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Zambia

Zambia. Siobhan Hale & Christina Sayers. Facts about Zambia. Population: Approx. 12.9 million Religions: Christianity, Indigenous beliefs, Muslim & Hindu Languages: English(official), 70 local languages Education: No compulsory education Life expectancy: 38.63 years Capital: Lusaka

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Zambia

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  1. Zambia Siobhan Hale & Christina Sayers

  2. Facts about Zambia • Population: Approx. 12.9 million • Religions: Christianity, Indigenous beliefs, Muslim & Hindu • Languages: English(official), 70 local languages • Education: No compulsory education • Life expectancy: 38.63 years • Capital: Lusaka • Total number of people living with HIV is 1,000,000 in 2003

  3. Ranchod hospice, Kabwe, Zambia

  4. Ranchod Hospice, Kabwe • HIV/AID’s Hospice • Approximately 25 bed • Mostly funded by outside donations, etc. • Provided other services such as: 1. Outpatients 2. VCT clinic 3. Outreach programme 4. Family Planning clinic

  5. Planning Process • Choosing the service learning site • Arranging dates • Accommodation • Uniform • Injections • Fundraising • Visa

  6. Fundraising • Coyotes Nurses & Doctors fancy dress party • Church gate collections • Coffee morning • Bag packing • Raffles • Quiz Night • Card selling • Sponsorship cards

  7. Difficulties related to planning Recommendations for future students • Gaining gardai permits • Cancellation of flights • Leaving fundraising too late, and it interfering with exams • Start Fundraising as early as possible • Research about service learning site

  8. First Impressions! • Different to my expectations due to: 1. Friendliness of the staff 2. More services provided than I expected 3. Other services provided by kara counselling 4. Lack of equipment, Different nursing tasks.

  9. Differences between the Irish & Zambian Health care system! • Lack of funding, equipment • Nurses prescribe drugs in the hospice • Patients are woken, washed and dressed before the morning staff comes in • Health care assistants take care of the patients personal hygiene, this is not a nurses role • Staff in the hospice are very laid back • Government doesn't finance health care- all funding is from non governmental organisations

  10. Our role... • Different on a daily basis, dependent on where we were, what we were doing on the specific day, and who we were with. • Hospice • Family Planning • Outreach

  11. Language & Cultural differences • Language barriers when dealing with patients • Cultural Differences: • Dress • Music & dancing • Religion

  12. Most interesting/shocking/exciting aspects of the experience • Simply Driving around Zambia • Children in tattered clothes, no shoes! • Vans with maybe 20-30 people sitting on the back! • How Zambians, even though they have nothing, are so positive! • How many can receive medication, but can’t take it due to having no food

  13. Main areas of learning • How to care for HIV/AIDS patients in relation to: • Medication – ARV’s • Methods of diagnoses • Nursing Management - • Pain, control of symptoms, • Psychological care • http://www.who.int/topics/hiv_aids/en/

  14. Outreach, Medical clinic

  15. VCT Clinic, set up in a handmade church on Outreach

  16. Sister Kiola, of the hospice Gabriel, Manager of the Hospice

  17. Micro-lighting at Victoria Falls, Livingstone!! Bungee Jumping!! Ahhh!!

  18. Suggestions & Recommendations for future students!!! • Bring some type of music, a small speaker if possible • NB.!!! Insure to get a Visa, no other cards will work eg. Laser or mastercard!!!! You can get this in BOI Nuig, if you inform them you are a student nurse and that you are undertaking this module • Bring books for own entertainment • Bring nursery rhymes( English is fine!) so you can teach the kids them, and small toys if possible! They will love them! • Bring mosquito net • Pictures of loved ones • One candle, matches and a torch • Insure your phone is unlocked before going! • Visa to enter Zambia can be got in Zambia airport, free for Irish citizens • If you are a bad traveller, make sure to bring travel sickness tablets, the roads out there are very bumpy!! • Try and learn some phrases in Bemba before going, they are really impressed by that!

  19. You tube clips of our experience!!! • http://www.youtube.com/watch?v=Qmyj6zHJf-s • http://www.youtube.com/watch?v=8-E2X3-GJ7k

  20. Suggested Reading list • http://www.kara.org.zm/ • http://www.stephenlewisfoundation.org/what_project.cfm?project=3250 • http://www.who.int/hiv/en/ • http://www.who.int/countries/zmb/en/ • http://www.tmb.ie/

  21. References • U.S. department of state website, 2010, Bureau of African affairs, viewed September 10, 2010, http://www.state.gov/p/af/ci/za/ • World Health organisation website, 2010,HIV/AIDS viewed July 2010, http://www.w74ho.int/topics/hiv_aids/en/

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