Thursday, January 16, 2014

Swahili Lesson #2 and Clinic Day


We woke up this morning to yet another cooler day (we are unsure if this is because we are becoming acclimatised or if it actually is cooler)! We all enjoyed a delicious breakfast of french toast, pineapple and dorian fruit (from the tree in our yard!). We then went into our second half hour Swahili class where we learned different parts of the human body. Our mwalimu (teacher) had to spend a lot of time helping us with the pronunciation of certain words.  Some words have semi- vowels, which means that they are somewhat silent when you pronounce them. One example of a word we struggled with was “nywele” meaning hair and “goti”(knee) with the “ i” being the semi vowel.  

Today we split into two groups again and each group spent the day at a clinic. The clinic we went to had a few clients in which we could learn the process of what happened from the beginning to the end of the visit. The charting they did was also a lot different and not as lengthy as is done in Canada. There were a couple of babies who came to get weighed (they use a fish scale and each mother brought their own cloth in which the baby sits in and hangs from the scale). The mothers each have a card for their baby with their current immunizations/growth chart that they bring to each visit. One baby who was three and a half months needed his immunizations done (TDAP, Polio and Pneumonia) so we got to observe these being done (they do not wear gloves or use alcohol swabs).

We had a discussion with the doctor about contraceptives; depot (injection you get once every three months) and the implant which goes into the upper arm are the more popular options. Oral contraceptives although they are not very popular here (they believe if they take them they will not be able to have kids) are very cheap in comparison to Canada. For the exact same pills they cost about .80 cents for three months. We were also able to observe a woman getting tested for malaria (she went straight to the lab to get tests done), after she found out her results were positive the lab technician got her the appropriate medication (she did not see the doctor- some choose not to because it costs quite a bit more).  In order to test for malaria they take a sample of blood and put it onto a test strip. They then add a  few drops of solution to it and wait for 20 minutes. If there are 2 or 3 lines present they are positive for malaria. Another client got his blood glucose checked and it was 25.7 so he was told to go immediately to the hospital which specializes in diabetes. This clinic was not equipped to provide him with the adequate care he needed.

Both groups were able to do community assessments of the areas around the clinic to get a better understanding of the area the clients live in. As we were walking we were quizzing each other on the Swahili words we had learned, while trying to pay attention to the busy streets and vehicles going every which way. The ladies at the clinic were getting a good laugh at us trying to pronounce the words! As part of the community assessment the other group was able to do an interview with one of the local doctors in order to learn some history about the area. On their walk around the community they came across an organization that ran an orphanage and a school, which was started about three years ago. They were able to get some information about the politics in the area and have a tour of both the orphanage and school, which were very well run, clean, and the kids seemed to be very happy.  We all arrived home safely just after 3:00 with the smell of fresh buns filling the house!!
-Courtney

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