Tuesday, March 26, 2013

Unofficial Hospital Tour

A quick tour of the existing facilities for those who are not familiar.

The Hospital is located right off the main North South "highway" from Chittagong to Cox's Bazar. As patients first approach they come up to the gate where they receive their tickets.

Tickets are given first thing in the morning when there are large lineups


Waiting area to get into the hospital out by the gate.

First stop in the Hospital - Records window

Out Patient Department (OPD) Waiting Area

Medic Check-In (check vitals)

Exam Room Corridor (OPD)

Typical OPD Exam Room

OPD Emergency Room

Patient Waiting Area

Pharmacy Queue

Pharmacy Window

Laboratory - Collection Point

Laboratory Testing Area

X-Ray, EKG, Ultrasound & Surgery Clinic Corridor

Orthopedics

Male Ward

Female Ward

Surgery Theater #1

Surgery (small)



Minor Surgery

Central Sterilization

Typical Corridor (private rooms)

Storage (mainly of donated/discounted supplies from North America)

Doctor's Office (also currently our office)

Eastern Toilets

Laundry

Canteen

Workshop

Jon

Sunday, March 03, 2013

Work Hard, Play Hard

We have been working a lot of hours lately on the project so we took off a few hours on Saturday to boat out to an island about 20 km Southwest of Malumghat.  We grabbed the campus speed boat and headed out on the river with another young couple (medical students) who are here working at the hospital for about a month.  We had originally planned to go to Cox's Bazar but with the recent protests and violence in Bangladesh ( http://www.bbc.co.uk/news/world-asia-21639831 ), we decided to stay off the roads (which we found out later was a good very thing). We had a blast knee boarding, boating, checking out the water buffalo and running through mud up to our knees while visiting the island and salt flats along the way.  We received some interested stares and waves and had a laugh when a local man ran out onto the river bank with a cell phone to get a picture of the knee boarding action.

(Jon on the knee board - receiving lots of looks from the locals, including water buffalo)

(Water Buffalo along the river banks)

(Boat being loaded up with salt from the salt flats)

(Man carrying a load of salt along the river bank)

(The river banks quickly became deep mud as the tide went out)



Holly

Sunday, February 24, 2013

Hill Tracks Visit (Tribal Villages)

Holly and I had a great opportunity this weekend to make it out to the Bangladesh hill tracks to visit a couple of villages.  In recent years the hill tracks have been closed to most foreign workers, thankfully we were able to apply for a tourist permit that was approved for this one day trip.  It was great to get away from the compound for a day and visit villages that we have been hearing of and praying for. The drive is incredibly beautiful through the hills, as all the roads follow the mountain ridges, which makes the trip very scenic. (All the hills are made of clay or sand so very unstable so if the road was cut along the side of the hill it would be quickly covered over by mud and debris in the next rainy season).


(Holly and Jon out in the Hill Tracks)


The first village that we visited had just recently had a fire that devastated nine homes.  Village homes  are typically made of bamboo and wood so extremely flammable during the dry winter months. Once one home starts burning due to a stray spark from a cooking fire it quickly takes off then spreads to nearby homes. Our group was able to drop off some clothing and goods to the families that had lost their homes, their few precious possessions, and their supply of rice for the year as they had just harvested a couple months ago. House fires are a very common issue in the hills as highly combustible materials are used for construction, while they still use an open cooking fire inside their home.


(Villagers waiting to receive their supplies and some medical attention)

(Holly was entertaining the kids, they liked to have their pictures taken so they could see themselves and their friends on the camera screen)

The next village that we visited houses a hostel for young Mru Tribal children that is overseen by our organization. Their homes and villages are too far spread apart for these children to travel each day to school. The purpose of the hostel is to provide a place for these children to live, have access to healthy food, and obtain an education. Unfortunately most tribals are illiterate so they cannot teach their own children how to read, write or speak in Bengali (there are many tribal groups in country most of which have their own languages, but without speaking the common language it is very difficult to go to market to sell goods, or to get any further education).  Though the children are young they still learn about sustainable farming, agriculture, nutrition, etc. Many parents sacrifice a huge amount to be able to have their kids attend as they realize that their way of life is not sustainable (slash and burn agriculture), with the loss of much of their best land to wealthy land owners that are now growing tobacco and other cash crops. It is our hope that all these children would have sponsorship so that they would be able to continue with the program. Any children without sponsorship typically cannot afford to stay with the program very long. Programs such as this have had huge impacts on these young people, many of whom have grown up to be the teachers, agricultural educators and pastors in these same villages. There is also a number of projects that are currently exploring more sustainable agricultural products and practices.  Out of this entire group in the photo there is only a handful that have full sponsorship.

(Photo above: The children were extremely well behaved sitting on the floor for the entire program. They did some songs and dances, followed by us saying something about ourselves to the children, some gift giving, and an award ceremony)


(Chris - white lady - is a doctor in the US who is here working at the hospital, she is a major supporter and fundraiser for this elementary program and a high school program in another village. This is the first time she visited with her sponsor children and those of her friends and family - in photo.  The teachers/program director are also pictured) 

(The children seeing us off. We had a full load of 13 people in our truck on the way back)

The road to these villages started out well kept and smooth, but as we progressed it turned into brick roads then to very bumpy/steep sand/dust roads, then up the river bed that is only accessible in the dry season by four wheel drive. These areas are not accessible by vehicle in the wet season.

 Holly doesn't typically get overly carsick, but this trip finally broke her 14 year streak of not throwing up. (Right: Our return trip followed the river bed)

Additional photos uploaded to our Gallery.

Jon
(Followed by very dusty, steep and bumpy single lane road)

(Once we clear the dirt roads we were on bumpy brick roads)

(The winding, twisty, bumpy, dirty, hot roads finally had their toll on Holly after 12 hours - everyone else in the truck did not think I was very sensitive when I was looking for my camera when Holly was on the side of the road puking)

Sunday, February 17, 2013

Bazaaring

Bazaaring here is just a part of daily life. Thankfully we arrived in the dry cooler winter months which is the garden season so there is typically a decent amount of produce available in the local bazaar. 

(Local Malumghat Bazaar - the boy weighing the kilo of tomatoes I am buying for 12 taka)

We are starting to stock up on some produce, such as freezing the broccoli, bell peppers & beans from our garden, as well as having 25kgs of tomatoes bottled this week as we are told that fresh produce gets scarce during the rainy season.  Although the garden produce may start to dwindle then, that is when the Fruit season will start to ramp up. We are very excited for that right now since the only local fruit we have is Banana (the apples and oranges we have are imported from India/China).  We are very excited for mango & lychee season.

(Dhaka, DIT 1 Market - Has many products we can not get locally - broccoli, bell peppers, etc. as well as a good amount of out of season produce - not to mention decent chocolate)

Marketing for meat is another challenge in itself.  The local bazaar only has cows butchered two times a week so to get something fresh we have to know what day and to go early while it's still fresh. With this being said we have actually not purchased any beef since we have arrived in country. Chicken is always available as they sell the chicken whole and alive - we just have to kill and clean. Thankfully we have house help to make some of these things a bit easier. Fish is also typically available locally, the quality goes from excellent to very questionable.

(Photo: Meat Market in a larger city about 2 hours north)

(Holly with 25 kgs of fresh tomatoes ready for bottling)

Jon