Sunday, November 27, 2016

Health volunteer for a day



   Dust churning underneath the wheels of our 4x4 truck as I stood holding onto the bar behind the truck cabin dodging each overhanging branch as it came rushing toward my head winding our way down the 11km dirt road to the mato farming village.  Nhandoa was our destination for the afternoon, about 45 min from my town.  As we made our way passing mães who’d moved off to the bank of the tail with food goods and water balancing on their heads as our driver laid on the horn to warn them and possible others that he was coming.  As we came through the dried shrubbery into some clearage that showed a scattering of mud houses with grass roofs and not a power line in sight, the picture became quite clear and this was more what I’d imagined about the places working in PC would take me.

   Two Fridays ago I got my site mate, a health Volunteer, to let me tag along with her and other hospital staff to do their next "Brigada Mobile" at a village outside of Chitima but within our district.  Didn't take much convincing as the hospital staff were more than happy to let another PVC join on their regular duties.  Even as non shalant as they made it seem I was quite excited to be getting out into another part of my district. As and education Volunteer we are pretty much confined to the school and our immediate surroundings. Sure I'd been to other villages down the road past my town but never more than a stop to pick something or someone up. To which I would often forget the village name before I was even out of it.  Abby my site mate though, talked each week of her trips to different barrios (neighborhoods) in Chitima and surrounding villages to do monthly check ups, give PSAs, health demos, and do mobile consulting out there for people who couldn't make it into town.  Which for me and the fact that I didn't even know what barrio I lived in, I thought it was just the "school barrio," had been quite jealous that 4 months in Chitima and she already had a better lay of the land and surround area than I.  To which she sometimes made fun of me, deservingly. So with school winding down I needed to start learning more about area around my bubble of a life in the Vale barrio, the school’s actually neighborhood name.

 
   As we pulled up in the truck to the massive Baobab tree in the center of Nhandoa carrying vaccines, vitamins, and documents to set up a mobile baby and maternity check-up station, the shaded area below the tree was packed with mães and all their kids all waiting for us. The health centers coordinate with local leaders to help set up and get word out about days like today. So without an email chain or message board crowds of anxious babies and mothers waited for their bi-monthly check up and vitamin resupply.  As best we could we created a baby weighing, vaccine, and early-mother station.  With some rickety desks from the towns near by primary school, one enclosed building, a sturdy branch and portable scale we were in business.  

            There wasn’t much for me to do as I couldn’t administer vaccines or speak nhungwe, so I assisted the baby weigh in as best I could.  Moms with their babies tied to their backs with a capulana cloth would each come up to the scale, put their babies in the harness to be weighed, and hand the nurse a yellow pamphlet.  Each mother carried one of these yellow pamphlets.  They were the entire medical records for their children, literally the only copy of the medical history that existed for their child’s growth, vaccines, and past consultations.  They are kept with the families and must be brought to every one of these mobile check-ups or any other type of medical situation.  Which made the hassle of getting my medical stuff in order before PC seem like a breeze compared to their responsibility with these cards.  After weighing each baby I distributed vitamin packs to each mother with a baby over 6 months old.  These weren’t Flintstone or princess gummies but packets that are mixed in with soft food for the kids daily.  Although, mini bags of Cheetos were the only think I could think about while handing them out.  
 
 
            After we had finished all the weighing, consultations, and vaccines we were treated to a modest meal of xima (thick grits), beans, and rehydrated salted fish as a small thank you from the towns’ people for making the trip out to them.  While we ate the food and I took notice to my very sun burnt skin, the older kids who had been playing in the area came up and began to take stock in the trash of vaccine bottles and syringe caps, no actual syringes as we had a bio-waste container. Making long wands out of connecting caps together and stacking empty mini vials up on each other they were 10x more entertained than they had been while waiting around for us to finish.  Packing up the truck we all piled back in and made our drive out of the mato and 45 min journey back to Chitima, leaving Nhandoa with some more knowledge of my surrounding area and a better appreciation for the health and hospital workers in this country.

(Cute little fat baby reminding of my own self, on the right)