Language barriers

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Today three languages were being spoken at the BACE health clinic in Bonsa, as a nurse tried to establish what was wrong with an elderly patient.

The elderly lady spoke Fula, a language used by members of the Fula tribe. However, her Gambian nurse spoke Wolof, English and Mandinka  and so he had to appeal for help from other patients who were in the waiting area. Luckily there was one other patient who was able to translate for him.

It’s a situation you’d be unlikely to find in the UK, but it’s one which will probably happen fairly frequently when the BACE health clinic is fully up and running later this year.

As well as struggling with the language barriers nurses also had to contend with noise, an overflowing waiting room and lack of space as the three nurses carried out consultations in a shared room, as work continued to complete the rest of the new health clinic.

Today benenden hospital nurse Charlotte Barnett, Stoke Mandeville nurse Nicola Norton and Gambian nurse Joe saw 88 patients, over the space of just a few hours. Today’s ailments included more possible cases of malaria, which the BACE clinic will be able to test for and treat when it is fully operational by July. For the moment the nurses just had to give what medication they had to hand, along with advice.

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As the patients were being seen other BACE volunteers continued painting the rest of the clinic, some did craft activities in the school with the young children and another group continued with the garden. The chillis are now ready to be picked and coming along well are aubergines, spring onions, ochre, cabbages, tomatoes, spring onions and lettuce.

Tomorrow BACE volunteers will be handing out second hand shoes, which were donated in the UK, to women and girls whose shoes are worn out or too small and to others who have none at all.

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BACE health clinic opens for trial run

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Today the newly built BACE health clinic in the village of Bonsa, in The Gambia, was open for the first time.

BACE held a trial run at the clinic, opening one treatment room, as volunteers continued to paint the rest of the building. The clinic is still without windows, doors, steps and a lot more, but that did not stop villagers forming a long queue outside.

Two nurses from the UK, Charlotte Barnett from benenden hospital and Nicola Norton, from Stoke Mandeville Hospital, saw more than 30 patients who had a range of ailments. Two patients had signs of malaria. Others had ear infections, eye conditions, foot infections, diarrhoea, abdominal pain and other problems.

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Fatou, who visited the project yesterday, returned to have her infected foot washed and dressed for a second time. We were pleased to see she was wearing the shoes we gave her yesterday and that her foot was already looking a lot better.

People had walked for many miles to attend the clinic and sat and waited patiently until it was their turn, even though some of the elderly, an expectant mum and several children looked quite poorly. It made me realise just how much we take healthcare for granted in the UK.

Charlotte and Nicola helped people with the aid of interpreters and a book of Wolof phrases, one of the main languages in the local area.

Two visitors to the clinic ended up helping out. They were Joe, who is an intensive care nurse in The Gambia, who is working closely with the BACE project and Ebou Bah, from the Medical Research Council, who had heard about the clinic and wants to give his support.

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Meanwhile other volunteers were helping children at the Favour Preparatory School to decorate canvas bags, which were donated to BACE. The children were then able to take the bags home to their families.

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Tomorrow the clinic will open once again. Work will continue on completing the health clinic, as will efforts on the garden project, which is not easy when watering newly planted seeds means many trips to and from the nearest well.

Gambia – The Smiling Coast

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Having set the alarm clock for half past midnight to get ready for our journey to Gatwick we finally arrived at our accommodation at four in the afternoon

The good thing about our long journey was that it gave the 22 volunteers time to get to know each other and as we flew the chair of the charity also told us a little about the Gambian education system and public health.

We learnt that some children have to stop going to school because they can no longer afford the fees. For primary school children the lack of a pound could mean their schooling could come to an abrupt end. For secondary school pupils if they cannot find the fifty pounds they need to continue their education then they have to leave.

We also learnt that malaria and malnutrition are two of the biggest reasons that life expectancy is low.

For us volunteers our hard work starts tomorrow, beginning with an early 7am start, so we’re all off to bed very soon.

Leaving on a jet plane

Well, just a few hours to go until I’m jetting off to The Gambia, for a volunteering trip which was planned many months ago.

Amazingly I’ve managed to squash all of the aid into my suitcase and hand luggage – including hundreds of miniature teddy bears, deflated footballs, football shirts, sun dresses, an old mobile phone, canvas bags, toothbrushes and second hand shoes, along with my own luggage.

However, when it came to seeing how heavy the packed suitcase was I then hit a hitch – it wasn’t over the 20 kg allowed by the airline, but I picked the case up at an awkward angle and I’ve now put my back out!

Luckily for me I’d already packed some painkillers (just in case) and if it doesn’t ease, at least there are a couple of trained nurses on the trip! I’m going to The Gambia to help put the finishing touches to a newly built health clinic and it’s looking like I could be the one needing the medical assistance! Hopefully a few hours sleep and it will go back to normal.

Meanwhile, with just eight hours to go until I have to start my drive to the airport, my thoughts have turned to The Gambia, the people who live there and the lives they lead. Life expectancy for females is just 59 and for men it’s even worse, at 57 years. The 2010 maternal mortality rate per 100,000 births was 400 and more than three quarters of the female population have suffered female genital mutilation. They are all quite staggering facts and figures.

Malaria is also a problem in the country. Us volunteers are lucky enough to be armed with our malaria tablets, which we all started taking today.

My thoughts have also turned to the new health clinic which BACE has built in the village of Bonsa and to which we will put the finishing touches during our trip. Volunteers will be painting, plastering, bricklaying and gardening, as well as giving medical aid to local people and helping out at the school which BACE opened in the village a few years ago.

Personally I’ll also be seeing how hospital and medical equipment donated by benenden hospital and benenden health will make a difference to people’s lives, as well distributing boxes of second hand shoes which have been donated to the project.

Here’s hoping for a smooth and trouble free journey and flight.