GROW 2010 Team: Margaret Asante’s thoughts and impressions

The members of the GlobeMed at Northwestern GROW 2010 trip with Margaret Asante. Photo courtesy of Reema Ghatnekar / GlobeMed at Northwestern.

When I received a mail from the outgoing executives of GlobeMed 2009 introducing the next batch of students who will be visiting Hope Center in Ghana in 2010, I was really thrilled and at the same time curious. I wanted to know the caliber of students and how they can fit into our activities at the center like their predecessors. Mails were exchanged and my anxiety heightened by each day.

Between 13th June to 25th June Allyson arrived first, followed by Kathleen and Reema, then lastly Joey.

Allyson Westling
I christened Allyson, “Mother Allyson” due to her humility, wisdom and her approach to work; my anxiety and fears evaporated immediately as Allyson, the first to arrive quickly, grasped the whole concept of activities at the center. She soon took charge and started planning activities of her colleagues with such an ease that surprised every staff at the center. Her main objectives were to help develop the phase four of the nutrition program for the center and also help revise the partnership agreement between GlobeMed and Ghana Health Service. She worked tirelessly to achieve the objectives.

Reema Ghatnekar
The ‘wide-eyed’ Reema was full of enthusiasm, zeal and have a great passion to work with us at the center. Her objectives were community mapping, and help with the continuation of phase three of the nutrition program. Her passion for the community work brought her closer to the two rural communities we serve, Ando and Kodzobi where she did a lot of interviewing to project the work at the center to the communities. Her final work is being used as a guide for our programs.

Kathleen Leinweber
Adorable Kathleen’s volunteering spirit brought enthusiasm and youthful exuberance into our work at the center. She was always asking questions that helped her to achieve her objectives in helping to evaluate the Sexual Reproductive Health for Adolescents program and community-mapping. She braced the odds and worked among the rural communities we serve, and also made friends among the children.

Joey Gill
Baby Joey, as I nicknamed him during his stay was the youngest. He continued with the electronic medical records and the community-mapping. He also worked hard among the two communities to bring out the way the community live, type of housing, water and sanitation, food, fuel used and family size. This information is essential for the center and we are using them to guide us in preparing community profile for the rest of the communities we serve.

The GROW 2010 team not only worked on their individual project but helped in most of the child welfare clinics by weighing babies and updating their records in the registers. They really fit into our system and worked very well. How we wish we could have them all year round

Yes, they did really had fun alongside their busy schedule, a trip to Wli waterfalls in Hohoe District, Kakum Park, the castles in Cape Coast, Kpetoe kente weaving town and of course, Kathleen’s birthday party at Sky Plus Hotel.

They were also ardent supporters of Black Stars, our national football team during the world Cup in South Africa 2010. Notwithstanding their “temporal” Ghanaian citizenship, they never forgot home whilst here. On the American Independence Day, I visited them in the house where they lived and we all sang the national anthem of their Home Country, USA. It was really a nostalgic moment!

I can still hear their voices giggling and their crazy music as I look forward to welcome GROW 2011, I really missed them. -MARGARET ASANTE, NURSE IN-CHARGE, HOPE HEALTH CENTER, HO.

Photo courtesy of Allyson Westling / GlobeMed at Northwestern.


2010-2011 GlobeMed at Northwestern Membership Application

Thank you to everyone that came out to one our information sessions this past week! It’s been wonderful to meet and talk to all of you!

In case you did not get a membership application via e-mail, the application can also be downloaded here. It contains an overview of GlobeMed and the membership application process. Please fill it out and return it to this email address (northwestern@globemed.org) no later than midnight, Sunday, September 26.

We will let you know about your application status by Friday, October 1st! Stay tuned for more information and send and email if you have any questions.

We look forward to hearing from you,

Katie Smiley and Allyson Westling
GlobeMed at Northwestern Co-Presidents


Early fall quarter events

Hello GlobeMed!

We hope that you’ve had a relaxing and enjoyable summer and are getting ready to head back to good old Evanston (if you aren’t back already!) We are gearing up for what promises to be an amazing year for GlobeMed at Northwestern and can’t wait to get started! Here is a heads up of what you can expect early fall quarter (we are hitting the ground running!)

Activity Fair: Monday, September 20: 1-4pm in Norris (Interested member? Stop by to see what GlobeMed at Northwestern is all about! Returning member? Stop by to say hi!)
Information Sessions: Wednesday, September 22 and Thursday, September 23. 7:30-8:30pm in University 102 (come learn more about how awesome GlobeMed at Northwestern is and get a started on the new member application/returning member interest form).
Applications/Interest Forms Due: Sunday, September 26 at midnight
“Meet and Greet” for ALL members (returning members and new applicants): Sunday, October 3, time and location TBA.
Applicant decisions finalized: Sunday, October 3rd by midnight.
First chapter meeting: During week of October 4, time and location TBA (we will be having weekly chapter meetings every week for the rest of the quarter).
Global Marketplace: Tuesday, October 19, Norris (come ready to find some great deals at our second annual rummage sale while supporting our outreach programs at the H.O.P.E. Center in Ghana!)

If you have any questions, please e-mail northwestern@globemed.org or visit our site.

Can’t wait to see you all soon! -KATIE SMILEY & ALLYSON WESTLING, co-presidents, GlobeMed at Northwestern


Lessons learned from Sotero del Rio & Common ground: public health in Chile

Laura studied abroad in Chile this summer. Photo courtesy of Laura Ruch / GlobeMed at Northwestern.

This summer, 2010-2011 GlobeMed at Northwestern globalhealthU co-coordinator Laura Ruch studied public health abroad in Chile and blogged for The 195. Below are excerpts from Laura’s blog, which covered her experiences this summer.

LESSONS LEARNED FROM SOTERO DEL RIO

Six weeks, dozens of women, and numerous hour long metro rides later, my research has wrapped up, and I realize I’ve learned about a lot more than what I set out to understand. Our project focused on how women can have a positive labor experience and what can be done to alleviate excessive pain during childbirth. Some of our “findings” were pretty obvious – epidurals do the trick, so long as they are administered quickly enough. The most painful part of labor is the “big shabang,” the dar de la luz. Also, when they are holding a brand new, healthy baby in their arms, most women will tell you they were pretty happy with their labor experience. However, I couldn’t help but notice the staggering inequalities between the public and private hospitals here. Chile has the 10th worst rating in the world for countries with the biggest income gaps, so it comes as no surprise that the quality of healthcare shows a broad range. While the upper class women give birth in meticulously clean hospitals with all the latest technology, similar to those in the US, the public hospitals have a whole different standard of care.

While nothing like so called “hospitals” I’ve seen in Guatemala, public hospitals in Chile don’t have that antibacterial, iodine smell that I’ve grown so used to in US hospitals. There are no potted plants, no automatic doors, no soft melodies playing out of mounted speakers to lighten the mood in a place often filled with mourning. Exhausted and alone, new mothers generally wait five hours or more until they can hold and feed their newborns. To me, the salasde postpartum feel crowded and stressful; the nurses go down the factory line of unadjustable beds, doling out dinners of pan and powered jugo.

There is a new option, however. A team of truly amazing public health workers has managed to get the funding to build a new ward in the hospital through a program called MASIP. Here, each patient has her own brightly painted room, complete with a Jacuzzi, private bathroom, adjustable bed, boom box, and scented candles. Perhaps even more importantly, her family can visit her almost all day long, and the nurses are highly trained in giving emotional support. The benefits of this program are tremendous, although right now it only admits “low risk” women. While many women here don’t receive any anesthesia, all of those we talked to gushed about their experience in the program. Their mothers affirmed that there was simply no comparison between their own labor experiences, in a normal public hospital setting, and those of their daughters. And the best part? The program actually saves the hospital money because women don’t have to keep changing rooms, the same health care workers treat them during their entire stay, and they are almost always able to go home sooner due to a quicker recovery time.

To summarize, I came to a few perhaps basic, yet still personally interesting realizations. First of all, pain is relative. A woman who knows the feeling of say, dislocating a shoulder, will likely not describe childbirth as being as painful of an experience as a woman who’s never dealt with serious pain before. Secondly, just like with our other senses, we can distract ourselves from the feeling of pain. Here is where the calming environment and supportive staff at MASIP play an important part for women going through labor. Finally, I was reminded that our life experiences, and the way we perceive them, are shaped in a large way by our mindset going into them. Those women with higher self-esteem and confidence, and those who really wanted to have a child, ultimately had a more positive, comfortable labor experience, no matter how many of their nerve endings were fired in the process.

Reflecting on these observations, I’ve realized that I’ve been thinking about health care the wrong way for a long time. I’ve always believed in the power of medicine, in the power of the physician, to serve as the backbone for a healthy society. I’ve forgotten about the power of the patient. What Chile really needs, and perhaps what lots of societies need, in order to improve the health of its people, is to empower them even before they require medical attention. It’s going to take a long time and a lot of economic development before the Chilean public hospitals will mirror the extravagance of the private ones. In the meantime, great strides can be made in improving the health care system by altering the mentality of the community. For the particular issue of maternal health, this means addressing the social forces behind the medicine. Women need to be treated as persons deserving of high quality, individualized care. They need to develop, at a young age, the self-esteem to realize they should ask for, or rather demand, that their needs be met. Finally, society should set the bar high for women, encouraging them to develop lofty goals and pursue their dreams rather than burden them with raising a family at a young age. That way, when a woman is ready to have a child, she will be excited and prepared, more confident and more capable.-LAURA RUCH


Photo courtesy of Laura Ruch / GlobeMed at Northwestern.

COMMON GROUND

Breaking news: time travels faster in Chile. According to my American watch, I’ve been here for three weeks, but I’ve definitely only been here for one MAX. All I can say is that I hope my returning flight ticket works on Chile time, because only five more weeks here just won’t do.

Yesterday was rather ironic. I began my morning meeting with my research group and going to one of the public hospitals for the first time. We learned about our project, which explores different methods of labor and postpartum care for mothers. Essentially, there is a push right now to convert to a more modern style, where the woman stays in the same room through labor, delivery, and recovery, and she can have family and friends visit as she wishes. In contrast, in public hospitals here, women are in one room for labor, another for delivery, and yet another for ~48 hours afterwards. Rather than having their own room, they share one large space with 10 or so other new mothers. When I walked into one of these rooms yesterday, I was shocked to see six new mothers on either side of me, of all ages, all total strangers. As I talked to them, rather than dwelling on their lack of privacy, they celebrated being surrounded by other women all in the same boat. They laughed with each other and admired one another’s guaguas (Chilean for “babies”). They all had that aura of pride and hopefulness in the possibilities for their child’s future, even though many of the mothers were poor, young, and single.

After class the same day, we went on an excursion to the Cementerio General, the oldest and largest cemetery in Chile. I normally hate cemeteries (who doesn’t?), but the overawing beauty of this place overrode the creepiness factor. Almost all the graves were above ground, made of stone, and impressive looking. There were wide paths, palm trees, and colorful flowers and vines. A four meter wide stone wall separated the graves of Catholics from the non-Catholics, for fear of uncleansed souls contaminating the pious ones (I’m glad they decided to err on the side of caution – everybody knows that the souls of the deceased can cross three, but not four, feet wide stone walls). Almost all of the Chilean presidents were buried in this cemetery, including Salvador Allende, the first democratically elected Socialist. He was overthrown in 1973 (with the help of Nixon and the CIA) by Pinochet, and committed suicide on September 11. Beside his majestic white grave, where his wife and daughter were also buried, a plaque read a few lines from his farewell speech, given hours before his death, in which he said, ”They have force and will be able to dominate us, but social progresses can be arrested by neither crime nor force. History is ours, and people make history.”

However, just like at the hospital, space was limited in the cemetery. Only a few inches were left between tombs, so it again felt like the emphasis lay in the collective whole, in the memory of the entire community, rather than the individuals. Only this time, corpses rather than newborns lay side by side. In a broader perspective, this speaks to me about the cultural differences between Chile and the US. At home, I value my privacy. I like to spend a bit of time every day by myself- reading, running, playing music, etc. While I still do that here, the culture places a bigger emphasis on being with family and working in groups. I’ve always heard that Americans tend to think of themselves as individuals, while in other countries, individuals view themselves in light of their community, and for the first time, I have really felt that difference. -LAURA RUCH

Photo courtesy of Laura Ruch / GlobeMed at Northwestern.


Getting excited for 2010-2011…

[vimeo=http://vimeo.com/12928679]

This past year, GlobeMed at Northwestern (along with the rest of the GlolbeMed network) increased campus awareness for global health issues and fundraised thousands of dollars for the H.O.P.E. Centre in Ho, Ghana. Though the 2010-2011 school year begins in a few weeks at Northwestern, GlobeMed at Northwestern has been hard at work planning events and programming to further GlobeMed’s goals this coming school year. Least to say, get really excited for 2010-2011…

Updated: Giving credit where credit’s due: Amy Yang of GlobeMed at University of Michigan created the fantastic video above. Thanks to Laura for letting us know!