Friday, June 26, 2009

Step 3: Pikin Welbodi Program...

So step 2 is to be screened, which means to get your weight and height measured. If a pikin fits the criteria for moderate/severe malnutrition without medical complications or edema, we can enroll the pikin into the program.

At the clinic:
Station 1: Get measurements taken (length, weight, MUAC, check for edema), receive registration card and patient chart. This can be a dangerous job! Amadu, who is in charge of getting the pikin length gets peed on at least thrice a day!


With their cards and charts - waiting for registration.

Station 2: Interview with nurse. Nurse obtains informed consent, caretaker signs or fingerprints, nurse gets patient history.

Nurse Andrew interviews a caretaker.

Station 3: Taste test and training on how to use RUTF. Distribution of RUTF! – My favorite part of the day.

RUTF taste test and instruction on proper use. Isata and Amadu instruct caretakers on how to feed their pikin 'groundnut merecin'


Isatu giving special one-on-one instruction to a mother.

Play station, a safe space for children: For siblings of the patient that the mother may bring. We’ve got paper and crayons, stuffed animals, jump ropes and a couple deflated balloons (so they don’t pop easily and so they’ll make less noise when they do pop). This station was created as part of an initiative to encourage weekly attendance – by making the clinic more attractive in other ways (to other children, for example, so it takes the stress off the mother to look after the patient and the other child while she’s getting advice from our nurses).

:)

What I love seeing:

...when pikin like eating RUTF - this pikin (who was the cutest thing in a dress made to match her mother's dress!) was sucking her spoon on her way out. Loves it! ^^

Thank you everybody for your encouragement, good thoughts, and prayers.

Next week, we'll split the mothers into two groups of about 15 and have discussion on the topic of 'breastfeeding' facilitated by our nurses before we start clinic. We brainstormed key points and taboos to address. Keep us in your thoughts!

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