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Showing posts with label ETCHE drop. Show all posts
Showing posts with label ETCHE drop. Show all posts

Thursday, June 7, 2012

The Next Training session

Submitted by Michaela Sholes

One of the things we’ll be sharing with the communities in the upcoming training session is the concept of effective wound management. There are a number of perspectives around the world about the best ways to clean a wound and keep away infections. Some of these perspectives are driven by scientific proof (i.e. using clean water to irrigate a wound will help avoid infections as it will clear the vulnerable wound of foreign bacteria) and others are driven by tradition/home remedies (i.e. putting cow dung or brake fluid on a wound as treatment - which are clearly not appropriate treatments and need addressed).

Now, we should specify that we are not condemning the use of all herbal/alternative medicines any more than we want to portray modern medicine as the only thing that will ever work…they must work hand in hand, with those that employ their uses being educated about what is valid to use, what might in fact end up doing more harm than good, and how to best utilize the local clinics. A big part of effective wound management is keeping the wound clean and free of potential infections by ensuring that hands and bandages are kept clean AND introducing the concept of using low cost, readily available anti-septic creams/liquids. Controlling bleeding, fully irrigating/cleaning a wound, applying clean bandages for stabilization, and avoiding the introduction of any foreign contaminant on the wound before bringing a person to the clinic increases their chances of avoiding infection.

Tuesday, June 5, 2012

No ops in the rain .....

Submitted by Michaela Sholes

Rainy season is in full swing, bringing with it the need to adjust activities when a storm system blows in. Our plans for the weekly session in the Fulani camp had to be rescheduled as the roads both on the airfield and at the camp are essentially undriveable. The last time we tried to drive in to visit the camp right after a storm, we spent nearly 30 minutes trying to drive the quarter of a mile on dirt road from the junction to the camp because the mud was so thick. We will attempt to reschedule for Wednesday or Thursday if possible. 


This week’s session is scheduled to review the budget sheet Ben introduced to the men’s group 2 weeks ago, as well as the SODIS demonstration and literacy lessons with the women’s group. We have been reviewing basic phonics with the ladies, but will be increasing the pace soon. Based on the different working levels of the women, we may look into splitting the group into those who need more foundational work and those who are ready to work on word building. Real life applications will be incorporated where appropriate so they can practice letter/sound recognition in their everyday lives, whether that be medicine bottles, health posters, or their children’s workbooks from school. Audrey, Ben, Rachelle, and I look forward to continuing to work with the group to support their efforts, help address challenges, and cheer on their successes!"

Sunday, June 3, 2012

Community participation

Submitted by Michaela Sholes

One of the things I love most about working with the communities is how different they all are and the various personalities we interact with. I had another encouraging call from a community today, this time from the community’s chief or “dademantse” (phonetically it is “DAH-day-MAHN-chay”). This fellow has been highly supportive of our efforts from the very start and we at MoM believe that is crucial to success. This time, he called to let me know (very enthusiastically!) that they had received the last ETCHE drop, had arranged the next community meeting to share the malaria information, and that the community would come together to help sponsor their Queen Mother and Health Volunteer to attend the upcoming training. It makes all the hardships worthwhile when you hear something like that, to know that they value this and want to do what they can to make the most of it.

Friday, June 1, 2012

The road side infomercial

Submitted by Michaela Sholes

Every part of the world has various angles from which to portray health issues, including the "infomercial" perspective on health. In the US, you'll see the latest vitamin trend which promises to regrow hair, give you "super energy" and various other promises which are tailored to appeal to what is important to us as a culture. It's no different in Ghana, as you can see from this advertisement located on a busy intersection, where the ailments range from spiritual in form (i.e. witchcraft), to cultural (sexual weakness), to actual health issues (Bilharzia, stroke, etc...) that may also go by local names. This is part of the challenge in health education as we want to be respectful to culture and perspectives that are not our own, but also to address these ideas that are very real to many.

Tuesday, May 29, 2012

The Drops continue

Submitted by Michaela Sholes

The MoM team was up early today as the pilots departed for the next round of ETCHE bag drops! Although the weather presented some challenges, the drops were 100% successful and we look forward to hearing from communities! This week's drop included information targeting malaria awareness as well as a malaria-targeted health poster and an invitation to the next training session, scheduled for Friday June 22.

Sunday, May 27, 2012

Akosobo Dam

Submitted by Hallie Paige Arrigon

To celebrate the Ghanaian holiday on Friday, I ventured off the airfield to tour the dam at Akosombo. The dam was constructed during the 1960s to generate electricity for rural communities across the region. Lake Volta, the world’s largest artificial lake, formed as a result of this intervention in natural processes. Electricity from the dam certainly has a positive impact on the health and safety of some individuals and communities who have gained access to refrigeration, electric lighting, and similar luxuries. However, many of the communities that are situated along Lake Volta and served by MoM remain without electricity and have instead suffered health threats imposed by the dam. Transforming an active river into a massive lake created the perfect environment for the snails that carry the schistosomiasis parasite. Schistosomiasis (also known as bilharzia) can cause many unpleasant symptoms like blood in the urine and stool as well as a variety of long-term consequences, including impaired growth and development in children and infertility and cervical cancer in women. The disease remains alarmingly prevalent around Lake Volta. For this reason, MoM recently distributed health education materials targeting schistosomiasis to the communities participating in the ETCHE Project and remains active in the Bilharzia Control Forum Implementation Committee.

Thursday, May 24, 2012

Knowledge is empowerment, and a means to help yourself

Submitted by Michaela Sholes

Do you know people who don't like answering phone calls from "unknown" numbers? Until the ETCHE program got started here at MoM, I was actually one of those people...I don't know why, it just made me uncomfortable to answer a call, not knowing who was on the other end. But it's days like these in a job like this when a simple call from a strange number can just make SUCH a difference!

Needless to say, I got a call today from one of the communities. As we were talking, I asked him how the information was being received and if he felt like the community was benefiting from the ETCHE drops. He responded by telling me, "Madame, the community was very moved by the pictures you sent! They looked at the behaviors and realized among each other that they themselves also do these harmful actions (direct contact with lake water and urinating/defecating in the water sources). So, a meeting was gathered and the people have decided that because they know it is harmful for them and their children, they want to stop it in our village."

There simply aren't the words to describe how thankful, and how very honored we are to be a small part of this change in people's lives!

Wednesday, May 23, 2012

Amina and Alai, helping Mom make a difference

Submitted by Michaela Sholes
Readers who are regular followers of the MoM blog have no doubt heard me mention Alai and Amina on a few occasions. For those of you who are a bit new, Alai and his wife Amina are not only our main contacts in the Fulani camp, but are also a lovely family as well! They have three children, the most recent of which is baby Hamidu, who is the most adorable chunk you've ever seen! Alai keeps watch over some of the cattle in the community while Amina tries to bring in a little extra income by making and selling a local food called "Wagashi." They have been invaluable supporters of our work in their community and quite frankly, we wouldn't be able to do much at all without them! In the group sessions, they are always the first to enthusiastically join in whatever new topic we've introduced that day, even if it means being a little silly (like when we taught the community the Handwashing Song).

I wanted to write about them today because they are a huge part of what makes up the "faces" of MoM. Whenever we seek insights about the community or how to improve our efforts, they are always willing to talk candidly with us, especially if it involves a cup of tea!. They have supported our efforts to the best of their ability, working with us to find sustainable ways to manage getting the community children to school and being willing to at least try our taught health education activities. They have also been very kind in helping us with developing our ETCHE posters! This week, both Alai and Amina were a part of our Malaria health education poster, and modeled behaviors like sleeping under bednets, wearing appropriate clothing (closed shoes with long sleeves/pants or long skirt/cloth) in the evening to avoid being bitten.

Many thanks Alai, to you and your family! Your willingness, cheerful spirits, and support help encourage us to continue doing what we do!

Monday, May 21, 2012

Sustainable healthcare for isolated communities

Submitted by Michaela Sholes

MoM is busy-busy as we are in the midst of planning for both the next ETCHE drop, as well as the second community training session! The last training session focused on health challenges surrounding water and sanitation issues, while this one will focus more on developing hands-on first aid skills. It has been our experience that many times in rural areas, minor injuries escalate unnecessarily. Lydia understands this concept from a personal level, which is why she and the other girls will be helping to demonstrate several methods involved with wound management, burn management, and fracture/sprain stabilization. We are currently working to address the need for first aid materials to be used in the communities themselves, as we identify what is locally available to them. For example, a small clean plastic bottle with a hole punched in the top could be used to irrigate wounds and local seamstresses can easily sew triangle clothes for swathes/slings.

Send us your ideas for sustainable items!

Sunday, May 20, 2012

Rainy season can be challenging

Submitted by Michaela Sholes

Rainy season is in full swing here in Ghana, giving MoM and airfield activities additional challenges! 4 of the past 6 days have seen rainfall, with several of the storms sending more than a few inches of rain and high winds our way. Although rainfall is essential for farming and other agricultural activities in Ghanaian communities, these types of storms can result in further challenges for them as well due to homes collapsing, flooding of the roads, and falling trees/branches. As Hallie and I are planning to spend some time in some of the rural communities for a few days this next week, weather like this certainly adds to the logistics!

Wednesday, May 16, 2012

Changing attitudes.....Changing lives



Submitted by Michaela Sholes

The next round of ETCHE drops were a success and we are thankful to have our brave pilots safely back on the airfield after playing a game of chicken with some looming thunderclouds! The calls have already started, as communities let us know they have received the packages and ask any questions they might have regarding the information inside. I love hearing the enthusiasm in their voices as they tell us how they were able to use the information from the last drop and then what they are looking forward to in this one! We really do have a great team of communities who are passionate about what they do and are willing to share their thoughts and suggestions with us.

We have noticed that some community reps do take their roles particularly seriously, which leads to some interesting challenges at times... I received a somewhat frantic call this morning from a community rep, telling me that a person from his community had located the bag before him, but instead of bringing it to him or the Queen Mother as is typical, the person took it into their house and hid it and wasn't giving it to him! He proceeded to ask me very kindly if the airplane wouldn't mind bringing him another one tomorrow? I had to explain to him that it might be a more effective idea to go talk to the person and find out what was behind the rather odd behavior. He agreed that that might be a workable solution, and called me later to tell me that he and a representative from the chief had gone to talk with the person and had gotten it sorted out in the end.

During this run the pilots reported a greater number of well wishers than usual. At one village the young people lined up and held their hands up ready to catch the drop. In all villages the welcoming broad white smiles glistened as they were directed skywards. The crew can feel the changes in the communities - positive changes - changes that lead us to believe that there is a growing enthusiasm for learning more about health education.

Tuesday, May 15, 2012

Rain Day


Submitted by Michaela Sholes

Mother Nature added her version to our plans for today by dropping several hours of heavy rain on us last night. Due to heavy mud, continued weather dangers, and a few logistical challenges, MoM has rescheduled the ETCHE drop for tomorrow (weather permitting, of course). Classes in the Fulani camp were also rescheduled for next week as travel to and from the camp would have been risky with the amount of mud around. Despite the weather challenges of the day however, we continue to roll with the punches and address the many other positive aspects of the day (like welding!).

Thursday, May 10, 2012

It's all in the details.

Submitted by Michaela Sholes

While researching, composing, and editing documents and posters for the ETCHE drops may not be the most "glamorous" role, it is one of the many necessary activities to making sure that the information going out is both accurate and understandable to those who will be receiving them. This week, the ETCHE drop will send information regarding schistosomiasis to the lakeside communities, in addition to providing them with a step-by-step poster for conducting the SODIS water disinfection method. Before any materials can be sent out, instructional photos are taken to design posters and each topic must be thoroughly reviewed.

Wednesday, May 2, 2012

Stopping Teenage Pregnancy By Air


Another set of successful drops too place this morning. 9G ZAF, flown by Patricia Mawuli Nyekodzi, with Capt. Yaw (aka Jonathan Porter) as Drop Master, 17 bags were dropped to respondent communities with posters and health training materials. We are getting to know this route well, every tree, every danger noted and the list added too each run. We are also getting familiar with a two to five minute drop interval - not much time to prepare - and the constant 'terrain warning' flashing on our GPS equipment.

On the way back, the weather was starting to get very thermal (at 11:00) and we routed to avoid the 'dark bottoms' that were building around us. Such clouds can turn in minutes from docile to violent - so we just stay clear! All part of the interest and challenging job for a 'drop pilot and drop master'... but then we also added a 'new facet' today.

preparing to drop
Earlier this week, as you read on this blog, the girls from AvTech spoke to hundreds of girls to inspire them and encourage them to achieve more. At the event, a teacher from Akateng (a non-drop to community due to its large size, and clinic, just beyond the end of the current Upper Manya drop route) asked 'Can you help to reduce teenage pregnancies in the town, with a plane?' Now, that is a tall order, even for us!
With a confused and wry smile, I asked what she had in mind.... 'If you can just fly over our school so that I can tell our girls that the plane is built by Ghanaian girls and flown by Ghanaian girls, some of whom are barely older than they, it will inspire them and they will see a purpose to their lives. It can help us to reduce pregnancies and associated challenges for girls without a vision.'

Consequently, we are now delivering 'targeted teenage pregnancy avoidance inspiration' in collaboration with the teachers in communities that are 'outside the drop parameters' (ie too big and/or too well served by roads and clinics), as an add on to our drop runs. Although this adds a little to our drop costs (about $40 in additional flying time), we are pleased to be able to respond to a community need so quickly, effectively and, perhaps most importantly, at their request, and will continue to do so as long as we can afford it.

Funding permitting we would like to bring some of the girls from that community to the airfield (after a few more fly-pasts), and see if we can support even more the teachers desire to change lives, preventing teenage pregnancies, one flight at a time...

We will be exploring some other innovative health, community and inspirational models in the coming weeks. Our continued challenge is to meet the ever increasing costs of carrying out these tasks, even though our COSTS are considerably LOWER, TIME use much more EFFICIENT and RISKS far LESS than traditional methods, we are finding funding for this type of outreach difficult to connect with. (If you can help, please let us know - we really want to expand this outreach).

Friday, April 27, 2012

Maybe next time.........

Due to technical challenges with drop material preparation coupled with crew fatigue, todays drops have been delayed. We hope to drop on May 2nd with some beautiful posters that we will soon be posting.
Michaela is working hard to ensure that each and every drop is as effective as possible.

Well done Michaela!

Thursday, April 19, 2012

Come Fly with me.....

Battorkope
One of the keys to the rolling programme of ETCHE drops is the monitoring and selection we have done over the past years. Ever since flights in 1994, long before MoM was officially born, our members have been inspired and motivated by the rural dwellers of Ghana. The past few years has seen a great deal of documentation - creating records where maps do not provide detail or are inaccurate to say the least.

During the training on Monday, a competition in relation to 'Diarrhoea Diaries' (records of diarrhoea as a method of measure of improvements in water and santiation in the community). The prize is an aerial photo of their community (more than one community may win a prize).

Pourkper  
Onni and Angelika, visitors from Germany, supported a 'photo-surveillance flight' to obtain up to date aerial images of these communities. Normally, on a drop run, we are too low to obtain a full image, barely reaching 600' above ground level. For the photo flights we need around 1500' - 2000' to obtain the community image required. Onni flew 9G ZAF with me on the camera, whilst Angelika was flown by Patricia in 9G ZKT - a chance to see the places that the people came from from a higher plane, so to speak!


Would you like to sponsor an ETCHE series for one of these communities? Please visit our 'ETCHE page' at http://www.medicineonthemove.org/index.php/projects/etche and change lives with us, one flight at a time...

Wednesday, April 18, 2012

The First ETCHE training report

Submitted by Michaela Sholes


Yesterday was a turning point for Medicine on the Move. Quite simply, experiences like yesterday’s training with the community members are why I returned to Ghana. Until this point, so much has been in preparation…preparation for our move to Ghana, preparation for the authorizations to line up, for the drops to start, to organize this training…at times, it feels overwhelming. But then, just when I think I have not an energized brain cell left to give…I find myself being given, through events like yesterdays, the most beautiful and humbling gift. The honor of being able to have had a part in helping that training happen, of getting to be a part of a movement for self-empowerment within the communities and getting to see first-hand their excitement and hope at that thought…is why I came back, and why I am proud to be a part of the efforts here at MoM.

One of my favorite parts about the training occurred after the AvTech girls and I had finished doing a demonstration and song about proper hand-washing. Everyone in the group was standing up, as they had all been participating in our song and motions. Having noticed that some members weren’t jazzed about singing a “kids song”, I had encouraged the group to include the children in their communities through songs in order to tap into the children’s natural learning mechanisms. Just as I finished emphasizing the way children will hear a song and never stop repeating it, a neighborhood child (who had obviously been listening outside) skipped by the building singing parts of the song we had just practiced!

Another favorite part of the day came during the Diarrhea section, as we discussed the far-reaching effects of community sanitation. Each member of the group was asked to think back on their day since they awoke and see if they could remember all the things they had touched. They were then asked how many of those things were items or places that other people also touched, like door handles, transportation van doors, etc… We then asked if they could guarantee that every person coming before them had washed their hands properly. Combined with a few stick-figure drawings to emphasize the point, the concept achieved its goal of helping them realize that small actions can have long-term good or bad effects. It was rather amusing to see many of their expressions when they thought about the role of flies and other Diarrhea carriers!

The AvTech girls did SUCH a lovely job during their demonstration for the SODIS method of water disinfection! Each of the girls discussed a particular section of the demonstration as they all pitched in to model the method. The group was so interested in what they were doing that they asked the girls to stand on the highest point of the podium area so that no one would miss anything! Juliet was wonderful at introducing the topic and guiding the overall demonstration, while Emmanuella did a fantastic job describing where and how to place the bottles and Lydia explained very well the concept of cleaning the bottles and looking for the PET symbol.

Yesterday was not without its glitches and unexpected, but the positives by far outweighed the negatives. We had 100% attendance from the communities, including all three new communities from last week! It was such a privilege and moving experience for me to have the opportunity to meet in-person the individuals who I’d been working with over the phone during the last few weeks. We have learned so much already about how to improve future sessions from feedback with the communities, and I look forward to continuing to seek ways to meet their health education needs in the best means possible.

We are so incredibly thankful for everyone who helped make our first training such a success! Manye Esther did an amazing job mobilizing individuals from her networks to provide refreshments and a delicious lunch for the community members! Thank you as well to Audrey whose energy and support is indispensable to MoM, both in the Fulani camp and everywhere! To all the MOMMERS who were sending us good thoughts and vibes, we felt your encouragement and did our best to pass it on to others! There are a great many additional people whose efforts made yesterday possible through all kinds of support and the MoM team would just like to say a big “Thank you” (in English), “Medaase” (in Twi), “Akpe” (in Ewe), and “Muchum kaa!” (in Krobo).





Monday, April 16, 2012

The First ETCHE Metting!!!!

Today was the first community meeting, held in Asesewa, the nearest market town to the drop zones. All the communities who said they would come, came. The DCE, the District Commander of Police and the Queen Mothers came and supported the event. All were full of excitement. All were full of expectations. All were wonderful, eyes filled with anticipation.

 My own eyes filled as I stood with Patricia amongst the people we had only met by air before and they raised their 'ETCHE Drop' Bags proudly, and we shared stories about the buildings, their roads, their crops, their fishermen, and we bonded.

They all want more drops: 'The children are SO excited - we want more.' More they shall have, funds permitting.

Tomorrow Michaela will share the outcomes of the health education - and the reactions in other ways...
For me, today ranks alongside being at the birth of a child, the emotion and moment of realisation, all these pregnant pauses to get to this point have finally gone through the labour pains and brought forth the FIRST full community meeting of ETCHE.
More to come, as together we change more lives, in more ways than we can imagine, one flight at a time!

Thursday, April 12, 2012

Drop 2 UPDATE!! Set the table, we have guests arriving soon....


Submitted by Michaela Sholes

Within 24 hours of the drops we did yesterday, we've heard from three new communities! In addition, We've also received confirmation of attendance by nine communities that both their Community Health Representative and the community's Queen Mother! That means, within 24 hours, we've had over a 50% response rate from previously contacted communities and a 30% response rate from new communities!

There is excitement in the air as we gear up for the meeting on Monday and the opportunity to put faces to the individuals we've only seen from the air and heard over a crackly phone!