Meningitis Vaccination Time

There was a national campaign to vaccinate vulnerable populations against meningitis A  this month in Senegal and I was able to go out with teams on several of the vaccination days. It was almost exactly like the Yellow Fever Vaccination Campaign that happened earlier this year, which went really well. I like participating' it's interesting to see how it all rolls out, it's great to get out into the bush and see new villages, and it's reassuring that big vaccination campaigns like this happen on a regular basis. 

I'm not a nurse or doctor or even an EMT, so pretty much all I did was fill out the little pink proof-of-vaccination cards. The Health Center staff knows that PCVs can write quickly and are generally pretty efficient when it comes to things like setting up a vaccination site and making sure everything proceeds in a relatively orderly fashion, so on all the days that I went out with vaccination teams that was what I did. We filled out hundreds and hundreds of little cards (location, name, age, date, vaccine lot number, expiration date, closest health structure), made our best guess when it came to a lot of the ages, and ran through a little spiel about meningitis more times than I can remember.  

There are always challenges - the vaccine must be kept cold, things tend to run late, some people are afraid of needles, it's hard to fuel up the trucks when the nearest gas station is 50 miles away, there are stock shortages, people are speaking Wolof and French and Puular and Malinke and Jahonke and Bassari all at once - but the health workers do am impressive job of keeping it all together.

Ndiaye, the nurse who was our team leader, is an extremely calm and professional person, and the Red Cross Youth volunteers were helpful. Overall it was a great vaccination campaign and it's nice to know that the vaccine lasts 10 years.

Vaccination Time!

Latrines!

Diarrhea is no fun. Many things can contribute to high levels of diarrheal diseases, including improper hand-washing (i.e., without soap) and a lack of access to latrines. Along with malaria and respiratory infections, diarrhea is one of the most common reasons that people living my community have to seek treatment at the Health Center; during my baseline survey people frequently talked about how not having a latrine on the compound was a problem for their family. Many people in my village understand the connection between good sanitation and illness prevention, but almost half of the people living around me don't have access to a toilet or a latrine. (This really makes the personal pit-latrine that I have all to myself, right behind my hut, seem positively luxurious.) People usually don't have latrines because of the cost of the cement and rebar needed for the latrine cap, because the only place to buy cement and rebar is nearly 85 kilometers (about 50 miles) away on a fairly terrible dirt road, or because they don't know how to go about installing one. 

Not having enough latrines contributes to open-air defecation, or, less delicately, pooping behind a bush. This means that it's really easy for fecal matter to spread around under the trees where kids play and into the fields where their parents farm, bringing with it any amobeas and dysentery (which will forever remind me of Oregon Trail) and giardia germs that might have been lurking about.

My little host sisters and cousin, playing under a tree. 

In order to address this problem I started planning a latrine project at the end of last year but after my first funding source fell through things were delayed, and by the time I decided to apply for Peace Corps Partnership Project (PCPP)  funds the rainy season was fast approaching. I'm hoping to get the PCPP fully funded by the time the rains stop so that we can start building in November, when the weather is dry and the corn harvest has been brought in.

Image courtesy of
practicalaction.org

This little illustration basically shows what we'll be building if all goes as planned. After I arrange for the purchase and transport of the materials out to our village, each family, with the help of local masons, will reinforce the pit and lay in a cement cap, creating a sturdy, long-lasting latrine for the whole compound to use. 

The village chief, local health workers, and the heads of local women's groups will hold community meetings before and during the implementation phase to explain the cash and in-kind contributions that will be required for participation the project. We'll also have educational sessions about proper latrine usage, latrine maintenance, using oral rehydration solution to treat diarrhea, and the importance of hand-washing with soap.

This PCPP is intended to facilitate the construction of 30 latrines, and if they're all installed successfully then pretty much every compound in my area will have a proper, functional latrine and know how and why to use it,  which will be absolutely fantastic.  If it goes well this project will serve as a model for future latrine projects in neighboring communities, which would also be fantastic.    

If you would like to read the project profile (or if you're interested in donating to this project) please take a look at the PCPP profile page.  

Work Stuff: Training on Cervical Cancer Screening

I saw this recent New York Times article about a cervical cancer screening program in Thailand, and it just so happens that this week I'm sitting in on a week-long training program that teaches local nurses, midwives, and health workers to screen women for cervical cancer. The ten trainees came in to Kédougou from surrounding towns and villages, including Salémata, my village, and are spending the week learning about cervical cancer issues.

The Kédougou training program, run by Kédougou Regional Hospital staff, and supported by Peace Corps Volunteers and Peace Care, is pretty comprehensive. There are sessions on cancer in general, anatomy, risk factors for cervical cancer, how to recognize pre-cancerous growths, available treatments, and how all of this applies to people living and working in Senegal.

The schedule for this week's training

For many reasons, including lack of education and resources, cervical cancer has a disproportional impact on people living in certain parts of world. (The United States isn't in the dark red zone, but we're not in the white, either.)

From the WHO's cervical cancer guidebook

If you're interested, do take a look at "Comprehensive cervical cancer control: A guide to essential practice," provided by the WHO.

Also, my own little PSA: As you prob'ly already know, human papillomavirus (HPV) causes all sort of problems, including cervical cancer. In addition to regular check-ups, there is a very safe, effective vaccine for HPV available for males AND females who live in parts of the world that have more developed health systems.

Back to Salémata

It's been a busy morning, but I got all my paperwork printed off, picked up most of the stuff on my shopping list, and am ready to head back out to village for a few weeks.

Other than some serious laptop issues, it's been a very nice little visit to town. It was good to have a change of scenery, eat some pasta and ice-cold pineapple soda, and I had a good time staying with Melanie, one of the volunteers who lives right right near the Kédougou Regional House. Now a couple of us are just hanging out for a few hours, waiting for the next car back to Salémata to round up enough people to justify making the trip out to village.

I'll be back in wifi-territory by the end of the month, take care 'til then ~

My Life in Acronyms

Tomorrow our Community Counterparts (CCs) and arrive at the Thiès Training Center for a three-day Counterpart Workshop (CPW) where we'll do official introductions, have some halting and awkward getting-to-know-you conversations, and talk about the work we'll be doing as Peace Corps Volunteers (PCVs) over the next couple years.

So, what are Community Counterparts? Well. As far as I can tell, when a village or town has decided that they want a PCV and Peace Corps (PC) has decided that it's an appropriate location for a PCV, the community gets together and chooses a couple people to be our work partners. The idea is that they can show us around, explain village norms to us and our bizarreness to the village, and just generally facilitate our integration into the community. They'll also help us communicate, especially at the beginning when our language skills are still basically "Thanks to you! You have peace! Peace only! I am called Adama in Senegal! I come from America! Senegal is pretty! It is hot today! Hot, hot hot!"

My counterparts are two Senegalese men, I met them during my Volunteer Visit (VV) to Kédougou and they were really nice. One is Gilbert, a very kind and slightly spazzy guy w,ho manages a campement, a little group of rustic guesthouses for tourists, and the other is Jean-Jacques, the Infirmière Chef de Post, (ICP, the head nurse at the local health post) who I only got to meet for a few minutes on account of his busy schedule.

I have some paperwork to do to get ready for CPW, so I should go do that now.