Tag Archives: Global Health Immersion Programs

Grassroots programs by CFHI (www.cfhi.org) for health science students training with local health professionals in underserved communities around the world

Nurses Rule

Today, I had the good fortune to be at the Oregon Student Nurses’  Association Convention 2010 at the University of Portland.   CFHI was happy to be one of the sponsors for the event.  Approximately 300 nursing students from across the state assembled for their annual meeting.  It was a great reminder for me of the importance of nursing in our own healthcare system and it made me think of the pivotal role of nursing in so many of the countries where CFHI works.

CFHI local Medical Directors from Mexico to India have often taken great care to point out to me the specific and vital contribution of nursing in their own healthcare systems.  In New Delhi, for example, CFHI Medical Director Dr. Vimarsh Raina has made a great commitment to raising the awareness of the Indian youth to nursing as a career and for advancing the skills of nurses.  CFHI has been happy to assist Dr. Raina in providing some scholarships over the years to help make nursing education available to young people who might otherwise not be able to afford such an opportunity.  Then, of course, there is our own CFHI Medical Director in Cape Town,  South Africa, Mrs. Avril Whate, who herself is a Nurse Practitioner and a Certified Midwife.  With an impressive long career in a healthcare system that has faced many significant challenges, she is very adept a helping international students of all health professions process the profound experiences that they have while on CFHI rotations in Cape Town.  She actually has the fan club to prove it.  Recently, Avril and the CFHI Local Coordinator for Cape Town, Marion Williams, were able to visit the United States.  During a multi-city, cross-country tour, there was an outpouring of CFHI alumni –many who are now nurses and doctors— who turned out to welcome and reconnect and to say thanks.

Back to Portland, where today’s convention carried the theme: The Future or Nursing,

The Future of Nursing Oregon Student Nurses Association Convention

The Future of Nursing Oregon Student Nurses Association Convention

and clearly, I was able to meet and talk with a real slice of the future of nursing and I was very happy to see a healthy appetite among them for all things related to Global Health.  CFHI’s Global Health Immersion Programs have had many many nursing students over the years and we are happy to welcome the new generation.  If the passion, motivation, and commitment I saw today in Portland are any indication of the level of interest in Global Health among today’s nursing students in general, then it is indeed a good day for Global Health.

CFHI Expands Rural Program in Himalayan Region of India

CFHI’s program in rural areas of Northern India will expand in 2010 and our student programs will support a local doctor’s dream of increasing access to healthcare in this region.  Dr. U.S. Paul has been working in the surrounding areas for many years and he knows well the needs of the people in rural villages.  We are happy to help him in this new effort to serve thousands more people in the foothills of the Himalayas who have little or no access to healthcare.  The effort is being conducted by a local nonprofit, the Indian Global Health and Education Forum.  The village of Sirasu will be one of the areas served.  The villages are accessible on foot after crossing the great river.  This photo shows the crossing point at Gullar on the River Ganges, about 45 minutes drive north of Rishikesh.

Ganges Crossingpoint at Gullar

Ganges Crossing Point at Gullar

As we made the drive along mountain roads tracing the edge of the gorge, with sheer drop-offs right next to you that are not for the faint of heart, Dr. Paul spoke of his excitement at being able to operate regular health camps for this remote population.  The area around Sirasu is one of several village groupings that will be served  Sirasu and its grouping have a population of about 1,500 people.  Each village has its own identity and Dr. Paul is an expert at providing care that is respectful of the cultural differences that may exist even from village to village.

Crossing to the East side of the river Ganges in a simple rowboat, I looked over and saw Dr. Paul beaming with joy because he knows how important these services are to the people.

Crossing Ganges

Crossing The River Ganges --Mr. Mayank Vats, CFHI Local Coordinator, and Dr. U.S. Paul board a boat to cross to the East side of the Ganges river

Once across the river, it is a 20-30 minute hike up the East side of the gorge to Sirasu.  Dr. Paul meets with village leaders to discuss recent developments.  An initial camp was held in November during which Dr. Paul saw more than 150 people in one day.  The people ask Dr. Paul to schedule the camps as often as possible.  With many other villages to cover, Dr. Paul says he will plan to make monthly visits.  While they would wish for more, the people are very happy and express their gratitude.

Local School that serves as a site for the health camp

Local School that serves as a site for the health camp

The camps are conducted at the few local schools as these are natural gathering points and are the largest structures around.

Everything is built on relationships.  The local formalities of introductions and meetings to discuss the different aspects are a time  to build trust and gain the valuable support of village leaders.  These meetings over cups of tea are important times to size everyone up and get a feel for each other.  It is the oral culture’s way of completing an application form.

Every meeting has to have tea

Every meeting has to have tea

We look forward to these additions to our program and to developing these new relationships.

After meeting with local leaders of Sirasu to discuss health camps

After meeting with local leaders of Sirasu to discuss health camps

CFHI South Africa Alum in the News

David Liskey (in a photo by Jan Sonnenmair), was a 2008 CFHI South Africa participant that came to us through our Oregon partner IE3.

David Liskey photo by Jan Sonnenmair

David Liskey photo by Jan Sonnenmair

David was featured recently in the Oregon State University President’s report.  Read about his experience and “how race, culture and poverty affect health care in a country with one of the highest HIV infection rate in the world.”

David participated in an 11 week program with CFHI and received credit from his home institution.  From his first-hand experience, he wrote a University Honors College senior thesis.  David was perceptive and able to see how culture impacts health.

In the president’s report, he reflects, “The different experiences and topics I studied had an effect on how I see the world.”

Report from Kwazulu-Natal: Filling a Need for Forty Years –The Islamic Medical Association of South Africa

Dr. Ebrahim Khan is a family practitioner with a private practice in the Kwazulu-Natal  Province of South Africa and serves as Medical Director of the CFHI program based out of Durban. As with most doctors in South Africa, the demands on his time are great.  Dr. Khan’s daily schedule is easily enough for two or three men.  His long and distinguished career has earned him the respect and confidence of the local community, and even at this point in his career, his desire to be of service and give back is as vibrant as I have seen in twenty-year-old students, so he is a good match for the many CFHI students from around the world who choose the Durban program. I especially sensed a love for teaching medicine in a way that guides the students to make their own discoveries.

Among the many hats Dr. Khan wears is that of being the Vice President of the Islamic Medical Association of South Africa.  In the early 1970’s, a few Muslim Doctors, noting with concern the disparate health services under the Apartheid government of South Africa, embarked upon the establishment of a modest Sunday clinic on the south coast of Natal in Eastern South Africa, where there were virtually no services for the black rural community.  This was the birth of what would be called the Islamic Medical Association. With such a deeply personal mission, it did not fade away after the end of Apartheid.  Now almost 40 years later, IMA has set up various healthcare and crisis relief centers operating full time in various places in the country where there is dire need for such facilities; social work and counseling are happening for families and children as well.   The IMA mission challenges them as healthcare professionals to “establish and project a value system that is a living entity in our own lives, and in the practice of health care solely for the service and the pleasure of the Almighty. ” The health professionals who give their service are truly dedicated to improving primary care for the underserved.

Avril Whate, Vusi Ngcobo, Steve Schmidbauer

Avril Whate, Vusi Ngcobo, Steve Schmidbauer

One of the many programs that IMA provides here is a small community clinic in Marianhill outside of Durban, a favorite site for CFHI students.  One of the services that has been happening for some time now is voluntary counseling and testing (VCT) for HIV.  Vusi Ngcobo is the counselor who is responsible for the success of the VCT program here. In an area with such a high prevalence of HIV, it is important that voluntary testing happens so that the virus can be detected as early as possible.  For those found to be HIV-negative, they will still receive valuable information about HIV prevention.

The clinic here and the many other projects of IMA are the continuation of a very long tradition of providing healthcare and teaching medical students. I learned that in ancient times, medical education was flourishing in Islamic society as evidenced by written case studies for teaching that date to the seventh century!