Tuesday, May 28, 2013

Tanzania- May 28, 2013

KCMC Campus


Last night after class, Adrienne and I went home and played with our little brother and the other kids who live around our house.  They were so cute!  They played with our hair and were obsessed with my cameras… so they took about 100 pictures in a span of 20 minutes.  We gave them candy bars and that definitely helped them warm up to us haha.  Unfortunately none of them can speak English, so it was difficult to really talk to them.  For dinner, mama made us Irish potatoes and eggs—“chips na mayai” it’s called.  Basically, it was a French-fry omelet.  It was delicious, but I could only eat half of what mama served me.  It definitely wasn’t healthy, but I did insanity afterward!!  The rest of the night consisted of working on homework and journaling (we are required to keep a journal every day here). 

My lil bro--Delke!
Today started off with group presentations, and then it turned into a learning day.  We were all assigned “crests” for our case study groups, and we had to say what the meaning of the crest was and why it was representative of us.  My group was assigned the Uhuru Torch.  Uhuru means “Freedom” in Kiswahili, and the Uhuru torch is one of the national symbols of Tanzania, symbolizing freedom and light.  It was first lit on top of Mt. Kilimanjaro on Dec. 9, 1961 and is was lit to bring hope, love, and respect to neighboring countries.  My group said this what was representative of us because we would treat each other with respect and give each other the freedom to share our own opinions and different perspectives with the rest of the group.  We also said that the light represents the fact that we are all academically bright individuals with something to bring to the table—hah, yeah that was just so we had something to say.  I learned some things from the other groups though!  For example, I learned the meaning of the different colors on the Tanzanian flag—the blue is representative of the waters, the green of the vegetation, the yellow of the minerals, and the black of the people. 

My groups posters--props to Masuma for the sick drawing! 

After our presentations,  we had three different lessons—one on the healthcare system in Tanzania, one on the 6 different perspectives of Global Health, and one on the biomedical/anthropology perspective.  Some of the most interesting things I learned today: 1. There are only 4 consultant hospitals in all of Tanzania, and KCMC is the best in terms of each of its individual departments.  2.  There is less than 1 doctor for every 138,000 inhabitants, 1 nurse for every 5,000 inhabitants, and only 1 dental surgeon per 356,000 inhabitants.  3.  The main healthcare challenges present in Tanzania include poor infrastructure and support systems, poor working conditions, lack of medical supply including drugs, cost of drugs, shortage of healthcare workers, lack of knowledge, lack of motivation to seek healthcare, and the continued use of traditional medicinal practices versus seeking professional care.  4.  Low-income countries have a higher prevalence of infectious diseases while high-income countries have a higher prevalence of ncd’s (non-communicable diseases).  5.  Often times, it seems as though lack of education is one of the underlying problems that leads to health disparities across different areas of the world.  However, it is not only education that is important, but it is also important to encourage people to act upon that education (for example, somebody may know that it is safer to give birth in a hospital versus in their own home, but they still fail to go to the hospital because they’d rather stick to tradition). 

Working on the presentation with Chana Isack
Other than learning, we had a tea break (which we get every day from 10:30-11) and they served us tea and Chapati (which is delicious and I wish I had nutella to put on it!!)   Then, we had lunch from 1-2 and we went to this place called Jacob’s Well Canteen for lunch, and I had spicy rice with beef.  Now we’re back in the classroom and my group and I are working on a presentation we have to give on Thursday.  We have to read a case study that was written in the past, and give a 25 minute presentation on the information, critique the policy recommendations, and write our own.  This is also our free time to have internet!! 

With Adrienne (roommate) at KCMC


Kilimanjaro Christian Medical College


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