Our group has moved North to Bolga. We split into four groups to serve four community clinics surrounding the city of Bolga. Our clinic was located in
the village of Nangodi and was the largest and the most acute serving this
region. The clinic consisted of a mental health unit, a child and maternal
health department, a consulting room, a lab, a dispensary, and a two bed ward. The
villagers of this community are challenged with transportation so this clinic serves
as their primary health care facility. Having such an comprehensive clinic to
serve a rural population is essential in Ghana and could be a model for our
rural communities back home. This facility is staffed by medical, mental health
and community nurses, in addition to midwives, and a physician’s assistant. Our
group worked alongside these health care providers for four days and had the
opportunity to experience all aspects of the clinic.
Kids celebrating after receiving their vitamins |
One of the most fulfilling and engaging components of our time in
Nangodi was working alongside the community nurses. We were able to accompany
them to the local schools to administer Vitamin A supplements to children under five.. The children were as excited to see us as we were to see them. You have
never seen kids so excited to take their vitamins!
In our partnership with the community nurses we also did home visits for
well-baby checkups. There was visible frustration in the community nurse due to
lack of adherence to the vaccination schedule from some mothers. Our nurse had
a discussion with the mother of a 2 ½ year old child who had not followed up
with the health care team for his 18 month checkup. We asked the mother why she
was finding it difficult to come down to the clinic, hoping to find a solution,
but the mother was silent. We could only guess at the reason for her hesitation,
leaving the community nurse to simply shake her head and move on. The clinic is
working to educate families of the importance of proper health and ways to do
so to increase engagement between nurses and mothers. For example, this Monday
there will be a cooking workshop to teach moms how to best preserve nutrients
in their meals.
We also worked with a physician’s assistant who acts as the primary
health provider for not only Nangodi but also neighbouring communities. We
nurtured a very collaborative relationship and taught each other a great deal.
Learning the care of tropical diseases was a new experience for us all and we
were able to witness the care for malaria, typhoid, a snake bite, and digestive
worms to name a few. Having a patient pull a snake out of a bag that had bit
him earlier was definitely a first!
Staff at the Nangodi clinic |
Despite the variety of services the clinic currently provides, the staff
is aware of a lack of access to health care for their youth population. In
acknowledging this they are currently expanding the clinic to include an
adolescent reproductive health unit. We were inspired by the determination of
the staff to educate and care for the community and we are hopeful that we will
see more of this model of holistic healthcare at home.
Posted by Andrea Naka, Kelsey Bellerive, Harveer Pooni and Carolyn Grinham.
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