6/28… The first day of many goodbyes

In honor of finishing our time at Ndejje, the faculty provided us with a closing ceremony. I had the privilege of saying the thank you’s on behalf of SIUe, it’s not always easy public speaking on the spot but what I had to say was not difficult to come up with even though there are absolutely no words to describe how thankful I am for this entire experience.  This morning was the first of many tears to come over the next couple of days.  It was just a brief look into how hard it is actually going to be to say goodbye Saturday morning.  I have made so many close friendships in just 4 short weeks that I am very thankful to continue after this journey.  To take advantage of the day, we finally made way to the campus pool and enjoyed the afternoon with swimming and lots of laughs.  Later in the evening a big group was able to spend more time hanging out on the balcony with some music.  It was a perfect day that I am very sad is ending.

 

 

6/27… Sports Sports Sports

 

After having the final group meeting with my supervisor, I spent the day hanging out with friends.  After lunch, a group of us went to watch the Ndejje volleyball practice.  Men’s volleyball is intense to watch! While watching volleyball, we got a visit from the mother and uncles of one of our Ugandan friends.  She is a representative for the president of Uganda.  It was lovely to meet her!  After volleyball practice, we moved over to watch the Ndejje faculty vs. Ndejje students soccer game.  I’m not usually a soccer fan, but it was an exciting game to watch as well as it was nice to spend time with other Ugandan students.

6/26

Today we worked on finalizing our research and our group meetings, and tomorrow we will turn over our final product of an outline of a lesson plan.  The time working together has gone by extremely quick, and I can’t believe we only have a few days left together.  Since the final meeting didn’t take very long, some of the SIUe students, including myself, walked to the market before dinner to get some chips and drinks.  I was hoping for gnut sauce at dinner, because it has become my favorite and thankfully we had it! Today was another laidback day, as it seems like the next couple of days will be busy.

6/25… Laidback Day

Today I had a team meeting to work on planning for our health education programming as well as working on our group reports.  Other than that, I spent the day catching up on working on my paper for internship.  After sitting at a table at the Dining Hall all day, my tailbone is sore.  I enjoyed spending the entire day with a fellow SIUe student, my mentee.  I enjoy the days that we work together because I seem to learn from her while she is learning from me.

6/24… Ngamba Island

Traveling to Ngamba Island today with fellow Ugandan students was another day that I know I will never forget.  We travelled to Entebbe and took a boat ride to Ngamba Island, where chimpanzees are taken care of.  The Island currently takes care of 23 chimpanzees.  During our time there we were able to witness the feeding time of the chimps as well as a few chimps trying to break away.  Wow, chimpanzees are so smart!  I was able to catch a video of one of the chimps holding his arms out asking for more food.  After this weekend, I need some sleep!

 

6/23… WOODBALL TOURNAMENT

The big day that we have been practicing for.. for three weeks.  We had no idea what to expect for this tournament.  One, I did not realize it was a huge stadium.  Two, I did not realize we would be playing with woodball pros.  Three, I did not realize we would be getting broken up into different groups separating the SIUe students.  What a day of surprises.  I can’t say I brought home a gold medal; however, I am bringing home the experience of being coached by a professional woodball player and a day of meeting many more people from Uganda so to me I am still bringing home the Gold.  My legs are definitely sore after also taking part in the traditional crane dances, but it is definitely worth it.

6/21.. Public Lecture time

I was very excited when we got the news that we were going to be allowed to attend Dr. Cathorall and Dr. Brady’s public lecture in Kampala.  Being able to see the professors that have played such a big role in teaching us everything we know, I could not wait to see them work their magic for other people who had not had the opportunity to hear either of them lecture before.  Along with this, we were able to attend the lecture with ten other students from Ndejje, students that were in our fieldwork with us.  Having the opportunity to travel with the students helped us all get to know each other a little better than we already had and was very fun.   We also spent some time celebrating Bri’s birthday afterward!  Happy 22 to Bri!

6/20… last day commuting to our community.. a bittersweet day

The day I thought I had been waiting for since the beginning of fieldwork… the hike through the hills to our community.  Little did I know that once this day would come, I would no longer mind all of the hills and the walking.  Now that we have finished today, I am upset with myself for looking forward to it.  Today was our last official day walking to our community with our team, and it was very bittersweet.  Together, our team decided we would have a community meeting to inform the community of the upcoming health education implementation that would take place.  I loved having the opportunity to interact with more of the community members and answer questions that they had.  Many of the members were excited to see us.  Along with this, it was great to work together with my team members to put on this community meeting.  We all worked very well together on translating and answering questions as a team.  It’s hard to believe that in a few weeks I will be saying my goodbye to them.

It’s not about the Intentions.. It’s about the Impact

Working in a group has its benefits and its downfalls.  It has been such a rewarding experience to work in a group with Ugandan students, learning from them while learning how to work together being from different countries as well as cultures.  As expected in any group work, there is bound to be at least one conflict.  Although working with my Ugandan colleagues and fellow SIUe student has been wonderful, we have experienced some conflict.  Due to being from different cultures, and having different communication strategies, it can at times be difficult to understand ones intentions and easily be impacted.  Failing to be culturally competent to the best of my ability has resulted in me becoming frustrated at times, when I should be taking more time to be considerate of the different cultures.  In a specific event, my colleagues and I were communicating over a text messaging group about a misunderstanding about a time we were going to be meeting.  At times communicating by text message is not the best way to come to a solution, as it is already difficult to understand one’s tone through a message.  As I have learned from our culture in the States, we utilize texting too much to communicate and we are very quick to be defensive and let ourselves build tension that is usually unnecessary.  Due to these characteristics from our culture, there has been a clash with the culture here, as it seems most Ugandans are not quick to be defensive quite like we are, nor is there hardly tension.  It is a matter of just understanding that we are from two cultures, and need to step back and take that into consideration before letting the frustration build.

6/19… Nakaseke Hospital

Living in the United States, I feel that I take everything that we have for granted, including the health care that we have access to.  While being in Uganda, we have been blessed with many opportunities such as a tour of Nakaseke Hospital.  We were provided a tour and presentation by Mr. Ntumwa Matovu.  The similarities between the system in Uganda and the system in the Unites States were surprising while some of the differences were expected.

Never having been exposed to hospital care in a developing country before, I had not known what to expect of it.  Being ignorant to the topic, I was surprised to find that the hospital system was not all that different from what I am used to; such as the different departments we were able to see in the hospital.  For example, the hospital had specific departments for Neonatal as well as Pediatrics.  From observations and our tour, I learned that the HIV department is big if not bigger than other departments in the hospital seeming very developed, as well as the HIV services and medication provided being free of charge.  Along the lines of medication, the drug management in the hospital was also similar to our drug management.  As expected in our healthcare, doctors, nurses, pharmacists and more are expected to maintain their education on medicine, as is expected of them here as well.  Unexpectedly, the hospital has four pharmacy outlets, along with all pharmacists being responsible for monitoring orders and more.

Apart from similarities, the differences were more expected ones.  For example, our health care system does a fairly good job at keeping our medical equipment, facilities, and procedures up to date.  Nakaseke has medical equipment that has been used to almost 40 years, being very outdated.  Some of the common challenges that Nakaseke faces, that we typically do not have to face at our health care facilities include poor infrastructure, limited finances to address necessary needs, as well as lack of community participation.  Even though in the US we do in fact face some of these challenges to a degree, they are not quite as present as they seem to be here.

In Uganda, there are a total of 40 hospitals in the country compared to there being 5,534 registered hospitals in the United States.  With that being said the population in Uganda is 41.49 million people and 325.7 million people in the United States.  These statistics show that per every 1,037,250 people in Uganda, there is one hospital.  Per every 58,854 people in the United States, there is one hospital.  These numbers show that in a developing country, there is a lack of accessible health services compared to what we are lucky to have in the United States.