GENERAL INFORMATION
Pasua Health Centre – Maternal and Child Health Care (MCH)
Owner: Municipal Council
Contact: N. Lema,
Box 318
Moshi,
Tel: 2755013 Mobile: 0713-425096
Alumni references: Claire Smith: clairephys@yahoo.co.uk
Christopher Healy: cwhealy@uvm.edu
This Centre was built by the Ministry of Health (1980s). It serves about 3000 people. It is situated south of Moshi town about 5kms from Moshi Town Centre. Most of the people here are very poor. This center detected from the nature of their shelters they live in and just observing. Daily attendance of the patients is between 250 – 300 people. This health center has units dealing with T.B, patients with mental problems and HIV Aids. Funding is by the Governments of Tanzania. A staff of 25 persons is employed here.SUPPLIES:
There are very few supplies and equipment due to lack of resources. The dispensary has a shortage of stock of medicine, especially capillary syringes, vacontainers needle, vacontainer tubes and determiners.
MEDICAL ETHICS
On the matter of medical ethics as per the Ministry Of Health, a non medical professional cannot do the following:
• Observe individual treatment
• Observe delivery
• Go to the operating room
• Give injection
• Learn how to give injection
• Draw blood from patients and any other procedures which affect the human body
They can do the following:
• Weigh women and children’s body weight
• Record the MCH cards
• Keep immunization record
• Keeping general cleanliness in the clinic / ward
• Prepare working materials e.g. slides, cotton wool for sterilization; wash the laboratory equipment, etc.
• Help issue outpatient cards
• Help in pharmacy by making envelopes for tablets
• Make beds and any other manual activities which do not involve human health.
Volunteers who are medical professionals, residents or medical students in their last year of medical school will be allowed to do all above under supervision. In all government hospitals Medical Professional Volunteers must provide supporting professional documents.
A Medical Professional Volunteer will need a mentor for translation and guidance throughout his / her stay due to the language barrier.
Based on each volunteer’s personal experience, they will choose a department where they will feel most comfortable. Examples of departments are: The Antenatal Unit, Laboratory, OPD, Family Planning etc…
ACTIVITIES INCLUDE:
• Examine – babies, pregnant women, and children less than five years and other adults. Weigh babies and mothers.
• Help doctors in treating patients with sexually-transmitted diseases such as warts, syphilis and other diseases like scabies, whooping coughs, conjunctivitis, etc.
• Participate in health campaigns e.g. measles, TB and other vaccination activities as instructed by the Municipal Council.
• Research and Testing participate in research on HIV Aids and other STDs in general including laboratory testing of other illnesses.
• (For medical professionals) Work with nurses who can help with translating for patients while you help with procedures
SUPPLIES
All medical volunteers who would work in a hospital need to bring with him/her a professional uniform e.g. a white jacket and decent clothes. Other useful supplies include:
• Clean/sterile gloves
• B/P machine
• Masks, cap, plastic apron
• Antiseptic syringes 10cc
• Microscope
• Cuvettes for H/B and glucose
• Hand sanitizer,
• Torch
• Stethoscope (for outpatient care)
• Thermometer (for outpatient care)
ATTRIBUTES
• Patience and love with the patients.
• Creativity in organizing the dispensary
• Flexibility and ability to follow doctor on duty
• Work with very little equipment and supplies
• Work with substantial shortage of drugs and medicines
• Being able to work with a large number of patients
• Creativity in changing the environments, and giving positive suggestions for improvement.
• Willingness to do whatever work is needed with cooperation and humility.
• Advise on general and environmental cleanliness
3 comments:
“My days were spent weighing babies. Some days we would have 50 plus to weigh in a day!! Each baby except the really tiny ones would have a card with their details on like birth weight and details of who the parents were. It was interesting for us to see how young some of the mothers were but how well adapted they were to motherhood.
The tiniest babies, who were a month old and younger, had not yet had a card created for them so one of the Tanzanian administrative workers had to create one from scratch for them. On the reverse of the cards was a weight chart with shaded areas to show whether the babies were within the correct weight range for their age. Surprisingly enough most of them were born large enough but sometimes when they were older seemed to be underweight, though rarely by a large amount. We did advise the mothers that their children were underweight but whether they had the money to buy them more food, we never knew.
Occasionally we would weigh twins or very large children who were coming to the clinic for the last time. Usually they were weighed from birth to about 5 years old, by which time their mothers had had at least one more child and so brought them along to be weighed too. The means by which we weighed the babies was primitive but effective. Then they would be hooked onto a meat-weighing machine and dangle down until the pendulum on the scales stopped wiggling. Some kids looked very at home in the slings and even fell asleep. Others screamed as if being tortured until their mothers lifted them out.”
I enjoyed my time at Pasua Medical Clinic. At first the language barrier was difficult, but after a few days I picked up on some key words and phrases that allowed me to do my task successfully. After seeing only American doctors all my life, it was interesting to step into a small clinic in a poor village. The facility is pretty bare-bones, but it is kept very clean. My main job was weighing babies, charting their weight gain, asking the mothers if their child is sick, and then directing them to see a doctor, get a vaccination, etc. I also observed the nurses and doctors as they diagnosed and treated patients, and visited the AIDS counseling center, post delivery and in-patient wards. One morning I sat with a doctor and over three hours she had already told 20+ patients that they had malaria. What was most memorable about that was how the patients accepted the diagnosis like I would if my doctor told me that I had a cold. They obviously know that malaria is the number one killer in Africa, but I guess since they are so used to being around people with the disease, there is no shock or surprise when they learn that they are now infected.
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