Partnering to Serve
The Power of a Nickel partners with JustHope, an organization whose mission is to create global partnerships that facilitate long-term partnerships grounded in solidarity, mutuality and collaboration between Nicaraguan and U.S. communities.
In addition, we partner with the two Rotary International clubs in Leon to help facilitate needs of the Chacraseca community.
Teams are made up of physicians, nurse practitioners, other healthcare providers, medical students and helpers. We can always find opportunities to put skills to beneficial work! Typically activities include evaluating and treating patients, making referrals to local health facilities if necessary, serving as educational resources to our Nicaraguan counterparts, immersing ourselves in the local culture, providing healthcare educational opportunities to the local communities, making house calls for those unable to come to the clinics, conducting field research to help improve the health of the community, and serving as a resource for the community leadership team. The typical team size is 30 participants. The ratio of healthcare providers to medical students is a minimum of 1 to 3.
Where We Will Stay
We stay in a moderate hotel in Leon, Nicaragua (the closest facilities to Chacraseca). The hotels used have A/C and private bathrooms. It is about a 30 minute drive from the main clinic in Chacraseca and about an hour to some of the outlying villages.
Supplies and Baggage
We’ll be gathering material supplies to donate to the community, so travelers should limit luggage to a carryon with personal needs for the trip reserving the checked bag for supplies for the community — it’s a chance to see what we can do without! If you have access to a wheelchair or adult crutches – they are always needed. Donations of vitamins and funds are always needed.
The cost of the global outreach medical program is typically $975 plus airfare from your departure city. During some times of the year, airfare may be significantly less on Friday than Saturday – in any case you must arrive into Managua by Saturday of the trip by 3pm. If you arrive Friday, the Best Western Managua Resort, directly across the street from the terminal, is the recommended hotel. This is where the team will meet to leave for Leon. You may book directly through the Best Western website.
Your application and a deposit of $206 must be received to hold your space. The trip cost covers lodging (including the last night at the Best Western Mercedes in Managua (Friday)), most meals, in-country transportation, translator expenses, many cultural activities and trip coordination. Personal costs will be meals en route to and from Nicaragua, souvenirs, $10 visa upon arrival, $50 for the Thursday cultural day (zip line, beach, local family and pottery making) and any unscheduled activities the team decides to add. Final payment for the trip will be due 60 days prior to departure.
You are required to have evacuation insurance. Suggested site www.squaremouth.com for a variety of evacuation policy companies. You may also consider trip cancellation insurance which would reimburse you for costs of the trip should you cancel after final payment is made.
If the team is full at the time of your deposit, you may choose to be placed on the wait list. If you are unable to clear the wait list, your deposit will be refunded.
After deposit to 60 days: $50 administrative fee (except if waitlist not cleared)
59-30 days: deposit forfeited (lodging and transportation is pre-paid)
29 - 0 days: no refund
It is suggested that you purchase trip cancellation insurance to avoid cancellation penalties.
Vaccinations and other Health Information
The CDC recommends the basic immunizations : Hepatitis A (two doses), Hepatitis B (three doses). MMR (2 doses), Tdap (every 10 years). CDC recommends typhoid - but there has not been a case of typhoid since hurricane Mitch over 15 years ago in the areas we are serving - and we drink purified water so the risk is negligible. If, however, you are doing some pre or post-travel, you might want to consider typhoid. The CDC also recommends malaria prophylaxis, and the meds used are chloroquine phosphate, 500mg weekly (which may not be not available in the US due to manufacturer problems) so it is perfectly acceptable to substitute hydroxychloroquine sulfate. If using hydroxychloroquine sulfate, you will need to take 2 pills once a week because it is only 200 mg and you will need 400mg per week. Another alternative is atovaquone-proguanil (malarone) which is a daily med.
Because there is a risk of chikungunya, dengue, and zika, and there are no vaccines for these diseases, you will need to take personal insect precautions. That is the application of an insect repellant containing 25-35% DEET... higher concentrations tends to cause skin reactions on many which can be very uncomfortable.