Sunday, July 31, 2011
Back Home
Fikre Debela
Better late than never, right?!
Well we are finally back home and I have gotten settled back in and caught up on sleep and the only thing I can say is I am ready to go back!! Now with that said I would like to reminisce on some of my big highlights from the trip, including an overnight safari trip in Chobe, Botswana and an all day home based care endeavor to a village just outside of Livingstone called Natebe.
Let’s talk about the fun part first since that’s most people’s favorite. Last weekend we went on an overnight safari to Chobe National Park in Botswana. Needless to say it was a great way to cap off a work/tourist adventure. In quick summation, we saw a load of giraffes and elephants, some crocodiles and hippos, as well as a lioness and her cubs! More importantly though, we saw an enormous two-story KFC (not actually in the park for those of you out there questioning that). The trip began with a “truck, not a bus” ride, followed by a delicious dinner consisting of steak, sausage, squash, potatoes and more. After some campfire songs and less than a solid night’s sleep in the tents we did not have to set-up or take down, we set off to the park just before dawn in the back of a wide-open truck. It wasn’t cold at all. But the sunrise over the water behind us was more than worth it in itself. After a few hours of trucking around seeing some of the world’s most elegant creatures doing what we do every day, just trying to survive, we turned around and headed back to the camp site for a delicious breakfast, which yet again was prepared and ready for us! For that I thank One-legged Mark and his crew – you guys rock! We then headed out on a boat tour through the park which landed us within 10-15 feet of a slew of Elephants! Absolutely incredible, truly majestic creatures especially considering their colossal size. We even dined with a pair of crocs, pulling our boat onto a sandy beach side to make some sandwiches with the freshly sliced ham and veggies provided again by Mark and his crew. Needless to say that is a day-plus summed in a short paragraph, but hopefully many of you will have the chance to see the numerous pictures taken during the trip!
Now let’s get down to business. The day prior to heading to Chobe, the second half of our group headed out to Natebe to provide home based care to some of the area’s individuals and families in most need of health/medical attention. If you hadn’t gained a true understanding of the severity of some of the issues these people face before arriving here, hopefully you did post-trip. No, not everyone is deathly ill, not everyone is on their deathbed. The situation these families/villages face are actually more gruesome than some superficial blood & guts medical attention. These people have these issues because they lack the resources – money and access most importantly – to live the lavish, comfortable, and in some cases unnecessary lives in which we live. They struggle to consume enough water, let alone sanitary water, and essential foods to, in some cases, survive to the next day. Clearly medical attention is what many need, but there are far worse, underlying problems stemming from socio -political and -environmental issues resulting in these human beings needing this attention. There is nothing wrong with the culture and many are perfectly content with maintaining the lifestyles they have, but all certainly could and would benefit from changes in many policies and will not hesitate to make you aware of that, and that is not only their right to do so as citizens of the country, but as human beings. It may seem impolite and politically incorrect to some for me to make this comparison, but it needs to be done. Upon viewing the lifestyles of many who live out in the “bush” and hearing what they have to say, it is truly a fight for survival, like that of the animals you see out on these safaris. In established regions of the world, yes we all want to live to the next day and beyond, but we sort of take that all for granted as we have so many luxuries to support us day in and day out. However, everyday is a struggle to survive here. Lack of water, food, and shelter all contribute to their “unwell-being.” Many raise their own goats and chickens, and scavenge for ground nuts and fruits to feed their families, while another member will bike a few miles back and forth (if lucky enough to have a bicycle) to collect some water from a well that may or may not be contaminated that day to supply the family and animals with hydration. For the most part, these people really don’t care about what is on their iPod or what options their cars have (most don’t have cars), they are just worried about making it through to the next day if only to have one more day with their families.
Now this isn’t to say it is all bad, or that all people we came across were in these conditions, but it is a prominent issue in Livingstone, in Zambia, and most of Africa. Certainly what we did was great and educational and all recipients of our attention were more than grateful, as they made that rather clear, but it takes more than just a group of kids/young adults supplying some less than efficient & adequate medical treatment to just make things better. Based on our lunch with – well I don’t know how to pronounce, let alone spell his name so we’ll call him – Mr. Ministry of Health, our tour of the hospital, and our work in the clinics, it is apparent that things are beginning to make some sort of a turn for the better, but the real question isn’t whether it can or will, but how and when will it get there.
Before leaving you all, I would like to mention one interesting story from Natebe that we came across. We were meeting an older woman who received a regular visit when this trip was made. However, this “consultation” quickly became about others and not her. She was a Traditional Birth Attendant (TBA) and the week before she assisted in the birthing of a child in the home just next door. The mother had just turned 17 and the father was nowhere to be found. The older woman informed us that the new mother would not tell anyone – the TBA or her own mother) who the father was. He did not want to be found, and the mother made this clear by her resistance to the topic. Her hesitance and wariness made it apparent that something was wrong, and although the issue was not resolved while we were there, we were led to believe that this may have been a serious cultural fopaux resulting in a life-threatening situation. All of this sadness aside, we moved to the next patient on this sight, the 5 year-old little girl in the pink with the big beautiful eyes. She was suffering from severe diarrhea and dehydration, but after a few cups of quickly consumed ORS (Oral Rehydration Salts), a couple burps, and some candy, we left her with a big smile! A perfect way to end a long and painful day (in many ways!).
With all of that said, I cannot say anything other than I had an amazing experience and if I have the opportunity to do it all over again, I would jump on it just as quickly as I did the first time. Thank you so much to Dr. M, everyone at African Impact – volunteers, drivers, and managers alike – and especially a big thank you to Brave for truly providing us with some cultural immersion on and off of our projects! Zambia, I miss you already and hope to be seeing you VERY soon!!
-Charlie
Tuesday, July 26, 2011
Farewell Zambia!
August's Favorite Experiences
My favorite experience's have been working in Dambwa Clinic, Natebe Home Based Care, working with children and HIV Education in the prison. At Dambwa Clinic, I got the chance to work in the Antenatal Clinic and HIV Testing & Counseling. I absolutely loved both of these assignments. The Antenatal Clinic was so incredible to see. It is amazing to see how they are able to do so much with so little technology. HIV Counseling & Testing was very interesting as well. I got to see five people tested. It was wonderful to be allowed to observe such a personal moment. Natebe Home Based Care is the most rural community that we visited during our home based care visits. We saw a variety of ailments. The people were so grateful to have us come and see them. Last but not least, HIV Education in the prison was surprisingly my favorite experience. The HIV rate is 1 in 3 in Livingstone, so it is imperative that everyone has a thorough knowledge of the disease. Visiting the prison and speaking with the prisoners made me feel like a true public health educator. I am really glad that I had the opportunity to go there. I have enjoyed every moment of this experience.
Sheri's Favorite Experiences
My favorite experiences have been visiting the Old People's Home, working with the children and making home base care visits in Ngwenya and Natebe. I was particularly interested in the Old People's Home because I work in long term care in the United States. Here I made several new friends and played Memory and BINGO with the residents. Fikre and I had the chance to interview three residents for our research project. The Old People's Home has a spectacular garden that they use to generate income, as well as to provide vegetables for their meals. I enjoyed the time I spent with the residents---it was truly no different from working at home! Many of the residents I interviewed had similar health concerns and food concerns that I am used to addressing as a dietitian back home. Finally, home based care was amazing and really provided insight into the struggles and daily lives of the patients we visited. I hope to make it back to Zambia one day and continue on my public health journey!
We both fell in love with the children! To quote one of our colleagues...they make you feel like a "celebrity" and always wave at you as you pass by. We will never forget the adoration of the Zambian children (they climb all over you, play with your hair and are fascinated by pictures of themselves) or the famous "Munzugu Bus" song that they sang whenever we drove by the schools. We had the chance to work with children during art club, reading club, sports and afterschool.
We would like to thank African Impact and the people of Zambia for being so welcoming and gracious! See you soon!
The Bush
brittany
Safe Journey!
just wanted to wish you all a safe journey back home! i have missed you all. see you soon!
brittany
Don't know why it didn't post last week!
B*Foh out!
HBC
Molly DiMola
It's Almost time to Leave...
So, tomorrow we leave. I hope you're ready to hear all about it, because I'm excited to tell you everything!
Laura Peoples
I came, I Saw, I Sneezed!
I have met several people in the markets especially the market. The last trip that I took with Jennifer to the market I shook hands with many and bargained with a few. I felt like a kid in a candy store when I came back with my bookbag and hands full of items that I had payed less for than most tourists who went there. I made one friend who claimed his name was Junior Obama. I had promised him a sweatshirt on my first visit to the market, so when I returned he grinned from ear to ear knowing that I was coming to make good on my promise. As soon as I opened my bag he quickly snatched the sweatshirt put it on and told me anything I wanted in the store was mine except for his gigantic painting of President Obama. I quickly made good of the offer and we both shook hands and said goodbye with huge grins on our faces.
I enjoyed going on a safari this past weekend, getting to see wildlife close and personal in their natural habitat was a thrill. I saw many elephants, giraffs and kudos, I encountered getting attacked by a few birds but I hid behind Jennifer for protection. These last few days have been pretty bad currently I am sitting from my top bunk typing this blog because I have been suffering from severe allergies and what seems to be like a nasty sinus infection with a flavored cough. I hope by the time we leave tomorrow my medication and prayer would make me feel much better. Also, Jennifer has been under the weather as well and I prayed for her but she refuses to take ORS so all I got for her is prayer.
Peace, Love and Blessings,
B*Foh
Where will my journey lead now?
Jennifer James
Monday, July 25, 2011
"I'm a Nurse. I'm Also a Florist, Truck Driver, and a Midwife."
Question for you, how many nurse, truck driver, florist, midwives do you know? Me? I don't know a single one. Imagine if this lady was working as a nurse in America and told one of her patients that she used to be a truck driver. I don't know about yall, but I might look at her like she had two heads. Truck drivers are becoming nurses these days? That's probably what I would think. I'm telling you women in Zambia do it all!
If you consider the always controversial portrayal of African American women in the American media, or perhaps your personal life, there is a strong connection between Zambian and African American women in terms of strength. For me, fewer things were more evident and true than this cross cultural and continental connection.
Did I tell you women in Zambia do it all? They carry children on their backs, carrots on their head, walk 3 hours to a clinic- barefoot at times, maintain a home for their families, love and rear their children in less than ideal circumstances, sometimes when their own health and livelihood is in question, and they do not complain. I never heard a complaint, did you all? I am amazed by their stamina and backbone.
To all the Ms. Gertrude's of Zambia and America, I admire you all!
Brittany
Molly- thanks for sharing Ms. Gertrude's story with us!
Sunday, July 24, 2011
Confession
I have a confession to make.
My name is Brittany. I went to Africa. I didn't go on a safari.
Does that make me a bad tourist?
How Do You Clean a Desert?
have you ever seen someone sweep dirt? dirt floors, dirt roads...dirt anything? women in zambia do. i saw so many women sweeping dirt. i couldn't help but stare! sometimes they swept with big brooms, other times they swept with mini brooms, bent over at their waist. i just didn't get it, but i understand they take pride in how their homes look. so here's to all the amazing african women who keep their homes looking great! work it sista!
brittany
my first encounter with an african woman
let's start with a physical description. she stood about 5'2" tall and was an average sized woman. she wore a black, wide brimmed hat, dark red lipstick, a black top/sweater, rings on every finger (no joke), army green pants, black combat boots, and she had a cross hanging from her left wrist. that's just the physical, but yall, i felt something in the spiritual! honest! all i wanted to do was get away from her and protect those who were talking to her. it was really strange.
what really did it for me yall, was her following us around airport! let's talk about that. OR Tambo is the air transport hub of southern Africa and literally the busiest airport on the African continent. yet, this lady finds us and proceeds to follows us around! we slept in the airport on july 6th and she slept in close proximity to us. she told me to come sleep closer to her, because it was a warmer area and that threw me too! perhaps her intentions were good, but i didn't take it that way. betty thinks im making a big deal outta this. maybe so. for me, she was the first African woman i consciously observed in Africa. she was so different from what im used to. guess she was a quick case study. i encountered one other lady similar to her while in zambia. this lady had tattoos on her face, wore large drapey clothes, and had a remarkable look in her eye. i was truly in awe of her.
last thing on the lost passenger and we'll move on. or i'll move on...i was later told she was simply trying to get home after missing her flight. maybe we were a welcome sight to a lost passenger, some friendly american kids and their professor. who knows. lost in translation or lost in passage, i'll never forget her.
brittany
America the Beautiful!
Now that I have a fabulous internet connection, let the blogging commence!
I believe I'll start at the beginning...
Brittany
Safari
Molly DiMola
Thursday, July 21, 2011
Livingstone General Hospital
Today we met Vanessa, the Chief Nurse Officer of Livingstone General Hospital. She took us on a 2 hour tour of the facilities. As we've often found while here, things are very different, but there are always similarities. There was a main admittance and casualty area and an emergency department. We also noticed that the occupational and physical therapy programs were similar to those we were used to in the United States. In fact, the equipment was very impressive. The occupational therapists were preparing for National Occupational Therapist Day in September by working on an assortment of art pieces to illustrate the work they do with their patients. There was a main theater (surgery or operating room) and the hospital had high and low-cost wings. The last room on the high-cost floor was very nice and was saved for "special" patients, such as the President, who are able to pay the fee (250.000 kwacha or 50 dollars). We got to visit the labor ward and labor room, however nothing was going on at the time. We did get to see a premature baby that was being taken down for an x-ray. We visited a separate building on the hospital's campus that was specifically devoted to pediatrics. In this building there was a TB ward, measles ward and a laboratory for HIV testing so they do not have to send the specimen off and can get results rapidly. Sheri was excited that there was a nutritionist on staff who creates the nutritional formulas for the infants, unfortunately she was out of the office today. There is not currently a psych ward...they are currently in the process of constructing a new one as a former patient burned the ward to the ground. We also got to visit the dentist! Even though the dentist chairs were "brand-spankin" new Erica was the only one willing to sit in one as she enjoys going to the dentist.All in all the hospital was very nice and clean with some up to date technology and mostly seemed like a time warped version of one in the states.
Erica, Molly, Sheri, Laura
Sunday, July 17, 2011
Wrapping It Up
I have been very fortunate to see the many sides of Zambian healthcare. On Monday and Friday I assisted at the Hospice facility, Tuesday I did Home Base Care in the village of Ngwyena, Wednesday I helped with the Under 5 Clinic at Boma Clinic, and Thursday I went to the rural area of Natebe to do Home Based Care. It was during my time in Natebe where I had the best experience so far. The people that live there have very limited access to care so we had to walk a good distance to reach their homes. They were so grateful for the seemingly limited services that we could provide. About halfway through the day, we were visiting an older gentleman that was having back pain as well as other symptoms. It was there that we met Marshall, a four year old boy that had gotten his foot caught in a bike tire. He had two deep sores on the inside of his foot that his grandfather had packed with Colgate toothpaste. Dr. Morrison and I knew we had to take care of these sores before they got any worse. She decided to be the one to hold him while I cleaned and dressed his wounds. After much screaming and crying, a little innovation and some great assistance from Dr. M, Sheri, and Laura, Marshal was all taken care of with a wrapped up foot, Scooby-Doo gummies in his hands and a smile on his face.
My time here has been amazing and I am looking forward to this week and working with and serving the people of Zambia.
Hello World!!
-Charlie
Elephants!
Laura Peoples
Saturday, July 16, 2011
First Week Recap
My First Week in Zambia
Thursday, July 14, 2011
WOW! I don't know where to start. We have been in Zambia for a week. I have helped create an Adult Health Talk on Prevention of Mother-to-Child Transmission of HIV and then presented it with the help of a translator. After we gave the health talk, we assisted the health workers in weighing babies under the age of 5. Yesterday, along with 2 other volunteers, I helped give the final talk of an HIV education program in a voluntary after school class for high school students (they had great questions - some I could not answer!). Today a group of us went to a village far outside of the area - very rural. We were there to offer health care to those who needed it. We cleaned wounds, dispensed basic medications and offered advise for improved health (diet and water intake). We got to help grind and sift corn - I'm not good at that, but I think I could learn. This is public health education in action and an incredible experience. One thing I'm still waiting to see is an ELEPHANT!
Laura
Wednesday, July 13, 2011
Jennifer
Sunday, July 10, 2011
Finally in Zambia !!!
We Have Arrived
Hi everyone! We are now here in Livingstone, Zambia. We have actually been here for several days, but internet access is not actually very accessible. We have been very busy getting acclimated to life here. Yesterday, we visited Victoria Falls. See picture of Sheri and I in our lovely ponchos (before we got soaked.) This morning several of us visited the market. There was so much to see and buy! As a result, I have a very limited budget for the remaining 2 weeks. But the art and jewelry that I found is beautiful! We all had a great experience there and plan to return. On the way to find internet, Dr. M., Sheri, Fikre, and I were lured into a small church service by beautiful singing voices that we heard from the street. Though we were only there a few minutes, being able to participate in their service is probably one of my favorite experiences so far. Zambia has been very welcoming and exciting! We start working our projects tomorrow. I am excited to get started!
Greetings from Zambia!
Hello everyone! Not only have we safely arrived in Livingstone, Zambia.........but we have finally found the internet! After a long journey overseas (17 hour flight plus a 17 hour layover on a COLD airport floor), we are refreshed and ready to start our medical projects next week. After we were acclimated to our surroundings we had our medical orientation from the very enthusiastic and knowledgeable Brave. On Friday we had a delicious dinner at the Art Cafe where we tried various foods, such as nshima, sweet potato greens and even goat. We then enjoyed a show which featured amazing drummers, singers and dancers. Some of us, including Dr. Morrison (the birthday girl) got the chance to dance with the performers. Yesterday morning the group went to Victoria Falls for a hike which was absolutely breathtaking. Betty and I even had a scary baboon encounter! In the afternoon, we searched high and low for internet access and ended up finding delicious pizza (and of course a few Savanna Drys) instead. The people of Livingstone, Zambia have been most welcoming and I am so grateful to be here. Hello to everyone back home, I miss you! In addition, Molly has requested I add the following "Hi Mom."
They are Rearing to go!?!
We are now a happy bunch recovering from airline travels, airport layovers, delayed luggage and jet lag. We are settling in to a routine in Livingstone -- inductions/ orientations with wonderful staff, conversations with volunteers from other countries, field trip to the famous Victoria Falls, and a lazy Sunday with pop-in visits to church services and a craft market around town. The real work begins tomorrow and all are geared up and rearing to go. There are clinics to be staffed, home-based care, hospice and old people's care to assist with and a multitude of community projects including arts and reading clubs, sports, adult literacy, building and painting, and farming. Eyes, ears and hearts need to be open, minds need to be alert and hands need to get to work. Let's see what the days to come will bring!!
Dr. M.
Friday, July 1, 2011
Ready to go!!
-Erica
Africa Here We Come
Fikre
Looking Forward
Jen
Countdown to Zambia......
Sheri Vettel
Knowledge, Understanding & Experience
LET'S GET EXCITED!!!!!
#POW
B*FOH OUT!
Zambia Here We Come
August Elliott
are we there yet????
it's a wonderful day here in north carolina, but i am ready to go to zambia!
so, are we there yet?
brittany
Ready for an adventure!
Molly
It's almost time to go...
Laura Peoples