FNP 590 COMMUNITY CARE PLAN: SABANA GRANDE DE BOYA, DOMINICAN REPUBLIC

FNP 590 COMMUNITY CARE PLAN: SABANA GRANDE DE BOYA, DOMINICAN REPUBLICCommunity Care Plan: Sabana Grande De Boya, Dominican Republic Data Analysis Summary An island nation that is part of the Greater Antilles archipelago, the Dominican Republic is located between the Caribbean regions and the North Atlantic Ocean (Medical Ministry International, n.d.). Bordered by Haiti on the east it is mostly mountains with fertile valleys. Throughout the island are bateys or clusters of shacks hidden within those areas that house predominately Haitian refugees and impoverished Dominican nationals. With temperatures ranging in the 90’s with humidity 70% or higher, these people groups are often seen with typical tropical diseases including scabies and parasitic infections. Other diseases that are commonly seen are gastrointestinal illnesses, bacterial infections, asthma, and heart disease (Northwest Pediatric Center, 2018). One of the bateys that is an area of highest need is Sabana Grande De Boya. Once a work camp harvesting sugar cane, clean water, electricity, and health resources are lacking. It is predominantly populated with elderly, unemployed individuals and children. There are very few young adults to help with the ones who remain (Pirela & Silvestre, 2013). Though there are two hospitals in the region, transportation is lacking and since most individuals do not have health insurance, they do not seek medical care. This community is at high risk for health disparities due to lack of access to care, poor dietary choices, lack of understanding of vaccination schedules, and contaminated drinking water. Parasitic Infections related to contaminated drinking water poses a great risk to both the children and adults of this community (Northwest Pediatric Center, 2018). Dehydration related to parasitic infections, high humidity and temperatures and lack of access to clean water exacerbates other health issues. The weather conditions which cause many issues with water loss