torsdag 30. september 2010

village life

We have started data collection and have been going to some of the villages around Farafenni. The children are very happy about getting a tubab visitor (means white person and children shout tubab and wave at me everywhere I go).
The roof of the huts are made of dried grass and it is totally waterproof. There is no sound when it is raining, which is an advantage as the rain at home is nothing compared to the rain here!

The average number of children per woman is around 6, so each family has got several of these huts. Many people live in larger houses also. They call it a compound, and several houses are part of one compound. Many men has 2 or more wives (he can have as many as he can afford, I have seen up to 4, as number of wives is a measured in our questionnaire). The family consist of co-wives- (I don't think I ever will be comfortable with that word), plus in-laws and 6 children per women. Large families!

 
 My fantastic crew eating breakfast! (Everyone is eating from the same pot, which is the procedure for every meal). Wherever you are when there is a meal you are invited to join. Most of the time they eat with their hands. I was at a hair dresser and there were no question, I had to eat with the workers. In this picture, Wesnic is to the left, a friend of Samba, Samba and our driver to the right. Wesnic and Samba are my research assistants and I really enjoy spending time with them!
  These small children were helping their mothers washing.
Seems like children here get heaps more responsibility than kids at home.. I wish I asked how old these girls are

We participated in some village work!
 
 And this is ground nut (peanøtter), before polly gets their hands on them them. The fresh ones are really good if they are roasted a bit. Not fatty and salty as the ones we get home. 

The road to the field. There are no signs, and one can hardly see the road. I have no idea how they end up in the right village. There is no electricity and seldom cars in the villages. Most of the time people use donkey cart to move around.
 Samba and I went out of petrol in the middle of no where.

 There is always a solution!

At the health clinic. Colorful women come with their newborns for vaccination and weighing.
 Wesnic and I got to try out some cooking preparations. Though work!
 Inside one of the huts. The tradition is that a woman can not leave her house the first week after giving birth. I was happy to I finally see how the huts looks like from the inside, and had tea with the women.
The boy is making a skipping rope (hoppetau). I joined the kids with the skipping rope that was a success. I had the best cheerleaders ever!

People are very relaxed here. (More about that later) The working day is supposed to be from 8-16, but the electricity comes on at 9, so the first hour seems to be for greeting each other and eat breakfast, if they turn up as early as eight. When we are going to the field, there are many things that need to happen before departure. Sometimes the driver sit around for a while before he starts washing the car. When the car is clean, he goes home to change clothes and maybe pick up some of the other workers. Then one of the others figure it is time for breakfast.. My patience and sense of effectiveness are being tested..!

Here are some of the phrases that people say to each other whenever they meet (this is in Mandinka, one of several languages). Trond-Olav, Binu, Pradeep and Maiken; if you know this when you come, you will make many people happy! (Thank you Marcus, I copied from your blog)

Salaam aaleekum - Maaleekum salaam (Peace be upon you - Peace be upon you also).
Kayira be - Kayira doron (Peace be upon you - Peace only).
Suumoolu lee? - I bee be jee (How are the compound people? - They are all fine).
Kori tana te jee - Tana te jee (Hope there is no evil - There is no evil).
I be naadii - N be jan doron (How are you - I'm fine).
Dookuwo be naadii - N be a kan doman doman (How is the work - I'm on it slowly slowly).
I have now ended training of the research assistants so they go out to the villages while I stay at home punching data, which is boring. I really miss the villages, I have had my best days there! But it feels good to pick up the questionnaires every evening and enter the data into the statistics program :)


torsdag 16. september 2010

Life in Farafenni

Sunday morning a car full of hospital staff (and me) left Banjul to go to Farafenni hospital. We had to take a ferry to cross river Gambia. The river is not wide, but first we had to wait for the boat to come. It was a struggle to get on the ferry, as there were many car, buses and people that wanted to get over to the other side. We drove a government car and we were prioritised, so we did get to go with the first ferry. (After 1.5 hour wait). It was the slowest ferry I have ever taken and the little crossing took an hour. We got to the other side (Barra), and the road to Farafenni was in a good shape, so the rest of the trip went fast. We drove almost half way into the country so I got to see a lot. The first stop in Farafenni was a visit to the director of the hospital. He is an extraordinary man. He knew I did not have cooking possibilities, so he suggested that his wife would cook for me, and the driver would come to my room with dinner every day- an irresistible offer. I have been to the market and it is like I have said, basic. I am glad I am not cooking for myself, because I wouldn't know how to do it. This solution really saved me, and the food is good (luckily I love rice- cause 90% of the plate is rice).

My room was a disappointment at first. It was not washed and insects were crawling around, so the first thing I did was to clean. I called my contact at the hospital and he sent the cleaning personnel and they cleaned it again. There were worms in my toilet, and I was not able to handle that, so I was very glad to see the cleaner. (Han vasket hele badet med toalettbørsten, så jeg sa jeg kunne vaske selv fra nå av..) Anyway, after a spray with insect killer and a wash, I was satisfied. The room is light and almost insect free, so I am very happy with it. I cannot say it is clean, but it is cleaner. I have electricity 9-16 and 17-03. There is no running water in my room, so I carry water from the labor ward which is the ward under me.. That is interesting! I have to walk through the ward to go out. The midwives want me to conduct deliveries, and I hope I get to do so soon! Showering and toilet flush is done with the help of my bucket. I haven't seen a rat since I got to The Gambia and I am sure that not even a mouse can enter my room, which has been a huge relief! My contact at the hospital is my savior. Everything I ask for or mention, he has a solution to it. He makes some calls, and it is fixed. His hospitality is unbelievable and makes my life so much easier. Living at the hospital is a new adventure. There are 400 people working here and a large part of them know me already. Every time I go out people shout my name, asks how I am, how the morning is, where I am going and so on. It is not possible for me to learn all of their names though. They have given me a Gambian name, which is Maryama. I have never seen such a hospitality and friendliness as I see here, it is overwhelming and I am very lucky to be here and experience it. Everyone from the hospital director to the washing man come to check on me too see that everything is fine. 

 My room, office and laundry. (Johan: jeg har vært flink og skaffet meg myggnett!)


My fieldwork is not conducted in the hospital, but at the RCH (reproductive and child health clinic) which is situated right beside the hospital. The staff is amazing. The managers are very interested in my study and they do everything they can for me to succeed. They have given me two people from their staff to be my research assistants for two months, and these days I am training them in conducting interviews. Abdou, a Gambian ph.d. student at my institute in Oslo will be here for field work and he just knocked on my door. He will be my neighbor the next days and he has agreed to support me in the training of the assistants. Baba will also come here soon. It will be fantastic to have some people I know well around for some days!

I went with the RCH team to an outreach clinic on Tuesday. We drove to a village where there is no health center, so the team goes there once a month to vaccinate children, treat minor diseases and conduct antenatal care (svangerskapskontroll). They used a big empty (and dirty) building with a hall and two small rooms, they were eight nurses and community health workers. They brought two small boxes of equipment which were used for all of the activities mentioned. When we came there were about 80 mothers and children waiting. I joined the antenatal care team and they showed me how to estimate the week of pregnancy by measuring the fetus with our fingers. It was amazing to see how they worked. No doctors and a minimum of equipment. Within four hours everyone were examined and treated, some were referred to the hospital. One can ask about the quality, but everything is relative. Thinking of the standard of the hospitals I have worked at in Norway makes me feel bad. The world is unfair.

Forresten! For dere som vil sende meg meldinger men ikke har google konto, send mail!! priler@gmail.com er addressen. Jeg håper alt er bra med dere hjemme og jeg vil gjerne høre hvordan dere har det..

søndag 12. september 2010

The excitement begins!

 This is how the road can get in the rainy season.. The trip today can be very interesting. (I have to add that this is a side road, there are very good roads in The Gambia with asphalt). I have bought a big bucket (to store water in as I don't know how reliable the water supply is), a plate, a cup, one knife, spoon, fork and some bedding; it is time to go to the field! I have been told that the internet in one of the neighboring town to Farafenni has been down for some days, so I might not be online in a while. The rainy season also affects the internet connection. The room I will be staying in is originally for short visits, and therefore without fridge and cooking possibilities. There is no supermarket, only small shops with the most essential products. It will be interesting to see how things will work out the next days. Luckily the supply of local vegetables and fruits in this season is on my side. Besides, eating fruits feels nice and safe. I had something in my dinner today that did not look familiar to me. I asked what it was and was told that it was a part of a cow stomach (magesekk).. I guess we eat that at home also, in our sausages.But not seeing how it looks originally feels better.
 
I decided a couple of weeks ago that I would get a lift to Farafenni with someone, as the trip there is challenging for newcomers (especially with my luggage). I have now talked to a man that works at the hospital where my housing is, and he is picking me up and will take me all the way :) Happy news for the day is that Binu and Pradeep are coming in November! By the way, I saw a very good movie today- "things we lost in the fire" (thanks to Kjersti for the tip), it is worth seeing!

tirsdag 7. september 2010

Pilot- check!!

YEAH! The pilot has been conducted and my questionnaire is ready for use! I met Baba this morning to go to the rural health facility, and I was so happy when I saw him that I gave him a hug! (I don't think it is a good idea to hug a muslim (married) man- at least not at the open street..) But he accepted my hug and off we went!

Baba and one of the patient participants. The women here are eager to be interviewed, they waited up to three hours in line.. Some volunteered to participate even though they were not asked. I am humble to their effort, they are poor women that need to work to get food on their table and several of them have many kids  waiting for them at home. I don't feel like I have much too give them back..

The walls at the health centers I have visited are full of these paintings. Some of them are very illustrative, so illiterate people can understand the message. The whole country is decorated with posters with statements like: "Equal access to education", "The president does not tolerate any use of drugs", "plant a tree for every child that goes to school.." With "the secret-mentality", this country will be a paradise in a little while!

søndag 5. september 2010

Afrikanskje

Organising the pilot has been problematic and I haven't been able to conduct many interviews. I have been here for two weeks now and my time schedule is not on track, which is frustrating. I am totally dependent on others which is a challenge. Being used to Norwegian circumstances is a privilege, and I am spoiled. Misunderstandings and other unforeseen happenings has stopped the whole process for a little while. Luckily Baba (my Gambian classmate) is my savior and has agreed to help me interpret. He has been going with me to a health facility twice, but we only met one woman that filled my criteria. Tuesday will be the day when we will make success and conduct the interviews needed for the pilot! We will be going to a more rural population, which fit my criteria better. The timing is not very well as it is the end of Ramadan now. End of Ramadan means public holidays and the start of my project will be extended at least another week, which I can say has been worrying me a lot. I have the 400 interviews in the back of my head all of the time.. (I feel bad for Mona, Christina and Hege for my complain- I know you face greater challenges than I do.) And I guess everyone that are fasting for Ramadan these days think that the end of Ramadan is great! Trond-Olav and Binu saved my worst day by calling while they were just about to order tickets. They will be here in the end of November! Trond said something like "Priya, I can not order a ticket every time you are depressed". I am glad you did this time anyway!
I had this little fellow on my balcony the other day and he also cheered me up! Johanna: alle bilder av dyrene i Afrika er til deg, -som jeg lovet :)
For those of you that are in the process of trying to decide if you are coming here. This is the place to be in October-November when it is gray and rainy at home:)
A picture from my street, for you Ane! (Since you always get exited when you see red soil..!)
  This weeks big happening was a soccer game. Went to see Gambia play against Namibia together with the VSO group (Voluntary Service Overseas). Gambia won 2-1 and the atmosphere was amasing! It was raining heavily throughout the whole match and we were not covered, so we got soaked. And the sight could have been better.. I saw a couple of Gambians in Brann football shirts and Peppes Pizza rain cover. I also saw a bus the other day that obviously has been taken here from a folkehøyskole in the West of Norway with a Norwegian slogan on. It seems like some charity works!
Game over, find the shortest way out. 
This is how wet it was at the soccer game. We were sitting in the water you can see below. As I was sitting there with water all over me I got to remember my classes of water borne diseases and I wondered if parasites could enter my pants. As they do enter human skin, I guess a pair of pants will not be too tough. Hopefully the shoes of the people behind me were not carrying any parasites with them! When it rains heavily, the streets gets really muddy and it is not easy to get around with slippers. They sink into the mud, and I walked out of them a couple of times. I really appreciated my shower when I got home.

A good thing is that I am now confident in traveling around this area by my self. It seems like I was very unlucky with my first trip, cause I haven't experienced anything scary since. I can cancel my burka-plans! I also have to emphasise that I do spend most of the time in my room preparing for field work, and with Annas family. So that is why I don't have the most exiting happenings to brag about in the blog.

Hopefully the next update will be from Farafenni!