A Kenyan nurse anesthetist asked me what it was like to work at Kijabe. After my first week here, I thought, it’s just like being at Vanderbilt, but with less resources and all African patients. The care provided at AIC Kijabe is likely the best in rural Kenya and likely the best care you can receive outside of Nairobi.
Today was a busy but productive and gratifying day! We started the day at Second Mile Haiti ministries. This is a wonderful organization started by two young Americans, one a nurse and the other with a business/engineering background who saw the need for family education with malnourished children. The ministry has several rooms that house malnourished and underdeveloped children, siblings and their moms (sometimes dads!).
Open Door Haiti is a clinic in Limbe that is connected to Open Door Church of God in Cap Haitian. We provided the Standard Days Method of natural family planning training to the providers in both places to help accommodate them and their weekend schedule.
The wonderful organization Hope Through Healing Hands Foundation graciously gave Belmont University a grant to offer a fellowship in global health with a focus on healthy timing and spacing of pregnancies to one of the students in the College of Health Sciences. With my calling to teach natural family planning and my passion for global health, I applied with hopes to expand my knowledge and create the beginnings of my life work, setting up a path for my future.
This is my last week in Guyana and I can truly say that I am going away from this experience as a better clinician. I have been stretched in ways that will serve me well when I return to the States. Not having the luxury of many tests and medicines that I am used to has made me depend more on my physical exam and lean on my Guyanese colleagues to teach my what they do in this resource limited setting.
I have never been to South America. The thought of coming to a new place was exciting but also made me a little nervous. After only a few days here I have quickly realized that the people of Guyana are friendly, generous, and eager to teach outsiders about their culture.
Although I have seen medical systems around the world, I never got to understand the differences in decision making until I came to Guyana as resident physician. The care the residents offer is far beyond my expectations for the resource limited environment they are provided with. New cutting techniques of airway management and disease management have all been strategically adapted to the capabilities of their A&E. Still they continue to excel while I struggled to keep up.
I arrived in Kenya about 2 weeks ago and was warmly welcomed at Lwala Community Alliance (LCA). Thus far I have spent much of my time observing and learning. While my work this summer is to join the public health team to focus on malnutrition interventions within the Thrive Thru 5 project, I have had the opportunity to follow each of the Lwala teams in their work. Although I spent most of my time outside of programs specific to malnutrition, nearly everyday I saw work or projects that are positively impacting child nutrition.
After the providers, the pregnant mothers came for their monthly prenatal education class. I witnessed as one of the nurses who just participated in the class accurately and eagerly taught these pregnant women ways they can space their next pregnancy to promote better health for them and their babies.

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