Here in Mozambique, community outreach is a huge factor in
delivering needed services. A very popular
position in the hospital is to be an “activista” an activist – one who goes out
to your neighborhood and consults with you on your health condition. I took the
opportunity to walk with them and experience the “mobile health care services”
to a neighborhood about 45 minute walk from the hospital.
The techs had a list and contacted the patients to confirm
the visits. It was an interesting eye
opener to people’s awareness of diseases and their practicing a healthy life
style.
We sat with a young 16 year old who was scheduled to get a HIV
test. He was aware of the disease and
knew somewhat of how it was transmitted and boosted that he and his girlfriend
were monogamous for the past 3 years. Monogamy here in the village was brought with
Christianity, the traditional customs are still followed, therefore a man can
have as many wives as he can provide for, 2-3 is very common, and it also is
one of the reasons why a higher percentage of women have HIV then men.
Abstinence is promoted in discussions more to young females
(10-14 yrs old) to motivate them towards education before bearing children.
When it comes to reducing HIV the use of condoms and testing is emphasized for older individuals (15+).
At the second household we found 3 children with acute
dermatitis and malnutrition. They had
recently been abandoned by their mother and moved in with their dad and step
mother. After our visit the dad was
informed to bring the kids to the hospital and enroll them into a nutrition
program where the family is given a protein supplement – peanut butter packages
and get medicine for the dermatitis. Because of lack of records the children
were also tested for HIV- thankfully it came out negative. (The following day
the dad did come to the hospital).
This is one of my favorite activities, the walk is long and
the temperature is high, but so necessary; people get informed, receive
services, and are encouraged to come to the hospital for additional treatment.
At the end of the day these walks into the bush I am
reminded how these families can survive with so little and smile without one
grudge.
It is a dose of gratuity for me.
@bloggingabroad
Good post.
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