Thursday, January 14, 2016

H.A.S.H.

After breakfast, it was back to work! Gerry dropped the residents off at Kamuzu Central Hospital (KCH) on our way to DLH. Armed with instructions for the week, we used Monday as a research day. We checked in at the pharmacy before going to the library to complete some readings and create an action plan.




This week, we will begin our main project at the hospital. The goal is to use time and motion techniques to quantify the time spent by hospital staff on their daily tasks. By doing this, we can hypothesize interventions that would reduce areas of “wasted time," which would ultimately result in a more effective and efficient workflow.





In the afternoon, we joined the Texans at the weekly running club—a worldwide group referred to as HASH. We drove to the Four Seasons complex in the City Centre (New Town), and began to mingle with the other runners that gradually filtered in. It was the first time that I had seen so many whites at once in Malawi. The run/walk started and ended outside the bar, Chameleon.


Eager to finally stretch my legs, I joined the “long” runners. The small group of ex-pats set off on a roughly 4-mile trek through the city. In an attempt to keep everyone together, the route was marked with “checkpoints” (a circle spray-painted on the pavement). Once everyone arrived at the checkpoint, the leader instructed the group to investigate all possible routes to find the correct one. Once the correct path was uncovered, the rest of the group would subsequently follow. It was a fun way to see the town and exercise in a safe environment. We attracted a fair amount of attention from locals, but most of them smirked and waved. Among the friendly atmosphere, I quickly befriended a nurse named Emily from Seattle, who is working in Malawi for one year.

We returned to the Four Seasons just before dusk, and celebrated with beers and traditional chants and games. Feeling so isolated when I first arrived, I was shocked that ex-pat groups like this existed here. People from across the world—with their own accents and inspirational stories—have found themselves in Malawi for one reason or another. The sociable group welcomed us back the following week. I will be sure to attend, and also to seek out the group in future travels abroad.




















In an effort to save us from the cafeteria’s daily plate of rice and beans, the Texans graciously invited Ryan and I to dine with them for the remainder of our time at DLH. The Podgores are a truly generous family.


Ryan and I began our project in the hospital pharmacy on Tuesday. We spent the morning collecting data from pharmacy staff, and returned the favor in the afternoon by helping pre-pack medications.



For dinner, we joined our “second family” for a delicious meal. After a few dry days, nightfall brought a powerful thunderstorm and heavy rains. Still not a true "African rain," but I enjoyed falling  asleep to the soundtrack of the pattering on the tin roof.


Wednesday was another low-key day. It felt slightly cooler outside after the recent rains. Ryan and I continued collecting data for our project and helping in the pharmacy. After dinner with the Texans, James prepared a special chilled dessert. The layers of shortbread, caramel, and chocolate made for a perfect combination of flavors. 


On Thursday morning, I joined Kate and Sarah for a run. Afterwards, Ryan and I spent time in the pharmacy and analyzing the data that we had collected for our project so far.



Around noon, a heavy downpour came out of nowhere. It lasted no more than 20 minutes, and cleared up almost as quickly as it arrived.



After lunch, Ryan and I joined the Texans at a free clinic called Children of the Blessing. The small facility is run by both local and ex-pat employees and volunteers, all of which were very welcoming and friendly. The epilepsy clinic operates twice a month; the remaining days are dedicated to other activities and programs for the children. Ryan and I helped out in the pharmacy, dispensing medications and logging follow-up appointments.


Later that afternoon, Chipi took us back to Area 3. There we caught up with Amy and Ashlyn as more rain and storms came. It seems as though they’ve had a tough week at KCH.


For dinner, Nancy prepared potato soup and vegetable curry. For dessert, another apple pie!

That night, Ryan and I had a brief phone call from our pharmacist preceptors in Pittsburgh before packing for our weekend trip... a safari in Zambia!