Monday, July 29, 2013

The silent warriors

silent warriors seeing a patient with stroke
We met with Dr Thanh, director of district Health Center after 4 years. We was busy with the pilot NCD (non-communicable disease) program in Phu Tho, northern Vietnam so we had to discontinue the program due to the shortage of staff.
He called us to ask if we can help him with the NCD management in the district. Even now, these diseases have become national program but the staff is not trained to treat the diseases. Dr Thanh said “There is higher awareness in the community through the media so the health staff and patients know the importance of managing the diseases and it is easier to implement the project, not like back at the time you started it, you were THE SILENT WARRIORS”

That reminded us the time we first started the program on managing hypertension and diabetes at commune level clinics in rural area of Quang Nam in 2008 with 2 staff, 1 physician and 1 health educator. We provided a training session to talk about these chronic diseases for the doctors and nurses with a simple algorithm. We convinced the director to make changes to the available medications and we helped to train the staff by seeing the patients with them. Although it was difficult, we were happy because we could show Ministry of Health and World Health Organization the model and results.  We then got involved in developing a model for national pilot program.

Friday, July 5, 2013

The first exciting trip for children with HIV

Last month we organized a trip to Ba Na for the kids with HIV living in Quang Nam province and Đa Năng city. were 11 children and their relatives participated in this trip with every child or 2 children accompanied by an adult. So in total there were 23 people in total including An Hayley, who volunteers for us, and I. Ba Na is a famous mountain tourist resort in Da Nang with cable systems and a spectacular amusement park that everyone had heard about through the media daily. But is is also pretty expensive for most Vietnamese people with low incomes and most are unable to afford to go there. The children with HIV and their relatives who are living in difficult circumstances, told us this was a place where they dreamed of coming to. So when they knew we were organizing a trip there, everyone was excited. One grandmother of a little girl who was sick in the hospital gained permission for her to be discharged from the hospital to join us. Our group also had a 70-year-old grandmother of a little girl with us. To save costs and provide better care for the children, we prepared some nutritious food and some essential items: milk, bread, fruit, drinks, and even some medical devices as needed. We also hired a bus and made hotel reservations...
At 6:30 am, the bus picked us and our things up at the office. Then we went to Vinh Dien and Da Năng to pick up the children and their relatives. After I checked the number of participants, we went to Ba Na. While sitting on the bus, they talked and exchanged information with each other. Everyone was very excited. Although it was Monday, there were so many tourist there. An, Hayley and I had much trouble organizing 20 people who had never been there before! After we got the tickets for the cables, we had to wait for a long time as the long queue moved very slowly to get to the cables. I can not describe the excitement and pleasure of even touching of them while they sit on the cable car.
Especially the children, they were so excited. They were also slightly worried when sitting up there hundreds of meters high. We walked to the sightseeing mountain pagodas. The children were very excited to get photographed together. Then we went to the big amusement park on the mountain. It was a paradise for children. There are many exciting games and most are free. So the kids were excited and played, appearing virtually tireless. The adults had to follow them to wait their turn to participate in all the games that they have never been part of before. There are also many games for the adult that relatives of children eagerly to participate, even grandmother of a little girl played the adventure game. She seemed very interested. We laughed when she told us that. The elderly grandmother of a little girl, who was carrying a plastic basket (something that housewives used to go to the market) for clothes and other things, was too tired to go follow her niece.
So Hayley had to help her bring the plastic basket, took the little girl to attend the games. She loved Hayley and just wanted to go with Hayley throughout the trip. At night we stayed on the mountain hotel. We booked 7 rooms for 23 people. As each room has 2 beds. But many kids just wanted to stay together. It was the first time they had stayed in a hotel. So everything was new to them. They did not know how to use hot water, showers and other things. Even a grandma and her granddaughter felt afraid to be in separate rooms. So I had to stay with them. 
We had a really delicious dinner after a day of fun. After dinner, people lingered at the restaurant and the kids were singing and dancing together. The atmosphere was very cozy and happy. Morning on the mountain is great, with people enjoying a shroud of mist and the cold air of winter. Very different with the hot weather below. After breakfast, while I, An and Hayley walked, the kids to ask their relatives led to the amusement park. They almost never get tired of playing. After lunch, we got into the bus to back home. On the way home, the kids still regretted not being able to stay there longer. They also asked that next time, where we will go? We discussed the places they want to see as Hue, Da Lat...if we have a budget for next time. 
Any way, we had a meaningful trip that is not only a trip, but it also helps everyone closer, loving each other. It was wonderful to watch the children and their carers form friendships over the two days. That is a beautiful memory that everyone can not forget. We took group photos that we will be sending to all the people who came on the trip with us.