Tuesday, July 16, 2013

Riley Poe: Handwashing Workshop in Review


The following post is by a fellow Drake University student named Riley Poe. I was lucky to work with him on some of his prep work for the workshop he was planning to complete as his project for the Drake University Uganda Summer Seminar (a 6-credit course through Drake). He spent a great deal of time and effort planning for a workshop on proper hand-washing procedures and their significance. After presenting this workshop in Kikandwa, here's what he had to say about his learning experience:

In the United States, it is expected to have soap, running water and either paper towel or an air dyer in just about every bathroom. However, in other places around the world, specifically developing countries, this is not always the case. I proceeded to conduct some internet research that would inform me about the situation surrounding hand-washing in Uganda.  In a matter of minutes, I found some staggering statistics straight from the New Vision which is the main government newspaper in Uganda that I would like to highlight. The first was that “only 28% of the 34 million Ugandans have access to hand washing facilities” and the second was that “only one in four or 25% of people in Uganda wash their hands with soap and water after using the toilet”(Ogwang 2013).  These statistics were mindboggling to me coming from the United States where just about everyone has access to hand-washing facilities. However, it was not these statistics that motivated me to do this project. It was the facts that showed how devastating not washing your hands can be and ultimately how many people and specifically children die as a result of not washing their hands.
From this little bit of research, I began to draft a project proposal that would focus on the importance of hand washing in stopping the spread of preventable sicknesses such as colds and diarrhea.  After some debate, I decided that my project would be most beneficial if the information was presented to a community of people; children and adults together. After spending two weeks in Uganda observing and taking notes, I found hand-washing facilities were sparse and hand-washing practices were almost non-existent.  The only places that had soap, running water and a way of drying your hands other than your pants were hotels, restaurants and upper-class homes. Since being in country, I had been planning my presentation and talking with Makarere University Business School (MUBS) students to get their opinions and suggestions on how I should present the information I wanted to. 
Sunday June 9 was the groundbreaking of the Kikandwa Health Clinic and also the day that I would give my presentation on hand-washing to members of the rural village. I was prepared with a good basis of information that I wanted to present to the audience that included what I had attained from the newspaper article and what I got from the MUBS students I spoke to.  Along with the informative portion of the presentation, I also wanted to give a demonstration of good hand washing and leave time for a question and answer session at the end. 
Finally, it was my time to shine.  Amazingly, I had an audience of around 50 community members total attend my workshop presentation; 35 children and 15 adults. I started off with informing them of the statistics I found in the New Vision article, explaining why hand washing is so imperative for good health, told them when and how you should wash your hands. Then, I demonstrated good hand washing techniques.  After a presentation and demonstration that lasted for about ten minutes I opened the floor for questions and surprisingly received a boatload of very good questions from the audience members. The questions I received were mostly related to hand washing and other health practices, but some questions were about food preservation and what you should and shouldn’t eat.  After answering these questions to the best of my ability and with the help of Ratiibu’s translation, I passed out a handout to each audience member that stated when you should wash your hands and also showed the techniques for washing your hands correctly. The workshop concluded with one the adult community members thanking me for coming followed by a huge applause from the rest of the audience.  This made me feel as though my presentation had an impact on them. 
Overall, I believe that this presentation was very successful, but as with anything there are some aspects of it could have been improved.  The main thing that made the presentation difficult was the language barrier between me and the adults in the audience many of whom only spoke the native language and knew little or no English. For the most part, I was able to overcome this with the help of my friend Ratiibu, a MUBS student, who was able to translate everything. This aspect could have been improved by me by having more direct communication with the children in the audience who do indeed know some English.  When questioned were asked, I should have told them what the question was and then answered it for them in English before Ratiibu translated in to the native language. The second thing that could have been improved was the handout.  These handouts, although they did include some pictures, were in English.  Looking back, these handouts would likely have been more effective if they included more pictures and were in the native language rather than English.
Stepping back and looking at the sustainability of hand washing practices as a whole has taken some critical examination and thought. Hand washing is something that is a fairly simple task that can have a giant impact on the overall health of an individual. If the members of the community have taken to heart what I have taught them they will become more economically, socially and environmentally sustainable.  Economically, they will have the chance to farm more and thus make more profits because they are healthier. Socially, healthier people will be able to attain an education, sustain good family lives and be active members in a democratic government.  The environment can be improved because the education can provide famers with more ecofriendly farming methods. As you can see, the economy, society and the environment can all directly benefit from the practice and habit of hand washing.  
In the future, I hope that someone else will pick up this project and continue to educate people in Uganda about hand-washing and how important it is to their health.  I would suggest to them that they do a similar set-up to what I did, but maybe perform more than one workshop and do them in different locations (i.e. schools).  They might even look into providing cheap soap or hand sanitizer to Ugandans. I believe their efforts should focus on washing your hands after using the bathroom.  At the rural village, there was never anything outside the bathroom that you could wash your hands with.
Through doing this project I believe that I learned a lot about the hand-washing culture in Uganda and gained many valuable experiences through my interactions with the MUBS students and members of the community during this whole project. I truly hope that the members of the community who attended my workshop benefit and become healthier as a result.  I would be extremely interested to see how the hand washing behaviors and culture were affected by my workshop. This fall, I hope to keep working with things involving hand washing in conjunction with the ongoing health clinic building.  I would like to look into things like getting hand sanitizer to the rural village so that water is not needed for proper sanitization of hands. By dealing with such a simple topic, I have finally realized how truly privileged we are to live in American and have access to things like hand washing facilities.

References
Ogwang , J. (2013, March 22). Only 28% of Ugandans have access to hand-washing facilities. Retrieved from http://www.newvision.co.ug/news/640928-only-28-of-ugandans-have-access-to-hand-washing-facilities.html