We woke up early and met with a member of the ministry of
health before riding into the field to see our clinics. We will be implementing in 10 clinics. These clinics are primarily womens clinics
which treat HIV. We will be helping to
reduce the mother to child transmission of HIV by introducing mobile
phones.
At the clinics, women sat in circles, waiting for hours to
be seen by a nurse. Our interviewer was
a genius with them. He made them laugh
and teased them. It was the most relaxed
and successful focus group discussion I have ever seen. The mothers were very young. Most in their teens with a few in their early
twenties. Their babies fed openly or
crawled on the dirt floor. They were
colorful.
When I get older and have a baby, I want to swaddle it so
hard that you only see it’s face and then I want to tie it on my back like a
little baby hunchback.
There was one clinic that really clung. We made friends with a baby girl who is HIV
positive. She was liberal with her love
and plopped on any and everyone’s lap.
She took a sledgehammer to my heart.
The clinic was run by the fiercest nurse. No games, she started to yell at us as soon
as we came explaining that she did not have enough medicine to distribute. When we explained that we were not doctors
(Oi ma, I know, I know), she stopped yelling.
She told us that she didn’t want to tell mothers they were HIV positive
if she didn’t have the medicine to treat them.
She didn’t want to tell mothers they were HIV positive if
she didn’t have the medicine to treat them.
The rest of the trip went by, but those words I brought back
with me and hung up in my mind next to my concept notes and grant agreements.
Kwaheri,
Chelsea
We're experiencing something similar now with Hepatitis C in Maryland. Some people want to mandate testing for those of the baby-boomer age, but there isn't actually programs set up (or money for programs/medication) to treat it. It's an important ethical discussion and dilemma.
ReplyDelete-Jen