First and foremost, I am IMMENSELY better. The medicine side effects combined with the illness was not good there for a day or two. But, I am almost 100% now. Today I will finally leave the house to buy some cereal, juice, crackers, and the most important thing… toilet paper! Lets just say I’m glad I was well-stocked before this past week.
Now, on to more important things. Some of you have asked me about what exactly I do here. Haha. I guess I haven’t given you a lot of detail on my efforts at WAMATA, TASWA and Mikocheni Hospital. Part of the problem is that things are much less structured here than you can possibly imagine. So, sometimes a project is started but not finished. Sometimes a project is never intentionally started but somehow happens. Sometimes I think I have approval and then I don’t or (more often) I think I don’t have approval and then I do. So, I’m not really sure how things will turn out or what all will be accomplished in the end. But, I can say that some projects are moving steadily forward. I do feel accomplished and useful. The connections with TASWA and Mikocheni are things I nurtured after introductions from my supervisor. And all but two things on the list below are ideas I came up with myself, asked questions about, advocated for and brought to fruition. Imagine how many other projects I thought of starting that for some reason didn’t work out!
WAMATA
1) Researching and applying for several international grants and maintaining contact with prospective granters. Teaching the Executive Officer the rules of the game for maintaining contact. I’ve also given WAMATA some great ideas for other fundraising techniques and encouraged them to organize a meeting about it (they met a couple weeks ago and I wrote the agenda for the Executive Officer by his request. :) ) We will hold a meeting to create a financial plan and calendar for the future as well.
2) Starting a Girls Empowerment Group for teens. Currently there is about a 6:1 guy to girl ratio in the youth group. None of the girls lead activities and few make comments. Clearly the girls need a forum where they feel comfortable. Along with this, I have discovered creative ways to help encourage other counselors to get creative and assertive in making things happen when they see a need. I’m hoping to help one of them start a kids group.
3) Teaching the Executive Officer how to perform basic functions in an excel chart, setting up forms which will automatically calculate information which has always been hand-calculated in the past, typing and editing formal documents, including the annual report.
4) Developing measurable goals for the support groups for people living with HIV/AIDS and preparing simple evaluation tools which can be used to assess progress across years. I’m super excited about this one. And especially jealous of any future interns who may get to make use of the data. How exciting! Wow, I feel so vulnerable. Now you know the full extent of my nerdiness. Come on, go there with me. It’s fun.
5) Will propose, as a team with the Executive Officer and my supervisor, a job description for the next intern.
6) A number of small research projects to determine evidence-based practices with sex workers, orphans, etc. I continue to discover that WAMATA is doing everything right. Which is pretty amazing considering they mostly act on professional judgement, based in compassion and social justice. Maybe I give this whole goals-objectives-methods-outcomes-outputs-organizational chart-logic model-strategic plan BS a little too much credit. (I hope Haxby isn’t reading this because with her instinct-based-clinician perspective, she’ll never let me live it down. Oh, PS, Haxby, I accidentally took one of your forks to Africa.) According to the research, WAMATA is doing a damn good job with almost no resources.
7) My current baby is a project to help people like you get more in touch with WAMATA–a website! As I’m sure you know, this has sooo many benefits—to you and to WAMATA. But, understandably, it’s sometimes hard for staff here to comprehend those web-based benefits. But, I finally have approval to help WAMATA Dar set up a website (WAMATA headquarters supposedly has one… but it’s not working and no one can track down the guy who was paid to “make” it). I’ve gotten us approved for an online volunteer from UN Volunteers and I’ve received 7 applications from people who want to help us create an open-source website for free! So, soon I will be managing a volunteer. How fun. I actually wonder if that would be a really fun job for me in the future… managing volunteers. Anyway, we will include all sorts of information and an online donation option (this may take a bit of legal figuring, but I think we have options). Anyway, that’s what I was going to work on starting Wednesday, when I got sick.
TASWA
1) I pretty much just go to meetings. But they are the executive committee meetings for an agency which is just coming (back) to life. So exciting. I do speak up in these meetings. I think they were a little hesitant toward my feedback at first because I’m American and young. But they seem to appreciate my ideas now and I can even help pull the meeting back on track sometimes (this is QUITE a task here as the group is still coming into their own).
Mikocheni Hospital
1) Shadow the counseling nurse for two five-hour slots each week. During infrequent and irregular breaks from clients, we staff certain client situations. She will ask me questions about techniques and we share ideas. I bring in books and hand-outs which she plans to share with other counseling nurses. She answers my medical HIV/AIDS questions. She is obsessed with social work and counseling and always wants to learn more. I love it!
2) I’ve created some forms for them. Currently they only document medical information about their counseling clients, not mental health, systems or counseling session info. They are not yet in use… I hope they’ll make it into circulation. I may need to help the nurse advocate for this. They are: an intake form, counseling log and referral form. I also brought materials about specific counseling techniques and a suicide risk assessment.
Writing this list is like therapy for me. I really have made a contribution here and feel good about it. It’s been a struggle to fit all the pieces together. With my supervisor being gone and the Executive Officer having a different educational background than me, the internship has involved a little more advocating than I would have liked. But, such is true for most worthwhile efforts in life. I still think these placements, especially for international students, are too dang short. But I won’t complain too much because I’m excited to have my MSW in a couple months. :)
your thoughts