Archive for the ‘Africa’ Category

A Medical Elective in Andavadoaka, Madagascar

Diving & Marine Medicine Course, MaldivesExpedition & Wilderness Medicine has long been linked with award winning marine conservation charity Blue Ventures through facualty member Dr Rob Conway.

Here we highlight a medical elective scheme they have been running at one of their field bases in Madagascar…

Read the article on Blue Ventures website and find out more ….

Liz and I arrived at Coco Beach at the beginning of September, ready to undertake our medical elective (a six week placement in a “healthcare setting that differs from the NHS”- cue a mass exodus of fourth year med students to the 4 corners of the globe…). The plan was to join up with the FISA (family planning) project set up by BV in 2007 and conduct our own research project focusing on the clinic’s interaction with young people in the local area. Our first 3 days fortuitously overlapped with the end of Medical Director and family planning project founder Vik’s latest stay, so we were rapidly immersed in a crash course in family planning, dive and expedition medicine and the importance of making the most of our idyllic setting and local rum! His enthusiasm was contagious and we were soon planning our own project. However we were both surprised and a little daunted to learn that the educational intervention to be developed as a consequence of our research would be a play; written, produced and directed by us! Drama not being a core module in our particular medical course, we were initially politely positive about the idea but Vik’s unfailing enthusiasm and the sincerity and concern with which he spoke about the issues facing the young people of the region won us over.

We have attended family planning clinics here in Andava as well as the satellite clinics in Belovenoke in the north and Tampilove in the South, collecting the demographic info from patient records and hearing the stories of the women who come to access contraception and counselling from Fanja (the Malagasy lady who runs the clinics). I am continually shocked by the number of children many of these women have had and by how young an age- I’m beginning to feel that I have some catching up to do! The journeys to the clinics make the ease of my daily trip to the hospital in Brighton almost laughable. Normally reached by motorized pirogue (the local fishing boats), Belovanoke is, it transpired one morning when the expected boat captain failed to arrive, a 6-hour round-trip by sereti cart (i.e. a high wooden cart on dodgy looking wheels and no suspension pulled by 2 zebu in dire need of Imodium). The mattress we were cunningly advised to put on the floor softened the ride a little but nothing can prepare you for the flying zebu poo and the inadvertent head-bashing when you are thrown on to your fellow passengers. We finally arrived home battered, bruised, sunburnt and more than a little delirious.

On another memorable occasion the usually wet and choppy pirogue trip to Tampilove was stopped in its tracks by the unforeseen low tide. We spent the following hours trekking through the mangroves, sitting and waiting for the channel to fill and finally pushing the boat whilst dodging evil-looking sea urchins and slimy algae patches. On the upside, it seems pirogue-pushing is an excellent workout for the thighs…

We have now run 2 focus groups with the young people of the village and, having asked them about their use of family planning and the dynamics of their relationships, we have constructed the basis of our play. It has been designed to let teenagers know that the clinic service is available to them and that if they complete their education and have children later on, they have that choice. It is to be performed by ‘vazaha’ (us!) in order to create a bit of a spectacle and attract as much attention as possible. The latest batch of vols have proved suitably enthusiastic and, all going well, our directorial debut should go ahead on Saturday 10th October.

Of interest

Diving & Marine Medicinal CME course in the Maldives

Expedition Medicine Course, Keswick

Recruiting a doctor for the Lifeline Clinic in Namibia

This is a fantastic remote medicine job opportunity to work with the remarkable San Bushmen in our well-resourced Lifeline clinic in rural Namibia. We are looking for a doctor to start in May 2012 for 1 year or longer.

The clinic was set up in 2003 and is based in Epukiro, approximately 120km North of Gobabis and 400km East of Windhoek. It’s a small community made up of mainly Herero, cattle rearing people, and a small group of San Bushman who are traditionally nomadic hunter gatherers that live in small family groups.Remote Medicine jobs in Namibia

Sadly, San are treated as second or even third class citizens in Namibia and providing free and accessible primary healthcare to this community really is a lifeline to many. People walk hundreds of kilometres to receive medical care when they are sick and unfit to travel these distances. The clinic was set up to provide free medical care to the San Bushmen community. The majority of our patients are San who receive all their treatment free at the clinic (84% of consultations). The rest of the consultations are for fee paying locals, mainly Herero (16%).

The doctor’s role is extensive in nature but is extremely satisfying. The clinic is primarily open Monday- Friday, 8am- 5pm with a lunch break from 1pm-2:30pm. Patients are seen on an open access basis. We also provide an outreach clinic to a large primary school with 150 San pupils and to a village 40 kilometres away. We also run a community program which is in its infancy and consists of training and supporting community health workers in several San Bushman settlements in the area.

Many of the San come from the surrounding regions and may travel several hours to reach us. 40% of the patients we see are children. We see a lot of TB, respiratory infections and diarrhoea. We also see trauma, domestic violence, alcoholism and malnutrition. Patients who need to be admitted to hospital are transferred via our clinic car/ambulance to Gobabis Hospital, 120 km away, mainly on gravel roads. On some occasions they need to be taken straight to Windhoek which is a 4 hour drive away.

Facilities in the clinic are very good and include a microscope, ultrasound machine, computer facilities and the internet. We have a good relationship with the state clinic and mutually support each other.   The Lifeline clinic is entirely funded by charitable donations. It is part of the N/a’an ku se foundation which also has a wildlife and conservation sanctuary just outside of Windhoek. The farm is 320 km away from the clinic, mainly on tarmac roads.

The doctor is responsible for the clinic staff, currently consisting of a nurse, receptionist, translator, cleaner and gardener. The doctor works with Anna Daries, our wonderful Namibian nurse who has been with the clinic for approximately eight years. She has good local knowledge of the San community and is well respected by them. The doctor also looks after the medical volunteers who come from all over the world and stay for a period of two weeks upwards, provides teaching & projects for them to undertake and ensures they are looked after. They are vital to the financial aspect of the project. The doctor/ partner picks the volunteers up from the farm and then drops them back at regular two weekly intervals. This also allows for a few days leave from the clinic itself.

Accommodation is attached to the clinic and is shared with the nurse and medical volunteers so there is not a lot of privacy. The accommodation is comfortable with a fully equipped kitchen, electricity, solar heated water, a television, a garden and two small affectionate dogs. Regular visits to Gobabis are undertaken to pick up food and provisions.

Other responsibilities include keeping regular updates for the management team, writing reports to obtain further funding (working with the fundraising manager), ordering the medications for the pharmacy and generally maintaining patient records.

There is often a lot of driving involved, some of it on gravel roads, but the clinic car is a Nissan X-Trail in good condition and reliable and safe to drive. You do need to be able to change a tyre as punctures will occur!

Namibia is one of the safest African countries to visit; the main nuisance is petty crime. Driving around Namibia is quite safe as long as you keep to a sensible speed and avoid driving in the dark. The roads are not busy.

It must be stressed that this is a remote area of Namibia in a small but friendly community. There are frequent power and water cuts particularly in the rainy season. Accommodation and food are all provided. There is also a small monetary remuneration of N$5000/ month (about £400/ month). The job would be suitable for a single doctor or a couple (not necessarily two medics).

This very rewarding role would suit a doctor with a passion for people, who would be prepared for the remoteness and heat of Eastern Namibia and who can be flexible and embrace all aspects of the role.

For more information about N/a’an ku sê please visit www.naankuse.com and/or contact sarahfrance10@hotmail.com

N/a’an ku sê Foundation, P.O. Box 99292, Windhoek, Namibia.

T: +264 (0) 817 438 505

Of  interest;

EWM founder Mark Hannaford on the iconic Desert & Wilderness Medicine course

Desert & Wilderness Medicine CME accredited medical training course in Namibia

Sheltering the shadow of Brandberg Mountain, Namibia’s highest, EWM’s Desert & Wilderness Medicine course really is something different as Mark Hannaford explains

Developed for medical professionals and advanced medics working in hot or arid climates, the Desert and Wilderness Medicine medical training course aims to introduce participants to the skills required for working in hot, arid and sub Saharan areas, and to care for and treat injuries and illness likely to occur in this fascinating environment.

 

Book your place on Desert Medicine now …..www.expeditionmedicine.co.uk

Of interest - Conservation ‘Wild Medicine’ in Namibia

Remote medicine job vancency in Northern Namibia

The role of the Doctor at the Lifeline Clinic has only developed over the past 18 months and is therefore still in its infancy. The clinic is based in Epukiro, Eastern Namibia and provides Primary Care Facilities for the local population. The majority of the patients are San Bushmen who receive all treatment free at the clinic (84% of consultations). The rest of the consultations are for fee paying locals, mainly Herero (16%).

Post is available in May 2011 for a one year duration.

To find out more about this vacency visit our ‘Expedition Medicine Jobs’ page here

Expedition Medicine medics involved with UNICEF challenges

Having participated in an Expedition and Wilderness Medicine training course can open up a whole network of contacts and opportunities, not only do expedition, media and travel organisations look more favourably on EWM trained medics who have participated in one of our courses we a have  an incredible network of contacts who are constantly on adventures, working remotely and who need remote medical cover.

Recently expedition medics have been working with UNICEF  and with a well known charity challenge compamy to provide medical cover on thier fundraising adventures – they are off to Namibia next and you can find out more about UNICEF’s fundraising expeditions here.

Expedition Medicine is not just about core medical skills its about so much more as this video from Congo shows

Hi all!
I’ve been doing this warm-up with the staff of our MSF-project last Monday and it was a GREAT success! It’s the same warm-up we did one morning during the Expedition Medicine course in Keswick last March, with Piers I think. Good fun, they loved it :-)
Many thanks!
Cheers from the Congo,
Jiske

It rained in the desert!

storm over damaralandThe 2010 Desert Course

Our foreign courses always run on a fairly fluid timetable, but this year’s Desert Course in Namibia was certainly more fluid than expected. Having never seen rain in the desert before, we had rain every day bar one, most of it torrential. A storm on the second night tried its hardest to blow down/away most of the tents and the large tarps put up by Faan, our local agent. His cooking staff had never experienced such a storm and then still managed to produce a hot meal for us all shortly afterwards.

We still had a great week. The group included some extremely experienced medics and everybody contributed to the learning.  A fascinating demonstration of snake handling from Stuart involved his venomous and non-venomous snakes and a parabusis scorpion.

We trekked in some seriously hot conditions and at times were lucky with cloud cover. One unexpected bonus was coming across a deep pool of water in a bend on a (usually permanently dry) riverbed giving us the chance to swim in the desert – magical. The view from the high peak of the Doros Crater Rim was well worth the walk in. Out final night out was luckily under the beautiful Southern Cross and the other stars as the clouds finally relented. We walked past fresh rhino tracks and saw herds of zebra, springbok and flighty ostriches as we drove out. Faan looked after us impeccably as usual.

Mother Nature surprised us again at the end of the course when the volcanic ash prevented Mark and I, and many of the course participants from flying home at our intended times. The latest person home was 10 days late and one participant endured an epic 3 day flight/train/train/ferry/train/ferry/train journey. At least we are all getting used to the unexpected.

Caroline Knox

News just in…Namibia Ultra Marathon completed

We’ve just heard from the Namibia Ultra Marathon race director Steve Clark, that everyone is now back in Swakopmund. Steve said the race was very tough with temperatures getting up to 42 ºc. Winner Darren Roberts was very surprised and shocked to hear he won the race but once it sunk in he was delighted. Tom Adams very nearly caught Darren up at the finish line which made it a nail-biting finish.

Namibia 24-hr Ultra Marathon Results are as follows:

1st Place – Darren Roberts 20hr 28

2nd Place – Tom Adams 20hr 29

3rd Place – Tom Maguire 21 hr 05

4th Place – Emma Rogan 21 hr 27 – First female to complete the Namibia 24-hr Ultra Marathon

5th Place – Jerry Haywood 22 hr 30

6th Place – Nick Tidbull 23 hr 17

7th Place – Nicholas Wright 23 hr 45

8th Place – Helen Skelton 23 hr 50 – BBC Blue Peter Presenter

9th Place – Adrian Crossley, Stuart Moore, Kellie Power & Michael Skakesheff 25 hr 07. These guys all crossed the line together holding hands, they were all just outside the 24 hour deadline but all were allowed to finish.

Dr Amy Hughes will when she’s back write up about the medical situations she was faced with on the race and how people coped with the extreme heat.

(more…)

Desert Medicine Training Course | Namibia

Desert & Wildnerness Medicine Training CourseDr Sean Hudson explains why we’ve chosen Namibia to run our new Desert Medicine Course.

There truly aren’t enough superlatives to describe how beautiful Namibia is. Hence when we came to choose a destination for our new desert medicine course, there was only one possible choice.

As a group, Expedition Medicine have been working, travelling, holidaying and honeymooning in Namibia for over 10 years. It has a quality which is becoming increasingly rare and difficult to find in Africa. It still remains exotic and predominantly unspoilt, tourism is increasing but slowly.

The diversity of the country is its strength, whether you yearn for endless deserts, exotic mountains, huge dunes, canyons, rivers, a myriad of game parks or the most remarkable coastline in the whole of Africa, it is all here. All set to the backdrop of German efficiency, which has created a medical infrastructure which can support any expedition.

Caroline and I first worked in the Namib as guides and medics in 1998 and fell in love with the country. We have returned many times and are very excited about the desert medicine course. It’s a beautiful location, with Brandberg as a backdrop, and the opportunity to encounter the remarkably adapted desert elephants which often can be found in the Uhab River.

The team are quite exceptional, and I can’t wait to learn from them and their vast experience, in this and other desert environments around the world. If you want to camp in one of the oldest deserts in the world, in the shadow of a mountain which has been a refuge for desert nomads in hard times for over 6000 years, track elephant, learn how to survive and treat medical conditions common in this environment, then there is no question you would enjoy our trip to Namibia.

Dr Sean Hudson

Find out more about the Expedition Medicine Desert Medicine training course in Namibia.

Desert Medicine | Brandberg sunset