Wednesday, October 23, 2013

Returning Back to Ethiopia...

I’ve been back from America now for just over a month and am really enjoying my third year in Ethiopia. While back home I truly enjoyed seeing family, hanging out with friends and eating good wholesome home cooked meals. Cooking in a proper kitchen again was wonderful and the use of a regular washer and dryer. We are very grateful to have all of those little luxuries that make America what it is today.

Since returning to Ethiopia I have pretty much settled into my Mekele house and love being in a big city with regular internet, electrical and anything I need. Lately, work has been going well with the Non-Governmental Organization (NGO).  Back in Adigudom (my 2 year placement site) I’ve been documenting the daily life of a Health Extension Worker (HEW). These young ladies are trained mostly in prevention and education as it relates to contraception, immunizations, and overall sanitation in the Ethiopian health system.
HEWs have the hardest job in the world, are paid very little for the services they provide, and still some of the most caring individuals I’ve met. Most HEWs walk several hours a day out in the weather elements going house to house educating some of the most rural individuals. Just yesterday, I went on a two hour hike with the translator and a local HEW to an outreach immunization session. It was a pretty amazing walk, up and down and around mountain sides. Then for the HEW it was six hours of providing vaccines to the local newborns in the community.
2 HEW at a Vaccination Session
HEW collecting documentation for the new Family Folder System

Another Vaccination Session

Hiking to a vaccination session

In addition, to observing several immunization sessions I was able to experience my first Polio Campaign. The neighboring country of Somalia is under civil unarrest and experiencing an awful famine. This has led to several thousands of Somali refugees coming into Ethiopia, which has brought several cases of polio outbreaks in Ethiopia. The World Health Organization decided to put on a polio campaign in Ethiopia to stop the spread of polio. That particular day I was also out with a rural HEW and I can officially say that was one of the hardest working days I’ve ever had, climbing down a mountain side and then going house to house to distribute polio vaccines to children under five. It sounds like there will be at least 2 more rounds of this polio campaign to make sure all children in Ethiopia are vaccinated against this disease.   

Polio Campaign (don't worry this is just the older sister to the infant)

Hike down into the valley for the Polio campaign

Checking for Malnutrition

In the weeks to come, with some anlaysis of the data I’m collecting I hope to help establish a solid defaulter tracing strategy and present that to the NGO. The county I’m working has done a great job at finding children who do not return to receive the rest of their vaccinations… More to come as it relates to this topic. 

Harvesting Grain