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Diary HABS


 Diary - July 19, 2003 

Jambo from the massage clinic.

The past few weeks have been very dynamic and challenging, as I have been trying to accommodate the flow of clients who were used to both chiropractic and massage therapy in the clinic. I have had to modify my way of working by giving shorter treatment times or by focussing on home care and therapeutic excercise instead of the hands-on aspect of massage.

We have also asked some of the local Jambiani clients to book an appointment on a later date so we can see those who have travelled 2 or more hours by daladala (public transport). I must interject here to describe this local transport system...imagine a large cattle-carrying truck lined with two wooden benches inside filled with men, women, and children packed in shoulder to shoulder to a capacity of about 32 people. Add another 8 people who have to sit on the floor of the truck between everyone's groceries and supplies including live chickens and fresh fish. There is evidently no such thing as 'full to capacity'! The colors and smells are incredible. The truck lurches to a stop every 10 or 15 minutes to load and unload passengers and goods. The final 30 - 40 minutes drive to Jambiani is along a dirt road with potholes so huge the people have to brace themselves against their bench seats and each other. It's quite an amusing adventure.

The part that impressed me the most was when women climbed on board with a baby and parcels, they would simply pass their child on ahead to whomever would hold it, and instead of reclaiming the baby, it would stay with that stranger for the duration of the voyage! And not let out one cry of displeasure!!! I was shocked, and touched at the same time by this example of a "tribal community".

Back to the Jambiani Wellness Center...considering that the majority of our out of town clients have taken the daladala to get to us, I feel obliged to see each and every one of them. Even if it is just for a consultation, not treatment. Fortunately word has gotten out, and the patient flow in the clinic has decreased to a number that is manageable.

It has helped incredibly having my students volunteer to come in for a couple of 3 hour shifts. I supervise as they massage clients I have seen previously, which allows me an extra few minutes to get caught up on treatment notes and prepare for my next patient. The hands-on experience is invaluable to them, and I have seen their skills improve and their confidence build. I am very proud of them, and feel that this teaching project has been very successful. There is definitely a sense of winding down in the clinic as I head into my last 2 weeks at the center. I have really missed having Shawna alongside in the next room shouting out her cheery "Jambo, karibu!" to her clients. I am looking forward to and will treasure my final stage here in Jambiani.

The new swing outside the accommodation Ciao for now. Yvonne

Hello my name is Kristi Falconer. I'm from Victoria BC Canada and I am the newest addition of volunteers to the Jambiani Wellness Centre.

First of all I would like to commend Alastair and Pat for building such an incredible, important and worthwhile project in the community of Jambiani and Zanzibar as the clinic treats patients from all over the island.

In my travels to and from "work" everyday someone inevitably asks me "to which hotel do you stay" when I respond with 'Ali Baba and Mama Pat's clinic' they know exactly what I am talking about. Everyone here knows about the clinic and are most appreciative and thankful for it.

My work here is a little different than that of Yvonne, Shawna's and of course Ali Baba's from the medical hands on treatments that they are providing. I am here as a Volunteer Educator and specifically for deaf people in the community. After being here only 3 days and trying to get over my jet lag I went into the local school which houses approximately 1200 children aged 7-17. The headmaster was thrilled to meet with me as just the day before they had one of their deaf students in his office in tears because she was feeling left out and not understood by her teachers as well as being frustrated at them for not understanding her. My timing couldn't have been better.

They gave me a small classroom, chalkboard, piece of chalk and rag to use for a chalkbrush and I promised I would start the next day. Four days a week for 3 hours a day, 5 deaf children come to my class, ranging in age from 7 to 14. We do different activities and lessons all by using gestures. I unfortunately don't yet know Tanzanian Sign Language (TSL) and it is not appropriate to teach them American Sign Language (ASL) that I am fluent in and use back home in Canada in my work as a Sign Language Interpreter. I have spent the first week or so trying to assess their understanding, comprehension in what they are learning in school and also what if any sign language they do have. I have found that they don't have or use a formal sign language but more of a made up use of gestures they understand amongst themselves which can be useful to get their basic needs across. Their understanding of what they are writing into their notebooks from copying off the chalkboard is limited and in fact at times there is no comprehension. I have had to review the alphabet and basic numbers and simple arithmetic for even the two 14 year olds in my class because they have just not learned it as their peers have.

I will be making contacts with the National Deaf Association of Tanzania as well as the Office for Persons with a Disability in Stonetown (the main town here in Zanzibar) as I have been told they have recently started up a program to teach sign language to those deaf people here in Zanzibar. I am looking forward to make some connections with them and perhaps get some networking happening between them and the Jambiani School.

I look forward to the upcoming adventures and challenges that will present themself and am so very much enjoying my time with these precious kids. Please stay tuned for the next update!

Kristi
 


chiropractic in Africa

 
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