Through December 2012, Mano a Mano Bolivia has successfully constructed 136 primary care clinics that operate in seven of the nine departments of Bolivia. The construction and supply of these clinics was achieved through the cooperative efforts of Mano a Mano Bolivia, the local municipality and community.
Each health clinic consists of a physician's consultation room, a dental consultation room, a nurse's office, vaccination rooms, inpatient quarters, a labor and delivery room, a kitchen, two bathrooms, two dormitories for the doctor and nurse, a staff lounge area, and a patient waiting area. All rooms are fully supplied.
Hospitals are larger and can accommodate greater needs. Hospitals include an advanced surgery room, preoperative room, sterilization room, pharmacy, laboratory, and internment rooms for adults and children.
These health clinics provide Bolivians with the opportunity to take advantage of a permanent facility that offers quality health care close to their home. This promotes health awareness, promotes illness prevention, and reduces mortality rates, especially among mothers and infants. In addition to promoting greater awareness of local health, the clinics also help to promote healthy habits. For health providers, the new clinics improve their living conditions and job satisfaction.
Mano a Mano Bolivia co-administers the clinics with the local municipality, the Ministry of Health, and the surrounding community for a period of at least three and at most ten years. Mano a Mano ensures the clinics are functioning well, they are supplied with adequate materials, their personnel receive continuing education, and the local health promoters are trained, guaranteeing the continuation of the project and the completion of all plans. 98% of staff in health centers are municipal or governmental agency employees, ensuring the sustainability of each project. At present, 100% of projects are in continuous operation since opening.
Currently, more than 200 communities within different departments of Bolivia have asked Mano a Mano Bolivia to help build a health center in their area. With the financial support of individuals and institutions, more clinics can be built.