Introduction to Primary Health Care

Hi everyone,

How are you all? For those of you from MCC who are about to leave for Rwanda I am soooo excited for you and I will be praying that you have a life-changing time there. It is a beautiful country with fantastic people. Imana iguhe umugisha!

So I wanted to explain a little bit more about my school for you. I didn't have a lot of details for you before I left and a lot of you were asking me why I didn't just go to nursing school in the U.S. My school is a second- level school with YWAM (Youth With A Mission) called Introduction to Primary Health Care. As far as medical schools go it is very basic but what makes it unique is the emphasis on health care in developing nations where sometimes you are all people have. There a eight main areas we focus on:

-Food and nutrition
-Water and sanitation
-Disease control
-Mother and child health
-Curative care
-Essential drugs
-Health Education
-Community resources

We have one teacher each week who comes in and focuses on some aspect of those eight issues. Some of the teachers in the school are medical professionals while others are lay health workers with a lot of hands on experience. My school leaders are all from different parts of Africa and they have a great deal of wisdom to impart to us. We have a small class with 3 Americans, 1 Canadian, 1 Nigerian, 1 Ghanaian, 1 from France, and 1 from New Zealand. We have been in classes now for a month and we have two months left before we go to really start learning by experience. In September we are going to a different part of South Africa where we will be assisting in a long-term care home for two weeks. After that we are off to Zimbabwe. We are going to a village in Zimbabwe called Komayanga. We will be working some of the time with a clinic in the area and some of the time we will set up a temporary clinic under a tree somewhere so people can come to us for help.

I am really enjoying this school but it is most definitely challenging as well. Not only is the school itself quite time consuming but the topics are really heavy. This past week we were learning about HIV/AIDS. Let me tell you, learning about it while you are in South Africa is sobering. 26% of the population in SA is HIV positive. Most of southern Africa is over 20% and in some places over 30%. As a health care worker here you face HIV/AIDS as a daily reality. The other thing is just the simple responsibility that comes with this school. I am scared at the mere thought of a desperate mother bringing her severely malnourished child to me and expecting me to save them. But I will most likely face that and more in Zimbabwe.

Obviously I can use prayer for this! We also have no idea what we will have as far as medicine when we get there because the current situation in Zimbabwe does not guarantee much of anything. Fortunately I serve a God who provides. Well, that is a little about my school...Talk to you in a few days. Bye!

Isimbi Johanna