To give you
a bit of background, Kikandwa is the main trading center for a rural population
of approximately 100,000, living within 15 to 20 kilometers of the village. Many
individuals in the area do not continue past primary school (our equivalent of
a middle school education). This is amplified by the fact that many who make it
through higher education rarely return to benefit the community with their
acquired higher education.
After speaking with over 50 community
members, we were able to spot a huge need: access to any form of healthcare. Many
of the illnesses within the community can be prevented and/or treated with
simple practices, but the lack of knowledge and access to healthcare makes this
extremely difficult. By design, the government provides free services and
transportation to all Ugandans, but the follow-through on this commitment is
extremely poor. The impact of this lack of commitment is amplified by the fact
that around 30% of Uganda’s population lives below the poverty line. With many
residents struggling to even afford care, transportation to the nearest
facility 15 kilometers away makes matters even worse. Some of the village women
often say, “A baby doesn’t decide to wait for a 15km walk before it wants to be
born.”
Since
returning from the trip to Uganda, I have been extremely lucky to work with
other Drake students and faculty to connect organizations and individuals interested
in creating a self-sustaining health clinic with Kikandwa. By collaborating
with multiple U.S. and Ugandan Rotaries, the Diocese of Uganda, the village
elders, and the village’s newly assembled Health Clinic Committee, a network
has been created to connect people that otherwise may not have been connected.
These connections have not only helped bypass corruption in the country, but
have also worked to unite the native Ugandans who will be able to ensure the
long-term sustainability of the clinic.
While
planning for health clinic, we faced the challenge of doing something
different. After all, a clinic would be of little use if it fell victim to the
“norm” of the country. The systematic construction of clinics and health
centers was what gave rise to the very problem we were trying to combat. In
order to help improve the health of the community, we needed a model that
brought about change. This challenge was intensified not only by the need for
change, but also by the need of sustainable
change. With many potential solutions, we found a solution in something all
around us: education.
With
support from the Slay Fund for Social Justice at Drake University, I have the incredible
opportunity to live in Kikandwa for three weeks researching the health education
within the village. In addition to observing the current level of health
education, I will also encourage talk of future implementation of a health
curriculum, both within the schools as well as a part of the health clinic’s future
model. Doing so will provide change to the Ugandan health clinic model by being
the only known clinic to provide both health services and educational
programming to the community. Essentially, the clinic will not only react to
illness through treatment, but also help prevent some of the most prevalent
illnesses through health education.
I plan to post
daily for daily updates as well as one or two adventure stories along the way. Please
feel free to read the posts, keep conversation alive, and experience the
village of Kikandwa with me!
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