PNG Journal / Day 6 - Popondetta clinics

19:50


Our first full day of clinics at Popondetta. First stop at the Siroga clinic. In the quiet of the morning, in a small blue-walled room with light pouring in from the window, we set up together for a vaccination session by drawing up syringes, preparing blood collection equipment and laying out strips of gauze.




Elayne drawing up vaccines
Getting a little carried away


In another room down the hall, mum, Liz and Elayne consulted some patients with an extremely competent and experienced health professional named Olive. It was encouraging to see that the hospital had much better facilities than what we had seen at Itokama, although it was still limited.

Meanwhile, a lot of screaming was coming from the other end of the hall – children being given their injections.


HIDDEN FAT

Elayne reading the factsheet on the tropical disease "chikungunya"

We drove off the second clinic, and aid post in one of the worker’s compounds. The area is surrounded by palm trees, and the occasional smoke and putrid-smell-producing factory. Eagles roam the skies, a common sight in Popondetta.



It was a similar to clinic to what we had been doing before, with fewer vaccinations. Posters stuck on the wall depicted strange and horrifying tropical diseases like extreme swelling from worms, what to do in the event of a snake bite, a few confronting TB posters, and a grisly black and white photograph of a man who went high on marijuana and devoured his child’s head.


Vaccinations were given in the front room, and patients were consulted by Liz, mum and the local health care worker managing the clinic in the privacy of the back room.

Mel recording patient details
Elayne and Liz giving Pentavalent vaccinations to babies
Mother and child enjoying a moment of peacefulness
Outside the clinic door, patients waited in the shade swatting flies while children hovered around their parents legs or played games with each other to pass the time. I snapped a few photos and watched Elayne personally walk around to give children their tablets: one for worming, one for Vitamin A.

Elayne distributing tablets


Playful children waiting outside

Hot and sticky, one fan to the side of the room. We were spoilt with a taste of fresh sugar cane which was hacked into pieces and skinned expertly with a knife. A coconut was smashed onto the a rock in the garden to crack open the juicy flesh.





I met a 17 year old girl named Christinna. She hopes to work in an office after she finishes school. It was a promising and hopeful contrast to the lives of the people in Itokama, where “work” is simply survival – the men and women who spend their working hours tending to their gardens, growing something to feed their families.

From left to right: Christinna, her younger sister and another relative or friend. Christinna wanted her portrait in front of the car.
Third clinic at another aid post set up in a compound that looked identical to the others – a series of brightly coloured wood huts, with a simple but sturdy build and design. Dirt roads, flowers growing in the garden shrubs, small electrical wires.

Again, it was hot. Everyone was dripping with sweat, a fan chug-chugged away in the front room.
In the evening, we ran a short clinic in the guest compound for local workers and expat families living around the area. Toads emerged from their hiding places after dark. Walking on the wet grass, you see them hopping away frightening close to where you are or are about to put your foot.

The set up of the evening clinic
Liz collecting blood
Elayne and Mel at the data collection table



The clinics we run here are different to those we ran in Itokama/Tahama area. We give out less vaccinations, as many of the children are already up-to-date. But even when immunisations are quiet, the doctors are always busy consulting patients in the sweltering heat of a small, ventilation-less room, powering on with the staff who usually manage the clinic. The focus here is not so much on primary, front-line care, but more on developing ways to support the local staff who are already running a functional system. Looking to the future.

Carrie

From left to right: Mum, Liz Cazulet, Sue. We have Liz to thank for organising all the logistics for these days. Liz works closely supporting various health posts in Popondetta.
YMCA! The spirit of craziness and eccentricity that keeps us going.

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