Street Vendors

Something that I always remember about Ghana are the street vendors. Every time I’m in a taxi, stopped at a light or stuck in traffic (which happens so often), I notice them. As soon as the cars are at a standstill there is a parade of people walking between the cars selling things, all while trying to dodge the motorbikes and get out of the way as soon as the traffic starts to move again. It’s a hard job; the women (and sometimes the men) carry heavy weights on their head, in the heat of the day while the sun beats down, trying to get people to buy whatever they’re selling and often having to chase after their customer if the cars start moving and they’re in the middle of a sale.

There is such a vast variety of things that are being sold that you could essentially buy anything you need out of your car window. I’ve seen toilet paper, watches, wallets, maps, DVDs, fried plantains, water, sodas, towels, blankets, soccer balls, and the many flags and stickers that are so popular on dashboards and taxis.

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The most interesting things I’ve seen being sold so far are games of Monopoly, a giant clock, and, the winner: a large, framed, hologram picture of Jesus.

Productivity

Monday was, somewhat surprisingly, an extremely productive day. In the morning I met our In Country Director, Ackom, at the Ministry of Environment to meet with the past director of the Ministry of Health, Dr. Anemana. It was gratifying to meet Dr. Anemana in person after having talked with him on the phone several times this past year. We discussed the status of our current containers, which are part of the agreement we signed last summer while he was still at the MOH. We also joyfully updated him on the progress of the nutrition center and the fact that it is almost ready to open, showing him a few of the most recent pictures. We concluded the meeting by briefly discussing possible future containers. Even though Dr. Anemana is no longer at the MOH, he remains very interested in MedPLUS Connect and our work throughout Ghana. After our meeting with Dr. Anemana, Ackom and I were able to go directly to the Ministry of Roads and Highways to meet with Mr. Sulemani, the Member of Parliament for Sisala West and also the Minister for Roads and Highways. Dr. Bukari, the medical director at the Gwollu and Tumu District Hospitals, which are within the Sisala West District, had put me in touch with Mr. Sulemani and after a few phone conversations we were able to find a time to meet. He was very interested in MedPLUS Connect and we discussed the container for Gwollu and Tumu Hospitals in depth. We also explained the MedPLUS model and our history of past shipments in Ghana, especially discussing the Upper West Region, the Region where Sisala West is located. It was a very rewarding meeting and I considerably enjoyed talking about MedPLUS in depth with someone new to our organization.

Although being able to hold two meetings in one day was accomplishment enough, Ackom and I also traveled to Accra Central to visit a store selling medical supplies and get more information on the items they have available. The store will potentially be a great resource for us regarding future shipments, if there is something that needs to be purchased in country rather than being sent from the US. This trip was also personally exciting for me as I had never been to this part of Accra before. Accra Central was hectic, crowded, and extremely busy, full of people and taxis fighting for space, but I actually relished the experience. It reminded me of my past trips to Ghana, and my time spent in Kumasi so part of my enjoyment may have been due purely to nostalgia.

Accra Central

Accra Central

I’ve had, and still have, a few additional meetings scheduled this week, but I’m not sure I’ll be able to surpass Monday’s productivity.

Musical Inclinations

In the midst of all my taxi rides and sitting in coffee shops to do work I’ve heard a wide range of music on the radio and playing overhead. The songs have ranged from pop to country to classic rock, with some songs thrown in that take me back to the 90s. Of course there have also been the many sermons, call in programs, and broadcasts blaring from the radios in the taxi as well. More enjoyable is the African music I’ve heard, but unfortunately I don’t know any of the titles. Here is just a sampling of the songs I’ve heard that I do know:

  1. Katy Perry - “Hot and Cold,” “California Girls,” and “I Kissed a Girl”- I think the coffee shop had a Katy Perry CD on rotation
  2. NSYNC - “This I Promise You”
  3. Paul Simon- “You Can Call me Al”
  4. Lovin Spoonful- “Summer in the City”
  5. Adele- “Rolling in the Deep”
  6. Steve Miller- “The Joker”
  7. Spice Girls- “When Two Become One”
  8. John Denver – “Country Roads, Take Me Home”
  9. Heart- “Alone”
  10. F.U.N.- “Carry On”

End of the Week Recap

This past week ended similarly to how it began, full of constructive meetings here in Accra. I had the pleasure of meeting with the Upper East Regional Director, Dr. Awonoor-Williams on Wednesday afternoon. We discussed the regional container for the Upper East that is due to arrive at the end of July and the future needs of the region. On Thursday I had a dual meeting with the Director of the Procurements Office, Mr. Boateng, and Mr. Appiah, the Director of Administration for the Ministry of Health. We reviewed the status of our current containers, which include the container for the Gwollu and Tumu hospitals and the Upper East Regional container that have already been shipped. We also discussed the preparations for our remaining three containers, destined for Nadowli District Hospital, Tamale Central Hospital and the Northern Region, the Nadowli container being almost ready to begin the trek to Ghana.

On Monday I will be meeting with Dr. Anemana, who is the past Chief Director of the Ministry of Health and current Director at the Ministry of Environment. I actually wasn’t able to meet Dr. Anemana when I was in Ghana last year, as his traveling schedule unfortunately didn’t coincide with the time we were able to be in Accra. I am glad to have the opportunity to meet with him this year and sincerely look forward to it. In addition to this meeting on Monday morning, I have several other meetings next week, the times of which are as yet unplanned (in true Ghanaian style). This upcoming week marks the last full week of my trip to Ghana this year and what I hope will be a very productive week, even more so than the weeks preceding it.

Small Talk and the Weather

During the week and a half I’ve been here, I’ve been struck by the difference in the weather. Last year, when Sonya and I were here in June, the weather was significantly hotter and I remember getting overwhelmed by the heat repeatedly. This year, aside from the day I arrived (where my perception of the heat was probably due more to my lugging around my 40 pound bag than the actual temperature), I’ve hardly felt hot at all. In contrast, most days I feel quite comfortable and Monday I even felt almost cold. Which brings to me my second observation about the weather- rain. Monday was the first day it’s rained since I’ve been here, even though it’s currently supposed to be the rainy season. Combined with a slight wind, it was enough to make me feel chilled in my short sleeves as I sat outside working. Last year we had sporadic thunderstorms and then torrential downpours and cloudy weather for my last week in Accra. Although I find it unfamiliar, I consider this year’s weather much more enjoyable.

Most of my conversations so far have either been with someone associated with the Ministry of Health or a series of taxi drivers. The conversation in taxis often follows a similar pattern once the destination and price are agreed upon:

“You are welcome! How do you find Ghana?”

“Are you American?” (Or this morning—“Are you British?” and when I responded, “No, I’m American,” the driver shouted “Oh, the world power!”)

“What part of the States are you from?”

“Oh! North Carolina—that is nice!”

“How is the weather in North Carolina? Is it like here?” (And when I respond that its actually hotter back home than it is here or list the temperatures)

“Oh that is very hot! Very hot!”

And then the conversation either ends or diverges into politics or religion, interestingly enough. I appreciate the conversations and the warm welcome that is almost always offered once someone discovers you are foreign. But you can see how the weather stays on my mind…

Taxi rides, sunshine, and small talk

Taxi rides, sunshine, and small talk

Meetings, Meetings, Meetings: Part II

Today marked a second round of meetings here in Accra. I met with Dr. Twumasi, the Northern Regional Director, this morning. Its been a year since we last met but we've been discussing the upcoming Northern Regional container frequently by email so it was nice to see each other in person again. We touched base on the container and reconfirmed the priority items needed. This container will be shipped alongside the container for the Tamale Central Hospital and we hope both can be ready within the next couple of months. Dr. Twumasi and I also discussed the creation of 6 new districts in the Northern Region and the expansion of several polyclinics into hospitals. Three of these polyclinics fall under these new districts and will need to be upgraded into district hospitals. According to Dr. Twumasi, these districts are highly impoverished and he reiterated the need for medical supplies in the Northern Region, a region we plan to continue working in.

I was fortunate to be able to schedule a meeting with both Dr. Twumasi and Dr. Awonoor-Williams, the Upper East Regional Director, while they are here in Accra this week. I will meet with Dr. Awonoor-Williams tomorrow morning and I'm looking forward to another reunion and discussion.

A Growing City

During my recent unplanned tour of Accra, I kept noticing two things throughout the city: construction and shiny buildings. No matter where we were during our drive, it seemed that there was always the under construction shell of a building across from me. The unfinished buildings were future homes, apartments, office buildings and shopping centers. I also constantly saw signs advertising these buildings, especially the homes and apartment buildings, labeling them "luxurious villas." And alongside the construction were the large, modern, shiny buildings that allowed me to see what the finished products of the construction would be. I realize I didn't even see a fraction of Accra during our frantic search for the MOH and that the construction is just a visual observation of a city that is also probably growing in other ways, but here are some of the images I saw during my "tour":  

Construction

 

New Construction

Signs to advertise new buildings

Shiny buildings

High-rise apartments

 

Adventures in Finding the Ministry of Health

Yesterday, I had a (long) adventure in trying to find the Ministry of Health for a meeting with the Director of the Procurements Office. Getting to the MOH is somewhat of a challenge in Ghana, as it’s in a part of Accra that not all taxi drivers are familiar with and not somewhere I can give directions to. I remember having some trouble getting there last year, but it was not nearly as difficult as this time.

I asked the first taxi driver I could signal if he knew where the Ministry of Health was and he replied that he “could not go there” and drove on. The second taxi that stopped was a “yes” and I climbed in thinking “that wasn’t so bad.” We drove for a while and then stopped at a building close by the airport (which is definitely not in the same section as the ministries). The driver gestures to a building and asks if that was it. After telling him no, and repeating that I needed the Ministry of Health, he tells me that he only knows the Ministry of Finance and so we stop to ask directions for the first (of many) times. After talking to our first helpful pedestrian we drove further into the city, only parts of it recognizable to me. After some time, the driver stops again to ask our second good samaritan how to get to the MOH. We start again and I begin to feel like I’m getting a tour of Accra, seeing parts of the city that I’m sure I’ve never seen before. The only problem with this tour is that I’m really supposed to be somewhere else and I don’t actually know what anything I’m seeing is (or where we even are).

We get closer to where I think the ministry should be and I begin to recognize some of the buildings. We stop again though for more directions. We pull into one area, buildings that belong to one ministry or another but aren’t part of the Ministry of Health. So I tell the driver we’re still in the wrong place and we ask our fourth person for help. After not getting very far, we realize we’ve been directed to a health clinic instead of the MOH. We find our fifth spontaneous guide, someone who definitely seems to know where the MOH is, and after getting detailed instructions, I feel the hopeful that this time, this time we will find it. We take off and drive again but the driver thinks he passed it so we turn around and ask another (sixth) time for directions. Soon we are somewhere that I know is close to the ministry, but still not quite right. We ask our seventh, and final person for help, drive a few feet, make a turn, and then I see it- the best thing I’ve seen all day. The beautiful blue sign that says “Ministry of Health” on the building across from me.

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I yelled “this is it," paid the driver, and asked him if he would ever remember how to get here in the future if I called him. Amazingly, I was still on time for my meeting. Excited, I found the right office and sat down. And then waited an hour for my meeting to begin.

Meetings, Meetings, Meetings

While today didn't turn out to be quite as productive as I hoped, yesterday held a great meeting between myself and our In Country Director, Ackom. We haven't seen each other since I was here in Ghana last June so it was nice to see each other in person and communicate face to face instead of just over the phone or by email. We caught up on many things regarding our current containers and discussed plans for MedPLUS Connect in the upcoming year. As is to be expected on Ghana time, Ackom and I had a meeting scheduled today with the procurements office of the Ministry of Health but it has been delayed and delayed until now it must be postponed. Although it gave me the opportunity to catch up on some paperwork, heres to hoping tomorrow's meetings stay as scheduled!

Arrived in Ghana!

I’m excited to announce that I arrived safely in Ghana yesterday afternoon! I can’t believe that it has been over a year since I was last here. Everything felt familiar – the airport, the heat, the haggling for a fair taxi price. I’m excited to be back and experience all of these familiar things but also to see the changes that I’m sure have occurred during the past year, the biggest one that I know of being the Lawra Nutrition Center. I have a week of meetings here in Accra and then I hope to be traveling to Lawra to see the nutrition center as soon as I can. When Sonya and I were here last year the construction was well under way but the building still lacked a roof, painting, and electricity. We’ve seen the updated pictures of the essentially complete building but I know it won’t compare with seeing it in person. This trip will also be filled with more meetings in the Upper East and Northern Regions and plenty of site visits as well. The past day and a half have been spent recovering from the long flight and time difference and preparing for all of my upcoming meetings. I’ll be posting on the blog regularly so follow along for all of my updates from Ghana!

Getting Ready to Leave for Ghana

I can't believe that it has already been a year since our past Executive Director, Sonya Narla, and I traveled to Ghana to prepare for the shipments we would be sending this year. Now I'm getting ready to leave for Ghana this upcoming Friday and will be spending this week preparing myself and MedPLUS for the trip. I'm so excited to be going back to Ghana and to spend my time meeting with a new Chief Director of the Ministry of Health, visiting past shipments, and planning the upcoming year for MedPLUS Connect. I'll be posting regular updates from Ghana so follow the blog to stay up to date!

As we also get ready to celebrate July 4th this week here in the United States, I wanted to share that iGive now includes Groupon as one of their partners and they will be matching donations raised by our supporters who shop at Groupon now through July 14th! So if you are a frequent Groupon purchaser make sure to sign up for iGive and designate MedPLUS Connect to help us earn double donations during the next two weeks! iGive is completely free to sign up for and earns money for your favorite causes while you simply shop online just as you normally would.

If you haven't signed up for iGive and would like to follow the link below and add MedPLUS Connect to help us receive donations towards sending our shipments to Ghana:  iGive.com/welcome/warmwelcome.cfm?c=44595

Preparing Our Next Container

We've been working with our fantastic partners at MedWish International again to organize our third container for the year! This container will be going to the Nadowli District Hospital in the Upper West Region. When Sonya and I visited Nadowli last summer the hospital had recently built a brand new children's ward that needed furnishing. We are so excited that this container, which holds hospital beds, examination tables, crash carts, and patient gurneys, will help the hospital outfit their new children's ward. We are also sending several pediatric and infant weighing scales and our partners at MedWish are also building several pallets of mixed medical supplies to include in the container. We will have more updates soon and hope to ship this container by the beginning of July!

The Lancet Revisits Global Maternal and Childhood Malnutrition

"Nutrition is crucial to both individual and national development." -The Lancet In 2008 The Lancet published a series of papers on child and maternal undernutrition in developing countries. Five years later, the authors are reexamining the problems of undernutrition in many of the same countries as well as the growing problem of obesity, a dual burden that many low-income and middle-income countries are facing. Like the original publication, this reexamination of malnutrition is written in a series of papers, studying maternal nutrition, the impacts of nutrition-specific interventions and nutrition-sensitive interventions, and how to support nutrition programs.

As a result of the original papers in 2008, many development organizations began targeting children's nutrition efforts during the pregnancy and first 2 years of life, the critical time period where malnutrition is deemed to have the most lasting effects. The new series of papers found that funding for, engagement in, and national commitments to combat malnutrition have increased substantially but nutrition outcomes have not improved as drastically and there is still much to do.

"Undernutrition reduces a nation’s economic advancement by at least 8% because of direct productivity losses, losses via poorer cognition, and losses via reduced schooling.  We cannot afford for nothing to change."

The findings of this series show how important the Nutrition Center at the Lawra District Hospital is and will be to improving the status of childhood malnutrition in the Upper West Region. However, according to the Lancet papers, large-scale and widespread nutrition-sensitive development programs are still needed to "address key underlying determinants of nutrition—such as poverty, food insecurity, and scarcity of access to adequate care resources- and include nutrition goals and actions."

We are glad that the Nutrition Center in Lawra can be a small part of the global campaign to fight malnutrition and hope these papers inspire greater change and decreased malnutrition globally.

Find all four of the papers as well as comments here: http://www.thelancet.com/series/maternal-and-child-nutrition

Upper East Regional Container Shipped!

On Tuesday our Upper East Regional container was packed full of supplies and equipment and is now on its way to Ghana! The hard work of our partners at MedWish International loaded 15,884 pounds of equipment and mixed medical supplies including exam tables, hospital beds, wheelchairs, combination oto/opthalmascopes, and an ultrasound machine. This container also holds several pallets of consumables and volunteers at MedWish spent some significant time putting together hundreds of general surgical kits as well. We were very happy to locate 1000 BP cuffs, 500 digital thermometers, and 125 stethoscopes from Globus Relief which were also included in this container and will help improve diagnostics throughout the region. A huge thank you to our partners at Globus Relief, MedWish International, and Missionary Expediters- we are so excited to have this container reach Ghana!

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Nutrition Center Update

Last week we received an update on the Nutrition Center and wanted to share it with you. The finishing touches are being put on the center and then the construction will be complete! The entire outside of the nutrition center has been painted and just a few small details now remain, such as finalizing the fixtures. We hope that our next update on the nutrition center will be to report its opening! Enjoy our latest pictures of the center below.

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Visit to MedWish International and Our Next Container

On Wednesday I traveled to Cleveland to visit our next container at MedWish International. Thanks to the wonderful work of our partners this container is almost fully staged and ready to ship! This shipment is destined for the Upper East Region and will hold a vast array of supplies and equipment. The 40 foot container will be packed with an ultrasound, wheelchairs, crutches, walkers, and hospital beds. Our partners at MedWish are also working diligently to assemble suturing and general surgical kits as well as building several pallets of mixed medical consumables. We are very excited for this container to be finalized and on its way to Ghana! Below are some pictures from my visit:

 
Assembling suturing and surgical kits.

Assembling suturing and surgical kits.

Wheelchairs and walkers reserved for our shipment.

Wheelchairs and walkers reserved for our shipment.

A pallet of mixed medical supplies.

A pallet of mixed medical supplies.

 

Next Container Almost Ready for Ghana

Our container destined for the Sisala West and Tumu Districts has recently arrived in Ghana and our next container for the Upper East Region is almost ready to ship! I will be visiting the MedWish International warehouse this week to look at all of the hard work our wonderful partners have already put in to this container and to finalize the last few items before it ships at the end of May. I'll be doing another blog post on this container after I visit the warehouse this week. We also sent out our spring newsletter today with the latest updates on MedPLUS Connect so be sure to check your inbox! If you don't receive our newsletters and would like to sign up you can do so by adding your email on our website at http://medplusconnect.org/.

Doctor's Resume Work in Ghana

Yesterday, doctors in Ghana ended a month-long nation wide strike and resumed work today. According to the doctors on strike, the strike was held in protest to a non-payment of salary arrears. As part of the strike, the Ghana Medical Association (GMA) withdrew all services in government hospitals throughout the nation, beginning on April 8th. The strike ended following a ruling by the Ghana Labour Commission, stating that the salary arrears would be paid over a period of three installments. The GMA issued a statement that expects the government to adhere to the stipulations of the Labour Commission within one month. This strike follows several strikes over the past year and faced many appeals to end it. Hopefully this new agreement will lead to a more continuous provision of medical care, with improved conditions for both patients and doctors. Find out more here: http://www.ghanabusinessnews.com/2013/05/08/ghanas-public-doctors-call-off-one-month-strike/

World Malaria Day

Today is World Malaria Day, as designated by the World Health Organization. The day is marked by a range of activities around the world with the current theme of "Invest in the Future: Defeat Malaria." The activities will focus on the progress that has been made so far towards controlling malaria and the steps that still need to be taken for future control. According to the World Health Organization, there are more than 200 million cases of malaria worldwide, killing approximately 660,000 people each year. Malaria especially affects children under five in sub-Saharan Africa.

In Ghana, the day will be dedicated to celebrating the achievements in malaria prevention and intervention by the Ghana Health Service's National Malaria Control Programme (NMCP). The day's events also include presenting the new campaign for malaria prevention that focuses on promoting the use of long-lasting insecticide treated mosquito nets and the continuous distribution of these nets at schools and health facilities.

Read about Ghana's events for today here.

Check out the official World Malaria Day page here.

And for everyone in the Cleveland area, don't forget to go out to our fundraiser being held at the Jolly Scholar tonight at 10pm! Check out the Facebook event page here. Thank you for your support!

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Get Jolly for Ghana!

MedPLUS Connect is holding a fundraiser at the Jolly Scholar in Cleveland, OH next Thursday, April 25! If you're in the Cleveland area please consider coming out and showing your support. A portion of the proceeds will be donated directly to MedPLUS Connect which will help us continue our shipments of much needed medical supplies to Ghana. If you can't make it to the fundraiser you can always donate at www.medplusconnect.org. We sincerely appreciate any and all contributions.

Find out more about the event here: https://www.facebook.com/events/509764375727859/

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Thank you for your support!