Thursday 22 December 2016

Joyeux Noël from Guinebor II Hospital

This afternoon, after much planning and preparing, we held our Christmas celebration for the patients, relatives, staff and local religious and community leaders.  A lot of Churches in the UK have supported the work of Pastor Djibrine here at G2 hospital, thank you.  

I thought it would be good to take pictures throughout the day, so here they are, with some descriptions as to what’s happening!  The event itself went well, even though to the untrained eye it may at times have seemed a teeny-weeny bit like mini-chaos!  So without further ado, here are the pictures taken today.  Merry Christmas from the desert of Chad J

A group of ladies who live in the village of Guinebor II did the bulk of the food preparation yesterday.  It took all day.  Not surprising when you’re catering for 200 people:


This lady is taking a completed bowl of cooked meat (I forgot to ask what the meat was, it was likely goat) to the food storage area at the hospital (aka my veranda):


The food that was prepared was meat, gateaux (small plain doughnuts) and prawn crackers.  Here it all is, ingeniously stored in plastic containers that you may *think* are rubbish bins but aren’t actually used for that purpose in this case, you’ll be pleased to know!


A pick-up arrives with the first lot of chairs.  We hired in a canopy, chairs and a sound system (which worked fairly well with only semi-frequent cuts):


The canopy was put up in what seemed like the blink of an eye:




Pastor Djibrine went to the wards to tell the patients and their relatives that the celebration would be happening this afternoon and that they were all invited:


People started assembling just after the time we were meant to start, meaning that we actually started an hour late (not bad!):



A choir from a local Church sang some songs, accompanied by some swaying:


A few of the hospital staff did some readings and sang some songs:


There were also three Bible readings, two in Chadian Arabic and one in French, about the birth of Jesus.  A pastor from a local Church gave a short talk in Chadian Arabic about the prophecies of Jesus’ birth.

A local lady who we know well at the hospital (she has a food stand outside where a lot of the staff eat their lunch) joined us for the event:


As the event was finishing, it was all hands to the deck to plate up the food and hand it out along with water and a fizzy drink:



The food was appreciated, as evidenced by the choir pictured here:


The food-preparation ladies were around until the very end helping to clear up, here’s a photo of them heading home:


Monday 28 November 2016

A typical day

I thought people may be interested to read, and see a bit of, what a typical day here at G2 looks like for me.  Here is a typical Wednesday for me during the past month.

5.45am: the alarm goes off and I hazily hit the snooze button multiple times before relenting and realising I really *do* have to get up and get ready.

6.40am: Tabitha, my lovely house-helper, arrives.  She comes to my house three mornings a week to do my laundry (all by hand), clean the house and sweep the floors (a never-ending task with all the dust).  Here’s a picture of Tabitha arriving at my house in one of her pretty lafayes.  You may notice something jutting out from her back – that’s her 4-month old daughter, Lea!

The lovely Tabitha
6.45am: I leave the house, with my work bag and a 1.5 litre bottle of cool (ish) water in its insulated carrier, to go and join some of the other staff for our morning devotions.  No picture of me at this time of the morning…..I wonder why?!

7am: The working day starts.  At present, the pharmacy also doubles-up as the payment window for patients who need to pay for their lab tests, or to attend some of the clinics.  One of the Chadian pharmacy staff is currently on holiday, so in order to practice my slowly-improving Chadian Arabic, I am running this payment window until the end of November.  It’s a great way of meeting the local people and they find it hilarious that the white woman is speaking a bit of Arabic.  Some of them understand my accent, some don’t!  Everything goes ok with regards to me being able to carry out the functions of this payment window, as long as the patient doesn’t go off-script!  As soon as they ask me something that’s not to do with the price they need to pay, or where to go after paying, I get a bit stuck.  Fortunately there’s always a member of Chadian staff nearby who I can call on to help me out with some translation into French.  They’re all very patient with me which I’m grateful for.  Just to prove that I really am doing this, here’s a picture of yours truly working in the payment window:

Can you spot me?!
8am: a member of Chadian staff from the operating theatre comes to the pharmacy with a request for medical supplies.  The pharmacy doesn’t just stock medications but also a whole variety of medical stock that no UK pharmacist would ever need (want?!) to know about.  It’s been a steep learning curve of needle gauges, NG tube sizes and aperture fittings, plaster of Paris and suture material.  The last one I’m still getting my head around.  Do they want absorbable or non-absorbable stiches?!  What the hec is the difference between size 3-0 and size 0?!  What does reverse cutting mean?!  I’m getting there, albeit with many questions.

What?!  These are all sutures?!
What's the difference between them all?!
9.30am: the payment window is starting to quieten down for a bit whilst the patients wait to see the nurse or doctor.  Audrey, my Chadian pharmacist colleague, brings me his monthly order for the government-run wholesaler in town, for to check over.  He’s very organised which is a blessing and any alterations I make are usually fairly minor.  It will take at least two weeks, and about three trips into town for Audrey, before we get the supplies he’s ordering.  If we get half of what we need from the main wholesaler, we’re doing well.  The rest we have to try and get from elsewhere (at a higher price).

10am: one of the expat workers comes to the pharmacy to ask me a question.  They ask in English because it’s easier and quicker.  When they arrive I’m part-way though talking about the monthly order with Audrey (in French) and a patient comes to pay for their lab tests, who speaks Arabic.  It’s not uncommon to speak English, French and Arabic in the space of 5 minutes!

11am: Djiddo, a local guy with a private pharmaceutical wholesale business, arrives with a small order we’ve had to make because the government-run wholesaler didn’t have this item.  Here we are posing in the pharmacy with the item he’s brought: boxes of latex gloves.  Yes, we really are posing with boxes of gloves……

Djiddo (left) arrives with some much-needed boxes of gloves.
Audrey (Chadian pharmacist) is on the right, Cleopas (pharmacy assistant) is in the front
11.30am: My 1.5 litres of water has run out (it’s cooler now so it lasts longer, in hot season I’ve drunk it all by 10am).  So I quickly head back to my house to restock with another one.

12pm: Chad is a mostly cash-society.  There’s only one shop in town (that I know of) that accepts card payments.  So the money gets handled a LOT.  Working on the payment desk, I get handed a lot of money and 99% of it is paper notes (I nearly wrote paper bills there……can you tell I’m surrounded by Americans now?!).  You can imagine the state of them after they’ve been in circulation for a while.  The Chadian pharmacy staff have become very adept at resurrecting worn out (read: falling apart) money.  Most days I get given at least one or two, which I pass over to my Chadian colleagues to clean up so we can put it back into circulation.

Stage one: clean the money with some washing powder
and water and then allow to dry
Stage two: using a stick of glue, piece the broken note back together,
carefully making sure that the join is not visible.  Allow to dry
12.30pm: I head back to the house for some lunch, the second 1.5 litre bottle of water now having been consumed.

1.30pm: I check that the pharmacy is ticking over ok and head back to the house again to do some paperwork for BMS, accompanied by my third 1.5 litre bottle of water of the day.

3.30pm: Time for our Chadian Arabic lesson with our long-suffering and very patient teacher, Abakar!  I can’t believe I’ve been learning it for 9 months now.  I still feel like I know nothing but as I know from learning French, I will get there, eventually.

Mid Chadian Arabic lesson with Abakar
5pm: Arabic lesson is finished and I water the garden.  Trying to keep plants alive here is a lot of work when it’s not rainy season.  Given that it’s now not rained for 6 weeks (and won’t again until next June), it means watering by hand for the next 8 months.  Every now and then though, you’re rewarded with a splash of colour, like I was when this lovely lily bloomed a few weeks ago:

Beautiful, colourful lily amongst the brown of the dust
6pm: Time to make some dinner.  One this particular evening, I decided to make my Chadian version of egg, chips and beans!  Cue a couple of eggs with pale yellow yolks (the chickens don’t have a great diet here), plantains instead of potatoes, and a can of baked beans imported from France, that I have to add ketchup to in order to make them taste remotely tomato-ey.  Guavas for pudding, yum yum!

All the ingredients for my eggs,
plantains and beans, followed by guava
7 – 8.30pm: Time to relax in front of a dvd, usually an episode or two of a box set.  I’ve watched all four series’ of Ugly Betty, so now I’m onto Gilmore Girls!

9pm: Time for bed.  Early for me who used to go to bed around 11.30pm in the UK, but given the early start and the heat (despite it now being ‘cool’ season it’s still 35C in the middle of the day), you’re tired much more quickly here.  I tuck myself in under my mosi net and drift off, waiting for the next 5.45am alarm….

Friday 21 October 2016

My Chad life: your questions answered (part two)

Welcome to part two of my questions and answers blog.  Below are the remaining questions that I’ve been asked.  Hopefully they will enable you to have a greater insight into my work and life here.

What jobs do you do in the hospital other than pharmacy stuff?
Many!  I work on the cash desk that takes money for lab tests.  This helps me practice my Arabic.  It goes ok as long as the patient doesn’t go off script!!  I can tell them the price, take the money and direct them to where they need to go next.  If they ask me something else then I get a bit stuck and need to ask a Chadian colleague to bail me out.  The patients love the fact that the ‘nasara’ (white person in Arabic) is attempting to speak something other than French.  I take meeting notes at our monthly management team meetings.  I help organise work rotas for the hospital guards.  I supervise the lab.  I have some input into organising the nurse rotas and their holidays.  Another job on the current ‘to-do’ list is to try and figure out what’s gone wrong with the computer software for our new digital x-ray machine (anyone who knows anything about medical imaging please, please get in touch!).  I’ve also written a project funding proposal to support the work of Pastor Djibrine, the hospital chaplain.

Can you give a breakdown of staff numbers at the hospital – ex-pats and Chadian?
There are 67 Chadian staff here and 6 ex-pat staff.

What hours do you work?
The working day starts at 7am and we have a short worship time for staff before this at 6.45am.  The working day ends at 3pm but often extends due to the volume of patients coming to the hospital.  I work these hours Monday to Friday.  Once a month I work part-time on the weekend to make sure that the wards are topped up with medical supplies whilst the pharmacy is shut.

Spare time – how much do you get, what do you do and are there opportunities to make meaningful relationships?
I have every weekend apart from one a month completely work-free which is great.  I’ve previously mentioned that I’m involved in a weekly English-speaking Bible study and so that helps me meet people and through this I’ve got to know some great people.  There are limited entertainment options in Chad!  There’s a cinema here in the capital which shows some English films with French subtitles.  I have now finally been there and it was amazing – a huge room with proper cinema seats, screen and….most importantly…air conditioning!  That alone was worth the £3 entrance fee!!  There are some nice French-style cafes where I’ll meet friends for a snack.  If I’m feeling suitably robust I’ll go to one of the markets and do some bartering.  You need to be in the right frame of mind to do this, but it’s amazing what you can find in the markets.  Other than that, I’ll go to friend’s house, watch a film, watch part of a box set, read.  That sort of thing. 

What contact do you have with the local, indigenous Church?
Our hospital Chaplain is a Chadian from one of the many evangelical denominations here.  So through him, the hospital has strong links with the indigenous Church.  We also have links with the Chadian version of the Evangelical Alliance.  When I’m not at the English-speaking service (see below), I try and attend a local Chadian Church.  There are various evangelical denominations here which have various styles.  I’ve been drawn to one in particular because of its size (relatively small at around 100 people) and friendliness.  However the drawback is that it’s in Arabic and not French, so I don’t understand a great deal (yet)!

What is Church life like for you - where do you worship and what is the service like?
Twice a month an English service is held at one of the other mission compounds in town, so I attend that as it’s refreshing to worship in my mother-tongue.  The service is fairly similar to a service in the UK.  On the other Sundays I try and attend a Chadian Church service as I described above.  The service consists of a lot of singing (mostly from memory, which can be a bit tricky for me as I don’t know most of the songs!).  The singing is led by a small choir.  Then there are the announcements.  Lots of announcements.  They often go on for around ten minutes!  Then prayers of intercession, the sermon and a blessing.  At the end of the service everyone stands up, files into the courtyard and shakes hands with everyone else. 

Do you have contact with any Chadian people other than those you meet through the hospital?
I’ve a Chadian friend and her family who I met whilst here in 2013 through Rebecca (previous BMS worker here).  I try and see them as often as I can.  I meet some Chadians at the English Church service and obviously at Chadian Church too.  I also get to meet the people who run the small businesses outside of the hospital.

What sort of things are you learning that you would not have the opportunity of learning at home?
How to operate in a completely different culture.  The ‘way’ things are done here is so completely different than in the UK.  That can both be interesting and very tiring at the same time.  This culture is an honour-shame culture as opposed to the guilt-justice culture in the West.  It’s hard to explain but the culture here is much more indirect, so as not to bring shame on anyone.  I’ve been trying to think of a specific example to explain what I mean, but it’s so subtle it’s hard to think of a specific example.  I’m also learning Chadian Arabic.  Definitely wouldn’t have had that opportunity in the UK!  I’m also learning how to drive Chad-style.  On first look it would appear that there are no rules of the road and everyone just does what they like.  However there are many unwritten rules, such as ‘pull out at the crazy T junction when the oncoming traffic is a reasonable distance from you (but still quite close).  Oncoming traffic must give way’.  Another is that motorbikes can weave in and out of traffic, undertake and overtake, and drivers of 4-wheeled vehicles must utilise 360 degree vision to ensure they don’t hit one.  I’m also getting the chance to learn a bit about surgery when I hear other expats talking about their day and I also learn a bit about tropical disease management.

What is your favourite thing about living in Chad?
The fact that the sky is blue for about 350 days a year!  I also like getting to learn more about the culture and traditions and just simply getting to know local people.

What is a typical evening meal?
For a Chadian it would be boule (a stodgy white mass often made of maize flour, other African countries call it other things such as fufu or ugali).  They would typically eat this with an okra-based sauce that may or may not have pieces of meat (usually goat) or smoked fish in it.  For me, it’s similar to in the UK: spaghetti bolognaise, curry and so on.

What’s the most challenging thing you’ve had to do in Chad?
There are a few things!  Doing staff disciplinaries was never easy when I was doing more HR earlier on.  Thankfully we now have a Chadian administrator who does them!  Seeing extremely ill children who should possibly have been brought into hospital earlier is disturbing.  Hearing about locals refusing health interventions because of their beliefs about death is challenging, when you know the procedure would likely save or significantly prolong their life.  My first (and thankfully only, so far) car accident was challenging.  Fortunately no-one was harmed.

What’s the most interesting thing you’ve done in Chad?
This would have to be visiting Chadians in their homes, eating with them, drinking their sweet tea and generally getting to know them, their families and their culture.

What are your short term and long term goals for being over there?
Short term would be to function adequately in French, continue to work alongside my Chadian pharmacy colleagues to ensure good stock control of medical supplies and help where I can in the hospital.  Long-term would be to be fluent in Chadian Arabic so that I can converse independently with the locals at the hospital, help them understand their medicines well, visit people in the community of Guinebor II and share my faith with them, get involved in pharmacy-related meetings in the capital and make links with other pharmacy workers in other hospitals.

Wednesday 21 September 2016

My Chad life: your questions answered (part one)

Here are questions that some of my supporters have posed about life here in Chad.  Hopefully my answers will give you another insight into my life here.  There were too many questions for one blog, so this is part one of two!

When you go to the local bazaar do the folk accept you as you are from the hospital or are you an object of interest and comment?
When I go to the small market in Guinebor II I am accepted, as the local people are used to seeing white people in their community and they will know that I live and work at the hospital.  When I go to the bigger markets in town I am an object of interest and comment.  How much I play along with their comments depends on how I’m feeling and what they’re saying!  Most comments are made in good humour and end with some chit-chat, laughing or nodding of heads.  However some are blatantly made to make me feel unwelcome or uncomfortable, and so I ignore those comments.  Children in the bigger markets find my white skin fascinating and sometimes I end up with a child clinging to my arm and following me round for a while!  They are invariably wanting money and that can be tough to deal with.

In the hospital is singleness a challenge? Is it assumed you have a ‘man on the side’?
Singleness is a challenge here in Chad for a variety of reasons but the main one is that it’s an unknown concept.  A woman of my age without a husband or children is rarely seen amongst Chadians.  There are a lot of factors playing into this culturally, but I think the main one is that the role of a woman is generally seen differently.  Generally speaking (there are exceptions) the belief is that women are on earth to reproduce and look after their husbands and children.  As I’m white, people make exception for me in this I think, although I’m sure they think it’s a bit odd that I’m not yet married and have no children.  As far as I’m aware, it’s not assumed that I have a ‘man on the side’, and for that I am grateful!

What makes you laugh?
When I try to speak Chadian Arabic to some of the staff.  They think it’s great that I’m trying and we all end up laughing when I get to the end of my vocabulary and have to say “Arab ma’fih!” (“I’ve no more Arabic!”)

How is the Chadian Arabic going?
Slowly!  It’s coming along but it can get frustrating.  I’ve basically got the language abilities of a two/three year old when it comes to Arabic, so my conversational skills are somewhat limited.  We’ve a very patient teacher though which helps!  Starting another language does however help me realise how far I’ve come with French, so that’s an encouragement.

What is the most beautiful thing about Chad?
When a Chadian lady in her standard, colourful clothes, smiles and greets me

What character trait in Chadians is the one you would love to develop in your own life?
Continuous optimism.  A lot of Chadians are forever optimistic about life and circumstances.  It doesn’t matter what’s going on in their lives, most Chadians I’ve encountered don’t let themselves get down for too long.

How is the whole hospital team seeing spiritual fruit from your work?
We see people sitting on their beds reading Bibles in French or Chadian Arabic that are at each bedside.  The hospital Chaplain gets to chat to a lot of patients and family members about anything and everything.  Often the subject of faith comes up and they ask him questions about Jesus and what we Christians believe in.  Conversations explaining our faith occur a lot and there have been some people who have made positive decisions.

What impact does the local terror group (BH) have on Muslms in Chad?
I can't answer this with much insight, but what I have experienced is that most people here have a sense of fear about this group

What are your encouragements in the first year?
My French language speaking is much better thanks to the time I spent in full time language study in Paris last year.  The fact that I can express myself verbally is an encouragement and also makes life a tiny bit more straightforward.  The Chadian staff I work with in the pharmacy are all very loyal and hardworking, they are such a blessing and encouragement to me.  The fact that I’ve started learning Chadian Arabic is something else that’s an encouragement as once I get better at speaking it, it will help me speak with local people in Guinebor II (most of whom don’t speak much French).  I’ve also had the opportunity to work with the Chaplain on his work programme and get funding secured from BMS to help pay towards his expenses (such as buying Bibles).

In what ways has God spoken to you whilst in Chad?
I've often felt weak and useless here, questioning why on earth I'm here and what difference, if anything, I can make.  God has often reminded me that His power is made perfect in weakness.  Thank goodness for that!

What are you most looking forward to in the coming months?
Cold season!  That should be 'cold' season, as the lowest temperature will be 16C.  I'm looking forward to sleeping with a blanket on the bed and the windows shut.  I'm looking forward to not sweating.  I'm looking forward to guava season which I think (hope!) is coming soon.  I'm looking forward to being able to share Christmas and all that it means, with patients, family members and staff at the hospital.

That's the end of part one of my first ever Q&A from Chad!  Watch out for my next blog post, where I'll answer some more.

Thursday 11 August 2016

What a difference some rain makes

Hot season has finally ended and I am so glad.  Gone (until March 2017) are the sweltering 45C days and 35C nights.  They’ve been replaced with a very humid but cooler climate because the rains have arrived.  It’s unusual to have a small shower here, usually it’s a full-on storm that goes on for hours with heavy rain, thunder and lightning.  Along with the rain comes standing water, along with standing water come the mosquitoes, and along with mosquitoes comes malaria :(  The number of cases of malaria that we see at the hospital is increasing daily…..

Something else that comes with the rain is grass!  Yes, believe it or not, we get grass here in the desert.  How the seeds stay alive under the ground during hot season I do not know, but it only takes a week or so of rains for them to come alive and sprout, meaning we have to get the lawnmower out!

My house in dry season

My house in rainy season

Part of the road to Guinebor in dry season

Same part of the road to Guinebor in rainy season

Another thing that comes with the rain is mud.  Lots of mud.  Half of the ‘road’ from the hospital into town is dirt track.  Dirt track + heavy rain = lots of puddles and mud.  This makes for interesting driving.  We effectively have to do 4x4 off-roading to get to the shops!  Not a lot of people can say that!  It can be exciting but most of the time I’m scared, if I’m honest.  I’m scared my Toyota RAV4 will get stuck (it’s not too high off the ground).  It’s a challenge to navigate through the mud and puddles, wondering how deep it’ll be, whether there are any hidden rocks or random pieces of scrap metal to help destroy the car that little bit more.  There are a fair few parts of the ‘road’ where there’s only a single track through at best.  Meeting another car or motorbike at these points can be stressful, as you can’t slow down and calmly go past each other, else one or both of you get stuck!  So far so good with the off-roading to the shops – I’ve not yet had to use the tow rope I diligently packed in the UK and had to face the obligatory crowd that I’m told suddenly develops when the white person gets stuck in the mud!  Long may it continue.  Here are a few pictures of the ‘road’ to the shops.  I’ve unfortunately not got the narrower and muddier parts captured on camera but you get the idea…….




Watch out Britain's roads when I’m next back, this girl is getting used to putting her foot down and ploughing on through!

Saturday 4 June 2016

Hello, bonjour, al-salam alekum

In the last six weeks I have started learning Chadian Arabic!  Why?!  I hear you ask.  The fact of the matter is that not many Chadians speak French.  Only those who’ve been able to have an education can speak French and unfortunately, not all children here are able to go to school.  The working language of the hospital, between the staff, is French and so that is why I went to French language school, in order to improve my French and enable me to communicate better with my colleagues.  I can definitely tell that my French has improved, compared to when I was here in 2013.  However, my ability to communicate with people at the hospital stops there, with the staff.  I’d say around 90% of the patients who come here don’t speak French but the majority of them speak Chadian Arabic.  Therefore communicating with them is difficult and when I need to speak with a patient I have to have one of the Chadian staff translate for me (the staff all speak French and Chadian Arabic).

In order to be able to interact directly with the patients, I really want to be able to speak Chadian Arabic.

So six weeks ago, I and two expat friends who also work here embarked on learning spoken Chadian Arabic.  We’ve not attempted to try and learn Arabic script, that feels one step too far and to be honest.  This is generally a spoken-language culture as a lot of people are illiterate – because they’ve not had access to education.

After locating a teacher in town, who came highly recommended by others, we negotiated the price and the days and times we’d learn Chadian Arabic.  We currently have two lessons a week, each being two hours long.  We meet for our lessons here on the hospital site, after the three of us have finished the bulk of our work for the day.

It is challenging learning this language!  Aside from the fact that we started learning it at the hottest time of year and at the end of the working day, it is a challenge to learn a language through a language that isn’t your first.  We learn Chadian Arabic in French.  Sometimes my brain gets confused with two foreign languages milling around in there and my mouth interjects a French word among the Chadian Arabic I’m speaking – cos, well it’s all foreign language isn’t it?!
  
A page from our Chadian Arabic textbook
Chadian Arabic only has three tenses: past, present and future.  Language learners amongst you will know that that was very happy news to hear!  However sentence structure can get a bit complicated and I now have to get used to being able to say the letter ‘s’ at the end of a word again, which you never do in French but you do in English.  And then there’s money.  Arabic uses different figures when it comes to money, and not just the number that corresponds to the amount being talked about.  So that’s another avenue of confusion!

All in all it’s going well and I’m enjoying it.  The hospital staff think it’s great (actually, make that word hilarious) that we’re trying to learn Chadian Arabic and they help us out all the time with practising speaking it.  However they often go far beyond the amount we’ve learned so far and then I get stuck!  All good fun.

My friends and I with Abakar, our teacher

Wednesday 27 April 2016

Free spa treatments

What?!  I hear you cry.  Free spa treatments?!  Where do I sign up?!

The answer: Chad!  Come to Chad and you too can experience the following three spa treatments, usually attracting a hefty charge in salons across the Western world, for absolutely nothing!  See, it’s not all dust and excessive temperatures here!  The only downside is that you get no choice as to when you receive your ‘treatment’.  You get what you pay for I guess…….

1.       Free facial exfoliation
You can experience a free facial exfoliation at any time, but more commonly during the first three months of the year, when it’s harmattan season.  Strong winds will pick up speed in seconds.  Couple that with the fact it won’t have rained for at least three months, which means there’s dust aplenty and there you have it – a free face scrub! 

2.       Free colonic irrigation
Foreign bugs can sometimes play havoc with your digestive system, however well you filter your water, disinfect your fruit and veg and wash your hands.  I don’t need to say any more! 

3.       Free sauna
With temperatures currently at a daytime high of 45C in the shade, you sweat.  A lot.  Even though the humidity is usually fairly low.  So every day it’s like walking around in a huge sauna.  Great for the pores, there’s no chance of having spots here!


Chad is a country of many surprises.  I may be able to add to this list in the future!

Friday 18 March 2016

Celebrating women

What were you doing on Tuesday 8th March 2016?  Did you know that each year 8th March is designated as International Women’s Day?  I never knew that until I was in Chad last time.  It’s not much celebrated in the UK.

Here in Chad, as in a lot of countries, it is a big event.  I could think up some reasons why, but I’m not sure they’d be based on fact, just my own thoughts and probably a few biases.

Women in Chad are generally seen as inferior to men.  A woman’s worth is overall gauged by how many children she produces.  Men are generally the wage-earners and the women stay at home cooking, cleaning and looking after the children.  Polygamous relationships are legal, men can have up to four wives under Chadian law, and so families can be large. 

On the morning of 8th March I was looking at the BBC website and my eye was drawn to an article entitled ‘International Women’s Day: Sexism rife in textbooks, says Unesco’.  The sub-title reads ‘sexist attitudes are ‘rife’ in school textbooks used in developing countries, according to Unesco’.  The article is at this link if you want to read it: http://www.bbc.com/news/education-35745327

I was saddened to read this article which highlights gender bias in some school textbooks, showing men in money-earning roles and women dreaming of becoming a wife and mother.  I’m not saying that there’s anything wrong with dreaming of being a wife and mother, it’s just that these textbooks only show that role for women.

At the end of the BBC article, a report called ‘Poverty is Sexist’, from the campaign group One is referenced (the report available at this link: http://www.one.org/international/take-action/poverty-is-sexist/#report).  It says that gender inequality and poverty are linked and that women in developing countries are more likely to be worse off than men.  One have produced a list of 20 countries where it’s toughest to be born a girl.  This is based on criteria such as access to health and education, economic opportunities, access to a bank account and political representation.  I hoped against hope that Chad wasn’t on this list but knew deep down it would be.  As I scrolled down, there it was, at number 9.

8th March each year in Chad is the only day where most women get to have the day off from their usual daily routines and have a party.  That in itself speaks volumes I think and goes some way to explain why it’s continually celebrated here. 

Here at the hospital around 40% of the staff are female.  Most of them are nurses or midwives and so have a relatively high level of education compared with many women in Chad.  A lot of our female staff have their pay paid into their own bank account.  So we buck the trend to some extent.

All the female staff at the hospital had the day off on 8th March (except two midwives who obviously had to work.  We have male nurses, so they provided cover).  There is always a big march in front of the president’s palace first thing in the morning of 8th March, where women march in their new outfits, made from that year’s specially printed Women’s Day fabric.  For security reasons we didn’t march this year but we did go to a restaurant, all togged-up in our new outfits, and ate roast chicken with fresh bread and the obligatory sugary soft drink!  There was a jovial atmosphere as we all enjoyed being out of the work environment and being together.





It’s important that International Women’s Day is continually remembered and used to try and redress the gender inequality that is virulent, to varying degrees, in all countries around the world.

Tuesday 2 February 2016

Cracked heels and big smiles

Hello from Chad and welcome to my first blog of 2016.  I arrived safely with all of my luggage on 7th January and had the first week and a bit to unpack and settle into my house on the compound here at Guinebor II Hospital.  That first week also enabled me to say hello to my Chadian work colleagues, 90% of whom are the same as when I was here last time.  It has been really good to see them all again.  By far my best welcome back was from my pharmacy colleague Elisabeth who greeted me with a big smile, lots of whooping, then gave me the biggest hug possible and proceeded to lift me up and down three times!!  Other staff asked after my family and a lot of people told me, with a big encouraging smile, that I had gained weight!  This is most definitely not an insult, weight gain is seen as a good thing here as it means you’re eating well and are being well looked after.

So I’ve been here for 4 weeks now but to be honest it feels a lot longer.  In a weird way it feels like the 22 months since I left never happened.  They obviously most definitely did, and I learned a lot in those 22 months, but I think that because the UK/France and Chad are so vastly different, it’s like they’re two completely different worlds.  I’ve left my ‘Europe world’ and re-entered my ‘Chad world’ and it feels like I’m just continuing on from March 2014.  It’s an odd feeling in a way but also strangely comforting.  I’ve not got to learn how to live here as I’ve done it before.  I’ve had to relearn my way into town along the dirt tracks though, as numerous buildings have been built in Guinebor and the surrounding area since I left, some of which are built where the ‘road’ used to be!  Some of the shops in town have moved.  Some of the shops I used to buy things in are now more expensive than others that used to be on the pricier-side.  The internet infrastructure is much better.  The airport has been completely renovated.  More roads in town are tarred.  Apart from all that, N’Djamena is pretty much how I left it in 2014.

The pharmacy team is still the same and seem to be doing a great job.  It’s been good to get re-acquainted with them and share news.

With pharmacy colleagues

My role here at the hospital is still evolving but I am currently doing some hospital personnel management (cue a steep learning curve of Chadian employment law, in French obviously), as well as having supervisory oversight of the pharmacy and the lab.  There’s a lot involved in keeping the hospital running, as I’m beginning to find out!

However it’s always good to remind myself why I’m here and it’s to contribute to the provision of high quality compassionate health care for our many patients.

Some of the day's patients and relatives

It’s been a good first month, I know I’m where I’m meant to be.  I am really noticing my improved level of French, thanks to my studies at Les Cèdres. I am loving the perpetual blue sky and temperatures of a ‘chilly’ 17C in the mornings and highs of 25C.  (I’m enjoying it whilst it lasts!).  I’d forgotten exactly how dry Chad is.  With a humidity of just 10%, my heels cracked in the first week as I forgot the need to douse them with lotion!

I’ll leave you with a picture I quickly snapped the other evening out in Guinebor II on my way home.  I love African sunsets!

Sunset at Guinebor II