To read this wonderful article by Lucy Mullinger (pdf) <click>
Category Archives: Healthcare
Safe Motherhood Project Guatemala: another successful teaching visit..
We have just returned from another amazing time in Guatemala training further comadronas, (a.k.a. traditional birth attendants). We spent 2 weeks in a small town called El Rodeo in the Department of San Marcos. This town is situated in the western portion of Guatemala in the lowlands, near the Mexican border. We trained 55 eager students, the majority being comadronas who have been actively working, and the remainder, equal numbers of aspiring comadronas and volunteer ambulance attendants.
See www.safemotherhoodproject.org
Once again, it was remarkable to see the students so intrigued by what they were learning. Their desire to learn was palpable! One of the important aspects of our training is for each student to do a real life interview and examination of a pregnant woman, to use their new knowledge that they have learned by using models and role playing. One of our comadrona students asked each of her patients to come to our course so that everyone in the course would have the opportunity to do a hands-on interview and exam of a pregnant woman. This was a huge gift for those who did not have a pregnant friend, sister, cousin or neighbour to join them for the private clinic which we set up as part of our course. During our second week, a pregnant student offered to have everyone watch Ruth did a live interview and exam on her as an example for the whole class. Awesome participation!
The course was very well received and we had a wonderful graduation ceremony to celebrate the students completing the 5 day courses. The mayor of El Rodeo supplied a wonderful meal for everyone present. We heard many times how much each student appreciated the course.
Since returning home, our team has already been asked to bring our course to 5 other towns! Our Guatemalan teammates will be teaching 3 of these groups throughout the coming months. We hope to be back in Guatemala for training of Trainers next year so that we can reach many more areas. We were unable to train trainers this year due to logistical issues. Our coordinator is working on getting everything lined up to do this for next Feb. We were also able to have meetings with 3 other NGOs in Guatemala in hopes of finding groups to collaborate with. One of these groups expressed a lot of interest in working together. We hope to find others as well in the coming year.
We were excited to learn that the Minister of Health has asked for a meeting with our group in the near future and there is a real possibility that our project will be used as a model by other groups throughout Guatemala. Cenaida, our Guatemalan coordinator, is well prepared to make a presentation about our project. This will include the concept of having a registry of trained trainers and comadronas, at a national level, and to train all comadronas within Guatemala with our comprehensive hands-on course. We could then begin to divide Guatemala into regions with groups of trainers responsible for specific regions. Once a registry is formed, there could be a way of ensuring that trainers, as well as comadronas have a recertification on a regular basis, to keep everyone up to date. The doctor in charge of the doctors in the Dept. (state) of Sololá will also be present at this meeting to speak on our behalf. He has been a promoter of our course for the past number of years and has seen the benefits of our style of teaching. There will also be a representative of the Sololá Dept. of Development.
Things continue to unfold, and many more areas of Guatemala are still in need of training. Thank you all who have and continue to support this project, helping many Guatemalans learn safe birthing skills and saving lives!
Neonatal Resuscitation Course Haiti: March 2013. Linda and Andrew Warner write.. !
Sunday, March 10th, 2013
Give a man a fish and you feed him for a day. Teach a man to fish and you feed him for a lifetime.
Linda-Hard to believe I am back in Port-au-Prince for the fourth time since the big earthquake in January of 2010. I am grateful to be part of a Rose Charities sustainable project to facilitate a neonatal resuscitation course, as previously requested by many health care professionals in Haiti. On my trip last year I saw firsthand the need for neonatal support, as 5 babies died on my unit in a week at the hospital. Even though the care there was excellent, financial resources are limited, and the staff can benefit from supportive education, equipment and facilitation of resources. Rose Charities is building upon several other trips of surveying Haitian doctors and nurses, networking and teaching certification classes to now offer another day of certifying several trainers, and two full days of teaching a standardized neonatal resuscitation course to approximately 70 nurses and doctors from various hospitals in Haiti to improve care for infants and neonates in Haiti. I am thrilled to have my 15 year old son Andrew with me filming a documentary about this project, and he is very excited to be here (it is great he speaks French!). My heart was warm as we flew in today, and I was pleased to see that the airport has been completely renovated since I was here last April, further evidence that positive change is possible and it is real.
Monday, March 11th, 2013
Andrew – Today was “preparation day” for the big week ahead. I have to say it feels weird staying in an almost resort-looking type of place, when there’s so much else outside these gates that I am blind to. I was expecting to arrive at a dirt airport, then drive over to some small house to sleep on the floors. As per usual in life, nothing is as expected. First of all the airport had a baggage system similar to ours with air-conditioned rooms and even a duty-free store, and considering I was expecting rubble, this was a huge difference. My mom said there have been huge renovations since she was here last, which seems like a good thing. Living in this… Resort/Hotel/Lodge… When there is so much poverty outside, feels wrong. I would feel so much better if I wasn’t so secluded from everyone, I wish I could live with the people rather than safely here. I have to say today was very relaxing though, it gave me a chance to rest from travel before the interviews ahead. I am so relieved to finally be able to stay in this beautiful country of Haiti, however even here, I am still facing first world problems and sometimes don’t realize that I am making them. Things like ” no wifi ” and ” uncharged electronics” really make me feel bad when I see people who have hardly anything living in tiny tents and sheds. I am excited for the week ahead and can’t wait to see and explore more of this amazing country.
Wed, March 13, 2013
Linda-the teaching has begun and we are bursting at the seams, having had to turn away many doctors and nurses from this neonatal resuscitation course. The first day was “training the trainers”, 11 doctors and nurses who are assisting with two full days of teaching fresh students! This was a crazy day…on a break we were getting a tour of the hospital and happened upon a 27 week old premie that was blue and in severe distress. Our team sprang into action and got that baby’s little heart beating again! Sadly, the baby will not likely make it as there are many other complications, but it was a good team effort, and reminder of what is possible with adequate education and equipment.
Today was a full day of teaching doctors and nurses the NRP course, and we put to good use the trainers we taught on the first day. The students are so keen and appreciative of the course it is a joy to facilitate! Andrew and Michael interviewed the head of Pediatrics along with a nurse and 2 pediatric residents, who they had very distinct and insightful observations about health care in Haiti and how best to support it (stay tuned!).
Tonight I ate giraumon (pumpkin) soup, a Haitian specialty dish, and it was delicious! Although I am not a beer fan, I am loving the Haitian beer Prestige in the heat after a long day! My sister and nephew tried to order the Haitian delicacy of cabrite, or goat, but alas they were out :). We also met up with Einstein Albert, who brought his beautiful Haitian bowls to sell. My new friends Doctors Marie-Josee and Genevieve from Montreal have been amazing instructors of the NRP course, and on top of keeping me in stitches have improved my French immensely!
Friday, March 15th, 2013
Andrew– this week was great. Tuesday, started us off filming at Dr. Lerebours’ office at Hopital Communaute Haitienne, where my mother worked right after the earthquake. Had a great interview with her and it was awesome to see her perspective. She also brought in a family with a Down’s syndrome child for me to interview. After about an hour we went with Jackie LeBrom on a tour around the city. Having lived in Haiti for around 15 years as a tour guide, she really knows her stuff. It was really awesome to see how much history that the country has, and yet very few realize it or even appreciate it. Haiti really is more beautiful than people realize. It is also a country with so any opposites, like poverty and beauty, people in desperation and people with hope. The sights, smells and sounds are also very intense and contradictory, like the smell of delicious food at the same time as rotting garbage piled high on the sidewalk. I kept thinking there was a fire outside every day until I realized it was the coal they cook with as so many of them do not have ovens, let alone homes. I watched a group burn tires as an act of protest. I thought that in a country with a culture so unique to the rest, even the protesters were different from any I have ever heard of. I had a good interview later with Jackie, especially with her outside perspectives.
The next day we spent filming RoseCharities’ neonatal resuscitation program interviewing students and doctors all around. It was an experience unlike any other to be able to feel progress almost as if it were tangible, mainly because the impact is so lasting, and the students in theclass were so appreciative. I am also so thankful for our healthcare here in Canada. I have to say it is crazy to be able to watch this develop as we are educating future pediatricians and doctors to actually be able to save babies’ lives when it wasn’t always possible before.
Now we are in Wahoo Bay, enjoying the ocean’s wind and the marvellous sunset, here is truly one of the places where Haitian beauty is easily seen.
Sincerely,
-Andrew Warner
Monday, March 18th, 2013
Linda-well, we took the weekend off to thoroughly enjoy the beauty of Haiti and the turquoise sea at Wahoo Bay! Beautiful gardens, fresh seafood, friendly people, Haitian music and lots of time to relax! Unfortunately, Andrew had gastro for half of the weekend, but my little filmmaker has been a real trooper! Wahoo Bay is about an hour from Port-au-Prince, and the resort is part of a rebranding program for emphasizing the positive facets of Haiti, for which there are many. As we have traveled through the streets, I am thrilled to see so much improvement and development since I was here following the earthquake three years ago! Many foreign countries have been frustrated with not seeing immediate change in response to a lot of donations, but in a country with little infrastructure one needs to have patience, and more importantly, faith. The people here have such a desire to participate in change, but it takes time, money, education, facilitation of skills and equipment, and above all, it is important to ask the Haitians themselves their priorities and needs, instead of a multitude of well meaning NGOs storming in with contradictory ideas and assumptions. It’s all about empowerment. The philosophy with Rose Charities has been focused on “a hand up, not a hand out” and “teaching a man to fish”, based on a needs assessment survey to the Haitians themselves, and that is why I am proud to be part of this project.
Tuesday, March 19th, 2013-Lespwa
Linda-these are the faces, the hearts that haunt my soul…the reason I come back to Haiti…again, and again, and again, and again. Since visiting the beauty of the sea on the weekend, we have traveled to film at several hospitals in Port-au-Prince. We interviewed nurses, pediatricians and medical directors, along with families whose children have conditions that are usually treatable, fixable, or preventable in Canada. We wanted to assess the greatest needs for health care according to the people of Haiti, and to gain insight as to how we can best support that as a country, as a charity organization, and as fortunate human beings that are blessed to have just been born in a different place.
As much as my friends back home have nicknamed me “the Icewoman” for rarely shedding a tear back home, I cannot say the same is true in Haiti. It broke my heart to see children with hydrocephalus (swelling on the brain) that could have been easily prevented with access to a neurosurgeon, to see babies with disease related to malnutrition simply because they were starving, children with typhoid or other vaccine preventable diseases, and babies that didn’t survive simply because the doctors and nurses who are keen to learn do not have the training or the equipment to save these lives. The little baby I hold in the photo above has spina bifida, and his surgery was delayed for over a month because Haiti has no pediatric neurosurgeons. The worried mom was overjoyed when I told her my beautiful 17 year old niece Katie also has spina bifida, and has a wonderful life, playing sports and doing well at school with a gazillion friends, and that she even just got her driver’s license with an adapted car! Our discussion gave this mom hope, which in Creole is “lespwa”, and that is the basis of survival for this nation.
Excellence in Education: Uganda March 2013
Kampala, Uganda, will see Rose Charities, partner organizations, supporters and anyone interested meeting to discuss and hear presentations on education and health training. Rose Charities organizations ‘Brighter Smiles‘ and Stand Tall Education will be the main organizers but input from others such as the Hillman Fund , HEADA , Greater Learning is anticipated. Topics will be widespread but cover such interesting areas as peer-to-peer education, health promoting schools (Dr Andrew Macab is an expert in this field), goal focus and enrichment of the education process, and new health promoting and training initiatives. There will be visits to the project sites of Stand Tall and Brighter Smiles, and (on Sat 9th) a strong discussion involvement by school children themselves. The goal is to educate and increase the practical knowledge base of participants, network and update on current areas of success in new health and education initiatives.
The conference is open without charge (up to a certain seating limit, after which a charge may be requested ) to an genuinely interested and/or group representatives.
Download program and information sheet and registration form nb these sheets will be continually updated so please call back and repeat also)
Christmas thoughts for Rose Vietnam
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Rose New Zealand Newsletter
Cambodia Medical Elective program upgraded..
The PPSC Rose Medical Elective Program is newly established although Rose has had experience in providing a medical elective program in the past. Our star Surgeon, Dr Nous Sarom has moved to become the Head of Surgery at the Preah Mettokelea Surgical Centre (PPSC) at the Military Hospital in Phnom Penh. Dr Sarom has had a long history with Rose and we have adapted our program to follow this wonderful surgeon and teacher. The Program is now being administered by Ms Sophak Chim who has excellent organisational skills and fantastic written English. She is managing our complicated schedule and ensuring that students receive communication from Cambodia upon receiving their email enquiries. Obviously being a new program there will be teething problems but we hope that the program will evolve to be a leading elective program in Cambodia, especially with the assistance of great feedback from the students! … read more…
Rose Vietnam Report 2011
A Tale of Two Women (and thousands of lives saved… !)
This is the story of two women. One woman uses a piece of clean string and a clean razor blade. With it she saves, scores, hundreds, probably thousands of lives. The people she saves are mothers and their babies. The mothers have given birth where there is no medical assistance. Lack of hygiene, lack of knowledge, even some traditional practices in severing the umbilical cord provide the fertile conditions for infection. Sometimes mud or even cow dung are used to apply to the raw ends of the cord. The clean string is used simply to tie the cord and the sterile blade to cut it. .
Now the woman makes up cheap kits. They simply contain instructions, soap, sterile string and blade and some. All it takes to save two lives is a clean pad, soap, razor blade, a length of string and a set of illustrated instructions. Each kit will save 2 lives. The kits are quietly distributed to where they are needed thoughout the world.
The other woman who follows the same path. She travels to rural Central America with a small team to carry the same simple message and taking also, birthing kits with her. Year after year she returns and year after year she finds more women who, having seen the results of what she has been teaching others, wish to learn. Her course lasts 4 days. The woman educates child birth attendants to wash their hands. Thousands of women die every year because of not doing this. She educates them in the simple things that will save.
Both women know that 820,000 women die because of childbirth every year; 99% of them are in developing countries. They know that, worldwide, a woman dies in childbirth every 40 seconds. They know that three quarters of the 4 million babies who die every year could be saved by simple interventions. They know that so many women simply have no access to safe medical facilities (in Bangladesh for example only 9% of births take place in clinics or hospitals) They know the grief and suffering of so many families through these events.
So quietly, simply, they have rolled up sleeves and helped. No full spread media campaigns, no double-space TV ads, no fleets of white SUV’s, no first-class ‘celebrity spokesperson’ visits. They just do it themselves, unsung heroes, quietly saving lives…
1) http://wordbirthaid.org
2) http://safemotherhoodproject.org
New Floor for Cambodia Physiotherapy
It first began a long time ago, in May 2010, when plans for the construction of a safe therapeutic area for children and other patients with physical rehabilitative needs became a reality. Things shot off to a quick start with the construction of the roof and cement floor ocurring within a month or so. In October, there was the Mural Project. Three vibrant young students with hearing impairments ventured to Takhmao from Epic Arts Kampot and worked with young people with disabilities here at the Centre to paint the amazing, bright wall mural that continues to capture the attention of all who enter the therapy area. Since then it has been slow and steady progress with more equipment gradually added to the floor area, and the wet season coming in and highlighting the need for small alterations to manage the water creeping in. This year was a particularly wet wet season, and we are really happy with how well the therapy area, given it’s open plan design, held up.
Finally, the area became ready for the safe rubber flooring to be laid. Fortunately, we were successful in receiving funds from the Direct Aid Program (DAP) at the Australian Embassy, to implement a project finishing off our building establishment and purchasing resources for the education and training of hospital staff and the community in physiotherapy and disability awareness.
Funds were received on the 21st October 2011 and laying of the floor began on the 26th. After a bumpy start, change in glues, cars breaking down, challenging lumps in the cement floor, workers being away, long lunches, late starts and varying shades of floor squares, we now have a wonderful, large, safe area for providing therapy for children and adults.
Money from a fundraising dinner held in Kadina, South Australia, Joanna’s (RCRC physiotherapist) hometown in early 2011, has been used to supplement the DAP funds to finish the floor area – we under-estimated the amount of rubber tiling required. These funds will also be used to tile the entrance, a cost not included in the grant proposal.
The flooring area has already proven a hit with the kids! In true Cambodian collective group therapy style, children flock into the Centre when we open the gate (funded by Kadina dinner), just to run around and play on this new, strange, soft but firm, rubber flooring, spontaneously rolling around on the floor. Fantastic for disability awareness, children and adults have been joining in on therapy sessions and getting some insight into life for those with disabilities and how they can play and join in activities too.
The flooring has created a safe environment for rehabilitation and therapy and has stimulated a great interest from the community and hospital in physiotherapy, disability and rehabilitation.
We have been invited by hospital Director, Dr Kong Chhunly, to present to hospital staff again on physiotherapy and its benefits and encourage referrals and integration of physiotherapy into the hospital system.
The development and progression of the physiotherapy area will continue – we are looking to build a storage room (we have no space for equipment such as standing frames, wheelchairs and other mobility/therapy aids), a waiting area, and will fix up the rough entrance. Many thanks to all donors, especially DAP (Australian Embassy) and the people of Kadina for these latest developments.