pedro Hospital. They continued to send teams annually until 2001, after which they decided to concentrate on other volunteer projects in Guatemala. In December 2001, a group of healthcare volunteers previously with Poco a Poco, formed a new Canadian organization called Health for Humanity Service Society (H4H). Health for Humanity’s first surgical team worked in Antigua, Guatemala, for two weeks in November 2002. The team successfully performed a total of 141 plastic, gynecological and general surgeries during that visit. Since then, H4H has completed another 15 successful missions in Guatemala. In addition to surgery, H4H has supported vaccination initiatives at the Obras, Partner for Surgery education and nutrition programs for rural Mayan communities, and other health promotion projects with Guatemalan-based community organizations. Since 2007, H4H has also completed three surgical missions to the Philippines. H4H now also supports primary healthcare missions to rural areas of Guatemala, and has embarked on a safe water in schools project. Why We Volunteer in Guatemala Guatemala is a developing country in Central America. Fifty-two percent of Guatemala's 14 million people are Ladino (of mixed Amerindian-Spanish extraction), and 48% are indigenous Maya. Since the Spanish Conquest, the Mayan people have been progressively deprived of their lands and have suffered extreme marginalization and discrimination. The vast majority continue to live in remote communities without access to drinking water, electricity, schools or health services. The recent years of civil unrest have intensified these problems. Although Guatemala's 36-year civil war officially ended in 1996, Guatemala remains one of the poorest countries in Latin America. A recent UN report shows 55% of the overall population live below the poverty line, while 93% of the indigenous population live in poverty or extreme poverty (less than one dollar US per day). Contributing factors to the ongoing poverty include a significant income disparity between the rich and the poor (one of the highest in the world), high crime rates, illiteracy and inaccessible education and healthcare services. 2
Health for Humanity  Overview Health for Humanity Service Society is a registered not-for-profit, charitable organization ...
The Mayan population of Guatemala has the highest malnutrition and mortality rates not only in the country, but in the Americas as a whole. In the 1996 Peace Accord, the Government promised a program of institutional modernization; however, access to social services, education and healthcare remains extremely limited, particularly in the rural areas. It is estimated that there are 21,000 communities in different regions of Guatemala that do not have access to Department of Health services (20% of the population). Only 8% of the indigenous population has access to regular healthcare. The following statistics from the Pan American Health Organization and UNICEF illustrate the problems faced in Guatemala: per capital GNP in $US Income ratio – top 20% vs. bottom 40% per capital National Health spending Physicians per 10,000 population Births attended by trained personnel Infant Mortality per 1,000 live births Maternal Mortality per 100,000 Guatemal a $4,965 7x $44 9.5 51% 39 153 Canada $24,47 0 2x $1,552 18.9 99% 5.4 4 The H4H surgical missions have significant social and economic impact on the lives of patients and their families. Individuals who have been marginalized from their family and community, or excluded from schooling or employment as a result of disease, injury or congenital problems, have their lives changed for the better. When considering the cumulative efforts of all volunteer teams which work at the Obras Hospital, we make a significant contribution to the specialist health services offered in Guatemala. Interestingly, this volunteer-based hospital is ranked fourth amongst all hospitals in Guatemala for the number of surgeries performed annually. In addition, H4H endeavors to empower the local healthcare workers and infrastructure through the provision of training, medical equipment, and supplies. Who are our patients? Pediatric Population: Many of our smallest patients come for repairs of congenital cleft pathologies, while others present for repair of burns related functional problems. Our Guatemalan affiliated NGO, “Partners for Surgery” (PFS) make first contact with these patients in rural settings. The cleft children are in mortal danger because they become nutritionally deficient and suffer from punishing stigmatization in their communities. Most of these burns result from falls into domestic open cooking fires. These young patients travel with their parents by foot or by bus for many hours in the hope that groups such as H4H can provide them with salvation and a new chance at a more normal life. The story of Pablo Moran Chicaj: Pablo was born with a cleft lip and palate in June 2013 in Tiritibol, Chicaman Quiche. He is the youngest of 7 children, born to Alvina (38 yrs old) and Eulalio (55 yrs.) Alvina has a club foot and stays at home with the children. Eulalio works in the fields growing corn and earns about $38/mo. At the age of three months Pablo was first screened by one of PFS’s Mobile Medical Missions, found to be severely malnourished and for more than a year he was part of their nutrition program. This day is viewed as the beginning of the “Milagro para mi hijo”…a “Miracle for my son”. After many setbacks, Pablo was deemed to be nutritionally sound and travelled many hours with his father to Antigua, where the H4H surgical team corrected the cleft lip in November 2014. He is waiting to have his palate fixed, possibly in November 2015. Many of the H4H volunteer physicians have remarked on the vast improvement in the nutritional state of these young patients who have had the benefits of the nutrition program instituted by Partners for Surgery. In Spanish, Eulalio expressed his thanks with “You not only helped my son but also my wife who is now happy and my other children, who are 3
The Mayan population of Guatemala has the highest malnutrition and mortality rates not only in the country, but in the Ame...
proud of their brother. Thank you for all your help and may God bless you… Gracias Companeros por toda su ayuda, que Dios se los pague” Adult Population: Our adult patients, identified by “Partners for Surgery” or by the Obras Hospital make the often difficult decision to seek Gynecological, General or Urological surgical services to alleviate such conditions as inguinal, umbilical or incisional hernias, gallstones or uterine growths or pelvic floor laxity, or enlarged prostates. These conditions prevent them from being productive in their villages, providing for their families and, generally, having a decent quality of life. For many of our patients, we are not exaggerating when we label our surgeries as “life changing” i.e. life changing for the individuals, their families and their villages. Health for Humanity Structure Board: Elected by H4H members for two year terms at the Annual General Meeting held every spring. Board Committees: Led by Board members with H4H volunteers and includes: Surgical Missions, Primary Care & Public Health, Fund Development, Promotions & Public Relations, Membership & Volunteers Members/Volunteers: People who have paid the annual membership fee of $25.00 and remain in good standing. Medical & Team Leaders: Appointed by the Board Surgical Missions Ctte Mission-Specific Organizing Committee: Selected & chaired by the Medical & Team Leaders November 2016 Guatemala Mission Organizing Committee Dr. Joe Delvicario Gloria Garraway RN Dr.Jim Prentice Esther Delvicario Cheryl Satgunam RN Lupita Swan-Jones Area Leads (Questions? Contact the Area Lead or Team Leader): Physicians & Team Leader: Dr. Joe Delvicario Anesthesia Lead: Dr. Bob Purdy and Dr. Jim Prentice OR Nurses Leads: Cheryl Satgunam (Week #1 & 2), Monica Froh (Week #3) PAR Nurse Lead: Gloria Garraway ( Weeks 1-3) In Country Coordinator: Colleen Fleury (Weeks 1-3) Team Doctor: Dr. Roberta Pauls (week #1..Weeks 2&3 TBA) Mission November 2016 Schedule Air Travel: ● A selected few team members will be carrying one bin of teaml supplies as their checked baggage. ● The rest of the team may pack personal items and/or gifts. ● Bring your passport & wear your team shirt & name tag! ● Note: No meals are offered on any of the flights There is only one group of 17 volunteers travelling at an H4H Group rate. The rest are travelling as “independent travellers”. Friday Nov 4: ❖ UA2023..leaves YVR 06:15. Please meet in front of UA and check in no later than 4:15 AM UA route is via Houston..check your gate to board for Guatemala. 4
proud of their brother. Thank you for all your help and may God bless you    Gracias Companeros por toda su ayuda, que Dio...
❖ UA1902..leaves Houston at 1945 This group will NOT be assigned any mission related supplies and customs entry into Guatemala should be routine (hopefully) Once customs are cleared in Guatemala City, we have a 45 minute bus ride to Antigua.. There will be pizza and refreshments on arrival at La Quinta de las Flores. We have all 76 members on our radar to be picked up from the airport in Guatemala City. Your Airport transfer from and to Guatemala City is part of your Mission commitment, so please stay with H4H travel arrangements. Your emergency contacts just in case are: 1. Isela of Adventure Travel…….502-5999 3822 2. Odra Flores (OR Head Nurse)..502-4021-5178 3. Colleen Fleury(incountry coordinator)502-4259-1600 or 502-7834-0280 4. Quinta de las Flores (our hotel) ..502-7832-3721 5. Joe Delvicario 604-307-5917 (Viber or Text) Saturday November 5 Dress Code -Team Shirt and Name Tag please! o ● 9:30am - Welcome breakfast (cost included in fees) at La Quinta. Three breakfast choices are offered. Breakfast orders will be taken in advance by email! o 10:30am – Orientation & Area meetings at La Quinta… o 12:30pm – Meet at Obras Hospital for Team Group Photo o 1:00pm - Free time (Antigua Walking Tour-check out www.adventuretravelguatemala.com can pre-arrange) o 6:30pm – Welcome Team Dinner (cost included in fees) Location TBA . Meet at La Quinta front entrance.(17:45) Note: always check the hospital notice board and La Quinta blackboard for notes re: available tours -in and outside of Antigua, dinner options & other extra-curricular activities Sunday November 06 TRIAGE DAY!! Dress Code - Team Shirt and Name Tag please! o o 7:00am sharp! - breakfast at the hospital with Welcome & Briefing from Obras Hosp Nursing Director, Odra Flores 8:00am–until finished in late PM -TRIAGE & UNPACKING –a long,busy day! ‘Day to Day’ Weekdays Nov 7 to Nov 27 Scrubs available at hospital. Wear name tags, please! ● Breakfast 7:00am at Hospital Patient in room at 7:30am with ‘Cut Time’ by 7:45am Last patient out of OR at approx 4:00pm. Each week the following sequence will be repeated for new arrivals: ● arrival/pizza & refreshments Friday evenings (not the 27th) ● Welcome breakfast and orientation Saturday mornings (9:30am) ● Welcome Dinner Saturday evening (6:45pm) ● Farewell dinners: Timings and Venues TBA..stay tuned. Please be aware of your departure times and check with Esther for transfer from Antigua to Airport in Guatemala City with Adventure Travel. REMINDERS…..Please…. 5
    UA1902..leaves Houston at 1945 This group will NOT be assigned any mission related supplies and customs entry into Gua...
● ● ● ● ● ● ● ● ● To support the hospital staff to complete OR cleaning and prepare for the next day, we aim to complete our operating schedule by 4:00 PM . and the recovery room by 6:00 PM In order to accomplish this, please report to your area of duty on time each day to help us keep on schedule. Please wear your name-tags in the hospital. Please bring and wear OR designated shoes when working, and not shoes that you will be wearing outside the hospital. You may leave those shoes in the OR locker room area for the mission. OR scrubs and caps (disposable and cloth) are available for use. If you wish to bring your own OR hat, please feel free to do so. When working, the Obras hospital requests that you not bring drinks into the OR rooms. Use your hand sanitizer and use it OFTEN!! Each service group will have an on-call rota. Please adhere to the same standards of conduct while on call as you do at home! Report Needle stick injuries to Team Leader, Mission Doctor or your area lead ASAP! THANK YOU! Hospital de L’Associacion Obras Sociales del Santo Hermano Pedro The Operating Suite We have 5 operating rooms to utilize. Hospital Staff o Dr. Nelson Mayen, Chief of Surgical Services o Odra Flores, RN, Surgical Services Director 6
                                     To support the hospital staff to complete OR cleaning and prepare for the next day, w...

 

 

ANTIGUA COFFEE READY TO HARVEST

o o o Anabela Morales, Hospital Administrative Secretary OR Staff includes Nico, Maria, Gregorio, Marvin, Luis et al .. Ward Staff & Physicians Please respect that we are visitors in their country and place of work. Some of the Hospital staff speaks conversational English. Please use the team interpreters to assist you with patient interactions as needed. The history of Hermano Pedro and the hospital is on our H4H website. La Quinta de las Flores The Quinta has 8 hotel-style double rooms with en suite and 5 casitas (town houses). The casitas have two large bedrooms on the upper floor, one with a queen bed and cot, and the other with two single beds and a sleeping loft. On the ground floor there is a large sunken living room with a fireplace and a kitchen/dining area. We ask that those in the casitas welcome those in the rooms to share the cooking facilities. We will also have casual get-togethers in the casitas or in the garden living room. All the hotel rooms and casitas have phones. Internet access is available in the main areas and the computer room in the corridor opposite the office. Hotel Quinta de las Flores contact information: Phone: 011 502 7832 3721 Fax: 011 502 7832 3726 Email: contact@quintadelasflores.com Website: www.quintadelasflores.com ROOMING PLANS: See Separate Publication Packing and Safety Tips Documentation ● ● ● Valid passport. No visa is required for Canadian Citizens. Non-Canadian passport holders should check visa requirements. Valid travel insurance that includes trip cancellation and medical evacuation. Bring several photocopies of your passport and birth certificate and pack them in different bags. Luggage ❖ Mission related supplies will only be carried by a few of the mission volunteers. You will be contacted and instructions will be provided. ❖ Most team members will be travelling independently. Please cheque with your carrier for baggage policy. Inexpensive laundry facilities are available at the hotel and/or a nearby vendor, Spring Laundry, frequently used by H4H teams. Packing suggestions ● ● ● ● ● ● ● A fleece jacket is recommended for the cooler evenings and early mornings (Antigua is at 5,000 feet). Layers work well! Flashlight/ headlight and batteries Comfortable walking shoes (we walk everywhere). Hat and sunglasses, sunscreen, spare contact lenses/glasses, medical alert bracelet. Insect repellent if travelling outside Antigua Money belt or neck pouch to carry your money/credit cards. Spanish dictionary or phrase book is helpful 7
o o o  Anabela Morales, Hospital Administrative Secretary OR Staff includes Nico, Maria, Gregorio, Marvin, Luis et al .. W...
● ● ● ● Guidebook if you plan to travel. Small hair dryer if needed (or arrange to share) Personal sized hand sanitizer (provided by H4H) Bring your smart phones especially if they are unlocked Money in Guatemala ● ● ● ● ● ● The Guatemalan currency is the Quetzal. Current exchange rate is approximately: 5.69 Quetzals = 1 Canadian Dollar, 7.47 Quetzals = 1 US Dollar (October 1/16 exchange rate) Best currency exchange is in Guatemala (US to Quetzals). Cash should be US dollars. We suggest $20/$50/$100 bills, printed after 2002 and in good condition to ensure bank acceptance. The use of Travelers’ Cheques is not recommended. Most items, such as sightseeing trips, are quoted in US dollars. Bank machines give Quetzals for debit/credit cards; though the occasional ATM may not work, you will find one that does. Visa and M/C are accepted in many places but items purchased with a credit card may be subject to a 10% government tax. Drinking Water DO NOT DRINK TAP WATER! Although the water in Antigua is treated, there is always the chance that small earth tremors may have damaged the pipes and the water could be contaminated. Bottled water is available everywhere and is supplied for you at both the hotel and the hospital. Stay Healthy ● ● ● ● ● ● ● ● ● ● Wash your hands frequently! Use Hand Sanitizer!! Read and Heed H4H Recommended Health Guidelines. Brush teeth with bottled water Either peel raw fruit and vegetables, or wash with bottled water. Check that salads and dishes with raw vegetables have been washed in bottled water. Check that ice cubes have been made from bottled water. Check that dairy products have been pasteurized. Avoid food from roadside and market stands and street vendors. Do not eat raw meat or raw seafood. Take precautions against mosquitoes 24/7..Use DEET Money- Jewellery- Valuables ● ● Carry only the money you will need and be discreet. Carry some small bills loose in a pocket and larger bills in your money belt/neck pouch. Leave all valuables, including jewellery and expensive designer clothing at home. Safety around Antigua As ever, we recommend care and vigilance. ● Use your ‘street smarts’, avoid dressing like a tourist. ● When out in the evenings walk with at least one other person ● Stay in lighted areas ● Keep in mind that the later it is at night, the more dangerous it will be. USE A FLASHLIGHT. ● Check at the main tourism office for current conditions. Be cautious with some tourist spots. Last report is that the viewing spot at the “cross on the hill” has its own security guard. ● Avoid going alone to monuments, ruins, and isolated places ● If you are taking a taxi in Antigua, it should be yellow with numbers printed on the side (approved by the government). Arrange for Quinta staff to procure a taxi when needed. ● You are advised NOT to travel on any of the “Tuk-Tuks” unless arranged by la Quinta staff. Don’t use the “chicken busses” ever! ● In the unlikely event that you are involved in a robbery, calmly hand over your valuables. DO NOT RESIST! Please remember…. 8
                 Guidebook if you plan to travel. Small hair dryer if needed  or arrange to share  Personal sized hand san...
You are a representative As a member of this team you will be representing H4H and Canada. Help us keep our good reputation by being caring, respectful, and polite. We are guests and thus need to treat our hosts with respect. Flexibility and open-mindedness One of the most important things to remember is to go with a flexible attitude and an open mind. The pace in Guatemala is more relaxed than at home. Be patient, relax a little and enjoy the difference. Dress Code Most of the Guatemalans you will meet at the hospital are more conservative in dress than we are used to. Please respect this when choosing your own attire. Scrubs are provided in the hospital but please do not wear them outside the operating room. You must have shoes for OR use only. The Mayan People Having had a long history of oppression and coming from isolated areas, the Mayan patients are wary of strangers; please take extra care to gain their confidence. Guatemalans in general In Guatemala, when meeting or passing someone in the street or at work, a friendly greeting is customary eg. "Buenos Dias" (Good Morning), "Buenas Tardes" (Good Afternoon) or "Buenas Noches" (Good Evening). Guatemalans often understand more English than they speak. This is particularly true in the Obras Hospital. Please remember this when talking in their presence. Taking Pictures On the street…Please ask permission before taking pictures of an individual. They may agree and expect payment in exchange for the photo eg. 1 to 2 Quetzals In the hospital…taking of photos is not permitted unless approved by Team Leaders. Informed consent of patients and staff is required. Handing out gifts It is not advisable to give candy, gifts, or money to the Guatemalan children. We will bring gift items for the patients and hospital staff. Street Vendors You will be approached by many vendors. If you are not interested in purchasing, just say a firm "No, Gracias" and keep walking. Sometimes you may have to repeat this a few times. If you stop, be prepared to negotiate and buy something, or be courteous in your refusal. Bargaining is customary but please be respectful, and remember that you are often haggling over just a few cents! Pan-handlers on the street Giving money is an individual decision; -keep some change handy to save searching for it while on the street. Antigua Please see our website or consult one of the many travel guidebooks for more information about Antigua and its history. Listed below are a few suggestions for restaurants and stores but there are many more! Restaurants in Antigua Angie, Angie – hip Argentinean café, includes photo gallery & live entertainment some evenings (#111A Primera Avenida Sur Antigua) La Antigua Vineria –opposite the Hotel Antigua. 5Ave. Sur #34A – Good Italian pastas, pizzas and wines. 9
You are a representative As a member of this team you will be representing H4H and Canada. Help us keep our good reputatio...
nd Cafe Sky – best view of Antigua from 2 floor outdoor bar. Good quesadillas and soups for after work gatherings (1 Avenida Sur #15) Dona Luisa – breakfast & lunch spot, great bakery - try the banana or chocolate bread (4a Calle Oriente #12 – few blocks east of Central Park) Café Condesa –West side of the main square – excellent for breakfast or lunch, now serves dinner – a favorite of H4H team members. Café Mediterraneo – small, quiet, family-run restaurant, good pastas and very close to the hospital (6a Calle Poniente #6A) Casa Santa Domingo* upscale restaurant/hotel set in an old monastery. Well worth a visit just to have a tour around this historic site with its own hand-made candle and chocolate shops. La Fonda del la Calle Real – off main square, good typical Guatemalan food, popular with the locals. Fusion– casual fusion food with live piano (1 Calle Poniente #9) st Hector’s –popular & tiny/ intimate- great food (1 Calle Poniente #9A) Meson Panza Verde* -upscale, nice atmosphere, good food. Check out the live Latin/Cuban music on Thursday evenings th Las Palmas –good food, cozy with live Latin music(6 Ave & 4 Calle) Queso y Vino – good Italian and pizzas from an outdoor oven (5ta Avenida Norte/Sur #15) – turn right around the corner N. of the arches. Rainbow Cafe & Reading Room - good food, good value, offers live & local entertainment and often interesting discussions (7 Avenida Sur #8) The Refuge Coffee Bar – v. good place to grab a great cup of coffee th (7 Avenue North, 18A) El Tenedor del Cerro – great setting situated on the hill with regular, free carriage shuttle from Santo Domingo Hotel front door; best to go in the daytime or late pm for the views –dress warmly. Good casual dining. La Vivero de la Escalonia –good food -breakfast or lunch is a treat in a plant nursery’s leafy garden setting. 5a.Avenida Sur final #36C Welton* -v. upscale restaurant lovely setting and ambiance, international cuisine (4a Calle Oriente No.21) *Reservations highly recommended Shopping El Supermercado (La Bogadona) – on the right of the furthest block west on 5a Calle Poniente, just before it ends at the junction with Almeda (or Calzada) de Santa Lucia. Supermarket with pretty much all you will need for food/beer and wine but you will have to search around. Deliciosa – upstairs at 3a Calle Poniente No 2. A delicatessen and grocery store. It is much smaller, better organized and has a better wine selection than the Supermercado. 10
nd  Cafe Sky     best view of Antigua from 2 floor outdoor bar. Good quesadillas and soups for after work gatherings  1 Av...
Supertienda “Lucky” – 5a Calle Poniente No. 10 – if you have forgotten to bring any personal items this store is likely to have it. They have items such as wine bottle openers, hair dryers etc. Women’s Cooperative – on 5 Avenida Norte just past the Iconic arch –many local crafts for a fixed price if you don’t like haggling. El Mercado – main market with a special Artisan market on the side Finca Columbia – just outside Antigua, a small family-owned operation (Margarita Asensio – masensio@intelnett.com or 7831-5067) Silver Jewelry Shop – near the corner behind the hospital (guard at the door). Custom orders available plus a 10% discount on everything for hospital volunteers. Artesanias Xejavi – lovely artisan products, mostly woven and jewelry items made by Indigenous Guatemalan women (3 Calle Poniente #3) There are many more shops in Antigua often hidden in courtyards so check inside if the gates are open. Travel Agents Adventure Travel Centre – http://www.adventravelguatemala.com/index.html 2da. Ave. Sur #23-A, Antigua, Guatemala Tel/Fax (011)502-7832-1803//7832-1540//5999-3822 Email: Isela at viareal@hotmail.com Phone: (011) 599-938-22 Contact them if you wish to arrange weekend trips or tours eg. to Lago Atitlan, the Chichicastenango market town, Volcano Picaya, or Tikal. Note: for trips to Tikal, we advise contacting Isela at Adventure Travel before we depart from YVR to secure in-country flight travel which could be difficult at the last minute. Internet Cafes There is limited internet access at the hospital and 24 hrs. at the hotel. Spanish Language Schools Academia de Espanol Guatemala – 7a Calle Oriente No 15 (close to the hospital). Used in previous years by team members but there are many others Your family and friends can follow our progress in Guatemala by checking our website www.h4h.ca and Facebook page Updates will be posted every 2-3 days Health for Humanity Service Society is a CCRA Registered Canadian Charity Registration Number #861946333RR0001 Tax receipts are issued for charitable donations For more information: info@h4h.ca 11
Supertienda    Lucky        5a Calle Poniente No. 10     if you have forgotten to bring any personal items this store is l...
www.h4h.ca 12
www.h4h.ca  12

Safe, Clean Water with an ECOFILTRO