A Clear Need
Over 50% of Tola’s area is considered to have high levels of extreme poverty, with many people earning less than $2-3 per day. In Tola, the one small public health clinic has no imaging services, no laboratory services, a limited pharmacy, and no medical specialists. There are very few private medical services available, with nearly no private doctors, few dental services, only one private laboratory, and just a handful of pharmacies. These limited services mean that anything but the most basic cases get referred to the crowded regional hospital in Rivas, which can be several hours away from many parts of Tola’s rural areas depending on transportation availability.