Tag Archives: Stomp Out Malaria

Chutes, Ladders, and General Chaos – Blog About Malaria Month!

10 Apr

It’s time to blog about malaria again! April 25th is World Malaria Day, but being the overambitious volunteers that we are, we have deemed all of April – World Malaria Month!

In celebration, I went back to Hibrit Primary School where my sitemate teaches 5th Grade English and took over her classes for a day of Malaria fun and games.

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This year, I read aloud the Mimi Wins a Prize book again but instead of posters, I brought in the big guns – board games. C-Change developed a malaria version of Chutes and Ladders with good behavior (you went to the clinic when you had a fever!) taking you up the ladders, and bad behavior (you forgot to tuck in your bed net under the mattress) throwing you down the chutes.

In theory this was super fun! In practice it was chaos. Rookie mistake – I forgot that basics of rolling the dice and moving along the board are not common sense for children who play with wire hangers fashioned into loops. By the end, they got it and actually answered my questions about malaria correctly, but getting there was about as easy as A,B,C… in Ethiopia… so not easy.

So lesson learned – games for health are a good bet, but make sure you give examples about 15 times.

 

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On Senegal, Malaria, and Beaches at Sunset

5 Oct

Back safely in Gondar, tucked in to my wool blanket and sweatpants, I can reflect back on the past two hot and humid weeks in Senegal at the Stomp Out Malaria Bootcamp. A Peace Corps initiative to beef up malaria prevention programming across the continent, I represented Ethiopia as one of the regional coordinators at the conference. We spent two weeks learning from experts in the fields of entomology, epidemiology, and malaria intervention experts from CDC, USAID, The President’s Malaria Initiative (PMI), and MACEPA all stopped by.  But in between the sessions, case studies, and 12 hour days of training (it’s not called boot camp for nothing), I was able to get duly sunburned, and see the westernmost point in Africa.

Popenguine, Senegal

Popenguine, Senegal

fisherman at Popenguine

fisherman at Popenguine

They took us to the beaches of Popenguine for a day trip, where I swam, ate fresh fish, and spent a little too much on souvenirs.

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So as beautiful as the beaches were, we still actually learned a lot. And I am coming back to Ethiopia with best practices and project ideas from Peace Corps countries all over Africa.

remembering my French

remembering my French

we did a lot of this

we did a lot of this

looking for malaria parasites (microscopy)

looking for malaria parasites (microscopy)

At the end of the conference we headed back to Dakar (Senegal’s capital, and the westernmost capital in Africa) for some good times before long flights. I was able to see a friend from Korbel who is working in Dakar now – so nice to see a friendly face! On the whole Senegal was very different from Ethiopia. The food, the language, and the heat! made the trip, as busy as it was, still feel like an adventure. Senegalese eat family style (like Ethiopians) but you won’t find injera here. The staples were rice and couscous and everyone gets a giant spoon.

all for meeeee

all for meeeee

My last night in Senegal I went out to the Pointes des Almadies, the westernmost point in Africa. I got to literally pick out my dinner from the catches of the day, and watched the sun set over the Atlantic… the opposite side of the ocean from home.

Dakar at Sunset

Dakar at Sunset

Pointe Du Almadies (the Westernmost point in Africa)

Pointe Du Almadies (the Westernmost point in Africa)

A Passion for Prevention

25 Sep

For the past week or so I have been in Senegal on the West side of Africa learning about best practices for malaria prevention programming both broadly and for Peace Corps volunteers. Waaay over here:

All the way across the continent - First time to West Africa!

All the way across the continent – First time to West Africa!

Over two weeks we are learning more about malaria and mosquitoes (anopheles female variety of course) than I could ever want to know. Did you know they rest perpendicular to the wall? Did you care? But in the middle of the science, the entomology, and the  details of funding schemes, we are also sharing best practices, practical programs and visiting a beach or two.

More on the conference later, but Monday night we had the opportunity to attend the launch of malaria prevention program in one of the villages outside of Thies (pronounced Chezz) lead by a man who has a personal connection to the cause.

Monsieur Elhage has started malaria prevention programming in Senegal in over 10 villages around the area. Starting by walking door to door, he garnered support from village chiefs, women’s groups, and community leaders so that in a country where malaria is endemic, these villages have had 0 reported cases this year.

The "trois Toutes" (3 Alls) program- The whole family, the whole year, every night

The “trois Toutes” (3 Alls) program- The whole family, the whole year, every night

A skit about the importance of a bed net, and seeking prompt care

A skit about the importance of a bed net, and seeking prompt care

But these results have been the blood sweat and tears of over a decade of advocacy. One morning in 1999 his daughter fell ill, and asked her father, then a photographer for UNICEF, to pick up apples and oranges in the market. He went to work, bought the fruit, and mid afternoon received a call from his sister telling him of death of his 12 year old daughter Ami only 10 days before the start of school. A severe malaria epidemic rocked the region that year with children and pregnant women dying for no apparent reason.  After a gathering with the health workers in the area, Elhage began to understand his daughter had died from malaria.

What was worse, she could have been saved had she been treated quickly, or prevented the bite. So Elhage rededicated his life to malaria prevention education. Working at the village level he employed a few different strategies to get buy in from the community. He worked with the women’s groups, youth, and village leadership to develop a health community committee and fund. The fund would pay for education supplies as well as treatment costs for malaria cases.

The village clean up celebration

The village clean up celebration

Leaders of the health committee and women's groups

Leaders of the health committee and women’s groups

With push from village leaders and a mass bed net distribution from the Senegal government (in partnership with the US’s President’s Malaria Initiative), confirmed malaria cases dropped in these villages. But there was still a hot spot of infection – students coming back from summer vacation who had visited families in other villages or towns and were coming back with malaria. To combat this migration effect, the schools developed a “vacation card” and kit that gave the kids nets to take on their trips with them.

The "vacation" card

The “vacation” card, it says: “I will protect myself from malaria, I will sleep under a bed net”

In addition to the health education and bed net distributions, village chiefs put together a “night watch” group that would go around to houses in the evening to check if bed nets were up. If they were not, the household would be fined $5 (USD) – a LOT for the villagers.  The fines would be added to the community health fund. This was a completely internal idea, and worked to keep usage rates high, even in the dry season.

As malaria rates went down, funds needed to treat cases also shrank, freeing up the community health fund  to dream up bigger and better projects. Elhage began to advocate larger development goals, and he developed three philosophies needed for moving forward: politeness, cleanliness, and punctuality (a frustration for any aid worker across the continent).

Politeness, Hygiene/Cleanliness, Punctuality

Politeness, Hygiene/Cleanliness, Punctuality

For his hard work in malaria prevention and social behavioral change, the head of the President’s Malaria Initiative (Admiral Tim Ziemer) presented Elhage with a medal. Elhage has continued to promote vigilance against malaria infection and other small scale development goals.

Obama on a Medal

Obama on a Medal

Elhage talking us through his work

Elhage talking us through his work

As we hear about best practices in malaria prevention across the continent, it is always important to connect with the people who have poured their lives into the cause. People, like Elhage, who have worked for decades and pursued his message and worked with community members to affect change. Change that was home grown, and sorely needed to protect against a deadly disease. His story, while tragic, was one of the most motivating moments of the conference. With stories of his success, we volunteers can head back to our own communities and hopefully support people like Elhage.