In the first of a series of blogs focusing on THET's work in Sierra Leone, THET's Communications Officer, Timur Bekir, visits Kambia District Hospital to document the work of two THET funded health partnerships.
Health partnerships are improving the lives of women and children in Kambia District, Sierra Leone.
I’m in Sierra Leone to document two health partnerships that
are engaged in project work at Kambia Government Hospital, helping to improve
maternal and child healthcare. Our journey to Kambia Government Hospital takes
my colleague and I along red clay roads peppered with pot holes the size of
bath tubs, past acres of dense green forest, and pass neighbourhoods with
families going about their daily lives. The lush, rural and often idyllic
setting of Kambia Government Hospital belies the challenges the institution,
and the community that rely on it, face.
Sierra Leone currently sits at 177 (out of 208 listings) on
the Human Development Index, life expectancy at birth is 48,
under five mortality is 185 per 1000 live births, and maternal mortality is 890 for every 100,000 live births.
We are given a warm welcome when we get to the hospital from
some of the UK volunteers currently on placements at the hospital. We are
introduced to their Sierra Leonean colleagues and get ushered into a
workshop for Volunteer Nurse Assistants (VNAs) and Maternal & Child Health
Aides (MCHAs). The workshops are part of the training delivered by the
partnership between Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT)
and Kambia District Health Team (KDHMT). The partnership has been funded and
supported by THET and managed by the charity The Kambia Appeal. The partnership
is helping to reduce maternal & child mortality by training MCHAs to
deliver primary healthcare.
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| Workshop training. Photo by Timur Bekir. |
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| Workshop training. Photo by Timur Bekir. |
The passion and commitment of the students is showcased as
each one gets up in front of the class to teach what they have learnt. Confident
delivery is met with insightful questions and, although my Krio isn’t quite the
best in the room, it’s clear that all the students will be passing with flying
colours, going on to provide much needed healthcare in the local community.
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| Role reversal. Photo by Timur Bekir. |
My next stop is to accompany some of the long-term
volunteers doing ward rounds in the children’s ward. The Kambia Appeal
Volunteer Programme is the second partnership funded by THET and managed by The
Kambia Appeal. Again, working closely with the Kambia District Management Team,
the partnership uses skilled UK health volunteers to train and teach local
healthcare workers and improve the quality of care for women and children in
Kambia.
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| UK volunteers on ward round. Photo by Timur Bekir. |
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| Patient being attended to by VNAs. Photo by Timur Bekir. |
During the round patients and staff greet me with a smile, and are extremely accommodating when I ask if I can take their picture. The pleasant disposition of the staff is in contrast to that of the hospital. As
I make my way around it becomes clear how under resourced it is,
with next to no medical equipment. To highlight the point, a local health worker tells me about the
time a patient came in bleeding severely. They didn’t have the AB- blood needed
and went about asking patients and colleagues if anyone had that blood type.
With no one in the hospital having a suitable match the health worker
rushed to the local radio station to put the word out to the local community,
but no one responded. The patient died that day unable to get the blood they
desperately needed. This story shows the fine line between life and death in a hospital that is so lacking in equipment and
skilled health workers, emphasised all the more because if I had arrived a few months earlier perhaps I could have been a donor, as AB- is my
blood type.
Later that day, I interview the
District Medical Officer, Tom Sesay, who explains that, despite the many
challenges faced, maternal and child healthcare is improving and the future
looks bright, ‘I’m very optimistic
because we are putting in place a lot of strategies and we are getting support
from partners like The Kambia Appeal. The
Kambia Appeal volunteers coming and conducting this training has really
helped to strengthen the capacity and skills of many of our staff. I think there is light at the end of the
tunnel. We now have a lot of training institutions in the country so I think
gradually the human resources situation will be improving.’
As the sun sets over the hospital and I take my last few
photographs, I reflect on the extraordinary people I’ve met. But most of all I
am inspired by the unique way that health partnerships bring like-minded,
passionate individuals together from around the world to help improve healthcare
for women and children in places such as Kambia, helping train health workers
who will provide essential care for years to come.
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| Patients wait to be seen. Photo by Timur Bekir. |
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| Photo by Timur Bekir. |
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| Photo by Timur Bekir. |
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| Photo by Timur Bekir. |
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| Where the training took place, Kambia Government Hospital. Photo by Timur Bekir. |
For more information about the work of these two health partnerships, please visit
www.thet.org or
www.kambia.org.uk
