
This country has vast populations who are far from "the grid" of transportation, goods, services. So ideally the health system is set up to handle simple cases in rural health posts, referring to bigger centers as the need warrants. Needless to say, there are many barriers to its success.
There is little effective medical or nutrition care for children 0-5 yrs old, which is where malnutrition hits the hardest, so our work attends to this effort. We have tin-roof, almost tent-like clinics set up along side the state clinic buildings in various rural towns. Each site is staffed with a team of about 11 who triage, teach, weigh, register, consult, monitor, give medicines, and finally give plumpy-nut rations and mosquito nets to the children who come to our clinic.
I supervise two such clinics that lie to the north east of our town. They lie 100km and 60km from here, and in a place with few cars, that is a log way to travel on foot or animal. Their source of goods and services are the weekly markets that gather in various towns between. We see a mix of ethnicities: Peuhl, Tuareg, and Haoussa. So I can't speak much to the women who come, much more than the greetings in Haoussa. The staff are always trying to teach me their respective languages J besides my wanting French.
Since we know nutrition isn’t just as simple as sufficient calories, we also run the pediatric and maternity wards at the hospital in town as well as prenatal care in some rural centers. We also have an intensive therapeutic feeding center for children referred from our outlying clinics who are in serious trouble with nutrition and related illness.
The clinic set up is simple, the numbers served is impressive (thousands and thousands in yearly total), and offer tangible witness to the problem of malnutrition. Besides the physical need, our presence here is advocacy.
My work takes the role of a connector, communicator, supervisor in the project. Since I don’t speak the local languages, I could do very little directly with our beneficiaries. I oversee the work of the local staff, serve as a connector back to the base, and offer a perspective of an expatriate and as a (well-taken care of) volunteer, to compliment the perspective of our national colleagues.
That's a taste of what I am doing here.


























